DocChart
Population Health
Patient panel
Loading the selected patient panel and chart summaries.
Switching panel
Preparing patient rows, flags, problems, medications, and last visit summaries.
Panel size
...
Loading patient records
With open flags
...
Loading review signals
With recent visit
...
Loading visit dates
Accepted chart labels
Human-confirmed labels that stay on the chart after a cohort membership is accepted.
0, active
No accepted chart labels yet. Cohort memberships and review tasks still appear below before anything is accepted.
Cohort memberships
Patient-list membership from saved cohort runs. These are source lists, not task status or accepted chart labels.
1, current
Smoking / Lung Screening review cohort
Chart evidence: Care element: smoking_status never smoker form
membership needs review
No review task has been created from this cohort for this patient yet.
Open review tasks
4
New, in review, or accepted tasks
Last visit
2026-04-03
Appointment or derived chart contact
Latest A1c
8.3 %
2026-05-23
Latest BP
129 mmHg / 83 mmHg
2026-03-24
Extracted signals
0
Optional text signals
Chart volume
55
4 notes, 3 reports
A compact view of what needs attention before opening the full imported record.
Review priority
2
active signal
s
4
0
0
Review these before relying on the imported record clinically.
Review needed
4 open flags
Open clinical review items need status, assignment, or closure.
A1c above review threshold
Latest HbA1c is 8.3 % on 2026-05-23.
Active problems
4
Macular degeneration
active
Chronic kidney disease stage 3b
N18
active
Essential hypertension
I10
active
Type 2 diabetes mellitus
E11
active
Active medications
2
Candesartan
8 mg daily
Metformin XR
1000 mg daily
AI-CDS actions selected from Flags & Tasks. These stay visible on the chart for follow-up.
0, selected
No selected follow-up actions
Select AI-CDS actions from Flags & Tasks to keep them visible on this chart.
Saved population-health queue work for this patient: calls, recalls, flags, snoozes, exclusions, and completions.
Optional text-derived evidence extracted beside the imported chart. Each signal stays traceable to source text.
No extracted signals for this patient
Reprocess an import with text enrichment to attach suggested evidence to this patient record.
Most recent values are summarized here so the timeline can stay readable.
Recent chart, workflow, AI, cohort, and audit events shown in the user's local time.
41, more source rows below
Latest narrative evidence, clipped for scanning.
Recent report headers and excerpts.
Audit view for imported records. Kept collapsed so the working chart remains usable.
PHM saved action
PHM action: AGE_ELIGIBLE_SCREENING_MISSING
status=new | imported | outreach=phone 2026-05-10 09:20 | next review=2026-06-16 | Review evidence for Age-eligible screening missing; confirm appropriateness before contacting patient.
PHM saved action
PHM action: DIABETES_ACR_OVERDUE
status=new | imported | next review=2026-08-01 | Review evidence for Urine ACR overdue; confirm appropriateness before contacting patient.
PHM saved action
PHM action: UNCONTROLLED_HBA1C
status=outreach_planned | imported | next review=2026-07-02 | Review evidence for HbA1c above target; confirm appropriateness before contacting patient.
cohort_run
Cohort: Smoking / Lung Screening review cohort
completed | Chart evidence: Care element: smoking_status never smoker form | probable
phm_workflow
PHM action: AGE_ELIGIBLE_SCREENING_MISSING
status=new | imported | outreach=phone 2026-05-10 09:20 | next review=2026-06-16 | Review evidence for Age-eligible screening missing; confirm appropriateness before contacting patient.
phm_workflow
PHM action: DIABETES_ACR_OVERDUE
status=new | imported | next review=2026-08-01 | Review evidence for Urine ACR overdue; confirm appropriateness before contacting patient.
phm_workflow
PHM action: UNCONTROLLED_HBA1C
status=outreach_planned | imported | next review=2026-07-02 | Review evidence for HbA1c above target; confirm appropriateness before contacting patient.
clinical_flag
Influenza immunization recall
in_review | low | structured_fact | No recent influenza immunization evidence within the synthetic seasonal window.
clinical_flag
Age-eligible screening missing
accepted | medium | clinical_note | Patient appears age-eligible for preventive screening, but no recent screening completion evidence is present.
clinical_flag
Reduced eGFR requires review
dismissed | medium | structured_fact | Latest eGFR 42.0 mL/min/1.73m2 requires medication and renal-risk review.
clinical_flag
Urine ACR overdue
accepted | medium | active_cohort_automation | Patient has diabetes and no recent urine ACR evidence within the synthetic monitoring window.
clinical_flag
HbA1c above target
new | high | structured_fact | Latest HbA1c 8.3% suggests above-target glycemic control and needs clinician review.
alert
Diabetes control flag: HbA1c above target
Generated from longitudinal lab trend.
note
preventive care
Preventive care review: age-eligible cancer screening discussed. No completed screening result found in imported records.
report
Laboratory
Creatinine/eGFR and urine albumin-creatinine ratio reviewed for chronic kidney disease monitoring.
report
Laboratory
HbA1c, fasting glucose, lipid panel, creatinine/eGFR, and urine ACR reviewed for diabetes follow-up.
appointment
medication renewal
completed
preventive care
Preventive care review: age-eligible cancer screening discussed. No completed screening result found in imported records.
SOAP note
BP reviewed. Home readings mostly controlled. Reviewed sodium, adherence, and medication tolerance.
SOAP note
T2DM review. Home glucose pattern limited due to missed checks. Discussed nutrition, exercise, foot care, and medication adherence. Plan: repeat HbA1c and review cardiovascular/renal risk.
SOAP note
Follow-up visit. Medication list reviewed, allergies checked, and preventive care status discussed. Patient reports improving symptoms. Plan: update labs/vitals and arrange follow-up as clinically indicated.
Laboratory
Creatinine/eGFR and urine albumin-creatinine ratio reviewed for chronic kidney disease monitoring.
Laboratory
HbA1c, fasting glucose, lipid panel, creatinine/eGFR, and urine ACR reviewed for diabetes follow-up.
Consult
Eye care report: macular degeneration reviewed. Follow-up interval documented; no urgent ocular change in this synthetic report.
Influenza immunization recall
No recent influenza immunization evidence within the synthetic seasonal window.
Age-eligible screening missing
Patient appears age-eligible for preventive screening, but no recent screening completion evidence is present.
Reduced eGFR requires review
Latest eGFR 42.0 mL/min/1.73m2 requires medication and renal-risk review.
Urine ACR overdue
Patient has diabetes and no recent urine ACR evidence within the synthetic monitoring window.
HbA1c above target
Latest HbA1c 8.3% suggests above-target glycemic control and needs clinician review.
Egfr
42 mL/min/1.73m2
2026-05-24Hba1c
8.3 %
2026-05-23Diastolic Bp
83 mmHg
2026-03-24Systolic Bp
129 mmHg
2026-03-24Ldl Cholesterol
3 mmol/L
2026-03-20Fasting Glucose
Date | Type | Title | Detail |
|---|---|---|---|
cohort_run | Cohort: Smoking / Lung Screening review cohort | completed | Chart evidence: Care element: smoking_status never smoker form | probable | |
phm_workflow | PHM action: AGE_ELIGIBLE_SCREENING_MISSING | status=new | imported | outreach=phone 2026-05-10 09:20 | next review=2026-06-16 | Review evidence for Age-eligible screening missing; confirm appropriateness before contacting patient. | |
phm_workflow | PHM action: DIABETES_ACR_OVERDUE | status=new | imported | next review=2026-08-01 | Review evidence for Urine ACR overdue; confirm appropriateness before contacting patient. | |
phm_workflow | PHM action: UNCONTROLLED_HBA1C | status=outreach_planned | imported | next review=2026-07-02 | Review evidence for HbA1c above target; confirm appropriateness before contacting patient. | |
clinical_flag | Influenza immunization recall | in_review | low | structured_fact | No recent influenza immunization evidence within the synthetic seasonal window. | |
clinical_flag | Age-eligible screening missing | accepted | medium | clinical_note | Patient appears age-eligible for preventive screening, but no recent screening completion evidence is present. | |
clinical_flag | Reduced eGFR requires review | dismissed | medium | structured_fact | Latest eGFR 42.0 mL/min/1.73m2 requires medication and renal-risk review. | |
clinical_flag | Urine ACR overdue | accepted | medium | active_cohort_automation | Patient has diabetes and no recent urine ACR evidence within the synthetic monitoring window. | |
clinical_flag | HbA1c above target | new | high | structured_fact | Latest HbA1c 8.3% suggests above-target glycemic control and needs clinician review. | |
alert | Diabetes control flag: HbA1c above target | Generated from longitudinal lab trend. | |
care_element | egfr | ||
care_element | hba1c | ||
note | preventive care | Preventive care review: age-eligible cancer screening discussed. No completed screening result found in imported records. | |
report | Laboratory | Creatinine/eGFR and urine albumin-creatinine ratio reviewed for chronic kidney disease monitoring. | |
report | Laboratory | HbA1c, fasting glucose, lipid panel, creatinine/eGFR, and urine ACR reviewed for diabetes follow-up. | |
appointment | medication renewal | completed | |
care_element | systolic_bp | ||
care_element | diastolic_bp | ||
care_element | ldl_cholesterol | ||
care_element | fasting_glucose | ||
care_element | albumin_creatinine_ratio | ||
care_element | systolic_bp | ||
care_element | diastolic_bp | ||
note | SOAP note | BP reviewed. Home readings mostly controlled. Reviewed sodium, adherence, and medication tolerance. | |
appointment | medication renewal | completed | |
note | SOAP note | T2DM review. Home glucose pattern limited due to missed checks. Discussed nutrition, exercise, foot care, and medication adherence. Plan: repeat HbA1c and review cardiovascular/renal risk. | |
care_element | bmi | ||
care_element | immunization | COVID-19 vaccine documented | |
care_element | ldl_cholesterol | ||
care_element | smoking_status | never smoker | |
care_element | hba1c | ||
report | Consult | Eye care report: macular degeneration reviewed. Follow-up interval documented; no urgent ocular change in this synthetic report. | |
appointment | preventive care recall | cancelled | |
note | SOAP note | Follow-up visit. Medication list reviewed, allergies checked, and preventive care status discussed. Patient reports improving symptoms. Plan: update labs/vitals and arrange follow-up as clinically indicated. | |
care_element | egfr | ||
care_element | diastolic_bp | ||
care_element | systolic_bp | ||
care_element | ldl_cholesterol | ||
care_element | immunization | Influenza vaccine documented | |
care_element | hba1c | ||
care_element | hba1c | ||
care_element | diastolic_bp | ||
care_element | systolic_bp | ||
care_element | fasting_glucose | ||
care_element | egfr | ||
care_element | diastolic_bp | ||
care_element | systolic_bp | ||
care_element | egfr | ||
care_element | ldl_cholesterol | ||
appointment | preventive care recall | completed | |
care_element | diastolic_bp | ||
care_element | systolic_bp | ||
appointment | lab follow-up | no_show | |
care_element | egfr | ||
care_element | hba1c |
10.7 mmol/L
2026-03-12Albumin Creatinine Ratio
88.8 mg/mmol
2026-03-06Diastolic Bp
77 mmHg
2025-11-28Systolic Bp
123 mmHg
2025-11-28Bmi
26.3 kg/m2
2025-06-18Immunization
COVID-19 vaccine documented
2025-04-08Ldl Cholesterol
3 mmol/L
2025-04-08Smoking Status
never smoker
2025-03-24Hba1c
8 %
2025-02-27Egfr
40 mL/min/1.73m2
2024-09-10Diastolic Bp
80 mmHg
2024-09-04Systolic Bp
112 mmHg
2024-09-04Ldl Cholesterol
2.3 mmol/L
2024-07-18Immunization
Influenza vaccine documented
2024-07-12Hba1c
7.7 %
2024-03-26Hba1c
7.8 %
2023-10-19Diastolic Bp
71 mmHg
2023-09-28Systolic Bp
142 mmHg
2023-09-28Fasting Glucose
8.3 mmol/L
2023-07-08Egfr
36 mL/min/1.73m2
2023-03-11Diastolic Bp
75 mmHg
2022-08-27Systolic Bp
122 mmHg
2022-08-27Egfr
43 mL/min/1.73m2
2022-07-09Ldl Cholesterol
2.4 mmol/L
2022-04-04Diastolic Bp
78 mmHg
2021-12-28Systolic Bp
129 mmHg
2021-12-28Egfr
43 mL/min/1.73m2
2021-06-04Hba1c
7.7 %
2021-01-17