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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
3
New, in review, or accepted tasks
Last visit
2025-05-27
Appointment or derived chart contact
Latest A1c
8.6 %
2026-02-25
Latest BP
165 mmHg / 93 mmHg
2026-03-07
Extracted signals
0
Optional text signals
Chart volume
48
4 notes, 2 reports
A compact view of what needs attention before opening the full imported record.
Review priority
3
active signal
s
3
0
0
Review these before relying on the imported record clinically.
Review needed
3 open flags
Open clinical review items need status, assignment, or closure.
A1c above review threshold
Latest HbA1c is 8.6 % on 2026-02-25.
BP above target
Latest BP is 165 mmHg / 93 mmHg on 2026-03-07.
Active problems
4
Glaucoma suspect
active
Chronic neck pain
active
Essential hypertension
I10
active
Type 2 diabetes mellitus
E11
active
Active medications
6
Naproxen
500 mg BID PRN
Oxycodone/acetaminophen
5/325 mg q6h PRN
Acetaminophen
1000 mg TID PRN
Amlodipine
5 mg daily
Candesartan
8 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.
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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.
34, 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: EYE_EXAM_OVERDUE
status=booked | imported | next review=2026-06-23 | Review evidence for Eye exam evidence missing or overdue; confirm appropriateness before contacting patient.
PHM saved action
PHM action: OPIOID_MONITORING_DUE
status=in_review | imported | next review=2026-06-16 | Review evidence for Opioid monitoring review due; confirm appropriateness before contacting patient.
PHM saved action
PHM action: UNCONTROLLED_HBA1C
status=outreach_planned | imported | outreach=phone 2026-04-28 14:30 | 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: EYE_EXAM_OVERDUE
status=booked | imported | next review=2026-06-23 | Review evidence for Eye exam evidence missing or overdue; confirm appropriateness before contacting patient.
phm_workflow
PHM action: OPIOID_MONITORING_DUE
status=in_review | imported | next review=2026-06-16 | Review evidence for Opioid monitoring review due; confirm appropriateness before contacting patient.
phm_workflow
PHM action: UNCONTROLLED_HBA1C
status=outreach_planned | imported | outreach=phone 2026-04-28 14:30 | next review=2026-07-02 | Review evidence for HbA1c above target; confirm appropriateness before contacting patient.
clinical_flag
Eye exam evidence missing or overdue
new | medium | active_cohort_automation | Glaucoma suspect is documented but no recent eye exam report is present in the synthetic chart.
clinical_flag
Opioid monitoring review due
accepted | high | structured_fact | Active opioid medication identified; verify treatment agreement, functional goals, dispense review, and urine drug screen documentation.
clinical_flag
Repeated BP above target
dismissed | high | structured_fact | Two recent BP readings are above target: 142/99 and 165/93 mmHg.
clinical_flag
HbA1c above target
in_review | high | structured_fact | Latest HbA1c 8.6% suggests above-target glycemic control and needs clinician review.
alert
Diabetes control flag: HbA1c above target
Generated from longitudinal lab trend.
note
SOAP note
T2DM review. Home glucose pattern often elevated fasting. Discussed nutrition, exercise, foot care, and medication adherence. Plan: repeat HbA1c and review cardiovascular/renal risk.
note
SOAP note
Pain follow-up for chronic neck pain. Function, sleep, mood, non-pharmacologic options, and medication risks reviewed. Pain score 5/10.
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.
note
SOAP note
BP reviewed. Home readings above target several mornings. Reviewed sodium, adherence, and medication tolerance.
appointment
lab follow-up
cancelled
SOAP note
T2DM review. Home glucose pattern often elevated fasting. Discussed nutrition, exercise, foot care, and medication adherence. Plan: repeat HbA1c and review cardiovascular/renal risk.
SOAP note
Pain follow-up for chronic neck pain. Function, sleep, mood, non-pharmacologic options, and medication risks reviewed. Pain score 5/10.
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.
SOAP note
BP reviewed. Home readings above target several mornings. Reviewed sodium, adherence, and medication tolerance.
Screening
mammogram normal
Laboratory
HbA1c, fasting glucose, lipid panel, creatinine/eGFR, and urine ACR reviewed for diabetes follow-up.
Eye exam evidence missing or overdue
Glaucoma suspect is documented but no recent eye exam report is present in the synthetic chart.
Opioid monitoring review due
Active opioid medication identified; verify treatment agreement, functional goals, dispense review, and urine drug screen documentation.
Repeated BP above target
Two recent BP readings are above target: 142/99 and 165/93 mmHg.
HbA1c above target
Latest HbA1c 8.6% suggests above-target glycemic control and needs clinician review.
Ldl Cholesterol
2.8 mmol/L
2026-05-04Albumin Creatinine Ratio
12.1 mg/mmol
2026-04-16Diastolic Bp
93 mmHg
2026-03-07Systolic Bp
165 mmHg
2026-03-07Hba1c
8.6 %
2026-02-25Fasting 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: EYE_EXAM_OVERDUE | status=booked | imported | next review=2026-06-23 | Review evidence for Eye exam evidence missing or overdue; confirm appropriateness before contacting patient. | |
phm_workflow | PHM action: OPIOID_MONITORING_DUE | status=in_review | imported | next review=2026-06-16 | Review evidence for Opioid monitoring review due; confirm appropriateness before contacting patient. | |
phm_workflow | PHM action: UNCONTROLLED_HBA1C | status=outreach_planned | imported | outreach=phone 2026-04-28 14:30 | next review=2026-07-02 | Review evidence for HbA1c above target; confirm appropriateness before contacting patient. | |
clinical_flag | Eye exam evidence missing or overdue | new | medium | active_cohort_automation | Glaucoma suspect is documented but no recent eye exam report is present in the synthetic chart. | |
clinical_flag | Opioid monitoring review due | accepted | high | structured_fact | Active opioid medication identified; verify treatment agreement, functional goals, dispense review, and urine drug screen documentation. | |
clinical_flag | Repeated BP above target | dismissed | high | structured_fact | Two recent BP readings are above target: 142/99 and 165/93 mmHg. | |
clinical_flag | HbA1c above target | in_review | high | structured_fact | Latest HbA1c 8.6% suggests above-target glycemic control and needs clinician review. | |
alert | Diabetes control flag: HbA1c above target | Generated from longitudinal lab trend. | |
care_element | ldl_cholesterol | ||
care_element | albumin_creatinine_ratio | ||
care_element | systolic_bp | ||
care_element | diastolic_bp | ||
care_element | hba1c | ||
care_element | fasting_glucose | ||
care_element | systolic_bp | ||
care_element | diastolic_bp | ||
care_element | hba1c | ||
care_element | ldl_cholesterol | ||
note | SOAP note | T2DM review. Home glucose pattern often elevated fasting. Discussed nutrition, exercise, foot care, and medication adherence. Plan: repeat HbA1c and review cardiovascular/renal risk. | |
note | SOAP note | Pain follow-up for chronic neck pain. Function, sleep, mood, non-pharmacologic options, and medication risks reviewed. Pain score 5/10. | |
care_element | egfr | ||
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. | |
note | SOAP note | BP reviewed. Home readings above target several mornings. Reviewed sodium, adherence, and medication tolerance. | |
care_element | smoking_status | never smoker | |
appointment | lab follow-up | cancelled | |
report | Screening | mammogram normal | |
care_element | cancer_screening | mammogram normal | |
report | Laboratory | HbA1c, fasting glucose, lipid panel, creatinine/eGFR, and urine ACR reviewed for diabetes follow-up. | |
care_element | bmi | ||
care_element | hba1c | ||
appointment | same-day concern | completed | |
care_element | systolic_bp | ||
care_element | diastolic_bp | ||
care_element | ldl_cholesterol | ||
appointment | periodic health review | completed | |
care_element | fasting_glucose | ||
care_element | hba1c | ||
care_element | diastolic_bp | ||
care_element | systolic_bp | ||
care_element | hba1c | ||
care_element | diastolic_bp | ||
care_element | systolic_bp | ||
care_element | fasting_glucose | ||
appointment | medication renewal | booked | |
care_element | systolic_bp | ||
care_element | diastolic_bp | ||
care_element | hba1c |
8.9 mmol/L
2025-12-16Diastolic Bp
99 mmHg
2025-12-12Systolic Bp
142 mmHg
2025-12-12Hba1c
8.6 %
2025-12-05Ldl Cholesterol
2.9 mmol/L
2025-11-28Egfr
79 mL/min/1.73m2
2025-10-23Smoking Status
never smoker
2025-08-01Cancer Screening
mammogram normal
2025-05-26Bmi
27 kg/m2
2025-02-02Hba1c
7.8 %
2024-04-19Diastolic Bp
67 mmHg
2024-02-12Systolic Bp
115 mmHg
2024-02-12Ldl Cholesterol
4 mmol/L
2024-01-10Fasting Glucose
10.1 mmol/L
2023-12-08Hba1c
7.9 %
2023-08-27Diastolic Bp
75 mmHg
2023-05-25Systolic Bp
129 mmHg
2023-05-25Hba1c
8 %
2022-12-13Diastolic Bp
73 mmHg
2022-10-02Systolic Bp
136 mmHg
2022-10-02Fasting Glucose
11.4 mmol/L
2022-08-21Diastolic Bp
70 mmHg
2021-07-23Systolic Bp
133 mmHg
2021-07-23Hba1c
7.9 %
2021-02-20