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Accepted chart labels
Human-confirmed labels that stay on the chart after a cohort membership is accepted.
0, active
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Cohort memberships
Patient-list membership from saved cohort runs. These are source lists, not task status or accepted chart labels.
2, current
Frailty / Falls review cohort
Chart evidence: Flag: diabetes_prediabetes prediabetes_risk medium accepted Prediabetes range HbA1c Latest HbA1c 6.3% falls in the prediabetes range without a diabetes problem-lis...
membership needs review
No review task has been created from this cohort for this patient yet.
Smoking / Lung Screening review cohort
Chart evidence: Care element: smoking_status current smoker form
membership needs review
Open review tasks
3
New, in review, or accepted tasks
Last visit
2026-02-28
Appointment or derived chart contact
Latest A1c
6.3 %
2026-02-15
Latest BP
123 mmHg / 89 mmHg
2026-04-04
Extracted signals
0
Optional text signals
Chart volume
36
6 notes, 1 reports
A compact view of what needs attention before opening the full imported record.
Review priority
1
active signal
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.
Active problems
3
Osteoarthritis of hip
M19.90
active
Coronary artery disease
I25.10
active
Essential hypertension
I10
active
Active medications
4
Rosuvastatin
20 mg daily
Metoprolol
25 mg BID
Amlodipine
5 mg daily
Hydrochlorothiazide
12.5 mg daily
No review task has been created from this cohort for this patient yet.
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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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.
22, 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 | next review=2026-07-02 | Review evidence for Age-eligible screening missing; confirm appropriateness before contacting patient.
PHM saved action
PHM action: PREDIABETES_RISK
status=new | imported | next review=2026-06-09 | Review evidence for Prediabetes range HbA1c; confirm appropriateness before contacting patient.
cohort_run
Cohort: Frailty / Falls review cohort
completed | Chart evidence: Flag: diabetes_prediabetes prediabetes_risk medium accepted Prediabetes range HbA1c Latest HbA1c 6.3% falls in the prediabetes range without a diabetes problem-list diagnosis. structured_fact | Clinical note: SOAP note BP reviewed. Home readings above target several mornings. Reviewed sodium, adherence, and medication tolerance. | probable
cohort_run
Cohort: Smoking / Lung Screening review cohort
completed | Chart evidence: Care element: smoking_status current smoker form | probable
phm_workflow
PHM action: AGE_ELIGIBLE_SCREENING_MISSING
status=new | imported | next review=2026-07-02 | Review evidence for Age-eligible screening missing; confirm appropriateness before contacting patient.
phm_workflow
PHM action: PREDIABETES_RISK
status=new | imported | next review=2026-06-09 | Review evidence for Prediabetes range HbA1c; confirm appropriateness before contacting patient.
clinical_flag
Influenza immunization recall
new | low | structured_fact | No recent influenza immunization evidence within the synthetic seasonal window.
clinical_flag
Age-eligible screening missing
new | medium | clinical_note | Patient appears age-eligible for preventive screening, but no recent screening completion evidence is present.
clinical_flag
Prediabetes range HbA1c
accepted | medium | structured_fact | Latest HbA1c 6.3% falls in the prediabetes range without a diabetes problem-list diagnosis.
note
SOAP note
BP reviewed. Home readings above target several mornings. Reviewed sodium, adherence, and medication tolerance.
note
SOAP note
MSK review: chronic hip pain with morning stiffness and crepitus, consistent with osteoarthritis pattern. Discussed activity modification, strengthening, topical/oral analgesia risks, imaging only if red flags or surgical planning.
appointment
periodic health review
completed
note
preventive care
HbA1c in prediabetes range. Discussed weight, activity, nutrition, sleep, and repeat testing. No confirmed diabetes diagnosis documented.
note
consult
Coronary artery disease follow-up. Patient reports no chest pain. Plan: continue guideline-oriented risk management and monitor labs.
appointment
lab follow-up
completed
note
preventive care
Preventive care review: age-eligible cancer screening discussed. No completed screening result found in imported records.
SOAP note
BP reviewed. Home readings above target several mornings. Reviewed sodium, adherence, and medication tolerance.
SOAP note
MSK review: chronic hip pain with morning stiffness and crepitus, consistent with osteoarthritis pattern. Discussed activity modification, strengthening, topical/oral analgesia risks, imaging only if red flags or surgical planning.
preventive care
HbA1c in prediabetes range. Discussed weight, activity, nutrition, sleep, and repeat testing. No confirmed diabetes diagnosis documented.
consult
Coronary artery disease follow-up. Patient reports no chest pain. Plan: continue guideline-oriented risk management and monitor labs.
Consult
Consult follow-up for Coronary artery disease. Risk factor optimization, medication adherence, symptom surveillance, and return precautions reviewed.
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.
Prediabetes range HbA1c
Latest HbA1c 6.3% falls in the prediabetes range without a diabetes problem-list diagnosis.
Bmi
21.8 kg/m2
2026-04-12Diastolic Bp
89 mmHg
2026-04-04Systolic Bp
123 mmHg
2026-04-04Hba1c
6.3 %
2026-02-15Diastolic Bp
73 mmHg
2025-07-15Systolic Bp
Date | Type | Title | Detail |
|---|---|---|---|
cohort_run | Cohort: Frailty / Falls review cohort | completed | Chart evidence: Flag: diabetes_prediabetes prediabetes_risk medium accepted Prediabetes range HbA1c Latest HbA1c 6.3% falls in the prediabetes range without a diabetes problem-list diagnosis. structured_fact | Clinical note: SOAP note BP reviewed. Home readings above target several mornings. Reviewed sodium, adherence, and medication tolerance. | probable | |
cohort_run | Cohort: Smoking / Lung Screening review cohort | completed | Chart evidence: Care element: smoking_status current smoker form | probable | |
phm_workflow | PHM action: AGE_ELIGIBLE_SCREENING_MISSING | status=new | imported | next review=2026-07-02 | Review evidence for Age-eligible screening missing; confirm appropriateness before contacting patient. | |
phm_workflow | PHM action: PREDIABETES_RISK | status=new | imported | next review=2026-06-09 | Review evidence for Prediabetes range HbA1c; confirm appropriateness before contacting patient. | |
clinical_flag | Influenza immunization recall | new | low | structured_fact | No recent influenza immunization evidence within the synthetic seasonal window. | |
clinical_flag | Age-eligible screening missing | new | medium | clinical_note | Patient appears age-eligible for preventive screening, but no recent screening completion evidence is present. | |
clinical_flag | Prediabetes range HbA1c | accepted | medium | structured_fact | Latest HbA1c 6.3% falls in the prediabetes range without a diabetes problem-list diagnosis. | |
note | SOAP note | BP reviewed. Home readings above target several mornings. Reviewed sodium, adherence, and medication tolerance. | |
care_element | bmi | ||
note | SOAP note | MSK review: chronic hip pain with morning stiffness and crepitus, consistent with osteoarthritis pattern. Discussed activity modification, strengthening, topical/oral analgesia risks, imaging only if red flags or surgical planning. | |
care_element | systolic_bp | ||
care_element | diastolic_bp | ||
appointment | periodic health review | completed | |
care_element | hba1c | ||
note | preventive care | HbA1c in prediabetes range. Discussed weight, activity, nutrition, sleep, and repeat testing. No confirmed diabetes diagnosis documented. | |
note | consult | Coronary artery disease follow-up. Patient reports no chest pain. Plan: continue guideline-oriented risk management and monitor labs. | |
appointment | lab follow-up | completed | |
care_element | systolic_bp | ||
care_element | diastolic_bp | ||
note | preventive care | Preventive care review: age-eligible cancer screening discussed. No completed screening result found in imported records. | |
care_element | immunization | Influenza vaccine documented | |
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. | |
report | Consult | Consult follow-up for Coronary artery disease. Risk factor optimization, medication adherence, symptom surveillance, and return precautions reviewed. | |
care_element | smoking_status | current smoker | |
care_element | diastolic_bp | ||
care_element | systolic_bp | ||
care_element | egfr | ||
care_element | immunization | COVID-19 vaccine documented | |
care_element | diastolic_bp | ||
care_element | systolic_bp | ||
care_element | hba1c | ||
care_element | hba1c | ||
appointment | medication renewal | completed | |
care_element | systolic_bp | ||
care_element | diastolic_bp | ||
care_element | hba1c |
128 mmHg
2025-07-15Immunization
Influenza vaccine documented
2025-03-09Smoking Status
current smoker
2024-10-30Diastolic Bp
77 mmHg
2024-08-21Systolic Bp
133 mmHg
2024-08-21Egfr
94 mL/min/1.73m2
2024-05-30Immunization
COVID-19 vaccine documented
2024-03-14Diastolic Bp
78 mmHg
2023-12-25Systolic Bp
135 mmHg
2023-12-25Hba1c
6.1 %
2023-01-06Hba1c
6.3 %
2022-05-17Diastolic Bp
79 mmHg
2021-11-13Systolic Bp
133 mmHg
2021-11-13Hba1c
6 %
2021-06-10