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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 former smoker form
membership needs review
No review task has been created from this cohort for this patient yet.
Open review tasks
1
New, in review, or accepted tasks
Last visit
2026-01-11
Appointment or derived chart contact
Latest A1c
8.3 %
2026-02-13
Latest BP
157 mmHg / 88 mmHg
2026-02-14
Extracted signals
0
Optional text signals
Chart volume
41
5 notes, 2 reports
A compact view of what needs attention before opening the full imported record.
Review priority
3
active signal
s
1
0
0
Review these before relying on the imported record clinically.
Review needed
1 open flag
Open clinical review items need status, assignment, or closure.
A1c above review threshold
Latest HbA1c is 8.3 % on 2026-02-13.
BP above target
Latest BP is 157 mmHg / 88 mmHg on 2026-02-14.
Active problems
5
Diabetic eye screening risk
active
Major depressive disorder
active
Colorectal cancer survivor
active
Essential hypertension
I10
active
Type 2 diabetes mellitus
E11
active
Active medications
3
Venlafaxine XR
75 mg daily
Hydrochlorothiazide
12.5 mg daily
Gliclazide MR
30 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.
PHM saved action
PHM action: UNCONTROLLED_HBA1C
status=outreach_planned | imported | outreach=portal 2026-03-26 16:45 | next review=2026-07-02 | Review evidence for HbA1c above target; confirm appropriateness before contacting patient.
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Recent chart, workflow, AI, cohort, and audit events shown in the user's local time.
27, 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.
cohort_run
Cohort: Smoking / Lung Screening review cohort
completed | Chart evidence: Care element: smoking_status former smoker form | probable
phm_workflow
PHM action: UNCONTROLLED_HBA1C
status=outreach_planned | imported | outreach=portal 2026-03-26 16:45 | next review=2026-07-02 | Review evidence for HbA1c above target; confirm appropriateness before contacting patient.
clinical_flag
Eye exam evidence missing or overdue
dismissed | medium | active_cohort_automation | Diabetic eye screening risk is documented but no recent eye exam report is present in the synthetic chart.
clinical_flag
Elevated mental health symptom score
completed | high | clinical_note | Recent note documents PHQ-9 20 and GAD-7 9; follow-up priority should be reviewed.
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
SOAP note
BP reviewed. Home readings above target several mornings. Reviewed sodium, adherence, and medication tolerance.
appointment
periodic health review
completed
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
consult
Survivorship care reviewed for history of colorectal cancer survivor. Patient asks about surveillance schedule and late effects.
report
Laboratory
HbA1c, fasting glucose, lipid panel, creatinine/eGFR, and urine ACR reviewed for diabetes follow-up.
note
SOAP note
Mental health review. PHQ-9 20, GAD-7 9. Sleep adequate. No acute safety concern documented. Plan includes counselling resources, medication review, and follow-up interval based on symptoms.
report
Consult
Oncology follow-up for colorectal cancer survivor. No active recurrence noted in this synthetic report. Ongoing surveillance, late effects, and primary care coordination discussed.
note
SOAP note
Follow-up visit. Medication list reviewed, allergies checked, and preventive care status discussed. Patient reports no acute concern. 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.
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.
consult
Survivorship care reviewed for history of colorectal cancer survivor. Patient asks about surveillance schedule and late effects.
SOAP note
Mental health review. PHQ-9 20, GAD-7 9. Sleep adequate. No acute safety concern documented. Plan includes counselling resources, medication review, and follow-up interval based on symptoms.
Laboratory
HbA1c, fasting glucose, lipid panel, creatinine/eGFR, and urine ACR reviewed for diabetes follow-up.
Consult
Oncology follow-up for colorectal cancer survivor. No active recurrence noted in this synthetic report. Ongoing surveillance, late effects, and primary care coordination discussed.
Eye exam evidence missing or overdue
Diabetic eye screening risk is documented but no recent eye exam report is present in the synthetic chart.
Elevated mental health symptom score
Recent note documents PHQ-9 20 and GAD-7 9; follow-up priority should be reviewed.
HbA1c above target
Latest HbA1c 8.3% suggests above-target glycemic control and needs clinician review.
Smoking Status
former smoker
2026-04-08Diastolic Bp
88 mmHg
2026-02-14Systolic Bp
157 mmHg
2026-02-14Hba1c
8.3 %
2026-02-13Immunization
Influenza vaccine documented
2026-02-02Fasting Glucose
Date | Type | Title | Detail |
|---|---|---|---|
cohort_run | Cohort: Smoking / Lung Screening review cohort | completed | Chart evidence: Care element: smoking_status former smoker form | probable | |
phm_workflow | PHM action: UNCONTROLLED_HBA1C | status=outreach_planned | imported | outreach=portal 2026-03-26 16:45 | next review=2026-07-02 | Review evidence for HbA1c above target; confirm appropriateness before contacting patient. | |
clinical_flag | Eye exam evidence missing or overdue | dismissed | medium | active_cohort_automation | Diabetic eye screening risk is documented but no recent eye exam report is present in the synthetic chart. | |
clinical_flag | Elevated mental health symptom score | completed | high | clinical_note | Recent note documents PHQ-9 20 and GAD-7 9; follow-up priority should be reviewed. | |
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 | smoking_status | former smoker | |
care_element | systolic_bp | ||
care_element | diastolic_bp | ||
care_element | hba1c | ||
note | SOAP note | BP reviewed. Home readings above target several mornings. Reviewed sodium, adherence, and medication tolerance. | |
care_element | immunization | Influenza vaccine documented | |
care_element | fasting_glucose | ||
care_element | albumin_creatinine_ratio | ||
appointment | periodic health review | completed | |
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. | |
care_element | egfr | ||
note | consult | Survivorship care reviewed for history of colorectal cancer survivor. Patient asks about surveillance schedule and late effects. | |
report | Laboratory | HbA1c, fasting glucose, lipid panel, creatinine/eGFR, and urine ACR reviewed for diabetes follow-up. | |
care_element | fasting_glucose | ||
care_element | systolic_bp | ||
care_element | diastolic_bp | ||
note | SOAP note | Mental health review. PHQ-9 20, GAD-7 9. Sleep adequate. No acute safety concern documented. Plan includes counselling resources, medication review, and follow-up interval based on symptoms. | |
report | Consult | Oncology follow-up for colorectal cancer survivor. No active recurrence noted in this synthetic report. Ongoing surveillance, late effects, and primary care coordination discussed. | |
care_element | ldl_cholesterol | ||
care_element | bmi | ||
note | SOAP note | Follow-up visit. Medication list reviewed, allergies checked, and preventive care status discussed. Patient reports no acute concern. Plan: update labs/vitals and arrange follow-up as clinically indicated. | |
care_element | ldl_cholesterol | ||
care_element | hba1c | ||
care_element | fasting_glucose | ||
care_element | immunization | COVID-19 vaccine documented | |
appointment | chronic disease review | completed | |
care_element | ldl_cholesterol | ||
care_element | fasting_glucose | ||
care_element | systolic_bp | ||
care_element | diastolic_bp | ||
care_element | hba1c | ||
care_element | ldl_cholesterol | ||
care_element | diastolic_bp | ||
care_element | systolic_bp | ||
appointment | periodic health review | completed |
8.7 mmol/L
2026-01-27Albumin Creatinine Ratio
38 mg/mmol
2026-01-19Egfr
81 mL/min/1.73m2
2025-11-28Fasting Glucose
9.1 mmol/L
2025-11-06Diastolic Bp
88 mmHg
2025-10-06Systolic Bp
135 mmHg
2025-10-06Ldl Cholesterol
1.4 mmol/L
2025-06-15Bmi
33 kg/m2
2025-06-03Ldl Cholesterol
2.7 mmol/L
2024-12-27Hba1c
8.2 %
2024-12-11Fasting Glucose
10.3 mmol/L
2024-09-07Immunization
COVID-19 vaccine documented
2024-03-14Ldl Cholesterol
2.9 mmol/L
2023-06-16Fasting Glucose
11.3 mmol/L
2023-05-05Diastolic Bp
90 mmHg
2022-10-22Systolic Bp
124 mmHg
2022-10-22Hba1c
7.8 %
2022-09-12Ldl Cholesterol
2.8 mmol/L
2022-02-06Diastolic Bp
86 mmHg
2021-07-22Systolic Bp
129 mmHg
2021-07-22