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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.
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
6
New, in review, or accepted tasks
Last visit
2026-03-16
Appointment or derived chart contact
Latest A1c
5 %
2025-06-19
Latest BP
145 mmHg / 76 mmHg
2026-02-05
Extracted signals
0
Optional text signals
Chart volume
43
5 notes, 3 reports
A compact view of what needs attention before opening the full imported record.
Review priority
2
active signal
s
6
0
0
Review these before relying on the imported record clinically.
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.
29, 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: POLYPHARMACY_REVIEW
status=new | imported | outreach=email 2026-05-25 16:20 | next review=2026-06-16 | Review evidence for Polypharmacy medication review; confirm appropriateness before contacting patient.
PHM saved action
PHM action: AGE_ELIGIBLE_SCREENING_MISSING
status=needs_review | imported | next review=2026-06-23 | Review evidence for Age-eligible screening missing; confirm appropriateness before contacting patient.
PHM saved action
PHM action: NSAID_WITH_LOW_EGFR
status=new | imported | outreach=sms 2026-03-05 09:10 | next review=2026-08-01 | Review evidence for NSAID with reduced kidney function; confirm appropriateness before contacting patient.
PHM saved action
PHM action: CKD_LOW_EGFR_REVIEW
status=outreach_planned | imported | next review=2026-08-01 | Review evidence for Reduced eGFR requires review; confirm appropriateness before contacting patient.
PHM saved action
PHM action: HEART_FAILURE_MONITORING_DUE
status=outreach_planned | imported | next review=2026-08-01 | Review evidence for Heart failure monitoring due; 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: POLYPHARMACY_REVIEW
status=new | imported | outreach=email 2026-05-25 16:20 | next review=2026-06-16 | Review evidence for Polypharmacy medication review; confirm appropriateness before contacting patient.
phm_workflow
PHM action: AGE_ELIGIBLE_SCREENING_MISSING
status=needs_review | imported | next review=2026-06-23 | Review evidence for Age-eligible screening missing; confirm appropriateness before contacting patient.
phm_workflow
PHM action: NSAID_WITH_LOW_EGFR
status=new | imported | outreach=sms 2026-03-05 09:10 | next review=2026-08-01 | Review evidence for NSAID with reduced kidney function; confirm appropriateness before contacting patient.
phm_workflow
PHM action: CKD_LOW_EGFR_REVIEW
status=outreach_planned | imported | next review=2026-08-01 | Review evidence for Reduced eGFR requires review; confirm appropriateness before contacting patient.
phm_workflow
PHM action: HEART_FAILURE_MONITORING_DUE
status=outreach_planned | imported | next review=2026-08-01 | Review evidence for Heart failure monitoring due; confirm appropriateness before contacting patient.
clinical_flag
Polypharmacy medication review
new | medium | structured_fact | 8 active medications identified; medication reconciliation and deprescribing opportunities should be reviewed.
clinical_flag
Influenza immunization recall
completed | low | structured_fact | No recent influenza immunization evidence within the synthetic seasonal window.
clinical_flag
Age-eligible screening missing
in_review | medium | clinical_note | Patient appears age-eligible for preventive screening, but no recent screening completion evidence is present.
clinical_flag
NSAID with reduced kidney function
in_review | high | structured_fact | Active NSAID appears in a patient with CKD/reduced eGFR; verify indication, duration, and safer alternatives.
clinical_flag
Reduced eGFR requires review
new | high | structured_fact | Latest eGFR 18 mL/min/1.73m2 requires medication and renal-risk review.
clinical_flag
Asthma controller therapy review
new | medium | clinical_note | Asthma symptoms or reliever pattern suggest controller therapy/adherence should be reviewed.
clinical_flag
Heart failure monitoring due
new | medium | clinical_note | Heart failure diagnosis present; verify recent symptoms, weight trend, renal function, potassium, and medication tolerance.
report
Consult
Eye care report: glaucoma suspect reviewed. Follow-up interval documented; no urgent ocular change in this synthetic report.
SOAP note
BP reviewed. Home readings above target several mornings. Reviewed sodium, adherence, and medication tolerance.
consult
Heart failure follow-up. Patient reports palpitations resolved. Plan: continue guideline-oriented risk management and monitor labs.
SOAP note
Asthma review. Symptoms: night cough twice weekly. Trigger avoidance and inhaler technique reviewed.
preventive care
Preventive care review: age-eligible cancer screening discussed. No completed screening result found in imported records.
Consult
Eye care report: glaucoma suspect reviewed. Follow-up interval documented; no urgent ocular change in this synthetic report.
Consult
Consult follow-up for Heart failure. Risk factor optimization, medication adherence, symptom surveillance, and return precautions reviewed.
Laboratory
Creatinine/eGFR and urine albumin-creatinine ratio reviewed for chronic kidney disease monitoring.
Polypharmacy medication review
8 active medications identified; medication reconciliation and deprescribing opportunities should be 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.
NSAID with reduced kidney function
Active NSAID appears in a patient with CKD/reduced eGFR; verify indication, duration, and safer alternatives.
Reduced eGFR requires review
Latest eGFR 18 mL/min/1.73m2 requires medication and renal-risk review.
Asthma controller therapy review
Asthma symptoms or reliever pattern suggest controller therapy/adherence should be reviewed.
Heart failure monitoring due
Heart failure diagnosis present; verify recent symptoms, weight trend, renal function, potassium, and medication tolerance.
Review needed
6 open flags
Open clinical review items need status, assignment, or closure.
BP above target
Latest BP is 145 mmHg / 76 mmHg on 2026-02-05.
Active problems
5
Glaucoma suspect
active
Chronic kidney disease stage 4
N18
active
Asthma
J45.909
active
Heart failure
I50
active
Essential hypertension
I10
active
Active medications
8
Naproxen
500 mg BID PRN
Salbutamol inhaler
100 mcg 1-2 puffs q4h PRN
ASA 81 mg
81 mg daily
Apixaban
5 mg BID
Atorvastatin
Egfr
18 mL/min/1.73m2
2026-04-01Diastolic Bp
76 mmHg
2026-02-05Systolic Bp
145 mmHg
2026-02-05Hba1c
5 %
2025-06-19Albumin Creatinine Ratio
87 mg/mmol
2025-04-19Smoking Status
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: POLYPHARMACY_REVIEW | status=new | imported | outreach=email 2026-05-25 16:20 | next review=2026-06-16 | Review evidence for Polypharmacy medication review; confirm appropriateness before contacting patient. | |
phm_workflow | PHM action: AGE_ELIGIBLE_SCREENING_MISSING | status=needs_review | imported | next review=2026-06-23 | Review evidence for Age-eligible screening missing; confirm appropriateness before contacting patient. | |
phm_workflow | PHM action: NSAID_WITH_LOW_EGFR | status=new | imported | outreach=sms 2026-03-05 09:10 | next review=2026-08-01 | Review evidence for NSAID with reduced kidney function; confirm appropriateness before contacting patient. | |
phm_workflow | PHM action: CKD_LOW_EGFR_REVIEW | status=outreach_planned | imported | next review=2026-08-01 | Review evidence for Reduced eGFR requires review; confirm appropriateness before contacting patient. | |
phm_workflow | PHM action: HEART_FAILURE_MONITORING_DUE | status=outreach_planned | imported | next review=2026-08-01 | Review evidence for Heart failure monitoring due; confirm appropriateness before contacting patient. | |
clinical_flag | Polypharmacy medication review | new | medium | structured_fact | 8 active medications identified; medication reconciliation and deprescribing opportunities should be reviewed. | |
clinical_flag | Influenza immunization recall | completed | low | structured_fact | No recent influenza immunization evidence within the synthetic seasonal window. | |
clinical_flag | Age-eligible screening missing | in_review | medium | clinical_note | Patient appears age-eligible for preventive screening, but no recent screening completion evidence is present. | |
clinical_flag | NSAID with reduced kidney function | in_review | high | structured_fact | Active NSAID appears in a patient with CKD/reduced eGFR; verify indication, duration, and safer alternatives. | |
clinical_flag | Reduced eGFR requires review | new | high | structured_fact | Latest eGFR 18 mL/min/1.73m2 requires medication and renal-risk review. | |
clinical_flag | Asthma controller therapy review | new | medium | clinical_note | Asthma symptoms or reliever pattern suggest controller therapy/adherence should be reviewed. | |
clinical_flag | Heart failure monitoring due | new | medium | clinical_note | Heart failure diagnosis present; verify recent symptoms, weight trend, renal function, potassium, and medication tolerance. | |
report | Consult | Eye care report: glaucoma suspect reviewed. Follow-up interval documented; no urgent ocular change in this synthetic report. | |
note | SOAP note | BP reviewed. Home readings above target several mornings. Reviewed sodium, adherence, and medication tolerance. | |
care_element | egfr | ||
appointment | same-day concern | completed | |
note | consult | Heart failure follow-up. Patient reports palpitations resolved. Plan: continue guideline-oriented risk management and monitor labs. | |
care_element | systolic_bp | ||
care_element | diastolic_bp | ||
report | Consult | Consult follow-up for Heart failure. Risk factor optimization, medication adherence, symptom surveillance, and return precautions reviewed. | |
note | SOAP note | Asthma review. Symptoms: night cough twice weekly. Trigger avoidance and inhaler technique reviewed. | |
note | preventive care | Preventive care review: age-eligible cancer screening discussed. No completed screening result found in imported records. | |
care_element | hba1c | ||
report | Laboratory | Creatinine/eGFR and urine albumin-creatinine ratio reviewed for chronic kidney disease monitoring. | |
care_element | albumin_creatinine_ratio | ||
care_element | smoking_status | never smoker | |
care_element | diastolic_bp | ||
care_element | systolic_bp | ||
care_element | bmi | ||
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 | systolic_bp | ||
care_element | diastolic_bp | ||
care_element | immunization | COVID-19 vaccine documented | |
care_element | immunization | Influenza vaccine documented | |
care_element | diastolic_bp | ||
care_element | systolic_bp | ||
appointment | periodic health review | cancelled | |
care_element | egfr | ||
care_element | immunization | Pneumococcal vaccine documented | |
appointment | periodic health review | completed | |
care_element | egfr | ||
appointment | medication renewal | completed |
40 mg daily
never smoker
2025-02-26Diastolic Bp
66 mmHg
2025-02-25Systolic Bp
136 mmHg
2025-02-25Bmi
35.7 kg/m2
2024-07-15Diastolic Bp
73 mmHg
2024-04-24Systolic Bp
142 mmHg
2024-04-24Immunization
COVID-19 vaccine documented
2024-01-14Immunization
Influenza vaccine documented
2023-12-15Diastolic Bp
69 mmHg
2023-10-21Systolic Bp
141 mmHg
2023-10-21Egfr
22 mL/min/1.73m2
2022-06-12Immunization
Pneumococcal vaccine documented
2021-06-01Egfr
25 mL/min/1.73m2
2021-01-14