PS

Alex MorganSample patient

34 y/o • Female • 03/14/1990 • MRN TD100850

AllergiesNo allergy recorded
Primary clinicianDr. Priya Shah

Active problems

  • J45.909Asthma, mild persistentAdded Sep 12, 2022 • Clinician documented
  • J30.9Allergic rhinitisAdded Mar 8, 2021 • Clinician documented
  • E66.3Overweight (BMI 27.4)Added Jan 10, 2023 • Clinician documented
  • F41.9AnxietyAdded Aug 14, 2023 • Patient reported

Allergies

No allergy recordedPatient reported
No reaction recordedStatus unknown

No allergy has been recorded in this sample chart.

Patient information

  • 34 y/o • Female (03/14/1990)
  • Phoenix, AZ
  • English (preferred)
  • (555) 0128
  • alex-morgan@sample.impacthealthmd.invalid
  • Text message
  • Sample contact 9 (caregiver) (555) 0238

Care team

  • PSDr. Priya ShahPrimary clinicianYou
  • RJDr. Robert KimConsulting physician

Timeline

  1. Apr 24, 2024Today

    10:00 AMTelehealth follow upVideo visit with Dr. Priya Shah

    Primary care · Follow up

    Summary

    Synthetic summary for Alex Morgan: Follow up · Today, 6:50 AM. Review the source before using any detail.

    HPI (AI draft)Draft • Clinician review required

    Draft summary of the selected primary care sample encounter. Clinician review required.

    Assessment
    1. 1. Selected-patient assessment not finalized
    2. 2. Source review required
    Plan
    • • No treatment plan has been finalized
    • • Review selected-patient sources before action
  2. Mar 10, 2024
    9:20 AM    Lab resultsComprehensive metabolic panel
  3. Jan 10, 2024
    11:15 AM    Annual wellness visitIn-person with Dr. Priya Shah
  4. Nov 3, 2023
    2:45 PM    Patient message"Question about inhaler use"
  5. Aug 14, 2023
    10:30 AM    Care task completedFlu vaccine administered

Current medications

  • Albuterol HFA 90 mcgInhale 2 puffs every 4–6 hours as needed for wheezingActive
  • Fluticasone (Flonase) 50 mcg1 spray in each nostril dailyActive
  • Loratadine 10 mgTake 1 tablet by mouth dailyActive
  • MultivitaminTake 1 tablet dailyActive

Recent lab trends

A1C

5.4 %

< 5.7
LDL

112 mg/dL

< 100
eGFR

98 mL/min

> 60

Recent documents

  • Visit summaryApr 24, 2024 • Telehealth visit
  • Lab report – Comprehensive metabolic panelMar 10, 2024
  • Immunization recordAug 14, 2023
  • Advance care planningJan 10, 2024