Patient · Record · 1440
Patient Record
Caseload · Eleanor Markham · MRN 47281-A
⌕
EM
Eleanor Markham
F · 74 · DOB 03/14/1951 · MRN 47281-A · Aetna MA HMO · Dual · LIS
EMERGENT · post-D/C 36h HTN DM2 CKD3b CHF RPM CCM MA Stars Spanish-LEP
78
PICS Risk · /100
High · ▲ +12 / 7d
◎ Overview ⚕ Conditions & Medications 4 · 7 ≡ Encounters 28 ⊞ Care Gaps 8 ≋ Vitals & Devices 📄 Documents 14 📋 Notes 42 $ Billing
Active Problem List 4 active · 2 in monitoring
+ Add diagnosis
I50.32
Chronic systolic (congestive) heart failure
Stage C · NYHA II–III · Diuretic-managed · Cardiology consult
Active Since 03/2022
N18.32
Chronic kidney disease, stage 3b
eGFR 42 mL/min · UACR 87 mg/g · Nephrology Q3mo
Monitored Since 11/2023
E11.65
Type 2 diabetes mellitus, with hyperglycemia
A1c 7.8% (04/20) · CGM Dexcom G7 · TIR 68%
Managed Since 06/2018
I10
Essential (primary) hypertension
Latest 168/94 today · 3rd successive uncontrolled · CQID C11 gap
Active · uncontrolled Since 04/2015
F33.1
Major depressive disorder, recurrent, moderate
PHQ-9: 12 (last screen 03/15) · BHI program candidate
Monitored Since 09/2021
E78.5
Hyperlipidemia, unspecified
Statin therapy · LDL 92 (target met)
Stable Since 04/2015
Active Medications 7 active
Reconcile · 3 days ago
Rx
Metformin 1000mg PO BID
Last fill 28d ago · 90-day supply · DM2
94%
PDC YTD
Refill
Rx
Lisinopril 20mg PO QD
Last fill 14d ago · HTN · CKD-renoprotective
91%
PDC YTD
Refill
Rx
Atorvastatin 40mg PO QD
Last fill 91d ago · 90d supply · HLD/SUPD
71%
PDC YTD
Refill ⚠
Rx
Furosemide 40mg PO QD
CHF · daily weight required · monitor K+
88%
PDC YTD
Refill
Rx
Empagliflozin 10mg PO QD
DM2 + CHF + CKD · cardio-renal protective
96%
PDC YTD
Refill
Rx
Sertraline 50mg PO QD
MDD · F33.1 · steady-state ≥6mo
82%
PDC YTD
Refill
Rx
Aspirin 81mg PO QD
2° prevention · OTC self-managed
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OTC
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Recent Encounters last 30 days
Full timeline →
06
May
Hospital Discharge
Discharged from St. Mary's · CHF exacerbation
3-day stay · LACE+ 16 · Dr. Patel · summary 23 pages
14:48
2 days ago
07
May
VIDA Call
Post-discharge wellness check (Spanish)
8m 14s · Vocalis biomarkers logged · PHQ-2: 4
14:00
Yesterday
07
May
RPM Reading
BP 168/94 · weight 158.2 lb · ↑ 1.2 lb
Omron BP cuff · scale · auto-routed via MDRX
07:30
Yesterday
04
May
Portal message
Patient asked about diet during hospitalization
Replied by Maria Reyes, RN · 142 word response
11:14
4d ago
29
Apr
Clinic visit
PCP · medication reconciliation + CHF check
Dr. David Huang · 25 minutes · BIM 99490 logged
10:00
9d ago
20
Apr
Lab
A1c 7.8% · BMP · UACR · lipid panel
Quest · drawn at PCP visit · all results signed
09:42
18d ago