Ongoing visit:
M. Wanjiku (UPI ****2841) · OPD-A4 · Encounter ID ENC-98211 · Consent scopes: longitudinal read/write
verify
·
related systems
CDS:
Statin adherence high; kidneys borderline - ACE-I monitoring per
care plan
.
SOAP documentation
Autosave drafts
Problems
Subjective
Follow-up diabetes clinic. Describes increased thirst x6 weeks, denies chest pain or dyspnea. Adhering to metformin; missed two lisinopril doses last week due to travel.
Objective
HEENT WNL. CV RRR. Lungs CTA. Labs pending from this AM - see lab panel.
Assessment
T2DM - suboptimal control; HTN - borderline; CKD IIIa stable.
Plan
Increase lisinopril counselling; order repeat HbA1c; refer nutrition if no improvement; patient education on foot care.
Sign encounter (demo)
E-prescribe
Referral
Order labs
Systems hub