Patient Overview
Comprehensive patient information and vital statistics
Shashank Dixit
Patient ID
PAT-20230419-1854
Primary Care Physician
Dr. Sarah Miller
Contact Number
+1 (555) 123-4567
Email Address
emma.wilson@example.com
Emergency Contact
Robert Wilson
Spouse
+1 (555) 987-6543
robert.wilson@example.com
Address Information
Home Address
1234 Maple Street, Apt 5B
San Francisco, CA 94110
Work Address
Tech Innovations Inc.
555 Market Street, Suite 1000
San Francisco, CA 94105
Preferred Pharmacy
MediCare Pharmacy
450 Castro Street
San Francisco, CA 94114
Insurance Information
Primary Insurance
Blue Cross Blue Shield
Policy #: BCBS-78945612
Group #: 123456
Secondary Insurance
HealthNet
Policy #: HN-12345678
Group #: 987654
Insurance verified on May 15, 2023
Preferences and Notes
Communication Preferences
Special Instructions
Patient prefers afternoon appointments. Request female physicians when possible. Has anxiety around needles - requires additional time for blood draws.
Language
Medical AI Assistant
Hello Emma! I'm your medical AI assistant. I can help you understand your health data or answer medical questions. How can I assist you today?
Vitals & Current Health Status
Latest vital measurements and health indicators
Blood Pressure
Last Updated: Today125/82
mmHg
Heart Rate
Last Updated: Today72
BPM
Temperature
Last Updated: Today98.6°F
36.7°C
Oxygen Saturation
Last Updated: Today98%
SpO2
Weight
Last Updated: 2 days ago145 lb
65.8 kg
Height
Last Updated: 1 month ago5'7"
170 cm
BMI
Last Updated: 2 days ago22.7
Normal Range
Health Risk Score
Last Updated: Today82/100
Low Risk
Current Symptoms
Headache
ModerateFrontal lobe, throbbing sensation
Fatigue
SevereGeneral weakness, worse in mornings
Dizziness
MildWhen standing up quickly
Health Status Summary
Notes from Last Visit (May 15, 2023)
Patient presents with ongoing headaches and fatigue. Vitals within normal range. Sleep disturbances reported. Recommended sleep study and follow-up blood work to rule out anemia. Patient to monitor blood pressure at home.
Recommended Actions
- Complete CBC blood test by June 1, 2023
- Schedule sleep study appointment
- Record daily blood pressure readings
- Follow up with Dr. Miller in 2 weeks
Trending Health Indicators
Medical History
Past diagnoses, surgeries, and family medical history
Hypertension
Stage 1 hypertension, well-controlled with medication
Asthma
Mild persistent asthma, triggered by seasonal allergies
Hypothyroidism
Controlled with daily levothyroxine
Surgeries & Procedures
Appendectomy
Laparoscopic procedure - Emergency surgery
Knee Arthroscopy
Meniscus repair - Elective procedure
Colonoscopy
Screening procedure - No abnormalities detected
Family Medical History
Click 'Expand' to view detailed family medical history and genetic risk assessment.
Medications & Prescriptions
Current and past medications, along with allergy information
Current Medications
| Medication | Dosage | Frequency | Start Date | Prescriber | Refills | Actions |
|---|---|---|---|---|---|---|
|
Lisinopril
For hypertension
|
10 mg
Tablet
|
Once daily
Morning with food
|
Jan 15, 2022
|
Dr. Sarah Miller
Cardiologist
|
3 Remaining |
|
|
Levothyroxine
For hypothyroidism
|
75 mcg
Tablet
|
Once daily
30 min before breakfast
|
Oct 5, 2020
|
Dr. James Wong
Endocrinologist
|
1 Remaining |
|
|
Montelukast
For asthma
|
10 mg
Tablet
|
Once daily
Evening
|
Mar 22, 2022
|
Dr. Lisa Chen
Pulmonologist
|
5 Remaining |
|
|
Sumatriptan
For migraines
|
50 mg
Tablet
|
As needed
Max 200mg/day
|
Apr 17, 2023
|
Dr. Sarah Miller
Cardiologist
|
2 Remaining |
|
Past Medications
Click 'Show Past Medications' to view medication history
Allergies & Adverse Reactions
Drug Allergies
-
Severe
Penicillin
First identified: 2010
Reaction: Hives, difficulty breathing
-
Moderate
Sulfa Drugs
First identified: 2015
Reaction: Skin rash, itching
-
Moderate
Codeine
First identified: 2018
Reaction: Nausea, dizziness
Food Allergies
-
Severe
Peanuts
First identified: Childhood
Reaction: Anaphylaxis - carries EpiPen
-
Moderate
Shellfish
First identified: 2005
Reaction: Hives, swelling
Environmental Allergies
-
Mild
Pollen
Seasonal: Spring, Summer
Reaction: Sneezing, congestion, itchy eyes
-
Moderate
Dust Mites
Year-round
Reaction: Asthma symptoms, nasal congestion
-
Moderate
Pet Dander
Specifically: Cats
Reaction: Sneezing, itchy eyes, skin rash
Important Allergy Alert
Patient carries an EpiPen for severe peanut allergy. Ensure this is noted in all medical records and during procedures.
Medication Management Resources
Medication Schedule
Download a printable medication schedule to help track doses and timing.
Download PDFDrug Interactions Checker
Check potential interactions between your medications and supplements.
Check InteractionsLab Reports & Diagnostic Tests
Recent laboratory results and diagnostic findings
Recent Lab Tests
Complete Blood Count (CBC)
Date: May 10, 2023
White Blood Cell Count
7.5 10³/μL
(Normal)Red Blood Cell Count
4.8 10⁶/μL
(Normal)Hemoglobin
14.2 g/dL
(Normal)Hematocrit
42%
(Normal)Comprehensive Metabolic Panel (CMP)
Date: May 10, 2023
Glucose
105 mg/dL
(Elevated)Potassium
4.0 mmol/L
(Normal)Sodium
139 mmol/L
(Normal)Calcium
9.5 mg/dL
(Normal)Lipid Panel
Date: May 10, 2023
Total Cholesterol
210 mg/dL
(Elevated)LDL Cholesterol
135 mg/dL
(Elevated)HDL Cholesterol
55 mg/dL
(Normal)Triglycerides
145 mg/dL
(Normal)Thyroid Function Test
Date: May 10, 2023
TSH
2.4 mIU/L
(Normal)Free T4
1.2 ng/dL
(Normal)Free T3
3.1 pg/mL
(Normal)Thyroid Antibodies
Negative
(Normal)Imaging & Diagnostic Studies
Chest X-Ray
Date: Apr 15, 2023
No abnormalities detected. Lungs clear, heart size normal.
Echocardiogram
Date: Mar 20, 2023
Normal cardiac function. Ejection fraction 60%. No valvular abnormalities.
Abdominal Ultrasound
Date: Feb 5, 2023
Small hepatic cyst (1.2 cm) noted on right lobe. No other abnormalities.
AI Health Insights & Trends
Powered by MediAIKey Health Insights
- Your glucose levels are slightly elevated (105 mg/dL). Consider monitoring your carbohydrate intake and increasing physical activity.
- Cholesterol levels show mild elevation in LDL. Dietary modifications and regular exercise may help improve these values.
- The hepatic cyst noted on ultrasound is benign and common. No immediate action needed, but follow-up imaging in 6-12 months is recommended.
Historical Lab Value Trends
Glucose Levels (mg/dL)
Glucose trend chart appears here
Health Risk Prediction
Based on your lab results and health history, our AI has identified the following risk factors:
Recommendations: Consider discussing a heart-healthy diet and regular cholesterol monitoring with your physician at your next appointment.
Upcoming Lab Tests & Reminders
Recommended Follow-up Tests
Comprehensive Metabolic Panel
Due in 3 months (August 10, 2023)
Follow-up on elevated glucose levels
Lipid Panel
Due in 3 months (August 10, 2023)
Monitor cholesterol levels
Abdominal Ultrasound
Due in 6 months (November 5, 2023)
Follow-up on hepatic cyst
Doctor's Notes & Recommendations
Consultation history and treatment plans from your healthcare providers
Consultation History
Dr. Sarah Miller
Cardiologist
Patient presents with complaint of occasional headaches and fatigue for the last 2 weeks. Blood pressure is well-controlled on current medication regimen. Recent bloodwork shows slightly elevated glucose levels.
Dr. Lisa Chen
Pulmonologist
Patient seen for annual follow-up of asthma. Reports increasing seasonal allergies with occasional wheezing, especially during outdoor activities. Lung function tests show mild restriction. Started on Montelukast 10mg daily.
Dr. Robert Johnson
Primary Care
Patient presents with acute sinusitis. Symptoms include facial pain, nasal congestion, and thick yellow-green nasal discharge for 10 days. Temperature 99.2°F. Diagnosed with bacterial sinusitis and prescribed antibiotic therapy.
Dr. Sarah Miller
Cardiologist
Routine check-up for hypertension management. Blood pressure well-controlled at 125/82. Patient reports good compliance with medication. No side effects reported. EKG normal. Continuing current treatment plan.
Current Treatment Plans
Hypertension Management Plan
ActiveUpdated: May 15, 2023 by Dr. Sarah Miller
Medications
- Lisinopril 10mg - Once daily in the morning
Lifestyle Recommendations
- DASH diet (low sodium, high in fruits and vegetables)
- Regular exercise: 30 minutes, 5 days per week
- Limit alcohol intake to 1 drink per day
- Home BP monitoring twice weekly
Monitoring & Follow-up
- Labs (CBC, CMP, lipid panel) in 3 months
- Follow-up appointment in 3 months
- Call office if BP > 150/90 or < 100/60
Asthma Management Plan
ActiveUpdated: March 22, 2023 by Dr. Lisa Chen
Medications
- Montelukast 10mg - Once daily in the evening
- Albuterol inhaler - 2 puffs as needed for wheezing
Trigger Avoidance
- Minimize exposure to pollen (check daily pollen count)
- Use HEPA air purifier in bedroom
- Wash bedding in hot water weekly
- Avoid outdoor exercise on high pollen days
Action Plan for Exacerbations
If experiencing increased symptoms:
- Use albuterol inhaler 2 puffs every 4-6 hours as needed
- Avoid known triggers
- If no improvement within 24 hours or worsening symptoms, call office
- If severe shortness of breath, bluish lips, or inability to speak in full sentences, seek emergency care immediately
Patient Education Materials
Understanding Hypertension
Learn about high blood pressure, its causes, risks, and management strategies.
Download PDFAsthma Action Plan
A personalized guide to managing your asthma symptoms and preventing attacks.
Download PDFDiet & Nutrition Guide
Recommendations for a heart-healthy diet to manage blood pressure and cholesterol.
Download PDFAppointments
Schedule and manage your healthcare appointments
June 2023
Upcoming Appointments
Cardiology Follow-up
Dr. Sarah Miller
Regular follow-up for hypertension management. Please bring your blood pressure logs and current medication list.
Lab Test
Blood Work
Complete blood count (CBC), comprehensive metabolic panel (CMP), and lipid panel. Fast for 12 hours before the test.
Pulmonology Follow-up
Dr. Lisa Chen
Follow-up for asthma management. Please bring your inhaler and completed peak flow logs.
Past Appointments
| Date & Time | Provider | Type | Diagnosis | Actions |
|---|---|---|---|---|
|
May 15, 2023
9:00 AM
|
Dr. Sarah Miller
Cardiology
|
Follow-up |
Hypertension (Stable)
Pre-diabetes
|
|
|
March 22, 2023
2:30 PM
|
Dr. Lisa Chen
Pulmonology
|
Annual |
Asthma (Mild persistent)
Seasonal allergies
|
|
|
February 8, 2023
11:15 AM
|
Dr. Robert Johnson
Primary Care
|
Urgent |
Acute bacterial sinusitis
Resolved with antibiotics
|
|
|
January 15, 2023
10:00 AM
|
Dr. Sarah Miller
Cardiology
|
Check-up |
Hypertension (Controlled)
Medication adjustment
|
|
Lifestyle & Risk Factors
Tracking your daily habits and their impact on your health
Health Risk Score
AI CalculatedGood
Lifestyle Summary
Your current lifestyle analysis shows overall good health habits with areas for improvement in sleep quality and exercise consistency.
Improvement from last quarter
Weekly exercise goal
Avg. daily sleep
Days with balanced nutrition
Lifestyle Habits Tracking
Exercise
Moderate activity • 30+ min sessions
Days per week
Sleep
Average quality • Occasional insomnia
Average per night
Nutrition
Balanced diet • Room for improvement
Days with healthy meals
Smoking & Alcohol
Occasional alcohol • Non-smoker
Days with alcohol consumption
Health Risk Assessment
AI-PoweredCardiovascular Risk
ModeratePrimary factors contributing to your risk:
- Family history of hypertension
- Elevated blood pressure
- Non-smoker status (positive)
Diabetes Risk
ModeratePrimary factors contributing to your risk:
- Family history of diabetes
- Elevated glucose level (borderline)
- Normal BMI (positive)
Respiratory Risk
LowPrimary factors contributing to your risk:
- History of mild asthma
- Non-smoker status (positive)
- Good oxygen saturation (positive)
AI Recommendations
Based on your lifestyle data and risk assessment, consider these personalized recommendations:
- Increase exercise frequency to 4-5 days per week
- Improve sleep consistency and aim for 7-8 hours nightly
- Reduce simple carbohydrate and sugar intake
- Continue regular blood pressure monitoring
Healthy Lifestyle Resources
Dietary Guidelines
Get personalized meal plans and nutritional guidance tailored to your health needs.
Learn MoreExercise Programs
Find guided workout routines designed for your fitness level and health conditions.
View ProgramsSleep Improvement
Access sleep hygiene tips and techniques to improve your sleep quality and duration.
Get Better SleepAI Health Insights & Predictions
Advanced analytics and personalized health forecasts
Health Trend
Improving
Your overall health metrics have improved by 16% over the last 6 months, with significant progress in cardiovascular health.
Risk Assessment
Your moderate risk factors are primarily influenced by family history and could be further reduced with lifestyle changes.
Wellness Score
Health Metrics Trends
Track your key health indicators over time
Interactive health metrics chart
Hover over data points to see detailed values
AI Insight
Your blood pressure has stabilized since starting medication. Blood glucose levels show a slight positive trend. Consider increasing physical activity to further improve these metrics.
Predictive Health Analytics
AI-generated health forecasts based on your current data and medical research
5-Year Health Forecast
Key Prediction Insights:
- With consistent medication adherence, blood pressure will likely remain controlled.
- Risk of developing type 2 diabetes can be reduced with improved dietary habits.
- Continued exercise will support long-term joint and bone health.
Recommended Preventive Actions
Aim for 150 minutes of moderate-intensity exercise per week, including both cardio and strength training.
Reduce refined sugar intake and increase consumption of vegetables, fiber, and lean proteins.
Improve sleep quality by maintaining a consistent schedule and creating a sleep-conducive environment.
Incorporate mindfulness practices and stress-reduction techniques into your daily routine.
AI Health Coach
Based on your recent lab work and health patterns, I've identified some opportunities for improvement. Would you like to focus on your cardiovascular health, metabolic health, or sleep quality?
Your conversations with the AI Health Coach are private and not shared with healthcare providers unless you request it.