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Ryan GomezRole
Signed in — Ryan Gomez · System Administrator
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DocumentationDocs
System documentation Implementation & setup guide Feature documentation System architecture EMR connections Emulators & non-PHI setup Compliance & responsibility Attribution
Repository
In context Sebastian Gomez MRN-212208 · born 1990-08-17 ✦ AI Ask ✦ AI Ambient note Chart
Chart · view recorded under the Health care operations purpose
Sebastian Gomez MRN-212208 Born Aug 17, 1990 (36) Sex male Payer Aetna Louisville, KY
✦ AI Ask about this patient ✦ AI Start ambient note ✦ AI Draft instructions Drafts awaiting signature 0
AI summary drafted by claude-sonnet-5 from this record · verify against the chart

Sebastian Gomez is a 34-year-old male with a history of generalized anxiety disorder and prior acute bronchitis. Recent labs reveal poorly controlled diabetes, elevated creatinine, and severe obesity, though no active problem or medication list is currently documented.

Drives care
  • Generalized anxiety disorder
  • Poorly controlled diabetes (A1c 9.4%)
  • Severe obesity (BMI 41.1)
  • Elevated creatinine (possible renal impairment)
Watch
  • No active problems or medications recorded despite abnormal labs - verify chart completeness
  • Elevated creatinine 1.6 mg/dL - assess renal function trend
  • Elevated glucose/A1c - confirm diabetes management plan
Withheld from this view and from assistant retrieval: 2 × Mental health. Sensitive-category records exist and are counted, never silently absent — reaching them takes the dedicated role and path, and every access is audited as a disclosure. Your psychotherapy role can open the notes below.

Active problems

ConditionStatusOnset

Active medications

MedicationDosageSince
None active.

Allergies

SubstanceReactionVerification
No known allergies recorded.

Recent results

TestValueWhen
Glucose 143.4 mg/dL Nov 20, 2026
Diastolic blood pressure 73.5 mmHg Apr 28, 2026
Diastolic blood pressure 67.1 mmHg Feb 23, 2026
Oxygen saturation abnormal 99.8 % Aug 12, 2025
Diastolic blood pressure 65.9 mmHg Jun 14, 2025
Creatinine abnormal 1.6 mg/dL Mar 3, 2025
Hemoglobin A1c abnormal 9.4 % Nov 27, 2024
Body mass index abnormal 41.1 kg/m2 Nov 12, 2024
Oxygen saturation abnormal 98.9 % Aug 8, 2024
Glucose abnormal 196.6 mg/dL Mar 22, 2024
Systolic blood pressure 149.7 mmHg Nov 4, 2023
Total cholesterol 151.9 mg/dL Apr 28, 2023
Body mass index 22.7 kg/m2 Mar 8, 2023
Body mass index 25.2 kg/m2 Feb 24, 2023
Glucose 118.9 mg/dL Jan 4, 2023

Notes & documents

DocumentAuthorDate
Telehealth note Dr. Piotr Nowicki Dec 3, 2026 Read
Telehealth note Dr. James OConnell Oct 18, 2024 Read
Progress note Dr. Mei-Ling Chen Aug 12, 2023 Read

Claims

ClaimPayerDateStatus BilledPaid
CLM-G0117126Aetna Jun 9, 2025 pending $446.09 $0.00 Lines