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Edward Fischer is a 76-year-old male with a longstanding history of hypertension and obesity, complicated more recently by hyperlipidemia and COPD. He is managed on inhaled tiotropium, a statin, and an antihypertensive, with periodic visits for chronic disease and preventive care.
Drives care
- COPD requiring daily inhaler therapy
- Hyperlipidemia with recent above-goal cholesterol
- Obesity (BMI 30+)
- Essential hypertension on amlodipine
Watch
- Total cholesterol elevated at 229.2 mg/dL (2026-05-31) despite statin use
- Tachycardia noted (HR 106/min, 2024-02-26) - verify follow-up
- Low TSH (0.6 mIU/L, 2023-01-08) - confirm thyroid status was reassessed
Active problems
| Condition | Status | Onset |
|---|---|---|
| Chronic obstructive pulmonary disease (disorder) | active | Apr 25, 2023 |
| Hyperlipidemia (disorder) | active | Sep 19, 2021 |
| Body mass index 30+ - obesity (finding) | active | Aug 16, 2018 |
| Essential hypertension (disorder) | active | Feb 14, 2008 |
Active medications
| Medication | Dosage | Since |
|---|---|---|
| Tiotropium 18 mcg inhaler | daily | Feb 5, 2025 |
| Rosuvastatin 10 MG Oral Tablet | 10 mg nightly | Dec 5, 2022 |
| Amlodipine 5 MG Oral Tablet | 5 mg daily | Oct 8, 2022 |
Allergies
| Substance | Reaction | Verification |
|---|---|---|
| No known allergies recorded. | ||
Recent results
| Test | Value | When |
|---|---|---|
| Hemoglobin A1c | 6.7 % | Jul 30, 2026 |
| Body mass index | 21.4 kg/m2 | Jul 11, 2026 |
| Total cholesterol abnormal | 229.2 mg/dL | May 31, 2026 |
| Creatinine | 1 mg/dL | Feb 17, 2026 |
| Diastolic blood pressure | 63.8 mmHg | Oct 4, 2025 |
| Body mass index | 28.4 kg/m2 | Sep 28, 2025 |
| Hemoglobin A1c | 6.7 % | Sep 28, 2025 |
| Oxygen saturation | 94.3 % | May 15, 2025 |
| Diastolic blood pressure | 89.8 mmHg | Mar 14, 2025 |
| Hemoglobin | 14.7 g/dL | Nov 4, 2024 |
| Hemoglobin | 14.4 g/dL | Jul 10, 2024 |
| Heart rate abnormal | 106 /min | Feb 26, 2024 |
| Heart rate | 102.2 /min | Nov 29, 2023 |
| Diastolic blood pressure | 91.4 mmHg | Feb 15, 2023 |
| Hemoglobin | 15.3 g/dL | Jan 14, 2023 |
| TSH abnormal | 0.6 mIU/L | Jan 8, 2023 |
| Systolic blood pressure | 110.3 mmHg | Oct 14, 2022 |
Notes & documents
| Document | Author | Date | |
|---|---|---|---|
| Progress note | Dr. Hana Suzuki | Nov 14, 2023 | Read |
Claims
| Claim | Payer | Date | Status | Billed | Paid | |
|---|---|---|---|---|---|---|
| CLM-G0118952 | Medicare | Oct 20, 2024 | denied | $126.32 | $0.00 | Lines |
| CLM-G0118953 | Medicare | Oct 24, 2023 | paid | $122.73 | $99.54 | Lines |
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