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AI summary
drafted by claude-sonnet-5 from this record · verify against the chart
Svetlana Gomez is a young adult female with no active problems or medications currently documented. Her recent history shows a notably elevated systolic blood pressure reading and routine health maintenance visits with no follow-up specifics recorded.
Drives care
- No active diagnoses currently documented
- Elevated systolic blood pressure (167.6 mmHg) noted 2024-11-21
- No active medications on file
Watch
- Follow up on elevated blood pressure reading — recheck and confirm if hypertension workup needed
- Verify whether abnormal BP was addressed in subsequent encounters
- Confirm problem list and medication list are complete/up to date
Active problems
| Condition | Status | Onset |
|---|
Active medications
| Medication | Dosage | Since |
|---|---|---|
| None active. | ||
Allergies
| Substance | Reaction | Verification |
|---|---|---|
| No known allergies recorded. | ||
Recent results
| Test | Value | When |
|---|---|---|
| Total cholesterol | 194.9 mg/dL | Dec 23, 2025 |
| Systolic blood pressure | 103.2 mmHg | Oct 27, 2025 |
| Diastolic blood pressure | 95.4 mmHg | Oct 6, 2025 |
| Systolic blood pressure | 119.8 mmHg | Apr 26, 2025 |
| Systolic blood pressure abnormal | 167.6 mmHg | Nov 21, 2024 |
| Glucose | 152.3 mg/dL | Jul 5, 2024 |
| LDL cholesterol | 70.6 mg/dL | Jan 18, 2024 |
| TSH | 4.5 mIU/L | Jan 19, 2023 |
Notes & documents
| Document | Author | Date | |
|---|---|---|---|
| No unrestricted documents. | |||
Claims
| Claim | Payer | Date | Status | Billed | Paid | |
|---|---|---|---|---|---|---|
| No claims stored. | ||||||
Documentation drafts — this patient
No drafts for this patient yet. Ambient notes and AI-drafted documents land here, on the chart they belong to — and in the cross-patient Signature queue.
Imaging
| Study | Modality | Date | Series / images | |
|---|---|---|---|---|
| CT | Aug 4, 2026 | 3 / 107 | Open viewer |