Chart · view recorded under the Health care operations purpose
✦ 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
Sergei is a 30-year-old male with a long-standing history of urinary tract infections dating back to 2013, with recurrent encounters for this issue through 2026. He is currently on no active medications, and a mildly elevated TSH was noted in 2022 that has not been addressed since.
Drives care
- Recurrent/chronic urinary tract infection since 2013
- No active medications despite ongoing UTI history
- Elevated TSH (6.9 mIU/L) suggesting possible subclinical hypothyroidism
- Multiple UTI-related encounters without documented resolution
Watch
- TSH 6.9 mIU/L (2022) - elevated, recommend follow-up thyroid panel
- No current UTI treatment documented despite recent 2026 visit
- Gap in recent labs since 2024 - consider updated screening
Active problems
| Condition | Status | Onset |
|---|---|---|
| Urinary tract infection (disorder) | active | Jun 10, 2013 |
Active medications
| Medication | Dosage | Since |
|---|---|---|
| None active. | ||
Allergies
| Substance | Reaction | Verification |
|---|---|---|
| No known allergies recorded. | ||
Recent results
| Test | Value | When |
|---|---|---|
| TSH | 1.3 mIU/L | Apr 17, 2026 |
| Heart rate | 78.2 /min | Nov 14, 2025 |
| Diastolic blood pressure | 72.4 mmHg | Jun 15, 2024 |
| Total cholesterol | 164.3 mg/dL | Feb 27, 2024 |
| LDL cholesterol abnormal | 68.8 mg/dL | Feb 9, 2024 |
| Oxygen saturation | 95.7 % | Nov 18, 2023 |
| Oxygen saturation abnormal | 99 % | Nov 17, 2022 |
| Hemoglobin | 13.6 g/dL | Nov 13, 2022 |
| TSH abnormal | 6.9 mIU/L | Sep 12, 2022 |
Notes & documents
| Document | Author | Date | |
|---|---|---|---|
| No unrestricted documents. | |||
Claims
| Claim | Payer | Date | Status | Billed | Paid | |
|---|---|---|---|---|---|---|
| CLM-G0124561 | Aetna | Aug 12, 2026 | denied | $80.17 | $0.00 | Lines |
| CLM-G0124562 | Aetna | Jun 29, 2026 | paid | $206.00 | $127.14 | Lines |
| CLM-G0124559 | Aetna | Sep 14, 2025 | paid | $169.84 | $128.50 | Lines |
| CLM-G0124560 | Aetna | Dec 26, 2023 | paid | $255.23 | $193.03 | Lines |
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.