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
Sebastian Gomez is a pediatric patient (born 2015-02-18) with no active problems or medications currently documented. His care has consisted of periodic well-child checkups, most recently in 2023. Recent labs show a mildly low hemoglobin and a TSH result on file with no linked active condition.
Drives care
- No active problems documented
- No active medications documented
Watch
- Hemoglobin 11.7 g/dL (2023-06-13) - confirm if within age-appropriate range or needs follow-up
- TSH 0.8 mIU/L (2026-08-29) - verify indication for thyroid testing and confirm no missing thyroid diagnosis
- Gap between last documented encounter (2023-07-24) and most recent lab (2026-08-29) - confirm interim visits/records
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 |
|---|---|---|
| TSH abnormal | 0.8 mIU/L | Aug 29, 2026 |
| Total cholesterol | 154 mg/dL | Jul 18, 2026 |
| Heart rate | 66.4 /min | Feb 12, 2024 |
| Glucose | 125.1 mg/dL | Jan 7, 2024 |
| Diastolic blood pressure | 77 mmHg | Nov 27, 2023 |
| Hemoglobin abnormal | 11.7 g/dL | Jun 13, 2023 |
Notes & documents
| Document | Author | Date | |
|---|---|---|---|
| No unrestricted documents. | |||
Claims
| Claim | Payer | Date | Status | Billed | Paid | |
|---|---|---|---|---|---|---|
| CLM-G0135023 | Blue Cross Blue Shield | Dec 5, 2023 | paid | $204.94 | $129.62 | 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.