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In context Rafael Gomez MRN-230514 · born 1985-05-24 ✦ AI Ask ✦ AI Ambient note Chart
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Rafael Gomez MRN-230514 Born May 24, 1985 (41) Sex male Payer Medicaid Cleveland, OH

Active problems

ConditionStatusOnset
Essential hypertension (disorder) active Mar 9, 2021
Body mass index 30+ - obesity (finding) active Dec 16, 2016
Asthma (disorder) active Jul 8, 2016

Active medications

MedicationDosageSince
Albuterol 90 mcg inhaler2 puffs as needed Sep 2, 2025
Amlodipine 5 MG Oral Tablet5 mg daily Oct 28, 2022

Allergies

SubstanceReactionVerification
No known allergies recorded.

Recent results

TestValueWhen
Creatinine 0.7 mg/dL Sep 25, 2026
Creatinine 1.1 mg/dL Aug 9, 2026
Glucose 143.9 mg/dL Apr 26, 2026
Diastolic blood pressure 70 mmHg May 19, 2025
Heart rate abnormal 55.9 /min Jan 20, 2025
Total cholesterol 178.6 mg/dL Nov 19, 2024
Heart rate abnormal 105.9 /min Sep 6, 2024
Body mass index 36.6 kg/m2 Aug 26, 2024
Hemoglobin abnormal 16.2 g/dL Jul 5, 2024
Hemoglobin 12.7 g/dL Apr 19, 2024
Diastolic blood pressure 92.9 mmHg Feb 24, 2024
Body mass index 22.3 kg/m2 Nov 14, 2023
Body mass index 24.7 kg/m2 Jun 21, 2023
Systolic blood pressure abnormal 168.1 mmHg May 25, 2023
Glucose 184.6 mg/dL Feb 25, 2023
Body mass index abnormal 17.6 kg/m2 Feb 17, 2023

Notes & documents

DocumentAuthorDate
Telehealth note Dr. Grace Adebayo Apr 1, 2026 Read
Progress note Dr. Grace Adebayo May 3, 2025 Read

Claims

ClaimPayerDateStatus BilledPaid
CLM-G0145566Medicaid Jan 20, 2024 pending $208.53 $0.00 Lines

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Imaging

StudyModalityDateSeries / images
synthetic CT previewCT Thoracic structure CT Dec 27, 2026 3 / 179 Open viewer