PreVisit AI
RN

Margaret Chen, 72F

Last Visit: Dec 12, 2025

Visit Reason

Follow-up: Heart failure management after ER visit (Mar 15), renal function decline, medication review

Sulfa drugs (rash)⚠ ACE inhibitors (angioedema)

Key Medications

Furosemide40 mgBID
Empagliflozin10 mgDaily
Carvedilol25 mgBID
Losartan100 mgDaily

Active Conditions

AI-inferred from recent encounters, labs, and medications

Risk Assessment

HIGHHeart Failure Exacerbation
87%
  • ER visit for acute dyspnea with O2 sat 89% (Mar 15, 2026)
  • Progressive eGFR decline: 62 → 48 over 11 months
  • BNP trending upward: 380 → 620 pg/mL

Missing data: Echocardiogram — last done Feb 2025 (14 months ago)

MODERATECKD Progression
72%
  • eGFR declined 23% in 11 months (62 → 48)
  • Proteinuria present on last urinalysis (Oct 8, 2025)

Missing data: Nephrology consult — never referred despite eGFR <60

LOWDepression Screening
45%
  • PHQ-2 score of 3 at last visit (Dec 12, 2025)
  • Social isolation noted in nursing intake (Dec 12, 2025)

Missing data: Full PHQ-9 screening — PHQ-2 was positive but full assessment not completed

Since Last Visit

Mar 15, 2026

ER visit for shortness of breath

View source →

Feb 28, 2026

Furosemide increased to 40mg BID

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Feb 10, 2026

Lab: eGFR 48, Cr 1.4, HbA1c 7.2%

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Jan 22, 2026

Started Empagliflozin 10mg daily

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Deep link to EHR available with FHIR integration

Recent Changes

Medication Changes

~Feb 28, 2026Furosemide increased from 20mg daily to 40mg BID
+Jan 22, 2026Empagliflozin 10mg daily started

ED Visits / Hospitalizations

Mar 15, 2026ER visit — shortness of breath, O2 sat 89%, discharged after 6hr observation

Imaging Results

Mar 15, 2026Chest X-ray: mild pulmonary congestion, bilateral pleural effusions (new)

Critical Lab Changes

Feb 10, 2026eGFR dropped to 48 (was 55 in Oct 2025) — approaching Stage 3b CKD

Deep link to EHR available with FHIR integration

Care Gaps

Overdue: Echocardiogram (14 months overdue)
Overdue: Nephrology referral (6 months overdue)
Due Soon: PHQ-9 screening (Due this visit)
Overdue: Annual eye exam (8 months overdue)

Key Trends

eGFR↘

48 mL/min/1.73m²

HbA1c→

7.2%

Weight↗

173 lbs

Blood Pressure↘

125/78 mmHg

Suggested Questions

  • 1How has your breathing been since the ER visit on March 15th?
  • 2Have you been able to follow the low-sodium diet and monitor your weight daily?
  • 3Are you experiencing any side effects from the Empagliflozin we started in January?

Click questions to select for your visit

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