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Active encounter

Telehealth · Video consult

Attending: Dr. Majani Edward · Opened -12355s ago

Record vitals New SOAP note

Blood pressure

128/82

mmHg

-12955s ago · 2 points

Pulse

74

bpm

-12955s ago · 2 points

SpO₂

—

%

-12955s ago · 0 points

Temperature

—

°C

-12955s ago · 0 points

Active problems2

Open
  • K21.9GORDchronic
  • F41.1Generalised anxiety disorderchronic

Active medications2

Open

  • Omeprazole · 20 mg

    Once daily before breakfast · PPI

    PO

  • Sertraline · 50 mg

    Once daily · SSRI

    PO

Allergies & reactions1

Open

  • NSAIDs

    GI bleed history

    severe

AI insights

BP trending above target over 3 visits. Consider uptitration of anti-hypertensive.

Flu vaccine status: due. Last dose > 12 months ago.

Medication adherence inferred-high from refill cadence.

AI suggestions are draft only and never auto-applied. Clinician signs every change.

Latest SOAP note

Open
Dr. Majani Edward27 Apr 2026, 15:20

A: GORD — stable. GAD — responding well to SSRI. Tobacco use — motivated to quit.