Martha Kowalski
Session time
00:00
Encounter active
Document intake
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Clinical context ● auto-extracted
Active conditions
Type 2 diabetes · Hypertension · Hyperlipidaemia
Current medications
7 active medications · polypharmacy flag
Adverse drug reactions
Documented: statin myopathy (2021)
Family history
Not yet confirmed — action needed
Prior genetic testing
None on record
Cardiology
Referral pending — not yet on file
Analysis sources
CMS LCD/NCD policies
Coverage determinations checked
ClinGen / ClinVar
Gene-disease validity
PubMed / NCBI
Supporting literature
Internal clinical DB
Precedent & protocols
Missing prerequisite workups
Lipid panel (fasting) — last drawn 14 months ago
PGx · CGM
Echocardiogram or cardiac imaging not on file
Cardiogenetics
HbA1c — required within 90 days for CGM order
CGM
Encounter notes
Patient presents for routine chronic disease management review. Reports difficulty maintaining consistent blood glucose levels despite adherence to metformin. Statin therapy previously discontinued due to documented myopathy — lipid management currently unoptimised. Patient receptive to discussing medication alternatives. Blood pressure within acceptable range today. No new complaints. Patient enquired about genetic testing options mentioned at last visit.
Encounter activity log
E-consent confirmed
09:02 AM
Patient evidence state refreshed from record
09:03 AM
Documents uploaded — OCR extraction complete
09:04 AM
Medical programs eligibility evaluated — 5 programs in scope
09:05 AM
PGx medication guidance — ordered · active
09:07 AM
Family history confirmation — pending physician action
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