Mandaya Hospital Group

Budi Hartono

MR-2019-0847 · 55L · BPJS Kelas 1 + Personal Top-up · Royal Puri
Hipertensi EsensialDiabetes Mellitus Tipe 2Lapsed 8 bulan
Alergi: Sulfa antibiotics

Ringkasan AI · Visit terakhir & tren

Auto-generated · ICD-10 + SNOMED CT
Visit history
9 Jan 2024 · Follow-up DM
HbA1c 7.2, BP 145/90. Metformin XR 1000mg adjusted. dr. Siti
14 Mar 2023 · MCU tahunan
Baseline labs. No new findings. dr. Siti
8 Aug 2022 · Akut · ISPA
Resolved. dr. Andi Yulianto
Tren klinis
HbA1c trend
8.1%
dari 7.2% (8mo)
BP last reading
148/92 mmHg
stage 2 hypertension
Med adherence
62%
BPJS refill pattern
AI INSIGHT

Pasien lapsed 8 bulan dengan adherence rendah. HbA1c jump +0.9 dalam window itu. Suggest intensifikasi DM management + cardio screen per Clinical Pathway DM-Cardio-001. Pertimbangkan rujukan dr. Bambang Subarno (Cardio) jika EKG hari ini abnormal.

SOAP · 16 September 2024