AK

📋 Page Guide

Clinical memos capture important patient communications, observations, and administrative notes. They appear in reverse-chronological order and can be pinned for visibility.

  • Urgent — Requires immediate attention (red)
  • High — Should be reviewed today (amber)
  • Normal — Routine documentation (gray)
  • Clinical Communication
  • Appointment Note
  • Medication Note
  • Care Plan Update
  • Administrative

Pin important memos to keep them visible at the top of the list. Pinned memos are shown with a blue left border and pin icon. Only 3 memos can be pinned at a time.

Clinical Memos
Sarah Johnson  ·  MRN P-2024-042  ·  6 memos
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Urgent Medication Note Jennifer Walsh, RN Mar 28, 2026 · 2:15 PM
Patient called regarding significant nausea and dizziness after starting Metformin 500mg on 3/25. Symptoms began approximately 2 hours after each dose. Advise patient to take with food and plenty of water. Contacted Dr. Chen — recommends dose reduction to 250mg BID for 2 weeks then re-evaluate. Patient instructed not to stop medication without provider guidance. Follow-up call scheduled for 3/31.
High Appointment Note Marcus Thompson, RN Mar 25, 2026 · 10:42 AM
Follow-up appointment scheduled with Dr. Robert Kim (Cardiology) for April 14, 2026 at 9:00 AM at Valley Heart & Vascular Institute. Patient confirmed via phone. Transportation arranged through MedRide — confirmation #MR-4492. Echocardiogram ordered as pre-visit workup; patient scheduled at Riverside Imaging on April 7.
Normal Care Plan Update Dr. A. Kumar Mar 20, 2026 · 3:30 PM
Monthly care plan review completed. Patient reports improved blood pressure readings at home (avg 128/82 over past 2 weeks — improvement from 138/90). Diabetes management tracking on schedule; A1C target remains <7.5%. Exercise goal adjusted: patient unable to achieve 150 min/week due to knee pain — reduced to 90 min/week with low-impact activities (swimming, cycling). Referral to physical therapy placed.
Normal Clinical Communication Jennifer Walsh, RN Mar 15, 2026 · 11:05 AM
Patient called to report blood glucose readings consistently above 180 mg/dL fasting for the past 5 days. Reviewed medication adherence — patient confirmed taking Metformin as prescribed. Dietary recall obtained: patient disclosed increased carbohydrate intake during family visit (March 10-14). Educated on carbohydrate counting and blood glucose targets. Advised to maintain food diary. Dr. Chen notified; no medication change at this time.
Normal Administrative Marcus Thompson, RN Mar 8, 2026 · 9:20 AM
Annual CCM consent renewal completed. Patient signed updated consent form for Chronic Care Management services (CPT 99490). Consent form filed in patient record. HIPAA authorization updated. Insurance eligibility verified — Blue Cross PPO active through Dec 31, 2026. No changes to coverage. Patient updated contact information: new cell phone (555) 842-3101.
High Clinical Communication Dr. Sarah Patel Feb 28, 2026 · 4:45 PM
Behavioral health session conducted via telehealth (45 min). Patient reports improvement in depressive symptoms since increasing Sertraline to 100mg in January. PHQ-9 score: 8 (mild depression, down from 14 in January). Continue current medication plan. Reviewed stress management techniques. Patient expressed concern about work-related stress contributing to poor dietary choices — explored coping strategies. Next appointment: March 28, 2026.