AK

Notifications

BP Alert — Sarah Johnson
Blood pressure 142/88 exceeds target of 130/80
2 min ago
New message in #clinical-team
Dr. Kumar: "Updated care plan for Q2 goals…"
18 min ago
Lab Results Available
BMP Panel for Sarah Johnson is ready for review
1 hr ago
Appointment Scheduled
Cardiology follow-up — Apr 14, 2026 at 10:00 AM
Yesterday
View all notifications
AK
Dr. A. Kumar
Care Manager · eKlotho Nexus

Team Community

eKlotho Nexus
Healthcare Staff Workspace
Channels
#general
#clinical-team4
#admin
#alerts2
#billing
Direct Messages
Dr. M. Walsh
Maria Nguyen RN
Dr. S. Rivera
T. Chen PharmD
#

general

General staff discussion

📋 Page Guide

The Patient Profile is your central hub for all clinical and administrative information for Sarah Johnson (MRN P-2024-042). Review the High Risk badge and active alerts immediately.

  • Check vitals in the Summary tab for current status
  • Review active alerts for urgent action items
  • Use Quick Actions for rapid workflows
  • Summary — vitals, alerts, recent activity
  • Demographics — personal & contact info
  • Care Plan — active goals & indicators
  • Conditions — ICD-10 coded diagnoses
  • Medications — current Rx with refill status
  • Vitals — trend charts & history
  • Insurance — coverage & benefits
  • Care Team — assigned providers
  • Add Note — log a clinical or CCM note
  • Schedule — book an appointment
  • Send SMS — send a patient message
  • Create Auth — initiate a prior authorization request

Sarah Johnson is flagged High Risk due to multiple chronic conditions (T2DM, HTN, CHF) and recent ED visit. High Risk patients require:

  • Monthly CCM calls (minimum 20 min)
  • Care plan review every 30 days
  • Medication reconciliation at each encounter
SJ
Sarah Johnson MRN P-2024-042 ⚠ High Risk
DOB: Mar 15, 1958 (Age 68) Female 📍 Boston, MA 02115 📞 (617) 555-0142 CCM Enrolled
T2DM HTN CHF COPD CKD Stage 3
Blood Pressure
142/88
mmHg
▲ Elevated
Heart Rate
78
bpm
✓ Normal
O₂ Saturation
96%
SpO₂
▼ Borderline
Temperature
98.4°
Fahrenheit
✓ Normal
Weight
187
lbs
▲ +2 lbs this week
Last Updated
Today
Apr 2, 2026 09:14 AM
Active Alerts
BP Critically Elevated
Last reading 142/88 — exceeds target of 130/80
Urgent
Medication Refill Due
Metformin 1000mg — due Apr 5, 2026
Soon
A1C Lab Overdue
Last drawn Dec 2025 — quarterly draw required
Lab
CCM Time Deficit
Only 12 of 20 min logged this month
Billing
Recent Activity
CCM Note Added
Dr. A. Kumar · Apr 1, 2026
CCM
Vitals Recorded
BP Monitor · Apr 2, 2026
Device
SMS Sent
Medication reminder · Mar 31, 2026
SMS
Appointment Scheduled
Cardiology — Apr 14, 2026
Appt
Care Team
DW
Dr. Michael Walsh
Primary Care Physician
AK
Dr. A. Kumar
Care Manager
SR
Dr. Sandra Rivera
Cardiologist
JP
James Park, LCSW
Behavioral Health