Eleanor Whitfield "Ellie"
glaucoma suspect79f · she/her · DOB 1947-03-14SC-100214
+1-416-555-0142 eleanor.w@example.ca Vancouver, BC 9081 234 567 · BC
Problem list
- H40.11POAG · OUchronic · since 2019-08-01
- H25.9Cataract NOS · OUactive · since 2024-11-12
Allergies
- Sulfa — Rashmed
Medications
1 topical1 systemic
- Latanoprost 0.005%1 drop · qhs OU · topical
- Metformin500mg · BID · PO
Ocular history
Refractive
First Rx age 14
Myopia onset 12y
Prior surgery
- SLT — selective laser trabeculoplastyOU2020-06-12 · Dr. Marisol Navarro · Toronto Eye SurgeryRepeat OD 2022 for IOP creep
- SLT repeatOD2022-09-04 · Dr. Marisol Navarro · Toronto Eye Surgery
Contact lenses
No contact lens use
Flashes / floaters
Eye trauma
Prior provider: Dr. R. Singh (transferred 2018)
History
Family
Glaucoma (mother), AMD (father)
Social
Smoking: Never · Alcohol: Social · Occupation: Retired teacher
Insurance
Provincial9081 234 567
Sun Life50091 / GP-2240
AI Scribe
Dictate or type shorthand · Claude drafts a SOAP note
Shorthand · dictation
Streaming · Claude Sonnet
Generated note
Note will appear here.
Edits stay in chart history.
Vitals trends
IOP
mmHgOD16
OS14
VA (cc)
20/xOD20/30
OS20/25
Trends computed from signed encounters · last 4 visits
Visit timeline
4follow-upMar 31, 2026
locked+1 addendum
"Glaucoma follow-up; reports occasional halos at night."
VA cc
OD 20/30 · OS 20/25
IOP (GAT)
OD 16 · OS 14 mmHg
manifest Rx
OD -1.25 / -0.75 × 090
Assessment POAG OU — stable on latanoprost; Cataract OU — early NS, monitoring
Plan Continue latanoprost qhs OU; OCT RNFL today; VF 24-2 in 3 months; RTC 4 months
follow-upDec 15, 2025
locked
"Glaucoma follow-up + VF."
VA cc
OD 20/30 · OS 20/25
IOP (GAT)
OD 18 · OS 15 mmHg
Assessment POAG OU — IOP slight uptick OD, monitor
Plan Continue latanoprost; VF today (24-2); RTC 3 months
follow-upAug 27, 2025
locked
"Glaucoma follow-up."
VA cc
OD 20/30-1 · OS 20/25
IOP (GAT)
OD 15 · OS 14 mmHg
Assessment POAG OU — stable
Plan Continue latanoprost; RTC 4 months
comprehensiveApr 29, 2025
locked
"Annual comprehensive."
VA cc
OD 20/25 · OS 20/25
IOP (GAT)
OD 17 · OS 16 mmHg
Assessment POAG OU; Cataract OU — early NS
Plan Continue latanoprost; Repeat OCT and VF; RTC 4 months
Documents
Access & audit log
- view · patient.chartDr. Austin Ekeoba · 2h ago · 10.0.0.21
- view · patient.chartPriya Patel · May 24, 10:56 a.m.Optical pickup
- lock · encounter.e1Dr. Austin Ekeoba · Apr 1, 10:56 a.m.
- edit · patient.medications · medicationsDr. Austin Ekeoba · Mar 31, 10:56 a.m.Added Latanoprost (continued)
- sign · encounter.e1Dr. Austin Ekeoba · Mar 31, 10:56 a.m.
PHIPA / PIPEDA: every PHI access is recorded with actor, time, IP, and the specific field touched. Logs are immutable and retained for 10 years.
Claims · this patient
AllH40.11 · 00310, 00320
SCL-2026-0148 · 2026-03-31
$77.05
paidH40.11 · 00316
SCL-2026-0271 · 2026-06-19
$18.85
paid