Cena Health
Cena Health

Ramirez, Maria (Maria)

MRN-10042 67F · Hispanic · English
(310) 555-0142 maria.r@email.com Boyle Heights, LA
Z59.1
Z59.4
Z60.2
C 2 D 1
Satisfied Active
Session in progress 00:04:32
Clinical Metrics Care Plan Timeline

Clinical Metrics

HbA1c
8.0%
↓ 1.2% from baseline
Last: Jan 15
Blood Pressure
128/82
Controlled
Last: Jan 20
Weight
168 lbs
↓ 12 lbs enrolled
Last: Jan 20
BMI
27.1
↓ from 29.0
Overweight range

Care Plan

Updated Jan 15 by Dr. Chen

Maria presents with T2DM with improving glycemic control. Primary goals: maintain HbA1c below 8.0%, increase dietary diversity score to 6 or higher, and address housing instability affecting meal consistency. Weekly meal delivery continues at 7 meals per week. Next lab draw scheduled Feb 15. BHN follow-up quarterly.

Open Alerts

View all →
Clinical Missed Lab Draw
Delivery Delivery Failure — Jan 18
Social Food Insecurity Screen pending

Timeline

Encounter Jan 20 · Dr. Chen (RDN)
SOAP note: HbA1c improving. Dietary compliance good. Continue current plan.
Delivery Jan 18 · System
7 meals delivered successfully. Fresh Bites Delivery Co.
Alert Resolved Jan 15 · System
Missed lab draw flagged. Triaged by Care Coordinator — lab rescheduled and completed Jan 17.
Clinical Jan 17 · Care Coordinator
Lab draw completed at Quest Diagnostics — Boyle Heights. HbA1c result received Jan 18.
Clinical Jan 10 · Self-reported
HbA1c recorded: 8.0%. Previous: 8.3%.
Care Plan Jan 15 · Dr. Chen (RDN)
Care plan updated. BHN referral added for housing support.
Delivery Failed Resolved Jan 8 · System
Delivery failed — recipient not home. Care Coordinator contacted vendor and patient; rescheduled for Jan 10.
Enrollment Oct 3, 2024 · Maria S. (Care Coordinator)
Patient enrolled in program. Baseline labs ordered. Delivery schedule set.

Current Medications

Metformin 1000mg
Twice daily
Lisinopril 10mg
Once daily
Atorvastatin 40mg
Once daily at bedtime
Possible interaction with grapefruit products
Vitamin D3 2000 IU
Once daily

Patient Resources