Import Patient Code — reload the case
1. Patient Demographics
2. Diagnoses (check all that apply)
3. Comorbidities / Target-Organ Damage
4. Vital Signs — last ≥ 2 years (most recent on the right)
Enter office BP/HR in the order of visits (blank rows are ignored).
| Visit | Date (YYYY-MM-DD) | SBP | DBP | HR | BMI | Waist (cm) |
|---|
5. Laboratory Values — last ≥ 2 years
Leave blank if not measured. Units: HbA1c %, FBS / lipids mg/dL, Cr mg/dL, eGFR mL/min/1.73m², UACR mg/g, K mmol/L, AST/ALT U/L.
| Visit | Date | HbA1c | FBS | TC | LDL-C | HDL-C | TG | Cr | eGFR | UACR | K | AST | ALT |
|---|
6. Current Medications (primary-care formulary)
Check drugs the patient is currently taking and specify dose (mg) and frequency.
6b. Warfarin Dosing & INR Management (fill only if patient is on warfarin)
Step A · Warfarin tablet strengths available in this hospital
Tick every strength that the pharmacy currently stocks. The engine will use only these strengths when proposing a new schedule.
Step B · Current weekly warfarin schedule (mg per day)
Enter each day's dose in mg. Use 0 for days the patient skips. Half-tablets allowed (e.g. 2.5).
| Day | Dose (mg) | Tablet recipe |
|---|---|---|
| Monday | ||
| Tuesday | ||
| Wednesday | ||
| Thursday | ||
| Friday | ||
| Saturday | ||
| Sunday | ||
| Weekly total | — mg |
Step C · INR history (most recent on the right)
Enter recent INRs./div>