MosaicUse casesTreatment plan

Medications, tasks and appointments from today's decision, for your signature

Doses and times, tasks with dates, the next visit, drafted from what was decided in the room. A draft until you sign it, and the patient's own reading of the same sheet is one switch away.

Step 1
AKAnna Keller, 47 · Hypertension, prediabetes, LDL 162 mg/dl
Draft a patient plan from today's decision.
Finished thinking

A draft until you sign

Treatment plan

Plan after the check-up of 16 September

Anna Keller, 47 · 16 September 2026 · Shared with the patient, 16 September 2026, opened

Medication

  • Atorvastatin 20 mgOne tablet every evening · Lowers LDL cholesterolNew
  • Ramipril 10 mgOne tablet every morning · Blood pressureChanged
  • Sertraline 50 mgOne tablet every morning · Anxiety
  • Vitamin D3 1,000 IUOne tablet daily · Vitamin D was low in MayNew

What you do

  • Take atorvastatin every eveningWith or without food
  • Measure your blood pressure for seven days before 16 NovemberMorning and evening, seated, after five minutes of rest, two readings each time
  • Walk 30 minutes on five days a weekOr the equivalent in something you enjoy

When to call us

  • New or unusual muscle painNote when it started and where. Keep taking the tablet unless the pain is severe.

Appointments

  • Week of 9 Nov 2026Blood testLipids, liver, CK, potassium, kidney values, lipoprotein(a). No fasting needed.
  • 16 Nov 2026, 10:30Follow-up with Dr. WeberBring your blood pressure readings.
  • TodayTetanus-diphtheria boosterGiven in the practice. Next due in 2036.

Drafted from the visit of 16 September 2026 and the chart. Signed by Dr. med. Sarah Weber; every statement can be traced to the note.

Open the treatment planSee the full response

Step 2
AKAnna Keller, 47 · Hypertension, prediabetes, LDL 162 mg/dl · 14 documents, read 16 September 2026
What does the current guideline recommend as her blood pressure target?

Answered on 16 September 2026

Finished thinking
Practice guidelineEuropean Society of Cardiology

The 2024 ESC guideline recommends a systolic target of 120 to 129 mmHg for most adults on treatment, provided it is tolerated, and home blood pressure monitoring to guide treatment; home readings run about 5 mmHg below office values. Eur Heart J

European Society of Cardiology

2024 ESC Guidelines for the management of elevated blood pressure and hypertension.

McEvoy JW, McCarthy CP, Bruno RM, et al. European Heart Journal. 2024;45:3912-4018. doi:10.1093/eurheartj/ehae178.

For her: home mean 136/86 mmHg and office 142/90 are above target on ramipril 5 mg. BP log 15.09.2026 Visit 16.09.2026 The guideline's first step is to optimise the existing drug or move to a combination; with eGFR 92 and normal potassium, ramipril 10 mg is the straightforward step, with a combination (ramipril plus amlodipine) if the home mean stays above 135/85 after four weeks. Lab 08.05.2026 Eur Heart J

Home measurement: seated after five minutes of rest, two readings in the morning and two in the evening for seven days, discarding the first day. Her log follows that scheme. BP log 15.09.2026 Eur Heart J

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