Intake Review — ENC-2026-04817|M. Okonkwo · Bay 4|14:32 — 14:48
Day Shift · 07:00–19:00RN J. Osei
ℹ Pre-submission review — nothing has been sent to the EMR yet. Review all fields and sign off to submit.All AI suggestions shown as "AI Suggested" · Nurse-entered shown as "Nurse"
M. Okonkwo
DOB: 1968-03-11 · 58M · MRN-774920 · Bay 4
ENC-2026-04817
ESI 3
Urgent · Nurse assigned
📝 Chief Complaint & Structured Fields
Free-text Complaint
Feeling dizzy for 2 days, not eating well, some nausea.
Nurse
Complaint Category
Dizziness / Vertigo
AI Suggested
Coded Chief Complaint
—
AI + Nurse Accepted
Duration
2 days
AI Suggested
Onset Type
Gradual
AI Suggested
Associated Symptoms
Nausea, reduced oral intake
AI Suggested
Trigger
AI Suggested
Context
AI Suggested
Relevant History
T2DM, HTN — managed. No recent hospitalizations.
Nurse
🩺 Vitals
Blood Pressure
138 / 86
mmHg
Heart Rate
88
bpm
SpO₂
97%
pulse oximetry
Resp Rate
16
breaths/min
Temperature
37.1°C
oral
GCS
15 / 15
alert and oriented
Nurse entered
💊 Medications & Allergies
Allergies
NKDA
Nurse
Current Medications
Metformin 500mg BD, Lisinopril 10mg OD
Nurse
✓ AI Triage Assessment
✓ Low-acuity — no critical flag
ESI assessed by orchestrator · disposition assigned · RAG guidelines retrieved
AI Suggestion Audit
4
Accepted
0
Dismissed
4 of 4 AI suggestions accepted by nurse. All accepted suggestions will be tagged "AI Assisted" in the EMR record.
Dismissed Suggestions
—
No suggestions dismissed
🖊 Nurse Sign-off
By submitting, I confirm all fields above are accurate. AI-suggested fields have been reviewed and accepted. This record will be submitted to the EMR under my credentials.