Vısarı Sarasota Main · Clinic day
Friday, July 18, 2026 · 9:38a

Schedule

Fri, Jul 18, 2026
TIMEPATIENTAGEVISIT TYPESTATUSPROVIDER · LOCATION

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Patients & Rooms

Patients for Fri, Jul 18, 2026 · Sarasota Main
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UNSIGNED DRAFT
Resume chart — Jul 18, 2026 unsigned draft · nothing files without your signature
Margaret Chen 68 F · MRN VIS-000412 · Allergies: Sulfa Fri Jul 18, 2026 · 9:38a DRAFT

History

VISIT TYPE
VISIT TYPE
CC
3-month pressure check (OU)
HPI
Reports missing latanoprost ~2×/week; no pain, flashes, or vision change.
Past Ocular Hx
S/P LPI OU, 2019
Eye Meds
Latanoprost 0.005% — 1 gtt OU qHS
PSFH / ROS reviewed & updated today ✓
PMHx
HTN · hyperlipidemia
Surgical Hx
Appendectomy, 1989
Systemic Meds
Lisinopril 10 mg daily · atorvastatin 20 mg qHS
Allergies
Sulfa — rash
Family Hx
Mother — glaucoma
Social Hx
Retired teacher · no tobacco · occasional wine · drives

Vision · Pressure · Refraction

applanation · 9:42a · click a value to edit
OD — right
OS — left
VAcc
20/25
20/20
VAsc
20/60
20/40
IOP mmHg
24 ↑19 → 20 → 24
18 17 → 18 → 18
MRx
−1.25 −0.50 ×090 → 20/25
−0.75 −0.25 ×085 → 20/20

Wears progressives — happy with current pair.

Trend — last 3 visits · OD / OS
VAccIOP mmHgMRx
Today · Jul 18, 202620/25 / 20/2024 / 18−1.25 −0.50 ×090 · −0.75 −0.25 ×085
Apr 14, 202620/25 / 20/2020 / 18−1.25 −0.50 ×088 · −0.75 −0.25 ×085
Oct 3, 202520/25 / 20/2019 / 17−1.00 −0.50 ×090 · −0.75 sph
Mar 27, 202520/20 / 20/2019 / 17−1.00 −0.50 ×092 · −0.50 −0.25 ×080

Longitudinal view — device-computed values by visit date. IOP OD trending up on therapy.

More — non-core fields
Dominant eyeOD
Blood pressure128 / 76 seated · 9:40a
Prior glasses RxProgressives (2024) — −1.00 −0.50 ×090 / −0.75 sph · add +2.50

Pachymetry now lives under Exam → Anterior → View More.

Exam

click a row for the full OD/OS skeleton · click a cell to edit
OD — RIGHTOS — LEFT
PupilsPERRLA 4→2 mm, no APDPERRLA 4→2 mm, no APD
EOM / MotilityFull, orthophoricFull, orthophoric
CVFFull to confrontationFull to confrontation
AdnexaNormal, no proptosisNormal, no proptosis
EXTENDED — EXTERNAL
VIEW MORE SHOWS…
Customize what View More shows — demo stub
Exophthalmometry Hertel · base 9817 mm17 mm
MRD1 / MRD24.0 / 5.5 mm4.0 / 5.5 mm
OD — RIGHTOS — LEFT
Lids / LashesNormal, no blepharitis/MGDNormal, no blepharitis/MGD
Conjunctiva / ScleraWhite & quietWhite & quiet
CorneaClear — no SPK, no edema, no guttataClear — no SPK, no edema, no guttata
Anterior ChamberDeep & quiet — no cell/flareDeep & quiet — no cell/flare
IrisFlat — no NVI, no TIDsFlat — no NVI, no TIDs
LensNS 2+NS 2+
Gonioscopy Apr 2026Open to CB ×360, no PASOpen to CB ×360, no PAS
EXTENDED — ANTERIOR
VIEW MORE SHOWS…
Customize what View More shows — demo stub
Pachymetry µm522528
TBUT9 s10 s
Corneal sensationIntactIntact
OD — RIGHTOS — LEFT
VitreousClear, no cellsClear, no cells
Optic Discawaiting your entryC/D 0.50, healthy rim
MaculaFlat — no drusen, no edemaFlat — no drusen, no edema
VesselsNormal caliber — no AV nickingNormal caliber — no AV nicking
Periphery dilated Apr 2026Attached ×360 — no holes/tearsAttached ×360 — no holes/tears
EXTENDED — POSTERIOR
VIEW MORE SHOWS…
Customize what View More shows — demo stub
Drusen detailNoneNone
Vitreous cell grade0 (SUN)0 (SUN)

Diagnostics & Imaging

today’s studies · priors via the date picker
OCT RNFL · TSNIT

OCT RNFL · today

OD avg 76 µm (inferior 58 — borderline)

OS avg 88 µm — normal

INTERPRETATION — DR. DE ROJAS
HVF 24-2 · OD

HVF 24-2 · today

OD early superior nasal step, MD −2.8 dB

OS full — MD −0.4 dB

INTERPRETATION — DR. DE ROJAS
AUTOREFRACTOR
OD −1.25 −0.50 ×090 OS −0.75 −0.25 ×085

Autorefractor · today

Objective — refined at MRx above.

INTERPRETATION — DR. DE ROJAS
NOTHING ELSE TODAY

Procedures

No procedures performed today

SCHEDULEDSLT OD — scheduling with surgical coordinator (per plan)
QUICK PICKS

Assessment & Plan

dated — newest first

Nothing filed yet this visit — Visari has a draft waiting in the panel, or start typing below.

POAG, mild — OU tab to accept

BASIS IOP 24 OD · borderline inferior RNFL · early superior nasal step — suggestions are drafts; you choose.

Eye Medications — specialty lane · systemic meds live in History
Latanoprost 0.005% — 1 gtt OU qHS current — started 2023
Artificial tears PRN OU current — started 2024
Latanoprost 0.005% — 1 gtt OU qHS · 2.5 mL × 3 (90-day supply) · 3 refills
→ Publix Pharmacy — Fruitville Farms (their refill request is in your Inbox)
draft until signed
Follow-up

3 months · Dr. De Rojas · IOP check — sooner if IOP ≥ 26, drop intolerance, or new symptoms

Coding

AI-recommendedDRAFT
99214Office visit, established patient — moderate MDM
92133OCT, optic nerve — performed & interpreted ↳ linked to H40.11X1
H40.11X1Primary open-angle glaucoma, mild stage — OU
WHY THESE CODES — RATIONALE & COVERAGE CHECK

99214 — two chronic problems addressed (POAG with rising IOP; medication adherence) with prescription management → moderate medical decision-making.

92133 — OCT RNFL performed today and interpreted in the record; not billed same-day with 92134 ✓ clear.

H40.11X1 — mild-stage POAG establishes medical necessity for 92133 under the imaging LCD ✓ coverage criteria met.

Recommendation only — stays DRAFT until you approve, and files only with your signature.

JOAQUIN DE ROJAS, MD — SIGNATURE & DATE

Every suggestion shows its basis. Nothing files without your signature.

Diagnostics

Test library — today first

Imaging is display-only — Visari reasons over device-computed numbers, never the images themselves.

Imported Records

Imported & external documents

Faxes, outside notes, labs, scans, and prior-EMR transfers land here — click a document to open it full-size. Imported documents are display-only; nothing in them is machine-interpreted.

Inbox

8 items · sorted by urgency

Provider Messages
3

CRITICAL
Dr. Y. McKeere: Robert Alvarez · post-op day 1, phaco OD
Pain 7/10 overnight, hazy cornea, IOP 34 on Tonopen — sending him to your clinic this morning.
7:52a
MODERATE
Dr. L. Nguyen (Retina)re: Dorothy Klein · consult reply
ERM OS stable on OCT, no peel indicated now — suggest rescan in 6 months, sooner if metamorphopsia worsens.
8:40a
LOW
Dr. S. Whitmore, ODre: Elena Ruiz · co-management note
POM 1: 20/20, quiet chamber, on schedule — resuming routine care, will send the 1-year note.
Yesterday

Patient Messages
3

MODERATE
Linda Tranportal message
New floaters in my left eye since yesterday, no flashes and no curtain — should I be seen sooner?
9:05a
LOW
James Okaforportal message
Could I get a copy of my current glasses prescription for an online order?
8:11a
LOW
Sophia Marchettiportal message
Something came up at work — can I move my 10:30 today to early next week instead?
7:20a

Medication Refills
2

MODERATE
Publix Pharmacy — Fruitvillere: Margaret Chen · latanoprost 0.005%
Refill request — 0 refills remaining; patient is seen in clinic today.
8:58a
LOW
CVS Pharmacy — Bee Ridgere: Harold Simmons · PF artificial tears
Refill request — preservative-free tears QID, last authorized Jan 2026.
Yesterday