Trajectory-grounded orientation for today's appointment.
Frailty is the dominant trajectory axis — not diabetes, not blood pressure. Treatment targets should loosen, not tighten.
Thomas has T2DM, HTN, and early CKD, but Horizon-1's attribution identifies frailty as the primary driver of forward trajectory. Intensifying glycaemic or blood pressure control here would likely add burden without materially improving the 10-year envelope. The appropriate response is deprescribing review and falls risk assessment.
Output of the dynamic hypergraph. Direction = trajectory on that axis.