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Practice trajectory
-26%
JD
Dr John Dolittle
Ashford Vale Medical Group
Patients/Helena Voss · SH-10359
← Practice Horizon

Helena Voss

48F · SH-10359APP
Hypertension (uncontrolled) · Barrister
Next consult
Thu 16 Apr, 10:45
Positive· p 0.79Trending worse
Trajectory headline
Home BP averaging 155/94. Escalation indicated — either uptitrate or add third agent. Statin initiation is the parallel lever.
Model priority
Positive zone
Biggest single change you could makeLifestyle programme → −45% (BMI)
Patient Context Card · AIME

Brief

Trajectory-grounded orientation for today's appointment.

Home BP uncontrolled on dual therapy. Today is the escalation conversation.

Trajectory narrative

Helena's clinic BPs have been reasonable, but continuous wearable readings tell a different story — she sits at 150/95 most working days, with sharp spikes in court days. The model weights the continuous pattern above clinic snapshots. LDL-C has crept upward; with her age and family history the forward trajectory is moving firmly into atherosclerotic territory.

Active concerns
  • Home BP 155/94 average (wearable, 30-day)
  • LDL-C 3.8 mmol/L (no statin)
  • Father MI age 61; mother T2DM
  • Work stress pattern visible in BP
Suggested consultation focus
  • Add third antihypertensive (amlodipine)
  • Initiate statin — atorvastatin 20mg
  • Discuss stress / BP pattern using wearable data
  • Book 3-month review
Supporting record context
Current medications
Ramipril 10mg · Indapamide 2.5mg
Allergies
NKDA
For demonstration purposes. Not a diagnostic tool.
Horizon-1 · Syndrome activation

Latent clinical states

Output of the dynamic hypergraph. Direction = trajectory on that axis.

Atherosclerotic (emerging)
0.64
Hypertensive
0.78
For demonstration purposes. Not a diagnostic tool.