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Practice trajectory
-26%
JD
Dr John Dolittle
Ashford Vale Medical Group
Patients/Marcus Lindsay · SH-10367
← Practice Horizon

Marcus Lindsay

28M · SH-10367APP
Mental health + cardiometabolic drift · Line cook
Next consult
No scheduled consult
Gray zone· p 0.54Trending worse
Trajectory headline
Rapid metabolic drift post-antipsychotic initiation. SMI physical health check is overdue. High-leverage intervention window.
Model priority
Gray zone · pattern emerging
Biggest single change you could makeLifestyle programme → −52% (BMI)
Patient Context Card · AIME

Brief

Trajectory-grounded orientation for today's appointment.

Antipsychotic metabolic effects visible in the trajectory. Physical health check 11 months overdue.

Trajectory narrative

Marcus started olanzapine 10 months ago. In that time his BMI has climbed from 26 to 31, resting HR is up, and sleep is fragmented. The physical-health check required under SMI quality frameworks has not been done. Horizon-1 projects a steep metabolic trajectory if this pattern continues.

Active concerns
  • BMI 26 → 31 in 10 months
  • HbA1c 41 — drifting from 36 at baseline
  • Sleep fragmentation (wearable)
  • SMI physical check 11m overdue
Suggested consultation focus
  • Book SMI physical health check (QOF MH003)
  • Shared care letter to psychiatry
  • Discuss metformin vs lifestyle first-line
Supporting record context
Current medications
Olanzapine 10mg
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.

Metabolic (iatrogenic)
0.61
Behavioural (sleep + activity)
0.54
For demonstration purposes. Not a diagnostic tool.