Eleanor Shaw

81F · SH-10372APP

Heart failure (post-admission) · Retired (nurse)

Next consult

Mon 20 Apr, 09:00

Positive· p 0.81Trending better

Trajectory headline

Four-pillar therapy established post-discharge. Weight + activity stable on app; focus is adherence and early decompensation detection.

Model priority

Positive zone

Biggest single change you could makeLifestyle programme → −28% (Activity)

Patient Context Card · AIME

Brief

Trajectory-grounded orientation for today's appointment.

Six weeks post-discharge. Four-pillar is in, trajectory improving. Keep the signal live.

Trajectory narrative

Eleanor was admitted in late February with decompensated HFrEF (EF 32% on discharge echo). She is now on full guideline-directed therapy. The app-connected daily weight has been invaluable — no early decompensation signals, diuretic dose has been stable. The priority at next review is reinforcement, not escalation.

Active concerns

EF 32% on discharge echo
Lives alone — social support mapped
eGFR 44 (stable)
K+ 4.6 on spironolactone

Suggested consultation focus

Reinforce daily weights and symptom diary
Check adherence — all four pillars
Arrange repeat echo at 3-month mark

Supporting record context

Current medications

Sacubitril/valsartan 49/51 BD · Bisoprolol 5mg · Dapagliflozin 10mg · Spironolactone 25mg · Furosemide 40mg

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.

HF (reduced EF)

0.70

For demonstration purposes. Not a diagnostic tool.

← Practice Horizon

Eleanor Shaw

81F · SH-10372APP

Heart failure (post-admission) · Retired (nurse)

Next consult

Mon 20 Apr, 09:00

Positive· p 0.81Trending better

Trajectory headline

Four-pillar therapy established post-discharge. Weight + activity stable on app; focus is adherence and early decompensation detection.

Model priority

Positive zone

Biggest single change you could makeLifestyle programme → −28% (Activity)

Patient Context Card · AIME

Brief

Trajectory-grounded orientation for today's appointment.

Six weeks post-discharge. Four-pillar is in, trajectory improving. Keep the signal live.

Trajectory narrative

Active concerns

EF 32% on discharge echo
Lives alone — social support mapped
eGFR 44 (stable)
K+ 4.6 on spironolactone

Suggested consultation focus

Reinforce daily weights and symptom diary
Check adherence — all four pillars
Arrange repeat echo at 3-month mark

Supporting record context

Current medications

Sacubitril/valsartan 49/51 BD · Bisoprolol 5mg · Dapagliflozin 10mg · Spironolactone 25mg · Furosemide 40mg

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.

HF (reduced EF)

0.70

For demonstration purposes. Not a diagnostic tool.