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Practice trajectory
-26%
JD
Dr John Dolittle
Ashford Vale Medical Group
Patients/Nikhil Menon · SH-10378
← Practice Horizon

Nikhil Menon

45M · SH-10378OFF
Preventive (strong family history) · Architect
Next consult
Wed 22 Apr, 16:00
Negative· p 0.18Steady
Trajectory headline
Rule-out robust despite family history. Lp(a) measurement would close the residual lifetime-risk gap.
Model priority
Low zone
Biggest single change you could makeStatin · low → −14% (LDL-C)
Patient Context Card · AIME

Brief

Trajectory-grounded orientation for today's appointment.

Came in anxious about his father's MI. Risk is low — Lp(a) would confirm.

Trajectory narrative

Nikhil's father had an MI at 49. His own profile is genuinely reassuring — BP, lipids, activity and glucose are all in healthy ranges. Horizon-1 rules him out with calibration 0.89. One remaining gap is Lp(a), a single-measurement lifetime risk marker where FHx of early ASCVD increases prior probability.

Active concerns
  • None at this time.
Suggested consultation focus
  • Reassure — communicate the rule-out
  • Order one-off Lp(a)
  • No medication indicated
Supporting record context
Current medications
Nil
Allergies
NKDA
Family history
Father MI age 49; mother hypothyroid
For demonstration purposes. Not a diagnostic tool.
Horizon-1 · Syndrome activation

Latent clinical states

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

Background (low-risk)
0.18
For demonstration purposes. Not a diagnostic tool.