AR
Alexander RhodesGuided Member
EC
Dr. Elena CardenasClinical Director
Updated today · Evidence checked

Current Health Picture

Needs Review

Early cardiometabolic signal identified

HbA1c, ApoB, hsCRP, blood pressure, and sleep oxygenation trends have enough movement to warrant a physician review. Repeat labs and visit pack are prepared.

EC
Reviewed by Dr. Chen
May 15 · 8:40 AM
HbA1c
6.1%
Prediabetic range
ApoB
118
Above target
hsCRP
3.2
Needs review
BP
136/84
Monitor
eGFR
92
Stable
Your health advisor
MB
Maya Bennett
Available now · Concierge
Visit pack is ready. I can coordinate a cardiometabolic review with Dr. Hayes for Thursday.
Centio is handling
Health brief reviewedEvidence checked by clinical reviewer
Visit pack preparedLabs, signals, questions assembled
3
Awaiting approvalSpecialist coordination request

Approve physician review

Cardiometabolic consult is ready to schedule.

Confirm repeat labs

HbA1c, fasting insulin, ApoB, hsCRP.

View visit pack

Prepared for physician review.

Responsive mobile app view

Member Mobile Flow

AR
Today · Evidence checked

Current Health Picture

Needs Review

Early cardiometabolic signal

Visit pack ready. Maya is awaiting approval to coordinate physician review.

HbA1c
6.1%
Review
ApoB
118
Elevated
hsCRP
3.2
Review
eGFR
92
Stable
MB
Maya Bennett
Available now
Health Brief · May 2026

Reviewed Brief

Evidence Checked

What this means

Early metabolic drift with inflammatory and lipid-risk signals. Physician review is recommended before treatment decisions.

Early insulin resistance

HbA1c and fasting glucose moved enough to confirm.

Action

ApoB above target

Include particle burden in risk discussion.

Review

Sleep screen

Oxygen dips justify a screening question.

Discuss
3 open · 1 scheduled

Action Plan

Awaiting Approval

Approve review

Visit pack ready. Appointment window found.

Ready

Repeat labs

HbA1c, insulin, ApoB, hsCRP and CMP.

Physician Guided

CGM + sleep screen

Add to physician visit questions.

Maya Bennett · secure thread

Concierge

MB
Maya Bennett
Health Advisor · online
I found a cardiometabolic consult window for Thursday at 2:00 PM.
The visit pack is ready with labs, wearable summary, supplements, and questions.
Please confirm and share the pack.

Approval required

Authorize appointment and visit pack sharing.

Health Brief · May 2026

Reviewed Health Brief

Key signals
HbA1c - Prediabetic range
6.1%
hsCRP - Inflammation marker
3.2
ApoB - Lipid particle burden
118
Sleep oxygen dips - Wearable signal
Recurring
Kidney / liver / thyroid - No action signal
Stable
Evidence Checked

What this means

The pattern suggests early metabolic drift with inflammatory and lipid-risk signals. A physician review is recommended before any intervention decision.

Early insulin resistance

Action

HbA1c and fasting glucose have moved enough to warrant confirmatory labs and physician review.

Inflammation source unclear

Action

hsCRP should be confirmed and interpreted with sleep, weight trend, medications, and recent illness context.

ApoB above target

Review

ApoB gives a more precise picture of lipid risk than LDL alone and should be part of the physician discussion.

Sleep screen discussion

Discuss

Wearable oxygen dips do not diagnose sleep apnea, but they justify a screening question during the visit.

3 open · 1 scheduled · 2 stable

Action Plan

Awaiting Approval

Approve cardiometabolic review

Maya has identified an appointment window and prepared the visit pack.

Owner: MemberDue: TodayVisit pack ready
Ready

Confirm repeat lab panel

Repeat HbA1c, fasting insulin, ApoB, hsCRP, CMP, and lipid panel.

Owner: ConciergeDue: 2 weeks
Physician Guided

Discuss CGM and sleep screen

Ask physician whether a CGM trial or home sleep study is appropriate.

Owner: PhysicianAt visit
Stable

Continue routine monitoring

Kidney, liver, and thyroid markers remain stable. No near-term action required.

Owner: CentioNext brief
Plan progress
42%

Two items need member approval before coordination can continue.

Maya Bennett · Active now

Care Coordination

Coordination queue
Cardiometabolic consultApprove

Dr. Michael Hayes · Thursday 2:00 PM · visit pack ready to share.

Lab follow-upReady

Lab order prepared. Location confirmation required.

Post-visit debriefPending

Schedule after physician review to capture decisions and update plan.

MB
Maya Bennett
Health Advisor · secure thread
Online
I reviewed the Health Brief and prepared the cardiometabolic consult request. Dr. Hayes has availability Thursday at 2:00 PM.
The visit pack includes the latest labs, wearable summary, current supplements, and questions for the physician.
Please confirm the Thursday appointment and share the visit pack with his office.
Ready to send. Please approve the coordination request and I’ll complete the referral.

Approval required

Confirm appointment and authorize visit pack sharing.

Data sources behind current picture

Records & Signals

Labs
Updated May 10
Connected
Wearables
Updated today
Connected
Medical records
PCP + cardiology
Synced
Medications
No current Rx
Review
Family history
Updated Jan 2026
Refresh
Self-reported symptoms
Sleep, fatigue, diet
Current
Evidence controls

Member-facing insights are generated from connected data sources and routed through clinical review before delivery when a finding affects action planning or physician coordination.

Staff portal · Today’s queue

Review Workbench

Urgent Review
3

High-risk outputs awaiting sign-off

Briefs Pending
7

Health briefs in clinical queue

Second Opinions
4

Packets ready for physician review

Resolved Today
12

Outputs approved or routed

Review queue
AR

Alexander Rhodes

Health Brief · cardiometabolic · P1

Review
EL

Elena Moore

Second Opinion · statin timing · P2

Draft
JB

Jason Brown

Intake Review · biomarkers · P2

Validate
ML

Margaret Liu

Concierge Routing · referral packet

Route
RK

Robert King

Action Plan · follow-up actions

Ready
Active Review

Alexander Rhodes · Health Brief requires sign-off

AI-drafted brief has passed source checks. Two action signals need clinical confirmation before member delivery: HbA1c and hsCRP.

Safety layer

4 checks passed · no urgent escalation

Evidence package

Labs, wearables, meds, family history

Next SLA

Deliver to member by 4:00 PM

Responsive mobile app view

Staff Mobile Flow

EC
Today · Clinical queue

Review Workbench

Urgent
3
Need sign-off
Drafts
7
Briefs pending

Alexander Rhodes

Health Brief · cardiometabolic · P1

Review

Elena Moore

Second Opinion · statin timing · P2

Draft

Jason Brown

Intake Review · biomarkers · P2

Validate

Margaret Liu

Concierge routing · referral packet

Route
Alexander Rhodes · May 2026

Clinical Review

Needs Sign-off

Early cardiometabolic signal

AI-drafted brief has passed source checks. HbA1c and hsCRP require confirmation before delivery.

HbA1c - Prediabetic range

6.1% · lab PDF source verified

Action

hsCRP - Inflammation marker

3.2 · needs source context

Review

ApoB - Lipid burden

118 · include in physician discussion

Discuss
Priority plan · Internal review

Action Plan

Awaiting

Cardiometabolic review

Owner: Member · Due today

Ready

Repeat lab panel

Owner: Concierge · Due in 2 weeks

Guided

CGM + sleep screen

Doctor-facing question for visit

Maya Bennett · Routing

Concierge

MB

Maya Bennett

Health Advisor · online
Dr. Hayes has availability Thursday at 2:00 PM. Visit pack is prepared but pending clinical approval.
Hold until the Health Brief is approved. Use the consult packet once signed off.

Routing approval

Confirm appointment and release visit pack.

Submitted May 12 · Before member record goes live

Intake Review

JB

Jason Brown, 65

Concierge tier · Hypertension · Pre-diabetes · Family history of CAD
Apple Health connectedLabs uploadedMedication review needed
Pending
Verification summary
Source provenance checkedLab PDF + Apple Health connection verified
Passed
Missing data identifiedMedication list requires confirmation
Review
Biomarkers awaiting approval
NameStatusValueSourceAction
Fasting glucoseOptimal88 mg/dLLab PDF · May 10
HbA1cNormal5.4%Lab PDF · May 10
ApoBOut of range108 mg/dLLab PDF · May 10
hsCRPOptimal0.6 mg/LLab PDF · May 10
Alexander Rhodes · Health Brief · May 2026

Clinical Review

Needs Sign-off

Early cardiometabolic signal identified

AI-drafted member brief indicates early metabolic drift, inflammatory signal, and lipid particle burden. Clinical review required before delivery.

Key signals
HbA1c - Prediabetic range
6.1%
hsCRP - Inflammation marker
3.2
ApoB - Lipid particle burden
118
Sleep oxygen dips - Wearable signal
Recurring
Kidney / liver / thyroid - No action signal
Stable

Finding 1

Action

Confirm whether HbA1c and fasting glucose warrant repeat labs before physician consult.

Finding 2

Discuss

Wearable oxygen dips should be framed as a screening question, not diagnosis.

AI draft sections
Guardrail checks
No diagnosis languageEducational and navigational framing only
Passed
Evidence links presentLabs, wearable summary, family history attached
Passed
Human review requiredAction-changing output for guided tier
Required
Ready for clinical decision
Approve, return for edits, or escalate to contracted physician.
Alexander Rhodes · Priority actions

Action Plan Review

1. DraftedAI generated from reviewed brief
2. Clinical reviewOwner, risk, and language checked
3. Concierge routingCoordination tasks created
4. Member deliveryVisible after approval
Proposed action items
ActionOwnerTimingTypeStatusControl
Approve cardiometabolic reviewMemberTodayConcierge-routedAwaiting
Confirm repeat lab panelConcierge2 weeksLab follow-upReady
Discuss CGM and sleep screenPhysicianAt visitDoctor-facingGuided
Continue routine monitoringCentioNext briefSelf-guidedStable
Routing queue · Maya Bennett

Concierge Workflow

Routing tasks

Cardiometabolic consult

Dr. Michael Hayes · Thursday 2:00 PM · visit pack ready to share.

Lab follow-up

Repeat HbA1c, fasting insulin, ApoB, hsCRP, CMP, and lipid panel.

Post-visit debrief

Schedule after physician visit; update decision ledger and action plan.

MB

Maya Bennett

Health Advisor · internal note thread
Online
I confirmed Dr. Hayes has availability Thursday at 2:00 PM. Visit pack is prepared but pending clinical approval.
Hold until the Health Brief is approved. Use the cardiometabolic consult packet once signed off.
Understood. I’ll keep the appointment window warm and wait for approval.
Lab order draft is also ready if you want this routed after the brief goes live.
Request #SO-2026-0140 · Target turnaround 7 days

Second Opinion Review

Member's original question

“I want to understand whether I should start a statin this year or wait. I’m active and feel fine, but my ApoB has gone up two readings in a row and my father had a heart attack at 62.”

Evidence package
Lipid panels - Last 3 years
Attached
Carotid IMT - Normal report
Attached
Family history - Paternal cardiac event
Relevant
Activity profile - Oura 180d
Included
Response draft