# Provider Clinical Summary (PROVIDER-ONLY)

_Decision-support summary. Not a diagnosis, treatment recommendation, or dosing guidance._

**Patient:** Maria Santos (DEMO-002)
**Status:** active · **Risk level:** Moderate Review Priority
**Latest assessment:** 2026-06-14T00:42:18.435716+00:00 · **Last follow-up:** 2026-03-03T09:00:00+00:00

## Clinical snapshot
- Primary phenotype: bartonella_pattern
- Secondary phenotype: neuroinflammation
- Recovery stage (derived): improving — Clinical improvement score 60 (56–69 vs baseline).
- Confidence: 74 (moderate)
- Top contributors: Morning foot / sole pain, Sudden rage / irritability episodes, Striae (stretch-mark-like lesions), Agitation, Burning skin sensation

## Co-infection pattern scores
- bartonella: 69
- babesia: 0
- ebv: 0
- mold_cirs: 0
- mcas: 0

## Lab system scores
- inflammatory: 72
- immune: 0
- mitochondrial: 0
- hormonal: 0
- metabolic: 0
- nutritional: 2
- detoxification: 0
- neuroinflammatory: 68
- connective_tissue: 63
- Abnormal: crp (high), esr (high), vitamin d (low)
- Missing: 40 marker(s)

## Safety review
- Overall: 26 (Moderate Review Priority)
- Missing safety info: current_medication_list_confirmed, pregnancy_status_confirmed, infection_status_confirmed

## Outcomes
- Clinical improvement score: 60
- Functional improvement score: 59

## Provider review
- Status: reviewed
- Notes: Classic Bartonella cluster — morning sole pain, striae, neuropsychiatric rage. Engine concurs; consider co-infection workup.

_Generated decision-support summary — physician review required. Source documents remain the source of truth._