# Provider Clinical Summary (PROVIDER-ONLY)

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

**Patient:** David Kim (DEMO-003)
**Status:** active · **Risk level:** Low Review Priority
**Latest assessment:** 2026-06-14T00:42:28.17124+00:00 · **Last follow-up:** 2026-02-14T09:00:00+00:00

## Clinical snapshot
- Primary phenotype: mold_cirs_pattern
- Secondary phenotype: mitochondrial_dysfunction
- Recovery stage (derived): stable — Clinical improvement score 54 (45–55 ≈ no net change).
- Confidence: 72 (moderate)
- Top contributors: Known mold exposure, Visual disturbance (vertical heterophoria), Time in water-damaged building, Ice-pick / stabbing pains, Frequent static shocks

## Co-infection pattern scores
- bartonella: 0
- babesia: 0
- ebv: 0
- mold_cirs: 92
- mcas: 14

## Lab system scores
- inflammatory: 73
- immune: 0
- mitochondrial: 0
- hormonal: 0
- metabolic: 0
- nutritional: 8
- detoxification: 0
- neuroinflammatory: 69
- connective_tissue: 65
- Abnormal: crp (high), esr (high), vitamin d (low)
- Missing: 40 marker(s)

## Safety review
- Overall: 0 (Low Review Priority)
- Missing safety info: pregnancy_status_confirmed, infection_status_confirmed

## Outcomes
- Clinical improvement score: 54
- Functional improvement score: 53

## Provider review
- Status: reviewed
- Notes: Strong CIRS pattern with clear improvement-away-from-exposure. Recommend environmental assessment; engine aligns.

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