# Provider Clinical Summary (PROVIDER-ONLY)

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

**Patient:** Susan Patel (DEMO-004)
**Status:** active · **Risk level:** Low Review Priority
**Latest assessment:** 2026-06-14T00:42:34.449893+00:00 · **Last follow-up:** 2026-02-20T09:00:00+00:00

## Clinical snapshot
- Primary phenotype: mitochondrial_dysfunction
- Secondary phenotype: dysautonomia
- Recovery stage (derived): stable — Clinical improvement score 50 (45–55 ≈ no net change).
- Confidence: 81 (high)
- Top contributors: Fatigue, Post-exertional malaise, Exercise intolerance, Unrefreshing sleep, Muscle weakness

## Co-infection pattern scores
- bartonella: 0
- babesia: 29
- ebv: 35
- mold_cirs: 0
- mcas: 0

## Lab system scores
- inflammatory: 0
- immune: 0
- mitochondrial: 20
- hormonal: 0
- metabolic: 0
- nutritional: 0
- detoxification: 0
- neuroinflammatory: 10
- connective_tissue: 0
- Abnormal: lactate (high), ck (high)
- Missing: 39 marker(s)

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

## Outcomes
- Clinical improvement score: 50
- Functional improvement score: 50

## Provider review
- Status: in_progress
- Notes: Severe PEM-dominant fatigue. Mitochondrial signals modest on labs; symptom burden high. Pacing-first.

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