# Provider Clinical Summary (PROVIDER-ONLY)

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

**Patient:** Elena Rossi (DEMO-008)
**Status:** active · **Risk level:** Low Review Priority
**Latest assessment:** 2026-06-14T00:43:02.670804+00:00 · **Last follow-up:** 2026-03-14T09:00:00+00:00

## Clinical snapshot
- Primary phenotype: connective_tissue
- Secondary phenotype: gut_immune
- Recovery stage (derived): stable — Clinical improvement score 51 (45–55 ≈ no net change).
- Confidence: 44 (low)
- Top contributors: Joint hypermobility, Skin hyperelasticity, Joint subluxations / dislocations, Migratory joint pain, Easy bruising

## Co-infection pattern scores
- bartonella: 0
- babesia: 0
- ebv: 0
- mold_cirs: 0
- mcas: 18

## Lab system scores
- inflammatory: 0
- immune: 0
- mitochondrial: 0
- hormonal: 0
- metabolic: 0
- nutritional: 19
- detoxification: 0
- neuroinflammatory: 0
- connective_tissue: 46
- Abnormal: vitamin d (low), ferritin (low), iron (low), iron saturation (low)
- Missing: 41 marker(s)

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

## Outcomes
- Clinical improvement score: 51
- Functional improvement score: 50

## Provider review
- Status: reviewed
- Notes: Hypermobility-spectrum + gut-immune overlap with iron deficiency. Nutritional repletion; engine concurs (nutritional + connective signals).

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