Clinical Context

Chronic stressT3 · 63MOD
Vitality reserve44MOD
Stress burden58MOD
Stress-age+4 yrMOD

Readiness to change

Transtheoretical stage

Precontemplation
Contemplation
Preparation
4Action
5Maintenance

SMART goals

7h sleep, 5 nights/weekin 3 weeks
60%
Reduce evening screen timeongoing
40%

Cohort comparison

Patient vs. program average

Stress Signature (CSBI)58 · avg 55
Vitality Reserve (VRES)44 · avg 52
Engagement (HPI)74 · avg 73

Vertical marker = program average. Cohort data is de-identified.

Care team & specialists

LF
Dr. Lena Farrow
Physician
SO
Sam Okonkwo
Wellness Coach

SHADOW profile

Phase-2 observability & learning — takes no part in live decisions

Agreement (observed)
82%
Override rate
12%
Latest observed divergence

SHADOW favors earlier pathway advance; clinician holds for fidelity.

SHADOW observes in parallel and learns from your decisions — it never acts on care. Aggregate calibration lives in the Validation Console.

Clinical record

Immutable documentation & audit trail

  1. Care-gap escalation logged
    System · GUARDIA
    2h ago
  2. PINTOR recommendation reviewed
    Dr. Lena Farrow
    1d ago
  3. SOAP note signed (Nabla)
    Dr. Lena Farrow
    3d ago
  4. Prescription signed · report exported
    Dr. Lena Farrow
    1w ago