Loading · جارٍ التحميل
Pre-visit brief
Hamad Al Shamsi
62 · Male · Emirati · Arabic
Recommended next step: family doctor visit this week (Thiqa, in network). Check B12, hearing and sleep first.
Export FHIRExport PDF| Detector | Value | Threshold | Result |
|---|---|---|---|
| Reliable change index | -1.92 | -1.645 | Crossed |
| CUSUM drift (cumulative sum) | 2.90 | 4 | Within |
| Personal slope | -0.32 | -0.5 | Within |
Since the previous counted check (17 Oct 2026), the composite moved from -0.33 to -0.45. Personal baseline 0.40.
| Date | Check | Against your range |
|---|---|---|
| 10 Nov 2026 | Counted | Below |
| 17 Oct 2026 | Counted | Below |
| 15 Aug 2026 | Counted | Inside |
| 16 May 2026 | Counted | Inside |
| 14 Feb 2026 | Counted | Inside |
| 15 Nov 2025 | Counted | Inside |
| 16 Aug 2025 | Counted | Inside |
| 17 May 2025 | Counted | Inside |
| 15 Feb 2025 | Counted | Inside |
| 23 Nov 2024 | Counted | Inside |
| 16 Nov 2024 | Counted | Inside |
| 9 Nov 2024 | Counted | Inside |
| 2 Nov 2024 | Practice | – |
Lawton IADL, informant · 0 to 8, higher is more independent
Down 1 point since 15 Nov 2025. Read with the cognitive trend above, not on its own.
Own answers after each check · more help than before?
| Check | Money and bills | Medicines |
|---|---|---|
| 15 Aug 2026 | No | No |
| 17 Oct 2026 | A little | No |
| 10 Nov 2026 | A little | No |
The Lawton scale misses subtle change in people who still manage well, so the person's own answers sit beside it. Neither changes the band.
The 14 factors from the 2024 Lancet Commission that can be changed, and where each value came from. None of them changes the check result or starts a referral.
| Factor | Status | On file | Source | Next step |
|---|---|---|---|---|
| Less educationEarly life | Not present | 10–12 years · used to set his norms | Malaffi record | – |
| Hearing lossMidlife | Not present | No difficulty on 2 Sep 2026 (L 18 / R 20 dB HL) | AirPods Pro 2 · consented | Audiometry at the next IFHAS visit |
| High LDL cholesterolMidlife | Act on | LDL 3.9 mmol/L · Mar 2026 | Malaffi lab result | Discuss lipid treatment |
| DepressionMidlife | Not present | PHQ-2 0 today · no low mood on the last 3 checks | Check answers today | – |
| Head injuryMidlife | Missing | Not asked | Not on file | Ask at the visit |
| Physical inactivityMidlife | Act on | 4,820 steps a day · plan 7,000 | iPhone 15 · consented | Walking plan with Shamma |
| DiabetesMidlife | Act on | HbA1c 6.1% · Feb 2026 (pre-diabetes range) | Malaffi lab result | Repeat HbA1c in 6 months |
| SmokingMidlife | Not present | Never smoked | IFHAS 2025 | – |
| High blood pressureMidlife | Act on | 148/92 at IFHAS 2025 · on amlodipine | IFHAS 2025 | Know Your Numbers home readings |
| ObesityMidlife | Not present | BMI 27.8 · IFHAS 2025 | IFHAS 2025 | – |
| Excess alcoholMidlife | Not present | None reported | IFHAS 2025 | – |
| Social isolationLater life | Missing | Not asked · two family members in his care circle | Not on file | Ask at the visit |
| Air pollutionLater life | Area level | Al Ain, area level only · not measured for one person | Area air quality (EAD) | – |
| Untreated vision lossLater life | Managed | Glasses · vision checked at IFHAS 2025 | IFHAS 2025 | – |
Phone and watch data are context, not a basis for referral. The referral rests on the confirmed check change of 10 Nov 2026.
| Date | Counted | Composite | State | Released |
|---|---|---|---|---|
| 10 Nov 2026 | Yes | -0.45 | Confirmed change | Held |
| 17 Oct 2026 | Yes | -0.33 | Repeat check due | Yes |
| 15 Aug 2026 | Yes | 0.12 | Stable | Yes |
| 16 May 2026 | Yes | 0.18 | Stable | Yes |
| 14 Feb 2026 | Yes | 0.24 | Stable | Yes |
| 15 Nov 2025 | Yes | 0.30 | Stable | Yes |
| 16 Aug 2025 | Yes | 0.35 | Stable | Yes |
| 17 May 2025 | Yes | 0.38 | Stable | Yes |
| 15 Feb 2025 | Yes | 0.42 | Stable | Yes |
| 23 Nov 2024 | Yes | 0.43 | Stable | Yes |
| 16 Nov 2024 | Yes | 0.36 | Stable | Yes |
| 9 Nov 2024 | Yes | 0.41 | Stable | Yes |
| 2 Nov 2024 | Practice | 0.02 | Stable | Yes |
Scores rise over the first checks as the activities become familiar. The baseline uses checks 1 to 3 and allows for this practice gain.
Requested from Shamma (daughter). It arrives through a separate channel and is kept apart from Hamad's own answers.
8 Nov · 6 min · Arabic (Gulf) · reminder call
Recorded: "I sleep about five hours. The new tablets for blood pressure are fine."
A signal, not a confidence index: each missing item lowers it one step. Missing data is flagged, never treated as zero.
Missing
Nothing is sent until you approve. Awaiting your review.
0.08 · fit
Deficits found: hypertension, hearing, polypharmacy (5 medicines).
No genetic data requested or shown. The person has not turned on genetic findings.
A genetic marker is context. It does not change the screening result, the band or the referral, and it is shared with the person only through genetic counselling.
Blood biomarkers (e.g. p-tau217) are not part of primary-care screening here. If a specialist considers one later: eGFR 58 mL/min, and reduced kidney function can raise p-tau217. Interpret with care.
MBZUAI MAGNET-AD / ClinGRAD export (longitudinal series). Research only. Needs research consent (not given) and an ethics approval.
Research only · not used in care
Mood on the last checks: 15 Aug 2026 fine · 17 Oct 2026 fine · 10 Nov 2026 fine
Low mood also lowers attention scores. A check done during low mood is read with that in mind, and treating the mood comes first.