Pre-visit brief

Rajan Pillai
66 · Male · Indian resident · English
Recommended next step: annual check. No action needed.
Export FHIRExport PDF| Detector | Value | Threshold | Result |
|---|---|---|---|
| Reliable change index | -0.43 | -1.645 | Within |
| CUSUM drift (cumulative sum) | 0.00 | 4 | Within |
| Personal slope | 0.01 | -0.5 | Within |
Since the previous counted check (25 May 2026), the composite moved from -0.15 to -0.06. Personal baseline -0.10.
| Date | Check | Against your range |
|---|---|---|
| 9 Nov 2026 | Counted | Inside |
| 30 Oct 2026 | Not counted | – |
| 25 May 2026 | Counted | Inside |
| 24 Nov 2025 | Counted | Inside |
| 26 May 2025 | Counted | Inside |
| 25 Nov 2024 | Counted | Inside |
| 18 Nov 2024 | Counted | Inside |
| 11 Nov 2024 | Counted | Inside |
| 4 Nov 2024 | Practice | – |
Lawton IADL, informant · 0 to 8, higher is more independent
No informant form on file yet.
Own answers after each check · more help than before?
| Check | Money and bills | Medicines |
|---|---|---|
| No answers yet. | ||
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 | 13+ years | Malaffi record | – |
| Hearing lossMidlife | Missing | Not tested | Not on file | Refer for audiometry |
| High LDL cholesterolMidlife | Missing | No lipid result (not covered by IFHAS) | Not on file | Order a lipid panel |
| DepressionMidlife | Not present | PHQ-2 1 today | Check answers today | – |
| Head injuryMidlife | Missing | Not asked | Not on file | Ask at the visit |
| Physical inactivityMidlife | Not present | 7,900 steps a day | Galaxy Watch6 · consented | – |
| DiabetesMidlife | Missing | No HbA1c on file | Not on file | Order HbA1c |
| SmokingMidlife | Act on | About 10 a day | Clinic note 2025 | Offer the quit service |
| High blood pressureMidlife | Managed | On treatment · 132/84 in Sep 2026 | Malaffi record | – |
| ObesityMidlife | Missing | No weight on file | Not on file | Ask at the visit |
| Excess alcoholMidlife | Missing | Not asked | Not on file | Ask at the visit |
| Social isolationLater life | Missing | Not asked | Not on file | Ask at the visit |
| Air pollutionLater life | Area level | Abu Dhabi, area level only | Area air quality (EAD) | – |
| Untreated vision lossLater life | Missing | Not tested | Not on file | Ask at the visit |
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 |
|---|---|---|---|---|
| 9 Nov 2026 | Yes | -0.06 | Stable | Yes |
| 30 Oct 2026 | Not counted | -1.35 | Not counted (bad day) | Yes |
| 25 May 2026 | Yes | -0.15 | Stable | Yes |
| 24 Nov 2025 | Yes | -0.05 | Stable | Yes |
| 26 May 2025 | Yes | -0.12 | Stable | Yes |
| 25 Nov 2024 | Yes | -0.09 | Stable | Yes |
| 18 Nov 2024 | Yes | -0.14 | Stable | Yes |
| 11 Nov 2024 | Yes | -0.08 | Stable | Yes |
| 4 Nov 2024 | Practice | -0.40 | 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
Released automatically under the steady / recheck rule. You can still add a note.
0.06 · fit
Deficits found: hypertension, back pain.
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.
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: 25 May 2026 fine · 30 Oct 2026 fine · 9 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.
No referral open.