47
Active Patients
↑ 3 this week
94.2%
Signal Validation Rate
Last 30 days
24
Decisions This Week
22 validated · 1 deferred · 1 escalated
0
Authority Violations
Obligation O > 0 always
AI Signals — Pending Your Review 3 PENDING
HbA1c TRAJECTORY · J. THOMPSON
confidence: 0.82
Three consecutive HbA1c readings show upward drift: 6.1 → 6.4 → 6.8 over 9 months. Current trajectory projects 7.2+ within 6 months if unaddressed. Vault records show no medication adjustment since initial metformin prescription (Feb 2024). AURAL-M recommends provider review of dosage or lifestyle intervention plan.
CARDIAC RISK · M. CHEN
confidence: 0.61 — LOW
Resting heart rate elevated 12% over baseline (vault wearable data, last 14 days). Combined with family history of CAD (vault intake record) and recent weight gain (+8 lbs over 3 months). Confidence below threshold — AURAL-M defers to provider judgment. Non-diagnostic signal only.
⚡ RESCUE OPERATOR · R. MARTINEZ
R(t) = 0.031 · NEAR HORIZON
AO exposure history (confirmed 1969–71, vault record) combined with CRP trending 2.1 → 3.8 → 5.2 mg/L over 6 weeks. Rescue window narrowing. Governance horizon approaching — system requires specialist review before any further AI signals are emitted for this patient. Doctor-first escalation mandatory.
AURAL-M Engine NOMINAL
Engine StatusACTIVE
Obligation O(t)0.92
σ_q (Admissibility)0.18
Rescue Window R(t)0.031
Signal Confidence Avg0.74
Deferred (Low Confidence)12%
Authority Violations0
Vault Integrity100%
AURAL-M: fail-closed on authority.
Under uncertainty → defer, never guess.
E = C + λO · Conservation holds.
Rescue Operator armed: R(t) = σ_q / (κ_h · ‖dρ/dt‖)
Under uncertainty → defer, never guess.
E = C + λO · Conservation holds.
Rescue Operator armed: R(t) = σ_q / (κ_h · ‖dρ/dt‖)
My Patients — Active Signals
JT
J. Thompson
⬤ HbA1c RISING
Signal 9:14 AM
MC
M. Chen
⬤ CARDIAC WATCH
Signal 8:45 AM
RM
R. Martinez
⚡ RESCUE ACTIVE
Escalation required
SJ
S. Johnson
● NOMINAL
Last reviewed yesterday
TB
T. Brooks
● NOMINAL
Last reviewed yesterday
KW
K. Williams
● NOMINAL
Review in 3 days
Governance Decision Log
| Patient | Signal | Decision | Time |
|---|---|---|---|
| J. Thompson | HbA1c trajectory | VALIDATED | 9:14 AM |
| M. Chen | Cardiac risk | DEFERRED | 8:45 AM |
| R. Martinez | AO + CRP | RESCUE | 8:12 AM |
| S. Johnson | Thyroid panel | VALIDATED | Yesterday |
| T. Brooks | Metabolic risk | REJECTED | Yesterday |
Sovereign Vault Status 🔒 ENCRYPTED
Patient vaults connected47 active
Consented temporal slices142 this month
Full vault accessOFF — no exceptions
FHIR connections3 providers (Epic, VA, Quest)
Governance receipts stored1,247 total
Vault integrity checkPASS · SHA-256 verified
Every governance decision signed and stored in vault.
Patient owns keys. Provider sees consented slices only.
Patient owns keys. Provider sees consented slices only.