Robert Alvarez

72 M · DOB 1953-09-22 · MRN DEMO-1002

ALLERGY · Penicillin (hives)ALLERGY · Codeine (nausea)PolypharmacyPost-surgical

Primary providerDr. Amanda Reyes, MD

NurseBrandon S., RN

Last visit2026-04-10

Active problems

·Coronary artery disease, s/p CABG x3 (01/2026)I25.10
·HypertensionI10
·Type 2 diabetes mellitusE11.9
·HyperlipidemiaE78.5
·Obstructive sleep apneaG47.33
·DepressionF33.1

Recent labs

Hemoglobin

11.2

2026-04-10 · LOW

LDL

2026-04-10 · NORMAL

HbA1c

7.8

2026-04-10 · HIGH

Creatinine

1.1

2026-04-10 · NORMAL

Risk scores

Drug Interaction Risk

Adherence Estimate

Guideline Concordance

AI Insights

Last analysis: 14 seconds ago

Tramadol + sertraline: serotonin syndrome risk

Tramadol Q6H PRN initiated post-CABG by Cardiology overlaps with chronic sertraline 100 mg from Psych. Additive serotonergic effect. Consider scheduled acetaminophen substitute.

Confidence: High

›Why did Kairos say this?

Data sources consulted

·Active medication list (14 meds, 3 prescribers)
·Prescriber attribution per drug

Rules applied

·Serotonergic interaction matrix: tramadol/SSRI

Output validated by

·Drug-interaction post-processor

Confidence reasoning

Deterministic interaction; both agents currently active and confirmed.

Cross-prescriber polypharmacy: 14 meds from 3 providers

Cardiology, PCP, and Psych are each managing pieces of the regimen with no consolidated reconciliation since CABG. Patient explicitly asked for help making sense of the list.

Confidence: High

›Why did Kairos say this?

Data sources consulted

·Medication list with prescriber tags
·MyChart message 2026-04-19

Rules applied

·Polypharmacy threshold (≥10 meds)
·Multi-prescriber attribution

Output validated by

·Pharmacy-consult eligibility checker

Confidence reasoning

Patient-stated confusion + measurable threshold cross.

BP creep post-CABG (148/88) on dual antihypertensives

BP trending up since CABG. Likely related to medication confusion across prescribers rather than therapy failure. Address via med rec before adding agents.

Confidence: Moderate

›Why did Kairos say this?

Data sources consulted

·Vitals 2026-02-15 → 2026-04-10
·Visit note 2026-04-10

Rules applied

·Post-op BP trend monitor

Output validated by

·Vitals-trend post-processor

Confidence reasoning

Trend visible across 3 visits; root cause suspected but not confirmed.