Patricia Kim

64 F · DOB 1961-08-17 · MRN DEMO-1005

ALLERGY · NKDAHTN uncontrolledRecent urgency visit

Primary providerDr. Michael Harper, MD

NurseBrandon S., RN

Last visit2026-04-17

Active problems

·Hypertension, essential (poorly controlled)I10
·HyperlipidemiaE78.5
·Obesity, BMI 32E66.9

Recent labs

BMP - Creatinine

0.9

2026-04-17 · NORMAL

BMP - Potassium

3.8

2026-04-17 · NORMAL

LDL

2026-02-03 · NORMAL

Risk scores

Stroke Risk5Year

Adherence Estimate

Guideline Concordance

Guideline gaps

Consider secondary HTN workup
Uncontrolled on 3-drug regimen (ACE-I + CCB + thiazide at max/near-max doses). Meets resistant HTN criteria.
priority · high

AI Insights

Last analysis: 14 seconds ago

Resistant HTN: minimal response to 3rd antihypertensive

7 days post-chlorthalidone add, home BP log 158-168 / 90-96. Meets resistant HTN criteria (uncontrolled on 3-drug regimen at near-max doses). Consider workup (renal artery stenosis, primary aldosteronism, OSA, thyroid) and/or 4th agent (spironolactone).

Confidence: High

›Why did Kairos say this?

Data sources consulted

·Home BP log via MyChart 2026-04-18 → 2026-04-23
·Intervention 2026-04-17 (chlorthalidone add)
·Active medication list

Rules applied

·Resistant HTN definition (3-drug regimen)
·Therapy non-response detector

Output validated by

·Vitals-trend post-processor
·Guideline-gap engine HTN

Confidence reasoning

Deterministic threshold cross with documented prior trial of titration.

Orthostatic symptom reported. Review timing on chlorthalidone.

Patient mentioned dizziness on standing in the 2026-04-23 message. Confirm dose timing and hydration before adding agents.

Confidence: Moderate

›Why did Kairos say this?

Data sources consulted

·MyChart message 2026-04-23

Rules applied

·Orthostatic-symptom flag on diuretic initiation

Output validated by

·Symptom-message classifier

Confidence reasoning

Single self-report; not yet measured orthostatically.