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Transition of Care

Recovery Platform

System Active

All services operational

SCREEN I: Post-Discharge Intelligence

Post-Discharge Patient Monitoring

"AI continuously monitors recovery signals."

Patient Summary

Mr. Sharma

PT-9834

Age65 years
Surgery TypeCardiac Surgery
Discharge DateMarch 22, 2026
Days Post-Op8

Post-Surgical Care

Critical recovery period - continuous monitoring enabled

Recovery Data Points

Vital Signs

Blood Pressure
145/94 mmHg
Heart Rate
88 bpm
Temperature
98.6°F

Medication Adherence

Metoprolol
Missed 2 doses
Aspirin
Compliant
Atorvastatin
Missed 1 dose

Symptoms

Pain Level
2/10
Breathlessness
Mild (reported)
Wound Healing
Normal

Continuous Monitoring

AI tracks vitals, medications, and symptoms in real-time post-discharge

AI Recovery Risk Score

Risk Drivers

BP Trending Up ↑32 pts
Medication Non-Adherence28 pts
Breathlessness Reported10 pts
Age > 60 + Cardiac6 pts

AI Insight

High readmission risk detected. Vitals instability + medication gap requires immediate clinical follow-up.

Blood Pressure Trend (Post-Discharge)

Current BP

145/94

Target BP

<130/80

Trend

↑ Unstable

Days Monitored

8

Fluctuating vitals pattern detected. BP trending upward despite cardiac surgery recovery phase.