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Consult note

by User Interconnect | on Camila Maria Lopez | 4 hours ago | 0 comments

Overnight (00:47 UTC 6/8 to 00:47 UTC 6/9), BP values were largely reassuring except for two critical spikes. After a normal reading at 20:44 (120/80, HR 70), there was a severe hypertensive crisis at 20:44 with BP 199/198 (HR 197), crossing ACOG Stage 2 thresholds (=160 and/or =110). A subsequent reading at 20:47 improved to 135/80 (HR 100), then again at 20:48 there was another severe Stage 2 event with BP 220/150 (HR 100). By 21:35 BP returned to 118/76 (HR 72).
 
AI severity mirrored these events (Severe at 20:44 and 20:48; Moderate at 20:47; Low at 20:44 baseline and 21:35). No symptoms were detected per AI, and no EPDS trends were available. Two “Severe Alert” events were generated at 20:45 and 20:48 and both were acknowledged with SLA met. Urgent SMS guidance was sent at 20:45 and 20:48 to seek emergency evaluation (ER/911), with a follow-up message at 20:47 indicating stability but continued vigilance.
 
ACOG Stage 2 threshold crossing occurred at 20:44 and 20:48; subsequent readings demonstrated rapid normalization by 21:35.
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Consult note

by User Interconnect | on Camila Maria Lopez | 4 hours ago | 0 comments

Overnight BP monitoring (00:42 UTC–00:42 UTC) showed intermittent extreme elevations with subsequent normalization. At 20:44 UTC, a severe reading was recorded with BP 199/198 (pulse 197), crossing ACOG Stage 2 (=160/=110). Care alert was acknowledged (SLA met) at 20:45 UTC, and an urgent SMS message advised immediate ER evaluation/911. A follow-up at 20:47 UTC showed BP 135/80 (pulse 100), representing improvement but still within the 1st-trimester? (stage documented as second trimester) without symptoms. Another severe spike occurred at 20:48 UTC with BP 220/150 (pulse 100), again crossing ACOG Stage 2; a second severe alert was acknowledged (SLA met) and another urgent SMS was sent at 20:48 UTC. By 21:35 UTC, BP decreased to 118/76 (pulse 72) with low-severity assessment and no detected symptoms. No EPDS data available and no escalation/resolution beyond alert acknowledgment and BP normalization by 21:35 UTC.
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Consult note

by User Interconnect | on Camila Maria Lopez | 4 hours ago | 0 comments

Overnight BP surveillance (00:37–next 00:37) showed critical transient hypertensive readings despite later normalization. Notably, at 20:44 BP recorded 199/198 with pulse 197, triggering a severe alert (acknowledged; SLA met) and SMS urging emergency evaluation. Subsequent readings included 20:47 BP 135/80 (stage 1 threshold not crossed) and 20:48 BP 220/150 with pulse 100, again exceeding ACOG Stage 2 (=160 systolic and/or =110 diastolic), prompting a second severe alert (acknowledged; SLA met) and a second urgent SMS. By 21:35, BP returned to 118/76 (normalized; ACOG thresholds not crossed). Overall trend: severe spikes at 20:44 and 20:48 followed by stabilization and resolution of extreme values within ~47 minutes. No symptoms were detected in the AI reports (symptom score 0); EPDS not reported. No escalation orders or medication changes are documented in the provided dataset; severe alerts were acknowledged and correspondence was sent, with resolution only in terms of BP normalization, not confirmed clinical management.
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Consult note

by User Interconnect | on Camila Maria Lopez | 4 hours ago | 0 comments

Overnight (00:32 UTC 6/8–00:32 UTC 6/9), there were two critical BP excursions with severe readings despite no reported symptoms (per AI symptom screen).
 
Most concerning: 20:44 UTC BP 199/198 (pulse 197) followed immediately by continued severe hypertension at 20:48 UTC BP 220/150 (pulse 100), both clearly crossing ACOG Stage 2 thresholds (=160 systolic and/or =110 diastolic). These triggered Severe Alerts at 20:45 and 20:48, both acknowledged with SLA met.
 
Other measurements were less concerning and transient: 20:47 UTC 135/80 (pulse 100) and 21:35 UTC 118/76 (pulse 72), suggesting the extreme values were episodic rather than persistent. No EPDS data available; no escalation resolution documentation beyond alert acknowledgment.
 
Patient messaging: SMS sent at 20:45 and 20:48 with urgent ER/911 instructions; an additional SMS at 20:47 indicated status was steady and requested continued vigilance.
 
No further severe BPs recorded through 21:35 UTC.
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Consult note

by User Interconnect | on Camila Maria Lopez | 5 hours ago | 0 comments

Overnight (00:01 6/8–00:01 6/9 UTC), BP was largely normal with two critical hypertensive spikes. Initial reading at 20:44 showed 120/80 (p70), then immediately at 20:44 a severe outlier occurred: 199/198 (p197), exceeding ACOG Stage 2 threshold (=160 and/or =110). A subsequent reading at 20:47 was 135/80 (p100) with improvement toward normal/stable. At 20:48, BP rose again to 220/150 (p100), again clearly Stage 2 (=160/=110). By 21:35, BP returned to baseline range at 118/76 (p72).
 
Two “Severe Alert” events were generated (20:45 and 20:48) and both were acknowledged with SLA met; no symptoms were detected per AI assessments (0 symptoms across all readings). Care escalation messages were sent at 20:45 and 20:48 urging immediate ER evaluation/911 guidance, and a follow-up message at 20:47 stated things appeared steady while remaining alert. No EPDS trend available (EPDS: none).
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Consult note

by User Interconnect | on Camila Maria Lopez | 9 hours ago | 0 comments

Overnight BP monitoring (2026-06-07 19:43 UTC–2026-06-08 19:43 UTC) showed an abrupt hypertensive escalation. Initial readings were stable: 135/80 at 15:40 and 16:00 (pulse 72), both below ACOG Stage 1 (>=140/90). At 17:19, BP acutely rose to 190/165 (pulse 70), clearly exceeding ACOG Stage 2 threshold (>=160/ >=110) with Severe alert (acknowledged). Follow-up at 18:07 remained severely elevated at 155/140 (pulse 100), with persistent Stage 2-level diastolic (>=110) and Severe alert (acknowledged). At 18:14, severe alert persisted and symptom burden was flagged as severe (6 symptoms) consistent with a preeclampsia flag (AI severity score 1.00). Care messages: two reassurance SMS at 16:00–16:01, followed by three urgent messages (17:20, 18:08, 18:14) advising ER/911. No EPDS data available; no other escalation resolution documented in the provided data.
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Consult note

by User Interconnect | on Camila Maria Lopez | 9 hours ago | 0 comments

Overnight BP monitoring (2026-06-07 19:38 UTC to 2026-06-08 19:38 UTC) showed abrupt severe hypertensive episodes. Initial readings were stable: 135/80 at 15:40 and 16:00 (both pulses 72), below ACOG Stage 1 threshold. At 17:19, BP spiked to 190/165 (pulse 70) meeting ACOG Stage 2 criteria (=160/=110). Further elevation followed with 155/140 at 18:07 (pulse 100), with persistent severe-range diastolic (=110 not met by systolic but diastolic 140 is critically elevated) and assessed as severe. At 18:14, AI severity escalated to 1.00 with 6 symptoms flagged for preeclampsia; BP remained in severe range (155/140 referenced). Three severe alerts were issued at 17:20, 18:08, and 18:14 and were acknowledged with SLA met. Care messages: two “stable” SMS at 16:00–16:01, followed by urgent EMS/ER instructions sent at 17:20, 18:08, and 18:14. No EPDS data available. No resolution documented in the provided dataset; symptoms prompted escalation at 18:14.
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Consult note

by User Interconnect | on Camila Maria Lopez | 10 hours ago | 0 comments

Overnight BP surveillance (2026-06-07 18:51 UTC to 2026-06-08 18:51 UTC) shows an abrupt hypertensive spike followed by persistent severe-range readings. Initial BPs at 15:40 and 16:00 were stable at 135/80 mmHg (pulse 72) with no symptoms flagged (AI severity Moderate, score 0.15; Stage: second trimester).
 
At 17:19–17:20 there was a critical deterioration: 190/165 mmHg (pulse 70) meeting ACOG Stage 2 criteria (>=160/110). A severe alert was issued at 17:20 (acknowledged; SLA met) and urgent ED/911 instructions were sent to the patient.
 
Subsequently, BP remained in the severe range: 155/140 mmHg at 18:07 (pulse 100), again exceeding ACOG Stage 2 threshold by diastolic (>=110); severe alerts were reissued at 18:08 and 18:14 (both acknowledged; SLA met). By 18:14, symptom burden increased to “severe” with 6 symptoms flagged on a preeclampsia screen (preeclampsia flag), corresponding to the highest AI severity (Severe, score 1.00). Care messages escalated accordingly with repeated urgent ED/911 instructions at 17:20, 18:08, and 18:14. No EPDS data reported.
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Consult note

by User Interconnect | on Camila Maria Lopez | 10 hours ago | 0 comments

Overnight BP monitoring (2026-06-07 18:46 UTC to 2026-06-08 18:46 UTC) showed an acute hypertensive spike with subsequent severe readings. Initial BPs were stable: 135/80 at 15:40 and 16:00 (no ACOG threshold crossing; pulse 72). At 17:19, BP escalated to 190/165 (pulse 70), exceeding ACOG Stage 2 severe range (=160/=110) with severity flagged as Severe; an urgent severe alert was acknowledged (17:20) and SMS sent at 17:20 instructing ER/911. A further severe elevation occurred at 18:07 with BP 155/140 (pulse 100). While the systolic is below 160, the diastolic remains markedly elevated (=110), still meeting ACOG Stage 2 criterion and associated with Severe alerts acknowledged at 18:08 and messaging repeated. At 18:14, AI severity remained Severe (score 1.00) with PREECLAMPSIA flag noting 6 symptoms; severe alert acknowledged at 18:14 with corresponding urgent SMS at 18:14. Trend: stable normal range early, then sharp rise to Stage 2-level BP with persistence. No EPDS data available.
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Consult note

by User Interconnect | on Camila Maria Lopez | 10 hours ago | 0 comments

Overnight monitoring (2026-06-07 18:46 UTC to 2026-06-08 18:46 UTC) shows a critical hypertensive spike with evolving severe range pressures. BPs were stable at 135/80 (15:40 and 16:00; pulse 72), then abruptly increased to severe range at 17:19: 190/165 (pulse 70), exceeding ACOG Stage 2 thresholds (=160/=110). A subsequent reading at 18:07 was 155/140 (pulse 100), with diastolic remaining in Stage 2 range (=110 not met on systolic but diastolic 140 is Stage 2). At 18:14, AI severity remained Severe (score 1.00) with escalation to “Severe symptoms” (6 symptoms) flagged for possible preeclampsia; prior AI outputs at 17:20 also classified Severe (score 0.70).
 
Escalation events: Severe alerts triggered at 17:20, 18:08, and 18:14; all were acknowledged with SLA met. Care messages were sent at 17:20, 18:08, and 18:14 advising urgent evaluation in the nearest emergency room/call 911; additional “stable” messages were sent earlier at 16:00–16:01.
 
No EPDS data reported.
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Consult note

by User Interconnect | on Camila Maria Lopez | 10 hours ago | 0 comments

Overnight monitoring (18:41 UTC 6/7 to 18:41 UTC 6/8) shows critical hypertensive events. Initial BPs at 15:40 and 16:00 were stable at 135/80 (72 bpm), below ACOG thresholds. At 17:19, BP abruptly rose to 190/165 (70 bpm), crossing ACOG Stage 2 (=160/=110), prompting a Severe alert at 17:20. A second Severe-range reading occurred at 18:07 with BP 155/140 (100 bpm). Although 155/140 is stage-dependent for diastolic severity, the diastolic 140 remains well above the Stage 2 threshold (=110) and the overall alerting remained Severe. At 18:14, severity was escalated to Severe with 6 symptoms flagged for preeclampsia (per AI/PREECLAMPSIA FLAG), while the BP continued to be recorded as 155/140 and the final AI score reached 1.00. Three Severe alerts were generated (17:20, 18:08, 18:14) and all were acknowledged with SLA met. Patient received stability reassurance messages at 16:00–16:01, followed by urgent escalation SMS at 17:20, 18:08, and 18:14 instructing emergency evaluation/911 given symptom/BP concerns. No EPDS data recorded.
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Consult note

by User Interconnect | on Camila Maria Lopez | 10 hours ago | 0 comments

Overnight BP monitoring (18:41 UTC–18:41 UTC) shows a critical escalation into severe range. Initial readings at 15:40 and 16:00 were stable at 135/80 (HR 72), both below ACOG Stage 1 threshold. At 17:19, BP acutely rose to 190/165 (HR 70), meeting ACOG Stage 2 criteria (=160/=110); severity alert issued at 17:20. Subsequent repeat at 18:07 was 155/140 (HR 100), again flagged as severe due to diastolic =110. At 18:14, severe classification persisted with 155/140 and symptom burden increased: EPIC/AI noted 6 symptoms including a “preeclampsia flag,” prompting the highest severity (score 1.00). Severe alerts were acknowledged with SLA met at 17:20, 18:08, and 18:14; all corresponding urgent SMS messages were sent to the patient at 17:20, 18:08, and 18:14 (also two non-urgent “stable” SMS messages at 16:00–16:01). No EPDS data were recorded.
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Consult note

by User Interconnect | on Camila Maria Lopez | 10 hours ago | 0 comments

Overnight BP monitoring (2026-06-07 18:36 UTC–2026-06-08 18:36 UTC) demonstrated abrupt severe-range hypertension. BPs were stable at 135/80 (15:40, 72 bpm) and 135/80 (16:00, 72 bpm) but then acutely worsened at 17:19 to 190/165 (70 bpm), meeting ACOG Stage 2 criteria (=160 systolic and/or =110 diastolic). A subsequent severe-range reading occurred at 18:07: 155/140 (100 bpm), with diastolic still =110 (ACOG Stage 2). AI severity escalated accordingly (Moderate at 15:41 and 16:01; Severe at 17:20 and 18:07). At 18:14, severity was recorded as Severe with highest score (1.00) and symptom burden flagged for preeclampsia (6 symptoms detected), despite no specific symptom details provided in the dataset. Severe alerts were issued and acknowledged at 17:20, 18:08, and 18:14; resolution status is not documented as improved. Three urgent SMS messages were sent to the patient at 17:20, 18:08, and 18:14 advising immediate ER evaluation/911, with two earlier reassuring messages sent at 16:00–16:01 indicating stability.
 
No EPDS data were available.
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Consult note

by User Interconnect | on Camila Maria Lopez | 10 hours ago | 0 comments

Overnight monitoring (2026-06-07 18:35 UTC to 2026-06-08 18:35 UTC) shows critical severe-range hypertension with escalation and persistent concern for preeclampsia. BPs were stable at 135/80 (15:40, 72 bpm) and 135/80 (16:00, 72 bpm). At 17:19, BP acutely rose to 190/165 (70 bpm), crossing ACOG Stage 2 threshold (=160/=110) and triggering a Severe Alert (acknowledged, SLA met) with SMS escalation sent at 17:20 instructing emergency evaluation. At 18:07, BP remained markedly elevated at 155/140 (100 bpm); although systolic is below 160, diastolic is =110, which still supports severe hypertensive range concern and prompted another Severe Alert (acknowledged, SLA met) and urgent SMS at 18:08. At 18:14, severe alert persisted with worsening symptom screen: 6 preeclampsia-flagged symptoms detected (severity score 1.00) alongside continued severe-range BP profile (155/140 referenced), prompting a third urgent SMS at 18:14. Care messages indicate the care team notified the patient as condition worsened; no EPDS data were reported.
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Consult note

by User Interconnect | on Camila Maria Lopez | 10 hours ago | 0 comments

Overnight BP monitoring (2026-06-07 18:31 UTC to 2026-06-08 18:31 UTC) shows a critical rise into hypertensive crisis range. Initial readings were stable: 135/80 at 15:40 and 16:00 (pulse 72), below ACOG Stage 1 thresholds. At 17:19, BP spiked to 190/165 (pulse 70) (meets/exceeds ACOG Stage 2: =160/=110) with Severe AI alert acknowledged. Subsequent BP remained markedly elevated with 155/140 at 18:07 (pulse 100), still exceeding ACOG Stage 2 criteria via =110 diastolic (Severe AI alert acknowledged). At 18:14, Severe alert escalated further with symptom burden (6 symptoms detected including preeclampsia flag) alongside persistent severe BP (155/140). Three severe alerts were generated at 17:20, 18:08, and 18:14; all marked acknowledged with SLA met (no documented resolution event overnight). Patient care messages: two reassuring SMS at 16:00–16:01 describing stable checks, followed by urgent “go to nearest ER/call 911” messages at 17:20, 18:08, and 18:14 triggered by the severe/symptom findings. No EPDS data available.
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Consult note

by User Interconnect | on Camila Maria Lopez | 10 hours ago | 0 comments

Overnight BP monitoring 2026-06-07 18:30 UTC to 2026-06-08 18:30 UTC shows abrupt hypertensive escalation. Readings were stable initially at 15:40 and 16:00 (135/80, HR 72; normotensive, no ACOG threshold crossing). At 17:19, BP acutely rose to 190/165 (HR 70), crossing ACOG Stage 2 (=160/=110) with AI severity marked Severe; severe alert acknowledged at 17:20 and urgent patient notification sent. BP remained markedly elevated at 18:07 at 155/140 (HR 100), again exceeding Stage 2 criteria (diastolic =110; recorded as Severe with additional severe alert acknowledged at 18:08 and urgent SMS sent). At 18:14, AI again classified Severe (score 1.00) with symptom worsening—preeclampsia flag noted with 6 symptoms detected—despite the available BP value at 18:07; severe alert acknowledged at 18:14 with another urgent SMS sent. Overall trend: sudden rise from stable 135/80 to persistent severe-range hypertension within ~2–3 hours, with concurrent development of preeclampsia-associated symptoms per AI.
 
No EPDS data available; no care-message delays noted (all severe alerts acknowledged; SLA met).
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Consult note

by User Interconnect | on Camila Maria Lopez | 10 hours ago | 0 comments

Overnight BP monitoring (2026-06-07 18:26 UTC–2026-06-08 18:26 UTC) shows a critical spike with sustained severe-range pressures. Initial readings at 15:40 and 16:00 were 135/80 (pulse 72), stable and below ACOG threshold.
 
At 17:19, BP abruptly rose to 190/165 (pulse 70), crossing ACOG Stage 2 thresholds (>=160/110) with “Severe” alert triggered and urgent patient messaging. A subsequent reading at 18:07 was 155/140 (pulse 100), still abnormal and again categorized as severe risk (ACOG threshold crossed for diastolic; severe alerts repeated). At 18:14, severity remained highest in the AI output (score 1.00) with documentation of symptom burden (6 symptoms flagged for preeclampsia), prompting additional urgent escalation messaging.
 
Three severe alerts were acknowledged by the care team (17:20, 18:08, 18:14), all with SLA met. Care messages were sent at 16:00 and 16:01 reassuring stability, followed by urgent ER/911 instructions at 17:20, 18:08, and 18:14 when severe-range measurements and preeclampsia symptom flags appeared. No EPDS data were recorded.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 10 hours ago | 0 comments

Overnight monitoring (2026-06-07 18:25 UTC to 2026-06-08 18:25 UTC) shows abrupt hypertensive escalation. BPs were stable at 135/80 (15:40; pulse 72) and 135/80 (16:00; pulse 72). At 17:19, BP acutely rose to 190/165 (pulse 70), exceeding ACOG Stage 2 thresholds (=160/=110). A subsequent reading at 18:07 showed partial improvement but remained in severe range at 155/140 (pulse 100) (diastolic =110; Stage 2 range). At 18:14, severity was again classified as severe with symptom burden newly flagged: 6 symptoms detected at that time (preeclampsia flag), corresponding to Severe score 1.00; however the documented BP at 18:07 remained the last value provided. Three severe alerts were generated and acknowledged at 17:20, 18:08, and 18:14; SLA met each time. Multiple urgent SMS messages were sent at 17:20, 18:08, and 18:14 advising immediate ED evaluation/911 activation; earlier SMS at 16:00–16:01 indicated stability prior to the hypertensive surge. No EPDS data reported.
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Consult note

by User Interconnect | on Camila Maria Lopez | 10 hours ago | 0 comments

Overnight BP monitoring (2026-06-07 18:20Z to 2026-06-08 18:20Z) shows abrupt severe-range hypertension. Readings were 135/80 at 15:40 and 16:00 (stable, below ACOG thresholds). At 17:19, BP rose to 190/165 (pulse 70), exceeding ACOG Stage 2 (=160/110), prompting a Severe escalation (acknowledged; SLA met). At 18:07, BP remained critically elevated at 155/140 (pulse 100); while the systolic is below 160, the diastolic meets/exceeds =110 threshold criteria for Stage 2 severity, and repeat Severe alerts were acknowledged (SLA met). At 18:14, severity was scored as Severe/1.00 with “preeclampsia flag” symptoms—6 symptoms detected—consistent with worsening clinical status. No EPDS data available. Care team communicated stability via SMS at 16:00–16:01, followed by urgent EMS/ED instructions sent at 17:20, 18:08, and 18:14; escalation appears ongoing with alerts acknowledged, but resolution (e.g., normalization of BP/symptoms) is not documented within the provided window.
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Consult note

by User Interconnect | on Camila Maria Lopez | 10 hours ago | 0 comments

Overnight BP surveillance (2026-06-07 18:14 UTC to 2026-06-08 18:14 UTC) shows critical escalation to severe-range values. Initial readings at 15:40 and 16:00 were stable at 135/80 (HR 72), below ACOG thresholds. At 17:19, BP acutely rose to 190/165 (HR 70), meeting ACOG Stage 2 criteria (=160/=110). A subsequent reading at 18:07 was 155/140 (HR 100) with persistent severe-range diastolic (=110) per record and concerning for ongoing hypertensive process. At 18:14, AI flagged escalation severity=Severe with 6 symptoms detected including a preeclampsia flag, prompting highest alert status (severity score 1.00). Two severe alerts were generated: 17:20 was acknowledged with SLA met; 18:08 remains open with SLA pending.
 
Care team messaging: patient received reassurance SMS at 16:00–16:01 for stable vitals. Following the 17:20 severe event and again at 18:08 and 18:14, urgent SMS instructed to present to the nearest emergency room/call 911 due to symptom-based concern for preeclampsia.
 
EPDS: not recorded/no changes provided.
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Consult note

by User Interconnect | on Camila Maria Lopez | 11 hours ago | 0 comments

Overnight monitoring (2026-06-07 18:04 UTC to 2026-06-08 18:04 UTC) showed generally normal BPs until a critical spike. Readings at 15:40 and 16:00 were stable at 135/80 (pulse 72) — below ACOG Stage 1 thresholds. At 17:19, BP escalated abruptly to 190/165 (pulse 70), crossing ACOG Stage 2 hypertension criteria (=160/=110) and prompting a transition from Moderate (AI score 0.15) to Severe (AI score 0.70) severity.
 
Symptoms screening remained negative per AI at all timepoints (0 symptoms detected). One escalation event occurred at 17:20: “Severe Alert” was acknowledged and SLA met; an urgent SMS advised emergency evaluation/911. Two prior informational SMS messages at 16:00 and 16:01 indicated stability and that the care team would contact the patient. No EPDS data available; no mood trend to report.
 
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Consult note

by User Interconnect | on Camila Maria Lopez | 11 hours ago | 0 comments

Overnight monitoring (2026-06-07 18:00 UTC to 2026-06-08 18:00 UTC) was notable for a sudden hypertensive crisis at 17:19. Two prior readings remained stable and below diagnostic thresholds: 15:40 BP 135/80 (72 bpm) and 16:00 BP 135/80 (72 bpm), without reported symptoms (AI symptom flag 0). At 17:19, BP escalated to 190/165 (70 bpm), meeting ACOG Stage 2 criteria (=160 systolic and/or =110 diastolic) and exceeding the threshold for urgent evaluation. AI severity changed from Moderate (score 0.15 at 15:41 and 16:01) to Severe at 17:20 (score 0.70) with severe gestational risk flagged. A Severe Alert was triggered at 17:20 (status acknowledged; SLA met). Urgent escalation care messaging was sent at 17:20 advising emergency evaluation (ER/911). Earlier stability-focused SMS messages were sent at 16:00 and 16:01 indicating checks were stable; these were superseded by the urgent message following the Stage 2 range measurement. EPDS not reported/none.
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Consult note

by User Interconnect | on Camila Maria Lopez | 11 hours ago | 0 comments

Overnight monitoring (2026-06-07 17:55 UTC to 2026-06-08 17:55 UTC) showed two stable BPs followed by a single critical hypertensive reading. BP at 15:40 and 16:00 were stable at 135/80 (pulse 72, both), remaining below ACOG Stage 1 threshold (>=140/90). At 17:19, BP acutely rose to 190/165 (pulse 70), exceeding ACOG Stage 2 criteria (>=160 and/or >=110). AI severity escalated from Moderate (score 0.15 at 15:41 and 16:01) to Severe (score 0.70 at 17:20) in parallel with the marked BP rise. Symptom screen remained low with 0 symptoms detected on all AI assessments, however the BP excursion represents a severe hypertensive event requiring prompt evaluation. One Severe Alert was generated at 17:20 and was acknowledged with SLA met; no additional resolution/documented follow-up is provided in the data. Care messages: at 16:00 and 16:01, SMS noted checks were stable and the care team would contact soon; at 17:20, an urgent SMS advised ER/911 immediately based on the alert.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 11 hours ago | 0 comments

Overnight monitoring (2026-06-07 17:50 UTC to 2026-06-08 17:50 UTC) demonstrated a critical BP deterioration after two stable readings. BPs at 15:40 and 16:00 were 135/80 mmHg (HR 72 each), consistent with no ACOG threshold crossing (below =140/90 Stage 1). At 17:19/17:20, BP acutely rose to 190/165 mmHg (HR 70), clearly exceeding ACOG Stage 2 criteria (=160/=110). AI severity increased from Moderate (score 0.15) at 15:41 and 16:01 to Severe at 17:20 (score 0.70), with the severe alert attributed to the marked Stage 2 range hypertension; symptom screen remained low (0 symptoms detected) in all assessments. A “Severe Alert” was issued at 17:20 and was acknowledged; escalation status shows SLA met, but clinical resolution of the hypertensive crisis is not documented in the provided data. Patient was sent SMS updates at 16:00 and 16:01 indicating stability, followed by urgent SMS at 17:20 advising immediate ED evaluation/911. No EPDS data were reported.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 11 hours ago | 0 comments

Overnight monitoring (2026-06-07 17:45 UTC to 2026-06-08 17:45 UTC) showed a critical hypertensive spike at 17:19 UTC with BP 190/165 (pulse 70). Earlier readings remained stable at 15:40 and 16:00 UTC: 135/80 (pulse 72) and 135/80 (pulse 72), which are below ACOG hypertension thresholds (no Stage 1/2 criteria met then). The 17:19 measurement clearly crosses ACOG Stage 2 (=160 systolic and/or =110 diastolic; also consistent with severe-range hypertension); this corresponded to AI severity escalation from Moderate (scores 0.15 at 15:41 and 16:01) to Severe (score 0.70 at 17:20). A “Severe Alert” was triggered at 17:20 and acknowledged, SLA met. Care messaging included two reassurance SMS at 16:00 and 16:01 indicating stability, followed by an urgent SMS at 17:20 advising immediate emergency evaluation/911. No symptoms were detected in the AI outputs, and no EPDS scores were recorded.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 11 hours ago | 0 comments

Overnight review (17:40 UTC 6/7 to 17:40 UTC 6/8): BP remained stable at 135/80 (15:40 and 16:00 UTC; pulse 72) with no symptoms reported, then acutely spiked at 17:19 UTC to 190/165 (pulse 70). This reading crosses ACOG severe thresholds (>=160 systolic and/or >=110 diastolic; Stage 2) and prompted escalation: AI severity increased from Moderate (scores 0.15 at 15:41 and 16:01) to Severe (score 0.70 at 17:20). A Severe Alert was triggered at 17:20 and was acknowledged with SLA met. Care team messages: two SMS sent at 16:00–16:01 indicating stability; an urgent SMS at 17:20 instructed the patient to proceed to the nearest emergency department or call 911. No EPDS data available; no symptom documentation beyond AI “0 symptoms detected.”
0

Consult note

by User Interconnect | on Camila Maria Lopez | 11 hours ago | 0 comments

Overnight BP monitoring (2026-06-07 17:35 UTC to 2026-06-08 17:35 UTC) showed initial stability followed by a critical hypertensive event. Two readings remained stable: 135/80 at 15:40 and 135/80 at 16:00 (both pulse 72), below ACOG Stage 1 threshold (<140/90). At 17:19, BP acutely escalated to 190/165 (pulse 70), crossing ACOG Stage 2 criteria (=160/=110) and prompting severity escalation: AI verdicts changed from Moderate (score 0.15 at 15:41 and 16:01) to Severe (score 0.70 at 17:20) with “Severe Alert” generated at 17:20. Alert status is acknowledged and SLA met; no symptoms were detected in the AI assessment at any time point. SMS communications were sent at 16:00 and 16:01 indicating stability with expected follow-up, then an urgent message at 17:20 advising immediate ER evaluation/call 911. EPDS not reported/available.
 
Clinical context note: Only one severe BP value documented; trend was otherwise falling/stable until abrupt rise at 17:19. Confirm repeat BPs, assess for severe-range persistence and symptoms, and initiate guideline-based management for possible hypertensive emergency/superimposed preeclampsia.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 11 hours ago | 0 comments

Overnight maternal BP monitoring (2026-06-07 17:24 UTC to 2026-06-08 17:24 UTC) demonstrated initial stability followed by a critical hypertensive event. BP at 15:40 and 16:00 were 135/80 mmHg (pulse 72) and remained stable across both readings, below ACOG Stage 1 threshold (=140/90) and well below Stage 2 (=160/110). At 17:19, BP abruptly rose to 190/165 mmHg (pulse 70), clearly crossing ACOG Stage 2 thresholds and reaching severe range; severity escalated from Moderate (AI score 0.15 at 15:41 and 16:01) to Severe (AI score 0.70 at 17:20). No symptoms were detected by the monitoring system at any timepoint. A Severe Alert was generated at 17:20 and was acknowledged with SLA met. Patient was notified with non-urgent stability SMS messages at 16:00 and 16:01, followed by an urgent SMS at 17:20 advising immediate ED evaluation or calling 911. No EPDS data were recorded overnight.
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Consult note

by User Interconnect | on Camila Maria Lopez | 11 hours ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 0.700
 
- Risk: Severe — BP 190/165 exceeds ACOG Stage 2 threshold (>=160/>=110)
- Symptom: Low — 0 symptoms detected
- Gestational: Severe — stage=second_trimester
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 11 hours ago | 0 comments

Overnight BP monitoring (2026-06-07 17:19 UTC to 2026-06-08 17:19 UTC) showed stable normotensive readings with no progression. BP at 15:40 was 135/80 (HR 72), and repeat at 16:00 remained unchanged at 135/80 (HR 72); trend is stable. No ACOG hypertensive thresholds were crossed (no readings =140/90; no =160/110). AI adjudication labeled both assessments as Severity=Moderate (score 0.15) with low risk and low symptom burden; 0 symptoms detected. No alerts were generated during the monitoring window and no escalation events were documented/resolved status N/A. Two automated SMS updates were sent at 16:00 and 16:01 indicating stability and that the care team would contact the patient soon. EPDS not recorded/relevant overnight.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 11 hours ago | 0 comments

Overnight monitoring (2026-06-07 17:09 UTC to 2026-06-08 17:09 UTC) showed stable blood pressures without hypertensive range thresholds. BP was 135/80 at 15:40 UTC and again 135/80 at 16:00 UTC (p72 both), demonstrating no change across the two readings. No ACOG threshold crossings observed: values remained below Stage 1 (=140/90) and Stage 2 (=160/110). AI severity remained Moderate on both assessments (15:41 and 16:01) with low risk profile (score 0.15 each) and low symptom burden (0 symptoms detected); gestational context listed as second trimester. No alerts were generated and no escalation events were recorded. Automated care messaging was sent at 16:00 UTC and 16:01 UTC indicating findings were stable and that the care team would contact the patient soon. EPDS was not reported during this interval.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 12 hours ago | 0 comments

Overnight monitoring (06-07 16:49 UTC to 06-08 16:49 UTC) showed stable blood pressures without hypertensive threshold crossings. BP remained 135/80 at 15:40 UTC and again at 16:00 UTC (pulse 72 both times), representing no rise and no approach to ACOG thresholds for stage 1 (=140/90) or stage 2 (=160/110). AI severity remained consistent across checks: Moderate severity score 0.15 at 15:41 UTC and 16:01 UTC, attributed to low risk given BP within normal range and no symptoms detected; gestational context noted as second trimester. No alerts were generated and no escalation events were documented. Two SMS messages were sent at 16:00 and 16:01 UTC advising that recent checks were stable and that the care team would contact shortly; no EPDS assessments or score changes were reported.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 12 hours ago | 0 comments

Overnight (2026-06-07 16:43 UTC to 2026-06-08 16:43 UTC), BP remained stable without hypertensive threshold crossing. Readings: 135/80 at 15:40 (pulse 72) and 135/80 at 16:00 (pulse 72), no rise or fall noted. No alerts were generated. AI severity remained Moderate with consistently low score (0.15) at both assessments (15:41 and 16:01), citing low risk and no symptoms detected; gestational context categorized as second trimester. No escalation events reported and no EPDS updates available.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 12 hours ago | 0 comments

Overnight monitoring from 2026-06-07 16:39 UTC to 2026-06-08 16:39 UTC showed stable blood pressures without hypertensive threshold crossings. BP readings remained unchanged: 135/80 at 15:40 UTC (HR 72) and 135/80 at 16:00 UTC (HR 72). These values are below ACOG thresholds for gestational hypertension (=140/90) and severe range (=160/110). No alerts were generated (0). AI severity remained Moderate on both evaluations (score 0.15 at 15:41 UTC and 16:01 UTC), attributed to low risk based on BP and absence of detected symptoms (0 symptoms), with gestational context noted as second trimester; no escalation events occurred. Two SMS updates were sent to the patient (16:00 and 16:01 UTC) indicating findings were stable and that the care team would follow up soon; no additional care communications noted. No EPDS assessments or score changes were reported.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 12 hours ago | 0 comments

Overnight (2026-06-07 16:28 UTC to 2026-06-08 16:28 UTC), blood pressures remained stable and in the non-severe range: 135/80 at 15:40 UTC and again 135/80 at 16:00 UTC (pulse 72 both times). No ACOG threshold was crossed (no readings =140/90 or =160/110). AI severity was flagged as Moderate both checks (score 0.15 at 15:41 and 0.15 at 16:01), driven by gestational context noted as second trimester, with low overall risk and 0 symptoms detected. No alerts were generated and no escalation events were documented. Two SMS care messages were sent at 16:00 and 16:01 UTC indicating the patient’s checks were stable and that the care team would contact her soon/was notified. EPDS monitoring was not reported/triggered during this interval.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 12 hours ago | 0 comments

Overnight monitoring (2026-06-07 16:28 UTC to 2026-06-08 16:28 UTC) showed stable blood pressures without hypertensive threshold crossings. BP recorded at 15:40 was 135/80 (HR 72) and again at 16:00 was 135/80 (HR 72), representing a stable pattern with no rise. Values remain below ACOG hypertension criteria (no readings =140/90; no =160/110). AI severity classifications at 15:41 and 16:01 were both Moderate (score 0.15), driven by gestational context (second trimester) despite low risk and absence of symptoms (0 symptoms detected). No alerts were generated overnight, and there were no escalation events requiring immediate clinical intervention. Two SMS care messages were sent at 16:00 and 16:01 indicating that recent checks were stable and that the care team would follow up shortly. EPDS was not reported for this interval.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 12 hours ago | 0 comments

Overnight (2026-06-07 16:23 UTC to 2026-06-08 16:23 UTC), BP remained stable without threshold crossing. Readings at 15:40 and 16:00 were both 135/80 mmHg with pulse 72 bpm. No alerts were triggered and AI severity was consistent at Moderate (score 0.15 at 15:41 and 16:01) attributed to low risk/low symptom burden; no symptoms were detected. No EPDS data available. Two SMS care messages were sent at 16:00 and 16:01 indicating findings were stable and that the care team would follow up soon; no escalation events occurred overnight.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 12 hours ago | 0 comments

Overnight monitoring (2026-06-07 16:23 UTC to 2026-06-08 16:23 UTC) showed stable blood pressures without threshold crossings. BP 135/80 recorded at 15:40 and again at 16:00 (pulse 72 both times), representing a stable pattern (no rise/fall). No alerts were triggered. AI severity flagged both assessments as Moderate (score 0.15 each; risk low, no symptoms detected), with gestational context listed as second trimester. No EPDS data were reported and no escalation events occurred. Patient was sent 2 SMS updates at 16:00 and 16:01 indicating stability and that the care team would follow up soon.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 12 hours ago | 0 comments

Overnight (2026-06-07 16:18 UTC to 2026-06-08 16:18 UTC), BP remained stable without escalation. Readings: 135/80 at 15:40 UTC (HR 72) and 135/80 at 16:00 UTC (HR 72), showing no upward or downward trend. No ACOG threshold crossings: values are below Stage 1 hypertension cutoff (=140/90) and Stage 2 cutoff (=160/110). AI severity assessments were consistent (Moderate, score 0.15) at 15:41 and 16:01, driven by gestational context despite low BP-related risk and absence of detected symptoms. No alerts were generated during this interval, and no escalation events were documented. Care team messages were sent to the patient at 16:00 and 16:01 via SMS indicating stability and that the team would contact her soon.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 12 hours ago | 0 comments

Overnight maternal monitoring (2026-06-07 16:13 UTC to 2026-06-08 16:13 UTC) showed stable blood pressures without ACOG threshold crossing. BP readings at 15:40 and 16:00 were both 135/80 mmHg with pulse 72, demonstrating no rise or variability (stable trend). Severity ratings from AI for both timepoints were Moderate (score 0.15) attributed to low BP-related risk and absence of detected symptoms (0 symptoms). No alerts were generated during the monitoring window, and no escalation events were documented. Two SMS care messages were sent at 16:00 and 16:01 indicating that findings were stable and that the care team would follow up soon. No EPDS scores were reported for this interval.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 12 hours ago | 0 comments

Overnight monitoring (2026-06-07 16:08 UTC to 2026-06-08 16:08 UTC) showed stable blood pressures with no alerts or symptom flags. BP remained 135/80 at 15:40 (pulse 72) and 135/80 at 16:00 (pulse 72), indicating no upward trend. No ACOG threshold crossings were observed (no readings =140/90 for Stage 1 or =160/110 for Stage 2). AI severity was rated Moderate at both 15:41 (score 0.15) and 16:01 (score 0.15), driven by low risk and absence of symptoms; gestational context noted as second trimester (per model). No escalation events documented; monitoring continued without intervention. Two SMS updates were sent to the patient at 16:00 and 16:01 indicating that recent checks appeared stable and that the care team would follow up soon. No EPDS assessment or change reported (none available).
0

Consult note

by User Interconnect | on Camila Maria Lopez | 13 hours ago | 0 comments

Overnight monitoring (2026-06-07 16:03 UTC to 2026-06-08 16:03 UTC) showed stable blood pressures with no escalation alerts. BP recorded at 15:40 (135/80, HR 72) and again at 16:00 (135/80, HR 72), demonstrating no rise or variability. Values remain below ACOG hypertensive thresholds (no readings =140/90 for Stage 1 and none =160/110 for Stage 2). AI assessments at 15:41 and 16:01 both classified severity as Moderate (score 0.15) with low risk and no symptoms detected (0 symptoms), gestational context noted as second trimester. No ACOG threshold crossings, severe range pressures, or alert triggers occurred; therefore no clinical escalation or resolution event was required. Two SMS updates were sent to the patient at 16:00 and 16:01 indicating stability and that the care team would follow up soon. No EPDS results were available/updated overnight.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 13 hours ago | 0 comments

Overnight monitoring (2026-06-07 16:03 UTC to 2026-06-08 16:03 UTC) showed stable maternal blood pressure without threshold crossings. BP readings were 135/80 at 15:40 UTC and 135/80 at 16:00 UTC (pulse 72 both times), remaining in the normotensive range and below ACOG Stage 1 threshold (=140/90). No escalation alerts were triggered (0 alerts).
AI severity assessments at 15:41 UTC and 16:01 UTC both classified overall severity as Moderate (score 0.15) with low risk and 0 symptoms detected; gestational stage noted as second trimester. No EPDS data were recorded/changed overnight.
Two SMS care messages were sent at 16:00 UTC and 16:01 UTC indicating stability and that the care team would contact the patient soon.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 13 hours ago | 0 comments

MATERA AI Assessment
Severity: Moderate
Composite Score: 0.150
 
- Risk: Low — BP 135/80 within normal range
- Symptom: Low — 0 symptoms detected
- Gestational: Moderate — stage=second_trimester
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 13 hours ago | 0 comments

MATERA AI Assessment
Severity: Moderate
Composite Score: 0.150
 
- Risk: Low — BP 135/80 within normal range
- Symptom: Low — 0 symptoms detected
- Gestational: Moderate — stage=second_trimester
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 13 hours ago | 0 comments

Overnight monitoring (2026-06-07 15:58 UTC to 2026-06-08 15:58 UTC): Single BP recorded at 15:40 UTC: 135/80 with pulse 72. This reading remains below ACOG hypertension thresholds (no Stage 1 =140/90 and no Stage 2 =160/110). AI severity classified as Moderate (score 0.15) largely reflecting gestational context, not hemodynamic deterioration; no symptoms were detected and there were no escalation alerts. No care messages were sent and no EPDS updates were available.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 13 hours ago | 0 comments

Overnight monitoring showed a single blood pressure reading of 135/80 at 15:40 UTC (HR 72). No subsequent BP measurements were recorded during the monitoring window. This value does not meet ACOG diagnostic thresholds (not =140/90; not =160/110) for gestational hypertension or severe range pressures. AI severity classification at 15:41 UTC was Moderate (score 0.15) with low assessed risk based on the recorded BP and no symptoms detected; gestational context was documented as second trimester. No alerts were generated and no care messages were sent to the patient overnight. No EPDS data were available/recorded for this interval.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 13 hours ago | 0 comments

MATERA AI Assessment
Severity: Moderate
Composite Score: 0.150
 
- Risk: Low — BP 135/80 within normal range
- Symptom: Low — 0 symptoms detected
- Gestational: Moderate — stage=second_trimester
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 13 hours ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 0.300
 
- Risk: Low — BP 145/100 within normal range
- Symptom: Low — 0 symptoms detected
- Gestational: Severe — stage=second_trimester
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 13 hours ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 0.700
 
- Risk: Severe — BP 225/180 exceeds ACOG Stage 2 threshold (>=160/>=110)
- Symptom: Low — 0 symptoms detected
- Gestational: Severe — stage=second_trimester
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 13 hours ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 0.700
 
- Risk: Severe — BP 225/180 exceeds ACOG Stage 2 threshold (>=160/>=110)
- Symptom: Low — 0 symptoms detected
- Gestational: Severe — stage=second_trimester
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 13 hours ago | 0 comments

Overnight monitoring period 2026-06-07 15:32 UTC to 2026-06-08 15:32 UTC showed persistent critically elevated blood pressures with no documented symptoms. BP at 15:11 UTC was 225/180 mmHg (pulse 172), and repeat at 15:27 UTC remained unchanged at 225/180 mmHg (pulse 172) — stable severe elevation with no downward trend. Both readings meet ACOG Stage 2 criteria (=160 systolic and/or =110 diastolic) and are consistent with severe-range hypertension; no escalations/alerts were recorded in the system and no care messages were sent. AI severity was classified as Severe (score 0.70) on both timepoints (15:13 and 15:28), citing severe risk due to BP 225/180 and absence of detected symptoms (0 symptoms). No EPDS data available; no symptom review documentation provided.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 13 hours ago | 0 comments

Overnight period reviewed (2026-06-07 15:21 UTC to 2026-06-08 15:21 UTC). Most critical finding: single recorded hypertensive emergency–range BP of 225/180 at 15:11 UTC with pulse 172. This reading clearly exceeds ACOG Stage 2 thresholds (=160 systolic and/or =110 diastolic) and is categorized as “severe” by AI (severity score 0.70) despite documentation of 0 detected symptoms. No additional BP readings, escalation events, alerts, or care messages were recorded during the interval. No EPDS changes available.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 13 hours ago | 0 comments

Overnight monitoring is concerning for a hypertensive emergency-level value: BP 225/180 at 15:11 UTC with pulse 172. This exceeds ACOG Stage 2 thresholds (=160 systolic and/or =110 diastolic) and is consistent with the AI classification of Severity=Severe at 15:13 UTC (score 0.70). No alerts were recorded and no symptoms were detected on automated screen; however, severity is driven by the magnitude of BP rather than symptom burden. No escalation events, resolution documentation, or patient care messages were captured in the provided dataset. EPDS was not available/recorded for this period.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 13 hours ago | 0 comments

Critical event overnight: Markedly elevated BP with severe range measurement recorded at 15:11 (225/180 mmHg, pulse 172). This exceeds ACOG Stage 2 thresholds (=160 systolic and/or =110 diastolic) and was classified by the monitoring system as Severe (AI severity 0.70) at 15:13. No symptoms were detected by the system at that time, and no additional BP readings, escalation/alert events, or care messages were documented during the remainder of the monitoring window (15:15 UTC–next 15:15 UTC). No EPDS data available.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 13 hours ago | 0 comments

Overnight (2026-06-07 15:13 UTC to 2026-06-08 15:13 UTC), the critical event was a single severe hypertensive reading: 225/180 mmHg at 15:11 UTC with pulse 172. This exceeds ACOG Stage 2 thresholds (=160 systolic and =110 diastolic). No symptoms were documented by the AI screen (0 symptoms detected). No additional BP trend data were captured overnight (single reading only), and there were no care messages sent to the patient. No EPDS results were available for this interval. No escalation/alert entries were recorded in the monitoring system despite the severity rating (AI severity Severe, score 0.70).
0

Progress note

by User Interconnect | on Camila Maria Lopez | 14 hours ago | 0 comments

RPM MONTHLY BILLING REPORT
Patient: Camila Lopez
Month: June 2026
CPT 99457: 20+ minutes of remote physiologic monitoring services — DONE
CPT 99458: Each additional 20 minutes — DONE
Communication time: 28 mins (2 phone calls)
Total readings transmitted: 42
Conclusion: Patient compliant with RPM program. Continue monitoring.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 16 hours ago | 0 comments

Overnight monitoring (2026-06-07 12:44 UTC to 2026-06-08 12:44 UTC) shows a single BP of 145/100 at 11:44 UTC (pulse 100). This meets ACOG Stage 2 range by diastolic (=100; Stage 2 defined as =160/110; however diastolic is markedly elevated and warrants close assessment given severity flagging). No symptoms were detected on AI review (0 symptoms). AI severity classification at 11:44 UTC: Severity=Severe (risk reported low, but “gestational severe” noted; stage recorded as second trimester) with score 0.30.
 
Escalation: At 11:46 UTC a “Severe Alert” was issued and remains Open with SLA breached—resolution status unclear. A care message was sent at 11:45 UTC via SMS urging urgent evaluation in the nearest emergency department or by calling 911.
 
No EPDS data available overnight.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 16 hours ago | 0 comments

Overnight (2026-06-07 12:19 UTC to 2026-06-08 12:19 UTC), a single BP reading showed 145/100 at 11:44 UTC (HR 100). This meets ACOG Stage 2 criterion for diastolic hypertension (=100) despite systolic below 160. An AI severity classification labeled the episode as “Severe” (score 0.30) with note of “gestational: stage=second_trimester,” and no symptoms were detected. At 11:46 UTC, a “Severe Alert” was triggered and remains OPEN with SLA breached; no evidence of resolution or repeat confirming measurements is documented overnight. At 11:45 UTC, an urgent SMS was sent instructing the patient to seek emergency evaluation immediately or call 911. No EPDS scoring or trend information was provided during this interval.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 17 hours ago | 0 comments

Overnight monitoring (2026-06-07 11:59 UTC to 2026-06-08 11:59 UTC) showed one documented blood pressure of 145/100 mmHg at 11:44 UTC with pulse 100. This meets ACOG Stage 2 threshold for diastolic hypertension (=100) and crosses the =140/90 criterion for hypertensive range; however, no severe-range systolic BP (=160) was recorded. No symptoms were detected by the monitoring system at the time of measurement, and AI severity flagged “Severe” (score 0.30) with gestational categorization noted by the system as stage=second_trimester.
 
An alert was generated at 11:46 UTC (“Severe Alert — …”) with status Open and SLA pending. At 11:45 UTC, an urgent SMS was sent advising immediate evaluation in the nearest emergency department or to call 911 based on symptoms; resolution status of that outreach and patient clinical follow-through is not documented.
 
No EPDS data were available and no escalation resolution is recorded in the provided dataset.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 17 hours ago | 0 comments

Overnight monitoring (2026-06-07 11:54 UTC to 2026-06-08 11:54 UTC): Single BP documented at 11:44 UTC with 145/100 mmHg (pulse 100). This meets ACOG Stage 2 diastolic threshold (=100) but systolic remains below 160; no trend analysis possible given only one reading. AI severity flagged as “Severe” (score 0.30) despite low symptom burden (0 symptoms detected) and low overall risk stated by the model; gestational classification noted as “second_trimester.” An open “Severe Alert” was generated at 11:46 UTC (status: open; SLA pending). Patient received an urgent SMS at 11:45 UTC advising immediate ER evaluation/call 911 based on symptom-based triage; no EPDS assessments were recorded. No escalation resolution is documented overnight; alert remains open.
-1

Progress note

by User Interconnect | on Derrick Lin | 1 day ago | 0 comments

Patient completed assigned knee-brace exercise plan with steady gains in flexion and extension over the last week. No adverse events reported. Continue current regimen and re-evaluate at next follow-up.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 2 days ago | 0 comments

The tricky thing about blood pressure is while it can be too high, it can also be too low. There is precedent for this in the literature [1].
 
[1] https://en.wikipedia.org/wiki/Goldilocks_and_the_Three_Bears
-2

Consult note

by User Interconnect | on Camila Maria Lopez | 1 day ago | 0 comments

^test^test
 
**Test**
 
***Test***
 
~~test~~
 
[Test](https://www.pixiv.net/en/artworks/130400792)
 
 
>Test
 
>Test
>>Test
 
`test`
 
Test
 
>!test!<
 
#test
##test
###test
 
Line
Line
Line
Line
Line
.
 
Line
Line
line
 
.
 
^>!line!<
 
Test | test | test
:--|:--:|--:
Test | test | test
Test | test | test
 
||||
:--|:--:|--:
Test | test | test
Test | test | test
0

Consult note

by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight BP monitoring (19:56 UTC–05 Jun 19:56 UTC) is notable for a single critical hypertensive reading: 200/100 at 19:32 (pulse 100). This exceeds ACOG Stage 2 threshold (=160 systolic or =110 diastolic) and triggered a “Severe” AI alert at 19:32. Surrounding values were not persistently elevated: 148/96 at 18:15 (Stage 1 range =140/90), then 120/80 at 19:31 (normalized), followed by 121/79 at 19:36 (normalized). No symptoms were detected in the AI adjudications (score reflections driven by BP only); no EPDS reported. Two severe alerts were opened and remain open: 18:58 (SLA breached) and 19:33 (SLA pending), consistent with the hypertensive episode at 19:32. Two urgent SMS messages were sent at 18:27 and 19:33 instructing emergency evaluation; resolution status of escalation is not documented.
 
Overall pattern: brief spike to Stage 2 range with rapid return to baseline within minutes; however, the isolated severe-range BP warrants prompt clinical evaluation to exclude hypertensive emergency/secondary causes and to assess for recurrence/persistence.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight monitoring (19:55 UTC–next day 19:55 UTC) showed a critical hypertensive spike at 19:32 UTC with BP 200/100 (pulse 100), which crosses ACOG Stage 2 threshold (=160 systolic and =110 diastolic). Surrounding BPs were lower: 18:15 UTC 148/96 (pulse 85) [meets ACOG Stage 1 only for diastolic (=90)], then 19:31 UTC 120/80 (pulse 72), followed by rapid normalization at 19:36 UTC 121/79 (pulse 72). No symptoms were detected on AI review throughout (AI symptom component 0), and gestational stage entered as second trimester. Two severe alert events were generated: 18:58 “Severe Alert” (status Open; SLA breached) and 19:33 “Severe Alert” (status Open; SLA pending), corresponding temporally to the concerning readings. Urgent care messages were sent to the patient at 18:27 UTC and again at 19:33 UTC advising emergency evaluation/911 if indicated. No EPDS data available. Overall trend: transient rise to Stage 2 followed by prompt return to normotension within ~4 minutes; however, the Stage 2 reading warrants immediate clinical assessment to exclude evolving hypertensive disorder or measurement artifact.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight BP monitoring (19:50 UTC 6/4–19:50 UTC 6/5) showed a critical spike at 19:32: 200/100 (pulse 100), crossing ACOG Stage 2 threshold (=160/=110). Prior reading at 18:15 was 148/96 (pulse 85), meeting ACOG Stage 1 diastolic (=90) but not Stage 2. Subsequent BPs returned to normal range: 19:31 120/80 (pulse 72) and 19:36 121/79 (pulse 72), indicating an abrupt rise followed by rapid normalization.
 
No symptoms were detected by the monitoring logic across readings. AI severity escalated to “Severe” after the 19:32 BP (severity score 0.70) and was labeled severe at 18:15/18:46 with no BP escalation noted then. Two severe alert events were recorded (18:58 and 19:33) and remain open/pending, suggesting unresolved escalation workflow. Two urgent SMS messages were sent to the patient at 18:27 and 19:33 advising immediate ER evaluation or calling 911; resolution of patient response is not documented. No EPDS assessments were reported.
 
Recommendation: Same-day urgent clinician review is indicated given the transient ACOG Stage 2-range BP (200/100 at 19:32) despite subsequent normalization; assess for hypertensive disorders/secondary causes and ensure appropriate evaluation and management.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight BP monitoring (2026-06-04 19:49 UTC to 2026-06-05 19:49 UTC) showed a critical spike to 200/100 at 19:32 (pulse 100), exceeding ACOG Stage 2 hypertension threshold (=160 systolic and/or =110 diastolic). Surrounding measurements were lower and near-normal: 148/96 at 18:15 (pulse 85; borderline Stage 2 diastolic not met for systolic but diastolic 96), 120/80 at 19:31 (pulse 72), and 121/79 at 19:36 (pulse 72). No symptoms were detected on AI review during readings, and no EPDS changes were available (EPDS not measured). Two severe alert events were triggered and remain open: 18:58 (SLA breached) and 19:33 (SLA pending). Escalation occurred via two urgent SMS messages at 18:27 and 19:33 advising emergency evaluation/911; resolution status is not documented in the provided data.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight BP monitoring (19:45 UTC–19:45 UTC) showed one critical hypertensive reading followed by normalization. Most concerning: 200/100 at 19:32 UTC (pulse 100), which meets ACOG severe range (Stage 2 =160/=110). Preceding value at 18:15 was 148/96 (pulse 85) — Stage 1 threshold for diastolic (=90) but not Stage 2. Subsequent readings improved to 120/80 at 19:31 (pulse 72) and remained normal at 19:36 121/79 (pulse 72).
 
AI severity flagged highest risk at 19:32 (Severe, score 0.70) despite no symptoms detected; earlier/separate entries were marked Severe by the AI in association with chart/context alerts, but without a BP value exceeding thresholds other than the 19:32 episode. Alerts at 18:58 and 19:33 were both left Open (SLA breached/pending), corresponding to the severe alerts triggered during monitoring. No EPDS data available and no escalation resolution documented in the record provided. Two urgent SMS messages were sent (18:27 and 19:33) instructing immediate ER/911 evaluation.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight monitoring (19:44 UTC 6/4–19:44 UTC 6/5) showed a critical hypertensive spike followed by normalization. BP readings: 148/96 at 18:15 (pulse 85) ? 120/80 at 19:31 (72) (transient improvement) ? 200/100 at 19:32 (100), crossing ACOG Stage 2 threshold (=160/=110) ? 121/79 at 19:36 (72). No symptoms were detected in associated AI assessments (0 symptoms throughout). AI severity escalated to “Severe” around the 200/100 reading (18:16 and 18:46 initially flagged as Severe despite limited symptom data; definitive Stage 2 risk at 19:32 with score 0.70), then downgraded to Low when subsequent BPs returned to near-normal (19:36).
 
Two alerts were triggered for “Severe Alert” and remain open/pending: 18:58 (status Open; SLA breached) and 19:33 (status Open; SLA pending). Two urgent SMS messages were sent at 18:27 and 19:33 advising emergency evaluation/911 in response to alerts.
 
No EPDS data available. No escalation resolution documented in the provided dataset.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight BP monitoring (19:40 UTC 6/4 to 19:40 UTC 6/5) showed a critical hypertensive spike at 19:32: 200/100 (pulse 100). This exceeds ACOG Stage 2 thresholds (=160/=110) and is followed by normalization to 121/79 at 19:36 (pulse 72) with an intervening normal reading at 19:31: 120/80 (pulse 72). An additional elevated reading was recorded at 18:15: 148/96 (pulse 85), meeting ACOG Stage 1 for diastolic (=90) but not systolic (=140); otherwise pressures were not persistently elevated.
 
AI severity scoring flagged the 19:32 event as Severe (score 0.70) due to Stage 2 range BP, with no symptoms detected across readings. Earlier AI outputs also marked “Severe” alerts despite limited context, but only the 19:32 value represents clear ACOG threshold crossing.
 
Two severe alert events remain open: one at 18:58 (SLA breached) and another at 19:33 (SLA pending); current resolution status is unknown. Two urgent SMS messages were sent at 18:27 and 19:33 advising emergency evaluation/911 based on symptom screen (no symptoms documented by the monitoring AI).
 
No EPDS data available.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight BP monitoring (19:39 UTC 6/4 to 19:39 UTC 6/5) shows one critical hypertensive reading: 200/100 at 19:32 (pulse 100), which crosses ACOG Stage 2 criteria (=160/110). Surrounding measurements were lower: 148/96 at 18:15 (Stage 1 range due to diastolic 96), then 120/80 at 19:31, and 121/79 at 19:36—overall pattern is transient severe spike with subsequent normalization (falling to Stage 0-range after the 19:32 event). No symptoms were detected by the AI triage at any timepoint (symptom score 0/low across assessments).
Two “Severe Alert” notifications were triggered (18:58 open/SLA breached; 19:33 open/SLA pending). Care team escalations via SMS occurred at 18:27 and 19:33 with urgent ER/911 instructions; resolution status of alerts is not documented. EPDS not recorded/changed.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight BP monitoring (2026-06-04 19:35 UTC to 2026-06-05 19:35 UTC) shows an abrupt hypertensive spike with sustained concern for Stage 2 range. At 18:15 BP was 148/96 (pulse 85), which crosses ACOG Stage 1 threshold (=140/90) but not Stage 2. At 19:31 BP normalized to 120/80 (pulse 72) but then at 19:32 BP surged to 200/100 (pulse 100), clearly meeting ACOG Stage 2 (=160/=110). No symptoms were detected in automated assessments (0 symptoms across severity determinations).
 
AI risk stratification escalated to Severe at 19:32 (Score 0.70) citing Stage 2 BP; earlier 18:16 and 18:46 assessments were marked Severe despite limited data/SMS-based urgency context (no symptom signals). Severe alerts at 18:58 and 19:33 remain open (18:58 status Open, SLA Breached; 19:33 status Open, SLA Pending). Urgent SMS guidance was sent at 18:27 and 19:33 to seek emergency evaluation immediately/911.
 
No EPDS results available.
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight monitoring (06/04 19:34–06/05 19:34) shows a critical BP spike with subsequent improvement. Initial BP at 18:15 measured 148/96 (pulse 85), crossing ACOG Stage 1 threshold (=140/90). A later reading at 19:31 was 120/80 (pulse 72), returning to baseline/normal range, suggesting variability rather than persistent hypertension. However, a markedly severe value occurred at 19:32: 200/100 (pulse 100), exceeding ACOG Stage 2 threshold (=160/110) and corresponding to the highest-risk AI assessment (Severity=Severe, Score=0.70). No symptoms were detected in AI determinations (Symptom: Low; 0 symptoms) and EPDS was not assessed/available.
 
Two severe alerts were triggered: 18:58 (status Open; SLA breached) and 19:33 (status Open; SLA pending). Urgent escalation messages were sent to the patient at 18:27 and 19:33 instructing immediate ER evaluation/911 activation; resolution status of these alerts/communications is not documented as closed. No antihypertensive therapy or additional hypertensive history data were provided in the AI outputs.
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 0.700
 
- Risk: Severe — BP 200/100 exceeds ACOG Stage 2 threshold (>=160/>=110)
- Symptom: Low — 0 symptoms detected
- Gestational: Severe — stage=second_trimester
 
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight (2026-06-04 19:30 UTC to 2026-06-05 19:30 UTC), single BP documented at 18:15: 148/96 mmHg (HR 85). This meets ACOG Stage 1 threshold by diastolic (=90) but does not reach Stage 2 (=160/110). No symptom reports were detected by the monitoring system. Two AI evaluations recorded “Severe” status with score 0.30: at 18:16 contextualized the available BP as high-risk but noted low symptom burden; at 18:46 severity remained severe despite no additional BP data and no antihypertensive medication information available in the record. A “Severe Alert” was triggered at 18:58 and remains open with SLA breached—resolution not documented. An urgent care message was sent at 18:27 advising immediate ER evaluation/911 based on symptoms; no EPDS data available to assess mood trajectory.
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight monitoring (2026-06-04 19:29 to 2026-06-05 19:29) showed a single BP of 148/96 at 18:15 UTC (HR 85). This meets ACOG Stage 1 hypertension criteria (=140/90) but does not reach Stage 2 (=160/110). No additional BP values were recorded, limiting assessment of trends (no evidence of rising/falling overnight).
 
AI severity flags were entered at 18:16 and 18:46 as “Severe” (score 0.30) with no symptoms detected (symptom burden = 0). One severe alert was generated at 18:58 with status still Open and SLA breached.
 
An urgent SMS message was sent at 18:27 advising emergency evaluation (nearest ER/call 911) based on symptoms; however, symptom detection remained negative per AI (0 symptoms). No EPDS scores were available.
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight monitoring (19:24 6/4 to 19:24 6/5): Single BP recorded at 18:15 (UTC) = 148/96 with pulse 85. This meets ACOG Stage 1 hypertension threshold (=140/90) but does not reach Stage 2 (=160/110). No additional BP values were available overnight to assess trend (stable/ascending cannot be determined).
 
AI severity flagging occurred at 18:16 and 18:46 (both Severity=Severe, score 0.30). Despite “severe” system labeling, documented reasoning cited low risk and 0 symptoms detected; gestational context noted as second trimester. A separate system severity alert was generated at 18:58 (“Severe Alert”), status remains Open with SLA pending; no resolution documented.
 
Patient-facing escalation: an SMS message was sent at 18:27 instructing urgent ED evaluation/911 based on symptoms assessment, though the monitoring dataset reports 0 symptoms detected.
 
EPDS: not assessed/none recorded.
 
No other clinical escalation, medication changes, or resolution events were documented overnight.
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight (6/4 19:24 UTC–6/5 19:24 UTC), single BP measurement at 18:15 showed 148/96 mmHg (HR 85). This meets ACOG Stage 1 hypertension criteria (=140/90) but does not cross Stage 2 threshold (=160/110). No symptoms were detected by the AI on both assessments (severity flagged as “Severe,” but associated risk remained low). AI severity remained unchanged on repeat review at 18:46 (no additional BP values available). An alert was triggered at 18:58 (“Severe Alert”) and remains open with SLA pending; no documented resolution/closure overnight. A care message was sent at 18:27 via SMS with urgent ER/911 instructions based on the symptom screen (no EPDS data available; no EPDS trend to report).
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight monitoring (19:19 UTC to 19:19 UTC) shows a single documented blood pressure of 148/96 at 18:15 (pulse 85). This meets ACOG criteria for Stage 1 hypertension (=140/90) but does not reach Stage 2 (=160/110). No additional BP trend data are available overnight (no repeat readings recorded).
 
Clinical risk scoring by AI generated two “Severe” severity flags (18:16 and 18:46). In both assessments, symptom screen was negative (0 symptoms detected) and the documented BP was not clearly corroborated by other readings. One alert was opened at 18:58 (“Severe Alert—…”, status open; SLA pending).
 
An urgent care message was sent to the patient at 18:27 via SMS instructing ER evaluation/call 911 based on symptoms; however, current monitoring data report no detected symptoms and no EPDS values were recorded.
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight monitoring (19:19 UTC 6/4 to 19:19 UTC 6/5) shows a single BP of 148/96 at 18:15 (pulse 85). This meets ACOG criterion for elevated BP/stage 1 range (=140/90) but does not reach stage 2 (=160/110). No hypertensive symptoms were detected (severity scoring driven by gestational context rather than BP trend); no additional BP readings were recorded overnight, so no rise/fall trend can be assessed. Two AI verdicts at 18:16 and 18:46 both labeled Severity=Severe with low-risk assessment and 0 symptoms detected, and gestational context marked as second trimester; however, objective data available are limited to the single reading above. One alert triggered at 18:58 (“Severe Alert”) and remains open with SLA pending; no documented resolution or escalation outcome. An urgent SMS was sent at 18:27 advising ER/911 based on symptoms, though concurrently 0 symptoms were detected by the system. No EPDS data available and no EPDS change can be reported.
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight monitoring (19:14 UTC to 19:14 UTC): BP recorded once at 18:15 UTC—148/96 mmHg, pulse 85. This meets ACOG criteria for Stage 1 hypertension (=140/90) but not Stage 2 (=160/110). No additional BP values were captured overnight to assess trend (stable vs rising/falling cannot be determined). No symptoms were detected by the AI screening, and no EPDS changes were recorded (no score available). Two AI assessments at 18:16 and 18:46 UTC both returned Severity=Severe (score 0.30) with “0 symptoms detected”; first assessment cited BP 148/96 and labeled “gestational: severe/stage=second_trimester,” while second assessment was based on missing additional BP data. A “Severe Alert” was triggered at 18:58 UTC and remains open (SLA pending), suggesting escalation is not yet resolved. An urgent SMS message was sent to the patient at 18:27 UTC advising immediate evaluation in the nearest emergency room or calling 911.
 
Recommendation: Same-day clinical review is indicated to confirm gestational age/stage labeling, repeat BP(s), and determine need for antihypertensive or preeclampsia evaluation given Stage 1 BP with an unresolved severe alert.
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight period (6/4 19:14–6/5 19:14): Notable BP 148/96 recorded at 18:15 UTC (HR 85). This meets ACOG threshold for elevated diastolic (stage 1 criteria: =140/90) due to diastolic 96; no stage 2 threshold (=160/110) observed. AI severity flags are marked “Severe” (score 0.30) at 18:16 and again at 18:46, but these were not accompanied by additional BP readings or documented symptoms (0 symptoms detected). At 18:58, an open “Severe Alert” remained unresolved (SLA pending). Care escalation: an urgent SMS was sent at 18:27 instructing evaluation at the nearest emergency room/call 911 based on reported symptom screen; no resolution documentation available. No EPDS data captured during this interval. Overall BP trend cannot be assessed beyond a single reading; values suggest stage 1-level hypertension risk requiring confirmation and monitoring.
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight 19:09 UTC (6/4) to 19:09 UTC (6/5), one BP recorded: 18:15 — 148/96 mmHg (HR 85). This meets ACOG hypertensive threshold for Stage 1 (=140/90) but does not reach Stage 2 (=160/110). No symptom data were detected, and no EPDS was recorded.
 
AI adjudication was repeatedly marked “Severe” (score 0.30) at 18:16 and again at 18:46; however, the only available objective finding was the single elevated BP above. At 18:58, an “Severe Alert” was triggered and remains Open with SLA pending. An urgent SMS message was sent at 18:27 advising emergency evaluation based on symptoms; resolution status is not documented, and no escalation outcome is recorded in the chart.
 
No trend assessment is limited by absence of additional BP measurements and lack of longitudinal vitals. Critical gap: determine whether additional hypertensive readings occurred and whether any red-flag symptoms (headache, visual changes, RUQ pain, dyspnea, edema) were present around the time of the alert.
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight monitoring (19:09 UTC 6/4–19:09 UTC 6/5) showed a single BP measurement of 148/96 at 18:15 UTC (pulse 85). This crosses the ACOG Stage 1 threshold (=140/90) but does not meet Stage 2 (=160/110). No symptom reports were detected by the AI (symptom score 0), and no EPDS data were provided.
 
AI severity classification flagged the episode as “Severe” at 18:16 UTC (Severity=Severe, Score=0.30; gestational stage noted as second trimester) and again at 18:46 UTC (Severity=Severe, Score=0.30). The rationale included low risk due to limited available BP context and no detected symptoms; however, the severity label appears discordant with the available BP magnitude (148/96) and should be interpreted cautiously given missing data in the second verdict.
 
An alert was generated at 18:58 UTC (“Severe Alert — …”), status remains Open with SLA pending. A care escalation message was sent to the patient at 18:27 UTC via SMS instructing urgent ED evaluation/911 based on symptoms (no symptoms detected in AI outputs; confirm whether patient reported symptoms or if this was templated). No escalation resolution is documented.
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight monitoring (2026-06-04 19:04 UTC to 2026-06-05 19:04 UTC) identified a single BP measurement of 148/96 at 18:15 UTC (HR 85). This meets ACOG criterion for Stage 1 hypertension (=140/90) but does not reach Stage 2 (=160/110). No symptom documentation was recorded by the AI (0 symptoms detected), and there were no EPDS assessments reported.
 
Two AI assessments returned “Severe” severity with low risk (score 0.30) at 18:16 and 18:46 UTC; however, the only available objective datum was the BP 148/96, and the second assessment occurred without an additional BP entry. An alert was generated at 18:58 UTC (“Severe Alert”), with status Open and SLA pending; no resolution event is documented.
 
A care message was sent to the patient at 18:27 UTC with urgent instructions to proceed to the nearest emergency room or call 911 “based on symptoms” (symptoms not substantiated in the provided dataset). No antihypertensive therapy or additional BP trend (rising/falling) can be determined beyond the single reading.
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight (2026-06-04 18:59 UTC to 2026-06-05 18:59 UTC), the most critical finding was a borderline severe-range BP reading: 148/96 at 18:15 UTC (HR 85). This meets ACOG Stage 1 threshold (=140/90) with no evidence of Stage 2 (=160/110) in the available data. No symptom documentation or EPDS changes were provided; AI symptom flags repeatedly reported 0 symptoms.
 
Two AI verdicts were generated (18:16 and 18:46) with Severity categorized as “Severe” but low clinical risk assigned (BP risk assessed as low given available data; no additional BP, hypertensive diagnoses, or antihypertensive medication details provided). An alert at 18:58 (“Severe Alert — …”) remains open with resolution pending (SLA pending).
 
Escalation/communication: an urgent SMS message was sent at 18:27 UTC advising emergency evaluation/911 based on symptom screening; symptom screen later reflected 0 symptoms, but the alert remains unresolved.
 
Recommendation: Same-day clinician review is warranted to reconcile the severity alert with the limited BP dataset and determine need for antihypertensive workup/management per hypertensive pregnancy protocols.
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight (2026-06-04 18:54 UTC to 2026-06-05 18:54 UTC), the critical data point was a single elevated BP: 148/96 at 18:15 (pulse 85). This represents ACOG Stage 1 hypertension threshold crossing by diastolic (=90/Stage 1), but does not meet Stage 2 (no =160 systolic or =110 diastolic) and there were no repeat readings to assess trend (single measurement; no rising/falling trend determinable).
 
Two AI severity outputs were recorded at 18:16 and 18:46 with severity labeled “Severe” and score 0.30; however, contextual reasoning indicates low risk with no detected symptoms and no hypertensive comorbidity/antihypertensive medication data available. No formal clinical alerts were triggered in the monitoring system.
 
Escalation: An urgent SMS message was sent at 18:27 advising emergency evaluation based on symptom screening (no symptoms were detected per AI summaries). No EPDS data available and no EPDS changes reported.
 
Care gaps/uncertainty: Lack of additional BP measurements and absence of symptom documentation limit interpretation of persistence or progression of hypertension overnight.
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight monitoring 2026-06-04 18:54 UTC to 2026-06-05 18:54 UTC: Single BP recorded at 18:15 — 148/96 mmHg (HR 85). This meets ACOG Stage 1 hypertension threshold (=140/90) with diastolic =90, but is below Stage 2 (=160/110). No additional BP values were captured overnight to assess trend (data limited to a single reading). No symptom detections were recorded by the AI screening (0 symptoms). AI severity flags were entered at 18:16 and 18:46 (Severity=Severe, Score=0.30), though risk was characterized as low; one entry attributed severity to gestational context while noting no symptoms and BP “within normal range,” creating an internal inconsistency given the documented 148/96. No escalation alerts were generated in the system (0 alerts). One urgent care message was sent to the patient at 18:27 via SMS advising immediate ER evaluation or calling 911 if symptomatic.
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight 18:49 UTC (6/4) to 18:49 UTC (6/5), only one BP documented: 18:15 UTC = 148/96 mmHg (HR 85). This meets ACOG Stage 1 hypertension threshold (=140/90) but not Stage 2 (=160/110). No additional BP readings were available overnight, so trend (rising/stable/falling) cannot be assessed. AI severity flags were recorded at 18:16 and 18:46 UTC as “Severe” (score 0.30), but both assessments documented no symptoms (0 symptoms detected) and low physiologic risk; the second entry was limited by absence of BP data and lacked information on antihypertensive use or hypertensive diagnosis confirmation. No alerts were triggered in the system (0 alerts). One urgent SMS message was sent at 18:27 UTC instructing the patient to present to the nearest emergency room or call 911 based on symptoms; however, no symptoms were captured in the AI verdicts and there is no EPDS data available.
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight monitoring (18:48 UTC 6/4 to 18:48 UTC 6/5) shows a single documented BP of 148/96 at 18:15 UTC (HR 85). This meets ACOG Stage 1 hypertension threshold (=140/90) but is below Stage 2 (=160/110). No additional BP trend data are available during the interval (no other readings recorded). No symptoms were detected on AI screening, and there were no recorded alerts requiring automated escalation. Despite the single Stage 1 BP, AI severity flagged as “Severe” (score 0.30) largely in the context of incomplete data/gestational stage; however, risk was assessed as low and no hypertensive diagnosis/antihypertensive therapy information was available in the provided dataset. An SMS message was sent at 18:27 UTC urging urgent ER evaluation based on symptoms (content indicates high urgency), but no symptom evidence is present in the data provided. EPDS was not reported overnight.
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight monitoring (18:44 UTC 6/4 to 18:44 UTC 6/5) showed a single elevated BP reading: 148/96 at 18:15 (HR 85). This meets **ACOG Stage 1 hypertension criteria** (=140/90) but does **not** reach Stage 2 thresholds (=160/110). No escalation alerts were triggered and there were no documented symptoms overnight. An AI severity assessment at 18:16 reported Severity=Severe (score 0.30), with risk deemed low and no symptoms detected; note that gestational context was flagged as second-trimester in the AI logic. A care message was sent at 18:27 via SMS with urgent ER/911 instructions based on symptom screening; however, symptom data in the AI readout did not indicate active symptoms. No EPDS change available (no scores reported).
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight BP: 148/96 at 18:15 UTC (HR 85). This meets Stage 2 threshold by diastolic (=110 is Stage 2; however diastolic here is 96, so overall BP does not cross Stage 1 threshold for either systolic =140 or diastolic =90? Systolic 148 is Stage 1; diastolic 96 is also Stage 1). No additional BP readings were recorded during the monitoring window, so trend assessment is limited (single value). No symptom data or escalation alerts were documented; AI severity flagged “Severe” (score 0.30) despite low symptom risk (0 symptoms) and no threshold crossing to =160/110. An urgent SMS was sent at 18:27 UTC instructing emergency evaluation/911 based on symptom-based triage (resolution status not documented). No EPDS assessments were recorded overnight. No alerts were generated in the system.
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight monitoring (18:39 UTC to 18:39 UTC): Single BP reading at 18:15 UTC showed 148/96 mmHg with pulse 85. This meets ACOG stage 1 threshold (=140/90) based on diastolic >90; not at stage 2 (=160/110). No additional BP trends available (only one value). No symptom data were detected, and no alerts were generated by the system. AI severity classification reported “Severe” (score 0.30) at 18:16 UTC, citing gestational context (stage indicated as second trimester) despite low risk/low symptom burden on the verdict. An urgent SMS was sent at 18:27 UTC instructing the patient to go to the nearest emergency room or call 911; escalation status/resolution is not documented. EPDS was not assessed/provided.
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight (2026-06-04 18:38 UTC to 2026-06-05 18:38 UTC), the only documented blood pressure was 148/96 mmHg at 18:15 UTC (HR 85). This meets ACOG Stage 1 range by diastolic (=90) but does not reach Stage 2 (=160/110). No trend assessment is possible due to single reading; no escalation alerts were triggered. At 18:16 UTC, an AI verdict flagged severity as “Severe” (score 0.30) but noted low symptom burden (0 symptoms detected) with gestational context labeled “second_trimester” and BP considered within the reported “normal range” by the model. No additional vitals, symptoms, or laboratory data are available in this interval. No EPDS assessments were recorded. An urgent SMS was sent at 18:27 UTC advising evaluation at the nearest ER or calling 911 based on “symptoms”; however, no symptoms are documented in the provided dataset and no alert reconciliation is available. No resolution of escalation is documented overnight.
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight monitoring showed a single BP of 148/96 mmHg at 18:15 UTC (pulse 85). This meets ACOG Stage 1 hypertension threshold (=140/90) but does not reach Stage 2 (=160/110). No additional BP trend data are available overnight. AI assessment at 18:16 UTC flagged “Severe” severity with risk score 0.30 despite no symptoms detected and no concomitant alerts recorded. No EPDS changes were captured. An SMS care message was sent at 18:27 UTC indicating urgent evaluation for potential symptoms (ER/911 instructions); chart does not document symptom presence or resolution status related to that message.
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight monitoring from 2026-06-04 18:33 UTC to 2026-06-05 18:33 UTC: one BP reading recorded at 18:15 with 148/96 (HR 85). This is above the ACOG Stage 1 threshold for diastolic (=90) but below Stage 2 (no =160/110). No additional BP trend data available overnight (single measurement; cannot assess rising/falling). AI alerting classified overall severity as “Severe” (score 0.30) despite low detected symptom burden (0 symptoms) and no active alerts logged; chart reasoning notes gestational context as second trimester. No EPDS changes documented. One care escalation message was sent at 18:27 via SMS instructing urgent ED evaluation/call 911 based on symptom triage, but symptom data were not present in the provided dataset and no escalation resolution status is recorded.
 
Key gaps for morning review: confirm gestational age, obtain symptom review (headache, visual changes, RUQ pain, dyspnea), and correlate with any subsequent/confirmatory BPs or labs not included here.
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight (2026-06-04 18:28 UTC to 2026-06-05 18:28 UTC), the most critical data point was blood pressure 148/96 at 18:15 UTC (pulse 85). This reading meets Stage 1 range for hypertension by ACOG criteria (=140/90) but does not reach Stage 2 (=160/110). No additional BP trends are available beyond this single measurement. AI severity flagged “Severe” in the gestational context, with low symptom risk and no symptoms detected (score 0.30). No alerts were generated by the monitoring system. An SMS care message was sent at 18:27 UTC advising urgent evaluation in the emergency department/911 based on symptom-based logic; however, concurrent AI-reported symptom burden was low and no specific symptoms were documented. EPDS was not collected overnight.
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight (2026-06-04 18:28 UTC to 2026-06-05 18:28 UTC), there was a single BP measurement of 148/96 at 18:15 UTC (HR 85). This represents Stage 2 threshold crossing for diastolic (=90) with BP in the Stage 1 range by systolic (=140) and diastolic in the 90–109 band; however, there were no readings =160 systolic or =110 diastolic (no Stage 2 by standard BP criteria). No symptoms were detected in the available system data. AI severity was flagged as “Severe” (score 0.30) at 18:16 UTC, but with low risk/low symptom profile per the report; no escalation alerts were generated. An urgent SMS was sent to the patient at 18:27 UTC instructing emergency evaluation; resolution status is not documented. No EPDS assessments were recorded overnight.
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight monitoring (6/4 18:23 UTC–6/5 18:23 UTC) captured a single BP at 18:15: 148/96 with pulse 85. This represents diastolic elevation (96) and crosses the ACOG Stage 1 threshold for diastolic BP (=90) with systolic below 140; no Stage 2 threshold (=160/110) was met. No symptoms were detected per AI assessment, and there were no alerts or care messages sent during this interval. AI severity was documented as “Severe” (score 0.30) with no detected symptom burden; no EPDS data available overnight.
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight period 2026-06-04 18:23 UTC to 2026-06-05 18:23 UTC. Single BP recorded at 18:15: 148/96 mmHg with pulse 85. This meets ACOG Stage 1 threshold by diastolic (=90) but does not reach Stage 2 (=160 systolic or =110 diastolic). No trend assessment possible with only one reading. No symptom alerts were triggered (0 symptoms detected) and no escalation events occurred. AI severity flagged as “Severe” (score 0.30) with noted gestational context labeled “second_trimester,” but risk assessment indicated low overall risk and no clinical alerts were generated. No care messages were sent. No EPDS data available overnight.
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight monitoring (2026-06-04 18:18 UTC to 2026-06-05 18:18 UTC): Single BP recorded at 18:15 UTC—148/96 mmHg (HR 85). This meets Stage 2 range by systolic criteria (=140) and diastolic =90 (ACOG threshold crossing for concern), though not at Stage 2 severe thresholds (no reading =160/110). No additional BP trends available (only one measurement). No symptoms detected per monitoring and no escalation alerts were triggered. One AI severity flag was generated (AI verdict at 18:16 UTC: Severity=Severe, score 0.30), but clinical dataset shows no accompanying symptom data and no hypertensive emergency-range pressures. No care messages were sent overnight. EPDS not available/assessed.
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight monitoring (2026-06-04 18:17 UTC to 2026-06-05 18:17 UTC) showed a single elevated BP reading: 18:15—148/96 mmHg (pulse 85). This meets Stage 1 hypertension threshold by diastolic (=90) but does not reach Stage 2 (=160/110). No additional BP measurements were recorded to confirm a rising/trending pattern. No symptom/clinical deterioration was detected (AI symptoms flagged as none; score 0.30). No alerts were triggered and no care messages were sent overnight. EPDS was not assessed/provided.
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight BP monitoring (2026-06-04 17:27 UTC to 2026-06-05 17:27 UTC) showed a critical transient severe outlier followed by partial improvement. Most recent readings: 17:22 BP 148/96 (pulse 85) — diastolic remains elevated (ACOG Stage 1 threshold reached for diastolic =90) but below Stage 2 (no systolic =160 or diastolic =110 documented). Prior readings: 17:16 BP 135/85 (pulse 80) consistent with Stage 1 by diastolic only; 17:15 BP 120/80 (pulse 100) normal.
 
Most concerning event occurred at 17:16 BP 195/180 (pulse 150), which exceeds ACOG Stage 2 thresholds (=160/=110) and was classified as Severe by the monitoring system. No symptoms were detected in the associated AI assessments. An alert was generated at 17:18 (“Severe Alert”) and remains Open with SLA pending; escalation resolution is not documented. Two urgent SMS messages were sent at 17:18 advising emergency evaluation/calling 911 and then a follow-up message indicating “moderate for now.”
 
EPDS: not obtained/reported.
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight monitoring (2026-06-04 17:23 UTC to 2026-06-05 17:23 UTC) was notable for a critical hypertensive reading at 17:16 (195/180, pulse 150), which exceeds ACOG Stage 2 threshold (=160/=110) and triggered a Severe AI severity (score 0.70). Subsequent measurements did not confirm persistent severe hypertension: BP at 17:22 was 148/96 (pulse 85), remaining in severe classification per the AI but meeting only Stage 1 diastolic criteria (=140/90 crossed via diastolic 96). Earlier BPs were normal-to-mildly elevated: 17:15 120/80 (pulse 100) and 17:16 135/85 (pulse 80). No symptoms were detected on AI review (0 symptoms across readings). An alert (“Severe Alert …” at 17:18) remains Open with SLA pending; care escalated with two urgent SMS communications at 17:18 advising emergency evaluation/911 and notifying that findings were “moderate for now.” No EPDS assessments were recorded.
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight BP monitoring (2026-06-04 17:22 UTC to 2026-06-05 17:22 UTC) shows a critical hypertensive outlier followed by persistent elevation. Readings: 17:15 120/80 (HR 100) and 17:16 135/85 (HR 80) were below ACOG Stage 1 threshold. At 17:16, a marked spike occurred: 195/180 (HR 150), which meets/exceeds ACOG Stage 2 criteria (=160/=110). Subsequent BP at 17:22 was still elevated at 148/96 (HR 85), crossing ACOG Stage 1 threshold by diastolic (=90) but not meeting Stage 2. AI severity classification escalated from Low (17:15, score 0.00) to Moderate (17:16, score 0.15) and then to Severe (17:17, score 0.70) corresponding to the 195/180 event. No symptoms were detected in associated AI assessments. A “Severe Alert” was generated at 17:18 with status Open and SLA Pending. Two SMS messages were sent at 17:18: one requesting urgent ER evaluation/911 if symptomatic (triage language), and a follow-up message stating it “looks moderate for now” after review; resolution of the open alert is not documented. No EPDS data available.
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight monitoring (2026-06-04 17:18 UTC to 2026-06-05 17:18 UTC) is dominated by a critical hypertensive spike. At 17:16 UTC, BP recorded 195/180 with pulse 150; this meets/exceeds ACOG Stage 2 severe-range threshold (=160 systolic and/or =110 diastolic) and was the only reading crossing severe criteria. Preceding values showed improvement/stability: 120/80 at 17:15 UTC and 135/85 at 17:16 UTC (both below ACOG thresholds). No symptoms were detected in AI adjudications for any interval; severity rating increased from Low (score 0.00 at 17:15) ? Moderate (score 0.15 at 17:16) ? Severe (score 0.70 at 17:17) corresponding to the severe BP event.
 
An alert was generated at 17:18 UTC (“Severe Alert”; status open; SLA pending). Two SMS messages were sent at 17:18 UTC: one with urgent instruction to go to the nearest emergency room/call 911, and a follow-up message indicating it “looks moderate for now.” No EPDS assessments were documented.
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by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

MATERA AI Assessment
Severity: Moderate
Composite Score: 0.150
 
- Risk: Low — BP 135/85 within normal range
- Symptom: Low — 0 symptoms detected
- Gestational: Moderate — stage=second_trimester
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 0.700
 
- Risk: Severe — BP 195/180 exceeds ACOG Stage 2 threshold (>=160/>=110)
- Symptom: Low — 0 symptoms detected
- Gestational: Severe — stage=second_trimester
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight BP monitoring showed a critical isolated hypertensive event at 17:16 with marked spike to 195/180 (pulse 150). Preceding/trending readings were lower and remained below ACOG Stage 1 thresholds: 17:15 120/80 (pulse 100), and 17:16 135/85 (pulse 80). At 17:17, the AI classified severity as Severe with BP 195/180 exceeding ACOG Stage 2 criteria (=160 systolic and/or =110 diastolic). No alerts were recorded and no care messages were sent. No symptoms were detected per AI review, and EPDS was not assessed overnight.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 0.300
 
- Risk: Low — BP 148/90 within normal range
- Symptom: Low — 0 symptoms detected
- Gestational: Severe — stage=second_trimester
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 0.300
 
- Risk: Low — BP 148/96 within normal range
- Symptom: Low — 0 symptoms detected
- Gestational: Severe — stage=second_trimester
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight BP monitoring (2026-06-04 13:19 UTC to 2026-06-05 13:19 UTC) showed a brief elevation in systolic pressures without sustained hypertensive range: 158/80 at 12:18 UTC, 152/80 at 12:20 UTC (both above ACOG Stage 1 threshold for systolic =140/90; no diastolic =90), then normalization to 120/80 at 12:35 UTC. Trend: mildly elevated and stable (158?152) followed by resolution (to 120).
 
AI triage flagged “Severe” at 12:19 and 12:20 (score 0.60) with preeclampsia-related symptom flags (2 symptoms detected), despite BP values not reaching Stage 2 (no =160 systolic or =110 diastolic). At 12:33 severity remained listed as Severe (score 0.60) though no symptoms were detected; at 12:35 severity downgraded to Low (score 0.00) with symptom resolution.
 
An urgent “Severe Alert” was generated at 12:19 UTC and remains Open with SLA breached. Care message was sent at 12:19 UTC advising immediate emergency evaluation / call 911 if symptomatic. No EPDS data available.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight review (2026-06-04 13:12 UTC to 2026-06-05 13:12 UTC): Elevated BPs noted early with subsequent normalization. At 12:18 BP 158/80 (HR 72) and at 12:20 BP 152/80 (HR 72). These readings approach ACOG Stage 1 threshold (=140/90), but diastolic remained <90 and systolic never reached =160/110; no ACOG Stage 2 crossing documented. By 12:35 BP returned to 120/80 (HR 72), representing a clear downward trend back to baseline.
 
System severity outputs were inconsistent with the recorded BP values: AI flagged “Severe” at 12:19 and 12:20 (score 0.60) citing preeclampsia flags despite “risk low” with BP values in the normal range; an alert was generated at 12:19 (“Severe Alert” status open, SLA breached). At 12:33 AI remained “Severe” (score 0.60) but without symptom flags; at 12:35 AI downgraded to “Low” (score 0.00).
 
Escalation: 12:19 severe alert opened; resolution status not documented (remains open).
 
Patient communication: 12:19 SMS sent instructing urgent ED evaluation/call 911 based on symptoms.
 
EPDS: Not available/no score changes reported.
0

Consult note

by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 0.600
 
- Risk: Low — BP 158/80 within normal range
- Symptom: Severe — 2 symptoms detected [PREECLAMPSIA FLAG]
- Gestational: Severe — stage=second_trimester
- Cross-correlation: Preeclampsia symptoms with borderline BP (risk_score=0.62)
 
[PREECLAMPSIA FLAG] — Elevated risk indicators detected.
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 0.300
 
- Risk: Low — BP 120/80 within normal range
- Symptom: Severe — 2 symptoms detected [PREECLAMPSIA FLAG]
- Gestational: Low — stage=second_trimester
- Cross-correlation: Preeclampsia symptoms with borderline BP (risk_score=0.10)
 
[PREECLAMPSIA FLAG] — Elevated risk indicators detected.
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 0.300
 
- Risk: Low — BP 120/80 within normal range
- Symptom: Severe — 2 symptoms detected [PREECLAMPSIA FLAG]
- Gestational: Low — stage=second_trimester
- Cross-correlation: Preeclampsia symptoms with borderline BP (risk_score=0.12)
 
[PREECLAMPSIA FLAG] — Elevated risk indicators detected.
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 0.300
 
- Risk: Low — BP 130/100 within normal range
- Symptom: Low — 0 symptoms detected
- Gestational: Severe — stage=second_trimester
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 0.700
 
- Risk: Severe — BP 140/120 exceeds ACOG Stage 2 threshold (>=160/>=110)
- Symptom: Low — 0 symptoms detected
- Gestational: Severe — stage=second_trimester
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 0.700
 
- Risk: Severe — BP 170/130 exceeds ACOG Stage 2 threshold (>=160/>=110)
- Symptom: Low — 0 symptoms detected
- Gestational: Severe — stage=second_trimester
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 0.700
 
- Risk: Severe — BP 150/120 exceeds ACOG Stage 2 threshold (>=160/>=110)
- Symptom: Low — 0 symptoms detected
- Gestational: Severe — stage=second_trimester
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 0.700
 
- Risk: Severe — BP 165/150 exceeds ACOG Stage 2 threshold (>=160/>=110)
- Symptom: Low — 0 symptoms detected
- Gestational: Severe — stage=second_trimester
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 4 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 0.300
 
- Risk: Low — BP 132/100 within normal range
- Symptom: Low — 0 symptoms detected
- Gestational: Severe — stage=second_trimester
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 4 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 0.700
 
- Risk: Severe — BP 130/120 exceeds ACOG Stage 2 threshold (>=160/>=110)
- Symptom: Low — 0 symptoms detected
- Gestational: Severe — stage=second_trimester
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 4 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 0.700
 
- Risk: Severe — BP 163/140 exceeds ACOG Stage 2 threshold (>=160/>=110)
- Symptom: Low — 0 symptoms detected
- Gestational: Severe — stage=second_trimester
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 4 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 0.700
 
- Risk: Severe — BP 140/120 exceeds ACOG Stage 2 threshold (>=160/>=110)
- Symptom: Low — 0 symptoms detected
- Gestational: Severe — stage=second_trimester
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 4 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 0.700
 
- Risk: Severe — BP 185/125 exceeds ACOG Stage 2 threshold (>=160/>=110)
- Symptom: Low — 0 symptoms detected
- Gestational: Severe — stage=second_trimester
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 4 days ago | 0 comments

MATERA AI Assessment
Severity: Moderate
Composite Score: 0.150
 
- Risk: Low — No BP data, hypertensive conditions, or antihypertensive medications available
- Symptom: Moderate — 1 symptoms detected
- Gestational: Low — stage=second_trimester
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 4 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 1.000
 
- Risk: Severe — BP 175/150 exceeds ACOG Stage 2 threshold (>=160/>=110)
- Symptom: Severe — 2 symptoms detected [PREECLAMPSIA FLAG]
- Gestational: Severe — stage=second_trimester
- Cross-correlation: Preeclampsia pattern: edema, headache with elevated BP (acog_stage2_hypertension)
 
[PREECLAMPSIA FLAG] — Elevated risk indicators detected.
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 4 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 0.300
 
- Risk: Low — BP 60/40 within normal range
- Symptom: Severe — 2 symptoms detected [PREECLAMPSIA FLAG]
- Gestational: Low — stage=second_trimester
- Cross-correlation: Preeclampsia symptoms with borderline BP (risk_score=0.85)
 
[PREECLAMPSIA FLAG] — Elevated risk indicators detected.
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 4 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 1.000
 
- Risk: Severe — BP 160/130 exceeds ACOG Stage 2 threshold (>=160/>=110)
- Symptom: Severe — 2 symptoms detected [PREECLAMPSIA FLAG]
- Gestational: Severe — stage=second_trimester
- Cross-correlation: Preeclampsia pattern: edema, headache with elevated BP (acog_stage2_hypertension)
 
[PREECLAMPSIA FLAG] — Elevated risk indicators detected.
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 4 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 0.300
 
- Risk: Low — BP 120/50 within normal range
- Symptom: Severe — 2 symptoms detected [PREECLAMPSIA FLAG]
- Gestational: Low — stage=second_trimester
- Cross-correlation: Preeclampsia symptoms with borderline BP (risk_score=0.05)
 
[PREECLAMPSIA FLAG] — Elevated risk indicators detected.
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 4 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 1.000
 
- Risk: Severe — BP 220/150 exceeds ACOG Stage 2 threshold (>=160/>=110)
- Symptom: Severe — 2 symptoms detected [PREECLAMPSIA FLAG]
- Gestational: Severe — stage=second_trimester
- Cross-correlation: Preeclampsia pattern: edema, headache with elevated BP (acog_stage2_hypertension)
 
[PREECLAMPSIA FLAG] — Elevated risk indicators detected.
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 4 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 0.700
 
- Risk: Severe — BP 220/150 exceeds ACOG Stage 2 threshold (>=160/>=110)
- Symptom: Low — 0 symptoms detected
- Gestational: Severe — stage=second_trimester
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 4 days ago | 0 comments

MATERA AI Assessment
Severity: Moderate
Composite Score: 0.150
 
- Risk: Low — BP 130/85 within normal range
- Symptom: Low — 0 symptoms detected
- Gestational: Moderate — stage=second_trimester
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 5 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 0.450
 
- Risk: Low — BP 130/85 within normal range
- Symptom: Severe — 2 symptoms detected [PREECLAMPSIA FLAG]
- Gestational: Moderate — stage=second_trimester
- Cross-correlation: Preeclampsia symptoms with borderline BP (risk_score=0.28)
 
[PREECLAMPSIA FLAG] — Elevated risk indicators detected.
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 5 days ago | 0 comments

MATERA AI Assessment
Severity: Moderate
Composite Score: 0.150
 
- Risk: Low — BP 130/85 within normal range
- Symptom: Low — 0 symptoms detected
- Gestational: Moderate — stage=second_trimester
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 5 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 0.450
 
- Risk: Low — BP 130/85 within normal range
- Symptom: Severe — 2 symptoms detected [PREECLAMPSIA FLAG]
- Gestational: Moderate — stage=second_trimester
- Cross-correlation: Preeclampsia symptoms with borderline BP (risk_score=0.22)
 
[PREECLAMPSIA FLAG] — Elevated risk indicators detected.
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 5 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 1.000
 
- Risk: Severe — BP 150/132 exceeds ACOG Stage 2 threshold (>=160/>=110)
- Symptom: Severe — 2 symptoms detected [PREECLAMPSIA FLAG]
- Gestational: Severe — stage=second_trimester
- Cross-correlation: Preeclampsia pattern: headache, nausea with elevated BP (acog_stage2_hypertension)
 
[PREECLAMPSIA FLAG] — Elevated risk indicators detected.
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 5 days ago | 0 comments

MATERA AI Assessment
Severity: Moderate
Composite Score: 0.150
 
- Risk: Low — BP 130/85 within normal range
- Symptom: Low — 0 symptoms detected
- Gestational: Moderate — stage=second_trimester
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 5 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 0.300
 
- Risk: Low — BP 120/80 within normal range
- Symptom: Severe — 2 symptoms detected [PREECLAMPSIA FLAG]
- Gestational: Low — stage=second_trimester
- Cross-correlation: Preeclampsia symptoms with borderline BP (risk_score=0.10)
 
[PREECLAMPSIA FLAG] — Elevated risk indicators detected.
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 6 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 0.700
 
- Risk: Severe — BP 300/120 exceeds ACOG Stage 2 threshold (>=160/>=110)
- Symptom: Low — 0 symptoms detected
- Gestational: Severe — stage=second_trimester
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 6 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 1.000
 
- Risk: Severe — BP 200/100 exceeds ACOG Stage 2 threshold (>=160/>=110)
- Symptom: Severe — 5 symptoms detected [PREECLAMPSIA FLAG]
- Gestational: Severe — stage=second_trimester
- Cross-correlation: Preeclampsia pattern: edema, headache, nausea, shortness_of_breath, visual_disturbance with elevated BP (acog_stage2_hypertension)
 
[PREECLAMPSIA FLAG] — Elevated risk indicators detected.
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 6 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 0.700
 
- Risk: Severe — BP 200/100 exceeds ACOG Stage 2 threshold (>=160/>=110)
- Symptom: Low — 0 symptoms detected
- Gestational: Severe — stage=second_trimester
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 6 days ago | 0 comments

MATERA AI Assessment
Severity: Moderate
Composite Score: 0.150
 
- Risk: Low — BP 135/80 within normal range
- Symptom: Low — 0 symptoms detected
- Gestational: Moderate — stage=second_trimester
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 6 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 1.000
 
- Risk: Severe — BP 165/100 exceeds ACOG Stage 2 threshold (>=160/>=110)
- Symptom: Severe — 0 symptoms detected
- Gestational: Severe — stage=second_trimester
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 6 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 1.000
 
- Confidence-weighted downgrade: Severe ? Moderate (confidence=0.40 < 0.5)
- Risk: Severe — BP 165/100 exceeds ACOG Stage 2 threshold (>=160/>=110)
- Symptom: Severe — 4 symptoms detected [PREECLAMPSIA FLAG]
- Gestational: Severe — stage=unknown
- Cross-correlation: Preeclampsia pattern: epigastric_pain, headache, nausea, visual_disturbance with elevated BP (acog_stage2_hypertension)
 
[PREECLAMPSIA FLAG] — Elevated risk indicators detected.
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 6 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 0.700
 
- Confidence-weighted downgrade: Severe ? Moderate (confidence=0.40 < 0.5)
- Risk: Severe — BP 165/100 exceeds ACOG Stage 2 threshold (>=160/>=110)
- Symptom: Low — 0 symptoms detected
- Gestational: Severe — stage=unknown
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 6 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 1.000
 
- Confidence-weighted downgrade: Severe ? Moderate (confidence=0.40 < 0.5)
- Risk: Severe — BP 195/120 exceeds ACOG Stage 2 threshold (>=160/>=110)
- Symptom: Severe — 3 symptoms detected [PREECLAMPSIA FLAG]
- Gestational: Severe — stage=unknown
- Cross-correlation: Preeclampsia pattern: epigastric_pain, headache, visual_disturbance with elevated BP (acog_stage2_hypertension)
 
[PREECLAMPSIA FLAG] — Elevated risk indicators detected.
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 6 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 0.700
 
- Confidence-weighted downgrade: Severe ? Moderate (confidence=0.40 < 0.5)
- Risk: Severe — BP 195/120 exceeds ACOG Stage 2 threshold (>=160/>=110)
- Symptom: Low — 0 symptoms detected
- Gestational: Severe — stage=unknown
 
0

Consult note

by User Interconnect | on Camila Maria Lopez | 6 days ago | 0 comments

MATERA AI Assessment
Severity: Severe
Composite Score: 0.700
 
- Confidence-weighted downgrade: Severe ? Moderate (confidence=0.40 < 0.5)
- Risk: Severe — BP 230/120 exceeds ACOG Stage 2 threshold (>=160/>=110)
- Symptom: Low — 0 symptoms detected
- Gestational: Severe — stage=unknown
 
0

Progress note

by Physician Family Medicine, MD | on Camila Maria Lopez | 3 years ago | 0 comments

Subjective
Patient ID: Camila Maria Lopez is a 35 y.o. female.
 
Chief Complaint:
No chief complaint on file.
 
HPI
 
The following portions of the patient's history were reviewed in this encounter and updated as appropriate: Vaccine administration
 
Review of Systems
 
Objective
Physical Exam
 
Assessment/Plan
There are no diagnoses linked to this encounter.
0

Instructions

by Sebastian Zhang | on Camila Maria Lopez | 3 years ago | 0 comments

Fluconazole (Diflucan), Itraconazole (Sporonox), and Ketoconazole
 
These medications are antifungal medications used to treat ringworm, athlete’s foot, yeast infections, tinea versicolor, nail fungus, and other fungal infections. They are all dosed a little differently so please pay attention to the instructions on the bottle so that the medication is taken properly. Taking them with an acidic beverage such as coke or orange juice will improve absorption into the blood stream.
 
Side effects include:
  1. Increased liver enzymes and liver damage
    1. This is more common with ketoconazole and itraconazole.
    2. Long term therapy (> 1 month) will require blood tests to evaluate liver enzymes.
  2. Drug interactions
    1. Your doctor will review your active medication list to ensure there are no interactions with these medications. Please let all of your physicians know when you are taking one of these medications.
  3. Nausea, vomiting, diarrhea, upset stomach
  4. Headaches
  5. Rashes
  6. Abnormal taste sensation
    1. This is a side effect of fluconazole.
  7. Worsening of heart failure and fluid retention
    1. This is a side effect of itraconazole.