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Findings the chart repeats, and the step that never followed

A value is abnormal once and it is a result. Abnormal twice, and it is a criterion. Mosaic reads the chart along the time axis, names which criterion the record already meets, and which step that follows from it has not happened. It does not diagnose, and it does not predict.

Step 1
AKAnna Keller, 47 · Hypertension, prediabetes, LDL 162 mg/dl
Which findings were never followed up?
Finished thinking

Four open items across three years of record

Open findings

Open in this chart

Anna Keller, 47 · 16 September 2026 · Signed, in the chart

Never measured

  • Lipoprotein(a), once in a lifetimeLDL 162 with a father who had a myocardial infarction at 58. The ESC prevention guideline lists it as a risk modifier; the chart holds no result.

Documented twice, no step taken

  • HbA1c 5.6 → 5.9 % across three reportsAbove the threshold for the first time in May. No control ordered since.
  • ALT and GGT raised alongside hepatic steatosis on ultrasoundAge, AST, ALT and platelets are all in the chart. FIB-4 was never calculated.

Recommended and not done

  • Tetanus-diphtheria booster, due since August 2025Noted at the check-up of May 2026, no appointment in the chart.

Sources

Lab 08.05.2026Ultrasound 08.05.2026Visit 14.03.2024ESC 2021

Assembled from 14 documents in the chart. Every line names the documents it rests on. Mosaic states which criterion is met; whether it applies to this patient is the physician's call.

Open the open findingsSee the full response

Step 2
Your practice · 143 charts connected · nothing leaves the practice
Which of our patients meet a criterion in their record without the step that follows?

Answered on 16 September 2026

Finished thinking

Four rules, run against the 143 charts this practice has connected. Thirty-one patients to review, each because the record already meets a criterion the guideline names, and the step that follows from it is not documented.

  • Nine patients: two eGFR values between 30 and 59, more than ninety days apart, with no chronic kidney disease in the chart. The criterion for stage 3 is two qualifying values, not one.
  • Six patients: three or more antihypertensives together with repeated hypokalaemia, and no aldosterone-to-renin ratio. Eur Heart J
  • Four patients: LDL above 190 mg/dl on two reports, with no assessment for familial hypercholesterolaemia. Eur Heart J
  • Twelve patients: age, AST, ALT and platelets all present and the FIB-4 never calculated. The score needs no new test. J Hepatol

Every line names the criterion the record meets, not a diagnosis, and no model is guessing: the rules are the ones the guidelines state. The charts were read where they are, and nothing left the practice.

See the full response