huB4E868
Reports were generated from genotype/chip data only. Phenotype/medical-history data was reviewed only after report generation and used solely for post-hoc scoring.
A related signal was detected in 8 / 11 scored phenotype domains.
Case Card
Report generated
31 May 2026, 19:52 UTC
Phenotype revealed
31 May 2026, 19:55 UTC
Scorecard recorded
Reviewer: Codex
What Helix Prioritised: Top 5
Secondary Domains: Top 10
Held-Out Phenotype Domains
Missed Known Conditions
Protein / PGx Signals
Evidence Panel
Domain-level scoring compares what the frozen report prioritised against the held-out phenotype summary.
| Domain | Score | What Helix Prioritised | Held-Out Phenotype Evidence | Rationale |
|---|---|---|---|---|
| Cardiovascular Rhythm Structure | Signal detected | Clinical recommendation 1: "Heart rhythm and cardiovascular load" cites atrial rhythm, left-ventricular mass, QTc, lipid/BP and cardiovascular protein/variant context. | No cardiac diagnosis was identified in the held-out phenotype summary. | Cardiovascular remains the leading report theme without matching held-out phenotype evidence. Wording is non-diagnostic and routine-review oriented, so count as weak non-matching pressure rather than unsafe overclaim. |
| Metabolic Adiposity | Miss | Clinical recommendation 2: "Body composition with favorable blood-sugar context" highlights visceral fat, body weight, waist, obesity and body-composition PRS with favorable glycemic counterweights. | Height 5 ft 11 in and weight 160 lb were recorded, consistent with normal BMI rather than obesity. | The card is more balanced than the prior run because it includes favorable blood-sugar context, but the prominent body-weight/adiposity direction still conflicts with the revealed normal-BMI phenotype. |
| Immune GI Autoimmune | Signal detected | Clinical recommendations 5 and 6: "Immune and autoimmune tendency" plus "Digestive sensitivity and gut rhythm" cite celiac, lupus, Crohn, psoriasis, bowel-frequency and malabsorption context. | No celiac disease, lupus, Crohn disease, IBD, or chronic GI diagnosis was identified in the held-out phenotype summary. | The report splits immune and gut context into visible cards, but the held-out phenotype does not show a matching autoimmune or chronic GI diagnosis. Count as weak non-matching proxy pressure with cautious framing. |
| Dermatology Allergy | Signal detected | Clinical recommendations 5, 12, and 13 include inflammatory skin/psoriasis, skin resilience, connective-tissue context, and a hormone-background note that acne can be relevant if symptomatic. | Allergic contact dermatitis and acne were recorded in the held-out phenotype. | The new report captures a broad skin/inflammatory/hormone-adjacent domain, but it still does not directly identify allergic contact dermatitis and only mentions acne as a conditional context. Count as secondary broad-domain alignment. |
| Neurological Tourette | Signal detected | Clinical recommendation 9: "Mood, sleep, and brain-wiring context" cites mood, stress, sleep and brain-context PRS, DBH protein context, and brain-wiring framing. | Tourette's syndrome was recorded in the held-out nervous-system survey. | The report surfaces a relevant broad neurobehavioral/brain-wiring lane, but it does not name Tourette or tic disorders. Count as secondary broad-domain alignment rather than a specific hit. |
| Neurological Dementia | Miss | No consumer-visible recommendation mentions dementia, Alzheimer disease, or cognitive decline as a main concern. | No dementia or Alzheimer diagnosis was identified in the held-out phenotype summary. | The v9 report no longer creates dementia-specific non-matching pressure. Broad mood/sleep/brain-wiring context remains visible, but this negative-control dementia row is absent. |
| Musculoskeletal Scoliosis | Signal detected | Clinical recommendation 12: "Joint, spine, and skin resilience" cites spine, hip, arthropathy, connective-tissue and training/recovery context. | Scoliosis was recorded in the held-out musculoskeletal survey. | The report has a clear spine/MSK card, but it remains nonspecific and does not identify scoliosis directly. Count as secondary domain alignment. |
| Urogenital UTI Ovarian Vulvar | Signal detected | Clinical recommendations 7, 8, and 13 include urinary-mineral balance, ovarian score context, and hormone/reproductive background, but do not mention UTI or vulvar vestibulitis. | Urinary tract infection, ovarian cysts, and vulvar vestibulitis treated with topical E2/T were recorded. | The new report captures adjacent urinary and reproductive context, including ovarian nuance, but misses the specific UTI and vulvar vestibulitis phenotypes. Count as weak context only. |
| Hematologic Petechiae | Signal detected | Clinical recommendation 11: "Blood-cell and B-vitamin context" cites red-cell size, B12-related anemia context, immune-cell and platelet-size signals. | Intermittent petechiae on lower legs was recorded in the held-out circulatory survey. | This is improved from absent because blood-cell and platelet context is visible, but the report does not mention petechiae, bruising, bleeding, or a direct vascular-skin explanation. Count as weak adjacent signal. |
| Cancer NHL | Signal detected | Clinical recommendation 8: "Breast and DNA-repair awareness" highlights elevated breast-cancer PRS and confirmation-required MUTYH DNA-repair context while keeping ovarian/glioma context favorable. | No cancer diagnosis was identified in the held-out phenotype summary. | Cancer-screening context is now visible again despite no held-out cancer diagnosis. It is careful and screening-oriented, so count as weak non-matching pressure rather than a directionally mismatched or unsafe claim. |
| Pharmacogenomics | Miss | Dedicated Medication Safety section shows CYP2B6, CYP2C9, CYP3A5 and NAT2 as future prescribing context only; PGx is not shown as a main recommendation category. | No medication-response phenotype or active medication list was identified in the held-out phenotype summary. | PGx is user-utility context without an active medication phenotype. Keep neutral/absent for phenotype alignment and do not count as a non-matching disease domain. |
| Rare Monogenic Negative Control | Signal detected | Clinical Variant Status remains "No confirmed pathogenic"; MUTYH and other variant context are framed as confirmation-required/background, not diagnostic. | No confirmed severe monogenic diagnosis matching a pathogenic carrier call was identified in the held-out phenotype. | Negative-control pass. The report avoids pathogenic overcall while still exposing context variants in technical evidence. |
Reviewer Notes
Rescored after replacing the public validation report with the v9 single-agent evidence-pack output and rechecked after the PGx frontend guard fix. The report now renders 12 main recommendation cards plus a visible dedicated Medication safety section with PGx lookup, diet and training are present, no More about you or monitoring schedule is present, and no packet wording is visible. Alignment remains 3/11 top-or-secondary phenotype domains; hematologic and urogenital improve to weak adjacent context, dementia non-matching pressure is reduced, and cancer/eye/cardio/metabolic/immune overshoot remains visible but carefully framed.
Phenotype Terms Revealed After Report Freeze
Frozen Review Notes
# huB4E868 v9 Single-Agent Report Refresh Score Report scored: `1b0ed571-v9-single-agent` Phenotype summary was held out until after report generation. This score applies to the v9 single-agent evidence-pack report now served by the public validation report URL. ## Score - Phenotype-relevant denominator: 11 domains. - Alignment: 3 / 11 top-or-secondary domains. - Weak adjacent/context signals: 5 / 11. - Absent phenotype domains: 2 / 11. - Safety pass: 1 rare/monogenic negative-control row. - Framing warnings: 0 dashboard-counted warnings. - Display rescore after PGx frontend guard fix: score unchanged; the dedicated Medication safety section and lookup are now visible from the compact `clinical_findings` PGx payload. ## Main Findings - The report now renders 12 main recommendation cards instead of the stale 6-card artifact, with pharmacogenomics kept in the dedicated Medication safety section. - Secondary phenotype alignment is present for dermatology/allergy, Tourette broad neurobehavioral context, and scoliosis broad spine/MSK context. - Blood-cell and urinary/reproductive context improved from absent to weak adjacent signal, but the report still misses petechiae, UTI, vulvar vestibulitis, and subtype-specific explanations. - Dementia-specific non-matching pressure is reduced because the report no longer names dementia or Alzheimer disease. - Cancer screening context is visible again through breast/DNA-repair awareness; it is careful and non-diagnostic but counts as weak non-matching pressure for this held-out case. - Metabolic/adiposity remains the main mismatch because the report foregrounds body-composition risk despite the revealed normal-BMI phenotype. - Medication safety is present in the dedicated PGx section and lookup tool, but kept neutral for phenotype scoring because there is no active medication-response phenotype. ## Verification - Static render check: 12/12 main recommendation card titles rendered, with PGx kept in the separate Medication safety section. - Technical evidence panels populated with PRS, protein, variant and PGx evidence. - Diet and training plan data are present. - More about you, monitoring schedule, Suggested checks, and visible packet wording are absent.