Moderate and improving. Cortisol rhythm is the leading driver (77/100), with dopaminergic tone close behind. Score is down 39.699999999999996 points since baseline (-5/30d). Pattern matches Burnout.
Trajectory
Score across every panel, fitted against elapsed days
Direction is called from the fitted slope against its own standard error, so visit count, spacing and scatter decide what counts as a real move.
Systems
What's holding the score up
Key findings
Ranked by the same severity that drives the score
- 77Cortisol rhythm is the leading driver (77/100).
- 95Blunted awakening response — CAR -22.8% (healthy 36.1–113).
- 72Dopaminergic tone low — dopamine 97.2 µmol/mol (healthy 115–247).
Markers driving the score
Measured against the healthy population's central 95% — dashboard-side detail, not part of the HPS score
| Marker | Value | Expected | Load |
|---|---|---|---|
Cortisol awakening response Cortisol rhythm | -22.8 % | 36.1 – 113 | 95 |
Cortisol (evening) Cortisol rhythmEVI1 | 2.95 nmol/L | 0.41 – 2.59 | 74 |
5-HIAA Serotonergic toneEVI2 | 1.08 mmol/mol | 1.31 – 2.83 | 73 |
Dopamine Dopaminergic toneEVI2 Low drive/motivation context. Confounders: 12h urine; creatinine-normalised; diet. | 97.2 µmol/mol | 114.6 – 246.7 | 72 |
Cortisol (night) Cortisol rhythmEVI1 | 1.27 nmol/L | 0.26 – 1.16 | 71 |
DOPAC Dopaminergic toneEVI3 | 1.19 mg/g | 1.07 – 2.93 | 51 |
5-HIAA : serotonin Serotonergic tone | 0.02 ratio | 0.02 – 0.06 | 48 |
DHEA Anabolic balanceEVI2 | 0.74 nmol/L | 0.62 – 1.94 | 47 |
Pillars
The behavioural levers
Behavioural levers are reported by the care team — no biochemical panel measures them, and they do not enter the score.
Read quality
What this score rests on, and what it does not account for
Weights and calibration are not shown here — they live in the clinical validation console. This screen shows the decomposition and drivers, not the engine internals.
Confidence
Derived from panel completeness — 100% of scored markers present, 100% of the HPA and anabolic core.
Provenance · L0 → L7
How BIO_STRESS_SCORE became 14.6 · T2 — every layer, with what it produced
Every value above is read from this patient's own panel at render time. Sub-weights, thresholds and the phenotype posterior are withheld — they are engine internals, restricted to model governance on de-identified data.