PAJAMAZEROAUTONOMOUS TRIAGE

Apex Health System • Dr. Reynolds • IM In-Basket

Patient • Clinical ComplaintAcuity • Route
Robert ChenMRN-84920
⚡ 68.4msA10

Tight chest pressure and feeling dizzy

Dr. Reynolds, I was out mowing the lawn about 45 minutes ago and started getting this tight, heavy squeezing...

EMERGENCYToday, 8:42 PM
Maria RodriguezMRN-72314
⚡ 64.2msA2

Medication Refill: Atorvastatin 20mg

Hello, I am down to my last 3 tablets of Atorvastatin 20mg. Can you please authorize a 90-day refill to my...

MA POOLToday, 8:15 PM
David MillerMRN-65829
⚡ 66.8msA5

Left knee is swollen and stiff after playing pickleball

Hi Doctor, 4 days ago I twisted my left knee during a pickleball match. It didn't pop, but by next morning it...

SCHEDULINGToday, 7:50 PM
Elena RostovaMRN-91204
⚡ 69.1msA8

Biopsy Results in portal: High Grade Lesion (CIN-3)

Dr. Reynolds, I just received an alert that my cervical punch biopsy pathology report was uploaded to MyChart...

MD INBOXToday, 7:22 PM
James WilsonMRN-33418
⚡ 61.5msA1

Thank you!

Just wanted to send a quick note of thanks to Dr. Reynolds and Nurse Sarah. The antibiotic eye drops cleared...

ARCHIVEDToday, 6:58 PM
Sarah JenkinsMRN-44912
⚡ 65msA2

Work Excuse Note for Monday & Tuesday

Hi clinic staff, I suffered a debilitating migraine attack on Monday that left me bedridden with light sensitivity...

MA POOLToday, 6:30 PM
Arthur PendeltonMRN-18239
⚡ 70.3msA10

Right arm feels numb and slurred speech

Hello Dr. Reynolds, my husband Arthur asked me to write this because his right hand feels suddenly heavy and...

EMERGENCYToday, 6:05 PM
Chloe VanceMRN-55201
⚡ 67.2msA4

Request for Wegovy / Zepbound Prescription

Hi Dr. Reynolds! A coworker of mine lost 35 pounds on Wegovy and I would really like to start on a GLP-1 weight...

SCHEDULINGToday, 5:40 PM
Michael ChangMRN-78190
⚡ 69.5msA8

Urgent: Routine lab shows high Potassium 5.7

Dr. Reynolds, my routine lab results just came in on MyChart: Serum Potassium is 5.7 mmol/L (flagged critical...

MD INBOXToday, 5:15 PM
Patricia GomezMRN-10294
⚡ 63.8msA1

Handicap parking for my appointment on Thursday

Good afternoon, my daughter is driving me to my cardiology follow-up this Thursday at 10 AM. I use a walker and...

MA POOLToday, 4:45 PM
Brenda FosterMRN-39482
⚡ 68.9msA8

Post-Op Day 4: Yellow oozing at incision and fever 101.3

Dr. Reynolds, I had laparoscopic cholecystectomy (gallbladder removal) 4 days ago. Today the umbilical incision...

MD INBOXToday, 4:10 PM
Marcus SterlingMRN-60318
⚡ 66.1msA4

Lingering dry cough for past 3 weeks

Hi, I had a standard head cold about 3 weeks ago that cleared up, but I've been left with this persistent dry...

SCHEDULINGToday, 3:30 PM
Harold HughesMRN-22194
⚡ 63.5msA1

Itemized Superbill for Supplemental Insurance

To the billing department: My Medicare supplemental insurance (Plan G) requires an itemized statement showing...

MA POOLToday, 2:55 PM
Lisa MoralesMRN-88491
⚡ 61.2msA1

Follow-up confirmed

Hi team, confirming that I received the reminder for my routine 6-month thyroid ultrasound next month on Oct 24th...

ARCHIVEDToday, 2:10 PM
Samuel AdamsMRN-47209
⚡ 64.9msA2

Weekly Home Blood Pressure Log Submission

Dr. Reynolds, here is my weekly blood pressure log as instructed at our last visit: Mon: 134/84 (HR 72) Tue: 130/82...

MA POOLToday, 1:40 PM
RC

Robert Chen

MRN-84920

Age 62 • Gender M • Primary Payer: BlueCross BlueShield PPO

Emergency Red-Flag
Blood Pressure154/96mmHg
Heart Rate108bpm
Oxygen Sat94%Room Air
Temperature98.8°FOral Core
Pain Rating8/10Critical
Documented Clinical History

CAD s/p stent (2021), Hypertension, Hyperlipidemia

Active Medication Regimen
Aspirin 81mgAtorvastatin 40mgMetoprolol Succinate 50mg
Inbound Clinical Communication•Today, 8:42 PM
Portal: Epic MyChart

Tight chest pressure and feeling dizzy

Dr. Reynolds, I was out mowing the lawn about 45 minutes ago and started getting this tight, heavy squeezing pressure in the center of my chest. It radiates a little into my left shoulder and jaw. Broke into a cold sweat. Sat down with some water but it isn't easing up. Should I wait till tomorrow or come by the clinic?

JEV System One Decision Trace

68.4ms • $0.000030JEV System One (OpenRouter: typesafe/jev-1.13)
Choice Primitive (Lane)01_EMERGENCY_DIVERTCategorical routing
Score Primitive (Acuity)Acuity Level 10 / 101-10 clinical calibration
Noul Primitive (MD License)REQUIRED (MD)Probabilistic boolean
Execution Latency Benchmark28x Faster Than Standard LLMs
⚡ JEV System One: 68.4ms ($0.000030)Standard LLM: ~1,800ms ($0.015000)
Clinical Triage Rationale: Evaluated by JEV System One (OpenRouter: typesafe/jev-1.13) (100% confidence). Safe routing to Emergency Red-Flag Divert.

Clinical Order & Delegation Slip

Assigned To: Emergency Services (911 / Local ER)

IMMEDIATE OVERRIDE: Advise patient not to drive; call 911 immediately.

🚨 CRITICAL NOTICE: Your symptoms require emergency medical care. Please dial 911 immediately.

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