Eleanor Lewis

Age: 91
Date of birth: 17 Oct 1934
Identifier: SIM-000284

ArthritisHeart failureDiabetes

Care team

2 in the team

Who needs to be involved, and why

Every participant carries a reason and the record entry behind it, so the list can be checked rather than trusted. Colleagues other than the signed-in clinician are simulated for this demonstration.

Dr Maya Shah
Usual GP · Riverside Practice
Registered GP; holds the record.
Evidence
Registered GP on the patient record
Priya Ramansimulated
Heart failure specialist nurse · Northbank General
Heart failure indicator present in the record.
Evidence
Heart failure on the problem list, active, recorded 14 Feb 2026 (SIM-PROBLEM-3). NYHA class is not recorded in this record source.

Suggested by the record review

3 suggested

A read-only reading of the whole record, checked by a second pass. Each suggestion carries its reason and the record entries behind it. Nobody joins the team unless you add them.

Usual GP or responsible primary-care clinicianCore to the meetingalready on the team
Reconcile recent cardiovascular and blood-count follow-up, confirm current diagnoses and medicines, assess conversation readiness, and own any agreed plan and record updates.
The relevant symptom encounters and longitudinal problem list are GP-owned, making primary care the clearest documented coordinator.
- Eligible
  GP-owned resources include the heart-failure problem list, long-term-condition contacts, cardiovascular symptom encounters, and contact preference.
PatientCore to the meeting
Choose whether, when, and with whom to discuss priorities; describe goals, acceptable treatment burden, and preferred involvement of supporters.
This must be a voluntary, priorities-led conversation, and no wishes are currently documented.
- Eligible
  The snapshot records a telephone contact preference but does not document the patient's care priorities or planning wishes.
Role on the case
Cardiology or heart-failure clinician, if already involved or requested after reviewOptional
Clarify cardiac diagnosis, reversibility, treatment options, and likely trade-offs for an accurate planning discussion.
Active heart failure and progressive exertional chest symptoms are documented, but specialist involvement and disease severity are unknown.
- Eligible
  The GP record lists active heart failure and records increasingly provoked exertional chest pressure with sweating; no cardiology follow-up is shown.
Role on the case

Add a participant

Personal details

Full name

Eleanor Lewis

Date of birth

17 Oct 1934

Age

NHS number

not carried by this record source

Address

not carried by this record source

GP not recorded

Auto-filled from the patient record. SIM-000284

What matters to the patient

Their words come first. Set in the voice face, quoted, never paraphrased.

Capacity for this decision

required

Whether the person had capacity for this decision when it was made.

Patient's expressed wishes

required

In their own words, from the conversation.

Patient's expressed fears and concerns

What they are worried about, in their words.

What is most important to the patient about how they are treated

required

Where their priority sits between comfort and life-sustaining treatment.

Clinical context

The picture a colleague needs before reading the recommendations.

Diagnosis summary

required

The relevant conditions and recent events, as recorded.

Likely clinical trajectory

How things have been changing for this person, from the record.

Relevant active medications

Medicines that matter in an emergency, as the record lists them.

Recommendations for emergency care

Recommendations, not legally binding. Clinical judgement applies. This is not a DNACPR form.

CPR recommendation

required

A clinical recommendation agreed with the person; not legally binding and not a DNACPR form.

Rationale

Why, and who it was discussed with.

Escalation ceiling

required

The level of treatment the team recommends if the person becomes unwell.

Rationale

Why this ceiling, in a sentence a colleague can check.

Clinical priorities if the patient deteriorates

required

What should happen first, and who should be involved.

Signatures and review

0 of 7 required fields recorded.

Still needed: Capacity for this decision, Patient's expressed wishes, What is most important to the patient about how they are treated, Diagnosis summary, CPR recommendation, Escalation ceiling, Clinical priorities if the patient deteriorates.