Elena Ramírez
64 years old · Type 2 · 12y diagnosis · MRN 199594
Scan adherence (28d)
86%
1-day streak
Offloading insole wear (14d)
83%
12/14 days
Last symptom report
Burning
Today
Most recent scan
Plantar pressure map
Peak pressure
>240 kPa is hotspot threshold
Pressure-time integral
Sustained load over gait cycle
Forefoot / rearfoot ratio
Normal 0.8–1.2
Contact area
Hotspot: 2nd metatarsal head (R)
Pressure history
Last 6 visitsScan adherence · 28 days
86% · 24/28 days
Patient-reported symptoms
Auto-imported- BurningToday
- TinglingYesterday
- All good3 days ago
Hospital integration
Live · FHIR R4Scan data flows automatically to Epic chart, podiatry referral queue, and FHIR export.
Epic chart
Synced 2s ago
Referral queue
Dr. Mensah notified
FHIR export
Observation · 201 Created
What-if simulator
Projected offload outcome
Drag to simulate a custom insole reducing pressure at 2nd metatarsal head (r). The heatmap and AI risk recompute against the Takata-trained model.
Ulcer risk
72
0 vs now
Peak kPa
287
0 vs now
% flatfoot
85
+35 vs now
Progression simulator · "do nothing" scenario
What happens if Elena isn't treated
Modeled from baseline pressure (287 kPa at 2nd metatarsal head (R)), published diabetic-foot ulcer onset curves, and the Takata pressure dataset. Hover the chart to walk week by week.
Untreated risk in 14 wks
98/100
Crosses ulcer threshold ~ week 2
With SoleGuard insole
23/100
Custom relief pocket + 80% wear adherence
Δ risk avoided
−75 pts
Approving insole below locks this trajectory in
Clinical milestones if untreated
Week 2 · Callus thickens
risk ≥ 60Repetitive shear at hotspot — keratin builds up, hiding deeper damage.
Week 5 · Sub-keratotic hemorrhage
risk ≥ 72Bleed under callus — classic pre-ulcer sign in neuropathic feet.
Week 8 · Grade 1 ulcer breaks skin
risk ≥ 84Full-thickness skin loss at the metatarsal head. Pain often absent due to neuropathy.
Week 11 · Deep / infected ulcer
risk ≥ 92Tendon or bone exposure risk. ~20% of these progress to osteomyelitis.
Week 14 · Amputation decision window
risk ≥ 97~50% of diabetic foot ulcers infect within a month; lower-limb amputation rate climbs sharply past this point.
AI ulcer-risk prediction
Risk trajectory · 8 weeks
Biomechanics · AI classifier
Foot-type analysis
Predicted
Flatfoot
Midfoot loading consistent with arch collapse.
Top contributing features
Auto-generated insole
Pending approval
Relief
−42% load
Material
EVA 55A
Lab
OrthoPrint NJ
Care actions