Prototype v1.02 — Mock data. Not production-secure. Demo: libby@example.com / demo1234
Dashboard
Situation room — active matters, urgent items, recent activity
UrgentODSP review response due within 10 days. Draft letter ready for review.
12
Evidence items
6
Active needs
3
Draft letters
4
Missing evidence
Current active matter
| Matter | Status | Next action |
|---|---|---|
| ODSP Stabilization | Needs Action | Response letter due in 10 days |
| OT Equipment Referral | In Progress | Adjustable bed referral pending OT sign-off |
| London University Intake | Pending | Awaiting appointment confirmation |
| DSO Accessibility File | Pending | Follow up with facilitator |
Confirmed facts / Missing evidence
Confirmed
- Crohn's disease with high-output ileostomy
- TBI with executive dysfunction
- Chronic malnutrition - documented
- ODSP recipient - active file
- OT assessment completed March 2026
Missing Evidence
- Vendor quote - adjustable bed frame
- Letter of Medical Necessity (LMN)
- Funding eligibility confirmation
- London University appointment date
Case Overview
Summary of confirmed facts, current status, and active gaps
Quick SummaryComplex chronic illness case with active ODSP file, OT equipment needs, and pending specialist intake. Primary gaps: LMN and vendor quote for equipment referral.
Active matter
Principal: Demo User (Member 001 / PATIENT_ZERO)
Matter opened: January 2026
Primary support: Kellsie Hnatejko (Partner / Director of Client Experience, NATICO)
Status: Active - Needs Review
Confirmed diagnoses and conditions
- Crohn's disease — high-output ileostomy Confirmed
- Traumatic Brain Injury (TBI) — abnormal pain sensing, executive dysfunction Confirmed
- Chronic malnutrition Confirmed
- Chronic spinal instability Confirmed
Active administrative matters
| Matter | File / Reference | Status |
|---|---|---|
| ODSP | Mock file 309250326 | Needs Action |
| OT Equipment Referral | OT-EQ-2026-001 | Draft |
| London University Intake | Pending | Inferred |
| DSO / Accessibility | Pending | Pending |
| Dental Reconstruction | CDCP / ODSP | Pending |
Timeline
Chronological life and medical events
Key events
March 2026
OT Assessment completed
Functional limitations documented. Equipment needs identified. Confirmed
February 2026
Clinical note - spinal instability
Deterioration documented as progressive over 6 months. Confirmed
January 2026
ODSP review initiated
Review letter received. Response deadline pending. Needs Action
June 2025
Housing instability began
No fixed address since June 2025. Currently residing in Fergus, ON. Confirmed
2024
Ileostomy surgery
High-output ileostomy. Surgical care at Juravinski Hospital. Confirmed
Life Events
Surgeries, moves, losses, administrative deadlines, benefit disruptions
Event log
| Date | Type | Event | Status |
|---|---|---|---|
| Mar 2026 | Medical | OT assessment completed - equipment referral initiated | Confirmed |
| Jan 2026 | Administrative | ODSP review letter received - response required | Needs Action |
| Jun 2025 | Housing | No fixed address - temporary placement Fergus ON | Confirmed |
| 2024 | Surgical | Ileostomy procedure - Juravinski Hospital, Hamilton | Confirmed |
| Ongoing | Access barrier | Transport barrier - appointment attendance impacted | Confirmed |
| Ongoing | Nutritional | Chronic malnutrition - monitored by McMaster 2F Clinic | Confirmed |
Patient Realities
Plain language notes describing day-to-day functioning
Current realities
PurposeThese entries describe how conditions affect daily function in plain language. They are designed to be pulled into referral letters and professional summaries.
Cognitive overload and task paralysis
ConfirmedPhone calls, multi-step administrative tasks, and time-pressured requests frequently cause task paralysis. Written communication strongly preferred. Asynchronous interaction required for reliable responses.
Memory fragmentation
ConfirmedTBI causes inconsistent short-term recall. Cannot reliably reproduce information shared in previous conversations without written record. External memory systems are not a preference - they are a medical necessity.
Physical repositioning barrier
ConfirmedChronic spinal instability prevents safe independent repositioning during sleep. Standard bed frame does not support head/foot elevation. Waking pain level documented at 8/10.
Appointment burden
ConfirmedHigh volume of specialist, home care, and administrative appointments. Transport barriers compound attendance difficulty. Preparation time for each appointment significantly exceeds typical patient load.
Experiences
Narrative accounts of significant system encounters
System encounter log
Hospital discharge without coordination
ConfirmedDischarge occurred without confirmed home care setup. Gaps in ostomy supply and wound care coordination in first 72 hours post-discharge.
Administrative looping - ODSP
ConfirmedMultiple requests for same documentation across review cycles. No single point of contact maintaining continuity. Each interaction requires full re-explanation of medical situation.
Inaccessible communication - clinic
ConfirmedClinic contact by phone only. No email or written option provided. Phone communication creates documented barrier given TBI and cognitive fatigue profile.
Patient Truths
Stable, high-confidence reusable statements about functioning and recurring needs
How these are usedPatient Truths are designed to be pulled directly into letters, summaries, and referral documents. They are stable, pre-approved statements that do not need to be re-written each time.
Active patient truths
Written communication is a medical accommodation requirement
ConfirmedDue to TBI-related executive dysfunction and memory fragmentation, written communication is required for reliable participation in care planning, administrative processes, and legal/benefit matters.
High-output ileostomy requires daily clinical management
ConfirmedOngoing ostomy care requires specialized supplies, nursing support, and nutritional monitoring. This is not a stable managed condition - it is an active daily clinical need.
Administrative tasks are a documented disability barrier
ConfirmedThe burden of managing complex multi-agency administrative demands constitutes a disability-related barrier under the AODA and Ontario Human Rights Code. Accommodation is required, not discretionary.
External memory systems are clinical infrastructure, not preference
ConfirmedStructured documentation systems compensate for TBI-related memory deficits. Their use is a medical necessity equivalent to a mobility aid or hearing device.
Evidence Library
Source cards - emails, records, notes, documents, transcripts
Filter
Clinical note - spinal instability
ConfirmedDocuments progressive spinal deterioration over 6 months. Confirms inability to safely reposition independently. Source: Juravinski Clinical Note Feb2026.
Home assessment - March 2026
ConfirmedStandard bed frame confirmed as inadequate for head/foot elevation needs. Assessment conducted by OT.
ODSP review letter
ConfirmedReview initiated by ODSP. Response deadline established. Letter received and filed.
Patient truth log v2
ConfirmedPain level 8/10 upon waking documented. Repositioning barrier confirmed across multiple entries.
Surgical record - ileostomy
ConfirmedHigh-output ileostomy procedure at Juravinski Hospital. Dr. Shawn Forbes (Colorectal/Stoma).
Vendor quote - adjustable bed frame (S-Series)
Missing EvidenceFormal quote not yet obtained. Required for funding application. Next step: contact supplier.
Letter of Medical Necessity (LMN)
Missing EvidenceSigned LMN from primary physician not yet obtained. Draft request letter ready for review.
Funding eligibility confirmation
Missing EvidenceProvincial benefit program eligibility not yet confirmed for equipment funding.
ODSP response letter draft
DraftDraft response to ODSP review letter. Needs professional review before submission.
OT Support
Occupational therapy workflow - equipment needs, referral status, documentation
Equipment needs and referral status
Adjustable bed frame (S-Series)
Needs Review
▼
Functional limitation: Cannot safely reposition during sleep. 8/10 pain upon waking. Chronic spinal instability prevents independent adjustment.
Documentation available: Clinical note Feb 2026, home assessment Mar 2026, pain log.
Still needed: Vendor quote, signed LMN from physician, funding eligibility confirmation.
Draft letter availableOT referral letter draft ready for review and signature.
TENS machine
In Progress
▼
Functional limitation: Chronic pain management. Current pharmaceutical management inadequate for daily function.
Documentation available: Pain log, clinical notes.
Still needed: OT recommendation letter, physician support.
Blood pressure monitor
Confirmed Need
▼
Functional limitation: Home monitoring required given instability profile and high appointment burden.
Documentation available: Clinical record confirms monitoring requirement.
Functional limitation summary for OT
Draft
▼
Draft summaryPatient presents with complex chronic illness profile (Crohn's / high-output ileostomy, TBI, chronic malnutrition, spinal instability) requiring daily clinical management and multiple equipment supports. Full documentation available in Evidence Library. Patient Truths available for incorporation into OT report.
Draft Letters
Referral requests, accommodation letters, appointment prep summaries
Review requiredAll draft documents must be reviewed by a qualified professional before submission. Status labels indicate readiness.
ODSP review response letter
Needs ReviewRe: ODSP File Review - Response to Request for Information. I am writing in response to the review notice received January 2026. The following documentation confirms my ongoing eligibility and current medical status...
Adjustable bed referral - physician LMN request
DraftDear Dr. [Primary Physician], I am writing to request a Letter of Medical Necessity (LMN) for an adjustable bed frame for my patient [Name]. Based on the clinical note from February 2026 and the home assessment completed March 2026...
Accommodation request - written communication
DraftThis letter requests a formal accommodation for written communication in all interactions. Due to a documented Traumatic Brain Injury (TBI) resulting in executive dysfunction and memory fragmentation, telephone-only communication constitutes a barrier...
Libby
Evidence-aware advocacy assistant - conservative, structured, citation-labelled
How Libby worksLibby never presents inferred information as confirmed. Every response includes a confidence label and source citation where applicable. Libby is not a clinical advisor.
Try a demo prompt:
Prepare me for my OT visit
Draft an adjustable bed referral letter
Summarize my current barriers in plain language
What records do I have related to my surgery?
Show confirmed facts versus what is still missing
Contacts
Key people, roles, last contact, notes
Care and support team
Kellsie Hnatejko
Primary Support Person / Director of Client Experience, NATICO
Role: Personal support, business partner, system navigator
Michelle Klis, RN, BScN
Care Coordinator, Ontario Health atHome
Contact: Ontario Health atHome | Phone: 1-888-883-3313 ext. 2237
Vanessa Skwira
Operations Manager / OT Coordinator, Care Partners
Email: Vanessa.Skwira@carepartners.ca | Phone: (519) 504-1373
Valerie Banville
ODSP Caseworker
Ministry contact for ODSP file. Phone: (519) 623-1230
Nancy Plater
DSO Regional Director, Sunbeam / DSO Central West
Housing and accessibility file. Contact via DSO.
Account Settings
Authentication is mocked via localStorage. This is not a production-secure session.
Session information
| libby@example.com | |
| Account type | Demo |
| Session | Active (mock localStorage) |
| Email verified | Confirmed (mock) |
| 2FA | Not enabled |
Production authentication path
Recommended production target: Supabase Auth (email/password, verification, session handling, TOTP 2FA). The auth module exposes the same API surface a real auth provider would need. Replace mock functions in auth.js with Supabase client calls.