The trend is the diagnosis. One TSH says little, three across two years say everything, and the tool must show them side by side.
Importing lab results removes the most dangerous typing. Copying values by hand produces transposed digits, and a transposition inside a dose calculation is not an administrative error.
Dose adjustment is documented like a prescription. Who moved from 75 to 100 micrograms, when and why, is the most useful line at the next visit.
The six-month check has to surface in the diary on its own. A chronic-disease clinic with no automatic recall loses patients every year that nobody even notices are gone.
Insured and self-funded work sit side by side in the same clinic. Keeping two billing routes clean within one appointment is the commonest source of error here.
The letter to the family doctor is part of the service. Built automatically from the recorded values and the dose change, it takes two minutes rather than twenty.