It is well understood that an individual's health trajectory is influenced by choices made in each moment, such as from lifestyle or medical decisions. With the advent of modern sensing technologies, individuals have more data and information about themselves than any other time in history. How can we use this data to make the best decisions to keep the health state optimal? We propose a generalized Personal Health Navigation (PHN) framework. PHN takes individuals towards their personal health goals through a system which perpetually digests data streams, estimates current health status, computes the best route through intermediate states utilizing personal models, and guides the best inputs that carry a user towards their goal. In addition to describing the general framework, we test the PHN system in two experiments within the field of cardiology. First, we prospectively test a knowledge-infused cardiovascular PHN system with a pilot clinical trial of 41 users. Second, we build a data-driven personalized model on cardiovascular exercise response variability on a smartwatch data-set of 33,269 real-world users. We conclude with critical challenges in health computing for PHN systems that require deep future investigation.
翻译:人们清楚地知道,个人的健康轨迹受到每个时刻作出的选择的影响,例如生活方式或医疗决定。随着现代遥感技术的出现,个人对自己拥有的数据和信息比历史上任何其他时间都多。我们如何利用这些数据作出最佳决定,保持健康状况的最佳决定?我们建议了一个普遍的个人健康导航框架。PHN通过一个系统,通过一个永久消化数据流、估计当前健康状况、利用个人模型计算通过中间国家实现的最佳路径,并指导携带用户达到其目标的最佳投入。除了描述一般框架外,我们还在心脏学领域的两个实验中测试PHN系统。首先,我们有望在41个用户的临床试验中测试一个知识化的心血管PHN系统。第二,我们在33 269个现实世界用户的智能观察数据集上建立一个心血管运动反应变异性的数据驱动个人化模型。我们的结论是,在PHN系统的健康计算中存在重大挑战,需要在今后进行深入调查。