Health Data Analysis

Specialized skill for managing and analyzing personal health data, medical records, and optimization protocols.

When to use this skill

Use this skill when:

• Analyzing lab results and clinical data

• Reviewing health records (776 FHIR files available)

• Planning supplement protocols

• Tracking health metrics over time

• Interpreting medical reports

• Managing chronic conditions (Hashimoto's thyroiditis)

• Optimizing cardiovascular health

• Working with health data exports

Data Sources

Available Records

Location: health/ directory (1.3GB)

Contents:

• 776 FHIR-formatted clinical records (2017-2025)

• 405 diagnostic reports (comprehensive lab history)

• 333 observations (vital signs, measurements)

• 18 medication requests (prescription history)

• Lab results in PDF format

• Apple Health export data

• Workout routes and fitness data

Key Files

• clinical-history-summary.md : Overview of medical conditions

• context.md : Detailed health history and current protocols (30KB)

• function-health-report-2025-09-17.md : Functional health assessment

• lab-values-2025-09-17.md : Recent lab results

• export.xml and export_cda.xml : Complete health data exports

Medical Context

Primary Conditions

Hashimoto's Thyroiditis (2017-present)

• Autoimmune hypothyroidism

• Currently on levothyroxine 100 mcg

• TSH trending elevated (needs monitoring)

• TPO antibodies >900 IU/mL

• Requires careful supplement coordination

Cardiovascular Risk Management

• Elevated LDL-C (146 mg/dL)

• Homocysteine ~22.6 μmol/L (target <10)

• Active lipid management protocol

• Plant sterols, berberine, omega-3 supplementation

Other Conditions

• Kidney function monitoring (creatinine trending)

• Rosacea (facial and ocular)

• Mercury exposure (dietary)

• Parathyroid adenoma surveillance

Current Protocols

Supplement Regimen

Comprehensive protocol including:

• Thyroid support (selenium, myo-inositol)

• Cardiovascular support (omega-3, plant sterols, berberine)

• Methylation support (TMG, B-complex)

• Vitamins and minerals (D3, K complex, magnesium, zinc, copper)

• Hair health (Nutrafol Men)

• Cognitive support (L-theanine)

Important Interactions

• Levothyroxine timing: Empty stomach, 45-60 min before food

• Mineral separation: ≥4 hours from levothyroxine

• Biotin interference: Stop Nutrafol 3-5 days before thyroid labs

• Iodine monitoring: Nutrafol contains 225 mcg (watch thyroid function)

Dietary Approach

• Gluten-free Mediterranean diet

• Low-mercury fish emphasis

• 30-40g fiber daily

• Anti-inflammatory focus

Analysis Guidelines

Lab Result Interpretation

When analyzing labs:

• Compare to reference ranges (provided in reports)

• Track trends over time (historical data available)

• Consider medication effects

• Note supplement interactions

• Flag concerning changes

• Recommend timing for follow-up

Trend Analysis

Use historical data to:

• Identify patterns in thyroid function

• Track cardiovascular markers

• Monitor kidney function changes

• Assess supplement efficacy

• Detect emerging issues early

Protocol Optimization

When adjusting protocols:

• Review current supplement list and timing

• Check for interactions and overlaps

• Consider lab results and trends

• Align with medical provider recommendations

• Document rationale for changes

• Set follow-up monitoring schedule

Data Privacy

CRITICAL: This skill handles sensitive personal health information

• Never share specific health data externally

• Keep analyses within secure environment

• Maintain HIPAA-level privacy standards

• Document access and usage appropriately

Clinical Monitoring

Key Metrics to Track

Thyroid Function (every 6-8 weeks initially):

• TSH (target 1-2.5 mIU/L)

• Free T4

• Free T3

• Thyroid antibodies (TPO, TgAb)

Cardiovascular Risk (8-12 weeks):

• Lipid panel (total chol, LDL, HDL, TG)

• ApoB (target <90 mg/dL)

• Homocysteine (target <10 μmol/L)

• hs-CRP (inflammation)

• Omega-3 index

Kidney Function (as needed):

• Creatinine

• eGFR

• Cystatin C

• BUN

Nutritional Status (quarterly):

• Vitamin D (target 40-60 ng/mL)

• B12

• Folate

• Ferritin

Common Tasks

Reviewing New Labs

• Read lab report PDF or data

• Extract key values

• Compare to reference ranges

• Check historical trends

• Identify concerns or improvements

• Recommend follow-up actions

Protocol Adjustments

• Review current protocol in context.md

• Identify need for change (labs, symptoms, goals)

• Research interactions and evidence

• Propose specific changes with rationale

• Update timing schedules if needed

• Set monitoring plan

Health Data Export Analysis

• Parse FHIR XML files

• Extract relevant observations

• Create structured summaries

• Identify patterns or anomalies

• Generate visualizations if helpful

Best Practices

Evidence-Based Approach

• Reference clinical guidelines

• Use peer-reviewed research

• Consider functional medicine principles

• Balance optimization with safety

• Acknowledge limitations and uncertainty

Clear Communication

• Use plain language for complex concepts

• Provide context for recommendations

• Explain clinical significance

• Include both numbers and interpretation

• Suggest next steps clearly

Safety First

• Flag concerning values immediately

• Recommend medical consultation when appropriate

• Don't override provider recommendations

• Consider drug-supplement interactions

• Respect individual tolerance and preferences

Resources

Internal References

• health/context.md : Complete health history and protocols

• health/clinical-history-summary.md : Condition overview

• health/clinical-records/ : 776 FHIR files

• Lab PDFs for specific results

External Guidelines

• Thyroid management: ATA guidelines

• Cardiovascular risk: ACC/AHA guidelines

• Supplement safety: NIH databases

• Drug interactions: Clinical databases

Related Skills

• Use for medical data analysis

• Combine with note-management for organizing health documentation

• Use context-manager for complex health optimization projects