health-data skill

---
name: health-data-analysis
description: Specialized skill for analyzing personal health data, medical records, lab results, and supplement protocols. Use when working with health records, clinical data, lab values, or health optimization planning.
license: Proprietary
metadata:
  author: edescobar
  version: "1.0"
  privacy: personal-health-data
compatibility: Requires access to health/ directory and understanding of medical terminology
---

# 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:
1. Compare to reference ranges (provided in reports)
2. Track trends over time (historical data available)
3. Consider medication effects
4. Note supplement interactions
5. Flag concerning changes
6. 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:
1. Review current supplement list and timing
2. Check for interactions and overlaps
3. Consider lab results and trends
4. Align with medical provider recommendations
5. Document rationale for changes
6. 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
1. Read lab report PDF or data
2. Extract key values
3. Compare to reference ranges
4. Check historical trends
5. Identify concerns or improvements
6. Recommend follow-up actions

### Protocol Adjustments
1. Review current protocol in `context.md`
2. Identify need for change (labs, symptoms, goals)
3. Research interactions and evidence
4. Propose specific changes with rationale
5. Update timing schedules if needed
6. Set monitoring plan

### Health Data Export Analysis
1. Parse FHIR XML files
2. Extract relevant observations
3. Create structured summaries
4. Identify patterns or anomalies
5. 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