Differentially weighted modifiable prescribed history reporting apparatus, systems, and methods for decision support and health

Abstract

Apparatus, systems, and methods of health reporting are disclosed that enhance decision support and provide alerts when health deterioration or the need for intervention has been detected. Embodiments utilize combined pictorial representations (including physical, mental, and social health determinants) as an avatar or pictogram, comparing health status to a general or target population, and using different methods to represent and reinforce health status. The apparatus, systems, and methods further enable individuals to access their own medical records in a way that can be understood by them and therefore is more widely accessible. The invention enhances health reporting, improving utility, usability and desirability of health reporting tools.

What is claimed is: 
     
         1 . A method of determining a combinatorial pictorial visualization as representative of the health and wellbeing of a person, comprising the steps of:
 (a) receiving first input representative of a first one of a plurality of health and wellbeing factors and determining a pictorial visualization corresponding to the received first input from a first set of pictorial visualizations for the first one of the plurality of health and wellbeing factors, the first set of pictorial visualizations representing a progression between best and worst for the first one of the plurality of health and wellbeing factors;   (b) receiving second input representative of a second one of a plurality of health and wellbeing factors and determining a pictorial visualization corresponding to the received second input from a second set of pictorial visualizations for the second one of the plurality of health and wellbeing factors, the second set of pictorial visualizations representing a progression between best and worst for the second of the plurality of health and wellbeing factors; and   (c) combining the determined pictorial visualizations into a composite pictorial visualization.   
     
     
         2 . The method of  claim 1 , further comprising displaying the composite pictorial visualization. 
     
     
         3 . The method of  claim 2 , wherein the composite pictorial visualization is displayed to the person. 
     
     
         4 . The method of  claim 3 , further comprising displaying a second composite pictorial visualization to the person, wherein the second composite pictorial visualization is for another person. 
     
     
         5 . The method of  claim 3 , further comprising displaying a second composite pictorial visualization to the person, wherein the second composite pictorial visualization is for the same person but at a different time. 
     
     
         6 . The method of  claim 3 , further comprising displaying a second composite pictorial visualization to the person, wherein the second composite pictorial visualization is for an average person of a defined population against which the person is compared. 
     
     
         7 . The method of  claim 6 , wherein the predefined population comprise a predefined group of people of the same culture. 
     
     
         8 . The method of  claim 6 , wherein the predefined population comprise a predefined group of people of the same socioeconomic status. 
     
     
         9 . The method of  claim 6 , wherein the predefined population comprise a predefined group of people of the same learning difficulties. 
     
     
         10 . The method of  claim 6 , wherein the predefined population comprise a predefined group of people with high risks regarding a particular health condition or disease. 
     
     
         11 . The method of  claim 6 , wherein the predefined population comprise a predefined group of people with one or more common characteristics. 
     
     
         12 . The method of  claim 1 , wherein the composite pictorial visualization comprises an avatar. 
     
     
         13 . The method of  claim 12 , wherein the avatar is derived from a picture, video, or three dimensional scan of the person, or is derived from another real-life or previously alive or mythical person or character. 
     
     
         14 . The method of  claim 1 , wherein a combined pictorial visualization is displayed on a video screen during a conversation between two or more individuals to enhance communication amongst the individuals; is displayed on social media for sharing with selected individuals, groups of individuals, or the entire social network of the individual; is displayed for public view; or combination thereof. 
     
     
         15 . The method of  claim 14 , wherein the video screen comprises an augmented reality display built into glasses or a contact lens or other method of projecting data. 
     
     
         16 . The method of  claim 1 , wherein each composite pictorial visualization comprises an avatar that changes based on changes in input. 
     
     
         17 . The method of  claim 1 , wherein the composite pictorial visualization is displayed to a healthcare professional for enhanced clinical decision support. 
     
     
         18 . The method of  claim 1 , further comprising receiving third input representative of a third one of a plurality of health and wellbeing factors (determinant) and determining a pictorial visualization corresponding to the received third input from a third set of pictorial visualizations for the third one of the plurality of health and wellbeing factors, the third set of pictorial visualizations representing a progression between best and worst for the third of the plurality of health and wellbeing factors; and further combining the determined pictorial visualization into the composite pictorial visualization that is displayed to the person. 
     
     
         19 . The method of  claim 1 , further comprising displaying to the person the determined pictorial visualization corresponding to the received first input when receiving the first input such that a degree, level, or extent of the first one of the plurality of health and wellbeing factors is pictorially represented in the display. 
     
     
         20 . The method of  claim 1 , further comprising recording the composite pictorial visualization in non-transitory computer readable medium for later access. 
     
     
         21 . The method of  claim 1 , further comprising recording a chronological sequence of composite pictorial visualizations of the person in non-transitory computer readable medium; accessing the chronological sequence of composite pictorial visualizations; and displaying one or more of the composite pictorial visualizations of the sequence to the person. 
     
     
         22 . The method of  claim 1 , wherein the first input and the second input each is received from an electronic device 
     
     
         23 . The method of  claim 1 , wherein the first input and the second input each is received through a user interface of an electronic device 
     
     
         24 . The method of  claim 1 , wherein the first input and the second input each is received through a user control of a user interface of an electronic device. 
     
     
         25 . The method of  claim 1 , wherein the first input and the second input each is received through a slider control of a user interface of an electronic device. 
     
     
         26 . The method of  claim 1 , wherein the steps are performed on a mobile electronic device that is configured with software for performing the method. 
     
     
         27 . The method of  claim 1 , wherein the steps are performed on a tablet that is configured with software for performing the method. 
     
     
         28 . The method of  claim 1 , wherein the steps are performed on a smartphone that is configured with software for performing the method. 
     
     
         29 . The method of  claim 1 , wherein the steps are performed on a personal computing device that is configured with software for performing the method. 
     
     
         30 . The method of  claim 1 , wherein the steps are performed on a wrist-mounted personal electronic device that is configured with software for performing the method. 
     
     
         31 . The method of  claim 1 , wherein the steps are performed on a personal electronic wearable device that is configured with software for performing the method. 
     
     
         32 . The method of  claim 1 , wherein the first input and the second input each comprises user input. 
     
     
         33 . The method of  claim 1 , wherein at least one of the first input and the second input comprises input from a sensor 
     
     
         34 . The method of  claim 1 , wherein the plurality of health and wellbeing factors comprise physical, mental, and social factors. 
     
     
         35 . The method of  claim 1 , wherein the plurality of health and wellbeing factors pertain to coughing, swollen ankles, fatigue, and cyanosis. 
     
     
         36 . The method of  claim 35 , wherein the composite pictorial visualization is used an indicator of heart failure of the person. 
     
     
         37 . The method of  claim 1 , wherein the plurality of health and wellbeing factors pertain to alcohol or substance abuse, job satisfaction, home situation, and activity. 
     
     
         38 . The method of  claim 37 , wherein the composite pictorial visualization is used an indicator of likelihood of domestic violence. 
     
     
         39 . The method of  claim 1 , wherein the plurality of health and wellbeing factors pertain to feeling supported; mood; self-image; activity as self-assessed or measured by a wearable electronic device; and feelings of control. 
     
     
         40 . The method of  claim 39 , wherein the composite pictorial visualization is used an indicator of suicide risk. 
     
     
         41 . The method of  claim 1 , wherein the plurality of health and wellbeing factors pertain to discomfort, loneliness, itchiness, and shortness of breath. 
     
     
         42 . The method of  claim 41 , wherein the composite pictorial visualization is used an indicator of likelihood of hospital admission. 
     
     
         43 . The method of  claim 1 , wherein the method further comprises electronically communicating the composite pictorial visualization to a healthcare provider. 
     
     
         44 . The method of  claim 1 , wherein the method further comprises electronically communicating the composite pictorial visualization to, and recording the composite pictorial visualization in, an electronic healthcare record of the person. 
     
     
         45 . The method of  claim 44 , wherein the composite pictorial visualizations recorded in the person's electronic healthcare record are electronically accessible for generating a history or comparison of the health and wellbeing of the person over time. 
     
     
         46 . The method of  claim 44 , wherein the composite pictorial visualizations recorded in the person's electronic healthcare record are electronically accessible and are used to facilitate self, professional or automated decision making, support, audit, or guidance. 
     
     
         47 . The method of  claim 1 , wherein each composite pictorial visualization consists of no words. 
     
     
         48 . The method of  claim 1 , further comprising generating one or more alerts based on the composite pictorial visualization 
     
     
         49 . A health reporting apparatus that performs the method of  claim 1 . 
     
     
         50 . A health reporting system in which the method of  claim 1  is performed. 
     
     
         51 . An apparatus used in monitoring health and wellbeing of a person, comprising:
 (a) a display;   (b) one or more user inputs for receiving input from the person;   (c) machine readable medium;   (d) a processor; and   (e) computer readable instructions contained in computer readable medium which, when executed by the processor, perform a method comprising repeating, over a period of time, the steps of:
 (i) receiving first input representative of a first one of a plurality of health and wellbeing factors and determining a pictorial visualization corresponding to the received first input from a first set of pictorial visualizations for the first one of the plurality of health and wellbeing factors, the first set of pictorial visualizations representing a progression between best and worst for the first one of the plurality of health and wellbeing factors; 
 (ii) receiving second input representative of a second one of a plurality of health and wellbeing factors and determining a pictorial visualization corresponding to the received second input from a second set of pictorial visualizations for the second one of the plurality of health and wellbeing factors, the second set of pictorial visualizations representing a progression between best and worst for the second of the plurality of health and wellbeing factors; 
 (iii) combining the determined pictorial visualizations into a composite pictorial visualization; and 
 (iv) displaying the composite pictorial visualization on the display. 
   
     
     
         52 . The apparatus of  claim 51 , wherein the display and the user input are components of a touch screen. 
     
     
         53 . The apparatus of  claim 51 , wherein the apparatus comprises a consumer electronic device. 
     
     
         54 . The apparatus of  claim 51 , wherein the apparatus comprises a handheld consumer electronic device. 
     
     
         55 . The apparatus of  claim 51 , wherein the apparatus is portable. 
     
     
         56 . The apparatus of  claim 55 , wherein the apparatus is handheld. 
     
     
         57 . The apparatus of  claim 55 , wherein the apparatus is wearable. 
     
     
         58 . The apparatus of  claim 51 , wherein data regarding each composite pictorial visualization is electronically recorded such that it is accessible later for generating a history of the health and wellbeing of the person over the period of time. 
     
     
         59 . The apparatus of  claim 58 , further comprising a communications component by which the recorded data is communicated from the apparatus to another device whereat a history is generated of the health and wellbeing of the person over the period of time. 
     
     
         60 . The apparatus of  claim 58 , further comprising a wireless communications component by which the recorded data is communicated from the apparatus to another device whereat a history is generated of the health and wellbeing of the person over the period of time. 
     
     
         61 . The apparatus of  claim 60 , wherein the wireless communications component comprises a radio component. 
     
     
         62 . A system for monitoring health and wellbeing of a plurality of persons, comprising:
 (I) a plurality of computing devices each used by a respective person whose health and wellbeing are monitored, each computing device comprising,
 (a) a display; 
 (b) one or more user inputs for receiving input from the person; 
 (c) machine readable medium; 
 (d) a processor; and 
 (e) computer readable instructions contained in computer readable medium which, when executed by the processor, perform a method comprising repeating, over a period of time, the steps of:
 (i) receiving first input representative of a first one of a plurality of health and wellbeing factors and determining a pictorial visualization corresponding to the received first input from a first set of pictorial visualizations for the first one of the plurality of health and wellbeing factors, the first set of pictorial visualizations representing a progression between best and worst for the first one of the plurality of health and wellbeing factors; 
 (ii) receiving second input representative of a second one of a plurality of health and wellbeing factors and determining a pictorial visualization corresponding to the received second input from a second set of pictorial visualizations for the second one of the plurality of health and wellbeing factors, the second set of pictorial visualizations representing a progression between best and worst for the second of the plurality of health and wellbeing factors; 
 (iii) combining the determined pictorial visualizations into a composite pictorial visualization; 
 (iv) displaying the composite pictorial visualization on the display; and 
 (v) electronically communicating data regarding the composite pictorial visualization from the computing device; and 
 
   (II) one or more computing devices configured to,
 (a) receive the communicated data from the plurality of computing devices of the persons, and 
 (b) store the received data such that the data is accessible later for processing of the data. 
   
     
     
         63 . The system of  claim 62 , wherein the one or more computing devices of element (II) comprise one or more servers and the communicated data is received over the Internet. 
     
     
         64 . The system of  claim 62 , wherein at least one of the computing devices of element (I) is configured to electronically access the stored data and process the accessed data for generating a history of health and wellbeing of the person. 
     
     
         65 . An apparatus as disclosed herein. 
     
     
         66 . A system as disclosed herein. 
     
     
         67 . A method as disclosed herein. 
     
     
         68 . A method for automatically creating a computer-generated composite visualization based on multivariate health data for an individual, the method comprising:
 (a) displaying, to a user via a touchscreen display,
 (i) a first input control displayed in association with a first health question, 
 (ii) a second input control displayed in association with a second health question, and 
 (iii) a third input control displayed in association with a third health question, 
 (iv) wherein the first, second, and third health questions are all related to a first health metric; 
   (b) receiving, from the user via touching of the touchscreen display, first user input corresponding to interaction with the first input control;   (c) receiving, from the user via touching of the touchscreen display, second user input corresponding to interaction with the second input control;   (d) receiving, from the user via touching of the touchscreen display, third user input corresponding to interaction with the third input control;   (e) determining, based on the first user input, a first answer value associated with the first question;   (f) determining, based on the second user input, a second answer value associated with the second question;   (g) determining, based on the third user input, a third answer value associated with the third question;   (h) determining, based on the first answer value associated with the first question, a first score for the first answer by
 (i) accessing a sentiment value associated with the first question, 
 (ii) calculating the first score for the first answer based on the first answer value and the accessed sentiment value associated with the first question, wherein
 (A) if the sentiment value is positive, the first score is set to be the first answer value, 
 (B) if the sentiment value is negative, the first score is set to be the difference between the maximum possible first answer value and the input first answer value, and 
 (C) if the sentiment value is zero, the first score is calculated differently based on whether the first answer value was above or below the median possible first answer value; 
 
   (i) determining, based on the second answer value associated with the second question, a second score for the second answer by
 (i) accessing a sentiment value associated with the second question, 
 (ii) calculating the second score for the second answer based on the second answer value and the accessed sentiment value associated with the second question, wherein
 (A) if the sentiment value is positive, the second score is set to be the second answer value, 
 (B) if the sentiment value is negative, the second score is set to be the difference between the maximum possible second answer value and the input second answer value, and 
 (C) if the sentiment value is zero, the second score is calculated differently based on whether the second answer value was above or below the median possible second answer value; 
 
   (j) determining, based on the third answer value associated with the third question, a third score for the third answer by
 (i) accessing a sentiment value associated with the third question, 
 (ii) calculating the third score for the third answer based on the third answer value and the accessed sentiment value associated with the third question, wherein
 (A) if the sentiment value is positive, the third score is set to be the third answer value, 
 (B) if the sentiment value is negative, the third score is set to be the difference between the maximum possible third answer value and the input third answer value, and 
 (C) if the sentiment value is zero, the third score is calculated differently based on whether the third answer value was above or below the median possible third answer value; 
 
   (k) determining a weighted metric score for the first health metric by
 (i) accessing weight values associated with the first, second, and third questions, and 
 (ii) calculating the weighted metric score for the health metric utilizing the calculated first, second, and third scores and the accessed weight values; 
   (l) calculating a first image value for the first health metric based on the determined weighted metric score;   (m) accessing, from a data store containing a plurality of images associated with the first health metric, each image being associated with an image value, a first component image associated with the first image value;   (n) accessing, from a data store containing a plurality of images associated with a second health metric, each image being associated with an image value, a second component image associated with a second image value calculated in the same manner as the first image value;   (o) accessing, from a data store containing a plurality of images associated with a third health metric, each image being associated with an image value, a third component image associated with a third image value calculated in the same manner as the first image value;   (p) automatically combining the accessed first component image, the accessed second component image, and the accessed third component image to generate the composite visualization;   (q) displaying, to the user via the touchscreen display, the generated composite visualization.   
     
     
         69 . A method for automatically creating a computer-generated composite visualization based on multivariate health data for an individual, the method comprising:
 (a) displaying, to a user via a touchscreen display, a first graphical user interface including
 (i) a first slider input control displayed in association with
 (A) a label indicating a first health parameter, 
 (B) a first pictorial character image displayed proximate a first end of the first slider input control representing a first state of the first health parameter, and 
 (C) a second pictorial character image displayed proximate a second, opposite end of the first slider input control representing a second, opposite state of the first health parameter, and 
 
 (ii) a second slider input control displayed in association with
 (A) a label indicating a second health parameter, 
 (B) a first pictorial character image displayed proximate a first end of the second slider input control representing a first state of the second health parameter, and 
 (C) a second pictorial character image displayed proximate a second, opposite end of the second slider input control representing a second, opposite state of the second health parameter, and 
 
   (iii) a third slider input control displayed in association with
 (A) a label indicating a third health parameter, 
 (B) a first pictorial character image displayed proximate a first end of the third slider input control representing a first state of the third health parameter, and 
 (C) a second pictorial character image displayed proximate a second, opposite end of the third slider input control representing a second, opposite state of the third health parameter, and 
   (b) receiving, from the user via touching of the touchscreen display, first user input corresponding to positioning of a slider on the first slider input control;   (c) receiving, from the user via touching of the touchscreen display, second user input corresponding to positioning of a slider on the second slider input control;   (d) receiving, from the user via touching of the touchscreen display, third user input corresponding to positioning of a slider on the third slider input control;   (e) automatically determining, based on the location of the slider on the first slider input control following the first user input, a first health parameter value;   (f) accessing, based on the first health parameter value, a first component image stored in association with that health parameter value;   (g) automatically determining, based on the location of the slider on the second slider input control following the second user input, a second health parameter value;   (h) accessing, based on the second health parameter value, a second component image stored in association with that health parameter value;   (i) automatically determining, based on the location of the slider on the third slider input control following the third user input, a third health parameter value;   (j) accessing, based on the third health parameter value, a third component image stored in association with that health parameter value;   (k) automatically combining the accessed first component image, the accessed second component image, and the accessed third component image to generate the composite visualization;   (l) displaying, to the user via the touchscreen display, the generated composite visualization.   
     
     
         70 . A decision-support, trending and alerting system for clinical, social and self-care that utilizes quantified self-reported subjective and objective data; quantified observed subjective and objective data; and quantified measured data, all of which that relates to the health and wellbeing of individuals and communities. 
     
     
         71 . The system of  claim 70 , wherein each data type and subtype, where than can be several levels of subtypes, are assigned a fixed or modifiable:
 (a) weighting;   (b) error score (generally a range);   (c) sentiment (where sentiment is described as negative, positive, neutral or a combination that is assigned a shape);   (d) relevance (tightly associated with weight, where a cough may be highly relevant when associated with an individual with a heart condition, a smoker or someone who is short of breath, whereas could be deemed to be not as relevant when an individual as a painful finger, arthritis or was briefly exposed to an irritant); and   (e) patterning (tightly associated with weighting, relevance and sentiment and can be either:
 (i) expert defined where an expert can be an individual, committee or association; 
 (ii) computer defined where a learning algorithm recognizes a common pattern in an individual or a group of individuals defined by a commonality or commonalities 
   
     
     
         72 . The system of  claim 70 , where the components that relate to the outputs can be automatically weighted by the system dependent of the profile of the user. 
     
     
         73 . The system of  claim 72 , wherein for individuals with heart failure “swollen ankles” and “coughing” are more heavily weighted than for a fit athlete. 
     
     
         74 . The system of  claim 72 , wherein “coughing” over two days is more heavily weighted in an individual with respiratory disease and a history of hospitalization from this. 
     
     
         75 . The system of  claim 72 , wherein appetite in an individual having a history of suicide attempts is more heavily weighted. 
     
     
         76 . The system of  claim 72 , wherein loneliness in an individual having a history of hospitalization is more heavily weighted. 
     
     
         77 . The system of  claim 70 , wherein the data comes is self-reported (such as from online text reporting or picture reporting; is observed (such as by a family member, informal or formal career or medical professional); comes from wearable devices (such as activity trackers and heart rate monitors); comes from health and wellbeing devices (such as blood pressure monitors, glucometers or scales); comes from environmental devices (such as switches, movement sensors, door sensors, temperature sensors); and any combination thereof. 
     
     
         78 . The system of  claim 70 , wherein the impact or prediction of an event or intervention is analyzed by recording the social, mental and physical health metrics and used to predict or determine the impact of an event. 
     
     
         79 . The system of  claim 78 , further comprising visualizing the impact or prediction. 
     
     
         80 . A system as disclosed herein, wherein the system of evaluation and feedback is on a video screen, or equivalent as defined above, that people, including a potential virtual person, are using as a communications portal. 
     
     
         81 . A system as disclosed herein, wherein the purpose of the evaluation is to record the interactions from any parties perspective in a way that quantifies the qualitative nature of human interaction and communication and then further reinforces the interaction and through visualization of the outputs; and wherein the system also allows that evaluation and visualization quantification to be stored for later retrieval, analysis, event prediction or analysis of the impact of certain events or interaction. 
     
     
         82 . A system as disclosed herein, wherein the profile metrics as a whole or in part, for example activity level, or activity on the system, may be used as a point system for real or game environment situations where they may translate to real world benefits such as discounts for shopping or virtual world benefits such as for game points or being assigned to boost the health or status of a game avatar or component of a game. 
     
     
         83 . A system as disclosed herein, wherein health reporting tools provide users with integrated visualization of data utilizing animations that change depending on user input. 
     
     
         84 . A system as disclosed herein, wherein feedback is provided by combining physical, mental and social health determinants into a quantitative visualization using an avatar or other novel visualizations, comparing health status to the general/target population or using colors, external lines or shapes to represent and reinforce health status. 
     
     
         85 . A system as disclosed herein, wherein medical records are presented in an accessible way to encourage the use of such information for improving subsequent self-care; and wherein medical health records are integrated in an accessible pictogram format, which can be interpreted by individuals with a range of literacy levels. 
     
     
         86 . A system as disclosed herein, wherein uses representations of symptoms in an on-screen animated format is provided, including combining physical, mental and social health determinants in a single field of view, and separate components of each; wherein the assignment to symptoms of values, including weighting—whether automatic or by a user, range, sentiment, relevance and patterning is provided; wherein such data is entered into electronic health records for the purposes of decision support, trending and alert system; and wherein accessible and intuitive representations of health and wellbeing data, including combined quantitative visualization of physical, mental and social health, use of colors, external lines and shapes to represent and reinforce health status, and comparison of health status with the general population/target population, are enabled. 
     
     
         87 . A method for visualization of a quantitative overall health of an individual based on mental, social, and physical determinants of the individual, comprising the steps of:
 (a) receiving input representative of one or more mental determinants of overall health of the individual, the input received for each respective mental determinant representing one out of three or more predefined inputs corresponding to a range of progression between one or more worst case scenarios, and one or more best case scenarios, for such respective mental determinant, each predefined input being linked to a predefined value;   (b) receiving input representative of one or more social determinants of overall health of the individual, the input received for each respective social determinant representing one out of three or more predefined inputs corresponding to a range of progression between one or more worst case scenarios, and one or more best case scenarios, for such respective social determinant, each predefined input being linked to a predefined value;   (c) receiving input representative of one or more physical determinants of overall health of the individual, the input received for each respective physical determinant representing one out of three or more predefined inputs corresponding to a range of progression between one or more worst case scenarios, and one or more best case scenarios, for such respective physical determinant, each predefined input being linked to a predefined value; and   (d) based on the linked predefined values of the received input representative of the mental, social, and physical determinants, determining, using an electronic device, a pictorial representation of the overall health of the individual out of a plurality of predefined pictorial representations, wherein the linked predefined values are utilized in an equation incorporated into computer-executable instructions that are executed by a processor of the electronic device.   
     
     
         88 . The method of  claim 87 , further comprising displaying on the electronic device the determined pictorial representation of the individual. 
     
     
         89 . The method of  claim 87 , further comprising displaying on a different electronic device the determined pictorial representation of the individual. 
     
     
         90 . The method of  claim 87 , wherein the step of determining the pictorial representation of the overall health of the individual out of a plurality of predefined pictorial representations includes weighting one or more of the linked values relative to each other. 
     
     
         91 . The method of  claim 90 , wherein the weighting is selected by the individual. 
     
     
         92 . The method of  claim 90 , wherein the weighting is selected by a professional healthcare provider. 
     
     
         93 . The method of  claim 90 , wherein the weighting is selected by a healthcare organization or group. 
     
     
         94 . The method of  claim 90 , wherein the weighting is determined based on machine learning. 
     
     
         95 . The method of  claim 90 , further comprising maintaining a profile of the individual, wherein the weighting is based at least in part on the profile of the individual that is maintained. 
     
     
         96 . The method of  claim 95 , wherein the profile includes a medical history of the individual. 
     
     
         97 . The method of  claim 87 , further comprising maintaining a profile of the individual, wherein the determining of the pictorial visualization is based at least in part on the profile of the individual that is maintained. 
     
     
         98 . The method of  claim 97 , wherein the profile includes a medical history of the individual. 
     
     
         99 . The method of  claim 87 , wherein received input representative of a mental or social determinant of overall health of the individual results from the taking of a survey by the individual. 
     
     
         100 . The method of  claim 99 , wherein the survey is taken by the individual on the electronic device. 
     
     
         101 . The method of  claim 99 , wherein the survey is taken by the individual on a different electronic device. 
     
     
         102 . The method of  claim 99 , wherein received input representative of a physical determinant of overall health of the individual is communicated from an electronic sensor that acquires data pertaining to the physical determinant. 
     
     
         103 . the method of  claim 102 , wherein the electronic sensor is worn by the individual. 
     
     
         104 . The method of  claim 102 , wherein the electronic sensor is part of a device that is used by the individual. 
     
     
         105 . The method of  claim 102 , wherein the electronic sensor is a scale. 
     
     
         106 . The method of  claim 102 , wherein the electronic sensor is an exercise machine. 
     
     
         107 . The method of  claim 102 , wherein the electronic sensor is a phone. 
     
     
         108 . The method of  claim 102 , wherein the electronic sensor is a watch. 
     
     
         109 . The method of  claim 87 , wherein the step of determining the pictorial representation of the overall health of the individual out of a plurality of predefined pictorial representations includes:
 (i) determining a first pictorial visualization corresponding to the received input representative of the one or more mental determinants of overall health of the individual, wherein the first pictorial visualization is one out of a set of pictorial visualizations corresponding to a range of progression between one or more worst case scenarios, and one or more best case scenarios, of the one or more mental determinants of overall health of the individual,   (ii) determining a second pictorial visualization corresponding to the received input representative of the one or more social determinants of overall health of the individual, wherein the second pictorial visualization is one out of a set of pictorial visualizations corresponding to a range of progression between one or more worst case scenarios, and one or more best case scenarios, one or more worst case scenarios, and one or more best case scenarios, of the one or more social determinants of overall health of the individual,   (iii) determining a third pictorial visualization corresponding to the received input representative of the one or more physical determinants of overall health of the individual, wherein the third pictorial visualization is one out of a set of pictorial visualizations corresponding to a range of progression between one or more worst case scenarios, and one or more best case scenarios, of the one or more physical determinants of overall health of the individual, and   (iv) combining the determined first, second, and third pictorial visualizations into a composite pictorial visualization to form the pictorial representation of the overall health of the individual.   
     
     
         110 . The method of  claim 109 , further comprising displaying, on the electronic device, the determined first pictorial representation upon receipt of input representative of the one or more mental determinants, the determined second pictorial representation upon receipt of input representative of the one or more social determinants, the determined third pictorial representation upon receipt of input representative of the one or more physical determinants. 
     
     
         111 . The method of  claim 110 , wherein each of the input representative of the one or more mental determinants, the input representative of the one or more social determinants, and the input representative of the one or more physical determinants is received through a user interface of the electronic device. 
     
     
         112 . The method of  claim 111 , further comprising displaying the composite pictorial visualization on the electronic device for view by the user. 
     
     
         113 . The method of  claim 112 , further comprising communicating the composite pictorial visualization from the electronic device for view by others. 
     
     
         114 . The method of  claim 113 , wherein the composite pictorial visualization is displayed to others by way of a social networking website. 
     
     
         115 . The method of  claim 113 , wherein the composite pictorial visualization is displayed to others by way of a social networking app. 
     
     
         116 . The method of  claim 87 , further comprising identifying the individual as being at risk for suicide based on the pictorial representation that is determined. 
     
     
         117 . The method of  claim 87 , further comprising identifying the individual as being recommended for hospital admission based on the pictorial representation that is determined. 
     
     
         118 . The method of  claim 87 , further comprising identifying the individual as being recommended for hospital admission based on the pictorial representation that is determined. 
     
     
         119 . The method of  claim 87 , further comprising identifying the individual as being prone toward domestic violence based on the pictorial representation that is determined. 
     
     
         120 . The method of  claim 87 , further comprising identifying the individual as experiencing heart failure based on the pictorial representation that is determined. 
     
     
         121 . An apparatus used in monitoring health and wellbeing of a person, comprising:
 (a) a display;   (b) one or more user inputs for receiving input from the person;   (c) machine readable medium;   (d) a processor; and   (e) computer readable instructions contained in computer readable medium which, when executed by the processor, perform a method comprising repeating, over a period of time, the steps of:
 (i) receiving input representative of one or more mental determinants of overall health of the individual, the input received for each respective mental determinant representing one out of three or more predefined inputs corresponding to a range of progression between one or more worst case scenarios, and one or more best case scenarios, for such respective mental determinant, each predefined input being linked to a predefined value, 
 (ii) receiving input representative of one or more social determinants of overall health of the individual, the input received for each respective social determinant representing one out of three or more predefined inputs corresponding to a range of progression between one or more worst case scenarios, and one or more best case scenarios, for such respective social determinant, each predefined input being linked to a predefined value, 
 (iii) receiving input representative of one or more physical determinants of overall health of the individual, the input received for each respective physical determinant representing one out of three or more predefined inputs corresponding to a range of progression between one or more worst case scenarios, and one or more best case scenarios, for such respective physical determinant, each predefined input being linked to a predefined value, and 
 (iv) based on the linked predefined values of the received input representative of the mental, social, and physical determinants, determining a pictorial representation of the overall health of the individual out of a plurality of predefined pictorial representations, wherein the linked predefined values are utilized in an equation incorporated into computer-executable instructions executed by the processor of the apparatus. 
   
     
     
         122 . A system for monitoring health and wellbeing of a plurality of persons, comprising:
 (I) a plurality of computing devices each used by a respective person whose health and wellbeing are monitored, each computing device comprising,
 (a) a display; 
 (b) one or more user inputs for receiving input from the person; 
 (c) machine readable medium; 
 (d) a processor; and 
 (e) computer readable instructions contained in computer readable medium which, when executed by the processor, perform a method comprising repeating, over a period of time, the steps of:
 (i) receiving input representative of one or more mental determinants of overall health of the individual, the input received for each respective mental determinant representing one out of three or more predefined inputs corresponding to a range of progression between one or more worst case scenarios, and one or more best case scenarios, for such respective mental determinant, each predefined input being linked to a predefined value, 
 (ii) receiving input representative of one or more social determinants of overall health of the individual, the input received for each respective social determinant representing one out of three or more predefined inputs corresponding to a range of progression between one or more worst case scenarios, and one or more best case scenarios, for such respective social determinant, each predefined input being linked to a predefined value, 
 (iii) receiving input representative of one or more physical determinants of overall health of the individual, the input received for each respective physical determinant representing one out of three or more predefined inputs corresponding to a range of progression between one or more worst case scenarios, and one or more best case scenarios, for such respective physical determinant, each predefined input being linked to a predefined value, and
 (iv) based on the linked predefined values of the received input representative of the mental, social, and physical determinants, determining a pictorial representation of the overall health of the individual out of a plurality of predefined pictorial representations, wherein the linked predefined values are utilized in an equation incorporated into computer-executable instructions executed by the processor of the apparatus; and 
 
 
   (II) one or more computing devices configured to,
 (a) receive the communicated data from the plurality of computing devices of the persons, and 
 (b) store the received data such that the data is accessible later for processing of the data. 
   
     
     
         123 . A decision-support, trending, and alerting system for clinical, social, and self-care utilizing quantified self-reported subjective and objective data; observed subjective and objective data; and measured data, all of which pertains to the health and wellbeing of individuals and communities. 
     
     
         124 . The system of  claim 123 , wherein the subtypes comprise several levels each. 
     
     
         125 . The system of  claim 123 , wherein each type of data and subtype of data, if any, are assigned (a) a weighting; (b) an error score or range; (c) sentiment; (d) relevance; and (e) patterning. 
     
     
         126 . The system of  claim 125 , wherein the weighting is fixed. 
     
     
         127 . The system of  claim 125 , wherein the weighting is modifiable. 
     
     
         128 . The system of  claim 125 , wherein the weighting is defined by an expert, wherein the expert comprises an individual, committee or association. 
     
     
         129 . The system of  claim 125 , wherein the weighting is computer defined, with a learning algorithm configured to recognize a common pattern in an individual or a group of individuals defined by a commonality or commonalities. 
     
     
         130 . The system of  claim 125 , wherein the weighting is automatically determined based, in part, on medical information that is maintained in the system in a user profile for each individual. 
     
     
         131 . The system of  claim 125 , wherein the error score or range is fixed. 
     
     
         132 . The system of  claim 125 , wherein the error score or range is modifiable. 
     
     
         133 . The system of  claim 125 , wherein the sentiment is fixed. 
     
     
         134 . The system of  claim 125 , wherein the sentiment is modifiable. 
     
     
         135 . The system of  claim 125 , wherein the relevance is fixed. 
     
     
         136 . The system of  claim 125 , wherein the relevance is modifiable. 
     
     
         137 . The system of  claim 125 , wherein the patterning is fixed. 
     
     
         138 . The system of  claim 125 , wherein the patterning is modifiable. 
     
     
         139 . The system of  claim 125 , wherein the sentiment is described as negative, positive, or neutral. 
     
     
         140 . The system of  claim 125 , wherein a combination of data types, subtypes, or both are assigned a shape. 
     
     
         141 . The system of  claim 125 , wherein the data is self-reported by the individuals, observed by others, is received from wearable devices, is received from health and wellbeing devices, is received from environmental devices, and combinations thereof. 
     
     
         142 . The system of  claim 141 , wherein the others comprise family members, caregivers, and medical professionals. 
     
     
         143 . The system of  claim 141 , wherein the wearable devices comprise activity trackers and heart rate monitors. 
     
     
         144 . The system of  claim 141 , wherein the health and wellbeing devices comprise blood pressure monitors, glucometers, and scales. 
     
     
         145 . The system of  claim 141 , wherein the environmental devices comprise switches, movement sensors, door sensors, temperature sensors. 
     
     
         146 . The system of any of the foregoing claims, wherein the data is recorded to predict or determine the impact or prediction of an event or intervention. 
     
     
         147 . The system of  claim 146 , wherein the impact or prediction is visualized using a combined pictorial representation 
     
     
         148 . The system of  claim 123 , wherein the data is recorded in an electronic health record (EHR) of the individual. 
     
     
         149 . The system of  claim 148 , wherein the data recorded in the EHR is accessed and used in creating the pictorial visualization. 
     
     
         150 . The system of  claim 149 , wherein the pictorial visualization is displayed to the individual to which the pictorial visualization applies. 
     
     
         151 . A method of displaying an overall health status representing a wellbeing state of an individual comprises combining pictorial visualizations representing physical, mental, and social health determinants into a composite pictorial visualization, each of the physical, mental, and social determinants being represented by separate pictorial visualizations of the composite pictorial visualization. 
     
     
         152 . The method of  claim 151 , wherein the combined pictorial visualizations comprise pictograms, each pictogram corresponding to a physical determinant or combination of physical determinants; a mental determinant or combination of mental determinants; or a social determinant or combination of social determinants. 
     
     
         153 . The method of  claim 151 , further comprising displaying health status in the present, health status in the past, and a health status trend. 
     
     
         154 . The method of  claim 151 , wherein more than one health status trend is displayed concurrently for an individual. 
     
     
         155 . The method of  claim 154 , wherein a first health status trend of an individual spanning a week is displayed in conjunction with the display of a first health status trend of the individual spanning a month and a third health status trend of the individual spanning a year. 
     
     
         156 . The method of  claim 151 , further comprising comparing the overall health status of the individual to an average overall health status of a population of individuals. 
     
     
         157 . The method of  claim 151 , wherein the population is a general population or a targeted population. 
     
     
         158 . The method of  claim 151 , further comprising respectively comparing each of the pictorial visualizations representing physical, mental, and social health determinants of the individual to each of pictorial visualizations representing physical, mental, and social health determinants of an average of a population of individuals. 
     
     
         159 . The method of  claim 158 , wherein the population is a general population or a targeted population. 
     
     
         160 . The method of  claim 151 , wherein colors, external lines, shapes, images, and combinations thereof are used in the display of the overall health status to represent or reinforce the health status of the individual. 
     
     
         161 . The method of  claim 151 , wherein arrows, shading, and combinations thereof are used in the display of the overall health status to represent health trends of the individual. 
     
     
         162 . A system as disclosed herein, wherein profile metrics as a whole or in part, for example activity level, or activity on the system, are used as a point system for real or game environment situations where they may translate to real world benefits such as discounts for shopping or virtual world benefits such as for game points or being assigned to boost the health or status of a game avatar or component of a game. 
     
     
         163 . A health reporting tools that provides users with pictorial visualizations of data that change depending on user input. 
     
     
         164 . The health reporting tool of  claim 163 , wherein the pictorial visualizations represent combined pictorial representations, each corresponding to one or more social determinants of health; one or more social determinants of health; or one or more physical determinants of health. 
     
     
         165 . The health reporting tool of  claim 163 , wherein each of the combined pictorial visualizations comprises a pictogram regarding the one or more determinants to which the visualization corresponds. 
     
     
         166 . A health monitoring and reporting system that provides feedback to individual by combining physical, mental, and social health determinants into a quantitative pictorial visualization that comprises an avatar, that compares health status to a general or target population, and that uses colors, external lines, shapes, or combinations thereof to represent and reinforce health status. 
     
     
         167 . A method, apparatus, or system in which health information of an individual is integrated into pictograms for interpretation by individuals having a range of literacy levels. 
     
     
         168 . A method, apparatus, or system in which health information from an electronic health record of an individual is integrated into pictograms for interpretation by individuals having a range of literacy levels. 
     
     
         169 . A method, apparatus, or system which uses representations of symptoms in an on-screen pictorial visualization format, including combining physical, mental and social health determinants in a single field of view, and separate components of each; which provides the assignment to symptoms of values, including weighting—whether automatic or by a user, range, sentiment, relevance and patterning; which provides entering such data into electronic health records for the purposes of a decision support, tending and alert system; which provides accessible and intuitive representations of health and wellbeing data, including combined quantitative visualization of physical, mental and social health, use of colors, external lines and shapes, to represent and reinforce health status; and which provides comparison of health status with the general population/target population.