01
Complete Onboarding
Review Karen's goals, preferences, health literacy needs, readiness, confidence, and support network.
Open Onboarding →Karen's Health Journey
Follow Karen from onboarding through engagement, communication, exercise, and coordinated care
02
Hybrid Chat
Continue Karen's persona-aware conversation with her professional care team.
Open Hybrid Chat →
03
Community Forum
Connect Karen with moderated peer support and cardiac rehabilitation discussions.
Open Community →
04
Exercise Intelligence
Review Karen's cardiac rehabilitation plan, exercise prescription, sessions, symptoms, and recovery.
Open Exercise →
05
Manage Care Team
Review Karen's professionals, care partners, and communication preferences.
Manage Care Team →
06
Persona-Aware Learning
Review content adapted to the Motivator engagement persona with plain language and teach-back.
Open Learning →
Engagement Reasoning and Examples
How does the engagement recommendation change the conversation?
The clinical assessment remains unchanged. Engagement Intelligence adapts how results and recommendations are explained using Karen's established persona, readiness, confidence, ambivalence, health literacy needs, and demonstrated understanding.
Motivational Interviewing
Explore ambivalence, reinforce progress, and collaboratively select one achievable next step.
“You’ve already made progress in several areas. Which My Life Check area feels most important for you to work on next?”
Health Literacy and Risk Communication
Use plain language, define unfamiliar terms, explain one action at a time, and describe cardiovascular risk using both percentages and natural frequencies.
“A PREVENT score of 6.6% means that about 7 out of 100 people with similar health information may experience cardiovascular disease within 10 years.”
Teach-Back and Understanding
Teach-back is used to evaluate the clarity of the explanation, not to test the patient.
“Just so I know I explained it clearly, what is the first step you plan to take?”
Karen's response becomes an updated understanding signal for her behavioral Digital Twin and future communication.
Persona-Aware Content Creation
Lower-Sodium Eating for Karen
Adapted for the Motivator engagement persona using plain language, achievable actions, positive reinforcement, and teach-back.
You can lower sodium one meal at a time
You do not need to change everything at once. Start with one meal today. Choose fresh foods when possible and compare food labels for sodium.
Today's action
Choose one lower-sodium option at lunch or dinner.
Why this matters
Small sodium reductions can support healthier blood pressure and strengthen the progress you are already making.
Teach-back
Just so I know this was clear, which meal will you change first, and what lower-sodium option will you choose?
Patient Assessment Intelligence
Your Health Assessments
PREVENT estimates cardiovascular risk, My Life Check describes cardiovascular health, and ANSWERS brings your whole-person health picture together.
3
Core Assessments
Cardiovascular Risk Intelligence
PREVENT
Estimated cardiovascular risk using the American Heart Association PREVENT equations.
We need a little more health information before
PREVENT can be calculated.
Review health information →
Cardiovascular Health Intelligence
My Life Check
Cardiovascular health based on the American Heart Association Life's Essential 8.
Complete your health assessment to calculate
My Life Check.
Whole-Person Intelligence
ANSWERS
Your whole-person health assessment across seven interconnected domains.
ANSWERS Whole-Person Health Radar
ANSWERS Score
76
Trajectory
Improving
Selected scenario
Current baseline
What this means
ANSWERS brings together your whole-person health information to identify patterns, priorities, and opportunities for action.
ANSWERS uses neuro-symbolic reasoning to determine what to say, and how to say it by combining governed health intelligence with your engagement context.
Integrated Intelligence
Putting Your Results Together
PREVENT describes future cardiovascular risk. My Life Check identifies strengths and opportunities within cardiovascular health. ANSWERS adds the whole-person context needed to understand how those findings fit together.
Signatures uses neuro-symbolic AI for what to say, and how to say it, then carries that intelligence into Hybrid Chat, personalized learning, community engagement, SMART Plans, and Today's Journey.
Whole-Person Intelligence Updated
Trusted Evidence Current
Whole-Person Intelligence Index
76
Improving
Healthy Day
82
PREVENT
6.6%
My Life Check
84
CKM Stage
3
Confidence
94%
Whole-Person Intelligence Compass
Thriving
Optimizing
Needs Support
Growing
Ongoing Health & Engagement
Your daily progress, plan, connected health, and personalized support
Healthy Day Score
Daily assessment needed
Start your Healthy Day
Your Healthy Day score will appear here after you begin tracking your daily health activities.
Start Healthy Day
Whole Person Intelligence Map
How Signatures understands Karen Davis
Clinical, behavioral, engagement, exercise, social, and care-team intelligence continuously update the Digital Twin and coordinated recommendations.
Clinical
PREVENT 6.6%
CKM Stage 3
Behavioral
ANSWERS 79
Stress · Water · Sleep
Engagement
Motivator
Moderate ambivalence
Exercise
Cardiac rehabilitation
Eligible · Intake recommended
Social
Community support
Peer and family engagement
Care Team
5 participants
Coordinated follow-up
Evidence
Governed knowledge
Source integrity and provenance
KD
Karen Davis
Digital Twin Active
Updated 2 minutes ago
Digital Twin Projection
| Today | 6.6% |
| 6 Months | 5.9% |
| 12 Months | 5.1% |
| 24 Months | 4.4% |
ANSWERS Whole-Person Assessment
76
Whole-person health score across Air, Nutrition, Sleep, Water, Physical Activity, Relationships, and Stress.
SMART Plan priorities
- Stress: Practice five minutes of paced breathing once daily.
- Water: Drink water with breakfast, lunch, and dinner unless fluid restriction has been prescribed.
- Sleep: Begin a screen-free wind-down routine 30 minutes before bedtime.
Explore Your ANSWERS Domains
Select a behavior to see its health connections and recommended action
Necessaryforlife
Air
100
Tobacco, nicotine, secondhand smoke, air quality, and the breathing environment.
Assessment: My Life Check: Tobacco
Biometrics influenced: oxygen saturation, resting heart rate
Clinical connections: PREVENT, ASCVD, COPD
Current
100
Projected
100
Optimized
100
Recommended action
- Maintain a smoke- and nicotine-free environment.
Necessaryforhealth
Nutrition
72
Eating pattern, food quality, sodium, fruits, vegetables, whole grains, and highly processed foods.
Assessment: My Life Check: Healthy Diet
Biometrics influenced: weight, BMI, lipids, glucose
Clinical connections: PREVENT, CKM, diabetes
Current
72
Projected
82
Optimized
92
Recommended action
- Choose a lower-sodium whole-food meal at least five days per week.
SMART Goal
Explain Nutrition
Choose one lower-sodium meal each day.
Necessaryforlife
Sleep
64
Sleep duration, quality, consistency, recharge, and repair.
Assessment: My Life Check: Sleep
Biometrics influenced: blood pressure, resting heart rate
Clinical connections: PREVENT, hypertension, mental health
Current
64
Projected
76
Optimized
86
Recommended action
- Use a consistent 30-minute wind-down routine.
SMART Goal
Explain Sleep
Begin a screen-free wind-down routine by 10 PM.
Necessaryforlife
Water
62
Hydration relative to an individualized, clinically safe goal.
Assessment: Daily water intake
Biometrics influenced: weight, blood pressure, renal function
Clinical connections: dehydration, renal risk, heart failure
Current
62
Projected
78
Optimized
90
Recommended action
- Drink water with meals unless fluid restriction has been prescribed.
SMART Goal
Explain Water
Drink six clinically appropriate cups of water daily.
Necessaryforhealth
Physical Activity
76
Physical activity, aerobic activity, strength, mobility, and sedentary time.
Assessment: My Life Check: Physical Activity
Biometrics influenced: fitness, weight, blood pressure, glucose
Clinical connections: PREVENT, CKM, functional decline
Current
76
Projected
86
Optimized
96
Recommended action
- Walk for 10 minutes after dinner on four days each week.
SMART Goal
Explain Physical Activity
Walk 30 minutes on five days per week.
Necessaryforqualityoflife
Relationships
100
Social connection, belonging, support, conflict, isolation, and relationship safety.
Assessment: ANSWERS relationship assessment
Biometrics influenced: stress response, sleep quality
Clinical connections: depression, isolation, adherence
Current
100
Projected
100
Optimized
100
Recommended action
- Continue regular contact with supportive family and friends.
Necessaryforqualityoflife
Stress
60
Perceived stress, coping effectiveness, emotional well-being, and access to support.
Assessment: ANSWERS stress assessment
Biometrics influenced: blood pressure, resting heart rate, sleep
Clinical connections: hypertension, depression, anxiety
Current
60
Projected
74
Optimized
86
Recommended action
- Practice five minutes of paced breathing each day.
SMART Goal
Explain Stress
Practice paced breathing once daily.
Recommendation Confidence
Overall Confidence
94%
- ★★★★★ Evidence Strength
- High Clinical Confidence
- High Behavioral Confidence
- Moderate Digital Twin Confidence
Today’s Priorities
My Health
My Coach