spine-harmony-agent

Symptom and Pain Tracking

Spine Harmony can maintain a structured private symptom diary from short check-ins. This is one of the core agent workflows: it preserves daily facts, creates trend summaries, and turns messy symptom history into clinician-ready context.

This workflow is useful for:

What to track

A good check-in captures the facts a clinician is likely to ask for:

Field Examples
Pain score 0–10 now, on waking, worst today, best today
Location/quality back, leg, neck, arm; sharp/dull/burning/tight if the user reports it
Sleep quality, waking, position issues
Medication type/amount only if the user chooses to record it
Activity/function sitting, standing, walking, work, therapy, exercise, travel, lifting
Flares/acute episodes spasm-like events, sudden worsening, triggers, duration, recovery
New symptoms especially neurological changes or other red-line symptoms
Comfort measures heat, ice, rest, walking, position changes, bracing
Comparison better, same, worse, mixed, or too early to say
Clinician questions questions raised by the trend

Check-in cadence

Cadence should match the user’s situation. Examples:

Avoid unnecessary prompting. The goal is useful continuity, not anxiety or obsessive tracking.

Agent behavior

When the user provides a short check-in, the agent should:

  1. preserve the raw facts;
  2. add or update the correct diary entry;
  3. update the trend table or current-status summary;
  4. identify missing fields only when they matter;
  5. use cautious trend language;
  6. generate clinician questions if the pattern raises them;
  7. avoid diagnosis, treatment decisions, or overclaiming response.

Good wording:

The last three entries show user-reported pain staying in the 1–2/10 range, with no new symptoms reported. This is encouraging but still needs clinician interpretation and longer follow-up to understand durability.

Bad wording:

The procedure worked and the pain generator is confirmed.

Post-procedure recovery tracking

For clinician-directed procedures or interventions, track response durability and side effects without making clinical conclusions. Useful fields include:

The agent may summarize patterns such as “stable low pain,” “mixed response,” “temporary flare,” or “worsening trend,” but should not decide whether the intervention succeeded or failed.

Privacy

Symptom diaries can contain sensitive health information. Keep real trackers in a private workspace, outside version control. If symptom logs are pasted into hosted LLMs, cloud agents, chat products, or cloud storage, treat that as disclosure of medical information to that provider.

Templates and examples