Concussion Tracker

An app that helps children track and communicate recovery details with their doctors, parents, and athletic trainers.

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Inspiration

Currently, much of concussion treatment is based on subjective symptoms, which can be difficult for a patient to accurately track and present to their neurologist. This app will provide patients a simple and effective means of recording symptoms and activity, thus providing a standard for physicians to assess symptoms and activity and create a treatment plan.

Our app helps with the communication between a patient and their doctor, parents and athletic trainer.

What it does

This responsive app may be used on any device (desktop, tablet, phone) with a web browser. It allows children an easy way to access a graphical symptoms tracker that is to be filled out daily and scores symptoms by severity on a 1-10 scale. These symptoms are recorded and consolidated into a summary of results that can also be presented in a simple graph and provide an easy way to monitor improvements. The chart tracks and displays symptoms over time to monitor improvement and correlations between symptoms.

The Return to Exercise feature is activated by the physician or in the settings page and instructs patients when they can begin their return to exercise progression. It includes a step-by-step guide, an activity recorder and a post exercise symptom tracker. If the symptom score is 0 after the exercise stage or no higher than the baseline, the patient is instructed to move to the next level. If the symptom score increases after activity, the patient is instructed to take 24 hours to recover and then begin again at the previous step. This allows patients that do not have the opportunity to work daily with an athletic trainer to monitor their progression. During this phase of the recovery process, patients may view a graphical comparison of their daily baseline symptoms with their post-exercise symptoms to help them understand the effect of participating in different activities during their recovery.

Our app has the ability to create and send an email in an easy to read format of the results. This allows the patient to bring the aggregated data and chart to an appointment, or send the report as an email directly from the application to any email stored in the settings. An FAQ section includes the answers to many questions and guidelines for treatment and provides patients with more information on concussion. Patients may enter the necessary email addresses on the Settings page of the app.

Our app uses OAuth 2 and authenticated API endpoints to access FHIR data format from the navHealth demo server in two ways. First, patients may search for their personal details via their navHealth id on the Settings page of the app. We also auto-include include recent medical procedures in the email summary that a user can send through the app to their doctor, parent, and/or athletic trainer (so as to keep the doctor informed of the full-context of the recovery).

How we built it

Node.js, HTML, CSS, Javacript, Bootstrap, C3, sendGrid

username: test@navhealth.com password: test1

What's next for Concussion Tracker

In the future, the graphical summary of the data will be improved to include shaded-overlays based upon the Return to Exercise sequence to provide a quick, birds-eye view of the patient recovery timeline. A doctor/admin login will be implemented to allow a doctor to automatically enable individual patients to begin the Return to Exercise protocol.

Additional trackers can also be incorporated into the Concussion Tracker. For example, the app will track periods for female patients in order to correlate menstrual cycle to symptoms. Other potential trackers include a sleep tracker to record hours and sleep quality, an activity tracker, as well as a caffeine and alcohol consumption tracker. All of these trackers could be linked to the symptoms diary, so patients can see correlations between different activities and symptoms. Lastly, for patients who agree, the data could be anonymized and added to a central database to facilitate research.

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