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US 202102101761 co») United States c2) Patent Application Publication (1) Pub. No.: US 2021/0210176 AI Jiao et al. (43) Pub, Date: Jul. 8, 2021 (sa) om om en @ ) REMOTE HEALTH ASSERTION VERIFICATION AND MORTALITY PREDICTION SYSTEM Applicant: HLQ, Ine., Mountain View, CA (US) Inventors: Shuo Jiao, Sunnyvale, CA (US); Munjal Shab, Los Alios, CA (US) Ryan Hinchey, Mountain View, CA (US); Cathy Ye Fan, San Francisco, CA (US); Ardaman Singh, Union City cAWS) Appl. No 17/144,579 Filed: Jan, 8, 2021 Related US. Application Data Continuation of application No. 16/279,703, fled on Feb, 19, 2019, now Pat, No, 10,930,378, which is a ccontination-n-part of application No. 15/273,585, filed on Sep. 22, 2016, now Pat. No, 10,380,531, Which is a ontination-in-part of application No 14/682,709, filed on Mat. 9, 2015, now Pat. No. 10,629°293, which isa contimtation-in-pae of appli cation No, 14/542.347, fled on Now. 14, 2014, now Pat. No. 10,672,519, Publication Classification Int. Cl. Gr6H1 1060 (2006.01) G16H 10720 (2006.01) GI6H 50/30 (2006.01) GI6H S070 (2006.01) Gn69 sas (2006.01) (2) US.¢1 OC GI6H 10760 (201801); GI6H 1020 (2018.00); Gist 2060 018.01): GLE 5020 (2018.01); G06Q 40°08 (2013.01); GIGI 50/30 (2018.01) on ABSTRACT A computing system can implement a health verification and prediction service by generating an interactive user interce though which users can provide responses to health asser tions in one or more trivia sessions. Fach of the health assertions can include a correlation value t actual health btcomes hased on responses received from individuals feontrol group and the known health otteomes of those individuals. Based on the responses fom the user, the ‘computing system can generate a heals profile fr the use. een ae 2 ema say et 4 i Se eS Toes “Question ——— 2 a = tie jam een ae — sense ation Jul. 8, 2021 Sheet 1 of 19 US 2021/0210176 A1 Patent Application Pul Health and Users 11 Fitness Ct Devices 191 Network 101 a Response Analyss os oo vice 164 Game UIP] pata 103} yaa ——| Gamification Layer 112 ro ‘Community SN layer 114 rif Gsints, 7b ‘Community SN Service 136 User 10 121, Tople 123 Session Info. 125 Level 135, Westin Selection Response Data 118 Responses |” | Knowledge Level Peach 123 Deter. 134 127,127, aoe Health Cor. Health 0. Ree Param. Y 133 e354 ‘Health Scoring | Morality Scoring “Question panes promis ay [Monat 40a 40h Param. "| “Health Outcome | Mortality Outcome question tbr ea 5 on brary ests [vans | ne ae & Heath ram. weath 327 question —]_Values 14sa _¥ Outcome MeaknOwcome| | Moratey eat Analysis Sib- Detntionss Se = World inf_>) | Stem 170 lepheedeteie 165a 165b 175 172 ues. ‘Health Scoring Input | Database LL» Questions 150a Health wm Service 20 User etth control Population sonatay Scoring Database Database 180 160 Patent Application Publication Jul. 8, 2021 Sheet 2 of 19 US 2021/0210176 AI Control Pop. ‘Question intake ames Interface 22 el Questions 209 Questions | Tople True User | Response 209 y 211 Datazai_| Respor ae, Question Intake 8 Builder }e—— font L209, [Felder 260, | Processed a 220 (Questions CHP Q Quer 213, VID kad 251 21 205 Health Data 226 cen Location Data 227 (Ho 253) Data 229 oo Mosel Tally Time Data 228 Correlation Heanor Crone 2, Mode!” | | capyon Fitness Deves Level 265) 250 os ‘question 4 ‘Analys 4 ‘Sub-System 200 Po om 305 ib R HO4 | Topich | ToREA | Tooien | ‘001 o 0 Tor. | Tcr2 | 0002 oO oO oO TCr4 | _ jo fora fo o | rers | 0004 CFB oO 0 0 | ‘0005 0 0 0 0 | oe O} o fo [o J FIG. 3 Patent Application Publication Jul. 8, 2021 Sheet 3 of 19 US 2021/0210176 AI Store Assertions Pertaining To Health 410 Format As Question For Answer 412 Determine Health Parameter Value For Individuals In Control Population 420 Health Parameter Value Based On Health Outcome 422 Cost To Provide Care | Medical Center Visits | __ Prescriptions Sick Days To Individual in Given Duration 424 426 428 For Each Assertion, Determine Correlative Health Parameter 430 CHP Associates Value Of Health Parameter To Individuals In Control Population Who Have Knowledge Of Assertion 432 Determine User's Independent Level Of Knowledge Of Assertions 440 ‘Obtain User's Independent Knowledge Of Assertions 450 Use CHP To Predict Health Outcome 460 FIG. 4 Patent Application Publication Jul. 8, 2021 Sheet 4 of 19 US 2021/0210176 AI Determine Knowledge Profile Of User 510 Determine Correlation Between Facets Of User Knowledge And Those of Control Population 520 Determine Health Outcome Of Individuals In Control Population 530 (Obtain Real-World Data For Persons In Control Population 532 Input From Person In Control Population Input From Provider of Person 534 536 Predict Health Outcome Of User Based In Part On Correlation And Health Outcomes Of Individuals In Control Population 540 FIG. 5 Patent Application Publication Jul. 82021 Sheet 5 of 19 US 2021/0210176 A1 Determine Health Knowledge Profile For Each Of Multiple Users 610 Determine Correlation Value Between User And Control Group 620 Compare Facets Of Knowledge Profile 622 ¥ Predict Health Outcome For User 630 ] ¥ Determine Service Benefit For User Based On Correlation Value 640, ] Select Subset Of Users Which Exceed Provide Health Insurance Threshold 642 646 Provide Service Or Designation For Determine Level, Premium or Deductible Selected User Based At Least In Part On Correlation 644 Value 648 FIG. 6A Input 685 Customer | (Param. 683) | cust. ps Int. 688 684 Service | Ho Score 689 system Determination }¢——} interface Logic 686 682 Notification “ FIG. 6B Patent Application Publication Jul. 82021 Sheet 6 of 19 US 2021/0210176 A1 Store or Generate Questions 702 Health Set Questions 704 Game Other Set Question 706 y Determine Correlative Health Parameter For Each Question Of Health Collection 710 Persons In The Control Population That Have Knowledge or Deficit Of The Assertion Of Question 712 LO | | Provide Trivia Gaming Environment 720 Determine Game Score From Responses Of User 730 Questions Of Health Set 732 Determine Health Services Based On Health Publish Score Determination Score 740 742 Determine Health Outcome Value From —<—<———————_| Provide Recommendations To Users 744 FIG. 7A Recommendation ee Engine 780 Health and Fitness | Devices 770 Topical & = —_5] Recommendation |, 782 _| retrieval Device Logic790 [| 782 Data 718 Filter 792 —]— Recommendation Set 785, FIG. 7B Patent Application Publication Jul. 82021 Sheet 7 of 19 US 2021/0210176 A1 ‘Store or Generate Questions 750 Health Set Questions 752 Game Other Set Question 754 Determine Correlative Health Parameter For Each Question Of Health Collection 755 Persons In The Control Population That Have Knowledge or Deficit Of The Assertion OF Question 760 | Retrieve Data Activity Monitoring Devices 762 Health Indicator Data | Exercise Statistic Sensor Data Location and Time of 763 Data 764 765 Day Data 766 Choose Questions Based on Retrieved Data 768 Provide Trivia Gaming Environment 769 US 20210210176 A1 Jul. 8, 2021 Sheet 8 of 19 Patent Application Publication a8 “Old V8 “Old SSS SP Wop iri puaiy e 4Sy MOU 4,40 | 018 vie}o4g youn }seg ‘Beg umolg aul a) hose Aueg saqeys6en pue synsy gyouny Ayyeay B Jo yey dn eyew pjnoys sdnob «4 O04 Bulmoyjo} 84} J0 YOM “(BIeIGAW) ‘suoepuaWWOds! YOSN 94} Jed sy uN) puz +— 248 Appng —008 p—908 a nr wee C yratirnar OW Se sid D1 000'0€ / £96'2% @h pleeH = atae® ww Seb 3N_18ive000 US 20210210176 A1 Sheet 9 of 19 Jul. 8, 2021 Patent Application Publication a8 ‘Old 98 “Old (yt 6) anuquog sue ‘S 0puenD ny-UOH NIBH “088 1yBu uogsend sigh 8 paomsue ajdoad jo 9, “| uonseng) moys Do aindsig “sures6 ajoum % GZ. pue ‘uisjoud %Gz ‘saiqejabon pue syiny yey Ajeyewixoudde S| Jeu} jee e aquosaid yaSN Sid D1 UHECH LS6'27 sido+ a ZIND pul j— bee }— 268 ‘o6e wp fueoeiz) suoissnosip z payeidioo %001 seoueg yseaug puy LONEINW aveD YOUR “0728 pasemsue A9eu09U) youn] Aigjeay e yo yey dn ayeus pinoys sdnou8 poo} Bu Appng youn seg :6eg umoug ey, od paaldWod %01 ~! t—S28 a) }980OU} iv 3s7 Apnig = qitrae Wy LOL L_LRiW¥e0000 | US 20210210176 A1 Jul. 8, 2021 Sheet 10 of 19 Patent Application Publication 43 “Dd 48 ‘Old 2098 ew 8B ros LY so1do} 9} ul oHE axe NOR abpe|mouy 9119 a yoegpeay @) =" ( suoissnosiq GJ Tamper a SS aidoeg puy 8B Yeraen w Q lea Pueoqepee] 7 SF od Sve Qb J9h97 - Ge Jepun “IEW odey uyeeH ®@ sid ‘ tt oe Etea Aomg ? esse eurdsuy nok weo MoH youeeg SD Tame wanar maf nn payaidwog 7] a i ewoy = {4} tae Wy Zeb BL] _LRiyoo000 | = US 20210210176 A1 Sheet 11 of 19 Jul. 8, 2021 Patent Application Publication H8 ‘ls JRIWIS WEL 98 Did 787 jane o © : nun Ye wey ole ‘ene 098 SUIM| UNJEaH PapuaWUodeY ye mA asec, are RE V HOT “€ eBessew }x9} BIA S}IAU SSE 1901 a ewe e1A ey1Au Sid MVLLE ae rey ‘OyAUl UB PUBS Zee j9n21 : 1 z99 ‘ nung Uses 4 Sid ¥¥6'061 : < ‘syoR}u0g, W UsAsig “| yosuuog, yoogeoe4 eee spueiy | sow | Aqean Iv SpudlJ] @}!AU! Pue PUuly auuod Ppy = = pueoquepee] = WV SE: B01 _18ivo0000 mrae® Wy Zeb AL] _1Rlvo0000 | Patent Application Publication Jul. 8, 2021 Sheet 12 of 19 US 2021/0210176 AI Question Memory 906 Instruct 941. Processor 904 Correlative Health Parameter 905, Communication Interface 918 Computer System Ea Network 920 FIG. 9 Patent Application Publication Jul. 8, 2021 Sheet 13 of 19 US 2021/0210176 AI Real- World inf. 1070 Name Compare 1050 F Mortality output User Name Database = 1060 Mortality Determination Logic 1046 Tribute Markers/ i Keywords 1oaz_ | Sentiment 1035 ‘Content Analysis System 1020 Analysis Rules 1022 Image Analysis | Text Analysis | Sentiment 1030 1040 Analysis 1034 A Real-World User Data 1011 3" Party Interfaces 1010 ee Mortality 4 Information 4 System 1000 Patent Application Publication Jul. 8, 2021 Sheet 14 of 19 US 2021/0210176 AI User Categorization Param. 1124 4 User Categorization(s) 1102 User Name Database ——— 1104 ‘Social Network Content Analysis Component 1108 “SN Analysis Rules 1110 User Image 1112 Text1114 | Affiliation(s) 1116 Social Network Content 1101 ee ee Determination System 1100 Patent Application Publication Jul. 82021 Sheet 15 of 19 US 2021/0210176 A1 Obtain Social Network Content For A User 1210 Analyze Content To Determine One Or More Attributes 1220 Text Analysis 1222 | Image Analysis 1224] Affiliation Analys Determine Confidence Score 1228 Determine Lifestyle Category 1230 FIG. 12 Patent Application Publication Jul. 82021 Sheet 16 of 19 US 2021/0210176 A1 Knowledge Determination 1310 Knowledge Corr. User Health Services Lifestyle 1340 Categorization 1320 ~Prod. Select. 1342 ~Prod. Pricing 1344 User Health Nasa aa Health Profile 1332 User Biological Input 1302 Health —— _ Peetermination ——________» System 1300 FIG. 13 US 20210210176 A1 Jul. 8, 2021 Sheet 17 of 19 Patent Application Publication Tew si25n, oO OK 1 SFT day wae — Sey saad Jasn, coco vT BHT (spyomaan old [BGT (s}sopjnoud aoqnsas yyeaH WaT =| soyesaus9 fe————— wa3u09 In Oat augug voreyon | o5eT usu emu, Patent Application Publication Jul. 8, 2021 Sheet 18 of 19 US 2021/0210176 AI Generate Interactive User Interface For | Display On Computing Devices OF Users | 4500 | Sequence Of | Assertions | 1504 Receive Sequence Of Responses For User | Computing Device | 1505 | ‘Generate Individualized Ul Element Based | ‘On Responses : Predict Health Risks Or Outcomes Based | On User's Knowledge | 455 : Morbidity | 1519 i Patent Application Publication Receive Data Ck Prompt User To Select Set Of Health- Indicating Trivia Session From User lassifications 1605 Self-Health ‘Assertions Dietary/Actvity Information 1609 Jul. 8, 2021 Sheet 19 of 19 US 2021/0210176 A1 Select Target Qi Assertions Receive Respor Verify Self-Health | Determine Health Generate Customized UI Element Signifying Health Knowledge Profle Juestions For Health Trivia Game 1610 Knowledge 1514 nse Sequence From User 1615 1620 Using Response: Of User's Se s/Knowledge, Verify Each elf-Health Assertions | | | [ Disquaity Self Assertion And Serutinize r aL Next Self-Assertion | — | | Validate Self-Assertion And Scrutinize Next Self-Assertion 1640 {Generate Health Profile For User Based, In Part, On Health Knowledge And Verified Self-Assertions 1645 Mortality Table | 1647 | Morbidity Table 1649 Provide Individually Tailored Health Service Products/Benefits To User Using Generated | — Individualized | Tablets) { 1652 —— [ Receive Health Outcome Data From User | Base L 4655 ee | Update Control Group And Correlative Health Value(s) For Trivia Health Ll Assertions 1660 US 20210210176 AL REMOTE HEALTH ASSERTION VERIFICATION AND MORTALITY PREDICTION SYSTEM. RELATED APPLICATIONS, [0001] This application is « continuation of U.S. patent pplication Ser. No. 16/279.703, filed on Feb. 19, 2019; Which is a eoatinuation-in-part of US. patent application Ser. No, 15/273.$85 (now US. Pat. No. 10,580,531) ied Sep. 22,2016; which sa continuation-in-part of US. application Ser, No. 14/642.709 (now US. Pat. No, 10,629, 203), fled Mar. 9, 2015; which isa continuation-in-part of US. patent application Ser. No. 14/542,347, filed Now. 14, 2014 (now US. Pat. No. 10,672,519); the aforementioned applications being hereby by incorporated by reference in thie respective entireties forall purpose, ‘TECHNICAL FIELD 10002] Examples described herein relate to computing system implementing « health validation and prediction service based on user knowledge and comelations with ‘setual health outcomes ofa control group of users, BACKGROUND, 10003] Online services exist which provide interactive faminig and social environments for users. These services _zenerally exist for amusement onl. [0003] There also exists a questionnaire, termed the Patient Activation Measure (*PAM™), provided by Insignia Health under license from the State of Oregon, which includes a static set of questions that are knowledge-based and deemed correlative to health, BRIEF DESCRIPTION OF THE DRAWINGS [0005] FIG. 1itlstrates a system for predicting a phy ‘logical or mental health of a user based on the user's Knowledge level of health, aocorling to one or more ‘embodiments [0006] FIG. 2ilustates an analysis system, aeconting to fan embodiment [0007] FIG. 3 illustrates an example ofa data stracture that ‘can be developed to link a question with a health outcome ‘and atopic, according to one or more embodiments. 10008] "FIG. 4ifustatesan example method for predicting ‘health outcome of a user based in part on whether user has independent knowledge of an assertion relating #0 heath [0009] FIG. iustatesan example method for predicting & health outcome of a user based on a knowledge profile of [0010] FIG. 6A illustrates an example method for provid- ing health related service to a user based on a knowledge- predicted health outcome for a user [0011] FIG. 6 illustrates. health service sub-system 680, secording to an embodiment, [0012] FIG. 7A illustrates an example method for provid- ing @ game-based environment in which user responses ‘enable prediction of health outcomes for individual users 10013] "FIG. 7B ilusates a knowledge-based recommen- dation engine, according to one or more embodiments [0014] FIG. 7C illustrates an example method for choos- jing questions to provide To a user based cn data resieved fiom an activity monitoring device, Jul. 8, 2021 [0015] FIG. 8A through 8H illustrate example interfaces Tor use with one or more embodiments described horn [0016] FIG. 9 is a block diggram that illustrates a com. puter system upon which embodiments described herein ‘may be implemented [0017] FG, 10 ilosteaes a real-world mortality inform tion system, according to an embodiment [O18] FIG. 11 isis a system wo categorize a Kifestyle ff a user, according to an embodiment. [0019] FG. 12 illustrates an automated method for wiliz~ fing information about a user, according to an embodiment [0020] FIG. 13 ilustates a health detemnination system or determining health-based prodets snd services, secon ing to an embodiment [0021] FIG. 14 isa block diagram illutating sn example computing system implementing remote health-asertion verification and health prediction using big data techniques, focording to examples deseribed herein, {0022} EGS. 18 and 16 are How chars describing meth- fds of remotely verifying selfsstertions and predicting ‘mortality andor morbidity outcomes ofa user, according 19 ‘examples described erin. DETAILED DESCRIPTION [0023] Health service providers typically provide ques ‘ionnaites or surveys to patients fo make self-assessments ‘and provide medical information, For example, the patient ‘may be asked several questions regarding past medical history; any known medical issues (ex, high blood pres sire), and certain selfcassifieations, such as whether the patient identifies os an athlete, which type(s) of athletic activities the patent engages, whether andor how miuch the patient exercises, whether the patient smokes tobacco, how ich tobacea the patient smokes, how much alcohol the patient consumes, and the like, The patient may further provide personal information, sich as age, weight, height, [024] Such infomation can be utilized for a variety of purposes. One such purpose isto generate a health risk able (eg.,a morbidity table) to determine the health risks of the Patient, Another purpose is o generate a morality table tha Indicates a if expectaney or a likelihood of death within @ ives time frame (eg. the next ten years). This information ‘may’ also be used to individually provide health service benef for the patient, or for customized pricing of health service products (eg, life insurance or health insurance). However, curent methods of remotely and accurately vali- ating a patient’s self-reported health claims are severely lacking. Accordingly. a physical health scecning is neces sary to accurately generate morbidity andor mortality tables Tor patients, which increases ineicieney’ tnd cost. Thus, ‘echnical problem of remotely and accurately validating a patient's selF-reported health attributeswithout the ned or physical visit and health screening curently exists in the eld of health services. [0025] Big data analytes can be utilized by a computing system to determine correlations between the bealth-relted knowledge of a user andthe future health outcomes) of tha user. Specifically, library of health-related assertions oF questions can be provided toa broad user base in the form ff a health trivia game (eg, on the order of thousands oF ‘was of thousands of specially constructed questions oF assertions to millions or tens of millions of users). For example, the health trivia game can be provided to users in US 20210210176 AL ultipfe choice form through an interactive user interface, in ‘which the user is presented with health assertions or ques= tions sequentially and selects rom a plurality of possible answers. of which only a single answer is correct. Over the ‘course of multiple tvia sessions played by the user, the ‘computing system ean generate a health knowledge profile forthe user, which can be segmented between several health topies (eg. comprising a different health knowledge seore for cach health topic) [0026] For example, the segmented health knowledge profile can indicate the user's expertise or lack there in ‘arity of health topies, each of which ean be highly specific. Furthermore as actual health outcomes of certain users of the user base become known, such users can be inched in ‘control group upon whieh the computing system ean Perform correlation analysis between the health knowledge ‘of control group users and the known health eutcomes of those users. Its contemplated that expert level knowledge ‘of certain health opi is highly comeltive toa comespon= ing health outcome, For example, a high health knowredge score for a rivin session in Which the user answers oF provides responses to triathlon assertions can correlate to ood cardiovascular health andl normal blood pressure, huased on the date analytics of the congo] group, Ths, the ‘computing system can determine, based on a probability calculation using addtional data, that a new user that receives a high score or an expert knowledge level in the topie(s) of triathlon has good eardiovasculr health and good blood presstre (e.g, ranked as a percentile of the ‘otal population) 0027] 11s further contemplated that overtime, the eon trol group ean inerease as more and more health outcomes hhocome knowa, which can either bolster oF diminish the correlations, making them more aecurte oF less accurate. The computing system can filter out the less accurate ‘correlations (eg health asercons in the via game having, low correlation values), and maintain the highly aecurte, highly correlative health assertions for use in the trivia application. Health, morbidity, and/or mortality outcomes ‘can be identified by the eompating system through varios methods, such as self-reporting, scrolling throogh public databases (eg obituaries, social security death index, social media content), medical institution parinerships, and the like, [0028] According to examples describe herein, the com- Puting system can compile and omanize a library of heath assertions andior questions for an application-based or weh- haved trivia game, Fach health assertion of question can be associated with one or more topics (eg., one or more imensive medical topes, scientific health topics, nutritional topies, dietary topic, sporting topies, athletic or activity topes, hobby topies, habit wpies, and the ike). These topics ‘ch be uilized By the comping system to select assertions ‘or questions to present to the user during a trivia session, slong with multiple responses of answers from which to select. untermore, each health assertion or question ean be meta-tayped or otherwise associated with one or more Ccorelation values based on current comelation infomation from the ever-expanding control group (eg. 2 health asser- tion may'be 849% correlative to high cardiovascular health, 96 correlative to healthy weight or BMI, 449% correlative o normal respiratory health, 262% comelative wo normal digestive health, 80% correlated to abovecaverage morality ‘outeomes). Jul. 8, 2021 {0029} In aition, a customized mortality table or actuary Table can be generated (eg, through automation by the computing system) using the actual health data from the fonirol group and the eoreltions with the health-related knowledge of control group users. [a variations, a standard ‘mortality table ean he used to classify users. Por example, the computing system can intially determine a wer posi ‘ion in a standard morality table porto the user taking the hal quiz. Aller the health knowledge profile is generated or the use, the computing system can adjust the position of user inthe standard mortality table using the user's positon in the customized montlity table as a factor. Ax provided herein, the morility table can comprise an age column and ‘ny umber of additional columns that ean be used to classify a user ora risk probability of dhe user (eg death probability, life expectaney, gender or sex, and the like). [0030] In various implementations, the computing system an store a user pelle foreach user, indicating any medical information, personal information, health risks, a morality table for the user (eq. data indicating a user's health sks andor position ina mortality table) andor a morbidity table ‘gener based in parton scores fom previous health trivia Sessions, the previous health trivia quizzes or questions that the user has answered, ct, In ceriin examples, when 9 user Iniates a session for the fist time, the user may be romped to input or otherwise select from a set of classi- fications. These seleclasfictions can indicate the user's solhoath impression. However, ti contemplated thatthe Users sel-clssfcations may be misleading or misidenti- fied based on, for example, attempts to lower health insorance premium, masking an underlying health problem ‘or habit (@, 4 smoking habi), conscious or unconscious selfleception, and the like. Afler the first-time user self classifies, the computing system can sleet heath assertions ‘andor questions for one or more subsequent tiv sessions in onder to validate or invalidate the self-lasifications by the user {os y In cera n directly initiate @ session hy selecting topic, and thereafter provide responses to the trivia assertions presented by the computing system (ea. via an interotve user interface generated by a health teivia application executing onthe computing device of the user), The use ean select fom multiple responses, with one being a correct response, and others being cither partially correct or incorrect. Atte conclusion of the trivia session, the computing system can generate an individualized user interface element for the user on the interactive use inter face, where the individualized user interface element com prises a health knowledge score based at lest in parton the Sequence of responses ad and/or a comparison of the user's health knowledge compared t0 other uses, [0032] "Based at least in part on the user's trivia session(s), ‘and other information in the user profile of the user, the ‘computing system can generate at least one of a mortality fable forthe user, the mortality table indicating a likelihood. of death for the user over a given time frame. For example, the computing system can determine the user's position in the customized morslity table. Additonaly or alternatively, ‘he computing system can generate a morbidity able forthe user, the morbidity table indicating one or more health risks of the user. In variations, the resulis of the user's tivia session(s), can enable the computing system to generate a health knowledge profile of the user, which the computing US 20210210176 AL system can utilize to determine a postion of location of the user in the mortality table, which ean indicate a probability ‘of death forthe user within a given time frame ex, the next ‘yen. For example, the computing system ean combine the profile information ofthe user (eg. indicating age, gender, ‘medical information, vitals, current medical conditions, and! ‘or health risks) withthe user's health knowledge profile, 2 ‘dermined based on the user's performance in the heath trivia session(s), t0 determine location of the user in the mortality table 0033] In various implementations, the mortality table, or life able, can be utilized by the computing system or one oF more health service providers, and may be inaccessible or ‘thervise not viewable by the user. For example, an insur- ‘ance provider can uilize the tble(s) for ereating a health or life insurance plan and pricing package. In further imple- meniations, the computing system ean utilize the health knowledge profile ofthe user, along with the profile infor- mation of the user, to generate a morbidity table, or other Wise determine the user's postion within an existing mor- bidity able (eg, a customized morbidity table that the ‘computing system generates using control group data ‘described herein). As provided herein, the morbidity table ‘can indicate any current and/or future health risks of the user, For example, the morbidity table can Tist a set of illnesses andor diseases, and foreach illness andr disease, the computing system ean generate and input a probability thatthe user il be diagnosed with or otherwise experience symptoms of the illness or disease sometime inthe user's lifetime, or over given timeframe (et, the next five years). 10034] The examples described herein may be utilized to Validate a user's selfelassitication elas, to accelerate an insurance underwriting process (ez. performed totally remotely with no contact with the usr), oF in eomination in emote conferencing (eg. video conference withthe user), health sereening process or physical, one or more remote health tests (eg. blood pressure testy and the ike 10035] Some embodiments include a system and method for prodicting # health outcome of user based on a deermination of knowledge the wer possestes regarding issues of physiological or mental health 10036] Still further, in some embodiments «system and method is provided for providing a health service benefit to ‘user based on their roicted health, as determined fom the user's knowledge of human heath, 10037] In one embodiment, a collection of assertions are Stored in which each assertion pecans to human health, For ‘ach individual in a contol population of persons, a value of & predetermined health parameter is determined which is indicative of that person's health. For each assertion of the collection, a correlative health parameter is determined ‘which is indicative of an association between those indi= Viduals in the control population that have independent knowledge of the assertion and the value of the prodeter- mined health parameter for persons of the control popula- tion. The collection of assertions ean be stored hy asc ing cach assertion with the determined coreative health parameter for that asserion. An interface is provided for User to indicate the user's independent knowledge of each assertion in at least a subset of asertions from the collection, A health outcome is predicted for the user ased atleast in parton the correlative health parameter of individual asser- tions in the subset of assertions Jul. 8, 2021 {0038} In sil another embodiment, «health outcome of a users prodictedhasod ona knowledge profile determination of the user. In one embodiment, a knowledge profile ix ‘determined forthe usce which reflects the users independent knowledge of individual assertions ina collection of asser- tions. A correlation is determined as between a set of Taeets of the user's knowledge profile and a corresponding set of facets of multiple individual person's knowledge. prof The knowledge profile can be determined fora least ct of assertions fom the collection of assertions. A health out- ‘ome is determined for each of the multiple individval persons. The health outcome of the wer ean then be pre- Gicted based in part-on the correlation and the health ‘outcome of each of the multiple individuals, [0039] In sil another embodiment, knowledge profile i determined for the user to reflect the user's independent knowledge of individual assertions ina collection of asser- tions. Each asertion in the collection can be non-specific to the user or to any person of the population, but otherwise known fo be correlative to human health determination is ‘ade as to a fist corelaton vale as betwoen the know edge profile af the user and a knowledge profil of «control {group of persons for whom one or more health outcomes are known. first health outcome is predicted forthe user based fn the first conlation valve. A bealth service benefit is provided to the user based atleast in parton the predicted health outcome, [0040] Sail further, according to another embodiment, a Fhuman bealth Knowledge profes determined foreach user in a group of users, the human bealth knowledge profile reflecting that vser’s independent knowledge about asser- tions ina collection af assertions, Bach assertion in the collection of assertions may pertain to human health and is fon-speific as to any wser OF to any person ofthe popu tion, At least a first conlation vale is detemnined as between a facet ofthe knowledge profile of individual users in the group of users and a comesponding facet of the knowledge profile of control group of perso for whom fone oF more health outcomes are known. subset of one oF ‘more wsers is selected based on the first coreelation value of toch user of the subset exceeding a threshold designation. A service or designation is provided for a set value fo the one ‘or more users of the subse, al not to other users of the troup. The service or designation may’ be associated with a {rue poraser cost tat i not equal to the set value, but which is variable and set to increases over time when individval tusers inthe subset suler negative health eonsoquences as a result of a naturally progressing. medical condition, Stil Trier, some embodiments inelde a system and method for providing a health service or benefit to a user. By way of examples a health service or benefit can include health insurance (including primary or supplemental, life insur ance, carollment in a facility t0 receive medical attention, ‘medical publications, as well a¥ discounts or augmented services thereof. In one embodiment, a collection of ques tions are stored, where each question is based on a docu ‘mented assertion pertaining to human health, Fach question ina fist subset may be associated with a corelative health parameter that js basod atleast in parton () persons in a ‘onteol population ofthat have indepeadeat knowledge of an assertion that isa basis ofthat question, and (i) a vale of a predetermined health parameter for each person in the tonto) population the vale of the predetermined health parameter or each person being indicative of that person's US 20210210176 AL health, Additionally, the second subset of the questions is associated with a null (1e- non-existent) or noutal (2, not indiative of health) corlative health parameter. A corre- sponding set of questions i displayed to the user fom the collection for response for each user in the set oF users. A response score is determined foreach user in the set of users hased on a comeciness of their respective reply to each ‘question in the eoresponding set of questions. A health Paramicter value is determined fr at least health outcome hased atleast in parton the correlative health parameter of ‘at east some questions in the corespoading set of questions. {0041} "Sill futher, some embodiments include a system snd method for providing health recommendstions toa use. In an embodiment, a plurality of questions are provided to the user. The plurality of questions ean include multiple ‘questions foreach of multiple health-related topes, so that individual questions are each associated with one or more of the multiple topics. A score i determined for the wser in answering each question in the plurality of questions. The score can inclide Topical scores for one o more of the multiple topies. Based on the topical score of at least a ist topic, a set of recommendations can be identified for the user. The set of recommendations may include an action that the user ean perform to improve the user's mental oF physiological Realth relating the topic, [0042] Accoeding to some embodiments, contextual data is determined from user activity, and more specifically, from health related activity recorded by a user device. The user vice ean correspond to, for example, a mobile device that, the user can eary onthe person (e.g, mobile device in arm holster), or by a wearable electronic device. By way of ‘example, «wearable electric device ean include compat ‘rized devices that record movement, locaton, andor & user's biometric output (eg,, temperature or heart beat) Wearable electronic devices can have a variety of form factors, such as, for example, a bracelet, wate, arm band, lassware, hat, or gament. Depending oa design or imple- mentation, such devices ean operate independently or in ‘communication with another computing device (ex. via Bluetooth or wireless connection to another mobile com- puting device), [0043] As used herein, an activity. monitoring. device includes any eleetronie device which the user can cary, such 1s mobile computing device or wearable electronic device. Which treks and records user aetivity in the context of health, The recorded activity can inckade data relating ¢o user exercise, as wel as data relating wo everyday such a sleeping, walking, eating, or working (ei desk), According to some embodiments, data penerated by ‘one of more sctvity monitoring devices is retrieved, and ‘questions displayed to the user are based ou this retrieved data [0044] While examples such as described are imple- rented on computer systems, empirical dats has been derived o show health outcome prediction can be correlated to user's knowledge. For example, examples have deter- mined that positive health outcome determinations made fom evaluating user's answers direlly correlate to fewer hospital stays System Overview [0045] FIG. 1 illustrates a system for predicting a phy ‘ological or mental health of a user based on the user's Knowledge level of health, according 10 one or more Jul. 8, 2021 embodiments. system 100 as shown by an example of FIG. 1 can be implemented using a combination of servers, oF collie computers which combine to provide a network ser vice for client computers operated by a user base, While an example of FIG. 1 illustrates the system 100 being imple- ‘mented as a combination of logical components, altemative implementations can readily provide for funetionality Uescribed to be integrated or discrete. Moreover, specific combinations of functionality and processes described can altematively be perform 28 sub-combinations or aterta~ tive combinations. Likewise, an example of FIG. 1 illus- trates use of multiple data stores, which can logically andlor physically he implemented asa combined or integrated data Siicture (eg., database), or altematively, in distributed [ashion such as shown, [0046] Among other implementations, system 100 can be ageessible to users Il aver a network 101, such as the World Wide Web, 0 mobile computing devices (eg. feature phones, tablets, ec. personal computers (et, deskiop computers, laptops, ete) and other user operated computing eviees for purpose of interactively engaging individual ters to determine their knowledge level om various health ‘opies, and further for predicting the individval uses physi- ‘ological of menial heath based on their knowledge level of health. Among other advantages, an example of FIG. 1 enables Laeets of physiological ‘or mental health 10 be ‘determined for a person, without need for obtaining user specifie medical information or biological samples. For example, in one implementation, a user's health ean be predicted without wae of any user-specific medical question In variation, a user’s health ean be predicted based only on ‘inputs of gender and age. ln another Variation, data collected through activity monitoring devices canbe used, alone or in combination with other inputs, t© peedit a user’ health, [0047] As described in greater desl, system 100 gener- fates fact-based questions on various fopies of health for purpose of () obtaining responses from users, (i) correlating Some of those responses to physiological or mental health eterminations, andor (il) correlating some of those responses to pradict a mortality outcome of underwriting class. One ofthe underlying assumptions of system 100 is that the living habits and heiaiors of people generally tends to have a measurable impect on thee physiological or mental health, parcnlarly’ when the assumption is applied 10 a Statistically significant sample of people (ex. hundreds or thousands of persons). Under satiscaliy significant sample, embodiments described herein have recognized that ‘corelaton can be made as between the knowledge or awareness of individuals and their relative health outcome. More generally, embodiments recognize that health-con- scious individuals are gencrlly more knowledgeable about health and also more healthy as compared to less healthy people (et, individusls who suffer fom obesity, heart disease, et). In fact, embodiments recognize that healthy individuals ae significantly more conscientious of mit taining healthy living habits ae activities, and with this ‘indst, such individals are far more knowledgeable about health than the est ofthe population. [0048] With this recognition, embodiments described herein provide a system for gaging how conscientious a given user is with respect to health, based on the user's awareness of information that is specifi and health driven embodiments further recognize that such, Such information, ‘which in many eases may qualify as trivia, nevertheless US 20210210176 AL provides « mechanism for delineating those individuals in the population who are in fact conscientious about healthy living habits. Furtiemnore, embodiments described herein Programmatically correlate knowledge of bealth to phys ‘loge health of individuals amongst statically signiti= ‘cant sample size of users, Additionally andor alternatively, ‘ther embodiments described herein programmatically cor- relate knowledge of health 10 a morality probability for individuals amongst a statistically significant sample size of users. This knowledge can be usod fora variety of purposes, sueh as pricing Ife insurance (or premiums). [0049] In order to gauge knowledge, an embodiment of IG. 1 maintains a ibrary of fact-based assertion on various subjects of human health, such as nutrition, exercise, modi- cine, ete. In an example of FIG. 1, the assertions are Presented to users in the form of questions, for which responses can provide answers that are either comect or incomect, and further enable evaluation of knowledge based ‘on whither correct or incorrect answers were given by the users, While examples provide for assertions to be presented to users in the form of questions for purpose of validating their knowledge, other embodiments may ase alternative forms of interaction in onder to gauge the user's awareness ‘orknowledge of particular assertion, For example, the user may’be provided a statement tha s presented as an answer, ‘and the interaction required ofthe user ean be for the user to generate a question that yields the particular answer, In this reverse format, the user's ability 10 generate the ques- tion, combined with a statement a¥ the presented answer, serves as a mechani for determining whether the user has independent knowledge of the underlying assertion from Which the slatement was orginally presented, 10050] Still further as desribed in grester dts, some ‘embodiments utilize a colletion assertions, of which only some have been determined to correlate to physiological health, mental ealth, morality rae or underwriting class ‘The user may have no knowledge of which questions ‘correlate to health and/or mortality rate or that only some ‘questions have digest correlation fo health and/or morality Tate while others are being provide for altemative purposes {eg amusement) In some eases, the user may even have no Knowlexjge that some of the assertions for which the user is responding to have aay correlation to do with their actual physiological health, mental health, moraity rate oF under- Waiting class. Among other benefits, the use of many ques- tions, in combination with questions that have been deter- mined to correlate to physiological heal, mental health, ‘mortality ate or underwriting class preclude some individu. als from “gaming” the questions ina manner that masks their teue knowledge level snd awareness [0051] In more deta system 100 includes a user interfiee 110, question selection logic 120, response logic 130, health scoring logic 14a, and mortality scoring logic 1408, The ‘question selection 120 can receive or aecess questions 127 from a question library 182, and the user interface 110 can present content based on the selected questions 127 10 Individual users in any one of a varity of computing. ‘environments that stimulate the individual to provide pur. posefil responses that reflect the user's understanding and knowlege fora topic ofthe question, The questions 127 ean ‘ry in thei purpose. In one example, question library 182 includes (i) a fist set of questions 127 whieh have been ‘correlated to physiological or mental bealth, (i) a second set, ‘of questions 127b which have not been corelated to physi- Jul. 8, 2021 ological or mental health, and (i) a thind set of questions 127e which have boon conelated with monality rate, but which may serve the alternative purpose of providing wivia, factual information, andor enterainment. Additionally. the questions of library 152 can be assigned to topies and Substopis. Sul futber. the questions of the brary 152 ean be associated witha difficulty score, based on, for example, 1 eorretion rate amongst a control group of persons Who faaswered the question. [0052] When the usr initiates a session, the user interface 110 may record a user ID 121 and session information 128, In implementation, the user interface 110 ean authenticate the user, and provide credentials 139 for 2 user profile store 138 in order to obtain profile data 137. The profile data 137 can identify, for example, any ane oF more of (2) the topic thatthe user was previously being questioned on (i the user is interested i, (i identifiers to questions thatthe user as proviously_answered, andor (iv) a_ determined Knowledge level 135 ofthe user With the proile data 137, the user interface 110 can ident pameters or other information for facilitating question selections forthe user. In-one example, the user interface I10 can use the profile information 137 to specily one or more topical parameters 123 andor the knowledge level 138 ofthe tse. In tur, the question selection 120 can select questions 127 based on parameters 113, which can be based on, for example, topic parameter 123, knowledge level 135, or user interest and/or preferences, [0053] The profile data 137 ean also include user-specific game data 119 (e3, user’s personalizations for gaming, historical performance on games, current game play state, .) Aditionally, the profile data 137 can include the user's ‘community or social network data 117 (user's personaliza tions for community or social network application, social network content, etc). The user-specific game data 119 and community oF social network data 117 ean, foe example, be Toaded through the respective functional layers ofthe user interface 110 whea the usr initiates a session witha service of system 100, [0054] In adlton to using profile data 137 to ercate parameters 113, system 100 can also use device data 193, ‘whieh ean inehide indicators of a user's overall health and fines levels, enerated by activity monitoring devices 191 {orparameters 113, slone or in combination with profile data 137, Activity monitoring devices 191 include electronic devices (eg, wearable electronic devices) that can be worn orheld by users 1 in order track data reated tothe users* activity levels and health parameters, [008s] An activity monitoring device 191 can include resourees such as Global Positioning System (GPS), motion sensors, andor sensors (et, heartbeat monitor) to recor! tnd track user setivity, as Well as biometric information of the user in performing such activity. Adlitionally, the activ= ty monitoring deviee 191 can include sensors such 2s an socclerometer or accelerometer sc a gyroscope, a magne- tometer, an ambient light sensor, hart rate sensor, tempor ture sensor and/or other sensors to measure facets of the user's body in performing an activity: The setvity monitor ing device 191 records activity data 193, which can include stats like pace, distance, elevation, route history, heart- beat, body tempemture andior other information relating to the user activity. The activity data 193 ean include both () raw or measured data and (@) derived or computed data based on measured or raw data and/or user input. Additional US 20210210176 AL ‘examples of device data 193 include heart rate and het rate trends, steps, distance traveled, floors climbad, calories bumed (e-.. derived from distance, pace, and user weight! ‘gcader), active minutes, sleep quality, blood sugar, and ‘cholesterol levels, among others 10056] In some aspects, activity monitoring devices 191 ‘can store their data ina device database 192, which can be managed by a computing platform (eg, APPLE HEALTH- KIT, mannfaetured by APPLE INC), Suck computing pat forms ean allow fr designated mobile applications to read ‘and write data to he device database 192 based on a set of pemnissions. For example, the permissions allow a user ‘choose which applications have acess to device data 193 in, ‘oer to protect privacy and prevent unauthorized access to potentially sensitive information. In some implementations, system 100 may only use device data 193 if a user has specifically opted-in and given pemnission for the data to be socessed by the system, 10057] The user interface 110 can be used to recon responses 129 fom individual users. In one implementation, ‘cach question 127 can be communicated to the user interface using @ sequence in whieh the answer tothe question is aso packaged and presented fo the user. Some conditional logie nay also be provided with the question 127, so that, lor ‘example, if the user response is corre, the user is instantly notified and the next question is presented (© the user. However, the conditional logic may render an altemative ‘content in response to incorrect user response, specifically 3 panel or othe information item which provides information Fegarding the actual answer to the question presente. In this ‘way, the user is made more knowledgeable [0058] The responses 129 can correspond to input that identifies, for example, the user's answer 10 a particular ‘question, The responses 129 can identify the answer ofthe User, the question that was answered, and an identifier ofthe user. In some implementations, each question 127 can farther be associated with one oF more subject miter topics Response logic 130 can process the responses 129 from the various users. In one implementation, a initial determina tion of response loge 130 is whether the question identified with response 129 is pro-associted with a physiological health, mental health, morality rate or underwriting class ‘correlation, or whether no such pre-asociation physiologi- cal health, mental health, morality rateor underwriting class correlation exits for the question. In one implementation, the response logic 130 records a comesponding response ‘entry 131 for each response, regardless of whether the ‘question of the response has pre-association with physi ‘logical health, meatal health, morality rate or udeswrting ‘lass. The response entry 131 can rflet whether the answer to the question i core, as wel asthe true answer. In some implementations, the response entry 131 further links the ‘question answered to topical designations forthe question, ‘98 Well as calibration or difficulty scoring, 10059] Scoring logic 144 can process the answer of response entry 131 to detennine a score value 145 40 associate with the particular record entry. The score value AS can be based in part om the difficulty level of the ‘question, which in some implementations, is provided as 3 ‘calibration coeliient that i pre-assoiated with the ques= tion. Thus, the mathematical process to tabulate scoring can include factors such as the number of questions the user ‘comecly answered, the number of questions the user incor- rectly answered, the difficulty parameter associated with Jul. 8, 2021 each question, andor secondary considerations such as the time it took for the user 10 provide the response and/or ‘whether the user correctly answered the question oa the fist try The score value 145 canbe sored with the response data sore 118, [0060] Additionally scoring logic 144 can also tally one or ‘ore aggregate or overall scores for the wser hosed on a historical recond of responses. For example, the response data store 118 can mtintsin one or more agareyate oF ‘ongoing subject mater topical scores (ez, weight-lifting), fs well as an overall score forthe user As deseribed with bother examples, scoring logic 144 can be used 10 develop comparative scoring as between users, based on their overall knowledge, session performance, andor topical subject mat- ter koovwledge. [0061] The response logic 130 can optionally include 3 ‘knowledge level determination component 134, The know- tedge level determination component 134 can determine {rom the response 129 the knowledge level 138 of the user, Alternatively, the knowledge determination component 134 fan determine the knowledge level of the wser from the Aiicuty parameter associated with the question and/or with the Seare output, as provided by the scoring component 144 ‘The knowledge level detemnination component 134 can determine an overall knowledge level or a topie-spectic Knowledge level 138, The determined Knowledge levels) 138 can be stored as part ofthe wer profile 138,50 that the knowledge level ofthe user is commnunicated to the ques tions selection logie 120 when the user initiates a session with system 100, [0062] Forthose selected questions which are identified 2s having a presassociated physiological health, mental health, ‘motality rate or underwriting class correlation, the response logic 130 can provide a comresponding. health question record 133 which identifies, Jor example, the question, the tse provided, andor whether the question was answered cormetly. The health question record 133 can also specify a topie of topics ofthe question, [0063] According to some embodiments, the question ‘denied with the health question record 133 can be asso- ciated with a health parameter value ISta andlor mortality parameter value 181P. As deseribod by other examples, the health parameter valve 1Sta ean be determined as part of @ correlative model tha i developed using control popula tion in order to provide a quantified correlation to physi- logical or mental health, The mortality parameter valve 151d can be determined as part of a conelative model that, is developed using a eonteol population in order to provide 4 quantified correlation {0 4 morality probability of an individual, 4 health scoring database 180¢ ean maintain a collection of health parameter values 18ta for individual questions. Additionally andor altematively, a morality Scoring database 1500 can maintain acolestion of mortality parameter Values 1816 fr individual questions in one iple- ‘mentation, the health parameter values 18a reflect a pre= defined health outcome. In another implementation, the mortality parameter values 1516 similarly reflects «pre defined morality outcome. Multiple health outcomes ean be «onsiered, and each question of heath question record 133 «canbe associated with a particular health outcome, By way of examples, the possible health outcomes that have quan- Uillable correlations to the heallh parameter values 11a include (health care eos for aa individual in a given time period, (i) numberof medical facility visits by an individual US 20210210176 AL ina given time period, ii) numberof prescriptions that the person fakes in a given time period, andor (iv) number of sick days that the person took. Other examples of health ‘outcomes include propensity for cancer (inching cancer of ‘ifferent types), heart disease, diabetes, hypertension or ‘other aflictions, The health outcomes ean this be numerical and continuous in nature (e-health eae cost) or categori~ cal (e, number of medical viis, prescriptions, sick days). Insome embodiments, the mortality outcomes may be based in whole or in part on the healih outcomes. 10064] Accocdinaly: in one implementation, the health Scoring component 140 utilizes health outeomt logic 1420 to generate a health outcome score 168a that i specific to particular health outcome definition 18S. The health out- ‘come logic 42a ean be implemented as a formula or model, fn can take into account parameters that inclde the health parameter value #5ta determined from an answered ques- tion, the number of questions answered, the time of involve- ment, etc. In one implementation, the bealth parameter values 1Sta that can be combined or tabulated andor can be

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