Patent Publication Number: US-2021193290-A1

Title: System and computer program for analyzing and managing fitness and nutritional wellness

Description:
CROSS REFERENCE TO RELATED APPLICATIONS 
     The present application claims priority to U.S. non-provisional patent application Ser. No. 15/844,606, entitled “System and Computer Program for Analyzing and Managing Fitness and Nutritional Wellness”, filed in the U.S. Patent and Trademark Office on Dec. 17, 2017, which claims priority to U.S. non-provisional patent application Ser. No. 13/933,277, entitled “System and Computer Program for Analyzing and Managing Fitness and Nutritional Wellness”, filed in the U.S. Patent and Trademark Office on Jul. 2, 2013, having at least one common inventor as the present document and hereby incorporated by reference. 
    
    
     BACKGROUND OF THE INVENTION 
     Field of the Invention 
     The present invention is generally related to systems for fitness and nutritional wellness, and more particularly to a system and computer program for analyzing and managing fitness and nutritional wellness. 
     Discussion of the Background 
     In the 1950&#39;s, pioneers in functional medicine began research in what was called molecular nutrition. These pioneers developed concepts of biochemical individuality and biomolecular psychiatry that investigated the integral relationships of nutrition and physiology. 
     Unfortunately today, most contemporary health care practitioners have little formal education in functional medicine and molecular or clinical nutrition. As a result, too few doctors recognize the connection between faulty nutrition and clinical disorders in their patients. 
     Additionally, the process of addressing the relationship between nutrition and clinical disorders is burdensome as a result of the labor and time intensive tasks of evaluation, integration and implementation. While causal relationships between metabolic dysfunction, biochemical individuality and age-related diseases are now scientifically recognized and validated as being closely tied to lifestyle, environmental factors, and diets that provide inappropriate macro and micro nutritional constituents, the sheer volume of currently available peer-reviewed science has outstripped the typical consumer as well as physician&#39;s ability to implement lifestyle, fitness, dietary and nutritional modifications based on relevant, currently available scientific evidence. 
     As a result, incongruent advice and resultant confusion permeates the health, nutrition and preventive care industries regarding what, when and how to implement proper age and gender specific diet, nutrition, exercise and remedial lifestyle recommendations. Moreover, the health care industry is inundated with conflicting opinions engendering inconsistent advice regarding diet, health, lifestyle, exercise, and disease prevention strategies for various populations. 
     The nutritional industry offers a widely divergent array of products that when utilized, separately or in combination, may or may not be beneficial to an individual based on their age, gender, genetic, environmental and lifestyle factors, formulation, and method of administration. Furthermore, many consumers are not aware of the potential overlap or superfluous combinations of ingredients in their supplement programs that may combine to provide nutritional ingredient amounts in excess of what is clinically relevant, validated, or necessary for healthy support. 
     Most consumers do not discuss nutritional support products with their primary health care providers and therefore, miss the positive synergy that could occur as the result of a properly implemented, integrated nutritional/medical plan. 
     Beyond these factors, efficacious management of an individual&#39;s healthcare needs should include remedial measures associated with functional medicine. Current peer-reviewed science validates the following four factors that make a nutritional approach to functional medicine a foundational aspect of healthcare today: (i) nutrition is an environmental factor that influences gene expression and phenotype in each individual, (ii) nutrients act as important biological response modifiers and control/regulate function of tissues, glands, organs and systems throughout the body, (iii) the molecular environment of the body depends on the interaction of an individual&#39;s genes with macronutrients, micronutrients, and conditionally essential nutrients, and (iv) diseases such as cardiac disease, adult-onset diabetes, arthritis, digestive disorders, loss of cognitive function and many forms of cancer are often the result of an amalgamation of multiple factors including nutritional under-consumption, poor dietary, lifestyle, fitness and environmental choices. 
     Thus, there currently exist deficiencies in analyzing and managing fitness and nutritional wellness. 
     SUMMARY OF THE INVENTION 
     Accordingly, one aspect of the present invention is to provide a system for analyzing and managing fitness and nutritional wellness. The system includes a plurality of remote computers, a central server, a network interface in communication with the central server and the plurality of remote computers over a network, and a shared database in communication with the central server. The network interface is configured to receive patient information. The central server is configured to receive configuration and setup information, receive and store patient information in the database, correlate the responses based on the predefined correlation rules to a plurality of functional scores, create a health and wellness graphical representation of a patient based on the functional scores, and display the health and wellness graphical representation within the predefined thresholds to the patient. The configuration and setup information includes configuring predefined fitness and wellness questions derived from validated questionnaires in a plurality of subspecialty fields, and predefined correlation rules associated with the fitness and wellness questions. The patient information includes responses to the predefined fitness and wellness questions. 
     Yet another aspect of the present invention is to provide a computer program product embodied on a non-transitory computer readable medium for analyzing and managing fitness and nutritional wellness. The computer program is implemented by one or more processors executing processor instructions. The computer program product includes a first computer code for receiving configuration and setup information, a second computer code for receiving and storing patient information in the database, a third computer code for correlating the responses based on the predefined correlation rules to a plurality of functional scores, a fourth computer code for creating a health and wellness graphical representation of a patient based on the functional scores, and a fifth computer code for displaying the health and wellness graphical representation within the predefined thresholds to the patient. The configuration and setup information includes configuring predefined fitness and wellness questions, and predefined correlation rules associated with the fitness and wellness questions. The patient information includes responses to the predefined fitness and wellness questions. 
    
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS 
       A more complete appreciation of the present invention and many of the attendant advantages thereof will be readily obtained as the same becomes better understood by reference to the following detailed description when considered in conjunction with the accompanying drawings, wherein: 
         FIGS. 1A-1B  are block diagrams illustrating a system for analyzing and managing fitness and nutritional wellness in accordance with an embodiment of the present invention; 
         FIGS. 2A-2E  are flow charts illustrating a method for analyzing and managing fitness and nutritional wellness in accordance with an embodiment of the present invention; 
         FIGS. 3A-3B  illustrate an exemplary user interface for graphically presenting fitness and nutritional wellness information in accordance with an embodiment of the present invention; 
         FIGS. 3C-3E  illustrate an exemplary user interface for graphically presenting fitness and nutritional wellness information in accordance with an alternate embodiment of the present invention; and 
         FIGS. 4A-4V  illustrate an exemplary user interface and computer program for analyzing and managing fitness and nutritional wellness in accordance with an embodiment of the present invention. 
     
    
    
     DETAILED DESCRIPTION THE PREFERRED EMBODIMENTS 
     Referring now to the drawings, wherein like reference numerals designate identical or corresponding parts throughout the several views, preferred embodiments of the present invention are described. 
     According to one embodiment, predefined thresholds and an easy to use user interface is utilized to reduce prejudice or inaccuracy. The intuitive interface is configurable to conform to a user&#39;s practice style or modularity. The system allows substantially all of the practice preference to be configured, including without limitation how the questionnaire is presented. 
     The present invention utilizes a composite score resulting from symptom interview in combination with objective data. According to one embodiment, the objective data is received from a HL7 bridge. However, it is understood that objective data may be received from other sources within the scope of the present invention. The resulting data is translated into a diagnostic image generator for the purpose of creating a human-machine interface. The human-machine interface of the present invention generates a graphical representation of the many layers of complex symptomatic and objective data. Thereby, the many layers of complex symptomatic and objective data can be analyzed graphically by the human eye. According to one embodiment, the present invention maintains historical information over a prescribed period of time for a patient. This historical information is used by the present invention to generate images for evaluation over a prescribed time period. Instead of reading text, medical images and laboratory reports to come to a valid medical decision the present invention provides a computer generated image that presents the interpreted data in a graphic context for rapid acquisition of highly predictive health and wellness conclusions. 
     In a sense, a picture that is worth many thousands of words. The system applies an interpretive algorithm to all classes of data to build an image that summarizes all of the data and diagnostic probabilities. This diagnostic image is presented to the human eye similarly to a bar code or UPC symbol would be to an electronic “reader.” The subtle inferences and nuances of the human mind are employed to create the final health and wellness conclusions. 
     The system utilizes multiple questionnaires grouped into different health and wellness categories. However, the questionnaire categories are overlaid to impact global rather than just specific diagnoses. The questionnaires include reduced diagnostic choices to improve analysis and minimize diagnostic errors. Each of the responses to the questionnaires have a configurable numerical score. The questions presented and the numerical scores associated with the responses are configurable. A rules-based engine analyzes the questionnaire results and based on the configurable rules, arrives at an overall numerical score for each category. Reports, graphical representations and recommendations are then provided to the user. Historical information is maintained so that trend analysis can be performed. A sequential graphic improvement score and/or trend chart may be presented to the user showing the user&#39;s improvement over time. The system identifies risk factors and may be configured to send an automated warning communication to the user via email if a risk threshold is exceeded. 
     The system may be configured to assist the doctor in screening and/or prescreening patients. The doctor can upload and/or add comprehensive doctor&#39;s notes for a treatment plan. 
     The system includes a supplement store linked to outputs from single question to complex functional output. 
     Referring to  FIGS. 1A-1B , block diagrams illustrating a system  100  for analyzing and managing fitness and nutritional wellness in accordance with an embodiment of the present invention is shown. The system  100  includes one or more computers and/or servers  106  in communication with one or more databases  110 . According to one embodiment, the one or more databases  110  include without limitation an administration database  112 , a correlation database  114 , a functional area score database  116 , a rules database  118 , a questionnaire database  120 , a historical information database  122 , a report database  124 , a plan database  126 , and a supplement database  128 . It is understood, however, that other databases and/or combinations thereof are possible within the scope of the present invention. According to one embodiment, one or more users ( 102   a - 102   d ) using an interface device may access the system  100  via a network  104 . The interface device may include without limitation a computer, laptop, PDA, smart phone, server, and the like. The network may include without limitation the Internet, Intranet, LAN or WAN, and the like. The one or more users ( 102   a - 102   d ) may utilize a web browser or other software to communicate with the system  100 . According to an alternate embodiment, the system  100  is a standalone version loaded on a computer of the one or more users ( 102   a - 102   d ), which may or may not include a network. 
     The system  100  receives input data from various sources, including without limitation input directly from an interface device (not shown) by a user, a clinician, or a laboratory. A system  100  may be accessed via a secure website by the interface device through a socket of a secure encrypted server. Once the website is accessed, the user may be presented with a set of dynamically changing questions that will elicit particular input data. 
     The types of input data that may be received into the system  100  include but are not limited to the types of described in Table 1 below. 
     
       
         
           
               
             
               
                 TABLE 1 
               
             
            
               
                   
               
               
                 EXEMPLARY INPUT DATA 
               
            
           
           
               
               
            
               
                 Type 
                 Description 
               
               
                   
               
               
                 Demographics 
                 Information that distinguishes a  
               
               
                   
                 user including data points like age, 
               
               
                   
                 weight, height, gender etc. 
               
               
                 Family History 
                 Information pertaining to historical  
               
               
                   
                 family environmental, medical, 
               
               
                   
                 physiological, and/or psychological  
               
               
                   
                 conditions. 
               
               
                 Personal History 
                 Information pertaining to historical,  
               
               
                   
                 personal, environmental, medical, 
               
               
                   
                 physiological, and/or psychological 
               
               
                   
                 conditions. 
               
               
                 Social History 
                 Information regarding specific  
               
               
                   
                 socio-environmental, sociological, and 
               
               
                   
                 various social conditions that a person  
               
               
                   
                 currently is, or has been exposed 
               
               
                   
                 to in the past. 
               
               
                 Current  
                 Information that pertains to the  
               
               
                 Supplements 
                 supplements that are currently being 
               
               
                 Utilized 
                 utilized by the user. 
               
               
                 Lifestyle 
                 Information that pertains to a person&#39;s  
               
               
                   
                 habitual lifestyle patterns 
               
               
                   
                 including, but not limited to habitual  
               
               
                   
                 thoughts and mental outlook, 
               
               
                   
                 exercise, fitness, eating habits,  
               
               
                   
                 smoking habits, and alcohol 
               
               
                   
                 consumption etc. 
               
               
                 Body&#39;s Red Flags 
                 Information regarding a person&#39;s  
               
               
                   
                 perceived and objective measures of 
               
               
                   
                 well-being including emotional, global  
               
               
                   
                 and specific physical, and 
               
               
                   
                 global and specific mental measures. 
               
               
                 Oriental  
                 Physical characteristics and behavioral  
               
               
                 Medicine 
                 patterns suggest specific organ 
               
               
                 Biopsychotype 
                 system dysfunction and failure along  
               
               
                   
                 predictable lines according to 
               
               
                   
                 well-documented principles of Eastern  
               
               
                   
                 medicine. The system identifies 
               
               
                   
                 these patterns and directs users and  
               
               
                   
                 physicians to scrutinize these 
               
               
                   
                 specific organ systems for their  
               
               
                   
                 possible contribution to health 
               
               
                   
                 diminishment. 
               
               
                   
               
            
           
         
       
     
     In addition to input data, the system  100  is capable of utilizing input data from clinical examination procedures and laboratory studies. Clinical and laboratory data also may be input through a secure socket connection of the secure server or through an electronic data interface with a laboratory or clinic. Clinical data is defined as any information gathered by all means during a direct encounter with the client present. Laboratory data includes any process of collecting and assessing biochemical metabolites, markers, laboratory values, and information generated from analytical data including, but not limited to: salivary or pH tests; blood, blood plasma, or blood spot tests; urinary tests; stool samples; and caliper readings. 
     Additionally, the system 100 is capable of utilizing input data from biometric measurement devices. Biometric data may include, but is not limited to: EKG data; EEG data; biometric scan data, digitized image data, electromagnetic feedback reader data, and electronic energy flow detection device data. At least a portion of the input data is entered into a correlation database  114  of an expert system engine. 
     The output data may be utilized to improve quality of life and genetic expression. A goal of the system is to modify the functional genetic expression evidenced through improved laboratory parameters, sense of well-being, and objective physical and behavioral parameters. Output data may include, but is not limited to, the output data shown in Table 2 below. 
     
       
         
           
               
             
               
                 TABLE 2 
               
             
            
               
                   
               
               
                 EXEMPLARY OUTPUT DATA 
               
            
           
           
               
               
            
               
                 Type 
                 Description 
               
               
                   
               
               
                 Lifestyle Plan 
                 Customized lifestyle tips shown to  
               
               
                   
                 address pertinent issues the user is 
               
               
                   
                 facing. 
               
               
                 Precision  
                 Stretching, cardiovascular, and  
               
               
                 Fitness Plan 
                 resistance training plans specifically 
               
               
                   
                 designed according to the users  
               
               
                   
                 exercise history, ability, and goals. 
               
               
                   
                 Maximal and training heart rate,  
               
               
                   
                 duration, method, type of exercise, and 
               
               
                   
                 precise rest periods are among the  
               
               
                   
                 essential components that produce 
               
               
                   
                 benefit in this plan. 
               
               
                 Precision  
                 An eating plan that determines the  
               
               
                 Eating Plan 
                 particular carbohydrate to protein 
               
               
                   
                 ratio for the user determined by  
               
               
                   
                 calculation of specific inputs the user 
               
               
                   
                 provided the system. The eating plan  
               
               
                   
                 uses different foods and feeding 
               
               
                   
                 schedules to maximize endogenous  
               
               
                   
                 homeostatic control on multiple 
               
               
                   
                 levels. 
               
               
                 Nutrition Plan 
                 An individualized compilation of  
               
               
                   
                 foods to eat that will benefit the 
               
               
                   
                 individual as well as a compilation  
               
               
                   
                 of foods to avoid due to their 
               
               
                   
                 negative impact on digestion,  
               
               
                   
                 physiology, symptoms or 
               
               
                   
                 digestive/allergic properties is a  
               
               
                   
                 significant contributor to the effect of 
               
               
                   
                 the plan. Blood type, allergy,  
               
               
                   
                 underlying functional challenges and 
               
               
                   
                 food preferences are integrated  
               
               
                   
                 into the system. 
               
               
                 Nutritional 
                 Function-enhancing and supporting  
               
               
                 Supplements  
                 nutrients and agents targeted to a 
               
               
                 Plan 
                 unique profile (individually and  
               
               
                   
                 combined in defined proportions). 
               
               
                 Nutritional 
                 The ingredients in each supplement  
               
               
                 Supplement 
                 that the user is currently consuming 
               
               
                 Inventory 
                 is provided. These ingredients are  
               
               
                 Data 
                 compared with independently lab 
               
               
                   
                 certified or otherwise third-party  
               
               
                   
                 verified supplement data. The data 
               
               
                   
                 provides specific information allowing  
               
               
                   
                 the user to make an informed 
               
               
                   
                 decision regarding the continuation  
               
               
                   
                 of specific supplements the user is 
               
               
                   
                 currently taking, or make an informed  
               
               
                   
                 decision regarding the 
               
               
                   
                 discontinuation of specific supplements  
               
               
                   
                 that are no longer necessary, as 
               
               
                   
                 well as verify the importance of  
               
               
                   
                 additional supplements that may be 
               
               
                   
                 added to establish or more thoroughly  
               
               
                   
                 complete the clinical and peer- 
               
               
                   
                 reviewed observations of the system. 
               
               
                 Doctor&#39;s  
                 Information includes additional  
               
               
                 Suggestions 
                 supplements, lab tests, and therapies 
               
               
                   
                 designed to give the user&#39;s physician  
               
               
                   
                 a variety of doctor assisted 
               
               
                   
                 remedies or methodologies to more  
               
               
                   
                 accurately address the user&#39;s needs. 
               
               
                 Drugs and 
                 Drugs and other pharmaceutical  
               
               
                 Pharmaceutical 
                 preparations. 
               
               
                 Preparations 
                   
               
               
                 Biologicals 
                 Vaccines and sera. 
               
               
                 Gene modifying 
                 Treatments which modify genes. 
               
               
                 treatments 
                   
               
               
                 Therapies 
                 Various physical, emotional,  
               
               
                   
                 energetic, and mental therapies 
               
               
                   
               
            
           
         
       
     
     A trend represents measurable or perceived changes in the user after implementing one or more plans or utilizing the information produced in output data to initiate healthful changes in indicated areas. A trend may include areas involving e.g., disease avoidance, changes in the body&#39;s red flags, and optimal subjective health are entered into a second round of input data provided by the user. That is, the trend is not considered until the user enters input data into the process flow system  100  a second time. 
     The new input data corresponding to the trend is stored in a historical information database  122 . Output data generated by the expert system engine is also stored in the historical information database  122 . The historical information database  122  allows the trends and output data to be stored and analyzed. 
     A user has the ability to utilize the system  100  on a regular basis reentering input data and generating a new set of output data containing information specific to their current health situation. The data may be stored and trended allowing the process to be repeated, but with a slightly different focus and input data. 
     The system  100  includes a number of databases, tools, rules engines, and content generators. The system  100  includes a correlation database  114  that stores all of the input data. As previously described, the input data can be generated by the user, by a clinical examination, a laboratory study, or directly from biometric measurement devices. 
     The system  100  further includes a rule creation tool, which may be a simple graphic user interface to allow an expert system programmer or administrator to create a correlation rule. Each correlation rule created is capable of giving a positive, negative, or neutral value to the input data for a particular functional area. A functional area is a monitored health factor related to the user&#39;s body chemistry, brain function, and immune system for example. More specifically, a functional area may be related to the user&#39;s thyroid performance, anxiety level, and allergies. For instance, if the user identifies a family history of cardiac disease as well as a lifestyle comprised of little exercise and high fat foods, the correlation rule will weigh these combined factors as highly negative, and factor in the remainder of the input data to generate a functional area score for cardiac health. The functional area score is simply a numerical value given to the health factor after the correlation rule is applied to the input data. A highly negative functional area score for cardiac health may also impact the functional area score of another health factor and vice versa. 
     A rules database  118  stores the correlation rules that relate to functional areas. The correlation rules give negative and positive weights to input data that is relevant to a particular functional area. For example, if the user identifies a family history of cardiac disease (a negative indicator for cardiac health), but has a lifestyle comprised of frequent exercise and an appropriate diet (a positive indicator for cardiac health), the correlation rule will weigh these indicators against the rest of the input data to generate a functional area score for cardiac health. 
     The system  100  applies a correlation rule to the input data stored in the correlation database  114  and calculates the functional area score. Additionally, system  100  calculates a baseline value for each functional area. This baseline is the calculation of the highest possible positive value and the lowest possible negative value for each functional area. By comparing this baseline value to the calculated functional area score, the system is able to determine whether the positive or negative value is a priority set for the particular user. The system  100  is also capable of utilizing already calculated functional area scores as an input for calculating subsequent functional area scores. For instance, a high functional area score for a particular function may impact another functional area driving its score higher or lower as appropriate. 
     The functional area score database  116  stores each calculated functional area score as well as the relevant baseline value for each functional area. This data is stored every time input data is entered. The functional area scores also may be accessed during the trend analysis described above. 
     The report database  124  may include without limitation text and graphic content data that is entered by the administrator. The report database  124  is a repository of substantive content that is typically utilized in combination with intelligent rules to display health and wellness information to a user. The content data may be develop in a logical fashion without the administrator having to understand the inner workings of the system  100 . 
     The content data may be utilized in the dynamic creation of output data. The content data is created by the administrator to address specific functional area patterns or scenarios identified by the system  100 . The system  100  retrieves content data (as text or graphical data) for assembly to create a completely customized report for the user based upon the input data, functional area scores, and historical trends analysis. 
     The system  100  may include a rules engine that is capable of executing rules against input data, functional area scores, and trend data to determine the content data for the user. The rules engine may be capable of comparing the content data that has been extracted from the report database  124  to ensure that duplicate content data is not presented to the user. The rules engine is capable of ensuring that specific nutrient information, such as dosages, are listed at the level scientifically shown to address the most complex functional area. For example, if two functional areas are indicated as area of concern, both of which science indicates may be ameliorated with Vitamin C but at different dosages, the rules engine will determine and present the dosage proven to address both functional areas appropriately. 
     The system  100  may utilize a rules engine to analyze the functional area scores. When a more focused output data is required, multiple intelligent rules engines may be utilized to analyze input data and functional area scores. The result being thorough yet narrowed output data directed to the user. 
     A supplement database  128  stores supplement data on supplements the user is currently taking and their nutritional content. If the user is taking a supplement that is not found in the supplement database  128 , the user has the ability to enter the label information of the supplement. 
     Prior to becoming available, the stored user entered label information may be validated and approved by the administrator for accuracy. The supplement database  128  also may be updated by the administrator. Additionally, direct manufacturer data feeds as well as clinic data feeds may be used to populate the supplement database  128 , but as with the supplement label data entry tool  218 , the supplement data may be validated by an administrator prior to becoming available. 
     The system  100  queries the supplement database  128  for all supplements the user indicated as currently being taken. The system  100  analyzes all the nutrients identified by the user as being consumed, matching them to the nutrients in the supplements currently being taken. A report is created for the user providing information on what supplements the user may consider continuing, what supplements the user may choose to add, and what supplements may not be a priority or may be discontinued based on the functional area scores, input data, and physician recommendations. 
     The system  100  utilizes a plurality of dynamic report generators that assemble the content data to be utilized in the dynamic creation of output data. The dynamic report generators dynamically build a graphically pleasing intelligible report for the user that details their individualized custom plans. The report is dynamically produced whenever the user requests it and is presented in a report viewer such as without limitation a standard internet browser. The dynamic nature of the report generation allows the user to receive the latest up to date output data every time the user requests to view their report. This is accomplished by using the stored input data as well as the stored functional scores to compile a report using the latest updated content data from the report database  124 . 
     A user  102  may access to the system via a secure socket connection to a web server running on the system  100 . A web-based graphic user interface allows the user to answer a dynamically changing questionnaire by entering input data. The input data is transformed by the system  100  to create output data. The output data is presented to the user in the form of an online report displayed by the web server over the secure socket connection. 
     A user  102  may access the system  100  from a doctor&#39;s clinic or office. The user  102  may connect via a secure socket connection to a web server executing on the system  100 . In this embodiment, a doctor may also connect via a secure socket connection to add additional input data and/or access the user&#39;s output data to approve and/or modify the output data prior to compiling a report for the user. The report is presented to the user  102  in the form of an online report displayed by the web server over the secure socket connection. 
     A doctor input tool allows the physician to enter additional information into the input data. The information may include data such as laboratory data, diagnosis data, and physical evaluation data. The additional information provided by the doctor is stored in the correlation database  114  and is utilized as input data. 
     An output manipulator may be utilized by the user&#39;s doctor to further customize the output data for the user. The output manipulator is accessed by the doctor using a secure socket connection through a web server executing on the system  100 . Using the output manipulator, the doctor can select what content data is be presented to the user. For sample, the doctor may decide not to present the user with certain diet or exercise plan because of physical constraints that were observed while evaluating the patient. The doctor is also able to add additional content to the users report via the output manipulator. For example, a prescription or other information may be added by the doctor. The information can then be added and stored in the user&#39;s report. 
     The report database  124  stores the modified output data in viewable and printable forms for future reference by the user or the doctor. The output data is also stored in raw data form to be used for trend analyzes and dynamic adjustments to the expert system engine and to create a customized user experience for future user interactions. The content of the clinical user&#39;s reports are stored in viewable and printable form for the user and doctor to access. 
     Referring to  FIGS. 2A-2E , flow charts illustrating a method for analyzing and managing fitness and nutritional wellness in accordance with an embodiment of the present invention, are shown. The system  100  includes modules without limitation for administration and configuration  200 , determining fitness and nutritional wellness  300 , managing fitness and nutritional wellness  400 , and for providing graphical diagnostic information  450 . These modules may be accessed in any order. 
     The administration and configuration  200  module is used to setup and configure the system  100 . At block  202 , the system  100  receives setup and configuration information. Such setup and configuration information may include without limitation branding information, store options, managing sites, loading zip files, autoresponders, and changing passwords. The setup and configuration information also include without limitation managing clients, signup forms, supplements, report options, fitness plans, and eating plans. The rules, thresholds and questions are configured at block  204 . At block  206 , the rules, questions and configuration are stored in the database  110 . 
     The fitness and nutritional wellness determination  300  module is used to determine the fitness and wellness of the patient. At block  302 , the system  100  presents a questionnaire to a patient. The responses to the questionnaire is received at block  304 . At block  306 , the responses to the questionnaire are mapped to the appropriate rules and a numerical score is calculated. The numerical scores outside of defined thresholds are filtered at block  308 . At block  310 , based on the numerical scores, a fitness plan, eating plan and/or supplement(s) are determined by the system  100 . The numerical score and trend information is stored in the database  110  at block  312 . At block  314 , the questionnaire results are displayed. The results may be displayed as a report, a graphical chart, numerical scores, and the like. The user is provided a health and wellness recommendation to the user  102 . 
     The managing fitness and nutritional wellness  400  module is used to manage and maintain a patient&#39;s health and wellness. At block  402 , historical information is stored in the database  110 . The trends are calculated and displayed at blocks  404  and  406 . At block  408 , the results are displayed to the user. The results may be displayed as a report, a graphical chart, numerical scores, and the like. 
     The graphical diagnostic information  450  module is used to generate a graphical representation of a patient&#39;s health and wellness. At block  452 , historical information is read from the database  110 . At block  454 , a graphical diagnostical representation is generated as described below. The graphical diagnostical representation is displayed to the user at block  456 . 
     Graphical Diagnostic Representation 
     According to the present invention, the graphical diagnostic information  450  graphically representing a patient&#39;s health and wellness is based on the exemplary functional systems as described in Table 3 below. 
     
       
         
           
               
             
               
                 TABLE 3 
               
             
            
               
                   
               
               
                 FUNCTIONAL SYSTEMS 
               
            
           
           
               
               
            
               
                 Functional System 
                 Description 
               
               
                   
               
               
                 Cardiorespiratory 
                 The cardiorespiratory system provides  
               
               
                   
                 oxygenated blood and 
               
               
                   
                 nutrients to tissues and removes  
               
               
                   
                 waste products from this process. 
               
               
                 Endocrine 
                 The endocrine system releases  
               
               
                   
                 hormones (chemical messengers) that 
               
               
                   
                 communicate with every cell in the  
               
               
                   
                 body to regulate metabolism, 
               
               
                   
                 sexual function and thought. 
               
               
                 Gastrointestinal 
                 The gastrointestinal (GI) system  
               
               
                   
                 processes food through the phases of 
               
               
                   
                 digestion, absorption and elimination.  
               
               
                   
                 The GI system also produces 
               
               
                   
                 neurotransmitters and assists  
               
               
                   
                 in detoxification. 
               
               
                 Genitourinary 
                 The genitourinary system regulates  
               
               
                   
                 reproduction, the pH and volume 
               
               
                   
                 of blood and elimination of waste. 
               
               
                 Immune 
                 The immune system defends against  
               
               
                   
                 infection, balances inflammation 
               
               
                   
                 for healing and harmonizes the  
               
               
                   
                 environment inside the body with the 
               
               
                   
                 outside world. 
               
               
                 Integumentary 
                 The integumentary system is the  
               
               
                   
                 skin, hair and nails that form a 
               
               
                   
                 barrier to the outside world and  
               
               
                   
                 regulate temperature. 
               
               
                 Musculoskeletal 
                 The Musculoskeletal system  
               
               
                   
                 consists of muscle, bone, marrow, 
               
               
                   
                 cartilage, ligament and tendon.  
               
               
                   
                 The Musculoskeletal system supports 
               
               
                   
                 and protects internal organs, balances  
               
               
                   
                 mineral content and generates 
               
               
                   
                 heat through muscle contraction.  
               
               
                   
                 Mesenchymal stem cells in bone 
               
               
                   
                 marrow form red and white blood  
               
               
                   
                 cells, platelets and progenitor cells 
               
               
                   
                 for all musculoskeletal components. 
               
               
                 Neuropsychiatric 
                 The Neuropsychiatric system  
               
               
                   
                 communicates, coordinates and 
               
               
                   
                 responds to sensation. This system  
               
               
                   
                 generates mood and cognition 
               
               
                   
                 (thought). 
               
               
                   
               
            
           
         
       
     
     Each of the above exemplary function systems have one or more exemplary health alerts shown in the exemplary Tables 4-11 below. These health alerts are typically brought to a doctor&#39;s attention and belong to specific functional systems. 
     
       
         
           
               
             
               
                 TABLE 4 
               
             
            
               
                   
               
               
                 CARDIORESPIRATORY HEALTH ALERTS 
               
            
           
           
               
               
            
               
                 Health Alert 
                 Description 
               
               
                   
               
               
                 Heart Risk 
                 Heart risk can be lowered through  
               
               
                   
                 taking great care of this critical 
               
               
                   
                 muscle. Eating foods that balance  
               
               
                   
                 blood sugar reduces inflammation 
               
               
                   
                 and preserves arterial function.  
               
               
                   
                 Sustained aerobic exercise at a safe 
               
               
                   
                 level for your current state of health  
               
               
                   
                 builds the strength of your heart 
               
               
                   
                 muscle and stabilizes the entire  
               
               
                   
                 blood vessel system. Add nutrients 
               
               
                   
                 that promote healthy heart muscle  
               
               
                   
                 including Coenzyme Q10, 
               
               
                   
                 magnesium, fish oil with Omega 3 fatty  
               
               
                   
                 acids, selenium and vitamin E. 
               
               
                   
               
            
           
         
       
     
     
       
         
           
               
             
               
                 TABLE 5 
               
             
            
               
                   
               
               
                 ENDOCRINE HEALTH ALERTS 
               
            
           
           
               
               
            
               
                 Health Alert 
                 Description 
               
               
                   
               
               
                 Adrenal 
                 Adrenal Imbalance can be improved  
               
               
                   
                 by reducing physical and 
               
               
                   
                 emotional stress. Eat a little protein  
               
               
                   
                 with every meal and journal your 
               
               
                   
                 mood and energy level. Your diet  
               
               
                   
                 should always be adjusted to keep 
               
               
                   
                 you calm and focused. Gentle regular  
               
               
                   
                 physical activity will also tone 
               
               
                   
                 the adrenal gland and even out elevated  
               
               
                   
                 adrenaline levels. 
               
               
                 Blood Sugar 
                 Blood sugar and high Insulin levels  
               
               
                   
                 can often be reduced if you 
               
               
                   
                 increase your physical activity  
               
               
                   
                 and reduce the amount of 
               
               
                   
                 carbohydrates in your diet. A mix of  
               
               
                   
                 aerobic and resistance (weight) 
               
               
                   
                 training will give you the best  
               
               
                   
                 result for insulin reduction. 
               
               
                   
                 Supplements that help sugar metabolism  
               
               
                   
                 can reduce insulin levels as well.  
               
               
                   
                 Vanadium, chromium and L-glutamine 
               
               
                   
                 have all proven to be 
               
               
                   
                 useful in balancing cravings and insulin  
               
               
                   
                 levels. High blood sugar and 
               
               
                   
                 insulin levels are very commonly  
               
               
                   
                 related to improper food selection 
               
               
                   
                 and can be rapidly improved with  
               
               
                   
                 intentional eating strategics. 
               
               
                 Estrogen 
                 Low Estrogen Activity is often  
               
               
                   
                 associated with menopause but may 
               
               
                   
                 be caused by any stressor at nearly  
               
               
                   
                 any age. The ovaries are the 
               
               
                   
                 primary producer of estrogens after  
               
               
                   
                 puberty but the adrenal gland and 
               
               
                   
                 fatty tissues also contribute all  
               
               
                   
                 throughout the lifespan. Supporting 
               
               
                   
                 adrenal function through stress  
               
               
                   
                 reduction and other means can be a 
               
               
                   
                 safe and effective way to reverse  
               
               
                   
                 low estrogen status. Over-the- 
               
               
                   
                 counter herbal treatments that  
               
               
                   
                 contain Black Cohosh and other 
               
               
                   
                 compounds can be very helpful as well. 
               
               
                 Progesterone 
                 Low progesterone activity is often  
               
               
                   
                 associated with stress or excess 
               
               
                   
                 exposure to estrogenic compounds  
               
               
                   
                 in the diet. Reducing refined 
               
               
                   
                 carbohydrates and sugar in your  
               
               
                   
                 diet is a good first step. Increasing 
               
               
                   
                 aerobic exercise and relaxation  
               
               
                   
                 techniques, including deep breathing 
               
               
                   
                 can help. Symptoms of PMS are  
               
               
                   
                 often associated with low 
               
               
                   
                 progesterone levels and progesterone  
               
               
                   
                 replacement is often more 
               
               
                   
                 effective than drug therapy in  
               
               
                   
                 these situations. 
               
               
                 Testosterone 
                 Testosterone Imbalance can develop  
               
               
                 (Female) 
                 at any age after puberty and 
               
               
                   
                 frequently in early menopause.  
               
               
                   
                 Weight training and resistance 
               
               
                   
                 exercise in conjunction with weight  
               
               
                   
                 loss can improve testosterone 
               
               
                   
                 levels. Avoiding alcohol and processed  
               
               
                   
                 foods in combination with 
               
               
                   
                 stress reduction can also increase  
               
               
                   
                 testosterone levels. 
               
               
                 Testosterone  
                 Low testosterone (male menopause/ 
               
               
                 (Male) 
                 andropause) can develop at any 
               
               
                   
                 age after puberty. Weight training  
               
               
                   
                 and resistance exercise in 
               
               
                   
                 conjunction with weight loss can  
               
               
                   
                 improve testosterone levels. 
               
               
                   
                 Avoiding alcohol and processed  
               
               
                   
                 foods in combination with stress 
               
               
                   
                 reduction can also increase  
               
               
                   
                 testosterone activity. Zinc, DHEA, 
               
               
                   
                 Omega-3 oils, selenium, vitamin  
               
               
                   
                 D, E and lycopene can all have an 
               
               
                   
                 effect on testosterone. 
               
               
                 Thyroid 
                 Thyroid activity is often low from  
               
               
                   
                 problems like Grave&#39;s disease but 
               
               
                   
                 more often than not, thyroid function  
               
               
                   
                 is inadequate to meet the needs 
               
               
                   
                 of a stressful environment simply  
               
               
                   
                 because of external factors. Body 
               
               
                   
                 temperature testing and complete  
               
               
                   
                 blood testing including Free T3, 
               
               
                   
                 Free T4 and TSH are usually enough  
               
               
                   
                 to be certain that the thyroid 
               
               
                   
                 gland is working at its optimal  
               
               
                   
                 level. Though TSH levels may be in 
               
               
                   
                 the upper normal range (2-4.5) the  
               
               
                   
                 thyroid may not be providing 
               
               
                   
                 optimal support. 
               
               
                   
               
            
           
         
       
     
     
       
         
           
               
             
               
                 TABLE 6 
               
             
            
               
                   
               
               
                 GASTROINTESTINAL HEALTH ALERTS 
               
            
           
           
               
               
            
               
                 Health Alert 
                 Description 
               
               
                   
               
               
                 Digestive Enzymes 
                 Low digestive enzyme activity may  
               
               
                   
                 be at the root of your health 
               
               
                   
                 challenges. As much as possible,  
               
               
                   
                 eat fruits and vegetables raw or 
               
               
                   
                 very lightly cooked so their natural  
               
               
                   
                 enzymes make them easy to 
               
               
                   
                 digest. Take digestive enzymes right  
               
               
                   
                 in the middle of meals and 
               
               
                   
                 especially with all cooked food.  
               
               
                   
                 Stress reduction helps the digestive 
               
               
                   
                 system work more effectively-so  
               
               
                   
                 breathe deeply. Avoid late night 
               
               
                   
                 snacking when enzyme levels are  
               
               
                   
                 at their lowest point. 
               
               
                 Elimination (slow) 
                 Slow elimination (often with  
               
               
                   
                 constipation) makes it difficult to 
               
               
                   
                 remove toxins and waste. Healthy  
               
               
                   
                 people can improve their bowel 
               
               
                   
                 function by increasing fluids and  
               
               
                   
                 fruits and vegetables that are high in 
               
               
                   
                 fiber. Vigorous physical activity of  
               
               
                   
                 any kind helps the bowel move 
               
               
                   
                 more effectively. 
               
               
                 Leaky Gut 
                 Leaky Gut improves when foods  
               
               
                   
                 that cause allergic responses and 
               
               
                   
                 irritation are removed from your diet.  
               
               
                   
                 Wheat, dairy, sugar and soy 
               
               
                   
                 commonly cause problems. Avoid  
               
               
                   
                 fast foods that are loaded with 
               
               
                   
                 pesticides, hormones and antibiotics.  
               
               
                   
                 Eat organic when possible to 
               
               
                   
                 enhance nutrition and reduce pesticides.  
               
               
                   
                 Get up and move to get your 
               
               
                   
                 gastrointestinal tract active and reduce  
               
               
                   
                 stress. Supplementing with 
               
               
                   
                 good bacteria (probiotics) and taking  
               
               
                   
                 L-glutamine can help to heal 
               
               
                   
                 the lining of the intestine. 
               
               
                   
               
            
           
         
       
     
     
       
         
           
               
             
               
                 TABLE 7 
               
             
            
               
                   
               
               
                 GENITOURINARY HEALTH ALERTS 
               
            
           
           
               
               
            
               
                 Health Alert 
                 Description 
               
               
                   
               
               
                 Prostate 
                 Prostate enlargement makes urination  
               
               
                   
                 difficult to start, continue and 
               
               
                   
                 stop. Pain is usually not a problem  
               
               
                   
                 though checking for prostate 
               
               
                   
                 cancer with a simple PSA blood test  
               
               
                   
                 and physical exam is a good 
               
               
                   
                 starting point. 
               
               
                   
               
            
           
         
       
     
     
       
         
           
               
             
               
                 TABLE 8 
               
             
            
               
                   
               
               
                 IMMUNE HEALTH ALERTS 
               
            
           
           
               
               
            
               
                 Health Alert 
                 Description 
               
               
                   
               
               
                 Allergy 
                 Allergy problems are often caused by  
               
               
                   
                 foods. that irritate the immune 
               
               
                   
                 system. Milk, wheat, corn and soy are  
               
               
                   
                 commonly discovered as a 
               
               
                   
                 root cause of allergies during blood  
               
               
                   
                 testing. Dust and environmental 
               
               
                   
                 allergens like pollen and molds irritate  
               
               
                   
                 the immune system through 
               
               
                   
                 the breathing passages. Stress reduction  
               
               
                   
                 improves the output of the 
               
               
                   
                 body&#39;s own steroids and can create  
               
               
                   
                 large and lasting benefits. 
               
               
                   
                 Nutrients like quercetin, stinging  
               
               
                   
                 nettle extract and vitamin C 
               
               
                   
                 frequently improve the symptoms of allergy. 
               
               
                 Fungal 
                 Excessive fungal load can be addressed  
               
               
                   
                 by eating less refined 
               
               
                   
                 carbohydrate (especially sugar). This  
               
               
                   
                 may be the most important step 
               
               
                   
                 you can take to control the growth  
               
               
                   
                 of fungus. Sweet fruits and root 
               
               
                   
                 vegetables may also contribute to the  
               
               
                   
                 growth of fungus though they 
               
               
                   
                 are not nearly as damaging as sugar.  
               
               
                   
                 Stress reduction with deep 
               
               
                   
                 breathing and gentle exercise enhances  
               
               
                   
                 immune response and creates 
               
               
                   
                 a hostile environment for fungus.  
               
               
                   
                 Taking plant-based nutrients like 
               
               
                   
                 olive leaf extract, grapefruit seed  
               
               
                   
                 extract and uva ursi can help keep 
               
               
                   
                 fungus in check. Medications like  
               
               
                   
                 nystatin and Diflucan may be 
               
               
                   
                 helpful when natural remedies  
               
               
                   
                 aren&#39;t effective. 
               
               
                 Infection 
                 Infection with bacteria, virus or  
               
               
                   
                 parasite can be chronic (lasting 
               
               
                   
                 years) or acute (days). Infection  
               
               
                   
                 can be controlled by eating less 
               
               
                   
                 sugar and processed foods. This  
               
               
                   
                 denies food to bad bacteria in the 
               
               
                   
                 stomach and intestines. Stress  
               
               
                   
                 reduction supports a healthy immune 
               
               
                   
                 system that can repel viral, parasitic  
               
               
                   
                 and bacterial invaders before 
               
               
                   
                 they become deeply embedded  
               
               
                   
                 in the tissues of every system. 
               
               
                   
                 Aerobic activity and deep breathing  
               
               
                   
                 improve circulation to the tissues 
               
               
                   
                 and enhance drainage of infectious  
               
               
                   
                 waste. Supplementation with 
               
               
                   
                 vitamin C, grapefruit seed extract,  
               
               
                   
                 garlic and probiotics make it 
               
               
                   
                 difficult for bacteria to set up shop  
               
               
                   
                 in the intestines. 
               
               
                   
               
            
           
         
       
     
     
       
         
           
               
             
               
                 TABLE 9 
               
             
            
               
                   
               
               
                 INTEGUMENTARY HEALTH ALERTS 
               
            
           
           
               
               
            
               
                 Health Alert 
                 Description 
               
               
                   
               
               
                 Skin and Hair 
                 Skin and hair changes often suggest  
               
               
                   
                 underlying stress from aging and 
               
               
                   
                 infection. Though skin changes are  
               
               
                   
                 often treated as a local problem 
               
               
                   
                 they are often deep-seated immune  
               
               
                   
                 and digestive issues. 
               
               
                   
               
            
           
         
       
     
     
       
         
           
               
             
               
                 TABLE 10 
               
             
            
               
                   
               
               
                 MUSCULOSKELETAL HEALTH ALERTS 
               
            
           
           
               
               
            
               
                 Health Alert 
                 Description 
               
               
                   
               
               
                 Metabolic 
                 Metabolic imbalances in magnesium  
               
               
                   
                 and calcium can cause bone loss 
               
               
                   
                 and pain. Inflammation in joints  
               
               
                   
                 and other connective tissues can 
               
               
                   
                 create myofascial pain syndromes,  
               
               
                   
                 rheumatoid disease and other 
               
               
                   
                 auto-immune changes. Inflammation  
               
               
                   
                 turns on healing through 
               
               
                   
                 immune activation and stem  
               
               
                   
                 cell signaling. 
               
               
                 Structural 
                 Structural (musculoskeletal and c 
               
               
                   
                 onnective tissue) problems reduce 
               
               
                   
                 function through pain, poor flexibility  
               
               
                   
                 and effects on the internal 
               
               
                   
                 organs and systems. Stretching in a  
               
               
                   
                 pain-free range of motion is a 
               
               
                   
                 key to maximizing structural health.  
               
               
                   
                 Professional “body-workers” in 
               
               
                   
                 the fields of Osteopathic, Chiropractic  
               
               
                   
                 and Physical Therapy can all 
               
               
                   
                 provide great insight as well as  
               
               
                   
                 treatment. Supplements to enhance 
               
               
                   
                 structural healing include digestive  
               
               
                   
                 enzymes, bromelain and Vitamin 
               
               
                   
                 C. Quality proteins build and repair  
               
               
                   
                 muscle along with nutrients that 
               
               
                   
                 support connective tissues like  
               
               
                   
                 ligaments and joints. 
               
               
                   
               
            
           
         
       
     
     
       
         
           
               
             
               
                 TABLE 11 
               
             
            
               
                   
               
               
                 NEUROPSYCHIATRIC HEALTH ALERTS 
               
            
           
           
               
               
            
               
                 Health Alert 
                 Description 
               
               
                   
               
               
                 Anxiety 
                 Anxiety is a sense of worry, fear,  
               
               
                   
                 doubt or even dread. Deep 
               
               
                   
                 breathing is the best technique  
               
               
                   
                 to immediately reduce anxiety. As 
               
               
                   
                 deep breathing stretches nerve  
               
               
                   
                 bundles and improves brain 
               
               
                   
                 circulation the body reflexively  
               
               
                   
                 relaxes. Anxiety can also be reduced 
               
               
                   
                 by eliminating caffeine and other  
               
               
                   
                 stimulants from the diet. 
               
               
                 Cognitive 
                 Cognitive Problems range from  
               
               
                   
                 misplacing the car keys because of 
               
               
                   
                 excessive stress to the frightening  
               
               
                   
                 possibility of Alzheimer&#39;s disease. 
               
               
                   
                 Most mild cognitive problems  
               
               
                   
                 can be quickly addressed through 
               
               
                   
                 targeted nutrition including  
               
               
                   
                 brain-specific nutrients that can restore 
               
               
                   
                 normal thought and recall. With  
               
               
                   
                 foods, exercise and brain-building 
               
               
                   
                 activities the fear of life-changing  
               
               
                   
                 thought disorders can be banished. 
               
               
                 Depression 
                 Depression is usually caused by a  
               
               
                   
                 combination of brain chemistry, 
               
               
                   
                 emotion and environment. Increasing  
               
               
                   
                 physical activity and removing 
               
               
                   
                 toxic foods from the diet can make  
               
               
                   
                 a dramatic change in mood. 
               
               
                   
                 Specific nutrients can support brain  
               
               
                   
                 chemistry and boost levels of 
               
               
                   
                 serotonin and other crucial  
               
               
                   
                 neurotransmitters. Depressed mood isn&#39;t 
               
               
                   
                 always as simple as feeling “blue”  
               
               
                   
                 and may impact every function in 
               
               
                   
                 the body, especially the immune system. 
               
               
                 Sleep 
                 Sleep allows deep healing to occur in  
               
               
                   
                 organ systems at specific times 
               
               
                   
                 of the sleep cycle. 
               
               
                   
               
            
           
         
       
     
     Referring to  FIGS. 3A-3B , an exemplary user interface for graphically presenting fitness and nutritional wellness information in accordance with an embodiment of the present invention. According to this embodiment, the present invention utilizes a composite score resulting from symptom interview in combination with objective data which may be received from a HL7 bridge. However, it is understood that objective data may be received from other sources within the scope of the present invention. The resulting data is translated into a diagnostic image generator for the purpose of creating a graphical diagnostical representation of the many layers of complex symptomatic and objective data. The many layers of complex symptomatic and objective data can be analyzed graphically by the human eye. According to one embodiment, the present invention maintains historical information over a prescribed period of time for a patient. This historical information is used by the present invention to generate images for evaluation over a prescribed time period. 
     The present invention applies an interpretive algorithm to all classes of data to build an image that summarizes all of the data and diagnostic probabilities. A diagnostic image is presented to the human eye. The subtle inferences and nuances of the human mind are employed to create the final health and wellness conclusions with respect to several key body systems. 
     As shown in  FIG. 3A , a graphical diagnostical representation of the patient&#39;s functional systems may include, without limitation, the neuro psych  652 , endocrine  654 , cardiorespiratory  656 , gastrointestinal  658 , genitourinary  660 , musculoskeletal  662 , immune  664  and integumentary  666  functional systems. The neuro psych  652  functional system representation includes, without limitation, representations for anxiety  652   a , cognitive  652   b , depression  652   c  and sleep  652   d  health alerts. The endocrine  654  functional system representation includes, without limitation, representations for adrenal  654   a , blood sugar  654   b  and testosterone  654   c . The cardiorespiratory  656  functional system representation includes, without limitation, a representation for a heart risk  656   a  health alert. The gastrointestinal  658  functional system representation includes, without limitation, representations for elimination  658   a  and leaky gut  658   b  health alerts. The genitourinary  660  functional system representation includes, without limitation, a representation for a prostate  660   a  health alert. The musculoskeletal  662  functional system representation includes, without limitation, representations for metabolic  662   a  and structural  662   b  health alerts. The immune  664  functional system representation includes, without limitation, representations for allergy  664   a , fungal  664   b  and structural  664   c  health alerts. The integumentary  666  functional system representation includes, without limitation, a representation for a skin and hair  666   a  health alert. 
     According to a non-limiting embodiment, Table 12 below provides possible color representations of the functional body systems. However, it is understood that other color representations are possible within the scope of the present invention. 
     According to an alternative non-limiting embodiment, each of the functional systems ( 652 - 666 ) may be further represented by different colors representing a patient&#39;s health condition in each of these areas. For instance, different colors may be used to represent different neuro psych  652  functional system conditions, such as, without limitation, red for an unhealthy condition, yellow for a warning condition, and green for a healthy condition. However, is understood and any number of colors may be utilized to represent differing health conditions without departing from the scope of the present invention. 
     According to a non-limiting embodiment, each of the health alerts ( 652   a - 652   c ,  654   a - 654   c ,  656   a ,  658   a - 658   b ,  660   a ,  662   a - 66   b ,  664 - 664   c  and  666   a ) are represented by a bar in a bar chart visually indicating the degree of health alert in each of those areas and numerically ranging from 0 to 100, where 0 represents a healthy condition and 100 represents a critical condition. For instance, as shown in  FIG. 3A , the testosterone  656   c  health alert represents a fairly unhealthy condition with a longer bar representation reflecting a numerical score above 75, whereas, the sleep  652   d  health alert represents a fairly healthy condition with a shorter bar representation reflecting a numerical score below 25. Each of the health alerts ( 652   a - 652   c ,  654   a - 654   c ,  656   a ,  658   a - 658   b ,  660   a ,  662   a - 66   b ,  664 - 664   c  and  666   a ) may be further represented by different colors representing a patient&#39;s health condition in each of these areas. For instance, different colors may be used to represent different testosterone  654   c  health alert conditions, such as, without limitation, red for an unhealthy condition, yellow for a warning condition, and green for a healthy condition. Alternatively, different colors may be used to represent other information useful in diagnosing the patient&#39;s health condition. Thereby, a patient&#39;s overall health condition may be determined at a glance. Further, health conditions which must be immediately addressed are clearly indicated at a glance. 
     The present invention generates a graphical health and wellness representation using color, size and placement to enhance understanding of the patient&#39;s health and wellness status over a specified time period, including without limitation the past through the present and through the future as prediction of future events. For instance, a patient&#39;s health condition as of today  702 , three months ago  704 , and six month ago  706 , is shown in  FIG. 3B . Thereby, a visual comparison of the changes over time with respect a patient&#39;s health condition for functional systems ( 652 - 666 ) and health alerts ( 652   a - 652   c ,  654   a - 654   c ,  656   a ,  658   a - 658   b ,  660   a ,  662   a - 66   b ,  664 - 664   c  and  666   a ) can be ascertained at glance. This is especially helpful in determining if the patent&#39;s health condition is improving or deteriorating over time. 
     Referring to  FIGS. 3C-3E , an exemplary user interface for graphically presenting fitness and nutritional wellness information in accordance with an alternative embodiment of the present invention. According to this embodiment, the present invention utilizes a composite score resulting from symptom interview in combination with objective data which may be received from a HL7 bridge. However, it is understood that objective data may be received from other sources within the scope of the present invention. The resulting data is translated into a diagnostic image generator for the purpose of creating a graphical diagnostical representation of the many layers of complex symptomatic and objective data. The many layers of complex symptomatic and objective data can be analyzed graphically by the human eye. According to one embodiment, the present invention maintains historical information over a prescribed period of time for a patient. This historical information is used by the present invention to generate images for evaluation over a prescribed time period. The present invention applies an interpretive algorithm to all classes of data to build an image that summarizes all of the data and diagnostic probabilities. This diagnostic image is presented to the human eye similarly to a bar code or UPC symbol would be to an electronic “reader.” The subtle inferences and nuances of the human mind are employed to create the final health and wellness conclusions. The graphical diagnostical representation may be presented without limitation as a past health alert  500 , a present health alert  550 , and future health alert  600 . Each of these graphical diagnostical representations includes health indicators  502   a - 502   e  and  504   a - 504   c . It may also include one or more alerts  506 . Health indicators  502   a - 502   e  and  504   a - 504   c  represent body systems evaluated over time. The present invention generates a graphical health and wellness representation using color, size and placement to enhance understanding of the patient&#39;s health and wellness status over a specified time period, including without limitation the past through the present and through the future as prediction of future events. 
     
       
         
           
               
             
               
                 TABLE 12 
               
             
            
               
                   
               
               
                 EXEMPLARY COLOR REPRESENTATION 
               
            
           
           
               
               
               
            
               
                   
                 Function Body System 
                 Color Representation 
               
               
                   
                   
               
               
                   
                 Cardiorespiratory 
                 Red 
               
               
                   
                 Endocrine 
                 Blue 
               
               
                   
                 Gastrointestinal 
                 Tan 
               
               
                   
                 Genitourinary 
                 Magenta 
               
               
                   
                 Immune 
                 Green 
               
               
                   
                 Integumentary 
                 Gold 
               
               
                   
                 Musculoskeletal 
                 Yellow 
               
               
                   
                 Neuropsychiatric 
                 Purple 
               
               
                   
                   
               
            
           
         
       
     
     Patient problems or concerns within a system are predicted through symptom scoring and laboratory confirmation. Health indicators  502   a - 502   e  and  504   a - 504   c  are shown as circles and vary in size depending on probability of a problem. For instance, the size of the circle increases in size with increased likelihood and decreases in size with diminishing probabilities. Predictive scoring is extended into the future based on calculations of trajectories from previous scores and historical trending. This graphic representation is a man-machine interface meant to accelerate evaluation of extensive amounts of health data. The system&#39;s conclusions are presented to the patient and practitioner for final conclusions. The graphical representation may also include patient status information  506  and  508 . 
       FIGS. 4A-4V  illustrate an exemplary user interface and computer program for analyzing and managing fitness and nutritional wellness in accordance with an embodiment of the present invention. It is understood that other user interfaces are possible within the scope of the invention. According to one embodiment, when an administrator logs into the system  100 , the administrator is presented with a graphical user interface similar to the graphical user interface shown in  FIGS. 4A-4P  that allows the administrator to configure the system  100 . The menu options include, without limitation, “Clients”, “Marketing”, “Configuration”, “Options”, “Signup Form”, “Questionnaire”, “Supplement”, “Rule Tool”, “Report Options”, “Fitness Plans”, and “Eating Plans”. 
     If the administrator selects “Signup Forms”, the administrator can, without limitation, manage patient signup forms and coupons. 
     If the administrator selects “Questionnaire”, the administrator is presented with a graphical user interface as shown in  FIG. 4A . The questionnaire is separated into different health and wellness sections, including without limitation “Current Status”, “General”, “Mind and Mood”, “Circulation and Breathing”, “Digestion and Elimination”, “Body Chemistry”, “Lifestyle and Social History”, “Structural” and “At Last”. New sections may be added using this graphical user interface. The sections may be edited by selecting “Manage Questions” and using a graphical user interface similar to one shown in  FIGS. 4B-4D . Using the graphical user interface, the administrator can, without limitation, modify the question text, section, category, order, and report options. 
     If the administrator selects “Rule Tool”, the administrator is presented with a graphical user interface similar to one shown in  FIGS. 4E-4G . Using the graphical user interface, the administrator can, without limitation, modify the rule description and the numerical correlation score associated with each question. 
     If the administrator selects “Supplements”, the administrator is presented with a graphical user interface similar to one shown in  FIG. 4H . Using the graphical user interface, the administrator can, without limitation, modify supplement name, notes, warning, source, dosage, frequency, age group and gender information. 
     If the administrator selects “Report Options”, the administrator is presented with a graphical user interface similar to one shown in  FIGS. 4I-4K . Using the graphical user interface, the administrator can, without limitation, add or modify report option categories, assign report options, and assign product to questions. Report option categories include without limitation, “General”, “HEENT”, “SKIN”, “CARDIOPULMONARY”, “DIGESTIVE”, “ENDOCRINE”, “IMMUNE”, “STRUCTURAL”, “GENITOURINARY” and “NEUROPSYCH”. 
     If the administrator selects “Fitness Plans”, the administrator is presented with a graphical user interface similar to one shown in  FIG. 4L . Using the graphical user interface, the administrator can, without limitation, add or manage fitness plans, and exercises. 
     If the administrator selects “Eating Plans”, the administrator is presented with a graphical user interface similar to one shown in  FIG. 4M . Using the graphical user interface, the administrator can, without limitation, add or manage eating plans, food type, food category and food. 
     If the administrator selects “Store”, the administrator is presented with a graphical user interface similar to one shown in  FIG. 4N . Using the graphical user interface, the administrator can, without limitation, add or manage store products and shipping options. 
     If the administrator selects “Options”, the administrator is presented with a graphical user interface similar to one shown in  FIG. 40 . The menu options include, without limitation, “Brand Site”, “Store Options”, “Add Admin”, “Manage Sites”, “Update Standard Zip Files”, “Autoresponders”, and “Change Password”. If the administrator selects “Manage Sites”, the administrator is presented with a graphical user interface similar to the one shown in  FIG. 4P . Using this graphical user interface, the administrator adds or manages sites and site administration. 
     According to one embodiment, when a patient logs into the system  100 , the patient is presented with a graphical user interface similar to the graphical user interface shown in  FIGS. 4Q-4U  that allows the patient to access and improve their health and wellness. The menu options include, without limitation, “Dashboard”, “Reports”, “Food &amp; Supplements”, and “Exercise &amp; Lifestyle”. 
     If the patient selects “Dashboard”, the patient is presented with a graphical user interface similar to one shown in  FIG. 4Q . The patient can, without limitation, submit and view questionnaires, and view current status. The patient is also provided information regarding the patient&#39;s health status, and provided recommendations regarding eating, nutritional supplements and fitness &amp; activity. 
     If the patient selects “Submit Questionnaire”, the patient is presented with a graphical user interface similar to one shown in  FIG. 4R . The patient can respond to the questions that have been predefined by the administrator using this user interface. Based on the responses, the patient may be provided with one or more reports or graphs using the graphical user interface similar to the graphical user interface shown in  FIGS. 4S-4T . These reports and charts allow a patient to make improvements in their health and wellness. 
     If the patient selects “Food &amp; Supplements”, the patient is presented with a graphical user interface similar to one shown in  FIG. 4U . This user interface provides the patient with nutritional supplement recommendations based on their responses to the questions and the predefined correlation rules defined by the administrator. 
     If the patient selects “Exercise &amp; Lifestyle”, the patient is presented with a graphical user interface similar to one shown in  FIG. 4V . This user interface provides the patient with exercise and lifestyle recommendations based on their responses to the questions and the predefined correlation rules defined by the administrator. 
     It will be apparent to those skilled in the art that various modifications and variations can be made in the individualized health evaluation system and method of the present invention without departing form the spirit or scope of the invention. Thus, it is intended that the present invention cover the modifications and variations of the invention provided they come within the scope of the appended claims and their equivalents. 
     The present invention includes a computer program which may be hosted on a storage medium or other computer readable medium and includes instructions which perform the processes set forth herein. The storage medium or other computer readable medium can include, but is not limited to, any type of disk including floppy disks, optical disks, CD-ROMs, magneto-optical disks, ROMs, RAMs, EPROMs, EEPROMs, flash memory, magnetic or optical cards, or any type of media suitable for storing electronic instructions. 
     Obviously, many other modifications and variations of the present invention are possible in light of the above teachings. The specific embodiments discussed herein are merely illustrative, and are not meant to limit the scope of the present invention in any manner. It is therefore to be understood that within the scope of the disclosed concept, the invention may be practiced otherwise then as specifically described.