Medical

This is where the health side of caregiving lives — the appointments, the numbers, the medicines, the paperwork. CareHaven holds it so you can walk into a doctor's office with the whole story already gathered, instead of trying to remember it on the spot.

Your care log lives on your device and, if you turn on sync, is reachable only by the people you specifically invite into your circle. Not us, not anyone else. None of it diagnoses anything; it's there to help you notice, organize, and share what you're seeing with the people who can.

What's new

• Growth percentiles: your child's height, weight, and head-size readings now show a percentile-for-age against WHO and CDC references, with the classic shaded growth-chart bands you'd see at the pediatrician's office.

Care signals

When something you have logged or set up is worth a second look, a short Care signals list appears at the top of this hub — a seizure that reached a saved minute-mark or your cluster threshold, a medication at or below its refill level, or a clinician follow-up or health check that is overdue. You can also switch on four authored Care alerts of your own — an out-of-range vital, a weight drop, a feeding-refusal run, or short logged nights — each off until you turn it on and each tripping at the threshold you set. Every line is plain language and taps through to the detail, and the same signals ride along in a handoff. They are built only from your own records and the thresholds you set, never a guess the app made. For the full picture — including the authored Care alerts and the calm top-of-screen safety alert for the most urgent ones — see Safety & crisis plans. Available

Every Medical-hub signal is mechanical — it reflects a number you logged or a threshold you and your care team set. CareHaven never invents one on its own, and nothing is sent off your phone to produce them.

Care signals in the Body Care and Feeding hubs

The Body Care and Feeding hubs carry their own care signals, read back from the scores you already keep. There are five kinds: Available

• Falls are clustering (Body Care) — your falls log shows more falls or near-misses close together. Worth mentioning so the team can look at what changed.
• Skin risk is running high (Body Care) — your most recent skin-risk (Braden) check is in the higher-risk range right now. A prompt to keep up repositioning and skin care, and to raise it.
• More hands-on help lately (Body Care) — your daily-activity (ADL) checks show more help being logged for things like bathing, dressing, or transferring than before.
• Mealtimes worth watching (Feeding) — coughing or a wet voice at meals, or meals being refused, are showing up in Mealtime Watch — a swallowing-safety pattern worth a doctor's or speech-language pathologist's eye.
• Aspiration or reflux events (Feeding) — silent or airway aspiration, or reflux or spitting up, has been logged more than once.

Each signal reads only your own logs and stays neutral on purpose — it never names a cause and never points you to a specific specialist or treatment. A care signal is a heads-up that a pattern is worth raising, not a diagnosis or a referral. If anything ever seems urgent, call your doctor or emergency services (911 in the US). These signals ride along in the handoff too, so a sitter or relief caregiver sees what to keep an eye on — "watch for coughing at meals," "skin risk is high right now" — without a phone call to you.

Doctor visits

Main Menu -> Medical -> Doctor Visits. You can also start a new visit quickly: tap + -> New visit from anywhere in the Medical hub.

A doctor visit can carry more than fits in your head. CareHaven keeps each one in one place. Available

For a single appointment you can hold:

• A typed note of what you want to ask, or what the doctor said.
• A dictated transcript — speak instead of type, and your words become text.
• Scanned documents — the visit summary, lab results, an imaging report (see Scan an IEP or doctor letter).
• Follow-ups the app pulls out for you, so the next step doesn't get lost.

When you create a visit, CareHaven auto-generates a 30-day summary from what you've already logged — medications, compliance rate, seizures, sleep quality, behaviors, vitals, IEP goals, wins, triggers, and milestones — compiled immediately. Show it to the doctor, print it (via Print/PDF), or email it ahead of time. During the visit you can take notes as the doctor speaks — type into the Doctor's Notes section and tap Save Notes — and you can also tap Record Appointment to capture audio, which saves to the visit record and plays back with an inline audio player.

This is, by design, the most powerful feature in the app: walk into any appointment with a complete, data-driven summary. Neurologists, developmental pediatricians, and psychiatrists have consistently said these summaries contain more organized, useful data than they receive from any other source.

A way to put it to work across a care team: after a neurology appointment where the neurologist says something that affects the psychiatrist's plan, open the visit record, write the neurologist's recommendations in the notes, and email the summary to the psychiatrist directly — you become the communication hub between specialists who don't talk to each other.

Afterward, CareHaven can draft a short recap message you can share with family, so everyone knows how it went without a long phone call. The recap can be translated into another language before you send it.

If you delete a visit by mistake, it's recoverable — deleted visits sit in a recoverable state for 30 days before they're gone for good.

Vitals

Main Menu -> Medical -> Vitals

Log temperature, weight, height, pulse, blood pressure, blood oxygen (SpO2), and head circumference, each with a timestamp. Fill in only what's relevant — every field is optional, and a note field lets you add context like "post-seizure day" or "before appointment." Available

Vitals sync with Apple Health, so a reading you take in CareHaven can flow to Health and back. See Across your Apple devices for how that connection works.

The trend across entries is the point. A weight tracked week to week, or a blood-oxygen number watched daily, shows whether things are steady, drifting, or spiking — and that trend goes straight into a doctor-visit summary.

For cardiac monitoring, this is where home pulse-ox tracking lives — children with repaired congenital heart defects often have a daily SpO2-and-pulse requirement, and the trend across entries shows whether the numbers are stable, drifting, or spiking. It's also a quiet way to watch the appetite-suppressing effect of stimulant medication: weigh weekly, log it here, and the visual weight trend over three months shows the pediatrician exactly what's happening instead of "I think he's lost a little weight."

Explain this reading. If a number worries you, you can open a short explainer for any logged vital. It puts the reading in plain language. It never diagnoses, and it points you toward emergency help if something looks urgent. Available

Growth percentiles

Main Menu -> Track -> Growth, once at least one height, weight, or head-circumference reading is logged in Vitals.

CareHaven can show where a height, weight, or head-circumference reading falls on the same population growth charts pediatricians use — the World Health Organization charts for children under 2 (head circumference up to age 5), and the CDC charts for ages 2 to 20. Every calculation happens right on your device, fully offline — nothing about a measurement ever leaves your phone. Available

What it needs. Percentiles are calculated from age and sex, so the Growth screen needs the person's Sex and Birth date set in their profile (tap the person pill at the top of any screen -> Profiles -> swipe the profile and tap Edit -> Sex / Birth date). If either is missing, Growth doesn't error or sit blank — it shows a short, calm line explaining what's needed, right where the numbers would otherwise be. Available

Reading the chart. Each measurement — height, weight, head circumference — gets its own card with your child's own line plotted over a shaded reference band: a lighter outer band spanning the 5th to 95th percentile, a slightly darker inner band for the 25th to 75th, and a dashed line marking the median (the 50th percentile). Underneath, a plain-language line reads out the latest reading's percentile — something like "45th percentile for age." Tap anywhere on the chart to move that readout to any earlier point in the history, so you can check how a specific past reading compared at the time. Available

Head circumference for babies and toddlers. Head circumference tracking covers the full range pediatricians actually watch it for — from birth through age 5 — using the same WHO/CDC references as height and weight. Available

While you're logging. When you add a new weight, height, or head-circumference reading (Main Menu -> Medical -> Vitals -> the "+" button -> Log Vitals), a small live caption appears under the field as you type — "≈ Nth percentile for age" — so you see roughly where the number lands before you even save. The same percentile, named to its WHO or CDC reference, shows again on that reading's own detail screen, and a compact version rides along in the Vitals list next to each entry. Available

Adults don't get a percentile, and that's by design. These reference charts are built for children — CDC's stop at age 20 — so an adult profile never shows a percentile anywhere, on any screen. That's expected, not a gap.

A screening reference, not a verdict. A percentile is a position on a population curve, not a grade. Many children — especially with Down syndrome, cerebral palsy, or a history of prematurity — grow steadily along their own curve, well above or below the "average" band, and that can be perfectly healthy for them. The trend over time matters far more than where any single reading lands, and a sudden plateau or drop is the one pattern worth flagging on its own. Bring specific values and percentiles to your care team — they know this child's history and can read the number in context in a way a chart never can.

Care alerts (vitals and weight)

If you want a heads-up when a number drifts out of the range you care about, CareHaven lets you switch on a set of Care alerts, each off until you turn it on. The numbers that trip them are the numbers you set — CareHaven runs the rule but never invents a cutoff — and when a threshold is crossed it raises a calm Care signal. See Safety & crisis plans. Available

Two more Care alerts live where the day-to-day logs do — a feeding-refusal alert and a sleep alert — over on the Daily tracking page, next to the Feeding and Sleep logs they read from.

Vital alerts

A Care alert you switch on per vital — body temperature, heart rate, oxygen saturation, or weight. Open Main Menu -> Medical -> "Care alerts" -> Vital alerts, pick a vital and turn it on, then set a low and/or high bound and a recency window (how fresh a reading has to be to count). When the latest reading in that window crosses a bound you set, CareHaven raises a Care signal. You can optionally mark it Treat as a safety alert — then a crossing can also raise the top-of-screen safety alert banner. It reflects what you logged against the threshold you chose; it doesn't diagnose or set a safe range. Your clinician sets the right numbers for your person; if anything seems urgent, call your doctor or emergency services. Available

Weight-loss alert

A Care alert that watches logged weight for a drop you care about. Open Main Menu -> Medical -> "Care alerts" -> Weight-loss alert, turn it on, and set a percent drop over a number of days; CareHaven raises a Care signal when logged weight falls by that much inside that window. It reads the weights you already log in Vitals — the more consistently you weigh and log, the more reliable the signal. Unexpected weight loss can matter, so bring the pattern to your doctor; CareHaven flags the drop you defined, it doesn't decide whether it's a problem. Available

Sleep

Log bedtime, time to fall asleep, night wakings, wake time, and a quality rating (1–5), and a 7-night bar chart shows the trend at a glance. Available

To log a night, go to the Sleep tab and tap + Log Night, enter bedtime, fell-asleep time, wake time, and the number of wakings, add waking notes if relevant ("up at 1AM, back in 10 min"), select overall quality (1 Terrible to 5 Great), then tap Save Sleep Log.

For psychiatry appointments this is worth carrying along: sleep quality directly affects ADHD symptoms, mood regulation, and medication effectiveness, so bring the 4-week sleep log to every psychiatry appointment. "He has been averaging 3.1/5 quality for 6 weeks" is far more useful than "he doesn't sleep well."

A way to put it to work: compare the Sleep log trend line to the Behavior log. On days after poor-sleep nights, do behaviors increase? That correlation, documented with real data, is the kind of evidence that changes clinical decisions about melatonin, sleep-hygiene protocols, and the sensory environment.

Seizures

Main Menu -> Medical -> Seizures. To log in the moment without opening the hub first: + -> Seizure (the large button at the bottom of the screen, right of center).

Log a seizure in the moment, with the fewest taps possible. Pick the type — tonic-clonic, absence, focal, febrile, myoclonic, or unknown — then start the built-in timer when it begins and stop it when it ends, so the duration is captured precisely. Afterward you can add post-ictal notes — what came before, recovery time, behavior after — and check whether rescue medication was given or 911 was called. Available

The timer is built for the hardest moment. It runs as a Live Activity on your Lock Screen and in the Dynamic Island, so you can watch the time without keeping the app open, and it gives you a "consider 911" warning at the five-minute mark — the point at which a seizure is less likely to stop on its own.

The notes field is where the useful detail goes: what the person was doing right before, which body parts were involved, eye movement or deviation, skin color changes, how long the post-ictal recovery took and how they behaved after, and any possible trigger (illness, sleep disruption, a missed dose). The whole log is exportable as a PDF — before a neurology appointment, the export button compiles every episode with dates, times, durations, and notes into a clean document you can hand the neurologist or email ahead.

A practical way to use it: log what the person was doing in the two hours before each episode in the notes field. After five or six episodes, review the notes together — common threads like a missed dose, poor sleep the night before, or a high-sensory day become visible patterns your neurologist may not otherwise have the data to see.

For the step-by-step, see Log a seizure with the timer. For a seizure plan that speaks each step aloud, see Build a crisis plan.

What to watch for (epilepsy)

If your person has epilepsy or seizure entries, a short, plain-language "What to watch for" card appears in the Medical area, right alongside the seizure tracker. It gathers the signs worth acting on: seizures more often than usual — a cluster, or a step up from their normal pattern, which your seizure log makes easy to show; a seizure that looks different from their normal — a new type, longer than usual, or a new part of the body involved; and a seizure that won't stop or repeats before they wake up between. That last one is an emergency, and the card links straight to seizure first aid — and your seizure plan can run a live timer that tells you out loud when to give the rescue med and when to call emergency services (911 in the US). Available

The card also covers the everyday habits that keep seizures fewer and safer — tracking every episode (type, length, what came before, so patterns you can show the neurologist get treatment dialed in faster), watching for the two biggest common triggers (missed or late medication and short or broken sleep), and staying rescue-med ready: know the dose and the minute-mark to give it, keep it in date, and make sure every caregiver knows where it is and how to use it. It's caregiver education drawn from published guidance, not a diagnosis. The card only appears for a person with epilepsy or seizures.

Documents

Scanned papers — an after-visit summary, an IEP, an insurance card, a signed directive — organized by kind so you can find them when you need them. The scanner uses the same technology as the Notes and Files apps, so a scan comes out cropped and cleaned up rather than as a phone snapshot. The scan file itself stays on the device you scanned it on — if you sync with a co-caregiver, they'll see that a document exists but the file stays put on your device. Available

The scanner lives wherever you'd want to attach a document — inside the doctor-visit screen, on a person's profile, and elsewhere — so the scan and the record save together. CareHaven can also read a scanned IEP or doctor letter and turn it into goals, follow-ups, and reminders you review before saving; see Scan an IEP or doctor letter.

Documents are for scans and photos. For the structured data itself — medications, allergies, immunizations, lab results, conditions, and vitals straight from a patient-portal file or Apple Health — see Chart Import (Apple Health Records).

The document scanner

The document scanner is a tool, not a separate screen — there's no top-level "Scanner" to navigate to. Instead it sits inside every place you'd want to attach a document, so the scan and the record save together. Available

You'll find it in:

• The Dr. Visit composer (FAB -> Doctor visit) — for the visit summary, lab results, imaging reports.
• Advance Directives (Hamburger menu -> Advance Directives) — for the actual signed document (Living Will, MOLST/POLST).
• Skin Assessment (Hamburger menu -> Skin & Body Care) — for wound photos and dressing-change documentation.
• The person profile (tap the person pill at top -> Profile) — for insurance cards, school IDs, medical alert bracelets.
• The Diary (FAB -> Diary entry) — for IEP highlights, behavior plans, anything paper that matters today.

The scanner itself uses iOS's VisionKit, the same technology Notes and Files use, so the output looks like a real scan — auto-cropped, perspective-corrected, color-cleaned — not a phone snapshot. Every scan is stored in your iPhone's own protected storage, secured by your device's encryption and passcode or Face ID, and OCR runs in the background so the text inside a scan becomes searchable. A good habit: scan the prescription label every time a med fills — drug, strength, and pharmacy phone are all captured, which saves the "is it 250mg or 500mg?" call at 11 PM.

Advance directives and code status

The legal documents that define what medical care the person wants — Living Will, MOLST/POLST, healthcare proxy, DNR, and code status. CareHaven stores the document scan and the key fields so first responders and new providers see them immediately, not after a chart hunt. Available

You can set the person's code status — Full Code, DNR, DNI, or Comfort-Only / Hospice. When you set it to Comfort-Only, the whole app shifts its framing: the language softens, hospice-mode surfaces come forward, and the visual chrome carries a dignified accent. For each directive you store the document scan (PDF or photos, via the Document Scanner), the healthcare proxy's name and phone, the code-status decision date and where the original is filed, and the DNR status — which surfaces on the Lock Screen Care Card so EMS sees it before they intubate. Re-scan annually or after any hospitalization — directives evolve, and the most recent version is the one EMTs need.

Med supply

Main Menu -> Medical -> Medications (then Supply for the cabinet view).

Keep track of what's actually in the cabinet, so you're never scrambling for a refill on a Friday afternoon. For each medication you can hold its name, dosage, how much is on hand, a low-supply alert threshold, the pharmacy, whether it's compounded, a side-effects log, and refill history. Available

When supply runs low — below the threshold you set — CareHaven lets you know. Tap Refill when you pick up a new prescription to reset the counter. Logging a dose as given lowers the count by one; a missed dose doesn't.

When you add a medication, CareHaven can autocomplete the name from a public U.S. medication database, and if two or more medications on your list have a known interaction, a warning banner appears with the details. CareHaven doesn't diagnose interactions — it surfaces well-established concerns from official labeling so you can bring them to your prescriber or pharmacist.

The supply tracker is a safety net, not a replacement for the pharmacy's own refill system. Prior authorizations, backorders, and insurance changes can all delay a refill beyond what the counter predicts.

Supply tracking and refill alerts

To set up the tracker, open Med Supply and tap + Add medication to tracker, pick from your existing Medications list (or add a new one), enter the current quantity in whatever units the pharmacy uses (pills, mL, patches), and set a low-supply threshold — typically 7 days' worth. Available

Day to day, the tracker estimates how many days of supply you have left based on the quantity, your daily dose count, and the days that have passed since your last refill. Tap Refill when you pick up a new prescription to reset the counter to your new total. Logging a dose through + -> Log Medication with status Given decrements that medication's supply by one (marking a dose Missed does not); logging a dose by other paths — tapping a routine complete, or toggling a timeline med entry — doesn't currently affect supply. Once remaining days drop below your refill-alert threshold, a one-time low-supply toast appears, and you won't be reminded again until you refill and cross back below the threshold.

For a real popup that surfaces even when CareHaven isn't the front-most screen, enable Settings -> Privacy & Data -> Refill Notifications. After you grant notification permission once, low-supply warnings appear as system notifications you can act on without switching back to the app — and on the next app launch a catch-up scan fires any notifications that would have happened while you were away.

When you add or edit a medication, typing the name (say "Adde," "Concerta," "methylphenidate," or "Vyvanse") brings up a Suggested section after a short pause: CareHaven queries the NIH RxNorm public database — no API key, no subscription — and autocompletes with the canonical name plus a Brand or Generic tag. After your first acceptance the canonical name caches on-device, so typing the same name again is instant and offline. And when two or more meds on your list have a known class-level interaction, a coral or amber warning banner appears at the top with severity counts. The catalog carries 19 class-level rules covering concerns like serotonin syndrome (SSRI+SSRI, SSRI+MAOI), hypertensive crisis (Stimulant+MAOI), lithium toxicity (lithium with an NSAID, ACE inhibitor, or diuretic), bleeding risk (warfarin with an NSAID or SSRI), respiratory depression (benzodiazepine+opioid), and QT prolongation. Tap a warning row for a detail sheet with the severity label, full clinical summary, recommendation text, and drug-class badges for both meds; warnings recompute automatically whenever your med list changes. CareHaven does not diagnose interactions — the catalog surfaces well-established class-level concerns from FDA labeling and NIH MedlinePlus, so bring any warning to your prescriber or pharmacist.

Dose reminders

Set daily dose times for any medication, and CareHaven reminds you when each one is due. Swipe the medication's row, choose Reminders, then tap Add dose time for each one. The reminder arrives as a notification with Mark as given and Snooze built right into the banner, so you can act without opening the app. The first time you set a reminder, your phone will ask permission to send notifications — allow it, and the reminders keep working even if the app is fully closed, because they're scheduled at the system level. Available

Each scheduled time repeats daily and is shared with your co-caregivers, so everyone works from the same dose schedule. Ring on this device is set per device, though — you choose which phone actually plays each reminder, so a dose time added on grandma's phone doesn't wake yours unless you want it to. You can also mark a medication as "as needed," which keeps it in your list as a reference and lets you tap to log a one-off dose without scheduling an alert.

Scheduled dose times also show on the Schedule calendar alongside appointments — given doses show as done, and a dose that goes unlogged shows as missed a little while after its time. Touch and hold a dose on the calendar and choose Mark given to log it right there without leaving the calendar, and turn on Show history in Calendar options to also see doses that were already logged.

A couple of ways caregivers put this to work. When a dose changes, add a diary entry noting the date, the old dose, the new dose, and the prescriber's reasoning, then watch the behavior log for the next two to three weeks — you end up with a documented before/after that's far more precise than memory. And if your child takes a stimulant, log their food amounts in the Feeding Tracker for two weeks before and two weeks after a dose increase; the gram-by-gram data shows appetite changes more clearly than parental recall.

For the walkthrough, see Set medication reminders.

Medication status badge

Medication status badge. Available Each medication row in the Medical hub now carries a small status badge. The most common states are Active and Paused. You may also see a "reminders off on this device" state — that means the medication has a schedule but notifications are turned off on this phone. The schedule itself is intact; you can turn reminders back on in the medication's settings. The badge is there so you can spot quickly whether reminders are actually reaching you, without opening each medication one by one.

Plain-language explainers

Tap "What is this medication?" on a saved medicine, or "What is this condition?" on a diagnosis, to read a calm explainer written for families rather than clinicians. The text comes from MedlinePlus, the free patient-education service of the U.S. National Library of Medicine — the same source librarians and clinics point families to. Available

Looking something up sends only a generic code (the kind every patient on that medication or condition shares) — never your person's name or any of their details. After the first view it's saved on your device and opens instantly, even offline. It's background reading, not medical advice.

Catching what they can't tell you

When someone can't easily say "I hurt" — non-verbal, very young, or living with dementia — a change in behavior is often the first sign of pain or illness. These tools help you catch it and make a doctor take it seriously. What you record here lives on your device — reachable only by the people you invite into your circle if you turn on sync — and none of these tools diagnose.

One of the tools here is PAINAD (Pain Assessment in Advanced Dementia), the 0–10 scale clinicians use to read pain from behavior. It scores five dimensions — breathing, vocalization, facial expression, body language, and consolability — each from 0 to 2, with step-by-step prompts so the score comes out the same across different caregivers. A total of 6 or higher is flagged in warning coral as significant pain so it stands out in the timeline, the trend line in Patterns shows whether pain is worsening, controlled, or breaking through, and a recent score of 4 or higher rides along in the CUES section of the Handoff packet. A practical move: score once before a PRN pain med and again after, so the chart shows you whether the medication is actually working without you having to hold it in your head.

Baseline & Change Watch

Set it up from Medical hub -> Baseline & Change Watch -> Set up baseline. Write down what's typical for your person across sleep, appetite, energy, mood, sounds/speech, breathing, bathroom, and self-injury — plus a "pain signature," the particular way pain shows up for them (going quiet, rocking, guarding a spot) — and, if you like, individualized r-FLACC pain cues. Fill in only what applies. Available

Then tap Daily check and mark any signal that's off today; nothing tapped means all steady. When two or more drift together, CareHaven flags it as worth a closer look — a prompt to check the body first (pain, constipation, infection) and consider a call. You can add a note and an r-FLACC pain score to a daily check.

The payoff is a dated, doctor-ready summary you reach from the share icon: what's typical for this person, plus every change logged in the last 30 days (with pain scores and which ones stacked up). It's the evidence that gets a new symptom taken seriously instead of waved off as "just the disability." Your baseline, pain, and change notes live on your device — reachable only by the people you invite into your circle if you sync — and are kept out of the iPhone's system-wide search — though the dated changes are still findable in the app's own search (try "is this new" or "baseline").

Could it be medical?

When someone suddenly acts different — more irritable, not eating, withdrawn — the cause is often something physical and treatable: a tooth, an ear, constipation, an infection. This is a calm checklist that walks you through the hidden causes worth ruling out first. Tap a possible cause to see a "check the body" prompt and a "when to call" note, then turn it into a doctor note you can share, or save it to your Change Watch. Available

For dementia and elder care, this connects with behavior episodes, PAINAD, Mealtime Watch, and What Helped rollups. See Dementia & elder care.

Not a diagnosis. This is a way to check the body first and give the doctor a head start. If anything seems urgent, call your doctor or emergency services (911 in the US).

Health Watch

The recommended recurring health checks for your person — matched to their age and recorded needs — kept in one calm place so nothing quietly lapses. Things like thyroid tests, hearing and vision checks, hip surveillance, or a medication review. Tap "Add recommended checks" and CareHaven seeds the ones that fit. Mark a check done and its next due date rolls forward; snooze a check, or mark one not relevant to hide it. Available

It nudges what's coming up — never a red overdue wall — and it's reminders, not medical advice. Your clinician sets the right schedule.

Health Signals from Apple Health

A calm, read-only readout of the deeper numbers Apple Health already holds — last night's sleep stages, heart rate variability, resting heart rate, blood oxygen, breathing rate, and, where you track it, your cycle day. It shows only for the profile you've marked as "this is me," the one synced with Apple Health, because that data belongs to the phone's owner. A child's or care-recipient's profile won't show your watch numbers. Available

The first time you open Health Signals, iOS asks your permission to read each kind of data. You can change this any time in Settings > Health > Data Access & Devices > CareHaven.

It comes with one honest note: for sleep, CareHaven compares last night against your own recent nights, not a population average — "less deep sleep than usual" is your pattern shown back to you, never a diagnosis. The data stays on your iPhone; CareHaven keeps no copy and sends nothing.

Mobility & swallowing

Plain-language "What to watch for" cards for Parkinson's (in the Body Care area) and for swallowing trouble, or dysphagia (in the Feeding area). Each gathers the signs worth acting on and the everyday steps that keep things safer — and the guidance can carry into a handoff so a sitter isn't left guessing. The cards appear only when they fit the person. Available

Mealtime Watch sits alongside these in the Feeding hub. Trouble with eating and swallowing can creep up slowly — steady refusal, a cough or wet voice at meals, food kept in the cheeks, quiet weight loss — and it matters, because swallowing problems can be dangerous. Mealtime Watch is a light meal log that quietly watches for the patterns worth a doctor's call. Open Feeding hub -> Mealtime Watch, tap how the meal went (ate well / picked at it / refused), check any trouble signs (coughing, wet voice, pocketing food...), and add an optional weight note — it logs in seconds. When patterns build up — several poor meals in a row, coughing more than once, weight trending down — a calm "worth mentioning to the doctor" note appears at the top. It's never an alarm. Coughing or a wet voice at meals can be a sign of aspiration, worth raising with the doctor or a speech-language pathologist; Mealtime Watch tracks it, it doesn't diagnose. Available

Falls and fall risk

For a person at fall risk — older adults, mobility-impaired children, anyone post-surgery, anyone on sedating medications — CareHaven tracks both every fall event and the standing fall-risk assessment, so trends are visible across both. Available

The Falls Log captures each event: the date and time, where it happened (bed, bathroom, stairs), what the person was doing (walking, transferring, reaching), the injury severity and any follow-up care, whether EMS was called, and whether the fall was witnessed or unwitnessed.

The Fall Risk Assessment is a periodic check that scores risk based on history, medications, gait, vision, and environment. It shows as a trend line in Patterns & Insights, so you can see whether mitigations — grab bars, an evening light, deprescribing — are actually working.

Log every fall, even the ones with no injury. Frequency trends are the leading indicator clinicians use to decide whether to escalate intervention.

Skin checks and pressure-injury risk

For a person at pressure-injury risk — limited mobility, incontinence, prolonged seating, post-surgical — CareHaven tracks skin checks systematically: each body area, redness, breakdown, and dressing changes. Available

Each check works off a body map with the high-risk areas pre-flagged (sacrum, heels, hips, elbows). You record the stage of any finding (Stage I–IV, or "intact"), the dressing type with its last change and next change due, and a photo via the Document Scanner — auto-cropped and color-corrected, stored on your device only. Any Stage I or worse finding is framed in warning coral so it stays visible in the timeline, and a trend line shows whether positioning and skin care are working over weeks.

Photograph every skin check. Visual progression over time is the single most clinically useful thing you can hand a wound-care nurse at the next visit.

Daily-activity help (ADL)

Activities of Daily Living — bathing, dressing, toileting, transferring, continence, and feeding — are the clinical "north star" for whether someone is gaining or losing functional independence. Available

CareHaven tracks the six standard items, each scored Independent / Some Help / Total Help, with a periodic re-assessment (monthly by default) so the trend stays comparable. The Patterns view shows the line of total dependency points — going up means progress, down means decline.

This is especially valuable for IEP and care-plan documentation: "in March they were Some-Help with dressing, by June they were Independent" is the kind of concrete progress that holds up at a meeting. Reassess at consistent intervals — the first of every month works well — because an inconsistent cadence makes the trend impossible to read.

Diet & swallow safety

A current-state record of any diet restriction — texture (puréed, soft, regular), liquid thickness (nectar, honey, pudding), specific exclusions (no nuts, low-sodium, gluten-free), or an enteral feeding regimen. This is distinct from Preferred Foods, which is what the person likes; Diet Orders is what's medically allowed. Available

It stores the texture and thickness levels per IDDSI where they apply, specific food exclusions with the reason (allergy, GI condition, swallowing safety), and for enteral feeds the formula, rate, schedule, and route (G-tube, J-tube, NG) — plus the date of the last clinician update, so you know how current the order is. The diet order is bundled into the Handoff and the EMT-facing Care Card, so a substitute caregiver or first responder doesn't have to call you to confirm. Photograph the actual written order from the medical record; the photo lives next to the entry so any caregiver can verify the source.

The Diet Order composer also includes a "Reference IDDSI framework" button below the Texture picker. Tap it to open a segmented sheet with the canonical IDDSI 0–7 framework — 5 drink levels (0 Thin through 4 Extremely Thick / Pudding) and 5 food levels (3 Liquidised through 7 Easy to Chew / Regular). Each level shows its IDDSI swatch color, name, plain-language description, the canonical test method (the Flow Test for drinks, Fork Pressure and Spoon Tilt for foods), and example foods. The existing texture and liquid-consistency pickers continue to drive the diet plan; the IDDSI sheet is purely informational reference so caregivers, SLPs, dietitians, and hospital teams can speak the same vocabulary.

Mealtime Safety Card

If your person has a swallowing or texture order, the Mealtime Safety Card is the calm, one-screen check any caregiver or sitter can pull up before serving food — no phone call to you required. It restates the diet order in plain words, shows the at-home thickness/texture check for their exact levels, and lists the warning signs that mean stop the meal. It reads the diet order you already set; there's nothing new to log. Available

Find it at Feeding hub -> Mealtime Safety. It also appears as a Mealtime safety check button right on the diet-order banner when you log a feeding.

It shows four things:

• Safe to serve — the food texture and liquid thickness in plain language.
• Before and during the meal — this person's precautions plus posture and pacing basics: upright, small bites, unhurried, stay present.
• Check it yourself — the at-home IDDSI flow/fork test for their exact levels, with a link to the full texture guide.
• Stop the meal if you see... — coughing, a wet or gurgly voice, pocketing food, a color change — plus one tap to the choking/airway first-aid card.

The card restates the order your SLP or doctor set — it doesn't set levels. If a diet order isn't set yet, add it in Feeding -> Diet & Swallow Safety so the card can tailor itself. If breathing is ever in question, call emergency services (911 in the US).

Dysphagia: what to watch for

Dysphagia just means trouble swallowing. It matters because food or drink can slip toward the airway instead of the stomach (aspiration), which can lead to choking or a chest infection. If your person has a swallowing diagnosis, a feeding tube, low muscle tone, or a condition like cerebral palsy or advancing dementia, this is worth knowing. CareHaven shows a short, cited "What to watch for" card on the Feeding hub so the signs and the everyday safety steps are one tap away. Available

Signs worth acting on:

• Choking at a meal — can't cough, talk, or breathe. This is an emergency: start choking/airway first aid and call emergency services (911 in the US). The card links straight to the first-aid steps.
• Coughing, throat-clearing, or a wet or gurgly voice during or right after eating or drinking — a sign that food or liquid may be going the wrong way.
• Repeated chest infections or pneumonia — can be quiet aspiration over time, not a one-off cold. Worth raising with the doctor.
• A sudden new swallowing problem — drooling, food stuck, pain swallowing, or refusing to eat when they usually don't — is a call-the-doctor sign, not a wait-and-see one.

Everyday safety steps:

• Follow the team's texture and thickness plan. If a speech-language pathologist or doctor set a food texture or liquid thickness, stick to it — it's there to keep swallowing safe. (The Mealtime Safety Card restates it in plain words.)
• Upright, small bites, slow, with breaks. Sit them upright for the meal and a while after, keep bites and sips small, don't rush, and pause if they're tired — fatigue makes swallowing harder.
• Mouth care lowers chest-infection risk. A clean mouth means fewer germs to breathe in if a little does go the wrong way.
• A feeding tube doesn't remove the risk. Someone fed by tube can still aspirate their own saliva or reflux — the watch-fors still apply.

Open the Feeding hub and look for the What to watch for card; it's also findable in the app's own search — try "dysphagia," "swallowing," or "what to watch for." This card is caregiver-facing, plain-language reference drawn from published guidance — it doesn't diagnose or set a swallowing plan. Your doctor or speech-language pathologist sets the plan; if breathing is ever in question, call emergency services.

What to watch for (Parkinson's)

If your person has Parkinson's disease, the way it shows up can shift over the day and over the months — and a few of those shifts are worth acting on. CareHaven shows a short, cited "What to watch for" card in the Body Care hub so the signs and the everyday steps sit together, one tap away. Available

Signs worth acting on:

• Freezing and more falls. Feet that suddenly feel glued to the floor — often at doorways, turns, or when starting to walk — and a run of new stumbles or falls. Worth raising with the team, because both are workable.
• Dizzy or faint on standing up. Lightheaded, grey, or unsteady right after getting up from a bed or chair — a blood-pressure drop that raises fall risk.
• Symptoms wearing off before the next dose. Stiffness, slowness, or tremor creeping back in the last hour or so before a scheduled medication — a sign the timing may need a look. Red flag: after a missed Parkinson's medication, severe stiffness with a fever and being hard to wake is an emergency — call emergency services (911 in the US).
• New or worsening hallucinations or confusion. Seeing or hearing things that aren't there, new confusion, or a sudden personality change. Report it before changing anything.

What helps day to day:

• Freezing cues unstick the feet. A simple visual or rhythm trick — stepping over an imaginary line on the floor, counting "1-2-3 go," or a steady marching beat — can get a frozen step moving again.
• Fall-proof the home. Clear walkways, tape down rugs and cords, add grab bars and night-lights, and give plenty of room at doorways and turns where freezing tends to happen.
• Stand up slowly. Sit on the edge of the bed or chair for a moment, then rise — it gives blood pressure time to catch up and cuts the dizzy-on-standing risk.
• Keep meds on the team's schedule. Parkinson's medication works best given on time, every time. Note any wearing-off and report it — don't change doses or timing yourself; that's a team decision.
• Report hallucinations before changing anything. New hallucinations or confusion can have several causes — tell the doctor and let them sort the next step rather than stopping a medication on your own.

Open the Body Care hub and look for the What to watch for card; it's also findable in the app's own search — try "Parkinson's," "freezing," or "what to watch for." Parkinson's can affect swallowing too — for coughing or a wet voice at meals, texture and thickness plans, and the upright-small-bites-slow steps, see the Dysphagia: what to watch for section above. This card is caregiver-facing, plain-language reference drawn from published guidance — it doesn't diagnose or set a treatment plan. Your doctor or neurologist sets the plan; severe stiffness with fever and being hard to wake after a missed Parkinson's medication is an emergency — call emergency services.

Adding a doctor to your team

When you add a care-team contact, you don't have to type a provider's phone and address by hand. CareHaven can look them up in the free U.S. provider directory (the official National Provider registry) by name (add a city or state to narrow it) and fill in the verified name, specialty, phone, and office address for you. Edit anything before you save. Only the provider's name leaves your device — never your person's information — and once looked up, they're saved for instant, offline access next time. Available

To use it: go to the Team tab and tap + Add Contact, tap Find in provider directory, type the provider's or clinic's name (add a city or state to narrow the results), then tap a result — the name, specialty, phone, and office address fill in automatically. Edit anything you like, then Save. It works for individual providers (doctors, therapists, dentists, OTs) and for clinics and organizations; the provider's specialty lands in the Role field, and their NPI number is saved in the contact's notes so you can verify it later. Only the provider's name (and the optional city or state) is sent to the directory — never your loved one's name or any of their information — and once you've looked a provider up, they're saved on your device, so they appear instantly next time even with no internet. This is completely optional; you can always type a contact in by hand.

Allergen warnings

Set a person's food allergies once, and CareHaven watches your back at the table. Open the person's profile -> Food Allergies (under Daily Life, next to Preferred Foods) and tap any of the common allergens — Milk, Egg, Fish, Shellfish, Tree nuts, Wheat, Peanuts, Soybeans, Sesame (the FDA "Big 9") — or type in anything else, like a food dye or kiwi. When you scan a packaged food's barcode while logging a feeding (tap the barcode button on the feeding form), a clear "Contains [allergen]" banner appears at the top if the product holds one of their allergens. It's a heads-up only — it never stops you from logging — and if a food is ultra-processed you may see a calm one-line note, which is just context, because a fed kid comes first. Available

For foods CareHaven can look up, the feeding's detail screen shows a compact Nutrition panel — protein, fiber, iron, sodium, and more, per serving — with the numbers coming from USDA FoodData Central and saved on your device after the first lookup. The warning is a safety net, not a substitute for reading the label — crowd-sourced product data can be incomplete, especially for a severe allergy. Privacy stays tight: a barcode lookup sends only the barcode digits and a nutrition lookup sends only the food name — never this person's name, age, or allergies.

Fatal Five

The Fatal Five are the leading, often preventable causes of serious harm among people with intellectual and developmental disabilities: aspiration and choking, severe constipation, dehydration, prolonged seizures, and infection — with reflux as a recognized added factor. Caregivers who recognize the early signs prevent most of these outcomes. Available

This is a reference, not a tracker. For each one it covers what to watch for, how to prevent it, and when to act. Read it before you need it — review it once a month, and any time a new caregiver joins, so the early signs are already familiar in the moment. It's general caregiver education and doesn't replace medical advice. The Fatal Five reference is hidden if you've turned on General Caregiver Mode.

Visit briefs

Before a specialist appointment, CareHaven can build a focused summary from what you've already logged — a Neurology brief, a Psychiatry brief, a "what's changed" brief, or a mealtime brief. Each is put together straight from your data, can be read aloud, and can be shared. Visit briefs are hidden if you've turned on General Caregiver Mode. Available

A note on what this is

Nothing in the Medical area diagnoses, prescribes, or replaces your doctor. It helps you notice patterns, keep the record straight, and hand a clear picture to the people who can act on it. When something seems urgent, call your doctor or emergency services.

For the bigger picture of how CareHaven thinks about your data, see Privacy comes first. To learn what's coming next, see Known limitations & what's coming.