Embodiments relate to a patient-governed healthcare information database environment. The environment provides a central repository for receiving healthcare and related information of a patient, facilitating access by a plurality of authorized consumers (e.g. medical providers) of that information. The environment allows dynamic modification of the database to include many types of information, including data from smart devices, patient activity logs, and responses to customized assessments created by the patient or others. The environment also allows dynamic mining of database information according to flexible queries specifying parameters determined by the consumer of the healthcare information. Access to other patient environments may be granted, such that database modification permits data mining for patient cohorts sharing common characteristics. Some embodiments allow dynamic interaction between the environment and a provider, for example to issue an alert based upon database content (e.g. a medication log not timely updated), or to modify patient behavior via gamification.
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