∫Integrated Systems Health
Capstone — Module 20

Integrated Genomic Care Map.

Build one care map that integrates microbiome, peptides, vagus, genomics, epigenomics, and labs — with explicit referral logic and evidence grading.

Use the Genome Report Reader and Genetic Early Warning Builder as prep tools.
  1. 01
    Phenotype
    • Primary phenotype
    • Symptoms timeline
    • Functional impact
  2. 02
    Family history
    • Three-generation pedigree
    • Ancestry context
    • Red flags
  3. 03
    Differential
    • Top 3–5 differentials
    • Pre-test probability
  4. 04
    Testing — conventional
    • Baseline labs
    • Indicated imaging
    • Targeted screening
  5. 05
    Testing — functional/genomic
    • When indicated
    • Type of test
    • Confirmation plan
    • Counseling plan
  6. 06
    Hypotheses by pillar
    • Microbiome
    • Peptide / endocrine signaling
    • Autonomic / vagus
    • Genomic
    • Epigenomic
  7. 07
    Decisions
    • Genetic testing indicated?
    • Counseling indicated?
    • PGx relevant?
    • Cascade testing?
    • Trial / gene-targeted referral?
  8. 08
    Plan
    • Lifestyle / microbiome / autonomic / peptide interventions
    • Safety monitoring
    • Outcome metrics
    • Follow-up timeline
  9. 09
    Quality gates
    • Evidence grade per claim
    • Stop / refer / escalate rule

Downloadable outputs

  • Integrated genomic care map
  • Family history worksheet
  • Genetic testing decision tree
  • PGx interpretation worksheet
  • Epigenome intervention plan
  • Lab monitoring plan
  • Patient education summary
  • Evidence grading worksheet