LymeHQ · Roadmap
In order, and without dates
What is built and usable today, what is being worked on, what is genuinely later — and, at the end, the things that were considered and deliberately dropped, with the reason for each.
Why there are no dates
LymeHQ is built by one person. An order of work is something we can be held to; a date is a promise made to strangers about a schedule nobody controls, and a missed one on a health platform costs more than it ever bought. So this page says what is next rather than when — and everything below was checked against the code rather than against an internal status line, because those go stale faster than anything else here.
01 · Now
Built and usable
On synthetic data — LymeHQ is in demo and holds no real health information.
The daily record, and the arithmetic on it
A check-in that takes under a minute, the medications you are taking and when you started them, and the figures either side of each start date — computed by counting, with an explicit refusal when there is not enough data to say anything.
Lab results, read and explained
A two-stage pipeline that transcribes a report and then explains it, with the explanation checked before you see it, on a page that shows what the laboratory reported alongside what the panel measures.
Beacon
A companion for questions about tick-borne illness, gated on a switch you hold, that never computes a trend and whose every reply is read in full before any of it reaches you.
Sharing with a clinician, and taking it back
Two locks, both yours. Their view of your record ends on their next page load when you withdraw either one.
The household, and the sentinel signal
People and animals in one household. A positive routine tick-exposure test on a dog tells everyone in that household, once, gated by no sharing switch at all.
The research commons, approval included
Cohort feasibility counts, saved cohort definitions, an approval queue where every verdict is recorded against the person who made it, and an export a researcher downloads themselves once approved — enforced end to end in the database, so a released figure always describes five or more people, with no configuration that lowers that floor.
The education library
Twelve guides, an eleven-chapter guided course, a six-step path for someone newly diagnosed, and a glossary. All public, all free, no account.
A directory of clinicians, each checked by a person
Public and account-free, filtered on the two things the record actually holds — the states a clinician says they are licensed in, and whether they see patients remotely. A listing appears only when someone has reviewed a licence document and recorded that they did, on a trail that names them and cannot be edited afterwards. The state filter is self-reported and the page says so beside it.
Findings, returned to the people who made them possible
Group figures from the research commons, on your own dashboard, when your record matches the group they describe. Figures only — never a sentence claiming a treatment caused a change, and never your own numbers shown beside a group average. Nothing is sent to you and nothing is stored about which findings matched you.
A map of where the disease actually is
Every reported case by state and year, from the federal surveillance series, with the two definition changes drawn into the picture rather than smoothed over. A jurisdiction that published no count is drawn as no count — never as zero — because reading an absence as safety is the one mistake this map exists to prevent. Public, account-free, and it carries no patient data of any kind.
A written description of what this record holds
The element set behind the platform, published in full — including the thirteen things no existing standard has a place for — and a download of your own record in the standard format, with the file naming every element it does not carry rather than inventing one. A draft for discussion, submitted to nobody, and it says so on the page.
A written summary for a visit
Figures and dates from your record, composed when your clinician opens it and stored nowhere — so withdrawing the switch ends it on their next request, with no copy left behind. You read exactly what they read, before they can, on your own page. Dates, medication names and the readings either side of them; no dosages, and no sentence claiming anything caused anything.
A map of the field, and a directory of everyone in it
Where a patient’s data actually goes once it leaves them — six channels, six different owners, and the two of them that bring anything back. Beside it, every organisation in tick-borne disease we could verify from its own public material: advocacy, government, professional societies, laboratories, apps, assistance. Nothing is ranked, everything says when we last read it, and the tools that compete with this one are on the list.
02 · Next
Being worked on
In roughly this order, and the first two are the reason the rest can wait.
Bringing records in from outside, for real
The claims connection is built and runs against the insurer’s sandbox — the authorisation flow, the import, and the switch that disconnects it. What is left is the part that is not ours: access to anything beyond a sandbox is granted by the insurer, not decided here. Lab results arriving the same way is the next connection after that.
Outcomes as research, at more than one moment
Treatment stage is already a dimension a researcher can ask across, so the question can be asked of a cohort rather than one person at a time. What it cannot yet do is follow the same people as they move between stages, which is the thing this data is unusually well placed to show.
Sending a lab report in yourself
The pipeline that reads a report and explains it is built and running; what is not built is the way to hand it one. Until then results are added to your record and appear on the labs page — which is why the nav row for uploading is inert rather than pointing at a form that does not exist.
03 · Later
Real, wanted, and after
Every one of these has a design. None of them is next, and saying so is the point of a roadmap.
Help with what care costs
The grant application, review and disbursement.
Community, and shared aggregates between patients
Moderated, and never public before review.
Caregiver access
Parked until the design question underneath it is answered rather than worked around.
Tracking what treatment has cost you
What the insurer paid can already arrive with an imported claim. What you paid — and appealing a denial — is the part that is not built.
Matching to clinical trials
The reference data exists; the match needs its own consent decision first.
04 · Not planned
Considered, and deliberately dropped
A roadmap with no dropped list is a wish list.
A drug interaction checker
Wanted by nearly everyone, and still the wrong product, for three independent reasons — any one of which would be enough. It cannot function without the doses this platform deliberately removed; it is individualised medical advice, which nobody here gives; and it is plausibly regulated clinical decision support, which is a legal question answered by counsel rather than a design one. What stays is the medication list. That is a record, not an engine, and the distinction is the whole point.
Telling a patient that a treatment worked
Permanently, at every milestone. You will see the figures around a treatment and the same guarded language a clinician sees, and you will never see a generated sentence saying a treatment caused a change. Association is not attribution, and a platform that blurs them on someone’s own health data has done something worse than being unhelpful.
Saving a cohort with its count
A stored number would outlive the consent it was computed from. Cohorts save the definition and recompute the count, so someone who withdraws is not still being counted in a row somebody saved last year.
Letting a clinician request access to a patient
Patient-initiated sharing delivers the identical security property and needs nothing the platform does not already have. A request queue would add a state where a clinician is waiting on a patient, and that pressure is exactly what this design is trying not to create.
Running telehealth ourselves
LymeHQ connects and never becomes the counterparty. The clinician you see carries clinical and legal responsibility. Any deeper integration is a matter for legal counsel before a line of it is written, and is not scheduled.
Any compliance badge
No certification claim appears anywhere on this site, and none will until signed agreements and an independent assessment exist. The absence is the honest signal.
If something you need is on the later list, or on the dropped list and you think the reasoning is wrong, that is worth saying — hello@lymehq.com. The reasoning is written down precisely so it can be argued with. How the built parts fit together is the other half of this page.
05 · Where this stands
Four positions, held on purpose
Each one is a constraint we chose, not a feature we ship — and each is enforced somewhere a promise cannot reach.
Standards
Consent is enforced by the database, not by discipline: every change a patient makes appends to a ledger the application cannot edit, and revoking takes effect on the next request — no grace period, no cached copy.
Aggregation
The research commons answers in counts, five or nothing. A group small enough to count is a group small enough to identify, so below five the platform declines what it could compute — enforced beneath the application, where no query reaches around it.
Visualization
Every trend on every surface is arithmetic; language models only phrase what the arithmetic already decided. "Not enough data to say" is a row count, never a confidence — which means no one is ever told they are improving when the data cannot say.
The platform
One record, three roles. The same days a patient logs become what her clinician reads and what researchers count — and she decides, at every step, what leaves and to whom.
LymeHQ was selected for Phase 2 of the LymeX Innovation Accelerator. That is a program milestone, not an endorsement — nothing here is government-backed, and nothing above becomes true because a panel liked it. The order of work is the list on this page.
Where to go next
- The productHow LymeHQ worksThe loop end to end, station by station, with each one marked built or not.
- The whyWhy this existsWhat it is for, who is building it, and the decisions that shaped it.
- The mechanismsSecurityWhat is enforced today, and the claims this platform refuses to make.
- Data modelOur standards workThe gaps we hit, and why several of them are parked rather than invented.