Chronic asthma management
Know your triggers.
Track every dose.
Stay in control.
Controller inhaler adherence, rescue inhaler frequency, symptom logs, trigger patterns, and wearable data - so you and your care team always know where your asthma stands, not just on appointment days.
HIPAA compliant · Works with Apple Watch & Oura · No wearable required
How it works
From scattered symptoms
to a clear picture of your asthma.
Asthma control is built day by day - not just measured at appointments. Ziva connects your inhalers, symptoms, triggers, and wearable data into one continuous record so you and your care team always know what's happening.
1
Set up your medication schedule
Add your controller inhaler (ICS, LABA, or combination) and rescue inhaler. Isabella builds reminders and tracks every dose automatically. Under 3 minutes.
2
Log symptoms and rescue inhaler use
Tap to log wheeze, breathlessness, chest tightness, nighttime waking, and rescue inhaler use. Takes seconds. Every entry is timestamped and tracked.
3
Connect your wearable (optional)
Apple Watch or Oura adds HRV, resting heart rate, sleep quality, and activity - streamed daily without any logging. Useful for spotting asthma's impact on recovery and sleep.
4
Isabella identifies your trigger patterns
Isabella correlates your symptom logs with pollen counts, air quality, activity, and your own tags - showing you and your provider exactly what sets your asthma off.
5
Monthly report compiled automatically
Controller adherence, rescue inhaler frequency, symptom summary, trigger log, and Isabella's observations - ready to share with your provider before every appointment. Supports RTM billing.
Rescue inhaler tracking
More than 2 puffs a week
is your asthma telling you something.
Rescue inhaler frequency is the clearest real-time signal of asthma control. Using it more than twice a week means your inflammation isn't managed - and your risk of a serious attack is rising. With the Hailie smart inhaler sensor, every use is logged automatically - no tapping required. Ziva correlates it with your controller adherence and alerts your provider if the pattern puts you at risk.
✓Hailie smart inhaler sensor (optional) — clips onto your inhaler and automatically logs every use with date, time, and inhalation technique. No logging required.
✓Weekly rescue frequency tracked — Isabella flags when you exceed the 2× threshold that indicates poor control
✓Inhalation technique tracked — the Hailie sensor detects whether each puff was taken correctly, not just that it happened
✓Correlated with controller adherence — Isabella shows whether missed doses preceded rescue use spikes
✓Rescue use trend included in monthly report — 4-week history for your provider to review at appointments
Rescue inhaler use — 4 weeks
Wk1
Wk2
3
Wk35
Wk4Wk 1–2: 1× each · well controlledWk 4: 5× ⚠ poorly controlled
Controller adherence
68% this week
↓ from 94% wk 1–2
Nighttime symptoms
2 nights
Woke with wheeze
Pollen this week
High (8/10)
Mon–Thu elevated
HRV ⌚
38ms ↓
↓ from 52ms
Isabella · Rescue pattern
"Your rescue inhaler use jumped from 1× to 5× this week. You missed 4 controller doses, and pollen was high Mon–Thu. The pattern is consistent: missed controller → more rescue use within 24–48 hours. Getting back on your controller tonight will help reset this. I've flagged this week for your provider report."
Rescue use vs controller adherence — 4 weeks
Controller schedule set by your provider · adherence from your inhaler log
Wk 1 — Controller: 94%Rescue: 1× ✓
Wk 2 — Controller: 91%Rescue: 1× ✓
Wk 3 — Controller: 78% · 2 missedRescue: 3× ↑
Wk 4 — Controller: 68% · 4 missedRescue: 5× ⚠
Trigger analysis — Sarah K.*, last 30 days
🌿High pollen days
82% correlation
with rescue use
🏃Exercise outdoors
61% correlation
with breathlessness
🌬Cold air (below 8°C)
44% correlation
with wheeze
😓High-stress days
38% correlation
with nighttime symptoms
Isabella · Trigger insight
"Your strongest trigger is high pollen — 82% of your rescue inhaler uses in the last 30 days occurred on days when pollen was above 7/10. Pre-medicating with your controller on forecast high-pollen days would likely reduce this significantly. Your provider can discuss a pre-medication plan at your next visit."
Trigger identification
Stop guessing
what sets your asthma off.
Most people with asthma know their triggers in general terms, but not the precise relationship between a high pollen day, an outdoor run, a cold night, and their rescue inhaler use. Isabella correlates your symptom logs with environmental data, activity, and your own tags - turning a vague sense of "bad days" into a data-backed pattern you can act on.
✓Pollen and air quality data pulled automatically by location — correlated with your symptom log
✓Exercise trigger tracking — outdoor workouts from Apple Watch flagged and correlated with post-exercise symptoms
✓Manual trigger tags — add pet dander, cold air, smoke, cleaning products, or any trigger you suspect
✓Isabella assigns a correlation percentage to each trigger — so you know which ones matter most for you specifically
✓Trigger summary shared with your provider — supports step-up/step-down therapy decisions at appointments
For your care team
Your provider sees the same data.
Before every visit.
When your provider is on Ziva, they see your rescue inhaler frequency, controller adherence, symptom logs, and trigger patterns - before every appointment. No more guessing how your asthma has been between visits.
Refer Ziva to my provider / care team
Your provider isn't on Ziva yet? Send them a link - they'll see your inhaler adherence, rescue use frequency, trigger patterns, and symptom logs before every appointment, and can update your care plan directly from the portal.
Send to my provider →Already seeing your provider?
Bring your 30-day report to your next appointment - rescue inhaler frequency, controller adherence, trigger summary, and symptom log, ready to print or share from the app.
Get my report →What your provider sees
✓Weekly rescue inhaler frequency — trending over 30 days with controller adherence overlaid
✓Controller adherence log — every missed or late dose flagged with timestamp
✓Symptom frequency — nighttime waking, breathlessness, wheeze, and activity limitation tagged in real time
✓Trigger correlation report — ranked by significance, with environmental and activity context
✓HRV and sleep quality from wearable — asthma impact on recovery visible over months
✓Isabella's clinical summary — key observations and suggested discussion points before every visit
RTM billing eligible
Asthma qualifies for Remote Therapeutic Monitoring (RTM) billing. Ziva's daily inhaler logs and symptom check-ins generate the data transmissions needed for billing codes 98977 (16+ days) or 98985 (2–15 days, new 2026). Share the provider page for full details.
Questions
Common questions
No - Ziva works without either. Controller and rescue inhaler tracking (via app logging), symptom logs, trigger identification, and Isabella's coaching are all available from the app alone. Connecting a Hailie smart inhaler sensor (via Tenovi) removes the need to log manually - every use is detected automatically via Bluetooth. Connecting an Apple Watch or Oura adds HRV, sleep, and activity data. Connecting an Apple Watch or Oura adds HRV, resting heart rate, sleep quality, and activity data - which enriches the picture but isn't required. Apple Watch (Series 4+) provides activity and sleep data; Apple Watch (Series 6+) adds blood oxygen readings.
You enter your controller inhaler name, dose, and schedule in the app. Isabella sends reminders at the scheduled time and prompts you to confirm each dose. Each confirmation is timestamped and compared to your prescribed schedule. Missed or late doses are flagged. Your 30-day adherence percentage is visible to you and your provider - and is automatically correlated with your rescue inhaler frequency to show whether missed controller doses preceded symptom spikes.
Yes - you can manually log peak flow readings from your peak flow meter in the app. Isabella tracks your personal best, identifies declining trends, and correlates readings with your symptom logs and controller adherence. Peak flow logging is optional - Ziva works well without it - but it adds a valuable objective lung function signal to your record, particularly for patients already using a peak flow meter at home.
Pollen count (tree, grass, weed), air quality index (AQI and PM2.5), temperature, humidity, and UV index - pulled automatically by location each day. These are overlaid on your symptom log so Isabella can calculate correlations between environmental conditions and your asthma control. You don't need to log this manually - it happens in the background.
Apple Watch data (via HealthKit) provides workout type, duration, intensity, and outdoor vs indoor location. Isabella correlates workouts with post-exercise symptom tags and rescue inhaler use - building a picture of which exercise types, intensities, and environments trigger your symptoms. This can support a pre-exercise medication plan discussion with your provider.
No. Ziva is a monitoring and adherence tool, not a clinical substitute. It helps you stay on your prescribed medication schedule, track your symptoms, identify patterns, and share better information with your provider. It does not provide clinical advice, change your prescription, or replace your asthma action plan. Always follow your provider's clinical guidance. In an emergency, call 911 or use your rescue inhaler as directed.