Evaluating health of a user can include providing an equilibrium envelope for a user, wherein the equilibrium envelope includes a range for each of a plurality of vital signs, and detecting, using a processor, a current metric. The current metric corresponds to an exit condition for the equilibrium envelope determined based upon sensor data or a re-entry condition for the equilibrium envelope determined based upon the sensor data. A health status for the user can be determined, using the processor, based upon a comparison of the current metric with a historical metric for the user.