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That's easily Home Assistant. It got me into the whole home automation stuff and I have gradually included more and more parts into it - including some health related stuff. It really makes my family's life easier and helps us organizing it.
Are you able to provide a few quick examples? I have it installed but don't know what to do with it really.
The easiest thing: We use a motion sensor to automatically turn on the light for the stairs. You wouldn't need Home Assistant for that, but with a little more configuration you can adjust the light levels and colour temperature based on the time of day (not as disturbing at night). We have two rooms which have problems with humidity in one a fan is automatically turned on (basic) in the other a dehumidifier is triggered based on the outside and inside temperature because there are large windows which are producing a lot of condensation otherwise. Now the really specific stuff: My daughter has Diabetes and we need to manage her blood glucose levels. There are alarms but ideally you would act before they are triggered. So we hooked her blood glucose levels to a light in our bedroom which turns on at night if her levels are getting out of bounds at night. That way she isn't woken by the alarm, but by one of us and can go back to sleep mich quicker.
You've got a good point with Home Assistant. I have automations setup so that I barely have to do anything manually. So I almoat forget that Home Assistant runs quite a lot in my home. And especially in the beginning it was nice to setup but not really needed. Know it is needed.