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Consumer IoT Health Exchange Aggregation & Access of Consumer IoT DataIntegration of Personal Bio Metrics into the Healthcare and Research EcosystemJason de la Fuente & Jeff Korte

May 2015

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Current State Examples• Actual Doctor Visit

– Shows Nurse a months worth of personal health stats through mobile app connected to smart scale…WHAT??

• Prescription Regime– Treatment changes based on subjective,

infrequent and error prone feedback • R&D

– Pockets of data that are difficult to access– Donating personal data to science

• Imagine a world…

HA!HA!HA!HA!

HA!

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The Objective• Consumer IoT Health Exchange

– Aggregator of consumer healthcare IoT metrics– Individual maintains control to “opt in” or “enable” access – Subscriber accesses IoT Health Exchange for back end

integration/correlation• Primary Care, EMR vendors (Epic/Cerner/McKesson), PBM, Insurance,

Jenny Craig, Universities, R&D, etc.

• Conceptually think of the real estate Multiple Listing Service (MLS) system– accumulates and disseminates information…and is a facility for the orderly

correlation and dissemination of listing information to better serve broker's clients, customers and the public.

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The Value• Individuals take control of their consumer IoT healthcare

metrics and history, enabling their data to be an active part of their personal healthcare experience.

• Commercial Subscribers have access to larger data sets to make more informed decisions– Primary Care, EMR vendors (Epic/Cerner/McKesson), PBMs, Insurance Providers, Jenny

Craig, etc..

• R&D Subscribers able to gain new analytical insights through massive population data sets and decentralized scale

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PoC Approach• Leverage the simplicity of existing APIs, Languages and

Formats• Create IoT Health Exchange back-end data store • Extract FitBit data via API to populate IoT Health Exchange• Query IoT Health Exchange data store to mimic Subscriber

access• Publish IoT Health Exchange data to Blockchain.info• Query Blockchain.info to mimic R&D access

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Potential Technology by FunctionAPI Language/Libraries

• Python• Ruby• PHP• .Net

Authentication Layer• Oauth

Data Inter-Change Format• JSON

Primary IoT-HE Data Store• MongoDB

Secondary IoT-HE Data Store• Blockchain.info

Web/REST• NGINX• APIs

Apigee• API Management Framework

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Conceptual Data Flow

IoT Health Exchange

Primary Care, EMR, PBM,

Insurance, R&D

IoT Data Silo

End User Device

IoT-HE GET

Upload

Subscriber GET

IoT Decentralized

Data Store

IoT-HE POST

Device POST OR

Subscriber GET

Subscriber normalization based on use case

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IoT Health Exchange

MongoDB

Conceptual Tech

Primary Care, EMR, PBM,

Insurance, R&D

IoT Data Silo

End User Device

IoT-HE GET

Upload

Subscriber GET

Blockchain.info

IoT-HE POST

Device POST ORAPI

Ingest/Sub NGINX Nodes

API

API

Subscriber normalization based on use case

Subscriber GET

API

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Preliminary Concept Validation• Created consumer IoT device account• Downloaded Ruby• Installed consumer IoT device and Oauth gems• Leveraged Apigee to model auth and GET data extract from

consumer IoT data silo• Sent Blockchain transaction with bio metric content embedded

in Blockchain.info public notes feature• Installed Blockchain.info gem and cacert.pem for SSL error• Queried Blockchain transaction via Blockchain.info API

• Create IoT Health Exchange back-end data store • Extract FitBit data via API to populate IoT Health Exchange• Query IoT Health Exchange data store to mimic Subscriber

access• Publish IoT Health Exchange data to Blockchain• Query Blockchain to mimic R&D access

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Order of Magnitude

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Blockchain is Coming!

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Industry Blockchain Innovation

• IBM Blockchain for IoT Scale Conceptual– Whitepaper

• IBM ADEPT Project IoT Blockchain Architecture Paper– https://pdf.yt/d/esMcC00dKmdo53-_/download

• IBM/Samsung Blockchain IoT Smart Device at CES Trade Show– https://www.theprotocol.tv/adept-demo-ibm-samsung/

• NASDAQ Announces Blockchain Stock Transactions– http://finance.yahoo.com/news/nasdaq-s-bitcoin-plan-183125709.h

tml

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Other TechBioPatch

Zephyr ECG electrodes Monitor minute by minute with

alertingHR/Resp/Position/movement

MedoPad (2)Runs on Apple WatchConfirm Medication/Report symptomsWatch monitors activity level of patient

Economist article on IoT HealthcareZephyrAnywhere