Team Leader: Stephen Mickelsen, Mobile Application Architect

Company Name:

Team Name:

Team Members:

Chris Burrow, M.D., EVP Medical Affairs Richard Carter, Creative Director Bettina Experton, M.D., M.P.H., President & CEO Art Friesz, Senior Software Engineer Vishu Ghanakota, Senior Software Engineer Nina Hein, Project Manager Fred McClain, Mobile Application Architect Randy Ullrich, SVP Wireless

Patient Application Submission Slide Deck

©2013 Humetrix. The ICEBlueButton phone and tablet apps are based on Humetrix U.S. patent #5,995,965 and other pending patents. "Blue Button", the Blue Button logo, and the slogan "Download My Data" are registered Service Marks of the U.S. Department of Health & Human Services (HHS), an agency of the United States Government and are used by permission of HHS.

Which of the crowd sourced product ideas inspired our application?

Nora Jean Levin Application Idea to…

“Shorten the endless user data entry process to just one step and let me enter my own data on drugs, pharmacies, and preferred providers...” by: • Entering & maintaining health related information in a portable, low friction process that utilizes extraction from existing clinical data & claims data

• Adding self entered information which may not be included in current Blue Button+ data fields, but contains important information about health status and preferences and may be useful in the future, including in emergency situations (e.g., authorized representatives, insurance type, preferred providers, language, ...) • Delivering an application that includes this rich contextual information about me and my loved ones in a snapshot.

Application Main Features

In summary: A mobile app for immediate access to critical personal health information in an emergency with auto-fill & editing of Blue Button+ data & easy self-entry of other data.

©2013 Humetrix. The ICEBlueButton phone and tablet apps are based on Humetrix U.S. patent #5,995,965 and other pending patents. "Blue Button", the Blue Button logo, and the slogan "Download My Data" are registered Service Marks of the U.S. Department of Health & Human Services (HHS), an agency of the United States Government and are used by permission of HHS.

• Mobile app running on iOS smartphones and tablets for immediate access to an ICE record by

either non-medical rescuers or emergency personnel using QR code scanning

• The ICEBlueButton record data are auto-filled by extraction of Blue Button+ C-CDA data pushed to the Blue Button+ enabled ICEBlueButton app by MU-2 or Blue Button+ compliant EMRs. When more than one record is used to auto-fill the ICE record, the app aggregates data from the important clinical fields of medical conditions, medications and allergies

• The app automatically generates a Direct address for the app user to receive C-CDA data pushed by MU-2 or Blue Button+ enabled data sources

• The app allows for self-entry of non-Blue Button+ data and easy editing of pre-populated data

• The app automatically generates a QR code on the user’s device for anytime access of a basic ICE record retrieved by regular QR code scanning of the user’s device lock screen or scanning of printed copies of the QR code (including stickers which can be placed anywhere). A complete health record can be retrieved by authorized EMS personnel using the EMS version of the iBlueButton Professional App to scan the same code

What is it?: Mobile phone or tablet app for immediate access to critical health information in an emergency by EMS professionals or bystanders.

©2013 Humetrix. The ICEBlueButton phone and tablet apps are based on Humetrix U.S. patent #5,995,965 and other pending patents. "Blue Button", the Blue Button logo, and the slogan "Download My Data" are registered Service Marks of the U.S. Department of Health & Human Services (HHS), an agency of the United States Government and are used by permission of HHS.

Patient app & emergency responder user experience

d 2 3

EMR2

BB+ BB+

1 4a

4b

Notification of Blue Button+ (BB + ) record receipt for easy “one

swipe” download

ICE Record auto-fill of downloaded BB + record

& Easy Self-Entry

Auto-generation of QR code on device

lock screen

Scan with EMS version of iBlueButton

Professional, for authorized full record access

Scan with any QR code reader

ICE record viewing

Full record viewing

Natasha Jones

A bystander on the street

who sees Natasha in need of help

From Home

From Home

EMR1

Scan in Emergency

Emergency Summary Medical Record

How the app works: A Blue Button+ enabled application with auto-generation of Direct addresses, auto-receipt of Blue Button records via Push notification and auto-fill of an ICE record.

©2013 Humetrix. The ICEBlueButton phone and tablet apps are based on Humetrix U.S. patent #5,995,965 and other pending patents. "Blue Button", the Blue Button logo, and the slogan "Download My Data" are registered Service Marks of the U.S. Department of Health & Human Services (HHS), an agency of the United States Government and are used by permission of HHS.

Enter your app password

App automatically generates your Direct address

Enter your Direct address and click

“Transmit”

1 3

4

6 Receive push notification of new

downloaded record

View/Edit prepopulated data from Blue Button record, self-enter

additional data, and click Save to generate

ICE record

7

Direct Registry Service Push Notification Service

Enter Direct Address

ICEBlueButton Server

EMR Patient Portal TRANSMIT

Click “Transmit” 5

Display Direct address

2

How the app works: Easily select sections of the app generated ICE record to edit the pre-populated fields extracted from Blue Button records and self enter other fields as needed.

©2013 Humetrix. The ICEBlueButton phone and tablet apps are based on Humetrix U.S. patent #5,995,965 and other pending patents. "Blue Button", the Blue Button logo, and the slogan "Download My Data" are registered Service Marks of the U.S. Department of Health & Human Services (HHS), an agency of the United States Government and are used by permission of HHS.

Auto-filled ICE record: Select

section to review and edit

Enter Personal Details as desired (can leave fields

blank)

Toggle on & off aggregated Medical

Conditions from imported Blue Button records

Toggle on & off aggregated

Medications from imported Blue Button records

When data entry & editing completed

and Saved, QR code created for ICE record retrieval

Blue Button+ Powered ICE Mobile App

©2013 Humetrix. The ICEBlueButton phone and tablet apps are based on Humetrix U.S. patent #5,995,965 and other pending patents. "Blue Button", the Blue Button logo, and the slogan "Download My Data" are registered Service Marks of the U.S. Department of Health & Human Services (HHS), an agency of the United States Government and are used by permission of HHS.

Co-Design Impact on the App Development

• In response to Nora Jean Levin’s idea, we designed a mobile app which provides automated entry of complex medical data from existing online Blue Button records while also enabling the user to easily enter their own information and generate a “snapshot” emergency record for themselves and their loved ones which can be retrieved using broadly available QR code scanners

• After review of our app by Co-Designers, we changed our design so that the app always generates the identical QR code every time an updated record is created to allow anytime anywhere retrieval of an ICE record by scanning not only the device’s lock screen but also by scanning any printed form of that single QR code (as wallet cards or stickers which can be placed on school backpacks or bicycle helmets) • There was very strong support by our Co-Designers for our proposed concept of having a QR code enabling a customized ICE record with limited data to be retrieved by anyone using a standard QR code scanner, and a complete record summary medical record to be retrieved by EMS personnel using a special Emergency Medical Services version of the iBlueButton Professional app • …and for Catherine Rose’s idea that there should be an app to help keep her daughter’s school team, therapy teams and themselves all on the same page regarding her care, the ICEBlueButton app will allow Catherine to create an ICE record for her daughter for anywhere access to critical up to date medical information available whether her daughter is at school, or visiting one of her many health care providers.