wearable medical records talk at wearables tech conference
TRANSCRIPT
WEARABLES in HEALTH
DANIEL KIVATINOSCOO & COFOUNDER
History & Case Studies
Wearables
Demo
HEALTH RECORDS
Founded // 2009
PHYSICIANSsigned up
MEDICAL BILLINGprocessed in 2014
PATIENTSin platform
75K 270M 4M
Cloud Software
iPhone
iPad
Google Glass
Simple Design
Work Flow
CHECK-IN POINT-OF-CARE HOME
Freemium Platform
OUR FOCUS
Small & midsize practices
1 – 50 doctor practices
Every doctor specialty
CASE STUDIES
Surinder Saini MD
Gastroenterology
Newport Beach CA
Surinder Saini MD
Medical speech to text & iPad mobility
Loves good design
Needed fast input
William Wall MD
Orthopedic Surgeon
San Jose CA
William Wall MD
Free draw on images
Digital records, not paper
Theodore Diktaban MD
Otolaryngologists & Plastic Surgery
New York NY
Access anywhere
Pull up any notes
Sharing medical info with patient
Theodore Diktaban MD
Bill Metaxas DPM
Podiatry
San Francisco CA
Google Glass recordings
Surgery pictures
Real time notifications
Bill Metaxas DPM
WEARABLEs
QUANTIFIED SELF, APIs
WHY NOW?
WEARABLEs, OBJECTS, SOFTWARE
QUANTIFIED SELF, APIs
WHY NOW?
WEARABLEs, OBJECTS, SOFTWARE
MOORE’S LAW
Number of transistors in a dense
integrated circuit doubles
approximately every two years.
Computers looked like this the year Gordon Moore published his seminal paper.
Microprocessor Transistor Counts
1971-2011
Desktop & Laptop
Hardware Gets Cheaper
Smart Phone
and this number is growing.
Source: a16z podcast
3.5 BILLION PEOPLE
HAVE A SMART PHONE
Apple sold 75 million
iPhone’s Last Quarter
… that is 15% of all
phones sold.
Source: a16z podcast
MOBILE’S BIGGER THEN
PCs … A LOT BIGGER
PEOPLE ARE BUYING
PHONES OVER PCs
Hardware Gets Even
Cheaper and Smaller
Withings Activité Watch
Wearables
Efficient wireless
connectivity chips are
being produced.
Low Energy / LE
Low Energy / LEiPad
iPhone
Macbook
Low Energy / LE
Objects, sending small bits of dataYour remote to the wireless worldObjects, streaming content & data
Low Energy / LE
PRECISE GEO-LOCATION
In iPhone with iOS 7 and iOS 8,
allowing locations to the nearest
centimeter
THE CLOUD
THE FUNDING
SOFTWARE PLATFORMS
QUANTIFIED SELF, APIs
WHY NOW?
WEARABLEs, OBJECTS, SOFTWARE
In 2005, there were 2.5 billion connected devices, most PCs,
smartphones, tablets. By 2020, there will be over 30 billion connected
devices, most not PCs, smartphones, tablets.
~ Gartner, 2013
100 things are coming online every second.
~ Oracle, 2013
One in six consumers own a wearable device.
~ Nielson
FDA Approved Devices Non FDA Approved Devices
In Healthcare: 2 Categories
LIST
OF
WEARABLEs & OBJECTS
Blood Glucose Monitoring
FDA Approved
Blood Glucose Monitoring
FDA Approved
Intelligent Stethoscope
Getting FDA Approved
Personal Heart Monitor
FDA Approved
iPhone-enabled body Fertility
Tracker and thermometer
by Raiing
Remote Thermometer
by TempTraq
Getting FDA
approved
Hear Your Baby’s Heart Beat
3D Printed Prostheticse.g. Open Bionics, open source 3D printed hands for amputees
Google Glass
DNA Testing
patients can now get a DNA test to find out
ancestry-related genetic reports just the
swab from your mouth
Home Reminders
by Sense
Drug Bottles
Toothbrush
Cups
Doors
The Watch Revolution
by Basis by FitBit
Jewelry
by MisFit Wearables
Cloths
by Athos
by Better
Remote Care Teams
SOFTWARE & PLATFORMS
Apple Health
Track around ~70 fields
HealthKitHealth
ResearchKit
HIPAA
Platform
Connected Home
Virtual Valet Calling Self
Driving Car
by BMW
The Connected Car
Self Driving Car
by Google
Google Fit
QUANTIFIED SELF, APIs
WHY NOW?
WEARABLEs, OBJECTS, SOFTWARE
Lots of Data.
Early prototype of "Quantimetric Self-Sensing" apparatus, 1996
A heightened awareness around our health tracking
QUANTIFIED SELF
mood movements weight temperature allergies
DNA heart rate glucuse sleep immunization
s
interations home prescriptions blood work thoughts
Healthcare needs to be open.
drchrono API
HL7
HL7 FHIR
Blue Button
C-CDA
APIs
HEALTHCARE API THAT WORKS
HEALTHCARE API THAT WORKS
https://drchrono.com/api
{ CODE DIVE }
HEALTHKIT{ code deep dive}
TOUCHID{ code deep dive}
CHECK-IN HAPPENS HERE HOME
Box Sync
BOX METADATA { code deep dive}
# Update the metadata key:values
metadata = {
'patient' : self.patient.fullname,
'doctor' : self.doctor.getNameForPatientStatements(),
'uploaded' : str(self.updated_at),
'sent_to_onpatient' : "Yes" if self.sent_to_onpatient else "No",
'url' : self.getDocumentUrl(),
'chart_id': str(self.patient.chart_id),
'tags': str(self.metatags),
}
# tell box to create a new metadata type 'properties' containing our key:values
meta_response = session.post(
'files/%s/metadata/properties' % box_file_id,
data=json.dumps(metadata),
headers={'content-type': 'application/json'}
)
GOOGLE GLASS{ code deep dive}
GOOGLE GLASS{ code deep dive}
{ ANDIOD EVENT LOOP}
LIVE DEMO
WEARABLES in HEALTH
Appendix