1. New Paradigms for Patient Record Sharing, Easy to Use and Adapted to the Emergency Services and Situations: Genesis and Experience Returns of Sanoia.com Dr. Adam M. SELAMNIA ScientificDirector A.I.M.S.U (Non Profit Organization)La Ciotat (France) mselamnia@sanoia.com

2. Medical Information Quality of Delivery of care Put the patient atrest Quicken and reinforcedecisionmaking Reducecosts Risks on patient privacy Respectingprivacyis a legal and ethics Key successcriteria

3. Main factscalling for Sanoia Emergency Admissions 85% of emergency patients are not able to accurately express their medical history Source : General Manager of Marseille Hospitals (400 beds and 80 000 admissions/yr) Public Health impact: In France, 405 000 adverse effects in health structures (hospitals, clinics ...) has been calculated of which 155 000 might be avoidable Source : French Ministry of Health ReportDREES , n°398, May (2009) Privacy concerns 91% of Patients have expressed the wish to an increase use of informatics in physician practice, they were more than 78% to consider confidentiality of their health data as a critical issue. Source : TNS Sofres Poll for the National Order of Medical Doctors, April (2009)

6. - Update not done by patient

7. - Required to remove functional GSM Card

9. - Non shared information

10. - Difficult to update

12. A privacycompliant architecture IP blanche S.S.L Award 2009 Best Health Site PACA Anonymizer Data server Compliant AIMSU private servers on top of OVH backbone

13. French National and Local EMR’s SANOIA is a circumstantial extension to the National EMR project for People without social securitynumber People who refuse the EMR Access fromabroad, Emergencies… SANOIA is a receptacle for selected data fromhealthcarecenters EMR As a service for patient leavingHealthcarecenters To enrich City-Hospital exchanges

14. Use Case 1. Patient enters anonymousbiographical and particularsign data Password 4. Patient writehis/her ID on anywearable item associated to Emergency URL 5. Emergency Doctor or out of residencyphysican in France or Abroadenters patient ID ….. Allergies 2. ID generated Unique & Secured Treatments 3. Management Page Filled by patient alone or withfamilydoctor

15. patient

16. Step patient

17. Step patient

18. Step patient + GP

19. Step patient + GP

20. Step French Public National Drug database connexion patient + GP

21. Step PATIENT WalletCard PATIENT Mobile wallpaper

22. Step « Emergency »

23. Step « Emergency »

24. User profile Health records thatweremodifiedat least once the last 2 months(Jan – Fev 2010) : 1377 records – user of 50 ± 15 yearsold Males (n=536) 176 ± 13 cm 81 ± 17 kgs Females (n=841) 162 ± 7 cm 67 ± 15 kgs Taking 4± 3 medicinedrugs (n=1098)

25. Userstestimonials « My 8 yearsold son has a congenitaladrenal hyperplasia. Can you help me fill the treatments section becausehe has a specific dosage »« I’m a surgeon. I used for familypurposes a similarfunction on hard diskconnected to Internet but nobodyusedit. Nowwe all use Sanoia »« Your vision of sharedhealthmeets the one I promote as a healthprofesional but all the more as a citizen. How can I help ? »

26. From e-health to m-health For situations when no access to Internet SANOIA has official pre-release version atHealth 2.0 Paris Developedwith JAVA Me Cross Compiler Technology Already compatible with more than 150 phone models

27. International Development Translate patient interface Integrate national country drugdatabases Adaptforms to countries specifications CreatepartnershipswithHealth Institutions abroad 17-19 October 2010, Abu Dhabi National Exhibition Centre, UAE

28. Implementation of an iso-performance typing module acceptingdedicatedpathology & physiological condition forms. New version of the translation bot to use non iso languages (Arabic, Asians, Cyrillic, ..) SecuredElectronic validation by the GP Natural languageanalysisaccording to SNOMED terminology SANOIA labs…

29. Patient centrictool Built on healthprofessionals expectations Focus on critical and synthesis/coordination data Ensure a highlevel of privacy Free, itishighlyuniversal and beneficial to anyone CONCLUSION

30. THANKS FOR YOUR ATTENTIONwww.sanoia.com Dr. Adam M. SELAMNIA ScientificDirector A.I.M.S.U (Non Profit Organization)La Ciotat (France) mselamnia@sanoia.com