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What	
  the	
  open	
  API:s	
  to	
  the	
  
healthcare	
  records	
  will	
  do	
  for	
  the	
  
Swedes	
  
	
  
Johan	
  Eltes	
  

Chief	
  Architect,	
  Na4onal	
  Programme	
  for	
  pa4ent	
  EHR	
  access	
  
(”Journal-­‐på-­‐nätet”)	
  managed	
  by	
  Sofie	
  ZeHerström,	
  Center	
  for	
  
eHealth	
  in	
  Sweden	
  and	
  Nina	
  Lundberg,	
  Stockholm	
  Count	
  Council

MOBILE HEALTH SUMMIT
NORRLANDSGATAN 11, STOCKHOLM

SEP 26TH 2013

	
  
Problem	
  
•  How	
  to	
  allow	
  the	
  pa4ent	
  to	
  unlock	
  her	
  electronic	
  health	
  
records	
  for	
  innova4on?	
  
–  How	
  to	
  make	
  the	
  care	
  provider	
  enter	
  the	
  ”API	
  Economy”?	
  

•  Challenges:	
  

–  Pa4ent	
  health	
  records	
  are	
  owned	
  by	
  the	
  care	
  givers	
  
–  Pa4ent	
  health	
  records	
  reside	
  in	
  many	
  healthcare	
  systems	
  of	
  
different	
  species	
  operated	
  at	
  county-­‐	
  and	
  hospital	
  data	
  centers	
  
–  Securi4ty	
  models	
  of	
  health	
  exchange	
  not	
  tailored	
  for	
  pa4ent	
  
privacy	
  (but	
  for	
  pa4ent	
  security)	
  

•  Opportuni4es:	
  

–  Sweden	
  has	
  a	
  mature,	
  na4onal	
  health	
  interconnect	
  architecture	
  
–  The	
  legal	
  framework	
  is	
  modern	
  –	
  the	
  pa4ent	
  has	
  the	
  right	
  to	
  
view	
  and	
  export	
  EHR:s	
  
MOBILE HEALTH SUMMIT
NORRLANDSGATAN 11, STOCKHOLM

SEP 26TH 2013
Solu4on	
  –	
  step	
  1	
  

	
  Create	
  a	
  personal	
  api	
  firewall	
  –	
  only	
  the	
  pa4ent	
  has	
  the	
  key	
  to	
  unlock	
  access	
  for	
  apps	
  	
  

MOBILE HEALTH SUMMIT
NORRLANDSGATAN 11, STOCKHOLM

SEP 26TH 2013
New	
  

Solu4on	
  –	
  step	
  2	
  

Exis4ng	
  
	
  Connect	
  the	
  personal	
  api	
  firewall	
  to	
  the	
  na4onal	
  health	
  interconnect	
  architecture	
  	
  	
  

MOBILE HEALTH SUMMIT
NORRLANDSGATAN 11, STOCKHOLM

SEP 26TH 2013
Solu4on	
  –	
  Step	
  3	
  

Provide	
  a	
  slick	
  developers	
  self-­‐service	
  portal	
  

MOBILE HEALTH SUMMIT
NORRLANDSGATAN 11, STOCKHOLM

SEP 26TH 2013
Solu4on	
  –	
  Step	
  4	
  

Spread	
  the	
  word!	
  

MOBILE HEALTH SUMMIT
NORRLANDSGATAN 11, STOCKHOLM

SEP 26TH 2013
Result	
  

Innova4on	
  made	
  possible!	
  ”App-­‐store”	
  for	
  EHR-­‐connected	
  apps	
  

MOBILE HEALTH SUMMIT
NORRLANDSGATAN 11, STOCKHOLM

SEP 26TH 2013
Result	
  –	
  round-­‐up	
  

Swedish	
  EHRs	
  –	
  now	
  in	
  good	
  company	
  at	
  the	
  programmable	
  web!	
  

MOBILE HEALTH SUMMIT
NORRLANDSGATAN 11, STOCKHOLM

SEP 26TH 2013

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2013 mobile health summit

  • 1. What  the  open  API:s  to  the   healthcare  records  will  do  for  the   Swedes     Johan  Eltes   Chief  Architect,  Na4onal  Programme  for  pa4ent  EHR  access   (”Journal-­‐på-­‐nätet”)  managed  by  Sofie  ZeHerström,  Center  for   eHealth  in  Sweden  and  Nina  Lundberg,  Stockholm  Count  Council MOBILE HEALTH SUMMIT NORRLANDSGATAN 11, STOCKHOLM SEP 26TH 2013  
  • 2. Problem   •  How  to  allow  the  pa4ent  to  unlock  her  electronic  health   records  for  innova4on?   –  How  to  make  the  care  provider  enter  the  ”API  Economy”?   •  Challenges:   –  Pa4ent  health  records  are  owned  by  the  care  givers   –  Pa4ent  health  records  reside  in  many  healthcare  systems  of   different  species  operated  at  county-­‐  and  hospital  data  centers   –  Securi4ty  models  of  health  exchange  not  tailored  for  pa4ent   privacy  (but  for  pa4ent  security)   •  Opportuni4es:   –  Sweden  has  a  mature,  na4onal  health  interconnect  architecture   –  The  legal  framework  is  modern  –  the  pa4ent  has  the  right  to   view  and  export  EHR:s   MOBILE HEALTH SUMMIT NORRLANDSGATAN 11, STOCKHOLM SEP 26TH 2013
  • 3. Solu4on  –  step  1    Create  a  personal  api  firewall  –  only  the  pa4ent  has  the  key  to  unlock  access  for  apps     MOBILE HEALTH SUMMIT NORRLANDSGATAN 11, STOCKHOLM SEP 26TH 2013
  • 4. New   Solu4on  –  step  2   Exis4ng    Connect  the  personal  api  firewall  to  the  na4onal  health  interconnect  architecture       MOBILE HEALTH SUMMIT NORRLANDSGATAN 11, STOCKHOLM SEP 26TH 2013
  • 5. Solu4on  –  Step  3   Provide  a  slick  developers  self-­‐service  portal   MOBILE HEALTH SUMMIT NORRLANDSGATAN 11, STOCKHOLM SEP 26TH 2013
  • 6. Solu4on  –  Step  4   Spread  the  word!   MOBILE HEALTH SUMMIT NORRLANDSGATAN 11, STOCKHOLM SEP 26TH 2013
  • 7. Result   Innova4on  made  possible!  ”App-­‐store”  for  EHR-­‐connected  apps   MOBILE HEALTH SUMMIT NORRLANDSGATAN 11, STOCKHOLM SEP 26TH 2013
  • 8. Result  –  round-­‐up   Swedish  EHRs  –  now  in  good  company  at  the  programmable  web!   MOBILE HEALTH SUMMIT NORRLANDSGATAN 11, STOCKHOLM SEP 26TH 2013