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Microsoft Corporation
Confidential and        1
Connecting to
Clinical Systems

                   2
Why?
Microsoft Corporation
Confidential and        3
Agenda
•   Basic Tenets
•   HealthVault integration options
•   Patient and provider workflows
•   Development models
•   Common data sharing scenarios




                                      4
Basic Tenets
• Patient’s HealthVault record is controlled by them/caregiver
   – They can create, read, update, and delete any data
   – Access to their data must be authorized by them
   – They can revoke someone’s access at any time

• Patient’s clinical record is controlled by their provider
   – The provider is responsible for the data
   – The provider is responsible for determining the basis for
     medical decisions
   – The provider must adhere to relevant state and federal
     regulations with respect to the patient’s clinical information


                                                                      5
A TALE OF TWO PRACTICES…


                           6
Practice A
             Practice #1




                                     Practice B



                           Microsoft Corporation   7
                           Confidential and
Practice A
                    Practice #1
                   HealthVault

             Helps Patients      Helps Providers

 Keep their health history all   Get a comprehensive view of
  in one place & share their     their patients’ histories &
     information with others     deliver information to them



                                                         Practice B



                                               Microsoft Corporation   8
                                               Confidential and
Practice A

EMR + PATIENT PORTAL


                       9
You already have…
• A way for patients to authenticate online
• A user interface for patients to interact with their clinical
  information
• Data exchange between your portal and your EMR


You’ll need to build…
• A user interface for patients to authorize the practice to
  access their HealthVault information
• Storage of the user’s HealthVault Person and Record
  IDs
• The pushing/pulling of information to HealthVault

                                                                  10
A HealthVault-integrated Patient Portal

THE UX


                                          11
Microsoft Corporation   12
Confidential and
Microsoft Corporation   13
Confidential and
14
Microsoft Corporation   15
Confidential and
Microsoft Corporation   16
Confidential and
Practice B

EMR ONLY


             17
You’ll need a way…
• For patients to authenticate online
• For patients to authorize the practice to access their
  HealthVault information



HealthVault’s new Patient Connect feature
solves this.




                                                           18
To connect to HealthVault, you’ll need…
• The patient’s HealthVault Person ID
• The patient’s HealthVault Record ID


             Patients Table
      Patient_ID         123456
        Name            John Smith
     HV_Person_ID             Null   You’ll get this after the
                                     patient authorizes you
     HV_Record_ID             Null




                                                                 19
A quick walkthrough of the patient and provider workflow

THE UX


                                                           20
Patient & practice discuss
sharing information through
HealthVault




                               Dfsfd
                                    sfd
                                dfdfd sfs

                              XX-X
                                  XX




                                            21
Dfsfd
                                sfd
                            dfdfd sfs



A staff member
                          XX-X
                              XX




creates and prints
an ‘identity code’ for the
patient, along with instructions
on what to do at home




                                        22
The identity code
•  Let’s you verify that the patient is who he says he is
•  Expose a user interface for practice staff to create
   and print this for patients
• Call HealthVault API, and pass in…
  – Unique string representing “Patient_ID”
             Patients Table
         Patient_ID    123456

    – Verification question and answer
    – Friendly name for the patient


                                                        23
Dfsfd
                                sfd
                            dfdfd sfs



A staff member
                          XX-X
                              XX




creates and prints
an ‘identity code’ for the
patient, along with instructions
on what to do at home




                                        24
Dfsfd
            sfd
        dfdfd sfs

      XX-X
          XX




     The patient goes to
   www.healthvault.com
to authorize the practice




                            25
Microsoft Corporation   26
Confidential and
Microsoft Corporation   27
Confidential and
28
29
30
Microsoft Corporation   31
Confidential and
Completing the connection
•    Check periodically for new patients
•    Call HealthVault API, and get back…
    – The “Patient_ID” string that you passed in
             Patients Table
         Patient_ID    123456

    – Patient’s HealthVault Person ID
    – Patient’s HealthVault Record ID




                                                   32
Patients Table
       Patient_ID                  123456
         Name                     John Smith
     HV_Person_ID   1F5987G0-2F20-98B2-1C3B-9821C74C9273
     HV_Record_ID   3F2504E0-4F89-11D3-9A0C-0305E82C3301



You can now…
• Connect to the patient’s HealthVault record using
  HV_Person_ID and HV_Record_ID
• Expose a user experience for practice staff to push/pull
  information to/from the patient



                                                             33
AUTHORIZATION


                34
35
36
Data sharing scenarios
• Lina, who has diabetes, monitors her blood glucose
  at home and gives her doctor access electronically
• Mary builds an electronic medical record for her baby
  and uses a PHR to manage her family’s health
• John receives a discharge summary in his
  HealthVault record after surgery
• Cecilia, an elderly “snowbird” with doctors in different
  states, keeps track of her medication list in
  HealthVault
• Kai moves to a new city with a full health history, and
  shares it with his new doctor
                                                        37
Resources
• www.msdn.microsoft.com/healthvault
   – Stories
   – High-level workflows
   – Technical documentation
   – API documentation and samples
   – Growing data model
• Let your HealthVault contact know if you have follow
  up questions or want to discuss your scenario in
  more detail



                                                     38
What about paper?
                39
Q&A

Kalpita Deobhakta
Program Manager, HealthVault Partners Team
kalpitad@microsoft.com




                                             40
Microsoft Corporation
Confidential and        41

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Hsc 2008 Day 2

  • 4. Agenda • Basic Tenets • HealthVault integration options • Patient and provider workflows • Development models • Common data sharing scenarios 4
  • 5. Basic Tenets • Patient’s HealthVault record is controlled by them/caregiver – They can create, read, update, and delete any data – Access to their data must be authorized by them – They can revoke someone’s access at any time • Patient’s clinical record is controlled by their provider – The provider is responsible for the data – The provider is responsible for determining the basis for medical decisions – The provider must adhere to relevant state and federal regulations with respect to the patient’s clinical information 5
  • 6. A TALE OF TWO PRACTICES… 6
  • 7. Practice A Practice #1 Practice B Microsoft Corporation 7 Confidential and
  • 8. Practice A Practice #1 HealthVault Helps Patients Helps Providers Keep their health history all Get a comprehensive view of in one place & share their their patients’ histories & information with others deliver information to them Practice B Microsoft Corporation 8 Confidential and
  • 9. Practice A EMR + PATIENT PORTAL 9
  • 10. You already have… • A way for patients to authenticate online • A user interface for patients to interact with their clinical information • Data exchange between your portal and your EMR You’ll need to build… • A user interface for patients to authorize the practice to access their HealthVault information • Storage of the user’s HealthVault Person and Record IDs • The pushing/pulling of information to HealthVault 10
  • 12. Microsoft Corporation 12 Confidential and
  • 13. Microsoft Corporation 13 Confidential and
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  • 15. Microsoft Corporation 15 Confidential and
  • 16. Microsoft Corporation 16 Confidential and
  • 18. You’ll need a way… • For patients to authenticate online • For patients to authorize the practice to access their HealthVault information HealthVault’s new Patient Connect feature solves this. 18
  • 19. To connect to HealthVault, you’ll need… • The patient’s HealthVault Person ID • The patient’s HealthVault Record ID Patients Table Patient_ID 123456 Name John Smith HV_Person_ID Null You’ll get this after the patient authorizes you HV_Record_ID Null 19
  • 20. A quick walkthrough of the patient and provider workflow THE UX 20
  • 21. Patient & practice discuss sharing information through HealthVault Dfsfd sfd dfdfd sfs XX-X XX 21
  • 22. Dfsfd sfd dfdfd sfs A staff member XX-X XX creates and prints an ‘identity code’ for the patient, along with instructions on what to do at home 22
  • 23. The identity code • Let’s you verify that the patient is who he says he is • Expose a user interface for practice staff to create and print this for patients • Call HealthVault API, and pass in… – Unique string representing “Patient_ID” Patients Table Patient_ID 123456 – Verification question and answer – Friendly name for the patient 23
  • 24. Dfsfd sfd dfdfd sfs A staff member XX-X XX creates and prints an ‘identity code’ for the patient, along with instructions on what to do at home 24
  • 25. Dfsfd sfd dfdfd sfs XX-X XX The patient goes to www.healthvault.com to authorize the practice 25
  • 26. Microsoft Corporation 26 Confidential and
  • 27. Microsoft Corporation 27 Confidential and
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  • 31. Microsoft Corporation 31 Confidential and
  • 32. Completing the connection • Check periodically for new patients • Call HealthVault API, and get back… – The “Patient_ID” string that you passed in Patients Table Patient_ID 123456 – Patient’s HealthVault Person ID – Patient’s HealthVault Record ID 32
  • 33. Patients Table Patient_ID 123456 Name John Smith HV_Person_ID 1F5987G0-2F20-98B2-1C3B-9821C74C9273 HV_Record_ID 3F2504E0-4F89-11D3-9A0C-0305E82C3301 You can now… • Connect to the patient’s HealthVault record using HV_Person_ID and HV_Record_ID • Expose a user experience for practice staff to push/pull information to/from the patient 33
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  • 37. Data sharing scenarios • Lina, who has diabetes, monitors her blood glucose at home and gives her doctor access electronically • Mary builds an electronic medical record for her baby and uses a PHR to manage her family’s health • John receives a discharge summary in his HealthVault record after surgery • Cecilia, an elderly “snowbird” with doctors in different states, keeps track of her medication list in HealthVault • Kai moves to a new city with a full health history, and shares it with his new doctor 37
  • 38. Resources • www.msdn.microsoft.com/healthvault – Stories – High-level workflows – Technical documentation – API documentation and samples – Growing data model • Let your HealthVault contact know if you have follow up questions or want to discuss your scenario in more detail 38
  • 40. Q&A Kalpita Deobhakta Program Manager, HealthVault Partners Team kalpitad@microsoft.com 40