The document discusses opening up electronic health records in Sweden through application programming interfaces (APIs). It proposes a 4-step solution: 1) Create a personal API firewall controlled by the patient to approve app access. 2) Connect the firewall to Sweden's national health network. 3) Provide an online developer portal. 4) Promote the APIs to developers. The goal is to fuel healthcare innovation by third-party applications while maintaining patient privacy and control over their own data.

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