Dossia and Records for Living

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Dossia and Records for Living

  1. 1. BY: MURTAZA ALI NOOR HUSSAIN HELI MEHTA RESHMA PRASHAD Dossia and Records for Living Personal Health Records
  2. 2. Dossia’s interface
  3. 3. What is Dossia? <ul><li>A video explaining what is Dossia </li></ul><ul><li>http://www.dossia.org/about-dossia/an-introduction </li></ul><ul><li>to-dossia </li></ul>
  4. 4. Background <ul><li>The CEO of Dossia, Colin Evans was interviewed for this project </li></ul><ul><li>Started in 2006 in Boston, MA </li></ul><ul><li>Dossia is an employer-led, not-for-profit consortium of corporations, healthcare providers, and personal health applications developers </li></ul><ul><li>It provides a web-based PHR targeted mainly to employees and patients within this membership </li></ul><ul><li>Its services are geared primarily to the U.S. healthcare market, with no plans to expand into Canada </li></ul>
  5. 5. Architecture <ul><li>Indivo's architecture for PHRs is using open standards, such as XML and JAVA </li></ul><ul><li>Web based interface and independent operating system platform </li></ul><ul><li>A three-tier system (data storage tier, a business logic tier, and a user interface tier) </li></ul><ul><li>Utilizes standards such as: ICD, CPT, CDT, CMS, HL7, NDC, LOINC, RxNorm, and SNOMEDCT, CCR </li></ul><ul><li>Uses SysTrust Certification for security </li></ul>
  6. 6. Architecture visually
  7. 7. Intended audience <ul><li>Intended for employees in companies that have joined its alliance as a paying member </li></ul><ul><li>Wal-Mart has been one of their earliest adopters, and now 1.4 million employees have access to this service </li></ul><ul><li>Employees have their own access, they are the ones who decide to whom access is granted </li></ul><ul><li>Employers and insurance companies do not have access to employee records within Dossia </li></ul>
  8. 8. Business Model <ul><li>Dossia was initially a non-profit group, but U.S. privacy and trade legislation prevented it so they added a for-profit service arm </li></ul><ul><li>Dossia markets its services at large corporations, (Fortune 500 level) </li></ul><ul><li>Employer-led and employer-financed </li></ul><ul><li>Provide SAS to avoid any installation or maintenance issues or demands on the end user. </li></ul>
  9. 9. Business Model visually
  10. 10. Major features <ul><li>Applications can be customized for employer and consumer-based needs and service options. </li></ul><ul><li>Premium applications such as matching consumers to clinical trials in their local area, through a company called Trialx </li></ul><ul><li>Aggregated healthcare data from medications, allergies, immunizations, encounters, procedures, conditions, test results </li></ul><ul><li>Access to a World Health Wiki, WebMD, MediKeeper, and records from medical devices </li></ul><ul><li>Consumer control over access, exporting, adding and sharing of records </li></ul>
  11. 12. Background <ul><li>Privately held company-US based. </li></ul><ul><li>Incorporated in 2004 </li></ul><ul><li>Mission: </li></ul><ul><ul><li>“ empowering consumers to leverage technology and the advance of scientific development towards the improvement of their health and lives” </li></ul></ul><ul><li>2005: HealthFrame 1.0 Evaluation version released </li></ul><ul><li>2006: HealthFrame 2.0 Live version released ($39.95) </li></ul><ul><li>HealthFrame Lite version is available free of cost </li></ul><ul><li>Two major applications </li></ul><ul><ul><li>HealthFrame Explorer </li></ul></ul><ul><ul><li>HealthFrame Viewer </li></ul></ul>
  12. 13. HealthFrame Explorer
  13. 14. HealthFrame Viewer
  14. 15. Architecture <ul><li>Computer based application, which was company developed </li></ul><ul><ul><li>Data stored on user’s computer </li></ul></ul><ul><li>Can save reports on USB key or emergency medical card </li></ul><ul><li>Newer version will have 2 layers: </li></ul><ul><ul><li>Web service layer </li></ul></ul><ul><ul><li>User interface layer </li></ul></ul><ul><li>HF is standards-based </li></ul><ul><li>Some of the data and coding standards considered are CCS codes, DRG codes, ICD9, RxNorm, SNOMED, UMLS, ASTM CCR, CCD, HL7/CDA, RSA  encryption and SSL. </li></ul><ul><li>Where existing standards are lacking, HF introduced open specifications or used existing open specifications such as CXP, OpenHealth Services, and Open PHR Schemas (XML schemas). </li></ul><ul><li>HF have also created SDK for clients to develop applications that can sync with HF </li></ul>
  15. 16. Intended Audience <ul><li>Intended for any kind of consumers </li></ul><ul><ul><li>Patients </li></ul></ul><ul><ul><li>Employers </li></ul></ul><ul><ul><li>Health Care Facility </li></ul></ul><ul><ul><li>Family/Friends </li></ul></ul><ul><li>Users are the sole controller of the record </li></ul><ul><li>RFL have no access to the records </li></ul>
  16. 17. Business Model <ul><li>RFL is privately owned </li></ul><ul><li>Fairly small and new company with budget constraints </li></ul><ul><li>End-user is responsible for updating records </li></ul><ul><li>Low adoption due to consumer indifferences and not related to security, privacy, standards, or HC complexity </li></ul><ul><li>RFL is responsible for providing necessary customer support </li></ul>
  17. 18. Major Features Part 1 <ul><li>HealthFrameWorks services: </li></ul><ul><li>Business components, which can accelerate the process of developing client or server-based applications </li></ul><ul><li>HealthFrame Works Server, which is the core of a service-oriented (SOA) web-service framework for building health and medical applications allowing easy integration </li></ul><ul><li>Co-branding allows organizations to customize HF </li></ul><ul><li>Re-branding allows organization complete control over HF and recreate it fully. </li></ul>
  18. 19. Major Feature Part 2 <ul><li>Calendar </li></ul><ul><li>Charts </li></ul><ul><li>CCR </li></ul><ul><li>Expense tracking </li></ul><ul><li>Forms and reports </li></ul><ul><li>Personal journals </li></ul><ul><li>Library </li></ul><ul><li>Medical history </li></ul><ul><li>Related links </li></ul><ul><li>Sync with iPod </li></ul>
  19. 20. Major Features Part 3 HealthFrame 2.0 HealthFrame 2.1 Popular Continuity of Care Sync with iPod Calendar Expense Tracking OHS Framework: Open Health Service framework extends HealthFrame's reporting and web services-enabled capabilities using plug-ins ASTM (CCR) standard: allows to share electronic medical records with your doctors. Related links to news, informations Office Documents: import CCR data to and from Office Open XML documents Graphical Charts: provide visual feedback medical records: tests, treatments, visits Forums Access to Journals and Libraries
  20. 21. Comparison
  21. 22. Questions

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