High level overview of concept for a consumer centric IoT healthcare exchange. Preliminary PoC activities, including related blockchain tech.

1. 1
Consumer IoT Health Exchange
Aggregation & Access of Consumer IoT Data
Integration of Personal Bio Metrics into the Healthcare and Research Ecosystem
Jason de la Fuente & Jeff Korte
May 2015

2. 2
Current State Examples
• Actual Doctor Visit
– Shows Nurse a months worth of personal
health stats through mobile app connected
to smart scale…WHAT??
• Prescription Regime
– Treatment changes based on subjective,
infrequent and error prone feedback
• R&D
– Pockets of data that are difficult to access
– Donating personal data to science
• Imagine a world…

3. 3
The Objective
• Consumer IoT Health Exchange
– Aggregator of consumer healthcare IoT metrics
– Individual maintains control to “opt in” or “enable” access
– Subscriber accesses IoT Health Exchange for back end
integration/correlation
• Primary Care, EMR vendors (Epic/Cerner/McKesson), PBM, Insurance,
Jenny Craig, Universities, R&D, etc.
• Conceptually think of the real estate Multiple Listing
Service (MLS) system
– accumulates and disseminates information…and is a facility for the orderly correlation
and dissemination of listing information to better serve broker's clients, customers
and the public.

4. 4
The Value
• Individuals take control of their consumer IoT healthcare
metrics and history, enabling their data to be an active part of
their personal healthcare experience.
• Commercial Subscribers have access to larger data sets to
make more informed decisions
– Primary Care, EMR vendors (Epic/Cerner/McKesson), PBMs, Insurance Providers, Jenny
Craig, etc..
• R&D Subscribers able to gain new analytical insights through
massive population data sets and decentralized scale

5. 5
PoC Approach
• Leverage the simplicity of existing APIs, Languages and
Formats
• Create IoT Health Exchange back-end data store
• Extract FitBit data via API to populate IoT Health
Exchange
• Query IoT Health Exchange data store to mimic
Subscriber access
• Publish IoT Health Exchange data to Blockchain.info
• Query Blockchain.info to mimic R&D access

6. 6
Potential Technology by Function
API Language/Libraries
• Python
• Ruby
• PHP
• .Net
Authentication Layer
• Oauth
Data Inter-Change Format
• JSON
Primary IoT-HE Data Store
• MongoDB
Secondary IoT-HE Data Store
• Blockchain.info
Web/REST
• NGINX
• APIs
Apigee
• API Management Framework

7. 7
Conceptual Data Flow
IoT Health
Exchange
Primary Care,
EMR, PBM,
Insurance, R&D
IoT Data
Silo
End User
Device
IoT-HE GET
Upload
Subscriber GET
IoT
Decentralized
Data Store
IoT-HE POST
Device POST OR
Subscriber GET
Subscriber normalization
based on use case

8. 8
IoT Health Exchange
MongoDB
Conceptual Tech
Primary Care,
EMR, PBM,
Insurance, R&D
IoT Data
Silo
End User
Device
IoT-HE GET
Upload
Subscriber
GET
Blockchain.info
IoT-HE POST
Device POST OR
API
Ingest/Sub NGINX
Nodes
API
API
Subscriber normalization
based on use case
Subscriber
GET
API

9. 9
Preliminary Concept Validation
• Created consumer IoT device account
• Downloaded Ruby
• Installed consumer IoT device and Oauth gems
• Leveraged Apigee to model auth and GET data extract from
consumer IoT data silo
• Sent Blockchain transaction with bio metric content embedded
in Blockchain.info public notes feature
• Installed Blockchain.info gem and cacert.pem for SSL error
• Queried Blockchain transaction via Blockchain.info API

10. 10
Order of Magnitude

11. 11
Blockchain is Coming!

12. 12
Industry Blockchain Innovation
• IBM Blockchain for IoT Scale Conceptual
– Whitepaper
• IBM ADEPT Project IoT Blockchain Architecture Paper
– https://pdf.yt/d/esMcC00dKmdo53-_/download
• IBM/Samsung Blockchain IoT Smart Device at CES Trade Show
– https://www.theprotocol.tv/adept-demo-ibm-samsung/
• NASDAQ Announces Blockchain Stock Transactions
– http://finance.yahoo.com/news/nasdaq-s-bitcoin-plan-
183125709.html

13. 13
Other Tech
BioPatch
Zephyr ECG electrodes
Monitor minute by minute with alerting
HR/Resp/Position/movement
MedoPad (2)
Runs on Apple Watch
Confirm Medication/Report symptoms
Watch monitors activity level of patient
Economist article on IoT Healthcare
ZephyrAnywhere