Amida provides open source software solutions, such as the Data Reconciliation Engine (DRE), to improve data access and management for personal health and other sectors. The DRE supports various healthcare standards, enables patients to control their health data, and facilitates medication management through the Orange Rx app. Additionally, Amida offers the Indaba platform for data collaboration, allowing stakeholders to convert knowledge into actionable data for informed decision-making.

1. Data to the people®
Peter L. Levin
Co-founder and CEO
peter@amida-tech.com

2. 2
We believe that access to data improves lives
Personal health data
helps us, our parents, our partners, and our children
International and economic data
informs countries, investors, populations, and advocates
Open government data
improves public health, public safety, and public service
Cybersecurity data
enables detection, protection, transaction and system integrity

3. 3
Amida makes open source software
that helps data work for people
Lower total cost of ownership
no license fees and often faster to install and configure
No vendor-lock
any qualified developer can maintain the system
Greater application security
more developers checking for vulnerabilities
Easier maintenance
access to the source code and platform service

4. 4
A stylized view of digital services
…and needs to be processed
and transformed…
…for business intelligence,
predictive analytics,
decision support, and
commercial transactions.
Data comes in all
shapes, sizes, structures,
and formats…

5. 5
For example, healthcare
…to empower patients,
inform providers,
streamline coverage,
and coordinate care.
Data comes in all
shapes, sizes, structures,
and formats…
Hospitals
Physicians
Labs
Pharmacies
Patients
Providers
Insurers
Families
…and is processed
and transformed…
Parse/
Normalize
Match Reconcile
Master
Record

6. 6
For example, cybersecurity
…and is processed
and transformed…
…to inform network operators,
analysts, security professionals,
and data holders.
Data comes in all
shapes, sizes, structures,
and formats…
Parse/
Normalize
Match Reconcile
Master
Record

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DRE
Data Reconciliation Engine

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Patients struggle to access their own health data
Exchange is difficult because of:
• HIPAA regulations
• customized formats
• poor incentives and misaligned interests
Hospital EMRs
Physicians
Labs Pharmacies
Payers
Patients
Blue Button puts the patient in control
of their health data.

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Amida and health data
Amida’s DRE is the core of a patient-centered health information exchange:
• a user-facing front end
• a database back end
• a secure transmission
• APIs and portal functionality
Front
End
DRE
DB
API
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10101010
10100100
10101010
01010

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Technology
Amida’s Data Reconciliation Engine is an open source* platform built on
MEAN stack (MongoDB, Express, Angular, Node.js).
At the core of the DRE are Blue Button-FHIR parsers, CCDA generators, FHIR-
based patient health record store, and a reconciliation algorithm.
Parse/
Normalize
Match
Reconciliation
Interface
Master Record
Interface
Patients Generate
DatastoreData
1010101
0010101
0001
*available at OSEHRA and on GitHub

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DRE: Data ingestion
Parses most Blue Button formats.
The data reconciliation engine (DRE) is a
production-grade open source component.
It can read many kinds of Blue Button
formats, including CCDA, HL7, VA’s C-32,
CMS claims, and FHIR.

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DRE: Data model
Supports MU data elements.
The DRE supports all five required sections
of CCD files (allergies, medications,
problems, procedures, and lab results)
and three of many optional sections
(encounters, immunizations, and vitals).

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DRE: Data reconciliation
Generates a master health record.
The DRE detects redundancies and
automatically de-duplicates health records.
It also recognizes partial matches, which can
be manually reconciled by the patient via a
simple web interface.

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Medication Management App

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Why we care about med management
157m Americans will have at least one chronic condition by 2020.
In about 50% of cases, medication is not taken as prescribed.
Non-adherence costs $100b/year in excess hospitalizations.
USPopulation in2020
335m(Estimated)
Americanswith
atleastone
chroniccondition
157m (Estimated)
=10m
[1]: New England Health Institute (NEHI) Research Brief: Thinking outside the pillbox: a system-wide approach to improving patient medication adherence for chronic disease. 2009:1–21.
[2]: Davis MS. J Med Ed 1966;41:1037-1048.[3]: Goldberg AI et al. Soc Sci Med. 1998;47:1873–1876. [4]: Turner JB &Hecht FM. Ann Intern Med 2001;134:1004-1006.

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Amida and Orange Rx
Orange Rx is Amida’s integrated mobile app that:
• helps patients manage their chronic diseases
• tracks medication dosing for patients and caretakers
• gathers data on side effects
• integrates with existing personal health records
• exports adherence data in Blue Button and other structured formats

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Example use cases
Track, Log, Medicate
Track
& Log
Track
& Log
Medicate
Scenarios 1 & 2
One patient tracking
their own medications
Scenario 3
Families taking care
of their loved ones
Scenario 4
Clinical care team monitoring
the dosing for high-risk patients
Patient Parent Parent
Child
Doctor/CaseManager
Monitor
& Log
Track, Log,
Medicate
FamilyMember ElderlyParent
BlueButton
Track, Log, Medicate
PatientConnectedtoPHR
Monitor
Patient
Track, Log, Medicate

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Scenario: keeping track
Amy is a young woman with seasonal allergies
She frequently uses the app to check her
dosing schedule, log medication
administration, and note any symptoms, side
effects, or other health-related
information.

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Scenario: coordinate with family members
Sarah and John both have Orange Rx accounts.
Sarah currently manages their daughter’s
medications.
Their daughter, Addie, has recently been
prescribed Amoxicillin to treat an ear
infection. Sarah and John can use the app to
share, track, and export Addie’s medications, in
addition to managing their own.

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Scenario: patient panel
Dr. House is part of a care management team
and wants to view his patients’ medication
adherence records.
He uses the Orange Rx web portal to view a list
of his patients, their current medications,
dosing events, and journals to track adherence,
complaints, or adverse reactions.

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Turn knowledge into data

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We need data about things that matter but are
hard to measure
Knowledge about the most important issues – like freedom, transparency,
and independence – is often distributed.
Until now, there’s not been an easy way
to convert subjective information into
actionable data.

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Indaba by Amida
Indaba is a data collaboration platform that
connects stakeholders and experts.
It converts their knowledge into data that
you can analyze, publish, and use to make
decisions.

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Use case: medical policy
Indaba provides a platform to collect expert insights, conduct peer review,
and translate assessments into data that can be analyzed and compared.
Indaba structures and collects qualitative explanations and quantitative
assessments to create a composite score.

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Features
Indaba enables collaboration on a single and flexible platform.
Features include:
• secure login
• role- and policy-based control
• visualization tools
• multiple-language support
• optimized for low bandwidth

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Data collection and management
From project design to publication and
dissemination, Indaba streamlines data
collection, management and collaboration.
Project managers can:
• automate tasks
• monitor real-time updates
• adjust to change

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Evidence-based decision making
Resource allocation decisions are among the most critical leadership
responsibilities.
Indaba facilitates distributed, asynchronous coordination among experts,
implementers, and program managers.

28. Thank you
Peter L. Levin
Co-founder and CEO
peter@amida-tech.com