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Medical App Dev and a bit moreSeminar Medical Informatics | University of UtrechtErik van der ZijdenSynappz Medical Apps
Who am I?MultimediaMarketingTechno geekMartial ArtsMBABScPharmaDigital MediaMSD Animal Health1972Video MobileTriumph Spitf...
Be in your Centre
Synappz © 2013Who are we?Erik van der Zijden BSc MBA Piet Nelis DVM MBA Erich Taubert MDOne app, one life. At least.
Synappz © 2013It’s the team work that makes the dream workJessica SeegersLead DesignerMindy BroerenCreative Operational Ma...
Synappz © 2013What’s IT all about?
Synappz © 2013Meet the family
voidingdiarySynappz © 2013
What is mHealth anyway?Applications that will improve orassist you with your personal healthEasy accesible advice for stak...
Your opinionmHealth and eHealth are basically thesame. Stop the semantic discussion!Agree DisagreeSynappz © 2013
What’s your experience with mHealth?None40%A little60%n=10 Synappz © 2013
Where lies the true value of mHealth?Synappz © 2013
Where lies the true value of mHealth?Synappz © 2013Mobile TeleradiologyMobile Oral Telemedicine Mobile Cervical CancerScre...
Where lies the true value of mHealth?Synappz © 2013
Where lies the true value of mHealth?Synappz © 2013
Today’s chaptersWhat makes a great medical app?The Med App Dev ProcessCurrent and Future trendsCaseSynappz © 2013
What does make a great medical app?09Scientific SupportSafery & SecurityGraph & Int DesignEasy implementationClear revenue...
Ingredients for an awesome medical appSynappz © 2013ConnectAPIsStandards (OpenEHR,HL7, DICOM)WearablesSensor TechSeeIntera...
Biggest challenge for implementation (you say)n=10 Synappz © 2013Change6Proven business model2Unknown territory2Territory ...
Biggest challenge for implementation (you say)n=10 Synappz © 2013Physicians should stop standing on a golf course andactua...
How to make this stuff?Synappz © 2013The Med App Dev Process
Synappz © 2013App Dev is a process, tooDiscover1Prepare2Graphics ‘nGeeks3Let theworld now4Certification& Validation5
Foto patient met iemanddie aantekeningenmaakt.Screenshot van PatientJourney (Jonas Piet?)Start with the UserDiscover1 *)*)...
Synappz © 2013Patient JourneyDiscover1
Synappz © 2013Alternative: PersonasDiscover1
Your Problem Solving CapacityDiscover1Synappz © 2013Which problemare we trying to solve here?For iP Voiding Diary:Paper mi...
Make an App Definition StatementSynappz © 2013iP Voiding Diary is:The authority for digital voiding diaries. During a pred...
Synappz © 2013What does the app have to do?Prepare2NeedSandy wants to know whether urine loss isnormalConsideration Compar...
Synappz © 2013Which buttons do what?Uitwerken2You want to make thisLandFlyWhile the user wants thisPrepare2
Synappz © 2013Which buttons do what?Prepare2
Synappz © 2013Which buttons do what?Prepare2
Synappz © 2013A Blueprint (like expensive architects make)For: 2go-mobileDate: May 30, 2011Document version 1.01. General1...
Synappz © 2013Battle of the platformsPrepare2
Synappz © 2013Battle of the platformsPrepare2read.bi/10CqyJb
Synappz © 2013Your audience decidesPrepare2
Synappz © 2013Your audience decidesPrepare2
Synappz © 2013Your audience decidesPrepare2
Synappz © 2013Android fragmentedPrepare2
Synappz © 2013HTML5 versus NativePrepare2
Synappz © 2013HTML5 versus NativePrepare2
Synappz © 2013Battle of the platformsAsk yourself:How ‘complex’ is my app on the interaction?How inportant is it that all ...
Synappz © 2013The way to Fabulous WealthPrepare2
Synappz © 2013Business Modeling (yes, we made one, too!)Prepare2
Synappz © 2013Who are your Competitors?Prepare2SeeBelieveTrustDoConnectSeeBelieveTrustDoConnectCompetitor A
Synappz © 2013Year 1 Year 2 Year 3 Year 4 Year 5PopulationPrevalence of condition# Patients (pot. mrkt)Penetration# UsersP...
Synappz © 2013Year 1 Year 2 Year 3 Year 4 Year 5Population 2.000.000 2.100.000 2.200.000 2.300.000 2.400.000Prevalence of ...
Synappz © 2013Making ArtGraphics ‘nGeeks3
Synappz © 2013Geek stuff: CodingGraphics ‘nGeeks3
Synappz © 2013Online Marketing - nobrainerLet the worldknow4
Synappz © 2013Offline Marketing - Necessary?Let the worldknow4
Synappz © 2013Don’t forgetApp Store descriptionApp Store OptimizationPress ReleasesVideoPromo codes & Sneak PeeksLet the w...
Synappz © 2013Policies - Friend or foe?Certification& Validation5
Synappz © 2013When CE? The story of the scaleCertification& Validation5DiagnoseMeasureTreat
Synappz © 2013When CE? The story of the scaleCertification& Validation5
Synappz © 2013MEDDEV tree (it doesn’t get better than this)Certification& Validation5
Synappz © 2013Privacy & SecurityUse of Patient ID?Data Storage Location?Encryption?Back-Up Management?Recalls?Certificatio...
Synappz © 2013The wonderful world of ABBRVTNSHL7 (Health Level 7)• Worldwide standard.• Connects healthcare systems and ma...
Synappz © 2013DICOM (Digital Imaging and Communication in Medicine)• ISO standard.• Medical images and workflows (PACS).• ...
Synappz © 2013A solution?Certification& Validation5
Synappz © 2013So what’s happening and what’s next?Current & future trends
Synappz © 2013Current & future trends
Track everythingSynappz © 2013
Track everythingSynappz © 2013
Track everythingSynappz © 2013
Track everythingSynappz © 2013
Track everythingSynappz © 2013
Track everythingSynappz © 2013
Track everythingSynappz © 2013
Track everythingSynappz © 2013
Track everythingSynappz © 2013
Synappz © 2013Track everything
Synappz © 2013DIY sensors
Synappz © 2013Star Trek in reality
Synappz © 2013Star Trek in reality
The future of mHealth in numbersSynappz © 20130350700105014001400 bln500 blnTotalmHealthBy 2015, 30% ofall smartphoneusers...
Yes, we are open for internshipsSynappz © 2013ConnectAPIsStandards (OpenEHR,HL7, DICOM)WearablesSensor TechSeeInteraction ...
Erik van der Zijdenerik@synappz.nl06-109 301 40@ErikvdZsynappz.nl
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Seminar Medical Informatics | University Utrecht

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Guest lecture on the University of Utrecht about Mobile App Development, in a seminar on Medical Informatics.

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Seminar Medical Informatics | University Utrecht

  1. 1. Medical App Dev and a bit moreSeminar Medical Informatics | University of UtrechtErik van der ZijdenSynappz Medical Apps
  2. 2. Who am I?MultimediaMarketingTechno geekMartial ArtsMBABScPharmaDigital MediaMSD Animal Health1972Video MobileTriumph SpitfireYaraMedicalBiologyFloorElineHealth 2.0Global Brand ManagerExport Sales formerYugoslaviaInnovation ManagerErik van der ZijdenApple fanboyMedical AppsBusiness ManagerEntrepreNerd
  3. 3. Be in your Centre
  4. 4. Synappz © 2013Who are we?Erik van der Zijden BSc MBA Piet Nelis DVM MBA Erich Taubert MDOne app, one life. At least.
  5. 5. Synappz © 2013It’s the team work that makes the dream workJessica SeegersLead DesignerMindy BroerenCreative Operational ManagerSebastiaan SeegersGame DeveloperDick CoppusLead DeveloperJolanda HuttenVisual DesignerFrans KouwenhovenMobile Development 2GOSami YilmazMobile Development 2GOEduard ErnstPhoto & Camera ProductionRob van der GaliënHTML5 GuruTaha ChebliLead 3D DesignerSandra BrusmanMarketing DirectorJeroen BeltmanProgram LeadEthem Volkan UsluMobile Dev GuruRemco BronWeb developer
  6. 6. Synappz © 2013What’s IT all about?
  7. 7. Synappz © 2013Meet the family
  8. 8. voidingdiarySynappz © 2013
  9. 9. What is mHealth anyway?Applications that will improve orassist you with your personal healthEasy accesible advice for stakeholders. Services provided by mobile apps inorder to help users mainly in theinformation and prevention areaAny software or hardware that improves the patientsquality of life using mobile devices.Mobile applications to educate or assistthe healthcare brance, both personal andprofessional use. Health related applications whoassist patientshealthcare that is supported bymobile devicesHealth related applications formobile devicesMedical support using mobile devicesHealth solutions delivered tomobile devicesSynappz © 2013
  10. 10. Your opinionmHealth and eHealth are basically thesame. Stop the semantic discussion!Agree DisagreeSynappz © 2013
  11. 11. What’s your experience with mHealth?None40%A little60%n=10 Synappz © 2013
  12. 12. Where lies the true value of mHealth?Synappz © 2013
  13. 13. Where lies the true value of mHealth?Synappz © 2013Mobile TeleradiologyMobile Oral Telemedicine Mobile Cervical CancerScreeningMobile Teledermatology
  14. 14. Where lies the true value of mHealth?Synappz © 2013
  15. 15. Where lies the true value of mHealth?Synappz © 2013
  16. 16. Today’s chaptersWhat makes a great medical app?The Med App Dev ProcessCurrent and Future trendsCaseSynappz © 2013
  17. 17. What does make a great medical app?09Scientific SupportSafery & SecurityGraph & Int DesignEasy implementationClear revenue modelConnectivityn=10 Synappz © 2013
  18. 18. Ingredients for an awesome medical appSynappz © 2013ConnectAPIsStandards (OpenEHR,HL7, DICOM)WearablesSensor TechSeeInteraction DesignGraphical DesignCodingUse caseMarketing & PRTrustCE certificationSector certificationNorms, Protocols(NEN7510, HIPAA)EncryptionConformity AssessmentAnonymization/PseudonymizationBelieveValidation(Scientific) publicationsCommunity Best PracticesExpert Co-CreationAwardsDo Implementation ProgramTraining & SupportChange Management
  19. 19. Biggest challenge for implementation (you say)n=10 Synappz © 2013Change6Proven business model2Unknown territory2Territory is confusing2No scientific evidence2Healthcare ProfessionalsToo difficult4Trust3Costs1Ignorance1No adoption1Patients
  20. 20. Biggest challenge for implementation (you say)n=10 Synappz © 2013Physicians should stop standing on a golf course andactually start caring about patients, by exploring newmethods of providing healthcare.- A Respondent“
  21. 21. How to make this stuff?Synappz © 2013The Med App Dev Process
  22. 22. Synappz © 2013App Dev is a process, tooDiscover1Prepare2Graphics ‘nGeeks3Let theworld now4Certification& Validation5
  23. 23. Foto patient met iemanddie aantekeningenmaakt.Screenshot van PatientJourney (Jonas Piet?)Start with the UserDiscover1 *)*)Patient, healthcare professional
  24. 24. Synappz © 2013Patient JourneyDiscover1
  25. 25. Synappz © 2013Alternative: PersonasDiscover1
  26. 26. Your Problem Solving CapacityDiscover1Synappz © 2013Which problemare we trying to solve here?For iP Voiding Diary:Paper micturation lists are old-fashioned and dirty. You can losethem, patients do not understand waht they write down. They evencan’t be linked to a EHR.
  27. 27. Make an App Definition StatementSynappz © 2013iP Voiding Diary is:The authority for digital voiding diaries. During a predefined period itregisters and interprets peeing- and drink patterns in an easy way.iP Voiding Diary is used by people who worry or want to know moreabout their bladder behaviour, and it is being read and/or prescribedby the physician.‘Reporting that makes you understand your own bladder health’.Discover1
  28. 28. Synappz © 2013What does the app have to do?Prepare2NeedSandy wants to know whether urine loss isnormalConsideration Compare with friends, media, Dr Google.Pain points Taboo, not easy to find, subjective info.FunctionalitiesMeasure time/volume/intake/lossCompare with normPresent in an easy wayShare outcome
  29. 29. Synappz © 2013Which buttons do what?Uitwerken2You want to make thisLandFlyWhile the user wants thisPrepare2
  30. 30. Synappz © 2013Which buttons do what?Prepare2
  31. 31. Synappz © 2013Which buttons do what?Prepare2
  32. 32. Synappz © 2013A Blueprint (like expensive architects make)For: 2go-mobileDate: May 30, 2011Document version 1.01. General1.1 App Definition StatementiP is the authority in the field of digital registration and interpretation of theurinating- (micturition) and drinking pattern, and urine loss. It’s a simple to useapp which is used during a predefined period. Actions are linked to the results ofthe data measured. The app will be used for people who worry and/or want to beinformed about their micturition pattern and urine loss.iP will increase patient compliance and interpretability. The data can beaggregated, thus results can be communicated more effectively with EZIS/HIS(hospital and general practitioners information systems).1.2 App Store Description• Simple and clear input of urinating pattern.• Input liquid intake using clear icons.• Easy input of ‘events’ such as pain, incontinence and urge.• Visualizing subjective incontinence volumes and urges.• Input of (self created) events.• All input linked to day and night.• Specific day and night visualization in reporting• Clear reporting, understandable for all.• Print report to PDF and send to healthcare professional.1.3 PersonasPatty is 35, married and has two kids, one son of 3 and a daughter of two months.Patty has a part-time job as a marketing assistant. A job she likes a lot. She isalso pretty busy dealing with her household and sport. She enjoys life.!Functional Design iP • Confidential • © 2011 AppOriginal3. App Functionality3.1 Graphics• PNG format• iPhone 3G/3GS: 480x320 screen; iPhone 4: 960x460 screen• Create ‘classic’ and ‘retina’ graphics.• All visuals will be supplied by AppOriginal3.2 Splash screen- Splash screen will be supplied by AppOriginal.-Default.png: 480x320-Default@2x.png: 960x4603.3 Screens: Highest LevelOn this level, the Login Screen, Home Screen and Overview can be found.1C. Overview1A. Login 1B. Home!Functional Design iP • Confidential • © 2011 AppOriginalPatty, however has a problem: she loses urine and goes a lot to the toilet to pee.Patty is not willing to accept this behavior, and starts searching for solutions. Sheis pretty active on the internet and wants to keep control about her ownhealthcare. She did not discuss her ‘issue’ with her physician.1.4 From needs to functionalitiesNeedWants to knowwhether urineloss is normalWants to knowif anything canbe done about itWants to feel ateaseWants tocommunicatestory to doctorConsiderationCompare withfriends, info inmedia, Google.Googling,searching forsolutions andpossible toAsks herselfwhethersomething iswrongHow do Iconvince mydoctor about myproblem?Pain pointsTaboo, info noteasily available,not specificenough for her,no objectiveGoogle: toomuch info, notspecific, trust indoubt.Physician: tabooIncompletepicture of theproblem, needshelp to make thediagnosis.Complaints andtoo variable andshe finds itdifficult toexplain.FunctionalitiesTime/micturitionvolume/intake/lossCompare tonorm presentedinunderstandableGeneral infoabout micturitionpatterns.Comparison tonorm, presentedin anunderstandableway.General infoabout micturitionDigitalcommunicationwith care giver.Objectiverepresentation ofmicturitionpatterns.1.5 Key indicators for interpretationNumber• Number of micturitions/24 hours• Number of micturitions/nightVolume!Functional Design iP • Confidential • © 2011 AppOriginal3D. Add Own Event to Pee- User can define their own Event category.-Variables: Event Name (free text), Icon (some 25 icons), More info (free text).-Own Event appears on top list 3C.3.6 Screens: Event LevelIn the Events Users can add events during the CYCLE. Users van experience pain,urine loss or urge during a non-specific time period. In V1.0 of the app only thesethree events will be displayed.4A. Event 4B. Add Event 4C. Event ‘Pain’!Functional Design iP • Confidential • © 2011 AppOriginalPrepare2
  33. 33. Synappz © 2013Battle of the platformsPrepare2
  34. 34. Synappz © 2013Battle of the platformsPrepare2read.bi/10CqyJb
  35. 35. Synappz © 2013Your audience decidesPrepare2
  36. 36. Synappz © 2013Your audience decidesPrepare2
  37. 37. Synappz © 2013Your audience decidesPrepare2
  38. 38. Synappz © 2013Android fragmentedPrepare2
  39. 39. Synappz © 2013HTML5 versus NativePrepare2
  40. 40. Synappz © 2013HTML5 versus NativePrepare2
  41. 41. Synappz © 2013Battle of the platformsAsk yourself:How ‘complex’ is my app on the interaction?How inportant is it that all runs smoothly?Do I use sensitive information?Do I want to use the built in sensors?Which devices do my users have?What’s my budget?If native and multiplatform: which first?Prepare2
  42. 42. Synappz © 2013The way to Fabulous WealthPrepare2
  43. 43. Synappz © 2013Business Modeling (yes, we made one, too!)Prepare2
  44. 44. Synappz © 2013Who are your Competitors?Prepare2SeeBelieveTrustDoConnectSeeBelieveTrustDoConnectCompetitor A
  45. 45. Synappz © 2013Year 1 Year 2 Year 3 Year 4 Year 5PopulationPrevalence of condition# Patients (pot. mrkt)Penetration# UsersPrice AppGross MarginMinus Apple Margin 30%The way to Fabulous WealthPrepare2
  46. 46. Synappz © 2013Year 1 Year 2 Year 3 Year 4 Year 5Population 2.000.000 2.100.000 2.200.000 2.300.000 2.400.000Prevalence of condition 5% 5% 6% 6% 7%# Patients (pot. mrkt) 100.000 105.000 132.000 138.000 168.000Penetration 1% 2% 3% 4% 5%# Users 1.000 2.100 3.960 5.520 8.400Price App 0,89 0,89 0,89 0,89 0,89Gross Margin EUR 890 EUR 1.869 EUR 3.524 EUR 4.913 EUR 7.476Minus Apple Margin 30% EUR 623 EUR 1.308 EUR 2.467 EUR 3.439 EUR 5.233% mobile phone?% platform?% apps use?Trends?The way to Fabulous WealthPrepare2
  47. 47. Synappz © 2013Making ArtGraphics ‘nGeeks3
  48. 48. Synappz © 2013Geek stuff: CodingGraphics ‘nGeeks3
  49. 49. Synappz © 2013Online Marketing - nobrainerLet the worldknow4
  50. 50. Synappz © 2013Offline Marketing - Necessary?Let the worldknow4
  51. 51. Synappz © 2013Don’t forgetApp Store descriptionApp Store OptimizationPress ReleasesVideoPromo codes & Sneak PeeksLet the worldknow4
  52. 52. Synappz © 2013Policies - Friend or foe?Certification& Validation5
  53. 53. Synappz © 2013When CE? The story of the scaleCertification& Validation5DiagnoseMeasureTreat
  54. 54. Synappz © 2013When CE? The story of the scaleCertification& Validation5
  55. 55. Synappz © 2013MEDDEV tree (it doesn’t get better than this)Certification& Validation5
  56. 56. Synappz © 2013Privacy & SecurityUse of Patient ID?Data Storage Location?Encryption?Back-Up Management?Recalls?Certification& Validation5
  57. 57. Synappz © 2013The wonderful world of ABBRVTNSHL7 (Health Level 7)• Worldwide standard.• Connects healthcare systems and make them speak ‘the same language’.• Open source and free to use, though pretty complex.• New: HL7-FHIR for cloud-based applications and mobile devices.• Not compatible with older versions of HL7. Available in September?Certification& Validation5CDA (Clinical Document Architecture)• Based on a HL7 module.• Template-based for sharing complex documents.• XML formats (readable in browser)• Example HL7-CCD (Continuity of Care Document), for transfer patients.
  58. 58. Synappz © 2013DICOM (Digital Imaging and Communication in Medicine)• ISO standard.• Medical images and workflows (PACS).• Image + metadata = DICOM.• Need specific DICOM viewer, or WADO (Web Access DICOM Objects) functionality.• App that is DICOM-compliant? Need ‘DICOM-conformance statement’Certification& Validation5The wonderful world of ABBRVTNSHIPAA• ******
  59. 59. Synappz © 2013A solution?Certification& Validation5
  60. 60. Synappz © 2013So what’s happening and what’s next?Current & future trends
  61. 61. Synappz © 2013Current & future trends
  62. 62. Track everythingSynappz © 2013
  63. 63. Track everythingSynappz © 2013
  64. 64. Track everythingSynappz © 2013
  65. 65. Track everythingSynappz © 2013
  66. 66. Track everythingSynappz © 2013
  67. 67. Track everythingSynappz © 2013
  68. 68. Track everythingSynappz © 2013
  69. 69. Track everythingSynappz © 2013
  70. 70. Track everythingSynappz © 2013
  71. 71. Synappz © 2013Track everything
  72. 72. Synappz © 2013DIY sensors
  73. 73. Synappz © 2013Star Trek in reality
  74. 74. Synappz © 2013Star Trek in reality
  75. 75. The future of mHealth in numbersSynappz © 20130350700105014001400 bln500 blnTotalmHealthBy 2015, 30% ofall smartphoneusers will haveused mHealthapplicationsServices46%Device sales30%Paid downloads14%Transaction8%Advertisement1%Share of mHealth revenue source oftotal mHealth market opportunityGlobal Mobile Health Market Report 2010-2015 (Research2Guidance)
  76. 76. Yes, we are open for internshipsSynappz © 2013ConnectAPIsStandards (OpenEHR,HL7, DICOM)WearablesSensor TechSeeInteraction DesignGraphical DesignCodingUse caseMarketing & PRTrustCE certificationSector certificationNorms, Protocols(NEN7510, HIPAA)EncryptionConformity AssessmentAnonymization/PseudonymizationBelieveValidation(Scientific) publicationsCommunity Best PracticesExpert Co-CreationAwardsDo Implementation ProgramTraining & SupportChange Management
  77. 77. Erik van der Zijdenerik@synappz.nl06-109 301 40@ErikvdZsynappz.nl

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