Health Care Native App Example

Full Title or Meme

Best Practice example of a Native Application designed for a modern Smart Phone.

Context

Matching patient health care records and interoperability among EHR have been hard problems to address. Much of the focus has been on the health care providers rather than the patient. But now the patient has guaranteed access to their medical records, they might be able to overcome some of the resistance to sharing seen today. Patient control of the distribution of medical records would give patients both the appearance and the reality of limited access to private health care information. This example of a patient-oriented Native App for them to host on their personal Smart Phone is designed to show how patients might be the best answer to health care sharing in any case.

Problems

In the absence of a single payer health care network, the US is blessed with a plethora of solutions, but plagued with the resultant lack of interoperability.

Solutions

Information Sharing

It is generally agreed that it is better for doctors to have a full set of patient health histories to enable adequate care, especially in life-or-death emergency cases.

FHIR, pronounced 'fire' is working on Information Sharing APIs, but has not yet dealt with Federated Trust.

Federated Trust Anchor

• It is likely that a single anchor for a country's health ecosystem is required where any patient or provider can learn the status of any Web Site by providing metadata about the entity that operates the Web Site from a Federation Trust Registry.
• It is likely that the entity operating the Web Site will not be the health service Provider, and so a "On-behalf-of" Identifier is likely to be required as well.

Patient's Rights

Deborah C. Peel, MD Founder and President Patient Privacy Rights

www.patientprivacyrights.org

https://patientprivacyrights.org/health-privacy-summit/

Patient Experience

The best Patient Experience will not be delivered by focusing on Patient's legal rights.

Emergency Contact Example

• Kantara sample with first demo of a Emergency Contact Information Use Case

. See an evolving example of this use case at http://controls.azurewebsites.net

References

• The H-ISAC Healthcare Information Sharing and Analysis Center provides a forum for coordinating, collaborating and sharing vital Physical and Cyber Threat Intelligence and best practices with each other.
• Healthcare Informatics is an on-line magazine.
• The The Strategic Health Information Exchange Collaborative (SHIEC) is the national collaborative representing health information exchanges (HIEs) and their strategic business and technology partners.
• The College of Healthcare Information Management Executives (CHIME) seems to be pushing back on greater integration in health care.
• Authenticate Node section 19 of (2018-07-24) IHE IT Infrastructure Technical Framework primarily relies on mutual authentication with no specific trust anchor other than X.509 certificate chains.
• IDESG health wiki pages.