Health Informatics Discussion Forum

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  • It will be interesting to see how/if the iWatch records blood sugar, respiratory rate, blood pressure and O2 sats. Presumably the "bloodwork" will be a direct link from the hospital/clinic - how will that work I wonder?

  • Interesting gap is that it does not include any patient-reported subjective measures such as health-related quality of life or patient experience.

    No suggestions on how it will interface with non-Apple devices, which it will need to do. What standards will they adopt? FHIR? 

    • I had assumed that they wouldn't be including interfacing - but from this screenshot it looks like 'bloodwork' is going to be accessible so they must be thinking of something (hopefully not inputting your own bloodwork).

      • Apple makes a lot of money from Apps, directly and indirectly, so it is in their interests to have an API for all sorts of patient-owned devices, including bathroom scales, BP measurement, SpO2, Spirometers, Glucose etc.  There is then the issue of regulation :-(

  • the devil may be in the detail (i'd like to see the Emergency Card tab which might well contain drugs allergies and important current and past health problems ) but that looks something like like a comprehensive preventive / patient empowering personally held ehr at least as good and probably better than anything available from any healthcare provider 

    I think more than say the possibly dubious ehealth/telehealth  affordances of satts / RR etc  or the clear potential for personal blood sugar weight bp etc recording in one place   - i think what you say about bloodwork is the most interesting - creating a demand for patients  saying - i want you to send me my results (my results you bastardos) to my health-book - i.e. end user driven demand for labs organisations and IT crowd naysayers  (aka nerds) to finally sort out xml/hl7 messaging interoperability etc

    though of course apple seems to have stalled at aggressively attacking the healthcare and general business/enterprise markets so maybe it's just a nice potentially useful consumer toy 

    • Here's what 9 to 5 say about the emergency card:

      Emergency Card:

      In addition to health and fitness tracking, Healthbook will be a centrally-located place that holds critical data about each iPhone user. The Emergency Card will store the customer’s name, birthdate, medication information, weight, eye color, blood type, organ donor status, and location. This information is critical for an emergency technician, doctor, or hospital staffer to identify and treat a user if they fall ill or become injured and are unable to speak for themselves.

      The Emergency Card feature will also allow users to add emergency contact information. With that feature, someone would be able to instantly called a pre-programmed phone number to a user’s family member, for example, to notify them of an emergency. In order to be truly useful, it seems plausible that this emergency information would be accessible from the iPhone’s Lock screen much like Passbook passes could appear on the Lock screen.

      Joseph Ekman, who founded the non-profit organization Emergency Standard, explained in an interview that he created an App Store application for tracking emergency information out of his personal experience with there being a lack of a standardized method of smartphones storing the pertinent details. With hundreds of millions of iPhones that will be capable of running Healthbook, Apple will be fulfilling Mr. Ekman’s vision of an Emergency Card standard.

      • It's all interesting to see, and I agree with the above poster who wonders whether the massive consumer pressure might deliver real interoperability benefits (for some things) where the lumbering HL7s of the world have failed struggled.

        But anyone who thinks I am interested in what they think their blood type is in an 'emergency' is sorely mistaken. I'll be doing the lab work like anyone else who doesn't want to inadvertently kill the odd patient.

        And the idea that I need an emergency app to work out what a patient's eye colour and weight are is so laughable that I seriously wonder if Apple have lost their minds.

        But, like many things in the iOS world, version 1.0 is a joke, version 2.0 is OK, by 4.0 it rocks, by 7.0.... well... oops

        M

    • Is Healthbook going to be a direct competitor to Microsoft Health Vault?

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