Patient portals and personal health apps in New Zealand
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Transcript of Patient portals and personal health apps in New Zealand
An ecosystem for personal health apps
HL7 New Zealand workshop
10 November 2014
Alastair Kenworthy, Ministry of Health
Almost 100 general practices were offering a patient portal in September 2014
37,000 patients had been provisioned a portal account
Ngaio uses a smartphone app to help manage her diabetes
She performs blood glucose and cholesterol tests at home and uploads the results to her patient portal
She graphs these results alongside lab test results, blood pressure, weight and exercise data
She consults her doctor online with any concerns
Clinical data repository
Repository delegates request and receives authorisation to
permit access to the appApp web service
The app (a) authenticates itself to the repository and requests access to (b) save and retrieve data
Performs home blood test, uploads results and views alongside
other data
Access control service
Logs in and authorises access to the app
Clinical data repository
Repository delegates request and receives authorisation to
permit access to the appApp web service
The app (a) authenticates itself to the repository and requests access to (b) save and retrieve data
Performs home blood test, uploads results and views alongside
other data
Access control service
Logs in and authorises access to the app
Record locator service
X.509 client cert.
JSON web
token
Auth. scopes
An ecosystem that supports many users, apps,
publishers, patient portals, repositories and access
control services
Blue Button is about apps having access to repository
documents and shared health summaries via a
standard API
In our ecosystem, data services will be provided by patient portals, clinical data
repositories and a record locator service
Digital certificates for mutual authentication will
enable patient portals, repositories and access
control services to operate within a circle of trust
NHI number will become another federated identity attribute under Real Me,
which must add support for OpenID Connect
Health Provider Index (HPI) identities will be used
and there will be an open electronic addressing
scheme and directory of health practitioners,
facilities and organisations
CDRCDR
Clinical data repository
Record locator service
Record locator service
one index across n sources, serving clinical workstations, patient portals and apps
Storing, locating and retrieving clinical documents (XDS model)
Authorisation scopes will include:
search:[<NHI number>]
summary:[<NHI number>]
send-email-to:<address>
Patient portals and apps will support defined CDA
document types, FHIR resources and common
media types
10041 Medications, Allergies and Adverse Reactions
10043 CDA Common Templates
10047 Comprehensive Clinical Assessments for Older People
10050.2 Maternity Care Summary
10052 Ambulance Care Summary
GP2GP and NZePS
Xero has an API that enables account owners to
grant access to apps
Public apps are registered at api.xero.com and
certification is not needed
Access tokens are issued for a limited time
Certified apps may connect to portals and repositories
Publishers will be asked to register new apps
Accredited agents will test and certify apps against
published standards