1. Team Leader: Stephen Mickelsen, Mobile Application Architect
Company Name:
Team Name:
Team Members: Chris Burrow, M.D., EVP Medical Affairs
Richard Carter, Creative Director
Bettina Experton, M.D., M.P.H., President & CEO
Art Friesz, Senior Software Engineer
Vishu Ghanakota, Senior Software Engineer
Nina Hein, Project Manager
Fred McClain, Mobile Application Architect
Randy Ullrich, SVP Wireless
Patient Application Submission Slide Deck

2. ©2013 Humetrix. The ICEBlueButton phone and tablet apps are based on Humetrix U.S. patent #5,995,965 and other pending patents. "Blue Button", the Blue Button logo, and the slogan
"Download My Data" are registered Service Marks of the U.S. Department of Health & Human Services (HHS), an agency of the United States Government and are used by permission of HHS.
Which of the crowd sourced product ideas
inspired our application?
Nora Jean Levin Application Idea to…
“Shorten the endless user data entry process to just one step and let me
enter my own data on drugs, pharmacies, and preferred providers...” by:
• Entering & maintaining health related information in a portable, low friction
process that utilizes extraction from existing clinical data & claims data
• Adding self entered information which may not be included in current Blue
Button+ data fields, but contains important information about health status and
preferences and may be useful in the future, including in emergency situations
(e.g., authorized representatives, insurance type, preferred providers, language, ...)
• Delivering an application that includes this rich contextual information about me
and my loved ones in a snapshot.

3. Application Main Features
In summary: A mobile app for immediate
access to critical personal health information in
an emergency with auto-fill & editing of Blue
Button+ data & easy self-entry of other data.
©2013 Humetrix. The ICEBlueButton phone and tablet apps are based on Humetrix U.S. patent #5,995,965 and other pending patents. "Blue Button", the Blue Button logo, and the slogan
"Download My Data" are registered Service Marks of the U.S. Department of Health & Human Services (HHS), an agency of the United States Government and are used by permission of HHS.
• Mobile app running on iOS smartphones and tablets for immediate access to an ICE record by
either non-medical rescuers or emergency personnel using QR code scanning
• The ICEBlueButton record data are auto-filled by extraction of Blue Button+ C-CDA data pushed
to the Blue Button+ enabled ICEBlueButton app by MU-2 or Blue Button+ compliant EMRs. When
more than one record is used to auto-fill the ICE record, the app aggregates data from the
important clinical fields of medical conditions, medications and allergies
• The app automatically generates a Direct address for the app user to receive C-CDA data
pushed by MU-2 or Blue Button+ enabled data sources
• The app allows for self-entry of non-Blue Button+ data and easy editing of pre-populated data
• The app automatically generates a QR code on the user’s device for anytime access of a basic
ICE record retrieved by regular QR code scanning of the user’s device lock screen or scanning
of printed copies of the QR code (including stickers which can be placed anywhere). A complete
health record can be retrieved by authorized EMS personnel using the EMS version of the
iBlueButton Professional App to scan the same code

4. What is it?: Mobile phone or tablet app for
immediate access to critical health information in
an emergency by EMS professionals or
bystanders.
©2013 Humetrix. The ICEBlueButton phone and tablet apps are based on Humetrix U.S. patent #5,995,965 and other pending patents. "Blue Button", the Blue Button logo, and the slogan
"Download My Data" are registered Service Marks of the U.S. Department of Health & Human Services (HHS), an agency of the United States Government and are used by permission of HHS.
Patient app & emergency responder user experience
d
2 3
EMR2
BB+ BB+
1
4a
4b
Notification of Blue
Button+ (BB+ ) Record
Receipt for Easy “one
swipe” Download
ICE Record Auto-Fill of
Downloaded BB+ Record
& Easy Self-Entry
Auto-Generation of
QR Code on Device
Lock Screen
Scan with EMS
version of iBlueButton
Professional, for
authorized full
record access
Scan with any
QR Code reader
ICE Record
Viewing
Full Record
Viewing
Natasha Jones
A bystander
on the street
who sees Natasha
in need of help
From
Home
From
Home
EMR1
Scan in Emergency
Emergency Summary Medical Record

5. How the app works: A Blue Button+ enabled
application with auto-generation of Direct
addresses, auto-receipt of Blue Button records via
Push notification and auto-fill of an ICE record.
©2013 Humetrix. The ICEBlueButton phone and tablet apps are based on Humetrix U.S. patent #5,995,965 and other pending patents. "Blue Button", the Blue Button logo, and the slogan
"Download My Data" are registered Service Marks of the U.S. Department of Health & Human Services (HHS), an agency of the United States Government and are used by permission of HHS.
Enter Your App
Password
App Automatically
Generates Your
Direct Address
Enter Your Direct
Address and Click
“Transmit”
1 3
4
6 Receive Push
Notification of New
Downloaded
Record
View/Edit
Prepopulated data
from Blue Button
Record, self-enter
additional data, and
click Save to generate
ICE record
7
Direct Registry Service
Push Notification Service
Enter Direct Address
ICEBlueButton
Server
EMR Patient Portal
TRANSMIT
Click “Transmit”5
Display Direct
Address
2

6. How the app works: Easily select sections of
the app generated ICE record to edit the pre-
populated fields extracted from Blue Button
records and self enter other fields as needed.
©2013 Humetrix. The ICEBlueButton phone and tablet apps are based on Humetrix U.S. patent #5,995,965 and other pending patents. "Blue Button", the Blue Button logo, and the slogan
"Download My Data" are registered Service Marks of the U.S. Department of Health & Human Services (HHS), an agency of the United States Government and are used by permission of HHS.
Auto-filled ICE
Record: Select
Section to Review
and Edit
Enter Personal
Details as desired
(can leave fields
blank)
Toggle on & off
aggregated Medical
Conditions from
imported Blue
Button records
Toggle on & off
aggregated
Medications from
imported Blue
Button records
When data entry &
editing completed
and Saved, QR
Code created for
ICE record retrieval

7. Blue Button+ Powered
ICE Mobile App
©2013 Humetrix. The ICEBlueButton phone and tablet apps are based on Humetrix U.S. patent #5,995,965 and other pending patents. "Blue Button", the Blue Button logo, and the slogan
"Download My Data" are registered Service Marks of the U.S. Department of Health & Human Services (HHS), an agency of the United States Government and are used by permission of HHS.
Co-Design Impact on the App Development
• In response to Nora Jean Levin’s idea, we designed a mobile app which provides automated entry of
complex medical data from existing online Blue Button records while also enabling the user to easily enter
their own information and generate a “snapshot” emergency record for themselves and their loved ones
which can be retrieved using broadly available QR code scanners
• After review of our app by Co-Designers, we changed our design so that the app always generates the
identical QR code every time an updated record is created to allow anytime anywhere retrieval of an ICE
record by scanning not only the device’s lock screen but also by scanning any printed form of that single
QR code (as wallet cards or stickers which can be placed on school backpacks or bicycle helmets)
• There was very strong support by our Co-Designers for our proposed concept of having a QR code
enabling a customized ICE record with limited data to be retrieved by anyone using a standard QR code
scanner, and a complete record summary medical record to be retrieved by EMS personnel using a special
Emergency Medical Services version of the iBlueButton Professional app
• …and for Catherine Rose’s idea that there should be an app to help keep her daughter’s school team,
therapy teams and themselves all on the same page regarding her care, the ICEBlueButton app will allow
Catherine to create an ICE record for her daughter for anywhere access to critical up to date medical
information available whether her daughter is at school, or visiting one of her many health care providers.