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“Adding Consumer-Generated and Microbiome Data to the Electronic Medical Record”

“Adding Consumer-Generated and Microbiome Data to the Electronic Medical Record”. Using Big Data to Advance Healthcare Panel National Health Policy Conference Washington, DC February 4, 2014. Dr. Larry Smarr Director, California Institute for Telecommunications and Information Technology

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“Adding Consumer-Generated and Microbiome Data to the Electronic Medical Record”

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  1. “Adding Consumer-Generated and Microbiome Data to the Electronic Medical Record” Using Big Data to Advance Healthcare Panel National Health Policy Conference Washington, DC February 4, 2014 Dr. Larry Smarr Director, California Institute for Telecommunications and Information Technology Harry E. Gruber Professor, Dept. of Computer Science and Engineering Jacobs School of Engineering, UCSD http://lsmarr.calit2.net

  2. Consumer Self Measurement is ExplodingTotally Outside of the Medical Complex From the First San Francisco QS Meetup in 2008To 116 Cities in 37 Countries in Four Years

  3. By Measuring the State of My Body and “Tuning” ItUsing Nutrition and Exercise, I Became Healthier I Arrived in La Jolla in 2000 After 20 Years in the Midwestand Decided to Move Against the Obesity Trend Age 61 Age 41 Age 51 1999 2010 2000 1999 1989 I Reversed My Body’s Decline By Quantifying and Altering Nutrition and Exercise http://lsmarr.calit2.net/repository/LS_reading_recommendations_FiRe_2011.pdf

  4. I Used a Variety of Emerging Personal SensorsTo Quantify My Body & Drive Behavioral Change Withings/iPhone- Blood Pressure FitBit -Daily Steps & Calories Burned MyFitnessPal-Calories Ingested Azumio-Heart Rate Withings WiFi Scale -Daily Weight Zeo-Sleep

  5. From One to a Billion Data Points Defining Me:Big Data Coming to the Electronic Medical Record (EMR) Microbial Genome Billion: My Full DNA, MRI/CT Images Tomorrow’s EMR SNPs Million: My DNA SNPs, Zeo, FitBit Today’s EMR Blood Variables One: My Weight Hundred: My Blood Variables Weight

  6. The Cost of Sequencing a Human GenomeHas Fallen Over 10,000x in the Last Ten Years! This Has Enabled Sequencing of Both Human and Microbial Genomes

  7. Healthcare Must Include a Vast Amount of Microbial Information That is Not in Today’s Medicine Your Body Has 10 Times As Many Microbe Cells As Human Cells 99% of Your DNA Genes Are in Microbe Cells Not Human Cells Inclusion of the Microbiome Will Radically Change Medicine

  8. 2012 Was the Year of Human Microbiome

  9. Quantifying Our Human Superorganism:Distribution of Microorganism Ecology on Our Bodies Nature Reviews Microbiology v.9, p. 279 (2011)

  10. Inflammatory Bowel Disease Has a Radically Different Gut Microbiome Ecology Than Healthy State Expansion of Actinobacteria Collapse of Bacteroidetes Explosion of Proteobacteria

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