Tag Archives: access
Who Owns Medical Records: 50 State Comparison by George Washington University’s Hirsh Health Law and Policy Program. You’ll never guess how many states have laws that give patients ownership rights for their medical records. Spoiler: ONE.
Want to Improve Health? Help People Use and Share Their Data by Risa Lavizzo-Mourey. Dr. Lavizzo-Mourey, president and CEO of the Robert Wood Johnson Foundation, shares her thoughts about how access to and sharing data can bring about a Culture of Health:
I believe that, fundamentally, data is all about helping people find new opportunities to pursue optimal health and participate in their own care. That means promoting ways to get, use, and share information about themselves easily and securely.
Technology That Prods You to Take Action, Not Just Collect Data by Natasha Singer. A nice article here that includes some great insights from our friend and community contributor, Natasha Dow Schüll. Are devices being “dumbed down” or are we when we “cede [our] free will to machine algorithms”? Only time will tell.
Can healthy people benefit from health apps? by Iltifat Husain & Des Spence. In this debate, Iltifat Husain and Des Spence discuss different types of health tools, applications, and devices being used by healthy individuals. Do they impact our health for the better? These two physicians duke it out through spoken and written word.
Excavating Old-School Self-Tracking Tools by Jamie Todd Rubin. A short but interesting thought experiment here by Jamie. What would happen if we analyzed the vast troves of “soft” data found in the diaries and journals? What could we find out about our past, our history?
How We Are Measuring Happiness at Whitesmith by Daniel Flopes. Another interesting example of using the workplace team communication tool, Slack, to gauge and collect information about the emotional wellbeing of employees.
Impact of music streaming on my listening habits by Maciej Konieczny. Maciej switched to streaming music in 2013, and it completely changed how he experienced music. In this great post Maciej he describes how exploring his music listening data (from Last.fm, of course), he was able to see just how his listening habits were impacted.
Quantified Self About Town by Changyeon Lee. This visualization is part of a project by Changyeon to map artificial light in New York City. Above you see a data visualization of artificial light data around the NYU Tisch Building
My year in calories/weight.Data exported from MyFitnesspal by reddit user qwerty2020.
In world of health data, enemies may become friends
Why should patients have the right to a copy of their imaging data?
WHO: Share Trial Data
California Launches Initiative to Advance Precision Medicine
From the Forum
Body Analyzing Scales – the maths?
Sleep Apnea Treatments
Central repository for QS dataComparing Steps with BodyMedia FIT and Fitbit Charge HR
How to calculate the impact of activities on pain levels
“Open Humans aims to break down data silos in human health and research. We believe data has a huge potential to live and grow beyond the boundaries a single study or program. Our online portal allows members to aggregate data from the research they participate in. By connecting individuals willing to share existing research data about themselves with researchers who are interested in using that data, data can be re-used and built upon.” — OpenHumans.org
On March 24, 2015 the Open Humans Network officially opened their virtual doors and began allowing individuals to sign up and engage in a new model of participatory research. We spoke with Co-founder & Principal Investigator of the Public Data Sharing study, Madeleine Ball, Ph.D. about Open Humans, what it means for research, and what we can look foward to from this exciting initiative. The following is an edited transcript of that conversation.
It’s been a lot of work up to this point.
We’re grateful to have the funding support of two organizations to help get this off the ground, the Knight Foundation and the Robert Wood Johnson Foundation. It’s been a lot of work to get to this point, from hiring Beau Gunderson as our Senior Software Gardener to launching with our first three studies. We’re excited to be partnering with the Harvard Personal Genomes Project, the American Gut study, and the GoViral study. These are the seed studies, what we’ll build off of in the coming months and years. Today, we’re excited to start letting participants in these projects, and all individuals interested in participating in research, know about Open Humans.
This is an open invitation to join us.
We’re also working to make it easier for research partners to join the Open Humans Network. We’ve already started receiving interest from researchers that want to integrate with Open Humans or start working with our already growing public data sets. We’ve set parameters regarding how you have to behave as a study as well as how researchers looking to work with our members should engage with us. (You can find out more about that here.)
For members who sign up with us we’ve developed methods for them to control access to their data. Whether that is data from personal health devices and apps like Runkeeper (adding this to our next project), genetic data, or other data sources derived from participating studies, each individual member will have the ability to establish a peer-to-peer interaction. Members can allow access to some data, but not others. They may choose to release some or all of their data publicly, or the may choose to only share with one study. In the end it’s up to them and their individuals goals.
What excites me about Open Humans is the potential we have to transform future research studies — from how they treat data to how they think about data sharing. We’re building our system so that participants are central to the data process. A good example of this when researchers use our member’s data they must also agree to return any new data that results from their research back to the original participant. This decentralization of data is a key component of our design. No single person, researchers, or study has all the data.
We’ve also built in the ability for researchers to contact our members who contribute data. The idea that researchers must come up with all the right questions before starting a study is a recipe for failure. Researchers are not psychic, that can’t forsee what interesting questions might come up in the future. By opening up the ability for these connections to take place in the design of Open Humans, we’re creating the ability to continue asking questions of specific individuals, or groups of people, far in to the future.
I think this work is creating a new form of data sharing that will unlock a world of new exciting possibilities. Our hope is that when participants start getting data back from studies, and have the ability to use it and share it how they wish, that participation in research will be more rewarding. This model helps participants become a respected member of the evolving research conversations happening all over world. We know a lot of people don’t participate in research, even researchers who rely on participants don’t participate in studies. Hopefully this work will help move the needle.
It’s wonderful to see the long scroll of members.
As of this writing the Open Humans Network has over 200 individuals who have created member profiles. If you’re interested in participating in open research you can learn more and sign up here. If you are a researcher or personal data company interested in integrating with Open Humans you can get in touch with the team here.
We are happy to welcome this guest post by Madeleine Ball. Madeleine is the Senior Research Scientist at PersonalGenomes.org, co-founder of the upcoming Open Humans project, and the Director of Research at the Harvard Personal Genome Project. She can be found online @madprime.
Unpacking “data ownership”
It’s worth unpacking this phrase. What do we mean by “data ownership”? If we want to see changes, we need to start with a little more clarity.
Legally, data is not property. There is no copyright ownership of facts, as they are not “creative work”: the United States Supreme Court famously established this in the landmark case Feist vs. Rural. They are not patents, there is no invention. They are not trademarks. There is no “intellectual property” framework for data.
Yes, data is controlled: through security measures, access control, and data use agreements that legally restrict its usage. But it’s not owned. So let’s set aside the word “ownership” and talk about what we really want.
Control over what others do
One thing we might want is: “to control what others do with our data”. Whom they share it with, what they use it for. Practically this can be difficult to enforce, but the legal instruments exist.
Think about what you really want. Are you opposed to commercial use of your data? Look for words like “sell”, “lease”, and “commercial”. Are you concerned about privacy? Look for words like “share”, “third-parties”, and “aggregate” – and if individual data is shared, find out what that data is.
Companies won’t change if nobody is paying attention and nobody knows what they want. We can encourage change by getting specific, and by paying more attention to current policies. Raise awareness, criticize the bad actors, and praise the good ones.
Personal data access and freedom
The flip side of “data control” is our own rights: what can we do with our own data? We want access to our personal data, and the right to use it.
This idea is newer, and it has a lot of potential. This was what Tim Berners-Lee called for, when he called for data ownership last fall.
“That data that [firms] have about you isn’t valuable to them as it is to you.”
I think it’s worth listening, when the inventor of the world wide web thinks we should have a right to our data.
So let’s spell it out. Let’s turn this into a list of freedoms we demand. We should be inspired by the free software and free culture movements, which advocate for other acts of sharing with users and consumers. In particular, inspired by Richard Stallman’s “Four Freedoms” for free software, I have a suggested list.
Three Freedoms of Personal Data Rights
Raw data access – Access to digital files in standard, non-proprietary file formats.
Without raw data, we are captive to the “interface” to data that a data holder provides. Raw data is the “source code” underlying this experience. Access to raw data is fundamental to giving us the freedom to use our data in other ways.
Freedom to share - No restriction on how we share our data with others.
Typically, when data holders provide access to data, their data use agreements limit how this data may be shared. These agreements are vital to protecting user privacy rights when third parties have access, but we have the right make our own sharing decisions about our own data.
Unrestricted use – Freedom to modify and use our data for any purpose.
Data use agreements can also impose other limitations on what individuals can do with data. Any restriction imposed on our use of our data impinges on our personal data rights. Freedom for personal data means having the right to do anything we wish with data that came from us.
In the short term, access to raw data can seem obscure and irrelevant: most users cannot explore this data. But like the source code to software, access to this data has great potential: a few will be able to use it, and they can share their methods and software to create new tools.
Raw data access is also an opportunity for us to share for the greater good, on our own terms. We could share this data with research studies, to advance knowledge and technology. We could share data with developers, to develop software around it. We could share it with educators, with artists, with citizen scientists. We could even cut the red tape: dedicate our data public domain and make it a public good.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Philosophy, bicycles and brains, opinions on tracking sleep, learning from actually tracking sleep, and visualizing work through vigilant self-report – all these and more in our reading list below. Enjoy!
Sleep apps and the quantified self: blessing or curse? by Jan Van den Bulck. Here at QS Labs, we’re very interested in how the academic and research world is colliding with those of us using tools of measurement previously restricted to science. In this Letter to the Editor, published in the Journal of Sleep Research, the author lays out an interesting set of opinions about the increasing availability and use of commercial sleep tracking devices. (You can access the full pdf here.)
Measuring Brainwaves to Make a New Kind of Bike Map for NYC by Alex Davies. Readers of the QS website may remember a great show&tell talk we featured back in May of 2014. In that talk, Arlene Ducao discussed her MindRider Project, an EEG tracking bicycle helmet. In this short piece, we learn that Arlene has continued this awesome work and has produced MindRider Maps Manhattan, exposing the brain data of 10 cyclists as they transversed New York City.
Big Data and Human Rights, a New and Sometimes Awkward Relationship by Kathy Wren. Earlier this year the AAAS Science and Human Rights Coalition held a meeting to discuss the intersection of personal data collection and human rights. This short article describing some of the key discussion points is a great place to start if you’re exploring what “big” and personal data means to you and your use of the tools and services that collect it. (Videos of the meeting are also available.)
How Theory Matters: Benjamin, Foucault, and Quantified Self—Oh My! by Jamie Sherman. A very interesting and thought-provoking essay here on the nature of self-tracking and data collection framed against the works of Michel Foucault and Walter Benjamin. We count ourselves lucky to have Jamie as an active member and observer of our QS community.
But taken together, Foucault and Benjamin suggest that the penetration of data into daily life is part of a larger shift underway, and that changes we can already see in social life, politics, and labor are not unrelated, but rather intimately linked.
Compulsory Quantified Self by Gwyneth Olwyn. I think it’s good practice to try and expose ourselves to all sides of the conversation around self-tracking, the positive and the negative. In this blog post Gwyneth describes a few ideas about the purpose and outcomes of self-tracking, especially when the self is superseded by the demands of others (such as in a workplace wellness program).
Sleep Data Analysis with R by Ryan Quan. Ryan has been tracking his sleep with the Sleep Cycle app for the last two years. In this excellent post he explores and plots his data (yay export!) to see when he goes to sleep, how long he sleeps, and what really makes up “quality sleep.” Love the fact that he included his R code and sample data. Go Ryan!
Quantifying Goals Using Key Performance Indicators (KPIs) by Bob Troia. No data in this post, but I found it particularly inspiring to see how Bob was planning on keeping track of his goals for this year. If you’re looking for ideas for tracking your 2015 goals and Key Performance Indicators this is a great place to start.
The Resume Of The Future by Eric Boam. The above is one of the two beautiful visualizations created by Eric to explore his daily work activity and interactions. This visualization shows what he was actually spending his time on. How did he collect the data? Well, he used the Reporter App to ask himself three questions: “where are you, what are you doing, and who are you with?” Make sure to read his post, he developed very interesting insights through collecting this data.
Weight Loss: What Really Works? by Emi Nomura and Laura Borel. Another fascinating data analysis project here by the Jawbone data science team. They examined the behaviors of a group of users who lost at least 10% of their starting weight vs users with no weight loss and found that the biggest difference in behavior was tracking meals.
Mapping my Last Two Years of Runs and Rides
While browsing the r/dataisbeautiful subreddit I stumbled upon this interesting tool/company that visualizes the maps of your runs and bike rides by connecting to your Runkeeper or Strava account. Above I’ve included my 2013 and 2014 maps. Clearly I need to find some new running routes in my neighborhood. (click through to enlarge)
QS Access Links
As part of our new work highlighting stories, issues, and innovations related to personal data access we’re going to start publishing a short collections links in this space. As this works grows be on the lookout for a new Access Newsletter from QS Labs.
Who Should Have Access to Your DNA?
What FDA developments in Diabetes mean for FDA approval in Digital Health
Open consent, biobanking and data protection law: can open consent be ‘informed’ under the forthcoming data protection regulation?
WTF! It Should Not Be Illegal to Hack Your Own Car’s Computer
Unique in the shopping mall: On the reidentifiability of credit card metadata
Majority of Consumers Want to Own the Personal Data Collected from their Smart Devices
Who Owns Patient Data
Los Angeles County Supervisors OK Creation of Open-Data Website
This morning President Barack Obama announced a new Precision Medicine Initiative, a key $215 million piece of the proposed 2016 budget. Much has been written since last week’s State of the Union, when this initiative was first mentioned by President Obama. In brief, the initiative is an investment in new programs and funding initiatives at major government bodies that influence the current and future health of all Americans, including the National Institutes of Health (NIH), the Food and Drug Administration (FDA), and the Office of the National Coordinator for Health Information Technology (ONC). These programs will focus on developing “a new model of patient-powered research that promises to accelerate biomedical discoveries and provide clinicians with new tools, knowledge, and therapies to select which treatments will work best for which patients.”
There is a lot of information being circulated about this new initiative, and we’ve collected some links below, but we’d like to highlight something directly related to our interests in self-tracking data, personal data access, and new models of participatory research. In this morning’s announcement President Obama mentioned a long-term goal of creating a participatory research cohort comprised of 1 million volunteers who will be called upon to share personal medical record data, genetic samples, biological samples, and diet and lifestyle information. This is truly an ambitious goal and we are happy to see the President take care to mention the importance of including patients and the individuals who collect this data in the decision making and research process. For example, here is the description of this specific program from the NIH Precision Medicine Infographic
Here at QS Labs, we’re dedicated to helping create and grow a culture that enables everyone to generate personal meaning from their personal data. Sharing, participation, and exploring new models of discovery are a core themes we’re exploring as part of our QS Access work. We’ll be following this initiative as it moves from today’s announcement to tomorrow’s reality. Be sure to stay tuned to our QS Access Channel for more updates as we learn more.
Learn more about the Precision Medicine Initiative
NIH mini site describing the initiative
White House Blog: The Precision Medicine Initiative: Data-Driven Treatments as Unique as Your Own Body
FACT SHEET: President Obama’s Precision Medicine Initiative
A New Initiative on Precision Medicine by Francis Collins and Harold Varmus (New England Journal of Medicine).
New sensors are peeking into previously invisible or hard to understand human behaviors and information. This has led to many researchers and organizations developing an interest in exploring and learning from the increasing amount of personal self-tracking data being produced by self-trackers. Even though individuals are producing more and more personal data that could possibly provide insights into health and wellness, access to that data remains a hurdle. Over the last few years a few different projects, companies, and research studies have launched to tackle this data access issue. As an introduction to this area, we’ve put together a short list of three interesting projects that involve donating personal data for broader use.
Developed and administed by the WikiLife foundation, the DataDonors platform allows individuals to upload and donate various forms of self-report and Quantified Self data. Data is currently available to the public at no cost in an aggregated format (JSON/CSV). Data types includes physical activity, diet, sleep, mood, and many others.
OpenSNP is an online community of over 1600 individuals who’ve chosen to upload and publicly share their direct-to-consumer genetic testing results ( 23andMe, deCODEme or FamilyTreeDNA) . Genotype and phenotype data is freely available to the public.
Open Paths is an Android and iOS geolocation data collection tool developed by the New York Times R&D Lab. It periodically collects, transmits, and stores your geolocation in a secure database. The data is available to users via an API and data export functions. Additionally, users can grant access to their data to researchers who have submitted projects.
We’ll be expanding this list in the coming weeks with additional companies, projects, and research studies that involve personal self-tracking data donation. If you have one to share comment here or get in touch.
As part of our new Access channel we’re going to highlight interesting stories, ideas, and research related to self-tracking data and data access issues and the role they take in personal and public health. We recently found this expert report, published in the International Journal of Obesity, that tackles issues with the data researchers rely on for understanding diet and physical activity behaviors, and ultimately concludes that the data is fundamentally flawed.
Researchers has known for a long time that relying on individuals to understand, recall, and accurately report what they eat and how much they exercise isn’t the best way to understand the realities of everyday life. Unfortunately for many years, this was the only way to track this information – interviews, surveys, and research measures. Only recently have tools, devices, and methods matured to a point where objective information can be captured and analyzed.
The authors of this article make the case that obesity and weight management fundamentally relies on getting these numbers right, and unfortunately most research hasn’t. Reading the background on self-report data and the call to action the authors make for developing and using more objective measures we can’t help but wonder about the role of commercial personal self-tracking tools. How can we, as a community of users, toolmakers, and researchers work together to open up access pathways so that the millions of people tacking pictures of their meals and uploading their step data can have a positive impact on personal and public health? This is an open question, one that we’re excited to be working on.
If you’re interested in these type of questions, or working on projects related to data access we invite you to get in touch and keep following along here with us.
MyFitnessPal is one of the leading dietary tracking tools, currently used by tens of millions of people all around the world to better track and understand the foods they consume every day. Their mobile apps and online tools allow individuals to enter foods and keep track of their micro- and macro-nutrient consumption, connect additional devices such as fitness trackers, and connect with their community – all in the name of weight management. However, there is no natively available method for easily accessing your dietary data for personal analysis, visualization, or storage.
With a bit of digging in the MyFitnessPal help section we can see that they have no official support for data export. However, they mention the ability to print reports and save PDF files that contain your historical data. While better than some services, a PDF document is far from easy to use when you’re trying to make your own charts or take a deeper look into your data.
We spent some time combing the web for examples of MyFitnessPal data export solutions over the last few days. We hope that some of these are useful to you in your ongoing self-tracking experiences.
MyFitnessPal Data Downloader: This extension allows you to directly download a CSV report from your Food Report page. (Chrome only)
MyFitnessPal Data Export: This extension is tied to another website, FoodFastFit.com. If you install the extension, it will redirect you back to that site where your data is displayed and you can download the CSV file. (Chrome only)
ExportMFP: A simple bookmark that will open a text area with comma-separated values for weight and calories, which you can copy/paste into your data editor of choice.
MyFitnessPal Reports: A bookmarklet that allows you to generates more detailed graphs and reports.
MyFitnessPal Analyser: Accesses your diet and weight data. It requires you to input your password so be careful.
Export MyFitnessPal Data to CSV: Simple web tool for exporting your data.
FreeMyDiary: A recently developed tool for exporting your food diary data.
MyFitnessPal Data Access via Python: If you’re comfortable working with the Python language, this might be for you. Developed by Adam Coddington, it allows access to your MyFitnessPal data programmatically
MFP Extractor and Trend Watcher: An Excel Macro, developed by a MyFitnessPal user, that exports your dietary and weight data into Excel. This will only work for Windows users.
Access MyFitnessPal Data in R: If you’re familiar with R, then this might work for you.
QS Access + Apple HealthKit
If you’re an iPhone user, you can connect MyFitnessPal to Apple’s HealthKit app to view your MyFitnessPal data alongside other data you’re collecting. You can also easily export the data from your Health app using our QS Access app. Data is available in hourly and daily breakdowns, and you should be able to export any data type MyFitnessPal is collecting to HealthKit.
Someday, you will have a question about yourself that impels you to take a look at some of your own data. It may be data about your activity, your spending at the grocery store, what medicines you’ve taken, where you’ve driven your car. And when you go to access your data, to analyze it or share it with somebody who can help you think about it, you’ll discover…
Now is the time to work hard to insure that the data we collect about ourselves using any kind of commercial, noncommercial, medical, or social service ought to be accessible to ourselves, as well as to our families, caregivers, and collaborators, in common formats using convenient protocols. In service to this aim, we’ve decided to work on a campaign for access, dedicated to helping people who are seeking access to their data by telling their stories and organizing in their support. Although QS Labs is a very small organization, we hope that our contribution, combined with the work of many others, will eventually make data access an acknowledged right.
The inspiration for this work comes from the pioneering self-trackers and access advocates who joined us last April in San Diego for a “QS Public Health Symposium.” Thanks to funding support from the Robert Wood Johnson Foundation, and program support from the US Department of Health And Human Services, Office of the CTO, and The Qualcomm Institute at Calit2, we convened 100 researchers, QS toolmakers, policy makers, and science leaders to discuss how to improve access to self-collected data for personal and public benefit. During our year-long investigation leading up to the meeting, we learned to see the connection between data access and public health research in a new light.
If yesterday’s research subjects were production factors in a scientist’s workshop; and if today’s participants are – ideally – fully informed volunteers with interests worthy of protection; then, the spread of self-tracking tools and practices opens the possibility of a new type of relationship in which research participants contribute valuable craft knowledge, vital personal questions, and intellectual leadership along with their data.
We have shared our lessons from this symposium in a full, in-depth report from the symposium, including links to videos of all the talks, and a list of attendees. We hope you find it useful. In particular, we hope you will share your own access story. Have you tried to use your personal data for personal reasons and faced access barriers? We want to hear about it.
You can tweet using the hashtag #qsaccess, send an email to firstname.lastname@example.org, or post to your own blog and send us a link. We want to hear from you.
The key finding in our report is that the solution to access to self-collected data for personal and public benefit hinges on individual access to our own data. The ability to download, copy, transfer, and store our own data allows us to initiate collaboration with peers, caregivers, and researchers on a voluntary and equitable basis. We recognize that access means more than merely “having a copy” of our data. Skills, resources, and access to knowledge are also important. But without individual access, we can’t even begin. Let’s get started now.
An extract from the QSPH symposium report:
[A]ccess means more than simply being able to acquire a copy of relevant data sets. The purpose of access to data is to learn. When researchers and self-trackers think about self-collected data, they interpret access to mean “Can the data be used in my own context?” Self-collected data will change public health research because it ties science to the personal context in which the data originates. Public health research will change self-tracking practices by connecting personal questions to civic concerns and by offering novel techniques of analysis and understanding. Researchers using self-collected data, and self-trackers collaborating with researchers, are engaged in a new kind of skillful practice that blurs the line between scientists and participants… and improving access to self-collected data for personal and public benefit means broadly advancing this practice.