Pharmacogenomics and the future of medicine

Published: 28-July-2018

Author: Hirdey Bhathal Ph.D., ZibdyHealth, San Diego, California

You have probably heard that certain medications have worked well for one person but not for another and similarly, sometimes these medications have unwanted side effects for some but not others. There are many factors responsible for these differences, such as age, gender, and our genes. The study of this drug-gene relationship is known as “Pharmacogenomics” or “Pharmacogenetics”, and involves study of the impact of genetic differences on the way our bodies process medications.

Pharmacogenomics is a core element of personalized medicine.

There are well over 20,000 genes in our body, which are inherited from our parents, but only some of these genes are involved in processing medications. By characterizing these genes in individuals, we can predict whether the medication will be effective, what the appropriate dosage should be, and whether one will have side effects from a particular drug. A growing number of companies are now providing the ability for individuals to sequence many of these drug related genes. This is complex information, and making it understandable and useful is not easy.

This is where ZibdyHealth comes in. ZibdyHealth integrates your genomics with your clinical data, and makes it useful for you. It works seamlessly with our drug interaction screens, our family history tool, and the rest of our personal health record. It takes information provided by your pharmacogenomics testing lab, and makes it available to you in a format that is useful for you anytime and anywhere. This information could save your life.

For example, say you or your loved one has suffered a heart attack and requires immediate placement of a stent. The emergency services will take you to the nearest hospital with a cardiac laboratory capable of placing the stent. After stent placement, you are usually required to take two medications, typically aspirin and Plavix (clopidogrel) to prevent the stent from clotting off for several weeks. However, 40% of individuals have genetic differences that render the clopidogrel less effective. Therefore, if clopidogrel is used, it may not be as protective as the treating physician expects. Keeping this information with you on your ZibdyHealth app will help you and your physicians make the right choices at the right time.

From a pharmacogenomics perspective, our genes don’t change over time, so genetic test information could be applied to future discovery of drug-gene pairs, but we need to check this for each drug-gene pair separately. Also, your family members may have a similar response. It is recommended that you share this information among your family members if you feel comfortable.

Pharmacogenomics will help narrow down your medication options, and make treatments efficient. ZibdyHealth will integrate this information with your clinical data and make it simple to understand, easy to use and helpful to you.

Please do not forget to let us know what features you like and what else you will like us to include in future release. You can always reach us at

Press Release

With “Smart HIE”, ZibdyHealth will provide patient medical record interoperability in a secure environment, transfer data ownership to the patient and provide users with a rich suite of tools to manage their health in a very simple to use application.

San Diego, February 24th 2016 – Zibdy, Inc. is pleased to announce the launch of their “Smart HIE” for healthcare providers(

In the past few years, numerous health information exchanges have been established across the country to support medical data interoperability. Almost all of these exchanges have been heavily subsidized by tax payers through federal and state government grants. Now many of these exchanges are facing challenges in trying to attain financial viability.

This regional Health Information Exchange (HIE) model also has a number of additional problems relating to patient care. A regional HIE rarely connects all of the healthcare providers in a region, thus leaving many patients unconnected. Given their regional focus, these HIEs are not able to share data beyond their coverage area, also limiting their scope. For those HIEs which are currently operating, another major challenge has been linking patient information from different medical record systems (due to differences in identification data between systems). Some HIEs have resorted to linking patient information with social profiles pulled off of the internet, thus jeopardizing patient privacy.

“This simple approach within ’Smart HIE’ addresses most challenges faced by the current HIE concept which seems to be flawed”, said Hirdey Bhathal Ph.D., founder and CEO of ZibdyHealth, “and it will work with existing HIT infrastructure and needs no taxpayer support.”

“We all know who we are and what name(s) we have used. Our login and password will ensure that we download only our data. Using ZibdyHealth, we can consolidate our records from any healthcare provider to our account in ZibdyHealth, combine that with other data in our ZibdyHealth account, and then share this combined data with anyone we choose, globally. We have made it very easy to share data in a secure and private way.”

Unlike current HIE which is a simple “dumb data transfer”, ZibdyHealth offers a wide variety of tools for persons of any age to help them manage their health. It assists healthcare providers with discharge instructions and transitions of care when a patient moves from acute-care facility to sub-acute facility (or home) as well as helping with medication compliance, - or remote monitoring and other patient needs.

ZibdyHealth’s “Smart HIE” is a solution that offers a simple easy to use intelligent medical records transfer system which can maintain patient data and offers a multitude of tools that benefit patients, providers and payers in healthcare.

Learn more at


Asthma Action Plan Blog

Published: 14-January-2016

Author: Nicole Gorton M.D., Pediatrics, Medical Director, Scripps Health, San Diego, California

San Diego, July 28th 2015 – The Asthma and Allergy Foundation of America (AAFA) recommends that all Asthma patients have an Asthma Action Plan to help them control symptoms and stay well. The plan is generated from a Personal Peak Flow which is measured by you and your doctor.

Benefits of Having an Asthma Action Plan

The Asthma Action Plan is the Asthma patient’s personal guide to help control their asthma, and avoid getting into “trouble”. The plan helps the patient avoid symptoms, as well as enjoy an active lifestyle, attend work/school and exercise – and avoid hospital visits. The use of a “Peak Flow Meter” allows patients to measure their peak flow that day. Symptoms of asthma attacks usually begin to show hours or days before an attack, and the Peak Flow can indicate this. By comparing the peak flow from the meter with the Maximum Personal Flow on the Asthma Action Plan, the patient can know how much of which Asthma medication to take, or what other steps to follow as needed. The choice of medication and dosing is decided in conjunction with your physician.

ZibdyHealth and the Asthma Action Plan

ZibdyHealth now features a built in Asthma Action Plan. Users with asthma can enter a Peak Maximum Flow (as determined with their doctor). ZibdyHealth then takes over – carrying out the calculations as recommended by the CDC (and AAFA) to create an Asthma Action Plan for that patient. In conjunction with his or her physician, the patient can then input the appropriate medications and dosages for each stage of symptoms added. Users with asthma can then check their Peak Flow each day, and the appropriate section of the Asthma Action Plan will be shown, with the guide to medication and dosage, as well as any activity advice.

Advantages of the ZibdyHealth Asthma Action Plan

Gone are the days of spiral notebooks and illegible pen marks. Let ZibdyHealth help you manage and optimize the treatment of your asthma. ZibdyHealth allows users with asthma to record their peak daily flow each day, and medication usage in a convenient manner. The peak flows are recorded in a color coded manner - green for top 20%, yellow for 20-50% and Red for 0-50%-- with a date and time stamp. These records can then be reviewed by the user or his or her care provider to look for trends that can be used to optimize the plan.

One can update the plan simply by adding a new action plan (after a doctor’s consultation), and ZibdyHealth allows the user (as well as their doctor) to review all past plans. This “longitudinal” data is of excellent help to doctors – and can help identify seasonal patterns that can be used to optimize care even further.

Sharing Asthma Care

ZibdyHealth can help you share your asthma symptoms with your loved ones. Within ZibdyHealth, you can set up associations (with family members or care givers), with whom you can share some or all of your health data. A user with Asthma who maintains an Asthma Action Plan can share this information with any association by granting appropriate permissions for that association. As an example, an elderly parent with Asthma could grant permission to their children and to their care giver. This would provide that patient’s specific Asthma Action Plan – in full detail – to these persons, enabling them monitor this elderly patient appropriately. When this is used in conjunction with the ZibdyHealth School’s feature, it enables school nurses to have this essential information to care for a child suffering from Asthma at school.

Consolidating Asthma Action Plans with other health info

Asthma often does not exist in isolation, and is often related with other lung or allergic diseases. All of the patient’s other health information – vital signs, allergies, vaccinations, laboratory results, imaging, medications and medical history are ALL vitally important in combination with the action plan. Functions such as medication reminders, interactions warnings and the ability to download/upload Electronic Health Records (CCDs) all work alongside and with the Asthma Action Plan. This makes ZibdyHealth a Complete Smart Personal Health Assistant.

To learn more about ZibdyHealth watch our videos at Tutorial Videos.

Please do not forget to let us know what features you like and what else you will like us to include in future release. You can always reach us at

ZibdyHealth offers a Simple and Secure Way to Consolidate and Manage Health Records

Published: 28-July-2015

Author: Zibdy, Inc., San Diego, California

Press Release

According to a CDC survey, over 96% of Americans would like to share their medical history with their immediate family. With ZibdyHealth, users gain ownership of their medical records and the ability to share them with anyone.

San Diego, July 28th 2015 – Zibdy, Inc. announces the launch of their secure and free DIY tool within ZibdyHealth application to consolidate medical records ( using Microsoft Azure.

Following the Supreme Court decision to uphold the Affordable Care Act, Zibdy, Inc. has announced that their platform – ZibdyHealth – addresses and provides a solution to a key goal of the ACA and HITECH act – consolidation and exchange of Electronic Medical Records (EMR). Given that patients often have records located in 5 or 6 patient portals, medical record consolidation is an important challenge which ZibdyHealth has now addressed in their free application.

The Office of National Coordinator and U.S. Department of Health & Human Services have spent billions on promoting interoperability among EMR software from different vendors without much success. Now, ZibdyHealth’s DIY tool which allows users to upload EMR records as a Continuation of Care document (CCD) from any healthcare provider to their account in ZibdyHealth, and combine that with data in their ZibdyHealth account. The users can then send it to any care provider they choose – as a BlueButton+ complaint EMR document which can then be uploaded into any EMR, thereby creating a personal health information exchange (HIE). It will work with any top tier EMR vendors’ CCD. Thus providing a key tool which can coordinate a patient’s care between doctors, hospitals and caregivers.

About 350 million people have EMRs available in this world so what happens to the rest? ZibdyHealth has also created a proprietary dataset and algorithms to create personal and family medical history for people who have no EMR. This health record can be generated without any interaction with their physician. In such cases, ZibdyHealth becomes a global personal health record (PHR), allowing users to build, manage, and share their medical history (

As ZibdyHealth is free – and provides it’s “CCD Transfer” service for free, the application will be of assistance to anyone who undergoes transition of care. This includes mothers of newborn babies coming home after delivery, elderly patients moving between hospital care and a convalescent home, or anyone who simply has to see more than one medical professional.

“I think this will help millions who, like my mother, see multiple physicians who do not communicate with each other - whether they are in the building next door, or across town”, said Hirdey Bhathal Ph.D., founder and CEO of ZibdyHealth, “Now everyone has a free tool to consolidate, manage and share their medical records in a simple and secure way.”

ZibdyHealth has many other features besides medical history consolidation as it has a goal to address all healthcare needs in ONE simple application. One can record vaccinations, vitals, lab results, allergies, medications, and of course medication reminders. It offers a full range of features to act as a PHR where EMR technology is not available.

ZibdyHealth resides on Azure cloud, and uses an encrypted SQL Server 2012 database. Both are secured as required by the HL7 standard, and all data during transit is also encrypted, so your data is safe with ZibdyHealth. Dr. Bhathal said, “We couldn’t have built an application with global reach without Microsoft technology. We started using Azure when it was a beta product. It gave us reliable technology and access to global users.”

“Microsoft’s mission is to empower every person and every organization on the planet to achieve more.” said Scott Guthrie, executive vice president Cloud + Enterprise, Microsoft, “We’re excited to see startups like ZibdyHealth use Microsoft Azure to quickly develop applications and deliver them, at scale, to customers anywhere, using any platform.”

Our application, ZibdyHealth, consolidates data from EMRs with user-entered information and family medical history - and then gives the ability to share this consolidated knowledge with specific individuals based on permissions set by the ZibdyHealth user. Thus, the application provides a more complete health picture to treating physicians and care providers, important for both the patient and the provider. ZibdyHealth wants to help you take advantage of the power of EMRs – and take back control of your health. Learn more at


Manage Your Lab Test with ZibdyHealth

Published: 26-July-2015

Author: Hirdey Bhathal Ph.D., ZibdyHealth, San Diego, California

Almost every visit to the doctor these days includes getting one or more lab tests to help the doctor diagnose and manage our ailments. These tests provide valuable information about our health, but often times they are only a snapshot of our current state. Sometimes the trends are even more important than one measurement. However, keeping track of those trends on your own can be difficult. If the doctor gives you your results, how do you keep track of them? Are they in an electronic form (such as in a hospital portal), or simply on paper? More importantly, if you have conditions such as congestive heart failure and kidney failure, and need to see multiple doctors, do they need to do the same tests multiple times simply because the 2 doctors never seem to have time to talk to one another? Introducing the new feature on ZibdyHealth – Labs and Radiology.

Storing Lab Test Results

In the Labs and Radiology section of your account, you can store your lab results – timestamped – forever. You can load the results by either typing in the results of the tests from the doctor’s printed results sheet – or (much more easily) by uploading them electronically (if your provider can make them available as BlueButton+ compliant documents). Zibdyhealth can read these and allows you add them to your ZibdyHealth account easily. Once you have the Lab test results from one doctor or clinic recorded in your account, you can let other doctors/clinics see them either by emailing a pdf report of them, or upload them into the new physician’s electronic record system via a BlueButton+ compliant CCD (Continuation of Care Document). This will prevent needless and expensive tests from being repeated.


Tests Over Time

One of the most exciting aspects of ZibdyHealth’s Lab Tests is that you can track them over time. ZibdyHealth has a special charting feature that allows to trend your results– such as cholesterol– when measured over time in multiple tests. Many test results – including Blood Pressure, Heart Rate, Pulmonary (lung) Capacity, Na+, K+ and uric acid levels can similarly be traced, to see how your numbers are changing over time. This information is priceless to your doctor too, to maintain your health.

Lab Panels

Most panels are built around billing purpose of chemistry or biology used to run these tests. Lab panels on ZibdyHealth work little bit differently. We have taken time to consult with numerous experts in pathology and physicians to aggregate lab tests in panels which make sense to you and your doctor. We bring all tests which are required or useful in certain conditions in one group. This way it will be easy to view and track them. If you do not have results for all the tests we have aggregated in a single panel, you may just delete that lab test by clicking on “-“ sign in front of test name. For Example: our HIV panel has chemistries, liver function tests, and blood counts, in addition to viral loads and CD4+ T cell counts. This helps you and your physician more efficiently track your health.

Sharing and Monitoring

As we have described before, a core feature of ZibdyHealth is the ability of multiple care givers to manage the health of a patient. Having access to daily objective data can help family members remotely monitor the conditions of parents and loved ones. For example, diabetic patients can record their daily blood sugars into their ZibdyHealth account. If a relative remotely notes that the blood sugars are increasing, it may be a sign of an infection or other problem, and they can relay their concerns directly to the patient or another family member in closer proximity. This can also allow school nurses to coordinate the care of students with chronic conditions. Having up to date information on the child’s medication regimens, as well as parents observations, can allow school nurses to better manage asthma exacerbations when they arise. This sharing of detailed lab information can make your next telemedicine call or a visit to a new physician for a second opinion efficient and effective. Importantly, our secure sharing feature also allows users to stop sharing just as quickly, keeping your health information safe.

ZibdyHealth makes storing and accessing your Lab Test results simple and reliable. Just another way that ZibdyHealth helps you take control of your health.

To learn more about ZibdyHealth watch our videos at Tutorial Videos.

Please do not forget to let us know what features you like and what else you will like us to include in future release. You can always reach us at

Telemedicine and ZibdyHealth

Published: 11-July-2015

Author: Sanjay Mehta M.D., Assistant Clinical Professor of Medicine, Division of Infectious Diseases, University of California, San Diego, California

The time for telemedicine “Medicine at a distance” has finally come. Telecommunication technology has improved significantly and costs have dropped making a virtual visit with your physician a reality. Some of us who live in remote areas may have already experienced this wave of the future, and others will soon have their doctor visits through an App rather than driving to their office. All major hospitals and healthcare providers are already offering some kind of telemedicine service. In addition, there are independent services (e.g. American Well, Doctor-on-Demand, HealthTap and others) which offer live chat with a doctor anytime anywhere, for a small fee.

While it is true that roughly half of doctor visits require actual contact between patient and their doctor, clear communication is an important part of such an encounter, and even in the setting of a face to face visit, if the patient is not able to articulate their concerns and issues, they may go unaddressed. This becomes especially important for a telemedicine call, which may not be with one’s regular healthcare provider, because the remote provider does not have your medical history. Thus, telemedicine consultations become much more effective if the doctor has access to your full medical history when he is evaluating you.

We at ZibdyHealth are working on building a perfect solution to make telemedicine visits far more effective. ZibdyHealth has a built in sharing feature which will let you share all or part of your medical history with any doctor anywhere regardless of what technology you are using to communicate with this doctor, whether it is an online app, video conferencing such as Skype or just a good old phone. A quick scan of your records during an e-consultation will provide tremendous insight to the physician on how to tailor his or her consultation to be useful and efficient.

ZibdyHealth by itself doesn’t share any information with anyone. Our users decide what information to share and who and how much of this information they would like to share and in this case of telemedicine for how long they would like to share this information. The only thing which is more important than sharing is ability to stop sharing, and ZibdyHealth provides this capability by a single click. This allows a person to limit the sharing of their medical information for just the duration of a consultation, or for a much longer period.

We have also created a free DIY tool within ZibdyHealth which can take BlueButton+ complaint continuity of care document (CCD) from any healthcare provider and upload it to their account in ZibdyHealth. It works with all top tier EMR vendors’ CCDs. Our users can then download a report as generic CCD which can then be uploaded into any EMR thereby creating a personal health information exchange (HIE).

ZibdyHealth allows you to add your doctor’s ZibdyHealth account to your network as an association. Based on permissions you granted to your doctor, this will allow your doctor to see your information. The doctor can also leave messages in your NOTES section. Again, users get to decide how long a doctor has access to their medical information. So next time you are using anyone of these telemedicine video app or visit a minute-clinic at Walmart or Walgreens or CVS Health, you will be able to share your medical history along with your medication list and allergies with the doctor and stop sharing once the examination is over. Our easy to read style allows doctors to quickly scan your information and be far more effective in treating your ailment.

Our user can share his or her consolidated medical records with few clicks with anyone whether they are across town or someone in Mumbai or Shanghai is looking for a second opinion for their ailment from Mayo Clinic.

In summary for online and video consultations, making your information available simply and quickly is critical. ZibdyHealth can help you do this to make your consultations with physicians more effective and accurate, and best of all and it doesn’t cost anyone a dime!

To learn more about ZibdyHealth watch our videos at Tutorial Videos.

Please do not forget to let us know what features you like and what else you will like us to include in future release. You can always reach us at

Consolidate Medical Records with ZibdyHealth

Published: 25-May-2015

Author: Hirdey Bhathal Ph.D., ZibdyHealth, San Diego, California


BlueButton+, CCD/XML and HL7 are related terms used in several places on the ZibdyHealth website. Here we explain these technical terms.

  • BlueButton+ is a data exchange format that healthcare organizations can use to transfer a patient’s data from one system to another. The BlueButton+ standard was created by Medicare and the Veterans Administration.
  • CCD/XML refers to a “Continuation of Care Document” (CCD) in the “Extensible Markup Language” (XML) format. XML is a language that allows a computer to easily understand and work with your data.
  • HL7 refers to the Health Level-7 international standards for transfer of clinical and administrative data between software applications used by various healthcare providers.

BlueButton+ in ZibdyHealth

As medical consumers, we often see more than one doctor and sometimes we seek opinions from different doctors for the same problem. However, when two doctors do not work for the same system, even if your two doctors are located in adjacent buildings, your data won’t be easily shared between them. This may result in missed diagnosis or it may cost you or your insurance more to repeat lab tests that one physician is not aware of.

Medical records can contain many errors, with estimates of about 2/3 of records carrying some form of error. Getting patients involved in the management of their own records may lead to fewer errors, and fixing those already present in an EHR. Patients will be able to combine their fragmented medical history stored in various organizations and make it more effective. This will also help transfer the coveted ownership of medical data to who is belongs, the patient.

The transfer of Electronic Health Records (EHR) requires a private secure system that can also maintain the integrity of the information. BlueButton+ is a standard developed by Medicare and the Veterans Administration which allows this type of medical information transfer. This ensures interoperability of your healthcare data.

Consolidate Your Records

ZibdyHealth, a free application, has built a DIY tool to upload CCDs from different hospitals or doctors or labs into your ZibdyHealth account and consolidate all of your medical data at one place. This will allow the medical information to be read into and included in your ZibdyHealth account. Not only will this bring disparate medical information in one place under your control but it will increase accuracy of the information loaded into ZibdyHealth.

Consolidating your records is as easy as uploading a file on your computer. To upload records, please go to “Consolidate Medical Records” in the Personal Information section of ZibdyHealth, choose the location of your health information XML on your computer and click on the “save” button. Depending on the size of the file, it may take 2-3 minutes for your file to upload. When ready, your CCD will be displayed with a check box for each item you can select to be imported into your ZibdyHealth account. Once you select the item you would like to move into your account, simply click on “import”. The original CCD will be saved in your account and you will be able to go back and import more information any time later. For now, this feature is available only from computers.

Transfer Medical History Between Doctors

To transfer your medical information from doctor to doctor, or hospital to hospital in a secure electronic format using ZibdyHealth, you can produce reports of your data in the BlueButton+ standard or in PDF format. You can create a report from personal information section of ZibdyHealth. Within the reports section, there are options to select which sections of your information to include in the report, as well as what kind of report to produce. These report type options are PDF and CCD/XML. The CCD/XML option produces a BlueButton+ compliant XML document which can be read by other BlueButton+ compliant systems. The CCD/XML format requires the presence of certain sections so you may find more details in your CCD/XML report than your selection. For systems or providers whose systems are not BlueButton+ compliant, you can generate a PDF document allowing transfer of data in a more traditional form.

Thus ZibdyHealth will allow you to let your doctor or hospital stay up to date with any OTC meds you have taken, or any treatment you have received from care providers in different systems or places (e.g. emergency care). This simple secure system, will help to make sure your care providers are making decisions based on “all” of the available information. This feature will also allow you to consolidate all your medical information into a single place and generate a single report in PDF or BlueButton+ complaint format for sharing.

Currently, this feature for consolidation of medical information works with EHRs from the top 8 vendors, which covers more than 99% of EHR installations. We are continuing on working to make ZibdyHealth work with the remaining systems.

This is a simple way to consolidate all your medical information into single place and generate a single report in PDF or BlueButton+ compliant format for sharing.

To learn more about ZibdyHealth watch our videos at Tutorial Videos.

Please do not forget to let us know what features you like and what else you will like us to include in future release. You can always reach us at

Managing Medications with ZibdyHealth

Published: 02-April-2015

Author: Sanjay Mehta M.D., Assistant Clinical Professor of Medicine, Division of Infectious Diseases, University of California, San Diego, California

Medications are one of the main tools doctors use to maintain their patients’ health. We all know you take a Tylenol for a headache, and Advil for a toothache and Insulin for Diabetes, but for most lay people, not much more is known about these drugs. In addition, for individuals taking many medications, it becomes very hard to keep track of doses, times, let alone remembering to take all of the medication.

Family Medical History

Where do you keep all the information? Is all this information tracked by our doctor? Simple answer is no – your doctor does not track OTC or supplements you take and if you see 2 or more doctors it is very likely they do not share this information with each other. You are often responsible for tracking your medications and keeping an up-to-date list.

ZibdyHealth can help with all that and more. ZibdyHealth is a free and secure application that has a very strong medication therapy management (MTM) component, which includes assisting with:

  • Preventing Drug-Drug Interactions
  • Creating accurate medications lists including OTC and supplements
  • Improving medication monitoring and adherence
  • Reducing in medication errors

Drug – Drug interactions

A very real problem with medications is their interactions. Pharmaceutical companies and medical insurers are sure to always suggest that people consult a pharmacist before starting any new medications, to avoid interactions. These interactions not just happen between prescription drugs, OTC medications and supplements can have serious interactions which can make you sick.

Maintaining Medications lists

When you go to your doctor, can you always remember all the medications you are taking, and what for? What if you’re taking one of your parents to the doctor?

The simple task of keeping an up-to-date and accurate medication list can be a daunting for most patients. ZibdyHealth makes it easy and accurate, by letting patients scan in the manufacturer’s barcode for each prescription or over the counter (OTC) medication, and supplement. Each time a medication is scanned into ZibdyHealth it provides drug-drug interaction or overdose warnings against the user’s current medication list. A user can to do this before they purchase their OTC drug. We have over 1,064,018 healthcare products in our proprietary database, the largest pharmaceutical database in the world. ZibdyHealth has carefully optimized its database for mobile devices, limiting text to simplify and clarify information for our subscribers. Learn more by watching this video Manage Medication and Reminders with ZibdyHealth.

ZibdyHealth Medications List

Current and Past Medications

ZibdyHealth displays current meds – but also lets you see you past medications at the press of a button! You open a single medication to add reminders, and leave feedback. This feedback will be shared back with you or your connected family if any of you take the same medication ever again.

Doctors frequently enquire about prior medications, and what reactions, if any, have occurred. ZibdyHealth stores ALL your medications, including those no longer current, and enables users to pull this data up quickly and easily.

Reports of medications (current and/or former) can be generated from ZibdyHealth and either printed out or emailed. ZibdyHealth really helps you keep control of your medications!

Reminders for Medication

To improve medication compliance, the ZibdyHealth platform provides users with four different ways to set reminders (phone notification, email, text and phone call). Reminders for particularly vital medications (e.g. Insulin) can be “verified” – that is, an email is sent to the patient requiring the him or her to confirm if the med was taken or not.

Every medication also has a Privacy button, which lets you set privacy at each medication level – allowing you to identify exactly who you wish to share data to with – which could be a doctor or a spouse, or even no one at all! Nobody else in your network will see that med, even if they can see the rest.

ZibdyHealth is your one-stop application for managing your medications!

For more information watch our video “Managing Medications with ZibdyHealth” Tutorial Videos.

Please do not forget to let us know what features you like and what else you will like us to include in future release. You can always reach us at

Family Health on ZibdyHealth

Published: 23-Mar-2015

Author: Hirdey Bhathal Ph.D., ZibdyHealth, San Diego, California

In today’s digital world, people are connected socially via Facebook and professionally via LinkedIn. Even gamers and music lovers are connected via Zynga and Spotify. If families could be connected such that their medical histories were linked, experts estimate that we as a society could save millions of lives and hundreds of billions of dollars. Even Larry Ellison and Larry Page, thought leaders in this new information age, have both have publicly proclaimed the need to connect medical records.

Family Medical History

The family is genetically linked – illnesses that happened to older generations are known to be likely to happen to younger generations. Knowledge of past illnesses in ancestors and can be a very powerful way to prevent diseases and complication in younger generations.

ZibdyHealth is built to help subscribers regain control of their health information and use the health and wellness knowledge available within their networks. Even though linking family members and caregivers together is a core feature of our application, ZibdyHealth allows users to decide what to share, who to share it with and how much to share ( If an uncle has recorded that he reacted badly to a medication, when you enter or scan in the same medication (or a medication containing the same active ingredient), you are warned of his problem.

Building the Family Network

The Associations feature of ZibdyHealth allows you to bring your family medical history together in a “family-sourced” manner. By connecting family members who have ZibdyHealth accounts the entire family immediately obtains key advantages.

Associations are built using the “Invite” function. This sends an email to whoever you enter, and invites them to join your network. You can invite family members, indicating the relationship (daughter, brother, mother, uncle, etc.). They will then get an email with a link to click. This will allow them to either connect their existing ZibdyHealth account to yours, or – if they do not have an account – set one up, and it will be connected to your automatically. Each family member can then record their own medical information, and ZibdyHealth builds the family medical history from that information.

For dependants, the Associations feature allows users to set up sub accounts very simply. These associations exist only within the account where they were created. Children under 18 years can only have these types of accounts, managed by their parents. The parent can then convert the account into an independent account along with all the information saved by the parent once the child reaches 18 years.

Privacy in your private network

ZibdyHealth’s Permissions feature allows all users to control exactly how much of their information is made available to others in their family network, so there should be no fears that sensitive information would be revealed. When two users connect they initially can only see their names on the “Association” page. They next need to grant access to the information in their respective accounts, and the amount and type of information shared can be decided by the user. This feature can also allow you to rapidly share or un-share medical data with their family. Information curated properly from family medical history is far richer than genomic sequence data but together both approaches are simply the best!

For more information watch our video “Family Health on ZibdyHealth” Tutorial Videos.

Please do not forget to let us know what features you like and what else you will like us to include in future release. You can always reach us at

Getting Ready for Discharge from a Hospital (Transition of Care)

Published: 27-Jan-2015

Author: Sanjay Mehta M.D., Assistant Clinical Professor of Medicine, Division of Infectious Diseases, University of California, San Diego, California

The period after being discharged from a hospital is a very vulnerable time for patients, as the responsibility for care is shifting from hospital providers, back to the individual or to outside caregivers. The patient is moving from a situation where they are monitored around the clock, and trained staff is handling all of their health and wellness needs, to one in which they may be completely on their own. This transition also often includes changes in prescriptions, new therapies, and potentially follow-up appointments. More than half of patients experience at least one medical error when this transition occurs, and the majority of these are medication related errors. Inaccuracies in the medication record presented to providers at the time of hospital admission may be compounded at the time of discharge. ZibdyHealth can smooth this transition of care by reducing inaccuracies and preventing errors.

Transition of Care

The Affordable Care Act (ACA) requires healthcare providers in the US to provide the appropriate medical information about a patient to the receiving institution during “Transition of Care”. For example, if a patient is transferred from a hospital to skilled nursing facility, the nursing home should be provided with care instructions from the hospital – including medications, monitoring parameters (e.g. blood pressure, heart rate etc.) and so on. EHRs are notoriously cumbersome for medical professionals to use, and differ from hospital system to hospital system. They are also in limited use outside the western world. ZibdyHealth acts as a personal health record, and enables the easy transfer of this information from system to system. Outside of the US, where EHRs are not prevalent, ZibdyHealth can act as the primary medical record for individuals.

Transfer of Care where an EHR is Available

ZibdyHealth can provide the bridge between healthcare provider and the outside world to make sure information is transferred accurately. When transferring the patient from a hospital to a nursing home, the provider at the hospital can make sure information is properly transferred using ZibdyHealth to create a secure link in which records can be forwarded to the new care team in a simple and logical fashion.

At the time of transfer, the provider generates a report in BlueButton+ format to upload into patient’s ZibdyHealth account. This is an HL7 compliant Continuation of Care document (CCD). This CCD includes all of the medications the patient is taking, laboratory results, allergies, the patient’s medical conditions, and other additional information.

If the option to generate a CCD report is not available, then the patient or their caregiver can quickly scan in the active medications into the patient’s ZibdyHealth account, and rapidly fill in the other key basic information using a series of drop down menus.

Transfer of Care without an EHR

ZibdyHealth provides the ability to save medical information easily, and output it in an “EHR” format – whether or not the account holder is a member of a medical system that uses an EHR. The reports feature of ZibdyHealth allows reports to be created in a PDF format to be either saved or emailed. These reports still contain details in an HL7 compliant manner. These reports – which include time stamped records of medical conditions, medications, recorded vital sign measurements, vaccinations etc., provide the essential information that an accepting nursing home needs.

In Conclusion

ZibdyHealth provides a simple way for health providers in the US who use EHRs to achieve the “Transfer of Care” for their patients. More importantly, ZibdyHealth allows EVERYBODY to securely and accurately exchange the important information needed during a “Transfer of Care”. ZibdyHealth allows a patient’s medical information to move with them, no matter who or where they are.

For more information watch our video “Caring with ZibdyHealth” Tutorial Videos.

Please do not forget to let us know what features you like and what else you will like us to include in future release. You can always reach us at

Caring for Seniors with ZibdyHealth

Published: 18-Nov-2014

Author: Dr. Diane Chau, MD - Program Director, Geriatrics at University of California, San Diego

Caring for family, friends or clients who are seniors can be a challenge, particularly when it comes to medical issues. Dementia, forgetfulness and miscommunication can lead to significant consequences, unless one is able to attend all of the doctor’s visits, and monitor key health measures such as medication adherence and blood sugars for example.

ZibdyHealth helps to bridge this gap for caregivers, while also empowering the seniors themselves to take more control of their own health. For seniors who are still independent, this simple easy to use program provides an easy way to maintain an accurate medication list, check for drug interactions/adverse reactions, and provide reminders to help with medication adherence.

For caregivers, ZibdyHealth helps subjects create a circle of care by creating a simple secure method to connect and share their information very easily with anyone they choose to do so. This allows a caregiver or family to help or manage the accounts for persons who are not technology savvy anywhere they live around the world. Caregivers or case managers can remotely login in a shared account and monitor patient’s medication compliance and setup reminders for the patient. In the future, ZibdyHealth will also allow caregivers to monitor vital signs, blood sugars, and other data from sensors that the patient may be using.

How the care giving works

A senior can be connected with a caregiver or case manager (at home or in an assisted care facility) simply by linking the senior’s account to the caregiver’s account in ZibdyHealth, and setting up the permissions appropriately. This gives the care giver direct, real-time, access to the senior’s account. The caregiver can add or delete medications, reminders to take them, monitor vital signs, vaccinations and all the other benefits that ZibdyHealth provides. Even if the senior themselves doesn’t – or can’t – use ZibdyHealth, the account set up for a senior can be shared by all the caregivers – professional and family members. This can include notes on hospital visits/stays, therapeutic management, falls and so on. ZibdyHealth provides keeps all of this information securely stored, allowing caregivers to review the senior’s health over time. The caregivers can then share decision making on how to assist the senior.

Medication Reminders

Seniors tend to be prescribed many medications (poly-pharmacy) taken at different times through the day, it is often hard for them to remember which to take when. ZibdyHealth allows the senior or a caregiver to set up a reminders schedule precisely – telling the senior which drugs to take when, along with reminding them of specific instructions for a medication (for example “take 2 tablets with food”).

ZibdyHealth has a “reminder verification” feature which allows caregivers to monitor medication adherence. A patient/caregiver can setup reminders for medication of patient choosing (phone call, phone alarm, email reminder, or text) and track if patient is actually taking their medication with a follow-up reminder. Then caregivers can remotely login and look at the adherence reports generated by the application.

Drug-Drug interactions

ZibdyHealth has an up-to date database of over 1,064,018 medications from around the world that allow individuals to rapidly assess drug-drug interactions and overdose potential whenever a new drug is prescribed. ZibdyHealth uniquely uses a barcode scanning approach that allows this checking to occur just by scanning in the barcode of a medication, allowing an individual to check for drug-drug interactions for over the counter medication even before they are purchased, (i.e. scanned in the aisle of a drug store). This can be done by the senior themselves – or by a relative or caregiver who is picking the medication up for them. The caregiver just needs to have the senior linked to their account in ZibdyHealth.

Assistance with Doctor Visits

Elders have frequent doctor appointments, and inevitably are required to provide a current medications list and, depending on their medical condition, provide data such as blood pressure measurements taken, blood glucose levels, history of falls and so on. ZibdyHealth has numerous features that allow all of this information to be recorded – again, by the senior or their caregiver. The information is given a time and date stamp, and then stored in the senior’s account, and then can be produced as a pdf or sent out in an email for each doctor visit. Notes can also be saved, recording how the senior has been feeling and so on – all with the date and time of recording, providing a “running health history” for the senior.

Together, these features of ZibdyHealth, along with others in development, comprise an excellent tool for the care and management of health in seniors. Consider using it to help simplify your life.

For more information watch our video “Caring with ZibdyHealth” Tutorial Videos.

Please do not forget to let us know what features you like and what else you will like us to include in future release. You can always reach us at

Caregiving (and sharing) with ZibdyHealth

Published: 25-July-2014

Author: Hirdey Bhathal Ph.D., ZibdyHealth, San Diego, California

Taking care of parents and/or children is an important feature of ZibdyHealth. A number of features in ZibdyHealth are designed specifically to assist with this. First is the concept of associations. These are normally family members, but can also be friends, doctors and care givers. Associations can be set up as sub accounts or as linked independent accounts. When independent accounts are linked, permissions must be set to allow them to be managed by other users. Using this model, caregiving can be carried out and even shared.

ZibdyHealth for professional caregivers

ZibdyHealth is simple yet powerful enough for professional caregiver such as independent or assisted living facilities. A caregiver can open and manage health and wellness accounts of as many seniors as they wish. They can do this as sub-accounts or independent primary accounts linked back to the caregiver’s account with appropriate permissions. They can monitor and manage medication lists, drug-drug interactions, allergies, vitals, doctor and insurance information and more for all the seniors in their care at a single place.

To make it efficient for caregiver and families of the seniors, ZibdyHealth allows caregivers to link each senior’s health and wellness information to their family members by linking accounts. This way each senior in a caregiver’s circle is linked back individually to their families. The families with appropriate permission will then be able to see all the information remotely without ever calling the caregiver. The relatives of one senior cannot see the accounts of anyone other than their own relative in the caregiver’s network.

Taking care of elderly parents

Henry is a 75 year old man who has recently had open heart surgery – a triple bypass. His wife, Mary (74) is also of failing health – she had a stroke last year, and cannot care for Henry. On his release from hospital, his children Bob and Jenny want to take care of him, though they do not live with him. He gets an account set up on ZibdyHealth, as do Bob and Jenny, and they invite one another to join the family network. They also invite Henry’s doctor at the hospital. Henry gives Bob, Jenny and his doctor permission to view, add and update his medications, vitals and so on.

Bob and Jenny give one another permissions to view their information as well, though not alter or add at this time. They do not give Henry’s doctor any permission to their accounts. Henry’s doctor does not give any permission to anyone, so he can see Henry’s account information, but not Bob or Jenny’s. Bob and Jenny can also set up an account for Mary, and record her information there. They can share Mary’s account with her caregiver.

This sharing allows Bob and Jenny to be aware of their parent’s situation, as well as for Henry’s doctor– for example, Henry’s doctor can see the latest Blood Pressure information recorded in his vitals’ taken by Bob or the caregiver for his father. Henry’s care giver can record information in Henry’s account – for example notes saying he seems to be well on a particular day, or speaking very slowly on another. When Jenny decides to buy some OTC medication for her parents, she can check for Drug-Drug interactions with the medications her parents are taking at the time of purchasing them. Notes, Vitals and Medical history are all visible to Bob, Jenny and all the caregivers in the network, who can check Henry’s account regularly. Neither Bob nor Jenny needs to be close by their parents in order to maintain this information.

For more information watch our video “Caring with ZibdyHealth” Tutorial Videos.

Please do not forget to let us know what features you like and what else you will like us to include in future release. You can always reach us at

Permissions and Privacy

Published: 7-March-2014

Author: Hirdey Bhathal Ph.D., ZibdyHealth, San Diego, California

ZibdyHealth takes users’ information security and privacy very seriously. We know that our users would like us to hold their medical data with the utmost security. Our databases are encrypted, and data being sent over the internet between our servers and the user’s device is also encrypted. We use 256-bit AES encryption which is far superior to most hospitals or banks in the United States of America. We understand that we will need to earn this trust and we are ready for it.

There are more than six different layers of privacy and security in our platform and as a user, you decide how much of your information you will like to share with your private network. User information is never open to anyone outside your personal network.

When a user creates an account with ZibdyHealth, he or she is not connected to anyone. Their account is available to them only. Once a network is built up, we allow users to control exactly who in their network of family members, friends and care givers, have access to their information. To connect on ZibdyHealth platform two people have to make a choice and take necessary steps to connect with each other. Upon connecting with someone, there is no more sharing of information until each person gives various levels of permissions to the other such as view, edit, delete and modify.

This is taken care of by the Permissions function. The button to operate the Permissions function is only visible if a user has built a network of connected users. This does not include “sub accounts” (such as children), but needs to be independent users who have their own ZibdyHealth accounts.

You as a user must grant permissions specifically to each member of your network. The different sections of your information can each have permissions set to Add, View, Delete or Modify data for your account. In the example illustrated, the user has granted “View” permission only on all items to Matt Brown.

The information sections are Personal Information, Allergies, Medications, Medical History, Vaccines, Reminders, Vitals, Permissions and Notes. For example, you may want to set your Medications, Vaccines, Allergies, Medical History and Notes to “View” for each family member, but for a doctor or care giver, you may also want to add permissions to add and modify Medications and Notes, as well as add Reminders. If you have a friend in your network who you are caring for, you may not wish to give them permission to do anything with your account, so you wouldn’t need to add anything for them.

Medications cannot be deleted, Reminders cannot be modified, Vitals cannot be modified or deleted nor permissions added or deleted by any member of a user’s network.

Introducing a “Private” button

Medical information is often the most personal information we can have and ZibdyHealth allows users to precisely control access to specific items within each section. Certain medical information is often only comfortably shared with medical professionals, and kept private from family members. This can include anything, but items that individuals want to keep private can include things such as STD treatment, birth control medication and for some individuals even such things as weight control medication.

ZibdyHealth platform allows its users to mark any particular item “private” even when rest of the section is shared with family and/or caregivers. A single click from “Private” button will hide the particular item from everyone even if you are sharing your medical history with others. Yes, we do allow exceptions to this “private’ button in case you would still like to share your private marked information with your caregiver or other specific persons in your network.

ZibdyHealth is a lot more than a private social network. Unlike other social networks which are mostly useless to a user unless they are connected with others, ZibdyHealth is very helpful for a person to build their medical history, check drug interaction for OTC drugs before they purchase by scanning the barcodes in the store, keep track of vitals, treatment options, insurance and doctor information and lot more. A user will get all those benefits and more without ever connecting to anyone but when a user connects with their family or caregiver, he or she will get a lot more benefit from ZibdyHealth platform without doing extra work.

Please check out our tutorial section tutorial section or help page to learn more about security and privacy of your data and don’t forget to give us your feedback at and we will strive to make our platform more useful.

HIV – Human Immunodefficiency Virus - Updated

Published: 23-March-2013

Author: Sanjay Mehta M.D., Assistant Clinical Professor of Medicine, Division of Infectious Diseases, University of California, San Diego, California

HIV infection is best treated by immunosuppression. This prevents the development of AIDS. Immunosuppression requires cocktails of many different powerful drugs, which can often interact with substances as seemingly nondescript as caffeine. The management of HIV treatment is complex and difficult.

Managing interactions

ZibdyHealth has a built in system to detect drug-drug and drug-supplement interactions. Every time you scan or manually enter a drug, ZibdyHealth checks this drug’s active ingredients, and then checks for interactions with any other drugs or supplements in the medications you are already taking. The interactions tables consist of interactions approved by the Mayo Clinic and MMR Information systems, Inc. Patients are warned of the interactions before they choose to add them to their medications list.

Medication Reminders

With so many medications to take, and a constantly changing medications regimen, HIV patients can have real difficulty complying with the medications they need to maintain their health. ZibdyHealth can assist by allowing patients set up reminders to take these medications. These reminders can come as phone alerts, text messages, emails or phone calls. For particularly vital medications, the “reminder verification” feature can be used. This send the patient an email 15 minutes after the original reminder (any format), and the patient can click links in the email to confirm taking the medications.

Health Network – and Privacy

One of the best features of ZibdyHealth is its ability to allow patients to build up and maintain a network of associates (family members and others), as well as a family medical history. In the case of HIV, this often controversial illness can sometimes lead to patients not wanting to share information with others – particularly family members. ZibdyHealth has a very “atomic” – or precise – permissions system which patients can use to choose what information is sent to which individuals they have in their network. Doctors and nurses can be given full access to read all of the patient’s information, for example, while family members can have their permissions individually applied. More trusted family members or friends can be permitted to see more, less trusted can see less.

Lab Test

ZibdyHealth now has the ability to import clinical and laboratory data directly from electronic medical records systems such as from hospitals, clinics or from free-standing laboratories. If the hospital or laboratory doesn’t yet offer this service, users may also use dials to input in the data quickly. Using key algorithms, ZibdyHealth can pull together this data, organize it, and then present it back in an easy to understand format. For lab results, the data can be relayed in graphical form, so that users can track trends in cholesterol, or blood counts. For those with HIV infection, this allows a visual monitoring of important lab trends to identify toxicity and side effects from medications early.

In addition, in resource limited settings, where electronic medical records are not present or where patients might be itinerant shifting from clinic to clinic, having access to historical laboratory data can have a profound impact on the quality of care provided. ZibdyHealth allows these patients to have their own personal health record that doesn’t need to be compartmentalized by provider or location. For example, seasonal workers traveling great distances for work may not be able to return to their hometown for regular visits to monitor their HIV infection. ZibdyHealth allows care coordination between all of a patient’s providers, improving the quality and efficiency of care for all HIV infected individuals.

Please check out our tutorial section tutorial section or help page to learn more.

Please do not forget to let us know what features you like and what else you will like us to include in future release. You can always reach us at