Blue Button Co-Design Challenge

Submission Deadline

Submissions are Closed

Contact

Graeme Ossey

Prizes

  • First Place $20,000
  • Second Place $10,000
  • Third Place $5,000
  • First Place - Developer Tools $8,000
  • Second Place - Developer Tools $7,000
  • Third Place - Developer Tools $5,000
First Place - Patient Applications

Genie MD

Genie MD logo

Team Members

Soheil Saadat

GenieMD is a comprehensive mobile solution for individuals to be active participants in their healthcare. This content-rich application provides support for anyone looking for trusted medical information in order to diagnose symptoms, find a nearby doctor, hospital or pharmacy, or learn more about medical conditions and living healthy. With Blue Button Plus Integration we aggregate data from multiple providers so you and your providers have a holistic view on all of your medical conditions.

Second Place- Patient Applications

ICEBlueButton

ICEBlueButton logo

Team Members

Stephen Mickelsen

ICEBlueButton is a Blue Button Plus powered ICE (In Case of Emergency) mobile app that provides immediate access to an ICE record by either non-medical rescuers or emergency personnel using QR code scanning. The QR code is automatically generated by the app and stored on the lock-screen for emergency access to the ICE record. The ICE record includes self-entered and editable auto-filled data from downloaded Blue Button Plus records including Allergies, Medical Conditions, and Medications.

Third Place- Patient Applications

Hint Health

Hint Health logo

Team Members

Graham Melcher

CareTracker is a brand new personal care tracking system. We built this app to solve a real problem: to simplify personal care amongst patients and their care teams and to keep everyone on the same page in real time.
By marrying the simplicity and ease-of-use of a modern smartphone app with the data available from Blue Button+, we think we can simplify personal care, bring some fun to it, and make people and their loved ones healthier.

Recent Updates

Vote for the apps on HealthTechHatch!

Congrats to our Developer Tool Winners! Activ3p, Applied Informatics and Hint Health!

Background

Update 6/17/13: Congratulations to the winning ideas! We were amazed by the response to the crowd-sourcing site, the many fantastic ideas, and the interesting conversations they spawned. T“These ideas will be used as the basis for the applications to be developed, co-designed at Health Tech Hatch, and reviewed for the challenge prizes. Developers must build towards one of these use cases, but are free to incorporate other winning or non-winning ideas, as they all reflect the desires of patients.

The winning idea with 1,136 votes, from Hugo Campos (@HugoOC): “Brings together data from my medical device with my other health data." This would help me and people with other medical devices to identify and prevent potential triggers of cardiac arrhythmias and other critical events. It's a tragedy when information exists that could have been used to prevent a problem, but extraordinary when it is used to improve outcomes. Such an app would give users of medical devices unprecedented access and insight into their health. Give us our data so we can take better care of ourselves and our families.”

The second-most votes (493) went to an idea by Catherine Rose (@drcatherinerose ): “Simplifies Care for Multiple Chronic Conditions" . Manages my daughter's chronic conditions, therapists, specialists, prescriptions and appointments. My daughter has defects in almost all organ systems and we see 18 different specialists, she has 6 different therapists, she has multitude of prescriptions and must-use medical equipment for breathing while she sleeps. We need a way to keep the hospital, her school team, her therapy team and us - all on the same page regarding her care. It takes heroic efforts now, but it could be greatly simplified!”

In third place (276 votes) is Nora Jean Levin ( @wwwCFADorg ) with “Will shorten the endless User Data Entry process to just one step and let me enter my own data on Drugs, Pharmacies and Preferred Providers.” This winning idea deals with a very specific problem for Medicare beneficiaries, and would require access and alteration to enterprise code that we are unfortunately not able to provide. However, we have worked with the submitter to retain the spirit of the idea as follows:

People want to enter and maintain health related information in a portable, low friction process that utilizes extraction from existing clinical data and claims data, as well as self entered data, without requiring constantly filling out the same fields and forms or having to remember to update data manually. Additional self entered information may not be included in current Blue Button Plus data fields, but contains important information about health status and preferences and may be useful in the future, including in emergency situations. For example, blood type, authorized representatives, insurance type, preferred providers and medical facilities, social history data elements such as living situation, language, dietary and religious preferences, mobility, physical and cognitive limitations, and available social supports. Please build an application that includes this rich contextual information about me and my loved ones in a snapshot that I can choose to share with other applications and people who need to know in the future.

Because there were so many good ideas, we’ve combined the fourth and fifth place entries – "Fixes the pattern of failed New Year's resolutions" and "Keep My Clinical Prevention on Schedule" – into a fourth use case:

A simple application (web/mobile) allows me to check risk factors across all conditions. It automatically pulls down my data from my providers’ EHRs. From the combined data, the app will present to me a clear view of what conditions I’m at risk for, what preventive services I need now, where to get them, and preventative steps I can take on my own. It should cover the complete list of 62 preventive services under ACA. The app will guide me to create my personal picture of health and help me identify and track my successful small steps, which research shows to be more effective than steps that are too big.

Blue Button Plus represents the technical standards and policy levers that help patients make use of their clinical and financial data in technology such as personal health records and health apps. All patients whose providers use Meaningful Use Stage 2 certified technology have the ability to view, download, and securely transmit their clinical data from their provider’s Electronic Health Record into another product or holding place of their choice. This is an enormous opportunity for patient-facing, data receiver applications that previously struggled to collect complete and accurate clinical data without manual patient entry.

As part of the Department of Health and Human Services digital services strategy, the Office of the National Coordinator for Health Information Technology (ONC) is launching the Blue Button Co-Design Challenge, intended to increase the number of priority patient-facing applications able to receive clinical data via Blue Button Plus. The Challenge will also uniquely engage the patient community to teach us what patients most want to do with their clinical data by crowdsourcing application ideas and incorporating patients in product design.

The Blue Button Co-Design Challenge builds upon previous ONC activities to support consumer health and patient access to their data. These include Challenges such as Blue Button for All Americans , Blue Button Mash Up Challenge, and the Health Design Challenge.

Description

The goals of the Blue Button Co-Design Challenge are:

  • Build support for Blue Button Plus by engaging three crucial communities:
    1. Patients through crowd sourcing of application ideas, co-design, and public voting on winning products
    2. Companies and application builders through a public competition and prize money
    3. Developers by rewarding open source developer tools that make it easier to build Blue Button Plus enabled applications
  • Expand our understanding of how patients want to use their clinical data, and what products they want to see developed.
  • Increase the number of fully enabled, Blue Button Plus tools and applications in areas of high priority for patients.

In order to accomplish these goals, the challenge will award prizes in two separate categories:

  1. The Patient Applications category will use crowd sourced application ideas as the topics for application development. From the launch of the challenge to June 7, anyone may post ideas for applications (no more than 75 words), focusing on the use of patient data enabled by Blue Button Plus, on the ideation forum. Concurrently, the public will have until June 11 to vote on their favorite ideas, the top three of which will be announced as the topics for the patient applications and integrated into the submission review criteria. Submissions must be posted on a co-design website where entrants will participate in the co-design process, incorporating public input and feedback with potential end users, patients, and patient advocates. First, second, and third place awards will be given to the three best applications.
  • To be eligible to receive a prize, applications submitted must:
    • Demonstrate use of Blue Button Plus to receive patient clinical or financial data into an existing or new application
    • Display the Blue Button logo
    • Include a slide deck that describes how patients would use this application, which of the crowdsourced product ideas inspired this application, and how patient co-design impacted the final product.
  1. The Open Source Developer Tools category is intended to ease the implementation of Blue Button Plus for future applications, and engage developers around standards such as consolidated CDA and DIRECT. Three winners will receive awards and the winning tools will be made available through open source licenses. See appendix A for existing tools and suggestions, though entrants are not limited to these suggestions.

Data Holder Leaders:

These companies and organizations have publicly committed to patient access to data and a rich ecosystem of patient facing products and applications. They will be Blue Button Plus enabled within 2013 and are supporting our Challenge and the developer community through Blue Button Dev Forum events in July.

  1. The New York eHealth Collaborative will be Blue Button enabled by December 2013. NYeC is a not-for-profit organization working to improve healthcare for all New Yorkers through health information technology. NYeC works to develop policies and standards, to assist healthcare providers in making the shift to electronic health records, and to coordinate the creation of the Statewide Health Information Network of New York (SHIN-NY), NY State’s HIE. www.nyehealth.org & @NYeHealth
  2. MedXCom will be Blue Button Plus enabled by October 2013. MedXCom is a HIPAA compliant patient-physician communication and care management platform. The platform serves as both a patient portal and HIE in which data from multiple sources are combined into a comprehensive patient record that is centered around and controlled by the patient. MedXCom currently holds over 100,000 patient records, and has 11,000 active patient users and over 1,000 providers using the platform for communications. http://medxcom.com/.
  3. We welcome additional data holders publicly committing to Blue Button Plus in 2013!

    To be eligible to win a prize under this challenge, an individual or entity—

    1. Shall have registered to participate in the competition under the rules promulgated by the Office of the National Coordinator for Health Information Technology.
    2. Shall have complied with all the requirements under this section.
    3. In the case of a private entity, shall be incorporated in and maintain a primary place of business in the United States, and in the case of an individual, whether participating singly or in a group, shall be a citizen or permanent resident of the United States.
    4. May not be a Federal entity or Federal employee acting within the scope of their employment.
    5. Shall not be an HHS employee working on their applications or submissions during assigned duty hours.
    6. Shall not be an employee of Office of the National Coordinator for Health IT.
    7. Federal grantees may not use Federal funds to develop COMPETES Act challenge applications unless consistent with the purpose of their grant award.
    8. Federal contractors may not use Federal funds from a contract to develop COMPETES Act challenge applications or to fund efforts in support of a COMPETES Act challenge submission.

Appendix A: Existing and Suggestions for New Developer Tools

Clinical Content - C-CDA

Existing:

Suggested:

Intuitive tools for working with vocabularies, including:

  • For SNOMED, tools to separate out problem codes by (severity; body site; pathophysiology; etc.)
  • For LOINC, tools to determine whether a lab test's units match LOINC's examples / recommendations
  • For LOINC + UCUM, comprehensive tools for lab result unit conversion
  • Visualization libraries for lab results

BlueButton+ Push (Direct Messaging)

Existing:

Suggested:

Suggested:

  • Client libraries to support BB+ Pull app development
  • Open-source Registry for BB+ Pull (provider + app directories)
  • Standardized Patient-facing Authorization form supporting data segmentation

Timeline

  • June 3: Challenge announced at Health DataPalooza
  • June 3-7: Patient Application idea submission period
  • June 3-11: Patient Application idea voting period
  • June 12: Announcement of winning Patient Application ideas and beginning of Patient Application submission period
  • August 5: End of Patient Applications submission period
  • August 6-21: Patient Applications review period, by review panel and public voting
  • July 8: End of Developer Tools submission period
  • July 9-19: Developer Tools review period
  • July 22-26: Announce Developer Tools winners (All submissions deemed of sufficient quality will be posted on a public website)

Review Panel

    • TBA

Evaluation Criteria

The review panel will make selections based upon the following criteria:
Open Source Developer Tools

  • Code readability, maintainability, and extensibility
  • Quality of code documentation
  • Value added by the tool

The winners of the Patient Application category will be determined by a combination of the review panel (two-thirds) and public voting (one-third); public voting will be enabled on the co-design site upon closing of the submission period on August 5.
Patient Applications

  • Innovative use and integration of Blue Button Plus
  • Innovative use of Blue Button patient data
  • Application design and ease-of-use
  • Relevance to crowd-sourced ideas and participation in co-design

Submission Requirements

In order for an entry to be eligible to win this Challenge, it must meet the following requirements:

  1. General – Contestants must provide continuous access to the application, a detailed description of the application, instructions on how to install and operate the application, and system requirements required to run the application (collectively, “Submission”).
  2. Blue Button Plus – Blue Button Plus must be fully enabled within the application, and the Blue Button logo displayed.
  3. HHS, ONC logo – The tool must not use HHS’ or ONC’s logos or official seals in the Submission, and must not claim endorsement.
  4. Acceptable platforms – The tool must be designed for use with existing web, mobile, voice, electronic health record, or other platform for supporting interactions of the content provided with other capabilities.
  5. Either a Push or Pull receiver implementation qualifies, though Push is encouraged as we will have a data holder available to test this type of implementation
  6. Section 508 Compliance – Contestants must acknowledge that they understand that, as a pre-requisite to any subsequent acquisition by FAR contract or other method, they may be required to make their proposed solution compliant with Section 508 accessibility and usability requirements at their own expense. Any electronic information technology that is ultimately obtained by HHS for its use, development, or maintenance must meet Section 508 accessibility and usability standards. Past experience has demonstrated that it can be costly for solution-providers to “retrofit” solutions if remediation is later needed. The HHS Section 508 Evaluation Product Assessment Template, available at http://www.hhs.gov/web/508/contracting/technology/vendors.html , provides a useful roadmap for developers to review. It is a simple, web-based checklist utilized by HHS officials to allow vendors to document how their products do or do not meet the various Section 508 requirements.
  7. Functionality/Accuracy – A Submission may be disqualified if the application fails to function as expressed in the description provided by the user, or if the application provides inaccurate or incomplete information.
  8. Security – Submissions must be free of malware. Contestant agrees that ONC may conduct testing on the application to determine whether malware or other security threats may be present. ONC may disqualify the application if, in ONC’s judgment, the application may damage government or others’ equipment or operating environment.

Developer Tools Requirements:

  • GitHub Link to Tool
  • Slide Deck Describing the use of the tool

Patient Application Requirements:

  • Working App (as a .zip file) - this is optional
  • Slide Deck describing how patients would use this application, which of the crowdsourced product ideas inspired this application, and how patient co-design impacted the final product.
  • Link to App

Terms & Conditions

OFFICIAL RULES

SPONSOR: US Department of Health and Human Services, the Office of the National Coordinator for Health IT ("Sponsor").

ADMINISTRATOR: The administrator of the Challenge is Health 2.0, LLC, 650 Delancey St, #221, San Francisco, CA 94107 ("Administrator")

CHALLENGE DESCRIPTION: The Challenge begins at 8:00 AM Eastern Time on Monday, June 3, 2013 and ends at 11:59 PM Eastern Time on Monday, August 5, 2013 ("Challenge Period"). The “Blue Button Co-Design Challenge” is a call for developers, researchers, and other innovators to create priority patient-facing applications able to receive clinical data via Blue Button Plus. The teams that submit the winning applications will win: 1.) First Place - $20,000, 2.) Second Place - $10,000, 3.) Third Pace - $5,000 and 4) Three $5,000 prizes for the best developer tool solutions. Entry into the Challenge does not constitute entry into any other challenge or promotion, including, without limitation, other similar challenges or promotions offered by Sponsor and/or Administrator. By participating in the Challenge, each entrant unconditionally accepts and agrees to comply with and abide by these Official Rules and the decisions of Sponsor, Administrator, and/or the individual advisors, which shall be final and binding in all respects.

ELIGIBILITY: To be eligible to win a prize under this challenge, an individual or entity: (a) Shall have registered to participate in the competition under the rules promulgated by the Office of the National Coordinator for Health Information Technology; (b) Shall have complied with all the requirements under this section; (c) In the case of a private entity, shall be incorporated in and maintain a primary place of business in the United States, and in the case of an individual, participating in a group, shall be a citizen or permanent resident of the United States and 18 years old or older as of the time of entry; and (d) May not be a Federal entity or Federal employee acting within the scope of their employment. An individual or entity shall not be deemed ineligible because the individual or entity used Federal facilities or consulted with Federal employees during a competition if the facilities and employees are made available to all individuals and entities participating in the competition on an equitable basis. Employees of Sponsor, Administrator, each of their affiliates, and/or any other individual or entity associated with the development, evaluation, or administration of the Challenge as well as members of such persons' immediate families (spouses, children, siblings, parents), and persons living in the same household as such persons, whether or not related, are not eligible to participate in the Challenge; (e) Federal grantees may not use Federal funds to develop COMPETES Act challenge applications unless consistent with the purpose of their grant award. (f) Federal contractors may not use Federal funds from a contract to develop COMPETES Act challenge applications or to fund efforts in support of a COMPETES Act challenge submission.
An individual or entity shall not be deemed ineligible because the individual or entity used Federal facilities or consulted with Federal employees during a competition if the facilities and employees are made available to all individuals and entities participating in the competition on an equitable basis.
Entrants must agree to assume any and all risks and waive claims against the Federal Government and its related entities, except in the case of willful misconduct, for any injury, death, damage, or loss of property, revenue, or profits, whether direct, indirect, or consequential, arising from my participation in this prize contest, whether the injury, death, damage, or loss arises through negligence or otherwise.
Entrants must also agree to indemnify the Federal Government against third party claims for damages arising from or related to competition activities.

HOW TO ENTER: To enter: (a) The challenge winner will develop a patient-facing application able to receive clinical data via Blue Button Plus. There are two objectives: (1) • Build support for Blue Button Plus by engaging three crucial communities: Patients, Companies & Application Builders and Developers. (2) Expand our understanding of how patients want to use their clinical data, and what products they want to see developed and (3)• Increase the number of fully enabled, Blue Button Plus tools and applications in areas of high priority for patients; (b) go to the website located at www.health2challenge.org (the "Challenge Website"), complete the Official Registration Form to officially register for the competition; (c) prior to the submission deadline you will receive additional instructions to submit your entry, a video demonstrating the Submission's capabilities and functionality, and an electronic slide presentation describing the submission according to the instructions posted on the Challenge Website. You may only enter as part of a team. Teams must include no less than two (2) people and each team member must be clearly identified on the team's Official Entry Form to be eligible. All participants are required to provide written consent to the rules upon or before submitting an entry. Submissions must be received during the Challenge Period to be eligible. Administrator is the official timekeeper for the Challenge. No substitutions of new versions of Submissions will be accepted under any circumstances once the original Submission is submitted for consideration. In the event of a dispute regarding the identity of the individual or team who actually submitted the entry cannot be resolved to Sponsor's and/or Administrator's satisfaction, the affected entry will be deemed ineligible. Except as otherwise stated in these Official Rules, personal information collected in connection with the Challenge will be used by Sponsor in accordance with Sponsor's privacy policy and by Administrator in accordance with Administrator's privacy policy available on the Website and with any additional consent given by an entrant at the time of entry. All entry information and materials, including any copy of the Submission submitted to Sponsor, become the property of Sponsor and will not be acknowledged or returned. Proof of submission is not considered proof of delivery to or receipt of such entry. Furthermore, Sponsor and Administrator shall have no liability for any Submission that is lost, intercepted, or not received by Sponsor and/or Administrator. Sponsor and Administrator assume no liability or responsibility for any error, omission, interruption, deletion, theft, or destruction or unauthorized access to, or alteration of, Submissions.

REPRESENTATIONS AND WARRANTIES/INDEMNIFICATION: By participating in the Challenge, each entrant represents, warrants, and covenants as follows: (a) entrant is the sole author, creator, and owner of the Submission; (b) the Submission is not the subject of any actual or threatened litigation or claim; (c) the Submission does not and will not violate or infringe upon the intellectual property rights, privacy rights, publicity rights, or other legal rights of any third party; (d) the Submission does not and will not contain any harmful computer code (sometimes referred to as "malware," "viruses" or "worms"); and (e) the Submission, and entrants use of the Submission, does not and will not violate any applicable laws or regulations, including, without limitation, applicable export control laws and regulations of the U.S. and other jurisdictions. If the Submission includes any third party works (such as third party content or open source code), entrant must be able to provide, upon Sponsor and/or Administrator's request, all appropriate licenses and releases for such third party works. In the event entrant cannot provide all required licenses and releases, Sponsor reserves the right, in Sponsor's sole discretion, to disqualify the applicable Submission, or seek to secure the licenses and releases for Sponsor's benefit and allow the applicable Submission to remain in the Challenge. Entrants will indemnify, defend, and hold harmless Sponsor and Administrator from and against all third party claims, actions, or proceedings of any kind and from any and all damages, liabilities, costs, and expenses relating to or arising from entrant's Submission or any breach or alleged breach of any of the representations, warranties, and covenants of entrant hereunder. Sponsor and/or Administrator reserves the right to disqualify any Submission that Sponsor and/or Administrator, in its sole discretion, deems to violate these Official Rules.

SUBMISSION LICENSE: For submissions in the Patient Application category, Each entrant retains title and full ownership in and to their submission. Entrants expressly reserve all intellectual property rights not expressly granted under the challenge agreement For submissions in the Developer Tools category, entrants are required to post their tools on GitHub to be made available via open source FOR ALL ENTRANTS: By participating in the challenge, each entrant hereby irrevocably grants to Sponsor and Administrator a limited, non-exclusive, royalty-free, worldwide license and right to reproduce, publically perform, publically display, and use the Submission to the extent necessary to administer the challenge, and to publically perform and publically display the Submission, including, without limitation, for advertising and promotional purposes relating to the challenge.

PUBLICITY RELEASE: By participating in the Challenge, in addition to any other grants granted herein or which may be granted in any other agreement entered into between Sponsor and/or Administrator, on the one hand, and any entrant in the Challenge, on the other hand, each entrant hereby irrevocably (a) grants to Sponsor and Administrator the right to use such entrant's name, likeness, image, and biographical information in any and all media for any purpose, including, without limitation, advertising and promotional purposes relating to the Challenge and (b) releases Sponsor and Administrator from any liability with respect thereto.

U.S. GOVERNMENT SUPPORT, RIGHTS, AND WAIVER: Sponsor and Administrator are administering the Challenge with the support of the U.S. Department of Health & Human Services pursuant to the American COMPETES Reauthorization Act (the "Act"). Subsection (j) of section 24 of the Act establishes that the Government is prohibited from acquiring an interest in intellectual property developed by a participant in a prize competition, such as the Challenge, without the written consent of the participant. Registered participants shall be required to agree to assume any and all risks and waive claims against the Federal Government and its related entities, except in the case of willful misconduct, for any injury, death, damage, or loss of property, revenue, or profits, whether direct, indirect, or consequential, arising from their participation in a competition, whether the injury, death, damage, or loss arises through negligence or otherwise. Participants shall be required to obtain liability insurance or demonstrate financial responsibility, in amounts determined by the head of the Office of the National Coordinator for Health Information Technology, for claims by (a) a third party for death, bodily injury, or property damage, or loss resulting from an activity carried out in connection with participation in a competition, with the Federal Government named as an additional insured under the registered participant's insurance policy and registered participants agreeing to indemnify the Federal Government against third party claims for damages arising from or related to competition activities; and (b) the Federal Government for damage or loss to Government property resulting from such an activity.

WINNER SELECTION/EVALUATION CRITERIA: The ONC review panel will make selections based upon the following criteria for patient applications:

  • Innovative use and integration of Blue Button Plus
  • Innovative use of Blue Button patient data
  • Application design and ease-of-use
  • Relevance to crowd-sourced ideas and participation in co-design

The ONC review panel will make selections based upon the following criteria for open source developer tools:

  • Code readability, maintainability, and extensibility
  • Quality of code documentation
  • Value added by the tool

The evaluation criteria are to be applied in the sole discretion of Sponsor and the individual advisors. By participating in the Challenge, each entrant into the Challenge acknowledges and agrees that such evaluations may differ from person to person and agrees to be bound by and not challenge the final decisions of Sponsor and the individual advisors.

NOTICE TO WINNERS: Attempts to notify potential winners will be made using the contact information provided on the winner's Official Entry Form. Sponsor and Administrator are not responsible for e-mail or other communication problems of any kind. If, despite reasonable efforts, a potential winner does not respond within five (5) days of the first notification attempt (or a shorter time as exigencies may require), or if the prize or prize notification is returned as unclaimed or undeliverable to such potential winner, such potential winner will forfeit his or her prize and an alternate winner may be selected. If any potential prize winner is found to be ineligible, or if he or she has not complied with these Official Rules or declines the applicable prize for any reason prior to award, such potential prize winner will be disqualified and an alternate winner may be selected. Sponsor may successively attempt to contact up to two (2) potential prize winners in accordance with such procedure, and if there is still no confirmed prize winner after such attempts have been made, if any, the applicable prize may go unawarded.

ANTICIPATED NUMBER OF ENTRANTS: Many will enter, three winning submissions will be selected. Actual odds of winning depend on the number of eligible entries received. Sponsor and Administrator cannot accurately predict the number of entrants who will participate in the Challenge.

PRIZES: The winning teams will receive: 1.) First Place - $20,000, 2.) Second Place - $10,000, 3.) Third Pace - $5,000 and 4) Three Best Developer Tools - $5,000 each.

GENERAL PRIZE CONDITIONS: The potential winner may be required to execute an Affidavit of Eligibility, a Liability Release and (where imposing such condition is legal) a Publicity Release (collectively "Prize Claim Documents). If a winner fails or refuses to sign and return all Prize Claim Documents within five (5) days of Sponsor's and/or Administrator's request (or a shorter time as exigencies may require), the winner may be disqualified and an alternate winner may be selected. No more than the advertised number of prizes will be awarded. Prizes will be delivered only to an address in the U.S. No cash alternative or substitution or transfer of prizes will be allowed, except Sponsor reserves the right in its sole discretion to substitute prizes of comparable value, in whole or in part, for any reason. THE WINNER IS RESPONSIBLE FOR REPORTING AND PAYING ANY INCOME TAXES OR OTHER TAXES THAT MAY APPLY TO ACCEPTING A PRIZE; SPONSOR AND ADMINISTRATOR ARE NOT RESPONSIBLE FOR AND WILL NOT PAY ANY SUCH TAXES.

DATES/DEADLINES: Because of the unique nature and scope of the Challenge, Sponsor and Administrator reserve the right, in addition to those other rights reserved herein, to modify any dates or deadlines set forth in these Official Rules or otherwise governing the Challenge.
GENERAL LIABILITY RELEASE/FORCE MAJEURE: Each entrant agrees that Sponsor and Administrator (a) shall not be responsible or liable for any losses, damages, or injuries of any kind (including death) resulting from participation in the Challenge or any Challenge-related activity, or from entrants' acceptance, receipt, possession, use, or misuse of any prize, and (b) have not made any warranty, representation, or guarantee, express or implied, in fact or in law, with respect to any prize, including, without limitation, regarding such prize's merchantability or fitness for a particular purpose. Entrants will indemnify, defend, and hold harmless Sponsor and Administrator from and against all third party claims, actions, or proceedings of any kind and from any and all damages, liabilities, costs, and expenses relating to or arising from entrant's participation in the Challenge. Sponsor and Administrator assumes no responsibility for any damage to an entrant's computer system which is occasioned by accessing the Website or other Challenge-related websites or participating in the Challenge, or for any computer system, phone line, hardware, software, or program malfunctions, or other errors, failures, delayed computer transmissions, or network connections that are human or technical in nature. Without limiting the generality of the foregoing, Sponsor and Administrator are not responsible for incomplete, illegible, misdirected, misprinted, late, lost, postage-due, damaged, or stolen entries or prize notifications; or for lost, interrupted, inaccessible, or unavailable networks, servers, satellites, Internet Service Providers, websites, or other connections; or for miscommunications, failed, jumbled, scrambled, delayed, or misdirected computer, telephone, cable transmissions or other communications; or for any technical malfunctions, failures, difficulties, or other errors of any kind or nature; or for the incorrect or inaccurate capture of information, or the failure to capture any information. Sponsor and Administrator each reserve the right in their sole discretion to disqualify any individual who is found to be tampering with the entry process or the operation of the Challenge or Website or other Challenge-related websites, to be acting in violation of these Official Rules, or to be acting in an unsportsmanlike or disruptive manner, or with the intent to disrupt or undermine the legitimate operation of the Challenge, or to annoy, abuse, threaten, or harass any other person, and Sponsor and Administrator each reserve the right to seek damages and other remedies from any such person to the fullest extent permitted by law. In the event an insufficient number of eligible entries are received or Sponsor and/or Administrator is prevented from awarding the prize or continuing with the Challenge as contemplated herein by any event beyond its control, including, without limitation, fire, flood, natural or man-made epidemic, earthquake, explosion, labor dispute or strike, act of God or public enemy, satellite or equipment failure, riot or civil disturbance, terrorist threat or activity, war (declared or undeclared) or any federal state or local government law, order, or regulation, public health crisis, order of any court or jurisdiction, or other cause not reasonably within Sponsor's control ("Force Majeure"), Sponsor and/or Administrator shall have the right to modify, suspend, or terminate the Challenge. If the Challenge is terminated for Force Majeure before expiration of the Challenge Period, Sponsor and/or Administrator will (if reasonably possible) select a winner from all eligible, non-suspect entries received as of the date of the event giving rise to the termination. These Official Rules cannot be modified or amended in any way except in a written document issued in accordance with the law by a duly authorized representative of both Sponsor and Administrator. The invalidity or unenforceability of any provision of these Official Rules shall not affect the validity or enforceability of any other provision. In the event that any provision is determined to be invalid or otherwise unenforceable or illegal, these Official Rules shall otherwise remain in effect and shall be construed in accordance with their terms as if the invalid or illegal provision were not contained herein.

GOVERNING LAW/JURISDICTION: All issues and questions concerning the construction, validity, interpretation, and enforceability of these Official Rules or the rights and obligations of entrants, Sponsor and/or Administrator in connection with the Challenge shall be governed by and construed in accordance with the laws of the State of California without giving effect to any choice of law or conflict of laws rules or provisions. Any legal claims arising from or relating to the Challenge or these Official Rules must be brought in the federal or state courts located in San Francisco, California.

WINNERS LIST/OFFICIAL RULES: To obtain any legally-required winners list (after the conclusion of the Challenge) or a copy of these Official Rules, send a self-addressed envelope with the proper postage affixed to: Health 2.0, LLC, Attn: Health 2.0 Developer Challenges, 650 Delancey Street #221, San Francisco, CA 94107. Please specify "winners list" or "Official Rules" and the name of the specific Challenge in your request.
Additional Information: General Conditions: ONC reserves the right to cancel, suspend, and/or modify the Contest, or any part of it, for any reason, at ONC's sole discretion. Participation in this Contest constitutes a contestant's full and unconditional agreement to abide by the Contest's Official Rules found at www.challenge.gov.
© 2013 Health 2.0, LLC. All rights reserved.