Integrated Care Solutions for the Citizen: Personal Health Record Functional Models to Support Interoperability

Abstract

The ever-growing demand for acquiring, managing and exploi ng pa ent health related informa on has led to the development of many e-Health systems and applica ons. However, despite the number of systems already developed and the apparent need for such systems, end users can only collect online and exploit, only a limited set of informa on for health purposes in the context of personalized, preven ve and par cipatory medicine. To this direc on, this paper ini ally presents the personal health record (PHR) concept, related work and best prac ces for the development of PHR systems in a standardized manner. It also outlines the proposal for meaningful use criteria in the United States (US) and the health level seven (HL7) personal health record system func onal model (PHR-S FM). Focus is put on trying to link core func onality modules of the Integrated Care Solu ons TM PHR system, designed to support the ci zen, paying emphasis on wellbeing, home care and the management of chronic diseases with PHR-S FM personal health func ons, in a preliminary eff ort towards the explora on of func onal models to support interoperability. Based on accumulated experiences from many European Union (EU) research projects, the paper concludes by providing direc ons towards achieving wider PHR adop on and meaningful use.