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PHR is a tool for collecting, tracking

and sharing important, up-to-date

information about an individual’s

health or the health of someone in

their care.

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EMR EMR EMR

EHR (NHIN)

PHR PHRPHR PHRPHR

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Source: National Committee on Vital and Health Statistics, 9/9/2005 Letter report to Secretary Leavitt on PHR systems

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PHR Principles

Each person controls his or her own PHR. PHRs contain information from one’s entire lifetime. PHRs contain information from all health care

providers. PHRs are accessible from any place at any time. PHRs are private and secure. PHRs are “transparent.” Individuals can see who

entered each piece of data, where it was transferred from and who has viewed it.

PHRs permit easy exchange of information with other health information systems and health professionals

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Source: Markle foundation

PHR Dimensions

Scope and nature of content Source of information Features and functions Custodian of the record Data storage Technical approaches Access control

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Scope and Nature of Content Scope

Single organization vs. cross-organizational Since onset of relationship vs. “womb-to-

tomb”

Nature of content Clinical data Financial/administrative data Patient submitted data

Standardized vs. Proprietary04/18/23

Source of Information

Providers Payer Patient/Consumer Caregiver

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Features and Functions

View personal health dataExchange secure messages with providersSchedule appointmentsRenew prescriptionsEnter personal health dataDecision support (e.g. alerts/reminders) Import/export dataObtain healthcare/disease informationTrack, manage benefit & servicesPHR access tracking, access control

management

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Custodian of the Record

Provider Payer Patient Government Employer Third party

Vendor Community utility

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Data Storage

Network (Internet) accessible database◦ Provider’s EHR◦ Payer system◦ Vendor system◦ Government system◦ Community utility

Patient/consumer home computer

Portable◦ Paper record◦ Smart card◦ CD, DVD, optical card◦ Thumb drive (e.g., USB device)◦ RFID

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Technical Approach

Data standards Interoperability Security Authentication Privacy

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Party Controlling Access

Patient Healthcare provider Government Service Provider Others?!

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Oxycodone Hydrocodone Diazepam Temazepam Alprazolam Doxylamine

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7 steps to establish your PHR Contact all doctor’s offices about

your medical records Get information from doctor’s office. Maintain you PHRs. Find a PHR tool for electronic storage Bring PHR to future visits Carry card with Vital Info. Protect your PHR

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Source: www.myphr.com

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Try it yourself

Revolution health (http://www.revolutionhealth.com/)

HealthVault (http://www.healthvault.com)

GoogleHealth (http://www.google.com/health)

It Runs In My Family (http://www.itrunsinmyfamily.com)

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