Integrated, Reliable and Cloud-Based Personal Health Record : A Scoping Review

Abstract

Personal Health Records (PHR) emerge as an alternative to integrate patient's health information to give a global view of patients' status. However, integration is not a trivial feature when dealing with a variety electronic health systems from healthcare centers. Access to PHR sensitive information must comply with privacy policies defined by the patient. Architecture PHR design should be in accordance to these, and take advantage of nowadays technology. Cloud computing is a current technology that provides scalability, ubiquity, and elasticity features. This paper presents a scoping review related to PHR systems that achieve three characteristics: integrated, reliable and cloud-based. We found 101 articles that addressed thosecharacteristics. We identified four main research topics: proposal/developed systems, PHR recommendations for development, system integration and standards, and security and privacy. Integration is tackled with HL7 CDA standard. Information reliability is based in ABE security-privacy mechanism. Cloud-based technology access is achieved via SOA.

Predicting corticosteroid‐free endoscopic remission with vedolizumab in ulcerative colitis

“…These models can be implemented as a cloud-based service for laboratories with HL7-compatible laboratory information systems 11 , which can securely submit lab values and accept returned calculated algorithmic results without exposing protected health information. This study is limited to the data available from GEMINI 1, and is only as generalizable as these data which resulted in the FDA approval of VDZ for use in the treatment of UC.…”