[Openid-specs-heart] EHR, PHR, FHIR resources.

Glen Marshall [SRS] gfm at securityrs.com
Wed Nov 18 00:37:56 UTC 2015


Dale,

A personal example may suffice...

I have a Microsoft Health Vault account.  It is my PHR.  It includes 
data that I have entered and maintain, e.g., current demographics, 
medications, allergies, health events, visits, etc.  It also 
automatically obtains lab results from Quest Diagnostics, which is 
"tethered" to it.  I am hoping that my personal physician's EHR will 
soon be able to be tethered so I don't have to keep manual track of it.  
In lieu of automatic tethering, though, I can import data from patient 
portals to my regular family doctor, my urologist, radiological images, 
blood glucose meter, etc.

Glen

*Glen F. Marshall*
Consultant
Security Risk Solutions, Inc.
698 Fishermans Bend
Mount Pleasant, SC 29464
Tel: (610) 644-2452
Mobile: (610) 613-3084
gfm at securityrs.com
www.SecurityRiskSolutions.com

On 11/17/15 17:52, Dale Moberg wrote:
> Hi
>
> I am still refining my grip on assorted terminology that reveals 
> aspects of the “business model” contexts for discussing our use cases.
>
> I just read the wikipedia entries for PHR and EhR (I know, but you 
> have to start somewhere), at
> https://en.wikipedia.org/wiki/Personal_health_record and
> https://en.wikipedia.org/wiki/Electronic_health_record
>
> Nominally viewed, there appears to be substantial intersections of the 
> resource types (in a loose FHIR usage) found in these EhR and PHR records.
>
> At 
> https://en.wikipedia.org/wiki/Personal_health_record#EHRs.2C_PHRs.2C_patient_portals_and_UHRs it 
> is maintained that the “ownership” of the records is the primary 
> semantic contrast between the terms. Interesting.
>
> I am particularly even more motivated in getting some information 
> about the following statement:
>
> "There are two methods by which data can arrive in a PHR.^[1] 
> <https://en.wikipedia.org/wiki/Personal_health_record#cite_note-Tang-1> A 
> patient may enter it directly, either by typing into fields or 
> uploading/transmitting data from a file or another website. The second 
> is when the PHR is tethered to an electronic health record, which 
> automatically updates the PHR.”
>
> Does anyone know the “BLT” pertaining to the “tethering” process? Is 
> this tethering something that is currently actually in operation, or 
> is it mainly imagined as emerging once FHIR dstu-X is completed? (And 
> maybe UMA and HEART completed also?)
>
>  (Adrian offered to help some of us with the terminology, so I am 
> taking him ( and anyone else) up on the offer!)
>
> Dale Moberg
>
>
>
>
>
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