Development of a Mobile Personal Health Record Application Designed for Emergency Care in Korea; Integrated Information from Multicenter Electronic Medical Records
Development of a Mobile Personal Health Record Application Designed for Emergency Care in Korea; Integrated Information from Multicenter Electronic Medical Records
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DOI：
10.3390/app10196711
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发表时间：
2020-10-01
影响因子：
2.7
通讯作者：
Lee, Jae-Ho
中科院分区：
文献类型：
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作者：
Choi, Yuri;Kim, June-sung;Lee, Jae-Ho
收集患者的医疗数据对于紧急护理至关重要。虽然医院系留的个人健康记录（PHR）可以提供准确的数据，但当医院不开发和提供PHR时，它们不能作为电子信息提供。本研究的目的是评估移动的应用程序是否可以收集来自不同医院的健康数据并实现互操作性。此外，我们确定了将健康数据放在一个地方需要克服的许多障碍。新的移动的PHR（mPHR）应用程序的开发和评估，根据系统开发生命周期的四个阶段：定义输入数据和功能，开发一个原型，开发一个移动的应用程序，和实施测试。我们于2019年9月23日成功推出FirstER（First for Emergency Room）平台。此外，自启动之日起，已在三家三级医院进行了验证。从2019年10月14日至11月29日，有1051例病例在FirstER注册，总下载量为15，951条记录。我们开发并成功实施了mPHR服务，通过整合三家不同三级医院的医疗记录，该服务可用作紧急护理中的健康信息交换工具。通过认识到这项服务的意义和局限性，有必要研究更适合紧急护理的mPHR服务的开发和实施。
Collecting patient's medical data is essential for emergency care. Although hospital-tethered personal health records (PHRs) can provide accurate data, they are not available as electronic information when the hospital does not develop and supply PHRs. The objective of this research was to evaluate whether a mobile app can assemble health data from different hospitals and enable interoperability. Moreover, we identified numerous barriers to overcome for putting health data into one place. The new mobile PHR (mPHR) application was developed and evaluated according to the four phases of the system development life cycle: defining input data and functions, developing a prototype, developing a mobile application, and implementation testing. We successfully introduced the FirstER (First for Emergency Room) platform on 23 September 2019. Additionally, validation in three tertiary hospitals has been carried out since the launch date. From 14 October to 29 November 2019, 1051 cases registered with the FirstER, and the total download count was 15,951 records. We developed and successfully implemented the mPHR service, which can be used as a health information exchange tool in emergency care, by integrating medical records from three different tertiary hospitals. By recognizing the significance and limitations of this service, it is necessary to study the development and implementation of mPHR services that are more suitable for emergency care.