Personal Health Information Software Platform - Data Exposure and Referential Integrity Investigations for Electronic Medical Record Integration Development for Seamless Hospital Use

加拿大医疗保健领域的数据格外支离破碎。在2022年6月的数字健康加拿大会议上，普华永道健康咨询公司提交了一项2019年的调查，显示只有22%的加拿大医生能够与执业以外的医生交换数据。这使加拿大远远落后于大多数其他第一世界经济体，包括像加拿大这样拥有公共医疗体系的国家。TAMVOES是一家由女性领导的公司，旨在解决这一问题，其目标是通过个人的健康信息赋予个人权力；使他们能够做出更明智的医疗决策。他们是Tamvoes个人健康记录(PHR)软件平台的创建者，该平台旨在通过使个人能够收集并安全地在线存储其健康历史、过敏、生命体征和预约的副本来帮助更好地管理个人的健康。他们有机会通过将其扩展到医院和大型诊所来增加其客户基础，特别是那些在其业务中使用电子医疗记录(EMR)的医院和诊所。第一个目标是通过实施快速医疗互操作性资源(FHIR)协议在TAMVOES和主要EMR之间实现接口。Medc是自2009年以来服务于卫生界的领先的国家数字卫生研究和开发中心，自2021年6月以来一直与Tamvoes合作。医疗团队在FHIR、软件和集成架构以及数字健康方面拥有高度相关的应用研究专业知识。MEDIC和TAMVOES将合作开发Tamvoes集成网关的扩展，以便与主要EMR双向对接，以便在安大略省南部的一家主要医院实施。项目成果将帮助TAMVOES向使用主要EMR的医院和更大的诊所销售产品。此外，它将帮助Tamvoes进一步发展他们的基础设施，并连接到更多的EMR。它将帮助更多的客户及其利益攸关方安全地访问具有最新信息的健康文档的虚拟记录-随时随地-将使用户能够为自己和他们所关心的人做出更知情的健康决定。

Data in Canadian healthcare is extraordinarily fractured. In the June 2022 Digital Health Canada conference, PwC Health Consulting presented a 2019 survey which shows only 22% of Canadian physicians are able to exchange data with doctors outside of their practice. This places Canada significantly behind most other first-world economies, including those with public healthcare systems like Canada. TAMVOES is a women-led company aiming to solve that fracture with its goal to empower individuals with their health information; giving them the ability to make more informed health care decisions. They are the creator of the Tamvoes personal health record (PHR) software platform, that seeks to help better manage an individual's health by empowering them to collect and securely store copies of their health history, allergies, vitals and appointments online. They have an opportunity to increase their customer base by extending it to hospitals and large clinics, especially those using electronic medical records (EMR) in their operations. The first objective is to interface between TAMVOES and major EMR's through implementation of Fast Healthcare Interoperability Resources (FHIR) protocols. MEDIC is a leading national digital health research and development hub serving the health community since 2009, and has been working with Tamvoes since June 2021. The MEDIC team has highly relevant applied research expertise with FHIR, software and integrations architecting, and digital health. MEDIC and TAMVOES will collaborate to develop an extension to the Tamvoes integration gateway to interface bi-directionally with a major EMR, for an implementation at a major Southern Ontario hospital. The project results will help TAMVOES to sell to hospitals and larger clinics who use the major EMR. Further, it will help Tamvoes to further develop their infrastructure and connect to additional EMRs. It will help a larger customer base and their stakeholders to securely access virtual records of health documents with the most up-to-date information - anywhere and anytime - will allow users to make better-informed health decisions for themselves and the people they care for.