“Personal health records can be linked to electronic health records or be stand-alone, but linking the two is by far the most useful approach,” says David Bates of HSPH. “It`s a lot to ask a patient to keep track of all their medical data.” ▪ Denmark. The www.sundhed.dk Health Portal allows healthcare professionals to access patient data in laboratory systems and local electronic patient records with patient consent. It allows patients to request appointments and renew prescriptions, and allows for email consultations between patients and physicians. An audit trail is required under the PHR, and to maintain data integrity, data can only be modified or deleted from the original source under the authority given by the owner, and the owner decides what to include in the record. ▪ Data protection standards. Overview of the specific rights of individuals and the obligations of organizations holding PHR data in relation to protected health information . This may include developing privacy options for individuals whose privacy concerns are less important to them than their interest in sharing their personal health information for medical research or other socially beneficial purposes. In most cases, there was some reluctance to adopt the PHR. An obstacle to this lack of acceptance can be attributed to the cost of such systems. The decision as to who should pay, the providers, the individuals or perhaps the payers of the health care system seems to be unresolved. Other barriers may include technical issues (such as interoperability – without which data cannot be shared), legal issues (including privacy and negligence), and the degree of a person`s desire to use, maintain, and authorize their DPR. Although PHR as a concept has great potential to improve healthcare management, there are still many hurdles to overcome before it is successful. The Personal Health Record (PSD) industry model is a private, secure, insurer-managed web-based tool that contains claims and administrative information.
PHOs may also contain information captured by consumers themselves, as well as data from other sources such as pharmacies, laboratories and care providers. PHNs allow individual patients and their designated caregivers to access and manage health information and play a greater role in their own health care. ▪ Enable home monitoring to record patient data remotely. The terms electronic health records, personal health records and patient portals are not always used correctly. The generally accepted definition of these terms refers primarily to data ownership. Once the data is in a PHR, it is usually held and controlled by the patient. However, most EHRs are owned by the provider, although the content can be created jointly by the provider and the patient. A patient has the right to request their health information in most states, and under recent U.S. law, providers using a certified EHR must also provide an electronic copy. In the UK, according to the government`s information strategy for the NHS, every GP practice in England must offer patients online access to their care records by 2015.
 In 2012, only 1% did so.  Electronic health records and electronic health records contain clinical data generated by and for health care professionals. The data refers to the patient, but the data is in a health care provider`s system. The patient portal is generally defined as an overview of electronic patient records. In addition, these systems also include ancillary features that support a healthcare provider`s interaction with a patient, such as prescription renewal requests, appointment requests, electronic case management, and more. After all, PHRs are data that resides in the patient`s choice system. This data may have been exported directly from an EMR, but the fact is that it is now in a prime location for the patient. Access to this information is fully controlled by the patient. However, with a few exceptions, the integrated PSD model remains a theoretical framework for consumer-centric healthcare. The integrated phR framework requires a secure, patient-controlled, lifetime recording that aggregates data from all relevant sources and is accessible anytime, anywhere.
Transparency, including the consumer`s ability to determine who has accessed part of their records or who has modified part of it, is an essential part of the consumer-centric framework. Finally, the framework should address issues of data exchange with other information systems and health professionals . A new concept under consideration is clock, or “universal health record”, which would be a patient-centered, patient-controlled source of information that could be shared granularly with certain health care providers at the patient`s discretion to support the patient`s work with health care providers. This project would involve open source contributions and improvements from developers, with a focus on supporting patients` expectations of privacy and responsible patient control of private health information (PHI). Epic is a patient portal software with many tools for healthcare professionals and specialists. It is an EHR (electronic health record) system and not an EMR (electronic health record) system, which means that it prioritizes interoperable data between hospitals and clinics for day-to-day procedures and operations. However, when it comes to electronic health records, we now have three similar but different acronyms to deal with. So the question is what is the difference between the EMR and the EHR. And then, what is PHR? A targeted research agenda is needed to inform the development and implementation of integrated CSP systems, lead education on these systems, and support the development of principles of accountability to stakeholders. For example, while much has been discussed about the potential of personal health records, there are relatively few rigorous quantitative studies documenting their effects.
The agenda should be used to inform the work of public research organizations and funders such as the National Institutes of Health (NIH), CMS, ONC and AHRQ. This research programme should also be shared with similar advisory groups in other countries. There have been significant developments in health information technology (or “health IT”) with respect to the electronic management of health information.