The document discusses personal health records that can be accessed via phone. It outlines the structure of a PHR, including that it contains physician-authenticated health information that cannot be changed by the consumer. It also notes hurdles to widespread PHR phone access such as the need for consensus on data standards and communication systems, integration with provider systems, and overcoming concerns about privacy, security, and ease of use.

1. PHR on the Phone
C. Peter Waegemann
Executive Director

2. Accessing Patient Information
Interoperability
From internal system
From a website
From the phone card

3. Structure of the PHR
Cannot be Comprehensive
changed or added
Physician-authenticated
to by consumer
Health Information
Consumer/Patient-
Consumer’s Area of
managed Observations,
Recordings
Role-based Collection of Data,
Privacy Even Corrections
Requirements
Personal/Private Health
Information

4. Population
Preventive Health
Applications: Geriatric
• Dietary
Sports
Care
• Activity Management
Medicine
•
• Environmental
Applications:
Telemedicine
Influences
Pre-natal • Dietary
to Home
• Drug Management
• Activities
and
• Medication
• Monitoring of
Pediatric • Maximizing
Management
Environmental
Applications:Energy
• Caregiver
Influences
• Symptoms
Data
Interaction
• Behavioral Issues
Collection andData
•
• Emergency
• Others
Transmission Collection
Management
• Diagnostic
• Data
Chronic Diseases Collection
Age

5. What are the Hurdles?
Consensus on the dataset
Consensus on communication system
Universal platform
Integration of data with providers
Overcoming confidentiality/security/data protection
concerns
Overcoming authentication concerns
Overcoming ease of use concerns
Need for a special device for elderly patients
Creation of scope and activity model
Buy-in from stakeholders
Internationalization

6. Issues
How to get the first dataset on the phone?
How to achieve authentication of health
data?
How to integrate it into EMRs?
Import questions
Export questions
Making the dataset more inclusive
Getting people to use it