0.4.5 - ci-build

StandardPatientHealthRecordIG, published by MITRE. This guide is not an authorized publication; it is the continuous build for version 0.4.5 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/personal-health-record-format-ig/ and changes regularly. See the Directory of published versions

Getting Started

Official URL: https://open-health-manager.github.io/standard-patient-health-record-ig/ImplementationGuide/StandardPatientHealthRecordIG Version: 0.4.5
Draft as of 2024-01-30 Computable Name: StandardPatientHealthRecordIG

The purpose of this implementation guide is to help the reader implement a Patient Health Record (in a programming language of their choice). The notion of a Patient Health Record (PHR) grows out of the concept of an Electronic Medical Record (EMR). The major difference being in ownership. The PHR being owned by the patient; and the EMR being owned by the hospital.

The following document will offer design guidance and standardized APIs for helping you develop your application; based on the healthcare industry standard of Fast Healthcare Interoperability Resources (FHIR). The scope of this document does not attempt to prescribe how you, the implementor, ought to go about programming your software. What it does provide, is guidance on how to successfully exchange data with other PHR and EHR apps. In effect, it documents widely supported (and government recognized) data standards and file formats for importing/exporting data into your software.

Expectations for this Implementation Guide

Readers are encouraged to think of this implementation guide as a marathon, not a sprint. To further the analogy, the authors of this guide hope to help software implementor plan on whether they are competing in a 26 mile standard marathon, a 50 mile ultramarathon, or an Iron Man triathalon. Similarly, implementing a complete PHR is no simple task, and in many situations may take upwards of a year of time or more to complete. We hope to provide guidance that will help implementors strategically plan their implementations and avoid common stumbling blocks.

Relevant Law

  • 21st Century Cures
  • Medicare
  • CARES Act

Purpose / Design Philosophy

The core of the Patient Health Record should be medical grade, and the sort of record that you receive after a visit to the hospital; and which the Patient can carry to from one healthcare provider to the next. As such, a modern Patient Health Record needs to essentially be able to receive captured data from throughout the hospital. Emergency room, operating room, intensive care unit, laboratory, pharmacy, nursery, psychaitry. All of it is relavent.

References