Integrated, reliable and cloud-based personal health record: A scoping review

TL;DR

This paper reviews existing personal health record systems that are integrated, reliable, and cloud-based, highlighting standards, security, and architecture considerations for effective implementation.

Contribution

It provides a comprehensive scoping review of 101 articles focusing on integrated, reliable, and cloud-based PHR systems, identifying key research topics and technological approaches.

Findings

Integration uses HL7 CDA standard

Reliability relies on ABE security-privacy mechanism

Cloud access via SOA architecture

Abstract

Personal Health Records (PHR) emerge as an alternative to integrate patient's health information to give a global view of patients' status. However, integration is not a trivial feature when dealing with a variety electronic health systems from healthcare centers. Access to PHR sensitive information must comply with privacy policies defined by the patient. Architecture PHR design should be in accordance to these, and take advantage of nowadays technology. Cloud computing is a current technology that provides scalability, ubiquity, and elasticity features. This paper presents a scoping review related to PHR systems that achieve three characteristics: integrated, reliable and cloud-based. We found 101 articles that addressed those characteristics. We identified four main research topics: proposal/developed systems, PHR recommendations for development, system integration and standards, and security and privacy. Integration is tackled with HL7 CDA standard. Information reliability is based in ABE security-privacy mechanism. Cloud-based technology access is achieved via SOA.