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Standard Personal Health Record (Jira-PSS 2125)

Basics

Standard Personal Health Record (Jira-PSS 2125)

1804
Ballot - STU to Normative


FHIR Implementation Guide

Create New Standard

Details

This FHIR Implementation Guide operationalizes the PHR-S Functional Model providing best practice guidance for FHIR Apps based on the PHR-S functional model, a FHIR-based file format to support PHR data portability, and provides patient app developers with example patient personas to exemplify use.


This project intends to produce an implementation guide with resources for creating and exchanging personal health records using FHIR.

The technologies referred to collectively as 'digital health' are disrupting the status quo of healthcare and well-being, in this country and beyond. The COVID-19 pandemic drove a surge in use of digital health, in the process yielding data and potential lessons regarding its delivery, impact, value, and sustainability.

The pandemic may yield a transformation that positively affects individuals, families, and communities. The alternative - simply layering digital technologies on top of the current system - will not merely maintain the status quo. It will worsen conditions for those who are already behind in terms of connectivity, digital literacy, and access to care, and will further open the door to abuse, fraud, and waste. That result, in a nation of such wealth and innovative capacity, is unacceptable.

The nation needs to act strategically to realize a vision of improved health and well-being, with full consideration of the distinctive challenges and opportunities that digital health presents. The strategy outlined here, comprising six goals and recommended actions, offers a framework for guiding the development of the U.S. digital health ecosystem.

To read more, see the MITRE National Strategy for Digital Health.

[https://www.mitre.org/publications/technical-papers/a-national-strategy-for-digital-health

Which defines core objectives for standardizing personal health data and providing individuals with Ownership of the Data Relating to Their Health.

To read more, please also see the Patient Contributed Data Whitepaper

https://docs.google.com/document/d/1_6Pshw51nrGbw_frxKiS_x-j1QbD8lCHxc_FmAKehdE/edit#heading=h.r52ffzsiq2n5



FHIR IG - R1 - STU: Target 2024 Jan Ballot Cycle


https://github.com/Open-Health-Manager/standard-patient-health-record-ig PSS: https://jira.hl7.org/browse/PSS-2125?src=confmacro


Project may possibly end up requiring the following external tools: Synthea - Synthetic data generation. Inferno - Data validation, quality control, and conformance testing.

Standards Development Organizations (SDOs), Other (specify in Misc. Notes below),N/A

MITRE GoInvo (Tentative) OtisHealth (Tentative) Epic (Tentative)

1950s - 2000 Primary health care has struggled for decades, with certain challenges around patient care, that are a result of electronic medical system architectures. As described in 'Implementing High-Quality Primary Care (Consensus Study Report), practitioners gain by having up to date information, from outside the hospital environment. 2016 21st Century Cures introduced new laws mandating patient rights to access their own health information, and regulatory penalties for information blocking, which has gone into effect in Y22Q4. 2019 CARES Act accelerated the adoption of telehealth services, which in many cases is reliant on patient collected data, since the patient is not in the clinic for a clinician to collect the data. CARES Act has also allocated $1B to the Community Services Block Grant, and in conjunction with the ONC’s Consumer-eHealth pledge community, there has been the #GetMyHealthData initiative targeted at health equity outcomes. 2021 In response, MITRE corporation drafted the do

Standard Patient Health Record, Standard Personal Health Record, Secure Personal Health Record, PHR, SPHR, Standard PHR, PHR-S, Personal Health Environment, Generic Patient Health Record, GPHR, Standard Patient Health Repository


N/A

N/A

No

Stakeholders: Academic/Research, Association/Goverment Agency, Healthcare IT Vendors, Healthcare Provider/user, Patients, Payer/Third Party Administrator, Providers, Standards Development Organizations (SDOs), Vendor/Manufacturer Patients EHR, PHR Health Care IT Equipment Vendors Emergency Services Quality Reporting Agencies Clinical Decision Support Systems Health Information Exchanges Local and State Departments of Health Healthcare Institutions (hospitals, long term care, home care, mental health) Courts and Legal Representatives Clinical Research Patient Advocacy Communities
Organization & Realm

Universal

People

Abigail Watson



Patient Empowerment Work Group

Electronic Health Records Work Group; FHIR Infrastructure Work Group

Status & Dates

Active

STU - Balloting

04/07/2023

01/01/2026

2026 Jan WGM/Ballot

01/01/2026

2026 Jan WGM/Ballot

2025 May Ballot Cycle Info: STU Ballot Results: Met basic vote requirements. 3 negatives to reconcile. Document Name: HL7 FHIR® Implementation Guide: Standard Personal Health Record (SPHR), Edition 1 2025 Jan Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 18 Negatives to reconcile Document Name: HL7 FHIR Implementation Guide: Standard Personal Health Record (SPHR), Edition 1
Approvals

05/16/2023


Not Needed


All Received




FHIR Management Group -- Agreed -- (PSS-2192)
System Info

198493

PSS-2125



02/02/2026

Jira Project Service