Abstract
BackgroundMy Health Record (MyHR) is Australia’s national electronic health record (EHR) system. Poor usability and functionality have resulted in low utility, affecting enrollment and participation rates by both patients and clinicians alike. Similar to apps on mobile phone app stores, innovative third-party applications of MyHR platform data can enhance the usefulness of the platform, but there is a paucity of research into the processes involved in developing third-party applications that integrate and use data from EHR systems.ObjectiveThe research describes the challenges involved in pioneering the development of a patient and clinician Web-based software application for MyHR and insights resulting from this experience.MethodsThis research uses a case study approach, investigating the development and implementation of Actionable Intime Insights (AI2), a third-party application for MyHR, which translates Medicare claims records stored in MyHR into a clinically meaningful timeline visualization of health data for both patients and clinicians. This case study identifies the challenges encountered by the Personal Health Informatics team from Flinders University in the MyHR third-party application development environment.ResultsThe study presents a nuanced understanding of different data types and quality of data in MyHR and the complexities associated with developing secondary-use applications. Regulatory requirements associated with utilization of MyHR data, restrictions on visualizations of data, and processes of testing third-party applications were encountered during the development of the application.ConclusionsThis study identified several processes, technical and regulatory barriers which, if addressed, can make MyHR a thriving ecosystem of health applications. It clearly identifies opportunities and considerations for the Australian Digital Health Agency and other national bodies wishing to encourage the development of new and innovative use cases for national EHRs.
Highlights
BackgroundAcross the member countries of the Organisation for Economic Co-operation and Development, national electronic health records (EHRs) are at varying stages of implementation [1]
We review the development of a third-party application called Actionable Intime Insights (AI2), the first analytic software developed for My Health Record (MyHR) by Digital Psychiatry & Personal Health Informatics Lab, Flinders University, Adelaide, South Australia
Implementation of a third-party application that interfaces with MyHR involved integration with 2 Web services known as Health care Identifiers verification (HI) Service, maintained by Medicare Australia, and MyHR Service from the Australian Digital Health Agency
Summary
BackgroundAcross the member countries of the Organisation for Economic Co-operation and Development, national electronic health records (EHRs) are at varying stages of implementation [1]. Objective: The research describes the challenges involved in pioneering the development of a patient and clinician Web-based software application for MyHR and insights resulting from this experience. Methods: This research uses a case study approach, investigating the development and implementation of Actionable Intime Insights (AI2), a third-party application for MyHR, which translates Medicare claims records stored in MyHR into a clinically meaningful timeline visualization of health data for both patients and clinicians. Conclusions: This study identified several processes, technical and regulatory barriers which, if addressed, can make MyHR a thriving ecosystem of health applications
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