Abstract
Collecting patient’s medical data is essential for emergency care. Although hospital-tethered personal health records (PHRs) can provide accurate data, they are not available as electronic information when the hospital does not develop and supply PHRs. The objective of this research was to evaluate whether a mobile app can assemble health data from different hospitals and enable interoperability. Moreover, we identified numerous barriers to overcome for putting health data into one place. The new mobile PHR (mPHR) application was developed and evaluated according to the four phases of the system development life cycle: defining input data and functions, developing a prototype, developing a mobile application, and implementation testing. We successfully introduced the FirstER (First for Emergency Room) platform on 23 September 2019. Additionally, validation in three tertiary hospitals has been carried out since the launch date. From 14 October to 29 November 2019, 1051 cases registered with the FirstER, and the total download count was 15,951 records. We developed and successfully implemented the mPHR service, which can be used as a health information exchange tool in emergency care, by integrating medical records from three different tertiary hospitals. By recognizing the significance and limitations of this service, it is necessary to study the development and implementation of mPHR services that are more suitable for emergency care.
Highlights
Collecting data about underlying diseases, food or drug allergies, and prescribed medications is essential whenever physicians see patients [1]
It has been implemented in three tertiary hospitals since the launch date
We introduced a newly developed mobile app, called FirstER, which enables the aggregation of data from three hospitals and yields personal health records (PHRs) to others if needed
Summary
Collecting data about underlying diseases, food or drug allergies, and prescribed medications is essential whenever physicians see patients [1]. These data make it possible to efficiently diagnose and treat patients by reducing unnecessary laboratory or imaging tests [2]. Sci. 2020, 10, 6711 an emergency department (ED) that they regularly visit, physicians can obtain medical information without any additional effort [3]. In the case of an unexpected visit to a nearby hospital, especially in an emergency, it is hard to know a patient’s detailed history because patients do not remember exactly their prior illnesses, doses, or types of drugs taken [4]
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