In the paper an IT infrastructure for supporting the shift from organization-centric to patient-centric model of healthcare service delivery to facilitate collaborative, multidisciplinary and cross-organizational healthcare delivery processes is presented. The core of this infrastructure is an internet platform that provides e-services and promotes the interoperability by enabling not only inter-communication among authorized healthcare professionals, but also sharing the Virtual Healthcare Record, an authoritative, multi-dimensional view on the patient health state. The platform is implemented in the LuMiR project for Basilicata, an Italian region where integration of healthcare applications is required. The LUMIR approach, its origin and peculiarities are briefly presented. The project's final target is the regional health digital ecosystem that interacts with the healthcare system for better supporting it. The agent-oriented paradigm emerges as a promising approach to map the autonomic healthcare systems and their users in virtual entities, and to add values such as flexibility, adaptability, and reusability. over traditional object- or service-oriented approaches.
The paper presents the prototype of a Personal Health System (PHS) realized during the Smart Health 2.0 Project. This implementation, called 'LiSE', represents an evolution with respect to the Citizen's Personal Notebook, introduced and specified by the EHR Italian regulations. The PHR provides some features that simplify the relationships between key players in NHS, like health care workers and patients. The PHR tools, such as the clinical dossier, the virtual medical assistant, or the GP/patient communication system, make the patient 'closer' to the health system, improving the own knowledge about her/his illness and, consequently, making him/her part active and conscious in the care processes. The PHS is able to enrich the EHR with information on the patient's health state and, at the same time, to take advantage of information extracted from the EHR content and supplied in a language and a format accessible to the patient. The proposed PHS, equipped with its own business logic to support patient empowerment, is the key element for the construction of a health care model based on a patient-centered vision of the healthcare Keywords-personal health system; electronic health record; patient empowerment; Virtual Health Record.
I.agenda containing scheduled therapies and healthcare appointments chat between patient and GP
Fig. 5 Scenario 3: Immediate consultation with the GP
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