mSwasthya: A mobile-enabled personal health record management system

Abstract

The increase in number of hospitals with functional hospital management information systems has helped to increase efficiency and quality of care, thereby improving healthcare service delivery. However, with the prevalent issues that the Indian healthcare industry is still grappling with, there is a growing need for each citizen's proactive responsibility towards managing his/her health. Moreover, with changes in lifestyle and with increase in the occurrence of cardio vascular diseases and chronic ailments, the patients need to adopt a preventive style of treatment for managing their own personal health. This has led to the emergence of a personal health record (PHR), which is focused on a citizen-centric healthcare system rather than an institution-centric system. This paper highlights mSwasthya, which is a mobile-enabled personal health record management system designed for individuals. The PHR as part of mSwasthya is integrated with various health, wellness and fitness-oriented mobile applications, which the user can install and use them 'onthe-fly' as part of their daily routines to manage their own health.

Functionalities and Issues in the Implementation of Personal Health Records: Systematic Review

“…Health record [22,25,26,30,31,34,39,42,[44][45][46]55,59,66,68,70,[72][73][74][75][76][77][78] Allows patients to manage personal information and view information related to health providers and insurance.…”

“…The health record function provides patients options to view clinical documents that can be retrieved from health providers' EHR [22,23,34]. This information can include problem lists [22,[24][25][26][27][28][29]45,56,[67][68][69][70][71], allergies [22,25-28,30-33,35-39, 56,67-70], immunization [22,26-28,30,32-35, 40-42,56,68-71], laboratory and test results [22,24,[26][27][28][29][30]33,36,37,40,[42][43][44][45][46][47][48][49][50][51][52][53][54][55][56][57][58][59][60][61]…”

“…Patients can also manage their vital sign data such as temperature [26,44], blood pressure [30,33,44,58,66,67,70,72,85,90,98,101,103], blood glucose [30,58,66,70,72,85,86,98,103], and heart rate [90]. Patients can also monitor other self-health data such as sleep [33,66,95,100,101], period [33,100], moods [98,100,101], and stress [66,70,100]. These clinical measures enable calculation such as BMI [39,66,70,85,100], body fat percentage [70], waist-to-height ratio [70], calorie [70], cholesterol level [66,86], and glycemia…”

“…Patients can also monitor other self-health data such as sleep [33,66,95,100,101], period [33,100], moods [98,100,101], and stress [66,70,100]. These clinical measures enable calculation such as BMI [39,66,70,85,100], body fat percentage [70], waist-to-height ratio [70], calorie [70], cholesterol level [66,86], and glycemia [86]. This information can also calculate disease risks such as cardiovascular disease risk and metabolic syndrome risk [85].…”

“…Issues in implementation of the PHR a .25,29,33,35,37-39,51,53,61-63, 68,72,76,86,88-90,96,100,102,104,106-112] Ability of PHR to share or exchange data with other systems Interoperability[25,26,[32][33][34]42,45,47,54,55,57,[60][61][62][63][64][65]69,70,[72][73][74]76,77,83,92,94,97,103,108,110,[112][113][114][115][116][117][118][119][120][121][122] Safeguarding of data and personal information in PHR Security and privacy[24,25,[33][34][35][36][37]…”