Studeny Jana, Coustasse Alberto
Jana Studeny, RN-BC, MSHI, is a graduate of the Healthcare Informatics Program at Marshall University in Huntington, WV.
Alberto Coustasse, DrPH, MD, MBA, MPH, is an associate professor of the healthcare administration program in the College of Business at Marshall University in South Charleston, WV.
Perspect Health Inf Manag. 2014 Jul 1;11(Summer):1e. eCollection 2014.
The establishment of the Meaningful Use criteria has created a critical need for robust interoperability of health records. A universal definition of a personal health record (PHR) has not been agreed upon. Standardized code sets have been built for specific entities, but integration between them has not been supported. The purpose of this research study was to explore the hindrance and promotion of interoperability standards in relationship to PHRs to describe interoperability progress in this area. The study was conducted following the basic principles of a systematic review, with 61 articles used in the study. Lagging interoperability has stemmed from slow adoption by patients, creation of disparate systems due to rapid development to meet requirements for the Meaningful Use stages, and rapid early development of PHRs prior to the mandate for integration among multiple systems. Findings of this study suggest that deadlines for implementation to capture Meaningful Use incentive payments are supporting the creation of PHR data silos, thereby hindering the goal of high-level interoperability.
有意义使用标准的建立使得对健康记录强大的互操作性产生了迫切需求。个人健康记录（PHR）的通用定义尚未达成共识。已针对特定实体构建了标准化代码集，但它们之间的集成未得到支持。本研究的目的是探讨与个人健康记录相关的互操作性标准的障碍和促进因素，以描述该领域的互操作性进展。该研究遵循系统评价的基本原则进行，研究中使用了61篇文章。互操作性滞后源于患者采用缓慢、为满足有意义使用阶段要求而快速开发导致的系统差异，以及在多个系统集成要求之前个人健康记录的早期快速发展。本研究结果表明，获取有意义使用激励付款的实施期限正在促使个人健康记录数据孤岛的形成，从而阻碍了高级别互操作性的目标。
