Who are the players in the PHIN? Several can already be identified — and we expect that others will emerge over time. Google Health, Microsoft HealthVault, and Dossia are early entrants. There’s been a lot of discussion of creating PHI banks or trusts, and these could also be players in the PHIN. Other existing players in the PHR/EHR (personal health record/electronic health record) market could be players in the PHIN if they adopted appropriate stances toward portability, interoperability, and liquidity.
We anticipate that the PHIN will consist of multiple interoperable platforms. The exchange of information among these platforms will be enabled by standards, e.g., the ASTM Continuity of Care Record (CCR) Standard and the HL7 CDA Continuity of Care Document (CCD).
Some applications built on the PHIN will prove to be higher value than others (e.g., patients exchanging information with their physician), and we anticipate that some standards — e.g., the CCR — will be more flexible and readily adopted in enabling the PHIN.
Of course, there will be barriers and challenges to the PHIN. Patients currently have low awareness of the value of their PHI, and about why and how to use a PHR. There are significant, legitimate concerns about privacy, confidentiality and security of PHI. An appropriate legal structure will need to evolve to balance broader societal uses of PHI vs. protecting individuals’ privacy.
We anticipate that the PHIN will consist of multiple interoperable platforms. The exchange of information among these platforms will be enabled by standards, e.g., the ASTM Continuity of Care Record (CCR) Standard and the HL7 CDA Continuity of Care Document (CCD).
Some applications built on the PHIN will prove to be higher value than others (e.g., patients exchanging information with their physician), and we anticipate that some standards — e.g., the CCR — will be more flexible and readily adopted in enabling the PHIN.
Of course, there will be barriers and challenges to the PHIN. Patients currently have low awareness of the value of their PHI, and about why and how to use a PHR. There are significant, legitimate concerns about privacy, confidentiality and security of PHI. An appropriate legal structure will need to evolve to balance broader societal uses of PHI vs. protecting individuals’ privacy.
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