Implementing a Cross-Border Next-Generation Personal Health Record in the Philippines and Taiwan: An Implementation Case Report Using Health Level 7 International Fast Healthcare Interoperability Resources
Background: In pursuit of an optimized, patient-centered, cross-border Common Next Generation healthcare system, this study investigated the disparities of two national-scale health insurance schemas with the HL7 International Patient Summary. These were the health insurance claim form (CF4) utilized by Philippine Health Insurance Corporation and Taiwan's My Health Bank (MHB). The investigation focused on finding shared semantics as well as gaps between the two systems and the HL7 International Patient Summary. Each data element in the CF4 and MHB were analyzed with the objective of crafting a common personal health records (PHRs) schema and subsequently, a shared cross-border international patient summary. Objective: The study identified key data elements within each national health insurance schema that were either absent or inadequately represented in the IPS. Through an in-depth examination of these systems' syntax and semantics, the proponents were able to identify essential messages that can be used as a common schema for a cross-border PHR. Designs an application architecture and security management elements for cross-border integration of personal health records, and integrates national application promotion strategies to provide cross-international integrated development applications. Methods: The study compared the gaps in converting health insurance claims into personal health records, specifically noting deficiencies in MHB concerning testing devices and CF4 in relation to patient medical history, medication records, allergies, and chronic conditions. Identifying these missing components is developing crucial data structures for holistic care, patient safety, and continuity of care. Results: The research has enumerated the lacking data elements, from both MHB and CF4, to enable them to contribute into common cross-border schema such as the IPS. Once these gaps are filled by both systems, they can now have the potential to revolutionize healthcare management in the Philippines and Taiwan, offering seamless access to critical health information for both patients and healthcare providers. Furthermore, an improved CF4 can foster better coordination among healthcare organizations, facilitating informed decision-making within the healthcare ecosystem. In the management structure of personal health records, the focus should be on interoperability, standards and data security architecture, and the data viewing authorization mechanism is particularly important. In the National participation process, this study designed a series of promotion strategies to accelerate the implementation of national health and self-health management through appropriate diffusion effects, comprehensive education and knowledge sharing. Conclusions: This study underscores the pressing need to enhance MHB and CF4 by incorporating fundamental data elements present in internationally recognized systems like IPS. Through the conversion of health insurance claims into comprehensive PHRs, the Philippine healthcare system stands to gain increased efficiency, improved patient care, and ultimately, enhanced population health. The insights from this research are invaluable for policymakers, healthcare administrators, and stakeholders alike.
