Personal Health E-Record—Toward an Enabling Ambient Assisted Living Technology for Communication and Information Sharing Between Patients and Care Providers

  • Giovanni Dimauro
  • Francesco Girardi
  • Danilo CaivanoEmail author
  • Lucio Colizzi
Conference paper
Part of the Lecture Notes in Electrical Engineering book series (LNEE, volume 544)


In this paper, we propose the Personal Health Electronic Record (PHER), a new type of Patient Health Record. This record aims to help physicians shift from a medical practice that is often based on their personal opinion or experience towards one of evidence based medicine, thus improving the communication among patients and their care providers and increasing the availability of personal medical information. The PHER can be considered an enabling Ambient Assisted Living technology because it allows patients and care providers to file and share all types of medical data and useful clinical information so that they can access whatever they need, whenever they need it. The development of diagnostic and therapeutic algorithms that are able to support the physician in planning treatment using the data stored in the PHER is also discussed.


Electronic health record Medical application Medical data interoperability 


  1. 1.
    Shortliffe EH (1977) Mycin: a knowledge computer program applied to infectious diseases. In: Annual meeting of the Society for Computer Medicine, Las Vegas, pp 66–69Google Scholar
  2. 2.
    Guyatt G et al (1992) Evidence-based medicine. A new approach to teaching the practice of medicine. JAMA 268(17):2420–2425CrossRefGoogle Scholar
  3. 3.
    Glasziou PP (2008) 2008, Information overload: what’s behind it, what’s beyond it? Med J Aust 189:84–89, PMID: 18637773Google Scholar
  4. 4.
    Dri P (2016) La lettura critica dell’articolo scientifico; in Quesiti Clinici–anno 7, n. 5, marzo 2016Google Scholar
  5. 5.
    Agnello A. Sistemi Cognitivi e Salute IBM Watson Health. Accessed 04 June 2018
  6. 6.
    Tai-Seale M, McGuire TG, Zhang W (2007) Time allocation in primary care office visits. Health Serv Res 42(5):1871–1894. Scholar
  7. 7.
    Peckham C (2017) Medscape physician compensation report. Accessed 04 June 2018
  8. 8.
    Kohn LT, Corrigan JM (2000) To err is human: building a safer health system. National Academies Press (US).
  9. 9.
    Winters B, Custer J, Galvagno SM et al (2012) Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. BMJ Qual Saf 21:894–902. Scholar
  10. 10.
    Bourgeais B, Clerc M (2016) Avoidable deaths in 2013 one death out of three in the EU could have been avoided in the light of current medical knowledge and technology. In: Eurostat news release. Accessed 04 June 2018
  11. 11.
    Martin AM, Michael D (2016) Medical error—the third leading cause of death in the US. BMJ 2016(353):i2139. Scholar
  12. 12.
    Banegas JR et al (2011) Achievement of treatment goals for primary prevention of cardiovascular disease in clinical practice across Europe: the EURIKA study. Scholar
  13. 13.
    Organisation for economic cooperation and development, 2016, Organisation for economic co-operation and development report 2016 Health Care Resources Hospital beds. Accessed 04 June 2018
  14. 14.
    Sistema statistico nazionale Istituto nazionale di statistica, 2015, Sanità e salute cap 4 in Annuario statistico italiano (2015)Google Scholar
  15. 15.
    Salvadori P (2016) La frequenza dell’inappropriatezza, ovvero l’appropriatezza per decreto in Toscana Medica 10, 2016, pp 13–18Google Scholar
  16. 16.
    Italian Law n° 221, 17/12/2012, 2012, Conversione in legge, con modificazioni, del decreto-legge 18 ottobre 2012, n. 179, recante ulteriori misure urgenti per la crescita del Paese. (12G0244), in Gazzetta Ufficiale della Repubblica Italiana (GU Serie Generale n. 294 del 18-12-2012 - Suppl. Ordinario n. 208)Google Scholar
  17. 17.
    Gunter TD, Terry NP (2005) The emergence of national electronic health record architectures in the United States and Australia: models, costs, and questions. J Med Internet Res 7(1):e3. Scholar
  18. 18.
    European Commission (2006) DECISION No 1639/2006/EC of the European Parliament and of the Council of 24 October 2006 establishing a competitiveness and innovation framework programme (2007–2013). Official J Eur Union, L 310/15. Assessed 04 June 2018
  19. 19.
    European Commission (2015) eHealth action plan 2012–2020—innovative healthcare for the 21st century. Assessed 04 June 2018
  20. 20.
    European Commission (2012) Competitiveness and innovation framework programme (CIP) ICT policy support programme, In: CIP ICT PSP work programme 2013. Assessed 04 June 2018
  21. 21.
    Electronic Health Record. Assessed 04 June 2018
  22. 22.
    MacDougall J. France-still-seeks-an-electronic-health-record. Assessed 04 June 2018
  23. 23.
  24. 24.
    Dimauro G et al (2016) VoxTester, software for digital evaluation of speech changes in parkinson disease. In: 2016 IEEE international symposium on medical measurements and applications (MeMeA), Benevento.
  25. 25.
    Bevilacqua V et al (2016) A novel approach to evaluate blood parameters using computer vision techniques. In: IEEE international symposium on medical measurements and applications (MeMeA), Benevento.
  26. 26.
  27. 27.
  28. 28.
  29. 29.
    de Lusignan S, Seroussi BA (2013) A comparison of English and French approaches to providing patients access to summary care records: scope, Consent, Cost. Stud Health Technol Inform 186:61–65. Scholar
  30. 30.
    Greenhalgh T et al (2010) Adoption and non-adoption of a shared electronic summary record in England: a mixed-method case study. BMJ 340:c3111. Scholar
  31. 31.
    Séroussi B, Bouaud J (2016) Adoption of a nationwide shared medical record in France: lessons learnt after 5 years of deployment. In: AMIA annual symposium proceedings, vol 2016, pp 1100–1109, PMID: 28269907, PMCID: PMC5333332Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Giovanni Dimauro
    • 1
  • Francesco Girardi
    • 2
  • Danilo Caivano
    • 1
    Email author
  • Lucio Colizzi
    • 1
  1. 1.Dipartimento di InformaticaUniversità degli Studi di BariBariItaly
  2. 2.U.V.A.R.P. - ASL BARIBariItaly

Personalised recommendations