Functionalities and issues in the implementation of personal health record: a systematic review (Preprint)

BACKGROUND Functionalities of PHR are evolving, and continued discussions about PHR functionalities need to be carried out to keep it up-to-date. Technological issues as non-functional requirements are also required to be discussed in the implementation of PHR. OBJECTIVE This study systematically reviews the main functionalities and issues in the implementation of the Personal Health Record (PHR). METHODS This systematic review conducted using Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. The search is performed using online databases such as Scopus, ScienceDirect, IEEE, MEDLINE, CINAHL, and PubMed for English journal articles and conference proceedings published between 2015 and 2020. RESULTS A total of 67 articles were selected in the review. Seven function categories are identified in this review, which is grouped into basic and advanced functions. Health records and administrative records were grouped into basic functions. Medication management, communication, appointment management, education, and self-health monitoring were grouped into advanced functions. The issues found in this study include interoperability, security and privacy, usability, data quality, and personalization. CONCLUSIONS In addition to PHR’s basic and advanced functions, other supporting functionalities may also need to be developed based on the issues identified in this study. This paper provides an integrated PHR architectural model that describes the functional requirements and data sources of PHR.