ArticleApplied clinical informatics2015
A Standards-Based Architecture Proposal for Integrating Patient mHealth Apps to Electronic Health Record Systems.
Article in Applied clinical informatics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Challenges and strategies in building a foundational digital health data integration ecosystem: a systematic review and thematic synthesis.Frontiers in health services · 2025Pooled it
- Pooled it
- Community Health Worker and Mobile Health Interventions for Quality of Life Among Young Adults With Sickle Cell Disease: A Randomized Clinical Trial.JAMA network open · 2025Trial
- Structuring integration for patient-centered care: a review-informed ontology-driven modular front-end framework for digital health innovation.Frontiers in digital health · 2026Article
- The Community Health Workers and Mobile Health for Emerging Adults Transitioning Sickle Cell Disease Care (COMETS) Trial: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2025Article
- Article
- Mobile Health Interventions: A Frontier for Mitigating the Global Burden of Cardiovascular Disease.Cureus · 2024Review
- Integrating a Patient Engagement App into an Electronic Health Record-Enabled Workflow Using Interoperability Standards.Applied clinical informatics · 2022Article
- Role of Social and App-Related Factors in Behavioral Engagement With mHealth for Improved Well-being Among Chronically Ill Patients: Scenario-Based Survey Study.JMIR mHealth and uHealth · 2022Article
- The Impact of Using mHealth Apps on Improving Public Health Satisfaction during the COVID-19 Pandemic: A Digital Content Value Chain Perspective.Healthcare (Basel, Switzerland) · 2022Article
- Opportunities and Challenges of Integrating Food Practice into Clinical Decision-Making.Applied clinical informatics · 2022Article
- Examining How Internet Users Trust and Access Electronic Health Record Patient Portals: Survey Study.JMIR human factors · 2021Article
- A Worker-Centered Personal Health Record App for Workplace Health Promotion Using National Health Care Data Sets: Design and Development Study.JMIR medical informatics · 2021Article
- Key considerations for advancing the development and testing of mHealth interventions in adolescent and young adult oncology.Psycho-oncology · 2020Article
- Personally Collected Health Data for Precision Medicine and Longitudinal Research.Frontiers in medicine · 2019Article
- Special Topic Interoperability and EHR: Combining openEHR, SNOMED, IHE, and Continua as approaches to interoperability on national eHealth.Applied clinical informatics · 2017Article
- Point of Care Research: Integrating patient-generated data into electronic health records for clinical trials.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2017Article
- Effective deployment of technology-supported management of chronic respiratory conditions: a call for stakeholder engagement.Pragmatic and observational research · 2017Article
- Article
- THE FUTURE OF MOBILE HEALTH APPLICATIONS AND DEVICES IN CARDIOVASCULAR HEALTH.European medical journal. Innovations · 2017Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMobile health Applications (mHealth Apps) are opening the way to patients' responsible and active involvement with their own healthcare management. However, apart from Apps allowing patient's access to their electronic health records (EHRs), mHealth Apps are currently developed as dedicated "island systems".
objectiveAlthough much work has been done on patient's access to EHRs, transfer of information from mHealth Apps to EHR systems is still low. This study proposes a standards-based architecture that can be adopted by mHealth Apps to exchange information with EHRs to support better quality of care.
methodsFollowing the definition of requirements for the EHR/mHealth App information exchange recently proposed, and after reviewing current standards, we designed the architecture for EHR/mHealth App integration. Then, as a case study, we modeled a system based on the proposed architecture aimed to support home monitoring for congestive heart failure patients. We simulated such process using, on the EHR side, OpenMRS, an open source longitudinal EHR and, on the mHealth App side, the iOS platform.
resultsThe integration architecture was based on the bi-directional exchange of standard documents (clinical document architecture rel2 - CDA2). In the process, the clinician "prescribes" the home monitoring procedures by creating a CDA2 prescription in the EHR that is sent, encrypted and de-identified, to the mHealth App to create the monitoring calendar. At the scheduled time, the App alerts the patient to start the monitoring. After the measurements are done, the App generates a structured CDA2-compliant monitoring report and sends it to the EHR, thus avoiding local storage.
conclusionsThe proposed architecture, even if validated only in a simulation environment, represents a step forward in the integration of personal mHealth Apps into the larger health-IT ecosystem, allowing the bi-directional data exchange between patients and healthcare professionals, supporting the patient's engagement in self-management and self-care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.