Isfahan University of Medical Sciences Health Information Management 1735-7853 16 4 2019 10 23 The Requirements and Challenges in Using Personal Health Record The Requirements and Challenges in Using Personal Health Record 203 209 11703 10.22122/him.v16i4.3922 FA Mohammad Hosein Hayavi-Haghighi Assistant Professor, Health Information Management, Department of Health Information Technology, School of Allied Medical Sciences, Hormozgan University of Medical Sciences, Bandar Abbas, Iran 0000-0002-8833-0930 Zari Rahmatpasand-Fatideh BSc, Medical Record, Iran Psychiatric Hospital, Iran University of Medical Sciences AND MSc Student, Health Services Management, Department of Health Services Management, School of Management and Social Sciences, North Tehran Branch, Islamic Azad University, Tehran, Iran 0000-0003-4354-8749 Mohammad Dehghani PhD Student, Health Information Management, Student Research Committee, School of Management and Medical Informatics AND Scientific and Educational Center for Health Management of Iran Tabriz University of Medical Sciences, Tabriz, Iran 0000-0002-5309-0703 Journal Article 2019 07 11 Patients apply the Personal Health Record (PHR) to access and use their record information and other medical resources. This study aimed to explain the concept, requirements, and challenges of PHR. This was a narrative literature review conducted by searching Medline, Embase, CINAHL, and Scientific Information Database (SID) databases. Different studies agreed that PHR should be electronic, and the patient should be able to manage and control it. PHR requirements were technical (interoperability and functionality), legal (data security, privacy, and confidentiality), and social (health literacy and personal responsibility) issues. PHR challenges could be categorized as organizational (change management), data (data custodianship, access, and content of PHR), and legal (liability and policy constraints). Successful implementation of PHR was based on understanding of the care environment, users, and needs. The widespread use of PHR required full cooperation of system designers, care providers, health policymakers, and the public. Patients apply the Personal Health Record (PHR) to access and use their record information and other medical resources. This study aimed to explain the concept, requirements, and challenges of PHR. This was a narrative literature review conducted by searching Medline, Embase, CINAHL, and Scientific Information Database (SID) databases. Different studies agreed that PHR should be electronic, and the patient should be able to manage and control it. PHR requirements were technical (interoperability and functionality), legal (data security, privacy, and confidentiality), and social (health literacy and personal responsibility) issues. PHR challenges could be categorized as organizational (change management), data (data custodianship, access, and content of PHR), and legal (liability and policy constraints). Successful implementation of PHR was based on understanding of the care environment, users, and needs. The widespread use of PHR required full cooperation of system designers, care providers, health policymakers, and the public. https://him.mui.ac.ir/article_11703_fa14ace7b3ae2d7e7ee6f1bc3129fbec.pdf