Hybrid Electronic Health Records

The research related with digital health records is has been a hot topic since the last two decades, producing diverse results namely two main types – Electronic Health Records and Personal Health Records. Based on those types of records different implementations appeared, although new challenges also emerged. The wider citizen mobility, liberalization of health care providing, alternative medicine, elderly care and remote patient monitoring are examples of the new types of challenges that the records have to cope with. Those new challenges brought more actors to the scene that can belong to different healthcare networks, private or public sector even from different countries. For creating a true longitudinal patient-centric electronic health record, those actors need to collaborate in the creation and maintenance of the record. During the search of a solution for enabling the collaborative use and creation of the entire healthcare providing actors, EHR and PHR where studied to understand how they cope with the identified challenges and a requirement analysis was also performed. It is presented the Hybrid Electronic Health Record (HEHR) as a solution, describing how information can be created and used referring also how the patient defines the access control. It is also discussed new services that can make use