E-PHR

The aim of the electronic Personal Health Record (e-PHR) and its platform is to enhance knowledge amongst stakeholders about refugees’ and migrants’ health needs; to ensure that migrant health assessment records are available at transit and destination countries; and to strengthen national and cross-border disease surveillance and response capacities.

PHR AND ACCOMPANYING HANDBOOK FOR HEALTH PROFESSIONALS

                                                                                             

To respond to the need to foster appropriate health care provision to migrants and to harmonize health assessment practices within the EU, a Handbook for Health Professionals was developed by the Migration Health Division of the International Organization for Migration. Based on this, the Personal Health Record (PHR) was produced with the support from the European Commission and contribution from the European Centre for Disease Prevention and Control (ECDC). 

The PHR helps to construct/reconstruct the medical history of arriving migrants, thereby establishing their health status and medical needs. It provides an opportunity to record subsequent provision of treatment, including vaccinations, and to offer counselling and health education services. Therefore, the PHR is a personal document that migrants and refugees should keep with them and that contains the individual’s health data and information. The tool will also help Health Professionals get a comprehensive view of the person’s health status and needs during clinical encounters and/or treatment.

The PHR is accompanied by a Handbook to be used by Health Professionals. It provides guidance to on the use of the PHR and, in more general terms, the health assessment process for migrants and refugees.

The PHR is based on IOM’s extensive experience in pre-departure health assessments (HAs), inter alia, within the long-standing context of resettlement of refugees and, since 2016, of relocation within the EU.

The Personal Health Record (PHR) is available in EN/AR
The Handbook for Health Professionals is available in 9 European languages - BG, DE, EL, FR, HR, HU, IT, RO and SL

ELECTRONIC DATABASE AND E-PLATFORM DEVELOPMENT

Within the framework of the Re-Health project, IOM MHD has developed an electronic version (e-PHR) and a platform to facilitate data entry, analysis and transfer within and between EU Member States.

The electronic health database is based on the experience of IOM in Health Assessment (HA) and medical data management. 

The application is for external use and only those with granted access can have access to it (i.e. health staff). Different levels of permission to the personnel (i.e. registration, signing medical services, and filling medical forms) can be granted. Data can be extracted in single (one PHR) or aggregated form through a report per site or at national level and exported to Excel or Pdf.

       

For more information on the Electronic Personal Health Record (E-PHR), see the poster.

The e-PHR is built in line with the Europe 2020 strategy, Digital Agenda for Europe, which encourages the use of digital applications to address societal challenges, including to improve the quality of care and reduce medical costs. The EU 2020 strategy is the EU's agenda for growth and employment for the current decade. It emphasizes smart, sustainable and inclusive growth to overcome the structural weaknesses in the European economy, improve its competitiveness and productivity.
 
DATA PROTECTION
 
Regarding the collection of patient data, a legal frame is built on the following regulations with regard to the processing of personal data and on the free movement of such data:
TRAINING ON THE UTILIZATION OF PHR DATABASE AND E-PLATFORM
 
In-person or virtual training on the PHR database and e-platform is performed in coordination with national health authorities and IOM missions at country level thanks to the support of the IOM Manila office.