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This case report describes the technical aspects of integrating data from a popular smartphone platform to a commonly used EHR vendor and explores the challenges and potential of this approach for disease management. Consented subjects using the Asthma Health app (built on Apple\u2019s ResearchKit platform) were able to share data on inhaler usage and peak expiratory flow rate (PEFR) with a local pulmonologist who ordered this data on Epic\u2019s EHR. For users who had installed and activated Epic\u2019s patient portal (MyChart) on their iPhone and enabled sharing of health data between apps via HealthKit, the pulmonologist could review PGHD and, if necessary, make recommendations. Four patients agreed to share data with their pulmonologist, though only two patients submitted more than one data point across the 4.5-month trial period. One of these patients submitted 101 PEFR readings across 65 days; another submitted 24 PEFR and inhaler usage readings across 66 days. PEFR for both patients fell within predefined physiologic parameters, except once where a low threshold notification was sent to the pulmonologist, who responded with a telephone discussion and new e-prescription to address symptoms. This research describes the technical considerations and implementation challenges of using commonly available frameworks for sharing PGHD, for the purpose of remote monitoring to support timely care interventions.<\/jats:p>","DOI":"10.1038\/s41746-018-0030-8","type":"journal-article","created":{"date-parts":[[2018,5,14]],"date-time":"2018-05-14T16:09:50Z","timestamp":1526314190000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":63,"title":["From smartphone to EHR: a case report on integrating patient-generated health data"],"prefix":"10.1038","volume":"1","author":[{"given":"Nicholas","family":"Genes","sequence":"first","affiliation":[]},{"given":"Samantha","family":"Violante","sequence":"additional","affiliation":[]},{"given":"Christine","family":"Cetrangol","sequence":"additional","affiliation":[]},{"given":"Linda","family":"Rogers","sequence":"additional","affiliation":[]},{"given":"Eric E.","family":"Schadt","sequence":"additional","affiliation":[]},{"given":"Yu-Feng Yvonne","family":"Chan","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2018,6,20]]},"reference":[{"key":"30_CR1","doi-asserted-by":"publisher","first-page":"552","DOI":"10.1089\/tmj.2013.0282","volume":"20","author":"J Kim","year":"2014","unstructured":"Kim, J. 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