{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T12:04:13Z","timestamp":1780401853514,"version":"3.54.1"},"reference-count":67,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T00:00:00Z","timestamp":1739836800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Digit. Health"],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Access to health data for patients is hindered by a fragmented healthcare system and the absence of unified, patient-centric solutions. Additionally, there are no mechanics for easy sharing of medical records with healthcare providers, risking incomplete diagnoses. To further intensify the problem, when patients seek care abroad, language barriers may prevent foreign doctors from understanding their health data, further complicating treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Our study presents the development and evaluation of a mobile application designed to enable users to access and share their health records directly from their device, in multiple languages, ensuring ease of use and convenience. The solution utilizes OpenNCP for translating patient summaries into multiple languages and the FHIR Smart Health Links Protocol for secure sharing. We conducted a user acceptance study with 45 participants to evaluate our mobile app's interface and functionality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The feedback was positive, highlighting the app's user-friendliness and usefulness. The participants felt it would enhance communication between physicians and patients and the features of sharing and translating are going to give more control of their medical data to the patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Based on the results and participants feedback, our mobile solution significantly enhances healthcare accessibility and efficiency by enabling easy access and sharing of health records in multiple languages, using relevant protocols and standards, reducing medical errors and ensuring personalized care.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fdgth.2025.1542485","type":"journal-article","created":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T06:52:33Z","timestamp":1739861553000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":7,"title":["Bridging language barriers in healthcare: a patient-centric mobile app for multilingual health record access and sharing"],"prefix":"10.3389","volume":"7","author":[{"given":"Theodoros","family":"Solomou","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stelios","family":"Mappouras","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Efthyvoulos","family":"Kyriacou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ioannis","family":"Constantinou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zinonas","family":"Antoniou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ionut Cristian","family":"Canciu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marios","family":"Neophytou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zoltan","family":"Lantos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christos N.","family":"Schizas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Constantinos S.","family":"Pattichis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,2,18]]},"reference":[{"key":"B1","volume-title":"Proposal for a Regulation of the European Parliament and of the Council on the European Health Data Space [Internet]","year":"2022"},{"key":"B2","first-page":"47","article-title":"Europe, we have a problem! challenges to health data-sharing in the EU","author":"Karacic","year":"2022"},{"key":"B3","volume-title":"Consumer Attitudes to Health Data Sharing: Survey Results from Eight EU Countries [Internet]","year":"2023"},{"key":"B4","doi-asserted-by":"publisher","first-page":"557563","DOI":"10.3389\/fsoc.2020.557563","article-title":"\u201cIt\u2019s the first barrier\u201d\u2013lack of common language a major obstacle when accessing\/providing healthcare services across Europe","volume":"5","author":"Samkange-Zeeb","year":"2020","journal-title":"Front Sociol"},{"key":"B5","doi-asserted-by":"publisher","first-page":"ckac129-724","DOI":"10.1093\/eurpub\/ckac129.724","article-title":"Language barriers for primary care access in Europe: a systematic review","volume":"32","author":"Evenden","year":"2022","journal-title":"Eur J Public Health"},{"key":"B6","volume-title":"Language Barriers and the Right to Health in the European Union [Internet]","author":"Jaca","year":"2017"},{"key":"B7","volume-title":"The Value of International Health Data Flows for the EU [Internet]","author":"Cilauro","year":"2023"},{"key":"B8","doi-asserted-by":"crossref","DOI":"10.1007\/b137697","volume-title":"M-health: Emerging mobile Health Systems","author":"Istepanian","year":"2006"},{"key":"B9","article-title":"Emerging Mobile health systems and services","volume-title":"Electronic Health Records\u2014issues and Challenges in Healthcare Systems","author":"Solomou","year":"2024"},{"key":"B10","doi-asserted-by":"publisher","first-page":"253","DOI":"10.4258\/hir.2016.22.4.253","article-title":"Emerging new era of mobile health technologies","volume":"22","author":"Park","year":"2016","journal-title":"Healthc Inform Res"},{"key":"B11","doi-asserted-by":"publisher","first-page":"497","DOI":"10.3233\/SHTI240457","article-title":"Empowering citizens through translated patient summary access and sharing in digital health ecosystems","volume":"316","author":"Solomou","year":"2024","journal-title":"Stud Health Technol Inform"},{"key":"B12","volume-title":"mHealth Apps Market Size, Share & Trends Analysis Report by Type (medical Apps, Fitness Apps), by Platform (Android, iOS), by Region, and Segment Forecasts, 2024\u20132030","year":"2023"},{"key":"B13","first-page":"1","volume-title":"A Systematic Review of Reviews on the Advantages of MHealth Utilization in Mental Health Services: A Viable Option for Large Populations in low-resource settings","author":"Khosravi","year":"2024"},{"key":"B14","doi-asserted-by":"publisher","first-page":"104011","DOI":"10.1016\/j.ijmedinf.2019.104011","article-title":"Advantages of mobile health in the management of adult patients with congenital heart disease","volume":"132","author":"Kauw","year":"2019","journal-title":"Int J Med Inf"},{"key":"B15","doi-asserted-by":"publisher","first-page":"21","DOI":"10.7309\/jmtm.4.2.4","article-title":"Mhealth clinic appointment PC tablet: implementation, challenges and solutions","volume":"4","author":"Smith","year":"2015","journal-title":"J Mob Technol Med"},{"key":"B16","article-title":"More patients are accessing their online medical records, and app users are leading the charge [Internet]","year":""},{"key":"B17","doi-asserted-by":"publisher","first-page":"e52","DOI":"10.2196\/jmir.3951","article-title":"Impact of mHealth chronic disease management on treatment adherence and patient outcomes: a systematic review","volume":"17","author":"Hamine","year":"2015","journal-title":"J Med Internet Res"},{"key":"B18","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1109\/JSAC.2013.SUP.0513001","article-title":"Mhealth technologies for chronic diseases and elders: a systematic review","volume":"31","author":"Chiarini","year":"2013","journal-title":"IEEE J Select Areas Commun"},{"key":"B19","doi-asserted-by":"publisher","first-page":"82","DOI":"10.1080\/10810730.2011.649160","article-title":"Effectiveness of mHealth behavior change communication interventions in developing countries: a systematic review of the literature","volume":"17","author":"Gurman","year":"2012","journal-title":"J Health Commun"},{"key":"B20","doi-asserted-by":"publisher","first-page":"e292","DOI":"10.2196\/jmir.9397","article-title":"Measuring engagement in eHealth and mHealth behavior change interventions: viewpoint of methodologies","volume":"20","author":"Short","year":"2018","journal-title":"J Med Internet Res"},{"key":"B21","doi-asserted-by":"publisher","first-page":"104247","DOI":"10.1109\/ACCESS.2020.2999934","article-title":"Security and privacy of mHealth applications: a scoping review","volume":"8","author":"Nurgalieva","year":"2020","journal-title":"IEEE Access"},{"key":"B22","doi-asserted-by":"publisher","first-page":"150081","DOI":"10.1109\/ACCESS.2020.3015962","article-title":"Security and privacy for mHealth and uHealth systems: a systematic mapping study","volume":"8","author":"Iwaya","year":"2020","journal-title":"IEEE Access"},{"key":"B23","doi-asserted-by":"publisher","first-page":"e39055","DOI":"10.2196\/39055","article-title":"Critical criteria and countermeasures for mobile health developers to ensure mobile health privacy and security: mixed methods study","volume":"11","author":"Rezaee","year":"2023","journal-title":"JMIR Mhealth Uhealth"},{"key":"B24","article-title":"EU4Health [Internet]","year":""},{"key":"B25","article-title":"Building the Future of Digital Identity in Europe [Internet]","year":""},{"key":"B26","volume-title":"PATHED: Patient Access Toolkit for Health Data Exchange [Internet]","year":"2023"},{"key":"B27","article-title":"xShare Project [Internet]","year":""},{"key":"B28","article-title":"XpanDH Project [Internet]","year":""},{"key":"B29","article-title":"Xt-EHR project [Internet]","year":""},{"key":"B30","doi-asserted-by":"publisher","first-page":"194","DOI":"10.1080\/17538157.2021.1879810","article-title":"Impact of patient access to their electronic health record: systematic review","volume":"46","author":"Tapuria","year":"2021","journal-title":"Inform Health Soc Care"},{"key":"B31","doi-asserted-by":"publisher","first-page":"163","DOI":"10.3109\/14767058.2011.607582","article-title":"The electronic medical record: pros and cons","volume":"24","author":"Ventura","year":"2011","journal-title":"J Matern Fetal Neonatal Med"},{"key":"B32","doi-asserted-by":"publisher","first-page":"1479","DOI":"10.1007\/s10278-020-00359-5","article-title":"Patient access to an online portal for outpatient radiological images and reports: two years\u2019 experience","volume":"33","author":"Cristofaro","year":"2020","journal-title":"J Digit Imaging"},{"key":"B33","doi-asserted-by":"publisher","first-page":"571","DOI":"10.1016\/j.icte.2023.02.007","article-title":"Digitization of healthcare sector: a study on privacy and security concerns","volume":"9","author":"Paul","year":"2023","journal-title":"ICT Express"},{"key":"B34","article-title":"FHIR\u00ae\u2014Fast Healthcare Interoperability Resources [Internet]","year":""},{"key":"B35","article-title":"SMART Health Links [Internet]","year":""},{"key":"B36","doi-asserted-by":"publisher","DOI":"10.3389\/fdgth.2021.654234","article-title":"Operating an eHealth system for prehospital and emergency health care support in light of COVID-19","volume":"3","author":"Kyriacou","year":"2021","journal-title":"Front Dig Health"},{"key":"B37","article-title":"React Native [Internet]","year":""},{"key":"B38","article-title":"C# documentation [Internet]","year":""},{"key":"B39","volume-title":"Electronic Cross-border health Services [Internet]","year":"2024"},{"key":"B40","first-page":"617","article-title":"OpenNCP: a novel framework to foster cross-border e-health services","volume-title":"Digital Healthcare Empowering Europeans","author":"Fonseca","year":"2015"},{"key":"B41","volume-title":"Master Value Catalogue [Internet]","year":"2023"},{"key":"B42","volume-title":"SNOMED CT [Internet]","year":"2023"},{"key":"B43","volume-title":"International Statistical Classification of Diseases and Related Health Problems (ICD) [Internet]","year":"2022"},{"key":"B44","volume-title":"LOINC [Internet]","year":"2024"},{"key":"B45","article-title":"PATHeD (Enabling Patient Access to their Health Data) Results [Internet]","year":""},{"key":"B46","first-page":"4","article-title":"SUS: a quick and dirty usability scale","volume-title":"Usability Evaluation in Industry","author":"Brooke","year":"1996"},{"key":"B47","first-page":"1599","article-title":"Comparison of three one-question, post-task usability questionnaires","author":"Sauro","year":""},{"key":"B48","first-page":"383","article-title":"Applying the user experience questionnaire (UEQ) in different evaluation scenarios","author":"Schrepp","year":"2014"},{"key":"B49","first-page":"10","article-title":"Net promoter score","volume":"10","author":"Score","year":"2018","journal-title":"Work"},{"key":"B50","article-title":"Python Language Reference, version 3.x [Internet]","year":""},{"key":"B51","volume-title":"pandas-dev\/pandas: Pandas","year":"2020"},{"key":"B52","article-title":"Google Colaboratory","year":"2024"},{"key":"B53","doi-asserted-by":"publisher","first-page":"3021","DOI":"10.21105\/joss.03021","article-title":"Seaborn: statistical data visualization","volume":"6","author":"Waskom","year":"2021","journal-title":"J Open Source Softw"},{"key":"B54","doi-asserted-by":"publisher","first-page":"90","DOI":"10.1109\/MCSE.2007.55","article-title":"Matplotlib: a 2D graphics environment","volume":"9","author":"Hunter","year":"2007","journal-title":"Comput Sci Eng"},{"key":"B55","article-title":"Set up and view your Medical ID [Internet]","year":""},{"key":"B56","article-title":"How to use Galaxy device in an emergency to contact emergency contacts and view important medical information [Internet]","year":""},{"key":"B57","first-page":"73","article-title":"Can multilingual machine translation help make medical record content more comprehensible to patients?","volume-title":"MEDINFO 2010","author":"Zeng-Treitler","year":"2010"},{"key":"B58","doi-asserted-by":"publisher","first-page":"74","DOI":"10.1353\/hpu.2007.0009","article-title":"Quality in medical translations: a review","volume":"18","author":"Garcia-Castillo","year":"2007","journal-title":"J Health Care Poor Underserved"},{"key":"B59","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g7392","article-title":"Use of google translate in medical communication: evaluation of accuracy","volume":"349","author":"Patil","year":"2014","journal-title":"Br Med J"},{"key":"B60","first-page":"Ih-XXIh","article-title":"Diffusion of e-health tools and services to their users: the example of \u201cmon espace sant\u00e9\u201d in France","volume":"12","author":"Hayar","year":"2024","journal-title":"Gestion et Management Public"},{"key":"B61","volume-title":"Elektronische Patientenakte [Internet]","year":"2021"},{"key":"B62","volume-title":"SNS24 [Internet]","year":"2023"},{"key":"B63","volume-title":"La Meva Salut [Internet]","year":"2021"},{"key":"B64","first-page":"82","article-title":"Mobile access and adoption of the Swedish national patient portal","volume-title":"Integrated Citizen Centered Digital Health and Social Care","author":"H\u00e4gglund","year":"2020"},{"key":"B65","doi-asserted-by":"publisher","first-page":"e932","DOI":"10.3399\/BJGP.2022.0150","article-title":"Uptake and adoption of the NHS app in England: an observational study","volume":"73","author":"Sukriti","year":"2023","journal-title":"British Journal of General Practice"},{"key":"B66","article-title":"Challenges of electronic health record systems\u2014professional and data quality viewpoints","volume-title":"Nordic Collaboration in e-Health Standards","author":"Andersson","year":"2024"},{"key":"B67","volume-title":"IHE IT Infrastructure Summer 2024 [Internet]","author":"Moehrke","year":"2024"}],"container-title":["Frontiers in Digital Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fdgth.2025.1542485\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T06:52:43Z","timestamp":1739861563000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fdgth.2025.1542485\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,18]]},"references-count":67,"alternative-id":["10.3389\/fdgth.2025.1542485"],"URL":"https:\/\/doi.org\/10.3389\/fdgth.2025.1542485","relation":{},"ISSN":["2673-253X"],"issn-type":[{"value":"2673-253X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,18]]},"article-number":"1542485"}}