A straightforward extension deriving directly from the analysis of the radiology use case is the integration with existing EMR systems. This is required to free the patient and caregivers from the burden of transferring to the PHR system
all health information and, consequently, is likely to foster adoption. In our opinion as developers of MyPHRMachines,
from the technical implementation standpoint, this extension does not represent a substantial obstacle.
About the research method, MyPHRMachines is currently fully implemented using real PHR data and real medical
application software. The system, however, has not yet been experimented in clinical settings by real patients. Thus, the
above discussion remains at a qualitative level, based on the analysis of the literature and qualitative interviews with key
health care stakeholders. Experimentation with actual patients will allow us to evaluate the people institutional factor related to MyPHRMachines adoption. This is important since review results have already pointed out that the positive attitude of patients towards PHRs does not translate automatically into their effective adoption [1], [24].