According to JMIR Publications, Digital health systems, as well as creative care delivery inside them,

have a lot of promise to improve national health care and improve patient outcomes. However, only a
few countries now have structures in place that can scale up digital initiatives. This is due in part to a
scarcity of compatible electronic health records (EHRs). When data on an individual or population is
distributed across numerous incompatible systems, making decisions for that person or population is
challenging. With the goal of promoting EHR evolution and advocating for frameworks that develop
digital health systems that serve population. Digital health systems may be able to function on a national
scale rather than piecemeal or in isolation once digital health records are interoperable. Digital health
coaching, individualized care delivery, and improved quality of care could all help with the treatment of
noncommunicable diseases. Furthermore, hundreds of patients may share symptoms or side effects, or
respond in predictable ways, resulting in new treatments and customized medicine, as well as the
development of new disease surveillance technologies. We can't investigate or develop these tools
without first gathering and sharing patient data according to a common set of (safe) criteria.

https://medinform.jmir.org/2019/4/e12712

Dr. Marcelo of eHealth Network states, that the twenty-first century has been dubbed the "information
age," and it has the potential to transform the health-care industry. With individuals can now afford to
own computers thanks to decreased hardware costs and the introduction of open systems interfaces
take a more active role in transactions involving their personal information. This engagement is more
important in no other domain than health, where intimate and personal data must be shared with
physicians and healthcare facilities in order to get the most cost-effective solution to any health issue.
Much of the policy underpinning for electronic-based transactions in the United States is provided by
the Electronic Commerce Act of 2000. Electronic health records would be included in the Philippines.
Electronic Health Records Philippines 2006 is a recent publication. During the conference, we discovered
various applications that had elements of an electronic health record. The Community Health
Information Tracking System (CHITS) is a Philippine government-run information system that helps local
health centers manage administrative and clinical responsibilities. The Integrated Surgical Information
System (ISIS) is a patient registry at the Philippine General Hospital that manages data about surgical
patients. Health facilities, particularly providers' clinics, do not disclose electronic data as a matter of
course.to their patients, in whole or in part. Health facilities, particularly providers' clinics, do not
disclose electronic data as a matter of course to their patients, in whole or in part. The data is usually in
paper format and adheres to a set of rules. Clinical abstracts or medical certificates are examples of
templates. A patient will rarely receive a complete medical record from a practitioner. More detailed
and complicated papers, such as operating records and surgical techniques, are only available from the
hospitals where the surgeries were performed.

https://ehealth.eletsonline.com/2007/06/a-framework-for-the-philippines-phr-dr-alvin-b-marcel

 Marcelo, A. (2007). A Framework for Personal Health Records in the Philippines.

Retrieved from: http://ehealth.eletsonline.com/2007/06/10988/
 Despite the lack of a national strategy, the CHITS (Community Health Information and Tracking System),
the Philippines' first extensively utilized electronic medical record system, has endured over time and
progressively expanded its geographic footprint. This study examines the evolution of CHITS, as well as
the enabling factors and challenges that have influenced its adoption, as well as its continued use and
expansion over the course of eight years (2004–2012) using the HOT-fit model. A case study technique
was adopted in this paper. CHITS was created using user-centric tactics that were collaborative and
participatory. CHITS is credited with increasing efficiency, improving data quality, streamlining records
management, and improving morale among government health professionals. Its longevity and
expansion as a result of peer and local policy adoption demonstrates that it is a well-built eHealth
technology. While a growing number of local governments have adopted computerization, end-users',
program managers', and policy-makers' needs continue to evolve. CHITS has already faced challenges in
terms of staying technically sound, current, and scalable. Data sharing and utilization across multiple
information systems is hampered by a lack of standards. To accomplish overall development goals,
infrastructure for energy and connection, particularly in rural areas, must be created more quickly.

https://actamedicaphilippina.upm.edu.ph/index.php/acta/article/view/769/679

Electronic health records are a useful tool for improving health surveillance and evaluation, as well as
informing people about their health. Making clinical decisions Although they have been implemented in
a variety of settings, including low- and middle-income countries, little is known about the progress and
effectiveness of such information systems throughout Asia to assess the suitability of EHR systems for
usage at a population health level in Asia, as well as to determine their existing role in public health,
important success factors, and potential implementation roadblocks. EHR systems have come a long way
in terms of capability and advancement. Access to resources, addressing organizational issues, and using
well-thought-out methodologies in the development of EHR projects should all go a long way toward
removing potential hurdles to EHR adoption. EHR has significant benefits that go beyond individual
clinical decision-making in terms of identifying illness patterns, seasonal and worldwide trends, and
potential hazards to patients vulnerable populations, as well as to improve cross-sector coordination of
care. Understanding EHR's potential capabilities and problems, as emphasized in this paper, will aid in
the formulation and execution of public health initiatives in Asia to address present needs and detect
future concerns. Concerns about the staff preventing reluctance to embrace new practices and
assuaging worries about the management of and workloads connected with the new system can be
accomplished by utilizing new ICT interventions prior to installation. Explorations like this may aid
implementation inside a health system or throughout an organization, allowing for a more personalized
approach to implementation. EHR interventions that are contextualized based on specific externalities
that may provide challenges but cannot be addressed at the implementation level. The difficulty for
public health practitioners is that as EHR and EHR systems advance, the gap between high- and low- and
middle-income nations expands, raising the risk of the most vulnerable people falling further behind in
the delivery of effective healthcare and public health policies. While affluent countries like the United
States and the United Kingdom have pioneered the use of EHR, little is known about the advancement
and usefulness of equivalent information systems in Asia. Understanding the progress made and the
techniques used to adapt EHR to various settings in Asia lets practitioners to acquire useful lessons and
develop effective systems to promote and improve individual and community health. (Dornan, L.,
Pinyopornpanish, K., Jiraporncharoen, W., et al., 2019
https://www.hindawi.com/journals/bmri/2019/7341841/

Traditionally, public health surveillance has relied on manual processes, such as clinicians' paper-based
reporting. While electronic laboratory reporting has improved the efficiency and completeness of
infectious disease surveillance, clinical and risk factor data is still frequently obtained manually. By
automatically collecting this data and expanding surveillance to chronic diseases, the adoption of
electronic health records (EHR) holds a lot of promise for enriching surveillance (e.g., diabetes,
hypertension, obesity). However, the extent to which EHRs are used for public monitoring has not been
well investigated. EHRs should be explored by surveillance practitioners in collaboration with health
systems and EHR vendors. By incorporating requirements into Meaningful Use and other efforts,
policymakers can improve financial support for EHR-based surveillance. Furthermore, clinical medicine
and public health should collaborate to develop relevant surveillance methods that can improve
individual and population treatment at the same time. Public health practitioners should talk to health
systems and EHR vendors about how they employ surveillance, and they should share what they've
learned from attempting to build EHR-based surveillance systems. Policymakers in public health and
informatics should think of methods to boost support for EHR-based surveillance systems, such as
incorporating mandates into Meaningful Use and other federal health IT projects. Furthermore, clinical
medicine and public health should collaborate to develop relevant surveillance methods that can
improve individual and population treatment at the same time. (Birkhead, G., Klompas, M., Shah, N.,
2015)

https://uknowledge.uky.edu/frontiersinphssr/vol4/iss5/5/