Table 1.

Table 1 Proposed Governance Structure

Function	Role	Description
• Information/Assessment Capacity	Chief Information Officer 1	Organizational overview of information capacity, strategy, and health information legislation
• Policy Formulation & Planning	Medical Informatician 2	Awareness of local and national PHR trends, overview of local users and their needs, IT and systems architecture advice
• Social Participation & Responsiveness	Patient 3	Representing the views of patients as PHR users
Accountability	Business Operations 4	Organizational accountability for cost benefit analysis, risk management and marketing
• Clinical Leadership	Clinician 5	Facilitate the patient-clinician-organization interface, provide clinical leadership

¹ May also include a chief medical information officer (CMIO).

² Medical informatics involves “all aspects of understanding and promoting the effective organization, analysis, management, and use of information in health care”. ¹⁵

³ Patient as a consumer and PHR end user.

⁴ Primarily administrative and non-clinical.

⁵ Registered medical practitioner in clinical practice.