The convergence of patient-reported outcome (PRO) measures, electronic health records (EHR) development, and comparative effectiveness research (CER) movement. Note the increased adoption of electronic solutions for patient-reported outcome measures, the electronic conversion of medical records and emphasis on patient-centered solutions; and, the shift in emphasis of comparative effectiveness research to more patient-centered outcomes research (PCOR).
HSM=Health Status Measurement
HRQOL=Health Related Quality of Life
PRO = Patient Reported Outcome
PROMIS = Patient-Reported Outcomes Measurement Information System
PCOR=Patient Centered Outcomes Research
PHR=Personal Health Record
CER=Comparative Effectiveness Research
EHR=Electronic Health Record
Circles indicate measurement of PROs
Triangles indicate the comparative effectiveness research field
Squares indicate the predominant forms of medical records