Design and evolution of the Seafarer's Health Passport for supporting (tele)-medical assistance to seafarers.

BACKGROUND: Seafarers undergo periodic medical examination for their employment. This information inmost cases is not effectively used when requesting for medical assistance during service on board ships.The medical history of an individual is important for provision of medical care and can be critical to theoutcome. There is growing adoption of digital applications and electronic health records that are addinggreat value to the care provided. The Seafarer's Health Passport (SHP) is an application specifically designedfor improving the quality of medical assistance provided to seafarers both through telemedicineor classic medical check-ups in ports/hospitals worldwide. The SHP provides a secure and unique way toarchive and retrieve the seafarer's medical history in an electronic support. MATERIALS AND METHODS: The SHP that we have developed is a product with specific hardware and softwarespecifications. The basic features of this software are Linux operating system Debian/Ubuntu, ApacheWeb server 2.x, Server database MySQL/Maria DB PHP programming language 5.6.xx, and secure connectionin https. RESULTS: The SHP represents a helpful hint to physicians providing medical advices to seafarers enablingthem to make more decisions that are informed and curtailing possible complications due to misdiagnosis. CONCLUSIONS: Provision of high quality medical assistance requires knowledge of patient's medical history.The availability of an easy access and friendly use system of own medical history is useful for a populationof travellers, such as seafarers to guarantee a reasonable level of medical care at any time.