IEEE Transactions on Information Technology in Biomedicine · 1998 · 87 citations · 7 references
ComputingHealth InformaticsElectronic Health RecordsHealth Data InteroperabilityHealth Information SystemsData ExchangeElectronic Health Record IntegrationHealth Information ArchitectureHealth Information Exchange StandardsHealth Information Network ArchitectureHealth Information SharingBroker ArchitectureElectronic Health Data SharingFederated Health Information ExchangeHealth Record InteroperabilityHealthcare Data ExchangeInteroperable Health Information ExchangeObject Request Broker ArchitectureShared Health Records
The ability to exchange in a meaningful, secure, and simple fashion relevant healthcare data about patients is seen as vital in the context of efficient and cost-effective shared or team-based care. The electronic healthcare record (EHCR) lies at the heart of this information exchange, and it follows that there is an urgent need to address the ability to share EHCR's or parts of records between carers and across distributed health information systems. This paper presents the Synapses approach to sharing based on a standardized shared record, the Federated Healthcare Record, which is implemented in an open and flexible manner using the Common Object Request Broker Architecture (CORBA). The architecture of the Federated Healthcare Record is based on the architecture proposed by the Technical Committee 251 of the European Committee for Standardization.
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