title: Sharing electronic medical records across multiple heterogeneous and competing institutions.
abstract: Most early reports of implemented World-Wide Web (W3) medical record systems describe single institution architectures. We describe W3-EMRS, a multi-institutional architecture, and its implementation. Thorny problems in data sharing underlined by the W3-EMRS project are reviewed.
authors.affiliation: Children's Hospital Informatics Program, Boston, MA, USA.
authors.forename: I S
authors.initials: IS
authors.lastname: Kohane
authors.forename: F J
authors.initials: FJ
authors.lastname: van Wingerde
authors.forename: J C
authors.initials: JC
authors.lastname: Fackler
authors.forename: C
authors.initials: C
authors.lastname: Cimino
authors.forename: P
authors.initials: P
authors.lastname: Kilbridge
authors.forename: S
authors.initials: S
authors.lastname: Murphy
authors.forename: H
authors.initials: H
authors.lastname: Chueh
authors.forename: D
authors.initials: D
authors.lastname: Rind
authors.forename: C
authors.initials: C
authors.lastname: Safran
authors.forename: O
authors.initials: O
authors.lastname: Barnett
authors.forename: P
authors.initials: P
authors.lastname: Szolovits
mesh_terms: D003195:Computer Communication Networks / Q000592:standards; D016494:Computer Security; D003199:Computer Systems; D003219:Confidentiality; D006751:Hospital Information Systems; D008498:Medical Record Linkage / Q000295:instrumentation / Q000379:methods*; D016347:Medical Records Systems, Computerized / Q000295:instrumentation; D012984:Software; D018875:Vocabulary, Controlled