title: Architecture evaluation for the implementation of a regional integrated electronic health record.
abstract: The interconnection between different healthcare information systems is not yet a trivial task. Solid communication infrastructures do exist, solid solutions for Health Information Systems (HIS) are installed, but, unfortunately, too many different solutions hinder the integration of HIS at a regional, national or European level.In this paper we propose a solution and an implementation of an Integrated Electronic Health Record that is a composition of two distinct integration models - centralized and distributed. We exploit this solution against a set of predefined users and institutional requirements, at a regional level in two Portuguese regions. As a conclusion, an evaluation of the cost and inherent benefits is made involving the clinical, economical and organizational perspectives.
authors.affiliation: University of Aveiro, DET/ IEETA, 3810-193 Aveiro, Portugal. dpolonia@ieeta.pt
authors.forename: Daniel Ferreira
authors.initials: DF
authors.lastname: Polónia
authors.forename: Carlos
authors.initials: C
authors.lastname: Costa
authors.forename: José Luis
authors.initials: JL
authors.lastname: Oliveira
mesh_terms: D003142:Communication; D057286:Electronic Health Records; D063005:Health Information Systems; D016347:Medical Records Systems, Computerized; D018511:Systems Integration