Architectural strategies and issues with health information exchange.
We present a model for architectural strategies and issues regarding health information exchange (HIE). This model is a continuum of options, between separated systems and a monolithic approach. We discuss characteristics, examples and potential impacts of each approach, based on generalized observations of practical implementations. The continuum model allows for approaches that mature from an initial implementation to a long-term strategy.
Wilcox
Adam
A
Department of Biomedical Informatics, Columbia University, New York, NY, USA.
Kuperman
Gilad
G
Dorr
David A
DA
Hripcsak
George
G
Narus
Scott P
SP
Thornton
Sidney N
SN
Evans
R Scott
RS
D003142:Communication; D003266:Continuity of Patient Care / Q000458:organization & administration*; D006801:Humans; D019451:Information Management; D007256:Information Systems / Q000458:organization & administration; D008498:Medical Record Linkage / Q000379:methods*; D008962:Models, Theoretical