title: Architectural strategies and issues with health information exchange.
abstract: 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.
authors.affiliation: Department of Biomedical Informatics, Columbia University, New York, NY, USA.
authors.forename: Adam
authors.initials: A
authors.lastname: Wilcox
authors.forename: Gilad
authors.initials: G
authors.lastname: Kuperman
authors.forename: David A
authors.initials: DA
authors.lastname: Dorr
authors.forename: George
authors.initials: G
authors.lastname: Hripcsak
authors.forename: Scott P
authors.initials: SP
authors.lastname: Narus
authors.forename: Sidney N
authors.initials: SN
authors.lastname: Thornton
authors.forename: R Scott
authors.initials: RS
authors.lastname: Evans
mesh_terms: 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