Title :
The Dutch Nationwide Electronic Health Record: Why the Centralised Services Architecture?
Author_Institution :
Logica Nederland, Amstelveen, Netherlands
Abstract :
The Dutch nationwide electronic health record (EHR) consists of a healthcare information broker (HIB) and all connected healthcare information systems with their local EHR´s. All exchange of patient data between healthcare providers passes through the HIB. Why was this centralised services architecture chosen? Why not a distributed services architecture, where all patient data is exchanged directly between the healthcare providers? This paper evaluates both architectures on technical and organisational aspects, partly based on practical experience.
Keywords :
health care; medical information systems; organisational aspects; Dutch nationwide electronic health record; centralised services architecture; distributed services architecture; healthcare information broker; healthcare information systems; healthcare providers; organisational aspects; technical aspects; Authorization; Computer architecture; Hospitals; Information systems; Registers; Virtual private networks; EHR; Nictiz; healthcare information broker; nationwide electronic health record;
Conference_Titel :
Software Architecture (WICSA), 2011 9th Working IEEE/IFIP Conference on
Conference_Location :
Boulder, CO
Print_ISBN :
978-1-61284-399-5
Electronic_ISBN :
978-0-7695-4351-2
DOI :
10.1109/WICSA.2011.31
