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An e-consent-based shared EHR system architecture for integrated healthcare networks.

Joachim Bergmann¹, Oliver J Bott, Dietrich P Pretschner

¹Technical University of Braunschweig, Institute for Medical Informatics, Muehlenpfordtstr 23, 38106 Braunschweig, Germany. j.bergmann@mi.tu-bs.de

International Journal of Medical Informatics

|September 15, 2006

Summary

A new virtual shared electronic health record (EHR) architecture prioritizes patient control over data access. This patient-centered model enhances data integration while maintaining privacy through an electronic consent system.

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Area of Science:

Health Informatics
Computer Science
Medical Record Systems

Background:

Virtual integration of distributed patient data offers benefits over consolidated records.
Challenges include practicability and robust authorization models for shared health records.

Purpose of the Study:

To specify and develop a virtual shared health record architecture.
To implement a patient-centered integration and authorization model for distributed health data.

Main Methods:

Conducted a literature survey of current architectural approaches for shared health records.
Performed a methodical analysis in two regional settings.
Specified and implemented a formal architecture model for a virtual shared EHR.

Main Results:

Developed a virtual shared EHR architecture combining patient-centered integration with provider-oriented document management.
Implemented an electronic consent system for patient control over record access.
Created and are evaluating a system prototype in a regional setting.

Conclusions:

The proposed architecture can partially replace message-based communications in healthcare.
High availability of provider repositories for virtual EHRs necessitates advanced technology and may incur costs.
Successful adoption requires transparent integration of document validation and digital signatures into workflows; the shift to a "pull model" needs further evaluation.