Peng Charlie, Kesarinath Gautam, Brinks Tom, Young James, Groves David
SAIC, Atlanta, GA, USA.
AMIA Annu Symp Proc. 2009 Nov 14;2009:516-20.
The interchange of electronic health records between healthcare providers and public health organizations has become an increasingly desirable tool in reducing healthcare costs, improving healthcare quality, and protecting population health. Assuring privacy and security in nationwide sharing of Electronic Health Records (EHR) in an environment such as GRID has become a top challenge and concern. The Centers for Disease Control and Prevention's (CDC) and The Science Application International Corporation (SAIC) have jointly conducted a proof of concept study to find and build a common secure and reliable messaging platform (the SRM Platform) to handle this challenge. The SRM Platform is built on the open standards of OASIS, World Wide Web Consortium (W3C) web-services standards, and Web Services Interoperability (WS-I) specifications to provide the secure transport of sensitive EHR or electronic medical records (EMR). Transmitted data may be in any digital form including text, data, and binary files, such as images. This paper identifies the business use cases, architecture, test results, and new connectivity options for disparate health networks among PHIN, NHIN, Grid, and others.
医疗服务提供者与公共卫生组织之间电子健康记录的交换，已日益成为降低医疗成本、提高医疗质量以及保护民众健康的一项理想工具。在诸如网格（GRID）这样的环境中，确保全国范围内电子健康记录（EHR）共享的隐私性和安全性，已成为一项首要挑战和关切问题。美国疾病控制与预防中心（CDC）和科学应用国际公司（SAIC）联合开展了一项概念验证研究，以寻找并构建一个通用的安全可靠消息传递平台（即SRM平台）来应对这一挑战。SRM平台基于绿洲（OASIS）开放标准、万维网联盟（W3C）网络服务标准以及网络服务互操作性（WS - I）规范构建而成，用于提供敏感电子健康记录或电子病历（EMR）的安全传输。传输的数据可以是任何数字形式，包括文本、数据以及二进制文件，如图像。本文确定了PHIN、NHIN、网格及其他不同健康网络的业务用例、架构、测试结果以及新的连接选项。
