The Dutch Nationwide Electronic Health Record: Why the Centralised Services Architecture?

Author

de Smet, K.

Author_Institution

Logica Nederland, Amstelveen, Netherlands

fYear

2011

fDate

20-24 June 2011

Firstpage

181

Lastpage

186

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;

fLanguage

English

Publisher

ieee

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

Type

conf

DOI

10.1109/WICSA.2011.31

Filename

5959689