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Title Building National Electronic Medical Record Systems via the World-Wide-Web
Author(s) Isaac S. Kohane, MD, PhD; Philip Greenspun, MS; James Fackler, MD; Christopher Cimino, MD; Peter Szolovits, PhD
Source Journal of the American Medical Informatics Association, Vol. 3, No. 3, Pages 197-206
Publication Date May/June 1996
Abstract Electronic medical record systems (EMRSs) currently do not lend themselves easily to cross-institutional clinical care and research. Unique system designs coupled with a lack of standards have led to this difficulty. The authors have designed a preliminary EMRS architecture (W3-EMRS) that exploits the multiplatform, multiprotocol, client-server technology of the World-Wide-Web. The architecture abstracts the clinical information model and the visual presentation away from the underlying EMRS. As a result, computation upon data elements of the EMRS and their presentation are no longer tied to the underlying EMRS structures. The architecture is intended to enable implementation of programs that provide uniform access to multiple, heterogenous legacy EMRSs. The authors have implemented an initial prototype of W3-EMRS that accesses the database of the Boston Children's Hospital Clinician's Workstation.

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