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Learn why centralized data banks are not effective for health information exchange and how implementing a federated data management model can overcome challenges and ensure efficient data sharing across networks.
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Why Centralized Data Banks Won’t Work for Health Information Exchange Rex E. Gantenbein PhD, Senior Member IEEE Center for Rural Health Research and Education University of Wyoming
Centralized Data Management • Expensive to maintain • Availability depends on central system • Complex to ensure timely updates • Requires all participants to use compatible EHRs • Alternative is “interface engine” • Requires ID number for all individuals • Complicates interoperability beyond state/region
Federated Data Management • “Network of networks” • Cross-state interoperability scales up • Record locator can use public information • Local data is stored locally • Accessed only when needed for exchange • Providers/consumers determine what’s released • Data is as up to date as possible • Failure of a single system doesn’t affect others
Implementing a Federated Model • Web services support a lightweight mechanism for exchanging information • Support distributing information in a variety of formats • Minimize the amount of maintenance to an entity’s interface when others are added • Scale well when new systems are connected • XML is used to describe a class of a data object and behavior of a program • Uses tags to surround the data to define and group data • Readable by both humans and computers
Implementing a Federated Model • Web Service Description Language • Describes the functions available and their interfaces • Describes the parameters that the functions are expecting as well as the return types • File is usually put on a UDDI Directory Server advertising the service • Web service runs on an accessible server • Service accepts a request for information and returns the requested information • Messages are formatted according to the description file
Challenges to Interoperability • Defining an industry-wide standardized interface (HL7?) • Developing translation mechanisms for every platform to/from standardized interface • “Intelligent” patient identification scheme based on public information
Comments/Questions? rex@uwyo.eduhttp://www.uwyo.edu/rex