Federated and Centralized IT Architecture Models for Portable EHRs
(11/14/2005) HCT Project Volume 3
By John Quinn, Accenture
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Approaches to IT architecture to support the goals of portable EHRs have been discussed throughout
the healthcare industry.
The two main high-level architectural models — federated
and centralized — are in development or already implemented
in various configurations around the world.
However, the U.S. healthcare industry faces unique constraints
on how information can be organized and shared, which will
shape the particular features of either model.
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