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The Roadmap for Sharing Electronic Health Records:The Emerging Ubiquity and Cloud Computing Trends

机译：电子病历共享路线图：新兴的普及性和云计算趋势

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Medical paper-based records have been in existence for decades and their gradual replacement by computer-based records has been slowly underway for over twenty years in healthcare systems. Computerized information systems have not achieved the same degree of penetration in healthcare as that seen in other sectors such as finance, transport and the manufacturing and retail industries. Further, deployment has varied greatly from country to country and from specialty to specialty and in many cases has revolved around local systems designed for local use. Electronic medical record systems lie at the center of any computerized health information system. Without them other modern technologies such as disease surveillance systems cannot be effectively integrated into routine clinical workflow. The paperless, interoperable, multi-provider, multi-specialty, multi-discipline computerized medical record, which has been a goal for many researchers, healthcare professionals, administrators and politicians for the past two decades, is however about to become reality in many countries. This article provides a roadmap vision based on the emerging web technologies that hold great promise for addressing the challenge of sharing electronic health records. It starts with addressing the ubiquity trend and how it can be realized based on the new cloud computing paradigm to share electronic heath records like the community of care records/documents (CCRs, CCDs). The article also addresses the security concerns related to sharing electronic health records over the cloud.
机译：医疗用纸质记录已经存在了几十年，在医疗保健系统中，用计算机记录逐渐替代其已有了20多年的缓慢历史。在医疗保健领域，计算机信息系统的普及程度没有金融，运输，制造业和零售业等其他部门所能看到的那样。此外，部署因国家而异，并且因专业而异，并且在许多情况下围绕着为本地使用而设计的本地系统。电子病历系统位于任何计算机健康信息系统的中心。没有它们，其他现代技术（例如疾病监测系统）就无法有效地集成到常规临床工作流程中。无纸化，可互操作，多提供商，多专业，多学科的计算机化医疗记录，在过去的二十年中一直是许多研究人员，医疗保健专业人员，管理人员和政客的目标，但在许多国家/地区已经成为现实。本文提供了基于新兴Web技术的路线图愿景，这些技术有望解决共享电子病历的挑战。首先要解决普遍性趋势，以及如何基于新的云计算范例来实现这种趋势，以共享电子健康记录，例如护理记录/文件社区（CCR，CCD）。本文还解决了与通过云共享电子健康记录有关的安全问题。

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