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A survey and analysis of Electronic Healthcare Record standards
ACM Computing Surveys (CSUR)
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CTS '06 Proceedings of the International Symposium on Collaborative Technologies and Systems
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Information Resources Management Journal
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Many methodologies have been proposed in the last decade for integration and exchange of medical data. However, little progress has occurred due to the following reasons. First, patients are reluctant to give full access to their historical medical data. Second, institutions are reluctant to open their systems to mediators or any type of external access, due to security, privacy (HIPAA, unique patient id) and competitive advantage-related reasons.