The PING Personally Controlled Electronic Medical Record System: Technical Architecture
- Affiliations of the authors: Children's Hospital Informatics Program (WWS, KDM, ISK), Division of Emergency Medicine (WWS, KDM), and Division of Endocrinology (ISK), Children's Hospital Boston, Boston, MA; Harvard Medical School, Boston, MA (KDM, ISK)
- Correspondence and reprints: William W. Simons, MS, Children's Hospital Informatics Program, Enders 1, 300 Longwood Avenue, Boston, MA 02115; e-mail: <william.simons{at}childrens.harvard.edu>
- Received 26 March 2004
- Accepted 21 September 2004
Abstract
Despite progress in creating standardized clinical data models and interapplication protocols, the goal of creating a lifelong health care record remains mired in the pragmatics of interinstitutional competition, concerns about privacy and unnecessary disclosure, and the lack of a nationwide system for authenticating and authorizing access to medical information. The authors describe the architecture of a personally controlled health care record system, PING, that is not institutionally bound, is a free and open source, and meets the policy requirements that the authors have previously identified for health care delivery and population-wide research.
Footnotes
-
Supported by the National Library of Medicine through contracts N01-LM-3-3515 and N01-LM-9-3536.
-
The authors thank Matvey B. Palchuk, MD, MS, for his work on developing the original PING clinical document data model and access control model. They are grateful to Ulrich Sax, PhD, and Lucas Jordan for their ongoing effort in defining the new PING record and clinical document data models.
