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Journal of the American Medical Informatics Association 4:458-464 (1997)
© 1997 American Medical Informatics Association

Application of Information Technology

A WWW Implementation of National Recommendations for Protecting Electronic Health Information

John D. Halamka, MD, Peter Szolovits, PhD, David Rind, MD and Charles Safran, MD, MS

Affiliations of the authors: Department of Medicine, Beth Israel Deaconess Medical Center and the Center for Clinical Computing, Harvard Medical School, Boston, MA (JDH, DR, CS); Laboratory for Computer Science, MIT, Cambridge, MA (PS).

Correspondence and reprints: John D. Halamka MD, Center for Clinical Computing, 350 Longwood Avenue, Boston, MA 02115. E-mail: jhalamka{at}bidmc.harvard.edu

Abstract In March of 1997, the National Research Council (NRC) of the National Academy of Sciences issued the report, "For the Record: Protecting Electronic Health Information." Concluding that the current practices at the majority of health care facilities in the United States are insufficient, the Council delineated both technical and organizational approaches to protecting electronic health information. The Beth Israel Deaconess Medical Center recently implemented a proof-of-concept, Web-based, cross-institutional medical record, CareWeb, which incorporates the NRC security and confidentiality recommendations. We report on our WWW implementation of the NRC recommendations and an initial evaluation of the balance between ease of use and confidentiality.




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Copyright © 1997 by the American Medical Informatics Association.