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Publication
Communications of the ACM
Paper
Enabling the 21st century health care information technology revolution
Abstract
Several modern technologies that are collectively known as the Hippocratic Database for addressing the findings and recommendations regarding electronic health record maintenance, computer assisted decision support, and exchange of health information are discussed. The US government's vision of the health care information infrastructure is possible using technologies that support the sharing of medical e-records, while maintaining patient privacy. The technologies enables the sharing of medical knowledge through computer assisted clinical decision support and facilitate computerized order entry among the providers for test. Active Enforcement (AE) is an agnostic middleware solution that responds to the emerging privacy and security requirements with three main phases including policy creation stage, preference renegotiation stage, and application data retrieval phase.