CareWeb™, a web-based medical record for an integrated health care delivery system
Abstract
With the advent of Integrated Health care Delivery Systems, medical records are increasingly distributed across multiple institutions. Timely access to these medical records is a critical need for health care providers. The CareWeb project provides an architecture for World Wide Web-based retrieval of electronic medical records from heterogeneous data sources. Using Health Level 7 (HL7), web technologies and readily available software components, we consolidated the electronic records of Boston's Beth Israel and Deaconess Hospitals. We report on the creation of CareWeb (freya.bidmc.harvard.edu/careweb.htm) and propose it as a means to electronically link Integrated Health care Delivery Systems and geographically distant information resources.
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During the pilot project phase from September 2017 through March 2018, clinicians at the intervention ED site used HIE significantly more (10.55%) than at other EDs (3.2%) during the study period (p < 0.001).
“The study found that clinicians at the intervention ED site used HIE significantly more (10.55%) than at other EDs (3.2%) during the study period (p < 0.001) [ [30, 32]].”
From Evolution of clinical Health Information Exchanges to population health resources: a case study of the Indiana network for patient care (2025) · cites this paper as [30]
Community HIEs typically do not integrate work and data flows directly with EHRs in health care practices and other organizations, resulting in workflow inefficiencies, increased information retrieval effort, and cognitive friction.
“Community HIEs typically do not integrate work and data flows directly with electronic health records (EHRs) in health care practices and other organizations. This lack of integration forces clinicians to access HIE data using a system separate from their EHR, resulting in workflow inefficiencies, increased information retrieval effort, and cognitive friction [30].”
From Evolution of clinical Health Information Exchanges to population health resources: a case study of the Indiana network for patient care (2025) · cites this paper as [30]
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- Authors
- Halamka, J. D., Osterland, C., & Safran, C.
- Affiliations
- Harvard University (US)
- Massachusetts Institute of Technology (US)
- Corresponding author
- Halamka, John D.
- ORCID
- Halamka, John D.
- Venue
- International Journal of Medical Informatics
- Publisher
- Elsevier BV
- Published
- 1999-04
- Volume
- 54
- Issue
- 1
- Pages
- 1-8
- ISSN
- 1386-5056 (ISSN-L)
- OpenAlex
- W1994084302
- Cited by
- 39
- References
- 4
- Citations by year
- 2025: 1 · 2023: 1 · 2021: 2 · 2020: 1 · 2017: 1 · 2016: 2 · 2015: 1 · 2013: 2 · 2012: 1
- FWCI
- 9.01
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Medical Informatics (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Public Health Service (U01-08749)
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Nursing › Issues, ethics and legal aspects › Nursing Diagnosis and Documentation
- Health Sciences › Health Professions › Health Information Management › Medical Coding and Health Information
- Keywords
- electronic health records, integrated health system, Health Level 7, heterogeneous data sources, hospital information system integration, Beth Israel Deaconess Medical Center
- MeSH terms
- Humans, Interinstitutional Relations, Medical Records Systems, Computerized, Computer Security, Delivery of Health Care, Integrated, Internet
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