The Roadmap for Sharing Electronic Health Records: The Emerging Ubiquity and Cloud Computing Trends

  • Sabah Mohammed
  • Jinan Fiaidhi
Part of the Lecture Notes in Computer Science book series (LNCS, volume 6485)


Medical paper-based records have been in existence for decades and their gradual replacement by computer-based records has been slowly underway for over twenty years in healthcare systems. Computerized information systems have not achieved the same degree of penetration in healthcare as that seen in other sectors such as finance, transport and the manufacturing and retail industries. Further, deployment has varied greatly from country to country and from specialty to specialty and in many cases has revolved around local systems designed for local use. Electronic medical record systems lie at the center of any computerized health information system. Without them other modern technologies such as disease surveillance systems cannot be effectively integrated into routine clinical workflow. The paperless, interoperable, multi-provider, multi-specialty, multi-discipline computerized medical record, which has been a goal for many researchers, healthcare professionals, administrators and politicians for the past two decades, is however about to become reality in many countries. This article provides a roadmap vision based on the emerging web technologies that hold great promise for addressing the challenge of sharing electronic health records. It starts with addressing the ubiquity trend and how it can be realized based on the new cloud computing paradigm to share electronic heath records like the community of care records/documents (CCRs, CCDs). The article also addresses the security concerns related to sharing electronic health records over the cloud.


Cloud Computing Electronic Health Record Identity Management Electronic Medical Record System Computerize Information System 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Hoffman, R.R., Militello, L.G.: Perspectives on cognitive task analysis: Historical origins and modern communities of practice. Psychology Press, New York (2009)Google Scholar
  2. 2.
    Horsky, J., Zhang, J., Patel, V.L.: To err is not entirely human: Complex technology and user cognition. J. Biomed. Inform. 38(4), 264–266 (2005)CrossRefGoogle Scholar
  3. 3.
    Wooldridge, M., Jennings, N.R.: The Cooperative Problem-Solving Process. Journal of Logic Computation 9(4), 563–592 (1999)MathSciNetCrossRefzbMATHGoogle Scholar
  4. 4.
    Jung, Y., Lee, J., Kim, M.: Community Computing Model supporting Community Situation based Cooperation and Conflict Resolution. In: Obermaisser, R., Nah, Y., Puschner, P., Rammig, F.J. (eds.) SEUS 2007. LNCS, vol. 4761, pp. 47–56. Springer, Heidelberg (2007)CrossRefGoogle Scholar
  5. 5.
    Eng, T.R.: The eHealth Landscape: A Terrain Map of Emerging Information and Communication Technologies in Health and Health Care. The Robert Wood Johnson Foundation, Princeton (2001)Google Scholar
  6. 6.
    Weiss, A.: Computing in the Clouds. Networker 11(4), 16–25 (2007)MathSciNetCrossRefGoogle Scholar
  7. 7.
    Jones, M.T.: Cloud computing with Linux Cloud computing platforms and applications, IBM Research Journal (2008), (retrieved on April 25, 2009)
  8. 8.
    Kaliski, B.: Multi-tenant Cloud Computing: From Cruise Liners to Container Ships. In: Third Asia-Pacific Trusted Infrastructure Technologies Conference (APTC), p. 4 (2008)Google Scholar
  9. 9.
    Hutchinson, C., Ward, J., Castilon, K.: Navigating the Next-Generation Application Architecture. IT Professional 11(2), 18–22 (2009)CrossRefGoogle Scholar
  10. 10.
    Mohammed, S., Fiaidhi, J. (eds.): Ubiquitous Health and Medical Informatics: The Ubiquity 2.0 Trend and Beyond. IGI Global (2010) ISBN13: 9781615207770Google Scholar
  11. 11.
    Waldren, S.: Introduction to CCR Standard and XML Schema. Video presentation,
  12. 12.
    Conner, K.: Understanding CCR. Health blog posting,
  13. 13.
    Longstaff, D.: Contentious Crop: Harvesting Information from Electronic Health Records, Australian National University (2005),
  14. 14.
    Van De Belt, T.H.: Definition of Health 2.0 and Medicine 2.0: A Systematic Review. J Med. Internet Res. 12(2), e18 (2010)CrossRefGoogle Scholar
  15. 15.
    Greenshpan, O., et al.: Towards Health 2.0: Mashups to the rescue. In: 7th Int. Conf. on Next Generation Information Technologies and Systems, pp. 63–72 (2009)Google Scholar
  16. 16.
    El Maliki, T., Seigneur, J.M.: A Survey of User-centric Identity Management Technologies. In: Int. Conf. on Emerging Security Information, Systems and Technologies, IEEE SECUREWARE (2007)Google Scholar
  17. 17.
    Hansen, M.A.: User-controlled identity management: The key to the future of privacy? International Journal of Intellectual Property Management 2(4), 325–344 (2008)CrossRefGoogle Scholar
  18. 18.
    Hamlin, K.: Identity 2.0 Gathering: Getting to the Promised Land (2005), (retrieved on January 25, 2009)
  19. 19.
    Geelan, J.: The Cloud Computing Ecosystem: The Top 100 Cloud Players. Journal of Cloud Computing (January 13, 2009)Google Scholar
  20. 20.
    Rowley, R.: Is Cloud Computing Right for Health IT? EHR Bloggers, August 6 (2009),

Copyright information

© Springer-Verlag Berlin Heidelberg 2010

Authors and Affiliations

  • Sabah Mohammed
    • 1
  • Jinan Fiaidhi
    • 1
  1. 1.Department of Computer ScienceLakehead UniversityCanada

Personalised recommendations