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how will privacy and security practices determine which model (health information exchange: centralized,federated,and hybrid)is implemented?

how will privacy and security practices determine which model (health information exchange: centralized,federated,and hybrid)is implemented?
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Hybrid -federated model with decentralized model provide service as record locator service it tracks patient data and where they receive the service. It has two general forms are HIE organization managers participants data services at the dentral location this model id for clinical application without central repository sharing. The next model centralized model for analytic normally share data by sources, it facilitates data use about various people by providers and others to identify population-specific interest.
The centralized model is a shared clinical data for community resources it gives capable to supply more EHR security and privacy functionally. clinical data repository for health analytics for more proper performance and reporting for clinical decisions, care coordination and communication secure.

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