Off-campus Michigan Tech users: To download campus access theses or dissertations, please use the following button to log in with your Michigan Tech ID and password: log in to proxy server

Non-Michigan Tech users: Please talk to your librarian about requesting this thesis or dissertation through interlibrary loan.

Date of Award


Document Type

Campus Access Master's Report

Degree Name

Master of Science in Medical Informatics (MS)

Administrative Home Department

School of Technology

Advisor 1

Guy Hembroff

Committee Member 1

Donald Peck

Committee Member 2

Yu Cai


There have been long standing issues in regards to health information exchange. This report discusses the difficulty in the exchange of data for both behavioral and clinical health and proposes a possible solution to rectify the interactions between multiple electronic health records and C-CDAs utilizing eXist-db and PHP, which are both open source. Many times, behavioral and primary clinical health records do not interface due to the software manufacturers and their ability and willingness to work with other systems, but providers and patients are seeing the benefits of combined information for long term treatment of primary and behavioral health when these items are interfaced in addition to the patient’s interaction in their own care. It also covers the need for standardization for interface reuse, interoperability and security for protected health data.