Abstract
In autonomous distributed healthcare environments, patients’ electronic medical records are controlled and managed by each healthcare facility. It is important to ensure that when records are accessed and transferred that it is done securely, while still respecting patients’ rights on privacy and confidentiality of their personal health information. We propose a new tag-based data model for representing patients’ electronic medical records as well as access and transfer policy statements. This model helps to categorize the patient information, as well as expressing patients’ consent for a variety of domains (individual, health care provider and facility). Unlike most existing data models used in healthcare information systems, our model supports patients’ consent expression in terms of healthcare facilities, healthcare providers, their roles, and categories of medical records or any combination of them within a single framework. Our model has been demonstrated by developing a prototype system using some trusted computing components.
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References
O’Keefe, C.M., Greenfield, P., Goodchild, A.: A Decentralised Approach to Electronic Consent and Health Information Access Control. Journal of Research and Practice in Information Technology 37(2), 161–178 (2005)
Chadwick, D., Mundy, D.: The secure electronic transfer of prescriptions. Healthcare Computing (2004)
Task Force on Medical Informatics: Safeguard Needed in Transfer of Patient Data. Pediatrics 98(5), 984–986 (1996)
Khayat, E.J., Abdallah, A.E.: A formal model for flat role-based access control. In: IEEE International Conference on Computer Systems and Applications, Tunisia (July 2003)
Evered, M., Bogeholz, S.: A case study in access control requirements for a health information system. In: Australasian Information Security Workshop 2004 (2004)
Reid, J., Cheong, I., Henricksen, M., Smith, J.: A Novel Use of RBAC to Protect Privacy in Distributed Health Care Information Systems. In: Safavi-Naini, R., Seberry, J. (eds.) ACISP 2003. LNCS, vol. 2727, pp. 403–415. Springer, Heidelberg (2003)
Stein, L.D.: The Electronic Medical Record: Promises and Threats. Web Journal 2(3) (1997)
Huston, T.: Security Issues for Implementation of E-medical Records. Communication of the ACM 44(9), 89–94 (2001)
Choudhri, A., Kagal, L., Joshi, A., Finin, T., Yesha, Y.: PatientService: Electronic Patient Record Redaction and Delivery in Pervasive Environment. In: Fifth International Workshop on Enterprise Networking and Computing in Healthcare Industry (Healthcom 2003) (2003)
Motta, G.H.M.B., Furuie, S.S.: A Contextual Role-Based Access Control Authorization Model for Electronic Patient Record. IEEE Transactions on Information Technology in Biomedicine 7(3), 202–207 (2003)
Crook, R., Ince, D., Nuseibeh, B.: Modelling access policies using roles in requirements engineering. Information and Software Technology 45, 979–991 (2003)
OASIS. eXtensible Access Control Markup Language (XACML) Version 2.0 3 (2005), http://docs.oasis-open.org/xacml/2.0/access_control-xacml-2.0-core-spec-os.pdf
Ashley, P., Hada, S., Karjoth, G., Powers, C., Schunter, M.: Enterprise Privacy Authorization Language (EPAL 1.1), IBM Technical Report (2003)
Messerges, T.S., Dabbish, E.A.: Digital rights management in a 3G mobile phone and beyond. In: Proceedings of the 2003 ACM Workshop on Digital Rights Management, DRM 2003, Washington, DC, USA, October 27, pp. 27–38. ACM Press, New York (2003), http://doi.acm.org/10.1145/947380.947385
Open Mobile Alliance, DRM Architecture, version 2.0.6 (2004) OMA-DRM-ARCH-V2_0_6-20040820-C.zip at: http://www.openmobilealliance.org
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Nepal, S., Zic, J., Jaccard, F., Kraehenbuehl, G. (2006). A Tag-Based Data Model for Privacy-Preserving Medical Applications. In: Grust, T., et al. Current Trends in Database Technology – EDBT 2006. EDBT 2006. Lecture Notes in Computer Science, vol 4254. Springer, Berlin, Heidelberg. https://doi.org/10.1007/11896548_34
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DOI: https://doi.org/10.1007/11896548_34
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