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Cybersecurity design considerations for cross-boundary clinical decision support

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Abstract

The idea of cross-boundary clinical decision support has the potential to transform the design of open data and decision support platforms through a connected system that allows for harnessing of information and peer opinion across geographical and organizational boundaries for more effective decision making. In health care, cross-boundary clinical decision systems pose a major challenge from the perspective of e-security design. When clinical decision support systems, which essentially enable the transfer and storage of patient data, become cross-boundary systems, the protection of this data at different storage locations and in transit becomes more challenging. In this paper, we present a model of awareness for cross-boundary clinical decision support, which takes account of the concept of work practice as a design feature for enabling context-aware information sharing and secured health data management in cross-boundary clinical decision support. The proposed model is based on the practice theoretic paradigm and draws from a notion of context awareness as an interaction problem with a view to representing work practices as a context parameter for the design of computational systems for cross-boundary decision support. We illustrate how the approach addresses key security and privacy challenges in clinical decision support systems for cross-boundary support.

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Authors and Affiliations

  1. Google Inc., Mountain View, CA, USA

    Obinna Anya

  2. School of Computing, Creative Technology and Engineering, Leeds Beckett University, Leeds, UK

    Hissam Tawfik

  3. Department of Information Technology, Khawarizmi International College, Abu Dhabi, UAE

    Mohammed M. Alani

  4. College of Engineering, Mathematics and Physical Sciences, University of Exeter, Exeter, UK

    Jia Hu

Authors
  1. Obinna Anya
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  2. Hissam Tawfik
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  3. Mohammed M. Alani
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  4. Jia Hu
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Correspondence to Mohammed M. Alani.

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Anya, O., Tawfik, H., Alani, M.M. et al. Cybersecurity design considerations for cross-boundary clinical decision support. J Reliable Intell Environ 5, 91–103 (2019). https://doi.org/10.1007/s40860-019-00076-z

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  • DOI: https://doi.org/10.1007/s40860-019-00076-z

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