Cloud Computing-Based Approach for Accessing Electronic Health Record for Healthcare Sector

Author(s):  
Ashish Kumar Mourya ◽  
Shafqat-Ul-Ahsaan ◽  
Sheikh Mohammad Idrees
Sensors ◽  
2020 ◽  
Vol 20 (10) ◽  
pp. 2913 ◽  
Author(s):  
MyeongHyun Kim ◽  
SungJin Yu ◽  
JoonYoung Lee ◽  
YoHan Park ◽  
YoungHo Park

In the traditional electronic health record (EHR) management system, each medical service center manages their own health records, respectively, which are difficult to share on the different medical platforms. Recently, blockchain technology is one of the popular alternatives to enable medical service centers based on different platforms to share EHRs. However, it is hard to store whole EHR data in blockchain because of the size and the price of blockchain. To resolve this problem, cloud computing is considered as a promising solution. Cloud computing offers advantageous properties such as storage availability and scalability. Unfortunately, the EHR system with cloud computing can be vulnerable to various attacks because the sensitive data is sent over a public channel. We propose the secure protocol for cloud-assisted EHR system using blockchain. In the proposed scheme, blockchain technology is used to provide data integrity and access control using log transactions and the cloud server stores and manages the patient’s EHRs to provide secure storage resources. We use an elliptic curve cryptosystems (ECC) to provide secure health data sharing with cloud computing. We demonstrate that the proposed EHR system can prevent various attacks by using informal security analysis and automated validation of internet security protocols and applications (AVISPA) simulation. Furthermore, we prove that the proposed EHR system provides secure mutual authentication using BAN logic analysis. We then compare the computation overhead, communication overhead, and security properties with existing schemes. Consequently, the proposed EHR system is suitable for the practical healthcare system considering security and efficiency.


Author(s):  
José Alberto Maldonado ◽  
Diego Boscá ◽  
David Moner ◽  
Montserrat Robles

Normalization of data is a prerequisite to achieve semantic interoperability in any domain. This is even more important in the healthcare sector due to the special sensitivity of medical data: data exchange must be done in a meaningful way, avoiding any possibility of misunderstanding or misinterpretation. In this chapter, we present the LinkEHR system for clinical data standardization and exchange. The LinkEHR platform provides tools that simplify meaningful sharing of electronic health records between different systems and organizations. Key contributions of LinkEHR are the development of a powerful medical concept, expressed in the form of archetypes, editing framework based on formal semantics capable of handling multiple electronic health record architectures, the definition of high-level non-procedural mappings to describe the relationship between archetype and legacy clinical data and the semi-automatic generation of XQuery scripts that transform legacy data into XML documents compliant with the underlying electronic health record data architecture and at the same time satisfy the constraints imposed by the archetype.


Author(s):  
R. Josephius Arunkumar ◽  
R. Anbuselvi

Now-a-days, most hospitals and medical centers is to manage huge volume of patient’s medical records into database. It is essential to collect and access this information everywhere, to increase productivity and improve quality of health cares. Need to access electronic health information across the world and improve the quality of healthcare to patients will highlight importance of using cloud computing architecture in this area. But, despite the benefits of cloud computing applications for health care, the security challenges of cloud should be addressed. In this paper, we introduce and describe a new proposed model called Electronic Health Record with Multi-Clouds Databases. This model will ensure the privacy of persons in a network and multi-cloud environment using cryptographic algorithm and distributed storage. This model is able to store any type of data such as number, string, image, etc. in a cloud environment. The Electronic Health Record with Multi-Clouds Database prevent from illegal intrusion and access to data in cloud environment and provide services such as data integrity, confidentiality and permanent availability of data in a safe and secure way. The evaluation results of proposed method show that despite increasing time of information storage and retrieval and System overhead


2021 ◽  
pp. 1-14
Author(s):  
Derlis Gómez ◽  
Jesús Romero ◽  
Pablo López ◽  
José Vázquez ◽  
Cristian Cappo ◽  
...  

BACKGROUND: Current Electronic Health Record (EHR) systems are built using different data representation and information models, which makes difficult achieving information exchange. OBJECTIVE: Our aim was to propose a scalable architecture that allows the integration of information from different EHR systems. METHODS: A cloud-based EHR interoperable architecture is proposed through the standardization and integration of patient electronic health records. The data is stored in a cloud repository with high availability features. Stakeholders can retrieve the patient EHR by requesting only to the integrated data repository. The OpenEHR two-level approach is applied according to the HL7-FHIR standards. We validated our architecture by comparing it with 5 different works (CHISTAR, ARIEN, DIRAYA, LLPHR and INEHRIS) using a set of selected axes and a scoring method. RESULTS: The problem was reduced to a single point of communication between each EHR system and the integrated data repository. By combining cloud computing paradigm with selected health informatics standards, we obtained a generic and scalable architecture that complies 100% with interoperability requisites according to the evaluation framework applied. CONCLUSIONS: The architecture allowed the integration of several EHR systems, adapting them with the use of standards and ensuring the availability thanks to cloud computing features.


Author(s):  
Raghavendra Ganiga ◽  
M. Radhika Pai ◽  
M. M. Manohara Pai ◽  
Rajesh Kumar Sinha

2011 ◽  
Vol 21 (1) ◽  
pp. 18-22
Author(s):  
Rosemary Griffin

National legislation is in place to facilitate reform of the United States health care industry. The Health Care Information Technology and Clinical Health Act (HITECH) offers financial incentives to hospitals, physicians, and individual providers to establish an electronic health record that ultimately will link with the health information technology of other health care systems and providers. The information collected will facilitate patient safety, promote best practice, and track health trends such as smoking and childhood obesity.


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