The CO.R.E. Project. An Integrated Security Approach to Self-Monitoring and Medical Record Keeping

2019 ◽  
Vol 4 (1) ◽  
pp. 1-8
Author(s):  
Stavros Pitoglou ◽  
Vangelis Kostalas ◽  
Anna Paidi ◽  
Athanasios Anastasiou ◽  
Dimitrios Koutsouris

The widespread use of electronic Personal Health Records is considered of great importance, however, until today, there is no widely adopted application paradigm for the functional specifications of a modern ePHR due to absence of trust, inadequate data completeness and overall use complexity and “unfriendliness”. CO.R.E. (COnsolidation & Routing Engine) is an innovative approach towards the development of a health data consolidation and cloud access provision infrastructure, taking under consideration both the needs for wide adoption and the application of mission critical technologies in real production environments. The CO.R.E. infrastructure provides an environment for deploying medical record applications with central storage and individually controlled distributed access, ensuring: a) the absence of readable identifiers in any network communication among the involved systems and b) the inability (as much as modern cryptographic methods offer) of anyone - even the engineers working on the system - to correlate the stored medical data with their owner/physical person.

2016 ◽  
Vol 07 (04) ◽  
pp. 1154-1167
Author(s):  
Jaycelyn Holland ◽  
Stuart Weinberg ◽  
S. Rosenbloom ◽  
Laura Kaufman

Summary Background Approximately one fifth of school-aged children spend a significant portion of their year at residential summer camp, and a growing number have chronic medical conditions. Camp health records are essential for safe, efficient care and for transitions between camp and home providers, yet little research exists regarding these systems. Objective To survey residential summer camps for children to determine how camps create, store, and use camper health records. To raise awareness in the informatics community of the issues experienced by health providers working in a special pediatric care setting. Methods We designed a web-based electronic survey concerning medical recordkeeping and healthcare practices at summer camps. 953 camps accredited by the American Camp Association received the survey. Responses were consolidated and evaluated for trends and conclusions. Results Of 953 camps contacted, 298 (31%) responded to the survey. Among respondents, 49.3% stated that there was no computer available at the health center, and 14.8% of camps stated that there was not any computer available to health staff at all. 41.1% of camps stated that internet access was not available. The most common complaints concerning recordkeeping practices were time burden, adequate completion, and consistency. Conclusions Summer camps in the United States make efforts to appropriately document healthcare given to campers, but inconsistency and inefficiency may be barriers to staff productivity, staff satisfaction, and quality of care. Survey responses suggest that the current methods used by camps to document healthcare cause limitations in consistency, efficiency, and communications between providers, camp staff, and parents. As of 2012, survey respondents articulated need for a standard software to document summer camp healthcare practices that accounts for camp-specific needs. Improvement may be achieved if documentation software offers the networking capability, simplicity, pediatrics-specific features, and avoidance of technical jargon. Citation: Kaufman L, Holland J, Weinberg S, Rosenbloom ST. Medical record keeping in the summer camp setting.


Author(s):  
Chris Paton

This chapter outlines the recent advances in self-tracking technology both for wellness and healthcare purposes. It addresses one of the key challenges in mobile health: how to link the data from self-tracking devices with data in clinical data systems, such as Personal Health Records and Electronic Health Records systems. This chapter also discusses advances in visualisation and analysis for personally controlled data from self-tracking and PHR systems.


Author(s):  
Luan Ibraimi ◽  
Qiang Tang ◽  
Pieter Hartel ◽  
Willem Jonker

Commercial Web-based Personal-Health Record (PHR) systems can help patients to share their personal health records (PHRs) anytime from anywhere. PHRs are very sensitive data and an inappropriate disclosure may cause serious problems to an individual. Therefore commercial Web-based PHR systems have to ensure that the patient health data is secured using state-of-the-art mechanisms. In current commercial PHR systems, even though patients have the power to define the access control policy on who can access their data, patients have to trust entirely the access-control manager of the commercial PHR system to properly enforce these policies. Therefore patients hesitate to upload their health data to these systems as the data is processed unencrypted on untrusted platforms. Recent proposals on enforcing access control policies exploit the use of encryption techniques to enforce access control policies. In such systems, information is stored in an encrypted form by the third party and there is no need for an access control manager. This implies that data remains confidential even if the database maintained by the third party is compromised. In this paper we propose a new encryption technique called a type-and-identity-based proxy re-encryption scheme which is suitable to be used in the healthcare setting. The proposed scheme allows users (patients) to securely store their PHRs on commercial Web-based PHRs, and securely share their PHRs with other users (doctors).


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