A tamper-resistant and portable healthcare folder

  • Authors:
  • Nicolas Anciaux;Morgane Berthelot;Laurent Braconnier;Luc Bouganim;Martine De la Blache;Georges Gardarin;Philippe Kesmarszky;Sophie Lartigue;Jean-François Navarre;Philippe Pucheral;Jean-Jacques Vandewalle;Karine Zeitouni

  • Affiliations:
  • Institut National de Recherche en Informatique et en Automatique (INRIA), Le Chesnay Cedex, France;SANTEOS SA, Tour Manhattan, Paris la Défense Cedex, France;Conseil Général des Yvelines, Hôtel du Département, Versailles Cedex, France;Institut National de Recherche en Informatique et en Automatique (INRIA), Le Chesnay Cedex, France;Conseil Général des Yvelines, Hôtel du Département, Versailles Cedex, France;PRISM Laboratory, University of Versailles, Versailles Cedex, France;Association Locale de Développement Sanitaire (ALDS), Meulan, France;Coordination Gérontologique Intercommunale du Territoire Est Yvelines (CoGITEY), Versailles, France;Conseil Général des Yvelines, Hôtel du Département, Versailles Cedex, France;Institut National de Recherche en Informatique et en Automatique (INRIA), Le Chesnay Cedex, France and PRISM Laboratory, University of Versailles, Versailles Cedex, France;Gemalto, Meudon, France;PRISM Laboratory, University of Versailles, Versailles Cedex, France

  • Venue:
  • International Journal of Telemedicine and Applications - Pervasive Health Care Services and Technologies
  • Year:
  • 2008

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Abstract

Electronic health record (EHR) projects have been launched in most developed countries to increase the quality of healthcare while decreasing its cost. The benefits provided by centralizing the healthcare information in database systems are unquestionable in terms of information quality, availability, and protection against failure. Yet, patients are reluctant to give to a distant server the control over highly sensitive data (e.g., data revealing a severe or shameful disease). This paper capitalizes on a new hardware portable device, associating the security of a smart card to the storage capacity of a USB key, to give back to the patient the control over his medical data. This paper shows how this device can complement a traditional EHR server to (1) protect and share highly sensitive data among trusted parties and (2) provide a seamless access to the data even in disconnected mode. The proposed architecture is experimented in the context of a medicosocial network providing medical care and social services at home for elderly people.