Trustworthiness in Distributed Electronic Healthcare Records-Basis for Shared Care

  • Authors:
  • B. Blobel

  • Affiliations:
  • -

  • Venue:
  • ACSAC '01 Proceedings of the 17th Annual Computer Security Applications Conference
  • Year:
  • 2001

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Abstract

Shared Care is the common answer to the challenge forimproving health system's quality and efficiency.Thisdevelopment must be accompanied by implementingshared care information systems moving to extendedelectronic healthcare record systems which are distributedand have to be interoperable too.Comprehensivecommunication and co-operation between healthcareestablishments is increasingly using the open Internet.Regarding the sensitivity of personal medical data due tolegal, ethical, social and psychological implications, suchcommunication and co-operation must be provided in a trustworthy way.The HARP project launched and fundedby the European Commission specified and offered asolution for distributed, component-based, trustworthyapplications based on Internet technology.Specifying andimplementing Enhanced Trusted Third Party (ETTP)services, the HARP solutions concern secure authenticationas well as authorisation of principals.By associatingrole profiles and security attributes to standard Web-basedinteractings, HARP provides an initial degree of'automation' in building certified secure medical Internet-basedapplications deploying established paradigms suchas object orientation, component architecture, SecureSocket Layer (SSL) protocol, and XML standard.Thesolution has been demonstrated and evaluated in a clinicalstudy environment.