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Proceedings Paper

Integrated secure solution for electronic healthcare records sharing
Author(s): Yehong Yao; Chenghao Zhang; Jianyong Sun; Jin Jin
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Paper Abstract

The EHR is a secure, real-time, point-of-care, patient-centric information resource for healthcare providers. Many countries and regional districts have set long-term goals to build EHRs, and most of EHRs are usually built based on the integration of different information systems with different information models and platforms. A number of hospitals in Shanghai are also piloting the development of an EHR solution based on IHE XDS/XDS-I profiles with a service-oriented architecture (SOA). The first phase of the project targets the Diagnostic Imaging domain and allows seamless sharing of images and reports across the multiple hospitals. To develop EHRs for regional coordinated healthcare, some factors should be considered in designing architecture, one of which is security issue. In this paper, we present some approaches and policies to improve and strengthen the security among the different hospitals' nodes, which are compliant with the security requirements defined by IHE IT Infrastructure (ITI) Technical Framework. Our security solution includes four components: Time Sync System (TSS), Digital Signature Manage System (DSMS), Data Exchange Control Component (DECC) and Single Sign-On (SSO) System. We give a design method and implementation strategy of these security components, and then evaluate the performance and overheads of the security services or features by integrating the security components into an image-based EHR system.

Paper Details

Date Published: 21 March 2007
PDF: 11 pages
Proc. SPIE 6516, Medical Imaging 2007: PACS and Imaging Informatics, 65160P (21 March 2007); doi: 10.1117/12.709156
Show Author Affiliations
Yehong Yao, Shanghai Institute of Technical Physics (China)
Chenghao Zhang, Shanghai Institute of Technical Physics (China)
Jianyong Sun, Shanghai Institute of Technical Physics (China)
Jin Jin, Shanghai Institute of Technical Physics (China)


Published in SPIE Proceedings Vol. 6516:
Medical Imaging 2007: PACS and Imaging Informatics
Steven C. Horii; Katherine P. Andriole, Editor(s)

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