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Inter-organizational future proof EHR systems A review of the security and privacy related issues

van der Linden, H; Kalra, D; Hasman, A; Talmon, J; (2009) Inter-organizational future proof EHR systems A review of the security and privacy related issues. INT J MED INFORM , 78 (3) 141 - 160. 10.1016/j.ijmedinf.2008.06.013.

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Abstract

Objectives: Identification and analysis of privacy and security related issues that occur when health information is exchanged between health care organizations.Methods: Based on a generic scenario questions were formulated to reveal the occurring issues. Possible answers were verified in literature.Results: Ensuring secure health information exchange across organizations requires a standardization of security measures that goes beyond organizational boundaries, such as global definitions of professional roles, global standards for patient consent and semantic interoperable audit logs.Conclusion: As to be able to fully address the privacy and security issues in interoperable EHRs and the long-life virtual EHR it is necessary to realize a paradigm shift from storing all incoming information in a local system to retrieving information from external systems whenever that information is deemed necessary for the care of the patient. (C) 2008 Elsevier Ireland Ltd. All rights reserved.

Type:Article
Title:Inter-organizational future proof EHR systems A review of the security and privacy related issues
DOI:10.1016/j.ijmedinf.2008.06.013
Keywords:Computerized Medical Records, Systems, Data security, Access policy, Standards, Networked care, ELECTRONIC PATIENT RECORDS, MEDICO-LEGAL MODEL, HEALTH RECORDS, OPT, CONSENT, SUSTAINABILITY, IMPLEMENTATION, ENVIRONMENT, PROTECTION, MANAGEMENT
UCL classification:UCL > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health Care > CHIME

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