Audit-based Compliance Control (AC2) for EHR Systems

Traditionally, medical data is stored and processed using paper-based files. Recently, medical facilities have started to store, access and exchange medical data in digital form. The drivers for this change are mainly demands for cost reduction, and higher quality of health care. The main concerns when dealing with medical data are availability and confidentiality. Unavailability (even temporary) of medical data is expensive. Physicians may not be able to diagnose patients correctly, or they may have to repeat exams, adding to the overall costs of health care. In extreme cases availability of medical data can even be a matter of life or death. On the other hand, confidentiality of medical data is also important. Legislation requires medical facilities to observe the privacy of the patients, and states that patients have a final say on whether or not their medical data can be processed or not. Moreover, if physicians, or their EHR systems, are not trusted by the patients, for instance because of frequent privacy breaches, then patients may refuse to submit (correct) information, complicating the work of the physicians greatly. \ud \ud In traditional data protection systems, confidentiality and availability are conflicting requirements. The more data protection methods are applied to shield data from outsiders the more likely it becomes that authorized persons will not get access to the data in time. Consider for example, a password verification service that is temporarily not available, an access pass that someone forgot to bring, and so on. In this report we discuss a novel approach to data protection, Audit-based Compliance Control (AC2), and we argue that it is particularly suited for application in EHR systems. In AC2, a-priori access control is minimized to the mere authentication of users and objects, and their basic authorizations. More complex security procedures, such as checking user compliance to policies, are performed a-posteriori by using a formal and automated auditing mechanism. To support our claim we discuss legislation concerning the processing of health records, and we formalize a scenario involving medical personnel and a basic EHR system to show how AC2 can be used in practice. \ud \ud This report is based on previous work (Dekker & Etalle 2006) where we assessed the applicability of a-posteriori access control in a health care scenario. A more technically detailed article about AC2 recently appeared in the IJIS journal, where we focussed however on collaborative work environments (Cederquist, Corin, Dekker, Etalle, & Hartog, 2007). In this report we first provide background and related work before explaining the principal components of the AC2 framework. Moreover we model a detailed EHR case study to show its operation in practice. We conclude by discussing how this framework meets current trends in healthcare and by highlighting the main advantages and drawbacks of using an a-posteriori access control mechanism as opposed to more traditional access control mechanisms

Access Control for the Pepys Internet-Wide File-System

This paper describes the Access Control Model realized for the novel Pepys distributed, Internet-wide, file-system. The model design has been widely inspired to various existing standards and best practices about access control and security in file-system access, but it also echoes peculiar basic principles characterizing the design of Pepys, as well as the ΠP protocol, over which Pepys itself relies. The paper also provides technical details about how the model has been realized on a Linux port of Pepys

A conditional role-involved purpose-based access control model

This paper presents a role-involved conditional purpose-based access control (RCPBAC) model, where a purpose is defined as the intension of data accesses or usages. RCPBAC allows users using some data for certain purpose with conditions. The structure of RCPBAC model is defined and investigated. An algorithm is developed to achieve the compliance computation between access purposes (related to data access) and intended purposes (related to data objects) and is illustrated with role-based access control (RBAC) to support RCPBAC. According to this model, more information from data providers can be extracted while at the same time assuring privacy that maximizes the usability of consumers' data. It extends traditional access control models to a further coverage of privacy preserving in data mining environment as RBAC is one of the most popular approach towards access control to achieve database security and available in database management systems. The structure helps enterprises to circulate clear privacy promise, to collect and manage user preferences and consent

Ontology-based access control for social network systems

As the information flowing around in social network systems is mainly related or can be attributed to their users, controlling access to such information by individual users becomes a crucial requirement. The intricate semantic relations among data objects, different users, and between data objects and users further add to the complexity of access control needs. In this paper, we propose an access control model based on semantic web technologies that takes into account the above mentioned complex relations. The proposed model enables expressing much more fine-grained access control policies on a social network knowledge base than the existing models. We demonstrate the applicability of our approach by implementing a proof-of-concept prototype of the proposed access control framework and evaluating its performance

Privacy, security, and trust issues in smart environments

Recent advances in networking, handheld computing and sensor technologies have driven forward research towards the realisation of Mark Weiser's dream of calm and ubiquitous computing (variously called pervasive computing, ambient computing, active spaces, the disappearing computer or context-aware computing). In turn, this has led to the emergence of smart environments as one significant facet of research in this domain. A smart environment, or space, is a region of the real world that is extensively equipped with sensors, actuators and computing components [1]. In effect the smart space becomes a part of a larger information system: with all actions within the space potentially affecting the underlying computer applications, which may themselves affect the space through the actuators. Such smart environments have tremendous potential within many application areas to improve the utility of a space. Consider the potential offered by a smart environment that prolongs the time an elderly or infirm person can live an independent life or the potential offered by a smart environment that supports vicarious learning