Rapid health data repository allocation using predictive machine learning

Health-related data is stored in a number of repositories that are managed and controlled by different entities. For instance, Electronic Health Records are usually administered by governments. Electronic Medical Records are typically controlled by health care providers, whereas Personal Health Records are managed directly by patients. Recently, Blockchain-based health record systems largely regulated by technology have emerged as another type of repository. Repositories for storing health data differ from one another based on cost, level of security and quality of performance. Not only has the type of repositories increased in recent years, but the quantum of health data to be stored has increased. For instance, the advent of wearable sensors that capture physiological signs has resulted in an exponential growth in digital health data. The increase in the types of repository and amount of data has driven a need for intelligent processes to select appropriate repositories as data is collected. However, the storage allocation decision is complex and nuanced. The challenges are exacerbated when health data are continuously streamed, as is the case with wearable sensors. Although patients are not always solely responsible for determining which repository should be used, they typically have some input into this decision. Patients can be expected to have idiosyncratic preferences regarding storage decisions depending on their unique contexts. In this paper, we propose a predictive model for the storage of health data that can meet patient needs and make storage decisions rapidly, in real-time, even with data streaming from wearable sensors. The model is built with a machine learning classifier that learns the mapping between characteristics of health data and features of storage repositories from a training set generated synthetically from correlations evident from small samples of experts. Results from the evaluation demonstrate the viability of the machine learning technique used. © The Author(s) 2020

Using machine learning for automated de-identification and clinical coding of free text data in electronic medical records

The widespread adoption of Electronic Medical Records (EMRs) in hospitals continues to increase the amount of patient data that are digitally stored. Although the primary use of the EMR is to support patient care by making all relevant information accessible, governments and health organisations are looking for ways to unleash the potential of these data for secondary purposes, including clinical research, disease surveillance and automation of healthcare processes and workflows. EMRs include large quantities of free text documents that contain valuable information. The greatest challenges in using the free text data in EMRs include the removal of personally identifiable information and the extraction of relevant information for specific tasks such as clinical coding. Machine learning-based automated approaches can potentially address these challenges. This thesis aims to explore and improve the performance of machine learning models for automated de-identification and clinical coding of free text data in EMRs, as captured in hospital discharge summaries, and facilitate the applications of these approaches in real-world use cases. It does so by 1) implementing an end-to-end de-identification framework using an ensemble of deep learning models; 2) developing a web-based system for de-identification of free text (DEFT) with an interactive learning loop; 3) proposing and implementing a hierarchical label-wise attention transformer model (HiLAT) for explainable International Classification of Diseases (ICD) coding; and 4) investigating the use of extreme multi-label long text transformer-based models for automated ICD coding. The key findings include: 1) An end-to-end framework using an ensemble of deep learning base-models achieved excellent performance on the de-identification task. 2) A new web-based de-identification software system (DEFT) can be readily and easily adopted by data custodians and researchers to perform de-identification of free text in EMRs. 3) A novel domain-specific transformer-based model (HiLAT) achieved state-of-the-art (SOTA) results for predicting ICD codes on a Medical Information Mart for Intensive Care (MIMIC-III) dataset comprising the discharge summaries (n=12,808) that are coded with at least one of the most 50 frequent diagnosis and procedure codes. In addition, the label-wise attention scores for the tokens in the discharge summary presented a potential explainability tool for checking the face validity of ICD code predictions. 4) An optimised transformer-based model, PLM-ICD, achieved the latest SOTA results for ICD coding on all the discharge summaries of the MIMIC-III dataset (n=59,652). The segmentation method, which split the long text consecutively into multiple small chunks, addressed the problem of applying transformer-based models to long text datasets. However, using transformer-based models on extremely large label sets needs further research. These findings demonstrate that the de-identification and clinical coding tasks can benefit from the application of machine learning approaches, present practical tools for implementing these approaches, and highlight priorities for further research

Passphrase and keystroke dynamics authentication: security and usability

It was found that employees spend a total 2.25 days within a 60 day period on password related activities. Another study found that over 85 days an average user will create 25 accounts with an average of 6.5 unique passwords. These numbers are expected to increase over time as more systems become available. In addition, the use of 6.5 unique passwords highlight that passwords are being reused which creates security concerns as multiple systems will be accessible by an unauthorised party if one of these passwords is leaked. Current user authentication solutions either increase security or usability. When security increases, usability decreases, or vice versa. To add to this, stringent security protocols encourage unsecure behaviours by the user such as writing the password down on a piece of paper to remember it. It was found that passphrases require less cognitive effort than passwords and because passphrases are stronger than passwords, they don’t need to be changed as frequently as passwords. This study aimed to assess a two-tier user authentication solution that increases security and usability. The proposed solution uses passphrases in conjunction with keystroke dynamics to address this research problem. The design science research approach was used to guide this study. The study’s theoretical foundation includes three theories. The Shannon entropy formula was used to calculate the strength of passwords, passphrases and keystroke dynamics. The chunking theory assisted in assessing password and passphrase memorisation issues and the keystroke-level model was used to assess password and passphrase typing issues. Two primary data collection methods were used to evaluate the findings and to ensure that gaps in the research were filled. A login assessment experiment collected data on user authentication and user-system interaction for passwords and passphrases. Plus, an expert review was conducted to verify findings and assess the research artefact in the form of a model. The model can be used to assist with the implementation of a two-tier user authentication solution which involves passphrases and keystroke dynamics. There are a number of components that need to be considered to realise the benefits of this solution and ensure successful implementation

JURI SAYS:An Automatic Judgement Prediction System for the European Court of Human Rights

In this paper we present the web platform JURI SAYS that automatically predicts decisions of the European Court of Human Rights based on communicated cases, which are published by the court early in the proceedings and are often available many years before the final decision is made. Our system therefore predicts future judgements of the court. The platform is available at jurisays.com and shows the predictions compared to the actual decisions of the court. It is automatically updated every month by including the prediction for the new cases. Additionally, the system highlights the sentences and paragraphs that are most important for the prediction (i.e. violation vs. no violation of human rights)

Utility-Preserving Anonymization of Textual Documents

Cada dia els éssers humans afegim una gran quantitat de dades a Internet, tals com piulades, opinions, fotos i vídeos. Les organitzacions que recullen aquestes dades tan diverses n'extreuen informació per tal de millorar llurs serveis o bé per a propòsits comercials. Tanmateix, si les dades recollides contenen informació personal sensible, hom no les pot compartir amb tercers ni les pot publicar sense el consentiment o una protecció adequada dels subjectes de les dades. Els mecanismes de preservació de la privadesa forneixen maneres de sanejar les dades per tal que no revelin identitats o atributs confidencials. S'ha proposat una gran varietat de mecanismes per anonimitzar bases de dades estructurades amb atributs numèrics i categòrics; en canvi, la protecció automàtica de dades textuals no estructurades ha rebut molta menys atenció. En general, l'anonimització de dades textuals exigeix, primer, detectar trossos del text que poden revelar informació sensible i, després, emmascarar aquests trossos mitjançant supressió o generalització. En aquesta tesi fem servir diverses tecnologies per anonimitzar documents textuals. De primer, millorem les tècniques existents basades en etiquetatge de seqüències. Després, estenem aquestes tècniques per alinear-les millor amb el risc de revelació i amb les exigències de privadesa. Finalment, proposem un marc complet basat en models d'immersió de paraules que captura un concepte més ampli de protecció de dades i que forneix una protecció flexible guiada per les exigències de privadesa. També recorrem a les ontologies per preservar la utilitat del text emmascarat, és a dir, la seva semàntica i la seva llegibilitat. La nostra experimentació extensa i detallada mostra que els nostres mètodes superen els mètodes existents a l'hora de proporcionar anonimització robusta tot preservant raonablement la utilitat del text protegit.Cada día las personas añadimos una gran cantidad de datos a Internet, tales como tweets, opiniones, fotos y vídeos. Las organizaciones que recogen dichos datos los usan para extraer información para mejorar sus servicios o para propósitos comerciales. Sin embargo, si los datos recogidos contienen información personal sensible, no pueden compartirse ni publicarse sin el consentimiento o una protección adecuada de los sujetos de los datos. Los mecanismos de protección de la privacidad proporcionan maneras de sanear los datos de forma que no revelen identidades ni atributos confidenciales. Se ha propuesto una gran variedad de mecanismos para anonimizar bases de datos estructuradas con atributos numéricos y categóricos; en cambio, la protección automática de datos textuales no estructurados ha recibido mucha menos atención. En general, la anonimización de datos textuales requiere, primero, detectar trozos de texto que puedan revelar información sensible, para luego enmascarar dichos trozos mediante supresión o generalización. En este trabajo empleamos varias tecnologías para anonimizar documentos textuales. Primero mejoramos las técnicas existentes basadas en etiquetaje de secuencias. Posteriormente las extendmos para alinearlas mejor con la noción de riesgo de revelación y con los requisitos de privacidad. Finalmente, proponemos un marco completo basado en modelos de inmersión de palabras que captura una noción más amplia de protección de datos y ofrece protección flexible guiada por los requisitos de privacidad. También recurrimos a las ontologías para preservar la utilidad del texto enmascarado, es decir, su semantica y legibilidad. Nuestra experimentación extensa y detallada muestra que nuestros métodos superan a los existentes a la hora de proporcionar una anonimización más robusta al tiempo que se preserva razonablemente la utilidad del texto protegido.Every day, people post a significant amount of data on the Internet, such as tweets, reviews, photos, and videos. Organizations collecting these types of data use them to extract information in order to improve their services or for commercial purposes. Yet, if the collected data contain sensitive personal information, they cannot be shared with third parties or released publicly without consent or adequate protection of the data subjects. Privacy-preserving mechanisms provide ways to sanitize data so that identities and/or confidential attributes are not disclosed. A great variety of mechanisms have been proposed to anonymize structured databases with numerical and categorical attributes; however, automatically protecting unstructured textual data has received much less attention. In general, textual data anonymization requires, first, to detect pieces of text that may disclose sensitive information and, then, to mask those pieces via suppression or generalization. In this work, we leverage several technologies to anonymize textual documents. We first improve state-of-the-art techniques based on sequence labeling. After that, we extend them to make them more aligned with the notion of privacy risk and the privacy requirements. Finally, we propose a complete framework based on word embedding models that captures a broader notion of data protection and provides flexible protection driven by privacy requirements. We also leverage ontologies to preserve the utility of the masked text, that is, its semantics and readability. Extensive experimental results show that our methods outperform the state of the art by providing more robust anonymization while reasonably preserving the utility of the protected outcome

A patient agent controlled customized blockchain based framework for internet of things

Although Blockchain implementations have emerged as revolutionary technologies for various industrial applications including cryptocurrencies, they have not been widely deployed to store data streaming from sensors to remote servers in architectures known as Internet of Things. New Blockchain for the Internet of Things models promise secure solutions for eHealth, smart cities, and other applications. These models pave the way for continuous monitoring of patient’s physiological signs with wearable sensors to augment traditional medical practice without recourse to storing data with a trusted authority. However, existing Blockchain algorithms cannot accommodate the huge volumes, security, and privacy requirements of health data. In this thesis, our first contribution is an End-to-End secure eHealth architecture that introduces an intelligent Patient Centric Agent. The Patient Centric Agent executing on dedicated hardware manages the storage and access of streams of sensors generated health data, into a customized Blockchain and other less secure repositories. As IoT devices cannot host Blockchain technology due to their limited memory, power, and computational resources, the Patient Centric Agent coordinates and communicates with a private customized Blockchain on behalf of the wearable devices. While the adoption of a Patient Centric Agent offers solutions for addressing continuous monitoring of patients’ health, dealing with storage, data privacy and network security issues, the architecture is vulnerable to Denial of Services(DoS) and single point of failure attacks. To address this issue, we advance a second contribution; a decentralised eHealth system in which the Patient Centric Agent is replicated at three levels: Sensing Layer, NEAR Processing Layer and FAR Processing Layer. The functionalities of the Patient Centric Agent are customized to manage the tasks of the three levels. Simulations confirm protection of the architecture against DoS attacks. Few patients require all their health data to be stored in Blockchain repositories but instead need to select an appropriate storage medium for each chunk of data by matching their personal needs and preferences with features of candidate storage mediums. Motivated by this context, we advance third contribution; a recommendation model for health data storage that can accommodate patient preferences and make storage decisions rapidly, in real-time, even with streamed data. The mapping between health data features and characteristics of each repository is learned using machine learning. The Blockchain’s capacity to make transactions and store records without central oversight enables its application for IoT networks outside health such as underwater IoT networks where the unattended nature of the nodes threatens their security and privacy. However, underwater IoT differs from ground IoT as acoustics signals are the communication media leading to high propagation delays, high error rates exacerbated by turbulent water currents. Our fourth contribution is a customized Blockchain leveraged framework with the model of Patient-Centric Agent renamed as Smart Agent for securely monitoring underwater IoT. Finally, the smart Agent has been investigated in developing an IoT smart home or cities monitoring framework. The key algorithms underpinning to each contribution have been implemented and analysed using simulators.Doctor of Philosoph

An Approach to Guide Users Towards Less Revealing Internet Browsers

When browsing the Internet, HTTP headers enable both clients and servers send extra data in their requests or responses such as the User-Agent string. This string contains information related to the sender’s device, browser, and operating system. Previous research has shown that there are numerous privacy and security risks result from exposing sensitive information in the User-Agent string. For example, it enables device and browser fingerprinting and user tracking and identification. Our large analysis of thousands of User-Agent strings shows that browsers differ tremendously in the amount of information they include in their User-Agent strings. As such, our work aims at guiding users towards using less exposing browsers. In doing so, we propose to assign an exposure score to browsers based on the information they expose and vulnerability records. Thus, our contribution in this work is as follows: first, provide a full implementation that is ready to be deployed and used by users. Second, conduct a user study to identify the effectiveness and limitations of our proposed approach. Our implementation is based on using more than 52 thousand unique browsers. Our performance and validation analysis show that our solution is accurate and efficient. The source code and data set are publicly available and the solution has been deployed

Novel reversible text data de-identification techniques based on native data structures

Technological development in today's digital world has resulted in the collection and storage of large amounts of personal data. These data enable both direct services and non-direct activities, known as secondary use. The secondary use of data can improve decision-making, service experiences, and healthcare systems. However, the widespread reuse of personal data raises significant privacy and policy issues, especially for health- related information; these data may contain sensitive data, leading to privacy breaches if compromised. Legal systems establish laws to protect the privacy of personal data disclosed for secondary use. A well-known example is the General Data Protection Regulation (GDPR), which outlines a specific set of rules for sharing and storing personal data to protect individual privacy. The GDPR explicitly points to data de-identification, especially pseudonymization, as one measure that can help meet the requirements for the processing of personal data. The literature on privacy preservation approaches has largely been developed in the field of data anonymization, where personal data are irreversibly removed or obfuscated and there is no means by which to recover an individual's identity if needed. By contrast, pseudonymization is a promising technique to protect privacy while enabling the recovery of de-identified data. Significantly, many existing approaches for pseudonymization were developed long before the GDPR requirements were established, and so they may fail to satisfy its provisions. Therefore, it is worthwhile to offer technical solutions to preserve privacy while supporting the legitimate use of data. This thesis proposes a novel de-identification system for unstructured textual data, known as ARTPHIL, that generates de-identified data in compliance with the GDPR requirement for strong pseudonymization. The system was evaluated using 2014 i2b2 testing data. The proposed system achieved a recall of 96.93% in terms of detecting and encrypting personal health information, as specified under guidelines provided by the Health Insurance Portability and Accountability Act (HIPAA). The system used a novel and lightweight cryptography algorithm E-ART to encrypt personal data cost-effectively and without compromising security. The main novelty of the E-ART algorithm is the use of the reflection property of a balanced binary tree data structure as substitution method instead of complex and multiple iterations. The performance and security of the proposed algorithm were compared to two symmetric encryption algorithms: The Advanced Encryption Standard and Data Encryption Standard. The security analysis showed comparable results, but the performance analysis indicated that E‐ART had the shortest ciphertext and running time with comparable memory usage, which indicates the feasibility of using ARTPHIL for delay-sensitive or data-intensive application

Acoustic-channel attack and defence methods for personal voice assistants

Personal Voice Assistants (PVAs) are increasingly used as interface to digital environments. Voice commands are used to interact with phones, smart homes or cars. In the US alone the number of smart speakers such as Amazon’s Echo and Google Home has grown by 78% to 118.5 million and 21% of the US population own at least one device. Given the increasing dependency of society on PVAs, security and privacy of these has become a major concern of users, manufacturers and policy makers. Consequently, a steep increase in research efforts addressing security and privacy of PVAs can be observed in recent years. While some security and privacy research applicable to the PVA domain predates their recent increase in popularity and many new research strands have emerged, there lacks research dedicated to PVA security and privacy. The most important interaction interface between users and a PVA is the acoustic channel and acoustic channel related security and privacy studies are desirable and required. The aim of the work presented in this thesis is to enhance the cognition of security and privacy issues of PVA usage related to the acoustic channel, to propose principles and solutions to key usage scenarios to mitigate potential security threats, and to present a novel type of dangerous attack which can be launched only by using a PVA alone. The five core contributions of this thesis are: (i) a taxonomy is built for the research domain of PVA security and privacy issues related to acoustic channel. An extensive research overview on the state of the art is provided, describing a comprehensive research map for PVA security and privacy. It is also shown in this taxonomy where the contributions of this thesis lie; (ii) Work has emerged aiming to generate adversarial audio inputs which sound harmless to humans but can trick a PVA to recognise harmful commands. The majority of work has been focused on the attack side, but there rarely exists work on how to defend against this type of attack. A defence method against white-box adversarial commands is proposed and implemented as a prototype. It is shown that a defence Automatic Speech Recognition (ASR) can work in parallel with the PVA’s main one, and adversarial audio input is detected if the difference in the speech decoding results between both ASR surpasses a threshold. It is demonstrated that an ASR that differs in architecture and/or training data from the the PVA’s main ASR is usable as protection ASR; (iii) PVAs continuously monitor conversations which may be transported to a cloud back end where they are stored, processed and maybe even passed on to other service providers. A user has limited control over this process when a PVA is triggered without user’s intent or a PVA belongs to others. A user is unable to control the recording behaviour of surrounding PVAs, unable to signal privacy requirements and unable to track conversation recordings. An acoustic tagging solution is proposed aiming to embed additional information into acoustic signals processed by PVAs. A user employs a tagging device which emits an acoustic signal when PVA activity is assumed. Any active PVA will embed this tag into their recorded audio stream. The tag may signal a cooperating PVA or back-end system that a user has not given a recording consent. The tag may also be used to trace when and where a recording was taken if necessary. A prototype tagging device based on PocketSphinx is implemented. Using Google Home Mini as the PVA, it is demonstrated that the device can tag conversations and the tagging signal can be retrieved from conversations stored in the Google back-end system; (iv) Acoustic tagging provides users the capability to signal their permission to the back-end PVA service, and another solution inspired by Denial of Service (DoS) is proposed as well for protecting user privacy. Although PVAs are very helpful, they are also continuously monitoring conversations. When a PVA detects a wake word, the immediately following conversation is recorded and transported to a cloud system for further analysis. An active protection mechanism is proposed: reactive jamming. A Protection Jamming Device (PJD) is employed to observe conversations. Upon detection of a PVA wake word the PJD emits an acoustic jamming signal. The PJD must detect the wake word faster than the PVA such that the jamming signal still prevents wake word detection by the PVA. An evaluation of the effectiveness of different jamming signals and overlap between wake words and the jamming signals is carried out. 100% jamming success can be achieved with an overlap of at least 60% with a negligible false positive rate; (v) Acoustic components (speakers and microphones) on a PVA can potentially be re-purposed to achieve acoustic sensing. This has great security and privacy implication due to the key role of PVAs in digital environments. The first active acoustic side-channel attack is proposed. Speakers are used to emit human inaudible acoustic signals and the echo is recorded via microphones, turning the acoustic system of a smartphone into a sonar system. The echo signal can be used to profile user interaction with the device. For example, a victim’s finger movement can be monitored to steal Android unlock patterns. The number of candidate unlock patterns that an attacker must try to authenticate herself to a Samsung S4 phone can be reduced by up to 70% using this novel unnoticeable acoustic side-channel