Rover: Architectural Support for Exposing and Using Context

Technology has advanced to the point where many people feel it has created a world with an insurmountable amount of information. Information includes messages people send to each other, logged data from their activities, and the services available to them. This problem has been exaggerated in modern societies by high availability of Internet connectivity. All types of information contains context, whether they have been stated explicitly or understood implicitly. Understanding, handling, and using context represents one of the most critical steps towards coping with the amount of information available today. In this dissertation, we examine two topics: context and the design of a context-aware platform. We describe fundamental types of context associated with every piece of information and discuss issues which may occur when implementing a system which utilizes context. We present a context-aware platform called Rover. The Rover architecture provides a conceptual framework geared towards understanding how application developers can utilize a variety of aspects of context to assist the development of modern applications. To aid developers in figuring out what context may be useful in their application, we describe the concept of a Rover ecosystem: a logical organization analogous to how similar groups of people interact with each other. We also discuss how information and context can be shared between ecosystems. To examine the feasibility of the Rover architecture's conceptual framework, we have implemented a reference implementation of the core unit of a Rover ecosystem: the Rover server. We discuss the details of the Rover server and describe the implementation of an emergency response application which demonstrates the utility of the conceptual framework

Consolidated List of Requirements

This document is a consolidated catalogue of requirements for the Electronic Health Care Record (EHCR) and Electronic Health Care Record Architecture (EHCRA), gleaned largely from work done in the EU Framework III and IV programmes and CEN, but also including input from other sources including world-wide standardisation initiatives. The document brings together the relevant work done into a classified inventory of requirements to inform the on-going standardisation process as well as act as a guide to future implementation of EHCRA-based systems. It is meant as a contribution both to understanding of the standard and to the work that is being considered to improve the standard. Major features include the classification into issues affecting the Health Care Record, the EHCR, EHCR processing, EHCR interchange and the sharing of health care information and EHCR systems. The principal information sources are described briefly. It is offered as documentation that is complementary to the four documents of the ENV 13606 Parts I-IV produced by CEN Pts 26,27,28,29. The requirements identified and classified in this deliverable are referenced in other deliverables

Global disease monitoring and forecasting with Wikipedia

Infectious disease is a leading threat to public health, economic stability, and other key social structures. Efforts to mitigate these impacts depend on accurate and timely monitoring to measure the risk and progress of disease. Traditional, biologically-focused monitoring techniques are accurate but costly and slow; in response, new techniques based on social internet data such as social media and search queries are emerging. These efforts are promising, but important challenges in the areas of scientific peer review, breadth of diseases and countries, and forecasting hamper their operational usefulness. We examine a freely available, open data source for this use: access logs from the online encyclopedia Wikipedia. Using linear models, language as a proxy for location, and a systematic yet simple article selection procedure, we tested 14 location-disease combinations and demonstrate that these data feasibly support an approach that overcomes these challenges. Specifically, our proof-of-concept yields models with $r^2$ up to 0.92, forecasting value up to the 28 days tested, and several pairs of models similar enough to suggest that transferring models from one location to another without re-training is feasible. Based on these preliminary results, we close with a research agenda designed to overcome these challenges and produce a disease monitoring and forecasting system that is significantly more effective, robust, and globally comprehensive than the current state of the art.Comment: 27 pages; 4 figures; 4 tables. Version 2: Cite McIver & Brownstein and adjust novelty claims accordingly; revise title; various revisions for clarit

Access and information flow control to secure mobile web service compositions in resource constrained environments

The growing use of mobile web services such as electronic health records systems and applications like twitter, Facebook has increased interest in robust mechanisms for ensuring security for such information sharing services. Common security mechanisms such as access control and information flow control are either restrictive or weak in that they prevent applications from sharing data usefully, and/or allow private information leaks when used independently. Typically, when services are composed there is a resource that some or all of the services involved in the composition need to share. However, during service composition security problems arise because the resulting service is made up of different services from different security domains. A key issue that arises and that we address in this thesis is that of enforcing secure information flow control during service composition to prevent illegal access and propagation of information between the participating services. This thesis describes a model that combines access control and information flow control in one framework. We specifically consider a case study of an e-health service application, and consider how constraints like location and context dependencies impact on authentication and authorization. Furthermore, we consider how data sharing applications such as the e-health service application handle issues of unauthorized users and insecure propagation of information in resource constrained environments¹. Our framework addresses this issue of illegitimate information access and propagation by making use of the concept of program dependence graphs (PDGs). Program dependence graphs use path conditions as necessary conditions for secure information flow control. The advantage of this approach to securing information sharing is that, information is only propagated if the criteria for data sharing are verified. Our solution proposes or offers good performance, fast authentication taking into account bandwidth limitations. A security analysis shows the theoretical improvements our scheme offers. Results obtained confirm that the framework accommodates the CIA-triad (which is the confidentiality, integrity and availability model designed to guide policies of information security) of our work and can be used to motivate further research work in this field

Clinical foundations and information architecture for the implementation of a federated health record service

Clinical care increasingly requires healthcare professionals to access patient record information that may be distributed across multiple sites, held in a variety of paper and electronic formats, and represented as mixtures of narrative, structured, coded and multi-media entries. A longitudinal person-centred electronic health record (EHR) is a much-anticipated solution to this problem, but its realisation is proving to be a long and complex journey. This Thesis explores the history and evolution of clinical information systems, and establishes a set of clinical and ethico-legal requirements for a generic EHR server. A federation approach (FHR) to harmonising distributed heterogeneous electronic clinical databases is advocated as the basis for meeting these requirements. A set of information models and middleware services, needed to implement a Federated Health Record server, are then described, thereby supporting access by clinical applications to a distributed set of feeder systems holding patient record information. The overall information architecture thus defined provides a generic means of combining such feeder system data to create a virtual electronic health record. Active collaboration in a wide range of clinical contexts, across the whole of Europe, has been central to the evolution of the approach taken. A federated health record server based on this architecture has been implemented by the author and colleagues and deployed in a live clinical environment in the Department of Cardiovascular Medicine at the Whittington Hospital in North London. This implementation experience has fed back into the conceptual development of the approach and has provided "proof-of-concept" verification of its completeness and practical utility. This research has benefited from collaboration with a wide range of healthcare sites, informatics organisations and industry across Europe though several EU Health Telematics projects: GEHR, Synapses, EHCR-SupA, SynEx, Medicate and 6WINIT. The information models published here have been placed in the public domain and have substantially contributed to two generations of CEN health informatics standards, including CEN TC/251 ENV 13606