Application of Intelligent Multi Agent Based Systems For E-Healthcare Security

In recent years, availability and usage of extensive systems for Electronic Healthcare Record (EHR) is increased. In medical centers such hospitals and other laboratories, more health data sets were formed during the treatment process. In order to enhance the standard of the services provided in healthcare, these records where shared and can be used by various users depends on their requirements. As a result, notable issues in the security and privacy where obtained which should be monitored and removed in order to make the use of EHR more effectively. Various researches have been done in the past literature for improving the standards of the security and privacy in E-health systems. In spite of this, it is not completely enhanced. In this paper, a comprehensive analysis is done by selecting the existing approaches and models which were proposed for the security and privacy of the E-healthcare systems. Also, a novel Intelligent-based Access Control Security Model (IBAC) based on multi agents is proposed to maintain and support the security and privacy of E-healthcare systems. This system uses agents in order to maintain security and privacy while accessing the E-health data between the users.Comment: 6 pages, 3 figures, 1 table, journa

Trust Enhanced Role Based Access Control Using Genetic Algorithm

Improvements in technological innovations have become a boon for business organizations, firms, institutions, etc. System applications are being developed for organizations whether small-scale or large-scale. Taking into consideration the hierarchical nature of large organizations, security is an important factor which needs to be taken into account. For any healthcare organization, maintaining the confidentiality and integrity of the patients’ records is of utmost importance while ensuring that they are only available to the authorized personnel. The paper discusses the technique of Role-Based Access Control (RBAC) and its different aspects. The paper also suggests a trust enhanced model of RBAC implemented with selection and mutation only ‘Genetic Algorithm’. A practical scenario involving healthcare organization has also been considered. A model has been developed to consider the policies of different health departments and how it affects the permissions of a particular role. The purpose of the algorithm is to allocate tasks for every employee in an automated manner and ensures that they are not over-burdened with the work assigned. In addition, the trust records of the employees ensure that malicious users do not gain access to confidential patient data

Identity Management and Authorization Infrastructure in Secure Mobile Access to Electronic Health Records

We live in an age of the mobile paradigm of anytime/anywhere access, as the mobile device is the most ubiquitous device that people now hold. Due to their portability, availability, easy of use, communication, access and sharing of information within various domains and areas of our daily lives, the acceptance and adoption of these devices is still growing. However, due to their potential and raising numbers, mobile devices are a growing target for attackers and, like other technologies, mobile applications are still vulnerable. Health information systems are composed with tools and software to collect, manage, analyze and process medical information (such as electronic health records and personal health records). Therefore, such systems can empower the performance and maintenance of health services, promoting availability, readability, accessibility and data sharing of vital information about a patients overall medical history, between geographic fragmented health services. Quick access to information presents a great importance in the health sector, as it accelerates work processes, resulting in better time utilization. Additionally, it may increase the quality of care. However health information systems store and manage highly sensitive data, which raises serious concerns regarding patients privacy and safety, and may explain the still increasing number of malicious incidents reports within the health domain. Data related to health information systems are highly sensitive and subject to severe legal and regulatory restrictions, that aim to protect the individual rights and privacy of patients. Along side with these legislations, security requirements must be analyzed and measures implemented. Within the necessary security requirements to access health data, secure authentication, identity management and access control are essential to provide adequate means to protect data from unauthorized accesses. However, besides the use of simple authentication models, traditional access control models are commonly based on predefined access policies and roles, and are inflexible. This results in uniform access control decisions through people, different type of devices, environments and situational conditions, and across enterprises, location and time. Although already existent models allow to ensure the needs of the health care systems, they still lack components for dynamicity and privacy protection, which leads to not have desire levels of security and to the patient not to have a full and easy control of his privacy. Within this master thesis, after a deep research and review of the stat of art, was published a novel dynamic access control model, Socio-Technical Risk-Adaptable Access Control modEl (SoTRAACE), which can model the inherent differences and security requirements that are present in this thesis. To do this, SoTRAACE aggregates attributes from various domains to help performing a risk assessment at the moment of the request. The assessment of the risk factors identified in this work is based in a Delphi Study. A set of security experts from various domains were selected, to classify the impact in the risk assessment of each attribute that SoTRAACE aggregates. SoTRAACE was integrated in an architecture with requirements well-founded, and based in the best recommendations and standards (OWASP, NIST 800-53, NIST 800-57), as well based in deep review of the state-of-art. The architecture is further targeted with the essential security analysis and the threat model. As proof of concept, the proposed access control model was implemented within the user-centric architecture, with two mobile prototypes for several types of accesses by patients and healthcare professionals, as well the web servers that handles the access requests, authentication and identity management. The proof of concept shows that the model works as expected, with transparency, assuring privacy and data control to the user without impact for user experience and interaction. It is clear that the model can be extended to other industry domains, and new levels of risks or attributes can be added because it is modular. The architecture also works as expected, assuring secure authentication with multifactor, and secure data share/access based in SoTRAACE decisions. The communication channel that SoTRAACE uses was also protected with a digital certificate. At last, the architecture was tested within different Android versions, tested with static and dynamic analysis and with tests with security tools. Future work includes the integration of health data standards and evaluating the proposed system by collecting users’ opinion after releasing the system to real world.Hoje em dia vivemos em um paradigma móvel de acesso em qualquer lugar/hora, sendo que os dispositivos móveis são a tecnologia mais presente no dia a dia da sociedade. Devido à sua portabilidade, disponibilidade, fácil manuseamento, poder de comunicação, acesso e partilha de informação referentes a várias áreas e domínios das nossas vidas, a aceitação e integração destes dispositivos é cada vez maior. No entanto, devido ao seu potencial e aumento do número de utilizadores, os dispositivos móveis são cada vez mais alvos de ataques, e tal como outras tecnologias, aplicações móveis continuam a ser vulneráveis. Sistemas de informação de saúde são compostos por ferramentas e softwares que permitem recolher, administrar, analisar e processar informação médica (tais como documentos de saúde eletrónicos). Portanto, tais sistemas podem potencializar a performance e a manutenção dos serviços de saúde, promovendo assim a disponibilidade, acessibilidade e a partilha de dados vitais referentes ao registro médico geral dos pacientes, entre serviços e instituições que estão geograficamente fragmentadas. O rápido acesso a informações médicas apresenta uma grande importância para o setor da saúde, dado que acelera os processos de trabalho, resultando assim numa melhor eficiência na utilização do tempo e recursos. Consequentemente haverá uma melhor qualidade de tratamento. Porém os sistemas de informação de saúde armazenam e manuseiam dados bastantes sensíveis, o que levanta sérias preocupações referentes à privacidade e segurança do paciente. Assim se explica o aumento de incidentes maliciosos dentro do domínio da saúde. Os dados de saúde são altamente sensíveis e são sujeitos a severas leis e restrições regulamentares, que pretendem assegurar a proteção dos direitos e privacidade dos pacientes, salvaguardando os seus dados de saúde. Juntamente com estas legislações, requerimentos de segurança devem ser analisados e medidas implementadas. Dentro dos requerimentos necessários para aceder aos dados de saúde, uma autenticação segura, gestão de identidade e controlos de acesso são essenciais para fornecer meios adequados para a proteção de dados contra acessos não autorizados. No entanto, além do uso de modelos simples de autenticação, os modelos tradicionais de controlo de acesso são normalmente baseados em políticas de acesso e cargos pré-definidos, e são inflexíveis. Isto resulta em decisões de controlo de acesso uniformes para diferentes pessoas, tipos de dispositivo, ambientes e condições situacionais, empresas, localizações e diferentes alturas no tempo. Apesar dos modelos existentes permitirem assegurar algumas necessidades dos sistemas de saúde, ainda há escassez de componentes para accesso dinâmico e proteção de privacidade , o que resultam em níveis de segurança não satisfatórios e em o paciente não ter controlo directo e total sobre a sua privacidade e documentos de saúde. Dentro desta tese de mestrado, depois da investigação e revisão intensiva do estado da arte, foi publicado um modelo inovador de controlo de acesso, chamado SoTRAACE, que molda as diferenças de acesso inerentes e requerimentos de segurança presentes nesta tese. Para isto, o SoTRAACE agrega atributos de vários ambientes e domínios que ajudam a executar uma avaliação de riscos, no momento em que os dados são requisitados. A avaliação dos fatores de risco identificados neste trabalho são baseados num estudo de Delphi. Um conjunto de peritos de segurança de vários domínios industriais foram selecionados, para classificar o impacto de cada atributo que o SoTRAACE agrega. O SoTRAACE foi integrado numa arquitectura para acesso a dados médicos, com requerimentos bem fundados, baseados nas melhores normas e recomendações (OWASP, NIST 800-53, NIST 800-57), e em revisões intensivas do estado da arte. Esta arquitectura é posteriormente alvo de uma análise de segurança e modelos de ataque. Como prova deste conceito, o modelo de controlo de acesso proposto é implementado juntamente com uma arquitetura focada no utilizador, com dois protótipos para aplicações móveis, que providênciam vários tipos de acesso de pacientes e profissionais de saúde. A arquitetura é constituída também por servidores web que tratam da gestão de dados, controlo de acesso e autenticação e gestão de identidade. O resultado final mostra que o modelo funciona como esperado, com transparência, assegurando a privacidade e o controlo de dados para o utilizador, sem ter impacto na sua interação e experiência. Consequentemente este modelo pode-se extender para outros setores industriais, e novos níveis de risco ou atributos podem ser adicionados a este mesmo, por ser modular. A arquitetura também funciona como esperado, assegurando uma autenticação segura com multi-fator, acesso e partilha de dados segura baseado em decisões do SoTRAACE. O canal de comunicação que o SoTRAACE usa foi também protegido com um certificado digital. A arquitectura foi testada em diferentes versões de Android, e foi alvo de análise estática, dinâmica e testes com ferramentas de segurança. Para trabalho futuro está planeado a integração de normas de dados de saúde e a avaliação do sistema proposto, através da recolha de opiniões de utilizadores no mundo real

The Australian PCEHR System: Ensuring Privacy and Security through an Improved Access Control Mechanism

An Electronic Health Record (EHR) is designed to store diverse data accurately from a range of health care providers and to capture the status of a patient by a range of health care providers across time. Realising the numerous benefits of the system, EHR adoption is growing globally and many countries invest heavily in electronic health systems. In Australia, the Government invested $467 million to build key components of the Personally Controlled Electronic Health Record (PCEHR) system in July 2012. However, in the last three years, the uptake from individuals and health care providers has not been satisfactory. Unauthorised access of the PCEHR was one of the major barriers. We propose an improved access control model for the PCEHR system to resolve the unauthorised access issue. We discuss the unauthorised access issue with real examples and present a potential solution to overcome the issue to make the PCEHR system a success in Australia

Access control of EHR records in a heterogeneous cloud infrastructure

Since the advent of smartphones, IoT and cloud computing, we have seen an industry-wide requirement to integrate different healthcare applications with each other and with the cloud, connecting multiple institutions or even countries. But despite these trends, the domain of access control and security of sensitive healthcare data still raises a serious challenge for multiple developers and lacks the necessary definitions to create a general security framework addressing these issues. Taking into account newer, more special cases, such as the popular heterogeneous infrastructures with a combination of public and private clouds, fog computing, Internet of Things, the area becomes more and more complicated. In this paper we will introduce a categorization of these required policies, describe an infrastructure as a possible solution to these security challenges, and finally evaluate it with a set of policies based on real-world requirements

Steps towards adaptive situation and context-aware access: a contribution to the extension of access control mechanisms within pervasive information systems

L'évolution des systèmes pervasives a ouvert de nouveaux horizons aux systèmes d'information classiques qui ont intégré des nouvelles technologies et des services qui assurent la transparence d'accès aux resources d'information à n'importe quand, n'importe où et n'importe comment. En même temps, cette évolution a relevé des nouveaux défis à la sécurité de données et à la modélisation du contrôle d'accès. Afin de confronter ces challenges, differents travaux de recherche se sont dirigés vers l'extension des modèles de contrôles d'accès (en particulier le modèle RBAC) afin de prendre en compte la sensibilité au contexte dans le processus de prise de décision. Mais la liaison d'une décision d'accès aux contraintes contextuelles dynamiques d'un utilisateur mobile va non seulement ajouter plus de complexité au processus de prise de décision mais pourra aussi augmenter les possibilités de refus d'accès. Sachant que l'accessibilité est un élément clé dans les systèmes pervasifs et prenant en compte l'importance d'assurer l'accéssibilité en situations du temps réel, nombreux travaux de recherche ont proposé d'appliquer des mécanismes flexibles de contrôle d'accès avec des solutions parfois extrêmes qui depassent les frontières de sécurité telle que l'option de "Bris-de-Glace". Dans cette thèse, nous introduisons une solution modérée qui se positionne entre la rigidité des modèles de contrôle d'accès et la flexibilité qui expose des risques appliquées pendant des situations du temps réel. Notre contribution comprend deux volets : au niveau de conception, nous proposons PS-RBAC - un modèle RBAC sensible au contexte et à la situation. Le modèle réalise des attributions des permissions adaptatives et de solution de rechange à base de prise de décision basée sur la similarité face à une situation importanteÀ la phase d'exécution, nous introduisons PSQRS - un système de réécriture des requêtes sensible au contexte et à la situation et qui confronte les refus d'accès en reformulant la requête XACML de l'utilisateur et en lui proposant une liste des resources alternatives similaires qu'il peut accéder. L'objectif est de fournir un niveau de sécurité adaptative qui répond aux besoins de l'utilisateur tout en prenant en compte son rôle, ses contraintes contextuelles (localisation, réseau, dispositif, etc.) et sa situation. Notre proposition a été validé dans trois domaines d'application qui sont riches des contextes pervasifs et des scénarii du temps réel: (i) les Équipes Mobiles Gériatriques, (ii) les systèmes avioniques et (iii) les systèmes de vidéo surveillance.The evolution of pervasive computing has opened new horizons to classical information systems by integrating new technologies and services that enable seamless access to information sources at anytime, anyhow and anywhere. Meanwhile this evolution has opened new threats to information security and new challenges to access control modeling. In order to meet these challenges, many research works went towards extending traditional access control models (especially the RBAC model) in order to add context awareness within the decision-making process. Meanwhile, tying access decisions to the dynamic contextual constraints of mobile users would not only add more complexity to decision-making but could also increase the possibilities of access denial. Knowing that accessibility is a key feature for pervasive systems and taking into account the importance of providing access within real-time situations, many research works have proposed applying flexible access control mechanisms with sometimes extreme solutions that depass security boundaries such as the Break-Glass option. In this thesis, we introduce a moderate solution that stands between the rigidity of access control models and the riskful flexibility applied during real-time situations. Our contribution is twofold: on the design phase, we propose PS-RBAC - a Pervasive Situation-aware RBAC model that realizes adaptive permission assignments and alternative-based decision-making based on similarity when facing an important situation. On the implementation phase, we introduce PSQRS - a Pervasive Situation-aware Query Rewriting System architecture that confronts access denials by reformulating the user's XACML access request and proposing to him a list of alternative similar solutions that he can access. The objective is to provide a level of adaptive security that would meet the user needs while taking into consideration his role, contextual constraints (location, network, device, etc.) and his situation. Our proposal has been validated in three application domains that are rich in pervasive contexts and real-time scenarios: (i) Mobile Geriatric Teams, (ii) Avionic Systems and (iii) Video Surveillance Systems

Towards a Pervasive Access Control within Video Surveillance Systems

Part 1: Cross-Domain Conference and Workshop on Multidisciplinary Research and Practice for Information Systems (CD-ARES 2013)International audienceThis paper addresses two emerging challenges that multimedia distributed systems have to deal with: the user’s constant mobility and the information’s sensitivity. The systems have to adapt, in real time, to the user’s context and situation in order to provide him with relevant results without breaking the security and privacy policies. Distributed multimedia systems, such as the oneproposed by the LINDO project, do not generally consider both issues. In this paper, we apply an access control layer on top of the LINDO architecture that takes into consideration the user’s context and situation and recommends alternative resources to the user when he is facing an important situation. The proposed solution was implemented and tested in a video surveillance use case

Designing an architecture for secure sharing of personal health records : a case of developing countries

Includes bibliographical references.While there has been an increase in the design and development of Personal Health Record (PHR) systems in the developed world, little has been done to explore the utility of these systems in the developing world. Despite the usual problems of poor infrastructure, PHR systems designed for the developing world need to conform to users with different models of security and literacy than those designed for developed world. This study investigated a PHR system distributed across mobile devices with a security model and an interface that supports the usage and concerns of low literacy users in developing countries. The main question addressed in this study is: “Can personal health records be stored securely and usefully on mobile phones?” In this study, mobile phones were integrated into the PHR architecture that we/I designed because the literature reveals that the majority of the population in developing countries possess mobile phones. Additionally, mobile phones are very flexible and cost efficient devices that offer adequate storage and computing capabilities to users for typically communication operations. However, it is also worth noting that, mobile phones generally do not provide sufficient security mechanisms to protect the user data from unauthorized access

A Privacy-Preserving Framework for Personally Controlled Electronic Health Record (PCEHR) System

The electronic health record (eHR) system has recently been considered one of the biggest advancements in healthcare services. A personally controlled electronic health record (PCEHR) system is proposed by the Australian government to make the health system more agile, secure, and sustainable. Although the PCEHR system claims the electronic health records can be controlled by the patients, healthcare professionals and database/system operators may assist in disclosing the patients’ eHRs for retaliation or other ill purposes. As the conventional methods for preserving the privacy of eHRs solely trust the system operators, these data are vulnerable to be exploited by the authorised personnel in an immoral/unethical way. Furthermore, issues such as the sheer number of eHRs, their sensitive nature, flexible access, and efficient user revocation have remained the most important challenges towards fine-grained, cryptographically enforced data access control. In this paper we propose a patient centric cloud-based PCEHR framework, which employs a homomorphic encryption technique in storing the eHRs. The proposed system ensures the control of both access and privacy of eHRs stored in the cloud database