Integrated, reliable and cloud-based personal health record: a scoping review.

Personal Health Records (PHR) emerge as an alternative to integrate patient’s health information to give a global view of patients' status. However, integration is not a trivial feature when dealing with a variety electronic health systems from healthcare centers. Access to PHR sensitive information must comply with privacy policies defined by the patient. Architecture PHR design should be in accordance to these, and take advantage of nowadays technology. Cloud computing is a current technology that provides scalability, ubiquity, and elasticity features. This paper presents a scoping review related to PHR systems that achieve three characteristics: integrated, reliable and cloud-based. We found 101 articles that addressed thosecharacteristics. We identified four main research topics: proposal/developed systems, PHR recommendations for development, system integration and standards, and security and privacy. Integration is tackled with HL7 CDA standard. Information reliability is based in ABE security-privacy mechanism. Cloud-based technology access is achieved via SOA.CONACYT - Consejo Nacional de Ciencia y TecnologíaPROCIENCI

NEW SECURE SOLUTIONS FOR PRIVACY AND ACCESS CONTROL IN HEALTH INFORMATION EXCHANGE

In the current digital age, almost every healthcare organization (HCO) has moved from storing patient health records on paper to storing them electronically. Health Information Exchange (HIE) is the ability to share (or transfer) patients’ health information between different HCOs while maintaining national security standards like the Health Insurance Portability and Accountability Act (HIPAA) of 1996. Over the past few years, research has been conducted to develop privacy and access control frameworks for HIE systems. The goal of this dissertation is to address the privacy and access control concerns by building practical and efficient HIE frameworks to secure the sharing of patients’ health information. The first solution allows secure HIE among different healthcare providers while focusing primarily on the privacy of patients’ information. It allows patients to authorize a certain type of health information to be retrieved, which helps prevent any unintentional leakage of information. The privacy solution also provides healthcare providers with the capability of mutual authentication and patient authentication. It also ensures the integrity and auditability of health information being exchanged. The security and performance study for the first protocol shows that it is efficient for the purpose of HIE and offers a high level of security for such exchanges. The second framework presents a new cloud-based protocol for access control to facilitate HIE across different HCOs, employing a trapdoor hash-based proxy signature in a novel manner to enable secure (authenticated and authorized) on-demand access to patient records. The proposed proxy signature-based scheme provides an explicit mechanism for patients to authorize the sharing of specific medical information with specific HCOs, which helps prevent any undesired or unintentional leakage of health information. The scheme also ensures that such authorizations are authentic with respect to both the HCOs and the patient. Moreover, the use of proxy signatures simplifies security auditing and the ability to obtain support for investigations by providing non-repudiation. Formal definitions, security specifications, and a detailed theoretical analysis, including correctness, security, and performance of both frameworks are provided which demonstrate the improvements upon other existing HIE systems

Secure Blockchain Transactions for Electronic Health Records based on an Improved Attribute-Based Signature Scheme (IASS)

Electronic Health Records (EHRs) are entirely controlled by hospitals, not patients, making it difficult to obtain medical advice from individual hospitals. Patients need to keep tabs on their health details and take back control of their medical data. The rapid development of blockchain technology has facilitated large-scale healthcare, including medical records and patient-related data. The technology provides comprehensive and immutable patient records and free access to electronic medical records for providers and treatment portals. To ensure the validity of the blockchain-connected EHR, the Improved Attribute-Based Signature Scheme (IASS) has considerable powers, allowing patients to approve messages based on attributes but not validated. In addition, it avoids the problem of having multiple authorities without a single or central source of trust for generating and distributing patient public/private keys and fits into the blockchain model for distributed data storage. By sharing a secret, pseudo-random activity seed between authorities, the protocol resists collusive attacks by corrupt officials. The technology provides patients with a comprehensive, immutable record and free access to their EHR from providers and treatment portals. To ensure the validity of blockchain-connected EHRs, propose an attribute-based multi-authority signature scheme that authorizes messages based on their attributes without revealing any information

A Practical Framework for Storing and Searching Encrypted Data on Cloud Storage

Security has become a significant concern with the increased popularity of cloud storage services. It comes with the vulnerability of being accessed by third parties. Security is one of the major hurdles in the cloud server for the user when the user data that reside in local storage is outsourced to the cloud. It has given rise to security concerns involved in data confidentiality even after the deletion of data from cloud storage. Though, it raises a serious problem when the encrypted data needs to be shared with more people than the data owner initially designated. However, searching on encrypted data is a fundamental issue in cloud storage. The method of searching over encrypted data represents a significant challenge in the cloud. Searchable encryption allows a cloud server to conduct a search over encrypted data on behalf of the data users without learning the underlying plaintexts. While many academic SE schemes show provable security, they usually expose some query information, making them less practical, weak in usability, and challenging to deploy. Also, sharing encrypted data with other authorized users must provide each document's secret key. However, this way has many limitations due to the difficulty of key management and distribution. We have designed the system using the existing cryptographic approaches, ensuring the search on encrypted data over the cloud. The primary focus of our proposed model is to ensure user privacy and security through a less computationally intensive, user-friendly system with a trusted third party entity. To demonstrate our proposed model, we have implemented a web application called CryptoSearch as an overlay system on top of a well-known cloud storage domain. It exhibits secure search on encrypted data with no compromise to the user-friendliness and the scheme's functional performance in real-world applications.Comment: 146 Pages, Master's Thesis, 6 Chapters, 96 Figures, 11 Table