Ensuring patients privacy in a cryptographic-based-electronic health records using bio-cryptography

Several recent works have proposed and implemented cryptography as a means to preserve privacy and security of patients health data. Nevertheless, the weakest point of electronic health record (EHR) systems that relied on these cryptographic schemes is key management. Thus, this paper presents the development of privacy and security system for cryptography-based-EHR by taking advantage of the uniqueness of fingerprint and iris characteristic features to secure cryptographic keys in a bio-cryptography framework. The results of the system evaluation showed significant improvements in terms of time efficiency of this approach to cryptographic-based-EHR. Both the fuzzy vault and fuzzy commitment demonstrated false acceptance rate (FAR) of 0%, which reduces the likelihood of imposters gaining successful access to the keys protecting patients protected health information. This result also justifies the feasibility of implementing fuzzy key binding scheme in real applications, especially fuzzy vault which demonstrated a better performance during key reconstruction

Privacy protocols

Security protocols enable secure communication over insecure channels. Privacy protocols enable private interactions over secure channels. Security protocols set up secure channels using cryptographic primitives. Privacy protocols set up private channels using secure channels. But just like some security protocols can be broken without breaking the underlying cryptography, some privacy protocols can be broken without breaking the underlying security. Such privacy attacks have been used to leverage e-commerce against targeted advertising from the outset; but their depth and scope became apparent only with the overwhelming advent of influence campaigns in politics. The blurred boundaries between privacy protocols and privacy attacks present a new challenge for protocol analysis. Covert channels turn out to be concealed not only below overt channels, but also above: subversions, and the level-below attacks are supplemented by sublimations and the level-above attacks.Comment: 38 pages, 6 figure