Audit-based Compliance Control (AC2) for EHR Systems

Traditionally, medical data is stored and processed using paper-based files. Recently, medical facilities have started to store, access and exchange medical data in digital form. The drivers for this change are mainly demands for cost reduction, and higher quality of health care. The main concerns when dealing with medical data are availability and confidentiality. Unavailability (even temporary) of medical data is expensive. Physicians may not be able to diagnose patients correctly, or they may have to repeat exams, adding to the overall costs of health care. In extreme cases availability of medical data can even be a matter of life or death. On the other hand, confidentiality of medical data is also important. Legislation requires medical facilities to observe the privacy of the patients, and states that patients have a final say on whether or not their medical data can be processed or not. Moreover, if physicians, or their EHR systems, are not trusted by the patients, for instance because of frequent privacy breaches, then patients may refuse to submit (correct) information, complicating the work of the physicians greatly. \ud \ud In traditional data protection systems, confidentiality and availability are conflicting requirements. The more data protection methods are applied to shield data from outsiders the more likely it becomes that authorized persons will not get access to the data in time. Consider for example, a password verification service that is temporarily not available, an access pass that someone forgot to bring, and so on. In this report we discuss a novel approach to data protection, Audit-based Compliance Control (AC2), and we argue that it is particularly suited for application in EHR systems. In AC2, a-priori access control is minimized to the mere authentication of users and objects, and their basic authorizations. More complex security procedures, such as checking user compliance to policies, are performed a-posteriori by using a formal and automated auditing mechanism. To support our claim we discuss legislation concerning the processing of health records, and we formalize a scenario involving medical personnel and a basic EHR system to show how AC2 can be used in practice. \ud \ud This report is based on previous work (Dekker & Etalle 2006) where we assessed the applicability of a-posteriori access control in a health care scenario. A more technically detailed article about AC2 recently appeared in the IJIS journal, where we focussed however on collaborative work environments (Cederquist, Corin, Dekker, Etalle, & Hartog, 2007). In this report we first provide background and related work before explaining the principal components of the AC2 framework. Moreover we model a detailed EHR case study to show its operation in practice. We conclude by discussing how this framework meets current trends in healthcare and by highlighting the main advantages and drawbacks of using an a-posteriori access control mechanism as opposed to more traditional access control mechanisms

Self-Adaptive Role-Based Access Control for Business Processes

© 2017 IEEE. We present an approach for dynamically reconfiguring the role-based access control (RBAC) of information systems running business processes, to protect them against insider threats. The new approach uses business process execution traces and stochastic model checking to establish confidence intervals for key measurable attributes of user behaviour, and thus to identify and adaptively demote users who misuse their access permissions maliciously or accidentally. We implemented and evaluated the approach and its policy specification formalism for a real IT support business process, showing their ability to express and apply a broad range of self-adaptive RBAC policies

The Audit Logic: Policy Compliance in Distributed Systems

We present a distributed framework where agents can share data along with usage policies. We use an expressive policy language including conditions, obligations and delegation. Our framework also supports the possibility to refine policies. Policies are not enforced a-priori. Instead policy compliance is checked using an a-posteriri auditing approach. Policy compliance is shown by a (logical) proof that the authority can systematically check for validity. Tools for automatically checking and generating proofs are also part of the framework.\u

Developing a distributed electronic health-record store for India

The DIGHT project is addressing the problem of building a scalable and highly available information store for the Electronic Health Records (EHRs) of the over one billion citizens of India

Applying Formal Methods to Networking: Theory, Techniques and Applications

Despite its great importance, modern network infrastructure is remarkable for the lack of rigor in its engineering. The Internet which began as a research experiment was never designed to handle the users and applications it hosts today. The lack of formalization of the Internet architecture meant limited abstractions and modularity, especially for the control and management planes, thus requiring for every new need a new protocol built from scratch. This led to an unwieldy ossified Internet architecture resistant to any attempts at formal verification, and an Internet culture where expediency and pragmatism are favored over formal correctness. Fortunately, recent work in the space of clean slate Internet design---especially, the software defined networking (SDN) paradigm---offers the Internet community another chance to develop the right kind of architecture and abstractions. This has also led to a great resurgence in interest of applying formal methods to specification, verification, and synthesis of networking protocols and applications. In this paper, we present a self-contained tutorial of the formidable amount of work that has been done in formal methods, and present a survey of its applications to networking.Comment: 30 pages, submitted to IEEE Communications Surveys and Tutorial

A Multi-User, Single-Authentication Protocol for Smart Grid Architectures

open access articleIn a smart grid system, the utility server collects data from various smart grid devices. These data play an important role in the energy distribution and balancing between the energy providers and energy consumers. However, these data are prone to tampering attacks by an attacker, while traversing from the smart grid devices to the utility servers, which may result in energy disruption or imbalance. Thus, an authentication is mandatory to efficiently authenticate the devices and the utility servers and avoid tampering attacks. To this end, a group authentication algorithm is proposed for preserving demand–response security in a smart grid. The proposed mechanism also provides a fine-grained access control feature where the utility server can only access a limited number of smart grid devices. The initial authentication between the utility server and smart grid device in a group involves a single public key operation, while the subsequent authentications with the same device or other devices in the same group do not need a public key operation. This reduces the overall computation and communication overheads and takes less time to successfully establish a secret session key, which is used to exchange sensitive information over an unsecured wireless channel. The resilience of the proposed algorithm is tested against various attacks using formal and informal security analysis

HiTrust: building cross-organizational trust relationship based on a hybrid negotiation tree

Small-world phenomena have been observed in existing peer-to-peer (P2P) networks which has proved useful in the design of P2P file-sharing systems. Most studies of constructing small world behaviours on P2P are based on the concept of clustering peer nodes into groups, communities, or clusters. However, managing additional multilayer topology increases maintenance overhead, especially in highly dynamic environments. In this paper, we present Social-like P2P systems (Social-P2Ps) for object discovery by self-managing P2P topology with human tactics in social networks. In Social-P2Ps, queries are routed intelligently even with limited cached knowledge and node connections. Unlike community-based P2P file-sharing systems, we do not intend to create and maintain peer groups or communities consciously. In contrast, each node connects to other peer nodes with the same interests spontaneously by the result of daily searches