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At least 1,153 records · Page 64Linked to original sources
PubMed2005

[The introduction of the electronic health card in Germany].

From 2006 onwards all members of the health insurance system in Germany will be issued an electronic health card which will replace the current health insurance card. The new health card will be technically upgraded to also include patient-related health data or provide access to such data in addition to its administrative functions. Therefore, it is evident that the health card be fitted with a microprocessor that permits authentication (electronic identity check), encryption and the electronic digital signature, thus ensuring maximum data safety and security. For easy identification of the insured person, the electronic health card will bear a photograph of the card holder.

Computer Communication Networks↗
PubMed2004

An assessment of PKI and networked electronic patient record system: lessons learned from real patient data exchange at the platform of OCHIS (Osaka Community Healthcare Information System).

To enhance medical cooperation between the hospitals and clinics around Osaka local area, the healthcare network system, named Osaka Community Healthcare Information System (OCHIS), was established with support of a supplementary budget from the Japanese government in fiscal year 2002. Although the system has been based on healthcare public key infrastructure (PKI), there remain security issues to be solved technically and operationally. An experimental study was conducted to elucidate the central and the local function in terms of a registration authority and a time stamp authority in contract with the Japanese Medical Information Systems Organization (MEDIS) in 2003. This paper describes the experimental design and the results of the study concerning message security.

Access to Information↗
PubMed1998

A workflow-based approach to virtual patient record security.

Virtual patient records provide a means for integrated access to patient information that may be scattered around different healthcare organizations (or hospital departments). As Intranets provide, among others, secure access to medical information, they constitute an appropriate technological infrastructure for a virtual patient record implementation. In such cases, a security policy can be enforced by combining the security features of the Intranet with the security features of the intraorganizational systems. However, when a workflow system is implemented to automate interorganizational healthcare processes, an additional security layer is needed. An authorization architecture that serves this purpose is presented in this paper.

Computer Communication Networks↗
PubMed1996

Legal challenges created by computerized medical records.

The article discusses protection of a patient's right of confidentiality, addresses some of the legal issues raised by computerized medical records, and provides some suggestions for securing the confidentiality and integrity of such records. Methods to ensure the admissibility of computerized medical records are suggested.

Computer Security↗
PubMedDate not supplied

Security and confidentiality of health information systems: implications for physicians.

Adopting and developing the new generation of information systems will be essential to remain competitive in a quality conscious health care environment. These systems enable physicians to document patient encounters and aggregate the information from the population they treat, while capturing detailed data on chronic medical conditions, medications, treatment plans, risk factors, severity of conditions, and health care resource utilization and management. Today, the knowledge-based information systems should offer instant, around-the-clock access for the provider, support simple order entry, facilitate data capture and retrieval, and provide eligibility verification, electronic authentication, prescription writing, security, and reporting that benchmarks outcomes management based upon clinical/financial decisions and treatment plans. It is an integral part of any information system to incorporate and integrate transactional (financial/administrative) information, as well as analytical (clinical/medical) data in a user-friendly, readily accessible, and secure form. This article explores the technical, financial, logistical, and behavioral obstacles on the way to the Promised Land.

Computer Security↗
PubMed2000

Using the Internet to facilitate computerized patient records.

This paper explores using the Internet to implement an electronic medical records system. It examines methods and technologies, security issues, current Web-based applications and system vendors, and describes how to implement a clinic-suitable system.

Computer Security↗
PubMed2001

Pioneering organizations expect financial and clinical benefits from 'online encounters'.

Take advantage of e-communications to boost care of the chronically ill. Experts have long anticipated the day when patients would be communicating directly with their physicians via the web. And now a few pioneering organizations have made that prediction a reality. The obstacles to embarking on such a course are numerous, with concerns over such issues as security and reimbursement looming large. However, the potential benefits--particularly for chronically ill patients--are just too compelling to ignore.

Chronic Disease↗
PubMed2002

Implementing security and access control mechanisms for an electronic healthcare record.

Personal Electronic Health Records (EHR) have recently been published as one means to support patient empowerment and patient control over their personal health record. The functionality of such an EHR may vary from a simple web-based interface for interactive data entry and data review up to a much more powerful system additionally supporting electronic data/document communication between clinical information systems of primary care practitioners or hospitals and even reminder based support for the empowered citizen, to actively take care of his health, based on relevant disease management programs. Since storage and communication of data in an EHR comprises sensible personal health data, each of those functions need specific security and access management requirements to be considered and implemented. In this article the most critical requirements for these aspects will be classified and respective mechanisms to provide secure data storage and communication as well as flexible access management functions will be presented.

Computer Security↗
PubMed2004

Wireless networking for the dental office: current wireless standards and security protocols.

Digital radiography has gained immense popularity in dentistry today in spite of the early difficulty for the profession to embrace the technology. The transition from film to digital has been happening at a faster pace in the fields of Orthodontics, Oral Surgery, Endodontics, Periodontics, and other specialties where the radiographic images (periapical, bitewing, panoramic, cephalometric, and skull radiographs) are being acquired digitally, stored within a server locally, and eventually accessed for diagnostic purposes, along with the rest of the patient data via the patient management software (PMS). A review of the literature shows the diagnostic performance of digital radiography is at least comparable to or even better than that of conventional radiography. Similarly, other digital diagnostic tools like caries detectors, cephalometric analysis software, and digital scanners were used for many years for the diagnosis and treatment planning purposes. The introduction of wireless charged-coupled device (CCD) sensors in early 2004 (Schick Technologies, Long Island City, NY) has moved digital radiography a step further into the wireless era. As with any emerging technology, there are concerns that should be looked into before adapting to the wireless environment. Foremost is the network security involved in the installation and usage of these wireless networks. This article deals with the existing standards and choices in wireless technologies that are available for implementation within a contemporary dental office. The network security protocols that protect the patient data and boost the efficiency of modern day dental clinics are enumerated.

Computer Security↗
PubMed1996

WebReport: a World Wide Web based clinical multimedia reporting system.

This paper describes WebReport, a World Wide Web (WWW) client for the Image Engine multimedia clinical information system under development at the University of Pittsburgh. WebReport uses advanced HTML features such as frames, forms, tables and inline JPEG image display to provide an easy to use system for retrieving and viewing diagnostic images and reports generated by clinical procedures such as gastrointestinal endoscopy, radiology and surgical pathology. WebReport implements a number of WWW client-side features, such as HTML forms data entry verification and makes extensive use of the JavaScript programming language. The WebReport system uses a number of approaches for ensuring the confidentiality and security of patient data transmitted over the InterNet.

Computer Communication Networks↗
PubMed2006

Enhancing security of fingerprints through contextual biometric watermarking.

This paper presents a novel digital watermarking technique using face and demographic text data as multiple watermarks for verifying the chain of custody and protecting the integrity of a fingerprint image. The watermarks are embedded in selected texture regions of a fingerprint image using discrete wavelet transform. Experimental results show that modifications in these locations are visually imperceptible and maintain the minutiae details. The integrity of the fingerprint image is verified through the high matching scores obtained from an automatic fingerprint identification system. There is also a high degree of visual correlation between the embedded images, and the extracted images from the watermarked fingerprint. The degree of similarity is computed using pixel-based metrics and human visual system metrics. The results also show that the proposed watermarked fingerprint and the extracted images are resilient to common attacks such as compression, filtering, and noise.

Algorithms↗
PubMed2000

WWW + smart card: towards a mobile health care management system.

This paper highlights the benefits of combining the World Wide Web and smart card technologies to support a highly mobile health management framework. In particular, we describe an approach using the SmartCard-Web Gateway Interface (SGI) as a common interface to communicate and access the medical records residing in a smart card. Importantly, by employing HTTP as the baseline protocol to access information on the smart card, SGI promotes the use of de facto standard web browsers as the common client user interface. The initial implementation of the framework has demonstrated the feasibility of the concept in facilitating a truly mobile access of patient's medical records based on SGI.

Computer Security↗
PubMed1992

Automated ambulatory medical records systems. An orphan technology.

Automated ambulatory medical records systems (AAMRSs) have been operational for over 20 years but have not been adopted by more than a small fraction of their potential users. This paper presents a detailed analysis of the uses and benefits of the COSTAR-based AAMRS at the Harvard Community Health Plan and of the factors which have inhibited the dissemination of COSTAR. We conclude that AAMRSs have been an orphan technology and cite trends in health care that favor the future development of AAMRSs.

Ambulatory Care Information Systems↗
PubMed1998

A patient-centric approach to telemedicine database development.

Computer and telecommunications technologies have unleashed a wide range of powerful tools for gathering, storing, and distributing patient information. Computerized records enable healthcare providers to rapidly access patient data and to closely monitor patients from a distance. These significant advantages can be further extended by using the technology to more fully involve patients in their own healthcare management. A patient-centric approach to telemedicine means that the patient takes on additional responsibility and control, and the benefits from increased patient involvement will translate into improved compliance, reduced litigation, lower costs, and better outcomes. Furthermore, there are often important ethical questions that are best decided by the informed patient. Patients have a right to know what information is being gathered and who will be authorized to access that information. Current health information systems do not adequately address these issues, and telemedicine applications--particularly home based telemedicine--is forcing everyone to take a closer look at patients' roles in their own healthcare. In this presentation, a patient-centric home telemedicine database is described, the limitations are discussed, and future directions are proposed.

Computer Communication Networks↗
PubMedDate not supplied

Medical errors: computers are no panacea.

Increased patient loads, time pressures, and heightened public awareness of medical errors are forcing many physicians and clinical administrators to consider acquiring computerized physician order entry (CPOE) systems and clinical information systems. The recent revelation that CPOE systems can facilitate medical errors, however, is a call to physicians to remain vigilant despite the new technologies. By attending to specific data-capture and data-access errors associated with clinical information systems, physicians can minimize errors associated with clinical information systems and maximize the potential benefits to their patients.

Computer Security↗