Abstract

Nowadays, health care is one of the most important subjects in life. In USA, 100 billion dollars will be spent in the next 10 years, according to experts. The Electronic Medical Record (EMR) is usually a computerized legal medical record created in an organization that delivers care, such as a hospital and doctor's surgery. In the age of technology, one of the most important factors for EMR is that it secures the records for the patients, protects their rights and is responsible for the disclosure of their data. An overview of this study has presented the importance of the privacy of EMR and the patients’ rights. In addition, cryptography algorithms and security requirements have been discussed and the paper has also discussed different architecture, designs and systems that have been reported in the literature. In a nutshell, most of these systems are poor in terms of achieving the security requirements, while on the other side, most of the systems have not discussed the patient rights and how the system can detect the person who broadcast these records. Key words: Electronic medical record, information security, data privacy, rights of patient and cryptography algorithms.

Highlights

  • Computer and information sciences and technologies are rooted in life sciences (Rao et al, 2008)

  • They give an overview of new security concerns, new legislation mandating secure medical records and solutions providing security and they present that RSA as a digital signature algorithm

  • They have mentioned that the majority of security services nowadays are based on public key Infrastructure using asymmetric cryptographic algorithms, for example, the well-known RSA

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Summary

INTRODUCTION

Computer and information sciences and technologies are rooted in life sciences (Rao et al, 2008). The EMR is a longitudinal electronic record of patients’ health information generated by one or more encounters in any care delivery setting (McLean, 2006; Complexity, 2007; Colesca and Zgodavova, 2008; Agbele et al, 2009). Included in this information are patients’ demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data, and radiology reports. Some clinical systems allow electronic capture of physiological signals (for example, electrocardiography), nursing notes, physician orders, etc. (Rosenbloom et al, 2006; Tang et al, 2007; Miller and Sim, 2004; Bouchoul and Mostefai, 2009) (Figure 1)

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