Abstract
In this study, we introduce Usage-Based Encryption (UBE) approach for a secure, efficient, ubiquitous and versatile management of Electronic Health Records (EHRs) on cloud. The primordial feature lies in delegating the fundamental security guidelines and procedures to the patient in terms of encryption, access control and digital signatures. In contrast with other frequently used approaches, the proposed scheme grants the patient enhanced independence from cloud providers' policies and thus, renders increased administrative authority while sustaining a highly flexible and resourceful configuration. A comprehensive scheme is painstakingly detailed to encompass all tangible situations pertaining to a highly effective control of the EHR in a platform-free sphere. As a matter of fact, encryption and hashing modi operandi are scrupulously and relevantly fixed on to guarantee Confidentiality, Integrity and Availability (CIA). Furthermore, privileges and revocation of access are discussed in their minutiae from a usage perspective to provide patients broader maneuverability of their health records prior to housing them on clouds.
Highlights
P4 medicine or what is referred to as “Personalized, Predictive, Preventive and Participatory medicine” seems to pave a new age for an ever evolving and more daring approach to healthcare, worldwide
Paper charts still exist in clinician offices, medical centers and hospitals; Electronic Medical Records (EMRs) and which are the digital versions of such information, reveal more beneficial and advantageous because they empower healthcare providers and officials with the capacity of tracking, identifying and preventing the aforementioned related issues; they are more legible, as well
Media and official/governmental organizations frequently use the terms Electronic Medical Record (EMR) and Electronic Health Record (EHR) interchangeably, it is important at this stage to state that there is a clear difference between the two concepts
Summary
P4 medicine or what is referred to as “Personalized, Predictive, Preventive and Participatory medicine” seems to pave a new age for an ever evolving and more daring approach to healthcare, worldwide. Accessibility of patients’ medical records might unveil hidden snags and pitfalls and seems to turn into a source of dilemmas and controversies regarding who should own the “medical data”; the use of connectivity for data availability and transmission can be intercepted and meddled for nefarious purposes. Paper charts still exist in clinician offices, medical centers and hospitals; Electronic Medical Records (EMRs) and which are the digital versions of such information, reveal more beneficial and advantageous because they empower healthcare providers and officials with the capacity of tracking, identifying and preventing the aforementioned related issues; they are more legible, as well.
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