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Security middleware infrastructure for DICOM images in health information systems.

https://arctichealth.org/en/permalink/ahliterature181791
Source
J Digit Imaging. 2003 Dec;16(4):356-64
Publication Type
Article
Date
Dec-2003
Author
Vijay N V Kallepalli
Sylvanus A Ehikioya
Sergio Camorlinga
Jose A Rueda
Author Affiliation
Department of Computer Science, University of Manitoba, 561 Machray Hall, Winnipeg, Manitoba R3T 2N2, Canada. Vijay@cs.umanitoba.ca
Source
J Digit Imaging. 2003 Dec;16(4):356-64
Date
Dec-2003
Language
English
Publication Type
Article
Keywords
Access to Information - legislation & jurisprudence
Canada
Computer Communication Networks - legislation & jurisprudence
Computer Security - legislation & jurisprudence
Confidentiality - legislation & jurisprudence
Database Management Systems - legislation & jurisprudence
Guideline Adherence - legislation & jurisprudence
Health Insurance Portability and Accountability Act - legislation & jurisprudence
Hospital Information Systems - legislation & jurisprudence
Humans
Medical Records Systems, Computerized - legislation & jurisprudence
Radiology Information Systems - legislation & jurisprudence
Signal Processing, Computer-Assisted
United States
Abstract
In health care, it is mandatory to maintain the privacy and confidentiality of medical data. To achieve this, a fine-grained access control and an access log for accessing medical images are two important aspects that need to be considered in health care systems. Fine-grained access control provides access to medical data only to authorized persons based on priority, location, and content. A log captures each attempt to access medical data. This article describes an overall middleware infrastructure required for secure access to Digital Imaging and Communication in Medicine (DICOM) images, with an emphasis on access control and log maintenance. We introduce a hybrid access control model that combines the properties of two existing models. A trust relationship between hospitals is used to make the hybrid access control model scalable across hospitals. We also discuss events that have to be logged and where the log has to be maintained. A prototype of security middleware infrastructure is implemented.
Notes
Cites: J Digit Imaging. 2002;15 Suppl 1:107-1112105707
PubMed ID
14747934 View in PubMed
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[When medical records are the best witness].

https://arctichealth.org/en/permalink/ahliterature157778
Source
Ugeskr Laeger. 2008 Mar 31;170(14):1143-5
Publication Type
Article
Date
Mar-31-2008
Author
Synne Søndergaard
Author Affiliation
Personaleafdelingen, Rigshospitalet, DK-2100 København Ø. synne.soendergaard@rh.regionh.dk
Source
Ugeskr Laeger. 2008 Mar 31;170(14):1143-5
Date
Mar-31-2008
Language
Danish
Publication Type
Article
Keywords
Access to Information - legislation & jurisprudence
Confidentiality - legislation & jurisprudence
Denmark
Forensic Medicine - legislation & jurisprudence
Humans
Insurance Claim Review - legislation & jurisprudence
Medical Records - legislation & jurisprudence
Wounds and Injuries - diagnosis - etiology
Abstract
This article looks at the development in the increasing use of medical records in the Danish Courts as well as outside the courts in cases of personal injury. The Danish Supreme Court puts the presence of all material above the protection of the confidential relationship between doctor and patient. It is not yet clear to what extent the use of medical records will be accepted. This development raises questions regarding legal security for patients and sets higher requirements for medical and legal personnel. Medical records give important testimony in cases regarding personal injury. It is therefore important for medical personnel to be aware of the content of the medical record, as it might be used and interpreted in the courtroom in a different manner than intended.
PubMed ID
18405477 View in PubMed
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