title: Privacy and security requirements of distributed computer based patient records.
abstract: Privacy and security issues increase in complexity as we move from the conventional patient record to the computer based patient record (CPR) supporting patient care and to cross-institutional networked CPRs. The privacy and security issues surrounding the CPR are outlined. Measures for privacy and security protection are summarized. It is suggested that we lack a key component of an information sharing culture. We need means for semantic indexing in the form of a metadata base at the level of the instantiation of a data base rather than at the level of its schemas.
authors.affiliation: School of Health Information Science, University of Victoria, B.C., Canada.
authors.forename: J R
authors.initials: JR
authors.lastname: Moehr
mesh_terms: D003195:Computer Communication Networks; D016494:Computer Security; D003219:Confidentiality; D005568:Forms and Records Control; D006801:Humans; D007256:Information Systems; D008498:Medical Record Linkage; D016347:Medical Records Systems, Computerized; D010344:Patient Advocacy; D010347:Patient Care Planning; D011785:Quality Assurance, Health Care; D012106:Research