title: An accountability server for health care information systems.
abstract: The paper starts off by first briefly discussing the necessary ethical, legal and administrative/management controls that are required before the mechanisms of accountability controls can be implemented in automated clinical patient record systems. After these social aspects are discussed the technical aspects of the ALS are outlined. The security concepts of the ECMA framework are reviewed and used to explain the technical design of the ALS. A walk-through of the server in a typical patient record transaction is used to explain the operations of the server. The paper concludes with a general discussion of the usefulness of accountability mechanisms in making security in health care information work in practice.
authors.affiliation: Department of Computer and Systems Sciences, Stockholm University, Sweden.
authors.forename: S
authors.initials: S
authors.lastname: Kowalski
mesh_terms: D003195:Computer Communication Networks; D016494:Computer Security / Q000331:legislation & jurisprudence; D003219:Confidentiality / Q000331:legislation & jurisprudence; D003628:Database Management Systems; D004995:Ethics, Professional; D005568:Forms and Records Control / Q000331:legislation & jurisprudence; D006296:Health Services; D006801:Humans; D007256:Information Systems / Q000331:legislation & jurisprudence; D016347:Medical Records Systems, Computerized / Q000331:legislation & jurisprudence; D016134:Organizational Policy; D012637:Security Measures; D012941:Social Responsibility; D013672:Technology; D014584:User-Computer Interface