title: The evolution of Health Information Systems, security in practice and open issues.
abstract: Security issues during development and implementation of hospital information systems are briefly reviewed. Attention is paid to current issues as to: availability, integrity, authentication and access rights. In particular are discussed: some remaining risks as to integrity, the tension between in-house acceptance of HIS access rules and standardisation needed when implementing a transmural Electronic Health Record (EHR), access rights needed for medical audit, law suits and evaluation with their far-reaching consequences. The need for harmonisation of access rights is underlined and a further study of the requirements for systems from the perspective of medical audit, evaluation and juridical procedures is advocated.
authors.affiliation: Addabit B. V. Noordwijk, The Netherlands. abakker@addabit.demon.nl
authors.forename: Albert R
authors.initials: AR
authors.lastname: Bakker
mesh_terms: D022126:Access to Information; D016494:Computer Security; D005060:Europe; D007256:Information Systems / Q000458:organization & administration*; D008485:Medical Audit; D016347:Medical Records Systems, Computerized