title: A tamper-resistant and portable healthcare folder.
abstract: Electronic health record (EHR) projects have been launched in most developed countries to increase the quality of healthcare while decreasing its cost. The benefits provided by centralizing the healthcare information in database systems are unquestionable in terms of information quality, availability, and protection against failure. Yet, patients are reluctant to give to a distant server the control over highly sensitive data (e.g., data revealing a severe or shameful disease). This paper capitalizes on a new hardware portable device, associating the security of a smart card to the storage capacity of a USB key, to give back to the patient the control over his medical data. This paper shows how this device can complement a traditional EHR server to (1) protect and share highly sensitive data among trusted parties and (2) provide a seamless access to the data even in disconnected mode. The proposed architecture is experimented in the context of a medicosocial network providing medical care and social services at home for elderly people.
authors.affiliation: Institut National de Recherche en Informatique et en Automatique (INRIA), Rocquencourt, 78153 Le Chesnay Cedex, France.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Anciaux
authors.forename: Morgane
authors.initials: M
authors.lastname: Berthelot
authors.forename: Laurent
authors.initials: L
authors.lastname: Braconnier
authors.forename: Luc
authors.initials: L
authors.lastname: Bouganim
authors.forename: Martine
authors.initials: M
authors.lastname: De la Blache
authors.forename: Georges
authors.initials: G
authors.lastname: Gardarin
authors.forename: Philippe
authors.initials: P
authors.lastname: Kesmarszky
authors.forename: Sophie
authors.initials: S
authors.lastname: Lartigue
authors.forename: Jean-François
authors.initials: JF
authors.lastname: Navarre
authors.forename: Philippe
authors.initials: P
authors.lastname: Pucheral
authors.forename: Jean-Jacques
authors.initials: JJ
authors.lastname: Vandewalle
authors.forename: Karine
authors.initials: K
authors.lastname: Zeitouni