A tamper-resistant and portable healthcare folder.
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.
Anciaux
Nicolas
N
Institut National de Recherche en Informatique et en Automatique (INRIA), Rocquencourt, 78153 Le Chesnay Cedex, France.
Berthelot
Morgane
M
Braconnier
Laurent
L
Bouganim
Luc
L
De la Blache
Martine
M
Gardarin
Georges
G
Kesmarszky
Philippe
P
Lartigue
Sophie
S
Navarre
Jean-François
JF
Pucheral
Philippe
P
Vandewalle
Jean-Jacques
JJ
Zeitouni
Karine
K