title: Inter-organizational future proof EHR systems. A review of the security and privacy related issues.
abstract: OBJECTIVE
  Identification and analysis of privacy and security related issues that occur when health information is exchanged between health care organizations.
  
  
  METHODS
  Based on a generic scenario questions were formulated to reveal the occurring issues. Possible answers were verified in literature.
  
  
  RESULTS
  Ensuring secure health information exchange across organizations requires a standardization of security measures that goes beyond organizational boundaries, such as global definitions of professional roles, global standards for patient consent and semantic interoperable audit logs.
  
  
  CONCLUSIONS
  As to be able to fully address the privacy and security issues in interoperable EHRs and the long-life virtual EHR it is necessary to realize a paradigm shift from storing all incoming information in a local system to retrieving information from external systems whenever that information is deemed necessary for the care of the patient.
authors.affiliation: School for Public Health and Primary Care: Caphri, University Maastricht, Maastricht, The Netherlands. h.vanderlinden@mi.unimaas.nl
authors.forename: Helma
authors.initials: H
authors.lastname: van der Linden
authors.forename: Dipak
authors.initials: D
authors.lastname: Kalra
authors.forename: Arie
authors.initials: A
authors.lastname: Hasman
authors.forename: Jan
authors.initials: J
authors.lastname: Talmon