New advanced technologies to provide decentralised and secure access to medical records: case studies in oncology.
The main problem for health professionals and patients in accessing information is that this information is very often distributed over many medical records and locations. This problem is particularly acute in cancerology because patients may be treated for many years and undergo a variety of examinations. Recent advances in technology make it feasible to gain access to medical records anywhere and anytime, allowing the physician or the patient to gather information from an "ephemeral electronic patient record". However, this easy access to data is accompanied by the requirement for improved security (confidentiality, traceability, integrity, ...) and this issue needs to be addressed. In this paper we propose and discuss a decentralised approach based on recent advances in information sharing and protection: Grid technologies and watermarking methodologies. The potential impact of these technologies for oncology is illustrated by the examples of two experimental cases: a cancer surveillance network and a radiotherapy treatment plan. It is expected that the proposed approach will constitute the basis of a future secure "google-like" access to medical records.
Quantin
Catherine
C
Inserm, U866, Dijon, France.
Coatrieux
Gouenou
G
Allaert
François André
FA
Fassa
Maniane
M
Bourquard
Karima
K
Boire
Jean-Yves
JY
de Vlieger
Paul
P
Maigne
Lydia
L
Breton
Vincent
V