title: Establishing end-to-end security in a nationwide network for telecooperation.
abstract: Telecooperation is used to support care for trauma patients by facilitating a mutual exchange of treatment and image data in use-cases such as emergency consultation, second-opinion, transfer, rehabilitation and out-patient aftertreatment. To comply with data protection legislation a two-factor authentication using ownership and knowledge has been implemented to assure personalized access rights. End-to-end security is achieved by symmetric encryption in combination with external trusted services which provide the symmetric key solely at runtime. Telecooperation partners may be chosen at departmental level but only individuals of that department, as a result of checking the organizational assignments maintained by LDAP services, are granted access. Data protection officers of a federal state have accepted the data protection means. The telecooperation platform is in routine operation and designed to serve for up to 800 trauma centers in Germany, organized in more than 50 trauma networks.
authors.affiliation: University of Applied Sciences, Stralsund, Germany. martin.staemmler@fh-stralsund.de
authors.forename: Martin
authors.initials: M
authors.lastname: Staemmler
authors.forename: Michael
authors.initials: M
authors.lastname: Walz
authors.forename: Gerald
authors.initials: G
authors.lastname: Weisser
authors.forename: Uwe
authors.initials: U
authors.lastname: Engelmann
authors.forename: Robert
authors.initials: R
authors.lastname: Weininger
authors.forename: Antonio
authors.initials: A
authors.lastname: Ernstberger
authors.forename: Johannes
authors.initials: J
authors.lastname: Sturm
mesh_terms: D016494:Computer Security; D003299:Cooperative Behavior; D057286:Electronic Health Records; D005858:Germany; D055991:Health Records, Personal; D033181:Information Dissemination / Q000379:methods; D016247:Information Storage and Retrieval / Q000379:methods*; D020407:Internet; D008498:Medical Record Linkage / Q000379:methods*; D017216:Telemedicine / Q000379:methods*