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.

[1]  Chin-Ming Hsu,et al.  A patient-identity security mechanism for electronic medical records during transit and at rest , 2005, Medical informatics and the Internet in medicine.

[2]  V Hernández,et al.  The Grid as a Healthcare Provision Tool , 2005, Methods of Information in Medicine.

[3]  G. Coatrieux,et al.  A Review of Image Watermarking Applications in Healthcare , 2006, 2006 International Conference of the IEEE Engineering in Medicine and Biology Society.

[4]  Catherine Quantin,et al.  Unique Patient Concept: A key choice for European epidemiology , 2007, Int. J. Medical Informatics.

[5]  Richard McClatchey,et al.  Health-e-Child: An Integrated Biomedical Platform for Grid-Based Paediatric Applications , 2006, HealthGrid.

[6]  Johan Montagnat,et al.  Bridging clinical information systems and grid middleware: a Medical Data Manager , 2006, HealthGrid.

[7]  Francis H. Roger France,et al.  Purposes of Health Identification Cards in Belgium , 2005, MIE.

[8]  Ignacio Blanquer,et al.  SHARE, from Vision to Road Map: Technical Steps , 2007, MedInfo.

[9]  A Tursz,et al.  [Should epidemiological data be extracted from personal medical files?]. , 2006, Revue d'epidemiologie et de sante publique.

[10]  Carl Kesselman,et al.  Globus MEDICUS - Federation of DICOM Medical Imaging Devices into Healthcare Grids , 2007, HealthGrid.

[11]  S. Nowak,et al.  HOPE, an Open Platform for Medical Data Management on the Grid , 2008, HealthGrid.

[12]  Vincent Breton,et al.  The Healthgrid White Paper , 2005, HealthGrid.

[13]  Michael Brady,et al.  eDiamond: A Grid‐Enabled Federated Database of Annotated Mammograms , 2003 .

[14]  David Manset,et al.  Grid-enabled sentinel network for cancer surveillance , 2009, HealthGrid.

[15]  S E Middleton,et al.  GEMSS: grid-infrastructure for medical service provision. , 2005, Methods of information in medicine.

[16]  Richard McClatchey,et al.  Health-e-Child: An Integrated Biomedical Platform for Grid-Based Pediatrics , 2005 .

[17]  Ulrich Sax,et al.  Shortcomings of Current Grid Middlewares Regarding Privacy in HealthGrids , 2007, HealthGrid.

[18]  M. Brady,et al.  MammoGrid--a prototype distributed mammographic database for Europe. , 2007, Clinical radiology.

[19]  Catherine Quantin,et al.  The legal acknowledgement of the electronic signature: a key for a secure direct access of patients to their computerised medical record , 2004, Int. J. Medical Informatics.

[20]  Bernd Blobel,et al.  Security Infrastructure Requirements for Electronic Health Cards Communication , 2005, MIE.

[21]  Bernd Blobel,et al.  Benefits and Weaknesses of Health Cards used in Health Information Systems , 2006, MIE.

[22]  Jacques Ferlay,et al.  Cancer screening in the European Union. Report on the implementation of the Council Recommendation on cancer screening. , 2008 .

[23]  Nuno Santos,et al.  The AMGA Metadata Service , 2008, Journal of Grid Computing.

[24]  C Lartizien,et al.  GATE: a simulation toolkit for PET and SPECT. , 2004, Physics in medicine and biology.

[25]  Constantin F. Aliferis,et al.  Studies in Health Technology and Informatics , 2007 .

[26]  Catherine Quantin,et al.  Law and standards faced to market rules in health information security , 2003, MIE.

[27]  Pradeep Kumar Ray,et al.  Electronic Medical Records: A Review Comparing the Challenges in Developed and Developing Countries , 2008, Proceedings of the 41st Annual Hawaii International Conference on System Sciences (HICSS 2008).