E-BRACE: A Secure Electronic Health Record Access Method in Medical Emergency

A medical emergency often results a change of state physical or mental that poses an immediate risk to a person’s life or long term health. These emergencies may require assistance from another person or guided system to get proper level of care. The current practice of emergency frameworks includes different medical teams to improve the response time as well as a first-aid trained (FAT) person who lives close-by can reduce the first response-time. In the case of emergencies, electronic health record (EHR) can provide critical, life- saving information to the emergency rescue team. Unfortunately, the first-aid trainer doesn’t have access to EHR and results an additional delay and poor performance in terms of cost, time and quality of care. In this paper, we have proposed a wearable medical device called Electronic Bracelet (E-BRACE) which allows a temporary secure access to EHR of a patient in an emergency. The proposed system uses Fast Health Interoperability Resources (FHIR) protocol to make a service call request and gain the patient health record from the Health Information System (HIS). This system provides outstandingly different and unique features as opposed to the previous models since it combats the security concerns and ensures limited access to the information. The use of password to access the data limits the use of the information by anyone including the patients themselves.

[1]  Ofir Ben-Assuli,et al.  Improving Diagnostic Accuracy Using EHR in Emergency Departments: A Simulation-Based Study , 2014, ICIS.

[2]  Jesse Jayne Rutherford,et al.  Wearable Technology , 2010, IEEE Engineering in Medicine and Biology Magazine.

[3]  Adam Landman,et al.  The Boston Marathon Bombings Mass Casualty Incident: One Emergency Department's Information Systems Challenges and Opportunities. , 2015, Annals of emergency medicine.

[4]  Yu-Yi Chen,et al.  A Secure EHR System Based on Hybrid Clouds , 2012, Journal of Medical Systems.

[5]  Vassilya Uzun,et al.  Evaluation and implementation of QR Code Identity Tag system for Healthcare in Turkey , 2016, SpringerPlus.

[6]  M. Haghi,et al.  Wearable Devices in Medical Internet of Things: Scientific Research and Commercially Available Devices , 2017, Healthcare informatics research.

[7]  M. Fetter,et al.  The Electronic Health Record , 2009, Issues in mental health nursing.

[8]  Zahir Tari,et al.  Hybrid Cryptographic Access Control for Cloud-Based EHR Systems , 2016, IEEE Cloud Computing.

[9]  I. Scott,et al.  Rapid response teams in adult hospitals: time for another look? , 2015, Internal medicine journal.

[10]  Deepak Punetha,et al.  Protection of the child/ elderly/ disabled/ pet by smart and intelligent GSM and GPS based automatic tracking and alert system , 2014, 2014 International Conference on Advances in Computing, Communications and Informatics (ICACCI).

[11]  Sowmya R. Rao,et al.  Electronic health records in ambulatory care--a national survey of physicians. , 2008, The New England journal of medicine.

[12]  D. Handel,et al.  Implementing electronic health records in the emergency department. , 2010, The Journal of emergency medicine.

[13]  G. Kurtz EMR confidentiality and information security. , 2003, Journal of healthcare information management : JHIM.