Efficient Healthcare Integrity Assurance in the Cloud with Incremental Cryptography and Trusted Computing

In this chapter, the authors propose the design and implementation of an integrity-enforcement protocol for detecting malicious modification on Electronic Healthcare Records (EHRs) stored and processed in the cloud. The proposed protocol leverages incremental cryptography premises and trusted computing building blocks to support secure integrity data structures that protect the medical records while: (1) complying with the specifications of regulatory policies and recommendations, (2) highly reducing the mobile client energy consumption, (3) considerably enhancing the performance of the applied cryptographic mechanisms on the mobile client as well as on the cloud servers, and (4) efficiently supporting dynamic data operations on the EHRs.

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