Capabilities and Advantages of Cloud Computing in the Implementation of Electronic Health Record

Background: With regard to the high cost of the Electronic Health Record (EHR), in recent years the use of new technologies, in particular cloud computing, has increased. The purpose of this study was to review systematically the studies conducted in the field of cloud computing. Methods: The present study was a systematic review conducted in 2017. Search was performed in the Scopus, Web of Sciences, IEEE, Pub Med and Google Scholar databases by combination keywords. From the 431 article that selected at the first, after applying the inclusion and exclusion criteria, 27 articles were selected for surveyed. Data gathering was done by a self-made check list and was analyzed by content analysis method. Results: The finding of this study showed that cloud computing is a very widespread technology. It includes domains such as cost, security and privacy, scalability, mutual performance and interoperability, implementation platform and independence of Cloud Computing, ability to search and exploration, reducing errors and improving the quality, structure, flexibility and sharing ability. It will be effective for electronic health record. Conclusion: According to the findings of the present study, higher capabilities of cloud computing are useful in implementing EHR in a variety of contexts. It also provides wide opportunities for managers, analysts and providers of health information systems. Considering the advantages and domains of cloud computing in the establishment of HER, it is recommended to use this technology.

[1]  E. Kannan,et al.  Implementation of Cloud based Electronic Health Record (EHR) for Indian Healthcare Needs , 2016 .

[2]  Andre B. Bondi,et al.  Characteristics of scalability and their impact on performance , 2000, WOSP '00.

[3]  G. Kanagaraj,et al.  Proposal of an open-source Cloud computing system for exchanging medical images of a Hospital Information System , 2011, 3rd International Conference on Trendz in Information Sciences & Computing (TISC2011).

[4]  J. Nielson,et al.  American Health Information Management Association (AHIMA) , 2016 .

[5]  Eugene J. Schweitzer,et al.  Reconciliation of the cloud computing model with US federal electronic health record regulations , 2012, J. Am. Medical Informatics Assoc..

[6]  Jin Li,et al.  Cloud-based electronic health record system supporting fuzzy keyword search , 2016, Soft Comput..

[7]  Joel J. P. C. Rodrigues,et al.  Analysis of Cloud-Based Solutions on EHRs Systems in Different Scenarios , 2012, Journal of Medical Systems.

[8]  Gandikota Ramu,et al.  Secure architecture to manage EHR’s in cloud using SSE and ABE , 2015, Health and Technology.

[9]  Mukesh Singhal,et al.  A secure framework for sharing Electronic Health Records over Clouds , 2016, 2016 IEEE International Conference on Serious Games and Applications for Health (SeGAH).

[10]  Rajkumar Buyya,et al.  Article in Press Future Generation Computer Systems ( ) – Future Generation Computer Systems Cloud Computing and Emerging It Platforms: Vision, Hype, and Reality for Delivering Computing as the 5th Utility , 2022 .

[11]  Pradeep Deshmukh,et al.  Design of cloud security in the EHR for Indian healthcare services , 2017, J. King Saud Univ. Comput. Inf. Sci..

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

[13]  Arshdeep Bahga,et al.  A Cloud-based Approach for Interoperable Electronic Health Records (EHRs) , 2013, IEEE Journal of Biomedical and Health Informatics.

[14]  Somanath Tripathy,et al.  Privacy Preserving Provable Data Possession for Cloud Based Electronic Health Record System , 2016, 2016 IEEE Trustcom/BigDataSE/ISPA.

[15]  Charlotte A. Weaver,et al.  Rapid EHR Development and Implementation Using Web and Cloud-Based Architecture in a Large Home Health and Hospice Organization , 2014, Nursing Informatics.

[16]  Jie Huang,et al.  A Hierarchical Framework for Secure and Scalable EHR Sharing and Access Control in Multi-cloud , 2012, 2012 41st International Conference on Parallel Processing Workshops.

[17]  H. Haghani,et al.  A SURVEY ON BARRIERS TO THE DEVELOPMENT AND ADOPTION OF ELECTRONIC HEALTH RECORDS IN IRAN , 2013 .

[18]  Dimitrios Katsaros,et al.  Architectural Requirements for Cloud Computing Systems: An Enterprise Cloud Approach , 2011, Journal of Grid Computing.

[19]  Doan B. Hoang,et al.  Health Records Protection in Cloud Environment , 2014, 2014 IEEE 13th International Symposium on Network Computing and Applications.

[20]  Lara Khansa,et al.  Proposing an Intelligent Cloud-Based Electronic Health Record System , 2012, Int. J. Bus. Data Commun. Netw..

[21]  Anderson C. A. Nascimento,et al.  Privacy‐ensuring electronic health records in the cloud , 2017, Concurr. Comput. Pract. Exp..

[22]  Eduardo Cerqueira,et al.  A new architecture for secure storage and sharing of health records in the cloud using federated identity attributes , 2014, 2014 IEEE 16th International Conference on e-Health Networking, Applications and Services (Healthcom).

[23]  Fatos Xhafa,et al.  Designing cloud-based electronic health record system with attribute-based encryption , 2014, Multimedia Tools and Applications.

[24]  Christian Stingl,et al.  Health Records and the Cloud Computing Paradigm from a Privacy Perspective , 2011 .

[25]  Abeer Alsadoon,et al.  Hybrid Secure and Scalable Electronic Health Record Sharing in Hybrid Cloud , 2017, 2017 5th IEEE International Conference on Mobile Cloud Computing, Services, and Engineering (MobileCloud).

[26]  Francesco Cangemi,et al.  A cloud based architecture to support Electronic Health Record , 2014, InMed.

[27]  Jameela Al-Jaroodi,et al.  e-Health Cloud: Opportunities and Challenges , 2012, Future Internet.

[28]  Dean F. Sittig,et al.  Defining health information technology-related errors: new developments since to err is human. , 2011, Archives of internal medicine.

[29]  Wenjun Zhang 2-Tier Cloud Architecture and Application in Electronic Health Record , 2012, J. Softw..

[30]  Randy H. Katz,et al.  A view of cloud computing , 2010, CACM.

[31]  Bharat K. Bhargava,et al.  Consumer Oriented Privacy Preserving Access Control for Electronic Health Records in the Cloud , 2016, 2016 IEEE 9th International Conference on Cloud Computing (CLOUD).

[32]  M. Preethi,et al.  Cloud enabled patient-centric EHR management system , 2014, 2014 IEEE International Conference on Advanced Communications, Control and Computing Technologies.

[33]  Ruoyu Wu,et al.  Secure sharing of electronic health records in clouds , 2012, 8th International Conference on Collaborative Computing: Networking, Applications and Worksharing (CollaborateCom).

[34]  Jinan Fiaidhi,et al.  Developing a Secure Distributed OSGi Cloud Computing Infrastructure for Sharing Health Records , 2011, AIS.

[35]  Ibrahim Khalil,et al.  Protection of electronic health records (EHRs) in cloud , 2013, 2013 35th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC).