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Secure HL7 transactions using Internet mail (Internet draft).

Gunther Schadow1, Mark Tucker, Wes Rishel

  • 1The Regenstrief lnstitute, Indianapolis, U.S.

Studies in Health Technology and Informatics
|October 2, 2004
PubMed
Summary
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This document details how Internet standards can secure Health Level-7 (HL7) electronic data interchange (EDI) transactions. It proposes methods for non-repudiation and secure coupling of request and response messages in healthcare data exchange.

Area of Science:

  • Computer Science
  • Information Security
  • Healthcare Informatics

Background:

  • Electronic Data Interchange (EDI) is crucial for healthcare data exchange.
  • Existing Internet standards for EDI require adaptation for specific healthcare protocols like Health Level-7 (HL7).
  • Ensuring secure and non-repudiable transactions is paramount in healthcare.

Purpose of the Study:

  • To adapt Internet standardization efforts for secure EDI transactions within the HL7 framework.
  • To provide foundational and detailed information for developing compliant communication software.
  • To address limitations in current standards regarding non-repudiation and message coupling for HL7.

Main Methods:

  • Leveraging work from the IETF EDIINT working group, including requirements and AS#1.

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  • Tailoring existing Internet standards (RFC 1767, RFC 2112) for HL7 specific needs.
  • Developing a protocol to bundle Message Disposition Notifications (MDNs) and response messages using MIME multi-part/related content type.

    • Main Results:

    • Demonstrates the applicability of Internet EDI standards to HL7 transactions.
    • Proposes enhancements to MIME type specifications for improved functionality.
    • Introduces a protocol for securely coupling HL7 request and response messages, ensuring non-repudiation of commitment.

    Conclusions:

    • Internet standards can be effectively applied to secure HL7 EDI transactions.
    • The proposed methods enhance security, functionality, and non-repudiation in healthcare data exchange.
    • The work provides a practical guide for implementing secure communication software for HL7.