Inter-organizational future proof EHR systems. A review of the security and privacy related issues
Helma van der Linden1, Dipak Kalra, Arie Hasman
1School for Public Health and Primary Care: Caphri, University Maastricht, Maastricht, The Netherlands. h.vanderlinden@mi.unimaas.nl
Objectives:
Identification and analysis of privacy and security related issues that occur when health information is exchanged between health care organizations.
Methods:
Based on a generic scenario questions were formulated to reveal the occurring issues. Possible answers were verified in literature.
Results:
Ensuring secure health information exchange across organizations requires a standardization of security measures that goes beyond organizational boundaries, such as global definitions of professional roles, global standards for patient consent and semantic interoperable audit logs.
Conclusion:
As to be able to fully address the privacy and security issues in interoperable EHRs and the long-life virtual EHR it is necessary to realize a paradigm shift from storing all incoming information in a local system to retrieving information from external systems whenever that information is deemed necessary for the care of the patient.
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