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Related Concept Videos

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Related Experiment Video

Updated: Apr 30, 2026

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
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Leveraging the cloud for electronic health record access.

Brian Coats1, Subrata Acharya1

  • 1The Department of Computer and Information Sciences at Towson University in Towson, MD.

Perspectives in Health Information Management
|May 9, 2014
PubMed
Summary

This study introduces a cloud-based trust framework for secure electronic health record (EHR) access. It enables healthcare providers to integrate EHR systems with cloud identity solutions, enhancing patient access and data security.

Keywords:
OpenIDfederated authenticationidentity assuranceidentity managementportable identity

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Area of Science:

  • Health Informatics
  • Cloud Computing Security
  • Digital Identity Management

Background:

  • Healthcare providers face increasing pressure to grant patients access to electronic health records (EHRs).
  • Meaningful Use incentive programs are a significant driver for patient EHR access.
  • Cloud computing excels at establishing and interoperating digital identities across systems.

Purpose of the Study:

  • To propose a cloud-based trust framework for secure patient access to EHRs.
  • To leverage existing cloud investments rather than duplicating them.
  • To ensure compliance with security and privacy guidelines.

Main Methods:

  • Analysis of industry standards and cross-industry practices for identity exchange.
  • Development of a comprehensive trust framework for EHR-cloud integration.
  • Implementation of the framework at a large regional hospital.

Main Results:

  • A robust trust framework was derived for exchanging identity information.
  • The framework facilitates seamless EHR integration with cloud-based identity validation.
  • Implementation resulted in immediate and tangible improvements in patient access and system integration.

Conclusions:

  • The proposed trust framework offers a scalable and compliant solution for patient EHR access.
  • Leveraging cloud infrastructure for digital identity management is crucial for healthcare.
  • The implemented system demonstrates practical benefits for healthcare providers and patients.