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    This study introduces a privacy-aware system for managing electronic health records (EHRs), enabling patients to control their shared health data securely. The approach uses adaptive Merkle Trees for efficient and protected information sharing among healthcare providers.

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    Area of Science:

    • Health Informatics
    • Computer Science
    • Cybersecurity

    Background:

    • Collaborative healthcare enhances quality and reduces costs.
    • Electronic Health Record (EHR) sharing is growing for remote monitoring and patient data management.
    • Security and privacy challenges hinder widespread EHR sharing.

    Purpose of the Study:

    • To propose a privacy-aware profile management approach for secure EHR sharing.
    • To empower patients in managing their health data and controlling access.
    • To address the need for a flexible, efficient, and standards-based solution for selective information disclosure.

    Main Methods:

    • Developed a privacy-aware profile management system.
    • Utilized an adaptive Merkle Tree to represent user profiles.
    • Formalized the mathematical model underlying the Merkle Tree implementation.
    • Validated the solution's performance through simulation experiments.

    Main Results:

    • The proposed approach enables patients to consolidate healthcare provider information and user-generated claims into a single credential.
    • The adaptive Merkle Tree structure provides an efficient method for managing and verifying user profiles.
    • Empirical validation demonstrated the effectiveness and performance of the privacy-aware solution.

    Conclusions:

    • The privacy-aware profile management approach enhances patient control over their health data.
    • The solution offers a secure and efficient method for selective information disclosure in collaborative healthcare.
    • This work contributes to overcoming security and privacy challenges in EHR sharing.