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A method and validation for auditing e-Health applications based on reusable software security requirements

Carlos M Mejía-Granda1, José L Fernández-Alemán1, Juan M Carrillo de Gea1

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International Journal of Medical Informatics
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Summary
This summary is machine-generated.

This study introduces a security catalog and audit method for e-Health applications, identifying vulnerabilities in OpenEMR and enhancing health software security against cyber threats.

Keywords:
Audit methodologyMedical softwareRequirements engineeringSoftware requirements specificationSoftware securitye-Health

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Area of Science:

  • e-Health security
  • Software engineering
  • Cybersecurity in healthcare

Background:

  • Obtaining security requirements for e-Health applications is complex.
  • Existing methods may not adequately address the unique security needs of e-Health.

Purpose of the Study:

  • To introduce a tailored audit and validation methodology for e-Health applications.
  • To present a comprehensive security catalog for e-Health applications.
  • To enhance the security and reliability of health software.

Main Methods:

  • Systematic literature review and gathering of primary sources (law, guides, standards, best practices).
  • Organization of a security catalog based on ISO/IEC/IEEE 29148:2018.
  • Proposal and validation of the SEC-AM audit method using OpenEMR.

Main Results:

  • A comprehensive framework for developing or evaluating e-Health applications was provided.
  • Security vulnerabilities (e.g., DDoS, XSS, JSONi, CMDi) were identified in OpenEMR.
  • OpenEMR achieved a "Secure" classification with a 66.97% compliance rate.

Conclusions:

  • The proposed catalog and audit method are feasible and effective for enhancing health software security.
  • Continuous improvement of the catalog is recommended to address new regulations and vulnerabilities.
  • This approach is vital for ensuring safe and quality medical care in the face of cyber threats.