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INTRODUCTION Optimized workflows and communication between institutions involved in a patient's treatment process can lead to improved quality and efficiency in the healthcare sector. Electronic Health Records (EHRs) provide a patient-centered access to clinical data across institutional boundaries supporting the above mentioned aspects. Interoperability is(More)
OBJECTIVES In Austria, the general practitioner (GP) is the first point of contact for persons with health problems. Depending on the severity of the person's medical condition, a GP may refer her or him to a secondary care hospital consultant, who reports findings back to the GP in form of a paper-based discharge letter. Researchers report that paper-based(More)
Electronic Health Record (EHR) is the heart element of any e-health system, which aims at improving the quality and efficiency of healthcare through the use of information and communication technologies. The sensitivity of the data contained in the health record poses a great challenge to security. In this paper we propose a security architecture for EHR(More)
Electronic Health Record (EHR) is apromising concept to collect and manage electronic health information of all citizens. Integration the Heathcare Enterprise (IHE) wasone of the first initiativesthat aims at standardizing the wayhealthcare systems exchanging information in ad istributed environment. Based on EHR concepts and IHE profiles different(More)
Introduction: Optimized workflows andc ommunication between institutionsi nvolvedi napatient's treatment process can lead to improved quality and efficiency in the healthcare sector. ElectronicH ealth Records(EHRs)p rovide apatient–centered access to clinical dataacross institutional boundaries supporting the abovem entioned aspects. Interoperabilityi sr(More)
Quality and efficiency of healthcare services is expected to be improved by the electronic processing and transinstitutional availability of medical data. A prototype architecture based on the IHE-XDS profile is currently being developed aiming at providing a basis for a distributed electronic health record in Austria. Due to legal and organizational(More)
Traditionally, the definition and the maintenance of security and access control policies has been the exclusive task of system administrators or security officers. In modern distributed and heterogeneous systems, there exist the need to allow different stakeholders to create and edit their security and access control preferences. In order to solve this(More)
"Electronic health services are important" the EU commission stated in the E-Health action plan. By these means access to health care can be improved and the quality and effect of the offered medical services can be increased. By introducing the e-card in Austria, an overall link-up of nearly all health service providers of the external sector (e.g. family(More)
The interconnection of medical networks in different healthcare institutions will be constantly increasing over the next few years, which will require concepts for securing medical data during transfer, since transmitting patient related data via potentially insecure public networks is considered a violation of data privacy. The aim of our work was to(More)