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A Study on the Security of Electronic Healthcare Record in A Widely Distributed Environment

Research Project

Project/Area Number 12680834
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Biomedical engineering/Biological material science
Research InstitutionKobe University (2002)
Kyushu University (2000-2001)

Principal Investigator

SAKAMOTO Norihiro  Department of Medicine, Professor, 医学部附属病院, 教授 (00253485)

Co-Investigator(Kenkyū-buntansha) YAMAMOTO Ryuichi  University of Tokyo, Department of Information Science, Associate Professor, 大学院・情報学環, 助教授 (10191462)
Project Period (FY) 2000 – 2002
Project Status Completed (Fiscal Year 2002)
Budget Amount *help
¥3,400,000 (Direct Cost: ¥3,400,000)
Fiscal Year 2002: ¥1,000,000 (Direct Cost: ¥1,000,000)
Fiscal Year 2001: ¥1,500,000 (Direct Cost: ¥1,500,000)
Fiscal Year 2000: ¥900,000 (Direct Cost: ¥900,000)
KeywordsElectronic Healthcare Record / HL7 / Public Key Infrastructure / User Identification and Authentication / Privilege Management / Digital Signature / Public Key Certificate / Attribute Certificate / 電子書名 / 開鍵証明書 / 情報セキュリティ
Research Abstract

An official notice on April 22, 1999 from the Japanese Ministry of Health and Welfare regarding electronic storage of clinical patient records has been motivating development of technologies for secure healthcare information services. Electronic storage of clinical patient records will not only realize so-called paperless hospitals and clinics but should also allow clinical examination and treatment of higher quality. This is because it facilitates the use of all the healthcare information about a patient being examined and treated even though that information may be stored in different healthcare institutes from where the patient is being treated. Such availability of life-long healthcare information is one of the objectives of state of the art networked healthcare information systems.
To provide healthcare information services of high quality in such a way that the healthcare information is available in real-time and without any loss amongst healthcare institutes distributed among wid … More e area networks, secure storage and secure transmission of healthcare information is essential.
In this technical development, we try to solve the technical problems related to retaining authenticity of electronic patient records and keeping confidentiality of storage of the electronic clinical records. These characteristics are closely related to security technologies as seen in several kinds of electronic commerce, where there may be some available technologies such as the Public Key Infrastructure and digital signature already. However, it is not clear how these methods should be adapted to the secure storage and transmission methods for electronic clinical records.
In this technical development, we integrate the existing security technologies and develop new technologies for secure storage and transmission of electronic clinical records.
The systems that we developed in order to make our proposal concrete are as follows. A sending client system reads and parses electronic patient records in XML format and displays it to user. The client system also provides users with a function to add some confidentiality levels to an electronic patient record and encrypt it. A server system receives, stores and manages electronic clinical records that client systems send to it. A receiving client system decrypts encrypted an electronic patient record in compliance with it's levels. We also developed some other server systems. A public key server system manages user's public keys needed for cryptographic processes. A user attribute server system manages user's public key certificates. Less

Report

(4 results)
  • 2002 Annual Research Report   Final Research Report Summary
  • 2001 Annual Research Report
  • 2000 Annual Research Report
  • Research Products

    (20 results)

All Other

All Publications (20 results)

  • [Publications] Norihiro SAKAMOTO: "A Secure Framework on The Basis of Public Key Infrastructure for Dynamic Healthcare Information Services in Wide Area Distributed Environments"Japanese Journal of Medical Informatics. 20. 125-134 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Norihiro SAKAMOTO: "Architecture for networked electronic patient record system"International Journal of Medical Informatics. 60. 161-167 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] 坂本 憲広: "公開鍵証明書を用いた国立大学病院保健医療情報利用者認駈システムの開発"電子情報通信学会論文誌. D-IJ-84-D-I. 830-839 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Norihiro SAKAMOTO: "A New Approach for Unification of Healthcare Information Exchange Protocols Through HL7 RIM"Japanese Journal of Medical Informatics. 21. 13-22 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] 増田 剛, 坂本 憲広, 山本隆一: "HL7参照情報モデルに基づく病院情報システムのデータモデル設計指針の試作と評価-患者基本情報を中心として -"医療情報学. 21. 97-104 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Gou Masuda, Norihiro SAKAMOTO, Ryuichi YAMAMOTO: "An Exchange Format for Use-cases of Hospital Information Systems"MEDINFO 2001, V.Patel et al. (Eds), Amsterdam IOS Press. 109-113 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Norihiro SAKAMOTO: "A Secure Framework on The Basis of Public Key Infrastructure for Dynamic Healthcare Information Services in Wide Area Distributed Environments"Japanese Journal of Medical Informatics. Vol. 20, No. 2. 125-134

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Norihiro SAKAMOTO: "Architecture for networked electronic patient record system"International Journal of Medical Informatics. Vol. 60, No. 2. 161-167

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Norihiro SAKAMOTO, Gou MASUDA, Ryuichi YAMAMOTO: "A New Approach for Unification of Healthcare Information Exchange Protocols Through HL7 RIM"Japanese Journal of Medical Informatics. Vol. 21, No. 1. 13-22

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Gou Masuda, Norihiro SAKAMOTO, Ryuichi YAMAMOTO, V. Patel et al. Eds.: "An Exchange Format for Use-cases of Hospital Information Systems, in MEDINFO 2001"Amsterdam IOS Press. 109-113 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Norihiro SAKAMOTO, V. Patel et al. Eds.: "The Construction of a Public Key Infrastructure for Healthcare Information Networks in Japan, in MEDINFO 2001"Amsterdam IOS Press. 1276-1280 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] 中島直樹, 坂本憲広, 三村和郎, 山本隆一, 田中直美, 井口登与志, 名和田新: "公開鍵基盤を利用した広域分散型糖尿病電子カルテ開発事業"医療情報学 22: 11-18,2002. vol.22,No.1. 11-18 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 中島直樹, 坂本憲広, 三村和郎, 田尻祐司, 梅田文夫, 井口登与志, 名和田新: "公開鍵基盤を用いた広域分散型糖尿病電子カルテ開発事業"公開鍵基盤を利用した広域分散型糖尿病電子カルテ開発事業:成果報告医療情報学 21巻(別冊):350-351頁、2001年. 21. 350-351 (2001)

    • Related Report
      2002 Annual Research Report
  • [Publications] 中島直樹, 坂本憲広, 三村和郎, 梅田文夫, 井くち登与志, 名和田新: "公開鍵基盤を用いた広域分散型糖尿病電子カルテ開発事業について"糖尿病ケアIT革命 別冊 80-85,2002. 80-85 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Norihiro SAKAMOTO, Gou MASUDA, Ryuichi YAMAMOTO: "A New Approach for Unification of Healthcare Information Exchange Protocols Through HL7 RIM"Japanese Journal of Medical Informatics. Vol.21, No.1. 13-22 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Gou Masuda, Norihiro SAKAMOTO, Rumi SAKAI, Ryuichi YAMAMOTO: "An Exchange Format for Use-cases of Hospital Information Systems"MEDINFO 2001, B.Patel et al. (Eds), Amsterdam IOS Press,【○!c】 2001 IMIA. 109-113 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Matej Sprogar, Peter Kokol, Norihiro SAKAMOTO: "Supporting Medical Decisions with Vector Decision Trees"MEDINFO 2001, B.Patel et al. (Eds), Amsterdam IOS Press,【○!c】 2001 IMIA. 552-556 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Norihiro SAKAMOTO: "The Construction of a Public Key Infrastructure for Healthcare Information Networks in Japan"MEDINFO 2001, B.Patel et al. (Eds), Amsterdam IOS Press,【○!c】 2001 IMIA. 1276-1280 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Norihiro SAKAMOTO: "A Secure Framework on the Basis of Public Key Infrastructure for Dynamic Healthcare Information Services in Wide Area Distributed Environments"Japan Journal of Medical Informatics. Vol.20 No.2. 125-134 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 坂本憲広: "公開鍵証明書を用いた国立大学病院保健医療情報利用者認証システムの開発"電子情報通信学会論文誌 D-I. (印刷中). (2001)

    • Related Report
      2000 Annual Research Report

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Published: 2000-04-01   Modified: 2016-04-21  

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