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使用生物特征图像的电子健康记录的智能安全与隐私保护

Intelligent Security and Privacy of Electronic Health Records Using Biometric Images.

作者信息

Alghazo Jaafar M

机构信息

Center of King Salman Endowed Chair of Information Security, College of Computer Engineering and Science, Prince Mohammad Bin Fahd University, Al-Khobar, Saudi Arabia.

出版信息

Curr Med Imaging Rev. 2019;15(4):386-394. doi: 10.2174/1573405615666181228121535.

Abstract

BACKGROUND

In the presence of Cloud Environment and the migration of Electronic Health Systems and records to the Cloud, patient privacy has become an emergent problem for healthcare institutions. Government bylaws, electronic health documentation, and innovative internet health services generate numerous security issues for healthcare conformity and information security groups. To deal with these issues, healthcare institutes must protect essential IT infrastructure from unauthorized use by insiders and hackers. The Cloud Computing archetype allows for EHealth methods that improve the features and functionality of systems on the cloud. On the other hand, sending patients' medical information and records to the Cloud entails a number of risks in the protection and privacy of the health records during the communication process.

AIM

In this paper, a solution is proposed for the security of Electronic Health Records (EHRs) in cloud environment during the process of sending the data to the cloud. In addition, the proposed method uses biometric images that allow for unified patient identification across cloud-based EHRs and across medical institutions.

METHOD

To protect the privacy of patients' information and streamline the migration process, a watermarking-based method is proposed for health care providers to ensure that patients' data are only accessible to authorized personnel. Patients' information, such as name, id, symptoms, diseases, and previous history, is secured in biometric images of patients as an encrypted watermark.

RESULTS

Quality and impeccability analysis and robustness were performed to test the proposed method. The PSNR values show that the proposed method produced excellent results.

CONCLUSION

The robustness and impressibility of the proposed method were tested by subjecting the watermarked images to different simulated attacks. The watermarks were largely impermeable to varied and repeated attacks.

摘要

背景

在云环境存在以及电子健康系统和记录向云端迁移的情况下,患者隐私已成为医疗机构面临的一个紧迫问题。政府法规、电子健康文档以及创新的互联网健康服务给医疗合规和信息安全团队带来了众多安全问题。为应对这些问题,医疗机构必须保护关键的信息技术基础设施,防止内部人员和黑客的未经授权使用。云计算原型允许采用电子健康方法来改进云端系统的特性和功能。另一方面,将患者的医疗信息和记录发送到云端在通信过程中会给健康记录的保护和隐私带来诸多风险。

目的

本文针对在将数据发送到云端的过程中云环境下电子健康记录(EHR)的安全问题提出了一种解决方案。此外,所提出的方法使用生物特征图像,可实现跨基于云的电子健康记录以及跨医疗机构的统一患者识别。

方法

为保护患者信息隐私并简化迁移过程(原文是streamline the migration process,这里根据语境调整为简化迁移过程),提出了一种基于水印的方法,以确保医疗服务提供者只有授权人员才能访问患者数据。患者的信息,如姓名、身份证号、症状、疾病和既往病史等,作为加密水印保存在患者的生物特征图像中。

结果

进行了质量和无瑕疵分析以及鲁棒性测试以检验所提出的方法。峰值信噪比(PSNR)值表明所提出的方法产生了优异的结果。

结论

通过对加水印的图像进行不同的模拟攻击来测试所提出方法的鲁棒性和不可感知性。水印在很大程度上能抵御各种重复攻击。

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