Department of Computer Science and Engineering, BBD University, Lucknow, India.
Department of Computer Science and Engineering, Mahatma Gandhi Institute of Technology, Gandipet, Hyderabad, India.
Comput Intell Neurosci. 2022 Mar 19;2022:3564436. doi: 10.1155/2022/3564436. eCollection 2022.
It is a new online service paradigm that allows consumers to exchange their health data. Health information management software allows individuals to control and share their health data with other users and healthcare experts. Patient health records (PHR) may be intelligently examined to predict patient criticality in healthcare systems. Unauthorized access, privacy, security, key management, and increased keyword query search time all occur when personal health records (PHR) are moved to a third-party semitrusted server. This paper presents security measures for cloud-based personal health records (PHR). The cost of keeping health records on a hospital server grows. This is particularly true in healthcare. As a consequence, keeping PHRs in the cloud helps healthcare institutions save money on infrastructure. The proposed security solutions include an optimized rule-based fuzzy inference system (ORFIS) to determine the patient's criticality. Patients are classified into three groups (sometimes known as protective rings) based on their severity: very critical, less critical, and normal. In trials using the UCI machine learning archive, the new ORFIS outperformed existing fuzzy inference approaches in detecting the criticality of PHR. Using a graph-based access policy and anonymous authentication with a NoSQL database in a private cloud environment improves data storage and retrieval efficiency, granularity of data access, and response time.
这是一种新的在线服务模式,允许消费者交换他们的健康数据。健康信息管理软件允许个人控制和与其他用户和医疗保健专家共享他们的健康数据。在医疗保健系统中,可以智能地检查患者健康记录 (PHR) 以预测患者的危急程度。当个人健康记录 (PHR) 迁移到第三方半可信服务器时,会出现未经授权的访问、隐私、安全、密钥管理和增加关键字查询搜索时间等问题。本文提出了基于云的个人健康记录 (PHR) 的安全措施。在医院服务器上保存健康记录的成本不断增加。在医疗保健领域尤其如此。因此,将 PHR 存储在云中有助于医疗机构节省基础设施成本。所提出的安全解决方案包括用于确定患者危急程度的优化基于规则的模糊推理系统 (ORFIS)。根据患者的严重程度将患者分为三组(有时称为保护环):非常危急、不太危急和正常。在使用 UCI 机器学习档案进行的试验中,新的 ORFIS 在检测 PHR 的危急程度方面优于现有的模糊推理方法。在私有云环境中使用基于图的访问策略和具有 NoSQL 数据库的匿名身份验证可以提高数据存储和检索效率、数据访问的粒度和响应时间。