A systematic literature review on security and privacy of electronic health record systems: technical perspectives

Health Information Management : Journal of the Health Information Management Association of Australia
Fatemeh RezaeibaghaWilly Susilo

Abstract

Even though many safeguards and policies for electronic health record (EHR) security have been implemented, barriers to the privacy and security protection of EHR systems persist. This article presents the results of a systematic literature review regarding frequently adopted security and privacy technical features of EHR systems. Our inclusion criteria were full articles that dealt with the security and privacy of technical implementations of EHR systems published in English in peer-reviewed journals and conference proceedings between 1998 and 2013; 55 selected studies were reviewed in detail. We analysed the review results using two International Organization for Standardization (ISO) standards (29100 and 27002) in order to consolidate the study findings. Using this process, we identified 13 features that are essential to security and privacy in EHRs. These included system and application access control, compliance with security requirements, interoperability, integration and sharing, consent and choice mechanism, policies and regulation, applicability and scalability and cryptography techniques. This review highlights the importance of technical features, including mandated access control policies and consent mechanisms, to ...Continue Reading

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Citations

Jun 1, 2017·Health Information Management : Journal of the Health Information Management Association of Australia·Joan Henderson
Nov 6, 2018·Health Information Management : Journal of the Health Information Management Association of Australia·Andrew Georgiou, Mirela Prgomet
May 1, 2019·International Journal of Environmental Research and Public Health·Mishall Al-ZubaidieJi Zhang

Related Concepts

Secrecy
Data Security
Protocol Compliance
Electronic Health Records
Diagnostic Techniques, Surgical
International Health Organization
Analysis
Regulation of Biological Process
Lepocinclis spirogyroides
Electronic Health Records

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