Implementation of secure medical record using smartcard technology

Murugan, Jothi Prakash (2009) Implementation of secure medical record using smartcard technology. Masters thesis, University of Malaya.

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Jothi_EMR_AppendixB_EMRSourceCode_07072009_MC.pdf

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Abstract

Patients’ medical histories are documented within their medical records and these records must accompany them over the course of their lifetimes. Until recently, the majority of medical records were handwritten or printed on paper and kept in a paper folder. Healthcare institutions are now moving away from traditional paper-based records to electronic versions; patients’ entire medical histories are recreated in a digital format as the healthcare field incorporates more technology into its daily practices. Although many healthcare institutions have adopted electronic medical record (EMR) systems, the goals of comprehensive, continuous and patient-centered care have not occurred due to lack of mechanisms that provide practitioners timely and efficient access to the patient's complete health history. Thus, to be able to retrieve patient’s health record timely and efficiently, smartcard technology was adopted into EMR systems. Although substantial benefits were expected from smartcard-based EMR systems to solve those primary issues, privacy and confidentiality of EMRs are obviously at risk if the implementations of such EMR systems are not made secured. This research effort addresses two major areas. Firstly is to analyze and scrutinize the implementation of EMR-based systems in healthcare sector. The second area is to attempt to manage EMRs in a secure smartcard platform. Crucial factors affecting a smartcard-based EMR, such as security, privacy and implementation methodology is presented in detail in the first part of this research. Subsequently a four-level security authentication model has been introduced in an attempt to secure the EMR smartcard which complies with international standards for smartcard. The software methodology used in this research area is Unified Modeling Language (UML), an object oriented modeling technique. The significant contribution of this study is to present an implementation model for a secure smartcard-based EMR system. A patient-centered EMR smartcard interface prototype is developed to prove its integration viability. Testing results from the prototype demonstrates that the idea of using smartcard technology to secure EMR is viable. Further enhancement to safeguard the EMR on smartcard has been presented in the research which would greatly benefits the healthcare industry in general and the patients in particular.

Item Type: Thesis (Masters)
Subjects: Z Bibliography. Library Science. Information Resources > Z665 Library Science. Information Science
Depositing User: MS NOOR ZAKIRA ZULRIMI
Date Deposited: 16 Jul 2013 02:31
Last Modified: 16 Jul 2013 02:31
URI: http://repository.um.edu.my/id/eprint/405

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