Biblio

Tele-radiology is a technology that helps in bringing the communication between the radiologist, patients and healthcare units situated at distant places. This involves exchange of medical centric data. The medical data may be stored as Electronic Health Records (EHR). These EHRs contain X-Rays, CT scans, MRI reports. Hundreds of scans across multiple radiology centers lead to medical big data (MBD). Healthcare Cloud can be used to handle MBD. Since lack of security to EHRs can cause havoc in medical IT, healthcare cloud must be secure. It should ensure secure sharing and storage of EHRs. This paper proposes the application of decoy technique to provide security to EHRs. The EHRs have the risk of internal attacks and external intrusion. This work addresses and handles internal attacks. It also involves study on honey-pots and intrusion detection techniques. Further it identifies the possibility of an intrusion and alerts the administrator. Also the details of intrusions are logged.

Care of chronic cardiac patients requires information interchange between patients' homes, clinical environments, and the electronic health record. Standards are emerging to support clinical information collection, exchange and management and to overcome information fragmentation and actors delocalization. Heterogeneity of information sources at patients' homes calls for open solutions to collect and accommodate multidomain information, including environmental data. Based on the experience gained in a European Research Program, this paper presents an integrated and open approach for clinical data interchange in cardiac telemonitoring applications. This interchange is supported by the use of standards following the indications provided by the national authorities of the countries involved. Taking into account the requirements provided by the medical staff involved in the project, the authors designed and implemented a prototypal middleware, based on a service-oriented architecture approach, to give a structured and robust tool to congestive heart failure patients for their personalized telemonitoring. The middleware is represented by a health record management service, whose interface is compliant to the healthcare services specification project Retrieve, Locate and Update Service standard (Level 0), which allows communication between the agents involved through the exchange of Clinical Document Architecture Release 2 documents. Three performance tests were carried out and showed that the prototype completely fulfilled all requirements indicated by the medical staff; however, certain aspects, such as authentication, security and scalability, should be deeply analyzed within a future engineering phase.