2014
DOI: 10.1109/jbhi.2013.2292776
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XDS-I Outsourcing Proxy: Ensuring Confidentiality While Preserving Interoperability

Abstract: The interoperability of services and the sharing of health data have been a continuous goal for health professionals, patients, institutions, and policy makers. However, several issues have been hindering this goal, such as incompatible implementations of standards (e.g., HL7, DICOM), multiple ontologies, and security constraints. Cross-enterprise document sharing (XDS) workflows were proposed by Integrating the Healthcare Enterprise (IHE) to address current limitations in exchanging clinical data among organi… Show more

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Cited by 21 publications
(14 citation statements)
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“…Within the utility sector, engineers focus some of their efforts on understanding the interoperability of smart grids in order to share data to improve efficiency . In the health care industry, system engineers must weigh the importance of data interoperability with patient confidentiality as they develop more integrated systems for data sharing . Bowen and Sahin discuss the importance of interoperability, specifically information flows, in their work developing an architecture for robotic human tracking system of system …”
Section: Literature Reviewmentioning
confidence: 99%
“…Within the utility sector, engineers focus some of their efforts on understanding the interoperability of smart grids in order to share data to improve efficiency . In the health care industry, system engineers must weigh the importance of data interoperability with patient confidentiality as they develop more integrated systems for data sharing . Bowen and Sahin discuss the importance of interoperability, specifically information flows, in their work developing an architecture for robotic human tracking system of system …”
Section: Literature Reviewmentioning
confidence: 99%
“…Encrypted medical data could be accessed and decrypted from anywhere and whomever with particular authentication. Ribeiro 2014 [49] presented a software proxy that enables the outsourcing of XDS (Cross-enterprise document sharing) architectural parts while preserving the interoperability, confidentiality, and searchability of clinical information. A key component in our architecture is a new searchable encryption (SE) scheme-Posterior Playfair Searchable Encryption (PPSE)-which, besides keeping the same confidentiality levels of the stored data, hides the search patterns to the adversary, bringing improvements when compared to the remaining practical state-of-the-art SE schemes.…”
Section: International Journal Of Engineering Research and Technology (mentioning
confidence: 99%
“…DICOM, HL7, ISO, IETF, etc). The Cross-Enterprise Document Sharing for Imaging(XDS-I) [18] profile provides a centralized discovery of medical imaging and associated reports, for instance, the Patient Identifier Cross Referencing (PIX) an integration profile that takes care of linking patient identifiers across distinct affinity domains [19]. However, our proposal mainly targets the outsourcing of intra-institutional PACS archives to the Cloud.…”
Section: A Medical Imaging Standardsmentioning
confidence: 99%