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New Advanced Technologies to Provide Decentralised and Secure Access to Medical Records: Case Studies in Oncology
Quantin C., Coatrieux G., A. Allaert F., Fassa M., Bourquard K. et al
Cancer Informatics 7 (2009) 217-229 - http://hal.in2p3.fr/in2p3-00415424
Sciences du Vivant/Santé publique et épidémiologie
Informatique/Base de données
Sciences du Vivant/Cancer
New Advanced Technologies to Provide Decentralised and Secure Access to Medical Records: Case Studies in Oncology
C. Quantin ()1, G. Coatrieux2, F. A. Allaert3, M. Fassa1, K. Bourquard4, J.-Y. Boire5, P. De Vlieger5, 6, L. Maigne6, V. Breton6
1 :  Lipides - Nutrition - Cancer
INSERM : U866 – Université de Bourgogne
Faculte de medecine 7, boulevard jeanne d'arc BP 87900 21079 Dijon Cedex
2 :  LATIM - Laboratoire de Traitement de l'Information Medicale
INSERM : U650 – Université de Bretagne Occidentale (UBO) – Institut Mines-Télécom – Télécom Bretagne – CHU Brest – PRES Université Européenne de Bretagne (UEB)
Hopital Morvan, 5 Avenue Foch, 29609 Brest Cedex
CEREN Groupe ESC Dijon Bourgogne 29 rue Sambin - BP 50608 21006 DIJON Cedex
4 :  GMSIH - Groupement pour la Modernisation du Système d'Information Hospitalier
44 rue Combronne 75015 PARIS
5 :  ERIM-ERI 14 - Equipe de Recherche en Signal et Imagerie Medicale
INSERM : ERI14 – Université d'Auvergne - Clermont-Ferrand I
Faculte de Medecine 2 28, Place Henri-Dunant 63001 CLERMONT-FERRAND
6 :  LPC-CLERMONT - Laboratoire de Physique Corpusculaire de Clermont-Ferrand
CNRS : UMR6533 – IN2P3 – Université Blaise Pascal - Clermont-Ferrand II
Campus des Cézeaux 24, avenue des Landais BP 80026 63171 Aubière Cedex
The main problem for health professionals and patients in accessing information is that this information is very often distributed over many medical records and locations. This problem is particularly acute in cancerology because patients may be treated for many years and undergo a variety of examinations. Recent advances in technology make it feasible to gain access to medical records anywhere and anytime, allowing the physician or the patient to gather information from an “ephemeral electronic patient record”. However, this easy access to data is accompanied by the requirement for improved security (confidentiality, traceability, integrity, ...) and this issue needs to be addressed. In this paper we propose and discuss a decentralised approach based on recent advances in information sharing and protection: Grid technologies and watermarking methodologies. The potential impact of these technologies for oncology is illustrated by the examples of two experimental cases: a cancer surveillance network and a radiotherapy treatment plan. It is expected that the proposed approach will constitute the basis of a future secure “google-like” access to medical records.

Articles dans des revues avec comité de lecture
Cancer Informatics
Publisher Libertas Academica
ISSN 1176-9351 
© the authors, licensee Libertas Academica Ltd.

data security – electronic signature – direct access – medical record – patient identifier – watermarking – grid
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Cancer_informatics_2009.pdf(4.5 MB)