Design and implementation of a smart card based healthcare information system

Kardaş, Geylani; Tunalı, E. Turhan

doi:10.1016/j.cmpb.2005.10.006

Cited by 41 publications

(17 citation statements)

References 1 publication

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“…A PKI and smart cards can be an effective solution for this problem. However, the deployment of such a solution can be very expensive and difficult [34].…”

Section: His Security and Smart Cardsmentioning

confidence: 99%

Securing a Health Information System with a government issued digital identification card

Sousa-Santos

Correia

Antunes

2008

2008 42nd Annual IEEE International Carnahan Conference on Security Technology

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Health Information Systems (HIS) are often deployed with inadequate security solutions. Given the importance and sensitivity of this matter and to guarantee the rule of law, as well as the legal and ethical value of decisions made in a hospital setting, often dealing with life/death situations, there is an urgent need for a much better provisioning of health information systems security.The launch of the Portuguese digital national identification smart card, the Citizen Card (CC), with strong authentication and digital signing capabilities, represents a new and very viable economic opportunity for securing a HIS and at the same time foster the creation of a much more secure national health information infrastructure. The CC is a versatile and secure card, with the latest in encryption and tamper resistance technologies, with standard support for a Public Key Infrastructure (PKI). The CC holds identification data in three different ways: printed, digital and machine readable. It substitutes five national cards, including the national health system ID card. The CC has separate authentication and digital signature keys, both issued and managed by a government certificate authority (CA).The main issues and problems with HIS security are presented, followed by brief explorations of themes related to the CC and HIS security. The relevant card characteristics are presented and discussed, with a special emphasis on the security aspects of the card when applied into the healthcare context. Smart cards are being deployed in healthcare everywhere around the world with highly encouraging results. Major programs have already been deployed with great success, although there are a few well identified issues that need to be addressed. The CC card has the advantage of having a PKI already in place at the national level, so the initial costs of integration testing, deployment and card management have already been taken care of by the national government. HIS advantage on this new opportunity is discussed from a technical and human perspective, and some of the major deployment problems that are likely to be encountered are presented, as well as HIS areas where the smart card crypto functionalities can be deployed with great advantage.There are advantages, as well as some problems in using a smart card in a HIS. The CC possible contributions in this field are as an easy, inexpensive, widely deployed way of using current technology to protect HIS security, and, ultimately, patient information, while at the same time fostering the expansion and deployment of interoperable HIS. Problems identified include possible reluctance in broad utilization of the CC in a professional setting, as well as the need to change currently adopted (although insecure) workflows.

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“…A PKI and smart cards can be an effective solution for this problem. However, the deployment of such a solution can be very expensive and difficult [34].…”

Section: His Security and Smart Cardsmentioning

confidence: 99%

Securing a Health Information System with a government issued digital identification card

Sousa-Santos

Correia

Antunes

2008

2008 42nd Annual IEEE International Carnahan Conference on Security Technology

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“…A microprocessor chip in a smart card can add, delete, or manipulate information in its memory and hence offer complex data security functionalities. These smart cards have been used in many applications such as health cards, e-passport, and e-ID cards for more than 10 years [2][3][4]. In this paper, we describe an example where a smart card is applied in the healthcare information system.…”

Section: Introductionmentioning

confidence: 99%

“…In the security and the privacy terms, several issues should be considered in developing the smart card-based healthcare information system; the ways to certify different devices (card, card reader, terminal), the methods to authenticate users (health professionals and patients), and the amount of information about a patient to be stored in the smart card, for example, patient personal information and emergency contact information. There are many other issues to consider and the details of other issues can be found in [11,12]. In this paper, we consider the methods to authenticate the cardholder, especially patients in a largescale hospital database.…”

Section: Introductionmentioning

confidence: 99%

Integrating Fingerprint Verification into the Smart Card-Based Healthcare Information System

Moon

Chung

Pan

et al. 2009

EURASIP J. Adv. Signal Process.

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Recommended by Stephanie SchuckersAs VLSI technology has been improved, a smart card employing 32-bit processors has been released, and more personal information such as medical, financial data can be stored in the card. Thus, it becomes important to protect personal information stored in the card. Verification of the card holder's identity using a fingerprint has advantages over the present practices of Personal Identification Numbers (PINs) and passwords. However, the computational workload of fingerprint verification is much heavier than that of the typical PIN-based solution. In this paper, we consider three strategies to implement fingerprint verification in a smart card environment and how to distribute the modules of fingerprint verification between the smart card and the card reader. We first evaluate the number of instructions of each step of a typical fingerprint verification algorithm, and estimate the execution time of several cryptographic algorithms to guarantee the security/privacy of the fingerprint data transmitted in the smart card with the client-server environment. Based on the evaluation results, we analyze each scenario with respect to the security level and the real-time execution requirements in order to implement fingerprint verification in the smart card with the client-server environment.

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“…Nowadays varieties of smart cards are available in market. These cards have proven to be quite convenient tokens in terms of identification and authentication in day to day activities (Kardas and Tunali, 2006;Charegaonkar et al, 2008). A well protected of the confidentiality and integrity of patient information, a computerized health-care information system has been proposed in paper (Smith and Eloff, 1999).…”

Section: Literature Reviewmentioning

confidence: 99%

Performance analysis of online health care system

Kohli¹,

Verma²

2011

Int. J. Eng. Sci. Tech

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This paper deals with selection of appropriate indexing techniques applied on MySQL database for a health care system and its related performance issues. The proposed Smart Card based Online Health Care System deals with frequent data storage, exchange and retrieval of data from the database servers. Speed and accuracy is of primary concern of the system. An approach towards the actualization of this proposal requires through analysis of performance related issues. B-Tree indexing technique is applied in most of the cases but other indexing techniques such as Hash and Bitmap are also used as per the requirement for fast retrieval of patient information from health care database. Suitable memory management and indexing techniques are analyzed and proposed for fast and accurate data retrieval from the system. Application of the proposed system has been developed as front end in .net whereas, back end as database in MySQL.

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Design and implementation of a smart card based healthcare information system

Cited by 41 publications

References 1 publication

Securing a Health Information System with a government issued digital identification card

Securing a Health Information System with a government issued digital identification card

Integrating Fingerprint Verification into the Smart Card-Based Healthcare Information System

Performance analysis of online health care system

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