The Study of Managing the Personal Consent in the Electronic Healthcare Environment

The Electronic Health Record (EHR) system is very general and we should pay more attention to a patient-s privacy. The patient-s consent is one of the elements when dealing with privacy topics. This study focuses on the creating and managing of patient consent. The integration of the HL7 standards and the IHE BPPC profile provides a base for the creation of patient consent. Establishing the platform offers the patients a way to create, revoke or update their consents. Through this platform, they can manage their consents in an easier manner.

Authors:

• Yi-Yun Ko
• Der-Ming Liou

Keywords:

• consent
• EHR
• HL7
• IHE

References:

[1] H. van der Linden, D. Kalra, A. Hasman, and J. Talmon,
Inter-organizational future proof EHR systems: A review of the security
and privacy related issues, International Journal of Medical Informatics,
vol. 78, pp. 141-160, 2009.
[2] Wainer J, Campos CJ, Salinas MD, Sigulem D, Security requirements for
a lifelong electronic health record system: an opinion. The Open Medical
Informaitcs Journal 2008, 2, 160-165, 2008.
[3] Australia-s Privacy Act http://www.privacy.gov.au/
[4] New Zealand Health Information Privacy Code
http://www.privacy.org.nz/the-privacy-act-and-codes/.
[5] United States Department of Health and Human Services,
http://www.hhs.gov/ocr/hipaa/.
[6] P.A.B.Galpottage and A.C. Norris, Patient consent principles and
guidelines for e-consent: a New Zealand perspective, Health Informatics
Journal vol.11 (1), 2005, pp. 5-18
[7] V.HEIMLY, Consent-based Access to Core EHR Information: the
SUMO-project, Studies in Health Technology and Informatics, vol.136,
2008, pp. 431-436.
[8] Healthelink http://www.healthelink.nsw.gov.au/home
[9] HL7 http://www.hl7.org
[10] The Community Based Collaborative Care (CBCC) Work Group
http://www.hl7.org/Special/committees/homehealth/overview.cfm
[11] The CBCC project http://gforge.hl7.org/gf/project/cbcc/.
[12] The security Work Group
http://www.hl7.org/Special/committees/secure/overview.cfm
[13] HITSP/TP30 HITSP Manage Consent Directives Transaction Package
http://www.hitsp.org/InteroperabilitySet_Details.aspx?MasterIS=true&I
nteroperabilityId=365&PrefixAlpha=1&APrefix=IS&PrefixNumeric=12
[14] H. Song, K. T. Win, and P. Croll, Patient e-consent mechanism: Models
and technologies, In CollECTeR, 2002.
[15] E. Coiera and R. Clarke, e-Consent: the design and implementation of
consumer consent mechanisms in an electronic environment, Journal of
the American Medical Informatics Association vol.11 (4), 2004, pp.
129-140.
[16] J. Bergmann, O.J. Bott,D.P. Pretschner and R. Haux, An e-consent-based
shared EHR system architecture for integrated healthcare networks,
International Journal of Medical Informatics 76, 2007, pp. 130-136
[17] Giovanni, Russello, Changyu Dong and Naranker Dulay, Consent-based
Workflows for Healthcare Management, IEEE Workshop on Policies for
Distributed Systems and Networks 2008, pp. 153-161
[18] HL7 version 3,
http://www.hl7.org/v3ballot/html/welcome/environment/index.htm
[19] IHE IT Infrastructure Technical Framework Vol. 1 (ITI TF-1) Integration
Profiles-Basic Patient Privacy Consent (BPPC)
[20] Implementation Guide for CDA Release 2.0 Consent Directive DSTU
Second Ballot.