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The document discusses developing a model for access to health records that can accommodate diverse cultural perspectives and enable interoperability across jurisdictions. It proposes an "access object" model where metadata objects containing access rules and encryption keys are created alongside health data. A request object containing the requester's identity and reason for access is matched against the access object's rules to determine if access is granted. The goal is a flexible model that respects different cultural views while still allowing secure, global information sharing.

TechnologyHealth & Medicine
1 of 52
Access to the health record Draft report ISO/TC215/WG1 ,[object Object],[object Object],[object Object],[object Object],[object Object]
From the TC215 Scope Statement ,[object Object]
From the WG1 scope statement ,[object Object],[object Object]
From the WG1 scope statement ‘Terms of Reference’ ,[object Object],[object Object],[object Object]
From the resolutions of the WG1 meeting, Tokyo, Nov.’99 ,[object Object],[object Object],[object Object]
Role of WG1 within ISO/TC215 ,[object Object],[object Object],[object Object],[object Object]
Overview ,[object Object],[object Object],[object Object],[object Object]
WG4 defined the task ,[object Object],[object Object],[object Object],[object Object],[object Object]
Beyond reviewing current concepts and practices, the ‘access control’ task for WG1 can thus be re-stated: ,[object Object],[object Object]
(a brief anthropological detour…) The Definition of Social Man ,[object Object],[object Object],[object Object],[object Object]
The ISO Access Standard - ,[object Object],[object Object]
The Concept of Ownership ,[object Object],[object Object]
Review of international literature on access to health records ,[object Object],[object Object],[object Object],[object Object],[object Object]
Types of Access Control ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Role Based Access Control (RBAC) ,[object Object],[object Object]
Developing operational concepts and their interrelationships ,[object Object],[object Object],[object Object],[object Object]
Rules and Roles ,[object Object],[object Object],[object Object]
Self–defining systems ,[object Object],[object Object],[object Object],[object Object]
Maori concepts in Aotearoa/New Zealand ,[object Object],[object Object],[object Object]
The Role concept in Messaging ,[object Object],[object Object],[object Object]
The Role concept in WG4 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Minimum ‘Access’ Concept Set ,[object Object],[object Object],[object Object],[object Object],[object Object]
Three irreducible outcomes ,[object Object],[object Object],[object Object],[object Object]
The Access Control Matrix ,[object Object],[object Object],[object Object]
The Generic ACM ,[object Object],[object Object],[object Object],[object Object]
Jurisdictional boundaries ,[object Object],[object Object],[object Object],[object Object]
Requirements for EHR Access ,[object Object],[object Object],[object Object],[object Object],[object Object]
Availability ,[object Object],[object Object],[object Object],[object Object],[object Object]
Auditablility ,[object Object],[object Object],[object Object]
Data Integrity ,[object Object]
Confidentiality ,[object Object],[object Object]
Interoperability ,[object Object],[object Object]
Accessibility ,[object Object],[object Object],[object Object]
Policy or Model? ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Access Object Model ,[object Object],[object Object],[object Object]
Access Objects 1 ,[object Object],[object Object],[object Object],[object Object]
Access Objects 2 ,[object Object],[object Object],[object Object]
Access Object attributes ,[object Object],[object Object],[object Object],[object Object],[object Object]
Request Object attributes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
To Summarise the process ,[object Object],[object Object],[object Object]
Summary 2 ,[object Object],[object Object]
Summary 3 ,[object Object],[object Object],[object Object]
Integration with WG4 model ,[object Object],[object Object]
The ‘Access Object’ model in UML notation ,[object Object],[object Object],[object Object]
 
 
Conclusion ,[object Object],[object Object],[object Object],[object Object]
Policy or Implementation ,[object Object],[object Object],[object Object],[object Object]
Dangers of ‘de facto’ standards ,[object Object],[object Object],[object Object],[object Object]
The reality of cultural differences ,[object Object],[object Object],[object Object]
Global interoperability is the goal. What would it be like? ,[object Object],[object Object],[object Object]
We should work to facilitate global healthcare But it will not happen of itself, we would need to decide to do it...

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  • 52. We should work to facilitate global healthcare But it will not happen of itself, we would need to decide to do it...