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The Common Data Model (CDM) is being used to deal with problems caused by the various electronic medical record structures in the distributed hospital information system. The concept of CDM is emerging as a collaborative method of exchanging data from each hospital in the same format and conducting various clinical studies based on shared data. The...
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... These methods have limitations in interoperability due to closed identity management, Identifier (ID) leakage, and subordination with external ID management subjects [6][7][8]. In cloud CDM, it is necessary to design a secure cloud on a permission-type block chain in which the access control of the authorized and registered researcher is established [9]. ...
The Conventional Cloud Common Data Model (CDM) uses a centralized method of user identification and credentials. This needs to be solved in a decentralized way because there are limitations in interoperability such as closed identity management and identity leakage. In this paper, we propose a DID (Decentralized Identifier)-based cloud CDM that allows researchers to securely store medical research information by authenticating their identity and to access the CDM reliably. The proposed service model is used to provide the credential of the researcher in the process of creating and accessing CDM data in the designed secure cloud. This model is designed on a DID-based user-centric identification system to support the research of enrolled researchers in a cloud CDM environment involving multiple hospitals and laboratories. The prototype of the designed model is an extension of the encrypted CDM delivery method using DID and provides an identification system by limiting the use cases of CDM data by researchers registered in cloud CDM. Prototypes built for agent-based proof of concept (PoC) are leveraged to enhance security for researcher use of ophthalmic CDM data. For this, the CDM ID schema and ID definition are described by issuing IDs of CDM providers and CDM agents, limiting the IDs of researchers who are CDM users. The proposed method is to provide a framework for integrated and efficient data access control policy management. It provides strong security and ensures both the integrity and availability of CDM data.
Public healthcare has transformed from treatment to preventive care and disease management. The Common Data Model (CDM) provides a standard data structure defined to utilize hospitals’ data. Digital identity takes a significant role as the body of information about an individual used by computer systems to identify and establish trust among organizations. The CDM research network, composed of users handling medical information, has several digital identities associated with their activity. A high central authority cost can be reduced by Distributed Ledger Technology (DLT). It enables users to control their identities independently of a third party. To preserve the privacy of researchers in clinical studies, secure identification is the main concern of identifying the researcher and its agents. To do so, they should pose a legally verifiable credential in the cloud CDM. By presenting the proof represented by the capability that the user has, each identity has access control that is linked to an authentication credential that the cloud CDM can verify. Assurance in one’s identity is confirmed by asserting claims with the identity and its capability, providing its verifiable credential to the authentication entity in the cloud CDM. This paper describes the user-centric claim-based identity operation model based on use cases to handle researcher identity in the cloud CDM. In this model, credentials are designed as a capability and presented to them to access SPs in the cloud CDM. To provide well-controlled access control in the cloud CDM, we build and prototype a capability based CDM management system.
