Integrity of electronic patient records

J Hulstijn, J van der Jagt, P Heijboer

Research output: Chapter in Book/Report/Conference proceedingConference contributionScientificpeer-review

3 Citations (Scopus)


We discuss a reference model for security measures to preserve integrity of information. Unlike traditional approaches which focus on an defensive approach to preserving integrity, we also present offensive measures to stimulate integrity of information, by providing feedback from usage. The reference model is used to analyze the security measures proposed in the design of the Dutch national Electronic Patient Dossier (EPD), in particular the projected application for medication records. We conclude that much of the defensive measures were covered, but that some offensive measures are lacking, in particular measures related to trust. This may have harmed adoption.
Original languageEnglish
Title of host publicationProceedings of the 10th IFIP WG 8.5 International Conference (EGOV 2011)
Subtitle of host publicationElectronic Government
EditorsH.J. Scholl, M. Wimmer, Y. Tan
Place of PublicationHeidelberg
PublisherSpringer Verlag
Number of pages14
ISBN (Print)9783642228773
Publication statusPublished - 2011
Externally publishedYes
Event11th International Conference on Electronic Government - Delft, Netherlands
Duration: 28 Aug 20112 Sept 2011

Publication series

NameLecture Notes in Computer Science


Conference11th International Conference on Electronic Government
Abbreviated titleEGOV 2011


  • health care information systems
  • information security
  • integrity


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