Privacy-preserving Attribute-based Access Control

Model for XML-based Electronic Health Record

System

Under the guidance of K.Sowmya Krishna(15KQ1A0573)

D.Anand K.Aparna (15KQ1A0576)
Asst.Professor I.Akhila (15KQ1A0571)
C.S.E Dept K.Rani (15KQ1A0574)
Abstract

In this project, we propose a novel patient-centric framework and a suite of

mechanisms for data access control to PHRs stored in semi-trusted servers.
Different from previous works, the proposed system focuses on the multiple
data owner scenario, and divide the users in the PHR system into multiple
security domains that greatly reduces the key management complexity for
owners and users. A high degree of patient privacy is guaranteed
simultaneously by exploiting multi-authority ABE. Extensive analytical and
experimental results are presented which show the security, scalability and
efficiency of our proposed scheme.
Introduction
In recent years, personal health record (PHR) has emerged as a
patient-centric model of health information exchange.
A PHR service allows a patient to create, manage, and control her
personal health data in one place through the web, which has made
the storage, retrieval, and sharing of the the medical information more
efficient.
Each patient is promised the full control of her medical records and
can share her health data with a wide range of users, including
healthcare providers, family members or friends.
 The PHR owner herself should decide how to encrypt her files and
to allow which set of users to obtain access to each file.
 A PHR file should only be available to the users who are given the
corresponding decryption key, while remain confidential to the rest of
users.
Literature Survey
Online personal health record (PHR) enables patients to manage their own
medical records in a centralized way, which greatly facilitates the storage,
access and sharing of personal health data.
With the emergence of cloud computing, it is attractive for the PHR service
providers to shift their PHR applications and storage into the cloud, in order to
enjoy the elastic resources and reduce the operational cost.
However, by storing PHRs in the cloud, the patients lose physical control to
their personal health data, which makes it necessary for each patient to encrypt
her PHR data before uploading to the cloud servers.
Under encryption, it is challenging to achieve fine-grained access control to
PHR data in a scalable and efficient way.
To enable fine-grained and scalable access control for PHRs, we leverage
attribute based encryption (ABE) techniques to encrypt each patients’ PHR
data.
The application of information technology to healthcare (healthcare IT) has
become increasingly important in many countries in the recent years.
Existing System

A number of works used ABE to realize fine-grained access control for

outsourced data. there has been an increasing interest in applying ABE to
secure electronic healthcare records (EHRs).

Narayan et al. proposed an attribute-based infrastructure for EHR systems,

where each patient’s EHR files are encrypted using a broadcast variant of CP-
ABE that allows direct revocation.

A variant of ABE that allows delegation of access rights is proposed for

encrypted EHRs.

Ibrahim applied cipher text policy ABE to manage the sharing of PHRs, and
introduced the concept of social/professional domains.

Akinyele using ABE to generate self-protecting EMRs, which can either be

stored on cloud servers or cell phones so that EMR could be accessed when
the health provider is offline.
Drawbacks

First, they usually assume the use of a single trusted authority (TA) in the
system.
This suffers from the key escrow problem since the TA can access all the
encrypted files, opening the door for potential privacy exposure.
In addition, it is not practical to delegate all attribute management tasks to
one TA, including certifying all users attributes or roles and generating secret
keys.
Proposed System

The main goal of our framework is to provide secure patient-centric PHR

access and efficient key management .

The key idea is to divide the system into multiple security domains (namely,
public domains (PUDs) and personal domains (PSDs)) according to the different
users’ data access requirements.

The PUDs consists of users who make access based on their professional roles,
such as doctors, nurses and medical researchers.

For each PSD, users are personally associated with a data owner (such as
family members or close friends) and accesses to PHRs based on access rights
assigned by the owner.

Each data owner (e.g., patient) is a trusted authority of her own PSD, who uses
a KP-ABE system to manage the secret keys and access rights of users in her
PSD.
Advantages of the proposed system

Scalability, efficiency and usability: This PHR system should support

users from both the personal domain and public domains. Since the set of
users from the public domain may be large in size and unpredictable, the
system should be highly scalable, in terms of complexity in key
management, communication, computation and storage.

Write access control: Prevent the unauthorized contributors to gain write-

access to owners’ PHRs, while the legitimate contributors should access
the server with accountability.

On-demand revocation: Whenever a user’s attribute is no longer valid,

the user should not be able to access future PHR files using that attributes.

Data confidentiality: Unauthorized users (including the server) who do

not possess enough attributes satisfying the access policy.
System Architecture
Software Requirements

Operating System : Windows Family

Language : J2EE
Data Bases : Google App Engine Data store and Blob store
Front End : Jsp
IDE : Eclipse Juno 4.2
Hardware Requirements

Processor : Any Processor above 500 MHz

Ram : 128MB
Hard Disk : 10 GB
Input device : Standard Keyboard and Mouse
Output device : High Resolution Monitor
MODULES

Personal Health Record phase.

Personal Domain phase.
Public Domain phase.
Emergency phase.
Personal Health Record phase

In this module each patient encrypts her personal health record and
stores it in the cloud server.

 A feasible and promising approach would be to encrypt the data before

outsourcing.

 Basically, the PHR owner herself should decide how to encrypt her files
and to allow which set of users to obtain access to each file.

A PHR file should only be available to the users who are given the
corresponding decryption key, while remain confidential to the rest of
users.

Furthermore, the patient shall always retain the right to not only grant,
but also revoke access privileges when they feel it is necessary.
Patient Encrypt Using ABE PHR Cloud Storage

Figure: Personal Health Record phase

Personal Domain phase

For each PSD, its users are personally associated with a data owner
(such as family members or close friends), and they make accesses to
PHRs based on access rights assigned by the owner. The PSD only
read and write the PHR owner personal information and prescriptions.
Each data owner (e.g., patient) is a trusted authority of her own
PSD, who uses a ABE system to manage the secret keys and access
rights of users in her PSD.
For the purpose of PSD access, each PHR file is labeled with its
data attributes, while the key size is only linear with the number of
file categories a user can access.
Since the number of users in a PSD is often small, it reduces the
burden for the owner.
Patient Cloud Storage

read and write

get attributes and keys

PSD
(family members,friends)

Figure: Personal Domain phase

Public Domain phase

The PUDs consist of users who make access based on their professional
roles, such as doctors, nurses and medical researchers.

 In practice, a PUD can be mapped to an independent sector in the society,

such as the health care, government or insurance sector.

To control access from PUD users, owners are free to specify role-based
fine-grained access policies for her PHR files, while do not need to know
the list of authorized users when doing encryption.

Since the PUDs contain the majority of users, it greatly reduces the key
management overhead for both the owners and users.
 Patient
Cloud Storage

get write keys

PUD (Public Domain)

read and write

get attributes and keys

Hospital and Insurance

Company

Figure: Public Domain phase

Emergency phase

When an emergency happens, the regular access policies may no longer

be applicable.

To handle this situation, break-glass access is needed to access the

victim’s PHR.

 In our framework, each owner’s PHR’s access right is also delegated to

an emergency department (ED).

To prevent from abuse of break-glass option, the emergency staff needs
to contact the ED to verify her identity and the emergency situation, and
obtain temporary read keys.

 After the emergency is over, the patient can revoke the emergent access
via the ED.
Emergency Department delegate and revocation Patient

get keys

read data Cloud

staff

Figure: Emergency phase

UML DIAGRAMS

Use case Diagram

Class Diagram

Sequence Diagram

Collaboration Diagram
Use case Diagram

Store Encrypted PHR send key

Cloud Server
Patient HealthCare
send attribute and get key
read and write
send attribute and get key

read and write

PSD PUD
Class Diagram
Sequence Diagram

emergency Cloud PSD PUD

Patient
read

getkey

read

write

read

encrypt and store phr

write

send attribute

get keys
Collaboration Diagram

7: write 1: read
PUD Cloud PSD

5: read 4: write

9: get keys
6: encrypt and store phr
3: read 8: send attribute

emergency Patient

2: getkey
Screenshots: PHR Account Creation
Screenshots: PHR login
Screenshots: Info and Access Granting
Screenshots: PSD
Screenshots: PHR view request
Testing
Aim of testing is to discover errors.

The process of trying to discover every conceivable fault or

weakness in a work product.

 Provides a way to check the functionality of components and a

finished product.

Testing Types:
1.Unit Testing
2.Integrational Testing
3.Functional Testing
4.System Testing
Unit tests ensure that each unique path of a business process performs
accurately to the documented specifications and contains clearly defined
inputs and expected results.
Integration tests are designed to test integrated software components to
determine if they actually run as one program.
Functional tests provide systematic demonstrations that functions tested
are available as specified by the business and technical requirements,
system documentation and user manuals, mainly concentrates on valid
input, invalid input, functions, systems/ procedures, output.
System testing ensures that the entire integrated software system meets
requirements. It tests a configuration to ensure known and predictable
results.
Black Box Testing is testing the software without any knowledge of the
inner workings, structure or language of the module being tested.
 White Box Testing is a testing in which the software tester has
knowledge of the inner workings, structure and language of the software.
Conclusion

In this system, we have proposed a novel framework of secure sharing of

personal health records in cloud computing having a complete control of
their own privacy through encrypting their PHR files to allow fine-grained
access. The framework addresses the unique challenges brought by multiple
PHR owners and users, in that we greatly reduce the complexity of key
management while enhance the privacy guarantees compared with previous
works. We utilize ABE to encrypt the PHR data, so that patients can allow
access not only by personal users, but also various users from public
domains with different professional roles, qualifications and affiliations.
References

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cloud computing: Patient-centric and fine-grained data access control in
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encryption: ensuring privacy of electronic medical records,” in CCSW ’09,
2009, pp. 103–114.
•S. Yu, C. Wang, K. Ren, and W. Lou, “Achieving secure, scalable, and fine-
grained data access control in cloud computing,” in IEEE INFOCOM’10,
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encrypted data for untrusted servers,” in Journal of Computer Security,
2010.
•V. Goyal, O. Pandey, A. Sahai, and B. Waters, “Attribute-based encryption
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