Medical organizations find it challenging to adopt cloud-based Electronic Health Records (EHR) services due to the risk of data breaches and the resulting compromise of patient data. Existing authorization models follow a patient-centric approach for EHR management, where the responsibility of authorizing data access is handled at the patients’ end. This creates significant overhead for the patient, who must authorize every access of their health record. It is also not practical given that multiple personnel are typically involved in providing care and that the patient may not always be in a state to provide this authorization.

Medical organizations find it challenging to adopt cloud-based Electronic Health Records (EHR) services due to the risk of data breaches and the resulting compromise of patient data. Existing authorization models follow a patient-centric approach for EHR management, where the responsibility of authorizing data access is handled at the patients end. This creates a significant overhead for the patient who must authorize every access of their health record. This is not practical given that multiple personnel are typically involved in providing care and that the patient may not always be in a state to provide this authorization. Hence there is a need to develop a proper authorization delegation mechanism for safe, secure and easy to use cloud-based EHR Service management. We present a novel, centralized, attribute-based authorization mechanism that uses Attribute Based Encryption (ABE) and allows for delegated secure access of patient records. This mechanism transfers the service management overhead from the patient to the medical organization and allows easy delegation of cloud-based EHRs access authority to medical providers.

Medical organizations find it challenging to adopt cloud-based electronic medical records services, due to the risk of data breaches and the resulting compromise of patient data. Existing authorization models follow a patient centric approach for EHR management where the responsibility of authorizing data access is handled at the patients' end. This however creates a significant overhead for the patient who has to authorize every access of their health record. This is not practical given the multiple personnel involved in providing care and that at times the patient may not be in a state to provide this authorization. Hence there is a need of developing a proper authorization delegation mechanism for safe, secure and easy cloud-based EHR management. We have developed a novel, centralized, attribute based authorization mechanism that uses Attribute Based Encryption (ABE) and allows for delegated secure access of patient records. This mechanism transfers the service management overhead from the patient to the medical organization and allows easy delegation of cloud-based EHR's access authority to the medical providers. In this paper, we describe this novel ABE approach as well as the prototype system that we have created to illustrate it.