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| 2 | %%Creator: dvipsk 5.515a Copyright 1986, 1993 Radical Eye Software
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| 3 | %%Title: paper.dvi
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| 706 | FFC3FFFFFFFFC3FFFF28327DB12D>I<03C00007E0000FF0001FF8001FF8001FF8001FF8
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| 728 | 07F80007F807F8000FF007FC000FE007FE001FC007FF003F8007FBC0FE0007F8FFF80007
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| 730 | 00000007F800000007F800000007F800000007F8000000FFFFC00000FFFFC00000FFFFC0
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| 731 | 0000272E7E9F2D>I<03F03F00FFF07FC0FFF1C3E0FFF187E00FF30FF007F60FF007F60F
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| 732 | F007FC07E007FC03C007FC000007FC000007F8000007F8000007F8000007F8000007F800
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| 733 | 0007F8000007F8000007F8000007F8000007F8000007F8000007F8000007F8000007F800
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| 735 | 114 D<01FF860007FFFE001F00FE003C003E0078001E0078000E00F8000E00F8000E00F8
|
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| 738 | 000F00FC001E00FE001C00FF807800F3FFF000C07F800019207D9F20>I<001C0000001C
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| 739 | 0000001C0000001C0000001C0000003C0000003C0000003C0000007C0000007C000000FC
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| 740 | 000001FC000003FC000007FC00001FFFFE00FFFFFE00FFFFFE0003FC000003FC000003FC
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| 741 | 000003FC000003FC000003FC000003FC000003FC000003FC000003FC000003FC000003FC
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| 742 | 000003FC000003FC000003FC000003FC000003FC038003FC038003FC038003FC038003FC
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| 743 | 038003FC038003FC038001FC038001FC070000FE0700007F0E00003FFC000007F000192E
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| 744 | 7FAD1F>I<01F80007E0FFF803FFE0FFF803FFE0FFF803FFE00FF8003FE007F8001FE007
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| 745 | F8001FE007F8001FE007F8001FE007F8001FE007F8001FE007F8001FE007F8001FE007F8
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| 746 | 001FE007F8001FE007F8001FE007F8001FE007F8001FE007F8001FE007F8001FE007F800
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| 747 | 1FE007F8001FE007F8001FE007F8001FE007F8003FE007F8003FE003F8007FE003F8007F
|
|---|
| 748 | E001FC00DFF000FE039FFF007FFF1FFF000FFC1FFF28207D9F2D>I
|
|---|
| 749 | E end
|
|---|
| 750 | %%EndProlog
|
|---|
| 751 | %%BeginSetup
|
|---|
| 752 | %%Feature: *Resolution 300dpi
|
|---|
| 753 | TeXDict begin
|
|---|
| 754 |
|
|---|
| 755 | %%EndSetup
|
|---|
| 756 | %%Page: 1 1
|
|---|
| 757 | 1 0 bop 315 50 a Fh(Application)26 b(Engineering)f(in)i(Health)f(Care)
|
|---|
| 758 | 856 185 y Fg(John)19 b(Barkley)889 320 y Ff(Ma)o(y)d(9,)g(1995)0
|
|---|
| 759 | 487 y Fh(1)81 b(In)n(tro)r(duction)0 596 y Ff(CSL)15
|
|---|
| 760 | b(has)h(undertak)o(en)e(a)h(n)o(um)o(b)q(er)d(of)j(pro)s(jects)f(whic)o
|
|---|
| 761 | (h)g(seek)g(to)h(further)f(dev)o(elop)g(Information)f(T)l(ec)o(hnology)
|
|---|
| 762 | 0 656 y(\(IT\))19 b(that)h(supp)q(orts)h(the)f(goal)g(of)g(reducing)f
|
|---|
| 763 | (the)g(cost)h(of)g(health)f(care)g(services.)30 b(The)20
|
|---|
| 764 | b(goal)g(of)g(the)f(CSL)0 716 y(Health)e(Care)g(pro)s(jects)h(is)f(to)h
|
|---|
| 765 | (adv)m(ance)g(the)f(applicabilit)o(y)e(of)j(IT)f(in)g(the)g(health)h
|
|---|
| 766 | (care)f(en)o(vironmen)o(t.)22 b(The)0 777 y(more)17 b(e\013ectiv)o(e)g
|
|---|
| 767 | (IT)i(is)f(for)h(health)g(care)f(applications,)h(the)g(lo)o(w)o(er)e
|
|---|
| 768 | (the)i(cost)g(of)g(health)f(care)h(services)e(and)0 837
|
|---|
| 769 | y(the)f(greater)g(the)g(adv)m(ancemen)o(t)f(of)h(IT)h(itself.)73
|
|---|
| 770 | 897 y(More)f(sp)q(eci\014cally)l(,)e(the)i(CSL)i(Health)d(Care)i(pro)s
|
|---|
| 771 | (jects)e(ha)o(v)o(e)h(the)g(follo)o(wing)g(goals:)73
|
|---|
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| 1725 | (W)l(eb)0 170 y(\(WWW\).)f(The)h(arro)o(ws)g(indicate)f(the)g
|
|---|
| 1726 | (direction)g(of)h(patien)o(t)f(information)f(\015o)o(w.)21
|
|---|
| 1727 | b(A)15 b(WWW)g(bro)o(wser,)f(suc)o(h)0 230 y(as,)22 b
|
|---|
| 1728 | Fd(mosaic)p Ff(,)f(connects)f(to)h(the)g(W)l(eb)f(Serv)o(er)f
|
|---|
| 1729 | Fd(http)n(d)p Ff(.)34 b(The)21 b(W)l(eb)f(Serv)o(er)f(initiates)h(the)g
|
|---|
| 1730 | (WWW)h(PRDBO)0 291 y(Clien)o(t)13 b(as)j(a)f(Common)e(Gatew)o(a)o(y)h
|
|---|
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|
|---|
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|
|---|
| 1733 | (whic)o(h)j(accesses)g(the)g(Data)h(Rep)q(ositories.)0
|
|---|
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|
|---|
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|
|---|
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|
|---|
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|
|---|
| 1738 | (health)g(care)g(information,)f(in)h(particular,)g(patien)o(t)f
|
|---|
| 1739 | (information.)26 b(These)0 744 y(problems)17 b(will)g(only)g(b)q(ecome)
|
|---|
| 1740 | g(larger)h(in)g(the)g(future)f(with)h(the)g(increasing)g(automation)g
|
|---|
| 1741 | (and)g(in)o(tegration)0 804 y(of)f(health)f(care)g(information.)73
|
|---|
| 1742 | 865 y(There)21 b(are)g(t)o(w)o(o)h(basic)f(t)o(yp)q(es)g(of)g(access)h
|
|---|
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|
|---|
| 1744 | (from)0 925 y(unauthorized)13 b(access:)19 b(discretionary)12
|
|---|
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|
|---|
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|
|---|
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|
|---|
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|
|---|
| 1749 | (information,)f(D)o(A)o(C)h(is)g(not)g(applicable)f(to)i(the)f(ma)s
|
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|
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|
|---|
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|
|---|
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|
|---|
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|
|---|
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|
|---|
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|
|---|
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|
|---|
| 1759 | (suc)o(h)f(lab)q(els)g(as)i Fd(TOP)0 1346 y(SECRET)p
|
|---|
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|
|---|
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|---|
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|
|---|
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|
|---|
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|
|---|
| 1765 | y(Role)j(Based)f(Access)g(Con)o(trol)h(\(RBA)o(C\))f(is)h(a)g(MA)o(C)f
|
|---|
| 1766 | (whic)o(h)g(has)i(b)q(een)e(dev)o(elop)q(ed)g(at)h(NIST)g(to)g(meet)0
|
|---|
| 1767 | 1587 y(the)d(needs)g(of)h(industry)l(.)k(Rather)16 b(than)h(lab)q
|
|---|
| 1768 | (eling)f(information,)e(it)i(asso)q(ciates)h Fd(r)n(oles)f
|
|---|
| 1769 | Ff(with)h(eac)o(h)e(individual)0 1647 y(who)i(migh)o(t)d(ha)o(v)o(e)i
|
|---|
| 1770 | (a)g(need)g(to)h(access)f(information.)k(Eac)o(h)c(role)g(de\014nes)g
|
|---|
| 1771 | (a)g(sp)q(eci\014c)g(set)g(of)g(op)q(erations)i(that)0
|
|---|
| 1772 | 1707 y(the)g(individual)f(acting)h(in)g(that)h(role)e(ma)o(y)g(p)q
|
|---|
| 1773 | (erform.)26 b(The)18 b(op)q(erations)h(ma)o(y)e(b)q(e)h(broad)i(or)e(v)
|
|---|
| 1774 | o(ery)f(sp)q(eci\014c,)0 1768 y(e.g.,)g(when)h(a)h(diagnosis)g(is)f(en)
|
|---|
| 1775 | o(tered)e(in)o(to)i(a)g(patien)o(t)g(record,)g(the)f(symptoms)f
|
|---|
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|
|---|
| 1777 | (tered.)31 b(Once)19 b(an)h(individual)f(has)i(b)q(een)e(prop)q(erly)h
|
|---|
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|---|
| 1779 | 1888 y(authen)o(ticated,)i(the)g(individual)e(c)o(ho)q(oses)j(a)f(role)
|
|---|
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|
|---|
| 1782 | (role.)21 b(F)l(or)16 b(more)f(information)g(on)i(RBA)o(C,)e(see:)0
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|---|
| 1783 | 2008 y Fd(http://hissa.ncsl.nist.gov/rb)n(ac/)73 2068
|
|---|
| 1784 | y Ff(This)20 b(pro)s(ject)f(determines)e(the)i(applicabilit)o(y)e(of)j
|
|---|
| 1785 | (RBA)o(C)e(to)i(health)f(care)g(information.)30 b(While)18
|
|---|
| 1786 | b(it)h(is)0 2129 y(generally)e(accepted)g(that)i(RBA)o(C)e(is)h(more)e
|
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|
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|---|
| 1793 | (suitable)f(for)i(health)f(care)g(information.)73 2369
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|---|
| 1794 | y(In)21 b(order)g(to)h(illustrate)e(the)h(usefulness)g(of)g(RBA)o(C)f
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| 1801 | %%Page: 7 7
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| 1805 | 1710 176 V 329 178 1382 2 v 328 238 2 61 v 354 220 a(Do)q(ctor)p
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| 1806 | 1007 238 V 533 w(All)f(information)p 1710 238 V 329 240
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| 1811 | 362 V 329 363 1382 2 v 328 423 2 61 v 354 405 a(Epidemiologist)p
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|
|---|
| 1820 | j(administrativ)o(e)c(patien)o(t)i(data)i(has)f(b)q(een)g(iden)o
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|---|
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|
|---|
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|
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|
|---|
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|
|---|
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|
|---|
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|---|
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|
|---|
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|
|---|
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|
|---|
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|
|---|
| 1840 | (limiti)o(ng)d(the)i(n)o(um)o(b)q(er)e(of)i(roles.)30
|
|---|
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|
|---|
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|
|---|
| 1843 | g(simpli\014ed)e(form)h(of)h(the)g(UK)g(p)q(olicy)l(.)1008
|
|---|
| 1844 | 2675 y(7)p eop
|
|---|
| 1845 | %%Trailer
|
|---|
| 1846 | end
|
|---|
| 1847 | userdict /end-hook known{end-hook}if
|
|---|
| 1848 | %%EOF
|
|---|
