The two parts : patient «number» and act key will be sufficient to retrieve the associated data. So for each kind of medical act, we would be able to find everything we want wherever they are located just with the data inside the patient smart card.
Finally the goal is to ease the patient access to their medical historic. Due to the high secure behaviour inside medical structures, it's completely impossible to get out data form these structures. Of course a centralized server isn't the good way to follow.
The main advantage of the grid is its capability to overcome the problem of accessing distributed data. We can use this technology to offer an high level abstraction of data management. The user should ask for a request and the grid send this one to all concerned databases inside several locations.
After that, we can use the computation power of the grid to put forward a bridge between data management and medical imaging treatment especially for high-cpu-time consuming 3D algorithms.
1. Short overview
At the time where we talk in Europe about a system to ease patients access to all their medical history, this issue causes a lot of difficulties. Actually patients who want to build it need to manually visit all medical centres they ever consult.
However, the main problem lie on security: for that, hospitals and all other medical structures adopted a high protectionist policy by keeping inside their own buildings all patient data. The grid technology can help us to overcome this problem.
4. Conclusions / Future plans
Everything need to be done, and for the beginning, we plan to test this method inside a small test structure: the ERIM, located at the Clermont-Ferrand hospital can directly access to both grid and hospital network.
If we obtain a well-structured tool we plan to spread it inside several locations to test it in a real-case application.
After that, everybody knows that the crucial point is located in the hospital and medical structures management.
Provide a set of generic keywords that define your contribution (e.g. Data Management, Workflows, High Energy Physics)
medical history, distributed databases, data encryption, smart identifier,