TY - CHAP UR - http://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=6026770&isnumber=6026719 N2 - The importance of the Electronic Health Record (EHR), which stores all healthcare-related data belonging to a patient, has been recognized in recent years by governments, institutions, and industry. Initiatives like Integrating the Healthcare Enterprise (IHE) have been developed for the definition of standard methodologies for secure and interoperable EHR exchanges among clinics and hospitals. Using the requisites specified by these initiatives, many large-scale projects have been set up to enable healthcare professionals to handle patients' EHRs. Applications deployed in these settings are often considered safety-critical, thus ensuring such security properties as confidentiality, authentication, and authorization is crucial for their success. In this paper, we propose a communication protocol, based on the IHE specifications, for authenticating healthcare professionals and assuring patients' safety in settings where no network connection is available, such as in rural areas of some developing countries. We define a specific threat model, driven by the experience of use cases covered by international projects, and prove that an intruder cannot cause damages to the safety of patients and their data by performing any of the attacks falling within this threat model. To demonstrate the feasibility and effectiveness of our protocol, we have fully implemented it. KW - e-Health systems in developing countries KW - information se- curity KW - healthcare technology standards KW - e-Health experiences AV - public ID - eprints1579 TI - A standard-driven communication protocol for disconnected clinics in rural areas Y1 - 2011/// SP - 304 T2 - Proceedings of 13th IEEE International Conference on e-Health Networking, Application Services (Healthcom) A1 - Masi, Massimiliano A1 - Pugliese, Rosario A1 - Tiezzi, Francesco SN - 978-1-61284-696-5 EP - 311 PB - IEEE ER -