Business process management enabled compliance-aware medical record sharing

Jovan Stevovic, Jun Li, Hamid R. Motahari-Nezhad, Fabio Casati, Giampaolo Armellin

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)


Data sharing about electronic health records (EHRs) across healthcare organisations is still a challenging task due to compliance requirements with regulatory policies that can vary across states and countries, and organisations' internal business requirements. Even when adopting the same regulatory policies, each organisation can interpret and implement these policies and requirements differently in its internal IT environments. This paper proposes a compliance-aware data management solution for EHR systems. It allows healthcare organisations to define their own security and regulatory compliance requirements for accessing and sharing healthcare data, and enables policy enforcement while sharing data with other organisations. The policy requirements are expressed in the form of business processes that govern the access and sharing of data between people and systems. The business process operations are mapped into low-level operations on internal and remote record stores and policy enforcement points. We have implemented a prototype system that supports the proposed approach and integrated it with OpenMRS, an open source electronic medical record system, using which we have defined and enforced some real-world regulations and organisations' policies for data sharing.

Original languageEnglish
Pages (from-to)201-223
Number of pages23
JournalInternational Journal of Business Process Integration and Management
Issue number3
Publication statusPublished - 2013
Externally publishedYes


  • Business process execution
  • Cross-organisation data sharing
  • EHRs
  • Electronic health records
  • Regulatory compliance

ASJC Scopus subject areas

  • Business and International Management
  • Strategy and Management
  • Management Science and Operations Research

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