The Immutable kBlog: thoughts on data integrity

Public Health Records (PHR) allow individual to save, post, manage and share all their health record information via the Internet. Advantages associated to the use of this kind of tools are rather obvious: forget about trying to remember if you are allergic to this or that medication; don’t bother walking all the way to the doctor with your new test results, just to realize when it’s your turn to go talk to the doctor that you forgot home the previous results. Everything will be available online, but only for the people that you allowed to, and under the conditions that you stated.

Or at least in theory.

The adoption of PHR has been slower than assumed, mainly due to lack of trust in the protection of that data, according to Zöe Baird, president of the Markle Foundation. As a response, a group formed by technology companies, providers, health insurers and consumer groups released last June a common framework that will help consumers gain trust in these technologies. It is expected that this joint effort will boost its acceptance and use.

The framework consists of nine consumer policies that rely on seven different support technologies. It is no surprise that one of these technologies (CT3) is Immutable Audit Trails, and four of these nine consumer policies are based on the immutability of the audit trails. This, in other words, means that audit trails -files that track the use, access, modification or deletion of any data- must have integrity and be tamper evident: the integrity of this audit trails must be evident.