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With the widespread use of Electronic Health Record (EHR), building a secure EHR sharing environment has attracted a lot of attention in both healthcare industry and academic community. Cloud computing paradigm is one of the popular health IT infrastructure for facilitating EHR sharing and EHR integration. In this paper the authors discuss important concepts related to EHR sharing and integration in healthcare clouds and analyze the arising security and privacy issues in access and management of EHRs. They describe an EHR security reference model for managing security issues in healthcare clouds, which highlights three important core components in securing an EHR cloud.
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