|Title||ARBoR: an identity and security solution for clinical reporting.|
|Publication Type||Journal Article|
|Year of Publication||2019|
|Authors||Venner, E, Murugan, M, Hale, W, Jones, JM, Lu, S, Yi, V, Gibbs, RA|
|Journal||J Am Med Inform Assoc|
|Date Published||2019 11 01|
|Keywords||Clinical Laboratory Techniques, Computer Security, Genetic Testing, Genome, Human, Genomics, Humans, Laboratories, Medical Records, Organizational Case Studies|
MOTIVATION: Clinical genome sequencing laboratories return reports containing clinical testing results, signed by a board-certified clinical geneticist, to the ordering physician. This report is often a PDF, but can also be a paper copy or a structured data file. The reports are frequently modified and reissued due to changes in variant interpretation or clinical attributes.
MATERIALS AND METHODS: To precisely track report authenticity, we developed ARBoR (Authenticated Resources in a Hashed Block Registry), an application for tracking the authenticity and lineage of versioned clinical reports even when they are distributed as PDF or paper copies. ARBoR tracks clinical reports as cryptographically signed hash blocks in an electronic ledger file, which is then exactly replicated to many clients.
RESULTS: ARBoR was implemented for clinical reporting in the Human Genome Sequencing Center Clinical Laboratory, initially as part of the National Institute of Health's Electronic Medical Record and Genomics (eMERGE) project.
CONCLUSIONS: To date, we have issued 15 205 versioned clinical reports tracked by ARBoR. This system has provided us with a simple and tamper-proof mechanism for tracking clinical reports with a complicated update history.
|Alternate Journal||J Am Med Inform Assoc|
|PubMed Central ID||PMC6798556|
|Grant List||U01 HG008664 / HG / NHGRI NIH HHS / United States |
UM1 HG008898 / HG / NHGRI NIH HHS / United States