{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T17:21:45Z","timestamp":1783099305799,"version":"3.54.6"},"reference-count":34,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T00:00:00Z","timestamp":1778112000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100031478","name":"NextGenerationEU","doi-asserted-by":"publisher","award":["760073\/23.05.2023"],"award-info":[{"award-number":["760073\/23.05.2023"]}],"id":[{"id":"10.13039\/100031478","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100031478","name":"NextGenerationEU","doi-asserted-by":"publisher","award":["285\/30.11.2022"],"award-info":[{"award-number":["285\/30.11.2022"]}],"id":[{"id":"10.13039\/100031478","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100018987","name":"Ministerul Cercet\u0103rii, Inov\u0103rii \u015fi Digitaliz\u0103rii","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100018987","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Medical Informatics"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.ijmedinf.2026.106477","type":"journal-article","created":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T09:39:50Z","timestamp":1778492390000},"page":"106477","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["A privacy-centric microservice framework for secure FHIR-based integration of heterogeneous medical data"],"prefix":"10.1016","volume":"216","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2840-5283","authenticated-orcid":false,"given":"Ioan","family":"Ungurean","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ovidiu Ionut","family":"Gherman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandru","family":"Lavric","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mihai","family":"Dimian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ijmedinf.2026.106477_b0005","doi-asserted-by":"crossref","unstructured":"J. Carlos Ferreira, L. B. Elvas, R. Correia, and M. Mascarenhas, \u201cEnhancing EHR Interoperability and Security through Distributed Ledger Technology: A Review,\u201d Healthcare, vol. 12, no. 19, p. 1967, Oct. 2024, doi: 10.3390\/healthcare12191967.","DOI":"10.3390\/healthcare12191967"},{"key":"10.1016\/j.ijmedinf.2026.106477_b0010","unstructured":"Global Strategy on Digital Health 2020-2025, 1st ed. Geneva: World Health Organization, 2021."},{"key":"10.1016\/j.ijmedinf.2026.106477_b0015","unstructured":"European Parliament and Council, \u201cRegulation (EU) 2025\/327 of the European Parliament and of the Council of 11 February 2025 on the European Health Data Space and amending Directive 2011\/24\/EU and Regulation (EU) 2024\/2847.\u201d Feb. 2025. Accessed: Aug. 16, 2025. [Online]. Available: https:\/\/eur-lex.europa.eu\/eli\/reg\/2025\/327\/oj\/eng."},{"key":"10.1016\/j.ijmedinf.2026.106477_b0020","doi-asserted-by":"crossref","unstructured":"S. Rose, O. Borchert, S. Mitchell, and S. Connelly, \u201cZero Trust Architecture,\u201d National Institute of Standards and Technology, Gaithersburg, MD, NIST Special Publication 800\u2013207, Aug. 2020. doi: 10.6028\/NIST.SP.800-207.","DOI":"10.6028\/NIST.SP.800-207"},{"key":"10.1016\/j.ijmedinf.2026.106477_b0025","unstructured":"\u201cZero Trust Maturity Model: Version 2.0,\u201d Cybersecurity and Infrastructure Security Agency (CISA), Washington, DC, Apr. 2023. [Online]. Available: https:\/\/www.cisa.gov\/sites\/default\/files\/2023-04\/zero_trust_maturity_model_v2_508.pdf."},{"issue":"5","key":"10.1016\/j.ijmedinf.2026.106477_b0030","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1093\/jamia\/ocv189","article-title":"SMART on FHIR: a standards-based, interoperable apps platform for electronic health records","volume":"23","author":"Mandel","year":"2016","journal-title":"J. Am. Med. Inform. Assoc."},{"key":"10.1016\/j.ijmedinf.2026.106477_b0035","unstructured":"OpenTelemetry Authors, \u201cOpenTelemetry Specification: Trace Semantic Conventions.\u201d 2025. Accessed: Aug. 16, 2025. [Online]. Available: https:\/\/opentelemetry.io\/docs\/specs\/semconv\/general\/trace\/."},{"key":"10.1016\/j.ijmedinf.2026.106477_b0040","doi-asserted-by":"crossref","DOI":"10.2196\/58445","article-title":"State-of-the-art fast healthcare interoperability resources (FHIR)\u2013Based data model and structure implementations: systematic scoping review","volume":"12","author":"Tabari","year":"2024","journal-title":"JMIR Med. Inform."},{"key":"10.1016\/j.ijmedinf.2026.106477_b0045","doi-asserted-by":"crossref","unstructured":"G. Dos Santos Leandro, C. M. C. Moro, R. J. Cruz-Correia, and E. A. Portela Santos, \u201cFHIR Implementation Guide for Stroke: A dual focus on the patient\u2019s clinical pathway and value-based healthcare,\u201d International Journal of Medical Informatics, vol. 190, p. 105525, Oct. 2024, doi: 10.1016\/j.ijmedinf.2024.105525.","DOI":"10.1016\/j.ijmedinf.2024.105525"},{"key":"10.1016\/j.ijmedinf.2026.106477_b0050","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijmedinf.2024.105507","article-title":"HL7 Fast Healthcare Interoperability Resources (HL7 FHIR) in digital healthcare ecosystems for chronic disease management: Scoping review","volume":"189","author":"Gazzarata","year":"2024","journal-title":"Int. J. Med. Inf."},{"key":"10.1016\/j.ijmedinf.2026.106477_b0055","doi-asserted-by":"crossref","DOI":"10.1016\/j.compbiomed.2024.108411","article-title":"recruIT: a cloud-native clinical trial recruitment support system based on Health Level 7 Fast Healthcare Interoperability Resources (HL7 FHIR) and the Observational Medical Outcomes Partnership Common Data Model (OMOP CDM)","volume":"174","author":"Gulden","year":"2024","journal-title":"Comput. Biol. Med."},{"issue":"5","key":"10.1016\/j.ijmedinf.2026.106477_b0060","doi-asserted-by":"crossref","DOI":"10.2196\/36709","article-title":"The architecture of a feasibility query portal for distributed COVID-19 fast healthcare interoperability resources (FHIR) patient data repositories: design and implementation study","volume":"10","author":"Gruendner","year":"2022","journal-title":"JMIR Med. Inform."},{"key":"10.1016\/j.ijmedinf.2026.106477_b0065","doi-asserted-by":"crossref","DOI":"10.3389\/frhs.2024.1453804","article-title":"Application of zero trust model in preventing medical errors","volume":"4","author":"Sood","year":"2024","journal-title":"Front. Health Serv."},{"key":"10.1016\/j.ijmedinf.2026.106477_b0070","doi-asserted-by":"crossref","DOI":"10.2196\/69813","article-title":"Interoperability framework of the european health data space for the secondary use of data: interactive european interoperability framework\u2013based standards compliance toolkit for AI-driven projects","volume":"27","author":"Hussein","year":"2025","journal-title":"J. Med. Internet Res."},{"issue":"12","key":"10.1016\/j.ijmedinf.2026.106477_b0075","doi-asserted-by":"crossref","DOI":"10.1016\/j.heliyon.2023.e22542","article-title":"A trusted medical data sharing framework for edge computing leveraging blockchain and outsourced computation","volume":"9","author":"Quan","year":"2023","journal-title":"Heliyon"},{"issue":"1","key":"10.1016\/j.ijmedinf.2026.106477_b0080","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1007\/s12553-023-00809-4","article-title":"A zero trust architecture for health information systems","volume":"14","author":"Edo","year":"2024","journal-title":"Health Technol."},{"key":"10.1016\/j.ijmedinf.2026.106477_b0085","doi-asserted-by":"crossref","DOI":"10.1016\/j.compeleceng.2024.109202","article-title":"Edge AI for internet of medical things: a literature review","volume":"116","author":"Rocha","year":"2024","journal-title":"Comput. Electr. Eng."},{"issue":"9","key":"10.1016\/j.ijmedinf.2026.106477_b0090","doi-asserted-by":"crossref","first-page":"329","DOI":"10.3390\/fi16090329","article-title":"Edge computing in healthcare: innovations, opportunities, and challenges","volume":"16","author":"Rancea","year":"2024","journal-title":"Future Internet"},{"key":"10.1016\/j.ijmedinf.2026.106477_b0095","first-page":"92","article-title":"A secure protocol for managing and sharing personal healthcare data","volume":"275","author":"Kiourtis","year":"2020","journal-title":"Stud. Health Technol. Inform."},{"key":"10.1016\/j.ijmedinf.2026.106477_b0100","doi-asserted-by":"crossref","unstructured":"A. Mavrogiorgou et al., \u201cbeHEALTHIER: A Microservices Platform for Analyzing and Exploiting Healthcare Data,\u201d in 2021 IEEE 34th International Symposium on Computer-Based Medical Systems (CBMS), Jun. 2021, pp. 283\u2013288. doi: 10.1109\/CBMS52027.2021.00078.","DOI":"10.1109\/CBMS52027.2021.00078"},{"key":"10.1016\/j.ijmedinf.2026.106477_b0105","series-title":"2023 International Conference on Applied Mathematics & Computer Science (ICAMCS), Aug","first-page":"81","article-title":"SmartCHANGE: AI-based long-term health risk evaluation for driving behaviour change strategies in children and youth","author":"Re\u0161\u010di\u010d","year":"2023"},{"key":"10.1016\/j.ijmedinf.2026.106477_b0110","doi-asserted-by":"crossref","unstructured":"K. Mavrogiorgos, A. Kiourtis, A. Mavrogiorgou, S. Kleftakis, and D. Kyriazis, \u201cA Multi-layer Approach for Data Cleaning in the Healthcare Domain,\u201d in Proceedings of the 2022 8th International Conference on Computing and Data Engineering, in ICCDE \u201922. New York, NY, USA: Association for Computing Machinery, Apr. 2022, pp. 22\u201328. doi: 10.1145\/3512850.3512856.","DOI":"10.1145\/3512850.3512856"},{"key":"10.1016\/j.ijmedinf.2026.106477_b0115","doi-asserted-by":"crossref","unstructured":"K. Voulgaris et al., \u201cData Processing Tools for Graph Data Modelling Big Data Analytics,\u201d in 2022 13th International Congress on Advanced Applied Informatics Winter (IIAI-AAI-Winter), Dec. 2022, pp. 208\u2013212. doi: 10.1109\/IIAI-AAI-Winter58034.2022.00048.","DOI":"10.1109\/IIAI-AAI-Winter58034.2022.00048"},{"key":"10.1016\/j.ijmedinf.2026.106477_b0120","doi-asserted-by":"crossref","unstructured":"M. Souppaya, K. Scarfone, and D. Dodson, \u201cSecure Software Development Framework (SSDF) Version 1.1: Recommendations for Mitigating the Risk of Software Vulnerabilities,\u201d National Institute of Standards and Technology, NIST Special Publication (SP) 800-218, Feb. 2022. doi: 10.6028\/NIST.SP.800-218.","DOI":"10.6028\/NIST.SP.800-218"},{"key":"10.1016\/j.ijmedinf.2026.106477_b0125","series-title":"The Security Development Lifecycle: SDL\u2014A Process for Developing Demonstrably More Secure Software","author":"Howard","year":"2006"},{"key":"10.1016\/j.ijmedinf.2026.106477_b0130","unstructured":"\u201cOWASP SAMM v2.0 Released | OWASP Foundation.\u201d Accessed: May 01, 2026. [Online]. Available: https:\/\/owasp.org\/2020\/02\/11\/SAMM-v2.html."},{"key":"10.1016\/j.ijmedinf.2026.106477_b0135","doi-asserted-by":"crossref","first-page":"35322","DOI":"10.1109\/ACCESS.2025.3543841","article-title":"Exploring security enhancements in kubernetes CNI: a deep dive into network policies","volume":"13","author":"Kim","year":"2025","journal-title":"IEEE Access"},{"issue":"4","key":"10.1016\/j.ijmedinf.2026.106477_b0140","doi-asserted-by":"crossref","first-page":"522","DOI":"10.1007\/s00595-022-02602-8","article-title":"Development of an ultralow-latency communication system using shared internet access: promoting the implementation of telemedicine","volume":"53","author":"Korai","year":"2023","journal-title":"Surg. Today"},{"key":"10.1016\/j.ijmedinf.2026.106477_b0145","doi-asserted-by":"crossref","unstructured":"J. Bogon, S. H\u00f6\u00dfl, C. Wolff, N. Henze, and D. Halbhuber, \u201cCognitive Integration of Delays: Anticipated System Delays Slow Down User Actions,\u201d in Proceedings of the 2025 CHI Conference on Human Factors in Computing Systems, Yokohama Japan: ACM, Apr. 2025, pp. 1\u201314. doi: 10.1145\/3706598.3713475.","DOI":"10.1145\/3706598.3713475"},{"key":"10.1016\/j.ijmedinf.2026.106477_b0150","doi-asserted-by":"crossref","unstructured":"W. Eddy, \u201cTCP SYN Flooding Attacks and Common Mitigations,\u201d Internet Engineering Task Force, Request for Comments RFC 4987, Aug. 2007. doi: 10.17487\/RFC4987.","DOI":"10.17487\/rfc4987"},{"key":"10.1016\/j.ijmedinf.2026.106477_b0155","unstructured":"HL7 International \/ FHIR Infrastructure WG and Boston Children\u2019s Hospital, \u201cHL7 FHIR\u00ae Implementation Guide: SMART Application Launch Framework, Release 2.2.0.\u201d Apr. 2024. [Online]. Available: https:\/\/build.fhir.org\/ig\/HL7\/smart-app-launch\/."},{"key":"10.1016\/j.ijmedinf.2026.106477_b0160","unstructured":"E. Commission, \u201cCommission Implementing Decision (EU) 2021\/914 of 4 June 2021 on standard contractual clauses for the transfer of personal data to third countries pursuant to Regulation (EU) 2016\/679 (Text with EEA relevance),\u201d no. 2021\/914. 2021. Accessed: Aug. 16, 2025. [Online]. Available: https:\/\/eur-lex.europa.eu\/eli\/dec_impl\/2021\/914\/oj."},{"key":"10.1016\/j.ijmedinf.2026.106477_b0165","doi-asserted-by":"crossref","unstructured":"D. Tomkou et al., \u201cBridging Industrial Expertise and XR with LLM-Powered Conversational Agents,\u201d in 2025 21st International Conference on Distributed Computing in Smart Systems and the Internet of Things (DCOSS-IoT), Jun. 2025, pp. 1050\u20131056. doi: 10.1109\/DCOSS-IoT65416.2025.00158.","DOI":"10.1109\/DCOSS-IoT65416.2025.00158"},{"issue":"2","key":"10.1016\/j.ijmedinf.2026.106477_b0170","first-page":"219","article-title":"Privacy of personal data in the generative AI data lifecycle","volume":"13","author":"Duffourc","year":"2024","journal-title":"NYU J. Intellect. Property Entertain. Law"}],"container-title":["International Journal of Medical Informatics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1386505626002170?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1386505626002170?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T16:47:52Z","timestamp":1783097272000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1386505626002170"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":34,"alternative-id":["S1386505626002170"],"URL":"https:\/\/doi.org\/10.1016\/j.ijmedinf.2026.106477","relation":{},"ISSN":["1386-5056"],"issn-type":[{"value":"1386-5056","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"A privacy-centric microservice framework for secure FHIR-based integration of heterogeneous medical data","name":"articletitle","label":"Article Title"},{"value":"International Journal of Medical Informatics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ijmedinf.2026.106477","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier B.V.","name":"copyright","label":"Copyright"}],"article-number":"106477"}}