{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T04:07:40Z","timestamp":1750306060355,"version":"3.41.0"},"reference-count":21,"publisher":"Association for Computing Machinery (ACM)","issue":"2","license":[{"start":{"date-parts":[[2017,3,31]],"date-time":"2017-03-31T00:00:00Z","timestamp":1490918400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.acm.org\/publications\/policies\/copyright_policy#Background"}],"content-domain":{"domain":["dl.acm.org"],"crossmark-restriction":true},"short-container-title":["SIGBED Rev."],"published-print":{"date-parts":[[2017,3,31]]},"abstract":"<jats:p>The Integrated Clinical Environment (ICE) is a standard dedicated to promote open coordination of heterogeneous medical devices in a plug-and-play manner. This carries the potential to radically improve medical care through coordinating, cooperating devices, but also to undermine the patient safety by giving rise to security vulnerabilities in the cyber world. In this paper, we propose an authentication framework as the first step to build an ICE security architecture. This framework is designed in a three-layered structure, allowing it to fit in the variety of authentication requirements from different ICE entities and of networking middleware from ICE instantiations. We implement the authentication framework on OpenICE, an open source ICE instantiation. Our experiments shows that the framework can help OpenICE mitigate the vulnerabilities caused by forged identity with negligible performance overload.<\/jats:p>","DOI":"10.1145\/3076125.3076129","type":"journal-article","created":{"date-parts":[[2017,4,3]],"date-time":"2017-04-03T12:13:39Z","timestamp":1491221619000},"page":"34-43","update-policy":"https:\/\/doi.org\/10.1145\/crossmark-policy","source":"Crossref","is-referenced-by-count":9,"title":["Protecting interoperable clinical environment with authentication"],"prefix":"10.1145","volume":"14","author":[{"given":"Liang","family":"Cheng","sequence":"first","affiliation":[{"name":"University of Pennsylvania\/Institute of Software"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhangtan","family":"Li","sequence":"additional","affiliation":[{"name":"Chinese Academy of Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi","family":"Zhang","sequence":"additional","affiliation":[{"name":"US Food and Drug Administration"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yang","family":"Zhang","sequence":"additional","affiliation":[{"name":"Chinese Academy of Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Insup","family":"Lee","sequence":"additional","affiliation":[{"name":"University of Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"320","published-online":{"date-parts":[[2017,3,31]]},"reference":[{"key":"e_1_2_1_1_1","doi-asserted-by":"publisher","DOI":"10.2345\/0899-8205-43.4.313"},{"key":"e_1_2_1_2_1","first-page":"124","volume-title":"5th Workshop on Medical Cyber-Physical Systems, MCPS 2014","volume":"36","author":"Arney D.","year":"2014","unstructured":"D. Arney , J. Plourde , R. Schrenker , P. Mattegunta , S. F. Whitehead , and J. M. Goldman . Design Pillars for Medical Cyber-Physical System Middleware. In V. Turau, M. Z. Kwiatkowska, R. Mangharam, and C. Weyer, editors , 5th Workshop on Medical Cyber-Physical Systems, MCPS 2014 , Berlin, Germany , April 14, 2014 , volume 36 of OASICS, pages 124 -- 132 . Schloss Dagstuhl - Leibniz-Zentrum fuer Informatik, 2014. D. Arney, J. Plourde, R. Schrenker, P. Mattegunta, S. F. Whitehead, and J. M. Goldman. Design Pillars for Medical Cyber-Physical System Middleware. In V. Turau, M. Z. Kwiatkowska, R. Mangharam, and C. Weyer, editors, 5th Workshop on Medical Cyber-Physical Systems, MCPS 2014, Berlin, Germany, April 14, 2014, volume 36 of OASICS, pages 124--132. Schloss Dagstuhl - Leibniz-Zentrum fuer Informatik, 2014."},{"key":"e_1_2_1_3_1","volume-title":"ICBO","author":"Arney D.","year":"2011","unstructured":"D. Arney , S. Weininger , S. F. Whitehead , and J. M. Goldman . Supporting Medical Device Adverse Event Analysis in an Interoperable Clinical Environment: Design of a Data Logging and Playback System . In ICBO , 2011 . D. Arney, S. Weininger, S. F. Whitehead, and J. M. Goldman. Supporting Medical Device Adverse Event Analysis in an Interoperable Clinical Environment: Design of a Data Logging and Playback System. In ICBO, 2011."},{"key":"e_1_2_1_4_1","unstructured":"ASTM International. ASTM F2761--09(2013) Medical Devices and Medical Systems - Essential safety requirements for equipment comprising the patient-centric integrated clinical environment (ICE) - Part 1: General requirements and conceptual model 2009.  ASTM International. 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Weininger, and J. Goldman. An overview of regulatory and trust issues for the integrated clinical environment. Proceedings of HCMDSS 2011, 2011."},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1145\/1809085.1809086"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1109\/ICSE-COMPANION.2009.5070972"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1109\/ISORC.2014.49"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1109\/JPROC.2011.2165270"},{"key":"e_1_2_1_15_1","volume-title":"eXtensible Access Control Markup Language (XACML), version 3.0 edition","author":"Standard ASIS","year":"2013","unstructured":"O ASIS Standard . eXtensible Access Control Markup Language (XACML), version 3.0 edition , 2013 . 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