Security aspects of e-Health systems migration to the cloud

As adoption of e-health solutions advances, new computing paradigms - such as cloud computing - bring the potential to improve efficiency in managing medical health records and help reduce costs. However, these opportunities introduce new security risks which can not be ignored. Based on our experience with deploying part of the Swedish electronic health records management system in an infrastructure cloud, we make an overview of major requirements that must be considered when migrating e-health systems to the cloud. Furthermore, we describe in-depth a new attack vector inherent to cloud deployments and present a novel data confidentiality and integrity protection mechanism for infrastructure clouds. This contribution aims to encourage exchange of best practices and lessons learned in migrating public e-health systems to the cloud.