Table of contents exchange of letters with the minister executive summary



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Report of the COI into the Cyber Attack on SingHealth 10 Jan 2019

COI Report – Part VII
Page 354 of 425

44 RECOMMENDATION #9: ENHANCED SAFEGUARDS
MUST BE PUTIN PLACE TO PROTECT ELECTRONIC
MEDICAL RECORDS
#PREVENTION; DETECTION #GOVERNANCE
1023. EMRs undoubtedly present many benefits. They improve patient care, and coordination of care, through enhanced access to patients medical information by all members of the healthcare team. The platform chosen for SingHealth to store EMRs was the SCM. The SCM operates like a dashboard, holding information such as patient records, diagnostic data, and medical history. This is very sensitive information. As the Cyber Attack has demonstrated, it is critical to protect the security and confidentiality of such medical records.
1024. The Cyber Attack aside, other recent cyber attacks have seen data breaches grow in size, number, and scope. Whether attacks are against telecommunications, financial services, entertainment, or healthcare institutions, data in respect of millions of users has been compromised. The attackers are no longer going after just credit card information. Attackers are after personally identifiable information (“PII”).
1025. Breaches involving PII and patient data are particularly hazardous to both individuals and organisations. Harm to the individual may include tampering with medical records, identity theft, embarrassment, or blackmail. Harm to the organisation may include a loss of public trust, legal liability, or remediation costs.
1026. Protecting the perimeter proved insufficient against the attacker in this case, and in any event, the threat to EMRs may come from malicious insiders. It is recommended that, network security aside, data-centric security measures must be implemented to



COI Report – Part VII
Page 355 of 425

(a) Ensure the confidentiality
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and integrity
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of medical records b) Protect against any reasonably anticipated threats or hazards to the security or integrity of such information and c) Protect against any reasonably anticipated use or disclosure of such information.
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