Fusion: Practice and Applications FPA 2692-4048 2770-0070 10.54216/FPA https://www.americaspg.com/journals/show/769 2018 2018 Augmenting security for electronic patient health record (ePHR) monitoring system using cryptographic key management schemes Department of Computer Science and Engineering, Karunya Institute of Technology and Sciences, Coimbatore, India Shibin David Department of Computer Science and Engineering, Karunya Institute of Technology and Sciences, Coimbatore, India Andrew J Department of Electronics and Communication Engineering, Karunya Institute of Technology and Sciences, Coimbatore, India K. Martin Sagayam Faculty of Computers and Artificial Intelligence, Beni-Suef University, Beni-Suef, 62511, Egypt Ahmed A. Elngar Security plays a major role in most fields including the pharmaceutical field. Authorization and Authentication are the key concepts in supporting notable areas of the cyber-health world. HIPAA's (Health Insurance Portability and Accountability Act) ultimate focus is to preserve the privacy of the health records of an individual without disclosing it and preventing the data from unauthorized access. A complaint key management solution is applied to the patient's health records to reduce the risk factor while engaging with cryptographic mechanisms. Though there are many existing cryptographic algorithms such as Elliptic curve cryptography, and Elgammal's key exchange algorithm which provides security to the access of patient's health records, the proposed key management solution will overlay the same variant of security to the Electronic Health Records (EHR). This paper provides the countermeasures for improving security and suggests a key recovery mechanism for the protection of keys used in the security mechanism. 2021 2021 51 61 10.54216/FPA.050201 https://www.americaspg.com/articleinfo/3/show/769