Abstract: Highlights•There is a lack of a systematic research into the attacking and defence pathways of the IMDS.•This research developed an IMDS simulation platform using the OpenEMR and an added Cardiac Diagnosis Component.•This research demonstrated ethical hacking into the IMDS following the NIST ethical hacking method.•This research identified four major vulnerabilities of the OpenEMR.•This research identified the hacking pathway into the embedded cardiac diagnosis component.•This research presents a set of cyber security strategies tailored for IMDS to prevent diagnosis records compromise.
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