基于区块链的互联网医院患者电子病历安全共享模式与实践
  修订日期:2022-12-06  点此下载全文
引用本文:魏明月,王淑,许德俊.基于区块链的互联网医院患者电子病历安全共享模式与实践[J].医学信息学杂志,2023,44(7):68-72
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魏明月 上海市儿童医院 上海200062 
王淑 上海市儿童医院 上海200062 
许德俊 上海信医科技有限公司 上海 200436 
基金项目:国家自然科学基金重大研究计划课题(项目编号:91846302);中国医院发展研究院医院管理课题(项目编号:CHDI-2022-B-23);上海申康医院发展中心临床科技创新项目(项目编号:SHDC12021616)。
中文摘要:目的/意义 针对互联网开放场景下患者个人电子病历数据安全开放共享面临的难点和挑战,设计一套安全共享模型,推动医疗机构实现患者电子病历、电子健康档案开放共享。方法/过程 提炼分析影响患者个人电子病历数据开放共享的关键要素,界定互联网医疗场景下电子病历数据开放范围、标准和格式,利用区块链技术建立患者电子病历数据安全共享模型。结果/结论 基于区块链建设患者电子病历数据安全共享模式,可初步实现患者电子病历数据可信存证和安全开放共享,为未来以电子病历为核心的医疗健康数据安全开放共享提供新思路。
中文关键词:电子病历共享  医疗区块链  医疗数据安全  主动健康管理
 
Practice of the Secure Sharing Mode of Patient Electronic Medical Records in Internet Hospitals Based on Blockchain
Abstract:Purpose/Significance Aiming at the difficulties and challenges faced by the safe and open sharing of patients’ personal electronic medical records (EMR) data in the internet open scenario, the purpose of the study is to design a set of security sharing model to promote medical institutions realizing the open sharing of patient EMR and electronic health records (EHR). Method/Process The key factors affecting the open sharing of patients’ personal EMR data are analyzed, and the open scope, standard and format of EMR data in the internet medical scenario are determined. A secure sharing model of patient EMR data is established by using blockchain technology. Result/Conclusion The construction of patient EMR data security sharing mode based on blockchain can initially realize the trusted storage and safe open sharing of patient EMR data and provide new ideas for the safe open sharing of medical health data with EMR as the core in the future.
keywords:electronic medical records (EMR) sharing  medical blockchain  medical data security  active health management
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