跨境医疗保健的以患者为中心的互操作性和网络安全
Fernando Latorre1,2,3, Claudia E Hawks1, Bruno Colmenares1
1Conéctate Soluciones y Aplicaciones, S.L., Soria, CYL, Spain.
在Web 3.0中,患者使用分散身份文件 (DID文件) 控制他们的健康数据. 一个区块链系统使得跨境医疗保健的国际患者摘要 (IPS) 能够获得安全的,患者批准的访问.
科学领域:
- 医疗信息学 医疗信息学
- 网络安全 网络安全
- 区块链技术 区块链技术
背景情况:
- 网络3.0强调用户数据的所有权.
- 分散身份证件 (DID文件) 提供了抗量子的数字身份.
- 跨境医疗保健数据交换在安全性和患者同意方面面临挑战.
研究的目的:
- 提出一个基于区块链的系统来管理患者身份和跨境医疗保健的同意.
- 将分散身份证件 (DID文件) 与国际患者摘要 (IPS) 标准集成.
- 增强不同医疗保健提供者对患者健康信息的安全和有效访问.
主要方法:
- 用去中心化身份证件 (DID文件) 进行患者身份管理.
- 实施区块链来存储身份证据和访问规则.
- 利用国际患者摘要 (IPS) 标准和HL7 FHIR进行数据结构化和检索.
- 采用DIDComm来提供安全的消息和SOS服务.
主要成果:
- 一个拟议的系统架构,用于安全的跨境医疗数据共享.
- 建立了患者对其健康数据访问规则的控制权.
- 量子抗性数字身份的整合与医疗保健数据标准.
结论:
- 区块链和DID文件为跨境医疗保健提供了一个安全的,以患者为中心的框架.
- 拟议的系统提高了数据的可访问性,同时保持了患者的隐私和同意.
- 这种方法与用户数据所有权和安全的Web 3.0原则保持一致.
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