一个基于QR码的新型解决方案,用于在静脉血栓塞栓症家庭康复管理中安全地传输电子健康记录:算法开发和验证
Changzhen Li1,2, Zhigeng Jin3, Fei Wang1
1Technical Department, DrBreath Medical Technology Co, Ltd, Shanghai, China.
JMIR rehabilitation and assistive technologies
|August 11, 2025
概括
一个新的QR码算法安全地传输患者健康记录,减少数据大小6.67倍. 这一创新增强了远程静脉血栓塞栓症 (VTE) 管理的隐私.
科学领域:
- 生物医学信息学 生物医学信息学
- 数据安全 数据安全
- 医疗信息学 医疗信息学
背景情况:
- 静脉血栓塞栓症 (VTE) 需要延长抗凝治疗和出院后的持续监测.
- 使用电子健康记录 (EHR) 的家庭康复系统提供监控,但面临数据隐私和安全挑战.
- 对于电子健康记录的传统数据传输方法存在技术和操作上的限制.
研究的目的:
- 开发一种基于QR码的安全算法,用于转移医院以外的健康记录.
- 在家庭康复管理系统中确保数据安全和用户隐私.
主要方法:
- 开发了一个使用Avro和字节对编码 (BPE) 的QR码安全传输算法.
- 雇佣了BPE用于医疗文本代币化,Avro用于JSON序列化,以及Gzip用于压缩.
- 集成ChaCha20和BLAKE3用于加密和身份验证.
- 使用基准数据集和比较分析评估压缩效率.
主要成果:
- BPE + Avro + Gzip 算法实现了平均文件大小减少到 1048 字节 (压缩比为 6.67),比单独使用 Gzip 效率高 1.82 倍.
- 在中国医学文本中,BPE的表现优于单字符的标记化 (压缩比为4.68比4.55).
- 84.7%的患者只需要扫描一个QR码,平均扫描时间为3.1秒.
结论:
- 该QR码算法有效地压缩,加密和安全传输医疗数据,验证用户身份.
- 该算法在传输过程中确保了患者医疗数据的隐私和安全.
- 该算法作为软件开发工具包提供,旨在实现直接实现和广泛采用.
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