基于IOTA的电子医疗记录管理系统框架内的访问控制开发
Hari Purnama1, I Putu Bakta Hari Sudewa1, Tazkia Nizami1
1School of Electrical Engineering and Informatics, Bandung Institute of Technology, Bandung 40132, Indonesia.
Sensors (Basel, Switzerland)
|March 14, 2026
概括
本研究介绍了DecMed,这是一个使用IOTA DLT.管理电子医疗记录 (EMR) 的分散系统. DecMed加强了患者数据的安全性和控制,解决了印尼强制性EMR法规中的挑战.
科学领域:
- 医疗信息学 医疗信息学
- 网络安全 网络安全
- 分布式账本技术 分布式账本技术
背景情况:
- 印度尼西亚强制实施电子医疗记录 (EMR),这给数据安全和患者访问带来了挑战.
- 目前的集中式EMR系统存在未经授权的访问,数据泄露和完整性受损的风险.
- 需要一个安全的,患者控制的EMR框架,符合国家法规.
研究的目的:
- 提出DecMed,一个分散的EMR管理框架.
- 加强以患者为中心的访问控制和强制性EMR数据安全.
- 确保数据完整性和符合印度尼西亚医疗保健法规.
主要方法:
- 使用IOTA分布式账本技术 (DLT) 开发了DecMed.
- 基于能力的综合访问控制 (CapBAC),代理重新加密 (PRE) 和星际文件系统 (IPFS).
- 在IOTA账本上的Move语言中使用智能合约实现;加密数据存储在IPFS中.
主要成果:
- DecMed强制执行患者所有权和对医疗数据访问的细粒度控制.
- 通过单元测试证明有效防止未经授权的访问.
- 维护数据的机密性,完整性,并确保监管合规性.
结论:
- DecMed为EMR管理提供了一个强大的,分散的解决方案.
- 该框架成功地解决了强制性EMR系统中的安全和访问控制挑战.
- 确保患者赋权和数字健康记录的监管遵守.
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