题名

電子病歷之真確性保護機制

并列篇名

Protecting Information Integrity for Electronic Patient Record

DOI

10.6382/JIM.200610.0011

作者

黃景彰(Jing-Jang Hwang)；周淑羚(Shu-Ling Chou)；葉怡鎮(Yi-Jen Yeh)；蔡榮隆(Ron-Lon Tsai)

关键词

複合式文件 ； 電子病歷 ； 資訊真確性 ； 真確性檢查碼 ； Compound document ； Electronic patient record ； Information integrity ； Integrity checking code

期刊名称

資訊管理學報

卷期/出版年月

13卷4期（2006 / 10 / 01）

页次

53 - 71

内容语文

繁體中文
中文摘要

在本文中，我們以傳統病歷具有的循序記錄、檢驗記錄逐件加入的特性為基礎，以系統流程的角度思考，設計適用於電子病歷的漸增式複合式文件架構，並依此架構發展出真確性保護機制。本文提出的真確性保護機制是以新增單元文件為常態，只須對新增的單元文件計算檢查碼，並用以更新文件整體的檢查碼，原有眾多單元文件的檢查碼不需要重新計算，因而能有效率地更新複合式電子病歷的檢查碼，以進行真確性的維護與查驗。利用本研究所提出之複合式電子病歷架構與真確性保護方法，除了能保護電子病歷文件的真確性外，同時也能確保病歷中關於診斷流程先後順序的真確性，可以避免病歷資料遭到未經授權的變更，進而達到提升醫療品質的目的。
英文摘要

We present a compound-document model for structuring the electronic patient records, based on the current practices of collecting the paper-form patient records in a hospital. We further devise a method for protecting information integrity to utilize the structural feature of the compound-document model. Through the the proposed compound-document model and integrity protection method, medical institutions can maintain document with integrity inspections more efficiently and thereby enhance the quality of medical care.
主题分类 基礎與應用科學 > 資訊科學
社會科學 > 管理學
参考文献
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