Strategies for maintaining patient privacy in i2b2
Strategies for maintaining patient privacy in i2b2
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DOI：
10.1136/amiajnl-2011-000316
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发表时间：
2011-12-01
影响因子：
6.4
通讯作者：
Kohane, Isaac
中科院分区：
文献类型：
--
作者：
Murphy, Shawn N.;Gainer, Vivian;Kohane, Isaac
从电子医疗记录系统中重新使用患者数据可以为临床研究提供巨大的好处，但在利用这些记录的同时保护患者隐私的措施存在许多挑战。其中一些挑战来自于一种误解，即问题应该在技术上解决，而实际上问题需要一个整体的解决方案。目的作者在整合生物学和床边（i2b2）用例的信息学方面的经验表明，应该在三个方面考虑患者的隐私：方法从数据的技术去身份化、对研究者和研究者的信任以及底层技术平台的安全性三个方面综合考虑，实现i2b2的安全结构。它已在美国各地的几个用例的支持，导致五个隐私类别的用户，服务于保护数据，同时支持用例。结果i2b2架构的设计，以提供一致性和忠实地实现这些用户隐私类别。这些隐私类别有助于反映政策的健康保险流通和责任法案和1974年的国家研究法案的规定，体现了当前的机构审查boards.Conclusion通过实施一个整体的方法来解决病人的隐私问题，i2b2是能够帮助关闭原则和实践之间的差距。
Background The re-use of patient data from electronic healthcare record systems can provide tremendous benefits for clinical research, but measures to protect patient privacy while utilizing these records have many challenges. Some of these challenges arise from a misperception that the problem should be solved technically when actually the problem needs a holistic solution.Objective The authors' experience with informatics for integrating biology and the bedside (i2b2) use cases indicates that the privacy of the patient should be considered on three fronts: technical de-identification of the data, trust in the researcher and the research, and the security of the underlying technical platforms.Methods The security structure of i2b2 is implemented based on consideration of all three fronts. It has been supported with several use cases across the USA, resulting in five privacy categories of users that serve to protect the data while supporting the use cases.Results The i2b2 architecture is designed to provide consistency and faithfully implement these user privacy categories. These privacy categories help reflect the policy of both the Health Insurance Portability and Accountability Act and the provisions of the National Research Act of 1974, as embodied by current institutional review boards.Conclusion By implementing a holistic approach to patient privacy solutions, i2b2 is able to help close the gap between principle and practice.