Bakker Albert R
Addabit B. V. Noordwijk, The Netherlands.
Stud Health Technol Inform. 2003;96:15-20.
Security issues during development and implementation of hospital information systems are briefly reviewed. Attention is paid to current issues as to: availability, integrity, authentication and access rights. In particular are discussed: some remaining risks as to integrity, the tension between in-house acceptance of HIS access rules and standardisation needed when implementing a transmural Electronic Health Record (EHR), access rights needed for medical audit, law suits and evaluation with their far-reaching consequences. The need for harmonisation of access rights is underlined and a further study of the requirements for systems from the perspective of medical audit, evaluation and juridical procedures is advocated.
简要回顾了医院信息系统开发和实施过程中的安全问题。重点关注了以下当前问题：可用性、完整性、认证和访问权限。特别讨论了：关于完整性的一些遗留风险、医院信息系统访问规则的内部接受度与实施跨机构电子健康记录（EHR）所需标准化之间的矛盾、医疗审计所需的访问权限、诉讼及其深远影响。强调了统一访问权限的必要性，并提倡从医疗审计、评估和司法程序的角度对系统要求进行进一步研究。
