Kononowicz Andrzej A, Zary Nabil, Davies David, Heid Jörn, Woodham Luke, Hege Inga
Jagiellonian University Medical College, Kraków, Poland.
Stud Health Technol Inform. 2011;169:203-7.
Patient consents for distribution of multimedia constitute a significant element of medical case-based repositories in medicine. A technical challenge is posed by the right of patients to withdraw permission to disseminate their images or videos. A technical mechanism for spreading information about changes in multimedia usage licenses is sought. The authors gained their experience by developing and managing a large (>340 cases) repository of virtual patients within the European project eViP. The solution for dissemination of license status should reuse and extend existing metadata standards in medical education. Two methods: PUSH and PULL are described differing in the moment of update and the division of responsibilities between parties in the learning object exchange process. The authors recommend usage of the PUSH scenario because it is better adapted to legal requirements in many countries. It needs to be stressed that the solution is based on mutual trust of the exchange partners and therefore is most appropriate for use in educational alliances and consortia. It is hoped that the proposed models for exchanging consents and licensing information will become a crucial part of the technical frameworks for building case-based repositories.
患者对多媒体传播的同意是医学中基于病例的知识库的重要组成部分。患者撤回传播其图像或视频许可的权利带来了一项技术挑战。人们正在寻找一种传播多媒体使用许可变更信息的技术机制。作者通过在欧洲eViP项目中开发和管理一个大型（>340个病例）虚拟患者知识库积累了经验。传播许可状态的解决方案应重用并扩展医学教育中的现有元数据标准。文中描述了两种方法：推送（PUSH）和拉取（PULL），它们在更新时间和学习对象交换过程中各方的责任划分上有所不同。作者推荐使用推送模式，因为它更适应许多国家的法律要求。需要强调的是，该解决方案基于交换伙伴之间的相互信任，因此最适合在教育联盟和协会中使用。希望所提出的交换同意书和许可信息的模型将成为构建基于病例的知识库技术框架的关键部分。
