University of Rochester Medical Center, Rochester, NY 14642, USA.
J Biomed Inform. 2012 Dec;45(6):1084-107. doi: 10.1016/j.jbi.2012.06.001. Epub 2012 Jun 23.
Although information access control models have been developed and applied to various applications, few of the previous works have addressed the issue of managing information access in the combined context of team collaboration and workflow. To facilitate this requirement, we have enhanced the Role-Based Access Control (RBAC) model through formulating universal constraints, defining bridging entities and contributing attributes, extending access permissions to include workflow contexts, synthesizing a role-based access delegation model to target on specific objects, and developing domain ontologies as instantiations of the general model to particular applications. We have successfully applied this model to the New York State HIV Clinical Education Initiative (CEI) project to address the specific needs of information management in collaborative processes. An initial evaluation has shown this model achieved a high level of agreement with an existing system when applied to 4576 cases (kappa=0.801). Comparing to a reference standard, the sensitivity and specificity of the enhanced RBAC model were at the level of 97-100%. These results indicate that the enhanced RBAC model can be effectively used for information access management in context of team collaboration and workflow to coordinate clinical education programs. Future research is required to incrementally develop additional types of universal constraints, to further investigate how the workflow context and access delegation can be enriched to support the various needs on information access management in collaborative processes, and to examine the generalizability of the enhanced RBAC model for other applications in clinical education, biomedical research, and patient care.
尽管信息访问控制模型已经被开发并应用于各种应用中,但以前的工作很少涉及到在团队协作和工作流的综合背景下管理信息访问的问题。为了满足这一需求,我们通过制定通用约束、定义桥接实体和贡献属性、将访问权限扩展到包括工作流上下文、综合基于角色的访问委托模型以针对特定对象以及开发域本体作为通用模型到特定应用程序的实例化,增强了基于角色的访问控制 (RBAC) 模型。我们已经成功地将该模型应用于纽约州 HIV 临床教育倡议 (CEI) 项目,以满足协作过程中信息管理的特定需求。初步评估表明,当将该模型应用于 4576 个病例时(kappa=0.801),该模型与现有系统具有高度一致性。与参考标准相比,增强型 RBAC 模型的灵敏度和特异性均达到 97-100%。这些结果表明,增强型 RBAC 模型可有效地用于团队协作和工作流背景下的信息访问管理,以协调临床教育计划。未来的研究需要逐步开发其他类型的通用约束,进一步研究如何丰富工作流上下文和访问委托,以支持协作过程中信息访问管理的各种需求,并检查增强型 RBAC 模型在临床教育、生物医学研究和患者护理等其他应用中的通用性。