Coatrieux Gouenou, Quantin Catherine, Allaert François-André
Inserm U650, LaTIM, GET ENST Bretagne.
Stud Health Technol Inform. 2012;180:761-5.
The exponential increase in the number of electronic document exchanges in healthcare has considerably increased the risk of document drop-out or address errors. It may therefore be important to know to whom the information belongs and who produced it. This becomes a major concern when the document has been involved in processes leading to the choice of therapy and eventually in cases where patients seek damages for medical malpractice. Watermarking, which is the embedding of security elements, such as a digital signature, within a document, can help to ensure that a digital document is reliable. However, at the same time, questions arise about the validity of watermarking-based evidence. In this paper, beyond the technical aspects, we discuss the worldwide legal acceptability of watermarking and the need for its recognition as a standard according to technical characteristics that the CEN and ISO need to agree on.
医疗保健领域电子文档交换数量的指数级增长，显著增加了文档丢失或地址错误的风险。因此，了解信息属于谁以及是谁生成的可能很重要。当文档参与到导致治疗选择的过程中，最终在患者因医疗事故寻求损害赔偿的情况下，这就成为了一个主要问题。水印技术，即将安全元素（如数字签名）嵌入文档中，有助于确保数字文档的可靠性。然而，与此同时，基于水印的证据的有效性也引发了问题。在本文中，除了技术方面，我们还将讨论水印技术在全球范围内的法律可接受性，以及根据欧洲标准化委员会（CEN）和国际标准化组织（ISO）需要达成一致的技术特征将其认可为标准的必要性。
