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智能健康系统中信用额度计算的智能控制模型。

An Intelligent Control Model of Credit Line Computing in Intelligence Health-Care Systems.

机构信息

Institute of Intelligence Applications, Yunnan University of Finance and Economics, Kunming, China.

Key Laboratory of Service Computing and Safety Management of Yunnan Provincial Universities, Kunming, China.

出版信息

Front Public Health. 2021 Sep 10;9:718594. doi: 10.3389/fpubh.2021.718594. eCollection 2021.

Abstract

Technologies such as machine learning and artificial intelligence have brought about a tremendous change to biomedical computing and intelligence health care. As a principal component of the intelligence healthcare system, the hospital information system (HIS) has provided great convenience to hospitals and patients, but incidents of leaking private information of patients through HIS occasionally occur at times. Therefore, it is necessary to properly control excessive access behavior. To reduce the risk of patient privacy leakage when medical data are accessed, this article proposes a dynamic permission intelligent access control model that introduces credit line calculation. According to the target given by the doctor in HIS and the actual access record, the International Classification of Diseases (ICD)-10 code is used to describe the degree of correlation, and the rationality of the access is formally described by a mathematical formula. The concept of intelligence healthcare credit lines is redefined with relevance and time Windows. The access control policy matches the corresponding credit limit and credit interval according to the authorization rules to achieve the purpose of intelligent control. Finally, with the actual data provided by a Grade-III Level-A hospital in Kunming, the program code is written through machine learning and biomedical computing-related technologies to complete the experimental test. The experiment proves that the intelligent access control model based on credit computing proposed in this study can play a role in protecting the privacy of patients to a certain extent.

摘要

技术,如机器学习和人工智能,已经给生物医学计算和智慧医疗带来了巨大的变革。作为智慧医疗系统的主要组成部分,医院信息系统(HIS)为医院和患者提供了极大的便利,但有时也会发生 HIS 泄露患者私人信息的事件。因此,有必要对过度访问行为进行适当控制。为了降低医疗数据访问时患者隐私泄露的风险,本文提出了一种基于信用计算的动态权限智能访问控制模型。根据 HIS 中医生给定的目标和实际访问记录,使用国际疾病分类(ICD)-10 代码来描述相关程度,并通过数学公式正式描述访问的合理性。重新定义了智慧医疗信用额度的概念,包括相关性和时间窗口。访问控制策略根据授权规则匹配相应的信用额度和信用间隔,以达到智能控制的目的。最后,利用昆明某三甲医院提供的实际数据,通过机器学习和生物医学计算相关技术编写程序代码,完成实验测试。实验证明,本文提出的基于信用计算的智能访问控制模型在一定程度上可以保护患者的隐私。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf38/8462519/b8d2007a8c7d/fpubh-09-718594-g0001.jpg

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