如何确保流行病学随访的数据安全：匿名记录链接程序的质量评估

How to ensure data security of an epidemiological follow-up: quality assessment of an anonymous record linkage procedure.

作者信息

Quantin C, Bouzelat H, Allaert F A, Benhamiche A M, Faivre J, Dusserre L

机构信息

Department of Medical Informatics, Teaching Hospital of Dijon, CHRU du Bocage, France.

出版信息

Int J Med Inform. 1998 Mar;49(1):117-22. doi: 10.1016/s1386-5056(98)00019-7.

DOI:10.1016/s1386-5056(98)00019-7

PMID:9723810

Abstract

A computerised record hash coding and linkage procedure is proposed to allow the chaining of medical information within the framework of epidemiological follow-up. Before their extraction, files are rendered anonymous using a one-way hash coding based on the standard hash algorithm (SHA) function, in order to respect the legislation on data privacy and security. To avoid dictionary attacks. two keys have been added to SHA coding. Once rendered anonymous, the linkage of patient information can be accomplished by means of a statistical model, taking into account several identification variables. Quality assessment of this anonymous record linkage procedure shows a specificity of 100% and a sensitivity of 95%.

摘要

提出了一种计算机化记录哈希编码和链接程序，以便在流行病学随访框架内链接医疗信息。在提取文件之前，使用基于标准哈希算法（SHA）函数的单向哈希编码对文件进行匿名化处理，以遵守数据隐私和安全方面的法规。为避免字典攻击，已在SHA编码中添加了两个密钥。一旦进行了匿名化处理，就可以通过统计模型并考虑多个识别变量来完成患者信息的链接。对这种匿名记录链接程序的质量评估显示其特异性为100%，敏感性为95%。