大数据背景下电子病历的法律合规

Legal Compliance of Electronic Medical Records in the Context of Big Data

较之传统的纸质病历,电子病历由于通过第三方平台完成储存与共享,因而更易导致患者个人信息和隐私权益被侵犯;同时因其不便于追溯修改痕迹,故存在举证困难。通过分析电子病历在证据效力、可能影响司法鉴定的真实性与准确性、易泄露患者的个人信息和隐私等方面所面临的问题困境,其合规建设从而可从增加电子签名及时间戳技术、患者就诊信息隐匿化处理、电子病历系统访问的权限机制完善等方面入手,以完善医疗机构医务人员的合规体系建设。

Because electronic medical records are stored and shared through a third-party platform,patients'personal information and privacy rights are more likely to be infringed compared with traditional paper medical records.At the same time,because it is not easy to retroactively modify the traces,there are difficulties in proof.By analyzing the problems and dilemmas faced by electronic medi⁃cal records in the aspects of evidence effectiveness,the authenticity and accuracy of judicial authentication,and the easy disclosure of patients'personal information and privacy,its compliance construction can be started from the aspects of adding electronic signature and time stamp technology,the processing of patient treatment information hiding,and the improvement of the access authority mecha⁃nism of electronic medical records system,so as to improve the compliance system construction of medical personnel in medical institu⁃tions.