The Ministry of Health and Welfare (MOHW) has implemented electronic medical records (EMRs) and their exchange across hospitals to improve the quality of health care. Healthcare institutes create their EMRs based on the regulations of EMR documentation and management for medical institutes. Through the MOHW’s Electronic Medical Record Exchange Center (EEC), different hospitals can exchange their EMRs. As increasing exchange of EMRs, there are challenges to information security and patient privacy protection. In Taiwan, exchanged information can be secured through National Health Insurance virtual private networks, dual card authentication, and log auditing. However, the patient privacy protection policy relies on paper-based patient consent forms, this makes difficult to control access right and multiple consent polices. It is hard to have different granularity in protecting clinical documents. Thus, this project focus on patient privacy protection issues to provide electronic patient consent forms and processes, to adopt IHE-based profiles for standardizing mechanisms to control different granularity of access rights to medical records, and to select the authorized medical records based on patients’ privacy policies, and to provide the storages and access procedures to patient consent forms. The research results of this project can be a valuable reference for our government to continue promoting exchange of EMRs across hospitals in Year 2014.
|Effective start/end date||8/1/14 → 10/31/15|