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Identity Management Systems in Healthcare: The Issue of Patient Identifiers

机译：医疗保健中的身份管理系统：患者标识符的问题

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According to a recent recommendation of the European Commission, now is the time for Europe to enhance interoperability in eHealth. Although interoperability of patient identifiers seems promising for matters of patient mobility, patient empowerment and effective access to care, we see that today there is indeed a considerable lack of interoperability in the field of patient identification. Looking from a socio-technical rather than a merely technical point of view, one can understand the fact that the development and implementation of an identity management system in a specific healthcare context is influenced by particular social practices, affected by socio-economical history and the political climate and regulated by specific data protection legislations. Consequently, the process of making patient identification in Europe more interoperable is a development beyond semantic and syntactic levels. In this paper, we gives some examples of today's patient identifier systems in Europe, discuss the issue of interoperability of (unique) patient identifiers from a socio-technical point of view and try not to ignore the 'privacy side' of the story.
机译：根据欧洲委员会的最新建议，现在是欧洲增强电子卫生保健互操作性的时候了。尽管在患者移动性，患者赋权和有效获得护理方面，患者标识符的互操作性似乎很有前途，但我们发现，如今在患者识别领域确实确实存在互操作性的缺失。从社会技术而非仅是技术的角度来看，人们可以理解以下事实：在特定的医疗保健环境中身份管理系统的开发和实施受特定的社会实践的影响，受社会经济历史和社会环境的影响。政治气候，并受特定数据保护法规的约束。因此，使欧洲的患者识别更加可互操作的过程是语义和句法层面以外的发展。在本文中，我们提供了一些当今欧洲患者标识系统的示例，从社会技术角度讨论了（唯一）患者标识的互操作性问题，并尝试不忽略故事的“隐私方面”。

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