Réflexions sur l’identification du patient dans les systèmes d’information de santé. (French)

Abstract: Purpose: The aim of our study is to provide an update on the basic concepts and methodologies implemented in the healthcare information systems to identify the patient. Method: The method used is an analysis of the existing intrinsic and extrinsic systems linked respectively to their objectives and ethical requirements, and an open methodological and scalable study based on finding a unique and universal identifier. Result: Despite many constraints our analysis of various tasks shows that some solutions are attainable. They are focused on a simple identification model responding to the different concepts developed and setting up systems for efficient and reliable networking. The model proposed here is based on the criteria shared by all. It portrays the main elements sought by the users of the healthcare information systems. However, its implementation requires a well-defined organization that allows a coherent and permanent usage over the time namely: a precise definition of features and the hash modalities, the processing of this information, the networking procedures… and so on. This proposal takes into account the existence of different information systems and subsystems. The consistency between these different systems must go with a good interoperability and above all a flawless identification of the data related to the patient. Conclusion: The solutions allow a reliable and versatile patient identification system consistent with the principles of privacy standards. [Copyright &y& Elsevier]

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