# # Popularizing electronic health codes requires ensuring information security.

National Health Commission, state administration of traditional chinese medicine and the National Bureau for Disease Control and Prevention recently jointly issued the "Fourteenth Five-Year Plan for National Health Informatization", proposing that by 2025, China will initially build a unified, authoritative and interconnected national health information platform support and guarantee system, and basically achieve full coverage of public medical and health institutions and national health information platforms. Every resident will have a dynamically managed electronic health record and a fully functional electronic health code. The electronic health code has aroused public discussion on the Internet. The same personal health information, the public is not worried about the medical record, but the electronic health code, because there is only one medical record, which cannot be shared, and no one else has a chance to know this information except the patient's consent. Whether it is the popularity of electronic health records or electronic health codes, we should see the public's concerns and respond in time to form a benign interaction.

Let's take a look at what it is like to popularize electronic health codes to ensure information security.

What does it mean for residents to have a fully functional electronic health code? Expert: It's more like an electronic health record, so don't worry about privacy leakage.

165438+1October 9, according to official website information, National Health Commission, National Health Commission, state administration of traditional chinese medicine and the National Bureau for Disease Control and Prevention have jointly issued the Tenth Five-Year Plan for National Health Informatization (hereinafter referred to as the Plan), proposing to initially establish a unified, authoritative and interconnected national health information platform support and guarantee system by 2025.

Among them, the "Planning" mentioned that "in 2025, every resident will have a dynamically managed electronic health record and a fully functional electronic health code". This content has attracted attention. In June165438+1October 10, Wei, president of the Institute of Management and Development of Beijing Sanyizhiku Hospital, said in an interview with Red Star News that the health code mentioned in the plan is not a health code or a travel code set to deal with the COVID-19 epidemic, but actually more like a personal electronic health record of residents. This health code will also use big data and the Internet to better serve residents.

The National Health Commission, state administration of traditional chinese medicine and the National Bureau of Disease Control and Prevention jointly issued the "Tenth Five-Year Plan for National Health Informatization".

Hot discussion on the whole network:

Residents have fully functional electronic health codes.

Some netizens are worried that privacy will be leaked.

The Red Star journalist noted that the Plan has deployed eight major tasks in the future, namely, intensive construction of the information infrastructure support system; Improve the national health informatization standard system; Deepen the "Internet+medical health" service system; Improve the health care big data resource system; Promote digital health integration and innovative development system; Expand the basic information security service system; Strengthen the application system of health statistics investigation and analysis; Consolidate the network and data security system.

In addition, the Plan also puts forward eight priority actions: sharing the fruits of three years' efforts; Healthy China Construction (Action) Support Action; Demonstration function of smart hospital construction; Intelligent service actions for key populations; Intelligent monitoring and response action of drug supply guarantee; Digital public health capacity improvement action; "Internet plus Chinese medicine health service" action; Data security capability improvement action.

In recent years, the word "health code" has become a high-frequency word in life. After combing, Red Star journalists found that the word health code was mentioned five times in the plan. Among them, when talking about the overall improvement of emergency response capacity for epidemic prevention and control, the plan mentioned "promoting the unification of health coding policies and standards, realizing the national sharing of nucleic acid test results and vaccination information in COVID-19, ensuring the orderly travel of the masses, and efficiently coordinating epidemic prevention and control and social and economic development." In terms of development goals, the plan puts forward that "every resident has a dynamically managed electronic health record and a fully functional electronic health code".

In addition, the plan also mentioned that in the main tasks of the "Fourteenth Five-Year Plan" of national health informatization, the issue of health coding was also mentioned in the part of promoting the innovative development system of digital health integration, sharing and co-governance for three years, and improving the capacity of digital public health. The plan mentions that it is necessary to "gradually realize the multi-code integration of electronic health code, medical insurance settlement code and financial payment code", and to "take the popularization and application of resident electronic health code as the starting point, establish the unique main index of residents with ID card number as the main index and other certificate numbers as the supplement, and promote" one code for multiple purposes ". In addition, the plan also mentions "strengthening the use of health code standards, strengthening the implementation of coding and transcoding rules, and promoting mutual recognition and one code communication".

The Red Star journalist noticed that netizens were particularly concerned about the article "Every resident has a dynamically managed electronic health record and a fully functional electronic health code". Some netizens have doubts and ask, "Is this health code a trip code?" "Will setting such a health code violate my privacy?"

On July 6, 2022, in Yuncheng, Shanxi Province, a resident scanned the code at the nucleic acid detection point in Xinjiang County for nucleic acid detection. According to vision china

Expert interpretation:

Such as mobile electronic health records.

Don't worry too much about privacy leaks.

Regarding all kinds of questions raised by netizens, Wei, president of the Institute of Management and Development of Beijing Medical Sanyizhiku Hospital, told the Red Star reporter that this health code was not built during the COVID-19 epidemic, let alone a travel code. The planned health code is more like the mobile electronic health record of residents.

"The health code mentioned in the plan is more like an electronic file of residents, which may contain health information of everyone from birth to death. Such as vaccination, case information, family genetic diseases, etc. " Wei Zining said that the health code that we often talk about now was actually set up to deal with the epidemic in COVID-19. We can see whether the resident has done nucleic acid, whether it is negative or positive, and how many days it has been done. The function of the Health Law mentioned in the plan should be much more comprehensive than the current Health Law.

Wei said that the setting of the electronic health code mentioned in the plan can better help doctors understand the personal health status of patients. "Your past medical history and medical records may be in this health code. When you go to see a doctor, the doctor can fully grasp it in order to make a more scientific diagnosis of the patient. "

Wang Chenguang, a professor at Tsinghua University Law School and executive vice president of China Health Law Society, has similar views with Wei Zining. Wang Chenguang told Red Star that the electronic health code mentioned in the plan is actually a comprehensive personal health information file, and China uses the Internet and big data to better serve residents' health.

"At present, the function of this health code has not been fully determined. It may include some functions of this health code currently used to fight the COVID-19 epidemic, but this part of the function is only a small part of it. " Wang Chenguang said that with the development of the times, people's mobility is also increasing. If you have such a health code, it means that everyone's health information is carried with you. For example, if there is an accident or disease in any area, doctors can know the historical health information of this person through this health code, so as to give the most accurate treatment.

For some netizens who are worried that the health code will reveal personal information, both experts said that this kind of worry is actually unnecessary. "This health code is put in your personal mobile phone every day. If you don't show it to others, you should not look for it casually, including doctors. Only with my consent will the relevant information be displayed in the case of medical treatment and vaccination. " Wei said to him:

On the other hand, Wang Chenguang said that people's concerns about the disclosure of personal privacy are not unreasonable, but there is no need to worry too much. "When building a health code, relevant institutions definitely need to collect and store personal health information, but this behavior is to protect the health of residents, not to infringe on the privacy of citizens."

Wang Chenguang said that our society is now an information society, and the appearance of this health code is inevitable, which is the normal use of information. Relevant institutions will also prevent people with ulterior motives from maliciously invading during construction, and laws and regulations will also regulate the use of health codes.

Red Star Journalist Wu Yang Special correspondent Shui Ning

Editor Deng Shuguang Editor Wang He

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To popularize electronic health codes, information security must be done well.

National Health Commission, state administration of traditional chinese medicine and the National Bureau for Disease Control and Prevention recently jointly issued the "Fourteenth Five-Year Plan for National Health Informatization", proposing that by 2025, China will initially build a unified, authoritative and interconnected national health information platform support and guarantee system, and basically achieve full coverage of public medical and health institutions and national health information platforms. Every resident will have a dynamically managed electronic health record and a fully functional electronic health code.

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The electronic health code has aroused public discussion on the Internet. Because health information is extremely sensitive personal privacy, these discussions mainly focus on two aspects. First, worry about over-collecting health information, what disease you have, what number you hang up, how to treat it, and so on. It's all personal activities and personal information. The so-called right to privacy means that individuals have the right not to want private information to be known by others. Why do some outpatients close the door when asking questions, just to prevent others from peeping into their privacy? It should not be overlooked that everyone's acceptance of collecting personal information is not consistent. For example, in the discussion of netizens, some people think that health codes can contain personal blood types, while others think that they can't. Therefore, what information should be collected by electronic health code, what information should not be collected, and whether the public has the right to refuse, these are the key issues that must be solved in policy implementation.

The second is to worry about the disclosure and abuse of health information. The same personal health information, the public is not worried about the medical record, but the electronic health code, because there is only one medical record, which cannot be shared, and no one else has a chance to know this information except the patient's consent. Electronic health information, on the other hand, is at risk of being leaked after being uploaded to the Internet, especially from the current technical protection to the management of access rights. Social protection of personal information is not enough, and it is a hidden danger that health information is breached and traded.

Of course, some experts said, "This health code is put in a person's mobile phone every day. If you don't show it to others, doctors, including doctors, should not be able to find it at will. Only with my consent will the relevant information be displayed in the case of medical treatment and vaccination. " In short, the risk of leakage and the degree of information collection increase in the same proportion. If the privacy of information collection is high enough, it will have commercial value, while if it is only process information, it means that the realization value is small, and the motivation of people seeking personal gain is weak, so it is better to take precautions through technical means. Therefore, to eliminate public concerns, one is to formulate rules for information collection, and the other is to improve technical early warning and prevention capabilities. Once there is a leak, it should be severely punished by laws and regulations.

In the current medical treatment process, many hospitals are gradually becoming electronic, which is convenient for patients to seek medical treatment. However, the practice of each hospital is different, some are called electronic health cards, some are called electronic health codes, and some health files obviously over-collect personal information. For example, in a 3A hospital, the options for improving health records include marriage, nationality, occupation, education level, living habits and behavior habits, and behavior habits include smoking history, drinking history, physical exercise, eating habits and sleeping conditions.

Individually, this information is indeed health information, but when integrated, it will form very detailed personal information. However, in the actual medical experience, some information may not be used by doctors at all, or doctors can know it when they ask, so the collection process may need to form corresponding norms. It is better to plan a unified standard and define the boundaries of health information collection. We should know that the Law on the Protection of Personal Information, which has just been implemented for one year, makes it clear that the collection of personal information should be limited to a minimum for the purpose of processing, and personal information should not be collected excessively.

Whether it is the popularity of electronic health records or electronic health codes, we should see the public's concerns and respond in time to form a benign interaction.