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J Zhejiang Univ (Med Sci)  2018, Vol. 47 Issue (6): 563-576    DOI: 10.3785/j.issn.1008-9292.2018.12.01
Relative security of health care big data protection
LIU Chunfu1(),CHEN Hongmin2,*()
1. Supervision Office, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China
2. Hangzhou Equal Data Services Co. Ltd., Hangzhou 310023, China
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With China's implementing big data strategy, health care becomes one of the key areas in which the national big data strategy is highly promoted. However, as the health care big data industry grows rapidly, the security risk is increasingly prominent and the internet plus medical care makes the protection of health care big data more complicated. By analyzing the current situation of health care big data security protection, the article proposes the viewpoint of relative security and suggests the strategies and key issues of health care big data protection. From the aspects of legal supervision, talents cultivation, publicity and education, and key data protection, it is necessary to build the prevention and control system for health care big data security, so that the security risk can be reduced and the data utility can be maximized.

Key wordsData collection      Information systems      Computer security      Public policy      Health policy     
Received: 20 April 2018      Published: 15 March 2019
CLC:  C27  
Corresponding Authors: CHEN Hongmin     E-mail:;
Cite this article:

LIU Chunfu,CHEN Hongmin. Relative security of health care big data protection. J Zhejiang Univ (Med Sci), 2018, 47(6): 563-576.

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关键词: 数据收集,  信息系统,  计算机安全,  政府政策,  卫生政策 
Fig 1 The sketch map of unsafe factors affecting the realization of security protection
[1]   国务院关于印发促进大数据发展行动纲要的通知[EB/OL]. (2015-09-05)[2018-03-12].
The State Council: Circular on the issuance of the platform for action to promote the development of big data[EB/OL]. (2015-09-05)[2018-03-12]. (in Chinese)
[2]   国务院办公厅印发《关于促进和规范健康医疗大数据应用发展的指导意见》[EB/OL]. (2016-06-24)[2018-03-12].
General Office of the State Council: Guidance on promoting and regulating the application and development of health care big data[EB/OL]. (2016-06-24)[2018-03-12]. (in Chinese)
[3]   国务院办公厅印发《关于促进"互联网+医疗健康"发展的意见》[EB/OL]. (2018-04-28)[2018-03-12].
General Office of the State Council: Opinions on promoting the development of "internet plus medical health"[EB/OL]. (2018-04-28)[2018-03-12]. (in Chinese)
[4]   刘文生 . 英特尔:领航医疗大数据[J]. 中国医院院长, 2017, (4): 66- 69
LIU Wensheng . Intel:leading medical big data[J]. China Hospital CEO, 2017, (4): 66- 69
[5]   谢开飞.首部健康医疗大数据资源管理暂行办法发布[N].科技日报, 2017-05-08(7).
XIE Kaifei. Publication of the first interim measures of health care big data resource management[N]. Science and Technology Daily, 2017-05-08(7). (in Chinese)
[6]   李雨晨.宜昌为什么会成为腾讯"互联网+医疗健康"城市解决方案的处女地?[EB/OL]. (2018-07-26)[2018-07-28].
LI Yuchen. Why Yichang becomes the virgin land of Tencent's city solution plan of internet + medical care?[EB/OL]. (2018-07-26)[2018-07-28]. (in Chinese)
[7]   东软研究院, 安全牛.2017年医疗行业信息安全调查报告[R/OL]. (2017-11-15)[2018-02-25].
Neusoft Research Institute, Aqniu. 2017 Investigation report on information security of medical industry[R/OL]. (2017-11-15)[2018-02-25]. (in Chinese)
[8]   360互联网安全中心.全球关键信息基础设施网络安全状况分析报告[R/OL]. (2017-04-25)[2018-05-14].
360 Internet Security Center. Analysis report on the net security situation of global key information infrastructure[R/OL]. (2017-04-25)[2018-05-14]. (in Chinese)
[9]   360互联网安全中心.2017年度安全报告-数据泄密[R/OL]. (2018-01-24)[2018-02-20].
360 Internet Security Center. 2017 Security report-data breach[R/OL]. (2018-01-24)[2018-02-20]. (in Chinese)
[10]   谷妍, 邓楠.新加坡医疗信息被盗后加强网络安保[EB/OL]. (2018-11-02)[2018-11-03].
GU Yan, DENG Nan. Network security is strengthened after medical information is stolen in Singapore[EB/OL]. (2018-11-02)[2018-11-03]. (in Chinese)
[11]   苗丽娜.黑客入侵多家医院盗取药品数据4年获利740万[EB/OL]. (2013-12-18)[2018-02-19].
MIAO Lina. Hackers break into hospitals, steal drug data and reap profits of 7.4 million in four years[EB/OL]. (2013-12-18)[2018-02-19]. (in Chinese)
[12]   高莉.宁夏首例侵犯公民个人信息案宣判[EB/OL]. (2016-05-13)[2018-02-19].
GAP Li. The first case of infringement of citizens' personal information was sentenced in Ningxia[EB/OL]. (2016-05-13)[2018-02-19]. (in Chinese)
[13]   腾讯安全联合实验室.2018上半年互联网黑产研究报告[R/OL]. (2018-08-02)[2018-08-03].
Tencent Joint Laboratory of Security. 2018 first half research report of internet black production[R/OL]. (2018-08-02)[2018-08-03]. (in Chinese)
[14]   瑞星.2018年上半年中国网络安全报告[R/OL]. (2018-08-06)[2018-08-06].
Rising. 2018 first half report of China's network security[R/OL]. (2018-08-06)[2018-08-06]. (in Chinese)
[15]   360互联网安全中心.2017年度安全报告-勒索软件威胁[R/OL]. (2018-01-15)[2018-02-20].
360 Internet Security Center. 2017 security report of-ransomware threat[R/OL]. (2018-01-15)[2018-02-20]. (in Chinese)
[16]   360威胁情报中心.全球高级持续性威胁(APT)2018年中报告[R/OL]. (2018-08-01)[2018-08-21].
360 Threat Intelligence Center. 2018 midyear report of global advanced persistent threat (APT)[R/OL]. (2018-08-01)[2018-08-21]. (in Chinese)
[17]   腾讯安全云鼎实验室.2018上半年互联网DDoS攻击趋势分析[R/OL]. (2018-06-12)[2018-06-15].
Tencent Security Yunding Lab. 2018 First half analysis of trend of internet DDoS attacks[R/OL]. (2018-06-12)[2018-06-15]. (in Chinese)
[18]   中华人民共和国国家互联网信息办公室.2017年数字中国建设发展报告[R/OL]. (2018-05-04)[2018-05-09].
Cyberspace Administration of China. 2017 Construction and development report of digital China[R/OL]. (2018-05-04)[2018-05-09]. (in Chinese)
[19]   陈乔姗.中国互联网医疗年度综合分析2018[R/OL]. (2018-07-20)[2018-07-24].
CHEN Qiaoshan. 2018 comprehensive yearly analysis of China's internet medical care[R/OL]. (2018-07-20)[2018-07-24]. (in Chinese)
[20]   国务院关于印发"十三五"卫生与健康规划的通知[EB/OL]. (2017-01-10)[2018-07-24].
The State Council: Circular on the issuance of hygiene and health plan in 13th five-year[EB/OL]. (2017-01-10)[2018-07-24]. (in Chinese)
[21]   赵慧慧.中国网络黑产规模已达千亿级别[EB/OL]. (2016-07-01)[2018-02-23].
ZHAO Huihui. China's network black production has reached 100 billion[EB/OL]. (2016-07-01)[2018-02-23]. (in Chinese)
[22]   张洋.公安部专项行动满四月全国查获泄露公民个人信息500余亿条[N].人民日报, 2017-07-18(11).
ZHANG Yang. More than 500 billion pieces of citizen's personal information is found disclosed nationwide after MPS's four-month special campaign[N]. People's Daily, 2017-07-18(11). (in Chinese)
[23]   刘以秦, 周源, 谢丽容 . 数据黑产调查:猖獗内鬼、黑客师徒与"灰色暴发户"[J]. 财经, 2017, (25):
LIU Yiqin , ZHOU Yuan , XIE Lirong . Investigation of data black production:rampant mole, hacker master and apprentice and grey upstart[J]. Caijing Magazine, 2017, (25):
[24]   温婧.解密50亿条个人信息是如何被盗的[N].北京青年报, 2017-03-12(A9).
WEN Jing. Decoding of how 5 billion personal information is stolen[N]. Beijing Youth Daily, 2017-03-12(A9). (in Chinese)
[25]   富心振.上海新生婴儿信息贩卖案一审宣判[N].人民法院报, 2017-02-10(3).
FU Xinzhen. First instance verdict on information trafficking of newborn babies in Shanghai[N]. People's Court Daily, 2017-02-10(3). (in Chinese)
[26]   韩璐.卫生信息化人力配置缺项是啥[N].健康报, 2018-01-06(3).
HAN Lu. What shortage is in human resource planning in health informatization[N]. Health News, 2018-01-06(3). (in Chinese)
[27]   中华人民共和国网络安全法[EB/OL]. (2016-11-07)[2018-02-23].
Cyber security law of the People's Republic of China[EB/OL]. (2016-11-07)[2018-02-23]. (in Chinese)
[28]   最高人民法院、最高人民检察院关于办理侵犯公民个人信息刑事案件适用法律若干问题的解释[EB/OL]. (2017-05-09)[2018-02-23].
Supreme People's Court, Supreme People's Procuratorate: Explanation on several questions of applicable law in criminal cases of infringing on citizen's personal information[EB/OL]. (2017-05-09)[2018-02-23]. (in Chinese)
[29]   国家卫生计生委办公厅关于印发远程医疗信息系统建设技术指南的通知[S/OL]. (2015-01-15)[2018-02-23].
Office of National Health and Family Planning Commission: circular on the issuance of technical guidelines for the construction of telemedicine information system[S/OL]. (2015-01-15)[2018-02-23]. (in Chinese)
[30]   关于印发《医疗机构病历管理规定(2013年版)》的通知[S/OL]. (2013-12-17)[2018-02-23].
Circular on the issuance of regulations of medical record management of medical institutions (2013 edition)[S/OL]. (2013-12-17)[2018-02-23]. (in Chinese)
[31]   国家卫生计生委关于印发人口健康信息管理办法(试行)的通知[EB/OL]. (2014-05-13)[2018-02-23].
National Health and Family Planning Commission: circular on the issuance of measures for the management of population health information (trial implementation)[EB/OL]. (2014-05-13)[2018-02-23]. (in Chinese)
[32]   关于印发全国医院信息化建设标准与规范(试行)的通知[S/OL]. (2018-04-13)[2018-06-23].
Circular on the issuance of standards and norms for national hospital informatization construction (trial implementation)[S/OL]. (2018-04-13)[2018-06-23]. (in Chinese)
[33]   《国家医疗健康信息区域(医院)信息互联互通标准化成熟度测评方案(2017年版)》[S/OL]. (2017-09-05)[2018-02-23].
Maturity assessment scheme for information interconnection of the national medical information area(hospital)(2017 edition)[S/OL]. (2017-09-05)[2018-02-23]. (in Chinese)
[34]   关于印发互联网诊疗管理办法(试行)等3个文件的通知[EB/OL]. (2018-09-14)[2018-03-12].
Notice on the issuance of three documents on management of internet diagnosis and treatment (trial Implementation)[EB/OL]. (2018-09-14)[2018-03-12]. (in Chinese)
[35]   关于印发国家健康医疗大数据标准、安全和服务管理办法(试行)的通知[EB/OL]. (2018-09-14)[2018-09-30].
Circular on the issuance of management of national health and medical big data standards, safety and service (trial implementation)[EB/OL]. (2018-09-14)[2018-09-30]. (in Chinese)
[36]   On the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (General Data Protection Regulation)(Text with EEA relevance).(2016-05-04)[2018-09-30].
[37]   Corrigendum to Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (General Data Protection Regulation). (2018-05-23)[2018-08-13].
[38]   信息安全技术个人信息安全规范[S/OL]. (2017-12-29)[2018-09-13].
Personal information security specification in information security technology[S/OL]. (2017-12-29)[2018-09-13]. (in Chinese)
[39]   阿里研究院, 毕马威.2018全球数字经济发展指数[R/OL]. (2018-09-18)[2018-09-30].
Ali Institute, KPMG. 2018 Global digital econony development index[R/OL]. (2018-09-18)[2018-09-30]. (in Chinese)
[40]   国务院关于印发"十三五"国家信息化规划的通知[EB/OL]. (2016-12-27)[2018-03-28].
The State Council: Circular on the issuance of the national informatization plan for the 13th five-year plan[EB/OL]. (2016-12-27)[2018-03-28]. (in Chinese)
[41]   贵州省入选健康医疗大数据中心国家试点[EB/OL]. (2017-12-16)[2018-11-28].
Guizhou province selected as national pilot center of health care big data[EB/OL]. (2017-12-16)[2018-11-28]. (in Chinese)
[42]   孙云龙.格局已定"国家队"主导筹建三大健康医疗大数据集团[EB/OL]. (2017-06-21)[2017-07-01].
SUN Yunlong. Structure decided: national teams will lead the preparation of three health care big data groups[EB/OL]. (2017-06-21).[2017-07-01]. (in Chinese)
[43]   柯溢能.浙江大学健康医疗大数据国家研究院成立[EB/OL]. (2018-07-02)[2018-07-02].
KE Yineng. Establishment of national health care big data institute of Zhejiang University[EB/OL]. (2018-07-02).[2018-07-02]. (in Chinese)
[44]   张怡丹.海外医疗市场专题分析2017[R/OL]. (2017-06-23)[2018-03-03].
ZHANG Yidan. 2017 Special analysis of overseas medical market[R/OL]. (2017-06-23)[2018-03-03]. (in Chinese)
[45]   肖玫丽. IBM沃森肿瘤机器人进入20余家医院中国本土化提速[N]. 21世纪经济报道, 2016-10-26(19).
XIAO Meili. IBM Watson for oncology gets introduced in over 20 hospitals and China's localization is being speeded up[N]. 21st Century Business Herald, 2016-10-26(19). (in Chinese)
[46]   何珊.IBM牵手百洋智能科技在华推动Watson Health[EB/OL]. (2017-03-28)[2018-04-05].
HE Shan. IBM works with BAHEAL intelligent & technology to promote Watson health in China[EB/OL]. (2017-03-28)[2018-04-05]. (in Chinese)
[47]   邬慧颖, 侯雪静.打击个人信息泄露, 法律应该亮出"利齿"了[EB/OL]. (2018-03-12)[2018-03-12].
WU Huiying, HOU Xuejing. It's time for the law to show its "sharp teeth" to combat personal information leakage[EB/OL]. (2018-03-12)[2018-03-12]. (in Chinese)
[48]   何延哲, 刘贤刚.实施《个人信息安全规范》为公共服务安全保驾护航[EB/OL]. (2018-02-08)[2018-02-22].
HE Yanzhe, LIU Xiangang. Implement regulation of personal information security and ensure security of public service[EB/OL]. (2018-02-08)[2018-02-22]. (in Chinese)
[49]   国家卫生计生委办公厅关于印发传染病信息报告管理规范(2015年版)的通知[EB/OL]. (2015-11-11)[2018-02-22].
Office of National Health and Family Planning Commission: circular on the issuance of regulations for the report and management of the infectious disease information[EB/OL]. (2015-11-11)[2018-02-22]. (in Chinese)
[50]   关于印发《重性精神疾病信息管理办法》的通知[EB/OL]. (2012-07-09)[2018-02-22].
Circular on the issuance of measures for management of severe mental illness information[EB/OL]. (2012-07-09)[2018-02-22]. (in Chinese)
[51]   国务院关于印发中医药发展战略规划纲要(2016-2030年)的通知[EB/OL]. (2016-02-26)[2018-02-22].
The State Council: circular on the issuance of outline of strategic plan for the development of traditional Chinese medicine (2016-2030)[EB/OL]. (2016-02-26)[2018-02-22]. (in Chinese)
[52]   中医药发展"十三五"规划[EB/OL]. (2016-08-11)[2018-02-22].
The 13th five-year plan for the development of traditional Chinese medicine[EB/OL]. (2016-08-11)[2018-02-22]. (in Chinese)
[53]   美国研发基因武器?普京: 有人采集俄生物资料[N].环球时报, 2017-11-02.
Is USA researching and developing gene weapons? Putin: somebody is collecting russian biology materials[N]. Global Times, 2017-11-02. (in Chinese)
[54]   王烁 . 小心!你的基因隐私正被窥探[J]. 半月谈, 2018, (1): 78- 79
WANG Shuo . Watch out! Your gene is being pried[J]. China Comment, 2018, (1): 78- 79
[55]   王小理, 阮梅花, 刘晓 et al. 生物信息与国家安全[J]. 中国科学院院刊, 2016, 31 (4): 34- 42
WANG Xiaoli , RUAN Meihua , LIU Xiao et al. Biological information & national security[J]. Bulletin of Chinese Academy of Sciences, 2016, 31 (4): 34- 42
[56]   冯芸清.我国生物产业规模超2万亿基因检测年均增速超30%[EB/OL]. (2017-07-03)[2018-02-25]. "" wHYPERLINK ""s/5310128.html.
FENG Yunqing. China's bioindustry reaches 2 trillion and annual average growth of gene test exceeds 30%[EB/OL]. (2017-07-03)[2018-02-25]. "" wHYPERLINK ""s/5310128.html. (in Chinese)
[57]   发展改革委印发《"十三五"生物产业发展规划》[EB/OL]. (2017-01-12)[2018-02-13].
National Development and Reform Commission: the 13th five-year plan for the development of biology industry[EB/OL]. (2017-01-12)[2018-02-13]. (in Chinese)
[1] LANG Xiabing, YANG Yi, CHEN Jianghua. Epidemiology of acute kidney injury in hospitalized patients in China[J]. J Zhejiang Univ (Med Sci), 2016, 45(2): 208-213.
[2] CHEN Bing-bing,CHEN Kun. Outcome mapping for decision-making in health system[J]. J Zhejiang Univ (Med Sci), 2014, 43(2): 245-251.
[3] . Development of datasets for basic medical information system[J]. J Zhejiang Univ (Med Sci), 2012, 41(4): 418-424.
[4] . Sleep quality and influencing factors of perimenopausal women in Ningbo region[J]. J Zhejiang Univ (Med Sci), 2011, 40(1): 85-89.