• 中国计算机学会会刊
  • 中国科技核心期刊
  • 中文核心期刊

计算机工程与科学 ›› 2025, Vol. 47 ›› Issue (01): 95-106.

• 计算机网络与信息安全 • 上一篇    下一篇

一种基于区块链的医疗数据审计方法

徐超1,2,阮荣耀1,陈勇1,2   

  1. (1.南京审计大学计算机学院,江苏 南京 211815;
    2.南京审计大学江苏省现代智能审计一体化应用技术工程研究中心,江苏 南京 211815)
  • 收稿日期:2023-07-11 修回日期:2024-01-15 接受日期:2025-01-25 出版日期:2025-01-25 发布日期:2025-01-18
  • 基金资助:
    国家自然科学基金(71972102);江苏省高等学校自然科学研究(20KJA520002);江苏省高校优秀科技创新团队(2021);江苏省研究生科研与实践创新计划(SJCX24_1165)

A blockchain-based medical data auditing method

XU Chao1,2,RUAN Rongyao1,CHEN Yong1,2   

  1. ( 1.School of Computer Science,Nanjing Audit University,Nanjing 211815;
    2.Jiangsu Province Modern Intelligent Audit Integrated Application Technology 
    Engineering Research Center,Nanjing Audit University,Nanjing 211815,China)
  • Received:2023-07-11 Revised:2024-01-15 Accepted:2025-01-25 Online:2025-01-25 Published:2025-01-18

摘要: 医疗数据是医疗体系最重要的支柱和驱动力,对于健康医疗领域的发展至关重要。针对目前医院存在的医疗数据造假、医疗诊断错误等问题,提出了一种基于区块链的医疗数据审计方法。从审计的视角出发,采用IPFS和区块链相结合的方式存储医疗数据,并借助智能合约进行医疗数据的存取和访问控制,保证医疗数据真实可靠和公开透明;然后,设计了一种基于注意力机制的深度学习医疗数据审计模型,自动提取医疗数据的关键特征,以求更精准地定位医疗数据审计线索。实验结果表明,构建的基于区块链的医疗数据审计方法不但能够保证医疗数据的可靠性,而且在审计线索定位的准确率和精确率上,相比现有审计模型均有一定程度的提升。

关键词: 区块链, IPFS, 深度学习, 注意力机制, 审计

Abstract: Medical data serves as the most crucial pillar and driving force in the healthcare system, playing a vital role in the development of the health and medical field. Addressing issues such as medical data falsification and diagnostic errors in hospitals, this paper proposes a medical data audit method based on blockchain technology. From an audit perspective, this method combines interplanetary file system (IPFS) with blockchain for storing medical data, and utilizes smart contracts for data access and control, ensuring the authenticity, reliability, openness, and transparency of medical data. Furthermore, a deep learning-based medical data audit model with an attention mechanism is designed to automatically extract key features of medical data, aiming to more accurately locate audit clues in medical data. Experimental results demonstrate that the block-chain-based medical data audit method proposed in this paper not only guarantees the reliability of medical data but also improves the accuracy and precision of audit clue location compared to existing audit models.

Key words: blockchain, interplanetary file system (IPFS), deep learning, attention mechanism, audit