臺灣博碩士論文加值系統

近年國人健康意識抬頭，對於健康照護議題的態度亦轉趨積極，政府與民間也積極推動智慧化的健康照護，藉由雲端技術將民眾個人的就醫記錄或健康記錄儲存於各式雲端平台上，期盼能建立個人化的健康記錄系統，落實個人健康管理並強化預防保健功能。而發展個人健康記錄系統的首要，必須整合不同來源的健康記錄，並確保資料存放於安全無虞的環境外，另一重點是個人可擁有並管理自身的健康記錄，以及決定如何利用資料。本研究將藉由新興的區塊鏈技術建構個人健康記錄系統，除將不同來源的健康記錄整合至系統外，運用智慧合約與存取控制的相互搭配，提供個人可自主管理與使用自身的健康記錄，並維持必要的隱私性，而區塊鏈資料不易竄改的特性，也同時確保資料存放的安全性。

People’s awareness of health has risen recently, and take care about the health care issues more rather before. The government and the private sector have also promoted smart health care actively. Using cloud technology to store individual medical records or health records on various cloud platforms, which establish a personalized health record system to Implement a personal health management and strengthen preventive health care functions. The development of a personal health record system has to integrate health records from different sources, then ensure that data is stored in a private, secure, and confidential environment. The System must offer the health records managed and used by the individual. In this study will apply blockchain technology to build Personal Health Record System. The system will integrate health records from different sources, with the use of smart contract and access control to provide the health records managed and used by the individual and keep privacy. Tamper-Proof is a feature of blockchain technology, while ensuring the security of data at the system.

摘要 i
Abstract ii
目錄 iii
表目錄 v
圖目錄 vi
第一章 緒論 1
一、 研究背景與動機 1
二、 研究目的 3
第二章 文獻探討 4
一、 個人健康記錄 4
（一） 個人健康記錄定義 4
（二） 個人健康記錄效益 4
（三） 個人健康記錄發展與挑戰 5
二、 衛生福利部台灣健康雲計畫 7
三、 區塊鏈 9
（一） 區塊鏈簡介 9
（二） 共識機制 10
（三） 區塊鏈分類 11
四、 智慧合約 13
五、 Hyperledger Fabric 15
（一） Hyperledger Fabric特點 15
（二） Hyperledger Fabric系統運作架構與流程 16
六、 Hyperledger Composer 20
（一） Hyperledger Composer架構 20
（二） 業務網路定義 21
第三章 研究方法 24
一、 系統架構設計 24
（一） 系統架構 24
（二） 智慧合約、執行流程與存取控制說明 25
第四章 系統建置與評估 28
一、 Hyperledger Composer安裝與啟動 28
（一） 安裝與啟動 28
（二） Composer Playground使用介面與功能 33
二、 建立模型與撰寫智慧合約 38
（一） 模型定義 38
（二） 交易事務處理函數 41
（三） 存取控制 44
三、 執行業務網路智慧合約與結果 47
（一） 建立測試資料 47
（二） 執行智慧合約 49
第五章 結論與未來研究 70
中文參考文獻 71
英文參考文獻 73

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