This paper presents an approach for the enactment of policies in digital health based on our earlier work on the implementation of digital contracts in distributed systems. A formal policy model and an abstract policy language for the expression of healthcare policies are first proposed, leveraging the semantics of the ISO Reference Model for Open Distributed Processing enterprise language standard. Healthcare consent policies included in the HL7 Fast Health Interoperability Resource (FHIR®) standard are used to illustrate the modelling approach. Several distributed ledger and smart legal contract options were considered next as target platforms for implementation. Their benefits are highlighted along with considerations on their use reflecting business concerns of risk, trust and cost.

中文翻译：

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制定数字健康政策：智能法律合同和分布式账本的案例？

本文基于我们早期在分布式系统中实施数字合同的工作，提出了一种制定数字健康政策的方法。首先提出了一种用于表达医疗保健政策的正式政策模型和一种抽象政策语言，利用了 ISO 开放分布式处理参考模型企业语言标准的语义。HL7 快速健康互操作性资源 (FHIR®) 标准中包含的医疗保健同意政策用于说明建模方法。接下来考虑了几个分布式账本和智能法律合同选项作为实施的目标平台。强调了它们的好处以及它们的使用考虑，反映了风险、信任和成本的业务问题。