近來，隨著電子病歷的日漸普及，大眾對病人隱私的關注也隨之增加。在現行的醫療資訊系統 (Healthcare Information System, HIS) 中，透過適當的權限控管機制以保障電子病歷隱私是相當普遍的作法。然而，此機制並沒有考慮到病人對於隱私資訊用途的偏好不同。因此，擴充現行醫療資訊系統的權限控管機制，以處理病人隱私偏好的需求相當迫切。 針對此議題，我們認為剖面導向程式設計 (Aspect-Oriented Programming) 技術可以成為其解決方案的重要一環。本研究試著實作一個剖面導向的管理框架，在無需大幅度改寫系統的前提之下，能夠和現有的醫療資訊系統整合，達到讓病人自訂及管理隱私偏好。該框架和現行系統的關係是鬆散耦合 (loosely coupled) 的，因此，能夠輕易地用來擴充現行的系統，以便達到支援病人自定隱私偏好的目的。 / Electronic health records are getting more and more popular these days, however, concerns for patients' privacy also increase greatly. Currently, it's not unusual for Healthcare Information System (HIS) to adopt a proper access control mechanism to protect patients' electronic health records. Nonetheless, this design did not consider the requirements of supporting patients’ preferences regarding the use of their privacy information. Hence, it is desirable to extend the original access control system to handle patients' privacy preferences. For this issue, we argue that Aspect-Oriented Programming (AOP) can be an important part of the solutions. This thesis presents an aspect-based preference management framework that collects and manages patients' preferences. It can be integrated with the existing HIS to support patients' privacy preferences without rewriting from scratch. The proposed mechanisms are loosely coupled with the underlying system. It is therefore easier to use it to improve existing systems to support patients’ privacy preferences.