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1、1,电子签名在医院信息系统中的应用 The Application of Electronic Signature in the Hospital Information System,广西壮族自治区人民医院 The Peoples Hospital Of Guangxi Zhuang Autonomous Region 王桂榕 May, 2007 2007年5月,2,数字世界的信息安全要素Information Security Factors in Digital World,PAIN Privacy（保密性） -确认信息的保密，不被窃取 - Ensure information Priv
2、acy and not be stolen Authentication 药品监督行业：网上电子订单、药品监管； Drugs surveillance profession: electronic order form on-line, drugs supervised; 网站运营：安全站点、网络维护权限管理系统等； Web station maintenance: Security web site, network maintenance authorization management system, and so on; 网上交易平台：网络交易系统； Transaction platf
3、orm on-line: Network transaction system;,PKI在信息化系统中的应用The PKI applications for information system,16,数字证书为医疗信息系统解决的问题,保证了登录医疗信息系统用户的真实身份 Ensure user identity of system administrator for login the medical service information system 保证临床医疗数据的保密性、完整性、可靠性 Ensure the clinical medical data secrecy, integr
4、ity and reliability 保证临床医疗数据的真实性、不可抵赖性 Ensure the clinical medical data authenticity and undeniableness 为医学研究提供基础平台 Provide the foundation platform for the medical research,Digital Certificate Offers One of the Most Effective Means of Solving Medical Service Information System Trust,17,医疗信息系统安全问题的解决
5、方案The Solution for the Medical Service Information System Security,通过对医疗信息系统进行以下技术,要求解决医疗信息系统的各种安全隐患,以及为临床医疗数据真实性提供法律依据： Based on the following technical requirements, the reliable medical information system offers means of escaping from all kinds of security hidden danger, and provides the legal ba
6、sis for the authenticity of the clinical medical data 对用户登录模块进行身份认证； Identity authentication for users through the login module; 对用户录入的数据进行数字签名； Digital signature to users input data; 对相关机密信息进行加密保存； Encryption and preservation of the related Confidential information ; 对保存的记录进行时间认证。 The preserved rec
7、ords Time Stamp verified.,18,HIS的安全应用HIS safe application,CA中心 Guangxi CA,后台服务器 backstage server,医生,safe audit database 安全审计 数据库,医院服务器 application server,SSL 安全通道,数据库 database server,提交电子病历数据(data),医生从CA中心申请证书 Doctor apply for certificate from CA center CA中心给医院应用系统服务器颁发服务器证书，证明接收电子病历系统（服务器）的身份 The C
8、A center issues server certificate to the hospital application system server, authenticate the sever which received electronic medical record,申请证书,the application certificate,doctor,19,医生使用证书登录应用系统，由服务器验证证书的有效性，建立SSL连接 Doctor login application system by certificate and server verify the validity of
9、certificate and establishes the SSL connection 医生向应用系统提交电子病历数据，用自己的证书进行签名，经SSL通道加密传输 Doctor signs to electronic medical record data and submits it to the application system , all the data transmitted by SSL channel are encrypted and authentic. 医生的数字签名由服务器验证，将保存在安全审计数据库中，实现验证完整性、抗抵赖性 Server verify Do
10、ctors digital signature, which will be preserved in the safe audit database in order to verify the data integrity and anti-repudiation.,HIS的安全应用HIS safe application,20,电子病历、电子医嘱实现的意义The significance of realization electronic medical record and electronic doctors advice,电子病历、电子医嘱具有如下特点： The electroni
11、c medical record, the electronic doctors advice have the following characteristics： 具备信息共享系统，医院的各个部门在任何地方、任何时候都可以调阅到所在医院病人的全部病历记录； Have the information sharing system, in anyplace and on anytime, every department can read patients record data in hospital;,21,电子病历、电子医嘱实现的意义The significance of realiza
12、tion electronic medical record and electronic doctors advice,具备预警系统，能够揭示药物的配伍禁忌，甚至不恰当的医疗措施等，是医疗智能化的具体表现； Have a warning system, which can reveal the incompatibility of medicines, inappropriate medical treatment, and so on. These are concrete manifestation of medical intellectualization; 具备医疗信息资料库支持功能，内有电子图书、电子杂志以及治疗疾病的最新方法。 Support the function of medical information library,in which there are electronic books,magazines as well as the newest methods to treat the disease.,22,Thank You !,23,
