医院电子病历系统数字签名集成方案研究.pdfVIP

中国医学装备2017年2月第14卷第2期 China Medical Equipment 2017 February Vol.14 No.2 学术论著 医院电子病历系统数字签名集成方案研究 张晓燕① 杨霜英① 刘 嫣① [文章编号] 1672-8270(2017)02-0097-03 [中图分类号] R197.324 [文献标识码] A [摘要] 目的： 为医院医护人员提供基于电子认证服务和数字签名的解决方案，保障电子病历在 建立、书写及存储过程中的完整和真实性。方法：在安装调试数字签名服务器的基础上搭建数字 签名集成平台；进行系统数字认证、证书登录及数字签名集成流程等数据库改造。结果：通过在 电子病历系统(EMRS)中集成电子签名，保证了医生在登录系统、进行日常医疗工作时的身份认 证真实可靠，医护人员完成病历书写与护理记录单后可自动签章，节省手工签名环节。结论： EMRS数字签名的实施保证了患者电子病历的真实可靠, 并可实现患者病历完全电子化存储归 档，可极大节省人力与物力。 [关键词] 电子病历；数字签名；集成方案；信息技术 DOI: 10.3969/J.ISSN.1672-8270.2017.02.029 Integrated digital signature scheme research for the hospital electronic medical record system/ 作者简介 ZHANG Xiao-yan, YANG Shuang-ying, LIU Yan//China Medical Equipment,2017,14(2):97-99. [Abstract] Objective: To provide the solution based on electronic authentication service and 张晓燕,女,(1977- ), electronic signature for doctor and nurse in order to guarantee the integrity and authenticity of 本科学历，工程师。南 electronic medical records system(EMRS) in building, writing and storage. Methods: To establish 京总医院信息科，从事 integrated electronic signature platform based on the installation and debugging for the digital 医院信息系统维护与研 signature sever device; and to improve some parts of the database, such as the digital certificate, certificate logging and the integration process of digital signature etc. Results: The integrated 究工作。 electronic signature of EMRS can guarantee the authenticity and reliability of identity when doctor logged system or finished the normal medical work; and it can reduce manual signature process and contribute to finish the automatic signature after doctor or nurse finished EMRS and nursing recorder sheet. Conclusion: The implementation of the electronic signature can ensure the reliability of electronic medical records, achieve the complete electronic file storage for patient medical records, and greatly save man