医院电子签名应用需求分析及解决思路

Analysis and Solution for the Application and Requirement of Electronic Signature in Hospital

目的:分析医院电子签名应用需求及其解决思路,为电子病历实现可靠的电子签名提供建设方法。方法:通过分析电子病历用户和电子病历数据的特点,探讨建立数字证书服务体系和受理点的方法思路。结果:为确保电子病历用户身份真实性、电子病历的完整性和合法性、医患双方行为的可追溯和抗抵赖、电子病历的可信归档管理,应建立规范的数字证书服务体系和受理点。结论:建立基础应用安全支撑体系,实现患者手写电子签名、移动终端的CA应用、电子病历可信归档,能够有效解决电子病历的真实性、完整性和合法性问题,为无纸化建设提供安全保障。

Objective： This paper analyzes the application requirements and solutions of electronic signature in hospital, and provides a construction method for the electronic medical record to achieve reliable electronic signature. Methods： The data characteristics of electronic medical records were analyzed to establish the digital certificate for service system and processing points. Results： In order to ensure the authenticity, integrity and validity of electronic medical records as well as the traceability of medical treatment, the digital certificate for service system and processing points should be established. Conclusion： The authenticity, integrity and validity of electronic medical records can be improved through the establishment of the safety support system, the realization of handwritten electronic signature, as well as the application of CA mobile terminal which provides security for the paperless construction.