CN101226568A - Juggling-proof electric medical record system - Google Patents

Juggling-proof electric medical record system Download PDF

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Publication number
CN101226568A
CN101226568A CNA2007100459953A CN200710045995A CN101226568A CN 101226568 A CN101226568 A CN 101226568A CN A2007100459953 A CNA2007100459953 A CN A2007100459953A CN 200710045995 A CN200710045995 A CN 200710045995A CN 101226568 A CN101226568 A CN 101226568A
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China
Prior art keywords
electronic medical
digital signature
medical record
hospital
tamper
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Pending
Application number
CNA2007100459953A
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Chinese (zh)
Inventor
何中
李俊
董建成
吴俊�
顾永新
孙红建
黄欢
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Individual
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Individual
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Priority to CNA2007100459953A priority Critical patent/CN101226568A/en
Publication of CN101226568A publication Critical patent/CN101226568A/en
Pending legal-status Critical Current

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Abstract

The invention relates to an anti-tamper electronic medical recording system, which comprises a hospital electronic application system, a computer format files generation device and a digital signature device, wherein the files generation device comprises an interface device to provide an interface function for transferring with the hospital electronic medical recording application system, an identification device to identify whether the identification orders which are input by operational persons are correct or not and to send out authority granting orders, an authority rating device to grant authority options, a digital coding and decoding device to code or decode selected authority contents, and an another digital coding and decoding device to generate relative format files; the digital signature device comprises a digital signature device to fulfill signatures, a safety trace data device to store the modified format files. The invention can ensure electronic medical recording trueness and reliability, makes electronic medical recording have lawful force, and boosts development of electronic medical recording and whole medical and health information.

Description

A kind of anti-tamper electronic medical record system
Technical field
The invention belongs to the electronic health record field, particularly relate to a kind of anti-tamper electronic medical record system that utilizes layout files and digital signature structure electronic health record.
Background technology
Case history is the true record of curative activity overall process that the patient is carried out, be through medical worker, managing medical information personnel collect, the medical document with science, logicality, authenticity of arrangement, the formation of processing back.Therefore, case history is the foundation of quality of medical care, technical merit, management level comprehensive evaluation, is the firsthand information of medical science applied teaching and scientific research; In case produce medical tangle and malpractice, case history is again solution medical tangle, carries out medical-accident appraisal, judges causal important evidence between medical worker's mistake and curative activity and the infringement consequence.
Electronic health record is the case history that relies on computer and network technologies, is the product of hospital application infotech.Owing to have and optimize the hospital work flow process, improve hospital work efficient, reduce medical personnel's labour intensity, effectively control advantage such as unreasonable medication expense, obtained quick promotion and application at national various big hospital and Army Hospital.
At present, the information-based electronic medical record system of domestic most hospitals all is the relevant information that the field value of employing database comes storage of medical records, such method can not guarantee validity, security and the non-repudiation of electronic health record information, so all be to print the final version of the electronic health record of last submission generally, by sending Record room to preserve after the physician identification signature again, put to the proof ineffective and make and lay oneself open to passive position in case the back takes place medical tangle.
Summary of the invention
Technical matters to be solved by this invention provide a kind of utilize the layout files technology combine with digital signature technology the structure anti-tamper electronic medical record system, guarantee authenticity, security and the non-repudiation of electronic health record information, make it can become effective legal evidence, thereby solve the original paper problem in the evidence.
Layout files is a kind ofly can not arbitrarily change, can add a cover E-seal, prevent bootlegging, prevent screen copy, can control the printing umber, keeps simultaneously and revises vestige, can the commence operation complete monitoring, safe and secret a kind of file layout.
Digital signature is meant in the electronic message and is used to discern signer's identity and shows that the signer approves the wherein data of content so that electronic form is contained, appended.That is to say that digital signature is by the signature of cryptographic technique to the electronic form of electronic document, is not to be simply to the digital pictureization of written signature, and it is similar to handwritten signature or seal, we can say that also it is exactly an E-seal.
The technical solution adopted for the present invention to solve the technical problems is: a kind of anti-tamper electronic medical record system is provided, comprise hospital's electronic health record application system and computing machine, also comprise: layout files generating apparatus and digital signature device, described layout files generating apparatus comprises:
(1) interface arrangement: provide interface function and hospital's electronic health record application system to call;
(2) authenticate device: the authentication instruction of checked operation personnel input, if incorrect then returning re-entered; If correctly then send the rights object instruction;
(3) rights object device: issued rights is selected, i.e. the selection of basic data maintenance or system data maintenance or daily operation;
(4) digital encryption/decryption device: selected authority content is carried out digital encryption or deciphering, and send it to system core database;
(5) digital encryption/decryption device once more: the data of system core database output are encrypted once more or deciphered, and generate that corresponding basic data is browsed or layout files or business datum are browsed;
Described digital signature device comprises:
(1) digital signature device: send the digital signature instruction and finish signature according to the layout files that generates;
(2) safe Trace Data device: the layout files of preserve revising is also confirmed by digital signature device;
(3) end device: send case history output as required or case history is browsed or the case history print command.
Interface arrangement of the present invention adopts standard interface.
Authentication instruction in the authenticate device of the present invention comprises authorization identifying and authentication.
Hospital of the present invention electronic health record application system can be HIS, Lis, PACKS.
The present invention can guarantee the true, credible of electronic health record, makes the electronic health record acquire full legal force, thereby promotes electronic health record and the informationalized development of whole health care.
Description of drawings
Fig. 1 is a fundamental diagram of the present invention.
Fig. 2 is application example figure of the present invention.
Fig. 3 is the process flow diagram of the anti-tamper electronic medical record system of the present invention.
Embodiment
Below in conjunction with specific embodiment, further set forth the present invention.Should be understood that these embodiment only to be used to the present invention is described and be not used in and limit the scope of the invention.Should be understood that in addition those skilled in the art can make various changes or modifications the present invention after the content of having read the present invention's instruction, these equivalent form of values fall within the application's appended claims institute restricted portion equally.
As Fig. 1, shown in 2, with standard interface anti-tamper electronic medical record system of the present invention and hospital's electronic health record application system are coupled together, the doctor has write in hospital's electronic medical record system after case history obtains the case history file and confirm that the content of input is errorless, input authentication instruction carrying out authorization identifying and authentication, thereby enter system of the present invention, system of the present invention is converted into electronic health record the layout files form that can not distort by the layout files generating apparatus, guarantee the validity of electronic health record information, security, computer can eject dialog box and enter the digital signature program afterwards, utilize digital signature device of the present invention at the enterprising line number word signature of the layout files that can not distort that has transformed, guarantee the authenticity of electronic health record information, non-repudiation.If any the modification on the case history content, to at first require the input authentication instruction, if then enter update routine by authentication instruction and signature non-locking, if signature is locked, and case history has been issued then refusal and has been revised, if signature is locked, but case history is not issued and then entered update routine, safe Trace Data device will keep all modifications vestige, and the place of all modifications all has digital signature to confirm.Can export, browse or print case history by end device as required at last.

Claims (6)

1. an anti-tamper electronic medical record system comprises hospital's electronic health record application system, computer format document generating apparatus, digital signature device.
2. a kind of anti-tamper electronic medical record system according to claim 1, it is characterized in that: the layout files generating apparatus comprises:
(1) interface arrangement: provide interface function and hospital's electronic health record application system to call;
(2) authenticate device: the authentication instruction of checked operation personnel input, if incorrect then returning re-entered; If correctly then send the rights object instruction;
(3) rights object device: issued rights is selected, i.e. the selection of basic data maintenance or system data maintenance or daily operation;
(4) digital encryption/decryption device: selected authority content is carried out digital encryption or deciphering, and send it to system core database;
(5) digital encryption/decryption device once more: the data of system core database output are encrypted once more or deciphered, and generate that corresponding basic data is browsed or layout files or business datum are browsed.
3. a kind of anti-tamper electronic medical record system according to claim 1, it is characterized in that: described digital signature device comprises:
(1) digital signature device: send the digital signature instruction and finish signature according to the layout files that generates;
(2) safe Trace Data device: the layout files of preserve revising is also confirmed by digital signature device;
(3) end device: send case history output as required or case history is browsed or the case history print command.
4. a kind of anti-tamper electronic medical record system according to claim 1 and 2 is characterized in that: described interface arrangement adopts standard interface.
5. a kind of anti-tamper electronic medical record system according to claim 1 and 2 is characterized in that: the authentication instruction in the described authenticate device comprises authorization identifying and authentication.
6. a kind of anti-tamper electronic medical record system according to claim 1 is characterized in that: described hospital electronic health record application system is HIS, Lis or PACKS.
CNA2007100459953A 2007-09-14 2007-09-14 Juggling-proof electric medical record system Pending CN101226568A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CNA2007100459953A CN101226568A (en) 2007-09-14 2007-09-14 Juggling-proof electric medical record system

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CNA2007100459953A CN101226568A (en) 2007-09-14 2007-09-14 Juggling-proof electric medical record system

Publications (1)

Publication Number Publication Date
CN101226568A true CN101226568A (en) 2008-07-23

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CNA2007100459953A Pending CN101226568A (en) 2007-09-14 2007-09-14 Juggling-proof electric medical record system

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CN (1) CN101226568A (en)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103152182A (en) * 2013-03-08 2013-06-12 新疆君盾信息技术有限公司 Method for authenticating and validating electronic data
CN104917769A (en) * 2015-06-11 2015-09-16 北京嘉和美康信息技术有限公司 Electronic medical record signature method and device
CN104063629B (en) * 2014-07-16 2017-10-20 辽宁蓝卡医疗投资管理有限公司 Remote hierarchical medical system
CN107358274A (en) * 2017-06-29 2017-11-17 雷虹 The querying method and device of electronic health record based on E-seal
CN110519558A (en) * 2019-07-19 2019-11-29 苏州浪潮智能科技有限公司 The processing method and its Baseboard Management Controller of video data

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103152182A (en) * 2013-03-08 2013-06-12 新疆君盾信息技术有限公司 Method for authenticating and validating electronic data
CN103152182B (en) * 2013-03-08 2015-09-09 新疆君盾信息技术有限公司 A kind of electronic data authentication verification method
CN104063629B (en) * 2014-07-16 2017-10-20 辽宁蓝卡医疗投资管理有限公司 Remote hierarchical medical system
CN104917769A (en) * 2015-06-11 2015-09-16 北京嘉和美康信息技术有限公司 Electronic medical record signature method and device
CN104917769B (en) * 2015-06-11 2018-10-16 北京嘉和美康信息技术有限公司 A kind of electronic health record endorsement method and device
CN107358274A (en) * 2017-06-29 2017-11-17 雷虹 The querying method and device of electronic health record based on E-seal
CN110519558A (en) * 2019-07-19 2019-11-29 苏州浪潮智能科技有限公司 The processing method and its Baseboard Management Controller of video data

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