CN103338196A - Information certificate authority and safety use method and system - Google Patents
Information certificate authority and safety use method and system Download PDFInfo
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- CN103338196A CN103338196A CN2013102401327A CN201310240132A CN103338196A CN 103338196 A CN103338196 A CN 103338196A CN 2013102401327 A CN2013102401327 A CN 2013102401327A CN 201310240132 A CN201310240132 A CN 201310240132A CN 103338196 A CN103338196 A CN 103338196A
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Abstract
The invention provides a remote cross-time-period certificate authority and safety use method and system of medical information. The method comprises the following steps: a patient authorizes an attending doctor to check and use a medical record encrypted by a personal secret key of the patient, and performs secondary authorization permission; after acquiring and reading the medical record authorized by the patient, the attending doctor secondly authorizes a cooperation doctor to read the medical record of the patient, and then the cooperation doctor checks the medical record of the patient and diagnoses in an assisting manner. The remote cross-time-period certificate authority and safety use system of the medical information comprises a terminal device, a user terminal sub-system, a server terminal sub-system and a data storage system.
Description
Technical field
The present invention relates to a kind ofly for the Certificate Authority of information and the method and system of safe handling, relate in particular to a kind of long-range Certificate Authority of time period and method and system of safe handling of striding for medical information.
Background technology
The target of the new medical reform of China is " allowing everybody enjoy the basic medical Health Services ", and the most basic medical units of China, lack experienced doctor, cause the medical services ability relatively poor relatively, at this situation, the Ministry of Public Health proposes by information system, constructs the channel of " sinking of high-quality medical resource ".
Tele-medicine, Regional Synergetic medical treatment, by the expert of higher level medical institutions the doctor's of basic unit diagnosis and treatment behavior is instructed just, make the patient of basic unit nearby in " seeing a doctor ", also can enjoy higher level doctor's diagnosis and treatment service, be the effective method of " sinking of the high-quality medical resource " system of constructing at present.
This trans-regional, stride in medical institutions, the open service system, patient's diagnosis and treatment information is kept at different medical institutions and " cloud " data center, need carry out data access and transmission frequently by network.On the one hand, the doctor needs to visit and to use these medical datas easily, guarantee the safety of these medical informations on the other hand again, guarantee that patient's diagnosis and treatment information is not by unauthorized access and use, this is a great problem, and existing information system and technical scheme also fail to address this problem effectively, this also is the major reason that tele-medicine, area medical, medical treatment " cloud " can't be implemented to promote on a large scale.
There have been at present a lot of technology at medical information safe handling and authorization identifying, but only solved and traditional authorized the information security transmission problem aspectant the seeing a doctor of hospital internal, patient and a doctor in the process, and at present trans-regional, stride the novel medical services behavior that medical institutions, a plurality of doctor participate in, the new demand of bringing as tele-medicine, area medical, collaborative medical treatment etc., just can't satisfy, these new demands comprise:
1) remote authorization and mandate more temporarily: a treatment process, the doctor in charge can invite other doctor (different medical mechanism, different regions) participate in, this needs, and multiple spot is multiple batches of, the mandate of different time, and during the mandate of back may this patient not in hospital, this need the patient can remote authorization or the patient give the doctor in charge interim permission of authorizing again;
2) mandate of a lasting time period: the doctor may not be to finish in the short time for patient's analysis, interchange and diagnosis, need a time period (for example several days), so, the life of will seeking medical advice can be authorized to can visit this patient information in a period of time;
3) mandate of partial information: the patient can see a doctor in different hospitals usually, therefore, some may be kept at patient's medical information in the system of each hospital internal, perhaps be arranged in the data center server of different regions, some the time, the patient only thinks that authorized doctor checks the part medical history, and these history data just are stored in one or the minority system;
4) safety problem in the information transmission: under the medical services pattern and information environment of cloud, patient's medical information must be checked by the doctor that public network passes to appointment, this just needs to guarantee safety of data transmission, have only the doctor of this appointment just can see information, other people obtains less than these data, can't view actual information even got access to also.
Purpose of the present invention is exactly for solving above-mentioned secret medical information at the patient, under diagnosis and treatment patterns such as remote medical consultation with specialists, Regional Synergetic diagnosis and treatment, realization is towards different hospitals, a plurality of doctor, the mandate of crossing over the time period and the problem of safe transmission and use, provide a cover perfect in diagnosis and treatment methods of service such as tele-medicine, area medical, collaborative medical treatment, set up calibration-based hearing loss evaluation safe handling and authorization identifying system.
Summary of the invention
Provide content of the present invention so that some concepts that will in following embodiment, further describe with the form introduction of simplifying.Content of the present invention is not intended to identify specially key feature or the essential feature of theme required for protection, is not intended to for the scope that helps to determine theme required for protection yet.
According to the long-range Certificate Authority of time period and the method for safe handling of striding for medical information of the present invention, at first authorize the permission that the doctor in charge checks case history by the patient, this case history is to be stored in the webserver data storage after adopting patient's personal key to encrypt, after the doctor in charge obtains and reads the case history of patient's mandate, secondary mandate cooperation doctor reads this patient's case history, the case history of checking this patient by the cooperation doctor subsequently.According to the present invention, medical record information and relevant information all are that the mode of encrypting is transmitted in network.
According to the long-range Certificate Authority of time period and the system of safe handling of striding for medical information of the present invention, comprise terminal equipment, user side subsystem, server end subsystem, and the data storage.Wherein terminal equipment comprises Certificate Authority equipment and display device, the user side subsystem comprises authorization module and case history read module, the server end subsystem comprises authentication module, authorization module, case history access modules, encryption and transport module etc., and the data storage then comprises patient storehouse, medical record information, hospital doctor storehouse, interim buffer memory case history, authorization message and doctor's cipher key store.
By the present invention, the doctor in charge and remote collaboration doctor can visit and use medical data easily, the safety of the data of guaranteeing again simultaneously.Novel medical services trans-regional for realizing, that stride medical institutions, a plurality of doctor participation provide technical support.
By reading following embodiment and with reference to relevant drawings, characteristics of the present invention and advantage will be apparent.Be appreciated that aforementioned summary of the invention and following embodiment all are illustrative, do not limit each side required for protection.
Description of drawings
Fig. 1 is the overview flow chart of the method for the Certificate Authority for medical information of the present invention and safe handling.
Fig. 2 is the sub-process figure that the patient authorizes in Fig. 1 flow process.
Fig. 3 is the sub-process figure that the doctor in charge reads case history in Fig. 1 flow process.
Fig. 4 is the sub-process figure of doctor in charge's secondary mandate in Fig. 1 flow process.
Fig. 5 is that the cooperation doctor checks the sub-process figure of case history in Fig. 1 flow process.
Fig. 6 is the block diagram of the system of the Certificate Authority for medical information of the present invention and safe handling.
Embodiment
The detailed description that provides below in conjunction with accompanying drawing is intended to as the description to each example of the present invention, but not expression is used for explaining or utilizing unique form of each example of the present invention.
According to the present invention, patient's secret medical record information is to be stored in after adopting personal key to encrypt such as various forms such as database, file, figures in the data storage of the webserver, can be kept in the server, also can be kept on the different servers, medical record information has only use patient's personal key to decipher, and patient's personal key is kept at the patient place, can be media such as medical card, usb key dish, CD.
The patient is in process is sought medical advice by hospital, and the scene can directly authorize the doctor in charge to visit the medical record information of oneself, and the mode of mandate can be passed through physical medium, as the brush medical card; Also can pass through biological mode, as the brush finger line; Perhaps finish by the mode of input password; If seeking medical advice of network mode can be authorized a plurality of doctors in charge simultaneously.
If diagnosis and treatment process needs a plurality of participations that are positioned at doctor's (being called the cooperation doctor) of different regions, and continues for some time just and can finish, so, the patient can specify a time period to the doctor in charge's mandate, for example, and from 10 day at that time time; And the patient can authorize the power of doctor in charge's secondary mandate, makes the doctor in charge can authorize the cooperation doctor to read this patient medical record.
Among the present invention, medical record information and relevant information all are that the mode of encrypting is transmitted in network.
Referring to Fig. 1, be the overview flow chart of the method for the Certificate Authority for medical information of the present invention and safe handling.After step 101 is confirmed patient's identity by case record, photo, social security card number etc., authorize the permission that the doctor in charge checks case history and secondary mandate in step 102 by the patient, after the doctor in charge obtains and reads the case history of patient's mandate in step 103, read this patient's case history step 104 secondary mandate cooperation doctor, the case history of checking this patient by the cooperation doctor in step 105.
Fig. 2 is the sub-process figure that the patient authorizes in Fig. 1 flow process.
In step 201, specify authorized content by patient A2: patient's case history may comprise that various period, the patient saw the content of different diseases in different hospitals, and at the doctor in charge M3 of this prescription on individual diagnosis, the patient can specify authorization portions case history scope, for example:
-according to the time period, as to nearly 3 years case history mandate;
-according to the disease kind, as only to the case history mandate relevant with the disease kind of this prescription on individual diagnosis;
-according to hospital, only to the case history mandate of patient at some hospital admission;
In step 202, specified the doctor in charge be authorized to by the patient: in going to a doctor at the scene, appointment be exactly then and there doctor usually; And under the situation of non-at-scene prescription on individual diagnosis, as by network or the doctor that reserves by phone, the patient can select one or more doctor in charge and mandate to check the case history of oneself;
In step 203, specify mandate by the patient during: the time range of mandate, as in from now on 10 days;
In step 204, allow the doctor in charge to carry out the secondary mandate by the patient: namely the patient can authorize the power of doctor's secondary mandate, thereby makes the doctor in charge can authorize other cooperation doctor to read this patient medical record;
In step 205, preserve authorization message: the information that top step 201-204 is arranged is saved in the data storage, and the mode of submission can be submitted to by pc client; Also can use SMS/mobile phone end program to submit to, it will be understood by those skilled in the art that the implementation of concrete submission can be varied.
Can also comprise one section auxiliary key in the authorization message, this auxiliary key can be used for assisting the deciphering medical record data, that is, can't decipher only according to this key, and it only is the key of half; Authorization message is unified being kept in the data storage with the public key encryption that is authorized to the doctor in charge, all doctors' PKI.
Fig. 3 is the sub-process figure that the doctor in charge reads case history in Fig. 1 flow process.
In step 301, from the data storage, obtain patient medical record information according to patient's sign (as case history card number, social security card number, identification card number), as previously mentioned, medical record information is all encrypted, and has only and uses patient's personal key to decipher.
In step 302, the authorization message from data storages is confirmed that the doctor is whether authorized and can be visited these case history contents.
If can visit, then in step 303, be decrypted with patient's personal key.When the patient was just in face of the doctor, the patient used personal key that case history is decrypted, and as previously mentioned, personal key is kept at patient place (as medical card, usb key dish, CD); When the patient was not in face of the doctor, the patient can utilize personal key to generate an interim ciphertext, submits to system, and system can use this interim ciphertext and the aforementioned auxiliary key that obtains from authorization message namely can be deciphered patient's case history.
In step 304, patient medical record after the deciphering is used doctor's public key encryption again, this PKI is from the doctor's cipher key store that is stored in the data storage, be stored in the interim buffer memory in the data storages with the interim case history behind the public key encryption, at any time consult for the doctor, if the doctor only needs disposable reading, then do not need this step.
In step 305, from interim buffer memory, obtain patient medical record, whether the authorization message from data storages is confirmed also in the time range of authorizing, if the doctor can read after the secret key decryption with oneself.
Fig. 4 is that doctor in charge's secondary mandate cooperation doctor reads the sub-process figure of case history in Fig. 1 flow process.
In step 401, select the cooperation doctor in the hospital of the doctor in charge from data storages, the doctor storehouse, help oneself and diagnose;
In step 402, verify by the authorization message in the data storages whether this doctor in charge possesses the authority of secondary mandate, and whether in the time range of authorizing, if this doctor in charge authorizes the case history of reading this patient to the cooperation doctor;
In step 403, the doctor in charge makes temporary key for the cooperation doctor of each mandate, and with each cooperation doctor's secret key encryption, and is transferred to the doctor that respectively cooperates by doctor's cipher key store.
Fig. 5 is that the cooperation doctor checks the sub-process figure of case history in Fig. 1 flow process.
In step 501, the temporary key with cooperation doctor's secret key encryption that the cooperation doctor obtains by doctor's cipher key store that the doctor in charge sends;
In step 502, the cooperation doctor is decrypted with the key of oneself, obtains temporary key;
In step 503, the cooperation doctor obtains patient medical record from interim buffer memory, and utilizes the temporary key deciphering, to read patient medical record and to assist diagnosis.
Fig. 6 is the block diagram of the system of the Certificate Authority for medical information of the present invention and safe handling.
This system comprises terminal equipment, user side subsystem, server end subsystem, and the data storage.
Wherein, terminal equipment comprises:
A) authenticated/authorized terminal equipment: can authenticate patient's identity, and preserve the equipment of user key, can use this equipment to authorize simultaneously.This equipment can be one, also can be a whole set of.Can be: health card/card reader; Mobile device (as mobile phone); Biological plant such as Fingerprint Identification Unit;
B) case history display terminal: in order to show the patient medical record through authorizing, can be PC, also can be other video equipments such as mobile phone or panel computer or television set.
The user side subsystem is the software systems of using to the user, and the user here comprises patient, the doctor in charge, cooperation doctor.System can be deployed in different places, as in hospital, the patient family, remote medical center etc., by local area network (LAN), wide area network (as Internet) or mobile network's access server.The user side subsystem comprises:
A) authorization module: user interface is provided, realizes the function of " patient authorizes to the doctor in charge, and the doctor in charge authorizes to other doctor ";
B) case history read module: case history is shown at corresponding display device with forms such as figure, literal, voice, videos, read with the aspect user.
The server end subsystem: can concentrate to be deployed in hospital, data center, also can be distributed, is deployed in the network in the mode of " cloud ".The server end subsystem comprises:
A) authentication module: patient, physicianship are authenticated; And by the MPI(master index) service, realize the patient data centralized management;
B) authorization module: realize that the patient to the doctor in charge, the doctor in charge mandate to the cooperation doctor, records all licensing process;
C) case history access modules: the case history to all patients is carried out unified management, realize to case history read, modification, query function, patient's case history can be kept in the different servers;
D) encryption and transport module: according to authorizing and the visitor, the key that employing is corresponding and cryptographic algorithm are encrypted and transmit.
The data storage: realizing the physical store to key data, can be centralised storage, can be distributed storage also, comprising:
A) patient storehouse: preserve all patient informations, comprise patient's essential information (as identification card number, inhabitation address, household register, social security card number); The patient is in the case record information of each hospital; And system is to patient's authentication information;
B) patient medical record information: comprise that the patient in index and the raw information of the case history of each hospital admission, comprises information such as prescription, inspection, medication, operation, nursing; These data are to store with patient's secret key encryption, and the case history here is permanent the preservation, can be not deleted;
C) hospital, doctor storehouse: preserve information for hospital, and the information that can use the doctor of native system;
D) interim buffer memory case history: be used in the diagnosis and treatment process, need interim medical record data of preserving, these medical record data part from " patient medical record information " copies next, can the definition time time limit, after finishing diagnosis and treatment or exceeding time limit, this buffer memory case history can be deleted;
E) authorization message: record patient is to the doctor in charge, and the doctor in charge comprises donor, licensee, authorized content, authority levels, licensing term, auxiliary key etc. to cooperation doctor's authorization message;
F) doctor's cipher key store: essential record doctor's key is used for passing to corresponding cooperation doctor use with encrypting through the patient information of authorizing.
More than describe the present invention " a kind of for the Certificate Authority of information and the method and system of safe handling " in detail.Describe to be that more than form with example provides, and not to be intended to limit the scope of protection of present invention.It will be appreciated by those skilled in the art that described the technology of the present invention embodiment modification and according to the embodiment of the various combination of the technology of the present invention.
Claims (10)
1. one kind is used for the Certificate Authority of medical information and the method for safe handling, comprising:
The doctor in charge is authorized to visit medical record information and is authorized to carry out secondary mandate (102);
After confirming that the described doctor in charge is authorized, visit described medical record information (103) by the described doctor in charge, and secondary mandate cooperation doctor (104).
2. the method for claim 1 is characterized in that, also comprises:
Visit described medical record information (105) by described cooperation doctor.
3. the method for claim 1, it is characterized in that, described medical record information is encrypted with patient's personal key, comprise auxiliary key in the authorization message that the described doctor in charge's mandate is produced, in conjunction with the interim ciphertext of utilizing described patient's personal key to generate, decipher described medical record information for the doctor in charge.
4. the method for claim 1 is characterized in that, after the described doctor in charge visits described medical record information, the described medical record information deciphered is stored as interim buffer memory case history after with doctor's public key encryption, and makes temporary key for described cooperation doctor.
5. method as claimed in claim 4 is characterized in that, described cooperation doctor obtains described temporary key, and uses described temporary key to decipher described interim buffer memory case history.
6. the method for claim 1 is characterized in that, the authorized content of described medical record information can be according at least one appointment of time period, sick kind, hospital.
7. one kind is used for the Certificate Authority of medical information and the system of safe handling, comprising:
The terminal equipment that is used for authentication patient's identity and demonstration case history;
Each the user side subsystem that is connected with described terminal equipment;
Be connected with described each user side subsystem, be used for the server end subsystem of mandate, visit, encryption and transmission, and
Be connected with described server end subsystem, be used for realizing the data storage of data physical store.
8. system as claimed in claim 7 is characterized in that, described server end subsystem further comprises: authentication module, authorization module, case history access modules, encryption and transport module.
9. system as claimed in claim 7 is characterized in that, described user side subsystem further comprises authorization module and case history read module.
10. system as claimed in claim 7 is characterized in that, described data are stored as centralized or distributed.
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Cited By (15)
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| CN104318178A (en) * | 2014-10-29 | 2015-01-28 | 无锡中盛医疗设备有限公司 | Medical treatment information security system |
| CN104683351A (en) * | 2015-03-17 | 2015-06-03 | 西安电子科技大学 | System and method for controlling anonymous hospitalizing and security access of medical information based on property |
| CN105373987A (en) * | 2015-10-26 | 2016-03-02 | 武汉帕菲利尔信息科技有限公司 | Method and system for seeking medical help online via medical data |
| CN105404766A (en) * | 2015-10-26 | 2016-03-16 | 武汉帕菲利尔信息科技有限公司 | User historical medical data query method and distributed system |
| CN105450650A (en) * | 2015-12-03 | 2016-03-30 | 中国人民大学 | Safety mobile electronic health record access control system |
| CN107239667A (en) * | 2017-06-12 | 2017-10-10 | 南京医科大学第附属医院 | A kind of method and system of the long-range radiotherapy cooperation of safe homogeneity |
| CN107315971A (en) * | 2016-04-27 | 2017-11-03 | 深圳关心万家健康管理有限公司 | A kind of method of the control of authority of case history |
| CN108449359A (en) * | 2018-04-16 | 2018-08-24 | 济南浪潮高新科技投资发展有限公司 | A kind of electronic health record sharing method and system based on block chain |
| CN109509560A (en) * | 2018-10-23 | 2019-03-22 | 平安科技（深圳）有限公司 | A kind of right management method, device, server and medium |
| CN109887612A (en) * | 2019-02-25 | 2019-06-14 | 深圳安泰创新科技股份有限公司 | Medical record information display methods, electronic equipment and computer readable storage medium |
| CN110277146A (en) * | 2019-04-10 | 2019-09-24 | 北京冠新医卫软件科技有限公司 | A kind of health data management system and method |
| CN110783000A (en) * | 2019-10-28 | 2020-02-11 | 四川大学华西医院 | Cloud collaborative medical data system and use method thereof |
| CN110838349A (en) * | 2019-11-14 | 2020-02-25 | 江苏爱星信息科技有限公司 | Novel medical information storage system |
| CN111107529A (en) * | 2019-11-21 | 2020-05-05 | 广东健康在线信息技术股份有限公司 | Physical examination data transmission and storage method |
| CN113450929A (en) * | 2021-07-16 | 2021-09-28 | 上海市疾病预防控制中心 | Two-dimensional code generation system, method and device for viewing existing medical history based on user dominance, processor and storage medium thereof |
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Cited By (19)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN104318178A (en) * | 2014-10-29 | 2015-01-28 | 无锡中盛医疗设备有限公司 | Medical treatment information security system |
| CN104683351A (en) * | 2015-03-17 | 2015-06-03 | 西安电子科技大学 | System and method for controlling anonymous hospitalizing and security access of medical information based on property |
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| CN105373987A (en) * | 2015-10-26 | 2016-03-02 | 武汉帕菲利尔信息科技有限公司 | Method and system for seeking medical help online via medical data |
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| CN105450650A (en) * | 2015-12-03 | 2016-03-30 | 中国人民大学 | Safety mobile electronic health record access control system |
| CN105450650B (en) * | 2015-12-03 | 2019-03-08 | 中国人民大学 | A kind of safe mobile e health records access control system |
| CN107315971A (en) * | 2016-04-27 | 2017-11-03 | 深圳关心万家健康管理有限公司 | A kind of method of the control of authority of case history |
| CN107239667A (en) * | 2017-06-12 | 2017-10-10 | 南京医科大学第附属医院 | A kind of method and system of the long-range radiotherapy cooperation of safe homogeneity |
| CN108449359A (en) * | 2018-04-16 | 2018-08-24 | 济南浪潮高新科技投资发展有限公司 | A kind of electronic health record sharing method and system based on block chain |
| CN109509560A (en) * | 2018-10-23 | 2019-03-22 | 平安科技（深圳）有限公司 | A kind of right management method, device, server and medium |
| CN109887612A (en) * | 2019-02-25 | 2019-06-14 | 深圳安泰创新科技股份有限公司 | Medical record information display methods, electronic equipment and computer readable storage medium |
| CN110277146A (en) * | 2019-04-10 | 2019-09-24 | 北京冠新医卫软件科技有限公司 | A kind of health data management system and method |
| CN110783000A (en) * | 2019-10-28 | 2020-02-11 | 四川大学华西医院 | Cloud collaborative medical data system and use method thereof |
| CN110838349A (en) * | 2019-11-14 | 2020-02-25 | 江苏爱星信息科技有限公司 | Novel medical information storage system |
| CN111107529A (en) * | 2019-11-21 | 2020-05-05 | 广东健康在线信息技术股份有限公司 | Physical examination data transmission and storage method |
| CN111107529B (en) * | 2019-11-21 | 2023-07-04 | 广东健康在线信息技术股份有限公司 | Physical examination data transmission and storage method |
| CN113450929A (en) * | 2021-07-16 | 2021-09-28 | 上海市疾病预防控制中心 | Two-dimensional code generation system, method and device for viewing existing medical history based on user dominance, processor and storage medium thereof |
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