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。
Objective: To provide the solution based on electronic authentication service and electronic signature for doctor and nurse in order to guarantee the integrity and authenticity of electronic medical records system(EMRS) in building, writing and storage. Methods: To establish integrated electronic signature platform based on the installation and debugging for the digital 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 integratedelectronic signature of EMRS can guarantee the authenticity and reliability of identity whendoctor logged system or finished the normal medical work; and it can reduce manual signature process and contributeto 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 manpower and material resources.
作者
张晓燕
杨霜英
刘嫣
ZHANG Xiao-yan;YANG Shuang-ying;LIU Yan(Department of Informatics, Nanjing General Hospital of Nanjing Command,Nanjing 210002,China.)
出处
《中国医学装备》
2017年第2期97-99,共3页
China Medical Equipment
关键词
电子病历
数字签名
集成方案
信息技术
Electronic medical records
Digital signature
Integrated scheme
Information technology
