Information security could make people steady and sure

Information security could make people steady and sure
Staff reporter Sun Meng Last October, Ministry of Public Health determined in 22 provinces (the district, city) such as Beijing Launch the pilot project of the electronic case history, up till now, the pilot hospital in the whole country has reached 96. Recently, the reporter attaches to the first hospital in Chinese Medical Sciences University, Chinese Medical Sciences University attaches to and holds these 4 pilot hospitals in Beijing hospital, Chinese-Japan Friendship Hospital of Peking University the People's Hospital and Ministry of Public Health to find while interviewing, in the hospital, should use the information system taking electronic case history as the core to be already been " tempting trend " . The increasingly many hospital administrator expresses while fully realizing this too, really realize the utility of the electronic case history is maximized to still take time. Information security is needed " Internal and external and concurrently repair " The safe problem is the greatest secret worry that an electronic case history faces while employing. Disease the intersection of information and importance in the intersection of patient and the intersection of citizen and personal secrets needn't be spoken more, the hospital should not merely protect the patient's disease information well, also safeguard the stability and security of the whole information system, otherwise once the system goes wrong, the whole hospital will be paralysed. "We have presumed reading and writing the authority of different doctors, and reflected the design of this kind of authority in the systematic framework of the electronic case history. " Technical support side of the medical data centre of land of Wuxi urban area - -The leaf of the graceful bitter edible plant software Co., Ltd. manager Luo of Wuxi tells reporters triumphantly, inside the hospital like this, the doctor can't be had a look around patient's information not including one's own executive at will. Vice President of Ministry of Public Health Chinese-Japan Friendship Hospital Peng MingQiang takes survey report as examples to analyze, reported in the past and placed on the blood screening test lab only, the patient could ransack by oneself, a lot of medical workers can see too. And authorize in grades after case history electronization, check the materials of examining etc. only the patient's doctor in charge of doctor and higher age and service seniority could see, patient's personal secrets have got better protection. Chinese Medical Sciences University attaches to and holds the whole space of Deputy Director of computer center of Beijing hospital and says, the network of the electronic case history is an internal network, in safety assurance, the hospital has used Intranet's specialized antivirus software, protect in the courtyard all terminals run under the safe environment. In order to prevent the malicious attack of outside Internet, the hospital separates Intranet from external Internet with the fire wall, still through tying IP address and network card address of the computer definitely,etc., control the medical worker and connect the computer of the working use in Internet strictly. "In case the internal network while running meets the question and is paralysed temporarily, the hospital can start the edition system of the unit immediately, guarantee the whole medical course is incessant, after the network resume, and then transmit the data from the edition system of the unit in the internal network synchronously. " The whole space is said. But sail Liu, assistant of director, people of Peking University, admit frankly, under the environment of network, the information resources should resist all kinds of threats, interference and destroy, it is a very complicated proposition, also not merely the question that the Ministry of Health needs facing. He says, it needs government and the whole society to make joint efforts to ensure information security. Once can't revise electronic case history any more when submittinging the case history, how to guarantee to suffer from the square legitimate rights and interests is questions that the patient cares about very much. Have patient relative to say originally at the handwritten case history, alter, will leave trace, in the computer all now, have trace, appear medical dispute, patient would not wouldn't very passive? "Signing electronically can guarantee the authenticity, primitive of the case history data. Our hospital and the figure of third party having the ability to develop authorize company's cooperation, utilize electronic stamped signature technology that the company offers, all operation in the electronic case history of ours will be written down. After finishing in case history, the case history will be passed to and authorize the company, the hospital did not revise the authority hereafter. " Holding Deputy Director of Beijing hospital medical matters department Zhang XiaoGang demonstrates to the reporter " The technology of safe electronic stamped signature " : The intersection of he and of one the intersection of U and little things of dish seemingly - -" key " authorized on the basis of third party's figure Insert the computer, after inputting password and identity to authorize, enters the electronic case history to operate. Reporter see until XiaoGang Zhang go on, fix to case history, trace, modification time and his names revised can reveal. He says, is holding Beijing hospital, each medical worker has " key " that the only figure is being authorized ,Could work only through it. Besides most common security electronic stamped signature system, CEB format file, digital fingerprint anti-counterfeit are distinguished,etc. technology can guarantee the authenticity of the electronic case history effectively. Sail Liu explain, popular to come, say CEB format file layout to take pictures for the primitive electronic case history, it can make medical information keep intact, can be regarded as the evidence investigated and verified in the future. But the medical file that the antifalsification technology of digital fingerprint can distinguish some hospital electronic case history and print out is published by this institute, and whether the true file content is changed etc.. He reveals, this year, the People's Hospital of Peking University will apply these kinds of technology to clinic progressively, it is true and reliable in order to guarantee case history data. Define the legal status is streamlined " The detached island of information " The electronic case history still faces the difficult problem of the law. The reporter has inquired many hospital administrators in the interview, find that a hospital has not met the medical dispute related to electronic case history at the moment. But some people among them admit frankly, the legal status of the electronic case history is indeterminate, really let them not feel steady and sure. "Though our hospital has already implemented the electronic case history, has not abandoned the paper case history yet. Otherwise, do not always think steady and sure in the heart. " Peng MingQiang says, under the complicated great background of relationship between doctors and patients, acknowledges the legitimacy of the electronic case history at present, have already become an urgent problem to be solved in information-based process of medical treatment. "When the medical dispute takes place at present, the evidence about asserting in the department is accurate by having paper text that doctors and patients both sides signed. Have cancelled the naturally unable handwritten signature of paper, but sign electronically and does not possess legal effect, what shall we do if the dispute takes place? " As to this question, staff members of related departments of Ministry of Public Health point out, the regulation clearly of article 14 of " law of signing electronically " that began to be implemented from April 1, 2005: " reliable electronic signature and handwritten signature or stamping and having equal legal effect " . The new " contract law " of our country expands the intension of the traditional form of contract in writing to the form of the electronic message too. That is to say, no matter what carrier the contract adopts, so long as can display the content contained tangibly, namely it is right to deem to accord with the law " Written " Requirement. This staff member thinks, though the laws and regulations have not done the clear regulation to the legitimacy of the electronic case history at present, but the above clauses have all offered legislative authority for solving legitimate problem of electronic case history. At present, already more than 50 countries or regions have issued the law which protect information security in the world, especially some international organizations and America and Europe,etc. are developed The country, is maintaining information security, purifying the network environment, protecting information to consume? Yao play Really rectify Gui ��'s skill Ke refinedly loyally and greedily Cuo ��'s dirty sole �� Wu ��'s scull spoon � of shelf matchmaker? One knows the electronic case history very well and runs and tells reporters to the expert of the rule of development, there are two real bottlenecks that the electronic case history encounters in popularization: First, invest the question, second, how to streamline " detached island of information " among every hospital . This expert says, only many hospitals set up " data pool " connected ,The electronic case history can be regarded as and really contribute, but set up the database of such scale and steady straight newspaper system of network, absolutely not several pilot hospitals can solve. He points out, the informationization has been pursued for many years, medical efficiency is promoted much because of their really, but often there is one's own procedure standard in every periods, every area, every department, every hospital, will have their own terms and get used to too in the case history is written. Every unit adopts different information systems, use different data interface, do one set respectively, has caused a large number of " detached islands of information " . For this reason, he calls upon the country to issue unified electronization relevant procedure, rule, system of hospital,etc. as soon as possible, promote on the policy continuously, there should be requirements too in fund input. Peng MingQiang says, invests every young hundreds of thousands yuan in informationization of the hospital, up to ten million yuan at most, this sum of huge expenses is only born by the hospital, I'm afraid it can't be lasting.

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