Lien Chung-Yueh, Yang Tsung-Lung, Hsiao Chia-Hung, Kao Tsair
OFFIS - Institute for Information Technology, Escherweg 2, Oldenburg, 26121, Germany.
J Med Syst. 2013 Feb;37(1):9924. doi: 10.1007/s10916-012-9924-1. Epub 2013 Jan 13.
According to Taiwan's legislation pertaining to the protection of electronic data, the creators of electronic medical records (EMR) are solely responsible for the security of EMR. However, actual implementations that fulfill the security standards and requirements for electronic medical record systems are still lacking. Most EMR created from picture archive and communication system are not considered secure, as security protection mechanisms have not yet been granted legal status. This paper describes the details of establishing a digital signature system using Taiwan health professional cards. A digital signature system has been included to ensure quality assurance (QA) operations are controlled by technicians, and reporting capabilities have been provided for radiologist. Six imaging modalities and eight types of radiology reports have also been included in the system. Results indicate that the process of creating QA signatures does not have an adverse effect on the workflow of the facility, requiring less time for the signing and verification of radiology reports. This system has already been used routinely online in a real clinical setting for more than 2 years.
依据台湾地区有关电子数据保护的立法，电子病历（EMR）的创建者对电子病历的安全负全责。然而，仍缺乏符合电子病历系统安全标准和要求的实际实施方案。大多数从图像存档与通信系统创建的电子病历被认为不安全，因为安全保护机制尚未获得法律地位。本文描述了使用台湾地区医疗专业卡建立数字签名系统的细节。已纳入数字签名系统以确保质量保证（QA）操作由技术人员控制，并为放射科医生提供了报告功能。该系统还纳入了六种成像模式和八种放射学报告类型。结果表明，创建QA签名的过程对机构的工作流程没有不利影响，放射学报告的签署和验证所需时间更少。该系统已在实际临床环境中常规在线使用超过两年。
