医院多系统集成架构下的数字证书管理实践

YUAN Xixia; YU Hao; SHI Zengxia; TIAN Zongmei

doi:10.3969/j.issn.1674-1633.20241001

PDF(1911 KB)

中国医疗设备 ›› 2025, Vol. 40 ›› Issue (4) : 73-76. DOI: 10.3969/j.issn.1674-1633.20241001

研究论著

医院多系统集成架构下的数字证书管理实践

袁西霞，于浩，石增霞，田宗梅

作者信息 +

Practice of Digital Certificate Management Under Hospital Multi-System Integration Architecture

Author information +

文章历史 +

摘要

目的医院多系统集成架构下，实现对个人数字证书的统一管理，提高医院多个业务系统用户数字证书授权工作效率和准确率。方法利用OA流程和集成平台主数据管理系统实现数字证书的规范申领和统一授权，搭建医院数字证书管理体系，实现多系统集成架构下的数字证书统一授权、最小化授权。结果应用平台授权后的证书绑定时间为74.02[57.45，89.32] s，明显低于单业务系统授权的证书绑定时间318.58[298.76，337.65] s，且差异有统计学意义（P<0.001）。结论 利用医院集成平台主数据管理实现数字证书的统一授权，可显著提高工作效率，减少差错率，值得推广借鉴。

Abstract

Objective To realize the unified management of personal digital certificates under the multi-system integration architecture of hospital, to improve the efficiency and accuracy of digital certificate authorization for users of multiple business systems in hospital. Methods The OA process and the integrated platform master data management system were used to realize the standardized application and unified authorization of digital certificates, and the hospital digital certificate management system was built to realize the unified authorization and minimum authorization of digital certificates under the multi-system integration architecture. Results The certificate binding time after application of the platform authorization was 74.02[57.45, 89.32] s, which was significantly lower than that of the single business system authorization 318.58[298.76, 337.65] s, and the difference was statistically significant (P<0.001) Conclusion The unified authorization of digital certificates achieved through the master data management of the hospital integration platform can significantly improve work efficiency and reduce the error rate, which is worthy of promotion and reference.

导出引用

YUAN Xixia, YU Hao, SHI Zengxia, 等. 医院多系统集成架构下的数字证书管理实践[J]. 中国医疗设备, 2025, 40(4): 73-76 https://doi.org/10.3969/j.issn.1674-1633.20241001

袁西霞，于浩，石增霞，田宗梅 Practice of Digital Certificate Management Under Hospital Multi-System Integration Architecture[J]. China Medical Devices, 2025, 40(4): 73-76 https://doi.org/10.3969/j.issn.1674-1633.20241001

中图分类号： R197.32

参考文献

[1] 胡云，丁小春，丁涛. 医院统一数字认证平台的构建与应用[J]. 数字技术与应用，2024，42(4): 212-215.
[2] 郑东山. 医院医疗数据无纸化安全平台的设计与实现[J]. 电脑知识与技术，2023，19(10): 102-104.
[3] 程朝辉，宁宣凤. 可靠电子签名技术法律规制研究[J]. 中国应用法学，2020(4): 170-187.
[4] 张文中，张世红，马洁. 北京地区电子病历电子签名标准探索研究[J]. 中国数字医学，2016，11(3): 7-9.
Zhang WZ, Zhang SH, Ma J. Research of electronic signature standard of electronic medical records in Beijing[J]. China Digit Med, 2016, 11(3): 7-9.
[5] 丁士富，徐然，刘大龙. 数字证书与验签在公立医院高质量发展中的应用[J]. 中国新通信，2023，25(17): 104-106.
[6] 苏玉成，张亚娜，陈帆，等. 基于数字签名的医疗文书加密验证系统的设计与实现[J]. 中国医疗设备，2023，38(7): 103-107.
Su YC, Zhang YN, Chen F, et al. Design and implementation of medical document encryption and verification system based on digital signature[J]. China Med Devices, 2023, 38(7): 103-107.
[7] 陈冯薏，俞刚. 基于国家电子病历系统应用水平评级标准的儿童医院主数据管理平台建设实践[J]. 中国医疗设备，2019，34(9): 110-112.
Chen FY, Yu G. Construction and practice of master data management platform of children’s hospital based on the national application level rating standard of electronic medical record system[J]. China Med Devices, 2019, 34(9): 110-112.
[8] 田宗梅. 医院集成平台建设中存在的主要问题与对策[J]. 中国卫生信息管理杂志，2020，17(3): 271-274.
Tian ZM. The main problems and countermeasures in the construction of hospital integration platform[J]. Chin J Health Inform Manag, 2020, 17(3): 271-274.
[9] 纪娇，陆启立，陈虹，等. 病案无纸化归档的探索与应用[J]. 现代医院，2021，21(3): 437-439.
Ji J, Lu QL, Chen H, et al. Exploration and application of paperless archiving of medical records[J]. Mod Hosp, 2021, 21(3): 437-439.
[10] 袁西霞，王国锋，田宗梅. 某三甲医院电子病历合法合规使用管理与实践[J]. 中国医院，2022，26(6): 91-93.
Yuan XX, Wang GF, Tian ZM. Management and practice of legal and compliant use of electronic medical records in a Grade Ⅲ hospital[J]. Chin Hosp, 2022, 26(6): 91-93.
[11] 张献文，程红燕. 电子签名在电子病历中法律效力探讨[J]. 中国病案，2021，22(1): 44-46. Zhang XW, Cheng HY. Discussion on the legal effect of electronic signature in electronic medical record[J]. Chin Med Rec, 2021, 22(1): 44-46.
[12] 苏玉成，张亚娜，高荷，等. 基于国密算法和手机认证的医疗文书无纸化系统的设计与实现[J]. 中国医疗设备，2023，38(8): 99-104.
Su YC, Zhang YN, Gao H, et al. Design and implementation of paperless medical document system based on state secret algorithm and mobile phone authentication[J]. China Med Devices, 2023, 38(8): 99-104.
[13] 王霞云，舒传继，王曾，等. HIMSSEMR7级医院病案无纸化的探索与实践[J]. 中国病案，2018，19(11): 22-26.
Wang XY, Shu CJ, Wang Z, et al. Exploration and practice of the medical record paperless in HIMSSEMR7 hospital[J]. Chin Med Rec, 2018, 19(11): 22-26.
[14] 汤钦华，袁骏毅，马群圣. 基于电子签名的病案无纸化归档系统的实现与应用[J]. 中国医疗设备，2018，33(9): 129-131.
Tang QH, Yuan JY, Ma QS. Implementation and application of paperless filing system for medical records based on electronic signature[J]. China Med Devices, 2018, 33(9): 129-131.
[15] 付超，寇斌，魏星. 扫码签名在医院电子病历系统中的应用实践[J]. 医学信息学杂志，2021，42(1): 72-75.
Fu C, Kou B, Wei X. Application of scan code and signature in electronic medical record system of hospitals[J]. J Med Inform, 2021, 42(1): 72-75.
[16] 王浩，胡艳珂，郜勇. 医院移动电子签名的应用研究[J]. 中国卫生信息管理杂志，2023，20(3): 471-474.
Wang H, Hu YK, Gao Y. Research on the application of hospital mobile electronic signature[J]. Chin J Health Inform Manag, 2023, 20(3): 471-474.
[17] 邵兴华. 基于CA认证电子签名技术的数字医院应用研究[J]. 信息系统工程，2024(7): 52-55.