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The Information Security Needs in Radiological Information Systems—an Insight on State Hospitals of Iran 2012

机译:放射信息系统中的信息安全需求—伊朗国立医院的见解2012年

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摘要

Picture Archiving and Communications System (PACS) was originally developed for radiology services over 20 years ago to capture medical images electronically. Medical diagnosis methods are based on images such as clinical radiographs, ultrasounds, CT scans, MRIs, or other imaging modalities. Information obtained from these images is correlated with patient information. So with regards to the important role of PACS in hospitals, we aimed to evaluate the PACS and survey the information security needed in the Radiological Information system. First, we surveyed the different aspects of PACS that should be in any health organizations based on Department of Health standards and prepared checklists for assessing the PACS in different hospitals. Second, we surveyed the security controls that should be implemented in PACS. Checklists reliability is affirmed by professors of Tehran Science University. Then, the final data are inputted in SPSS software and analyzed. The results indicate that PACS in hospitals can transfer patient demographic information but they do not show route of information. These systems are not open source. They don’t use XML-based standard and HL7 standard for exchanging the data. They do not use DS digital signature. They use passwords and the user can correct or change the medical information. PACS can detect alternation rendered. The survey of results demonstrates that PACS in all hospitals has the same features. These systems have the patient demographic data but they do not have suitable flexibility to interface network or taking reports. For the privacy of PACS in all hospitals, there were passwords for users and the system could show the changes that have been made; but there was no water making or digital signature for the users.
机译:图片存档和通信系统(PACS)最初是为放射服务开发的,距今已有20多年的历史,用于以电子方式捕获医学图像。医学诊断方法是基于图像的,例如临床X射线照片,超声,CT扫描,MRI或其他成像方式。从这些图像获得的信息与患者信息相关。因此,关于PACS在医院中的重要作用,我们旨在评估PACS,并调查放射信息系统所需的信息安全性。首先,我们根据卫生部的标准调查了任何卫生组织应采用的PACS的不同方面,并准备了清单以评估不同医院的PACS。其次,我们调查了应在PACS中实施的安全控制。德黑兰科学大学的教授们确认清单的可靠性。然后,将最终数据输入SPSS软件并进行分析。结果表明,医院中的PACS可以传输患者的人口统计信息,但它们不显示信息的路径。这些系统不是开源的。他们不使用基于XML的标准和HL7标准来交换数据。他们不使用DS数字签名。他们使用密码,用户可以更正或更改医疗信息。 PACS可以检测呈现的交替。结果调查表明,所有医院的PACS都具有相同的功能。这些系统具有患者的人口统计数据,但是它们没有合适的灵活性来连接网络或获取报告。为了在所有医院中保护PACS的私密性,有用户密码,系统可以显示所做的更改;但是用户没有水制造或数字签名。

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