Healthcare information systems using digital signature and synchronized smart cards via the Internet

This research paper presents a new two-way double-type smart card terminal and a new system design and development for a prescription order communication system (POCS) between the hospital and pharmacy, based on the Internet, public-key infrastructure (PKI), and concurrently parallel co-operation with both medical professional and patient smart cards in synchronized status, in order to control security and privacy of patients and manage drug histories. A concurrently parallel co-operation method in synchronized status has been proposed in order to merge the digital signature generated by a medical professional with a patient's prescription data. The digital signatures written by the medical professionals (doctors and pharmacists) holding and using their individually master smart cards are applied to all contents of the prescription stored on a patient slave smart card in synchronized status in the two-way double-type terminal. Therefore, digital signatures for all prescriptions stored on the smart card should effectively be used to prevent it being altered, forged, or reused by unauthorized users and being repudiated by medical professionals.

[1]  James J. Fanell.  Smartcards Become an International Technology , 1996 .

[2]  van den Maarten Berg,et al.  COMPUTERS IN CARDIOLOGY 1995 , 1995 .

[3]  Régis Beuscart,et al.  Telecommunication in healthcare for a better coordination between hospitals and GP's: routine application of the "ISAR-Telematics" project , 1999, IEEE Transactions on Information Technology in Biomedicine.

[4]  Yahya Y. Al-Salqan,et al.  Security and confidentiality in healthcare informatics , 1996, Proceedings Seventh IEEE International Workshop on Enabling Technologies: Infrastucture for Collaborative Enterprises (WET ICE '98) (Cat. No.98TB100253).

[5]  Paul Douglas,et al.  Proceedings International Conference on Information Technology: Coding and Computing , 2002, Proceedings. International Conference on Information Technology: Coding and Computing.

[6]  Alfred Menezes,et al.  Handbook of Applied Cryptography , 2018 .

[7]  C. Zywietz,et al.  Internet/Intranet access to a multimedia cardiology information system , 1999, Computers in Cardiology 1999. Vol.26 (Cat. No.99CH37004).

[8]  Ravi Raman,et al.  Secure collaboration technology for healthcare enterprises , 1997, Proceedings of IEEE 6th Workshop on Enabling Technologies: Infrastructure for Collaborative Enterprises.

[9]  C. H. Fancher.  In your pocket: smartcards , 1997 .

[10]  David Delerue,et al.  A regional information network: management and security , 1998, Proceedings of the 20th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. Vol.20 Biomedical Engineering Towards the Year 2000 and Beyond (Cat. No.98CH36286).