Secure and Interoperable Teleradiology Solutions based on Open Source Standards Peter Mildenberger...
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Transcript of Secure and Interoperable Teleradiology Solutions based on Open Source Standards Peter Mildenberger...
Secure and Interoperable Teleradiology Solutions based on
Open Source Standards
Secure and Interoperable Teleradiology Solutions based on
Open Source Standards
Peter Mildenberger
Johannes Gutenberg-University Hospital, Mainz, Germany
• TeleconsultationTeleconsultation
• TeleradiologyTeleradiology• for central reference centerfor central reference center
• regional TR-Projects in Southern Germanyregional TR-Projects in Southern Germany
• Research cooperationResearch cooperation•VICORA Project, with 9 Universities, one Dep. for VICORA Project, with 9 Universities, one Dep. for Medical Informatics, two industrial partnersMedical Informatics, two industrial partners
Use CasesUse Cases
• Establishment of secure datalinks with various and independant external partners.
• Exchange of selected medical data by using standards.
• Integration into the existing IT-infrastructure.
• Easy to use and maintain, respecting legal requirements and privacy
GoalsGoals
Motivation for StandardizationMotivation for Standardization
IT-Working Group (@GIT) of the DRG IT-Working Group (@GIT) of the DRG
PGP/MIMEPGP/MIME
• DICOM - email (Suppl. 54)DICOM - email (Suppl. 54)
OpenPGP-compatibleOpenPGP-compatible
encryption encryption with compressionwith compression
• DICOM-Object /DICOM-Object /
• any file formatany file format
Format of Datatransfer Format of Datatransfer
Ideas• Mechanism to ensure complete
transmission of all images (date, messages…) on the recipient site
• Also mechanism to ensure complete transmission for the sender (by receipt from recipient)
• Authentification and integrity of messages (signature)
• Supporting MIME Standards[1], esp. Multipart Mail, Message Partial und der Verwendung von X-Tags [1] incl. RFC2045/46 (MIME Part 1&2), RFC3156 (MIME Security with OpenPGP)
Ideas• Supporting secure variants of POP, IMAP…
(optional, may become legal requirement in Germany)
• Encryption according OpenPGP using only the „MUST“-criteria, (ZIP as optional)
• Digitale Signatur (PGP / MIME)– PGP/ GnuPG for Encryption and Signature
acc.to RFC 3156 und RFC 1847 both ways are recommended:
– Encryption and signature in one step (combined method, RFC 3156, Kapitel 6.2)
– Data with seperated signature acc RFC 1847 PGP kompatibel encrypted (encapsulation, RFC 3156, Kap.6.1).
Internet
SecTelMed Mailserver
SMTP/S
Outlook/ PGP
Chili o.a.Mailserver
POP3/S(IMAP4/S)
SMTP/S
POP3/S & (IMAP4/S)
SMTP/S
POP3/S(IMAP4/S)
Clinic A
POP3/S(IMAP4/S)
SMTP/SSMTP/S
POP3/S(IMAP4/S)
Clinic B
Clinic CSMTP/S
Provider
Mailserver
Telemedicine via e-mailTelemedicine via e-mail
POP3/S &(IMAP4/S)
Members of the Telemedicine-InitiativeMembers of the Telemedicine-Initiative
Ärztliche Stelle Hessen
AGFA
Charité Berlin
Chili
ConVis
Curagita AG
DKFZ
FH Würzburg-Schweinfurt
GI Gesundheitsinformatik
Gesundheitsnetz-RND
Image Devices
Medical Communications
OFFIS
Steinhart Medizinsysteme
University Mainz
University Freiburg
University Mannheim
@GIT Initiative Online@GIT Initiative Online
Thank you for your attention!
More information: