Data protection vs. access convenience card-to-card-authentication: the approach of choice
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2 Data protection vs. access convenience card-to-card-authentication: the approach of choice Dr. Stefan Buschner gematik - Gesellschaft für Telematikanwendungen der Gesundheitskarte mbh Friedrichstraße Berlin
3 Aim: Interconnection of all participants Hausärzte Krankenhäuser Apotheker 270 Health Insurances Rehabilitations- Einrichtungen Hospitals Pharmacists Physicians/Dentists 80 Million insurants Fachärzte prescriptions annually! Zahnärzte Musterkasse egk Sonstige Leistungserbringer Versicherte Psychotherapeuten
4 egk context Gesellschafter BNetzA BMG BSI BfDI egk Industrieverbände HBA Telematikinfrastruktur Testregionen
5 Step-by-step introduction Functionality (offline) - insurant data (VSD) - e-prescription - emergency data Functionality (online) - insurant data, physician s letter and e-prescription - Release 2.K comfort-signature Functionality (online) - medication-interaction-testing (AMTS) - patient folder - e-prescription: hospitalization, BTM, modality - patients' terminal (ekiosk)
6 Telematic infrastructure AVS egk Musterk asse Musterk asse Mustername HBA KIS egk Musterk asse Musterk asse Mustername Mustername Mustername HBA PVS egk Musterk asse Musterk asse Mustername Mustername HBA SMC/A A Kartenleser SMC/A A Kartenleser SMC/A A Kartenleser SMC/B B Konnektor SMC/B B Konnektor SMC/B B Konnektor DSL/ ISDN/ Internet DSL/ ISDN/ DSL/ ISDN/ VSDD (div.) Fachdienstschnittstelle Mehrwertdienstschnittstelle Zugangsdienste DNS Zugangsdienste DNS Zugangsdienste DNS Zugangsdienste DNS NTP NTP NTP NTP Zugangsdienste (gematik) T-Systems Front End T-Systems Broker Broker Trusted Services Broker Broker Trusted Services Broker Broker Trusted Services Broker Broker Trusted Services TMS TMS TMS TMS Broker (gematik) IBM OIDD OIDD OIDD OIDD Zentrale Infrastruktur DNS & NTP (gematik) ATOS Origin DNS NTP Zentrale Infrastruktur SDS (gematik) ATOS Origin SDS Zentrale Infrastruktur Audit (gematik) IBM Audit Zentrale Infrastruktur (gematik) D-Trust TSL/TCL Zentrale Infrastruktur (gematik) n.n. Back End T-Systems Update-Service Primärsysteme Update-Services Konnektor / Terminal Alte non-ti-services (Abrechnung etc.) Zeitdienst VODD (KBV) MPLS Telematik- Netz T-Systems -Anbieter egk -Anbieter HBA + QES DNS NTP Broker Trusted Services TMS OIDD Komponentenzertifikate -Anbieter SMC B KT Konn VPN Broker -Anbieter Services
7 Cards Cards of the telematic infrastructure: egk: electronic health card Insurant data medical data Keys and certificates (X.509 und CVC) HBA: electronic health professional card Keys and certificates (X.509 und CVC) qualified electronic signatures Personal identity Authentication C2C-Authentication to SMC and egk for setting the security level
8 Cards II Cards of the telematic infrastructure: SMC A: Secure Module Card A Keys and Certificate (CVC) C2C-Authentication to egk for setting the security level Installing Trusted Channel to HBA SMC B: Secure Module Card B Keys and Certificate (X.509 und CVC) see SMC A Institution identity (surgery, hospital, pharmacy) Authentication (SSL-tunnel to Broker) Message signature, decryption
9 CVC CVC: Card-Verifiable-Certificate ASN.1-coded certificate (ISO ) Is verifiable by a card with the help of a public CA-key Certificate without expiring date Certificate contains Certificate Holder Authorisation (CHA) CHA hallmarks the role of the user/institution 6 Byte prefix, 1 Byte profile-id D x
10 Example CVC
11 Profile-IDs of CHA Profile Role 1 ekiosk 2 Physician, medical secretary, SMC-B surgery/hospital 3 Pharmacist, pharmaceutical assistant, SMC-B pharmacy 4 Psychotherapist (HBA + SMC B) 5 HBA healthcare therapist 6-7 Ambulance officer 8 SMC B health insurance 9 SMC B other medical personal
12 egk applications
13 egk access rules R=read, U=update, A=activate, D=deactivate, E=erase, *=+PIN.CH
14 egk access rules for keys and certificates R=read, I=internal authentication, S=electronic signature, V=decipher, *=+PIN.CH
15 Thank you for your attention!
16
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