Customer Profile: The Second Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine (Xixian New Area Central Hospital) covers an area of 350 acres and has 1656 beds. It is a Grade III Grade A integrated traditional Chinese and Western medicine hospital approved by the State Administration of Traditional Chinese Medicine and a national key construction integrated traditional Chinese and Western medicine hospital. The hospital was founded in 1973, formerly known as the "Second Textile Hospital of Shaanxi Province". The hospital has successively won titles such as "National Health Department Baby Friendly Hospital", "Civilized Demonstration Unit of Health Industry in Shaanxi Province", and "Advanced Collective of Health System in Shaanxi Province". The hospital has Qindu Campus and Xixian Campus, covering 64 clinical departments and 8 medical technology departments. The hospital currently has 2307 employees, including 762 physicians, 176 with senior professional titles, and 459 with master's and doctoral degrees.
Requirement analysis:
① Requirements for hospital digital construction
The Second Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine is actively promoting the construction of a smart hospital, gradually forming a standardized, efficient, and convenient hospital operation management system through the establishment of more than 70 systems such as HIS and EMR, and realizing the electronicization of all hospital management and clinical business. Introducing electronic signatures to promote the application of electronic medical records is an important part of hospital digitalization construction.
② Demand for Internet medical construction
Since 2020, the country has called for the development of the "Internet plus medical" service model, providing online diagnosis and treatment services for patients, and improving the convenience of medical services. Shaanxi Second Affiliated Hospital hopes to help achieve real name authentication between doctors and patients by introducing electronic signatures and digital identities. Doctors can prescribe prescriptions online and electronic prescriptions can be automatically circulated, gradually realizing the integration of online consultation, prescription, medication collection, and reimbursement.
③ Evaluation of electronic medical records in tertiary hospitals
The National Health Commission requires that all electronic medical records in tertiary hospitals be rated at or above level 4. The "Management Measures for Grading Evaluation of Application Level of Electronic Medical Record System (Trial) and Evaluation Standards (Trial)" require that in the 5-level evaluation, at least one type of final hospital file related to key electronic medical records can achieve reliable electronic signature function. In the Level 6 evaluation, it is required that all final hospital records generated by the hospital record processing system have reliable electronic signatures.
④ Hospital management reduces costs and improves efficiency
Every year, various departments such as outpatient, laboratory, and inpatient departments in the hospital generate a huge amount of paper documents. Not only do medical staff have a heavy workload of daily signing and organizing, but the resulting printing, paper, and storage costs are also significant management expenses. Shaanxi Second Affiliated Hospital hopes to achieve paperless diagnosis and treatment services through the application of electronic signatures, continuously improving service efficiency and reducing service costs through mobile and electronic signatures.
Solution:
This time, the contract lock is integrated and connected with the existing multiple sets of information at Shaanxi Second Affiliated Hospital, fully integrating hospital business data, business approval processes, and electronic signatures. Through one electronic signature system, it provides online signature and stamping services for the outpatient, examination and testing, and inpatient departments of the entire hospital.
Application scenario:

Scenario 1: Unified authentication of identity information for medical staff
Contract lock is integrated with the HIS system and master data system of Shaanxi Second Affiliated Hospital: ① Implement automatic synchronization of medical staff ID and identity information to the contract lock; ② During the authentication process, employee information is transmitted through the HIS system, and an identity authentication QR code is intelligently generated using the contract lock interface. Medical staff can scan the code to authenticate their identity, and the authentication status and results are automatically synchronized to the HIS system for display.

> Detailed scenario:
① Medical staff log in to the HIS system, enter their work ID information to complete verification, and ensure that they are contract lock users.
② When identity authentication is initiated, HIS automatically synchronizes the employee's name, mobile phone number, ID number and other information to the contract lock, calls the identity authentication interface to generate "identity authentication QR code", and displays it on the HIS system portal.
③ After scanning the code, the medical staff called the contract lock identity authentication page to complete the identity authentication. After the authentication is completed, the contract lock automatically synchronizes the authentication result and status to the HIS system through the interface, achieving authentication information synchronization.
Scenario 2: Diagnosis and treatment file "data signature"
The electronic signature of Shaanxi Second Affiliated Hospital adopts two methods: "file signature" and "data signature". For organizations with a large number of signatures such as hospitals, compared to file signature, data signature has relatively less pressure and is more stable on the server. Data signature "refers to the process of transferring individual pieces of data to a contract lock for signature, and then returning the signature result to the business system to automatically synthesize an electronic file composed of signed data. For example, in a doctor's order form, each order generated, voided, or changed must be signed by the attending physician in order to take effect. If a document signature method is used, each time an order is generated or changed, the previous document must be voided and re signed, which increases the unnecessary number of signatures. By using data signature method, medical staff can fill in prescription, medical orders or nursing forms online, confirm the data, and call the contract lock data signature interface to perform identity authentication, signature setting, password setting verification, automatically match the electronic signature information of medical staff, complete the signature, and finally synthesize electronic files such as prescription forms, medical orders, and medical records homepage in the business system according to the scene.
Scenario 3: Doctor's "Signature Authorization Use"
Requirements and Solution Introduction: Considering that the superior physician cannot sign in a timely manner without being in front of the computer during surgery, outings, or leave, the contract lock has helped Shaanxi Second Affiliated Hospital activate the "Doctor Signature Authorization Use" function: Before surgery or outings, doctors can authorize the designated supervisor to use the signature in advance. During this period, authorized personnel can approve and sign on behalf of the doctor when the doctor's signature is needed. Without the need for doctors to provide account and identity information, it is possible to efficiently and securely complete signature usage authorization for specific time periods. Doctors can view the signature data during the approval period at any time, cancel authorization at any time, and ensure the security and controllability of signature data usage.
Scenario 4: Hospital "all-in-one machine+document signature", paperless patient face-to-face signature
Requirements and solution introduction:

For documents such as patient informed consent forms that require the signature of patients or their families, the contract lock is combined with the hospital all-in-one machine equipment to promote the paperless face-to-face signing of informed consent forms by patients/their families through the hospital all-in-one machine equipment.
Detailed scenario introduction:
① Medical staff enter and generate informed consent forms in the information system, and use the contract lock interface to synchronize PDF files to the all-in-one machine.

② Patients read files through the device and enter fingerprint and signature information as needed.
③ The contract lock synthesizes the received signature and fingerprint with the file to generate a preview file and a signed QR code.
④ Medical staff guide patients or family members to confirm and sign through the device.
Scenario V: E-signature scenario of Internet hospitals.
With the patient's real name, one click access to online signing function can be used to view pending signature messages, move notification letters and other files, improving the convenience of medical treatment.
Application value:
Implement signature intention verification and signature authorization management to ensure that the signing, modification, signing, and archiving process of all medical orders, prescriptions, inspection and nursing materials are recorded, signed by the individual, and cannot be tampered with.
Comprehensively eliminate the daily paper consumption of outpatient inspection and inpatient departments, reduce the large-scale signing work of medical staff, and achieve cost reduction and optimization of services.
Docking with various existing information management systems in the hospital, a set of systems provides electronic signature support for hospital schedule services, realizing paperless diagnosis and treatment service documents, and assisting in the digital transformation of outpatient laboratory examination inpatient nursing business.

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