隨著科技的進步，電子病歷已經逐漸取代紙本病歷，而為了使電子病歷具有與紙本病歷相同的法律效力，並確保其完整性，使用數位簽章技術對電子病歷加以簽署是很重要的。然而，一份病歷是由不同的醫療人員對一位病患所進行的診斷、檢查或相關記錄所組成，依照現行的做法，每位醫療人員都必須使用自己的私密金鑰對自己所撰寫之部分進行簽署，並在該份電子病歷中嵌入其相對應的憑證。但此種作法會造成一份電子病歷的長度隨著簽署者的人數上升而增加，且當私密金鑰遺失時，之前所簽署的簽章將會失去信賴，這些均會帶給需要長期保存的電子病歷潛在的威脅。
在本篇論文中，我們提出一個適合電子病歷的群組憑證簽章機制，此機制將同科的醫療人員視為一個群組，讓群組內的成員均擁有自己的私密金鑰，但經由同群組內私密金鑰所簽署之簽章，可利用所屬的群組憑證進行驗證。依照此概念，我們可以有效的降低所需的憑證數量，且在驗證時，除了驗證簽署訊息的完整性外，同時也可得知簽署者的身份。我們針對幾個常見的攻擊作安全性分析，證明我們的機制足夠安全，且能確保在使用者私密金鑰遺失後，以往簽署過的簽章仍是可信任的。因此，我們認為此機制能改善現有對電子病歷簽章的做法。

Electronic medical records (EMR) gradually replace paper-based medical records with the advance of information technology. For having the same legal effect with paper-based medical records and ensuring the integrity, it is important for EMR to be signed by digital signature technology. However, an EMR consists of the diagnoses, examinations and related records of a patient from different medical personnel. According to existing practice, medical personnel need to sign on the written parts by their own secret keys and embed their corresponding certificates into this EMR. This approach would make the length of the EMR increase with the increasing of the number of signers. Otherwise, the previous signatures would not be trusted when the corresponding secret key is exposed. These will pose potential threats to the EMR that need to be kept for a long time.
In this thesis, we propose a group certificate signature scheme for EMR. Medical personnel from the same division are considered to a group. The members of the group have their own secret keys. The signatures signed by the secret keys from the same group can be verified by corresponding group certificate. With this concept, we can effectively reduce the number of required certificates in an EMR. In addition to verify the integrity of the signed message, a verifier can determine the actual signer of it at the same time. We have executed the security analysis for some specific common attacks, we prove that the proposed scheme is secure enough and can ensure that previous signatures are still credible after the exposure of key. Thus, we believe that the proposed scheme can improve the existing approach of digital signature for EMR.

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