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    ARX | 855 Folsom St. Suite 939 San Francisco, CA | (415) 839 8161 | www.arx.com | [email protected]

    POVISA Hospital choose CoSign

    Remote Digital Signatures approachAbout the Speaker:

    Raanan DahariVP Sales EMEA

    Algorithmic Research (ARX)

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    Povisa Hospital - About

    Founded in 1973 in Vigo, Spain

    Serves 140,000 patients from public &

    private sectors

    Equipped with 573 beds

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    Leaders in regulated and security-minded markets, industries and governments

    About ARX the vendor of CoSign

    LifeSciences

    Architectural,Engineering &Construction

    US Federal,State and &Local Govt

    Finance, Legal

    & Insurance

    HealthcarePayers &

    Providers

    Labs, Research

    & Education

    EU & Other

    Global Govt

    Energy &

    Petrochem

    ARX is the worlds leading supplier of standard digital signature solutions for enterprises and

    government agencies.

    ARX CoSign is used by more organizations globally than all other standard digital signature

    alternatives combined

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    The Problem

    Povisa was in danger

    of suffocating under

    a mountain of paperwork

    while annually

    generating:

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    The Problem

    689,000medical reports

    485,000 prescriptions

    128,000medication orders

    750,000nurse care orders

    9,000,000 (!) nurse reports

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    The Need

    We needed to find a solution

    that is efficient, easy to useandmeets the requirementsstipulated by law

    Alexandre Perez Barreiro,

    IT Administrator at Povisa

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    Remote Signature Vs. Smart Cards

    Easy Deployment

    Meet Regulation

    Simple integration tools

    Support for web/central systems

    Easy Maintenance

    Easy Control

    Security and Integrity

    Usability

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    User Directory

    [AD, LDAP, Virtual]

    VPN Server

    CoSign Agent+

    CoSign Agent+

    CoSign Agent+

    CoSign Central Appliance(s)Application ServerCoSign Connectors

    Web Server

    CoSign Agent

    No Client

    CoSign Cloud

    CoSign - Remote Signing Architecture

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    Electronic Prescription Platform

    DB

    Prescription

    DB

    Medicines

    DB

    prescribers

    DBPharmacists

    DB

    Invoices

    PlatformSergas

    PlatformColegial

    Primary Prescription

    Specialist Prescription

    Hospitals Pharmacies

    Povisa Hospital uses a central platform (Sergas) enabling the sharing of patient

    records among several public hospitals in the region.

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    Deployment Architecture

    Primary Appliance

    OCSP / TSAOCSP / TSA

    Alternate Appliance

    Request Timestamp

    Request OCSPOnline Certificate Status Protocol

    CoSign Client

    FNMT qualified Certificate

    Times Stamp Protocol

    CRL check OCSPOnline Certificate Status Protocol Cluster High Availability

    Signing on Prescription and Medical Records

    Download CRL

    Povisa Active Directory

    CRL distribution Point

    for FNMT

    CRL update every 8 hours

    AVINFORMES

    CRL download from FNMT

    SERGAS

    BBDD Cluster

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    Doctor

    logs in

    Patient

    Prescription

    Screen

    New

    Prescription

    Details

    Applying

    Signature

    Prescription

    is Signed!

    Signed

    Prescription

    Stored

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    New

    Prescription

    Details

    Applying

    Signature

    Prescription

    is Signed!

    Signed

    Prescription

    Stored

    Doctor

    logs in

    Patient

    Prescription

    Screen

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    Prescription

    is Signed!

    Signed

    Prescription

    Stored

    Patient

    Prescription

    Screen

    Applying

    SignatureDoctor

    logs in

    New

    Prescription

    Details

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    Prescription

    is Signed!

    Signed

    Prescription

    Stored

    Patient

    Prescription

    Screen

    New

    Prescription

    Details

    Doctor

    logs in

    Applying

    Signature

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    Applying

    Signature

    Patient

    Prescription

    Screen

    Signed

    Prescription

    Stored

    New

    Prescription

    Details

    Doctor

    logs in

    Prescription

    is Signed!

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    DB

    Prescription

    DB

    Medicines

    DB

    prescribers

    DB

    Pharmacists

    DB

    Invoices

    PlatformSergas

    PlatformColegial

    Primary Prescription

    Specialist Prescription

    Hospitals Pharmacies

    Patient

    Prescription

    Screen

    New

    Prescription

    Details

    Applying

    Signature

    Prescription

    is Signed!Doctor

    logs in

    Signed

    Prescription

    Stored

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    Signing on Medical Records

    Povisa home-grown Medical Record application Based on Citrix platform

    Smart Card was not even an option, the only available

    approach could be central signing system

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    Diagnosis

    screen

    Patient

    Prescription

    Screen

    New

    Prescription

    Details

    Applying

    Signature

    Prescription

    is Signed!

    Signed

    Prescription

    Stored

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    New

    Prescription

    Details

    Applying

    Signature

    Prescription

    is Signed!

    Signed

    Prescription

    Stored

    Diagnosis

    screen

    Confirm

    diagnosis

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    Prescription

    is Signed!

    Signed

    Prescription

    Stored

    Confirm

    diagnosisApplying

    SignatureDiagnosis

    screen

    PDF is

    generated

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    Prescription

    is Signed!

    Signed

    Prescription

    Stored

    Confirm

    diagnosis

    PDF is

    generatedDiagnosis

    screen

    Applying

    Signature

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    Applying

    Signature

    Confirm

    diagnosis

    Signed

    diagnosis

    Stored

    PDF is

    generatedDiagnosis

    screen

    Diagnosis is

    Signed!

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    Applying

    Signature

    Confirm

    diagnosis

    Signed

    diagnosis

    Stored

    PDF is

    generatedDiagnosis

    screen

    Diagnosis is

    Signed!

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    CoSign in Italy

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    CoSign is THE leading Remote Digital Signature solution in Italy

    CoSign is compliant with Italian rules about digital signature

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    Thank you!

    Try CoSign for free today

    Visit www.arx.com to get your free CoSign trial