Security Module Card

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The Security Module Card is a chip unit in credit card format ( smart card ) that enables participation in the telematics infrastructure (TI) in the German healthcare system.

In general, an SMC type B in combination with a connector is required for access to the health network (telematics infrastructure). This is used to identify and authenticate the institution and to encrypt communication.

Card types

The SMC was available in two different forms:

  1. Type A only contains the keys to access a health card, as well as mechanisms to establish a secure connection between a health professional card (HPC) and an SMC. The SMC type A is typically used as a plug-in card in the card reader. (outdated)
  2. In addition to the functions of type A, type B also contains a certificate and key for the authentication of the institution in the telematics infrastructure, a certificate with a key for the signature of messages sent by this institution, as well as a certificate and key for encryption / Decryption of messages sent to this institution. The SMC type B is u. a. used by the connector.

Security Module Card type B

The Security Module Card Type B (abbreviated to SMC-B , also an electronic practice card ) is a chip unit in credit card format ( smart card ) that enables participation in the telematics infrastructure (TI) in the German healthcare system.

function

With the electronic practice card can hospitals , dental offices , medical offices , psychotherapists and pharmacies since December 2017 against the the public Internet designate independent telematics infrastructure as legitimate users and the online comparison of insurance data on the electronic health card (health card) the second generation (G2) with at Enter the data registered by the health insurance company ( insured master data management VSDM). The SMC-B is also intended for future applications such as reading out particularly protected data on the electronic health card.

The legal basis is § 291a and § 291b SGB V, with the 2015 German Bundestag adopted law for secure digital communication and healthcare applications and amendments to other laws in the Fifth Book of the Social Code had been inserted. The editors are the dental and statutory health insurance associations of the individual federal states .

technology

With the Security Module Card Type B card (SMC-B) , cardholders register as a medical facility so that the connector can establish a connection to the TI. The card is inserted into one of the card terminals when the TI technology is installed and activated via a PIN .

Card making

Bundesdruckerei GmbH with its subsidiary D-TRUST GmbH and medisign GmbH are among the approved providers .

history

The idea of ​​the SMC stems from the deliberations of the pharmacists who have identified that in the regular access to electronic prescriptions in a pharmacy, exclusive access only by the pharmacist is insufficient. The pharmacy staff must also be able to access the prescription. For this, either each employee would have to be provided with a personal card, which is associated with high costs. Alternatively, this authorization is given for a health care facility (e.g. the pharmacy), for which the owner is responsible, who in turn can give his employees access to it. A technical description of the SMC is contained in the specification of the health professional card, which u. a. by pharmacists, doctors, dentists and others.

According to the previous specifications of gematik GmbH, the presence of the SMC is always a prerequisite for access to all data of the telematics infrastructure.

The National Association of Statutory Health Insurance Physicians (for doctors, including private doctors), Werbe- und Vertriebsgesellschaft Deutscher Apotheker mbH (for pharmacists) and the Federal Association of Statutory Health Insurance Dentists (for dentists) will be responsible for issuing the SMC, which must ensure during the issuing process that only authorized persons can receive an SMC.

Web links

Individual evidence

  1. Telematics Infrastructure Website of the KBV , accessed on January 26, 2018
  2. Telematics Infrastructure Website of the Society for Telematics Applications of the Health Card Ltd , accessed on January 26, 2018
  3. a b c FAQ - Electronic practice card (SMC - B). (PDF) Bundesdruckerei, October 2017, p. 1 , archived from the original on January 24, 2018 ; accessed on January 24, 2018 .
  4. Praxisausweis (SMC-B) website of the Association of Statutory Health Insurance Dentists Berlin, accessed on January 25, 2018
  5. Electronic practice card website of the KZVB , accessed on January 25, 2018
  6. Law for secure digital communication and applications in the healthcare sector as well as amending other laws. (PDF) In: Federal Law Gazette 2015 Part I No. 54.Bundesanzeiger , December 28, 2015, accessed on January 24, 2018 .
  7. Law for secure digital communication and applications in the health sector as well as amending other laws DIP , accessed on January 26, 2018
  8. E-Health Information for Practice, KBV , January 2018
  9. IT in the doctor's practice - directory of the certified providers of a practice card (SMC-B) for statutory medical care. (PDF) National Association of Statutory Health Insurance Physicians, August 15, 2018, accessed on September 19, 2018 .
  10. Information for the practice - e-health - how the practice gets fit for the telematics infrastructure - interesting facts about equipment and financing. (PDF) National Association of Statutory Health Insurance Physicians, January 2018, p. 6 , archived from the original on January 24, 2018 ; accessed on January 24, 2018 .
  11. Information on the electronic practice card (SMC-B) from medisign. Retrieved September 19, 2018 .