83 FR 21272 - National Cybersecurity Center of Excellence (NCCoE) Securing Picture Archiving and Communication System (PACS) Cybersecurity for the Healthcare Sector

DEPARTMENT OF COMMERCE
National Institute of Standards and Technology

Federal Register Volume 83, Issue 90 (May 9, 2018)

The National Institute of Standards and Technology (NIST) invites organizations to provide products and technical expertise to support and demonstrate security platforms for the Securing Picture Archiving and Communication System (PACS) Cybersecurity for the healthcare sector. This notice is the initial step for the National Cybersecurity Center of Excellence (NCCoE) in collaborating with technology companies to address cybersecurity challenges identified under the healthcare sector program. Participation in the use case is open to all interested organizations.

[Federal Register Volume 83, Number 90 (Wednesday, May 9, 2018)]
[Notices]
[Pages 21272-21274]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-09897]


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DEPARTMENT OF COMMERCE

National Institute of Standards and Technology

[Docket No. 180319295-8295-01]


National Cybersecurity Center of Excellence (NCCoE) Securing 
Picture Archiving and Communication System (PACS) Cybersecurity for the 
Healthcare Sector

AGENCY: National Institute of Standards and Technology, Department of 
Commerce.

ACTION: Notice.

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SUMMARY: The National Institute of Standards and Technology (NIST) 
invites organizations to provide products and technical expertise to 
support and demonstrate security platforms for the Securing Picture 
Archiving and Communication System (PACS) Cybersecurity for the 
healthcare sector. This notice is the initial step for the National 
Cybersecurity Center of Excellence (NCCoE) in collaborating with 
technology companies to address cybersecurity challenges identified 
under the healthcare sector program. Participation in the use case is 
open to all interested organizations.

DATES: Collaborative activities will commence as soon as enough 
completed and signed letters of interest have been returned to address 
all the necessary components and capabilities, but no earlier than June 
8, 2018.

ADDRESSES: The NCCoE is located at 9700 Great Seneca Highway, 
Rockville, MD 20850. Letters of interest must be submitted to 
[email protected] or via hardcopy to National Institute of Standards 
and Technology, NCCoE, 9700 Great Seneca Highway, Rockville, MD 20850. 
Organizations whose letters of interest are accepted in accordance with 
the process set forth in the SUPPLEMENTARY INFORMATION section of this 
notice will be asked to sign a consortium Cooperative Research and 
Development Agreement (CRADA) with NIST. An NCCoE consortium CRADA 
template can be found at: http://nccoe.nist.gov/node/138.

FOR FURTHER INFORMATION CONTACT: Andrea Arbelaez via email to 
[email protected]; by telephone 301-975-0214; or by mail to National 
Institute of Standards and Technology, NCCoE, 9700 Great Seneca 
Highway, Rockville, MD 20850. Additional details about the healthcare 
sector program are available at https://nccoe.nist.gov/projects/use-cases/health-it/pacs.

SUPPLEMENTARY INFORMATION: Interested parties must contact NIST to 
request a letter of interest template to be completed and submitted to 
NIST. Letters of interest will be accepted on a first come, first 
served basis. When the use case has been completed, NIST will post a 
notice on the NCCoE healthcare sector program website at https://nccoe.nist.gov/projects/use-cases/health-it/pacs announcing the 
completion of the use case and informing the public that it will no 
longer accept letters of interest for this use case.
    Background: The NCCoE, part of NIST, is a public-private 
collaboration for accelerating the widespread adoption of integrated 
cybersecurity tools and technologies. The NCCoE brings together experts 
from industry, government, and academia under one roof to develop 
practical, interoperable cybersecurity approaches that address the 
real-world needs of complex Information Technology (IT) systems. By 
accelerating dissemination and use of these integrated tools and 
technologies for protecting IT assets, the NCCoE will enhance trust in 
U.S. IT communications, data, and storage systems; reduce risk for 
companies and individuals using IT systems; and encourage development 
of innovative, job-creating cybersecurity products and services.
    Process: NIST is soliciting responses from all sources of relevant 
security capabilities (see below) to enter into a Cooperative Research 
and Development Agreement (CRADA) to provide products and technical 
expertise to support and demonstrate security platforms for the 
Securing Picture Archiving and Communication System (PACS) 
Cybersecurity for the healthcare sector. The full use case can be 
viewed at: https://nccoe.nist.gov/projects/use-cases/health-it/pacs.

[[Page 21273]]

    Interested parties should contact NIST using the information 
provided in the FOR FURTHER INFORMATION CONTACT section of this notice. 
NIST will then provide each interested party with a letter of interest 
template, which the party must complete, certify that it is accurate, 
and submit to NIST. NIST will contact interested parties if there are 
questions regarding the responsiveness of the letters of interest to 
the use case objective or requirements identified below. NIST will 
select participants who have submitted complete letters of interest on 
a first come, first served basis within each category of product 
components or capabilities listed below up to the number of 
participants in each category necessary to carry out this use case. 
However, there may be continuing opportunity to participate even after 
initial activity commences. Selected participants will be required to 
enter into a consortium CRADA with NIST (for reference, see ADDRESSES 
section above). NIST published a notice in the Federal Register on 
October 19, 2012 (77 FR 64314) inviting U.S. companies to enter into 
National Cybersecurity Excellence Partnerships (NCEPs) in furtherance 
of the NCCoE. For this demonstration project, NCEP partners will not be 
given priority for participation.

Use Case Objective

    To provide guidance and a referenceable architecture for securing 
the Picture Archiving and Communication System (PACS) ecosystem in 
Healthcare Delivery Organizations (HDOs), and to include an example 
solution using existing, commercially and open-source available 
cybersecurity products.
    A detailed description of the Securing Picture Archiving and 
Communication System (PACS) Cybersecurity for the healthcare sector is 
available at: https://nccoe.nist.gov/projects/use-cases/health-it/pacs.
    Requirements: Each responding organization's letter of interest 
should identify which security platform component(s) or capability(ies) 
it is offering. Letters of interest should not include company 
proprietary information, and all components and capabilities must be 
commercially available. Components are listed in section 2 of the 
Securing Picture Archiving and Communication System (PACS) 
Cybersecurity for the healthcare sector use case (for reference, please 
see the link in the PROCESS section above) and include, but are not 
limited to:

 PACS Servers, special applications (including web services), 
and workstations
 Vendor Neutral Archive (VNA)
 data storage
 modality or modality simulator
 radiology information system (RIS) or RIS simulator
 notification system
 Electronic Health Record (EHR)/Electronic Medical Record (EMR)
 load balancer
 managed service model and remote service connectivity
 certificate management
 authentication mechanism
 session management
 data encryption
 endpoint protection
    [cir] encryption
    [cir] malware/virus protection
    [cir] Host Intrusion Prevention System (HIPS)/Host Intrusion 
Detection System (HIDS)
 logging, monitoring, security information and event management 
(SIEM)
 network infrastructure controls
 asset management
 web services

    Each responding organization's letter of interest should identify 
how their products address one or more of the following desired 
security characteristics in section 2 of the Securing Picture Archiving 
and Communication System (PACS) Cybersecurity for the healthcare sector 
use case (for reference, please see the link in the PROCESS section 
above):
    The primary security functions and processes to be implemented for 
this project are listed below and are based on the NIST Cybersecurity 
Framework (CSF).

Identify (ID)

 Asset Management--includes identification of assets on network 
and management of the assets to be deployed to workstations
 Risk Assessment--includes risk management strategy

Protect (PR)

 Access Control--includes user account management, remote 
access
    [cir] controlling (and auditing) user accounts
    [cir] controlling (and auditing) access by external users
    [cir] enforcing least privilege for all (internal and external) 
users
    [cir] enforcing separation of duties policies
    [ssquf] Privileged Access Management (PAM) with an emphasis on the 
segregation of duties
    [cir] enforcing least functionality
 User Identification and Authentication
    [cir] multifactor authentication for the system that aligns with 
the sensitive information and function that PACS performs; NIST-
recommended algorithms; usability; impact on system performance; and 
raising the assurance profile, and higher NIST Special Publication (SP) 
800-63-3 levels, bring a higher level of assurance
    [cir] viable federated identity management
    [cir] credential management
 Data Security--includes data confidentiality, integrity, and 
availability
    [cir] securing and monitoring storage of data--includes data 
encryption (for data at rest)
    [ssquf] access control on data
    [ssquf] data-at-rest controls should implement some form of a data 
security manager that would allow for policy application to encrypted 
data, inclusive of access control policy
    [cir] securing the distribution of data--includes data encryption 
(for data in transit) and data loss prevention mechanism
    [cir] controls that promote data integrity
    [cir] cryptographic modules validated as meeting NIST Federal 
Information Processing Standard (FIPS) 140-2 are preferred
    [cir] physical security provided by an access controlled data 
center to host the PACS servers and storage
 Information Protection Processes and Procedures--includes data 
backup, endpoint protection for workstations
 Maintenance--local and remote maintenance
 Protective Technology--host-based intrusion prevention, 
solutions for malware (malicious code detection), audit logging, 
(automated) audit log review, and physical protection
 Communications and Network Security--communications and 
control networks are protected (e.g., firewall, network access control, 
network infrastructure controls)
    [cir] Securing and monitoring connections with the Health Delivery 
Organization (HDO) ecosystem
    [ssquf] Network segmentation
    [cir] Securing and monitoring connections to and from external 
systems

Detect (DE)

 Anomalies and Events--analysis of detected events (from logs, 
monitoring results, SIEM)
    [cir] Centralized mechanism to capture and analyze system and 
network events

[[Page 21274]]

 Security Continuous Monitoring--monitoring for unauthorized 
personnel, devices, software, connections
    [cir] vulnerability management--includes vulnerability scanning and 
remediation
    [cir] patch management
    [cir] system configuration security settings
    [cir] user account usage (local and remote) and user behavioral 
analytics

Respond (RS)

 Response Planning--response plan executed after an event, 
mitigation of security issues

Recover (RC)

 Recovery and Restoration--recovery and restoration activities 
executed after an event
    [cir] business continuity and business resumption processes
    [ssquf] In addition to restoration capability from archival media, 
the project should consider high availability and continuity for data 
storage. Implicitly, disk arrays used for image storage should have the 
capability to implement various Redundant Array of Independent Disks 
(RAID) configurations. RAID 0, 1, 5, 6, and 1+0 should be supported. 
Disk arrays should also be made available for cold or warm restore/
failover capability. Other data storage solutions that provide the same 
(or better) reliability and durability are considered.

    Responding organizations need to understand and, in their letters 
of interest, commit to provide:
    1. Access for all participants' project teams to component 
interfaces and the organization's experts necessary to make functional 
connections among security platform components
    2. Support for development and demonstration of the Securing 
Picture Archiving and Communication System (PACS) Cybersecurity for the 
healthcare sector use case in NCCoE facilities which will be conducted 
in a manner consistent with the following standards and guidance: FIPS 
200, FIPS 201, SP 800-53 and FIPS 140-2, SP 800-30, SP 800-37, SP 800-
39, SP 800-41, SP 800-52, SP 800-57, SP 800-63-3, SP 800-66, SP 800-77, 
SP 800-95, SP 800-144, SP 800-146, SP 800-171, SP 800-181, ISO 
12052:2011 Health Informatics--Digital Imaging and Communication in 
Medicine (DICOM) including Workflow and Data Management, AAMI TIR57, 
ANSI/AAMI/IEC 80001-1:2010, IEC Technical Report 80001-2-1, IEC 
Technical Report 80001-2-2, internet Engineering Task Force Request for 
Comments 4301, Food & Drug Administration (FDA) Content of Premarket 
Submissions for Management of Cybersecurity in Medical Devices, FDA 
Postmark Management of Cybersecurity in Medical Devices, FDA Guidance 
for Industry--Cybersecurity for Networked Medical Devices Containing 
Off-the-Shelf Software, FDA Guidance for Submission of Premarket 
Notifications for Medical Image Management Devices, FDA Medical Device 
Data Systems, Medical Image Storage Devices, Medical Image 
Communications Device, Department of Health & Human Services Office for 
Civil Rights Health Insurance Portability and Accountability Act 
Security Rule Crosswalk to NIST Cybersecurity Framework, Department of 
Homeland Security Attack Surface: Healthcare and Public Sector, 
Integrating the Healthcare Enterprise Radiology Technical Framework.
    Additional details about the Securing Picture Archiving and 
Communication System (PACS) Cybersecurity for the healthcare sector use 
case are available at: https://nccoe.nist.gov/projects/use-cases/health-it/pacs.
    NIST cannot guarantee that all of the products proposed by 
respondents will be used in the demonstration. Each prospective 
participant will be expected to work collaboratively with NIST staff 
and other project participants under the terms of the consortium CRADA 
in the development of the Securing Picture Archiving and Communication 
System (PACS) Cybersecurity for the healthcare sector capability. 
Prospective participants' contribution to the collaborative effort will 
include assistance in establishing the necessary interface 
functionality, connection and set-up capabilities and procedures, 
demonstration harnesses, environmental and safety conditions for use, 
integrated platform user instructions, and demonstration plans and 
scripts necessary to demonstrate the desired capabilities. Each 
participant will train NIST personnel, as necessary, to operate its 
product in capability demonstrations to the healthcare community. 
Following successful demonstrations, NIST will publish a description of 
the security platform and its performance characteristics sufficient to 
permit other organizations to develop and deploy security platforms 
that meet the security objectives of the Securing Picture Archiving and 
Communication System (PACS) Cybersecurity for the healthcare sector use 
case. These descriptions will be public information.
    Under the terms of the consortium CRADA, NIST will support 
development of interfaces among participants' products by providing IT 
infrastructure, laboratory facilities, office facilities, collaboration 
facilities, and staff support to component composition, security 
platform documentation, and demonstration activities.
    The dates of the demonstration of the Securing Picture Archiving 
and Communication System (PACS) Cybersecurity for the healthcare sector 
capability will be announced on the NCCoE website at least two weeks in 
advance at http://nccoe.nist.gov/. The expected outcome of the 
demonstration is to improve securing picture archiving and 
communications system (PACS) cybersecurity across an entire healthcare 
sector enterprise. Participating organizations will gain from the 
knowledge that their products are interoperable with other 
participants' offerings.
    For additional information on the NCCoE governance, business 
processes, and NCCoE operational structure, visit the NCCoE website 
http://nccoe.nist.gov/.

Kevin A. Kimball,
Chief of Staff.
[FR Doc. 2018-09897 Filed 5-8-18; 8:45 am]
 BILLING CODE 3510-13-P