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OPNsense for medical centres and hospitals

Medical devices that cannot be patched, Germany’s telematics infrastructure (TI), multiple sites and audit obligations: in healthcare, the firewall is the central tool for segmentation and evidence.

Requirements

Medical centre and hospital compared

Medical care centre (MVZ)

  • connecting several sites to a headquarters
  • integrating the TI connector cleanly
  • separating practice management, medical devices and guest Wi-Fi
  • secure remote access for doctors and administration
  • implementing the German IT security guideline for medical practices (§390 SGB V)

Hospital

  • segmenting medical technology, hospital IT and building services
  • high availability in a cluster, maintenance without downtime
  • requirements from B3S Krankenhaus (the sector-specific security standard for hospitals), KRITIS and NIS2
  • log evidence for audits and reporting obligations
  • remote maintenance for medical device manufacturers

Segmentation first

Protection is built into the network

Many medical devices run on old operating systems and must not be modified because of their certification. In that case, the network is the only protection.

SegmentExamplesPrinciple
Medical technologyimaging, laboratory, monitoringonly with PACS and HIS, no internet
TIconnector, card terminalsonly to TI endpoints and practice management
Hospital and practice IThospital information system, practice management system, workstationsrequired servers, internet via filter
Building servicesbuilding management, lifts, access controlstrictly isolated
Guests and patientsWi-Fiinternet only
Remote maintenancevendor accessVPN with 2FA, time-limited, logged

Evidence

Documented for auditors, monitored for emergencies

Audit-ready documentation

Network diagram, rule set, access logs and patch status, prepared so that you can use them directly in audits.

SIEM and 24/7 SOC

For facilities with reporting obligations, the firewall logs flow to NEOSEC. Attacks are detected before they become incidents.

SOC with NEOSEC

FAQ

Frequently asked questions

Does the firewall affect the TI connection?

No, if it is configured correctly. We know the communication relationships of the connector and card terminals and map them precisely.

What about medical devices without updates?

Segmentation is crucial precisely for these devices. They only talk to the systems they actually need.

Can manufacturers still carry out remote maintenance?

Yes, via VPN with 2FA, time-limited and logged. That is more secure than permanently open access.

Contact

Network segmentation for your organisation

We start with an inventory of your networks and device classes.

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