CN1759413A

CN1759413A - System for accessing patient information

Info

Publication number: CN1759413A
Application number: CNA2004800067222A
Authority: CN
Inventors: J·R·扎莱斯基; B·劳伦斯
Original assignee: Siemens Medical Solutions Health Services Corp
Current assignee: Siemens Medical Solutions USA Inc
Priority date: 2003-03-13
Filing date: 2004-02-26
Publication date: 2006-04-12

Abstract

Certain exemplary embodiments provide a system for accessing patient medical information in a network. The network comprises a plurality of servers. Certain exemplary embodiments of the network further comprise a repository including patient identifiers and associated server identifiers for use in identifying one or more servers that store medical information associated with a particular patient. To respond to a received command or request to display a particular patient's medical information, certain exemplary embodiments of the network comprise a search processor for initiating a search of the repository to locate a particular server identifier associated with an identifier of a particular patient. To respond to a user command, certain exemplary embodiments of the network comprise an interface processor for generating a uniform resource locator (URL) address incorporating a located particular server identifier in a data field and for initiating a request to access stored medical information of a particular patient at a generated URL address hosted by a server.

Description

The system of patient access information

The cross reference of relevant application

The interim application sequence number that awaits the reply that the application requires to submit on March 13rd, 2003 is the priority of 60/454.278 (applicant's file number is 03P03690US).

Background technology

Known product provides a kind of network viewer for patient's life data. In order to show specific patient's life data through described network viewer, the user typically needs to provide a series of identifiers, and this identifier comprises position that ID, user cipher, patient's name, patient's identification code, server and/or patient's life data are resident etc. Yet often the user does not know that one or more is used to access the needed identifier of such life data, because such information is generally maintained in the clinical setting when seeking medical advice at least in part. In addition, the temporary transient circulation of such data also is debatable. In some known product, the data that the user obtains and/or case history can not reflect real-time patient information exactly.

Summary of the invention

It is a kind of for the system in the network accessing patient medical information that some exemplary embodiment provides. Described network comprises a plurality of servers. Some exemplary embodiment of network also comprises storage vault, and described storage vault comprises patient's identifier and be used for sign that one or more stores the identifier server that is associated of the server of the medical information that is associated with specific patient. Order or request for the medical information that responds the specific patient of demonstration who receives, some exemplary embodiment of network comprises search processor, be used for initiating the search of described storage vault, to locate the particular server identifier that is associated with specific patient's identifier. In order to respond user command, some exemplary embodiment of network comprises interface processor, be attached to URL (URL) address in the data field for generation of the particular server identifier of will locate, and be used for initiating the specific patient's who stores at the place, the URL address that produces that access managed on behalf of another by server the request of medical information.

Description of drawings

Can understand better possible widely embodiment with accompanying drawing in the following detailed description, in the accompanying drawings:

Fig. 1 is the exemplary embodiment for the system of patient access information;

Fig. 2 is the block diagram for the exemplary embodiment of the massaging device of patient access information;

Fig. 3 is the exemplary embodiment of supporting the user interface of the operation that is associated with system for patient access information;

Fig. 4 is the exemplary embodiment of supporting the user interface of the operation that is associated with system for patient access information;

Fig. 5 is the exemplary embodiment of supporting the user interface of the operation that is associated with system for patient access information;

Fig. 6 is the exemplary embodiment of supporting the user interface of the operation that is associated with system for patient access information;

Fig. 7 is the flow chart for the exemplary embodiment of the method for the system that is used for patient access information; And

Fig. 8 is the flow chart for the exemplary embodiment of the method for the system that is used for patient access information.

Definition

When this uses following term, applicable appended definition:

Database-one or more structuring persistent data set is associated with the software of renewal and data query usually. Simple database can be the Single document that contains many records, and each of described record come structuring with identical field group. Database can comprise mapping, wherein according to organizing various identifiers such as the various factors of the position on identity, physical location, the network, function etc.

Link on the function link-page, allow the user by such as beating keyboard or the action clicking the mouse activate this functional chain and fetch the specific function of access. The activation of function link can occur through " individual part ", as used herein described individual part refer to can mobilizing function any individual part, such as mouse click, mouse hits live link, keyboard beats, pen beats, point and beat or signal, (beginning the lasting scheduled time in predetermined screen position) voice signal and/or its any equivalent things.

Identifier-to a group code of specific entity, activity and/or file uniqueness. For example, identifier can be medical record number. Identifier can be the people and/or machine-readable, such as number, alphabetic string, bar code, RFID etc.

The specific patient's of patient identifier-health institution identifier. Patient's identifier can be SSN, taxpayer ID number, national ID number, medical treatment number, medical subsidy number, medical insurance ID number, medical record number etc.

The identifier of identifier server-particular server that one or more patient monitoring device is linked to.

The specific user's of user identifier-device described herein and/or system identifier.

The device of massaging device-can process information, such as any general and/or special-purpose computer, such as personal computer, work station, server, minicom, mainframe, supercomputer, terminal, kneetop computer, phone and/or its any equivalent things etc.

Interface-two independently system is crossed over the border that it joins and interacts or communicate by letter. In order to connect or reciprocation by means of interface.

The memory of machine readable medium-can be read by massaging device.

Memory-can store the device of simulation or digital information, for example nonvolatile memory, volatile memory, random access memory (RAM), read-only storage (ROM), flash memory, magnetizing mediums, hard disk, floppy disk, tape, light medium, CD, compact disk, CD, digital general dish, DVD and/or RAID array etc. Described memory can be coupled to processor and can store and adapt to the instruction of carrying out by according to the processor of the embodiment disclosed herein.

Network-wired and/or cordless communication network.

Network interface-phone, cellular phone, cellular modem, phone data modem, fax modem, wireless wireless set, Ethernet card, cable modem, digital subscriber line interface, bridge, hub, router, perhaps other similar device.

The patient-Yin the health care people that supervised of purpose or the animal of other type.

Patient information-with patient's medical treatment and/or the relevant information for the treatment of, comprise real-time life, biological and/or physiological data, relevant with life, biological and/or physiological data near real-time data and/or past medical history data, blood pressure parameter, ventilation parameter, vital signs parameter, the parameter that represents blood oxygen concentration, and feeding infusion pump parameter, drop medicine relevant parameter, parameter of vim and vigour, insurance information, health worker's information, health institution's information, bill information, family information, financial information, treatment information, drug information and/or any equivalent things etc. of being correlated with.

The device of patient monitoring device-can collect, demonstration and/or relaying patient information.

Processor-for device and/or the machine readable instruction group of executing the task. Processor comprises any one in hardware, firmware and/or the software or makes up. Processor comes effect information by manipulation, analysis, modification, conversion, transmission information, uses and/or route information to output device for executable program and/or massaging device. Processor can use the ability of controller.

Server-for providing certain professional massaging device through network connection to its out of Memory device. Common example is file server, and described file server has this domain and provides service to the request of remote client's machine read and write file on this dish. Server can also provide such as access of the resource of program, sharing means etc.

Client computer-massaging device and/or the process of operation thereon, the response that it uses process (" server ") professional of certain another massaging device of agreement request or operation thereon and accepts server. Client computer is the part of client-server software configuration. For example, the computer from the content of file server demand file is the client computer of this document server.

Thin client-relatively simple client program and/or hardware unit mainly depends on server for its most abilities. Use that standard web browser shows also comprise or the webpage of plain text, HTML, script or simple object (such as ActiveX composition or Jave applet) represents this type of other exemplary embodiment.

URL (URL)-in the internet, network and/or the server that is connected thereto are specified the standard mode such as the position of the object of webpage. URL can comprise the data field that contains one or more identifier.

User interface-be used for is presented information to the user and/or from device and/or the program of user request information. User interface can comprise element text, figure, audio frequency, video, animation and/or sense of touch.

User-can utilize the individuality for the system of patient access information.

The measurement of any biological and/or physiological processes in the body of vital signs-work. Exemplary embodiments life, biological and/or physiological data can comprise heart rate, body temperature, vim and vigour, red-cell count, white blood cell state, respiratory capacity, the respiratory rate with the patient, and/or the patient information that is associated of its any equivalent things.

The specific embodiment

Some exemplary embodiment is provided for the system of patient access information in network. Be used for comprising user interface at some embodiment of the system of network patient access information, described user interface is coupled with the processing method that makes it possible to link through based on network URL startup thin client life viewer from the clinical interview application program. Some exemplary embodiment of described system is accepted the input of patient's identifier and/or the user's authentication information such as address name and password. The input of patient's identifier triggers described system and automatically starts the correct life viewer that comprises the information that belongs to the patient who is associated with patient's identifier of accepting from the host server that is positioned at hospital's clinic information system. Some exemplary embodiment that is used for the system of patient access information is automatically verified a plurality of servers, in order to provide patient information for the user. By polling server, create and keep the public database of identifier of patient's identifier and patient's the resident server thereon of information. Through user interface, described patient information extracts by the application program based on browser of utilizing identifier to start such as the life viewer.

Fig. 1 is the exemplary embodiment for the system 100 of patient access information. Some exemplary embodiment of system 100 comprises a plurality of patient monitoring devices 110. Patient and one or more patient monitoring device are coupled. Patient monitoring device 110 is coupled to one or more server 120. Server 120 comprises one or more processor 125. Processor 125 is carried out any function, the information of collecting such as collection information from the patient monitoring device 110 that is associated, according to patient and/or patient monitoring device identifier tissue, receives the request that is stored in the identifier in the server 120, sends information, executive system maintenance, authorized user access system 100 and/or its any equivalent things of asking etc.

In some exemplary embodiment of system 100, server 120 is coupled to repository service device 130. Some exemplary embodiment of repository service device 130 comprises storage vault 140. Storage vault 140 comprises the function of the database of keeping all patient's tabulations of being combined with its supervising device separately. The example utilization that is used for the system 100 of patient access information is stored in patient's identifier and the identifier server of storage vault 140. Repository service device 130 comprises one or more processor 135. Processor 135 comprises search processor, interface processor, Acquisition Processor, video-stream processor, licenses Processor and/or its any equivalent things, etc.

Use any suitable access means 150, the user is through repository service device 130, storage vault 140 and/or server 120 patient access information. Access means 150 is any general and/or special-purpose massaging devices. The network connection of system 100 is wired and/or wireless connection and/or communication networks. Some exemplary embodiment of system 100 be cryptoguard and/or use network security measure such as the standard of password and data encryption, fire wall, virus protection, and/or its any equivalent things, etc.

Fig. 2 is the block diagram of the exemplary embodiment of massaging device 200, and described massaging device is for example patient monitoring device 110, server 120, repository service device 130, storage vault 140 and/or the access means 150 of representative graph 1 in some operation embodiment. Massaging device 200 comprises any a plurality of known parts, such as one or more network interface 210, one or more processor 220, one or more contains the memory 230, one or more I/O (I/O) device 250 of instruction 240 and/or one or more is coupled to user interface 260 of I/O device 250 etc.

Some exemplary embodiment of massaging device 200 comprises user interface 260. User interface 260 shows patient information. User interface 260 also present for massaging device 200 interactive instructions. In some exemplary embodiment,

user interface

260 and 250 collaborative works of one or more I/O (I/O) device. Reciprocation between user interface 260 and I/O device 250 allows user's request, collection, tissue, observation and/or relaying patient information etc. Some exemplary embodiment of I/O device 250 is automatically collected, request, relaying, show and/or organize patient information etc. In some exemplary embodiment, through one or more user interface 260, such as the user interface of figure, the user provides the URL of interested patient monitoring device and/or the current location information that reception relates to interested patient monitoring device.

Some exemplary embodiment of massaging device 200 comprises patient information, and described patient information comprises collect real-time from the out of Memory device such as patient monitoring device and the server that is associated thereof, near real-time or patient data previously. In some exemplary embodiment, patient information is stored in the memory 230. Some exemplary embodiment of memory 230 comprises patient's identifier and the tabulation of the identifier server that is associated. Data in instruction 240 diode-capacitor storages 230 of massaging device 200 and correct collection and the tissue of information. Instruction 240 is stored in one or more dissimilar memory.

Some exemplary embodiment of massaging device 200 comprises one or more processor 220. The exemplary embodiment of processor 220 is search processors. In response to the order that receives, processor 220 is initiated the search of memory 230. The order that receives can be Client-initiated, or by the user or by the event of the timing of software scheduling. Processor 220 search patient's identifier and identifier servers. Some each server of exemplary embodiment poll of processor 220 is to identify the patient who is connected with the patient monitoring device that is linked to one or more server. Polling procedure is automatic event and/or the event of dispatching. Replacedly, user command processor 220 is initiated search. In certain embodiments, processor 220 provides the current just monitored notice before the user attempts to access this patient's medical information whether about specific patient. For patient access information, the user does not need to know specific patient's particular location.

The exemplary embodiment of processor 220 is interface processors. Thereby some exemplary embodiment of processor 220 is coordinated the response for the user command of patient information. Processor 220 produces the URL address that is used for accessing the information of asking. Suitable patient's identifier and the identifier server of some exemplary embodiment utilization of processor 220 produces URL. When activating URL, processor 220 initiates to collect the information of asking. In addition, processor 220 transmits the information of collecting through user interface 260 and/or I/O device 250. In some exemplary embodiment, processor 220 is judged whether patient's identifier of asking and/or the identifier server that is associated are present in the network and initiate to produce and is transmitted whether available message of the identifier of asking. If there be not patient's identifier and/or the identifier server of asking in the network that is associated, some exemplary embodiment of processor 220 forbids initiating the request of accessing patient medical information.

The exemplary embodiment of processor 220 is Acquisition Processors. Thereby some exemplary embodiment collection of processor 220 and/or the tabulation of editor patient's identifier and identifier server are to be stored in the memory 230. Some exemplary embodiment of processor 220 collects the data of other form from a plurality of I/O devices 250 and/or user interface 260, such as patient's vital signs data, patient's medical history, bill information and/or any suitable patient information. In some exemplary embodiment, the acquisition function of processor 220 is automatically and/or is scheduled. Replacedly, user artificially command processor 220 is carried out various tasks. Some exemplary embodiment of processor 220 periodically and/or a plurality of different servers of ground inquiry aperiodic, with the data of editor's indication patient's identifier and the identifier server that is associated to be stored in the described storage vault. Some exemplary embodiment of processor 220 is come periodically in response to the input that identifies a plurality of different servers and/or a plurality of different servers of ground inquiry aperiodic. The exemplary embodiment of input is to identify any data mode or the record of a plurality of identifiers.

The exemplary embodiment of processor 220 is video-stream processors. Thereby, some exemplary embodiment of processor 220 initiate and/or keep various forms of demonstrations data, show such as data text and/or figure such as the patient information of EKG waveform on the user interface 260.

The exemplary embodiment of processor 220 is licenses Processors. Thereby some exemplary embodiment authentication of users of processor 220 is authorized to access the patient information in the network that is stored in one or more massaging device 200 and/or is comprised of a plurality of massaging devices 200. If the user is not authorized to patient access information, then processor 220 stops visit information device 200, and in some exemplary embodiment, processor 220 is initiated the message that this access is forbidden in indication. Replacedly, if the user is authorized to visit information device 200, then processor 220 is initiated the communication to the user of indication successful access.

Some exemplary embodiment of massaging device 200 comprises network interface 210. Network interface 210 allows through wired and/or wireless network and other massaging device 200 reciprocations.

Fig. 3 is the exemplary embodiment of supporting the user interface 300 of the operation that is associated with system for patient access information. Some exemplary embodiment right and wrong of user interface 300 are based on the executable application programs of browser, and described application program is configured to collect information through network. Some exemplary embodiment of executable application program is supported through clinical interview application access patient information, described clinical interview application program comprises user interface 300 and the processing method of internet compatibility, thereby makes it possible to start thin client life viewer through based on network URL link. Some exemplary embodiment of user interface 300 is observed via the browser page of URL address 330 signs and/or is presented. URL address 330 comprises the data field that contains various identifiers.

Some exemplary embodiment of user interface 300 comprises login screen 310. Login screen 310 comprises login feature 320. Some exemplary embodiment of login feature 320 comprises the username and password system of standard. Thereby login feature 320 is accepted user's name and password, is used for the system of patient access information to allow access. Replacedly, login feature 320 is accepted the input of patient's identifier. In some exemplary embodiment, the input of patient's identifier causes presenting from the correct life viewer of the host server that is positioned at hospital's clinic information system.

Some exemplary embodiment of login screen 310 comprises one or more user interface element, links 350 such as button 330, function link 340 and/or icon. Excited users interface element 330,350 and/or function link 340 cause such as starting window independently, forward the user to another window and/or starting any action of new application program etc.

Fig. 4 is the exemplary embodiment of supporting the user interface 400 of the operation that is associated with system for patient access information. User interface 400 presents patient information and observes 410. Patient information is observed some exemplary embodiment of 410 and is comprised that the patient tabulates 450, one or more function link 440 and/or one or more scroll through menus 460. Select different screens to observe by clicking page label 430. Some exemplary embodiment of overview observation 410 is included in the sub-screen in the user interface 400. It is static that thereby some characteristic of user interface 400 keeps, such as user identifier 420 and/or such as printing function link icon or nullify the various functions links 470 of hyperlink.

The patient tabulates, and some exemplary embodiment of 450 comprises the patient's name and the tabulation of the patient information that is associated. Patient information comprises name, age, sex, address and/or vital signs data etc. Some exemplary embodiment of patient's name covers the function link of other patient information. In some exemplary embodiment, the patient's name is associated with figure sheet icon 455. In some exemplary embodiment, the user of figure sheet icon 455 selects to allow to access any patient information that finds in traditional patient records.

Fig. 5 is the exemplary embodiment of supporting the user interface 500 of the operation that is associated with system for patient access information. User interface 500 comprises patient information and observes 510. In some exemplary embodiment, patient's name's selection starts detailed patient and observes 520. Detailed patient observes 520 and comprises additional patient information, the patient monitoring device such as id number, vital signs, physiological data, the current patient of adding to, the patient information of the past, and/or its any equivalent things, etc. Detailed patient observes some exemplary embodiment of 520 and also covers function link for the application program of managing patient supervising device. For example, the user selects IV drop icon, so that access makes it possible to regulate the user interface of IV drop parameter. Detailed patient observes some exemplary embodiment of 520 and comprises various rolling functions 530, so that can observe more data.

Fig. 6 is the exemplary embodiment of supporting the user interface 600 of the operation that is associated with system for patient access information. Some exemplary embodiment of user interface 600 comprises patient's life viewer 610. Patient's life viewer 610 comprises patient's any vital signs and/or physiology information 620,650. Patient's life viewer 610 comprises one or more sub-screen 630,640, and described sub-screen comprises scroll bar. Such structure allows the user in the more information of single patient life viewer 610 interior access.

Some exemplary embodiment of information 620 comprises real-time and/or near real-time physiology information. The information 620, the 650th that presents in patient's life viewer 610, the result of the data of from patient monitoring device, collecting and/or by the result of healthcare provider in the data of when nursing input. Information 620 usefulness text representations are to the user. Some exemplary embodiment of information 650 comprises graphical information, such as the vestige of electrical activity of indication brain. Information 620,650 also comprises patient data former text and/or figure and/or information.

Fig. 7 is the flow chart for the exemplary embodiment of the method 700 of the system that is used for patient access information. In action 710, receive order. Some exemplary embodiment of order comprises for collecting the patient's identifier be associated with specific patient and/or the instruction of identifier server. Order is automatically produced or is initiated by the user artificially.

In action 720, collect identifier to be stored in the storage vault. In some exemplary embodiment, patient's identifier is specified has the patient who is stored in the patient information in the patient information management system. The identifier server that is associated is used to specify patient's information to be stored thereon one or more server. At action 730, location identifier. According to the systematic collection of any mechanism with organize identifier. In some exemplary embodiment, the repository service device uses processor, such as collection, search, network, demonstration, mandate and/or interface processor, to gather and/or to organize patient's identifier and its identifier server that is associated. Described identifier be stored in one or more server and or storage vault in. In some exemplary embodiment, storage vault comprises the mapping of the identifier server link that patient's identifier is associated with it, so that sign is managed on behalf of another (host) for the server of specific patient's medical information. Thereby various polling procedure retrievals are attached to effective patient's of the patient monitoring device that links with server tabulation, and create chief series table and/or mapping in from then on collecting. Constantly and automatically upgrade described mapping, so that can be in conjunction with the variation in any patient parameter of monitoring, thereby eliminate out-of-date patient information.

In action 740, produce URL. Described URL is attached to patient's identifier and/or identifier server in the url data field. In action 750, process the request of visit information. In some exemplary embodiment, in network, retrieve patient information in conjunction with the URL address permission of patient's identifier and one or more identifier server that is associated through browser.

Fig. 8 illustrates the flow chart for the exemplary embodiment of the method 800 of the system that is used for patient access information. In action 810, carry out the search of at least one data source, so that position patient identifier and any identifier server that is associated. In some exemplary embodiment, described search is the result of automatic instruction. Replacedly, the user is through initiating search by the order of user interface input. In action 820, from described search, produce the URL address and identifier server and/or patient's identifier are attached in its data field.

In action 830, receive the request of the patient information at place, access URL address. In some exemplary embodiment, described request fetches generation by user's click function chain. Replacedly, the user inputs user identifier, in order to produce the patient's who is associated with this user tabulation. In some exemplary embodiment, the user also inputs patient's identifier, in order to produce the request of accessing the information that is associated with this specific patient.

In action 840, transmit this patient information, to be presented on the user interface. The transmission of patient information allows the user to ask real-time and/or near real-time patient information. In action 850, through user interface patient information is shown to the user. In some exemplary embodiment, if patient's identifier utilizes storage vault and/or server to find, just start the life viewer and present in webpage to the user, observe patient information this netpage user. If patient's identifier is replicated on a plurality of servers, then user interface is shown to described user with this information. If do not find the patient's identifier that is equal to, then suitable message be shown to the user. For patient access information, the user needn't input patient position, such as physical location or the position in network.

Some exemplary embodiment that is used for the system of patient access information is included in the interior URL of clinical client applications and calls: http: //＜host_server_name_or_IP _ Address 〉/WinViewFrontEnd/WVBootAgent.asp. Described URL call by physics be mapped on the gateway server C: Inetpub wwwRoot on the file WVBootAgent.asp in the WinViewFrontEnd catalogue.

Some exemplary embodiment that is used for the system of patient access information comprises WVBootAgent.asp. This page utilizes following parameter to call: http: //＜host_server_name_or_1P_Address 〉/WinViewFrontEnd/W VBootAgent.asp? Login=guest﹠PID=xxxxxxxxwvyz﹠Pwd=winview. Code for this comprises:

<％@Language＝VBScript％>

<HTML>

<HEAD>

</HEAD>

<％

dim urlParameterl

dim urlParameter2

dim urlParameter3

dim urlParameter4

urlParameter1＝trim(request(″PID″))

urlParameter2＝trim(request(″Login″))

urlParameter3＝trim(request(″Pwd″))

URLValue＝″checkPID.asp？PID＝″

URLValue＝URLValue & urlParameter1

URLValue＝URLValue & ″&Login＝″& urlParameter2 & ″&Pwd＝″& urlParameter3

Response.Write(″<SCRIPT language＝’JavaScript’>″)

Response.Write(″top.open(″′&URLValue&″′)″)

Response.Write(″<SCRIPT>″)

％>

<CENTER><h3>WinView Boot Agent</h3></CENTER>

</BODY>

</HTML>

Some exemplary embodiment that is used for the system of patient access information can comprise checkPID.asp. From invoking page: extract PID, Login and Pwd the WVBootAgent.asp. Code for checkPID.asp comprises:

<HTML>

<％@Language＝VBScript％>

<BODY>

<％

dim gatewayAmount

dim gatewayArray(10)

dim URLValue

dim temp

dim temp2

dim pidString

dim urlPID

dim urlUser

dim urlLogin

dim urlPwd

urlPID＝trim(request(″PID″))

urlLogin＝trim(request(″Login″))

urlPwd＝trim(request(″Pwd″))

Rem*****************************

Rem* creates file system object for read and write.

Rem*****************************

et fs＝CreateObject(″Scripting.FileSystemObject″)

Rem*****************************

Rem* is for reading and writing, interpolation data defining constant.

Rem*****************************

Const ForReading＝1，ForWriting＝2，ForAppending＝8

Rem*****************************

The PID that the tabulation of Rem* and Pids is more current

Rem*****************************

In checkPID.asp, pid_info.inf comprises patient Id and the file of the artificial establishment of the tabulation of the gateway server that is associated. Typically keep (that is to say renewal) this document for each gateway. The code of checkPID.asp also comprises:

    Response.Write(″＜BR＞″)

    set f＝fs.OpenTextFile
    (″C：\SecureFiles\WinViewFE\pid_info.inf″，ForReading，
    false)

    IF f.ReadLine＝″PID_INFO FILE＝＝D0 NOT MODIFY″THEN

         gateWayAmount＝0

          WHILE NOT f.AtEndOfStream

             temp＝f.ReadLine

             pos1＝Instr(1，TEMP，″＝″，0)

             IF pos1＞0 THEN

                 temp2＝Mid(temp，pos1+1，len(temp))

                 temp＝Mid(temp，1，pos1)

                 pos2＝Instr(1，temp，″\\″，0)

                 IF pos2＞0 THEN

                     temp＝Mid(temp，pos2+2，len(temp))

                     pos3＝Instr(1，temp，“\”，0)

                     IF pos3＞0 THEN

                         temp＝Mid(temp，1，pos3-1)

                     END IF

                 END IF
				<!-- SIPO <DP n="13"> -->
				<dp n="d13"/>
                 IF temp2＝urlPID THEN

                     gatewayArray(gatewayAmount)＝temp

                     gatewayAmount＝gatewayAmount+1

                 END IF

             END IF

        WEND

    END IF

In some exemplary embodiment of checkPID.asp, if utilize this patient ID (PID) only to find a gateway server, all are all good so, and next step is to call the ActiveX page of the reality that starts winwebviewer. The code of checkPID.asp also comprises:

    Rem**************************************

    Rem*PID，，

    Rem*，PID

    Rem*

    Rem**************************************

    IF gatewayAmount＝1 THEN

        URLValue   ＝  “http：//”  &amp;   gatewayArray(0)    &amp;
“/zeus4panel/index1.htm？Serv＝”

        URLValue ＝ URLValue &amp; gatewayArray(0) &amp;“&amp;Login＝”&amp;
urlLogin

        URLValue ＝ URLValue &amp;“&amp;Pwd＝”&amp;urlPwd&amp;“&amp;PatID＝”&amp;
urlPID

        Response.Redirect URLValue

        Response.end

    ELSEIF gatewayAmount＞1 THEN

        Response.Write(“＜B＞＜FONT  FACE＝COURIER  SIZE＝2＞PID
found on more than one gateway server＜BR＞”)

        Response.Write(“Please Choose the gateway Server to
use＜/FONT＞＜/B＞＜BR＞＜BR＞”)

    For 1＝0 to gatewayAmonunt-1

        Response.Write(“＜A href＝‘http：//”&amp; gatewayArray(0)
&amp;“/zeus4panel/index1.htm？Serv＝”&amp; gatewayArray(1)&amp;
				<!-- SIPO <DP n="14"> -->
				<dp n="d14"/>
              “&amp;Login＝”&amp; urlLogin &amp;“&amp;Pwd＝”&amp; urlPwd &amp;
“&amp;PatID＝”&amp; urlPID &amp;“’＞Server：”&amp; gatewayArray(1) &amp;
“＜/A＞＜BR＞”)

    Next

    ELSE

             Response.Write(“＜B＞＜FONT    FACE＝COURIER
SIZE＝2＞PID NOT found on any gateway server

             Server＜/FONT＞＜BR＞＜/B＞”)

    END IF

    ％＞

    ＜/BODY＞

    ＜/HTML＞

Some exemplary embodiment for the system that accesses medical information comprises GatewayPIDListener ReadMe file, and described file comprises:

WinView Boot Agent

WinViewBootReadMe.txt

＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝

＝＝＝＝

Foreword

＝＝＝＝

Request:

One or more gateway servers create ptlist.txt

The catalogue of sharing comprises by GatewayPidListener java application program, the webserver (recommending IIS), the addressable ptlist.txt of WinView viewer

Recommend:

Java sdk (if need to would update, recommend java version 1.4.1)

Purpose: if just allow access WinWeb life viewer from clinical message reference application program in order to obtain patient's life value.

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Decompress(ion)

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C dish at you creates the catalogue that is called SecureFiles.

WinViewBoot.zip is unziped under this catalogue.

To create two catalogues (WinViewFE and WebRoot)

You will need or by making it become virtual directory (IIS) or it being copied under the addressable catalogue of network so that WebRoot can obtain from the webserver.

Attention: if you unzip to WinViewBoot.zip under any other catalogue, then your following code that usually will revise in the following .ASP page is capable:

C: SecureFiles WinViewFE pid_info.inf-the 35th row among the checkPID.asp

C: SecureFiles WinViewFE wvpassword.txt-the 29th row among the ProcessPassword.asp

Edit these, suitable path is covered in these two files.

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Install

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GateWayList.txt

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This file is positioned under the WinViewFE catalogue. You utilize you to want the tram of the ptlist.txt file on each gateway server of poll to revise this file. For the java application program of our Internet access, ptlist.txt can visit from network drive.

Please do not edit the first row:

Use lower column format for the ptlist.txt position:

[ip address/server name] [directory name that comprises ptlist.txt] ptlist.txt

For example:

\\Gateway1\vs files\ptlist.txt

wvpassword.txt

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This file is positioned under the WinViewFE catalogue. You utilize you to want to revise this file with the correct username and password of WVLogin.asp page usefulness.

This file comprises the username and password of lower column format:

[user name] [password]

For example:

MyName MyPassword

(note: this moment, name did not contain any space)

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Use WinViewBoot Agent

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From clinical message reference application program

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WVBootAgent.asp can visit from the webserver.

When calling, comprise following parameter: PID, USER to the link from the WVBootAgent.asp of clinical message reference application program

Be additionally noted that and also will utilize other clinical message reference application program operations.

PID will comprise the PID that attempts observed patient.

USER will comprise and will be used to access the user name of viewer.

Come the server of self-contained GatewayPidListener java application program

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In order to move GatewayPidListener, determine that GateWayList.txt and GatewayListener.bat file and GatewayListener.class file are under identical catalogue. (note: these files should be positioned under the WinViewFE catalogue)

Carry out the GatewayListener.bat file, this will start java application program and this application program gateway server that poll is concrete.

Some exemplary embodiment for the system that accesses medical information comprises GatewayPIDListener.java. This code comprises:

    import java.io.*；

    import java.awt.*；

    import java.net.*；

    import java.lang.*；

    import java.util.*；

    import java.lang.Math；

    import java.util.Random；

    import java.text.*；

    import java.util.Vector；

    public class GatewayPidListener extends Thread implements
Runnable

    {

        private           String        ListFileName       ＝
“GateWayList.txt”；//GateWayList.txt

        private String outputFileName＝“pid_info.inf”；//


        private int PollDelay＝30；//

        boolean keepRunning＝true；//

        boolean debug＝false；//

    Vector serverArray＝new Vector()；//

    private int serverAmount＝0；

    File ListFile＝new File(ListFileName)；

    File outputFile＝new File(output FileName)；

    public GatewayPidLis tener()
				<!-- SIPO <DP n="18"> -->
				<dp n="d18"/>
    {

        this.start()；

    }//

    public void run()

    {

        System.out.printIn(“Polling gateway servers......”)；

        do

        {

            ListGrabber()；

            CreateOutput()；

    //

            serverArray.removeAllElements()；

            serverAmount＝0

            System.out.print(“＞”)；

            try//

            {

               sleep(PollDelay * 1000)；

            }catch(InterruptedException ie){

               System.err.printIn(“Problem with the sleep
thread：”+ie)；

        }//catch

        }while(keepRunning)；//keepRunning

    }

    public static void main(String argv[])

    {

        GatewayPidListener MV＝new GatewayPidListener()；

    }//

    public boolean ListGrabber()
				<!-- SIPO <DP n="19"> -->
				<dp n="d19"/>
    {

    try

    {

    BufferedReader listInput  ＝new  BufferedReader(new
FileReader(ListFile))；

    String                      dummy                          ＝
listInput.readLine()；//System.out.printIn(dummy)；

    if(dummy.equals(“***GateWay List Path***”))

    {

    int counter＝0；

    while((dummy＝listInput.readLine())！＝null)

       {

        if(debug)

         System.out.printIn(“ADDED                            to
serverARRAY[“+serverAmount+”]：”+dummy)；

        serverArray.addElement(dummy)；

        serVerAmount++；

    }//while

    }//if dummy

      } catch (Exception e) {

      System.err.printIn(“Error in loadList()：”+e)；

      return false；

    }

    return true；

    }//ListGrabber

    public void CreateOutput()

    {

       try

       {

       PrintWriter FOut＝new PrintWriter(new FileWriter
(outputFile))；

       FOut.printIn(“PID_INFO FILE＝＝DO NOT MODIFY”)；
				<!-- SIPO <DP n="20"> -->
				<dp n="d20"/>
         //ptlist.txtPIDS

         for(int i＝0；i＜serverAmount；i++)

         {

　　        try

　　        {

　　File temp＝new File((String)serverArray.elementAt(i))；

　　                BufferedReader      Fin     ＝        new
BufferedReader(new FileReader(temp))；

　　                String dummy；

　　                for(int j＝0；j＜9；j++)//pids

　　                      dummy＝Fin.readLine()；

　　                while((dummy＝Fin.readLine())！＝null)

　　                {

　　                      if(！dummy.equals(“[End List]”))

　　                      {

　　                      if(debug)

　　                      System.out.printIn(dummy)；

　　//pid

　　                int pos1＝0；int pos2＝0；

　　                String thepid＝“”；

　　                pos1＝dummy.indexOf(“1”)；

　　                if(pos1＞＝0)

　　                      thepid

　　     dummy.substring(pos1+1，dummy.length())；

　　                      pos2＝thepid.indexOf(“|”)；

　　                      if(pos2＞＝0)

　　                      thepid                           ＝
thepid.substring(0，pos2)；

　　                      if(debug)

　　                      System.out.printIn(“PID：”+thepid
				<!-- SIPO <DP n="21"> -->
				<dp n="d21"/>
)；

                         //

               FOut.printIn((String)serverArray.elementAt
(i)+“＝”+thepid)；

               }//if Idummy

             }//while

            }catch(Exception e){

            System.err.printIn(“Error in read ptlist：”+e)；

        }

    }//i

    FOut.close()；

    }catch(Exception e){

    System.err.printIn(“Could not open the output file for
writing：”+e)；

    }//catch

    }//ExamineList

    }//GatewayPidListener

Some exemplary embodiment that is used for the system of patient access information comprises the following instruction that is used for location-server:

C：

Inetpub

wwwRoot

WinViewFrontEnd

WVBootAgent.asp

checkPID.asp

C：

SecureFiles

WinViewFE

GatewayList.txt

pid_info.inf

GatewayPidListener.bat

GatewayPidLiStener.java

GatewayPidListener.class

Some exemplary embodiment that is used for the system of patient access information comprises the GatewayPidListener on the automatic startup gateway server. GatewayPidListener_auto.bat is positioned at the C of a gateway: on the dish. The content of this document:

cd c：\securefiles\winviewfe

GatewayPidListener.bat

Then following message is input in the Autoexec.bat file on the server (use from Start-〉the Sysedit order of Run order line visit):

c：\GatewayPidListener_auto.bat

If verify out the not operation of a process for some reason as by checking process in the task bookkeeping, the user both can access c so: the GatewayPidListener_auto.bat file in the dish also can be accessed the GatewayPidListener.bat file in the securefiles winviewfe. This can also finish by the GatewayPidListener_auto.bat file is placed in the Startup file. This causes automatically start this process when startup of server.

Some exemplary embodiment that is used for the system of patient access information comprises user interface and processing method, and described user interface and processing method make it possible to start thin client life viewer through based on network URL link from the clinical interview application program. This system accepts patient ID and automatically starts correct life viewer and result's (if on watch-dog) of this patient is presented through the network by its own network window startup from the host gateway server that is arranged in hospital's clinic information system. Although life viewer itself is not auxiliarily finished this task voluntarily, this system has automatically a plurality of existing servers of (not needing to specify ground through the clinical interview application program) verification with the ability of life waveform that correct patient is provided to the user. The system that finishes the method for this task relates to polling procedure, the life watch-dog retrieval effective patient of described polling procedure on each existing server tabulation, and create the chief series table by based on network viewer retrieval, be used for approaching and judge that in real time whether the patient is at the life watch-dog. If find that the patient in the database that is associated of server, then starts patient's life viewer and presents to the user with webpage, the user observes near real-time life information result on this webpage. If patient ID is replicated on a plurality of servers, then this method is displayed to the user. If do not find the patient's identifier that is equal to, then this message be shown to this and use corpse.

Current server product group provides the thin client network viewer for patient's life data. For essential title and the patient's identifier of specifying ID, user cipher, the resident particular server thereon of patient of the life parameters that shows specific patient through thin client network viewer. Yet the knowledge of particular server is unavailable to the health information system user typically, because this information generally is in the clinical setting that is maintained at when seeking medical advice. Start these files of page or leaf use to extract the patient's who is associated on gateway server and the server identifier by public database and the combination of keeping all gateway patient listing files (generally being write by server), remove the needs that the user knows and specify specific gateway server for the system of patient access information.

The system that is used for patient access information can advantageously provide and start the based on network life viewer of thin client that the gateway server group of utilizing product provides and needn't specify the position of patient on specific gateway server in advance. In interchangeable exemplary embodiment, the URL that the particular server identifier is encoded into thin client network viewer calls. This system can be used by other application program of the concrete knowledge of the position (in other words, specific patient being positioned in the clinical field of specific hospital) of entity that need to be in enterprise.

By reading above detailed description and the accompanying drawing of some exemplary embodiment, other embodiment will be apparent to the one of ordinary skilled in the art.

Claims

1, a kind of for the system in the network accessing patient medical information that comprises a plurality of servers, it comprises:

Storage vault, described storage vault comprise patient's identifier and are used for identifying the identifier server that is associated of the particular server of the medical information of storing specific patient;

Search processor is used for starting in response to the order that receives the search of described storage vault, to locate the particular server identifier that is associated with described specific patient's identifier; With

Interface processor, for generation of the URL address that described oriented particular server identifier is combined in the data field, and be used in response to the request of user command initiated access in the specific patient's of the described storage at the place, URL address of the described generation of being managed on behalf of another by described particular server medical information.

2, system according to claim 1, wherein

Described storage vault comprises the described patient's identifier of link and is used for identifying the mapping of the described identifier server that is associated of the server of the medical information of managing on behalf of another specific patient.

3, system according to claim 1, wherein

Described interface processor produces described URL address by described specific patient's identifier is combined in the data field.

4, system according to claim 1, wherein

Described search processor is judged at least one in the following situation: (a) described storage vault whether contain a plurality of described specific patient's identifiers and (b) described storage vault whether do not contain the identifier that is complementary with described particular server identifier,

In response to described judgement, described interface processor start sign (a) and (b) at least one message generation and

The described specific patient's of described storage the request of medical information is accessed in the judgement of at least one in response to (a) and (b), described interface processor No starting.

5, system according to claim 1 also comprises

Acquisition Processor is used for inquiring about a plurality of different servers, with the data of editor's indication patient's identifier and the identifier server that is associated be stored in the described storage vault and

Described Acquisition Processor is inquired about described a plurality of different server periodically in response to the record that identifies described a plurality of different servers.

6, system according to claim 1 also comprises

Video-stream processor, be used for to start the described access of representative the described specific patient who stores medical information data generation and

The described specific patient's who stores of described access medical information comprises with lower at least one: (a) blood pressure parameter, (b) ventilation parameter, (c) vital signs parameter, (d) represent infusion pump parameter, (f) drop medicine that parameter, (e) and the feeding of blood oxygen concentration be associated relevant parameter, (g) parameter of vim and vigour and (h) relate to the interactive financial information of described specific patient and health institution.

7, system according to claim 1 also comprises

Licenses Processor, be used for being authorized to access the described specific patient's of described storage medical information in response to described user command authentication of users, and be used for forbidding that in response to unsuccessful checking described user accesses the described specific patient's of described storage medical information.

8. system that is used in the network accessing patient medical information of the Internet Protocol compatibility that comprises a plurality of servers, it comprises:

Support is through the executable application program of the user interface accessing patient medical information of internet compatibility;

Search processor is used for starting in response to the user command with described user interface input the search of at least one data source, to find out the particular server identifier that is associated with specific patient's identifier; With

Interface processor is used for:

Generation will be combined in by the described particular server identifier that described search processor finds the URL address in the data field,

The request of the described specific patient's of the described storage that the URL address start access by described generation is managed on behalf of another by described particular server medical information; And

Transmit the medical information of storing of described access, be shown to the user with the user interface that uses described internet compatibility.

9, system according to claim 8, wherein

Described at least one data source comprises with lower at least one: the storage vault and (b) a plurality of different servers that (a) comprise patient's identifier and the identifier server that is associated of the particular server of the medical information that is used for identifying the specific patient of storage.

10. system that is used in the network accessing patient medical information of the Internet Protocol compatibility that comprises a plurality of servers, it comprises:

Comprise patient's identifier and be used for identifying the storage vault of the identifier server that is associated of particular server of the specific patient's of storage medical information;

Interface processor is used for coming initiated access in the request of the specific patient's of the described storage at the place, URL address that obtains in response to described oriented particular server identifier and described specific patient's identifier medical information in response to user command.

11, system according to claim 10 also comprises

Acquisition Processor is used for inquiring about a plurality of different servers with the data of editor's indication patient identifier and the identifier server that is associated, to be stored in the described storage vault.

12. a method that is used in the network accessing patient medical information of the Internet Protocol compatibility that comprises a plurality of servers, described method comprises following action:

User command in response to the input of user's interface starts the search of at least one data source, to find the particular server identifier that is associated with specific patient's identifier;

Generation will be attached to by the described particular server identifier that described search is found the URL address in the URL data field;

Initiated access is in the request of the specific patient's who stores at the place, URL address of the described generation of being managed on behalf of another by described particular server medical information; With

Network by described Internet Protocol compatibility transmits the medical information of storing of described access to be shown on the described user interface.