KR101783806B1 - Apparatus and Method for Multimedia Medical Data Diagnosis using Personal Health Record - Google Patents

Abstract

The present invention relates to a multimedia medical data and diagnostic system, apparatus and method using a Personal Health Record (PHR). According to the present invention, the multimedia medical data to be read out from the read request terminal is received, the received multimedia medical data is transmitted to the read terminal selected by the read request terminal, and the read result of the multimedia medical data And transmits the read result to the read request terminal.

Description

Technical Field [0001] The present invention relates to an apparatus and method for diagnosing multimedia medical data using a personal health record,

The present invention relates to a multimedia medical data diagnosis system and method using a Personal Health Record (PHR), and more particularly, to a multimedia medical data diagnosis system and method using a PHR To a data diagnosis system and method.

The U-health care era is now in place where anyone can use his or her living tools to monitor the user's location, health status, and personalized health care regardless of time and place.

U-Health provides healthcare services such as prevention, diagnosis, treatment and follow-up management by utilizing ubiquitous IT technology, sensing, network, interface and security technology. Service, and covers all health care services provided by using wired and wireless information and communication infrastructure and health measurement devices. Typical u-Health services include online medical information, telemedicine, disease monitoring, and mobile healthcare. PHR is a method of providing medical information online. It stores individual health information, medical information, examination information, medical referral books, etc. so that it can be read anytime and anywhere, thereby enabling continuous health management and medical treatment. Recently, Google in the United States launched the Google Health service. Google Health provides services such as creating online health profiles for users, downloading medical records from medical institutions, providing personalized health guides and related news, providing high-quality physician and time-saving services, and sharing health information selected among family and caregivers do.

In Korea, EMR (Electronic Medical Record), which manages patient's medical records in DB, and Electronic Health Record (EHR) service, which exchanges patient's medical records between medical institutions, is operated mainly by general medical care institutions. However, EMR or EHR is a service centered on doctors or medical institutions and is not available to the general public.

In Korea, there is no system or data standard to provide PHR service. Recently, several companies are attempting to construct a PHR system, but PHR files containing multimedia medical data of a patient to be exchanged with each other may be incompatible due to differences in providers providing PHR services. In addition, current services based on EMR or EHR can not access patient data in places other than medical institutions, so patients can only receive medical care using their own medical records only at medical institutions.

The problem to be solved by the present invention is to enable remote reading of PHR even in a non-medical institution through a system and method for diagnosing multimedia medical data using PHR.

The problem to be solved by the present invention is to improve the compatibility of PHR data and enable rapid information transmission through fast data processing.

According to an embodiment of the present invention, there is provided an apparatus for reading and diagnosing a patient's multimedia medical data using a personal health record (PHR), the apparatus comprising: a read request terminal for requesting reading of the patient's multimedia medical data; A thread setting module for setting the number of simultaneously connectable terminals of the read terminal reading the multimedia medical data; and a control module for controlling the connection by determining the IP of the read request terminal and the read terminal, An IP control module for converting the IP address of the read terminal into a public IP when the IP of the read terminal is a virtual IP and a reading terminal list which is created based on the connection information for the confirmed reading terminals to the read request terminal And the multimedia medical care requested by the read request terminal A list providing module for providing a data list to the reading terminal; a checking module for checking a part of a header file of data transmitted and received in communication with the reading terminal and the reading request terminal, and a header file of data stored in the database, And a synchronization module for storing the check result in the database and adding the check result to the header file to synchronize the header file of the data to be transmitted and received with the data stored in the database.

According to an embodiment of the present invention, a data center server capable of communicating with a read commissioning terminal for requesting a patient to read multimedia medical data and a reading terminal for reading the patient's multimedia medical data can use a personal health record (PHR) A method for reading and diagnosing a patient's multimedia medical data, comprising the steps of: receiving multimedia medical data to be read from a read-out terminal; identifying reading terminals currently being accessed; Providing a read-out terminal list to the read-out request terminal; checking a part of the header file of the received multimedia medical data; storing the check result in the database and adding it to the header file; The read- To a reading terminal selected by the terminal;

Receiving a read result of the multimedia medical data from the read terminal, checking a part of a header file of the read result data, storing the check result in the database, adding the read result to the header file, .

Effects obtained by representative ones of the inventions disclosed below will be briefly described as follows.

The present invention enables PHR remote reading even where the PHR reader is not a designated medical institution via a virtual IP.

Further, the present invention enhances compatibility and enables quick processing by scanning a predetermined portion of a PHR header file.

In addition, the present invention adjusts the number of users who can connect to the server at the same time, thereby preventing unnecessary connection and enabling rapid transmission of image information.

FIG. 1 is a diagram illustrating the overall configuration of a multimedia medical data diagnosis system using a PHR according to an embodiment of the present invention. Referring to FIG.
2 is a flowchart illustrating a multimedia medical data diagnosis system using a PHR according to an embodiment of the present invention.
3 is a block diagram illustrating a configuration of a multimedia medical data diagnosis apparatus using a PHR according to an embodiment of the present invention.
4 is a flowchart illustrating a method of diagnosing multimedia medical data using a PHR according to an embodiment of the present invention.
5 is a flowchart illustrating a method of diagnosing multimedia medical data using a PHR according to another embodiment of the present invention.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Hereinafter, an operation principle of an embodiment of the present invention will be described in detail with reference to the accompanying drawings. In the following description of the present invention, a detailed description of known functions and configurations incorporated herein will be omitted when it may make the subject matter of the present invention rather unclear. The following terms are defined in consideration of the functions of the present invention, and these may be changed according to the intention of the user, the operator, or the like. Therefore, the definition should be based on the contents throughout this specification.

The present invention stores and manages multimedia medical data according to the PHR standard, and connects the medical image acquisition device, the diagnostic radiology department, and the clinician together. Therefore, the data can be directly transmitted through the transmission line to the reading room and other clinic related sections requiring the reading of the PHR, so that the result for the patient can be quickly seen, and rapid follow-up can be taken.

FIG. 1 is a diagram illustrating the overall configuration of a multimedia medical data diagnosis system using a PHR according to an embodiment of the present invention. Referring to FIG.

Referring to FIG. 1, a multimedia medical data diagnosis system 100 using a PHR according to an exemplary embodiment of the present invention includes a read request terminal 110, a data center server 120, and a read terminal 130.

The read commissioning terminal 110 selects a PHR reader to request reading of the patient's multimedia medical data and transmits the multimedia medical data to be read to the data center server 120. [ The data center server 120 transmits the multimedia medical data of the patient to be read to the reading terminal 130 of the PHR reader selected by the reading commissioning terminal 11 and receives and manages the reading result from the reading terminal 130. [ The reading terminal 130 receives the multimedia medical data of the patient from the data center server 120, displays it for viewing by the PHR reader, receives the reading result prepared by reading the PHR reader, and transmits the read result to the data center server 120.

The read request terminal 110, the data center server 120 and the read terminal 130 comply with the PHR communication protocol and can communicate with each other through the wired / wireless data communication network.

1, the read request terminal 110 and the read terminal 130 directly connect to the data center server 120. However, the read request terminal 110 and the read terminal 130 can access the data center server 120 through a repeater for authentication. In this case, the read request terminal 110 and the read terminal 130 first undergo an authentication process through a repeater. After the authentication is completed, the read request terminal 110 and the read terminal 130 can transmit / receive data to / from the data center server 120 directly without passing through the repeater.

2 is a diagram illustrating an operation of a multimedia medical data diagnosis system using a PHR according to an embodiment of the present invention.

Referring to FIG. 2, in step 201, the requester requesting the patient's multimedia medical data accesses the data center server 120 through the data communication network using the read request terminal 110. At this time, when the read request terminal 110 is located at a specific place such as a medical institution, the read request terminal 110 accesses through the authorized IP (Internet Protocol) authenticated by the data center server 120, When the read request terminal 110 is located at a place other than the place, the user connects through the virtual IP.

In step 202, the data center server 120 checks the IP of the read requesting terminal 110 and permits the connection. In the case of using the virtual IP, the data center server 120 converts the virtual IP into a public IP and authorizes the connection of the read request terminal 110 using Transmission Control Protocol / Internet Protocol (TCP / IP) (S202) .

For example, when a physician, who is a client, visits a data center server 120 through a read request terminal of the branch office, the client requests a readout of the patient's multimedia medical data using the TCP / IP protocol, The multimedia medical data of the user can be retrieved.

In step 203, the requester connected to the data center server 120 via the read request terminal 110 receives the medical institution providing the PHR service from the data center server 120, that is, the reader list. The PHR service medical institution will be described later in detail while explaining the PHR reading terminal 130. Here, a plurality of medical institutions and readers may be provided. Therefore, when there are a plurality of medical institutions, the requester first selects the medical institution, and can select the reader in the selected medical institution.

In step 204, the requester selects the item to be requested to the PHR service medical institution and the PHR reader to be requested, and transmits the multimedia medical data of the patient desired to be read to the data center server 120. The data center server 120 transmits the multimedia health data to the selected PHR To the read terminal 130.

At this time, when the data center server 120 is connected to the data center server 120 through a virtual IP other than the public IP, the data center server 120 temporarily converts the virtual IP to a static IP, And transmits the patient's multimedia medical data to the PHR reading terminal 130 using the PHR transmission method.

For reference, the data center server 120 is configured to transmit multimedia medical data of a patient to a Joint Photographic Expert Group (JPEG), a Graphics Interchange Format (GIF) The multimedia medical data of the patient can be securely transmitted and retrieved in a PHR data communication format even in the case of a general image file such as a bitmap picture file (hereinafter referred to as BMP) or a Tag Image File Format (hereinafter referred to as TIFF) .

The format of the multimedia data according to the PHR protocol is as follows.

PHR_Telemedicine_Korea_Spec

- telemedicine, MEDICAL IMAGING Viewer spec

(1) View medical image and medical information

㉮ Web chart interface is easy to read by the doctor or patient

인터페이스 Interface that increases the efficiency of business by setting user defaults for easy user operation and avoiding re-input operations

(2) The medical information document converted into xml is converted into HTML from the electronic medical treatment integrated server, and the electronic medical examination original can be read in the web chart

(3) The originality of development technology

 30 frames per second video information transmission

 Video image compression using Wavelet

 Lossless compression

 Internet transmission via web chart

 Multi-multi transmission possible

 Can protect patient medical information

 Full medical information transfer possible

 Real-time transmission of high quality medical information

 Ensures superior information transmission even under low network performance

 Adopted the perfect DICOM standard format

(4) Development technology innovation

 Combining image and video information with medical information (EMR)

 Establish telemedicine and remote image delivery by dicom transmission

 Adopted the perfect DICOM standard format

 Construction of medical image transmission system such as PACS

 Add video conferencing capabilities

- videoconferencing support function, real time video transmitter spec.

(1) Transmission of medical images through high-speed communication network

전송 30 frames per second video transmission

㉯ Transmission image resolution

 FCIF (1024x1024 pixels) or more

 QCIF (1024x1024 pixels)

채택 adopt standard communication protocol

 H.320 support (ISDN links)

 H.323 support (IP links)

(2) Image viewing and various functions of managed medical images from client

㉮ teleradiology support function

㉯ telemedicine support function

㉰ videoconferencing support function

- teleradiology consumer requirements

end. High-quality video transmission at 30 frames per second

I. Medical Image Protection by Lossless Compression

All. PHR image compliance (see Table 1 below)

Kinds resolution Bit depth Average number of images General shooting 2048X2560 10 2 to 4 Perspective shot 2048X2560 10 2 to 4 Angiography 1024X1024 12 6-12 Tomography 512X512 12 50 to 200 Magnetic resonance 256X256 12 50 to 300 ultrasonic wave 640X480 8 4 to 30 Nuclear medicine 64X64 8 One

In step 204, the request item, the requested PHR reader, and the transmitted multimedia medical data of the patient are stored in a storage (not shown) of the data center server 120 and can be inquired at a later time.

Meanwhile, the PHR reader for reading the multimedia medical data of the requested patient uses the reading terminal 130 to access the data center server 120 through the data communication network.

At this time, the read terminal 130 may access the data center server 120 through the public IP authenticated by the data center server 120 or access the data center server 120 through the virtual IP, depending on the place where the terminal is located, like the read request terminal 110 And the process of allowing the data center server 120 to access the read terminal 130 is the same as that of the read request terminal 110.

When the reading terminal 130 is connected to the data center server 120 via the above-described procedure, the PHR server 120 transmits the PHR data to the data center server 120 based on the access information such as the ID of the PHR reader, The service medical institution list is displayed on the read request terminal 11, and the requester selects the PHR reader to view the list of the PHR-service medical institutions and request the readout of the patient's multimedia medical data.

Herein, the read processing information among the connection information is information indicating the number of readings that the present PHR reader has been requested to read after being connected to the data center server 120 via the reading terminal 130. The requester requests the reading of the patient's image information When two or more desired PHR readers are used, it can be used as reference information for selecting a PHR reader that can receive the result more quickly by viewing the read processing information and the number of readings.

In step 205, the selected multimedia data is read by the selected PHR reader, and the result is input through the reading terminal 130. In step 206, the reading result input to the reading terminal 130 is transmitted to the data center server 120 To the read commissioning terminal 110 via the Internet. The read results and information can also be stored in a repository (not shown) of the data center server 120 for later retrieval.

At this time, when the read request terminal 110 accesses the data center server 120 through a virtual IP rather than a public IP, the TCP / IP protocol is used to inquire the read result and information, and the protocol complies with the PHR communication protocol.

For reference, the administrator of the data center server 120 determines the number of the read request terminal 110 or the read terminal 130, which can be connected to the data center server 120, in order to enable smooth read request and read of the multimedia medical data Can be adjusted.

In addition, the data center server 120 maintains security by cooperating with a communication device supporting security such as a secure socket layer (SSL) and a virtual private network (VPN) And transmits the PHR message to the read request terminal 11 and the read terminal 130 via a wired / wireless communication network provided by a service provider (ISP) or an application service provider (ASP).

In addition, the data center server 120 notifies the medical insurance company or the National Health Insurance Corporation of the details and results read by the PHR reader to charge the read-out fee and receive payment, or, in the case of a change in the medical insurance premium, You can claim the medical insurance premium separately from the medical insurance company or the National Health Insurance Corporation. In other words, before the change, the copayment amounted to 70%. If the amount of copayment is reduced to 30% due to the enhancement of the protection of the item, the medical insurance company bills the difference of 40%

3 is a block diagram illustrating the configuration of a data center server 120 among the multimedia medical data diagnosis system using the PHR according to the embodiment of the present invention.

3, the data center server includes a thread setting module 121, an IP control module 122, a list providing module 123, a header scanning module 124, a synchronization module 125, a medical insurance management module 126 And a control module 127.

The term 'module' used in the embodiment of the present invention may mean a hardware component such as software or an FPGA (Field Programmable Gate Array) or ASIC (Application Specific Integrated Circuit), but is not limited thereto. The 'module' may be configured to be in an addressable storage medium and configured to play one or more processors. Thus, by way of example, the term 'module' includes components such as software components, object-oriented software components, class components and task components, and processes, functions, attributes, , Subroutines, segments of program code, drivers, firmware, microcode, circuitry, data, databases, data structures, tables, arrays, and variables. The functions provided in the components and 'modules' may be combined into a smaller number of components and '~ modules' or further separated into additional components and 'modules'.

The thread setting module 121 may be configured to allow the administrator of the data center server 120 to read out and read the multimedia medical data smoothly from the read request terminal 110 or the read terminal 130, And the maximum allowable number set by the administrator when the read request terminal 110 or the read terminal 130 accesses the data center server 120 is checked.

The IP control module 122 checks whether the corresponding IP is a public IP or a virtual IP when the read request terminal 110 or the read terminal 130 accesses the data center server 120, When the connection IP of the terminal 130 is a virtual IP, the virtual IP is converted into a public IP.

The read commissioning terminal 110 or the reading terminal 130 may perform a personal authentication process such as inputting an ID and a password in the case where the IP of the read requesting terminal 110 or the reading terminal 130 is a public IP, And can transmit and receive multimedia medical data in the PHR format stored in the data center 120. [ This authentication process is performed in software by performing functions such as smart broker and IP check. That is, it maps the public IP that is already known and the virtual IP in the medical institution, and approves it if it is in the correct format compared with the user ID. If the smart broker has a public IP, the smart broker will judge the information as a preliminary information when the virtual IP comes in, and allow the web service to be performed with the public IP of the smart broker after the connection is permitted.

When the read request terminal 110 or the read terminal 130 uses the virtual IP, authentication is completed through the authentication process. The IP control module 122 receives a packet from the read request terminal 110 or the read terminal 130 using a TCP / IP protocol such as a File Transfer Protocol (FTP), and transmits the source IP, That is, the virtual IP is converted into the public IP of the data center server 120 so that the readout terminal 110 or the readout terminal 130 can transmit and receive the PHI-formatted multimedia medical data. At this time, the IP control module 122 stores the virtual IP and the send port of the read request terminal 110 or the read terminal 130. Upon receiving the response packet, the IP control module 122 confirms the reception port, and transmits the received multimedia data to the portable terminal 100. When receiving the response packet, And if the same port exists, the packet is delivered to the virtual IP using the corresponding port.

The multimedia medical data is stored in a specific folder according to the PHR storing method using the TCP / IP protocol such as FTP, and the multimedia medical data in PHR format stored in the data center server 120 according to the PHR file transferring protocol PHR communication can also be implemented in the read request terminal 110 or the read terminal 130 using the virtual IP by transmitting and receiving.

In addition, the IP control module 122 allows the read request terminal 110 or the read terminal 130 to access the DB storing the multimedia medical data through the security authentication message, and checks the communication port, Port can be selected.

In addition, it is possible to cumulatively manage the IP addresses of the read request terminal 110 or the read terminal 130 connected to the data center server 120 for each user ID, thereby managing the connection location and usage status of each user.

3, the IP control module 122 is included in the data center server 120. However, the present invention is not limited to this, and the IP control module 122 may be configured to enable data transmission / ) Can exist on separate servers.

The list providing module 123 determines whether or not the PHR reader is connected through the reading terminal 130 and provides a list of medical institutions providing the PHR service to the requester and grasps the request of the requester through the read request terminal 110, To the PHR reader belonging to the patient ' s multimedia medical data list.

Therefore, the requester can select a desired medical institution from the list of PHR service medical institutions provided through the read request terminal 110, select a PHR reader to read his or her multimedia medical data from the selected medical institution, and the PHR reader can identify the PHR ID of the requester The user can grasp the multimedia medical data to be read by the user.

At this time, the requester can select one or more PHR readers, and the list providing module 123 can consecutively send readings to all PHR readers when there are one or more PHR readers.

The PHR header scan module 124 transmits the multimedia medical data of the patient to the PHR reader through the repeater (not shown) or the PHR reader transmits the read result to the read request terminal 110 together with the multimedia medical data of the patient It scans and checks a predetermined portion of the corresponding PHR header file when transmitting.

Generally, a PHR header file contains more than one million items. Conventionally, a PHR header file is full-scanned when exchanging such a PHR file. This conventional method takes a lot of time, and when a vendor of the PHR software installed in the read request terminal 110 and the PHT software installed in the read terminal 130 are different from each other, a header file containing contents of one million or more is scanned, There is a problem in compatibility such as occurrence of a transmission error.

Therefore, according to the present invention, only a predetermined item necessary for PHR communication is scanned and checked through the PHR header scanning module 124, and the remaining items are skipped without being scanned, thereby enabling fast PHR file transmission / reception . The predetermined items required here include Patient ID, Modality, Study Date, Series Number, and Image Number, and are not limited to the items described above.

Only the predetermined items necessary for PHR communication are scanned, and the remaining items are skipped. Therefore, even if products of different vendors are used, only essential items are scanned. Each of which can improve the compatibility of other vendor products.

In addition, the PHR header scanning module 124 may scan only a predetermined item of the PHR header file and check whether the PHR header file is an abnormal PHR file. That is, if the check result is out of the predetermined format, a request message for modification may be defined and informed to the administrator in a predetermined format.

When the multimedia medical data of the patient is not a PHR format file but a general image file such as JPEG, GIF, BMP, or TIFF, the PHR header scan module 124 converts the multimedia medical data into a PHR format, So that they can be transmitted and viewed.

The synchronization module 125 additionally stores the result of checking a predetermined item in the PHR header scan module 124 in the DB and the corresponding PHR header file and stores the read result in the database connected to the DB stored in the data center server 120 in the PHR communication And synchronizes PHR header files transmitted and received by the request terminal 110 or the read terminal 130.

The health care management module 126 may determine that the terminal connected to the data center server 120 is the read terminal 130 and that when the PHR reader reads the multimedia medical data of the read client via the read terminal 130, (Not shown) through the PHR communication, and can receive the charge and payment for the readout. In addition, the health care management module 126 may separately charge the health insurance premiums that have been changed to each health insurance company if the number of insurance for the readout item is changed

4 is a flowchart illustrating an operation of the data center server 120 in the multimedia medical data diagnosis system using the PHR according to the embodiment of the present invention.

For convenience of explanation, it is assumed that the administrator of the data center server 120 sets the maximum number of read request terminals 110 that can be connected to the data center server 120 through the thread setting module 121, It is assumed that the reader already connected to the data center server 120 via the reading terminal 130 and the connected reader list is provided to the PHR service medical institution through the list providing module 123.

In step 401, the requester requesting the reading of the patient's multimedia medical data accesses the data center server 120 through the data communication network using the read request terminal 110. [

In step 402, the thread setting module 121 of the data center server 120 checks the maximum number of connection requests of the read request terminal 110 set by the administrator. If it is determined in step 403 that the maximum number of connections is exceeded, the data center server 120 displays a message informing the requester that the number of connected users is exceeded through the read request terminal 110 and ends. If the maximum number of connections is not exceeded, the IP control module 122 of the data center server 120 determines whether the IP of the read requesting terminal 110 is a public IP or a virtual IP.

The IP control module 122 permits access to the data center server 120 through the personal authentication procedure. If the IP address is a virtual IP, in step 406, the IP control module 122 accesses the data center server 120 ) And perform the authentication process.

In step 407, the IP control module 122 receives the packet from the connected read requesting terminal 110 and converts the source IP in the packet, that is, the virtual IP, into the public IP of the data center server 120, .

In step 408, the IP control module 122 examines the communication port to select a port that has no problem in using the service. When the connected read request terminal 110 receives the multimedia medical data of the patients stored in the DB of the data center server 120 To an access terminal (not shown).

In step 409, the IP control module 122 cumulatively manages the IPs of the connected devices according to user IDs, and manages connection positions and usage states of the respective users.

In step 410, the data sensor server 120 allows the requester to select whether to request the multimedia medical data of the new patient or inquire the multimedia medical data of the patient that has already requested.

If the multimedia medical data of a new patient is to be inquired, the requester inquires of the reader terminal 110 about whether there is corresponding multimedia medical data previously photographed or managed, and requests the reading of the multimedia medical data of the patient .

The requester who accesses the data center server 120 through the read request terminal 110 in step 412 transmits the multimedia medical data to the PHR service medical institution through the list providing module 123 of the data center server 120. [ A list is provided.

In step 413, the requester selects a PHR service medical institution, selects an item that can be requested from the selected medical institution, and selects a PHR reader to be requested.

At this time, when the requester selects a plurality of PHR readers, the list providing module 123 requests the selected plurality of PHR readers to continuously read.

In step 414, the multimedia medical data of the patient transmitted through the PHR communication protocol scans and checks only a predetermined header in the PHR header scanning module 124.

If there is no abnormality in the check result, the multimedia medical data of the patient who scanned only the predetermined header in step 415 is transmitted to the reading terminal 130 of the PHR reader selected through the transmission unit (not shown) of the data center server 120.

In step 416, the request item, the requested PHR reader, and the transmitted multimedia medical data of the patient are stored in a storage (not shown) in the data center server 120 by the synchronization module 127, and the stored data can be inquired later .

For reference, in order to access the multimedia medical data of the patient stored in the repository of the data center server 120, an authentication message given through the IP control module 122 in step 408 is required.

If an error occurs as a result of checking in step 414, the PHS header scan module informs the read request terminal 110 of an error in the PHR file or automatically corrects a part where an error occurs, and then performs step 416. [

At this time, when the patient's multimedia medical data is not a PHR format file but a general image file such as JPEG, GIF, BMP, or TIFF, the PHR header scan module 124 converts the multimedia medical data into PHR format, (Not shown) to safely transmit the patient's multimedia medical data.

5 is a flowchart illustrating an operation of the data center server 120 in the multimedia medical data diagnosis system using the PHR according to another embodiment of the present invention.

For convenience of explanation, the administrator of the data center server 120 sets the maximum number of the read terminals 130 that can be connected to the data center server 120 through the thread setting module 121, And is already connected to the data center server 120 through the request terminal 110.

In step 501, the PHR reader reading the patient's multimedia medical data uses the reading terminal 130 to access the data center server 120 via the data communication network.

In step 502, the thread setting module 121 of the data center server 120 checks the maximum number of connections of the reading terminal 130 set by the administrator.

If the maximum number of connections is exceeded, the data center server 120 displays a message to the PHR reader through the reading terminal 130 indicating that the number of connected users is exceeded in step 503 and ends.

If the maximum number of connections is not exceeded, the IP control module 121 of the data center server 120 determines whether the IP of the connected reading terminal 130 is a public IP or a virtual IP in step 504, Lt; / RTI >

The list providing module 123 of the data center server 120 inserts the PHR reader connected to the data center server 120 through the reading terminal 130 into the reader list of the PHR service medical institution in step 505.

In step 506, the sponsor selects a PHR reader to request a request from the PHR-service medical institution. In step 507, the multimedia medical data of the patient transmitted through the PHR communication protocol is transmitted from the PHR header scanning module 124 to the PHR header file Only a predetermined item of "

In step 508, the scanning result is transmitted to the PHR reading terminal 130 through a transmitting unit (not shown) of the data center server 120.

In step 509, the list providing module 123 provides the multimedia data list of the requester and the patient who requested the reading terminal 130 to read, and increases the number of reading processes of the reading process information included in the PHR service medical institution by one.

In step 510, the PHR reader receives the patient's multimedia medical data via the receiver (not shown) of the reading terminal 130 and reads the patient's multimedia medical data.

In step 511, the PHR reader transmits the result to the data center server 120 through a transmitting unit (not shown) of the reading terminal 130, and the reading result and details of the PHR reader are transmitted to the medical care management unit 126 The insurance company is notified. If the health insurance premium is changed, the health insurance management module 126 may separately bill the changed health insurance premium to each health insurance company.

In step 512, the PHR-service medical institution provision module 123 reduces the number of processes for reading out the read-out processing information included in the PHR-service medical institution by one. At this time, it is possible to settle the readout amount or manage the read performance of the PHR reader according to the read number of the corresponding PHR reader through a predetermined billing system.

In step 513, the read result of the PHR reader and the patient's multimedia medical data are stored in a predetermined storage (not shown) of the data center server 120, and the stored data can be inquired at a later time.

In step 514, the data center server 120 transmits the read result of the PHR reader to the read request terminal 110 through the transmitter (not shown).

Although not shown in the figure, the data center server 120 may be connected to a National Health Insurance Corporation server, a medical institution network for a medical institution, and a bank common data network. In this case, a check card issued by a bank may be used to pay the readout fee. In other words, a patient who wishes to use a personal health record service related to multimedia data reading requests a check card from a bank, and the bank communicates with a personal health record service through communication with a data center server, (For example, name, resident registration number, ID, procedure number, etc.) of the related patient is inputted to the check card and issued. If the patient receives medical treatment at a medical institution that can use the personal health record service, the patient may not need to receive a separate medical card for each medical institution, and a check card may be used to pay the medical fee.

In addition, the patient can access the data center server directly via the web with the issued ID, or store his or her data in a cell phone or a check card. The data stored in the mobile phone can be transmitted to the doctor's computer by short-distance communication. When the data is input to the check card, the doctor can read the card from the computer to transmit data to the doctor.

In addition, when a doctor finishes a medical examination for a patient and issues a prescription, he or she can input the prescription directly into the check card instead of issuing it in writing, and the patient can present a check card to the pharmacy to deliver the prescription. Of course, you can also pay prepayments at pharmacies with check cards.

In this way, individual prescriptions can be managed in a data center server in a unified manner, so it is possible to prevent duplication of prescriptions for drugs from multiple medical institutions in a single patient, and also to manage medicines.

While the present invention has been particularly shown and described with reference to exemplary embodiments thereof, it is to be understood that the invention is not limited to the disclosed exemplary embodiments, It belongs to the scope of right.

Claims (16)

An apparatus for reading and diagnosing a patient's multimedia medical data using a personal health record (PHR), the apparatus comprising:
A thread setting module for setting the number of simultaneously connectable terminals of the read terminal reading the multimedia medical data of the patient, a read request terminal for requesting reading of the patient's multimedia medical data,
An IP control module for controlling the connection by determining an IP of the read requesting terminal and the read terminal and converting the read requesting terminal and the read terminal into a public IP when the IP of the read requesting terminal is a virtual IP;
A reading terminal list prepared on the basis of the access information for the identified reading terminals is provided to the reading request terminal, and the read multimedia data list requested from the reading request terminal is read out A list providing module provided to the terminal,
A header scan module for checking a part of a header file of data transmitted and received in communication with the read terminal and the read request terminal and data stored in the database,
And a synchronization module for storing the check result in the database and adding the header data to the header file to synchronize the header file of the data to be transmitted and received with the data stored in the database. The method according to claim 1,
Wherein the access information includes medical institution information to which the reading terminal belongs and read processing information indicating the number of readings to be read out by the reading terminal. The method according to claim 1,
Further comprising: a medical insurance management module for receiving from the reading terminal a read result of the multimedia medical data requested to be read, notifying the medical insurance company of the read result, and requesting a reading fee for the reading result. The method of claim 3,
Wherein the medical insurance management module separates the difference in the amount of the copayment when the copayment is changed. The method according to claim 1,
Wherein the IP control module controls connection of the read request terminal or the read terminal by determining whether the IP of the read request terminal or the read terminal is an authorized IP or a virtual IP. The method according to claim 1,
Wherein the header scan module converts the part of the header file into the predetermined PHR file format when the data is not in a predetermined PHR file format. The method according to claim 1,
Wherein the part of the header file includes a patient ID, a modality, a study date, a series number, and an image number. The method according to claim 1,
Wherein the thread setting module is configured to transmit a message informing that the read request terminal or the read terminal can not be connected when the read request terminal or the read terminal exceeds the number of simultaneously connectable terminals, Diagnostic device. A data center server capable of communicating with a reading terminal that requests reading of the patient's multimedia medical data and a reading terminal that reads the patient's multimedia medical data reads the patient's multimedia medical data using the personal health record (PHR) In the method,
Receiving multimedia medical data to be read from the read request terminal,
Identifying the currently connected reading terminals and providing the reading terminal list created based on the access information for the confirmed reading terminals to the reading request terminal;
Checking a part of the header file of the received multimedia medical data, storing the check result in a database, adding the check result to the header file, and transmitting the header file to the read terminal selected by the read request terminal,
Receiving a read result of the multimedia medical data from the read terminal, checking a part of a header file of the read result data, storing the check result in the database, adding the read result to the header file, The method comprising the steps of: 10. The method of claim 9,
Before the process of receiving the multimedia medical data to be read from the read request terminal,
The number of the read request terminal and the read terminal that can be simultaneously accessed is set, and when the number of terminals simultaneously connectable to the read request terminal or the read terminal is exceeded, connection to the read request terminal or the read terminal is impossible Further comprising the step of transmitting a message informing the presence of the multimedia data. 10. The method of claim 9,
Before the process of receiving the multimedia medical data to be read from the read request terminal,
Further comprising the steps of: determining an IP of the read requesting terminal or the read terminal to control connection; and converting the terminal into a public IP when the IP of the terminal is a virtual IP. 10. The method of claim 9,
Wherein the access information includes medical institution information to which the reading terminal belongs and read processing information indicating the number of readings to be read out by the reading terminal. 10. The method of claim 9,
After the process of transmitting to the read request terminal,
Further comprising receiving from the reading terminal a result of reading the multimedia medical data requested to be read, notifying the medical insurance company of the reading result, and requesting a reading fee for the reading result. 14. The method of claim 13,
Wherein the claimant separately requests the difference for the changed copay if the copayment is changed. 10. The method of claim 9,
And transmitting the data to the read requesting terminal when the data is not in a predetermined PHR file format as a result of checking a part of the header file, and converting the converted data into the predetermined PHR file format. 10. The method of claim 9,
Wherein the part of the header file includes a patient ID, a modality, a study date, a series number, and an image number.

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