KR101892161B1 - Method for managing electronic medical record and metadata storage system thereof - Google Patents
Method for managing electronic medical record and metadata storage system thereof Download PDFInfo
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- KR101892161B1 KR101892161B1 KR1020150011482A KR20150011482A KR101892161B1 KR 101892161 B1 KR101892161 B1 KR 101892161B1 KR 1020150011482 A KR1020150011482 A KR 1020150011482A KR 20150011482 A KR20150011482 A KR 20150011482A KR 101892161 B1 KR101892161 B1 KR 101892161B1
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06F—ELECTRIC DIGITAL DATA PROCESSING
- G06F16/00—Information retrieval; Database structures therefor; File system structures therefor
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16Z—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS, NOT OTHERWISE PROVIDED FOR
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Abstract
In embodiments, the method of managing a medical record is performed in a medical record service system connectable with a metadata repository managing metadata and mapping rules for at least one data element included in the medical record. The medical record management method includes: querying a mapping rule for at least one data element included in a first career record; and if the mapping rule does not exist, generating a mapping rule for the data element And a requesting step.
Description
The disclosed technique relates to a medical record management technique, and more particularly, to a medical record management method and a metadata storage system for the same that can guarantee the semantic operability of a medical record using metadata.
The exchange of medical records can generate various benefits such as improvement of diagnosis accuracy, prevention of duplicate inspection, improvement of patient safety. Most medical institutions carry out information exchange, but this is only a one-time information exchange, such as the exchange of documents and films of radiation.
The invention of exchanging conventional medical records has a limitation in that it can be based on a one-to-one single information sharing scenario such as an institution-to-institution or a hospital-to-hospital or can only be exchanged between a limited number of medical record formats. However, there is a real need for a multilateral medical information exchange system capable of ensuring semantic operability between medical records having a continuous and different format, not a conventional disturbance or a limited exchange of individual medical records .
Continuous medical records are the standard of the American Society for Testing and Materials (SDS), the Standard Development Organization (SDO), which allows individuals to organically store and manage their lifelong health information The patient is able to carry his / her health information effectively to the doctor to manage the chronic diseases etc. in the long term, and the medical staff can quickly cope with the emergency situation.
Regarding these continuing medical records, Google and Microsoft are providing personal health record services based on continuous medical history records, Google health and HealthVault, and are preparing for continuous medical record services at many major hospitals both at home and abroad. As such, continuing medical records are becoming increasingly influential and are expected to become one of the most widely used health records in the near future.
Regarding records of continuing care, relevant standards have been established, but in practice each service provider is expanding or modifying this standard as needed to provide services. Due to these extensions or altered forms, the continuing care records between different service providers are syntactically consistent with the respective standards, but not semantically consistent, so that the continuing care records between these service providers are mutually semantically consistent There is a problem that it is difficult to exchange.
An embodiment of the present invention is to provide a medical record management method and a metadata repository for the medical record management method that can guarantee semantical operability of a medical record using metadata.
One embodiment of the present invention seeks to provide a method and a metadata repository for a method for managing and communicating persistent medical records between service providers that are semantically matched.
In embodiments, the method of managing a medical record is performed in a medical record service system connectable with a metadata repository managing metadata and mapping rules for at least one data element included in the medical record. The medical record management method includes: querying a mapping rule for at least one data element included in a first career record; and if the mapping rule does not exist, generating a mapping rule for the data element And a requesting step. In one embodiment, the method may further include converting the first medical record based on the mapping rule if the mapping rule exists as a result of the inquiry. In one embodiment, the transforming may include generating a transform rule using the mapping rule and transforming the first medical record using the generated transform rule.
Among the embodiments, the method of managing a medical record is performed in a first medical record service system connectable with a metadata repository managing metadata and mapping rules relating to at least one data element included in the medical record. The method comprising: requesting a second care record from a second care record service system; requesting the meta data store for a mapping rule for at least one element contained in the second care record; And converting the second medical record into a first medical record based on the one mapping rule. In one embodiment, requesting the second care record includes receiving a request for a care record from a user's terminal and requesting the first care record associated with the user to a second care record service system . In one embodiment, requesting the second care record may include designating the second care record service system from the terminal of the user. In one embodiment, the step of requesting the mapping rule comprises extracting the at least one element from the second care record and requesting the meta data store for a mapping rule for the extracted at least one element . In one embodiment, the transforming step includes generating a transformation rule for the first care record using the at least one mapping rule and generating the transformation rule based on the transformation rule using the first care record as the second care record And a step of converting the data.
Among embodiments, a method of operating a metadata store is performed in a metadata store that manages metadata for medical records stored in at least one medical record service system. The method comprising: receiving at least one data element included in the first care record from a first care record service system; retrieving a mapping rule for the at least one data element; As a result, if there is no mapping rule, generating a mapping rule for the corresponding data element. In one embodiment, the step of retrieving the mapping rule comprises the steps of: the at least one data element - the first data element - and concepts corresponding to each other and the submitter having a data element different from the first service, 2 data element, and retrieving a mapping rule for the first and second data elements. In one embodiment, the step of generating the mapping rule may include comparing the value fields of the first and second data elements to generate a mapping rule. In one embodiment, the step of retrieving the second data element may comprise comparing context values of the metadata for the first and second data elements. In one embodiment, the meta data store operating method may further include providing the mapping rule to the first care record service system if the mapping rule is found as a result of the search.
In embodiments, the metadata repository is connectable to at least one medical record service system. Wherein the metadata store comprises a storage unit for storing a mapping rule for at least one data element included in a medical record, and a mapping rule for a medical record stored in the at least one medical record service system is retrieved from the metadata storage unit And a controller.
The method of managing a medical record and the metadata repository for the method of the present invention can guarantee the semantic operability of a medical record using metadata.
The method of managing medical records and the metadata repository for the method according to an embodiment of the present invention can guarantee and exchange continuous medical records between semantically identical service providers.
1 is a block diagram for explaining an embodiment of a medical record management system to which the disclosed technique can be applied.
FIG. 2 is a block diagram for explaining an embodiment of the medical record service system of FIG. 1;
FIG. 3 is a block diagram for explaining one embodiment of a medical record management method performed in the medical record service system of FIG. 2;
4 is a flow chart for one embodiment of the method of managing care records of FIG.
FIG. 5 is a block diagram for explaining another embodiment of a medical record management method performed in the medical record service system of FIG. 2. FIG.
FIG. 6 is a block diagram for explaining an embodiment of the metadata repository of FIG. 1;
FIG. 7 is a block diagram illustrating an embodiment of a metadata repository operation method performed in the metadata repository of FIG. 6. Referring to FIG.
The description of the disclosed technique is merely an example for structural or functional explanation and the scope of the disclosed technology should not be construed as being limited by the embodiments described in the text. That is, the embodiments are to be construed as being variously embodied and having various forms, so that the scope of the disclosed technology should be understood to include equivalents capable of realizing technical ideas.
Meanwhile, the meaning of the terms described in the present application should be understood as follows.
The terms "first "," second ", and the like are intended to distinguish one element from another, and the scope of the right should not be limited by these terms. For example, the first component may be referred to as a second component, and similarly, the second component may also be referred to as a first component.
It should be understood that the term "and / or" includes all possible combinations from one or more related items. For example, the meaning of "first item, second item and / or third item" may be presented from two or more of the first, second or third items as well as the first, second or third item It means a combination of all the items that can be.
It is to be understood that when an element is referred to as being "connected" to another element, it may be directly connected to the other element, but there may be other elements in between. On the other hand, when an element is referred to as being "directly connected" to another element, it should be understood that there are no other elements in between. On the other hand, other expressions that describe the relationship between components, such as "between" and "between" or "neighboring to" and "directly adjacent to" should be interpreted as well.
It should be understood that the singular " include "or" have "are to be construed as including a stated feature, number, step, operation, component, It is to be understood that the combination is intended to specify that it does not preclude the presence or addition of one or more other features, integers, steps, operations, elements, components, or combinations thereof.
In each step, the identification code (e.g., a, b, c, etc.) is used for convenience of explanation, the identification code does not describe the order of each step, Unless otherwise stated, it may occur differently from the stated order. That is, each step may occur in the same order as described, may be performed substantially concurrently, or may be performed in reverse order.
All terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which the disclosed technology belongs, unless otherwise defined. Commonly used predefined terms should be interpreted to be consistent with the meanings in the context of the related art and can not be interpreted as having ideal or overly formal meaning unless explicitly defined in the present application.
The disclosed technique provides a methodology that satisfies syntactic and semantic interoperability for electronic medical records (hereinafter referred to as medical records). In order to satisfy such syntactic and semantic interoperability, the disclosed technique uses semantic data to ensure semantic interoperability for medical records having different formats. In general, metadata is a unit that describes the syntax and semantics of data. ISO / IEC 11179 is proposed by the International Standards Organization (ISO) as a standard for the management of metadata.
In the disclosed technique, the medical record is not necessarily limited to one format. In other words, the sender and recipient have different types of medical records, and the disclosed technique utilizes a metadata repository to ensure that one type of medical record maintains semantic consistency with other types of medical records So that they can be exchanged. These medical records may include continuing medical records. Therefore, hereinafter referred to collectively as a medical record, this medical record means including a continuous medical record.
The disclosed technique can implement metadata based on the international standard ISO / IEC 11179. Thus, the metadata storage system referred to by the disclosed technology (hereinafter referred to as the metadata store) may correspond to the MetaData Registry (MDR) according to the international standard ISO / IEC 11179. The disclosed technique describes a method of exchanging medical records and a metadata repository for the same, which can secure syntactic and semantic interoperability using such a metadata repository.
1 is a block diagram illustrating an embodiment of a medical record system to which the disclosed technology may be applied.
Referring to FIG. 1, a medical record system includes a
The
The medical record service system 120,121 may use the
The
Here, the medical record may be configured in accordance with ISO / IEC 11179. Accordingly, the medical record may be composed of a data element, which is a basic unit of data managed in the
FIG. 2 is a block diagram for explaining an embodiment of the medical record service system of FIG. 1; FIG. 3 is a block diagram for explaining an embodiment of a medical record management method performed in the medical record service system of FIG. 2, and FIG. 4 is a flowchart of another embodiment of the medical record management method of FIG. FIG. 5 is a block diagram for explaining another embodiment of a medical record management method performed in the medical record service system of FIG. 2. FIG.
Hereinafter, the medical
Referring to FIG. 2, the medical
The communication unit 210 may communicate with at least one of the
The medical
The
The
Referring to FIG. 3, an embodiment of a method for managing a medical record includes requesting a second medical record from a second medical record service system (step S310), mapping rules for at least one element included in the second medical record To the metadata store 130 (step S320) and converting the second medical record to a first medical record based on the at least one mapping rule (step S320).
3, the method of managing a medical record can be performed by sequentially executing a medical record exchange process (steps S410 to S420) and a medical record conversion process (steps S40 to S40) +
The medical record exchange process can be performed in the following steps. Upon receiving a request for a care record from the
In one embodiment, a predetermined authentication procedure may be performed between the first and second care record service systems. More specifically, when the first care
Upon receiving the second care record from the second care
Thereafter, the first care
To describe the medical record conversion process in more detail, the first care
In one embodiment, a procedure for predetermined authentication may be performed between the first care
In one embodiment, requesting a mapping rule (step S430) may include the following steps. The first care
In one embodiment, a query on a data element may perform a query by performing a query on the context value of the metadata (e.g., Google health, MS vault, etc.). This is because the inquiry for the data element includes an inquiry for the service provider.
In one embodiment, a predetermined procedure may be performed to terminate this connection if an abnormal connection or termination occurs. For example, when the first care
Referring to FIG. 5, another embodiment of the medical record management method includes a step S510 of querying the
FIG. 6 is a block diagram illustrating an embodiment of the metadata repository of FIG. 1, and FIG. 7 is a block diagram illustrating an embodiment of a metadata repository management method performed in the metadata repository of FIG. Hereinafter, the
Referring to FIG. 6, the
The
The
The
The
The matching
Referring to FIG. 7, a method of operating a meta data store includes receiving at least one data element included in a first medical record from a first care record service system 120 (step S710) (Step S720) of generating a mapping rule for the corresponding data element if the mapping rule is not found (step S730).
In one embodiment, step S720 may be based on the assumption that at least one data element (first data element) and (i) concepts correspond to each other, and (ii) the submitter receives data from the first care
The disclosed technique may have the following effects. It is to be understood, however, that the scope of the disclosed technology is not to be construed as limited thereby, as it is not meant to imply that a particular embodiment should include all of the following effects or only the following effects.
The method of managing the medical records according to the disclosed technique may enable a multi-party exchange of continuous medical records that will be the most likely form of health record in the near future. Thus, it is possible to exchange and integrate personal health records scattered among various institutions, thereby satisfying the potential needs of users such as patients and doctors for the continuous medical records.
In addition, since the medical record management method according to the disclosed technology can perform the authentication procedure for the medical record at each stage of the invention, the user can conveniently use the medical information without worrying about leakage of his or her health information.
It will be apparent to those skilled in the art that various modifications and variations can be made to the present invention without departing from the spirit and scope of the present invention as set forth in the following claims It can be understood that
110, 111:
120,121: Medical record service system
130: Metadata Repository
Claims (14)
Receiving an inquiry request for at least one data element included in the first medical record from a first medical record service system;
Retrieving a mapping rule for the at least one data element;
Generating a mapping rule for the corresponding data element if the mapping rule is not found, and providing the mapping rule to the first care record service system if the mapping rule exists; And
If the mapping rule can not be generated, transmitting a missed message to the first care record service system and retrieving a mapping rule for the next data element.
If it is determined that the at least one data element has been stored beforehand, the concept of the data element is the same as that of the corresponding data element (hereinafter referred to as a first data element) Searching for the presence or absence of the presence; And
And retrieving a mapping rule for the first and second data elements.
And generating a mapping rule by comparing the value areas of the first and second data elements with each other.
Comparing the context values of the metadata for the first and second data elements.
A metadata storage for storing a mapping rule for at least one data element included in the medical record;
Receiving an inquiry request for at least one data element included in the first care record from a first care record service system, searching the meta data store for a mapping rule for the at least one data element, As a result, if there is the mapping rule, the control unit provides the mapping rule to the first care record service system; And
Generating a mapping rule for the corresponding data element if the mapping rule is absent and generating a matching rule for searching the mapping rule for the next data element if the mapping rule is not generated, And a generating unit.
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KR1020150011482A KR101892161B1 (en) | 2015-01-23 | 2015-01-23 | Method for managing electronic medical record and metadata storage system thereof |
PCT/KR2015/013627 WO2016117826A1 (en) | 2015-01-23 | 2015-12-11 | Medical record management method and metadata repository therefor |
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KR1020150011482A KR101892161B1 (en) | 2015-01-23 | 2015-01-23 | Method for managing electronic medical record and metadata storage system thereof |
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JP2013537326A (en) * | 2011-08-31 | 2013-09-30 | アピシオ,インク. | Medical Information Navigation Engine (MINE) system |
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US8065336B2 (en) * | 2004-12-20 | 2011-11-22 | Fujitsu Limited | Data semanticizer |
US8583694B2 (en) * | 2005-05-09 | 2013-11-12 | Atlas Development Corporation | Health-care related database middleware |
KR20120012923A (en) * | 2010-08-03 | 2012-02-13 | 서울대학교산학협력단 | System and method for managing medical infirmation using clinical contents model and apparatus for processing clinical contents model markup language |
KR101320572B1 (en) * | 2012-02-15 | 2013-10-28 | 주식회사 메타헬스 | System and method for medical treatment pattern based on electronic medical record |
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