DE202005003773U1 - Computer network based patient data and information system has a system of networked bridging computers linking doctors, hospitals and care homes, with care homes having computer-linked stations for measuring patient data - Google Patents

Computer network based patient data and information system has a system of networked bridging computers linking doctors, hospitals and care homes, with care homes having computer-linked stations for measuring patient data Download PDF

Info

Publication number
DE202005003773U1
DE202005003773U1 DE200520003773 DE202005003773U DE202005003773U1 DE 202005003773 U1 DE202005003773 U1 DE 202005003773U1 DE 200520003773 DE200520003773 DE 200520003773 DE 202005003773 U DE202005003773 U DE 202005003773U DE 202005003773 U1 DE202005003773 U1 DE 202005003773U1
Authority
DE
Germany
Prior art keywords
patient data
computer
bridge
doctor
bridging
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
DE200520003773
Other languages
German (de)
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
POESL, HANS, DR.MED., DE
Original Assignee
Pösl, Rudolf, Dipl.-Ing.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Pösl, Rudolf, Dipl.-Ing. filed Critical Pösl, Rudolf, Dipl.-Ing.
Priority to DE200520003773 priority Critical patent/DE202005003773U1/en
Publication of DE202005003773U1 publication Critical patent/DE202005003773U1/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • 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
    • G16Z99/00—Subject matter not provided for in other main groups of this subclass
    • 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
    • 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
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
    • 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
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
    • 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
    • G16H80/00—ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring

Abstract

Patient data and information system has bridging computers assigned to responsible doctors, hospitals, relevant care homes, a network controlled by an index computer for connecting the bridging computers and at least a measurement station in a care home for acquiring patient data that is connected to the care home bridging computer. Thus a responsible doctor can access patient data via his system access.

Description

Die Neuerung betrifft ein Patientendaten-Informationssystem mit Hilfe von Rechnern.The Innovation relates to a patient data information system with help of computers.

Aus der PCT-Anmeldung WO 2005/00427 A2 ist ein System bekannt, bei dem folgende Merkmale vorgesehen sind:

  • – jeder Arbeitsplatz eines teilnehmenden Arztes oder Krankenhauses ist über einen am Ort befindlichem Brückenrechner an ein geschlossenes, getunneltes Netz angeschlossen,
  • – im Brückenrechner sind die dem Arbeitsplatz zugeordneten Informationen über den einzelnen Patienten nur lesbar eingegeben,
  • – dem Netz ist ein Indexrechner zugeordnet,n dem die Identifikationsmerkmale des einzelnen Patienten bei einer Neuaufnahme eingebbar sind,
  • – über die Identifikationsmerkmale führt der Indexrechner die für die Datenabfrage relevanten Brückenrechner zusammen und klinkt sich aus.
PCT application WO 2005/00427 A2 discloses a system in which the following features are provided:
  • Each workstation of a participating doctor or hospital is connected to a closed, tunneled network via a bridge computer located on site,
  • In the bridge computer, the information about the individual patient assigned to the workstation is entered in readable form only,
  • An index calculator is assigned to the network, in which the identification features of the individual patient can be entered in a new recording,
  • - The index calculator uses the identification features to compile the bridge computers that are relevant for the data query and then clicks out.

Durch die weitgehende Dezentralisierung der Rechenleistung und Speicherkapazität erhält man ein sehr zuverlässiges und leicht erweiterbares System, an das auch weitere Netze angebunden werden können.By the extensive decentralization of the computing power and storage capacity is obtained very reliable and easily expandable system to which other networks are connected can.

Durch die neue Gesetzgebung soll in Zukunft über Fallpauschallen abgerechnet werden. Durch eine rechtzeitige Entlassung aus dem Krankenhaus können in Verbindung mit Pflegeheim und Hausarzt die Kosten optimiert werden, wobei das Wohl des Patienten aber immer Vorrang hat.By the new legislation will be settled in the future using case flat rates become. By timely discharge from the hospital can be in Connection with nursing home and family doctor the costs are optimized but the well-being of the patient always has priority.

Die Aufgabe der vorliegenden Neuerung besteht darin, das System so auszubilden, daß es insbes. bei der Einbeziehung der Pflegeheime nicht zu einer Verschlechterung der Patientensituation kommt.The The object of the present invention is to design the system in such a way that that it In particular, the inclusion of nursing homes does not lead to a deterioration the patient situation comes.

Ein Gesamtsystem hat daher folgenden Aufbau:

  • a. den zuständigen Ärzten zugeordnete Brückenrechner
  • b. den Krankenhäusern zugeordnete Brückenrechner
  • c. den einschlägigen Pflegeheimen zugeordnete Brückenrechner
  • d. ein über Indexrechner gesteuertes Netz zur Verbindung der Brückenrechner und
  • e. mindestens eine dem Pflegeheim zugeordnete Meßstation zur Erfassung der Patientendaten, die mit dem zugeordnetem Brückenrechner verbunden ist, auf dessen Daten der zuständige Arzt mit seinem System Zugriff hat.
An overall system therefore has the following structure:
  • a. associated with the responsible physicians bridge computer
  • b. the bridge computers assigned to the hospitals
  • c. associated with the relevant nursing homes bridge computer
  • d. an index-controlled network for connecting the bridge computers and
  • e. at least one of the nursing home associated measuring station for detecting the patient data, which is connected to the associated bridge computer, on whose data the physician has access with his system.

Das System ist mit einer über Brückenrechner, Netz und Brückenrechner des zuständigen Arztes auslösbaren Warnfunktion versehen.The System is over with one Bridge computer Network and bridge computer of the responsible Doctor releasable Warning function provided.

Vorgesehen ist ferner ein häusliches Patientenmeßgerät, welches mit dem System des zuständigen Arztes verbunden ist.Intended is also a domestic one Patient meter, which with the system of the competent Doctor is connected.

Ferner sollte der Arzt über ein Modul auf sein System aufschaltbar sein.Further the doctor should over a module be aufschaltbar on his system.

Anhand einer Zeichnung sei die Neuerung näher erläutert:Based a drawing the innovation is explained in more detail:

Das System besteht aus einem geschlossenen, getunnelten Netz 3, an das jeweils über einen Brückenrechner 2 der Arbeitsplatz 1 des teilnehmenden Arztes oder ein Krankenhaussystem 5 ankoppelbar ist.The system consists of a closed, tunneled network 3 , to each via a bridge computer 2 the workplace 1 the participating physician or a hospital system 5 can be coupled.

Die plombierten, ortsfesten und gesicherten Brückenrechner erfüllen verschiedene Funktionen:

  • – sie machen die unterschiedlichen Arbeitsplätze durch entsprechende Datenkonvertierung an das gleiche Netz anschließbar,
  • – sie sind Speicher für die nach Eingabe nicht mehr veränderbaren Informationen über die einzelnen Patienten,
  • – sie liefern Informationen über Standort und Kennungen und
  • – sie organisieren den Datenaustausch über das Netz.
The sealed, fixed and secured bridge computers fulfill various functions:
  • - they connect the different workstations to the same network by means of appropriate data conversion,
  • They are storage for the information which can no longer be changed after input of the individual patients,
  • - they provide information about location and identifiers and
  • - they organize the exchange of data over the network.

Der Indexrechner hat im wesentlichem folgende Funktionen:

  • – er schaltet zunächst den Verbindungsweg zwischen den betreffenden Brückenrechnern und
  • – prüft dabei die Berechtigung, z.B. über Name, Fingerabdruck usw. des anfragenden Arbeitsplatzes.
The index calculator has the following functions:
  • - It first switches the connection path between the relevant bridge computers and
  • - checks the authorization, eg via name, fingerprint, etc. of the requesting workstation.

Sinngemäß läuft der Anschluß des Krankenhauses, wobei hier die Datenmengen naturgemäß wesentlich größer sind.Meaningfully, the runs Connection of the Hospital, whereby the data volumes are of course essential are bigger.

Die Wirkungsweise des Systems ist die folgende: Der Arbeitsplatz 1 des betreffenden Arztes ist über seinen teilweise individuell programmierten Brückenrechner 2 an das Netz 3 angeschlossen. Der Brückenrechner 2 liefert dem Indexrechner 4 die z.B. durch GPS festgelegten Koordinaten und seine Kennung. Ggf. werden auch personenbezogene Merkmale des Arztes oder der von ihm autorisierten Person eingegeben.The operation of the system is the following: The workplace 1 of the physician in question is about his partially individually programmed bridge computer 2 to the network 3 connected. The bridge computer 2 provides the index calculator 4 the coordinates defined by GPS, for example, and its identifier. Possibly. Personal characteristics of the doctor or of the person authorized by him are also entered.

Nimmt der Arzt nun einen neuen Patienten auf, so werden dessen Identifikationsmerkmale, wie z.B. Name, Geburtstag, Krankenkassendaten und personenbezogene Informationen wie z.B Fingerabdruck und Augenirisaufbau mittels einer Erkennungsvorrichtung 6 an seinen Indexrechner 4 geliefert. Ferner werden die Patientendaten über Krankheit, Allergien und Therapie usw. in den Brückenrechner 2 unter der Patientenadresse eingeschrieben und sind dort-ebenso wie Ergänzungen- nicht mehr veränderbar, wie durch die gestrichelte Linie 7 angedeutet.If the doctor now takes on a new patient, then his identification features, such as name, birthday, health insurance data and personal information such as fingerprint and Augenirisaufbau using a recognition device 6 to his index calculator 4 delivered. Furthermore, the patient data on illness, allergies and therapy, etc. in the bridge computer 2 inscribed under the patient's address and are there as well as supplements- not changeable, as by the dashed line 7 indicated.

Möchte ein behandelnder Arzt von seinem Arbeitsplatz 1 aus sehen, welche Daten über den Patienten an anderer Stelle vorliegen, so werden dessen Identifikationsmerkmale unter seiner Mithilfe eingegeben. Der Indexrechner 4 verifiziert die Angaben und sucht über diese Merkmale den oder die Brückenrechner 2, in dem Patientendaten vorliegen. Er stellt dann über das Netz 3 die Verbindung zwischen den betreffenden Brückenrechnern her und klinkt sich aus. Der anfragende Arzt kann die fremderstellten Dateien lesen aber nicht verändern.Would like a doctor from his workplace 1 from seeing which data about the patient are available elsewhere, its identifiers are entered with his assistance. The index calculator 4 verifies the information and searches for these features or the bridge computer 2 in which patient data is available. He then poses over the net 3 the connection between the relevant bridge computers and releases. The requesting doctor can read the foreign files but not change.

Es ist nicht unbedingt erforderlich, daß die abzufragenden Daten physisch im betreffenden Brückenrechner liegen, sondern an einen anderen Brückenrechner ausgelagert sind, der noch über ausreichende Kapazität verfügt. Vom Arbeitsplatz 1 aus gesehen, ändert sich hierdurch nichts.It is not absolutely necessary that the data to be interrogated physically be located in the respective bridge computer, but are outsourced to another bridge computer, which still has sufficient capacity. From the workplace 1 From this perspective, nothing changes.

Einen Sonderfall bildet ein Notfall, hier müßen ggf. die Patientenmerkmale über transportable Einrichtungen eingebbar und abfragbar sein.a Special case forms an emergency, here must possibly the patient characteristics on portable facilities be entered and queried.

Wesentlich ist nun das Zusammenspiel zwischen Krankenhaussystem 5, Pflegeheimsystem 9 und Hausarztsystem 12, 13. Das gestrichelt umrandet gezeichnete Pflegeheimsystem 9 umfaßt den Brückenrechner 91 und die Meßstationen 92, 93 zur Erfassung der Patientenwerte. Das Hausarztsystem 12 umfasst neben Brückenrechner 2 und Arbeitsplatz 1 noch ein zusätzliches Modul 11, mit dem der Hausarzt von beliebiger Stelle aus mit seinem System kommunizieren kann.What is essential now is the interaction between the hospital system 5 , Nursing home system 9 and family doctor system 12 . 13 , The dashed lined outlined nursing home system 9 includes the bridge computer 91 and the measuring stations 92 . 93 for recording the patient values. The family doctor system 12 includes next to bridge calculator 2 and workplace 1 another additional module 11 with which the family doctor can communicate with his system from any location.

Die Wirkungsweise ist folgende:The The mode of action is the following:

Im Pflegeheim wird der Patient bei Bedarf an eine der Meßstationen 92, 93 angeschlossen. Die entstehenden Meßdaten werden im Brückenrechner gesammelt und können vom Hausarzt zu jeder Zeit ausgewertet werden. Treten kritische Werte auf, so wird der Hausarzt z.B durch ein akustisches Signal auf eine ev. Gefährdung des Patienten aufmerksam gemacht.In the nursing home, the patient is sent to one of the measuring stations if necessary 92 . 93 connected. The resulting measurement data are collected in the bridge computer and can be evaluated by the family doctor at any time. If critical values occur, the family doctor, for example, is alerted by an acoustic signal to an ev. Danger to the patient.

Bei kritischen Situationen kann er in einer Konferenzschaltung den zuständigen Spezialisten, z.B einen Facharzt zuziehen. Sollte der Hausarzt nicht anwesend sein, kann ggf. der Zugriff auf die Patientendaten zu einem anderen Arzt geschaltet werden.at In critical situations he can call the responsible specialist in a conference call, e.g. to consult a specialist. Should the family doctor not be present, If necessary, access to the patient data to another doctor be switched.

Kann der Patient aus dem Pflegebereich entlassen werden, kann der Hausarzt über ein sog. Home- Care- System 10, das auf den Brückenrechner des Hausarztes geschaltet ist, den Patienten noch einige Zeit virtuell begleiten.can the patient can be discharged from the nursing home, the family doctor can over a so-called Home Care System 10, which is on the bridge computer of the family doctor is switched on, virtually accompany the patient for some time.

Die Meßdaten werden festgehalten und liegen auch bei späteren Behandlungen vor.The measurement data are recorded and are also present in later treatments.

Es ist ferner von Vorteil, wenn der Hausarzt nicht immer an die persönliche Anwesenheit in seiner Praxis gebunden ist, sondern sondern über ein Hausarztmodul die Daten abrufen kann.It is also advantageous if the family doctor is not always at the personal presence is bound in his practice, but via a family doctor module the data can call.

Claims (4)

Patientendaten- Informationssystem mit a. den zuständigen Ärzten zugeordnete Brückenrechner b. den Krankenhäusern zugeordnete Brückenrechner c. den einschlägigen Pflegeheimen zugeordnete Brückenrechner d. ein über Indexrechner gesteuertes Netz zur Verbindung der Brückenrechner und e. mindestens eine dem Pflegeheim zugeordnete Meßstation zur Erfassung der Patientendaten, die mit dem zugeordnetem Brückenrechner verbunden ist, auf dessen Daten der zuständige Arzt mit seinem System Zugriff hat.Patient data information system with a. assigned to the responsible physicians bridge calculator b. the hospitals assigned bridge computer c. the relevant Nursing homes associated bridge computer d. one over Index computer controlled network for connecting the bridge computers and e. at least one measuring station assigned to the nursing home to collect the patient data associated with the associated bridge computer on whose data the responsible doctor with his system Has access. System nach Anspruch 1 mit einer über Brückenrechner, Netz und Brückenrechner des zuständigen Arztes auslösbaren Warnfunktion.System according to claim 1 with a bridge computer, network and bridge computer of the responsible Doctor releasable Warning function. System nach Anspruch 1 mit einem häuslichen Patientenmeßgerät, welches mit dem System des zuständigen Arztes verbunden ist.The system of claim 1 comprising a home patient meter which with the system of the competent Doctor is connected. System nach einem der vorhergehenden Ansprüche, bei dem der Arzt über ein Modul auf sein System aufschaltbar ist.System according to one of the preceding claims, wherein the doctor over a module is aufschaltbar on his system.
DE200520003773 2005-03-09 2005-03-09 Computer network based patient data and information system has a system of networked bridging computers linking doctors, hospitals and care homes, with care homes having computer-linked stations for measuring patient data Expired - Lifetime DE202005003773U1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
DE200520003773 DE202005003773U1 (en) 2005-03-09 2005-03-09 Computer network based patient data and information system has a system of networked bridging computers linking doctors, hospitals and care homes, with care homes having computer-linked stations for measuring patient data

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
DE200520003773 DE202005003773U1 (en) 2005-03-09 2005-03-09 Computer network based patient data and information system has a system of networked bridging computers linking doctors, hospitals and care homes, with care homes having computer-linked stations for measuring patient data

Publications (1)

Publication Number Publication Date
DE202005003773U1 true DE202005003773U1 (en) 2005-07-07

Family

ID=34745633

Family Applications (1)

Application Number Title Priority Date Filing Date
DE200520003773 Expired - Lifetime DE202005003773U1 (en) 2005-03-09 2005-03-09 Computer network based patient data and information system has a system of networked bridging computers linking doctors, hospitals and care homes, with care homes having computer-linked stations for measuring patient data

Country Status (1)

Country Link
DE (1) DE202005003773U1 (en)

Similar Documents

Publication Publication Date Title
DE60129964T2 (en) HEALTH MONITORING SYSTEM
Fong Chua et al. Worrying about accounting in health care
DE102005061004B4 (en) Device and method for access to at least one information related to at least one drug
DE60133576T2 (en) ADMINISTRATION OF THE INFECTION RISK OF SURGICAL MEASURES IN HEALTH CARE
Morreim Stratified scarcity: Redefining the standard of care
Amelung et al. Managed care
CN106295215A (en) Clinical assistant diagnosis system
Guevara et al. A comparative analysis of the changes in nursing practice related to health sector reform in five countries of the Americas
WO2002056234A2 (en) System for detecting and storing individual-specific data, a corresponding storage element, and a method for rescuing and/or medically caring for living beings in an emergency
McCUE et al. Cost-minimization analysis: A follow-up study of a telemedicine program
Bruch et al. Trends in real estate investment trust ownership of US health care properties
DE202005003773U1 (en) Computer network based patient data and information system has a system of networked bridging computers linking doctors, hospitals and care homes, with care homes having computer-linked stations for measuring patient data
Malone Working with people: evaluation of the Clinical Nurse Specialist
DE10330575A1 (en) Patient Data Information System
Simoes et al. University Gynaecology and Obstetrics, quo vadis? A Department of Women’s Health—University Women’s Hospital of the future?
DE20321055U1 (en) Computerized patient data information system permits linking of computers holding patient data via a tunneled network with local bridge computers and associated index computers that contain patient identification information
DE19953699A1 (en) Smart card access of internet for transmission of medical patient data
Glabman Specialist shortage shakes emergency rooms; more hospitals forced to pay for specialist care
McMillen The value of surgical residencies to community teaching hospitals
DE202022104996U1 (en) An intelligent integrated medication/history profiling system for patients, physicians, pharmacists and industry
Silverman Pay-for-Performance Measures Face Skepticism
Robbins Keep Your Politics Out of My Practice
Lawrence et al. Kaiser Permanente's twist on managed care: A talk with David M. Lawrence, MD
DE102022128169A1 (en) Method for communicating within a network, especially in the hospital environment
DE202015106013U1 (en) System for control and exchange of medical information

Legal Events

Date Code Title Description
R207 Utility model specification

Effective date: 20050811

R081 Change of applicant/patentee

Owner name: POESL, HANS, DR.MED., DE

Free format text: FORMER OWNER: POESL, RUDOLF, DIPL.-ING., 90453 NUERNBERG, DE

Effective date: 20070516

R150 Utility model maintained after payment of first maintenance fee after three years

Effective date: 20080409

R151 Utility model maintained after payment of second maintenance fee after six years

Effective date: 20110411

R158 Lapse of ip right after 8 years

Effective date: 20131001