JP2019095868A - Data cooperation method for health medical care cooperation system, program for data cooperation, and server for health medical care cooperation system - Google Patents

Abstract

Data in any data format collected at each health care institution is converted into standardized data at a server, and data provided from other health care institution is in a format that can be used at each health care institution. Provided are a data linkage method, a data linkage program, and a server for a health care care linkage system that can be converted into data. A data acquisition unit 11 acquires health care information from a plurality of health care institutions 2, a data standardization unit 12 converts the information into information in a standardized data format, and a request reception unit 16. A step of accepting a request for information from any health care institution 2, and a data request control conversion unit 27 based on the request, the inspection method of the health care institution 2 that has requested information in a standardized data format, and A data linkage method of a health care nursing cooperation system comprising a step of converting into data in a format according to a data format. [Selection] Figure 7

Description

  The present invention relates to a data linkage method for data (data) such as health care information in a health care and care cooperation system capable of sharing health care information at health care institutions such as a plurality of hospitals, care facilities, and pharmacies. It relates to a program for cooperation and a server for a health care-care and care cooperation system.

  Currently, many medical institutions such as hospitals use electronic medical records etc. when entering medical information such as the progress of medical treatment of each user (patient), and multiple doctors within the medical institution , Nurses, pharmacists and other professionals can share the same information (see, for example, Patent Document 1).

  In addition, by storing the electronic medical records etc. in a server etc., it will be possible to refer to information (data) such as health care information of the user from health care institutions such as other hospitals, nursing facilities and pharmacies. The move is intensifying. In this case, whether or not the health care institutions can exchange the user's information is dealt with by having the user write a written agreement in paper form.

  However, in the conventional method of asking the user to write a written consent form, it takes time and it is often vague to what extent the consent has been reached. In addition, which information is disclosed is set in advance, for example, this information may be disclosed but other information is not desired to be disclosed, etc. For this healthcare facility There is the inconvenience that you can not make detailed personal settings for each user, such as you may do, but you do not want to disclose it to other healthcare facilities, and there are also security issues, so it can be used conveniently. It was not a thing.

  Therefore, the applicant of the present application has the right to control the user's own information in the health and medical care cooperation system in which health and medical information can be shared among a plurality of health and medical institutions, and the health and medical care and nursing can also ensure security. A program for a cooperative system portable terminal device, a health and medical care cooperation system, and a health and medical care cooperation system integrated foundation has been established, and a patent application has already been filed (Japanese Patent Application No. 2016-150816).

JP 2012-203548 A

  However, when actually starting the operation of a health care and care cooperation system that can share health care information among multiple health care institutions, it is extremely important to collect data (information) collected from multiple facilities in a standard format Proved to be difficult. In addition, even if the data can be collected in the standard format, it is necessary to handle the data already collected and to consider the timing of switching to the new version when the version of the standard format is renewed, and further There is a problem that the version of the standard format is changed at the time of data analysis, which becomes a very serious problem.

  The present invention has been made to solve the above-described problems, and is collected by each health care institution in a health care-care cooperation system capable of sharing health care information among a plurality of health care institutions. Any data format data (information) can be converted to standardized data in the server, and data provided from other health care institutions can be converted to data in a format usable by each health care institution It is an object of the present invention to provide a data linkage method of a medical-care linkage system, a program for data linkage, and a server for a healthcare-care-care linkage system.

  In order to achieve the above object, the present invention is a data linkage method of a health care-care and care collaboration system capable of sharing health care information among a plurality of health care institutions, and a data acquisition unit comprises the plurality of health care institutions Acquiring the health care information from the data storage unit, and converting the health care information acquired by the data acquisition unit into health care information in a standardized data format and storing the health care information in a standard data storage unit. The request receiving unit receives a request for health care information on a specific user from any one of the plurality of health care institutions, and the data request control conversion unit is the request accepting unit. Based on the received request, health care information in a standardized data format stored in the standard data storage unit is used for the requested health care. Converting the data into a data format according to the inspection method and data format, and transmitting the data converted by the data request control conversion unit to the health care facility that made the request. And the like.

  According to the data cooperation method of the medical care and care cooperation system of the present invention, the data cooperation program, or the server for the medical care and care cooperation system, data of any data format collected by each medical care institution is standardized. Data can be converted into data and data provided by other health care institutions can be converted into data in a format that can be used by each health care institution. Therefore, in each health care institution, standardization of data formats, standards Since it is not necessary to upgrade the software to convert to a format, and test data from other health care institutions can be received as data in a format that conforms to the examination method and data format in your health care institution. It becomes possible to perform more effective data sharing.

It is explanatory drawing which shows the outline | summary of the health care care care cooperation system which can share health care information by several health care institutions. It is explanatory drawing which shows the schematic structure of the existing (conventional) health care care cooperation system which several health care institutions can share health care information, and the relationship of data. A schematic configuration of the healthcare-care and care cooperation system according to the first embodiment of the present invention, in which a plurality of healthcare facilities can share health-care information, and data with a server for the healthcare-care-care cooperation system and each healthcare facility It is explanatory drawing which shows the relationship of. It is a block diagram which shows an example of a function structure of the cloud server for health care medical care cooperation systems in Embodiment 1 of this invention. It is a flowchart which shows the process to data analysis in the cloud server for health care medical care cooperation systems in Embodiment 1 of this invention. It is a flowchart which shows the process after data analysis in the cloud server for health care medical care cooperation systems in Embodiment 1 of this invention. It is a block diagram which shows another example of a function structure of the cloud server for health care medical care cooperation systems in Embodiment 1 of this invention. It is a figure which shows schematic structure of the health care medical care cooperation system integrated foundation in Embodiment 2 of this invention.

The present invention relates to a data linkage method for data (data) such as health care information in a health care and care cooperation system capable of sharing health care information at health care institutions such as a plurality of hospitals, care facilities, and pharmacies. It relates to a program for cooperation and a server for a health care-care and care cooperation system.
Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings.

  FIG. 1 is an explanatory view showing an overview of a health care-care cooperation system in which health care information can be shared by a plurality of health care institutions. Medical medical records conventionally stored in paper format are becoming computerized, and multiple doctors and nurses can share the same user's electronic medical records (medical medical records) for viewing and writing within a hospital. It became so. This is generally called EMR (Electronic Medical Record).

  Then, for one user, for example, if there are an EMR owned by A hospital, an EMR owned by B hospital, an EMR owned by C clinic, and an EMR owned by D clinic, A system was proposed to share information between medical institutions, but once there was a problem such as the law, and there was a problem that it was not possible to cross the wall between medical institutions.

  In addition, although EMR is only information of a specific medical institution, EHR (Electronic Medical Health Information shared by a plurality of medical institutions) of the user's EMR as electronic medical health information beyond one medical institution, that is, EHR ( Development of a system called Electronic Health Record is in progress. Furthermore, in addition to medical information, there is a demand to combine it with personal health information (PHR (Personal Health Record), which is personal health information (daily blood pressure, diet, daily life information such as steps), etc. Expected at the level (see Figure 1 (a), (b)).

  In this way, in the computerization of medical information, EMR has developed from EMR to EHR, and in order to cope with the entry into the super-aged society, medical care in Japan is free access, from one medical institution complete type to specialized medical care department / area Wide-area EHR is required in line with the transformation to a division of labor system. In this wide area EHR, the connection of EMRs of multiple vendors, and also the connection of EHRs, should be considered.

  However, Japan's EMR and EHR developed in complete free competition, and standardization was not essential. For this reason, in the construction of a cloud-type EHR, there are problems such as identity verification, data standardization, data disclosure range, and consent acquisition. Therefore, the applicant of the present invention has a challenge to build a cloud-type EHR from the PHR side, and a health-care-care cooperation system based on PHR that allows each health-care organization to participate in the cloud-type EHR. developed.

  However, PHR, which is personal health information of the user, has problems with consent and security issues in order to access from one medical institution to another medical institution beyond the one medical institution, and is now in a usable state Also, the right holder of the information (whether it is the information from the medical institution or the user's own information) is unclear, and the sharing of information is not very active. There was a problem that.

  Therefore, the applicant of the present application has consent of the user for disclosing various information in a health care-care and care cooperation system which can share health care information at health care institutions such as multiple hospitals, care facilities, and pharmacies. While being obtained, security is also secure by using a certain person authentication method, furthermore, as the user-centered PHR by the user having the right to control his / her information, between multiple health care institutions Programs for health care and medical care cooperation system portable terminal devices that enable collaboration between multiple health care institutions and users smoothly and enable effective and safe sharing of information, We have established a health care / care / care cooperation system and a health care / care care cooperation system integrated basis, and have already applied for a patent (Japanese Patent Application No. 2016-1508). 6).

  However, when actually starting the operation of a health care and care cooperation system that can share health care information among multiple health care institutions, it is extremely important to collect data (information) collected from multiple facilities in a standard format Proved to be difficult. In addition, even if the data can be collected in the standard format, it is necessary to handle the data already collected and to consider the timing of switching to the new version when the version of the standard format is renewed, and further It was found that the version of the standard format was changed during data analysis, which is a very serious problem. Furthermore, even if data can be collected in a standard format, the reference value range differs from that of other facilities due to differences in testing equipment, testing methods, and reagents in each facility, and can not simply be compared. New challenges have also arisen that the accumulated big data can not be analyzed easily.

  FIG. 2 shows the relationship between the schematic configuration and data of the current (conventional) health care and care cooperation system 1 in which a plurality of health care institutions 2 (2A, 2B, 2C,...) Can share health care information. FIG. Here, FIG. 2 (a) is a schematic configuration diagram of the current (conventional) health care / care cooperation system 1 and each health care institution 2, and FIG. 2 (b) is the current (conventional) health FIG. 6 is an explanatory view showing a relationship of data exchanged between the medical care cooperation system 1 and each health care institution 2.

  For example, as shown in FIG. 2, in the current (conventional) health care and care cooperation system 1 in which a plurality of health care institutions can share health care information, each health care institution 2 (2A, 2B, 2C, 2C, ...) introduce a standardization program that converts health care information (a, b, c) in its own data format into health care information (a ', b', c ') in a standardized data format However, as the version of this standardization program is updated, it is necessary to unify the version at each health care institution, and it is necessary to consider that the time to switch to the new version is delayed at each health care institution. .

  Also, if you want to refer to old data, you may need to downgrade the standardization program currently being used, so it is necessary to make it possible to refer to the data format of the old version in the new standardization program. There was a need to consider the handling of data collected in the past, for example.

  Furthermore, even if data can be collected in a standard format, for example, if the test method at hospital A (health care institution 2A) and the test method at hospital B (health care institution 2B) are different, each other There is also a problem that although inspection data (a and b) can be viewed as data, it is not data that can be effectively utilized.

  Therefore, in the embodiment of the present invention, any data collected by each health care institution in a health care care cooperation system capable of sharing health care information among health care institutions such as a plurality of hospitals, care facilities, and pharmacies. Even in the form of data (information), it is converted to standardized data in the server for health care and nursing care cooperation system, and data provided from other health care institutions is converted to data of a format usable by each health care institution By making it possible to do so, each healthcare facility does not need to standardize the data format or upgrade the software for converting it to the standard format, and also test data in other healthcare facilities, Received as data in a format that conforms to the inspection method and data format in your own healthcare facility It is intended to be able to take.

Embodiment 1
FIG. 3 shows a schematic configuration of the health care-care and care cooperation system according to the first embodiment of the present invention, in which a plurality of health care facilities can share health care information, a server for the health care-care care cooperation system, and each health care It is an explanatory view showing a relation of data with an organization. This health care and care cooperation system is a server capable of exchanging data with each health care institution 2 (2A, 2B, 2C, ...), that is, a server for the health care and care cooperation system (here, It is comprised by the cloud server 10). In the first embodiment, the “health care institution” refers to a health care service institution such as a hospital, a care facility, a pharmacy, a visiting nursing station, or a health check center participating in a health care and care cooperation system. Say.

  As shown in FIG. 3, the relationship between the cloud server 10 for the health care and care cooperation system in the first embodiment of the present invention and each health care institution 2 (2A, 2B, 2C,...) Looks at first glance , The same as the current (conventional) health care and nursing care cooperation system 1 (see FIG. 2 (a)), but exchange of data with each health care institution 2 (2A, 2B, 2C, ...), and The data processing is largely different.

  That is, conventionally, each health care institution 2 (2A, 2B, 2C,...) Individually performs health care information (a, b, c,...) Such as unique examination data to other health care institutions Introduced a standardized program to convert data into a standard data format that can be shared with each other, and each health care institution 2 can use it as health care information (a ', b', c ', ...) in a standardized data format. The converted health care information (a ′, b ′, c ′,...) Is sent to the health care and care cooperation system 1 (see FIG. 2B).

  On the other hand, in the health care-care and care cooperation system according to the first embodiment of the present invention, the cloud server 10 for the health care-care and care cooperation system is a test data from each health care institution 2 (2A, 2B, 2C, ...). And other health care information (a, b, c, ...) are received and converted to health care information (a ', b', c ', ...) in a standardized data format in the cloud server 10 Analysis of the standardized health and medical information (a ', b', c ', ...), and analysis of the transition of the patient's health condition, the estimated disease name, effective treatment methods, drugs, etc. The results are accumulated as analysis data (2a, 2b, 2c, ...).

  FIG. 4 is a block diagram showing an example of a functional configuration of the cloud server for the health care and medical care cooperation system in the first embodiment. As shown in FIG. 4, the cloud server 10 for the health care and medical care cooperation system includes a data acquisition unit 11, a data standardization unit 12, a standard data storage unit 13, a data analysis unit 14, an analysis result storage unit 15, and a request reception unit. The data request control conversion unit 17 and the data transmission unit 18 are provided.

The data acquisition unit 11 is an acquisition unit that acquires health care information (a, b, c, ...) such as examination data from a plurality of health care institutions 2 (2A, 2B, 2C, ...). It is.
The data standardization unit 12 includes a standardization program for converting data of various formats into standardized data, and the health care of each health care institution 2 (2A, 2B, 2C, ...) acquired by the data acquisition unit 11 A standardization unit that converts information (a, b, c, ...) into health care information (a ', b', c ', ...) in a standardized data format, and the converted health care Information (a ′, b ′, c ′,...) Is stored in the standard data storage unit 13.

  Here, standardization of health and medical information will be described. In general, there are many data types for which standardization is specified for medical information. In this case, a tag indicating what the data relates to is defined in each data, and health care information in which the tag is defined participates in other health care institutions and other health care and care cooperation systems etc. Even in the case of health care information of a health care institution, it is possible to exchange information normally. However, although some medical information is not standardized, and there are many cases in which health information is not standardized in general. However, in this cloud server 10 for the medical care and nursing care cooperation system, data standardization In the section 12, the information that is not standardized is standardized and analyzed by analyzing what the data relates to and defining a tag, thereby standardizing and storing the data. However, information that is not organized into an order that can not be standardized, such as plain text information comments, is handled as it is.

The standard data storage unit 13 is a storage unit that stores health care information (a ′, b ′, c ′,...) Converted to a data format standardized by the data standardization unit 12.
The data analysis unit 14 analyzes health care information (a ', b', c ', ...) in a standardized data format stored in the standard data storage unit 13, and changes the health condition of the patient. An analysis unit that derives analysis results (analysis results of standardized data format) such as estimated disease names, effective treatment methods and medicines, and the analyzed data (2a, 2b, 2c, ...) Are stored in the analysis result storage unit 15. At this time, as described later, when there is an inquiry from the data request control conversion unit 17, an inquiry is made to the standard data storage unit 13 in a standard format, and narrowing down or multiple search is performed based on the result. And the obtained result (analysis result) is passed to the analysis result storage unit 15.

Here, a specific method by which the data analysis unit 14 derives analysis data (analysis result) will be briefly described. In the sample inspection, the inspection object, the inspection method, the inspection result, the unit of the result, the reference range of the result and the like are treated as a data set. Some laboratory test item classification codes such as JLAC10, which are commonly used in Japan, permit multiple descriptions for the test object and test method, and some variations are considered for standard format queries. Then you have to assemble the inquiry. That is, even if there is only one request thrown to the request receiving unit 16, the data analyzing unit 14 converts the request into an appropriate multi-step inquiry and implements it.
Another feature of the sample inspection is that although a reference value range is set for each inspection institution, it is changed irregularly as needed, such as a change of inspection equipment. Moreover, even if the same reagent is used using the same inspection instrument, different reference value ranges may be adopted. For this reason, there are also tests that attempt to determine the common reference range, but there are many inspection items that can not set the common reference range. Therefore, the difference in reference range is mathematically corrected. Assuming that the inspection data (measured value) is X, the upper limit of the reference range is H, the lower limit of the reference range is L, and the analysis index value is Y, Y = (X−L) / (H−L). Y will be distributed from 0 to 1.
Here, the sample examination has been taken as an example, but the data analysis unit 14 processes the disease names and medicines that require consideration even if they are inquiries in the standard format as well.

The analysis result storage unit 15 is a storage unit that stores analysis data (2a, 2b, 2c,...) Derived by the data analysis unit 14.
The request reception unit 16 receives a request for health care information on a specific user (a patient) from any health care institution 2 of the plurality of health care institutions 2 (2A, 2B, 2C, ...). It is an acceptance unit to accept.

  The data request control conversion unit 17 analyzes data (2a, 2b, 2c,...) Related to health care information of the user (patient) stored in the analysis result storage unit 15 based on the request received by the request reception unit 16. · · Is converted into data in a format that conforms to the inspection method and data format of the healthcare enterprise 2 that has made a request (the request received by the request receiving unit 16). At this time, first, a check is made as to whether the requirement is based on the standard format, ie, whether it is based on the standard format or the data format specific to the healthcare enterprise 2 and the data format of the healthcare enterprise 2 In the case where the data analysis unit 14 is based on the above method, the data is converted into a query of the standard format by the same method as the conversion in the data standardization unit 12 and the data analysis unit 14 is inquired. Next, when the analysis result stored in the analysis result storage unit 15 is returned from the data transmission unit 18 to the health care institution 2, analysis data (2a, 2b, 2c, Are converted into data in a format that conforms to the inspection method and data format of the healthcare enterprise 2 that has made a request (the request received by the request receiving unit 16). It should be noted that what format the health care institution 2 has inquired in may be determined using information at the time of conversion into a standard format query by the data request control conversion unit 17 first.

  For example, if the requested health care facility 2 is the hospital Z (health care facility 2Z), the data analysis unit 14 is inquired by the inspection method and data format of the hospital Z (health care facility 2Z) and analyzed Inspection method and data of hospital Z (health care institution 2Z) that requested (request received by request receiving unit 16) analysis data (2a, 2b, 2c, ...) stored in result storage unit 15 Convert to formatted data (2az, 2bz, 2cz, ...) according to the format.

  The data transmission unit 18 uses the inspection method and data format of the requested (the request reception unit 16 receives a request) converted by the data request control conversion unit 17 (2 Z in the above example). The data in the format (2az, 2bz, 2cz,...) Along the line is transmitted to the requested health care institution 2 (2Z in the above example).

FIG. 5 is a flowchart showing processing up to data analysis in the cloud server for the health care-care and nursing cooperation system according to the first embodiment.
First, the data acquisition unit 11 acquires health care information (a, b, c, ...) such as examination data from each health care institution 2 (2A, 2B, 2C, ...). Then (in the case of YES in step ST1), the data standardization unit 12 uses the standardized program that the data standardization unit 12 has itself to implement the health care information (a, b, c,...) In a standardized data format. Convert to (a ', b', c ', ...) (step ST2), and standard medical data (a', b ', c', ...) of the standardized data format is stored as standard data. It is stored in the unit 13 (step ST3).

  Thus, the latest standardization of the cloud server 10 for the health care and nursing care cooperation system includes a standardization program, and all the health care information (a, b, c, ...) is installed on the cloud server 10 Since health care information (a ', b', c ', ...) in data format standardized by the program is converted, in each health care institution, standardization of data format and conversion to standard format There is no need to upgrade the software for this purpose, and there is no need to consider the timing of switching to the new version when the standard version is updated.

  Next, the data analysis unit 14 analyzes health care information (a ', b', c ', ...) in a standardized data format stored in the standard data storage unit 13 (step ST4). That is, the analysis results of the transition of the patient's health condition, the estimated disease name, the effective treatment method, the drug, etc. are derived, and the analysis data that is the derived analysis result (2a, 2b, 2c, ...) Are stored in the analysis result storage unit 15 (step ST5).

  Thus, the cloud server 10 not only converts the health and medical information acquired from each health and medical institution 2 into a standardized data format, but also the transition of the patient's health status, the estimated disease name, and the effectiveness It is referred to all health care institutions 2 by deriving analysis results of various treatment methods and medicines and storing the derived analysis results as standardized analysis data (2a, 2b, 2c, ...) As shared data that can be used, it is possible to share all information obtained by previous health and medical information among health care institutions, not just examination data.

FIG. 6 is a flowchart showing processing after data analysis in the cloud server for the health care-care and care cooperation system according to the first embodiment.
Here, the processing up to the data analysis shown in FIG. 5 is performed, and the standard data storage unit 13 and the analysis result storage unit 15 respectively have health care information (a, b, c,...) Of a certain patient. Health care information (a ', b', c ', ...) and analyzed analysis data (2a, 2b, 2c, ...) in a standardized data format corresponding to As a certain health care institution 2, the hospital Z (health care institution 2Z) will be described as having a request for health care information of the patient.

  First, when the request receiving unit 16 receives a request for health care information on a certain patient from one health care institution 2 (here, 2Z) (YES in step ST11), the data request control conversion unit 17 But the analysis data (2a, 2b, 2c,...) Concerning the health care information of the patient stored in the analysis result storage unit 15 is the examination method of the health care institution 2 (here 2Z) which requested And data in a format in accordance with the data format, that is, data in a format in accordance with the inspection method and data format of the hospital Z (health care institution 2Z) (step ST12).

  Then, the data transmission unit 18 converts the data request control conversion unit 17 into the inspection method and data format of the hospital Z (health care institution 2 Z) for which the data request was made (the request acceptance unit 16 received the request). The data in the format (2az, 2bz, 2cz,...) Along the line is transmitted to the hospital Z (health care institution 2Z) which is the requested health care institution 2 (step ST13).

  Thereby, for example, even if the result (2a) of standardized and analyzed test data (a) of hospital A (health care institution 2A) is by an inspection method different from hospital Z (health care institution 2Z), Analysis data (2a) analyzed after the examination data (a) of hospital A (health care institution 2A) is standardized, in a format according to the examination method and data format of hospital Z (health care institution 2Z) Since the converted data (2az) is transmitted to the hospital Z (health care institution 2Z) after being converted into data (2az), the level data can be compared with other examination data by the examination method of the hospital Z (health care institution 2Z). Since it can be effectively used for Z (health care institution 2Z), in hospital Z (health care institution 2Z), examination data in hospital A (health care institution 2A) is also considered. Te, transition and the health of the patient, disease name suspected, it is possible to obtain the analysis result of such effective treatment methods and medicines.

  That is, conventionally, even if data can be collected in a standard format, the reference value range differs from that of other facilities due to differences in the testing equipment, testing method, and reagents in each facility, and comparison can not be simply made. However, according to the first embodiment, there is a problem that the accumulated big data can not be analyzed easily. Since the data can be received as data formatted according to the data format, more effective data sharing can be performed.

  The functional configuration of the cloud server 10 for the health care and medical care cooperation system in the first embodiment has been described as including the data analysis unit 14 and the analysis result storage unit 15 as shown in FIG. The server may not be provided with the unit 14 and the analysis result storage unit 15.

  FIG. 7 is a block diagram showing another example of the functional configuration of the cloud server for the health care-care and care cooperation system according to the first embodiment. As shown in FIG. 7, the cloud server 20 for the health care and medical care cooperation system includes a data acquisition unit 11, a data standardization unit 12, a standard data storage unit 13, a request reception unit 16, a data request control conversion unit 27, A data transmission unit 28 is provided. The same components as those described in the block diagram of FIG. 4 will be assigned the same reference numerals and overlapping descriptions will be omitted.

  Based on the request received by the request receiving unit 16, the data request control conversion unit 27 stores the health care information (a ′, a) of the standardized data format of the user (patient) stored in the standard data storage unit 13. b ', c', ... are converted into data in a format conforming to the examination method and data format of the healthcare enterprise 2 that has made a request (the request received by the request receiving unit 16).

  For example, when the requested health care institution 2 is the hospital Z (health care care institution 2Z), health care information (a ', b', ...) of standardized data format stored in the standard data storage unit 13 c ', ...), the data (2az, 2bz, 2cz, 2cz, 2cz, 2cz, 2cz, 2zz) in the format according to the inspection method and data format of the hospital Z (health care institution 2Z) that has made the request (the request received by the request receiving unit 16) Convert to ...).

  The data transmission unit 28 uses the inspection method and data format of the requested (the request reception unit 16 receives a request) converted by the data request control conversion unit 27 (the above example 2Z). The data in the format (2az, 2bz, 2cz,...) Along the line is transmitted to the requested health care institution 2 (2Z in the above example).

  Even in this case, the cloud server 20 for the health care and nursing care cooperation system has a standardization program, and all the health care information (a, b, c, ...) is installed in the cloud server 20. Since health care information (a ', b', c ', ...) is converted to standardized data format by the latest standardization program, standardization of data format and standard There is no need to upgrade software for converting to a format, and there is no need to consider the timing of switching to a new version when the standard format version is updated.

  That is, even if it is a data cooperation method by the functional configuration of the cloud server 20 shown in FIG. 7, data of any data format collected by each health care institution is converted into standardized data and provided from other health care institutions The converted data can be converted to data in a format that can be used by each healthcare facility, so each healthcare facility does not need to standardize the data format or upgrade the software to convert it to a standard format. Also, since test data in another health care institution can be received as data in a format in line with the examination method and data format in the own health care institution, more effective data sharing can be performed.

  As described above, according to the data linkage method of the health care-care and care collaboration system in the first embodiment, the cloud server for the health care-care and care collaboration system is data of any data format collected by each health care institution. The data can be converted into standardized data at the same time, and data provided by other health care institutions can be converted into data in a format that can be used by each health care institution. No need to upgrade software to convert to standard format, and inspection data from other health care institutions can be received as data in a format that conforms to the examination method and data format in one's own health care institution Therefore, it becomes possible to perform more effective data sharing.

Second Embodiment
FIG. 8 is a diagram showing a schematic configuration of a health care-care and care cooperation system integration platform 100 according to the second embodiment of the present invention. The same components as those described in the schematic view of FIG. 3 in the first embodiment will be assigned the same reference numerals and overlapping descriptions will be omitted. In the first embodiment, in the health care-care cooperation system in which health care information can be shared by a plurality of health care institutions 2, each health care organization 2 (2A, 2B, 2C) participating in the health care-care care cooperation system , ...), it was possible to share effective data, but in this second embodiment, it is different from a plurality of health care-care and care cooperation systems and from a health care-care care cooperation system. Even with other systems, analysis data that takes into consideration differences in data standardization and inspection methods can be used to facilitate collaboration and enable effective data sharing.

  Currently, there are many PHR health care and care cooperation systems in the market, but each PHR health care and care cooperation system has a unique ID and is not only storing health care information, but also PHR health in the market. Among the information accumulated in the medical care and nursing cooperation system, the information described in a standardized format (for example, HL7 (Health Level Seven)) is a part, and the information exchange between the PHR health care and nursing care cooperation system Not even done.

  The country thinks that it authenticates an individual with "medical care ID" which used my number several years later, but it is medical care ID and ID of individual PHR health care care cooperation system, and also by information input source No specific mechanism has been proposed for linking the ID of each health care institution. In addition, there is a low possibility that PHR health and medical care cooperation system will be integrated into one in Japan, while personal health information and medical information may be accumulated in multiple PHR health and medical care cooperation systems, There is a high possibility that it is necessary to change the PHR health care and nursing care cooperation system to be used by circumstances such as. However, as the health and medical information stored in the PHR health and medical care cooperation system is not all described in a standard manner as described above under the present circumstances, the transition of information between the PHR health and medical care cooperation systems And there is a problem that it interferes with collaboration.

  So, in this Embodiment 2, cooperation between those systems is carried out outside a plurality of PHR health care and care cooperation systems etc. (health care and care cooperation systems 110, 120, 130, pharmacy system 140, inspection system 150, etc.) As a separate platform to do, set up a health care and nursing care cooperation system integrated platform 100. Even in this second embodiment, the “health care institution” means a PHR health care and care cooperation system 110, 120, 130, pharmacy system 140, examination such as a hospital, a care facility, a pharmacy, a visiting nursing station, a health checkup center. The system 150 etc., that is, health care service organizations participating in a system in which the health care-care and care cooperation system integration base 100 performs cooperation are said.

  This health and medical care and nursing cooperation system integration base 100 sucks up the health and medical care information and the like recorded in the individual health and medical care and nursing cooperation system 110, 120, 130 and the electronic medicine notebook, and accumulates in a standardized style When there is a request from the health care and nursing care cooperation system etc., it converts to health care information of a standardized style, and the examination method and data format in the health care and care nursing cooperation system that made the request (request) Convert to formatted data and send information. That is, the health care-care and care cooperation system integration base 100 has a mechanism for standardizing and exchanging information about non-standardized information, and a mechanism for converting it into standardized analysis data. By exchanging information via the system integration platform 100, the data format of the healthcare information to be handled is standardized (following a standard such as HL7) and the analysis results are also shared.

  In addition, about the block diagram which shows the function structure of the health care care-care cooperation system integrated substrate 100 in this Embodiment 2, the cloud server 10 for the health care care care cooperation system in Embodiment 1 shown in FIG. 4 or FIG. Since the block diagram is the same as the block diagram of the cloud server 20, the illustration and the detailed description will be omitted here.

  Here, standardization of health and medical information will be described. Generally, there is much standardized data for medical information, and in this case, a tag indicating what the data is related to is defined in each data, and health care information for which the tag is defined. Even in the case of health care information of health care institutions participating in other health care and care cooperation systems etc., it is possible to exchange information normally. However, although there are medical information that is not standardized, and there are many cases in which health information is not standardized in general, in this health care-care and care cooperation system integration platform 100, the data standardization unit 12 For non-standardized information, the data is standardized by analyzing what the data relates to and defining tags. However, information that is not organized into an order that can not be standardized, such as plain text information comments, is handled as it is.

  Then, as in the second embodiment, a health and medical care cooperation system integration infrastructure 100, which is another platform for performing cooperation between systems, is installed outside the individual health and medical care and care cooperation systems 110, 120, 130, etc. Thus, information exchange can be performed via the health care-care and care cooperation system integration platform 100. That is, as long as health care information such as each health care and care cooperation system is described in a standardized format, by providing this health care and care cooperation system integrated base 100, the health care and care cooperation system etc. It is not necessary to consider N-to-N connection among them, and it is sufficient to consider only connection with the health care-care and care cooperation system integration platform 100 which is a platform for information exchange.

  That is, although it is communication of 1 to N (the health care and care cooperation system integrated basis 100 and any health care and care cooperation system, etc.) through the health care and care cooperation system integration base 100, N to N ( Since it is possible to realize information exchange of any health care and care cooperation system etc. and any health care and care cooperation system etc., it is possible to exchange health care information without knowing the health care and care cooperation system of the other party. it can.

  In addition, since the health and medical care cooperation system integration infrastructure 100 has a system for standardizing data (health and medical information) which is not standardized and exchanging information, information can be transmitted via the health care and care cooperation system integration infrastructure 100. By exchanging, the data format of health care information to be handled is standardized. However, as mentioned above, information that is not organized into an order that can not be standardized, such as simple comments on text information, is handled as it is.

  As described above, according to the health and medical care and nursing cooperation system integration base 100, data that is not standardized can be converted to health and medical care information in a standardized format, so even without knowing the other party's health and medical care and nursing cooperation system In cooperation with any health and medical care cooperation system etc., data exchange of standardized health and medical information can be performed.

  Thus, since it is possible to cooperate with various regional PHR health and medical care cooperation systems that are elevated, for users who participate in the health and medical care and care cooperation system integration platform 100, for example, the health to which the health and medical institutions that have visited so far participate. Even when moving to a distant place where there is a regional PHR health care / care cooperation system different from the health care / care cooperation system, etc. By sharing health care information, duplication prevention and efficiency improvement of medical treatment can be achieved.

  As described above, according to the health care-care and care cooperation system integration base 100 of the second embodiment of the present invention, in addition to the same effect as the cloud server 10 for the health care-care and care cooperation system in the first embodiment, other health Since cooperation with medical care and nursing cooperation system etc. can be easily made possible, not only sharing of the medical care and medical information of the user but also data portability of the medical care and medical information is realized, and the medical care information is made more effective. It can be used effectively.

  Moreover, in the above-mentioned embodiment, although the health and medical care cooperation system and the health and medical care cooperation system integration base were explained as a cloud server and a platform realized by fixed hardware, it is not limited to this To realize the same processing logically as a program (application software) loaded and executed in an apparatus such as a personal computer or a server, that is, by causing a CPU (Central Processing Unit) to execute a computer program It goes without saying that it is also possible.

  Furthermore, the data are registered overseas by using the data cooperation method and data cooperation program of the health and medical care cooperation system as shown in the first and second embodiments of the present invention or the server for the health and medical care cooperation system. Even if you are able to cooperate, you will be able to read and write data from overseas as well, so the medical treatment of foreigners (foreign tourists, foreign students, short-term workers, etc.) who did not work until now, or overseas There is a merit that it will be able to do without problems also about cooperation with health care institutions. At this time, inter-international data collaboration is possible by preparing a language standard corresponding to the global standard for language translation.

  In the scope of the invention, the present invention allows free combination of each embodiment, or modification of any component of each embodiment, or omission of any component in each embodiment. .

1 Current (conventional) health care and nursing care cooperation system 2, 2A, 2B, 2C, ..., 2Z Health care institution 10, 20 Cloud server for health care and care cooperation system 11 Data acquisition unit 12 Data standardization unit 13 Standard Data storage unit 14 Data analysis unit 15 Analysis result storage unit 16 Request reception unit 17, 27 Data request control conversion unit 18, 28 Data transmission unit 100 Health and medical care cooperation system integrated infrastructure 110 Health care and care cooperation system 120, 130 Other health Medical care and nursing cooperation system 140 Pharmacy system 150 inspection company system

Claims (4)

It is a data cooperation method of a health care and care cooperation system which can share health care information among multiple health care institutions,
The data acquisition unit acquires the health care information from the plurality of health care institutions;
The data standardization unit converts the health care information acquired by the data acquisition unit into health care information in a standardized data format and stores the health care information in a standard data storage unit;
A step in which the request receiving unit receives a request for health and medical information on a specific user from any one of the plurality of health and medical institutions;
Based on the request received by the request receiving unit, the data request control conversion unit tests the health care information of the standardized data format stored in the standard data storage unit according to the request of the health care institution that made the request. Converting the data to a format according to the method and data format;
The data transmitting unit transmitting the data converted by the data request control conversion unit to the requested medical care facility;
A data linkage method of a health care-care and care linkage system comprising: It is a data cooperation method of a health care and care cooperation system which can share health care information among multiple health care institutions,
The data acquisition unit acquires the health care information from the plurality of health care institutions;
The data standardization unit converts the health care information acquired by the data acquisition unit into health care information in a standardized data format and stores the health care information in a standard data storage unit;
Storing, in an analysis result storage unit, analysis data obtained by analyzing health care information in a standardized data format stored in the standard data storage unit;
A step in which the request receiving unit receives a request for health and medical information on a specific user from any one of the plurality of health and medical institutions;
Based on the request received by the request receiving unit, the data request control conversion unit performs analysis of the analysis data related to the medical care information of the user stored in the analysis result storage unit with the examination of the health care institution that made the request Converting the data to a format according to the method and data format;
The data transmitting unit transmitting the data converted by the data request control conversion unit to the requested medical care facility;
A data linkage method of a health care-care and care linkage system comprising: It is a program for data linkage of health care and nursing care cooperation system that can share health care information among multiple health care institutions,
The data acquisition unit acquires the health care information from the plurality of health care institutions;
The data standardization unit converts the health care information acquired by the data acquisition unit into health care information in a standardized data format and stores the health care information in a standard data storage unit;
A step in which the request receiving unit receives a request for health and medical information on a specific user from any one of the plurality of health and medical institutions;
Based on the request received by the request receiving unit, the data request control conversion unit tests the health care information of the standardized data format stored in the standard data storage unit according to the request of the health care institution that made the request. Converting the data to a format according to the method and data format;
The data transmission unit transmits the data converted by the data request control conversion unit to the requested medical care facility;
A program for data cooperation characterized by causing a server for the medical care and medical care cooperation system to execute. A server for a health care-care cooperation system that can share health care information among multiple health care institutions,
A data acquisition unit for acquiring the health care information from the plurality of health care institutions;
A data standardization unit that converts the health care information acquired by the data acquisition unit into health care information in a standardized data format and stores the health care information in a standard data storage unit;
A request receiving unit that receives a request for health care information on a specific user from any health care institution among the plurality of health care institutions;
Health care information in a standardized data format stored in the standard data storage unit based on the request received by the request reception unit, in accordance with the inspection method and data format of the health care institution that made the request A data request control conversion unit for converting data into a format;
A data transmission unit that transmits the data converted by the data request control conversion unit to the requested medical care facility;
A server for a health care and care cooperation system, comprising:

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