JPH08339352A - Intrinsic information processor - Google Patents

Abstract

PURPOSE: To efficiently give medical examination, explanation, etc., while protecting the privacy by outputting individual information such as medical information in accordance with the presentation destination. CONSTITUTION: This intrinsic information processor which outputs or edits data preserved in a data storage means by the control command from an input means 11 is provided with an access right table storage means 13 where one or more access right tables where a prescribed access right is registered for each of items included in data are preserved, an access right table selecting means 12 which selects an access right table by the control command from the input means 11, and an output control means 14 which selects only data whose accessability is indicated in access right tables out of data preserved in the data storage means 16 and outputs the selected data. A function is provided which switches the item to be outputted to an output means 17 by input of the control instruction indicating an arbitrary access right table from the input means 11.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a personal information processing apparatus for collecting and storing information peculiar to an individual or the like, reading and using the peculiar information for some judgment, or processing the information. For example, the present invention relates to a medical information processing apparatus used in medical institutions and research institutions.
More specifically, when the user selects a table in which a combination of output items is set, specific information (here, a chart corresponding to each patient corresponds) can be output according to the information disclosure partner, and privacy can be increased. The present invention relates to a medical information processing device that can be efficiently examined and explained while being protected.

[0002]

2. Description of the Related Art In a conventional medical information processing apparatus, the range of information that can be referred to is determined only by the user authority of the apparatus or the management level attached to the stored information.

Therefore, the information retrieved from the device is fixed only by the authority of the device user, and when the device user shows the information to patients and other researchers, the device user refers to it. The privacy could not be protected without processing the information contained in it. Also,
When the management level was set for information, it was necessary to set an appropriate management level for each item of information.

[0004]

As described above, the conventional medical information processing apparatus has a problem that security or privacy cannot be easily protected and a troublesome operation is required.

The present invention maintains security and protects privacy by providing a security function that allows access to information within the authority of the user of the apparatus and a function that facilitates protection of security or privacy. The purpose of this is to provide a device that can be realized and efficiently perform medical examination, explanation to patients, research and education.

[0006]

In order to achieve the above-mentioned object, the present invention provides a plurality of access right tables in which reference ranges of information are set so that the range of authority of the user of the apparatus is In case of providing a security function that can refer to only the reference items set in advance by a simple operation, and when the device user provides information to a third party who has only lower access rights than the device user. A feature of the medical information processing apparatus is that it has a function of easily protecting security or privacy by outputting only reference items set in advance by a simple operation.

In order to realize such a configuration, according to the present invention, as shown in the principle explanatory diagram of FIG. 1, an input means 11, an access right table selecting means 12 and an access right table storing means 13 are provided.
An output control means 14, a data access control means 15,
A data storage means 16 and an output means 17 are provided. The doctor in charge inputs a control command for selecting an access right from the input means 11, and the access right table selecting means 12 selects one of the access right tables stored in the access right table storing means 13. As the access right table,
For example, as shown in FIGS. 3 and 4, it is prepared in a form according to the purpose, such as for the medical doctor in charge and for explaining the patient.

The selected access right table is used to specify the output display item unless there is a control command for changing the access right table. That is, the data storage means 16
When a selection command of the medical data stored in is input from the input means 11, the access right is output to the output means 17 only in the item of “permitted” in the selected access right table,
No output is made for items that are "impossible".

In the configuration in which the display device is divided into the medical doctor and the patient etc., the medical doctor access right table is allocated to the doctor display device and the patient etc. access right table is allocated to the patient display device. Further, in a configuration in which one display device is shared by the medical doctor in charge and the patient, when the screen of the display device is oriented only in the visual field of the medical doctor in charge, the medical access right table for medical care is assigned to When entering, the access right table for patients etc. may be assigned.

By adding the function of identifying the user by the user authentication mechanism to the above configuration, the access right table can be switched based on the result of the user identification.

[0011]

According to the configuration of the present invention as described above, when the accumulated medical data is output, it is displayed according to the access level of the operator such as a doctor and the access level of the observer such as the patient. Certain restrictions are added to the items to help maintain security and protect privacy.

[0012]

Embodiments of the present invention will now be described in more detail with reference to the drawings. FIG. 2 is a display example of the operation screen. In this example, when displaying the image data of a patient, the chart is displayed in a window on the left side of the screen to confirm the contents of the chart, and the access right table is displayed in a window on the right side of the screen to switch the table. I am instructing the items to be switched. By this operation, for example, the contents of the item of “Allow” in the change restriction column of the medical access right table currently displayed can be changed.

3 and 4 show examples of the structure of the access right table according to claim 3 of the present invention. In the figure, the access right column shows a default value of whether or not each item can be referenced, and the change restriction column shows whether or not the access right of each item can be changed when the access right table is customized. "Patient ID" in the data item is the ID number of the patient known to the patient, and "Patient No." is the patient management number in the hospital which is not known to the patient.

The medical doctor in charge can output all of the patient data and most of the reference patient data by using the medical access right table, and can create a patient chart or the like. Also, when the doctor in charge explains to the patient, by switching to the access right table for patient explanation, it is possible to show the patient the name of the patient, the image examined, and the image of another patient (reference patient) for comparative explanation. it can. Further, in order to protect the privacy of the referring patient, the name and ID that can identify the referring patient are not visible.

Further, by default, the patient's disease name and findings are hidden, but when the disease name is announced, the disease name and findings of the patient explanation access right table are output at the discretion of the attending physician. It is also possible to show it to the patient by creating an enabled access right table. When researchers and medical students access patient data for research, they apply a restricted access table for researchers rather than the medical access right table in charge to protect the patient's privacy. You can make items such as specific names and addresses (details such as town names) inaccessible.

The output means may be a display device such as a monitor or a storage device such as a data file on a magnetic disk. Further, the output means may be close to the user or may be connected to the communication means at a place distant from the user.

FIG. 5 is a diagram showing an arrangement example (1) of the examination terminals, which is an arrangement example of the examination terminals in claim 4 of the present invention. In the figure, 21 is an output means for a medical examiner, which outputs using a medical access right table in charge, 22 is an output means for explaining a patient, which outputs using an access right table for patient explanation, Reference numeral 23 is an input means, which is used for creating a medical record.

The examiner gives informed consent using the information output to the output means for explaining the patient, and uses the output means 21 and the input means 23 for the examiner to create a medical chart. The contents of the output means 21 for the examiner cannot be seen by the patient.

FIG. 6 is a diagram showing an arrangement example (2) of the examination terminals, which is an arrangement example of the examination terminals in claim 5 of the present invention. When the output device faces the examiner, the output is made using the medical access right table for the medical doctor in charge, and the medical doctor in charge can create a medical chart. When explaining the patient, if the output device is rotated toward the patient, the device determines from the detection result of the angle of the output device that the output device is directed to the patient and automatically switches to the patient explanation access right table. Is done. You may combine with the terminal which has several output means like FIG.

FIG. 7 is a diagram of the access level and the diagnostic authority, and shows the access right range to the patient data in claim 7 of the present invention. In FIG. 7 (1), the access level is a level indicating the range of responsibility defined by the responsible relationship with the doctor in charge when the patients are grouped by the doctor in charge. Therefore, the person with the higher access level has the authority to access the information of each patient under his control.

For example, the range accessible by the doctor in charge is his / her own patient, the range accessible by the chief physician of the internal medicine is all the patients in charge of each physician, and the range accessible by the director of the hospital is internal medicine / surgery etc. All patients in all departments.

In FIG. 2B, the examination authority is the authority associated with the degree of the relationship with the patient. This authority determines the range of patient information that can be accessed. Specifically, the information about the patient “A” is information corresponding to the items described in the data items of the access right table in FIG. 3, and the primary doctor A accesses all the information. it can. still,
Needless to say, since the access right of the reference patient No. in FIG. 3 does not belong to the patient “A”, it is not included in the patient information here. The Associate Doctor C is a doctor whose patient's “A” has a direct disease area different from that of the patient A, and has a lower examination authority than that of A, and limits the range of patient information.

As described above, the access to the patient information by the examination authority may be limited depending on the responsible level of each patient such as the doctor in charge or the associate doctor, or may be limited depending on the department in charge. However, it may be limited by a combination of both.

In the case of claim 7 of the present invention, both the limited range according to the access level and the limited range according to the examination authority may be used to access the information in the range of the sum of the two limited ranges.

A system configuration example 1 of FIG. 8 and a system configuration example 2 of FIG. 9 are diagrams showing a system configuration example of the medical information processing apparatus according to claims 5 and 6 of the present invention, respectively. The former is the arrangement example of the terminal for medical examination in Fig. 5 (1)
The latter corresponds to the arrangement example (2) of the medical examination terminal shown in FIG. 6 and operates in the following common manner. That is, the user first inputs the user ID and password to the examination support system. The user authentication means identifies the user, refers to the user access right file, and sends the access level (accessible item) of the user to the access right table management means. Next, the user inputs the ID of the patient to be output (or a search key that limits the patient). The examination support system accesses the patient data management means and selects the corresponding patient from the database.

In the examination authority authentication means, the examination authority (accessible item according to the examination authority) is specified from the doctor information in charge and the user information obtained from the selected patient data.
The access right table management means determines the user's access right table (accessible items) from the access level and the examination authority, and reports it to the examination support system. The examination support system performs input / output of patient data with patient data management means within the range of the user's access right table in response to the user's request.

The user may call an access right table lower than the user access right table (with few accessible items) from the standard access right table group and use it, or save it in the user environment. You may use the customized access right table.

As a function peculiar to FIG. 9, the contents of the plurality of access right tables are sent to the corresponding portions of the display processing means,
Only the displayable content is displayed on the corresponding display means according to the content, but the display means is single and the access right table to be used is switched according to the display direction of the display means detected by the orientation detection means. . For example, as shown in FIG. 6, a single display means (output device) common to the examiner and the patient.
3 is arranged so that it can be viewed by changing the angle (X °), and when the angle can be seen by the examiner (physician in charge), the display device is in the medical access right table in FIG. Access rights are restricted according to the content. On the other hand, in the case of the angle that can be seen by the patient, the access right of the display device is restricted according to the contents of the patient right access right table of FIG.

Although application examples in the medical field have been described above, it goes without saying that the present invention can be applied to other fields. For example, even at the counters of public offices and various counseling centers (marriage consultation, advancement consultation, legal counseling, etc.), it is possible to provide appropriate advice and guidance while using many examples while protecting privacy.

[0030]

According to the present invention, within the scope of the authority of the user of the apparatus, it is possible to refer to only the reference items set in advance by a simple operation. It greatly contributes to efficient explanation to patients, research and education.

[Brief description of drawings]

[Figure 1] Principle explanation diagram

[Fig. 2] Display example of operation screen

[Figure 3] Example of access right table (1)

[Figure 4] Example of access right table (2)

[Fig.5] Layout example of medical examination terminals (1)

[Fig. 6] Example of arrangement of medical examination terminals (2)

[Figure 7] Access level and diagnostic authority

FIG. 8: System configuration example 1

FIG. 9: System configuration example 2

[Explanation of symbols]

 11 and 23 are input means, 12 is access right table selection means, 13 is access right table storage means, 14 is output control means, 15 is data access control means, 16 is data storage means, and 17 is output means (display device). 21 is an output means for the examiner, 22 is an output means for explaining the patient,

 ─────────────────────────────────────────────────── ─── Continuation of the front page (72) Yoshiyasu Nakajima, 1015 Kamiodanaka, Nakahara-ku, Kawasaki City, Kanagawa Prefecture, Fujitsu Limited (72) Inventor, Toshiya Miyazaki, 1015, Kamiodanaka, Nakahara-ku, Kawasaki, Kanagawa Prefecture

Claims (7)

[Claims] 1. An apparatus for outputting or editing the unique information stored in the data storage means in response to a control command from the input means, wherein an access right defined for each item included in the unique information is registered. Access right table storage means for storing one or more access right tables; access right table selection means for selecting the access right table according to a control command for instructing an arbitrary access right table from the input means; and data storage And an output control means for selecting only an item of the unique information having an accessible display in the selected access right table from the items of the unique information stored in the means and outputting the selected item to the output means. A unique information processing device. 2. A device having a function of limiting an available access right table according to an access level set for each user of the apparatus.
The unique information processing device described in. 3. An item having a changeable access level for each item registered in the access right table and having a function of creating and using a customized personal access right table within the access level of the user. The unique information processing apparatus according to claim 1 or 2, wherein the unique information processing apparatus is provided. 4. The unique information according to claim 1, which has a plurality of output means and has a function of setting an access right table to be used for each output means. Processing equipment. 5. An access right table is switched by changing the detected output device orientation according to a correspondence between the output device orientation detection means and the preset output device orientation and access right table. The unique information processing apparatus according to claim 1, further comprising means for changing the. 6. In a unique information processing device capable of accessing unique information, a normal user discriminating function for judging whether the device user is an authorized user, or information presented by a unique information holder. A function that compares the names of the specific information judgment authority of multiple layers described in the device that manages the unique information holder with the device user to judge the judgment authority level and limits the access range of the unique information according to the judgment authority level. A unique information processing device comprising: 7. A normal user determination function for determining whether the user of the unique information processing device is an authorized user, and a device for managing the information presented by the unique information holder or managing the unique information holder. The level of judgment authority is determined by comparing the name of the person who judges the unique information of multiple layers with the device user,
The unique information processing apparatus according to claim 1, further comprising a function of limiting an available access right table according to a combination of a determination authority level and a user access level.