KR101257286B1 - System for smart electronic consent form base on the electronic medical record - Google Patents

Abstract

PURPOSE: A smart electronic agreement system based on an EMR(Electronic Medical Record system) is provided to store and register an agreement through an authenticated electronic signature process, thereby preventing forgery. CONSTITUTION: An agreement form generation unit(120) of an agreement server generates an agreement form corresponding to access from a writer terminal or a medical staff terminal. An agreement writing unit(130) provides the agreement form to the writer terminal or the medical staff terminal. The agreement writing unit writes an agreement corresponding to an inputted writing signal. The medical staff terminal provides patient information necessary for writing the agreement. [Reference numerals] (110) Main control unit; (120) Agreement form generation unit; (130) Agreement writing unit; (140) Agreement editing unit; (150) Agreement inquiry unit; (160) Memory; (170) External interface unit; (180) Data management unit; (181) Written agreement DB; (182) Basic agreement DB; (183) Patient information DB;

Description

ERM-based smart electronic consent system. {SYSTEM FOR SMART ELECTRONIC CONSENT FORM BASE ON THE ELECTRONIC MEDICAL RECORD}

The present invention relates to an EMR-based smart electronic consent system, and more particularly, to an electronic medical record system (EMR) for electronically processing the consent of a patient, an agent, or a guardian during medical treatment for various patients occurring in a medical field. To a smart electronic consent system.

That is, the EMR-based smart electronic consent system standardizes the consent content, including a consent form generation unit for generating a standard consent form, a consent preparation unit for medical personnel to write in the patient's consent process, and a consent inquiry unit for inquiring the written consent. Management, easy to control and monitor, medical staff can freely use drawing or highlighting to make the patient intuitively understand while delivering all the essential items for explanation. The present invention relates to an EMR-based smart electronic consent system that excludes the possibility of artificial forgery.

In recent years, most medical institutions support the efficient operation of hospitals using computer systems as described in the following patent documents, and in particular, the office management system, the order communication system, the electronic medical record system, It is operated as a digital hospital without charts and films using a fully computerized medical information system such as the Picture Archiving Communication System.

Since these computer systems are used exclusively by medical personnel (or general staff), it is possible to write records without special restrictions through general input devices (PCs or laptops).

However, the consent form is difficult to be computerized because it is characterized by the medical person and the patient to write together. In general, the consent process involves first explaining what is required for consent to the patient or guardian, sharing the contents of the record with the medical practitioner, then getting a signature from the patient or guardian for the consent of the statement and signing the medical practitioner. You will also receive.

Therefore, the place of explanation may be a place where input devices are difficult to use (such as next to the patient's bed or during transportation), and most hospitals computerize except for the consent field when introducing the medical information system. The paper format is described, and the patient / guardian's signature is obtained and then scanned, converted into an image electronic document, and registered on the electronic medical record.

However, this paper consent scan method has some possible problems. This is the case that the process of moving to a scan after consent is lost, or if a required item is missing and filled out, it is left as an incomplete consent form, and the hospital does not clearly indicate the time of consent because the time of creation differs from the time of scanning. If the agreement is a legal issue, this lack of proof or consent is a serious problem.

Therefore, while overcoming the limitations of the paper consent form, the patient / guardian has been fully informed of the standardized explanation standard through the consent process, and the electronic consent system has been enhanced with various input support functions necessary for the friendly explanation of medical personnel. Existence is urgently needed.

Republic of Korea Application No.:10-2007-0052585

The present invention provides a consent form, including a consent form generation unit for creating a standard consent form to solve the above problems, a consent form for medical staff to write in the patient's consent process, a consent inquiry that is a function for inquiring the written consent form Standardized and easy to manage, easy to control and monitor, doctors can freely use pictures and highlighting functions to make the patient intuitively understand while delivering all the essential items for explanation. It is to provide an EMR-based smart electronic consent system that eliminates the possibility of forgery and alteration.

EMR-based smart electronic consent system according to the present invention for achieving the above object is supported by the patient's information required when the agreement is written in connection with the EMR server, the EMR server that stores the patient's medical records, the creation, creation and inquiry of the consent form Consent server to support the agreement, the author terminal for writing the agreement provided by accessing the consent server, access to the consent server, medical staff terminal for entering the patient's information required for the consent form through the author terminal, consent form written on the consent server At the time of registration and inquiry, the certification authority server includes a certification authority server for supporting the certified digital signature. Key words for analyzing signals transmitted and received between various servers and terminals The consent form generation unit for generating a consent form according to the access of the creator terminal or the medical staff terminal, the consent form generated by the form generator to the author terminal or the medical staff terminal, and a consent form for writing the consent form according to the input signal And a data management unit for storing and managing the written agreement.

EMR-based smart electronic consent system according to the present invention is effective to prevent forgery and tampering because the agreement is stored and registered through an authorized authentication digital signature procedure.

In addition, the EMR-based smart electronic consent system according to the present invention has a function to prevent the missing of the required items, to ensure the completeness of the contents of the agreement, it is effective to improve the presence through various writing functions for better explanation have.

In addition, the EMR-based smart electronic consent system according to the present invention, the consent server and the EMR server is linked to each other, the written agreement can be viewed in real time from the EMR server as the mutual information is shared, regardless of the place and time, query the consent It can work.

In addition, the EMR-based smart electronic consent system according to the present invention is effective to prevent the loss, as the consent is stored in the consent server securely through computerization, output, storage, The work process is simplified because moving and scanning are not required separately.

1 is a diagram showing an EMR-based smart electronic consent system according to the present invention,
2 is a diagram illustrating a consent server of an EMR-based smart electronic consent system according to the present invention;
3 is a diagram showing a consent form by the EMR-based smart electronic consent system according to the present invention;
Figure 4 is a diagram showing the EMR-based smart electronic consent system written consent form according to the present invention,
5 is an additional input form of a consent form by an EMR-based smart electronic consent system according to the present invention, and
6 is a view showing an inquiry of the consent form in the EMR-based smart electronic consent system according to the present invention.
FIG. 7 is a diagram illustrating an inquiry result in connection with a related record according to an inquiry request in an EMR-based smart electronic consent system according to the present invention.

Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the accompanying drawings. Prior to this, terms and words used in the present specification and claims should not be construed as limited to ordinary or dictionary terms, and the inventor should appropriately interpret the concepts of the terms appropriately The present invention should be construed in accordance with the meaning and concept consistent with the technical idea of the present invention.

Therefore, the embodiments described in this specification and the configurations shown in the drawings are merely the most preferred embodiments of the present invention and do not represent all the technical ideas of the present invention. Therefore, It is to be understood that equivalents and modifications are possible.

1 is a block diagram of an EMR-based smart electronic consent system according to the present invention.

As shown in FIG. 1, the EMR-based smart electronic consent system according to the present invention includes a consent server 100, a creator terminal 200, a medical staff terminal 300, an EMR server 400, and a certification authority server 500. do.

The consent server 100 provides information for creating an agreement to the author terminal 200 and stores and manages the written consent.

At this time, the consent server 100 is used to receive the EMR (Electronic Medical Record) information of the hospital, for this purpose, the EMR server (400) in which the medical records and health records of the individual, such as the patient's medical treatment and surgery Connected with.

The EMR information stored in the EMR server 400 includes texts and images of all patients' medical records such as medical history, medical history, health record, family history, disease code, visit time, clinic, abnormal findings, type, reservation history, etc. Digital information.

As described above, the consent server 100 connected to the EMR server 400 of the hospital allows the plurality of creator terminals 200 and the plurality of medical staff terminals 300 to be connected to each other, and is made through the corresponding terminals 200 and 300. It supports the recording of information, provides relevant information for inquiry, and provides analysis information by analyzing the managed information.

In addition, the consent server 100 is connected to the web server 600 operating the homepage of the hospital where the customer is connected to receive various reservation information, consultation information, etc. and transmit the result.

The consent server 100 will be described in more detail with reference to FIG. 2.

2 is a block diagram of a consent server 100 of an EMR-based smart electronic consent system according to the present invention.

Medical staff terminal 300, the author terminal 200 is configured to use the consent form application by accessing through the hospital's internal network network is the main control unit 110, consent form as shown in Figure 2 The form generating unit 120, the consent writing unit 130, the consent inquiry unit 140, the operating system 150, the memory 160, the external interface unit 170 and the data management unit 180.

The main control unit 110 should be able to execute a large number of mathematical calculations and examine a database when exchanging a large amount of work and mutual information. It is preferably a central processing unit of the -1 series or more, and is operated by a separate operating system 14, for example, Microsoft's Windows Server 2003 (MS Windoe Server 2003). And it is driven through at least 4GB memory 160.

The external interface 170 provides a connection environment between the medical staff terminal 300 and the creator terminal 200, and is also connected to the EMR server 400 and the web server 600 to enable data interworking.

The consent form generation unit 120 uses a standard agreement form generation tool in accordance with a consent form generation signal input from the medical staff terminal 300 or the creator terminal 200 connected through the external interface 170. Create a consent form.

That is, in order to provide an agreement to the creator terminal 200 connected to the agreement server 100 for creating an agreement, as shown in FIG. 3, the agreement form generation unit 120 includes a form number, a form type, Create basic agreement by setting basic items of agreement such as form name, agreement affiliation and author.

The consent form generated by the consent form generation unit 120 is stored in the basic consent form DB 182 of the data management unit 180 by the main control unit 110, and the author terminal ( 200).

Meanwhile, the consent form generation unit 120 may provide a folding setting menu, a border setting menu, a page setting menu, and a barcode setting menu.

In addition, the consent form generation unit 120 is a patient information that can describe the patient information, the name of the patient and other patient information, other specific matters, etc. through the creator terminal 200 or medical staff terminal 300 A footer description that can be described is a menu column that can be set by selecting a logo of a hospital using the consent server 100 according to the present invention, and an additional description column for describing an additional description is created together in the agreement. .

In addition, the consent form generation unit 120 provides an editing tool so that the creator or the medical staff can edit the written agreement or the pre-stored written consent through the creator terminal 200 and the medical staff terminal 300. .

 The editing tool enables the adjustment of the FONT, alignment setting, paragraph setting, user interface design setting, and EMR interworking item definition.

On the other hand, the main control unit 110 manages the image template of the consent form generated by the consent form generation unit 120 through the agreement image folder management to add and delete folders, and the image registration to view and register the image file. do.

Then, the main control unit 110 inquires the form revision history of the generated consent form, and queries the form history for inquiring the unused consent form history.

Finally, the main control unit 110 is to perform the consent form set management and the list of consent search and search, the consent form set management is made by the department belonging to the agreement, common and individual, the list inquiry and search by department This is done through personal sets, full list lookup and search.

As shown in FIG. 4, the consent writing unit 130 uses the consent form generated by the consent form generation unit 120 to help the patient understand the medical staff and the patient during the explanation and consent process. It also allows you to use a variety of intuitive interface features and to fill in the required fields or parts that require signatures without omissions.

The consent writing unit 130 may show a specific part of the body, such as a diseased part or a surgical part, when writing the agreement through the creator terminal 200 or the medical staff terminal 300.

That is, the consent preparing unit 130 may include a pen mode, a highlighter mode, a text box, a figure, and a painting tool capable of color setting, and the painting tool may be transferred to the creator terminal 200 or the medical staff terminal 300. It provides a picture of the affected part of the patient or the surgical part to be progressed according to the input signal.

On the other hand, the consent writing unit 130 prevents the omission of the essential items to prevent the next writing of the consent form if the essential items that the medical staff must fill out through the medical staff terminal 300, that is, the name of the diagnosis, the scheduled operation date and the group of doctor is missing. It has a function.

In addition, the consent form unit 130 registers the consent signatory information and the reason for the consent of the agent, the consent signatory information is the information of the patient or the information of one of the family of the patient, the reason for the agent consent on behalf of the patient This includes the reason for the consent of the family member or non-family member to agree to the agreement.

According to a registration request of the medical staff terminal 300 or the creator terminal 200, the consent writing unit 130 confirms whether the basic information of the input patient is correct and registers an input item.

At this time, the consent writing unit 130 requests the authorized electronic signature of the doctor, the official authentication electronic signature input through the medical staff terminal 300 and the authorized authentication stored in the memory 160 of the consent server 100 Register the written consent if it is matched against the electronic signature.

In addition, at this time, the main control unit 110 is in writing and registration of the consent form by the consent writing unit 130, in connection with the basic personal information, diagnosis name, surgery-related information, etc. of the patient stored in the EMR server 400 and Make sure your completed agreement is registered.

On the other hand, the consent editing unit 140 of the consent server 100 is to edit the registered consent stored in the written consent database (181) of the data management unit 180, in this case, to prevent the forgery of the agreement, editing This is not possible for the number of signatures, physician's certified digital signatures that have been completed, and only if the patient's signature or physician's certified digital signature has not been completed.

The consent editing unit 140 is not editable after the patient's signature, the doctor's authorized electronic signature is completed, but after the completion of the agreement is completed, if the need for further explanation of the consent form, as shown in FIG. In addition to providing additional input window, additional items can be registered.

That is, the consent editing unit 140 may edit, edit and additionally edit the patient's signature and the doctor's official certified digital signature before completion, and only edit additionally after the certified digital signature is completed.

In this case, for the additional contents, the signature of the patient and the certified electronic signature of the doctor must be made separately from the written consent.

The consent inquiry unit 150 of the consent server 100 provides for inquiring of the completed consent at the request of the author or the medical staff, and in conjunction with the record related to the consent, the EMR server 400 is recorded and stored. Provide various information.

 The consent inquiry unit 150 inquires the registered consent form in accordance with the input inquiry signal through the creator terminal 200 or the medical staff terminal 300 and provides it to the creator terminal 200 or the medical staff terminal 300. .

That is, the consent inquiry unit 150 receives a signal generated when the electronic consent button icon is clicked through the creator terminal 200 or the medical staff terminal 300, and inquires a list of electronic consent forms prepared and displays the inquired list. Receive the double click or view contents signal and provide the details of the written agreement.

The consent inquiry by the consent inquiry unit 150 can query the patient's electronic consent list and contents as described above, can be inquired according to the time of writing the individual consent, in conjunction with the related records such as surgical records You can also look up the agreement quickly and easily.

As described above, although the present invention has been described by way of limited embodiments and drawings, the present invention is not limited thereto, and the technical idea of the present invention and the following by those of ordinary skill in the art to which the present invention pertains. Of course, various modifications and variations are possible within the scope of equivalents of the claims to be described.

100: agreement server 110: main control
120: consent form generation unit 130: agreement form
140: consent editing unit 150: consent inquiry
160: memory 170: external interface unit
180: data management unit
200: author terminal 300: medical staff terminal
400: EMR server 500: Certificate Authority server
600: web server

Claims (9)

An EMR server 400 storing medical records of patients; And
Consent server (100) is supported in connection with the EMR server 400, the patient's information required when writing the consent form, and supports the generation, creation and inquiry of the consent form;
Receiving the consent provided by the consent server 100, so that the creator terminal 200 for creating the consent form is connected to the consent server 100 to enable the creator to write the consent form through the creator terminal 200, EMR-based smart electronic consent system, characterized in that the medical staff terminal 300 provides the information of the patient necessary for the written consent form through the creator terminal of the author (200). The method of claim 1,
EMR-based smart electronic consent system further comprises; upon registration and inquiry of the agreement written in the consent server 100, the certification authority server (500) for receiving the official authentication electronic signature. The method of claim 2,
The consent server 100 is
An interface unit 170 providing a connection environment with the creator terminal 200, the medical staff terminal 300, the EMR server 400 and the certification authority server 500;
A main control unit 110 for analyzing signals transmitted and received between the server and the terminal connected to the interface unit 170;
A consent form generation unit 120 for generating a consent form according to the connection of the creator terminal 200 or the medical staff terminal 300;
A consent form creation unit 130 for providing the consent form generated by the consent form generation unit 120 to the creator terminal 200 or the medical staff terminal 300 and creating a consent form according to an input signal;
Agreement editing unit 140 for editing the agreement written by the agreement writing unit 130; And
EMR-based smart electronic consent system comprising a; data management unit 180 for storing and managing the written agreement. The method of claim 3,
The consent writing unit 130 has an EMR-based smart electronic consent system, characterized in that it has a feature to prevent missing. The method of claim 3,
By determining whether the official electronic signature signed by the main control unit 110 is input through the external interface unit 170 and the official authentication electronic signature previously stored in the memory 160 of the consent server 100, EMR-based smart electronic consent system, characterized in that if the match is stored in the data management unit 180 to register. 6. The method of claim 5,
The consent editing unit 140 is possible to edit and edit the additional written agreement before the authorized electronic signature signed by the main control unit 110, and after the completion of the official certified electronic signature, only the additional edit is possible. EMR based smart electronic consent system. The method according to claim 6,
EMR-based smart electronic consent system, characterized in that after the completion of the official authentication digital signature, the controller 110 has to go through a separate official authentication digital signature procedure to register the additional edited consent. The method of claim 3,
The agreement inquiry unit 150 provides a list of agreements stored in the data management unit 100 and receives a double-click or content view signal according to the agreement inquiry request of the creator terminal 200 or the medical staff terminal 300. EMR based smart electronic consent system, characterized in that to provide the details of the agreement. The method of claim 3,
The consent inquiry unit 150 is an EMR-based smart, characterized in that to provide an inquiry result in connection with the relevant record according to the time of writing the consent form, by the request of the consent inquiry of the creator terminal 200 or the medical staff terminal 300 Electronic Consent System.

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