KR101561242B1 - Integration System for Medical systems for the hospitals and method thereof, Utilization services support system of Integration System for Medical systems for the hospitals and method thereof - Google Patents

Abstract

The present invention relates to an integrated system and method for a hospital medical system, a utilization service supporting system and a method thereof for an integrated system of a hospital medical system.
According to the present invention, a middleware system unit for integrating medical systems separated in a hospital or between hospitals and for providing services to consumers, administrators, producers, and other hospitals; A client framework including a physical binary SDK for providing a new service to the consumer, manager, producer, and other hospital using the middleware system unit; A web server / distributed service server for receiving the request from the consumer, the manager, the producer, and other hospitals, and providing data and information to the consumer, the manager, the producer, and the other hospital through the client framework in cooperation with the middleware system unit A system and method for integrating a hospital medical system, a method for supporting the utilization of an integrated system of a hospital medical system, and a method thereof are presented.

Description

TECHNICAL FIELD [0001] The present invention relates to an integrated system and method for a hospital medical system, an integrated system utilizing service system for a hospital medical system, and a method thereof method thereof}

The present invention relates to an integrated system and method for a hospital medical system, and a system and a method for supporting an integrated system utilizing service of a hospital medical system. More specifically, it is possible to integrate medical systems and medical equipment between separate hospitals or between hospitals into a single middleware, so that even if new medical systems and medical equipment are added, they can be operated as one consistent system if only the middleware standards are complied with , And a system and method that can support various types of utilization services by providing a standardized framework to consumers (customers), producers (medical device producer and hospital system developers) and administrators (hospital administrators) .

Integrated medical information management connected to the medical institution terminal, and integrated center method of medical institutions through on / off line have been developed and utilized. Korean Patent Publication No. 10-2009-0046290 discloses a " system and method for managing integrated medical information ".

The disclosed invention defines an HL7 message structure and includes an HL7 engine for processing the defined HL7 message structure and monitors the medical institution terminal to receive new data from the medical institution terminal when an event of inputting new data occurs Extracts and generates and stores the message as an HL7 message, monitors the medical institution terminal, and extracts and provides an HL7 message when an HL7 message request event occurs; And a message exchange module that receives the HL7 message generated by the message configuration module and manages the history of the HL7 message, wherein the message configuration module includes a message generation block and a message processing block, A message structure editing unit for editing the HL7 message structure according to an event to be generated and additional information; An HL7 engine generating unit for generating the HL7 engine for generating an HL7 message using the edited message structure in the message structure editing unit; A program project for generating and storing an HL7 message by performing mapping between the HL7 engine and actual data; And an HL7 engine for generating, verifying, and parsing an HL7 message based on the message structure edited in the message structure editing unit. The medical information integration management system includes a medical information integration management system connected to at least one medical institution terminal through a communication network, .

In addition, Korean Patent Application Publication No. 10-2005-0051953 entitled " System and Method for Integrated Management of Medical Information "

The present invention discloses a medical care system comprising a plurality of medical institution data terminals having a communication network interface for receiving and storing patient's medical care information and encrypting the medical care information in a designated message format, A medical information management home system comprising a database for receiving and storing encrypted medical information, and a dedicated encryption / decryption processing unit for decrypting the encrypted medical information; And an intelligent decision-making system for receiving medical information from the medical information management home system, analyzing the validity of the medical information, and providing analysis results .

Korean Patent Publication No. 10-2001-0093986 entitled " Invention of integrated medical information management system via network "is disclosed.

The disclosed invention is connected to various medical institution terminals existing in the real world and the cyber system, and to a member side terminal to receive a service through a network, and integrally manages various medical information transmitted through the network, A server for providing medical information again via a network; An electronic health record database for classifying and storing various types of medical information delivered through the server; And a member information database for storing various items related to basic information about a member connected through the server.

The present invention discloses a method of collecting, storing, monitoring and displaying medical information of a patient by connecting a network device and providing a terminal service to the medical institution through the network device. However, the disclosed inventions do not incorporate EMR, LIS, OCS, PACS, MIS, ERP, u-Healthcare, hospital system management, HIS, CDSS and RIS existing in the hospital system. It is difficult to provide usable services based on the non-standardized connection of many medical devices in the hospital and the non-sharing possibility.

 Therefore, it is possible to exchange data between hospital medical systems through the middleware system middleware (EMR, LIS, OCS, PACS, MIS, ERP, u-Healthcare, hospital system management, HIS, CDSS and RIS) (Clinical Practice Guidelines), CP (Clinical Pathway), International Standards System, Web Services, Application (Application, Service, etc.) , Wireless communication system) to the hospital, and the middleware system part integrated into the hospital, the consumer, the producer, the manager, A system and method for integrating a medical system, and a system and method for supporting services for consumers, administrators, and producers.

Korean Patent Publication No. 10-2009-0046290 Korean Patent Publication No. 10-2005-0051953 Korean Patent Publication No. 10-2001-0093986

SUMMARY OF THE INVENTION The present invention has been made to solve the above problems of the prior art, and it is an object of the present invention to provide a medical information system and medical equipment, which are integrated into a single middleware, It is an object of the present invention to provide an integrated system and method of a hospital medical system that can be operated as a single consistent system if only the middleware standard is complied with.

It is a further object of the present invention to provide a standardized framework for a consumer (a customer), a producer (a manufacturer of a medical device producer and a hospital system) and a manager (a hospital manager) The present invention provides a system and method for supporting various types of utilization services of a mobile terminal.

According to a first aspect of the present invention, there is provided a medical information system integration processing unit for integrating and processing various medical information systems; And a middleware system unit including a medical device integration processing unit for integrating and processing various medical device information, wherein the medical information system integration processing unit includes an EMR, a LIS, an OCS, A medical information data management unit for managing data on PACS, MIS, ERP, u-Healthcare, hospital system management, HIS, CDSS, and RIS; A data connection management unit for managing access and inquiry to the medical information data management unit; An international standard management unit for accepting trigger event data in the system; A data monitoring unit for efficiently managing medical information data and monitoring updated data; An integrated processing unit for integrating the existing legacy medical information system; A service providing unit for providing various services applied through the integrated medical information system; A medical information system standard interface for interfacing with the service providing unit so that a user can access the service interface; Wherein the medical device integration processing unit comprises: a medical device base including various data of various medical devices 1, 2, 3,. A medical device management unit for managing integration, registration and deletion of the medical device; A data connection management unit for performing a connection to data of the medical device base unit; A medical device international standard management unit for compliant with the international standards of the middleware system unit and the medical device; A medical device processing unit for supporting RS-232C, USB, Parallel, PCL, and TCP / IP standards of existing medical equipment and converting the medical equipment into an international standard, connecting standard equipment interface of medical equipment and storing medical equipment data; A medical device service provider capable of utilizing mutual data of the integrated medical device; An integrated system of a hospital medical system including a medical device standard interface for interfacing with the medical equipment service providing unit so as to allow a user to access the medical equipment service providing unit is provided.

According to a second aspect of the present invention, the middleware system portion of the first aspect of the present invention further includes a utilization service system portion, and the utilization service system portion includes a common interface for providing utilization services of the integrated medical system integration system and A utilization service support unit for managing the utilization service; A term management unit for unifying various medical terms used in hospitals; A security service unit for exchanging data between the client framework and the middleware system unit, for encrypting data between the medical systems and for exchanging data; An authentication service unit for authenticating data access of the middleware system unit; Education support services for system training such as doctors, patients and nurses; A post-support service unit for post-construction maintenance of the medical system; Hospital Clinic Services Clinical Pathway (CP) services for hospital standardized care systems that reduce the risk of misdiagnosis and hospital care; A CPG (Clinical Practice Guideline) service department for accurate inference within the hospital or between hospitals for case basis; A developer support service department for testing and verification for consumers, administrators and producers to develop new services; An integrated system of a hospital medical system including a utilization service support unit for collectively managing the utilization service system unit and providing a unified interface is proposed.

According to a third aspect of the present invention, the middleware system unit of the second aspect of the present invention further includes a common system unit, wherein the common system unit comprises: an international standard support unit, which is a set of libraries for supporting international standards; A wire / wireless communication support unit for transmitting / receiving data of the middleware system unit to an application application; A data connection for maintaining connectivity to use the database and the accumulated data of the legacy system; A web service transmitting / receiving unit for using data and information through an access to the middleware system unit in the form of an open API in a web application; A security algorithm unit for providing various types of encryption and authentication libraries to the security service unit and the authentication service unit; A log management unit for identifying a process and a problem in order to check the risk management and processing details of the middleware system unit; An education support service, a post support service, a medical equipment integration service, a cloud service support unit for storing result data processed by algorithm and function scheduling; An integrated system of a hospital medical system is presented that includes a chart support for providing graphic elements in chart form to a client framework.

According to a fourth aspect of the present invention, there is provided a hospital system comprising a client framework communicatively connected to a middleware system of an integrated system of the hospital medical system to exchange data and information using a web service and a distributed service, , An applicant framework for supporting interactions with consumers, managers, producers and other hospitals; A utilization service framework for developing various utilization services through interoperation with the middleware system unit; A data framework for using the middleware system part and the medical information system access and data; And a common framework for efficiently developing a new service to a consumer, an administrator and a producer through the connection of the middleware system unit.

According to a fifth aspect of the present invention, there is provided a middleware system comprising: a server driving step for providing a service of a middleware system unit; A program driving step for using the middleware system unit; A service driver driving step of the medical information system integration processing unit; An initialization execution step for the service driver to drive the medical information system integration processor through the medical information system integration processor; An LIS data unit, an OCS data unit, a PACS data unit, an MIS data unit, an HIS data unit, an ERP data unit, a u-HealthCare data unit, a hospital system management data An access initialization step for data collection and query of the CDSS data part and the RIS data part; An initialization step of an international standard management unit (HL7) for supporting the international standardization of the medical information data management unit of the medical information system integration processing unit; A cloud service support unit initialization step of the data connection management unit storing an algorithm, a function execution result, a control result, a state, and the like; An initialization step of a standard integrated interface for transmitting / receiving client framework data; Executing a data monitoring unit of the medical information system integration processing unit when each of the integration processing units of the medical information system integration processing unit is initialized; The data monitoring unit requests data collection by the data connection management unit through scheduling (time, real time, event); A step of querying the medical information data management unit after the data connection management unit confirms the data monitoring unit request; Storing the results collected by the data connection management unit in the integrated processing unit through the cloud service support unit through an algorithm, control, and calculation; When the data request of the client framework is received, processing by the integration processing unit in accordance with the standard integration interface standard; A result obtained by the data monitoring unit is queried through the cloud service support unit through the date connection management; Transmitting a query result to the integrated processing unit through the data connection management unit; And transmitting the query result to the client framework via the standard integration interface through the wired / wireless communication support unit and the web service (REST) transmission / reception unit.

According to a sixth aspect of the present invention, there is provided a method of operating a server, comprising: operating a server for providing a service of a middleware system; A program for using the middleware system unit is operated; A step of driving a medical device service driver of the medical device integration processing unit; An initialization execution step for the medical device service driver to drive the medical device integration processor through the medical device processor; The medical device data connection management unit of the medical device integration processing unit accesses (Parallel, RS232C, PCL, USB, etc.) for the device information / inspection result collection of the medical device 1, the medical device 2, the medical device 3, TCP / IP); Initializing a medical device international standard management unit (IEEE 11073) for international standardization support by the medical device data connection management unit; Initializing the cloud service support unit to store the collected inspection results of the medical device 1, the medical device 2, the medical device 3, and the medical device n; (S1907) initializing a medical device standard interface of the medical device integration processing unit for transmitting / receiving client framework data; Monitoring the device connection state and the data reception state through the medical device data monitoring unit of the medical device integration processing unit when the respective initialization is completed; When the data is received by the medical device data monitoring unit, storing the medical device data connection management unit through the cloud service support unit; When the data request of the client framework is received, processing the medical instrument processing unit according to the medical instrument standard interface standard; A query step of the medical device processing unit through the cloud service support unit to obtain collected information / data of the medical device; Transmitting a query result to the medical device processing unit through the medical device data connection management unit (S1912); And transmitting the query result to the client framework through the medical device standard interface through the wired / wireless communication support unit and the web service (REST) transmission / reception unit.

According to a seventh aspect of the present invention, there is also provided a method of operating a client device, the method comprising: operating a user device to use a client framework; Requesting the client data framework unit for necessary data from a client applicant framework including another hospital processing unit, a consumer framework unit, a manager framework unit, and a producer framework unit; Checking whether the authentication management framework unit accesses the middleware system unit; Transmitting a connection command for each vendor to a DB support framework unit when the access authentication is completed with the middleware system unit; Receiving data connection information in a standard integrated interface of a medical information system integration system unit of the middleware system unit; Instructing the data connection management unit to allocate access rights after confirming reception information of the standard integrated interface; Wherein the data connection management unit of the medical information system integration system unit possesses DB connection and authorization commands of EMR, LIS, OCS, PACS, MIS, HIS, ERP, u-Healthcare, hospital system management, CDSS, RIS; Connecting to the medical information data management unit through the connection information of the data connection management unit; Sending the data connection management unit to the client framework via the medical information system standard interface; The client data framework requesting client data of the legacy system to the middleware system; Requesting the medical information system integration processing unit to request the necessary data to the medical information data management unit; The medical information data management unit collects necessary data and transmits the collected data to the medical information system integration processing unit. When the medical information data management unit collects necessary data and transmits the data to the international standard management unit of the medical information system, Transmitting the international standardized data to the medical information system integration processing unit by the international standard management unit; Transmitting the processed data from the medical information system integration processing unit to the medical information system standard interface; The medical information system standard interface transmitting data to the client framework; And transmitting the necessary data to the client data framework in the client applicant framework.

According to the present invention, it is possible to integrate a medical information system and medical equipment between hospitals or hospitals into a single middleware so that even if a new medical information system and medical equipment are added, , All of the systems in the hospital will be provided with a standardized framework to the consumer (customer), producer (manufacturer of the medical device manufacturer and hospital system) and manager (hospital manager) to support various types of utilization of the integrated system of the hospital medical system There is an effect that can be.

1 is a schematic block diagram of an embodiment of an integrated system of a hospital medical system of the present invention.
2 is a schematic overall block diagram of an embodiment of an integrated system of a hospital medical system of the present invention.
FIG. 3 is a schematic block diagram of an embodiment of a medical information system integration system unit among embodiments of the hospital system medical system integration system of the present invention.
FIG. 4 is a schematic configuration diagram of an embodiment of a medical device integration system unit among the embodiments of the hospital system medical system integration system of the present invention.
FIG. 5 is a schematic block diagram of an embodiment of the utilization service system part of the embodiment of the integrated system of the hospital medical system of the present invention.
6 is a schematic block diagram of an embodiment of a common system part of an embodiment of an integrated system of a hospital medical system of the present invention.
7 is a schematic block diagram of an embodiment of an applicant framework of an embodiment of an integrated system of a hospital medical system of the present invention.
FIG. 8 is a schematic diagram of an embodiment of a utilization service framework among embodiments of an integrated system of a hospital medical system according to the present invention.
9 is a schematic block diagram of an embodiment of a data framework of an embodiment of an integrated system of a hospital medical system of the present invention.
10 is a schematic block diagram of an embodiment of a common framework among embodiments of an integrated system of a hospital medical system of the present invention.
11 is a flowchart for explaining an embodiment of an integrated method of the hospital medical system of the present invention.
12 is a flowchart for explaining another embodiment of the method of integrating the hospital medical system of the present invention.
13 is a flowchart for explaining an embodiment of a utilization service support method of the integrated system of the hospital medical system of the present invention.
FIG. 14 is a flow chart for explaining another embodiment of a method of utilizing a utilization service of the integrated system of the hospital medical system of the present invention.
FIG. 15 is a flowchart for explaining the processing of a service request for a consumer, an administrator, and a producer among embodiments of a utilization service support method of an integrated system of a hospital medical system according to the present invention.
16 is a flowchart for explaining a process of developing a new service of a client framework among embodiments of a utilization service support method of an integrated system of a hospital medical system according to the present invention.
FIG. 17 is a flowchart for explaining a data exchange process through interlocking of other hospitals among embodiments of a service utilization support method of an integrated system of a hospital medical system according to the present invention.
FIG. 18 is a flowchart for explaining a process of requesting utilization of a utilization service in a client framework among embodiments of a utilization service support method of an integrated system of a hospital medical system according to the present invention.
FIG. 19 is a flowchart for explaining a procedure of processing when a request for medical device data and information is made in a client framework, among the embodiments of the utilization service support method of the integrated system of the hospital medical system of the present invention.
FIG. 20 is a flowchart for explaining service utilization through a web application in a client framework among embodiments of a utilization service support method of an integrated system of a hospital medical system according to the present invention.
FIG. 21 is a flowchart for explaining a service utilization through an application in a client framework of an embodiment of a service utilization support method of an integrated system of a hospital medical system according to the present invention.
FIG. 22 is a flowchart for explaining a term management service processing procedure in a middleware system unit when requesting a standard term in a client framework among embodiments of a service utilization support method of an integrated system of a hospital medical system according to the present invention.
23 is a flowchart for explaining a term management service conversion process in the middleware system unit when requesting a standard term in a client framework among embodiments of a utilization service support method of an integrated system of a hospital medical system according to the present invention.
FIG. 24 is a flowchart for explaining utilization of post support services in the middleware system part when post support is provided in the client framework, among the embodiments of the utilization service support method of the integrated system of the hospital medical system of the present invention.
FIG. 25 is a flowchart for explaining utilization of a security / authentication service in a middleware system part when security / authentication is used in a client framework among embodiments of a method of utilizing a service utilizing integrated system of the hospital medical system of the present invention.
FIG. 26 is a flowchart for explaining a CPG service processing procedure in a middleware system unit in a CPG presentation in a client framework, in an embodiment of a method of utilizing a service utilizing an integrated system of a hospital medical system according to the present invention.
FIG. 27 is a flowchart for explaining an educational support service processing procedure in a middleware system part when processing training data in a client framework, among embodiments of a service utilization support method of an integrated system of a hospital medical system of the present invention.
28 is a flowchart for explaining a CP service processing process in a middleware system unit for CP service support in a client framework among embodiments of a utilization service support method of an integrated system of a hospital medical system according to the present invention.
FIG. 29 is a flowchart for explaining a data connection processing procedure for using data of a middleware system unit in a client framework among embodiments of a utilization service support method of an integrated system of a hospital medical system according to the present invention.
30 is a flowchart for explaining a chart processing process in the middleware system part for a chart request in a client framework among embodiments of the utilization service support method of the integrated system of the hospital medical system of the present invention.
31 is a flowchart for explaining an international standard processing procedure in a middleware system section for an international standard request in a client framework among embodiments of a utilization service support method of an integrated system of a hospital medical system according to the present invention.

Hereinafter, embodiments of the present invention will be described in detail with reference to the accompanying drawings. 1 is a schematic block diagram of an embodiment of an integrated system of a hospital medical system of the present invention. 1, the integrated system of the hospital medical system of the present invention comprises a middleware system unit 100, a client framework 200, and a cloud unit 300. The client framework 200 communicates with the middleware system 100 through a communication network, and exchanges data and information using a web service and a distributed service. The client framework 200 is distributed in the form of an SDK (Software Development Kit), which is a development toolkit for creating a new service, and can develop a new service through simple installation. It is also provided in the form of a framework and is optimized for the middleware system unit 100. The middleware system unit 100 includes a utilization service system unit 3000 for terminology, post support, security, authentication, CP, CPG, education, and developer support; A medical information system integrated system unit 1000 for accessing data and information / data to EMR, LIS, OCS, PACS, MIS, HIS, ERP, u-HealthCare, hospital system management, CDSS, Wow; A medical device integration system unit 2000 for integrating various medical devices 1, 2, 3, ..., medical equipment n in the hospital and storing the collected information in the cloud 300, Wow; A common system unit 4000 for supporting services of the utilization service system unit 3000, the medical information system integration system unit 1000 and the medical device integration system unit 2000 of the middleware system unit 100 And provides the client framework 200 with rich data and services over the network. Also, the cloud unit 300 is configured to store and provide data collected from the medical information system and the medical device to use new algorithms and functions. In addition, the client framework 200 includes an applicant framework 5000 for supporting interactions between consumers, administrators, producers, and other hospitals; A utilization service framework 6000 for developing various utilization services through interworking with the middleware system unit 100; A data framework 7000 for accessing the middleware system unit 100 and using medical information data; And a common framework 8000 for providing efficient development of new services to consumers, administrators, and producers through the connection with the middleware system unit 100.

2 is a schematic overall block diagram of an embodiment of an integrated system of a hospital medical system of the present invention. As shown in FIG. 2, a medical information data management unit 1200 having data such as EMR, LIS, OCS, PACS, MIS, HIS, ERP, u-HealthCare, hospital system management, CDSS, )Wow; A medical information system integration service unit 1100 for fetching data from the medical information data management unit 1200 and integrating the medical information system; A medical device base 2200 having various medical device data of a hospital; A medical device integration service unit 2100 for fetching data from the medical device base unit 2200 and integrating the medical device information; A utilization service system unit 3000 for terminology, post support, security, authentication, CP, CPG, education, and developer support; A common system unit 4000 for supporting services of the utilization service system unit 3000, the medical information system integration system unit 1000 and the medical device integration system unit 2000 of the middleware system unit 100 A cloud unit 300 for receiving and storing data at the request of the middleware system unit 100 and a central processing unit 300 for communicating with the middleware system unit 100 for various needs A client framework 200 for requesting data and providing corresponding data to a client and a web service unit 400 used by the client framework 200 to access the middleware system unit 100 through a communication network such as the Internet ) Or a distributed service unit (500), a client framework (200) for accessing the middleware system unit (100) Computer 600, a configuration including a consumer computer 700, the administrator computer 800 and other hospital computer 900.

FIG. 3 is a schematic block diagram of an embodiment of a medical information system integration system unit among embodiments of the hospital system medical system integration system of the present invention. 3, the medical information system integration system of the present invention includes a legacy system EMR, LIS, OCS, PACS, MIS, HIS, ERP, u-HealthCare, hospital system management, CDSS, In order to integrate the RIS data part, the exchange of data between legacy systems supports the international standard and provides an interface to support data access like one system through the connection method of independent legacy system as one data connection method, monitoring for real time data monitoring Service and client framework to support new service development.

The medical information system integration system unit 1000 of the present invention includes a medical information data management unit 1200 for accumulating and managing data of each medical information system and a medical information system for providing information of the medical information data management unit 1200 And an integrated service unit 1100. The medical information data management unit 1200 can query each legacy system DB data to check the result of necessary data, and includes an EMR data unit 1210 for providing an interface through an EMR DB query; An LIS data part 1220 for providing an interface through a LIS DB query; An OCS data part 1230 for providing a result through an OCS DB query; A PACS data part 1240 for providing an interface through a PACS DB query; An MIS data part 1250 for providing an interface through an MIS DB query; An HIS data portion 1260 for providing an interface through the HIS DB query; An ERP data part 1270 for providing an interface through an ERP DB query; a u-HealthCare data part 1280 for providing an interface through a u-HealthCare DB query; A hospital system management data part 1290 for providing an interface through a hospital system management DB query; A CDSS data portion 1300 for providing an interface through a CDSS DB query; And an RIS data unit 1310 for providing an interface through RIS DB query.

The medical information system integration service unit 1100 complies with the transmission standard of data of the data framework 7000 of the client framework 200 and integrates the separated data interfaces into one in the middleware system unit 100 A standard integration interface unit 1110 for performing data exchange with the client framework 200; An integrated processing unit 1120 for requesting and processing the data requested by the client framework 200 in accordance with the standard of the standard integration interface 1110 and for requesting and processing the result to the corresponding medical information data management unit 1200; An international standard management unit 1130 for supporting the HL 7 and the data packet format via the standard integration interface 1110 with respect to data exchange between legacy systems; A service driver 1160 for driving the medical information system integration service unit 1100 and providing services when the OS is normally operated and the server of the middleware system unit 100 is completed; A data connection management unit 1140 for data connection and status management in the medical information data management unit 1200 when the service driving unit 1160 is activated; And a data monitoring unit 1150 for monitoring and updating the results of new algorithms and functions including data combinations of the medical information data management unit 1200 in real time, time, and manual manner.

The integrated processing unit 1120 determines the service normal state through the service driver 1160 and performs an instruction on the scheduling method of the data monitoring unit 1150 and stores the scheduled data in the cloud unit 300 To instruct the data connection manager 1140 to do so.

In addition, the medical information system integration system 1000 integrates the legacy system EMR, LIS, OCS, PACS, MIS, HIS, ERP, u-HealthCare, hospital system management, CDSS, The data exchange between legacy systems supports international standards and provides an interface for supporting data access like an independent system through a single data connection method, a monitoring service for real-time data monitoring, (200) to support the development of a new service.

FIG. 4 is a schematic configuration diagram of an embodiment of a medical device integration system unit among the embodiments of the hospital system medical system integration system of the present invention. 4, the medical device integration system unit 2000 of the present invention integrates existing medical equipment and new medical equipment of a hospital into one through compliance with international standards, and the integrated data is transmitted to the cloud unit 300 The medical device 1, the medical device 2, the medical device 3, the medical device n, and updates the status of the data received from the medical device n to the cloud unit 300, And a framework 200 for supporting the development of a new service. The medical device integration system unit 2000 of the present invention has independent forms of the medical device 1, the medical device 2, the medical device 3, the medical device n, and the like. The medical device n has an independent form such as RS-232C, USB, Parallel, PCL, A medical device base 2200 for bundling and providing equipment or software in the form of TCP / IP or the like and an international standard; And a medical device integration service unit 2100 for supporting a new service development in the client framework 200 through the cloud unit 300 from data collected in a medical device through an international standard. The medical device integration service unit 2100 includes a medical device 1, a medical device 2, a medical device 3, a medical device management unit 2120 for registering and managing the medical device n; A medical device service driver 2150 for initializing the medical device and transmitting / receiving data after driving the server of the middleware system 100; A medical device international standard management unit 2130 for supporting the integrated management of the existing medical equipment RS-23C, USB, parallel, PCL, TCP / IP, and the medical device standard IEEE 11073; A medical device data connection management unit 2160 for classifying and storing the medical device connected to the medical device base unit 2200 according to the medical device system and code for connection and storage to the cloud unit 300; A medical device data monitoring unit 2170 for determining whether the connected medical device data is normally received, medical device information and status; A medical device standard interface 2110 for communicating data requested by the client framework 200 with the middleware system unit 100 according to an interface standard and transmitting / receiving a result; And a medical device processing unit 2140 for transferring the requested data to the medical device standard interface 2110 and performing the function.

FIG. 5 is a schematic block diagram of an embodiment of the utilization service system part of the embodiment of the integrated system of the hospital medical system of the present invention. The utilization service system unit 3000 of the middleware system unit of the present invention exchanges data through the interface between the medical information system integration system unit 1000 and the medical device integration system unit 2000 and the common system unit 4000 And the utilization service system unit 300 is configured based on the information. The utilization service system unit 3000 of the present invention provides additional functions of the middleware system unit 100 to enhance utilization of the client framework 200 and to develop a new service. The utilization service system unit 3000 includes a term management service unit 3100; A CPG service unit 3200; A post-support service unit 3300; An education support service unit 3400; A security service unit 3500; A CP service unit 3600; An authentication service unit 3700; A developer support service unit 3700; A development support service unit 3800; And a utilization service support unit 3900.

The term management service unit 3100 includes a term management interface unit 3110; A code matching processing unit 3120 for providing a conversion interface and an identifier connection unit for mutual compatibility; A KCD manager 3130 that can search for and identify terms in accordance with a domestic standard including a KCD identifier, a Korean language term, and an English term stored in the cloud unit 300; It is an international statistical classification system of diseases and related health problems that classifies diseases and symptoms in the World Health Organization. ICD identifiers can be used to search and identify terms according to international standards including U-Code and English terminology. ICD 9-CM An ICD management unit 3140 for supporting the ICD 10; The SNOMED management department (3150) is capable of providing search, identification, clinical information, treatment decision support and automatically extracting the risk factors of the patient, which comprehensively accepts clinical medical terms and general terms and is used as EHR standard terminology. )Wow; A UMLS management unit 3160 for supporting connection through an identifier code between a doctor, a pharmacy and an insurance company, coordination of patient treatment among various departments in a hospital, use of a search engine, data mining and public health statistics service.

In addition, the CPG service unit 3200 includes a CPG interface 3210 for providing examples of doctors, nurses, hospital experts, professors, and patients to the client framework 200 using a case-based classification system; A CPG management unit 1320 for granting a case to a case through the CDSS data unit 1291 of the medical information data management unit 1200 or granting authority regarding whether or not to provide the case in a service form; A CPG processing unit 1330 for retrieving data of the CDSS data unit 1291, deriving a case result, confirming whether the CPG management unit 1320 is authorized, and providing a service to the client framework 200.

In addition, the post support service unit 3300 can efficiently monitor the patient, the nurse, the doctor, the relevant department, the laboratory, the equipment in the hospital, A standardized post-support interface (3310) for processing a request of the post support framework unit (6400) of the client framework (200); A post support processor 3320 for determining a signal requested to the post support interface 3310 and delivering the result of the history management information, the monitoring result, and the risk management element through the post support interface 3310; A history management unit 3330 for searching history data such as a patient, a nurse, a doctor, a corresponding department, a laboratory, equipment in a hospital, data and the like, and requested data from the cloud unit 300; A monitoring management unit 3340 that supports the real-time monitoring status of data traffic in the hospital, equipment status, security, user access, medical information system connection status, medical device connection status, A risk management unit 3350 for notifying the alarm to a warning of a character, an e-mail, or a middleware system unit, .

The training support service unit 3400 includes a standardized training support interface 3410 for processing a request of the training support framework unit 6300 of the client framework 200; An education support management unit 3420 for managing the education data stored in the authoring tool through a classification system (identification number); An education support processing unit 3430 for processing through the classification scheme (identification number) of the education support management unit 3420 when the client support system 200 requests the education support interface; And an authoring tool input / output unit 3440 for linking the cloud unit 300 storing the educational data produced by the authoring tool with the authoring road section.

In addition, the security service unit 3500 performs encryption processing of data in the course of ensuring stability for data processing of the middleware system unit 100 and data exchange between the client framework 200 and the middleware system unit 100 A security interface 3510 configured using the algorithm library of the security algorithm support unit 4200 of the common system unit 4000; And a security processing unit 3520 for processing security related services requested by the security framework unit 6500 of the client framework 200. [ Also, the security interface 3510 uses symmetric and asymmetric algorithms of the security algorithm support unit 4200 and provides interfaces such as SHA1, MD5, CRYPTO, and Hash.

In addition, the CP (Clinical Pathway) service is a series of hospital processes in which patients are treated through a variety of medical services, examinations, medications, and the like. This is a service that aims to reduce costs through accurate medical care, drug abuse, and shortening hospital hours. The CP service unit 3600 includes a CP interface 3610 for completing standardization and service standards and exchanging CP data when requested by the CP framework unit 6700 of the client framework 200; A CP management unit 3620 connected to the CP authoring tool to manage CP data stored in the cloud unit 300; A CP processing unit 3630 for transferring and processing the CP data in the CP management unit 3620; A CP tool input / output unit 3640 for visualizing the medical care system with a diagram display through an authoring tool to accommodate various medical care processes performed in the hospital and storing the visualized medical treatment system in the cloud unit 300; And a CP connection unit 3650 for coupling the service provided by the CPG to the CP by using the CPG interface 3210. [

In addition, the authentication service unit 3700 is required to grant the access right of the middleware system unit 100 when a user of the middleware system unit 100 wants to use the service of the consumer, the manager, the producer, . An authentication interface 3710 for servicing the various types of authentication to the client framework 200; An authentication management unit 3720 for supporting various types of authentication supported by password authentication, digital signature authentication, authorized authentication, I-Pin authentication, and mobile phone authentication; When the authentication management framework unit 6600 of the client framework 200 requests the authentication service unit 3700 to use an authentication format to be used, the service in the authentication management unit 3720 is connected through the authentication interface 3710 And an authentication processing unit (3730) for connecting the security interface unit (3510) to encrypt the authentication format of the authentication management unit (3720).

The developer support service unit 3800 includes a developer support interface 3810 for a developer and a tester accessible from the developer support framework unit 6100 through a developer option; A developer support management unit 3820 for supporting virtual data management, virtual medical equipment, virtual CPG, CP, post support, and educational support for supporting developers and testers; And a developer support processing unit 3830 for transmitting the processing result and the virtual data to the developer support interface 3810 by the developer and the tester.

The developer support service unit 3800 has virtual data, a virtual medical device, and a virtual utilization service system. Virtual data supports certain data such as those provided by EMR, LIS, OCS, PACS, MIS, HIS, ERP, u-HealthCare, Hospital System Management, CDSS, RIS Data Department for testers and developers, Device 1, medical device 2, medical device 3, ... medical device n data, virtual CPG, CP, post support data, training support data, and the virtual data is stored in the cloud. It is equipped to support. Therefore, the developer support service unit 3800 of the present invention uses virtual data without using actual data, and thus supports the service development using actual data without affecting the real service.

The utilization service support unit 3900 includes a utilization service interface 3910 for providing services of the various middleware system units 100 to the client framework 200; A utilization service driver 3920 for initializing various processing units of the utilization service system unit 3000 to drive the utilization system unit 3000; A utilization service management unit 3930 for confirming whether or not the service is registered; And a utilization service processor 3940 for distributing and controlling the corresponding service through interface signals and data information when the service is normally available.

6 is a schematic block diagram of an embodiment of a common system part of an embodiment of an integrated system of a hospital medical system of the present invention. As shown in FIG. 6, the common system unit 4000 serving as a basis of the middleware system unit 100 of the present invention includes an international standard support unit 4100, which is a library set for supporting international standards; A security algorithm support unit 4200 for providing various types of encryption and authentication libraries of the security service unit 3500 and the authentication service unit 3700; A chart support unit 4300 for providing graphic elements in the form of a chart to the client framework 200; A cloud service support unit 4400 for storing result data processed by the education support service unit 3400, the post support service unit 3300, and the medical equipment integration service unit 2100 by algorithms, functions, and scheduling; ; A data connection unit 4500 for maintaining connectivity to use the DB of the legacy system and the accumulated data; A log management unit 4600 for identifying a process and a problem in order to check the risk management and processing items of the middleware system unit 100; A Web service (REST) transmission / reception unit 4700 for accessing data and information through access to the middleware system unit 100 in the form of an open API in the web application; And a wired / wireless communication support unit 4800 for transmitting / receiving data of the middleware system unit 100 to an application application.

Figure 7 is a schematic diagram of an embodiment of an applicant framework of a client framework of an embodiment of an integrated system of a hospital medical system of the present invention. 7, the applicant framework 5000 of the present invention includes a configuration including the other hospital framework unit 5100, the consumer framework unit 5200, the manager framework unit 5300, and the producer framework unit 5400 to be. The other hospital framework unit 5100 includes another hospital interface 5110 that provides a standard interface for data exchange and information exchange with other hospitals; Another hospital management unit 5120 for managing (registering, deleting, editing) matters linked to other hospitals to control degree of data exchange according to authorization; The other hospital processing unit 5130 receives the signal according to the standard format of the other hospital interface 5110 and confirms whether the other hospital management unit 5120 is registered and requests the data to the middleware system unit 100 . The consumer framework unit 5200 is a configuration for creating a PHR (Personal Health Record) service tailored to the patient such as a customer searching for a hospital, a patient receiving a hospital treatment, a medical procedure and process, a medical treatment result, and a reservation status. The administrator framework unit 5300 is a configuration for operating a hospital system and creating a hospital information system management service such as post management, education, authentication management, security management, CP, and CPG management. In addition, the producer framework unit 5400 is a configuration for creating new services for medical and hospital related systems such as a medical device manufacturer, a medical IT developer, and a medical-related worker.

FIG. 8 is a schematic block diagram of an embodiment of an application service framework of a client framework among embodiments of an integrated system of a hospital medical system of the present invention. 8, the utilization service framework 6000 of the present invention is a configuration for supporting a consumer, an administrator, a producer, and other hospitals. The utilization service framework 6000 includes services of the utilization service support unit 3900 of the middleware system unit 100 Is a framework that is available to use. The utilization service framework 6000 includes a developer support framework unit 6100, a term management framework unit 6200, an education support framework unit 6300, a post support framework unit 6400, a security framework unit 6500, Unit 6600, a CP framework unit 6700, and a CPG framework unit 6800, as shown in FIG.

The developer support framework unit 6100 is configured to support a series of development procedures for testing interoperability, compatibility, stability, functionality, and security of the middleware system unit 100 when a new utilization service is developed to be.

The terminology management framework unit 6200 provides the KCD, the ICD, the SNOMED-CT, and the UMLS, which are the domestic standard, for the terms used in the unified hospitals according to the hospital and the country, To support the code mapping function.

The education support framework unit 6300 is a structure for supporting manuals and training to customers, patients, nurses, doctors, and hospital contestants after building a hospital system.

The post support framework unit 6400 is a configuration for monitoring the history of the equipment, the improvement, the hospital system problems registered in the middleware system unit 100, the hospital system status, and the risk factors.

The security framework unit 6500 is a configuration for applying an encryption technique in authentication encryption and data exchange.

The authentication management framework unit 6600 is a configuration for providing an authentication procedure using password authentication, digital signature authentication, authorized authentication, I-pin authentication, and mobile phone authentication.

The CP framework unit 6700 is configured to perform service by using a type of a CP (Clinical Pathway) registered in the middleware system unit 100, an ongoing CP status, a notification, and the like.

The CPG framework unit 6800 can use the case-based services accumulated in the middleware system unit 100 such as medical departments, doctors, patients, tests, medications, treatments, and diseases.

9 is a schematic block diagram of an embodiment of a data framework of a client framework of an embodiment of an integrated system of a hospital medical system of the present invention. 9, the data framework 7000 of the present invention includes a medical information data part, an EMR, a LIS, an OCS, a PACS, a MIS, a HIS, an ERP, a u-HealthCare, a hospital system Management and data collection and utilization of CDSS data for use by consumers, administrators, producers, and other hospitals of the client framework 200 to provide new services by processing and utilizing the data.

An EMR data framework unit 7010 for accessing accumulated EMR data; An LIS data framework unit 7020 for accessing accumulated LIS data; An OCS data framework unit 7030 for accessing accumulated OCS data; A PACS data framework unit 7040 for accessing the accumulated PACS image and data; An MIS data framework unit 7050 for accessing the accumulated MIS data; An ERP data framework unit 7060 for accessing accumulated ERP data; A u-HealthCare data framework unit 7070 for accessing the accumulated u-HealthCare data; A hospital system management data framework unit 7080 for accessing accumulated hospital system management data; An HIS data framework unit 7090 for accessing the accumulated HIS data; A CDSS data framework unit 7100 for accessing the accumulated CDSS data; And an RIS data framework unit 7110 for accessing the accumulated RIS data.

10 is a schematic diagram of an embodiment of a common framework of client frameworks in an embodiment of an integrated system of a hospital medical system of the present invention. 10, the common framework 8000 of the present invention is a framework that is a basis for developing a consumer, a producer, a manager, another hospital interworking and a new service. The utilization service framework 6000 and the data framework 7000 (Web service type and distributed service type), security algorithm, authentication module, DB access method presentation, international standardization library support, access to cloud service, access to chart server of middleware system department and easy development of new service And utilities.

The common framework 8000 includes a database for providing a connection method and an interface for data query, such as Oracle, MS SQL Server, DB2, Sybase, MySQL, Informix, etc., A support framework unit 8100; HL7 for compliance with data standards between medical systems; IEEE 11073 library for compliance with medical device standards; MLM for compliance with case-based standards; an arden syntax library, an international standard support framework unit 8200 for modifying and providing a DICOM library for supporting PACS images to the client framework 200, and the like; And supplies the result of processing the data of the education support, the post-support, the medical device data, and the medical information data management unit 1200 collected by the middleware system unit 100 to the cloud library module for importing from the cloud unit 300 A cloud support framework unit 8300 for the user; In order to support a consistent chart to consumers, administrators, and producers, the chart support unit 4300 of the middleware system unit 100 supports items relating to charts, and uses various functions of charts such as a chart type, a chart data interface, and a legend A chart support framework portion 8400 for allowing the user to create a chart;

A utility framework unit 8500 for providing a library on which a consumer, a manager, a producer, and other hospitals are linked based on a state associated with a middleware system unit such as a character processing, a date processing, a data structure, a middleware system state, Wow; In order to ensure data security with respect to data communication with the middleware system unit 100, data is encrypted or encrypted according to the authentication is transmitted to the authentication management framework unit 6600 and the security framework unit 6500 of the utilization service frame 6000 A security algorithm unit 8600 for providing an encryption algorithm in a library form including a symmetric encryption algorithm or an asymmetric encryption algorithm; The data stored in the cloud unit 300 is provided to a consumer, an administrator, and a manufacturer to develop a new service. The data stored in the cloud unit 300 can be transmitted to the middleware system unit A medical device support framework unit 8700 for using status information and archived data of all medical devices operating in the medical device 100; A wired / wireless communication support unit 8800 for connecting the communication between the client framework 200 and the middleware system unit 100 to a distributed service server; And a web service (REST) transmitting / receiving unit 8900 for connecting the communication between the client framework 200 and the middleware system unit 100 to a web server.

Hereinafter, the operation of the embodiment of the present invention will be described in detail. A wire / wireless communication support unit 8800 and a web service (REST) transmission / reception unit 8900 for connecting the communication between the client framework 200 and the middleware system unit 100 to the distributed service server / have.

The present invention integrates a medical device 1, a medical device 2, a medical device 3, ..., a medical device n currently operating in a hospital, consistently supplies the service of the middleware system 100 and creates a new service based on the service Providing the same service through an interface, ie, compliance with international standards. The data collected at the medical device uses the cloud unit 300 to store data collection to use the new algorithms and functions.

The medical information system integration system unit 1000 of the present invention includes: DBs stored in an existing legacy system, data stored in other methods, texts, binaries, XML, data packets, and the like are provided to service users through a common interface in the medical information system integration system unit 1000, , It is possible to integrate legacy systems which are advantageous in terms of backward compatibility and universally usable at home and abroad through compliance with international standards. The medical information system integration system unit 1000 can exchange data accumulated in existing legacy systems EMR, LIS, OCS, PACS, MIS, HIS, ERP, u-HealthCare, hospital system management, CDSS, RIS, And provides the same to the client framework 200.

The interface provided in the medical information system integration system unit 1000 serves through a web server and a distributed service server, and the web server provides a web service (SOA, REST), and application applications are distributed services (COM +, DCOM,. Net Enterprise, CORBA, EJB, etc.), which can be used on a variety of platforms, including but not limited to a specific device.

Various medical results can be derived through the data accumulated in the medical information system integration service unit 1000 and the medical equipment integration system unit 2000 and utilized for the utilization service through the accumulated data.

When the server of the middleware system unit 100 is operated, the utilization service driver unit 3920 operates to use the utilization service system unit 3000 after driving the web server, the distributed service server, and the common system unit, The encryption processing unit 3920 includes a code mapping processing unit 3120, a post support processing unit 3320, a security processing unit 3520, an authentication processing unit 3730, a developer support processing unit 3830, a CP processing unit 3630, a CPG processing unit 3230, And each of the utilization services is driven and initialized through the support processing unit 3430. The service requested by the utilization service framework 6000 of the client framework 200 can be used. When the server of the middleware system unit 100 is operated only once, the service of the middleware system unit 100 maintains the service state and maintains service integrity. When the utilization service driver 3920 is normally initialized and driven, all services of the utilization service system unit 3000 can be used in the client framework 200 by keeping the application service driver 3920 in an operating state. Herein, the initialization is registered in the utilization service management unit 3920 for confirming whether the service is used in the utilization service system unit 3000 and for managing the service, enabling / disabling the utilization service, and utilizing service status and control. In the utilization service framework 6000, when data, signals, and information are exchanged through the standardization interface, the service request is finally received by the utilization service interface 3910 and used by the utilization service management unit 3920 . When the service is normally available, the service is distributed through the interface signal, data, and information. The utilization service processing unit 3930 controls the distribution. The utilization service support unit 3900 receives and processes all signals requested by the utilization service framework 6000 and distributes and manages the utilization results of the service processing results. The utilization service interface 3910 includes a term management interface 3110, a post support interface 3310, a security interface 3510, an authentication interface 3710, a developer support interface 3810, a CP interface 3610, a CPG interface 3210 and the training support interface 3410 and interfaces except for the utilization service interface 3910 are not directly exposed to the client framework 200 and are used only for the internal interface of the middleware system 100 . The utilization service interface 3910 may be provided as an open API of the utilization service framework 6000 of the client framework 200 to utilize various functions and services of the middleware system.

The terminology of the term management service unit 3100 should be compatible with each other, and it is expressed in a multi-language support for use in international standards and domestic / foreign hospitals, using Unicode. For interoperability, KCD is connected and converted with ICD, SNOMED-CT and UMLS, ICD is connected with KCD, SNOMED-CT, UMLS and converted, SNOMED-CT is connected with KCD, ICD, UMLS, UMLS is connected and transformed with KCD. This is done through a conversion interface and an identifier connection unit for mutual compatibility in the code mapping processing unit 3120. The utilization service system unit 3000 provides the client framework 200 with the accumulation and classification of the case base. The utilization service system unit 3000 can classify cases of the doctor, the nurse, the hospital expert, the professor, and the patient And provides it to the client framework 200 through the CPG interface 3210. The case information is accumulated by the CDSS data unit 1292 and the case collection is performed by a doctor, a nurse, a hospital expert, a professor, a patient, etc. Whether or not the accumulated data is provided in a service form is determined by the CPG management unit 3230 A grant is made. In order to import the case to the CDSS data unit 1292, the CPG processing unit 3230 takes the case after confirming the authority of the CPG management unit 3230 and provides the case through the CPG interface 3210. The CPG processing unit 3230 serves to retrieve data of the CDSS data unit 1292, to derive a case result, to check whether the CPG management unit is authorized, and to finally provide the service to the client framework 200. The CPG can be served solely by the CP interface 3610 and is provided through the CPG connection 3650 to support the CPG within the CP (Clinical Pathway). The CPG connection unit 3650 couples the service provided by the CPG to the CP using the CPG interface 3210. CP is a series of hospital processes that are performed by the patient through various treatments, examinations, and medications within the hospital.

The operation process of the middleware system unit in the integrated system of the hospital medical system of the present invention will be described. The driving of the middleware system unit 100 of the present invention drives an apparatus for providing a service of the middleware system unit 100; A program for using the middleware system unit 100; A web server and a distributed service server of the common system unit 4000 of the middleware system unit 100 are driven; An international standard support unit, a security algorithm support unit, a cloud service support unit, a data connection unit, a log management unit, and a chart support unit of the common system unit 4000; The term service management unit, the post service support service unit, the security service unit, the authentication service unit, the developer support service unit, the CPG service unit, the education support service unit, and the CP service Driving the part; Driving the medical information system integration system unit through the service driver of the medical information system integration system unit 1000; And driving the medical device integration system unit through the medical device service driver of the medical device integration system unit 2000.

11 is a flowchart for explaining an embodiment of an integrated method of the hospital medical system of the present invention. As shown in FIG. 11, the method for integrating a hospital medical system of the present invention includes a server driving step (SlOO) for providing a service of the middleware system part of the present invention; A program driving step (S101) for using the middleware system unit; A service driver driving step (S102) of the medical information system integration processing unit; An initialization execution step (S103) for the service driver to drive the medical information system integration processor through the medical information system integration processor; An LIS data unit, an OCS data unit, a PACS data unit, an MIS data unit, an HIS data unit, an ERP data unit, a u-HealthCare data unit, a hospital system management data A connection initialization step (S104) for data collection and query of the CDSS data part and the RIS data part; An initialization step (S105) of an international standard management unit (HL7) for supporting international standardization of the medical information data management unit of the medical information system integration processing unit; (S106) a cloud service support unit for storing the algorithm, the function execution result, the control result, and the state of the data connection management unit; An initialization step (S107) of a standard integration interface for transmitting / receiving client framework data; A step S108 of executing a data monitoring unit of the medical information system integration processing unit when the integration processing unit of the medical information system integration processing unit completes initialization; (S109) the data monitoring unit requests data collection to the data connection management unit through scheduling (time, real time, event); A step S110 of querying the medical information data management unit after the data connection management unit confirms the data monitoring unit request; Storing the results collected by the data connection management unit in the integrated processing unit through the cloud service support unit through an algorithm, control, and calculation (S111); (S112) when the data request of the client framework is received, the integrated processing unit processes the data according to the standard integrated interface standard; A step (S113) of querying the result collected by the data monitoring unit through the cloud service support unit through the date connection management; Transmitting a query result to the integrated processing unit through the data connection management unit (S114); And a step (S115) of transmitting the query result to the client framework via the standard integration interface through the wire / wireless communication support unit and the web service (REST) transmission / reception unit.

12 is a flowchart for explaining another embodiment of the method of integrating the hospital medical system of the present invention. As shown in FIG. 12, the method of integrating a hospital medical system of the present invention includes a server driving step (S200) for providing a middleware system service; A step (S201) of running a program for using the middleware system unit; A step (S202) of driving a medical device service driver of the medical device integration processing unit; An initialization execution step (S203) for the medical device service driver to drive the medical device integration processor through the medical device processor; The medical device data connection management unit of the medical device integration processing unit accesses (Parallel, RS232C, PCL, USB, etc.) for the device information / inspection result collection of the medical device 1, the medical device 2, the medical device 3, TCP / IP) (S204); (S 205) of initializing a medical device international standard management unit (IEEE 11073) for international standardization support by the medical device data connection management unit; Wherein the medical device data connection management unit comprises a medical device 1, a medical device 2, a medical device 3, ... ... Initializing (S206) the cloud service support to archive the collected test results of the medical instrument n; Initializing a medical device standard interface of the medical device integration processing unit for transmitting / receiving client framework data (S207); (S208) of monitoring the equipment connection state and data reception state through the medical device data monitoring unit of the medical device integration processing unit when the respective initialization is completed; A step (S209) of storing the medical device data connection management unit through the cloud service support unit when data is received by the medical device data monitoring unit; A step S210 of processing the medical instrument processing unit according to the medical instrument standard interface standard when a data request of the client framework is received; A step (S211) of querying the medical instrument processing unit through the cloud service support unit to obtain collected information / data of the medical instrument; Transmitting a query result to the medical device processing unit through the medical device data connection management unit (S212); And a step S213 of transmitting the query result of the medical instrument processing unit to the client framework through the medical device standard interface through the wired / wireless communication support unit and the web service (REST) transmission / reception unit.

13 is a flowchart for explaining an embodiment of a utilization service support method of the integrated system of the hospital medical system of the present invention. As shown in FIG. 13, the method for supporting a utilization service of an integrated system of a hospital medical system according to the present invention includes: (S300) driving a corresponding service program in a user device through client framework user authentication; A step S301 of transmitting data through a network by a user device when the user device drives a web server and / or an application environment when the web application service is driven; A step S302 of the middleware system receiving the corresponding data through the web server / network; (S303) of the data request information processing of the received data through the corresponding standard interface by the middleware system unit; Transmitting the information processed by the middleware system unit to the client framework through a web server / distributed service server (S304); Transmitting the data received by the client framework to a user device (S305); And displaying the data transferred to the user device according to the platform (S306).

FIG. 14 is a flowchart for explaining another embodiment of a method of utilizing a utilization service of the integrated system of the hospital medical system of the present invention. As shown in FIG. 14, the utilization service support method of the integrated system of the hospital medical system of the present invention includes: a step (S400) of operating a user apparatus to use a client framework; (S401) requesting the data framework for the necessary data from the applicant framework including the other hospital processing unit, the consumer framework unit, the manager framework unit, and the producer framework unit; Checking whether the authentication management framework unit accesses the middleware system unit (S402); (S403) transmitting a connection command for each vendor to the DB support framework unit when the access authentication is completed with the middleware system unit; (S404) receiving data connection information in a standard integration interface of the medical information system integration system unit of the middleware system unit; (S405) of instructing the data connection management unit to allocate access rights after confirming the reception information of the standard integrated interface; A step S406 of owning a DB connection and an authority command of EMR, LIS, OCS, PACS, MIS, HIS, ERP, u-Healthcare, hospital system management, CDSS, RIS and the data connection management unit of the medical information system integration system unit ; Connecting to the medical information data management unit through the connection information of the data connection management unit (S407); Transmitting (S408) the data connection manager to the client framework through the standard integrated interface whether data connection is successful or not; (S409) requesting client data of a legacy system from the data framework to the middleware system; A step S410 of requesting the medical information data management unit of the necessary data from the integrated processing unit of the medical information system integration system unit; The medical information data management unit collects necessary data and transmits the data to the integrated processing unit. When the medical information data management unit collects necessary data in the international standard time and transmits the data to the international standard management unit of the medical information system integration system, (S411) of transmitting the international standardized data to the integrated processing unit; (S412) transmitting data processed by the integration processing unit to a standard integrated interface; The standard integration interface transmitting data to the client framework (S413); And transmitting the data required by the applicant framework to the data framework (S414).

In the step S411, the integrated processing unit is transferred after the necessary data is collected in the EMR data unit, the integrated processing unit is transferred after the necessary data is collected in the MIS data unit, the integrated processing unit is transferred after the necessary data is collected in the LIS data unit, Transferring the processing unit, transferring necessary data from the OCS data unit, transferring the integrated processing unit, collecting the necessary data from the u-Healthcare data unit, transferring the integrated processing unit, collecting the necessary data from the PACS data unit, transferring the integrated processing unit, The integrated processing unit transmitting and collecting necessary data from the CDSS data unit;

After the necessary data is collected from the International Standards Management Department and the EMR Data Division, the International Standards Management Department transfers the data required by the MIS Data Division, and then the International Standards Management Department transfers the data to the International Standard Management Department after the necessary data is collected from the LIS Data Division. After collecting the required data from the OCS data department, collecting the necessary data from the u-Healthcare data department, transferring it to the international standard management department, and transmitting it to the international standard management department. After collecting necessary data from the PACS data department, After the necessary data is collected from the management data unit, the international standard management unit transmits and the CDSS data unit collects the necessary data, and then the international standard management unit transmits and the RIS data unit collects necessary data and then the international standard management unit transmits the data. And transmitting the data processed by the international standard section to the integrated processing section.

FIG. 15 is a flowchart for explaining the processing of a service request for a consumer, an administrator, and a producer among embodiments of a utilization service support method of an integrated system of a hospital medical system according to the present invention. As shown in FIG. 15, a step S500 of operating an application created through a client framework (SDK) on a user (consumer, administrator, producer) apparatus; A step (S501) of a user (consumer, administrator, producer) requesting middleware system sub-data for use authentication through an authentication framework; A step (S502) of requesting data to the cloud unit through the data connection unit after security decoding to confirm whether or not the user has requested authentication; (S503) of confirming whether the authentication request and the user authority are authenticated through the authentication processing of the request data to the cloud unit, and then transmitting the confirmation to the client framework; A step (S504) of recording the corresponding event / security log using the middleware system addition log system; A step (S505) of requesting a middleware system unit through a distributed service server in a corresponding client framework when a user device selects a service to use; (S506) requesting the service requested by the middleware system unit through the wired / wireless communication unit, the medical information system, and the medical device interface; (S507) when the service of the middleware system unit is transmitted through a web server when the service is a web service, and transmitted through a wired / wireless communication support unit when the service is a general distributed service server; A step (S508) of transmitting the service of the middleware system part to the international standard, if necessary, in accordance with the protocol; The client framework processes the data received through the web service / network through the utilization service framework and the data framework (S509); And displaying the processed result in the utilization service framework and the data framework to the user device (S510).

16 is a flowchart for explaining a process of developing a new service of a client framework among embodiments of a utilization service support method of an integrated system of a hospital medical system according to the present invention. 16, when the client framework SDK is installed, a step S600 of requesting authorization to use the developer support service part of the middleware system unit; (S601) of transmitting a registration authentication to the client framework after registering the use permission of the developer support service unit in the authentication management unit of the middleware system unit; A step (S602) of developing a web application / application application through a flexible service framework, a data framework, and a common framework of the client framework; Requesting development / test / verification through the developer support service unit of the middleware system unit (S603); A web application / application application distribution step S604; And a step (S605) in which a device driven after the development of a new service requests a service to the middleware system unit through a wired / wireless communication / reception unit / a web service (REST) transmission / reception unit of a client framework.

FIG. 17 is a flowchart for explaining a data exchange process through interlocking of other hospitals among embodiments of a service utilization support method of an integrated system of a hospital medical system according to the present invention. As shown in FIG. 17, in order to connect a corresponding service in another hospital, a step (S700) of requesting interworking with another hospital-linked middleware system unit when a client framework SDK is installed; Requesting another hospital processing according to the other hospital interface standard of the client framework (S701); (S702) requesting registration for access to another hospital via another hospital management unit requested in accordance with another hospital interface standard; After the other hospital management registration, the other hospital processing unit requests authentication to the authentication management framework unit (S703); Transmitting the encrypted content to the security management framework unit for authentication in the authentication management framework unit (S704); A step S705 of transmitting the encrypted content to the middleware system unit through the web service (REST) transmitting / receiving unit / wired / wireless communication support unit through the security management framework additional code; Decrypting the data received through the security interface through security processing, and transmitting the decrypted data to the authentication interface (S706); A step (S707) in which the authentication interface manages the data after requesting registration of the data to the authentication management unit; A step (S708) of creating an authentication key for permission to use by the authentication management unit and transmitting the authentication key to the authentication processing unit; (S709) of transmitting an authentication key to a client framework through a web service (REST) transmitting / receiving unit / wired / wireless communication support unit in an authentication processing unit; (S710) after the client framework receives the authentication key from the web service transceiver / wired / wireless communication support unit and then transmits the authentication key to the authentication management framework unit; (S711) after confirming the validity of the authentication key by the authentication management framework unit and sending the result to the installation driver; (S712) when the authentication of the use of another hospital is completed and the access of the middleware system part is allowed in another hospital, the access to the other hospital interface is made possible; A request step (S713) for confirming whether or not the other hospital management unit is registered when data is requested by the other hospital interface; (S714), when the other hospital management unit is registered, transmitting a data request from the other hospital processing unit to the middleware system unit via the web service transmitting / receiving unit / wired / wireless communication support unit; (S715) transmitting the data received by the middleware system unit to the REST transmission / reception unit / wired / wireless communication support unit to the required service; Transmitting the requested data to the utilization service system unit, the medical information system integration system unit, and the medical device integration system unit (S716); Transmitting the processed data to the client framework through the web service transmitting / receiving unit / wired / wireless communication support unit in operation S717; (S718) transmitting a result of the web service transmission / reception unit / wired / wireless communication support unit to another hospital processing unit; The other hospital processing unit includes a step (S719) for transferring the data to another hospital through another hospital interface for transfer to another hospital.

FIG. 18 is a flowchart for explaining a process of requesting utilization of a utilization service in a client framework among embodiments of a utilization service support method of an integrated system of a hospital medical system according to the present invention. As shown in Fig. 18, a step (S800) of driving a user apparatus to use a client framework; Checking whether the authentication management framework unit accesses the middleware system unit (S801); A step (S802) of requesting a service framework that utilizes necessary utilization services from another hospital processing unit, a consumer framework unit, a manager framework unit, and a producer framework unit; A step of request processing to the term management framework part, the authentication management framework part, the security framework part, the education support framework part, the CP framework part, the post support framework part, the CPG framework part or the developer support framework part depending on the type of the utilized utilization service requested S803); Transmitting a utilization service processed by the utilization service framework to a common framework (S804); Transmitting a utilization service processed in the common framework to a middleware system unit through a web service (REST) transmission / reception unit / wire / wireless communication transmission / reception unit (S805); A step (S806) of transmitting the utilization service received by the web service (REST) transmission / reception unit / wired / wireless communication support unit to the utilization service management unit in accordance with the utilization service interface standard; (S807) transmitting the inquiry for the utilization service registration and the processing of the required service to the utilization service utilization management section; Transmitting the utilization service interface using the service status of the utilization service management unit (S808); A step S809 of receiving a terminology management interface, a post support interface, a security interface, an authentication interface, a CPG interface, a training support interface, a CP interface, and a developer support interface of the utilizing service system; (S810) of sending the utilization service to the corresponding code mapping processor, post-support processor, security processor, authentication processor, CP processor, developer support processor, CPG processor or training support processor; Transmitting the utilization service result processed by the processing unit to the utilization service processing unit (S811); (S812) of transmitting the service interface utilizing the utilization service processing unit utilization service result to the wired / wireless communication support unit / web service (REST) transmission / reception unit through the standard; After the client framework is received through the wired / wireless communication support / web service (REST) transceiver, the terminology management framework part, the authentication management framework part, the security framework part, the education support framework part, the CP framework part, the post support framework part, And transmitting the result to the support framework unit (S813).

FIG. 19 is a flow chart for explaining a procedure of processing when a request for medical device data and information is made in a client framework among embodiments of a utilization service support method of an integrated system of a hospital medical system according to the present invention. As shown in Fig. 19, the present invention includes a step (S900) of driving a user apparatus to use a client framework; Checking whether the authentication management framework unit accesses the middleware system unit (S901); (S902) requesting the medical device support framework unit for the medical device data and information from the other hospital processing unit, the consumer framework unit, the manager framework unit, and the producer framework unit; Transmitting the utilization service processed in the common framework to the middleware system unit through the web service (REST) transmission / reception unit / wired / wireless communication transmission / reception unit (S903); A step (S904) of transmitting medical device support data and information received from the web service (REST) transceiver / wired / wireless communication support unit to the medical device processing unit in accordance with the standard of the standard interface; A step (S905) of transmitting inquiry data to the medical device management unit to confirm whether the medical device processing unit is registered and connected; (S906) of causing the medical device management unit to transmit the result to the medical device processing unit; (S907) when the connection and registration confirmation of the medical device processing unit is completed, to the medical device base for data and information request; A step S908 of querying the medical device base to fetch data of the collected medical device; Transmitting a query result to the medical instrument processing unit (S909); The medical device processing unit may convert the query result to a standard interface standard (S910); The standard interface includes a step (S911) of transmitting data and information from the wired / wireless communication support unit / web service (REST) transmission / reception unit to the medical device support framework unit through the client framework; (S912) of confirming data and information results of the medical device in the other hospital processing unit, the consumer framework unit, the manager framework unit, or the producer framework unit.

FIG. 20 is a flowchart for explaining service utilization through a web application in a client framework among embodiments of a utilization service support method of an integrated system of a hospital medical system according to the present invention. As shown in FIG. 20, a program driving step (S1000) for using a web application service; A web server operation and operation step S1001 through the middleware system part driving; A user request step (S1002) for a corresponding function, service, and data request of the web application; (S1003) requesting a web service (REST) through the applicant framework, the utilizing service framework, the data framework, and the common framework to the middleware system unit; (S1004) transmitting the web service data received by the web server of the middleware system unit to the web service transmitting and receiving unit of the common system unit; Performing (S1005) function processing, algorithm processing, and calculation in the utilization service system unit, the medical information system integration system unit, the medical device integration system unit, or the common system unit with respect to the Web service data; Transmitting a result of the execution to the web server through a web service (REST) transmission / reception unit (S1006); Transmitting the result received by the web server to the applicant framework, the utilizing service framework, the data framework or the common framework (S1007); And confirming the result in the web application driving apparatus (S1008).

FIG. 21 is a flowchart for explaining a service utilization through an application in a client framework of an embodiment of a service utilization support method of an integrated system of a hospital medical system according to the present invention. 21, a program driving step S1100 for using an application application service; A step (S1101) of operating and operating a distributed service server through the middleware system part; A user request step (S1102) for requesting a corresponding function, service, or data of an application application; A request step (S1103) of applying to the wired / wireless communication support unit of the middleware system through the applicant framework, the utilizing service framework, the data framework, and the common framework; A step (S1104) of the wired / wireless communication support unit of the middleware system unit receiving the utilization request; (S1105) performing functional processing, algorithm processing, and calculation in the utilization service system unit, the medical information system integration system unit, the medical equipment integrated system unit, and the common system unit; Transmitting the result to the wire / wireless communication support unit (S1106); A step (S1107) of transmitting a result transmitted to the wire / wireless communication support unit to an applicant framework, a utilization service framework, a data framework, and a common framework; And confirming the result in the application application driving apparatus (S1108).

FIG. 22 is a flowchart for explaining a term management service processing procedure in a middleware system unit when requesting a standard term in a client framework among embodiments of a service utilization support method of an integrated system of a hospital medical system according to the present invention. Operating the user device to use the client framework (S1200), as shown at 22; A step (S1201) of checking whether the authentication management framework unit accesses the middleware system unit; (S1202) requesting a term management framework unit for use in another hospital processing unit, a consumer framework unit, a manager framework unit, and a producer framework unit; A step S1203 of transmitting a term to a web service (REST) transmitting / receiving unit / wired / wireless communication support unit to request a term management framework attaching middleware system unit; A step (S2104) of receiving a term according to a term management interface standard in a web service (REST) transmission / reception unit / wired / wireless communication support unit of the middleware system unit; A step (S1205) of transmitting a term to the code mapping processing unit to process term management required by the term management interface; A step (S 1206) of transmitting a term to the KCD management unit, the ICD management unit, the SNOMED management unit, and the UMLS management unit through the request term type check of the code mapping processing unit term management interface; A KCD management unit, an ICD management unit, a SNOMED management unit, and a UMLS management unit (S1207); A KCD management unit, an ICD management unit, a SNOMED management unit, and a UMLS management unit query to a code mapping processing unit (S1208); A step (S1209) of transmitting the result to the REST transmission / reception unit / wired / wireless communication support unit in accordance with the code management processing unit term management interface standard; A step S1210 of receiving a result of the client framework through a web service (REST) transmission / reception unit / wired / wireless communication support unit; Transmitting a result received from the Web service (REST) transceiver / wired / wireless communication support unit to the term management framework unit (S1211); And a step (S1212) of confirming the result at the user device via the term management framework.

23 is a flowchart for explaining a term management service conversion process in the middleware system unit when requesting a standard term in a client framework among embodiments of a utilization service support method of an integrated system of a hospital medical system according to the present invention. 23, a step S1300 of driving a user apparatus to use a client framework, as shown in Fig. Checking whether the authentication management framework unit accesses the middleware system unit (S1301); (S1302) requesting a terminology management framework unit for use in another hospital processing unit, a consumer framework unit, a manager framework unit, and a producer framework unit; (S1303) for transmitting the term to the middleware system unit through the Web service (REST) transceiver / wired / wireless communication support unit for the translation request of the terminology management framework unit; A step (S 1304) of receiving a term according to a term management interface standard at a web service (REST) transmission / reception unit / wired / wireless communication support unit of the middleware system unit; (S1305) the code mapping processing unit executing a term data conversion command to the management unit of the conversion target term for the term; A step (S1306) of causing the management unit of the conversion target term to query the search result; (S1307) of causing the management unit of the conversion term to transmit the query result to the code mapping processing unit; A step (S 1308) of transmitting the result to the REST transmission / reception unit / wired / wireless communication support unit in accordance with the code management processing unit term management interface standard; A step S1309 of receiving a result of the client framework through a web service (REST) transmission / reception unit / wired / wireless communication support unit; (S1310) the client framework transmitting the received result to the term management framework unit; And a step (S1311) of confirming the result in the user device through the term management framework.

The conversion of the corresponding term requested by the term management framework unit may be performed by using the KCD terminology data as the ICD terminology data conversion request, the KCD terminology data as the SNOMED terminology data conversion request, the KCD terminology data as the UMLS terminology data conversion request, Conversion request, ICD term data to SNOMED terminology data conversion request, ICD terminology data UMLS terminology data conversion request, SNOMED terminology data to KCD terminology data conversion request, SNOMED terminology data to ICD terminology data conversion request, SNOMED terminology data to UMLS terminology data A conversion request, a KML terminology data conversion request for UMLS terminology data, a ICD terminology data conversion request for UMLS terminology data or a SNOMED terminology data conversion request for UMLS terminology data,

In the term data conversion instruction in step S1305 of executing the term data conversion instruction to the management unit of the conversion target term, the code mapping processing unit instructs the KCD term data ICD management unit to terminate the data conversion command, and the code mapping processing unit to the KCD term data SNOMED management unit A terminology data conversion command, a code mapping processor, a terminology data conversion command, a ICD terminology data KCD management terminology data conversion command, an ICD terminology data SNOMED management terminology data conversion command, The code mapping processor sends a terminology data conversion command to the ICD terminology data UMLS management module; the code mapping processor receives the SNOMED terminology data terminology data conversion command to the KCD manager; the code mapping processor receives the SNOMED terminology data terminology data conversion command to the ICD management module; Term data UMLS management unit Term data conversion name , The code mapping processing unit is a terminology data conversion command to the UMLS terminology data KCD management unit, the code mapping processing unit is a terminology data conversion command to the UMLS terminology data ICD management unit, or the code mapping processing unit is a terminology data conversion command to the UMLS terminology data SNOMED management unit .

Further, the management unit of the conversion term includes a KCD management unit, an ICD management unit, an SNOMED management unit, and a UMLS management unit.

FIG. 24 is a flowchart for explaining utilization of post support services in the middleware system part when post support is provided in the client framework, among the embodiments of the utilization service support method of the integrated system of the hospital medical system of the present invention. As shown in FIG. 24, a step S1400 of driving a user apparatus to use a client framework; Checking whether the authentication management framework unit accesses the middleware system unit (S1401); A step (S1402) of requesting data to a post-support framework unit in another hospital processing unit, a consumer framework unit, a manager framework unit, and a producer framework unit; (S1403) requesting the post support framework supplementary history management data, the monitoring data, and the risk element data to the middleware system unit through the web service (REST) transceiver / wired / wireless communication support unit; A step (S 1404) of receiving request data according to a post support interface standard through a middleware system unit REST transmission / reception unit / wired / wireless communication support unit; A step (S1405) of transmitting request data to a post-support processing unit for post-support element processing requiring a post-support interface; A step (S1406) of requesting data to the history management unit, the monitoring management unit, and the risk management unit according to the post-support processing unit interface request format; A step (S1407) of requesting data from the history management unit, the monitoring management unit, and the risk management unit to the cloud service support unit; A step (S1408) of causing the cloud service support unit to query the cloud unit for the history management data, the monitoring data, and the risk management data; The cloud service support unit transmits the result to the history management unit, the monitoring management unit, and the risk management unit (S1409); The history management unit, the monitoring management unit, and the risk management unit transmit the result data to the post-support processing unit (S1410); (S1411) of transmitting the result data to the client framework through the web service (REST) transmitting / receiving unit / wired / wireless communication support unit in accordance with the post support interface standard; (S1412) transmitting result data received by the client framework to the REST transmission / reception unit / wired / wireless communication support unit to the post support framework unit; And a step (S1413) of the user device confirming the result data through the post support framework.

FIG. 25 is a flowchart for explaining utilization of a security / authentication service in a middleware system part when security / authentication is used in a client framework among embodiments of a method of utilizing a service utilizing integrated system of the hospital medical system of the present invention. 25. As shown in Fig. 25, a step S1500 of driving a user apparatus to use a client framework; A step (S1501) of making an authentication request to an authentication management framework part for use in a middleware system part in another hospital processing part, a consumer framework part, a manager framework part, and a producer framework part; A step (S1502) of causing the authentication management framework unit to transmit the authentication information to the authentication information security management framework unit through the authentication information; (S1503) encrypting the authentication information in the security management framework and transmitting the authentication information to the REST transmission / reception unit / wired / wireless communication support unit to which the security protocol is applied; A step (S1504) of receiving encrypted authentication information from the middleware system unit at a web service (REST) transmitting / receiving unit / wired / wireless communication support unit; A step (S1505) of transmitting the middleware system unit to the utilization service processing unit according to the utilization service interface standard for authentication processing; (S1506) of sending the utilization service processing unit to the utilization service management unit to confirm whether the security / authentication service is registered; A step (S1507) of causing the utilization service processing unit to transmit an authentication request to the authentication processing unit in accordance with the authentication interface standard; A step (S1508) of confirming an authentication method, an authentication processing procedure and an authentication registration through the authentication management unit by the authentication processing unit; The authentication processing unit includes a step (S1509) of transmitting the authentication information to the security algorithm support unit (symmetric / asymmetric algorithm) for decryption through the security interface; The security algorithm support unit transmits the decryption result to the authentication processing unit and registers the decryption result in the authentication management unit for authentication management (S1510); The authentication processing unit may include a step S1511 of transmitting the result to the REST transmission / reception unit / wired / wireless communication support unit to which the security protocol is applied to transmit the result to the client framework; A step S1512 of receiving a client framework at a web service (REST) transmission / reception unit / wired / wireless communication support unit to which a security protocol is applied; A step S1513 of transmitting the result received by the web service (REST) transceiver / wired / wireless communication support unit to the authentication management framework unit; And a step (S1514) of storing the authentication management framework part after authentication confirmation for the authentication session.

FIG. 26 is a flowchart for explaining a process of CPG service processing in the middleware system unit in CPG presentation in a client framework, in an embodiment of a service utilization support method of an integrated system of a hospital medical system of the present invention. As shown in FIG. 26, a step S1600 of driving a user apparatus to use a client framework; Checking whether the authentication management framework unit accesses the middleware system unit (S1601); A step (S1602) of making a case-based use request to the CPG framework unit to use the case base in the other hospital processing unit, the consumer framework unit, the manager framework unit, and the producer framework unit; A step (S1603) of requesting data and information for a case base of the CPG framework unit to the middleware system unit; A step (S1604) of sending data and information for a case base to the CPG framework part middleware system to the REST transmission / reception unit / wired / wireless communication support unit; (S 1605) of receiving data and information for a case base in accordance with the CPG interface standard at a middleware system unit REST transmission / reception unit / wired / wireless communication support unit; (S1606) transmitting data and information for a case base to a CPG processing unit for case-based request processing requiring a CPG interface; A step (S1607) of causing the CPG processing unit to transmit the case-based data and information to the CPG management unit; A step (S1608) of causing the CPG management unit to transmit data and information requested by the CPG interface to the cloud service support unit; A step (S1609) of the cloud service support unit querying the cloud based on the case-based data and information; A step (S1610) of causing the cloud service support unit to transmit the result to the CPG processing unit; A step (S1611) of transmitting the CPG processing result to the web service (REST) transmitting / receiving unit / wired / wireless communication support unit in accordance with the CPG interface standard; A step S1612 of receiving a client framework at a web service (REST) transmission / reception unit / wired / wireless communication support unit; Transmitting a result received by the web service (REST) transceiver / wired / wireless communication support unit to the CPG framework unit (S1613); And a step (S1614) of confirming the result of the user apparatus through the CPG framework unit.

FIG. 27 is a flowchart for explaining an educational support service processing procedure in a middleware system part when processing training data in a client framework, among embodiments of a service utilization support method of an integrated system of a hospital medical system of the present invention. As shown in Fig. 27, a step S1700 of driving a user apparatus to use a client framework; Checking whether the authentication management framework unit accesses the middleware system unit (S1701); (S1702) requesting the education support processing unit, the consumer framework unit, the manager framework unit, and the producer framework supplementary education-related data to the education support framework unit; A step (S1703) of requesting the middleware system unit for the education-based data and information of the education support framework unit; A step (S1704) of sending the education support framework part to the web service (REST) transmitting / receiving unit / wired / wireless communication support unit to request the middleware system unit; A step (S1705) of receiving a request according to the education support interface standard at the middleware system unit REST transmission / reception unit / wired / wireless communication support unit; A step (S1706) of causing the education support interface to transmit the education-based data and information to the education support processing unit; Transmitting the education-based data and information to the education support processing unit (S1707); (S1708) of transmitting the education-based information and data created by the authoring tool to the authoring tool input / output unit; The authoring tool input / output unit sending education-based information and data to the cloud service support unit (S1709); The cloud service support unit stores the education-based information and data in the cloud unit (S1710); (S1711) of sending the education-based data and information requested by the education support management unit to the cloud service support unit through the education support interface; The step (S1712) of the cloud service support unit querying the cloud unit with the education-based data and information; The cloud service support unit transmitting the result to the education support processing unit (S1713); A step (S1714) of transmitting the result to the web service (REST) transmitting / receiving unit / wired / wireless communication support unit in accordance with the education support processing unit's education support interface standard; Receiving a client framework at a web service (REST) transceiver / wired / wireless communication support unit (S1715); Transmitting a result received by the Web service (REST) transceiver / wired / wireless communication support unit to the education support framework unit (S1716); And a step (S1717) in which the user device confirms the result through the education support framework part.

28 is a flowchart for explaining a CP service processing process in a middleware system unit for CP service support in a client framework among embodiments of a utilization service support method of an integrated system of a hospital medical system according to the present invention. 28, a step S1800 of driving a user apparatus to use a client framework; Checking whether the authentication management framework unit accesses the middleware system unit (S1801); (S1802) requesting a CP pattern unit from the other hospital processing unit, the consumer framework unit, the manager framework unit, and the producer framework unit; A step (S1803) of requesting the CP framework additional care pattern data and information to the middleware system through the REST transmission / reception unit / wired / wireless communication support unit; A step (S 1804) of receiving a request according to the CP interface standard at the middleware system unit REST transmission / reception unit / wired / wireless communication support unit; (S1805) the CP interface transmits a request to the CP processing unit to process the medical care pattern data and information; A step (S1806) of causing the CP processing unit to transmit the treatment pattern data and information to the CP management unit; A step (S1807) of transmitting the medical care pattern information and data created by the CP tool to the CP tool input / output unit; A step (S1808) of causing the CPG connection unit to transmit a clinical care instruction to the CP interface; (S1809) of transmitting the CP tool input / output unit application pattern information and data to the cloud service support unit; A step (S1810) of storing cloud pattern information and data in the cloud unit by the cloud service support unit; A step (S1811) of causing the CP management unit to transmit the treatment pattern data and information requested by the CP interface to the cloud service support unit; A step (S1812) of the cloud service support unit querying the health care pattern data and information to the cloud unit; A step (S1813) of causing the cloud service support unit to transmit the result to the CP processing unit; (S1814) of transmitting the result to the web service (REST) transceiver / wired / wireless communication support unit in accordance with the CP interface standard; (S1815) the client framework receiving the result from the web service (REST) transceiver / wired / wireless communication support unit; Transmitting the result received by the client framework to the CP framework unit (S1816); And a step (S1817) of the user device confirming the result through the CP framework part.

FIG. 29 is a flowchart for explaining a data connection processing procedure for using data of a middleware system unit in a client framework among embodiments of a utilization service support method of an integrated system of a hospital medical system according to the present invention. As shown in FIG. 29, a step (S1900) of operating a server for providing a middleware system sub-service; A step (S1901) of running a program for using the middleware system unit; Driving a data connection unit of the common system unit (S1902); Connecting the data connection unit to the cloud service support unit through the utilization service processing unit (S1903); Transmitting the data connection status to the client framework (S1904); A step (S1905) of querying the data connection unit by the cloud service support unit through the utilization service processing unit when a data request of the client framework is received; And transmitting the query result to the client framework through the wired / wireless communication support unit / web service (REST) transmission / reception unit (S1906).

In the step of connecting the data connection unit to the cloud service support unit through the utilization service processing unit, the data connection unit connects the term management DB through the code mapping processor of the term management service unit in the utilization service management unit through the utilization service processing unit. Use service management department through the after-sales support department of the after-sales service department; The utilization service management unit connects to the cloud service support unit through the CP input / output unit of the CP service unit through the utilization service processing unit; The utilization service management unit connects to the cloud service support unit through the CPG processing unit of the CPG service unit through the utilization service processing unit; The utilization service management unit through the utilization service processing unit connects to the cloud service support unit through the authoring tool input / output unit of the education support service unit; An LIS data unit, an OCS data unit, a PACS data unit, an MIS data unit, an HIS data unit, an ERP data unit, a u-HealthCare data unit, a hospital system management data unit Connection of the CDSS data portion; And a connection to the cloud service support unit via the medical device base of the medical device integration system unit.

When the data request of the client framework is received, the cloud service support unit queries the data connection unit through the utilization service processing unit (S1905). In the utilization service management unit, the term management service unit Query to DB; A query is made through the cloud service support unit through the post-support processing unit of the post-support service department in the utilization service management unit; A query is made at the cloud service support unit through the CP input / output unit of the CP service unit at the utilization service management unit; In the utilization service management unit, a query is made in the cloud service support unit through the CPG processing unit of the CPG service unit; Query service in cloud service support department through authoring tool input / output section of education service support department in utilization service management department; An LIS data unit, an OCS data unit, a PACS data unit, an MIS data unit, an HIS data unit, an ERP data unit, a u-HealthCare data unit, a hospital system management data unit , CDSS data part, Query in DB of RIS data part; And a query is included in the cloud service support unit through the medical device base of the medical device integration system unit.

30 is a flowchart for explaining a chart processing process in the middleware system part for a chart request in a client framework among embodiments of the utilization service support method of the integrated system of the hospital medical system of the present invention. As shown in FIG. 30, a step S2000 of driving a user apparatus to use a client framework; Checking whether the authentication management framework unit accesses the middleware system unit (S2001); A step (S2002) of requesting the chart support framework unit to use a chart in another hospital processing unit, a consumer framework unit, a manager framework unit, and a producer framework unit; A step (S2003) of requesting the chart support framework supplementary chart data and information to the middleware system unit through a web service (REST) transmission / reception unit / wired / wireless communication support unit; Receiving (S2004) the chart data and the information requested by the middleware system unit REST transmission / reception unit / wired / wireless communication support unit; Processing the requested chart data and information in the chart support unit (S2005); (S2006) of transmitting chart information and data to a client framework through a web service (REST) transmission / reception unit / wired / wireless communication support unit; A step S2007 of receiving the chart data and information from the client framework in the web service (REST) transmission / reception unit / wired / wireless communication support unit; Transmitting the result received by the client framework to the chart support framework unit (S2008); And a step (S2009) in which the user device confirms the result through the chart support framework unit.

31 is a flowchart for explaining an international standard processing procedure in a middleware system part for an international standard request in a client framework among embodiments of a utilization service support method of an integrated system of a hospital medical system according to the present invention. 31, a step S2100 of driving a user apparatus to use a client framework; Checking whether the authentication management framework unit accesses the middleware system unit (S2101); (S2102) requesting the international standard support framework unit to use charts in another hospital processing unit, a consumer framework unit, a manager framework unit, and a producer framework unit; A step (S2103) of requesting the middleware system part to comply with the international standard supporting framework (HL7, CP, CPG, KCD, ICD, SNOMED, LONIC, MLM, ISO11073, DICOM, MLM and Arden syntax) ; Supporting the international standard service in the international standard support section (S2104); Processing the international standard compliant data and information in the international standard support section (S2105); Transmitting the contents processed by the international standard support unit to the client framework (S2106); And the client framework transmits the received processing result to the international standard support framework unit (S2107).

The embodiments of the present invention described above are only a few of various implementations of the present invention. In addition, some of the embodiments relating to the method invention may be partially changed. A medical information system integration system unit for collecting and integrating various data from an existing system in a hospital or between hospitals according to the present invention; A medical device integration system part for collecting and integrating data of medical devices in a hospital or between hospitals; A utilization service system unit for supporting data and information of the medical information system integration system and the medical equipment integration system to be utilized internally or externally; A middleware system part including a common system part which can be commonly used by these system parts, and a client framework for providing a framework to be utilized by connecting to the middleware system part, Method, utilization of the integrated system of the hospital medical system, and various embodiments including the technical idea of the service support system and the method are obviously included in the protection scope of the present invention.

100: Middleware system part
200: Client Framework
300: Cloud Department
1000: Medical Information System Integration System Department
2000: Medical Device Integration System Department
3000: Utilization Service System Department
4000: Common System Department
5000: Client Applicant Framework
6000: Client Utilization Service Framework
7000: Client Data Framework
8000: Client Common Framework

Claims (43)

A middleware system part for integrating the medical systems separated in the hospital or between the hospitals and for supporting the service for consumers, administrators, producers and other hospitals; A client framework including a software development kit (SDK) for providing a toolkit for development so as to develop a new service through simple installation to the consumer, the manager, the producer, and the other hospital using the middleware system unit; A web server / distributed service server for receiving the request from the consumer, manager, producer, and other hospitals, and providing data and information to the consumer, manager, producer, and other hospitals through the client framework in cooperation with the middleware system unit An integrated system of hospital medical systems. Claim 1
The middleware system part,
Term service, post support, security, certification, CP, CPG, education support, and developer support; A medical information system integration system unit for accessing data and information and data for EMR, LIS, OCS, PACS, MIS, HIS, ERP, u-HealthCare, hospital system management, CDSS and RIS; A medical device integration system unit for integrating various medical devices 1, 2, 3, ..., medical equipment n in the hospital and for storing the collected information in a cloud and for service; And a common system unit for supporting services of the utilization service system unit, the medical information system integration system unit, and the medical equipment integration system unit. The method of claim 2,
The medical information system integration system unit,
A medical information data management unit for collecting and accumulating data and information of each medical system; And a medical information system integration service unit for providing data and information of the medical information data management unit. The method of claim 3,
The medical information data management unit,
An EMR data part for inquiring each medical system DB data and confirming the result of necessary data, and for providing an interface through an EMR DB query; An LIS data part for providing an interface through a LIS DB query; An OCS data portion for providing a result through an OCS DB query; A PACS data part for providing an interface through a PACS DB query; An MIS data unit for providing an interface through an MIS DB query; An HIS data part for providing an interface through the HIS DB query; An ERP data part for providing an interface through an ERP DB query; a u-HealthCare data portion for providing an interface through a u-HealthCare DB query; A hospital system management data unit for providing an interface through a hospital system management database query; A CDSS data portion for providing an interface through a CDSS DB query; And an RIS data unit for providing an interface through the RIS DB query. The method of claim 3,
The medical information system integration service unit,
A standard integration interface unit for completing a data transmission standard of the client framework and integrating separate data interfaces into one middleware system unit for use internally and for exchanging data with the client framework; An integrated processing unit for requesting and processing a result of the request to the corresponding medical information data management unit when the requested data is transmitted and received according to the standard of the standard integrated interface; An international standard management unit supporting the HL7 and the data packet scheme through the standard integration interface with respect to data exchange between legacy systems; A service driver for driving the medical information system integration service unit when the OS is normally operated and the server of the middleware system unit is driven; A data connection management unit for accessing and managing the data in the medical information data management unit when the service driver is activated; And a data monitoring unit for monitoring and updating a result of a new algorithm and function consisting of data combinations of the medical information data management unit in real time, time, and manual manner. The method of claim 2,
The medical device integration system unit may include:
A medical device base for bundling various medical devices with equipment or software in the form of RS-232C, USB, Parallel, PCL, TCP / IP and other international standard specifications; And a medical device integration service unit for providing data collected in the medical device base through an international standard for supporting new service development in the client framework. The method of claim 6,
The medical device integration service unit,
A medical device management unit for registering and managing various medical devices; A service driver for initializing the medical device and transmitting / receiving data after driving the server of the middleware system; The International Standard Management Department, which supports the integrated management and medical device standard IEEE 11073, including RS-23C, USB, Parallel, PCL, TCP / IP, A data access management unit for classifying and storing the data according to a medical device system and a code connected to the medical device base; A data monitoring unit for determining whether the connected medical device data is normally received, the medical device information and the status; A standard interface unit for communicating data requested by the client framework with the middleware system according to an interface standard and transmitting and receiving the result; And a medical device processing unit for transferring the requested data to the standard interface unit and performing the function. The method of claim 2,
The utilization service system unit,
KDE, ICD, SNOMED, UMLS terminology, translation and mapping support; Clinical Practice Guidelines (CPG) services for accurate inferencing between hospitals for case basis; A post-support service department for maintenance after the construction of the hospital system; An education support service department for doctors, patients, nurses, and hospital system education for follow-up support after building the hospital system; A security service unit for exchanging data between the client framework and the middleware system unit and data encryption data between medical systems; Hospital Clinic Services Clinical Pathway (CP) services for hospital standardized care systems to reduce the risk of misdiagnosis and hospital care; An authentication service unit for data access authentication of the middleware system unit; Consumers, administrators, producers and developers support services for testing and verification for the development of new services; A utilization service support unit for collectively managing the utilization service system unit and providing a unified interface; The system comprising: a medical system; The method of claim 8,
The term management service unit,
A term management interface unit provided in the client framework; A code matching processing unit for providing a conversion interface and an identifier connection unit for interoperability of terms; A KCD manager capable of searching and identifying terms in accordance with a domestic standard including a KCD identifier, a Korean language term, and an English term stored in a cloud unit; It is an international statistical classification system of diseases and related health problems that classifies diseases and symptoms in the World Health Organization. ICD identifiers can be used to search and identify terms according to international standards including U-Code and English terminology. ICD 9-CM An ICD management unit for supporting the ICD 10; A SNOMED management unit that can search, identify, provide clinical information, support decision for treatment, and automatically extract risk elements of a patient, which can accommodate clinical medical terminology and general terms and is used as EHR standard terminology; A UMLS management unit to assist in the use of the search engine, data mining and public health statistics services, connection through an identifier code between a doctor, a pharmacy and an insurance company, coordination of patient care between various departments within a hospital, Integrated system of systems. The method of claim 8,
The CPG service unit,
A CPG interface for providing the client framework with examples of doctors, nurses, hospital specialists, professors, and patients using the case-based classification system; A CPG management unit for granting a case to a case through the CDSS data unit of the medical information data management unit or granting authority regarding whether to provide the service in the form of a service; A CPG processing unit for retrieving data of the CDSS data unit, deriving a case result, checking whether the CPG management unit is authorized, and providing a service to the client framework. The method of claim 8,
The post-
A standardized post support interface for processing requests of the client framework; A post support processor for determining a signal requested to the post support interface and delivering the result of the history management information, the monitoring result, and the risk management element through the post support interface; A history management unit for searching history items such as a patient, a nurse, a doctor, a corresponding department, a laboratory, equipment, data, and the like, and requested data in a cloud; A monitoring and managing unit that can grasp the real-time monitoring status of data traffic in the hospital, equipment status, security, user access, medical information system connection status, medical device connection status, and the like; And a risk management unit for automatically determining a dangerous state through monitoring and providing the middleware system unit with a quick response to a hospital manager through an automatic alarm. The method of claim 8,
The education support service unit,
A standardized training support interface for processing requests of the client framework; An education support management unit for managing educational data stored in the authoring tool through a classification system (identification number); An education support processing unit for processing through the classification scheme (identification number) of the education support management unit upon request of the education support interface of the client framework; And an authoring tool input / output unit for interworking between the cloud unit and the authoring activity section storing educational data produced by the authoring tool. The method of claim 8,
The security service unit,
A security interface configured by using an algorithm library of the common system unit for securing stability for data processing of the middleware system unit and for encrypting data during a process of exchanging data between the client framework and the middleware system unit; And a security processing unit for processing security related services requested by the client framework. The method of claim 8,
The CP service unit,
A CP interface for completing standardization and service specifications and exchanging CP data when requested by the client framework; A CP management unit connected to the CP authoring tool to manage CP data stored in the cloud unit; A CP processing unit for transferring and processing the CP data in the CP management unit; A CP tool input / output unit for visualizing the medical care system by a diagram display through an authoring tool to accommodate various medical care processes performed in the hospital and storing the visualized medical treatment system in the cloud unit; And a CP connection unit for coupling the service provided by the CPG to the CP using the CPG interface of the CP service unit. The method of claim 8,
The authentication service unit,
An authentication interface for serving various types of authentication to the client framework; An authentication management unit for supporting various types of authentication supported by password authentication, digital signature authentication, authorized authentication, I-Pin authentication, and mobile phone authentication; Wherein the client framework requests and requests the authentication service unit to use the service in the authentication management unit through the authentication interface and connects the security service unit to encrypt the authentication format of the authentication management unit And an authentication processing unit. The method of claim 8,
The developer support service unit,
A developer support interface for a developer and a tester accessible via the developer option in the client framework; A developer support management unit to support virtual data management, virtual medical devices, virtual CPG, CP, post support, and education support to support developers and testers; And a developer support processing unit for the developer and the tester to transmit the processing result and the virtual data to the developer support interface. The method of claim 8,
Utilization Service Support Department,
A utilization service interface for providing various services of the middleware system unit to the client framework; A utilization service driver for initializing various processing units of the utilization service system unit to drive the utilization service system unit; A utilization service management unit for confirming whether or not the service is registered; And a utilization service processor for distributing and controlling the corresponding service through interface signals and data information when the service is normally available. The method of claim 2,
The common system unit includes:
International Standards Support, a collection of libraries for supporting international standards; A security algorithm support unit for providing various types of encryption and authentication libraries related to security and authentication processing of the utilization service system unit; A chart support unit for providing graphical elements in a chart form to the client framework; A cloud service support unit for storing result data processed by algorithms, functions, and scheduling related to the utilization service system unit and the medical equipment integration system unit; A data connection for maintaining connectivity to use the DB of the legacy system and the accumulated data; A log management unit for identifying a process and a problem in order to check the risk management and processing details of the middleware system unit; A web service (REST) transceiver for accessing data and information through an access to the middleware system in an open API form in the web application; And a wired / wireless communication support unit for transmitting / receiving data of the middleware system unit to an application application. The method according to claim 1,
The client framework includes:
An applicant framework for supporting consumer, manager, producer, and other hospital interactions; A utilization service framework for developing various utilization services through interoperation with the middleware system unit; A data framework for accessing and using data from the medical information system of the middleware system unit; And a common framework for efficiently developing a new service to the consumer, manager, producer, and other hospitals through connection with the middleware system unit. The method of claim 19,
The applicant framework includes:
Another hospital interface that provides a standard interface for data exchange and information exchange with other hospitals; Another hospital management unit for managing (registering, deleting, editing) items linked to other hospitals to control the degree of data exchange according to authorization; A second hospital processing unit for receiving a signal according to the standard format of the other hospital interface and requesting data from the middleware system unit after confirming whether the other hospital management unit is registered; A consumer framework unit for creating a patient-centered PHR (Personal Health Record) service such as a customer searching for a hospital, a patient receiving a hospital treatment, A manager framework unit for operating a hospital system and creating a hospital information system management service such as post management, education, authentication management, security management, CP, and CPG management; Wherein said system includes said producer framework portion for creating new services for medical and hospital related systems such as medical device producers, medical IT developers, medical workers, and the like. The method of claim 19,
Wherein the utilization service framework comprises:
A developer support framework unit for supporting a series of development procedures for testing interoperability, compatibility, stability, functionality, and security of the middleware system unit when a new utilization service is developed; Provide the use of Korean standard KCD, ICD, SNOMED-CT and UMLS as standard for terms used in uneven hospitals by hospitals and countries, and to support code mapping function for conversion of mutual terms A term management framework portion; An educational support framework for supporting manuals and training to clients, patients, nurses, doctors and hospital executives after the establishment of the hospital system; A history of the equipment, improvement, hospital system problems registered in the middleware system unit, monitoring of the health status of the hospital system, and a post support framework unit for using the risk elements; A security framework part for applying an encryption technique in authentication encryption and data exchange; An authentication management framework unit for providing authentication procedures using password authentication, digital signature authentication, public authentication, I-Pin authentication, and mobile phone authentication; A CP framework unit for performing a service using a type of a CP (Clinical Pathway) registered in the middleware system unit, a CP status in progress, a notification, and the like; And a CPG framework unit that can use case-based services accumulated in the middleware system unit such as a department, a doctor department, a patient, a test, a medicine, a treatment, system. The method of claim 19,
The data framework includes:
An EMR data framework unit for accessing accumulated EMR data; An LIS data framework unit for accessing accumulated LIS data; An OCS data framework unit for accessing accumulated OCS data; A PACS data framework unit for accessing accumulated PACS images and data; An MIS data framework unit for accessing the accumulated MIS data; An ERP data framework unit for accessing accumulated ERP data; A u-healthcare data framework unit for accessing accumulated u-HealthCare data; A hospital system management data framework unit for accessing accumulated hospital system management data; An HIS data framework unit for accessing the accumulated HIS data; A CDSS data framework unit for accessing accumulated CDSS data; And an RIS data framework unit for accessing the accumulated RIS data. The method of claim 19,
The common framework unit may include:
A DB support framework part for providing a connection method for various databases used in the hospital system and an interface for data query; HL7 for compliance with data standards between medical systems; IEEE 11073 library for compliance with medical device standards; MLM for compliance with case-based standards; arden syntax library, a DICOM library for supporting a PACS image to the client framework, and the like; A cloud support framework unit for providing a cloud library module for importing results of processing data of education support, post support, medical device data, and medical information system integration system collected in the middleware system unit; A chart support framework unit for making use of various functions of a chart such as a chart type, a chart data interface, and a legend supported by the middleware system unit in order to support a consistent chart to a consumer, a manager, and a producer; A utility framework unit for providing a library based on a state associated with a middleware system unit such as a character processing, a date processing, a data structure, a middleware system state, and a middleware system environment in cooperation with a consumer, an administrator, a producer, and another hospital; Encrypting data or encrypting data in order to secure data security according to the data communication with the middleware system part Encryption algorithm including symmetric encryption algorithm or asymmetric encryption algorithm with respect to authentication and security of service framework A security algorithm unit for providing the security key to the user terminal; The data stored in the cloud unit is provided to a consumer, an administrator, and a producer to develop a new service. The data stored in the cloud unit includes information such as registration number of the medical device, information on the medical device, A medical device support framework portion for using status information and archived data of the medical device; A wired / wireless communication support unit for connecting the communication between the client framework and the middleware system unit to a distributed service server; And a web service (REST) transmission / reception unit for connecting the communication between the client framework and the middleware system unit to a web server. Use of an integrated system of a hospital medical system as claimed in any one of claims 1, 2, A method for integrating a hospital medical system including a middleware system unit including a medical information system integration service unit and a medical information data management unit and a client framework connected via a network,
A server driving step for providing a service of the middleware system unit; A program driving step for using the middleware system unit; Initializing each function of the medical information system integration service unit and the medical information data management unit by driving system initialization means; Receiving the data collection request from the medical information system integration service unit after completion of initialization of each function of the medical information system integration service unit and the medical information data management unit; Querying the medical information data management unit after the medical information system integration service unit confirms the request; Storing the results collected from the medical information system integration service part from the medical information data management part in a storage means through an algorithm, a control and a calculation; When the data request of the client framework is received, processing according to the standard of the integrated service interface of the medical information system integration service part; Querying the storage means for the collected result of the medical information system integration service; And transmitting the medical information system integration service addition query result through the standard integration interface to the client framework over the network. A method for integrating a hospital medical system including a middleware system part including a medical device integration service part and a medical device donation part and a client framework connected via a network,
A server driving step for providing a service of the middleware system unit; A program driving step for using the middleware system unit; Initializing respective functions of the medical device integration service unit and the medical device base unit by driving the system initialization unit; Monitoring the connection state and the data reception state of the medical device integration service unit after completion of initialization of each function of the medical device integration service unit and the medical device base unit; Storing the received data in the storage means; When the data request of the client framework is received, processing by the medical device integration service unit according to the standard equipment interface standard of the medical device; Querying the storage means for the collected result of the medical device integration service; And transmitting the medical device integration service attachment query result to the client framework via the network via the medical device standard interface. Operating a corresponding service program on a user device through client framework user authentication; A step in which a user device transmits data through a web server when the web application service is activated or a user device transmits data through a distributed service server when an application environment is activated; The middleware system unit receiving the corresponding data through a web server or a distributed service server; Performing the request information processing of the corresponding data through the corresponding standard interface by the middleware system unit; Transmitting the information data processed by the middleware system unit to the client framework through a web server or a distributed service server; Transmitting information data received by the client framework to a user device; And displaying the data transferred to the user device according to the platform. Operating a user device to use the client framework; Requesting a data framework of the client framework for necessary data from an applicant framework including another hospital processing unit, a consumer framework unit, a manager framework unit, and a producer framework unit included in the client framework; Checking whether the authentication framework of the client framework accesses the middleware system; Transmitting a connection command for each vendor to a DB support framework part of the client framework when the access authentication is completed with the middleware system part; Receiving data connection information in a standard integrated interface of a medical information system integration system unit of the middleware system unit; Instructing the data connection management unit of the medical information system integration system unit to allocate access rights after confirming reception information of standard integrated interfaces of the integrated processing unit of the medical information system integration system unit; Owning DB connection and authorization commands of EMR, LIS, OCS, PACS, MIS, HIS, ERP, u-Healthcare, hospital system management, CDSS, RIS; Connecting to the medical information data management unit of the middleware system unit through the connection information of the data connection management unit; Transmitting the data connection success status to the client framework through a standard integration interface; Requesting client data of a legacy system from the data framework to the middleware system; Requesting the medical information data management unit for necessary data from the integration processing unit; The medical information data management unit collects necessary data and transmits the collected data to the integration processing unit. When the medical information data management unit collects necessary data and transmits the data to the international standard management unit of the medical information system integration system, Transmitting the international standardized data to the integrated processing unit; Transmitting data processed by the integration processing unit to a standard integrated interface; The standard integration interface transmitting data to the client framework; And transmitting the necessary data to the data framework in the applicant framework. Operating an application created through a client framework on a user (consumer, administrator, producer) apparatus; Requesting middleware system sub-data for use authentication by the user (consumer, administrator, producer) through the authentication framework of the client framework; Requesting data to the cloud unit through the data connection unit of the middleware system unit after security decoding to check whether the user has requested authentication; Transmitting the authentication request and the user authority to the client framework through authentication processing of the request data to the cloud unit; Recording a corresponding event / security log using the middleware system addition log system; Requesting a middleware system through a distributed service server in a corresponding client framework by selecting a service to be used in the user device; The middleware system unit requesting a service, a medical information system, and a medical device interface requested by the wired / wireless communication unit; Transmitting a service of the middleware system unit through a web server when the service is a web service and transmitting the service through a wired / wireless communication support unit when the service is a general distributed service server; Transmitting the service of the middleware system unit according to the protocol to the international standard when the international standard support is required; The client framework processing data received through the web service / distributed service through a utilization service framework and a data framework; And displaying the processed result in the utilization service framework and the data framework to the user device. A developer support service part of the middleware system part when the client framework SDK is installed; Transmitting a registration authentication to the client framework after registering the use permission of the developer support service unit in the authentication management unit of the middleware system unit; Requesting development / test / verification of the web application or application developed through the service framework, data framework, and common framework of the client framework through the developer support service unit of the middleware system; Distributing the web application or application application; And a step in which a device driven after the development of a new service requests a service to the middleware system unit through a wired / wireless communication / transmission / reception unit of the client framework. Requesting the middleware system unit to interlock with another hospital when the client framework SDK is installed; Requesting another hospital processing according to another hospital interface standard of the client framework; Requesting registration for access to another hospital through another hospital management unit to perform the requested processing according to the other hospital interface standard; Requesting an authentication management framework unit from another hospital processing unit after registering another hospital management; Transmitting encrypted contents to a security framework unit for authentication in an authentication management framework unit; Transmitting encrypted contents to a middleware system unit through a web service (REST) transmitting / receiving unit / wired / wireless communication support unit through a security framework additional code; Decrypting data received through the security interface of the middleware system through security processing and transmitting the decrypted data to an authentication interface of the middleware system; Managing the data after the authentication interface requests registration of the data to the authentication management unit of the middleware system unit; Generating an authentication key for use in the authentication management unit and transmitting the authentication key to the authentication processing unit of the middleware system unit; Transmitting the authentication key to the client framework through the web service (REST) transceiver / wired / wireless communication support unit in the authentication processing unit; Transmitting the authentication key to the authentication management framework unit after the client framework receives the authentication key from the web service transceiver / wired / wireless communication support unit; The authentication management framework verifying the validity of the authentication key and transmitting the result to the installation driver; When the authentication of the use of another hospital is completed and the access of the middleware system unit is permitted in another hospital, the access is made accessible only to the other hospital interface of the client framework; A request step of confirming whether the other hospital management unit is registered when data is requested through the other hospital interface; When the other hospital management unit is registered, transmitting a data request from the other hospital processing unit to the middleware system unit by the web service transmission / reception unit / wired / wireless communication support unit; Transmitting the data received by the middleware system unit to the REST transmission / reception unit / wired / wireless communication support unit to the required service; Transmitting the requested data to the utilization service system unit, the medical information system integration system unit, and the medical device integration system unit; Transmitting the processed data to the client framework through the web service transmitting / receiving unit / wired / wireless communication support unit; Transmitting a result of the web service transmission / reception unit / wired / wireless communication support unit to another hospital processing unit; And transmitting the result of the other hospital processing unit to the other hospital through the interface with other hospitals. Driving a user device to use the client framework; Confirming whether the authentication management framework unit of the client framework accesses the middleware system unit; Requesting the utilization service framework of the client framework, the service framework of the client framework, the consumer framework department, the manager framework department, and the producer framework department, to the utilization service framework of the client framework; According to the requested utilization service type, the terminology management framework part, the authentication management framework part, the security framework part, the education support framework part, the CP framework part, the post support framework part, the CPG framework part or the developer support framework part of the client framework Processing the request; Sending a utilization service processed by the utilization service framework to a common framework of the client framework; Transmitting the utilization service processed in the common framework to the middleware system unit through a web service (REST) transmission / reception unit / wire / wireless communication transmission / reception unit; Transmitting a utilization service received by a web service (REST) transmission / reception unit / wired / wireless communication support unit to a utilization service management unit in accordance with a utilization service interface standard; Transmitting the inquiry for the utilization service registration and processing of the required service to the utilization service management section; Transmitting the utilization service interface using the service status of the utilization service management unit; Receiving a terminology management interface, a post support interface, a security interface, an authentication interface, a CPG interface, an education support interface, a CP interface, and a developer support interface of the utilization service system unit of the middleware system unit; The utilization service interface transmitting the utilization service to a corresponding code mapping processor, a post-support processor, a security processor, an authentication processor, a CP processor, a developer support processor, a CPG processor, and an education support processor; Transmitting a utilization service result processed by the processing unit to a utilization service processing unit; Transmitting a service interface utilizing a utilization service processing unit utilization service result to a wired / wireless communication support unit / web service (REST) transmission / reception unit through a standard; The client framework includes a terminology management framework unit, an authentication management framework unit, a security framework unit, an education support framework unit, a CP framework unit, a post-support framework unit, a CPG framework unit, and a post-receipt termination unit via a wired / wireless communication support unit / web service (REST) A method of supporting utilization of an integrated system of a hospital medical system, including sending results to a developer support framework. Operating the user device to use the client framework; Checking whether the authentication framework of the client framework accesses the middleware system; Requesting a medical device support framework unit for medical device data and information from another hospital processing unit, a consumer framework unit, an administrator framework unit, and a producer framework unit of the client framework; Transmitting a utilization service processed in a common framework of the client framework to a middleware system unit through a web service (REST) transmission / reception unit / wire / wireless communication transmission / reception unit; Transmitting the received medical device support data and information to the medical device processing unit of the middleware system unit according to the standard of the standard interface; Transmitting inquiry data to the medical device management unit to confirm whether the medical device processing unit of the middleware system unit registers and connects the medical device; The medical device management unit of the middleware system unit transmitting the result to the medical device processing unit; When the connection and registration confirmation of the medical device processing unit is completed, transmitting to the medical device base unit of the middleware system unit for data and information request; Performing a query to fetch data of the collected medical device from the medical device base; Transmitting a query result to the medical device processing unit; Wherein the medical instrument processing unit converts a query result into a standard interface standard; The standard interface of the middleware system unit includes: transmitting data and information to a medical device support framework unit of the client framework through a wired / wireless communication support unit / a web service (REST) transmission / reception unit; And verifying data and information results of the medical device at the other hospital processing unit, the consumer framework unit, the manager framework unit, or the producer framework unit. Operating a user device to use the client framework; Checking whether the authentication framework of the client framework accesses the middleware system; Requesting a terminology management framework unit of the client framework for a term for use in another hospital processing unit, a consumer framework unit, an administrator framework unit, and a producer framework unit of the client framework; Transmitting a term to a web service (REST) transceiver / wired / wireless communication support unit for the term management framework unit to request the middleware system unit; Receiving a term according to a term management interface standard at a web service (REST) transceiver / wired / wireless communication support unit of the middleware system unit; Transmitting the term to the code mapping processing unit for processing term management required by the term management interface; Transmitting the terms to the KCD management unit, the ICD management unit, the SNOMED management unit, and the UMLS management unit through the request term type identification of the term management interface by the code mapping unit; A KCD management unit, an ICD management unit, a SNOMED management unit, and a UMLS management unit; A KCD management unit, an ICD management unit, a SNOMED management unit, and a UMLS management unit to a code mapping processing unit; Transmitting the result to the REST transmission / reception unit / wired / wireless communication support unit in accordance with the term management interface standard of the code mapping processing unit; Receiving a result of the client framework through a web service (REST) transmission / reception unit / wired / wireless communication support unit; Transmitting the received result to the term management framework unit; And verifying the results at a user device via the term management framework. Operating a user device to use the client framework; Checking whether the authentication framework of the client framework accesses the middleware system; Requesting a terminology management framework unit of the client framework for a term for use in another hospital processing unit, a consumer framework unit, an administrator framework unit, and a producer framework unit of the client framework; Transmitting the term to the middleware system unit through a web service (REST) transmitting / receiving unit / wired / wireless communication support unit for the term conversion request of the term management framework unit; Receiving a term according to a terminology management interface standard at a web service (REST) transceiver / wired / wireless communication support unit of the middleware system unit; The code mapping processing unit of the middleware system unit may execute a term data conversion command to a management unit of the term to be converted; A step in which the management unit of the conversion term searches for a corresponding result; The management unit of the conversion term transmits the query result to the code mapping processor; Transmitting the result to the REST transmission / reception unit / wired / wireless communication support unit in accordance with the term management interface standard of the code mapping processing unit; Receiving a result of the client framework through a web service (REST) transmission / reception unit / wired / wireless communication support unit; Sending the corresponding result received by the client framework to the term management framework unit; A method for supporting utilization of an integrated system of a hospital medical system, including a step of verifying the result on a user device through a term management framework. Operating a user device to use the client framework; A step (S1401) of checking whether the authentication framework of the client framework accesses the middleware system; Requesting data to the post-support framework unit of the client framework in another hospital processing unit, a consumer framework unit, an administrator framework unit, and a producer framework unit of the client framework; Requesting the post support framework unit to the middleware system unit via the web service (REST) transceiver / wired / wireless communication support unit, the history management data, the monitoring data, and the risk element data; Receiving, by the middleware system unit, request data according to a post support interface standard through a web service (REST) transceiver / wired / wireless communication support unit; Transmitting request data to a post-support processing unit of the middleware system unit for processing post-support elements required for a post-support interface of the middleware system unit; Requesting data from the history management unit, the monitoring management unit, and the risk management unit of the middleware system unit according to the interface request format; Requesting data from the history management unit, the monitoring management unit, and the risk management unit to the cloud service support unit of the middleware system unit; The cloud service support unit queries the cloud unit for the history management data, the monitoring data, and the risk management data; The cloud service support unit transmitting the result to the history management unit, the monitoring management unit, and the risk management unit; A history management unit, a monitoring management unit, and a risk management unit, and sending result data to a post-support processing unit; Transmitting the result data to the client framework through the web service (REST) transmitting / receiving unit / wired / wireless communication support unit in accordance with the post support interface standard; Transmitting result data received by the client framework to the REST transmission / reception unit / wired / wireless communication support unit to the post support framework unit; And the user device verifying the result data through a post support framework section. Operating a user device to use the client framework; Requesting an authentication management framework part of the client framework for use in a middleware system part in another hospital processing part, a consumer framework part, an administrator framework part, and a producer framework part of the client framework; Transmitting the authentication information to the security management framework unit of the client framework for encryption through the authentication information for the authenticator; Encrypting authentication information in the security management framework unit and transmitting the encrypted authentication information to a web service (REST) transceiver unit / wired / wireless communication support unit to which a security protocol is applied; Receiving encrypted authentication information from the middleware system unit at a web service (REST) transceiver / wired / wireless communication support unit; Transmitting the middleware system unit to the utilization service processing unit of the middleware system unit according to the utilization service interface standard for authentication processing; Sending the utilization service processing unit to the utilization service management unit to confirm whether the utilization / security service is registered; Transmitting to the authentication processing unit of the middleware system unit whether or not the utilization service processing unit authenticates according to the authentication interface standard; The authentication processing unit verifying the authentication method, the authentication processing procedure, and the authentication registration through the authentication management unit; Transmitting the authentication information to the security algorithm support unit (symmetric / asymmetric algorithm) for decryption through the security interface; Wherein the security algorithm support unit transmits the decryption result to the authentication processing unit and registers the decryption result in the authentication management unit for authentication management; Transmitting the result of the authentication processing to the REST transmission / reception unit / wired / wireless communication support unit to which the security protocol is applied to transmit the result to the client framework; Receiving the client framework at a web service (REST) transceiver / wired / wireless communication support unit to which a security protocol is applied; Transmitting the received result to an authentication management framework unit; And storing the authentication management framework part after authentication confirmation for an authentication session. Operating a user device to use the client framework; Checking whether the authentication framework of the client framework accesses the middleware system; Requesting a case based usage request to a CPG framework unit to use a case base in another hospital processing unit, a consumer framework unit, an administrator framework unit, and a producer framework unit of the client framework; Requesting the middleware system unit for data and information for a case base of the CPG framework unit; Transmitting the data and information for the case base to the REST transmission / reception unit / wired / wireless communication support unit for the CPG framework unit to request the middleware system; Receiving data and information for a case based on the CPG interface specification at a web service (REST) transceiver / wired / wireless communication support unit of the middleware system; Transmitting data and information for a case base to a CPG processing unit for case-based request processing requiring a CPG interface; Transmitting the case-based data and information to the CPG management unit; Transmitting the data and information requested by the CPG management unit to the cloud service support unit; The cloud service support unit querying the cloud unit with case-based data and information; The cloud service support unit transmitting the result to the CPG processing unit; Transmitting the result to the web service (REST) transmitting / receiving unit / wired / wireless communication support unit according to the CPG interface standard; Receiving the client framework at a web service (REST) transceiver / wired / wireless communication support; Transmitting the received result to the CPG framework unit; And the user device verifying the result through the CPG framework part. Operating a user device to use the client framework; Checking whether the authentication framework of the client framework accesses the middleware system; Requesting the training support framework unit for training-related data of the other hospital processing unit, the consumer framework unit, the manager framework unit, and the producer framework unit of the client framework; Requesting the middleware system unit for the education-based data and information of the education support framework unit; Transmitting the education support framework part to a web service (REST) transceiver / wired / wireless communication support part to request the middleware system part; The middleware system receiving a request according to the training support interface standard at a web service (REST) transceiver / wired / wireless communication support unit; Sending an education support interface to the education support processing unit for processing the education-based data and information; Transmitting the education-based data and information to the education support management unit; Transmitting training-based information and data created by the authoring tool to the authoring tool input / output unit; The authoring tool input / output unit sending education-based information and data to a cloud service support unit; Storing the education-based information and the data in the cloud unit by the cloud service support unit; Transmitting education-based data and information requested by the education support management unit to the cloud service support unit; Wherein the cloud service support unit queries the cloud unit for education-based data and information; The cloud service support unit transmitting the result to the education support processing unit; Transmitting the result to the web service (REST) transmitting / receiving unit / wired / wireless communication support unit according to the education support interface standard; Receiving the client framework at a web service (REST) transceiver / wired / wireless communication support; Transmitting the received result to an education support framework unit; Wherein the user device confirms the results through an educational support framework portion. Operating a user device to use the client framework; Checking whether the authentication framework of the client framework accesses the middleware system; Requesting a CP pattern unit from the other hospital processing unit, the consumer framework unit, the manager framework unit, and the producer framework unit of the client framework; Requesting the CP framework additional service pattern data and information to the middleware system unit through a web service (REST) transceiver / wire / wireless communication support unit; Receiving a request according to a CP interface standard at a web service (REST) transceiver / wired / wireless communication support unit of the middleware system; The CP interface sending a request to the CP processing unit to process the treatment pattern data and information; Transmitting the medical care pattern data and the information to the CP management unit; Transmitting the medical care pattern information and data created by the CP tool to the CP tool input / output unit; Sending a CPG interface to the CP interface; The CP tool input / output unit transmitting the medical care pattern information and data to the cloud service support unit; Storing the medical care pattern information and data in the cloud unit by the cloud service support unit; The CP management unit transmitting the treatment pattern data and information requested by the CP interface to the cloud service support unit; The cloud service support unit querying the health care pattern data and information to the cloud unit; The cloud service support unit transmitting the result to the CP processing unit; Transmitting the result to the web service (REST) transmitting / receiving unit / wired / wireless communication support unit according to the CP interface standard; The client framework receiving a result from a web service (REST) transceiver / wired / wireless communication support; Transmitting the result received by the client framework to the CP framework unit; And the user device confirms the corresponding result through the CP framework part. Operating a server for providing a middleware system sub-service; Operating a program for using the middleware system unit; Driving a data connection unit of a common system unit of the middleware system unit; Connecting the data connection unit to the cloud service support unit through the utilization service processing unit; Sending the data connection state to the client framework; When the data request of the client framework is received, the data connection unit queries the cloud service support unit through the utilization service processing unit; And transmitting a query result to the client framework through a wired / wireless communication support unit / a web service (REST) transmission / reception unit. Operating a user device to use the client framework; Checking whether the authentication framework of the client framework accesses the middleware system; Requesting a chart support framework unit to use a chart in another hospital processing unit, a consumer framework unit, an administrator framework unit, and a producer framework unit of the client framework; Requesting the chart support framework unit for the chart data and information to the middleware system unit through a web service (REST) transceiver / wired / wireless communication support unit; Receiving the chart data and information requested by the middleware system from the web service (REST) transceiver / wired / wireless communication support unit; Processing the requested chart data and information in a chart support unit; Transmitting the chart information and data to the client framework through a web service (REST) transceiver / wired / wireless communication support unit; The client framework receiving chart data and information from a web service (REST) transceiver / wired / wireless communication support; Transmitting a result received by the client framework to a chart support framework unit; And the user device verifying the result through the chart support framework portion. Operating a user device to use the client framework; Checking whether the authentication framework of the client framework accesses the middleware system; Requesting the international standard support framework unit to use a chart in another hospital processing unit, a consumer framework unit, an administrator framework unit, and a producer framework unit of the client framework; Requesting the middleware system unit to comply with the International Standard Support Framework (HL7, CP, CPG, KCD, ICD, SNOMED, LONIC, MLM, ISO11073, DICOM, MLM and Arden syntax) compliance data and information; Supporting an international standard service at an international standard support unit of the middleware system unit; Processing the international standard compliance data and information in the international standard support department; Transmitting the content processed by the international standard support unit to the client framework; And transmitting the processing result of the client framework to the international standard support framework unit.

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