KR20110115670A - Apparatus for sharing medical information - Google Patents

Abstract

A medical information sharing device is provided. The medical information sharing apparatus may include a receiver configured to receive at least one of output information of a medical device, examination information of an examination information system, and patient information generated by an external medical institution, and when the received information is not in a preset data format, A conversion unit for converting information into a predetermined data format, a storage unit for storing the received information and the converted information, and a transmission unit for providing the information stored in the storage unit in accordance with the information request.

Description

Apparatus for sharing medical information}

The present invention relates to a medical information sharing apparatus, and more particularly, to a medical information sharing apparatus between systems in a hospital and a medical information sharing apparatus between systems of an external medical institution.

The medical information includes medical information and diagnosis information about the patient diagnosed at the hospital. Therefore, medical information sharing between medical institutions and medical devices plays an important role in improving the quality of medical care and improving the convenience of consumers.

In general, medical information sharing can be broadly divided into a case of sharing information between systems in a hospital and a case of sharing information between systems of a medical institution. First of all, in the case of sharing medical information among systems in a hospital, various medical devices and independent systems such as a laboratory information system (LIS) share information with a hospital information system. Since these devices and independent systems provide various test results for patients, they must be integrated with the hospital information system to provide quality services. Accordingly, medical institutions are attempting to integrate the hospital information system by developing individual interfaces for each system. As a result, medical institutions are burdened with the time and effort to develop interfaces individually for each system as needed.

In addition, in order to provide continuous medical care and high quality medical services for patients, sharing of medical information between different medical institutions is required. However, since medical institutions currently generate medical information data in different formats, medical institutions are having difficulty in sharing medical information. Accordingly, a method for effective medical information sharing among different medical institutions is required.

The present invention has been made to solve the above problems, and an object of the present invention is to provide a medical information sharing device for sharing medical information generated by the standard technology, medical examination information system and external medical institutions. .

According to an embodiment of the present invention for achieving the above object, a medical information sharing apparatus includes a receiving unit for receiving information generated and transmitted according to a predefined standard technology, a storage unit for storing the received information, and an information request. A transmitter for providing information stored in the storage unit according to the present invention; And a control unit controlling an operation of storing the received information in the storage unit, wherein the information is at least one of output information of a medical device, examination information of an examination information system, and patient information generated by an external medical institution.

Here, when the received information is not a predefined data format, the conversion unit for converting the received information into a predefined data format may further include.

The predefined data format may be an HL7 message or an electronic CDA document format attached to the HL7 message.

The output information may be information generated by the ISO / IEEE11073 standard technology.

If the output information is not information generated by the ISO / IEEE11073 standard technology, the converter may convert the output information according to the ISO / IEEE11073 standard technology and then convert the output information into a HL7 message format.

The control unit may control the transmitter to transmit a test command to the test information system to the test information system in the form of an HL7 message, and the test information may be transmitted to a test progress of the patient transmitted in response to the test command. Information about the at least one of the information on the result and the result of the completed test, and may be received by the receiver through the HL7 message format.

On the other hand, the patient information may include at least one information of the medical information for the patient treated in the external medical institution and the medical request information according to the request of the external medical institution.

The patient information may be in the form of an HL7 message or an electronic CDA document attached to the HL7 message.

Meanwhile, the storage unit may be implemented as a CDR system capable of storing the electronicized CDA document.

The controller may determine whether the information request for the patient information is an authenticated request and control the sharing of the patient information stored in the storage unit in response to the authenticated request.

Medical information sharing apparatus according to an embodiment of the present invention can share the medical information generated according to the standard technology, the interoperability of the system is improved, the quality of medical services can be improved and consumer convenience can be increased .

In addition, the medical information sharing apparatus according to another embodiment of the present invention can be converted to share the medical information that is not implemented by the standard technology to the standard technology, the convenience can be further improved.

1 is a block diagram of a medical information sharing apparatus according to an embodiment of the present invention and a connection relationship with a medical device, an inspection information system, and an external medical institution;
2 is a block diagram of a medical information sharing apparatus including a conversion unit according to another embodiment of the present invention;
3 is a view showing a mutual cooperation relationship between standardization bodies according to an embodiment of the present invention,
4 is a diagram illustrating an HL7 message for a test prescription delivered by a test information system according to an embodiment of the present invention;
5 is a diagram showing an application screen for generating and delivering a test prescription as an HL7 message;
6 is a view showing that the output information of the medical device is converted to the HL7 message format according to an embodiment of the present invention,
7 illustrates a main configuration of an electronicized CDA document according to an embodiment of the present invention;
8 is a view showing how medical institutions share clinical documents;
9 is a diagram illustrating a method of linking a hospital information system and an examination information system; and
10 is a diagram illustrating data interworking between a medical device and a hospital information system.

Hereinafter, with reference to the drawings will be described the present invention in more detail.

1 is a block diagram of a medical information sharing apparatus according to an embodiment of the present invention and a connection relationship with a medical device, an inspection information system, and an external medical institution.

Referring to FIG. 1, the medical information sharing apparatus 100 according to the present embodiment is connected to the medical apparatus 10, the laboratory information system 20, and the external medical institution 30 so as to communicate with each other. Although FIG. 1 shows that the medical information sharing apparatus is connected to one medical device, an inspection information system, and an external medical institution, respectively, this is for convenience of explanation only. It can be connected to the information sharing device.

The medical device 10 is a variety of small medical devices needed to check the condition of an individual patient. The medical device 10 may transmit medical information about the condition of the patient and the diagnosis result to the medical information sharing apparatus 100. In this case, the medical apparatus 10 may generate output information about the patient in accordance with the ISO / IEEE11073 standard technology and transmit the output information to the medical information sharing apparatus 100.

The examination information system 20 is a system for conducting various inspection processes performed in a laboratory inside a hospital. The examination information system 20 may proceed with the examination according to the doctor's examination prescription for the patient. In addition, the examination information system 20 may transmit information on the progress of the examination of the patient and the result of the completed examination to the medical information sharing apparatus 100. In this case, the examination information system 20 may transmit the examination information about the patient to the medical information sharing apparatus 100 in the form of a HL7 (Health Level 7) message.

The external medical institution 30 refers to a medical institution other than a medical institution having a medical information sharing device 100. The external medical institution 30 may generate medical information about the patient treated in the medical institution and medical referral information for requesting a medical referral to another medical institution. In this case, the external medical institution 30 may transmit the medical information and the medical request information to the medical information sharing apparatus 100 in the form of an HL7 message or an electronic CDA document (Clinical Document Architecture) attached to the HL7 message.

So far, the medical device 10, the inspection information system 20, and the external medical institution 30 have been described. The data format (medical CDA document attached to the HL7 message or the HL7 message) of the medical information generated by the medical device 10, the inspection information system 20, and the external medical institution 30 is shown in FIGS. It will be described later in detail together.

The medical information sharing apparatus 100 functions to receive the generated and transmitted information according to a predefined standard technology, store the received information, and provide the stored information according to the information request.

As shown in FIG. 1, the medical information sharing apparatus 100 having such a function may include a receiver 110, a controller 120, a transmitter 130, and a storage 140.

The receiver 110 may receive medical information generated and transmitted according to a predefined standard technology. In detail, the receiver 110 may receive medical information in an HL7 message format or an electronic CDA document format attached to the HL7 message.

The medical information received by the receiver 110 may correspond to output information of a medical device, examination information of an inspection system, and patient information generated by an external medical institution. Although, in the present embodiment, it is assumed that the receiver receives output information of the medical device, test information of the test system, and patient information generated by an external medical institution, but this is merely an example for convenience of description.

The storage unit 140 stores the medical information received from the outside. In detail, the storage 140 may store output information of the medical device 10, test information of the test information system 20, and patient information generated by the external medical institution 30.

As described above, the output information of the medical device 10, the examination information of the examination information system 20, and the patient information generated in the external medical institution 30 have the same format according to the HL7 standard technology. Accordingly, the storage unit 140 may store medical information having the same format according to the HL7 standard technology.

On the other hand, the storage unit 140 may be implemented as a CDR system (not shown) to share the patient information generated in the external medical institution 30 with other medical institutions.

The CDR system is a system that can share clinical information at the request of hospitals who want to share clinical information about the patient. Specifically, hospitals that want to share are registered clinical information to be transmitted or shared in the CDR system, and when a patient visits another hospital, the clinical information registered in the CDR system to the doctor.

The CDR system according to an embodiment of the present invention registers and stores patient information generated in an external medical institution 30. Other hospitals that want to see the patient information stored in the CDR system can check the patient information in the CDR system after the authentication procedure, which is controlled by the controller 120 to be described later.

The transmitter 130 is controlled by the controller 120 to provide medical information stored in the storage 140. The test information for the patient is communicated to the test information system 20 in the form of an HL7 message, which will be described in detail later with reference to FIG. 9.

The controller 120 controls each component in the medical information providing apparatus 100.

Specifically, when the receiver 110 receives the output information of the medical device 10, the test information of the test information system 20, and the patient information 30 generated by an external medical institution, the control unit 120 receives the various medical care received. The storage unit 140 is controlled such that information is stored in the storage unit 140. As described above, the medical information stored by the storage unit 150 has the same format according to the HL7 standard technology.

In addition, the controller 120 determines whether a request from another hospital that wants to view patient information stored in the storage 140 or the CDR system is an authenticated request. As a result of the determination, when the request is an authenticated request, the operation of sharing patient information stored in the storage 140 or the CDR system may be controlled.

In addition, the controller 120 controls the operation of the transmitter 130 to allow the transmitter 130 to transmit a test command for the patient to the test information system 20. In this case, the check command has been described above in the form of an HL7 message.

In FIG. 1, the medical information sharing apparatus 100 has only described handling medical information generated and transmitted according to a predefined standard technology. However, this is only an example.

According to another embodiment of the present invention, the medical information sharing apparatus 100 may convert the received information into a predefined data format when the received information is not generated according to a predefined standard technology.

As shown in FIG. 2, the medical information sharing apparatus 100 having such a function may include a receiver 110, a controller 120, a transmitter 130, a storage 140, and a converter 150. .

Since the receiver 110, the controller 120, the transmitter 130, and the storage 140 perform the same functions as those described above with reference to FIG. 1, the receiver 110, the controller 120, the transmitter 130, and the storage 140 will not be described again. Hereinafter, the converter 150 will be described in detail. Do it.

The conversion unit 150 converts the medical information received by the reception unit 110 into a predefined data format. Here, the predefined data format may be an HL7 message or an electronic CDA document format attached to the HL7 message. Hereinafter, the operation of the converter 150 according to the type of medical information received by the receiver 110 will be described in detail.

1) When the receiver 110 receives the output information of the medical device 10

The conversion unit 150 determines whether the output information of the received medical device 10 is generated according to the ISO / IEEE11073 standard technology. According to the determination result, if the output information of the medical device 10 is not information according to the ISO / IEEE11073 standard technology, the information format may be converted so that the output information of the received medical device 10 conforms to the ISO / IEEE11073 standard technology. Can be. Thereafter, the conversion unit 150 may convert the output information of the medical device 10 received or converted by the ISO / IEEE11073 standard technology into the HL7 message format.

2) When the receiver 110 receives the inspection information of the inspection information system 20

The conversion unit 150 determines whether the received inspection information of the inspection information system 20 conforms to the HL7 message format. As a result of the determination, when the inspection information of the inspection information system 20 is not generated in the HL7 message format, the inspection information of the received inspection information system 20 may be converted into the HL7 message format.

3) When the receiver 110 receives the patient information generated by the external medical institution 30

The conversion unit 150 determines whether the received patient information of the external medical institution 30 conforms to the HL7 message or the electronic CDA document format attached to the HL7 message. As a result of determination, when the patient information of the external medical institution 30 is not generated in the form of an electronic CDA document attached to the HL7 message or the HL7 message, the received patient information of the external medical institution 30 is attached to the HL7 message or the HL7 message. Convert to electronic CDA document format.

Here, the electronicized CDA document is stored in a CDR (Clinical Document Registry) system implemented by the storage unit 140, which has been described in detail with reference to FIG. 1.

Through this conversion, the medical information sharing apparatus 100 may handle the medical information in the form of an HL7 message or an electronic CDA document attached to the HL7 message. That is, since the medical information sharing apparatus 100 may handle medical information in the same format according to the HL7 standard technology, interoperability between various systems may be improved.

3 is a diagram illustrating a mutual cooperation relationship between standardization bodies according to an embodiment of the present invention.

As shown in FIG. 3, representative international standards organizations related to medical informatization include ISO / TC215 (International Standard Organization / Technical Committee), CEN / TC251 (Comit'e Europeen de Normalisation / Technical Committee), HL7 (Health Level Seven), Institute of Electrical and Electronics Engineers (IEEE11073) and Integrating the Healthcare Enterprise (IHE). ISO / TC215, the International Committee on Standardization of Health Information, consists of eight working groups and is responsible for making international standards standardized by standards bodies such as IEEE, CEN / TC251 and HL7. And IHE creates a profile for applying in international industry the international standards published by ISO / TC215 and the standards developed by each standards body.

So far, we have described representative international standards organizations related to medical informatization. Hereinafter, IEEE11073 and HL7 according to an embodiment of the present invention will be described in detail.

IEEE11073 is responsible for developing communication standards for medical devices used in the medical field for the interoperability of medical devices. The standards included in IEEE11073 create standard term codes, domain information models, basic standards, and standards for communicating Point of Care (POC) and Personal Health Device (PHD) devices.

HL7 is an organization for global healthcare IT standards that provides standards for interoperability that enhance healthcare delivery, optimize workflow and enhance knowledge transfer. HL7 makes the Version 2.x messaging standard, the Version 3 messaging standard, and the CDA (Clinical Document Architecture) standard.

Hereinafter, the HL7 message and the electronicized CDA document attached to the HL7 message according to an embodiment of the present invention will be described in detail with reference to FIGS. 4 to 7.

4 is a diagram illustrating an HL7 message for a test prescription delivered by a test information system according to an embodiment of the present invention, and FIG. 5 is a diagram illustrating an application screen for generating and delivering a test prescription as an HL7 message.

As shown in FIG. 4, when the doctor has given the test prescription to the patient, the medical information sharing apparatus 100 may deliver the test prescription to the test information system 20 in the form of an HL7 message. Such an HL7 message may be generated by a program generating the HL7 message, as shown in FIG. 5, and transferred to the inspection information system 20.

Although FIG. 4 and FIG. 5 illustrate the HL7 message for the test prescription, this is merely an example for convenience of description and the present invention is not limited thereto. The technical idea of the present invention is not limited to the test information system 20. In addition to the information on the progress of the test and the information on the test result generated in the generated by HL7 message it can be delivered to the medical information sharing device 100 of course. In addition, if the medical information that can be exchanged between the medical information sharing device 100 and the examination information device 20 may be applied to the technical spirit of the present invention.

In addition, the information may be applied to patient information generated by the external medical institution 30. In addition, if the medical information that can be exchanged between the medical information sharing device 100 and the external medical institution 30 may be applied to the technical spirit of the present invention.

As such, since information is exchanged in the HL7 message format having the same format according to the HL7 standard technology, the interoperability between the medical information sharing apparatus 100, the examination information system 20, and the external medical institution 30 may be improved.

FIG. 6 is a diagram illustrating output information of a medical device converted into an HL7 message according to an embodiment of the present invention.

It has been described above that the output information of the medical device 10 is generated by the ISO / IEEE11073 standard technology and converted into an HL7 message. As shown in FIG. 5, since the output information of the medical device 10 is converted into the HL7 message format, efficient linkage between systems may be possible.

The output information of the medical device 10 converted into the HL7 message shown in FIG. 6 is merely an example for convenience of description and the present invention is not limited thereto. If the output information of the medical device 10, of course, it can be converted to the HL7 message format by the technical idea of the present invention.

7 illustrates a main configuration of an electronicized CDA document according to an embodiment of the present invention.

As shown in FIG. 7, the electronicized CDA document may be composed of a header and a body. Specifically, the header may include information about the document itself and information such as the document creator, the subject of the document, the holder, the legal authenticator, and the like. The body may contain medical information generated by actual medical practice. The body may include human readable text elements and machine readable entry elements.

As described above, the patient information of the external medical institution 30 may be generated as an electronic CDA document, and the CDA document format shown in FIG. 7 may be generated.

Hereinafter, a method in which the electronicized CDA document is registered and shared in the CDR will be described in detail with reference to FIG. 8.

8 is a diagram illustrating a method in which medical institutions share clinical documents.

Referring to FIG. 8, a method in which a plurality of primary clinics share medical information with a tertiary clinic through a CDR system is illustrated. According to an embodiment of the present invention, in FIG. 8, the third hospital may be a medical information sharing apparatus 100, and the primary clinics may be an external medical institution 30.

As shown in FIG. 8, when the primary clinician registers the clinical document on the patient information in the CDR system, other primary and third clinicians who have undergone the authentication procedure can download the clinical document on the patient information and use it for medical treatment. have. Here, it has been described above that the clinical document for the patient information may be generated as an electronic CDA document.

Although FIG. 8 illustrates that the tertiary hospital and the CDR system are separately configured, according to an embodiment of the present invention, the tertiary hospital, that is, the medical information sharing device 100 is stored in the CDR via the storage unit 150. You can also implement a system.

As such, since clinical documents of patient information are registered and shared in the CDR system, continuous care for patients in various hospitals can be guaranteed. In addition, patient information is generated from CDA documents generated according to the HL7 standard technology, thereby improving interoperability between systems.

9 is a diagram illustrating a method of linking a hospital information system and an examination information system. According to an embodiment of the present invention, the hospital information system in FIG. 9 may be a medical information sharing apparatus 100.

As shown in FIG. 9, the hospital information system may transmit a test command for the patient to the test information system 20. The test information system 20 may transmit information on the progress of the test to the patient and information about the finished test result to the hospital information system in response to the test command.

Herein, the information exchange between the medical information sharing apparatus 100 and the examination information system 20 may use the HL7 message.

Accordingly, the hospital information system can reflect the change of the examination information system in real time, and the doctor can immediately confirm the change, thereby improving interoperability between systems.

10 is a diagram illustrating data interworking between a medical device and a hospital information system.

Referring to FIG. 10, a plurality of medical devices are connected to a hospital information system through one A and B gateways, or a plurality of medical devices are directly connected to a hospital information system.

In detail, when a plurality of medical devices generates and outputs output information according to the ISO / IEEE11073 standard technology, one A and B gateway programs may process output information of devices of different companies together. In addition, the A, B gateway program may transmit the output information output from the medical device to the hospital information system in the HL7 message format. In this case, the waveform information may be generated and transmitted as a MFER (Medical waveform Format Encoding Rules) file, which is progressed from ISO to standard.

Here, the hospital information system may be a medical information sharing apparatus 100 according to the present embodiment, and the A and B gateways may be conversion units 150. In FIG. 2, an example in which the conversion unit 150 is included in the medical information sharing apparatus 100 has been described. However, the conversion unit 150 may be implemented in a separate configuration as illustrated in FIG. 10. .

In addition, according to the present embodiment, in FIG. 10 described above, the medical device may generate the output information according to the ISO / IEEE11073 standard technology, and the HL7 message may be directly generated by the medical device to interoperate with the hospital information system. Of course.

While the above has been shown and described with respect to preferred embodiments of the present invention, the present invention is not limited to the specific embodiments described above, it is usually in the technical field to which the invention belongs without departing from the spirit of the invention claimed in the claims. Various modifications can be made by those skilled in the art, and these modifications should not be individually understood from the technical spirit or the prospect of the present invention.

10: medical device 20: inspection information system
30: external medical institution 100: medical information sharing device
110: receiver 120: controller
130: transmitting unit 140: storage unit
150: converter

Claims (10)

In the medical information sharing device,
A receiver for receiving information generated and transmitted according to a predefined standard technology;
A storage unit for storing the received information;
A transmitter for providing information stored in the storage in response to an information request; And
And a control unit controlling an operation of storing the received information in the storage unit, wherein the information includes at least one of output information of a medical device, examination information of an examination information system, and patient information generated by an external medical institution. Shared device. The method of claim 1,
And a conversion unit for converting the received information into a predefined data format when the received information is not in a predefined data format. The method of claim 2,
The predefined data format is
And a HL7 message or an electronic CDA document format attached to the HL7 message. The method of claim 1,
The output information is,
Medical information sharing device, characterized in that the information generated by the ISO / IEEE11073 standard technology. The method of claim 2,
Wherein,
And when the output information is not information generated by the ISO / IEEE11073 standard technology, converting the output information according to the ISO / IEEE11073 standard technology and converting the output information into a HL7 message format. The method of claim 1,
The control unit,
Control the transmitting unit to transmit a test command to a patient in the form of an HL7 message to the test information system;
The inspection information,
At least one of information on the progress of the test and information on the result of the finished test, which is transmitted in response to the test command, and is received by the receiver through the HL7 message format Medical information sharing device. The method of claim 1,
The patient information,
And at least one of medical information about a patient treated by the external medical institution and medical request information according to a request of the external medical institution. The method of claim 1,
The patient information,
And a HL7 message or an electronic CDA document format attached to the HL7 message. The method of claim 1,
The storage unit,
Medical information sharing device, characterized in that implemented as a CDR system capable of storing the electronic CDA document. The method of claim 1,
The control unit,
And determining whether the information request for the patient information is an authenticated request, and controlling the sharing of the patient information stored in the storage unit in response to the authenticated request.

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