KR20130001500A - System and method for managing persnal health record - Google Patents

Abstract

PURPOSE: A system for managing personal health records and a method thereof are provided to perform an efficient treatment by supplying a PHR(Personal Health Record) to a medical service provider. CONSTITUTION: A control module(126) controls the authentication and connection of a patient terminal and a hospital terminal. A data management module(122) receives a request for transmitting personal health record data of a patient from the hospital terminal and the patient terminal. The data management module transmits the requested personal health record data. The data management module receives the requested personal health record data to which treatment details are added. [Reference numerals] (121) Authentication module; (122) Data management module; (123) Header scan module; (124) Synchronization module; (125) Medical insurance management module; (126) Control module

Description

System and Method for Managing Persnal Health Record

The present invention relates to a system and method for managing a Personal Health Record (hereinafter referred to as PHR), and more particularly, to a system and method for storing and transmitting PHR data at the request of a patient.

The u-healthcare era is coming, where anyone can use their own daily life tools to monitor the user's location, health status and personalized health care.

U-Health uses ubiquitous IT technology, sensing, network, interface, and security technology to provide health care services such as prevention, diagnosis, treatment, and follow-up management. It is a service and covers all health care services provided using wired / wireless information and communication infrastructure and health measurement equipment. Typical u-Health services include online medical information, telemedicine, disease monitoring, and mobile healthcare. PHR is a method of providing medical information online so that personal health information, medical information, examination information, and medical request forms can be stored and viewed anytime, anywhere, enabling continuous health care and medical treatment.

Recently, Google in the U.S. launched the Google Health service. Google Health offers services such as creating a user's online health profile, downloading medical records from medical institutions, providing personalized health guides and relevant news, finding quality doctors and saving time, and sharing selected health information between family members and caregivers. do.

In Korea, EMR (Electronic Medical Record), which manages the patient's medical records by DB, and EHR (Electronic Health Record), which exchanges the patient's medical records between hospitals, are operating in general hospitals. However, EMRs or EHRs are doctor- or institution-centered services and are not available to the public.

As such, there are no systems or data standards in Korea that can provide PHR services. In addition, although several companies have recently attempted to build a PHR system, due to the different providers of PHR services, there may be a problem that PHR files containing multimedia medical data of patients to exchange with each other are incompatible. In addition, services currently centered on EMR or EHR cannot access patient data outside of hospitals, so patients can use their own medical records only in hospitals.

The problem to be solved by the present invention is to provide a system and method that allows an individual to view his or her PHR regardless of time and place.

In addition, the problem to be solved by the present invention is to provide a system and method for enabling more effective medical care by providing an individual's PHR to a health care provider.

According to an embodiment of the present invention, in the method for managing personal health records, a process of authenticating and permitting access to the hospital terminal in accordance with a request for access and authentication from a hospital terminal, and accessing the patient through the hospital terminal The process of receiving a request for the transmission of personal health record data, confirming whether the patient has subscribed to the personal health record service, and if the user is subscribed to the service, retrieves the latest personal health record data of the requested patient and transmits it to the hospital terminal. And receiving and storing updated personal health record data of the patient from the hospital terminal.

In addition, according to an embodiment of the present invention, in the device for managing personal health records, a control module for controlling the connection and authentication of the terminal of the patient and the terminal of the hospital, and the terminal of the patient from the terminal of the patient and the terminal of the hospital And a data management module for requesting the transmission of the personal health record data, transmitting the requested personal health record data, and receiving and storing the requested personal health record data to which the medical history is added from the terminal of the hospital.

In addition, according to an embodiment of the present invention, in the system for managing personal health records, the terminal of the patient subscribed to the personal health record service, and receives the personal health record data for the patient, and receives the received personal health record data The terminal of the hospital that adds and transmits new medical records, the National Health Insurance Corporation server that manages and pays the insurance fee associated with the personal health record service, and the National Health Insurance Service server. A financial institution server that manages subscription and subscriber information, authenticates and permits access according to requests from the terminal of the hospital and the terminal of the patient, and stores personal health record data of the patient received from the terminal of the hospital. And a management center for managing.

When the effect obtained by the typical thing of the invention disclosed below is demonstrated briefly, it is as follows.

The present invention, the patient can read his or her PHR at any time, and in the case of chronic disease patients can track the past history.

In addition, the present invention allows the medical staff to view the previous diagnosis results of the patient more effective and quick medical care.

In addition, the present invention can solve the inconvenience, such as copying and delivering the chart when the patient receives medical care in several hospitals.

In addition, the present invention can reduce the management cost, drug treatment cost and health care cost of chronic diseases by managing the individual PHR in the National Health Insurance Corporation. It can also control patients' excessive use of medical institutions and prevent duplicate prescriptions of narcotic drugs.

1 is a diagram showing the overall configuration of a PHR management system according to an embodiment of the present invention.
2 is a diagram illustrating a flow of a PHR management system according to an embodiment of the present invention.
3 is a block diagram showing the configuration of a PHR management center of the PHR management system according to an embodiment of the present invention.
4 is a flowchart illustrating an operation process of a PHR management system according to an embodiment of the present invention.
5 is a flowchart illustrating an operation process of a PHR management system according to another embodiment of the present invention.
6 is a diagram illustrating an example of an interface screen displayed on a terminal when using a PHR service according to an embodiment of the present invention.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Hereinafter, an operation principle of an embodiment of the present invention will be described in detail with reference to the accompanying drawings. In the following description of the present invention, a detailed description of known functions and configurations incorporated herein will be omitted when it may make the subject matter of the present invention rather unclear. The following terms are defined in consideration of the functions of the present invention, and may be changed according to the intentions or customs of the user, the operator, and the like. Therefore, the definition should be based on the contents throughout this specification.

According to the present invention, hospitals can effectively view and analyze a patient's PHR by storing and managing multimedia medical data according to the PHR standard, and a patient can read his or her PHR anywhere and anytime.

1 is a diagram showing the overall configuration of a PHR management system according to an embodiment of the present invention.

Referring to FIG. 1, a PHR management system according to an embodiment of the present invention includes a patient 110, a PHR management center 120, a hospital 130, a financial institution 140, and the National Health Insurance Corporation 150. .

The patient 110, the hospital 130, the financial institution 140, and the National Health Insurance Corporation 150 comply with the PHR communication protocol, and connect with the PHR management center 120 through wired / wireless communication networks 160 such as the Internet, respectively. do. In FIG. 1, the patient 110, the hospital 130, the financial institution 140, and the National Health Insurance Corporation 150 are directly connected to the PHR management center 120 through the wired / wireless communication network 160, but the patient ( 110, the hospital 130, financial institutions 140 and the National Health Insurance Corporation 150 and the PHR management center 120 may be connected through a repeater in charge of authentication. In this case, the patient 110, the hospital 130, the financial institution 140, and the National Health Insurance Corporation 150 first undergo a certification process through a repeater, and after the certification is completed, the PHR management center 120 immediately without passing through the repeater. ) Can send and receive data.

The patient 110 and the hospital 130 enter into an agreement with the financial institution 140 to use the PHR service, respectively, and are given an ID. In this case, the patient 110 may be given a PHR ID by using an account number held by the financial institution 140, and the financial institution 140 issues a new ID card or a card held by the patient (check card). Or you can add a PHR function to a regular credit card). In this case, the financial institution 140 communicates with the PHR service center 120, the hospital 130, and the National Health Insurance Service 150, and the information of the patient 110 related to the PHR service (for example, name and resident number). , ID, contact number, etc.) on the card. Then, when the patient 110 receives medical care in the hospital 130 that can use the PHR service, the patient 110 does not have to be issued a separate medical card for each hospital, and can receive the medical treatment and receive the medical fee with the corresponding card.

If the patient 110 joins the PHR service, the financial institution 140 transmits the registered patient information to the hospital 130 subscribed to the PHR service, and uses the PHR service from the patient 110 and the National Health Insurance Corporation 150. Collect fees associated with To this end, the financial institution 140 should be linked to the National Health Insurance Corporation 150. In addition, the financial institution 140 may have a separate institution that is responsible for collecting fees, which is linked to the financial institution joint computer network.

The hospital 130 stores the patient information received from the financial institution 140 in an internal computer system so that the patient 110 can check when the patient 110 visits the hospital 130. In addition, when the patient 110 visits and receives the medical treatment, the medical records are written in the form of PHR and transmitted to the PHR management center 120. An ID card or a USB (Universal Serial Bus), a mobile phone, It can also be stored in portable storage devices such as smart cards and chip implants. In addition, the patient 110 may access the PHR management center 120 through the web with the issued PHR ID, and may store data about his / her medical record in a mobile phone or a check card. In addition, the data stored in the mobile phone can be transmitted to the doctor's computer by short-range communication, and when the data is input to the check card, the doctor may read the card from the doctor's computer and transmit the data to the doctor. In addition, the hospital 120 may enter the prescription directly on the ID card when issuing a prescription after completing the treatment for the patient 110, the patient 110 presents the ID card when dispensing at the pharmacy (not shown) You can deliver your prescription. Of course, if the ID card includes the function of a check card or credit card, you can pay the preparation fee by ID card. In this case, the PHR management center 120 should also be connected to the pharmacy (not shown) through the wired / wireless communication network 160, and manages data about the prescription and the dispensing result of each patient. In addition, by allowing the pharmacy to access the PHR management center 120 to receive approval for dispensing, it is possible to prevent the prescription of drugs, etc., from being duplicated in various hospitals for one patient, and also to manage the improvement of drugs.

The National Health Insurance Corporation 150 manages the insurance number for the PHR, and when the patient 110 uses the PHR service, the patient pays the corresponding cost to the hospital 130 according to the determined insurance number.

The PHR management center 120 stores and manages the medical records of the patients 110 who subscribe to the PHR service in the form of PHR. The medical record may include medication prescriptions.

Table 1 below shows an example of PHR information. As shown in [Table 1], the PHR information includes personal information such as patient name, date of birth, and gender, and medical records such as type and data. In addition, it may further include surgical information, drug administration information, education content about the disease.

Patient name Hong Gil Dong date of birth January 28, 1942 gender man Kinds Brain ct data ...

2 is a diagram illustrating an operation process of the PHR management system according to an embodiment of the present invention.

Referring to FIG. 2, in step 201, when a patient 110 joining a PHR service visits a hospital 1 131 subscribed to a PHR service and requests a treatment, in step 202, a hospital 1 131 is a PHR management center ( In step 203, the PHR data of the patient 110 is received from the PHR management center 120. The patient 110 is referred to with reference to the received PHR data, and the medical records are transmitted to the PHR management center 120 in the form of PHR data and stored in step 204.

In addition, when the patient 110 subsequently visits another hospital 2 (132) subscribed to the PHR service in step 205 and requests medical treatment, the hospital 2 (132) accesses the PHR management center 120 and authenticates in step 206. In step 207, the PHR data of the patient 110 is received from the PHR management center 120. At this time, the received PHR data includes a medical record at hospital 1 (131). Hospital 2 132 consults the patient 110 with reference to the received PHR data, and transmits and stores the medical record to the PHR management center 120 in the form of PHR data in step 208.

In addition, the patient 110 may access the PHR management center at any time and receive the latest PHR data thereof in step 210 after the authentication process in step 209.

In addition, in steps 204, 208, and 210, the patient 110 may store his / her PHR data in an ID card or a portable storage device. The patient 110 may then provide the PHR data stored in the ID card or the portable storage device to a medical staff during a hospital visit. Can be.

For reference, the PHR management center 120 is referred to as Joint Photographic Expert Group (JPEG) and GIF (Graphics Interchange Format, hereinafter GIF) in which the medical data of a patient transmitted from a hospital is not a PHR format file. ), Even in the case of general image files such as Windows bitmap picture files (hereinafter referred to as BMP) and Tip Image File Format (hereinafter referred to as TIFF), the patient's multimedia medical data can be safely converted to PHR data communication format. Make it available for transmission and inquiry.

3 is a block diagram showing the configuration of the PHR management center 120 of the PHR management system according to an embodiment of the present invention.

Referring to FIG. 3, the PHR management server 120 includes an authentication module 121, a data management module 122, a header scan module 123, a synchronization module 124, a medical insurance management module 125, and a control module ( 126).

The term '~ module' used in the embodiment of the present invention may refer to software or a hardware component such as a field programmable gate array (FPGA) or an application specific integrated circuit (ASIC), but is not limited thereto. The '~ module' may be configured to reside in an addressable storage medium or may be configured to play one or more processors. Thus, as an example, a '~ module' may include components such as software components, object-oriented software components, class components, and task components, processes, functions, properties, procedures, and the like. Subroutines, segments of program code, drivers, firmware, microcode, circuits, data, databases, data structures, tables, arrays, and variables. Functions provided within components and '~ modules' may be combined into smaller numbers of components and '~ modules' or further separated into additional components and '~ modules'.

The patient 110 and the hospital 130 are connected to the PHR management center 120 through a personal authentication process such as inputting an ID and password using a terminal, and the multimedia medical care in the PHR format stored in the PHR management center 120. The authentication module 121 may transmit and receive data, and controls the authentication process.

In addition, the authentication module 121 allows a terminal of the patient 110 or the hospital 130 to access a database (hereinafter, DB) in which PHR data is stored through a security authentication message.

In addition, the user 110 and the hospital 130 terminal connected to the PHR management center 120 may be cumulatively managed by ID to manage the usage status of each user.

In FIG. 3, the authentication module 121 is illustrated as being included in the PHR management center 120. However, the present invention is not limited thereto, and enables data transmission / reception using a browser without a browser such as Internet Explorer (for example, a broker). ) May exist on a separate server.

The data management module 122 manages the transmission and reception of PHR data of the patient 110. That is, PHR data of the patient 110 stored in the DB (not shown) is transmitted to the hospital 130 terminal according to a request from the terminal of the hospital 130 or the patient (stored in the DB according to the request of the patient 110). PHR data of the 110 is transmitted to the terminal, ID card or portable storage device of the patient (110).

The PHR header scan module 123 scans and checks a predetermined portion of a corresponding PHR header file when transmitting and receiving PHR data.

In general, the PHR header file contains more than 1 million items, and in the past, when a PHR file was exchanged, the PHR header file was full scanned. This conventional method is not only time-consuming but also does not match when scanning a header file containing more than 1 million contents when the vendor of the PHR software installed on the terminal of the patient 110 and the hospital 130 is different. If not, there was a compatibility problem such as a transmission error.

Therefore, in the present invention, the PHR header scan module 123 scans and checks only certain items essential for PHR communication, and skips the remaining items without scanning, thereby allowing fast PHR file transmission and reception while complying with the PHR communication protocol. Make it possible. The predetermined items essential herein include Patient ID, Modality, Study Date, Series Number, Image Number, and the like, and are not limited to the above-described items only.

By scanning only certain items that are essential for PHR communication and skipping the remaining items, it scans only certain items that are essential even when using products from different vendors, thereby minimizing errors that may occur during full scan. You can improve the compatibility of different vendor products.

For reference, when the multimedia medical data of the patient is a general image file such as JPEG, GIF, BMP, or TIFF, but not the PHR format file, the PHR header scan module 123 safely converts the multimedia medical data of the patient to PHR format. Make it available for transmission and inquiry.

The synchronization module 124 further stores the result of checking a predetermined item in the PHR header scan module 123 in the DB and the corresponding PHR header file, so that the DB and the patient 110 stored in the PHR management center 120 during PHR communication. Or synchronize the PHR header file transmitted and received by the terminal of the hospital (130).

The medical insurance management module 125 notifies the National Health Insurance Corporation 150 of the medical history and drug prescription contents using the PHR data, and is responsible for billing and settlement of the costs related to the PHR service. In addition, when using an ID card including a check card or credit card function, the financial institution 140 that issues the ID card is notified of the expenditure on medical expenses or drug preparation costs.

The control module 126 controls operations of the authentication module 121, the data management module 122, the header scan module 123, the synchronization module 124, and the medical insurance management module 125.

4 is a flowchart illustrating an operation process of the PHR management center 120 in the PHR management system according to an embodiment of the present invention.

The authentication module 121 of the PHR management center 12 receives the authentication request from the terminal of the hospital 130 connected through the data communication network in step 401 and processes it. When the patient 110 uses the ID card, the ID card may be authenticated through a card reader connected to the terminal of the hospital 130.

After the authentication is completed, if the PHR data transmission request of the patient is requested from the terminal of the hospital 130 in step 402, the data management module 122 checks the ID of the patient in step 403 and confirms that it is subscribed to the PHR service. PHR data of the patient is retrieved from and transmitted to the terminal of the hospital 130.

In addition, when the ID of the patient is checked in step 403 and the corresponding ID is not in the PHR service subscriber list, or if the PHR data of the patient is searched in step 404 and there is no data stored in the DB, a corresponding notification message is sent to the terminal of the hospital 130. Can be sent to.

After the treatment of the patient in the hospital, in step 405 the data management module 122 receives the PHR data to which the patient's care is added from the terminal of the hospital 130, the corresponding data stored in the DB received in step 406 Update the patient's PHR data and save it. The PHR data received in step 405 is synchronized by the synchronization module 125 and stored in the DB so that it can be viewed later.

In addition, in step 405, the PHR data of the patient transmitted through the PHR communication protocol is scanned and checked only by a predetermined header in the PHR header scan module 123. If there is no abnormality as a result of the check, the PHR data of the patient is stored in the DB and there is an error. The notification message corresponding thereto may be transmitted to the terminal of the hospital 130.

In addition, when the PHR header scan module 123 is a general image file such as JPEG, GIF, BMP, or TIFF, not a PHR format file, the PHR header scan module 123 converts the medical data into a PHR format and stores the data in a DB.

5 is a flowchart illustrating an operation process of the PHR management center 120 in the PHR management system according to another embodiment of the present invention. The authentication module 121 of the PHR management center 120 receives an authentication request from the terminal of the patient 110 connected through the data communication network in step 501 and processes it. When the patient 110 uses the ID card, the ID card may be authenticated through a card reader connected to the terminal of the patient 110.

After the authentication is completed, if the PHR data transmission request of the patient is requested from the terminal of the patient 110 in step 502, the data management module 122 retrieves the PHR data of the patient from the DB in step 503 and the terminal of the patient 110 To send.

In addition, if the ID of the patient is checked in step 501 and the corresponding ID is not in the PHR service subscriber list, or if the PHR data of the patient is searched in step 503 and there is no data stored in the DB, a corresponding notification message is sent to the terminal of the patient 110. Can be sent to.

  FIG. 6 illustrates an example of an interface screen displayed when a user of a patient 110 or a hospital 130 accesses a PHR management center 120 to use a service.

While the present invention has been particularly shown and described with reference to exemplary embodiments thereof, it is to be understood that the invention is not limited to the disclosed exemplary embodiments, It belongs to the scope of right.

Claims (18)

In how to manage personal health records,
Performing authentication on the hospital terminal and authorizing access according to a request for access and authentication from a hospital terminal;
Receiving a request for transmitting personal health record data of a patient through the hospital terminal;
Checking whether the patient has subscribed to the personal health record service, and if the user is subscribed to the service, retrieving the latest personal health record data of the requested patient and transmitting it to the hospital terminal;
Receiving and storing updated personal health record data of the patient from the hospital terminal. The method of claim 1,
Personal health record management method further comprising the step of receiving and storing the information of the patient and the hospital subscribed to the personal health record service. The method of claim 1,
Checking a portion of a header file of the personal health record data transmitted and received with the hospital terminal, and storing the check result and adding to the header file to synchronize the stored personal health record data with the header file. How to Manage Your Health Records. The method of claim 1,
Personal health record management method further comprising the step of notifying the National Health Insurance Service of the use history of the personal health record service, and billing the costs associated with the personal health record service. The method of claim 1,
The storing may include converting and storing the data into a predetermined personal health record file format when the data is not in a predetermined personal health record file format. The method of claim 1,
Performing authentication on the terminal of the patient and granting access according to the request for access and authentication from the terminal of the patient;
Receiving a request for transmission of a personal health record file of the patient through the terminal of the patient;
Checking whether the patient subscribes to the personal health record service, and if the user is subscribed to the service, retrieving the latest personal health record data of the requested patient and transmitting the data to the terminal of the patient. . A device for managing personal health records,
A control module for controlling access and authentication of the terminal of the patient and the terminal of the hospital;
A request is made to transmit the personal health record data of the patient from the terminal of the patient and the terminal of the hospital, and transmits the requested personal health record data, and receives the requested personal health record data to which the medical history is added from the terminal of the hospital. Personal health record management device comprising a data management module for storing by. The method of claim 7, wherein
The data management module is a personal health record management device for receiving and storing information of patients and hospitals subscribed to the personal health record service. The method of claim 7, wherein
A header scan module for checking a portion of a header file of the personal health record data transmitted and received;
And a synchronization module for synchronizing the stored personal health record data with the header file. The method of claim 7, wherein
Personal health record management device further comprising a medical insurance management module for notifying the National Health Insurance Service of the history of the use of the personal health record service for the terminal of the patient and the terminal of the hospital, and billing the costs associated with the personal health record service . 10. The method of claim 9,
And the data management module converts the data received from the terminal of the hospital into a predetermined personal health record file format and stores the converted data in the predetermined personal health record file format. In a system for managing personal health records,
A terminal of a patient enrolled in a personal health record service,
A terminal of a hospital which receives personal health record data of the patient and adds and transmits new medical records to the received personal health record data;
National Health Insurance Corporation server that manages and pays the insurance costs associated with personal health record services;
A financial institution server linked with the National Health Insurance Corporation server and managing subscription and subscriber information for the personal health record service;
Personal health record management including a management center that performs authentication and permits access according to requests from the terminal of the hospital and the terminal of the patient, and stores and manages the personal health record data of the patient received from the terminal of the hospital. system. The method of claim 12,
The management center,
Personal health that checks whether the patient subscribes to the personal health record service according to a request from the terminal of the hospital or the terminal of the patient, and retrieves and transmits the latest personal health record data of the requested patient when subscribed to the service. Records management system. The method of claim 13,
And the management center receives and stores updated personal health record data of the patient from the hospital terminal. The method of claim 12,
The management center, the personal health record management system for receiving and storing the information of patients and hospitals subscribed to the personal health record service. The method of claim 12,
The management center notifies the National Health Insurance Corporation of the usage history of the personal health record service, and charges a fee associated with the personal health record service. The method of claim 12,
The financial institution server, the personal health record management system for transmitting the personal information about the patient subscribed to the personal health record service at the request of the patient to the management center and the terminal of the hospital. The method of claim 12,
The terminal of the hospital or the terminal of the patient, personal health record management system for storing the personal health record data of the patient received from the management center in a portable storage device.

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