KR20150103829A - Method for communicating about a personal health record and servicing system a personal health record by interworking with the hospital information - Google Patents

Abstract

The present invention relates to a personal health record management service system and a personal health record transmitting method. The personal health record management service system according to the embodiment of the present invention includes a legacy system including ADM, MIS, and OCS EMR, a gateway API which extracts data by approaching a database (DB) of the legacy system if a transmission event occurs, a PHR application server, a PHR web server to execute a data response, and a client device which carries a mobile device.

Description

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a personal health record management service system,

The present invention relates to a personal health record management service system and a personal health record delivery method linked to hospital information. More particularly, the present invention relates to a personal health record management service system and a personal health record delivery method in which a patient's chronic illness, And a personal health management record managed by the patient himself / herself with the health care measurement equipment, and provides health counseling, dietary / exercise guide, and emergency management service utilizing the public health key and the symmetric key encryption technique To a personal health record management service system and a personal health record delivery method interlocked with hospital information for safely transferring personal health records from an illness / clinic information system to an end user.

As is well known, the Personal Health Record (PHR) in the medical field is a health related electronic record of an individual whose information is derived from various sources in accordance with interoperability standards that are recognized nationwide, do.

As the demand for personalized health information and health information is integrated and managed by individual management and analysis through personalized health promotion and establishment of health care policy due to aging and increased interest in health, the personal health record service is used for health ICT (Isovolumic Contraction Time It is expected that it will play a key role.

However, the conventional personal health record related service method is a form in which only the measurement result from the healthcare measurement medical device is maintained only in the own smartphone terminal, and is not linked with the medical record of the illness or the clinic, So that it is difficult to manage it. This has not been suitable for chronic patients who need to be regularly managed by medical professionals.

SUMMARY OF THE INVENTION It is therefore an object of the present invention to provide a method and apparatus for diagnosing a patient who is suffering from a chronic illness, And healthcare management records managed by the healthcare measurement equipment of the healthcare system, and provides health counseling, diet / exercise guide, and emergency management service using the collected information and utilizes the public key and the symmetric key encryption technique, To provide a personal health record management service system and a method for delivering personal health records linked to hospital information to safely transfer personal health records from the system to end users, In order to be managed, an individual, together with a medical examination and The present invention provides a personal health record management service system and a personal health record delivery method interlocked with hospital information which enables self-management of data measured from a medical device and can exchange personal health records safely.

In order to achieve the above object, a personal health record management service system linked with hospital information according to the present invention includes a legacy system including ADM, MIS, and OCS / EMR, In this case, the healthcare professional generates a transmission event to transmit the medical record, examination record, and checkup record stored in the clinic or clinic to the PHR application server connected to the subsequent stage. If a transmission event occurs, the legacy system A gateway API for accessing a database of a patient's system and extracting data from the legacy system and a personal health record of the patient or a patient received from the legacy system, PHR application server (PHR application server), and the data requested by the PC user in response to the data requested by the mobile terminal Including PHR web server (PHR Web Server), and client device (Client Device), which carry a mobile device that runs the features that are configured.

In addition, according to the present invention, the gateway API accesses the DB of the legacy system, and extracts the extracted data according to the HL7 standard format. The VL (Vital Sign), medication, medical history, After generating a personal health record message composed of treatment, radiotherapy, vital signs, vaccination, treatment procedure, visit record, test result, operation history and health check record, the internal sender sends XML or CSV, JSON To the PHR application server (PHR Application Server)

The data constituted in the legacy system can be used for the patient's Vital Sign, Vital Sign, medication, chemotherapy, radiotherapy, vital signs, vaccination, treatment, History, and a medical checkup record.

The present invention is characterized in that the gateway API is provided in a library form so as to be linked with legacy hospital information systems (Legacy HIS) of various diseases and clinics.

In addition, in the present invention, the personal health record in the PHR application server includes a record generated in a clinic or a clinic and a record inputted by an individual in order to enhance the reliability of data at the time of diagnosis of a medical professional, And the service manager performs a role of extracting data required in personal health record management, health consultation service, dietary exercise, and emergency management service.

In addition, the personal health record delivery method linked to the hospital information according to the present invention is a method of transmitting a personal health record to a hospital by requesting a user (client) to record his / her PHR to a hospital, Encrypting the PHR data of the user after the data is formed, transmitting the encrypted data and the encrypted key to the PHR application server through the gateway API (API)

The PHR application server stores the received data in a storage, transmits a PUSH message to the user, and then determines whether the service type is a mobile or a PC (Web) user, When the service type is a mobile user, the personal PHR record data is requested to be downloaded to the PHR web server (PHR web server) and the PHR application server (PHR application server) through the received PUSH message and the downloaded PHR data And stores the decrypted PHR data in the DB of the personal smart mobile device (terminal) or the recorded data stored in the DB on the UI of the smart mobile device (PHR Web Server) when the service type is a PC (Web) user, And a fourth step of outputting record data on the web UI of the PC after executing parsing, wherein the data encryption of the first step encrypts the PHR record data of the user by AES, And the AES key is RSA-decrypted using the AES key obtained by decrypting the data decryption in the third step with the private key of the user.

According to the personal health record management service system and the personal health record delivery method linked to the hospital information according to the present invention as described above, in service of the personal health record, Personal health management records managed through care instruments can be integrated and managed through mutual data exchange and can be transmitted safely from security threats in mutual data exchange. It can be linked with the existing system of the clinic, so it has the effect of continuous health management by the medical experts.

1 is a block diagram of a personal health record management service system linked to hospital information according to the present invention;
FIG. 2 is a flowchart illustrating a method of transmitting a personal health record linked to hospital information according to the present invention.

The present invention will now be described in detail with reference to the drawings of the embodiments.

FIG. 1 is a block diagram of a personal health record management service system linked to hospital information according to the present invention. As shown in FIG. 1, a legacy system including ADM, MIS, and OCS EMR, When the patient requests his / her personal health record, the healthcare professional generates a transmission event to transmit the medical record, inspection record, and checkup record stored in the clinic / clinic to the PHR application server connected to the subsequent stage, A gateway API for accessing a database of the legacy system and extracting data when an event occurs; a personal health record of a disease / clinic received from the legacy system, A PHR application server (PHR Application Server) that manages an individual's personal health record, And PHR web server (PHR Web Server) for PC users running the requested response data, is composed of a client device (Client Device), which carry a mobile device.

In addition, the gateway API accesses the DB of the legacy system, obtains the personal health record message according to the HL7 standard format, extracts the XML, CSV, and the like by an internal sender, To the PHR Application Server in the form of JSON.

In addition, the data constituted in the legacy system can be used as a Vital Sign (V / S), medication, medical history, chemotherapy, radiotherapy, vital signs, vaccination, treatment, , Operation history, and medical checkup records.

In addition, the gateway API is preferably provided in a library form so as to interoperate with legacy hospital information systems (Legacy HIS) of various diseases and clinics.

In addition, the personal health record in the PHR application server is configured such that the record generated in the clinic or the clinic and the record inputted by the individual are managed separately from each other in order to improve the reliability of the data at the time of diagnosis of the medical professional.

In addition, a service manager included in the PHR application server is configured to perform a function of extracting data required in a personal health record management, a health consultation service, a dietary movement, and an emergency situation management service .

In addition, the collecting / distributing unit included in the PHR application server is configured to perform a role of integrating or separating data to service the separated data through the PHR application server.

In addition, the measurement data collection API included in the PHR web server constitutes a message according to the HL7 standard format and transmits the collected data from the healthcare meter in the PC device or the mobile device to the PHR web server Server) or to store it in a mobile device.

The operation of the personal health record management service system linked to the hospital information according to the present invention will be described in detail with reference to FIG.

First, a personal health record management service system linked with hospital information according to the present invention includes a gateway API for exchanging data with a legacy system, a PHR application server, a PHR web server, A server (PHR Web Server), and a client device (client device).

The legacy system is composed of ADM (Admission): Hospital D / C, MIS (Management Information System): Management Information System, OCS (Order Communication System): Prescription delivery system Hospital information system that computerizes accurate and prompt communication between departments and information transmission), EMR (Electronic Medical Record): It is composed of electronic medical record.

The Gateway API allows the physician to request a transfer event to transfer medical records, inspection records, and screening records stored in the clinic or clinic to the PHR Application Server when the patient requests his / her personal health record. When a transmission event occurs, the message generator accesses the DB of the legacy system and extracts the data. The message generator obtains the personal health record message according to the HL7 standard format, and sends the message to the sender ) To the PHR application server in the form of XML, CSV, or JSON.

The legacy system is composed of the data of V / S (Vital Sign), medication, medical history, chemotherapy, radiotherapy, vital signs, vaccination, treatment procedure, , And a medical checkup record.

If the healthcare worker generates a reception event to check the patient's personal health record, the data of the HL7 standard format stored in the repository associated with the PHR application server is received by the reception event as XML or CVS, JSON (PHR Application Server), and the data is separated by a message parser, and the data is output on the EMR / OCS screen of the legacy system.

The gateway API is provided in a library form so as to be able to interoperate with legacy HIS (Legacy HIS) of various diseases and clinics.

The PHR Application Server manages the personal health records of patients and clinics transmitted from the legacy system and personal health records of patients.

In addition, the personal health record in the PHR application server is managed separately from the records generated from the illness / council and the records entered by the individual.

This is to increase the reliability of data when diagnosing medical professionals.

And performs the role of integrating or separating data in the collecting / distributing unit in the PHR application server to service the separated data to the user.

The Service Manager in the PHR Application Server performs the role of extracting the data required by personal health record management, health counseling service, dietary exercise, emergency management service, and so on.

The PHR Web Server (PHR Web Server) responds to the requested data to the mobile device or executes the response of the data requested by the PC device user.

The Measurement Data Acquisition API in the PHR Web Server (PHR Web Server) collects the data collected from the healthcare meter in the PC device or the mobile device in accordance with the HL7 standard format and transmits it to the PHR Web Server, And stores it in the mobile device.

Next, FIG. 2 is a flow chart for explaining a personal health record delivery method linked to hospital information according to the present invention. As shown in FIG. 2, when a user (customer) Encrypts the user's PHR data after configuring the PHR data of the requesting user from the EMR / OCS on the legacy system of the hospital, encrypts the PHR data of the user, and encrypts the PHR data of the user using the PHR application server (PHR Application Server) (PHR) application server stores the received data in a storage and transmits the PUSH message to the user, and then transmits the PUSH message to the mobile or PC A second step of determining whether the user is a Web user; if the service type is a mobile user, Data is downloaded to the PHR web server (PHR web server) and the PHR application server (PHR application server), the downloaded PHR data is stored in the personal smart mobile device (terminal), the PHR data is decoded and parsed, A third step of outputting the decrypted PHR data to the DB of the personal smart mobile device (terminal) or outputting the recorded data stored in the DB on the UI of the smart mobile device; and if the service type is PC (Web) And deciphering and parsing the data on the PHR Web Server and outputting the record data on the Web UI of the PC.

Hereinafter, the operation will be described in more detail as follows.

When the user requests the PHR record, the public key and the private key are generated by the public key encryption algorithm such as the RSA algorithm, and the user's public key is transmitted to the PHR web server, PHR application server (PHR application server) to the legacy system (step ①).

After approval of the medical staff in the PHR record request message displayed on the legacy system of the medical staff, the PHR data of the requesting user is configured from the EMR / OCS on the legacy system. At this time, it is configured as an XML document according to the HL7 standard, or the data is configured in the CSV or JSON format (step 2).

The constructed PHR data is encrypted by a symmetric key encryption algorithm such as AES, and the key used in encryption performs public key encryption with the public key of the requesting user. That is, the generated data is the encrypted PHR data and the encrypted symmetric key (step 3).

When two encrypted data are transmitted to the PHR application server (step 4)

The PHR application server stores the received data in a storage (step 5).

And informs the user of the PHR data transmission by transmitting the connection information by way of PUSH or e-mail (step 6).

When the service type is a mobile user, the mobile application is requested to download the requested PHR data to the PHR web server (PHR web server) and the PHR application server (PHR application server) by executing the mobile application through the access information on the received message Step ⑦).

The downloaded PHR data is stored in the personal smart mobile terminal (step 8).

The public key encryption algorithm is decrypted with the private key generated by the user upon request to obtain the key for decrypting the PHR data, and the PHR data is decrypted with this key (step 9).

The decrypted PHR data is stored in the DB of the personal smart terminal or directly outputted to the UI on the smart mobile device. At this time, the data stored in the existing DB is removed based on the hospital code and the identification code of each data (Step 10).

PHR information stored in the DB on the UI of the smart device is output (step 11).

When the service type is a PC (Web) user, it decrypts and parses the data on the PHR Web Server (PHR Web Server). The public key encryption algorithm is decrypted with the private key generated by the user upon request to obtain the key, and the PHR data is decrypted with this key (step 12).

Finally, PHR information is output on the Web UI of the PC (step 13).

It will be apparent to those skilled in the art that various modifications and variations can be made in the present invention without departing from the spirit or scope of the invention.

Therefore, the technical scope of the present invention should not be limited to the contents described in the embodiments but should be determined by the claims and equivalents thereof.

Legacy System: Legacy System
Gateway API: Gateway API
PHR Application Server: PHR Application Server
PHR Web Server: PHR Web Server
Client Device: Client device

Claims (5)

A legacy system including ADM, MIS, and OCS EMR,
When the patient requests his / her personal health record, the healthcare professional generates a transmission event to transmit the medical record, inspection record, and checkup record stored in the clinic / clinic to the PHR application server connected to the subsequent stage, A gateway API for accessing a database of the legacy system and extracting data when an event occurs,
A PHR application server for integrally managing the personal health record of the illness / member transferred from the legacy system and the personal health record of the patient,
A PHR web server (PHR Web Server) that responds to the requested data to the mobile terminal or executes a data response requested by the PC user, and a client device that carries the mobile device. A personalized health record management service system that works together.
The method according to claim 1,
The gateway API accesses the DB of the legacy system and adjusts the extracted data according to the HL7 standard format so as to provide a Vital Sign (V / S), medication, medical history, chemotherapy, radiation therapy, A personal health record message composed of a vital signs, a vaccination, a treatment procedure, an admission record, a test result, an operation history, and a health check record is generated and sent by an internal sender in the form of XML or CSV or JSON to the PHR application To a server (PHR Application Server)
The data constituted in the legacy system can be used for the patient's Vital Sign, Vital Sign, medication, chemotherapy, radiotherapy, vital signs, vaccination, treatment, History, and health check history of the patient.
3. The method according to claim 1 or 2,
Wherein the gateway API is provided in a form of a library for interworking with legacy hospital information systems (Legacy HIS) of various diseases and clinics.
The method according to claim 1,
The personal health record in the PHR application server (PHR Application Server) can be used to improve the reliability of data at the time of diagnosis of a medical professional so that the records generated in the clinic and the clinic and the records inputted by the individual are separated and managed by the collecting / and,
The service manager performs a role of extracting data required in personal health record management, health counseling service, dietary exercise, emergency management service, and personal health record management service system linked with hospital information.
After the user (customer) requests his / her PHR record to the hospital and constructs the PHR data of the requesting user from the EMR / OCS on the legacy system of the hospital, the PHR data of the user is encrypted by AES encryption and the user's public key A first step of encrypting the AES encryption key and transmitting the encrypted data and the encrypted data to the PHR application server through a gateway API (API)
The PHR application server stores the received data in a storage, transmits a PUSH message to the user, and then determines whether the service type is a mobile or a PC (Web) user,
When the service type is a mobile user, the personal PHR record data is requested to be downloaded to the PHR web server (PHR web server) and the PHR application server (PHR application server) through the received PUSH message and the downloaded PHR data After storing the PHR data in the personal smart mobile device (terminal), deciphering and parsing the PHR data transmitted by the AES key decrypted with the user's private key is performed, and the decrypted PHR data is stored in the DB of the personal smart mobile device A third step of outputting the record data stored in the DB on the UI of the smart mobile device,
And a fourth step of decrypting and parsing the data on the PHR Web server and outputting the recorded data on the Web UI of the PC when the service type is a PC (Web) user,
The data encryption in the first step includes AES encryption of the user's PHR record data, RSA encryption of the AES key with the public key of the requested user, and decryption of the data in the third step using the private key of the user. And decrypting the data by the AES decryption method.

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