KR20170061251A - System For Providing Personalized Medical Information Based on Hospital Information System - Google Patents

Abstract

The present invention relates to a clinical research system developed to support a research function not supported by an operating system of a hospital, and a method and system for forming a database structure for performing clinical research. For this, operating system data storage means 200 for receiving and storing data from the electronic medical record system 100 of the medical institution; Clinical data generation means (300) for generating a clinical database based on data stored in the operating system data storage means (200); And a personalized DB means (400) for generating customized medical information for a specific patient or customized medical information for a specific clinical research topic based on the clinical data. Is provided.

Description

BACKGROUND OF THE INVENTION 1. Field of the Invention [0001] The present invention relates to a system for providing patient-

The present invention relates to providing medical information to a patient, and more particularly, to a patient-customized medical information providing system based on hospital information.

The purpose of this study is to extract the medical data of a specific patient group belonging to a customized medical service target, to classify the patients with clinical characteristics such as the body fat percentage, and to develop a service suited to the patient group.

Previously, in order to obtain the clinical data necessary for the development of these services, it was common practice to manually record the patient data required for service development based on the information in the hospital system. However, this is a reason for not using the time of the professional worker efficiently in a way that requires a lot of time and cost, and the data reliability can not be secured due to the manual progress.

Patent Document 10-2004-0107939 discloses a system for electronically generating and managing medical records managed by hospitals and the like. According to this system, medical institutions such as hospitals can input, store , It is possible to search.

With reference to Laid-Open Patent Application No. 10-2008-0068653, a method and system are disclosed for providing confidential communications between healthcare providers and customers for requesting and storing medical records from healthcare providers.

Patent Document 1 discloses that an EMR system can be configured to be linked to wireless recognition so that a patient can be monitored in real time through an EMR system.

Although the EMR system according to these prior arts has made it possible to conveniently store and update medical records digitally and to update or transmit them online to customers, it is an effective way to make medical records recorded in the EMR system available for service development Or the system does not propose.

SUMMARY OF THE INVENTION In order to solve the problems of the prior art, it is an object of the present invention to provide a hospital-information-based patient-customized system capable of effectively extracting clinical data on various requirements and providing clinical data in a more economical and optimized manner Thereby providing a medical information providing system.

To solve the above-mentioned problem, an operating system data storing means 200 for receiving and storing data from the electronic medical record system 100 of a medical institution; Clinical data generation means (300) for generating a clinical database based on data stored in the operating system data storage means (200); And a personalized DB means (400) for generating customized medical information for a specific patient or customized medical information for a specific clinical research topic based on the clinical data. .

The customized DB means 400 includes a patient information DB 410, a biometric information DB, a check information DB 420, a pathology information DB 430, a video information DB, a treatment information DB, a surgery information DB, And a dose information DB.

In addition, the image information DB includes at least one of an X-ray imaging DB, an MRI DB 440, a CT DB 460, an ultrasound DB, a scan DB 480, It is more preferable to include one.

In addition, the operating system data storage unit 200 can receive and synchronize data from the electronic medical record system 100 of the medical institution every predetermined period or at the request of the user.

In addition, it may further include manual input means for manually inputting and storing data in at least one of the clinical data generating means 300 and the custom DB means 400. [

And a transmitting means for transmitting the customized medical information of the customized DB means 400 to the user.

Further, it is most preferable that the mobile terminal further includes a portable terminal carried by the user, and the transmission means is a wireless communication network capable of bidirectional communication with the portable terminal.

The user may also be at least one of a physician, a clinician, a nurse, a pharmacist, a researcher, a server operator, or a patient.

The transmitting means can transmit the customized medical information according to the request of the user.

The customized DB means 400 further includes graph means for graphically illustrating the change of the preselected medical information over time.

The above-described object of the present invention is further classified into an operating system data storing means 200 for storing data from the electronic medical record system 100 of a medical institution and storing the data; A generation step in which the clinical data generation means 300 generates a clinical database based on the data stored in the operating system data storage means 200; And custom DB means (400) for generating customized medical information for a particular patient or customized medical information for a particular clinical study topic based on the clinical data. ≪ RTI ID = 0.0 & And can also be achieved by an information providing method.

The storing step may be performed at regular intervals or at the request of the user.

Further, it is preferable to further perform a manual input step of manually inputting and storing data when either the generating step or the providing step is performed.

In addition, it is preferable to further include a transmitting step of transmitting the customized medical information of the customized DB means 400 to the user.

The transmission step is a step of wirelessly transmitting to the portable terminal carried by the user, and is performed when the user requests it.

It is another object of the present invention to provide a computer program recording medium encoded on at least one non-volatile computer usable medium for use in a computing device, the computer program recording medium being adapted to identify a patient- Readable program code embodied in computer readable program code for causing an operating system data storage means (200) to store a first program for transferring and receiving data from an electronic medical record system (100) of a medical institution, code; A second program code for causing the clinical data generating means (300) to generate a clinical database based on data stored in the operating system data storing means (200); And third program code for generating customized medical information for a particular patient or customized medical information for a particular clinical research topic based on the clinical data. ≪ RTI ID = 0.0 > .

According to the present invention, since data necessary for service development can be extracted from the EMR data of a medical institution to form an analysis database, it is possible to remarkably reduce the time and effort of the researcher for securing data necessary for analysis. In addition, by performing periodic synchronization between the database for analysis and the EMR, the latest and accurate data can be secured. It also enables the researcher or patient to directly enter and modify data in the analytical database, which makes the database updated quickly and easier to manage. In addition, by configuring the clinical data to be transmitted through the communication network, the remote user can use the database without restriction of time and location. According to the data providing system for analysis according to the present invention, data reliability can be ensured and time and cost can be saved when a service is developed, and data analysis can be dramatically advanced.

1 is a block diagram illustrating a schematic data flow of a system according to an embodiment of the present invention;
FIG. 2 is a block diagram showing the connection relationship between the embodiment shown in FIG. 1 and the communication network and peripheral terminals;
Figure 3 is a block diagram of an exemplary computer device for implementing the system shown in Figure 1;
4 illustrates an example of a customized DB table created by customized DB means 400 for a particular patient in accordance with an embodiment of the present invention.
FIG. 5 is a screen showing a clinical database according to an embodiment of the present invention for a specific disease (e.g., prostate cancer).
FIG. 6 is a screen in which manual input means according to an embodiment of the present invention inputs clinical text data in a database.

Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the accompanying drawings.

Prior to this, terms and words used in the present specification and claims should not be construed as limited to ordinary or dictionary meanings, and the inventor should appropriately interpret the concepts of the terms appropriately It should be interpreted in accordance with the meaning and concept consistent with the technical idea of the present invention based on the principle that it can be defined.

It should be noted that the embodiments described herein and the configurations shown in the drawings are only the most preferred embodiments of the present invention and are not intended to represent all of the technical ideas of the present invention and that various equivalents and modifications It should be understood.

1 is a block diagram illustrating a schematic data flow of a system according to an embodiment of the present invention. 1, the medical information providing system 500 of the present invention includes an electronic medical record system 100, an operating system data storing means 200, an extraction conversion loading means 250, a clinical data generating means 300 ), And a customized DB means 400. Hereinafter, each component will be described in detail.

First, the Electronic Medical Record (EHR) (Electronic Medical Record (EHR), or Electronic Health Record (EHR), 100) is a system that digitizes all information about the patient such as patient's personal history, medical history, And generally constitutes a part of the whole hospital information system which covers hospital medical care and administration.

An ODS (Operational Data Store) 200 is a storage for storing data, and is configured to copy and store patient data recorded in the electronic medical record system 100 according to an embodiment of the present invention . That is, the operating system data storage unit 200 is a copy of the electronic medical record system 100, in which data on all the patients in the electronic medical record system 100 are transferred as it is. The operating system data storage means 200 is for not imposing load on the hospital's electronic medical record system 100 in the process of extracting clinical data described later. However, if the load of the electronic medical record system 100 of the hospital is not burdened, the clinical data generating means 300 to be described later may receive the data directly from the electronic medical record system 100.

Since the operating system data storage means 200 is a copy of the patient data of the electronic medical record system 100, it is important to maintain the consistency with the electronic medical record system 100 and the up-to-date data. For this, the operating system data storage means 200 periodically synchronizes with the electronic medical record system 100. The shorter the synchronization period is, the more advantageous it is in securing the data up-to-date. However, this means an increase in the cost for securing the required system resources (hardware and software), and therefore, considering the available system resources, the load given to the electronic medical record system 100, It is desirable to determine an optimal synchronization period. For example, the period of synchronization can be daily, weekly, monthly or quarterly. Furthermore, it is possible to minimize the load time by using a time zone (night, weekend, etc.) where the electronic medical record system 100 has a relatively long time period of synchronization.

The clinical data warehouse (CDW) 300 is a database according to an embodiment of the present invention. The clinical data warehouse 300 is a data warehouse It is a warehouse database table generated by extracting patient data necessary for developing information (or healthcare service model) providing system and reconstructing them for each subject. That is, the clinical data generation means 300 extracts various data such as patient data and disease data from the operating system data storage means 200, thereby creating a large database table.

The reason why the clinical data generating means 300 is necessary is for the effective operation of the system. In other words, when data is directly fetched from the operating system data storage means 200 for the customized DB means 400, it is troublesome to repeat the operation for every disease. Therefore, it is effective to generate a custom DB from the clinical data generation means 300, which is generated by extracting data from the operating system data storage means 200 and classifying the data by the main system.

In the prior art, since the researcher has to organize and input the data in the electronic medical record system 100 by hand and use it in clinical research, it takes much time and effort, and due to the characteristics of inputting by hand, It is difficult to ensure consistency with the data of the mobile terminal 100. In the present invention, since the patient data necessary for the clinical research is automatically extracted from the copy of the data of the electronic medical record system 100 stored in the operating system data storage means 200 to form a database, time and effort required for database formation are significantly reduced Thereby ensuring compatibility with the electronic medical record system 100 data.

The extraction of the patient data from the operating system data storage means 200 and the loading of the patient data into the clinical data generation means 300 may be performed by extracting and converting the necessary patient data, (ETL tool: Extraction, Transformation, Loading Tool, 250). Since the extraction and conversion loading means 250 is well known to those skilled in the art, a detailed description thereof will be omitted.

The customized DB means 400 is a database (a kind of data mart) reconstructed at a small scale according to a specific patient, a specific clinical research topic, or a specific customized service model. For this purpose, a predetermined query or a query input by the user is used for each small table. The clinician or researcher can access the customized DB means 400 to obtain necessary clinical data. The customized DB means 400 is a database that is processed in the form required by the end user. Examples of such users may be doctors, clinicians, nurses, pharmacists, researchers, server operators, patients, and the like.

For example, the customized DB means 400 illustrated in FIG. 1 includes a patient DB 410, a test DB 420, a pathology DB 430, a surgery DB 450, The RT database 470, the CT DB 460, the scan DB 480, and the MRI DB 440 are classified and arranged. However, this is only an example and can be classified into various forms according to the research topic or service model and given circumstances. For example, in the case of other service models, it may include a prescription information DB, a medication information DB, an X-ray imaging DB, an ultrasound DB, an image DB for evaluating the progression of disease and the progression to other organs.

FIG. 2 is a block diagram illustrating the connection relationship between the embodiment shown in FIG. 1 and the communication network and peripheral terminals. 2, a medical information providing system 500 according to an embodiment of the present invention includes a clinical doctor 710, a researcher 720, a patient 730, a service developer, A server operator, and the like. In FIG. 2, although the user is displayed only as a person, it may actually be a client computer (e.g., a personal computer) or a portable terminal (e.g., notebook, tablet, or smart phone) held by each user. The connection between the communication network 600 and the user can be realized by wire or wireless communication.

More specifically, the communication network 600 includes all networks capable of data communication such as a public network such as the Internet, a private network, a local area network in a hospital, and a 3G cellular network. A user terminal may be a computing device with a network interface, for example, a computer including a microprocessor, a tablet, a smart phone, a PDA, and various other computing devices.

In FIG. 2, the user terminal can access the medical information providing system 500 of the present invention through a communication network to obtain necessary clinical research data. On the other hand, as shown by a dotted line in FIG. 2, the medical information providing system 500 and the electronic medical record system 100 periodically synchronize with each other to ensure data updating and consistency.

In addition, it is preferable that the medical information providing system 500 and the user terminals 710, 720 and 730 illustrated in FIG. 2 are capable of bi-directional communication through the communication network 600. That is, it is possible for the user terminals 710, 720, and 730 to input and record data into the medical information providing system 500 within a predetermined range, rather than simply consuming data. For example, when the medical information providing system 500 sends the questionnaire items to the user terminals 710, 720, and 730, the user inputs the contents and returns them to the medical information providing system 500. The input from the user terminals 710, 720 and 730 and the input by the clinical data generating means 300 are configured. For this purpose, data communication between the medical information providing system 500 and the user terminals 710, 720 and 730 is preferably made using a server-client application or a mobile app. Means for enabling input into the database, server-client applications, mobile apps, and the like are well known to those of ordinary skill in the art, and will not be described in detail here.

3 is a block diagram of an exemplary computer device for implementing the medical information providing system 500 shown in FIG. Includes a processor 510, a display 520, an input device 530, and a network device 540, as shown in FIG. The medical information providing system 500 is configured to be able to communicate with each of the user terminals 710, 720, and 730 through the communication network 600 using the network device 540. The medical information providing system 500 is connected to the electronic medical record system 100 of the medical institution such as a hospital through the network device 540 and is connected to the operating system data storing means 200 in the medical information providing system 500, Maintains and periodically synchronizes a copy of the data in memory 100.

Meanwhile, the operating system data storage unit 200, the clinical data generating unit 300, and the custom DB unit 400 according to an embodiment of the present invention may be implemented as data storage such as a hard disk.

The clinical data generating means 300 generates and maintains a clinical data DB table by extracting, sorting and loading data necessary for clinical research from the electronic medical record system 100 data copied to the operating system data storing means 200.

 3, the operating system data storing means 200, the clinical data generating means 300 and the custom DB means 400 are shown as being held in one physical data storage (dotted line) in order to facilitate understanding of the present invention , But is not limited thereto. For example, it is preferable that the operating system data storing means 200, the clinical data generating means 300, and the custom DB means 400 are separately or separately stored in separate physical storage in consideration of a given condition and cost You may. One of ordinary skill in the art will be able to properly configure the physical layout to meet various needs.

4 is a diagram illustrating an example of a customized DB table created by customized DB means 400 for a particular patient in accordance with an embodiment of the present invention. 4, a plurality of diagnostic information DB, a medication information DB, an image data DB, a surgery / anesthesia history DB, a test DB, a prescription DB, and other DBs Respectively. A specific patient can visually confirm his / her medical record through the customized DB table as shown in FIG.

FIG. 5 is a screen showing a clinical database according to an embodiment of the present invention for a specific disease (for example, prostate cancer). As shown in FIG. 5, all the data in the electronic medical record system 100 can be viewed item by item. On the right side of FIG. 5, a summary page is constructed. The summary page displays a PSA value and a treatment method according to each patient's date on a graph by date, thereby allowing a clinician, a service developer, PSA level changes provide an interpretation of recurrence and therapeutic effects.

As illustrated in FIG. 5, the medical information providing system 500 according to the present invention is configured to provide an interpretation of medical data, rather than merely displaying data. For example, when the PSA value, which is an indicator of the likelihood of prostate cancer recurrence, exceeds the threshold value, the user is cautioned by displaying different colors.

FIG. 6 is a screen in which manual input means according to an embodiment of the present invention inputs clinical text data in a database. As shown in FIG. 6, text information can be easily input by the user through a text editor in MRI and pathology reports. This has the advantage of being able to directly verify or correct errors that occur while entering source data.

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. And various modifications and variations are possible within the scope of the appended claims.

100: Electronic Medical Record System (EMR),
200: operating system data storage means (ODS),
250: Extraction transforming means (ETL),
300: clinical data generation means (CDW),
400: customized DB means,
410: patient DB,
420: inspection DB,
430: Pathology DB,
440: MRI DB,
450: operation DB,
460: CT DB,
470: RT DB,
480: Scanning DB,
500: Medical information providing system,
510: processor,
520: display,
530: input device,
540: network device,
600: communication network
710: Clinician's terminal,
720: Researcher terminal,
730: patient terminal.

Claims (18)

Operating system data storing means (200) for receiving and storing data from the electronic medical record system (100) of a medical institution;
Clinical data generation means (300) for generating a clinical database based on data stored in the operating system data storage means (200); And
And a customized DB means (400) for generating customized medical information for a specific patient or customized medical information for a specific clinical research topic based on the clinical data. . The method according to claim 1,
The personalized DB means 400 includes a patient information DB 410, a biometric information DB, an examination information DB 420, a pathology information DB 430, an image information DB, a radiation treatment information DB, a surgery information DB, And a medication information database (DB). 3. The method of claim 2,
The image information DB includes at least one of an X-ray imaging DB, an MRI DB 440, a CT DB 460, an ultrasound DB, a main scan DB 480, an image DB for evaluating the progression to another organ, Wherein the medical information providing system is a hospital-based information providing system. The method according to claim 1,
Wherein the operating system data storage means (200) receives and synchronizes data from the electronic medical record system (100) of the medical institution every predetermined period or at the request of the user. The method according to claim 1,
Further comprising manual input means for manually inputting and storing data in at least one of the clinical data generating means (300) and the custom DB means (400) . The method according to claim 1,
Further comprising transmission means for transmitting the customized medical information of the personalized DB means (400) to a user. The method according to claim 6,
Further comprising a portable terminal carried by the user, and
Wherein the transmitting means is a wireless communication network capable of bidirectional communication with the portable terminal. 8. The method of claim 7,
Wherein the user is at least one of a physician, a clinician, a nurse, a pharmacist, a researcher, a server operator, and a patient. The method according to claim 6,
Wherein the transmitting means transmits the customized medical information according to the request of the user. The method according to claim 1,
Wherein the personalized DB means (400) further comprises a graph means for graphically showing a transition of the preselected medical information over time. A storage step in which operating system data storage means (200) receives and stores data from an electronic medical record system (100) of a medical institution;
A generation step in which the clinical data generation means 300 generates a clinical database based on the data stored in the operating system data storage means 200; And
Characterized in that the personalized DB means (400) generates customized medical information for a specific patient or customized medical information for a specific clinical research topic based on the clinical data. Information delivery method. 12. The method of claim 11,
The personalized DB means 400 includes a patient information DB 410, a biometric information DB, a check information DB 420, a pathology information DB 430, an image information DB, a treatment information DB, a surgery information DB, a prescription information DB, And the information DB is generated based on the hospital information. 12. The method of claim 11,
Wherein the storing step is performed at regular intervals or at a request of a user. 12. The method of claim 11,
Further comprising a manual input step of manually inputting and storing data when one of the generating step and the providing step is performed. 12. The method of claim 11,
Further comprising a transmitting step of transmitting the customized medical information of the personalized DB means (400) to a user. 16. The method of claim 15,
Wherein the transmitting step is a step of wirelessly transmitting to the portable terminal carried by the user. 17. The method of claim 16,
Wherein the transferring step is performed when the user is at the request of the user. A computer program recording medium encoded on at least one non-volatile computer usable medium for use in a computing device,
And computer readable program code embodied in the medium for identifying a patient-customized medical information provision device based on a hospital information, the computer readable program code comprising:
A first program code for the operating system data storing means (200) for receiving and storing data from the electronic medical record system (100) of the medical institution;
A second program code for causing the clinical data generation means (300) to generate a clinical database based on data stored in the operating system data storage means (200); And
And third program code for generating customized medical information for a particular patient or customized medical information for a particular clinical study topic based on the clinical data.

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