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WO2012141514A2 - Système pour relayer des informations médicales, appareil pour fournir des informations médicales et procédé pour relayer des informations médicales - Google Patents

Système pour relayer des informations médicales, appareil pour fournir des informations médicales et procédé pour relayer des informations médicales Download PDF

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Publication number
WO2012141514A2
WO2012141514A2 PCT/KR2012/002792 KR2012002792W WO2012141514A2 WO 2012141514 A2 WO2012141514 A2 WO 2012141514A2 KR 2012002792 W KR2012002792 W KR 2012002792W WO 2012141514 A2 WO2012141514 A2 WO 2012141514A2
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WO
WIPO (PCT)
Prior art keywords
information
medical
patient
request
medical institution
Prior art date
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Ceased
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PCT/KR2012/002792
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English (en)
Korean (ko)
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WO2012141514A3 (fr
Inventor
정복동
김소원
정숙희
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Infinitt Healthcare Co Ltd
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Infinitt Healthcare Co Ltd
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Publication date
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Publication of WO2012141514A2 publication Critical patent/WO2012141514A2/fr
Publication of WO2012141514A3 publication Critical patent/WO2012141514A3/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records

Definitions

  • the present invention relates to a system for relaying medical information between medical institutions, and more particularly, to a system, an apparatus, and a method for receiving a medical history of a patient online even when a patient moves to a hospital.
  • the present invention is derived from research conducted as part of the Knowledge Economy Technology Innovation Project (Industrial Source Technology Development Project) of the Ministry of Knowledge Economy and Korea Institute of Industrial Technology Evaluation and Management. [Task Management Number: 10038419, Title: Intelligent Image Diagnosis and Treatment Support system].
  • the hospital server cannot directly transmit and store data to an external server, and in the case of leaking medical information (including medical image data) stored in the hospital, the approval of the doctor in charge is necessary.
  • An object of the present invention is to provide a medical information relay system, a providing apparatus, and a relay method that can continuously receive his / her medical history when a patient uses unique authentication information. .
  • the present invention provides a medical information that the patient can be provided with the record and medical information (including medical image data) that was previously treated in the hospital through the terminal of the hospital where the patient is currently located, using the unique authentication information.
  • An object of the present invention is to provide a relay system, a providing apparatus, and a relay method. At this time, regardless of the location of the hospital currently located, the patient can obtain the medical information of the previous hospital through the relay system using the unique authentication information granted to the patient.
  • the present invention provides an authentication and data transmission protocol for implementing the medical information relay system, the providing apparatus, and the relay method under the limitation of the current medical law. It aims to do it.
  • an authentication and transmission method is provided for implementing data sharing and transmission in a situation where access to the hospital server from the outside is prohibited and only one-way network access is allowed from the hospital server.
  • an object of the present invention is to provide an authentication and data transmission protocol in which the confirmation process of the hospital providing the medical information is naturally performed in the process of relaying the medical information.
  • the medical information relay system in the medical information relay system for relaying medical information, request information list corresponding to the medical information request of the patient received from the first medical institution And relay server for storing the medical information of the patient received from the second medical institution; And a client terminal that checks the request information list stored in the relay server, confirms the request information for providing medical information, and transmits the medical information of the patient corresponding to the checked request information to the relay server. And the relay server generates and transmits the medical institution authentication information of the second medical institution, which is correlated with the received medical information request of the patient, to the client terminal, and wherein the client terminal is received from the relay server.
  • the medical information of the patient corresponding to the confirmed request information is relayed. Send to server.
  • the relay server generates the request information including identification information for the second medical institution, identification information of the patient, and authentication information corresponding to the medical institution authentication information, and the client terminal is received from the relay server.
  • the request information may be confirmed and authenticated using the medical institution authentication information and the identification information about the second medical institution.
  • the client terminal may remove the personal information from the medical information of the patient corresponding to the request information and transmit the personal information to the relay server, and after adding the medical institution authentication information to the medical information of the patient corresponding to the request information, the preset method Can be encrypted and transmitted to the relay server.
  • the apparatus may further include a second client terminal that requests and receives the retrieved medical information from the relay server.
  • Medical information relay system in the medical information relay system for relaying medical information, medical institution authentication of the second medical institution that is interconnected to the request of the medical information of the patient through the first medical institution An authentication unit generating information and transmitting the generated medical institution authentication information to the second medical institution; A database for receiving and storing request information corresponding to the medical information request of the patient from the first medical institution and receiving and storing medical information of the patient corresponding to the request information from the second medical institution; And confirming the second medical institution using at least one first identification information included in the request information, and using the medical institution authentication information presented from the second medical institution, the request information and the second medical institution. And a control unit for controlling the database to receive the medical information of the patient corresponding to the request information from the second medical institution when the correspondence relationship between the two is authenticated.
  • the controller may retrieve medical information of the patient corresponding to the request information from the database by using the first identification information and at least one second identification information included in the medical information of the patient.
  • the controller may transmit the retrieved medical information of the patient to the first medical institution when the medical information of the patient is requested from the first medical institution after the medical information of the patient is searched.
  • the authentication unit generates the patient authentication information of the patient which is correlated with the medical institution authentication information together with the medical institution authentication information, and transmits the generated patient authentication information to the patient, and the request information is the first medical institution.
  • patient authentication information of the patient inputted through the control unit, and the controller may authenticate a corresponding relationship between the request information and the second medical institution by further using the patient authentication information of the patient included in the request information. .
  • the first identification information includes an identification number of the second medical institution, an identification number of the patient, and the medical institution authentication information
  • the second identification information includes an identification number of the second medical institution and an identification number of the patient.
  • input information corresponding to patient authentication information of the patient.
  • the authentication unit generates system authentication information that is correlated with the medical institution authentication information and the patient authentication information of the patient, and the controller is configured to request the request based on the first identification information, the second identification information, and the system authentication information.
  • the correspondence authentication between the information and the second medical institution and the search of the database for the medical information of the patient may be simultaneously performed.
  • a medical information providing apparatus is a medical information providing apparatus for providing medical information to a relay server for relaying medical information between medical institutions, wherein the medical information of the first patient stored in the relay server is requested.
  • a searcher for searching the first request information corresponding to the provided medical institution from the at least one request information;
  • a storage unit configured to receive and store medical information of the first patient corresponding to the first request information from the providing medical institution when the first request information is confirmed by the search unit; And the first request information corresponding to the first request information stored in the storage unit when the corresponding relationship between the first request information and the providing medical institution is authenticated by the medical institution authentication information of the providing medical institution received from the relay server. It includes a transmission unit for transmitting the medical information of the patient to the relay server.
  • the search unit transmits the second request information for requesting the medical information of the second patient to the relay server at the request of the second patient, and then searches for the relay server to search for the medical information of the second patient.
  • 2 may request and receive medical information of the patient from the relay server, and store the received medical information of the second patient in the storage unit.
  • the medical information relay method is a medical information relay method for relaying medical information, comprising: (a) a second medical institution interconnected to a request for medical information of a patient through a first medical institution at a relay server; Generating medical institution authentication information of the medical institution and transmitting the generated medical institution authentication information to the second medical institution; (b) receiving and storing request information corresponding to the medical information request of the patient from the first medical institution in the relay server, and receiving medical information of the patient corresponding to the request information from the second medical institution; Storing; (c) the relay server identifies the second medical institution using at least one or more pieces of first identification information included in the request information, and uses the medical institution authentication information presented from the second medical institution to request the request information. Authenticating a correspondence relationship between the second medical institution and the second medical institution; And (d) controlling the reception of medical information of the patient corresponding to the request information from the second medical institution when the correspondence relationship is authenticated at the relay server.
  • Step (b) may include (b-1) removing personal information from the medical information of the patient corresponding to the request information at the second medical institution; (b-2) adding and encrypting the medical institution authentication information received from the relay server to the medical information of the patient from which the personal information is removed at the second medical institution; (b-3) transmitting the encrypted medical information of the patient to the relay server at the second medical institution; And (b-4) decrypting and storing the medical information of the patient received from the second medical institution at the relay server.
  • a portal service can be implemented in which a patient can receive and refer to his / her medical information (including medical image data) stored in the first hospital at the second hospital using his unique authentication information. At this time, the patient can receive the medical information stored in the previous hospital in the third and fourth hospital as well as the second hospital by using his own authentication information, thereby managing his / her medical history.
  • the relay server provides the request information list for the medical information, and the client terminal located in each hospital accesses the relay server to perform the check and authentication process for the request information list, so that the data flows in one direction. Even if it is only in progress, it is possible to implement a portal service that can share and relay medical information between hospitals.
  • the identification number including the hospital identification number, patient identification number, etc.
  • the authentication information including the hospital identification number, patient identification number, etc.
  • the request and authentication for medical information is made together, and the client terminal of the medical information receiving hospital side
  • the client terminal of the medical information receiving hospital side By simultaneously searching and authenticating information, it is possible to seamlessly relay and share medical information.
  • the verification and authentication process of the hospital providing the medical information is naturally performed, thereby ensuring the reliability of the medical information.
  • Figure 1 shows a schematic configuration for explaining the medical information relay system of the present invention.
  • FIG. 2 illustrates a configuration of a medical information relay system according to an embodiment of the present invention.
  • FIG. 3 illustrates an embodiment configuration of the client terminal shown in FIG. 2.
  • Figure 4 shows a schematic diagram for explaining the data flow process between the client terminal and the relay server of the hospital.
  • FIG. 5 is a flowchart illustrating an operation of a relay server for a method for relaying medical information according to an embodiment of the present invention.
  • FIG. 6 is a flowchart illustrating a further operation of the medical information relay method shown in FIG. 5.
  • FIG. 7 is a flowchart illustrating an operation of a providing hospital client terminal for a medical information relay method according to an exemplary embodiment of the present invention.
  • FIG. 8 is a flowchart illustrating an operation of a receiving hospital client terminal for a medical information relay method according to an embodiment of the present invention.
  • FIG. 9 is a diagram illustrating a relationship between authentication information generated by a relay server.
  • the medical information relay system in the medical information relay system for relaying medical information, request information list corresponding to the medical information request of the patient received from the first medical institution And relay server for storing the medical information of the patient received from the second medical institution; And a client terminal that checks the request information list stored in the relay server, confirms the request information for providing medical information, and transmits the medical information of the patient corresponding to the checked request information to the relay server. And the relay server generates and transmits the medical institution authentication information of the second medical institution, which is correlated with the received medical information request of the patient, to the client terminal, and wherein the client terminal is received from the relay server.
  • the medical information of the patient corresponding to the confirmed request information is relayed. Send to server.
  • the relay server generates the request information including identification information for the second medical institution, identification information of the patient, and authentication information corresponding to the medical institution authentication information, and the client terminal is received from the relay server.
  • the request information may be confirmed and authenticated using the medical institution authentication information and the identification information about the second medical institution.
  • the client terminal may remove the personal information from the medical information of the patient corresponding to the request information and transmit the personal information to the relay server, and after adding the medical institution authentication information to the medical information of the patient corresponding to the request information, the preset method Can be encrypted and transmitted to the relay server.
  • the apparatus may further include a second client terminal that requests and receives the retrieved medical information from the relay server.
  • Medical information relay system in the medical information relay system for relaying medical information, medical institution authentication of the second medical institution that is interconnected to the request of the medical information of the patient through the first medical institution An authentication unit generating information and transmitting the generated medical institution authentication information to the second medical institution; A database for receiving and storing request information corresponding to the medical information request of the patient from the first medical institution and receiving and storing medical information of the patient corresponding to the request information from the second medical institution; And confirming the second medical institution using at least one first identification information included in the request information, and using the medical institution authentication information presented from the second medical institution, the request information and the second medical institution. And a control unit for controlling the database to receive the medical information of the patient corresponding to the request information from the second medical institution when the correspondence relationship between the two is authenticated.
  • the controller may retrieve medical information of the patient corresponding to the request information from the database by using the first identification information and at least one second identification information included in the medical information of the patient.
  • the controller may transmit the retrieved medical information of the patient to the first medical institution when the medical information of the patient is requested from the first medical institution after the medical information of the patient is searched.
  • the authentication unit generates the patient authentication information of the patient which is correlated with the medical institution authentication information together with the medical institution authentication information, and transmits the generated patient authentication information to the patient, and the request information is the first medical institution.
  • patient authentication information of the patient inputted through the control unit, and the controller may authenticate a corresponding relationship between the request information and the second medical institution by further using the patient authentication information of the patient included in the request information. .
  • the first identification information includes an identification number of the second medical institution, an identification number of the patient, and the medical institution authentication information
  • the second identification information includes an identification number of the second medical institution and an identification number of the patient.
  • input information corresponding to patient authentication information of the patient.
  • the authentication unit generates system authentication information that is correlated with the medical institution authentication information and the patient authentication information of the patient, and the controller is configured to request the request based on the first identification information, the second identification information, and the system authentication information.
  • the correspondence authentication between the information and the second medical institution and the search of the database for the medical information of the patient may be simultaneously performed.
  • a medical information providing apparatus is a medical information providing apparatus for providing medical information to a relay server for relaying medical information between medical institutions, wherein the medical information of the first patient stored in the relay server is requested.
  • a searcher for searching the first request information corresponding to the provided medical institution from the at least one request information;
  • a storage unit configured to receive and store medical information of the first patient corresponding to the first request information from the providing medical institution when the first request information is confirmed by the search unit; And the first request information corresponding to the first request information stored in the storage unit when the corresponding relationship between the first request information and the providing medical institution is authenticated by the medical institution authentication information of the providing medical institution received from the relay server. It includes a transmission unit for transmitting the medical information of the patient to the relay server.
  • the search unit transmits the second request information for requesting the medical information of the second patient to the relay server at the request of the second patient, and then searches for the relay server to search for the medical information of the second patient.
  • 2 may request and receive medical information of the patient from the relay server, and store the received medical information of the second patient in the storage unit.
  • the medical information relay method is a medical information relay method for relaying medical information, comprising: (a) a second medical institution interconnected to a request for medical information of a patient through a first medical institution at a relay server; Generating medical institution authentication information of the medical institution and transmitting the generated medical institution authentication information to the second medical institution; (b) receiving and storing request information corresponding to the medical information request of the patient from the first medical institution in the relay server, and receiving medical information of the patient corresponding to the request information from the second medical institution; Storing; (c) the relay server identifies the second medical institution using at least one or more pieces of first identification information included in the request information, and uses the medical institution authentication information presented from the second medical institution to request the request information. Authenticating a correspondence relationship between the second medical institution and the second medical institution; And (d) controlling the reception of medical information of the patient corresponding to the request information from the second medical institution when the correspondence relationship is authenticated at the relay server.
  • Step (b) may include (b-1) removing personal information from the medical information of the patient corresponding to the request information at the second medical institution; (b-2) adding and encrypting the medical institution authentication information received from the relay server to the medical information of the patient from which the personal information is removed at the second medical institution; (b-3) transmitting the encrypted medical information of the patient to the relay server at the second medical institution; And (b-4) decrypting and storing the medical information of the patient received from the second medical institution at the relay server.
  • medical information used in the present invention may include not only medical image data photographed by the medical imaging apparatus, but also data processed by the photographed medical image data and all data related to medical care.
  • the medical imaging apparatus may include computed tomography (CT), magnetic resonance imaging (MRI), X-ray imaging (X-ray), and ultrasound (US). And all devices capable of taking medical images such as Positron Emission Tomography (PET) and single photon emission computed tomography (SPECT).
  • CT computed tomography
  • MRI magnetic resonance imaging
  • X-ray X-ray imaging
  • US ultrasound
  • PET Positron Emission Tomography
  • SPECT single photon emission computed tomography
  • Figure 1 shows a schematic configuration for explaining the medical information relay system of the present invention
  • the medical information relay system of the present invention is a relay server 100, providing medical institution (hospital A) 200 and receiving medical institution ( Hospital B) 300.
  • the providing medical institution 200 refers to a hospital that provides the medical information of the patient to another medical institution through the relay server 100 at the request of the patient, and the receiving medical institution 300 provides the relay server 100.
  • the hospital requesting the medical information of the patient and receiving the medical information of the patient provided by the providing medical institution.
  • the providing medical institution 200 and the receiving medical institution 300 are illustrated as one, but are not limited thereto. That is, it is apparent to those skilled in the art that the present invention can share and relay medical information through a plurality of providing medical institutions and a plurality of receiving medical institutions through the relay server 100.
  • the hospital A 200 is provided as a receiving medical institution
  • the hospital B 300 is called as a receiving medical institution. It is assumed and explained.
  • the present invention provides medical information of a patient in hospital A 200 when a patient is discharged from hospital A 200 and is again treated or hospitalized in hospital B 300. ) To share the patient's medical information through the relay server 100 so as to be shared in the), and to provide a portal service.
  • hospital A 200
  • hospital B 300
  • the patient in order to share the medical information and provide the portal service, subscribe to the relay server 100 for sharing the medical information and the portal service to apply for the service in advance You can do it.
  • the patient receives authentication information about the patient from the relay server 100 when the patient requests a service to receive the medical information stored in the hospital A 200 in the hospital A 200 by the relay server 100.
  • the hospital B 300 In order to share the medical information of the patient stored in the hospital A 200, the hospital B 300 requests the medical information of the patient to the relay server 100 and then inquires the medical information, and the medical information of the requested patient is a relay server ( If present at 100, the medical information of the patient is imported from the relay server 100.
  • the hospital A 200 transmits the requested medical information to the relay server 100 when the request information corresponding to the medical information requested by the hospital B 300 exists.
  • the hospital A 200 and the hospital B 300 have a client terminal on which a client program is mounted, and request medical information to the relay server 100 through the client terminal or transmit medical information of the patient to the relay server 100. do.
  • the relay server 100 is located between the hospital A (200) and the hospital B (300). By storing the request information requested from the hospital B (300) and the medical information of the patient received from the hospital A (300), a portal that can share the medical information of the patient stored in the hospital A (200) in the hospital B (300) Provide service.
  • the medical information relay system of the present invention will be described in detail with reference to FIGS. 2 to 4.
  • FIG. 2 illustrates a configuration of a medical information relay system according to an embodiment of the present invention.
  • the relay server 100 includes an authenticator 110, a database 120, and a controller 130, and the hospital A 200 and the hospital B 300 are client terminals 210 and 310. It includes.
  • the hospital A 200 and the hospital B 300 may include a medical information storage server (not shown), for example, PACS, which stores medical information of a patient.
  • a medical information storage server for example, PACS, which stores medical information of a patient.
  • the authentication unit 110 is the patient authentication information (K ') of the patient requesting his medical information, the medical institution authentication information (K) and the system authentication information (K ") of the hospital A (200) in which the medical information of the patient is stored. Generates and transmits the generated patient authentication information (K ′) and the medical institution authentication information (K) to the patient and the hospital A (200).
  • the patient authentication information K ', the medical institution authentication information K, and the system authentication information K "generated at this time are interconnected as shown in Fig. 9.
  • the authentication information K', K, K ") confirms the request information corresponding to the medical information of the hospital A 200 from the request information list stored in the database 120 in the hospital A 200, or the medical information stored in the database 120 in the hospital B 300. It may be used when retrieving medical information of a patient corresponding to the requested information from the information.
  • the authentication information (K ', K, K ") may also be used for the corresponding relationship authentication between the request information and the hospital A (200), authentication for the patient and authentication for the hospital. They can be used simultaneously to verify requested information, retrieve medical information and authenticate.
  • the authentication unit 110 may generate authentication information at the request of the client terminal 210 of the hospital A 200 when the patient is discharged from the hospital A 200.
  • the patient may be generated when the patient's medical information is requested from the client terminal 310 of the hospital B 300 to be treated or hospitalized again.
  • the database 120 stores a list of request information requested by the hospital B 300 and medical information of a patient received / stored from the hospital A 200.
  • the request information list means a list of request information
  • the request information means information for requesting medical information of the patient from the hospital B 300.
  • the request information may include identification numbers and authentication information for the patient and the hospital.
  • the request information may include hospital A's identification number (hospital A ID), patient's identification number (patient ID), hospital B's identification number (hospital B ID), and patient authentication information.
  • the identification number of the hospital A, the identification number of the patient and the identification number of the hospital B means a unique identification number given when subscribing to the portal service of the present invention, and the patient authentication information included in the request information is relay server 100.
  • the medical information When the medical information is requested, it may be input through the client terminal 310 of the hospital B as patient authentication information received by the terminal of the patient, for example, a mobile phone.
  • the medical information of the patient stored in the database 120 is medical information from which personal information has been removed, and when the encrypted medical information of the patient is received from the hospital A 200, the medical information of the patient may be duplicated and stored.
  • the controller 130 inquires at least one request information related to the hospital A 200 from the request information list stored in the database 120, and the hospital A 200.
  • control unit 130 uses the cross-relationship between the hospital A authentication information K and the patient authentication information K 'included in the request information and the system authentication information K ", and the inquired request information and the hospital A The correspondence relationship of can be authenticated.
  • the controller 130 uses the patient's medical information (including identification information) and the identification information included in the request information and the system authentication information stored in the database 120, to control the patient's medical information corresponding to the request information.
  • the medical information of the patient is requested from the hospital B 300 and the patient is requested from the database 120, the medical information of the retrieved patient is transmitted to the hospital B 300.
  • the identification information included in the medical information includes hospital A's identification number (hospital A ID), patient's identification number (patient ID), and hospital A's medical institution authentication information (hospital A authentication information),
  • the identification information included may include hospital A's identification number (hospital A ID), patient's identification number (patient ID), hospital B's identification number (hospital B ID), and patient authentication information.
  • the controller 130 performs authentication for the hospital B and authentication of the patient based on the hospital B identification number and the patient authentication information included in the patient's request for medical information requested by the hospital B 300. If successful, the request information corresponding to the medical information request is stored in the database 120.
  • the controller 130 may generate a hospital ID and a patient ID provided when the subscriber subscribes to the relay server 100 that provides medical information sharing and portal service, and a hospital service request for the patient's medical information.
  • the request information corresponding to the hospital A can be checked and the corresponding relationship authentication, the medical information search corresponding to the fairy information, and the patient authentication are simultaneously performed. It controls the reception of the medical information transmitted from and the transmission of the stored medical information to the hospital B (300).
  • the client terminal of the hospital A (hereinafter, referred to as a "first client terminal") 210 transmits the medical institution authentication information K of the hospital A generated by the relay server 100 according to the request of the medical information of the patient. 100, and confirms the request information whose corresponding relationship is authenticated from the request information list stored in the relay server 100 using the predetermined hospital A ID and the hospital A authentication information K.
  • the first client terminal 210 is a hospital A authentication received from the hospital A and the relay server 100, as a schematic diagram for explaining a data flow process between the client terminals and the relay server of the hospital shown in FIG.
  • the relay server 100 may query the request information corresponding to the hospital A using the information.
  • the first client terminal 210 may check the patient ID through identification information included in the request information.
  • the first client terminal 210 transmits the medical information of the patient corresponding to the confirmed request information to the relay server 100.
  • the first client terminal 210 removes the personal information from the patient's medical information, adds the hospital A authentication information generated in relation to the medical information to the patient's medical information from which the personal information has been removed, and then sets the preset method. Can be encrypted and transmitted to the relay server 100.
  • Medical information transmitted from the first client terminal 210 to the relay server 100 includes medical information, hospital A ID, patient ID, and hospital A authentication information from which personal information is removed, as shown in FIG. 4. do.
  • the first client terminal 210 periodically checks or inquires the request information stored in the relay server 100, and when the request information for which the corresponding relationship is verified is checked, the first client terminal 210 may check the medical information of the patient corresponding to the confirmed request information. It will be provided to the relay server 100.
  • the start of the flow of data may be performed only in one direction transmitted from the hospital A 200 to the relay server 100. have. That is, the start of data transmission from the first client terminal 210 to the relay server 100 is performed in one direction by the hospital A 200.
  • the client terminal of the hospital B (hereinafter referred to as "second client terminal") 310 requests the medical information of the patient to the relay server 100 according to the medical information request of the patient, and the request information corresponding to the medical information request. If authentication of the patient and the hospital B 300 is successful using the patient authentication information K ′ included in the hospital B ID and the hospital B 300, the relay server 100 periodically searches for the medical information of the patient corresponding to the request information. .
  • the second client terminal 310 is a hospital A ID included in the request information (medical information request), the patient ID, patient authentication information, and the hospital A ID included in the medical information as shown in the example shown in FIG.
  • the medical information corresponding to the requested information may be searched based on the patient ID and the hospital A authentication information.
  • the second client terminal 310 When the medical information corresponding to the request information is retrieved, the second client terminal 310 requests the medical information to the relay server 100, and the medical care of the patient retrieved from the relay server 100 by the transmission permission of the relay server 100. Receive and store information.
  • the medical information of the patient received from the relay server 100 may be medical information including a hospital A ID and a patient ID, as shown in the example of FIG. 4, and the medical information of the patient encrypted in a preset manner. Can be. Accordingly, the second client terminal 310 may verify and store the medical information stored in the second client terminal 310 in the hospital B 300 by decrypting and storing the encrypted medical information.
  • FIG. 3 is a diagram illustrating an embodiment of the client terminal illustrated in FIG. 2 and corresponds to a medical information providing apparatus of the present invention.
  • the first client terminal 210 has been described as a client terminal provided in the providing medical institution, and the second client terminal 310 has been described as a client terminal provided in the receiving medical institution, the functions of the two client terminals according to the situation. Can be switched to each other. That is, the first client terminal 210 may be a client terminal provided in the receiving medical institution, and the second client terminal 310 may be a client terminal provided in the providing medical institution. Therefore, the first client terminal 210 and the second client terminal 310 have the same configuration.
  • the client terminal includes a storage unit 410, a transmission unit 420, and a search unit 430, 1) the case of the client terminal provided in the providing medical institution, that is, the case of the first client terminal of FIG. In the case of the client terminal provided in the receiving medical institution, that is, the second client terminal of FIG.
  • the search unit 430 periodically accesses the relay server and checks the request information corresponding to the providing medical institution from the request information list stored in the relay server.
  • the search unit 430 may check the corresponding relationship authentication and request information with the request information corresponding to the provided medical institution by the relay server using the confirmed request information and medical institution authentication information, for example, hospital A authentication information.
  • the storage unit 410 provides the medical information of the patient corresponding to the confirmed request information when the request information corresponding to the medical institution provided by the search unit 430 is provided. Receive from and save.
  • the storage unit 410 preferably stores the medical information of the patient corresponding to the request information is authenticated the corresponding relationship with the provider medical institution.
  • the transmitter 420 transmits the medical information of the patient corresponding to the request information stored in the storage 410 to the relay server.
  • the medical information transmitted from the transmission unit 420 may be removed from the personal information, include medical institution authentication information associated with the medical information, and transmitted to the relay server in an encrypted state.
  • the personal information may be removed from the medical information and encrypted by any one of the storage unit 410 and the transmission unit 420 of the configuration of the client terminal.
  • the transmission unit 420 transmits the request information for requesting the medical information of the patient to the relay server when the medical information of the patient is requested from the patient through the receiving medical institution.
  • the transmission unit 420 transmits the request information including the patient authentication information received by the terminal of the patient to the relay server.
  • the search unit 430 When the request information is transmitted to the relay server and the authentication of the request information is successful, the search unit 430 periodically accesses the relay server to search for the medical information of the patient corresponding to the request information, and the medical information corresponding to the request information. When the information is retrieved, the request is made to the relay server to receive medical information retrieved from the relay server.
  • the storage unit 410 stores the medical information of the patient received through the search unit 430.
  • the storage unit 410 may decrypt and store the encrypted medical information of the patient.
  • FIG. 5 is a flowchart illustrating an operation of a relay server for the method for relaying medical information according to an embodiment of the present invention, and illustrating an operation flowchart of a relationship with a first client terminal.
  • the relay server receives a relay service request from a patient that can share its medical information and be provided through a portal service (S510).
  • the request for a relay service by the patient's request may be received through the provided medical institution at the time of discharge, or may be received through the receiving medical institution at the hospital or at the hospital, and the patient may access the relay server directly. It may be.
  • the relay server When the request of the patient is received, the relay server generates medical institution authentication information (K), patient authentication information (K ′), and system authentication information (K ′′) of the providing medical institution (hospital A), and generates the generated medical institution authentication information. And transmits the patient authentication information to the medical institution and the patient (S520, S530).
  • K medical institution authentication information
  • K ′ patient authentication information
  • K ′′ system authentication information
  • the medical institution authentication information, patient authentication information, and system authentication information generated at this time are interconnected.
  • the relay server When the relay server receives the hospital ID and the medical institution authentication information from the providing medical institution after transmitting the authentication information, the relay server checks the request information corresponding to the providing medical institution from the previously stored request information list using the received hospital ID and the medical institution authentication information. (S540, S550).
  • the relay server may check the request information corresponding to the providing medical institution by using the hospital ID received from the providing medical institution and the hospital ID included in the request information.
  • the relay server When the request information corresponding to the providing medical institution is confirmed, the relay server performs authentication on the correspondence relationship between the confirmed request information and the providing medical institution, and determines whether the corresponding authentication is successful (S560, S570).
  • the relay server provides the request information and the request information confirmed using the medical institution authentication information (K) received from the providing medical institution and the patient authentication information (K ') included in the confirmed request information, and further, the system authentication information (K ").
  • the correspondence of medical institutions can be certified.
  • the relay server receives and stores the medical information of the patient corresponding to the confirmed request information from the providing medical institution (S580).
  • the medical information of the patient received by the relay server is in a state in which personal information is removed to prevent leakage of personal information, and may be encrypted information.
  • the relay server decrypts and stores the encrypted patient medical information.
  • FIG. 6 is a flowchart illustrating a further operation of the medical information relay method shown in FIG. 5, and illustrates an operation flowchart of a relationship with a second client terminal.
  • a relay server when a relay server receives a medical information request for requesting medical information of a patient from a receiving medical institution (hospital B) after transmitting authentication information, request information corresponding to the received medical information request and received request information are received.
  • the patient authentication process is performed using the patient authentication information generated in step S520 associated with (S610 and S620).
  • the relay server performs a patient authentication process using the input information corresponding to the patient authentication information and the generated patient authentication information included in the request information, and the input information is received by the patient authentication information transmitted to the terminal of the patient. Refers to the input through the institution.
  • the relay server stores the request information in the request information list and retrieves medical information corresponding to the request information from at least one or more previously stored medical information (S630 and S640). .
  • the relay server may search for medical information corresponding to the request information by using the identification information included in the request information and the identification information included in the medical information and the system authentication information.
  • the relay server permits transmission of the medical information to the receiving medical institution so that the receiving medical institution can receive the medical information of the retrieved patient when the medical information is requested by the receiving medical institution. (S660).
  • FIG. 7 is a flowchart illustrating an operation of a providing hospital client terminal for a medical information relay method according to an exemplary embodiment of the present invention. That is, the operation flowchart at the first client terminal is shown.
  • the first client terminal receives the medical institution authentication information of the provided medical institution generated by the patient's request from the relay server (S710).
  • the first client terminal checks the request information corresponding to the providing medical institution from the request information list stored in the relay server using the hospital ID of the providing medical institution and the received medical institution authentication information (S720).
  • the first client terminal receives and confirms an authentication result of a corresponding relationship between the request information confirmed from the relay server and the providing medical institution.
  • the first client terminal receives and stores the medical information of the patient corresponding to the confirmed request information from the providing medical institution, when it is determined that the corresponding relationship with the confirmed request information is verified as the result of step S730 (S750).
  • step S730 the first client terminal performs steps S720 and S740 again.
  • the first client terminal removes the personal information from the stored medical information of the patient, adds the medical institution authentication information to the medical information of the patient from which the personal information has been removed, and encrypts the transmitted information to the relay server (S760 to S780).
  • FIG. 7 illustrates that the first client terminal removes personal information, adds medical institution authentication information, and encrypts when storing and transmitting the medical information of the patient
  • the present invention is not limited thereto.
  • the first client terminal removes the personal information from the received medical information of the patient and adds the medical institution authentication information to the medical information of the patient from which the personal information has been removed. You can encrypt it and store it.
  • the first client terminal removes the personal information from the received medical information of the patient, and adds and stores the medical institution authentication information to the medical information of the patient from which the personal information has been removed. It can also be encrypted during transmission.
  • various other methods can be applied.
  • FIG. 8 is a flowchart illustrating an operation of a receiving hospital client terminal for a medical information relay method according to an embodiment of the present invention. That is, the operation flowchart in the second client terminal is shown.
  • the second client terminal transmits the received request information to the relay server (S810 and S820).
  • the second client terminal After transmitting the request information to the relay server, the second client terminal receives an input request for patient authentication information for authenticating a patient from the relay server, inputs input information corresponding to the patient authentication information received from the patient, and transmits the received information to the relay server. (S830, S840).
  • the second client terminal may include the input of the patient authentication information in step S820 to proceed simultaneously.
  • the second client terminal checks the patient authentication result to determine whether the authentication is successful (S850 and S860).
  • the relay server searches for the medical information corresponding to the request information in the medical information previously stored in the relay server at the request of the second client terminal (S870).
  • the medical information corresponding to the request information may be searched based on the identification information included in the request information, the identification information included in the medical information, and the system authentication information.
  • this retrieval process may be performed by the second client terminal.
  • the second client terminal may receive the medical information retrieved from the relay server and store the medical information, thereby confirming the medical information of the patient stored in the receiving medical institution.
  • the second client terminal may decrypt and store the medical information.
  • Medical information relay method is implemented in the form of program instructions that can be executed by various computer means may be recorded on a computer readable medium.
  • the computer readable medium may include program instructions, data files, data structures, etc. alone or in combination.
  • Program instructions recorded on the media may be those specially designed and constructed for the purposes of the present invention, or they may be of the kind well-known and available to those having skill in the computer software arts.
  • Examples of computer-readable recording media include magnetic media such as hard disks, floppy disks, and magnetic tape, optical media such as CD-ROMs, DVDs, and magnetic disks, such as floppy disks.
  • Examples of program instructions include not only machine code generated by a compiler, but also high-level language code that can be executed by a computer using an interpreter or the like.
  • the hardware device described above may be configured to operate as one or more software modules to perform the operations of the present invention, and vice versa.
  • Medical information relay system is a medical information relay system for relaying medical information, the request information list corresponding to the medical information request of the patient received from the first medical institution and received from the second medical institution
  • a relay server for storing medical information of a patient
  • a client terminal that checks the request information list stored in the relay server, confirms the request information for providing medical information, and transmits the medical information of the patient corresponding to the checked request information to the relay server.
  • the relay server generates and transmits the medical institution authentication information of the second medical institution, which is correlated with the received medical information request of the patient, to the client terminal, wherein the client terminal is received from the relay server.
  • the medical information of the patient corresponding to the confirmed request information is relayed.
  • W may be provided with their medical history.

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Primary Health Care (AREA)
  • Public Health (AREA)
  • Medical Treatment And Welfare Office Work (AREA)
  • Management, Administration, Business Operations System, And Electronic Commerce (AREA)

Abstract

L'invention porte sur un système pour relayer des informations médicales, un appareil pour fournir des informations médicales et un procédé pour relayer des informations médicales. Le système pour relayer des informations médicales selon un mode de réalisation de la présente invention comprend un serveur de relais, qui stocke une liste d'informations de requête correspondant à la requête d'un patient demandant des informations médicales reçues à partir d'une première institution médicale, ainsi que des informations médicales sur le patient reçues à partir d'une seconde institution médicale ; et un terminal client, qui vérifie la liste d'informations de requête stockée dans le serveur de relais de façon à vérifier les informations de requête pour lesquelles des informations médicales peuvent être fournies, et envoie les informations médicales sur le patient correspondant aux informations de requête vérifiées au serveur de relais. Le serveur de relais génère des informations d'authentification d'institution médicale sur la seconde institution médicale correspondant à la requête reçue du patient demandant des informations médicales, et envoie les informations générées au terminal client. Le terminal client envoie les informations médicales sur le patient correspondant aux informations de requête vérifiées au serveur de relais lorsque la relation entre les informations de requête vérifiées et la seconde institution médicale est authentifiée par les informations d'authentification d'institution médicale reçues à partir du serveur de relais et par les informations d'authentification contenues dans les informations de requête. Ainsi, un patient peut se voir fournir ses antécédents médicaux en ligne même lorsqu'il a été transféré à un autre hôpital.
PCT/KR2012/002792 2011-04-15 2012-04-13 Système pour relayer des informations médicales, appareil pour fournir des informations médicales et procédé pour relayer des informations médicales Ceased WO2012141514A2 (fr)

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KR10-2011-0035167 2011-04-15
KR1020110035167A KR101139678B1 (ko) 2011-04-15 2011-04-15 의료 정보 중계 시스템, 제공 장치 및 중계 방법

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KR101437515B1 (ko) 2013-10-21 2014-09-03 (주)헬스허브 의료영상 전송 시스템 및 방법
KR102224463B1 (ko) * 2013-12-06 2021-03-09 주식회사 케이티 병원간 의료영상정보 교류 방법 및 시스템
KR102014974B1 (ko) * 2015-11-03 2019-08-27 사회복지법인 삼성생명공익재단 개인 보유 기록 중개 시스템 및 방법
KR102055309B1 (ko) * 2018-10-30 2019-12-13 재단법인 아산사회복지재단 환자 식별 방법 및 시스템
KR102261451B1 (ko) * 2019-03-11 2021-06-07 (주)아이쿱 환자 트랜스퍼 중개 서비스 제공장치 및 방법
KR102685819B1 (ko) * 2021-03-30 2024-07-16 임종범 의료 데이터 관리 시스템 및 그 제어방법
KR102486018B1 (ko) * 2021-04-01 2023-01-09 주식회사 틸더 가상 계정 및 접근 제어 모델 기반의 추상 데이터베이스 관리 장치 및 방법

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US8825502B2 (en) * 2003-09-30 2014-09-02 Epic Systems Corporation System and method for providing patient record synchronization in a healthcare setting
KR100750071B1 (ko) * 2005-02-01 2007-08-21 주식회사 이수유비케어 의료 정보 공유 방법 및 그 시스템
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