KR100706765B1 - Medical Document Integrated Management System and Method - Google Patents

Abstract

The present invention relates to a medical document integrated management system, and relates to a medical document integrated management system and method for storing and managing medical documents based on the HL7 standard transmitted from a plurality of medical institution terminals for each patient.

According to the present invention, upon receiving a medical document recording medical information of a patient transmitted from a plurality of medical institution terminals, the medical information including identification information of the medical institution that performed the patient's treatment is stored separately for each user, and then stored. By searching and providing according to a search condition, since the medical documents for each user are sequentially stored, there is an advantage that lifelong health information management for personal health is possible.

Medical Documents, HL7

Description

System and Method for Unified Management of Medical Documents}

1 is a diagram showing a connection relationship between a medical document integrated management system and a communication network according to the present invention;

2 is a view showing in detail the configuration of a medical document integrated management system according to the present invention;

3 to 5 are views showing a web service screen of medical document integrated management according to the present invention,

6 is a view showing a detailed configuration of a message management unit according to the present invention;

7 is a view showing an embodiment of a message structure according to the present invention;

8 is a view showing an embodiment of a medical document integrated management method according to the present invention,

9 is a view showing another embodiment of a medical document integrated management method according to the present invention,

10 to 11 is a view showing an embodiment of a regional medical document integrated management method according to the present invention,

12 is a flowchart illustrating an embodiment of a medical document integrated management method according to the present invention;

13 is a flowchart illustrating another embodiment of a medical document integrated management method according to the present invention.

<Description of the symbols for the main parts of the drawings>

100: medical institution terminal 200: communication network

300: integrated medical document management system 310: control unit

320: medical document register 330: certification

340: medical document search unit 350: message management unit

351: SOAP processing means 352: HL7 processing means

353: CDA processing means 354: security means

360: web service provider 370: application manager

380: document storage management unit 400: repository

500: registry

The present invention relates to a medical document integrated management system, and relates to a medical document integrated management system and method for storing and managing CDA-based medical documents according to the HL7 standard transmitted from a plurality of medical institution terminals for each patient.

In general, when a doctor visits a medical institution, the medical staff manages the patient's medical treatment by recording it on paper or storing it on a personal PC.

However, in recent years, the development of communication equipment such as personal computers and the development of technology have a great influence on society as a whole, and these influences have been extended to medical institutions, and in recent years, inter-hospital networking and related research for 'there is no hospital'. The medical field information technology is being actively promoted.

Health Level 7 (HL7) is a healthcare information standard for networking between healthcare organizations. It is a set of rules that ensures that information is compatible between software applications in different healthcare sectors. It is a trend, and the use of this means that all types of medical services can be used regardless of the type or size of the medical institution. In other words, HL7 is a network standard that can share patient's medical information.

HL7 defines messages related to the various tasks provided by medical institutions, including patient care, inquiry, prescription, prescription and observational reports on clinical results, product experiments, waveform results, patient referrals, accounting management, scheduling, etc. For example.

As such, if the patient's medical information is shared using HL7, the patient can be provided with higher quality of service, and the medical development can be expected based on the medical result of the important disease.

Accordingly, there is a need for a method for managing patient-specific medical documents by CDA, which is a technology of HL7 standard and clinical document standard.

 The present invention has been made to solve the above-described problems, and provides a schema to generate a medical document according to the HL7 standard using a terminal provided in a plurality of medical institutions, and by the HL7 standard transmitted from a medical institution terminal There is a technical problem to provide a medical document integrated management system and method for storing medical documents classified by patients and sharing documents among medical institutions and enabling patient-oriented medical services.

The present invention for achieving the above object is connected to the communication network, a medical document integrated management system for receiving, storing and managing CDA documents according to the HL7 standard including medical information of the patient transmitted from a plurality of medical institution terminal,

When receiving a medical document recording the medical information of the patient transmitted from the plurality of medical institution terminal, this includes the identification information of the medical institution that performed the treatment of the patient and divided and stored in each server based on the regional base, and then the The stored medical documents are searched and provided according to the search condition.

Another embodiment of the present invention is a method of managing a medical document in a medical document integrated management system connected to a communication network and receiving, storing, and managing a CDA document according to the HL7 standard including medical information of a patient transmitted from a plurality of medical institution terminals. The medical document integrated management system includes a repository for storing a predetermined schema for inputting medical information of any one of medical treatment, discharge, prescription, clinical test result, or a combination thereof for a specific patient.

Receiving a schema request signal for registering medical information from a medical institution terminal, extracting a corresponding schema from the repository and transmitting the schema to the medical institution terminal; A second step of receiving a medical document recording medical information of a specific patient from the medical institution terminal according to the schema, and storing the medical document separately for each patient including an identification code of the medical institution; And receiving a medical document search request signal from another medical institution terminal, searching for and extracting the medical document and providing the medical document search signal to the other medical institution terminal.

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

1 is a diagram illustrating a connection relationship between a medical document integrated management system and a communication network according to the present invention.

The medical document integrated management system 300, which integrates and manages medical documents for each user, stores various types of medical document XML schemas required by medical institutions, such as medical treatment and discharge, in order to register medical documents based on the HL7 standard. When receiving a medical document registration request signal from a plurality of medical institution terminals (100-1 ~ 100-n) through), to provide a corresponding schema to generate a medical document (CDA document) in accordance with the HL7 standard. The schema includes URL information, so that the medical institution terminal 100 may be provided with the corresponding schema by using the URL of the schema.

In addition, when the medical document integrated management system 300 receives medical documents transmitted from the plurality of medical institution terminals 100, the medical document integrated management system 300 includes identification codes of the medical institutions and stores them separately for each user.

In addition, if a medical document search request signal for a specific user (patient) transmitted from the medical institution terminal 100 of the medical document integrated management system 300 is received, the medical document of the user is searched and extracted and the medical institution terminal 100 To provide.

The medical institution terminal 100 may be implemented by using a computer such as a personal PC, and the scheme (medical information provided by the medical document integrated management system 300 that provides medical information including medical information, discharge summary information, etc. of a patient who has visited the medical institution. Information registration form) and transmits to the medical document integrated management system 300 to accumulate user-specific medical information.

Since medical documents stored in the medical information management system 300 cannot be viewed by anyone other than a medical institution and the patient, communication between the medical institution terminal 100 and the medical information management system 300 by a predetermined network protocol and a designated message format must be performed. To this end, the medical institution terminal 100 and the medical information management system 300 should be provided with a configuration capable of encrypting and decrypting a medical information document prepared according to a designated message format.

For example, the protocol and the message format may use a method defined in HL7. The medical institution terminal 100 may transmit medical information input by a medical staff to a document generation program according to the HL7 protocol, for example, an HL7 interface engine or a toolkit. Stored using a combined or proprietary Medical Document Architecture (CDA).

In addition, the medical institution terminal 100 directly transmits the user-specific medical information to the medical document integrated management system 300 through the communication network 200 using the HL7 interface.

In the above description, the communication network 200 can be applied to all possible forms that can transmit medical information, such as the Internet, wireless communication network, dedicated network.

2 is a view showing in detail the configuration of the integrated medical document management system according to the present invention, will be described with reference to Figures 3 to 5 showing a web service screen of the integrated medical document management.

As shown, the medical document integrated management system 300 is a control unit 310, the repository 400 for controlling the overall operation of the medical document integrated management system 300 to register or search for the user-specific medical documents , Registry 500, medical document registration unit 320, authentication unit 330, medical document search unit 340, message management unit 350, web service provider 360, application manager 370 and document storage manager 380.

In more detail, the repository 400 stores a predetermined schema for inputting medical information of any one of medical treatment, discharge, prescription, clinical test result, or a combination thereof. When generating a medical document in the medical institution terminal 100, a corresponding schema is provided to generate a medical document according to the HL7 standard. Here, the schema is in the form of Extensible Markup Language (XML), and the medical document is a CDA (Clinical Document Architecture) document generated by the HL7 standard. Hereinafter, the medical document will be referred to as a CDA document. Since the schema includes URL information, the medical institution terminal 100 may also receive a corresponding schema by using the URL.

In addition, the repository 400 further stores the consultation request schema and the consultation target medical institution information, which is a document form for requesting consultation of the patient between the medical institution information and the medical institution, and the same as the consultation request schema. Store more work schemas to support work among other departments within the same medical institution.

In addition, when the repository 400 receives a medical document generated according to a schema transmitted from the medical institution terminal 100, the repository 400 includes an identification symbol of the corresponding medical institution and stores it for each user. Here, the repository 400 may utilize DAML-OIL when storing the document so as to more systematically manage a large amount of CDA documents. The DAML-OIL (DARPA Agent Markup Language-Ontoloty Inference Layer) is one of methods of constructing an ontology, and it is possible to automate reasoning by a reasoner, thereby correcting or inputting a typo. Allows you to search for other information similar to

The registry 500 stores CDA documents generated to include medical information about a specific patient according to a schema, and stores the CDA documents for each patient and stores the corresponding CDA documents according to the CDA document request signal transmitted from the medical institution terminal 100. To be provided to the medical institution terminal (100). In addition, the registry 500 may store a schema for inputting medical information.

The CDA document may include a header including MainAuthenticator information, LegalAuthenticator information, Medical Recorder (Author) information, Medical information (Custodian), Patient information (Patient) and Guardian information. Information and body information including detailed medical information of the patient. The repository 400 stores the original CDA document including the body information of the CDA document, and the registry 500 stores the header information of the CDA document. Save it. At this time, the header information stored in the registry 500 serves as an index when searching the CDA document, so that the CDA document stored in the repository 400 can be easily searched.

Meanwhile, the repository 400 may store the original CDA document including the body information of the medical document, and the registry 500 may store the header information and the body information of the CDA document. When retrieving and extracting the CDA document, the patient's CDA document stored in either the registry 500 or the repository 400 is retrieved.

When the medical document register 320 receives the schema transmission request signal from the medical institution terminal 100, the medical document registration unit 320 extracts the schema from the repository 400 and transmits the schema to the medical institution terminal 100, and then transmits the medical institution terminal 100. Upon receiving the CDA document generated according to the schema, the CDA document includes the identification symbol of the medical institution treating the patient and is stored in the repository 400 and the registry 500 for each patient. Here, the medical document registration unit 320 stores the index for each CDA document so as to easily search and extract the CDA document. In addition, the medical document registration unit 320 may transmit the URL information of the schema to the medical institution terminal 100 so that the corresponding schema may be provided.

The method of registering the CDA document by the medical document registration unit 320 may be classified into two cases. First, the original text including the header information of the CDA document is stored in the registry 500 and the body information of the CDA document. Is stored in the repository 400, and second, the header information and body information of the CDA document are stored in the registry 500, and the original text including the body information of the CDA document is stored in the repository 400. It is.

In addition, when receiving a consultation request schema request signal from a medical institution terminal, the medical document registration unit 320 extracts and provides a consultation request schema from the repository 400 to generate a consultation request document based on the consultation request schema. It can be transmitted to other medical institution terminals. Here, the medical document registration unit 320 provides the medical institution target information to the medical institution terminal.

The authentication unit 330 authenticates or manages the authority of the user accessing the medical document integrated management system 300. For example, the authentication unit 330 allows a user who registers and retrieves a CDA document to create an electronic signature, and compares it with a preset digital signature to authenticate the user.

The medical document search unit 340 searches for the CDA document stored in the registry 500 according to the CDA document search request transmitted from the medical institution terminal 100, and extracts the corresponding CDA document.

The message manager 350 processes the CDA 'document extracted by the medical information retrieval unit 340 to match the protocol of the communication network 200 and transmits the document to the medical institution terminal 100.

For example, the message manager 350 applies the HL7 standard CDA message to a SOAP format and packages the message. The message manager 350 transmits and receives a message through HTTP, SMTP, or FTP as a transport protocol.

The web service providing unit 360 provides a corresponding item in a web form so that the medical staff can perform CDA document registration or CDA document search using the medical institution terminal 100, and displays corresponding information according to an input signal.

For example, the web service providing unit 360 displays a CDA document registration screen as shown in FIG. 3 or a CDA document search as shown in FIG. 4 in accordance with a CDA document registration or CDA document search process. A screen is displayed and the CDA document search result is displayed as shown in FIG.

3 to 5, FIG. 3 allows a CDA document to be registered by selecting a classification scheme of the CDA document and inputting some additional information. Only users with the authority of the authorized authority can perform this task.

4 is a screen in which keyword search and directory search are supported, and keyword search can be performed by inputting a simple keyword such as a type of CDA document or a document name. Directory search allows you to search for documents in a more accurate way by selecting a taxonomy of CDA documents and entering some additional information.

FIG. 5 is a screen illustrating a CDA document search result, and when a corresponding item is selected or a button is clicked on, a CDA document content of a patient may be checked.

The application manager 370 supports stable management of each component in the medical document integrated management system 300 and stable connection of the client.

The document storage management unit 380 supports permanent storage and backup of CDA 'documents stored in the repository 400 and the registry 500.

6 is a diagram showing the detailed configuration of a message management unit according to the present invention.

As shown, it includes a SOAP processing means 351, a HL7 processing means 352, a CDA processing means 353 and a security means 354.

In more detail, the SOAP processing unit 351 generates and parses a header of the SOAP message, and packages the HL7 message according to the SOAP message format.

The HL7 processing means 352 constructs or parses the HL7 message, including the CDA document in the HL7 message or extracting from the HL7 message.

The CDA processing means 353 converts the information from the header and the body of the CDA document into a form that is easy to extract or process.

The security means 354 performs a digital signature creation, verification and authentication process for the message.

7 is a diagram illustrating an embodiment of a message structure according to the present invention.

As shown, the message consists of a SOAP header and a SOAP body, and there are two parts of the Multipurpose Internet Mail Extensions (MIME), much like the message structure of ebXML. The first MIME part contains a SOAP message, and the second MIME. The payload is located in the part. This message structure can solve the firewall problem of a company or a hospital by using the integrated HTTP port 80.

8 is a view showing an embodiment of a medical document integrated management method according to the present invention, a method of registering and retrieving the discharge summary document of the medical document will be described as an example.

The medical document integrated management system 300 stores a medical document registration form (XML schema) for registering medical information (1), and requests a schema for registering the discharge summary document from the medical institution 1, and among the plurality of XML schemas, The discharge summary schema is extracted and provided to medical institution 1 (②). Thereafter, the medical institution 1 downloads the discharge summary schema provided by the medical document integrated management system 300, generates a discharge summary document for patient A based on the schema, and transmits the discharge summary document to the medical document integrated management system 300 to be discharged. Register the summary document (③).

On the other hand, when patient A visits medical institution 2, medical institution 2 requests previous medical information (eg, the latest discharge summary document) for patient A to medical document integrated management system 300 (④), and the medical document The integrated management system 300 performs the authentication procedure of the medical institution 2, retrieves and extracts the corresponding information, and provides the information to the medical institution 2 (⑤).

Thereafter, when the medical institution 2 finishes the treatment of the patient A, the medical institution 1 performs the same process as the process of creating and registering the discharge summary document (②, ③) that the medical institution 1 performed when the patient A was discharged.

9 is a view showing another embodiment of a medical document integrated management method according to the present invention, a method for requesting a consultation request between medical institutions will be described as an example.

The medical document integrated management system 300 stores a medical document registration form (XML schema) for registering medical information (①) and receives a search request of a medical institution that can be requested for consultation from the medical institution 1 (②). Extract the consultation request schema from the XML schema and provide it to the medical institution 1 (③). Thereafter, the medical institution 1 downloads the consultation request schema provided by the medical document integrated management system 300, generates a consultation request CDA document for patient A based on the schema, and transmits the request to the medical institution 2 capable of requesting consultation (④ ).

Meanwhile, when the medical institution 2 receives the consultation request CDA document transmitted from the medical institution 1, the medical institution 2 requests and receives the medical information of the patient A (for example, the latest discharge summary CDA document) to the medical document integrated management system 300 ( ⑤), to respond to the request for consultation with medical institution 1, and request patient A's previous medical record (⑥).

Thereafter, when the medical institution 2 receives the previous medical record for the patient A transmitted from the medical institution 1 (⑦), the medical institution 2 treats the patient A based on the medical document integrated management system 300 and the medical records received from the medical institution 1. (⑧)

Subsequently, medical institution 2 generates a discharge summary CDA document for patient A and registers the medical document integrated management system 300 (⑨), and transmits the medical record for patient A to medical institution 1 (로).

10 to 11 is a view showing an embodiment of a regional medical document integrated management method according to the present invention.

When providing a medical document integrated management service around a wide area, the medical document integrated management system 300 integrates a regional medical document integrated management server and a plurality of regional medical documents, which store regional CDA documents as shown in FIG. 10. It is also possible to build a central medical document integrated management system connected to the management server.

In this case, the regional medical document integrated management server may be configured to have only a repository for storing CDA documents generated in a corresponding region or to have both a repository and a registry.

For example, as patient A visits different medical institutions (medical institution 1, medical institution 2, ...), a plurality of CDA documents are generated and stored in the regional medical document integrated management server. Subsequently, if patient A visits medical institution 4, medical institution 4 may be provided with patient A's previous CDA document through the central medical document integrated management system.

Here, when the central medical document integrated management system collects and stores only header information in which the personal information of the patient and the medical personnel is recorded among the CDA documents from the plurality of regional medical document integrated management servers, the CDA document request for the patient A from the medical institution 4 is requested. When receiving the, the central medical document integrated management system retrieves the detailed medical information stored in the regional medical document integrated management server using the information of the medical institution included in the CDA document header information of the patient A previously stored.

In addition, when the central medical document integrated management system collects and stores both the header information recorded with personal information and body information recorded with detailed medical information from a plurality of regional medical document integrated management servers, the central medical document integrated management system may identify a specific medical information. When searching for a CDA document for a patient, a CDA document of a patient stored in advance is extracted and provided.

11 includes a plurality of registries for each subunit area, each of which is connected to a plurality of repositories. The repository stores CDA documents generated by a plurality of medical institutions (Hospital 1, Hospital 2, ...), and transmits only the header information of the CDA document to the registry or transmits the header information and body information to the registry.

12 is a flowchart illustrating an embodiment of a medical document integrated management method according to the present invention.

When the medical document integrated management system 300 receives a schema request signal for registering medical information about a specific patient from the medical institution terminal 1 (S101), the medical document integrated management system 300 recognizes the received signal and extracts the corresponding schema from the repository 400. And transmits to the medical institution terminal 1 (S103). Here, the medical document integrated management system 300 stores various types of XML schemas for registering medical information of any one of medical treatment, discharge, prescription, clinical test result, or a combination thereof.

In addition, when the registry 500 stores a schema, the medical document integrated management system 300 may extract a corresponding schema from the registry 500.

In step S103, the medical document integrated management system 300 is also possible to transmit the URL information of the schema to the medical institution terminal 1 to receive the corresponding schema.

Subsequently, the medical institution terminal 1 generates a CDA document according to the HL7 standard according to the schema transmitted from the medical document integrated management system 300 (S105), and transmits it to the medical document integrated management system 300 (S107).

When the medical document integrated management system 300 receives the CDA document transmitted from the medical institution terminal 1, the CDA document is stored in the repository 400 and the registry 500 for each index including the identifier of the corresponding medical institution that generated the CDA document. It is stored (S109).

Here, the method of storing the CDA document is largely divided into two ways. First, the header information of the CDA document is stored in the registry 500, and the original text including the body information of the CDA document is stored in the repository 400. Second, the header information and the body information of the CDA document are stored in the registry 500, and the original text including the body information of the CDA document is stored in the repository 400.

Thereafter, when the medical document integrated management system 300 receives a CDA document (eg, discharge summary CDA document, medical care CDA document, etc.) request signal for a specific patient transmitted from the medical institution terminal 2 (S111), the medical document integration is performed. After performing the authentication procedure of the medical staff approaching the management system 300, and the medical staff is identified, the CDA document of the patient is searched and extracted using the registry 500 and the repository 400 (S113). ). Here, since the medical document integrated management system 300 stores CDA documents for each index, it is easy to search for a CDA document for a specific patient.

Subsequently, the medical document integrated management system 300 processes the CDA document to conform to the protocol of the communication network 200, and then transmits the CDA document to the medical institution terminal 2 (S115).

Meanwhile, the medical institution terminal 2 uses the CDA document transmitted from the medical document integrated management system 300 to treat a patient and generates a CDA document for registering the patient's medical information with the medical document integrated management system 300. Request a schema (eg, discharge summary schema, medical summary schema, etc.) (S117).

When the medical document integrated management system 300 receives a schema request signal for registering medical information about a specific patient from the medical institution terminal 2, the medical document integrated management system 300 recognizes the received signal and extracts the corresponding schema from the repository 400 to provide the medical institution terminal. Transmit to 2 (S119).

In operation S119, the medical document integrated management system 300 may transmit the URL information of the schema to the medical institution terminal 2 so that the corresponding schema may be provided.

Subsequently, the medical institution terminal 2 generates a CDA 'document according to the HL7 standard according to the schema transmitted from the medical document integrated management system 300 (S121), and transmits it to the medical document integrated management system 300 (S123).

When the medical document integrated management system 300 receives the CDA 'document transmitted from the medical institution terminal 2, the medical document in the repository 400 and the registry 500 for each index including the identification symbol of the corresponding medical institution that generated the CDA' document. Store the (S125). Here, CDA documents stored in the repository 400 and the registry 500 are accumulated sequentially for the user.

13 is a flowchart illustrating another embodiment of a medical document integrated management method according to the present invention.

 When the medical document integrated management system 300 receives the consultation target medical institution information request signal transmitted from the medical institution terminal 1 (S201), the medical information is extracted and transmitted to the medical institution terminal 1 (S203).

Subsequently, when the medical document integrated management system 300 receives the consultation request schema request from the medical institution terminal 1 (S205), the repository 400 extracts the schema from the repository 400 and transmits the schema to the medical institution terminal 1 (S207). In addition, when the registry 500 stores a schema, the medical document integrated management system 300 may extract a corresponding schema from the registry 500.

In operation S207, the medical document integrated management system 300 may transmit the URL information of the schema to the medical institution terminal 1 so that the corresponding schema may be provided.

Subsequently, the medical institution terminal 1 generates a consultation request CDA 'document according to the HL7 standard according to the consultation request scheme transmitted from the medical document integrated management system 300 (S209), and transmits it to the terminal 2 of the medical institution that can request consultation (S209). S211).

When the medical institution terminal 2 receives the consultation request CDA document transmitted from the medical institution terminal 1, the medical institution integrated management system 300 receives a past medical information search request signal for the patient described in the consultation request CDA document (for example, recently Discharge summary CDA document request) is transmitted (S213).

Subsequently, when the medical document integrated management system 300 receives a past medical information search request signal for a specific patient transmitted from the medical institution terminal 2, the medical document integrated management system 300 performs an authentication procedure of a medical staff approaching the medical document integrated management system 300. If the identity of the medical staff is confirmed, the registry 500 and the repository 400 are used to search and extract the CDA document in which the medical information of the patient is recorded. Here, since the medical document integrated management system 300 stores CDA documents for each index, it is easy to search for a CDA document for a specific patient.

Subsequently, the medical document integrated management system 300 processes the CDA document in which past medical information is recorded to conform to the protocol of the communication network 200, and then transmits the same to the medical institution terminal 2 (S215).

On the other hand, the medical institution terminal 2 requests the medical institution terminal 1 in response to the request for consultation consultation and medical information for the patient (S217).

The medical institution terminal 1 transmits the corresponding information to the medical institution terminal 2 according to the request for medical information transmitted from the medical institution terminal 2 (S219).

Subsequently, the medical institution terminal 2 uses the CDA document transmitted from the medical document integrated management system 300 and the medical institution terminal 1 to treat the patient, and the CDA document to register the medical information of the patient in the medical document integrated management system 300. Request a schema (eg, discharge summary schema, medical care summary schema, etc.) to generate (S221).

When the medical document integrated management system 300 receives a schema request signal for registering medical information about a specific patient from the medical institution terminal 2, the medical document integrated management system 300 recognizes the received signal and extracts the corresponding schema from the repository 400 to provide the medical institution terminal. Transmit to 2 (S223).

In operation S223, the medical document integrated management system 300 may transmit the URL information of the schema to the medical institution terminal 2 so that the corresponding schema may be provided.

Subsequently, the medical institution terminal 2 generates a CDA 'document according to the HL7 standard according to the schema transmitted from the medical document integrated management system 300 (S225), and transmits it to the medical document integrated management system 300 (S227).

When the medical document integrated management system 300 receives the CDA 'document transmitted from the medical institution terminal 2, the medical document in the repository 400 and the registry 500 for each index including the identification symbol of the corresponding medical institution that generated the CDA' document. To store (S229). Here, CDA documents stored in the repository 400 and the registry 500 are accumulated sequentially for the user.

As such, those skilled in the art will appreciate that the present invention can be implemented in other specific forms without changing the technical spirit or essential features thereof. Therefore, the above-described embodiments are to be understood as illustrative in all respects and not as restrictive. The scope of the present invention is shown by the following claims rather than the detailed description, and all changes or modifications derived from the meaning and scope of the claims and their equivalents should be construed as being included in the scope of the present invention. do.

 As described above, the medical document integrated management system and method of the present invention stores the medical documents for each user sequentially, and thus, there is an advantage in that lifelong health information management for individual health is possible.

In addition, since the present invention integrates and manages medical documents according to the user-specific HL7 standard, there is an advantage that the consultation work can be performed smoothly between medical institutions.

In addition, since the present invention integrates and manages medical information of a plurality of patients, it is easy to calculate medical information statistics for each large area, and there is an advantage that it can be used as clinic data and academic data on various diseases by using the same. .

Claims (16)

delete A medical document integrated management system connected to a communication network and receiving, storing and managing CDA documents according to the HL7 standard including medical information of patients transmitted from a plurality of medical institution terminals. When the medical document integrated management system receives the medical document recording the medical information of the patient transmitted from the plurality of medical institution terminals, this includes the identification information of the medical institution that performed the patient's medical treatment, divided by the user by server for each regional base Distributed in the storage, and then search and provide the stored medical documents according to the search conditions, The medical document integrated management system stores a predetermined schema for registering a medical document of any one of medical treatment, discharge, prescription, clinical test result, or a combination thereof for a specific patient, and then the medical staff uses the medical institution terminal. On the basis of the schema generated by the information to be divided into index information including the doctor information, specialist information, medical recorder information, medical institution information, personal information of the patient and guardian information and body information including the detailed medical information of the patient Repository for receiving and storing a medical document from the medical institution terminal; According to the schema, medical documents generated to include medical information about a specific patient are stored separately for each patient, and store index information which serves as an index when searching for medical documents, and a medical document request signal transmitted from a medical institution terminal. A registry for providing the medical document to the medical institution terminal according to the present invention; When the schema transmission request signal is received from the medical institution terminal, the schema is extracted from the repository and transmitted to the medical institution terminal, and after receiving the medical document generated according to the schema transmitted from the medical institution terminal, the medical A medical document registration unit including an identification number of a medical institution for treating a patient and storing the document in the repository and the registry for each patient; An authentication unit for authenticating and managing a user's authority to access the medical document integrated management system; A medical document search unit searching for a medical document using a registry and a repository and extracting the medical document according to a medical document search request transmitted from a medical institution terminal; A message manager which processes the medical document extracted by the medical information retrieval unit and transmits the medical document to the medical institution terminal; And A document storage management unit supporting permanent storage and backup of the medical documents stored in the repository and the registry; Medical document integrated management system comprising a. The method of claim 2, The schema contains URL information, The medical document registration unit transmits URL information of the schema to the medical institution terminal so that the medical institution terminal is provided with the corresponding schema medical system integrated management system. The method of claim 2, The registry is a medical document integrated management system, characterized in that for storing a predetermined schema for inputting medical information of any one of medical treatment, discharge, prescription, clinical test results or a combination thereof for a specific patient. The method of claim 2, The registry stores index information that serves as an index when a medical document is searched, and a plurality of the registry information are distributed to regions, each of which is connected to a repository, and the repository includes body information of the medical document. Save the original, The medical document retrieval unit retrieves and extracts a medical document for a specific patient, and uses the index information of the registry to retrieve the body information of the repository. delete The method of claim 2, The schema is a medical document integrated management system, characterized in that the XML form. The method of claim 2, The medical document is a medical document integrated management system, characterized in that the CDA (Clinical Data Architecture) document generated by the HL7 standard. The method of claim 2, The medical document integrated management system, A web service providing unit for providing a corresponding item in a web form so that a medical staff can register a medical document or search a medical document using a medical institution terminal, and display the corresponding information according to an input signal; And An application manager to manage each component in the medical document integrated management system; Medical document integrated management system further comprising. The method of claim 2, The repository stores the consultation request schema. When the medical document registration unit receives the consultation request schema request signal transmitted from the medical institution terminal, the medical document integrated management system, characterized in that for searching and extracting the consultation request schema from the repository to transmit to the medical institution terminal. A medical document management method in a medical document integrated management system connected to a communication network and receiving, storing and managing CDA documents according to the HL7 standard including medical information of a patient transmitted from a plurality of medical institution terminals. The system includes a repository that stores a schema for any medical document of a medical record, discharge summary, prescription, clinical test report, or a combination thereof for a particular patient, Receiving a schema request signal of a document for registering a medical document from a medical institution terminal, extracting the schema from the repository and transmitting the schema to the medical institution terminal; A second step of receiving a medical document recording medical information of a specific patient from the medical institution terminal according to the schema, and storing the medical document separately for each patient including an identification code of the medical institution; And Receiving a medical document search request signal from another medical institution terminal, searching for and extracting the corresponding medical document and providing the medical document to the other medical institution terminal; Medical document integrated management method comprising a. The method of claim 11, The schema contains URL information, The first step further comprises the step of transmitting the URL information of the schema to the medical institution terminal so that the medical institution terminal is provided with the corresponding schema. The method of claim 11, The schema is a medical document integrated management method, characterized in that the XML form. The method of claim 11, The medical document is a medical document integrated management method, characterized in that the CDA (Clinical Data Architecture) document generated by the HL7 standard. The method of claim 11, The repository stores the consultation request schema. And receiving a consultation request schema request signal transmitted from a medical institution terminal, searching for and extracting the consultation request schema from the repository and transmitting the extracted consultation request schema to the medical institution terminal. The method of claim 11, The medical document integrated management system includes a registry for storing a schema for any one of medical records, discharge summary, prescription, clinical test result report, or a combination thereof for a specific patient, The first step is, Extracting the schema from the registry and transmitting the schema to the medical institution terminal; Medical document integrated management method comprising a.

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