CN1846214A - Method and system for direct and persistent access to digital medical data - Google Patents

Method and system for direct and persistent access to digital medical data Download PDF

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Publication number
CN1846214A
CN1846214A CNA038266547A CN03826654A CN1846214A CN 1846214 A CN1846214 A CN 1846214A CN A038266547 A CNA038266547 A CN A038266547A CN 03826654 A CN03826654 A CN 03826654A CN 1846214 A CN1846214 A CN 1846214A
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China
Prior art keywords
data
user
medical data
medical
described method
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CNA038266547A
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Chinese (zh)
Inventor
安德鲁·布鲁诺·多伯斯
亚历山大·迪米特罗夫·卡雷瓦诺夫
乔纳斯·鲁伯特斯·万·德恩·波尔·汤姆森
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Canon Medical Informatics AS
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Medical Insight AS
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Publication of CN1846214A publication Critical patent/CN1846214A/en
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    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06FELECTRIC DIGITAL DATA PROCESSING
    • G06F21/00Security arrangements for protecting computers, components thereof, programs or data against unauthorised activity
    • G06F21/60Protecting data
    • G06F21/62Protecting access to data via a platform, e.g. using keys or access control rules
    • G06F21/6218Protecting access to data via a platform, e.g. using keys or access control rules to a system of files or objects, e.g. local or distributed file system or database
    • G06F21/6245Protecting personal data, e.g. for financial or medical purposes

Abstract

The invention provides direct and persistent access to digital data, in particular to digital medical data. Based upon the identity of the user (10), a list of relevant medical data is presented to the user (12) by accessing a repository of attributes relating to the digital medical data. In order to generate the list a user profile is consulted (11). The user profile dictates the items within the list on the basis of a rule-based comparison between the user profile and the attributes. The user selects from the list the medical data which should be presented, and the requested medical data is subsequently presented to the user (15).

Description

The method and system that is used for direct and continuous access digital medical data
Technical field
The present invention relates to provide direct and lasting visit to digital data.Particularly, the present invention relates to provide direct and lasting visit to digital medical data.
Background technology
Currently from the different images form such as three-dimensional or volume scan instrument, obtain digital medical image, for example: computerized tomography (CT), magnetic resonance imaging (MRI), ultrasound wave (US), positron emission tomography (PET) and single photon emission computerized tomography (SPECT) and two-dimensional scanner, such as computing machine irradiation art (CR) and numerical control X line photography (DR).These view data and patient information are created at present and are stored in record on the different electronic database systems, these systems are customized the reservation and the reservation of image data processing, patient demographic, laboratory request and result, pharmacy data and health care resource (berth, formality etc.).A plurality of computer based system occurs and handled the data that various patients are correlated with.These comprise the image management system under picture archiving and communication system (PACS system) wide variety, digital imagery in this system applies medical science standard (dicom standard) with communicate by letter, and managerial and system nongraphical data, it is used such as international medical information exchange standard layer 7 agreement (HL7) standard, is used for management, commerce and electrons transmitted exchanges data (EDIFACT) standard and International Health exchange (IHE) framework.
The system based on client/server that the PACS system is normally special-purpose, it needs the user of hospital to sign in to client workstation, carries out inquiry then and is used for observing so that obtain relevant patient image data.It is essential that the operation that this class view data also can make the user drive becomes, so that obtain desired correct observation or analysis.Similarly, non-graphical patient data visits by the application program or the workstation of special use usually, needs inquiry and search so that location and observation related data.In fact, serve entirely in the health institution at great majority, the user of hospital must guide a flow process to obtain given patient's essential electronic information, and this flow process comprises tens to the individual independent computer user interface interaction of hundreds of.
And,, just there is not straightforward procedure to visit again the data of these collections electronically in another time or position as long as collected the set of the data that the patient is correlated with for many existing systems.Must carry out the step of following at first once more.
At United States Patent (USP) 6,260, disclosed a kind of system in 021, be used for medical image is assigned to a plurality of different types of client workstations from existing image storage system.This system comprises one or more interface engine, and being used for provides unified structure and irrelevant with the type of their existing system of storage to image object, also comprises the image server middleware, is used for the distribution of managing image object.
At United States Patent (USP) 6,014, disclosed a kind of system in 638, be used to customize the content of the content that is used for the computer user and present.The needs of this system monitoring and recording user and preference show with the computing machine that is used for subsequently selling goods relevant with electronics.Needs and preference customization according to the user show.
Summary of the invention
The purpose of this invention is to provide one is used for directly and the method for continuous access digital medical data.
According to first kind of form, the present invention has disclosed the method for the medical data that is used to provide relevant with the individual, and described method comprises the following steps:
Request of access user's user profile,
Visit the attribute library relevant with this medical data,
Based on the rule-based comparison between user profile and the attribute, produce one group of data object, wherein, each data object is all represented a data set relevant with the individual,
Generation present to this user's data list object and
Need only the user and propose single request, just the medical data that the demonstration of selected data object is asked for the data object on the request list.
Medical data can be the medical data of any kind, but the medical image that preferably obtains in conjunction with patient's medical scanning.Preferred medical data comprises graphical medical and the text based data such as view data, for example with demographic data, diagnosis or the like relevant information.
Medical data is stored in the computer based system, and this system comprises first device and second device of at least one.Preferably, the present invention realizes in the system that adopts the client/server network system, thereby first device can be that server maybe can be a central computer, or the central group of computing machine.First device can comprise the computing machine or the computer cluster of any kind, and they have the necessary total memory capacity of the very big data set of storage (for example being produced by a large amount of patients of scanning in the hospital).First device should further be equipped with essential computing power, can Treatment Analysis and the demanding task of a large amount of 3D data sets of operation (such as the 3D rendering at positions such as people's head, chest).
It can be the computing machine that is equipped with any kind of the screen that is used for graphic presentation that second of that at least one installed.The term demonstration should be construed to and comprise that 2D shows and 3D shows.It can for example be a thin-client, the wireless handheld device such as PDA(Personal Digital Assistant), personal computer (PC), laptop computer, flat computer or workstation that second of that at least one installed.Second of this at least one installed the graphic terminal that can only serve as first device.This at least one second device can receive request action and transmit this request to first device from the user, and receives and show screen picture by the first device generation.
Yet the present invention is not limited to the enforcement in the system of client/server type.For example, it can be carried out in the system of any kind, comprises workstation or PC, or gets in touch the program that realizes with the internet.
For example, the user can be clinician, nurse, and perhaps this user can be the scientist who studies who (for example studies medical science, psychology, psychiatry, Human biology, biophysics etc.) such as the researcher.The user can obtain the visit to system by the computer interface that links to each other with second device of at least one, such as screen, keyboard and fixed-point apparatus (for example computer mouse).System can comprise the information that the needs relevant with the patient are prudent in dealing with, and therefore has only the authorized person can obtain visit.The user can obtain visit to system with several method.For example, can be by ID (identity number) card be inserted in the card reader, or to showing card and obtain visit in the card reader that certain distance detects the card identity.Can use the card such as card with the card that is integrated into the electronic chip in the card, card, card or other type with the pattern that can read optically with magnetic stripe.Use the common similar approach that obtains the visit of computing machine or computer network, also can obtain visit by keying in the user name and password with the computer user.In addition, first and at least one second device between the medical data that transmits can encrypt.
As long as discerned the user, this request user's of just visit coupling of system user profile.This user profile preferably is stored on first device.This user profile can be an individual user profiles, and promptly only to the effective user profile of this request user, perhaps it can be to the effective group user profile of two or more users.Then, system's visit attribute library relevant with medical data.Follow at medical data under the situation of dicom standard, this attributeization, and a part that can be used as the header of each data object is found.For example, data object can be the 3-D view of patient scan.In this case, header can comprise the attribute relevant with the information that relates to the scan image characteristic, the date and time of scanning, the number of data point etc.
After calling party configuration file, relatively produce one group of data object based on rule-based between user profile and the attribute.For example, user profile can regulation tabulation should comprise all patients of interscan in last 24 hours having only the patient data of scanning in the end 24 hours to be included in the data object group that is produced then.Produce a tabulation, wherein each clauses and subclauses is all represented a data object.After tabulation has produced, automatically the user is presented in this tabulation.Tabulation can be presented on the computer screen with figure or text mode, for example icon list or text list.Tabulation can comprise the clauses and subclauses of representing all data objects, wherein, finds coupling based on user profile in attribute library.Thereby tabulation can be the tabulation of data object, promptly represents the image object of patient data, the data that obtain such as the medical scanning by the patient.By by clauses and subclauses on the single request action enable list, for example use the icon or the text element of computer click correspondence, selected individual medical data is presented on the screen.Thereby, be alternative in the necessary a large number of users interactive operation of other method, can obtain " clicking " visit to associated patient data.
User profile can comprise the information that is provided with about the concrete preference of user.For example, gray scale shows rather than colored the demonstration if the user prefers.If perhaps the user prefers observing image from a certain angle, in fact can in user profile, comprise any setting.
The present invention can comprise the application program that a software is realized, is provided for the analysis configuration file to determine the method for user preference, so that the method that data show on the screen of second device of at least one can customize according to user's needs and preference.Thereby, providing the system that is used to obtain to the direct visit of medical data to the user, it is standardized on the overall functionality of program, but its demonstration for addressable data and visit data can customize the personal user.
Can preserve the daily record of user's special use together with user profile.When User login arrived system, user's dedicated log can be used to write down all customer incidents, and the session status relevant with all customer incidents.User's dedicated log can be come record by the device of any possibility register user events.User's dedicated log can be recorded in the Computer Cache of the computing machine (promptly can write down the computing machine of all user interactions) that is connected to user interface, and user's dedicated log also can be used as the storage medium that computer documents is saved in disk or any other type.Even the user log off and the system of stopping using, user's dedicated log also can keep.If new session of beginning in system after the user, then the user can be chosen in the definite stage that the user stops the last time and begin.Thereby, when new session begins, can on the screen of second device of at least one, will present to the user with definite same screen image in before the conversation end.When the new session of beginning, the user can be on continuing once session and begin to make a choice between the new session.System by local client from the embodiment of central server operation, session status does not even depend on user's geographic position.Thereby the user can begin a session in the position of for example user's office.Log off then.Change the position, then the session location continuation session that begins a new session and left last time from the user definitely in other time.Customer incident by comprising all past or comprise the restore funcitons of the customer incident in a large amount of past such as 20 last customer incidents, last 50 customer incidents or last 100 customer incidents, operation of using in new session and the operation of session in the past remain addressable.Thereby except that directly visiting the digital medical data, this method provides the continuous access to digital medical data.Continuous access can be very suitable for the health worker, because the health worker does not have fixing working position usually, they need promptly make a response to health care problem in environment of living in, and the patient also can move within the same hospital and between the different health institutions.
A key character of the present invention is, except obtaining the visit to medical data, also can obtain the visit to the computer applied algorithm of selecting from the computer applied algorithm storehouse, so as can video picture, analysis and operation medical data.Computer applied algorithm can be 3-D display and routine analyzer, can make the user can rotate scanning three-dimensional image with the selected patient data of convergent-divergent, maybe can observe patient's two-dimentional slice, thin piece.Computer applied algorithm can be stored on first device, and can maybe can be stored in by computer network and be connected to also therefrom operation on first device that installs from the first device operation.
User profile can also comprise about selected patient data being given the information of which computer applied algorithm.For example, if the user is the brain surgeon, then user profile can comprise such information, to such an extent as to can always give the user with the application program that is used for MRI scanning, and can give the plastic surgeon with the CT scan application program.User's dedicated log writes down all the customer incident records in employed application program and this application program.Therefore, though the user log off really, change the position, afterwards once more the login, system also can be provided at application program really cut continue with the work in the state.Normally based on the type of medical data, if therefore the user is asking the CT data, then data show with the special applications of CT data in the selection of computer applied algorithm.
User profile can comprise in addition with customer location and the request same day relevant information of time.Based on user profile, binding site, time or the two, system can determine this user task at hand.If the user needs or wants to present different data according to user's geographic position or time, then this may be useful.Customer location can be determined according to the position of the used computing machine of user access server.At computing machine is under the situation of the stationary computer such as workstation, thin-client or PC, and the position can be determined according to the known position of computing machine.Alternatively, can determine the position of computing machine based on the access point of computer network.If computing machine is the mobile device such as hand-held device (for example PDA or laptop computer), then this is especially to be suitable for.
User profile can also comprise be stored in another software application in the relevant information of user schedule.For example, user profile even may be relevant with digital personal organizers is such as the Outlook of Microsoft TMOr such as Palm Pilot TMAnd so on hand-held manager.
User profile can also comprise the relevant information of attribute with the graphical medical of asking before.If the user mainly retrieves some image type, then user profile can dynamically upgrade, so that what provide in tabulation is this class image, the user uses single request action can visit this tabulation.Other information type also can dynamically be upgraded, such as user preference.Except dynamically updating user profile, or alternatively, user profile also can upgrade the artificially.Keeper such as the power user or have special delegated authority upgrade anyone or crowd of user profile can the artificial regeneration user profile.The user also can upgrade user profile.For example, offer the special configuration file management application program that the user carries out processing by use.
The visit data that obtains by current method can be the data that comprise graphical medical.The for example related and view data that obtains with patient's medical scanning.Preferably, view data can be followed the dicom standard of implementing in the PACS system.Especially, graphical medical can be such as the data that come from MRI, CT, US, PET and SPECT the three-dimensional picture medical data and such as the X-Y scheme medical data of the data that come from CR and DR.Except being shown, graphical medical can also operate and analyze according to standard operation and routine analyzer.Operation can be any standard operation of data, such as rotation, amplify and dwindle, zone of montage or data subset or the like.Operation also can be non-type operation, or it can be to be the specifically developed specific operation of native system.
Except graph data, also can obtain visit with the textual medical data of selected relating to persons.Preferably, textual medical data is based on the data of following HL7 standard or EDIFACT standard.Feature such as the button that will press, the menu point that will select may be effectively, when activating this feature with box lunch, from first device retrieval relevant with the data presented object, be patient's stored text medical data.The exchange of figure and/or medical data can be based on the IHE framework that is used for data interchange.
According to second kind of form of the present invention, the computer system that is used to provide with the medical data of relating to persons has been provided, this system comprises:
First device and second device of at least one, wherein, first device and second device of at least one link together in computer network,
Second device of at least one comprises the input media and the display device of the action that can accept request,
Request user's user profile, wherein, described user profile be stored in that first device is gone up and can from the first device visit and
The attribute library relevant with medical data is stored in first device and goes up and can therefrom visit,
Wherein, produce one group of data object based on the rule-based comparison between user profile and the attribute, wherein, each data object is all represented a data set relevant with the individual, and produces the data object tabulation and present to the user,
Therefore, as long as the user is with a data object on the single request action request list, the request medical data of demonstration data selected object on display device just.
Description of drawings
Describe the preferred embodiments of the present invention in detail referring now to accompanying drawing, wherein:
Fig. 1 shows the general survey of a preferred embodiment;
Fig. 2 shows the process flow diagram of the step that the preferred embodiments of the present invention relate to;
Fig. 3 shows the scheme of data structure and level of information, and it allows the directly desired patient data of visit;
Fig. 4 has illustrated the direct visit to the patient data that comprises the CT image;
Fig. 5 shows the example of user journal; With
Fig. 6 has illustrated the function of user journal.
Embodiment
The invention provides the method and system that can promptly obtain to the visit of medical data.Describe the present invention with reference to a preferred embodiment below, wherein, the present invention implements as software program on the client/server network computer system.Server is the part of PACS system and medical data and is used to show with the application program of analyzing and goes up storage, operation and processing at this server (or is connected by computer network the device that is connected to server).Software application moves in the central computer server system, but all are all communicated by letter by the client device that is connected to this server with the user of its interactive operation.In a preferred embodiment, client device can only accept to come from user's request action, transmits this request to server, receive thereafter as request results, come from data in server, and be presented on the screen with trade connection.Because client and server can be for example formed connection by internet or the network connection by any other type, the acquisition that is disclosed is not to be only limited in single in-house work to the method for the visit of medical data.
The general survey of the preferred embodiment of system shown in Figure 1.For example by using medical scanners to obtain medical image, and be stored in then on the image server 1 as a PACS system part, therefore in thereafter the visit of whenever can setting up image.A large amount of clients 3 can connect 2 by network and be connected to server.Network 2 can be any kind network, and this network is in-house network or the internet such as Ethernet in a preferred embodiment.As known from network system, client and server can intercom with the internet mutually by in-house network.
Client 3 can be the screen that is equipped with graphic presentation, and the computing machine of any kind that is used for the device (for example keyboard and computer mouse) of record request action.Client can for example be a thin-client, the wireless handheld device such as PDA(Personal Digital Assistant), personal computer (PC) or the like.
Except medical data, the software application set 4 that is used for data analysis and demonstration is stored on the server and can therefrom moves.Pool of applications can also be stored in by computer network and be connected on the device of server, and can therefrom move.Server is equipped with necessary computing power, with can Treatment Analysis and the demanding task of the big three dimensional object of operation, such as the 3-D view at positions such as people's head, chest.All data and all storage on server, operation and the processing of data application that are used to show and analyze.The processing of session and all associated incidents are finished by Control Software 5.Control Software receives user's request, from medical science server retrieves data, calls appropriate software application from available pool of applications, the process user configuration file, and the daily record and the session status of preservation customer incident, or the like.
Fig. 2 shows the process flow diagram of the step that the preferred embodiments of the present invention relate to.Come key drawing 2 in conjunction with a preferred embodiment, wherein, the user is the clinician with various tasks.This clinician is connected to radiology department, and the patient that he handles is the patient who has experienced the medical scanning such as CT scan.Afterwards, the patient can undergo surgery based on the image that obtains in conjunction with medical scanning.
As first task on given date, this clinician can participate in a meeting early together with other clinician's group, and wherein, the patient who receives treatment at present discusses in this team, and this class meeting is very general in hospital.The typical subject of club's discussion early can be the patient who lives through medical scanning in last 24 hours.In order to help this discussion, will be equipped with the thin-client of projector to be positioned over meeting room.
Identification user's (being the clinician) first step 10 is that ID (identity number) card is inserted card reader.As long as confirmed user identity, finish first consulting 11 of clinician's user profile.Clinician's user profile comprises a rule, if this clinician of its regulation just makes request from meeting room, then should be created in the patient's tabulation that stands to scan in nearest 24 hours.List producing 12 also is presented on the screen.Clauses and subclauses in the present selective listing of clinician.These clauses and subclauses are represented the data object relevant with the patient that should discuss, and show 15 on screen by the image of single request action 13 (promptly clicking these clauses and subclauses) institute's requested data object relevant with selected patient.The data object of asking in order to show is made second consulting 14 of user profile.In more detail, request is sent to server, server is explained this request and obtain relevant view data from the storage medium that it connected, then view data is presented on the client device.
The clinician can use a large amount of three-dimensional picture programs, such as rotation, convergent-divergent etc., for example is used for obtaining the understanding to the target location that will operate.
Thereby, presented relevant patient's tabulation by signing in to system to the user simply, retrieve selected patient's data by single request action subsequently.This type systematic is that the clinician with heavy calendar plan has saved valuable time.Data can also present with the method for user profile regulation, and this is the reason of second consulting, so the clinician did not need service data further before discussion can begin.
Afterwards, same clinician makes an inspection tour in can preventing or cure a disease the room same day, with PDA(Personal Digital Assistant) so that and the patient talk or be convenient to the understanding of patient its state of an illness.The clinician is login system before beginning to make a round of visits, and because ward inspection is a recurrence event, system can automatically determine clinician's task based on the time on the same day when landing.The clinician is presented in the tabulation of associated patient.This tabulation even can upgrade according to clinician's position, so this tabulation includes only the patient in the clinician ward of living in.
In afternoon, the clinician may prepare to have an operation to a patient who had discussed in meeting morning.The clinician is in clinician's the office, and user profile comprises that a rule stipulates all patients that this clinician distributes are presented to the clinician, and the clinician is chosen in the patient that early can discuss.After retrieve data, the clinician has the selection that recovers session from the end of session in the morning, and this clinician selects to recover the session of meeting then.By doing like this, the clinician just can visit all operations of the data of carrying out in the session.
In Fig. 3, the scheme 30 of data parameters and level of information is shown, it provides the direct visit to desired patient data.Three levels 31,32 and 33 of information must be provided.Yet most information can be used for this system.First level 31 comprises and subscriber-related information.These information provide when landing.Second level 32 comprises the information relevant with the patient.Because all list of entries are all represented concrete patient's data object, this selects when request action.Tri-layer 33 comprises the information relevant with profile rules.These rules are parts of user profile.
As long as make single request action, just present the data object relevant with the patient.The application program that is used to present data object is commonly referred to clinical applications module or CAM.CAM is can be with the single software application that begins in particular state of action (such as a mouse click, perhaps more generally being single routine call) that begins.Concrete state is specified by data parameters 30.CAM can be the program of any kind, for example the 3-D display program.The definite parameter that is used to begin CAM becomes with the character of CAM, yet all has the well-defined parameter list that defines original state for the CAM of each type.
Two screenshot captures that obtain in conjunction with the computer-implemented of the preferred embodiments of the present invention in Fig. 4, have been provided.First screenshot capture 40 shows the tabulation of data object (promptly presenting to patient's image of user after User Recognition).As long as user's login just uses user profile to produce this tabulation.The user can click the data object 47 of selection to show this data object.Second screenshot capture has presented an example of data object, and the CAM that its use is used for the demonstration of CT data three-dimensional shows.This screenshot capture has illustrated patient's chest in the upper left corner 43.Show in addition with reference to three-dimensional coordinate system 48.Remaining three parts of screenshot capture show three tangent planes of chest: xy plane 44, xz plane 45 and yz plane 46.
In Fig. 5, present an example of user journal and corresponding screen picture.Contact is cancelled and is done function again user journal is described.Image in the upper left corner 50 shows the screenshot capture of specific data sets.This original state is recorded in the user journal.Screenshot capture is divided into four parts as Fig. 4.The 3-D view of the CT object of the upper left corner 500,510,520 and 530 of all screenshot captures shown in all being.In the upper right corner of screenshot capture 501,511,521 and 531 be along shown in the tangent plane that obtains of xy plane, in the lower left corner 502,512,522 and 532 be along shown in the tangent plane that obtains of xz plane, and in the lower right corner 503,513,523 and 533 be along shown in the tangent plane that obtains of yz plane.
Shown in second image 51 is possible next user steps: the user amplifies volume data (510 with respect to 500 changes).The record result phase.The user can at any time cancel to obtain the step 50 of front.After this, the user changes the position (521 relative 511 and change) on the xy plane 52 of demonstration.The result is recorded in the user journal once more.The user can at any time cancel again to obtain the step 51 of front.At last, on all planimetric maps, change the color setting, cause three slice, thin pieces 531,532 and 533 blackening.Cancelling/reform function allows the user optionally to retreat and advances by all these states.
Fig. 6 has illustrated how user journal and it are used for the preservation state function.During first session 60,61,62, the clinician lands 60, finds correct data set and prepares observed data by amplifying 61,62.The user preserves this state, perhaps begins second session 600,601 then in different positions.The user is unnecessary to execute institute in steps once more, but can be written into the state of being preserved simply, and the equal state that stays after session #1 from the user works on then.Thereby session status continues in time and position.The continuation of state is illustrated as quite simple data change at this.If the not assistance of the method that discloses herein, serial change may quite be grown and be very dull and even can not reproduce yet under many circumstances.
Although described the present invention in conjunction with the preferred embodiments, yet its intention is not to be to be restricted to special shape set forth herein.On the contrary, scope of the present invention is just limited by subsidiary claim.

Claims (32)

1. be used to provide the method with the medical data of relating to persons, described method comprises the following steps:
Request of access user's user profile,
Visit the attribute library relevant with medical data,
Relatively produce one group of data object based on rule-based between user profile and the attribute, wherein, each data object is all represented a data set relevant with the individual,
Generation present to this user's data list object and
As long as the user proposes single request action for the data object on the request list, just show the medical data of being asked of selected data object.
2. method according to claim 1, wherein, medical data is a graphical medical.
3. according to before the described method of arbitrary claim, wherein, user's action and session status is recorded in user's dedicated log.
4. according to before the described method of arbitrary claim, wherein, can by cancel function visit the user in identical or session in the past before action.
5. according to before the described method of arbitrary claim, wherein, come display of medical data by the computer applied algorithm of from pool of applications, selecting.
6. according to before the described method of arbitrary claim, wherein, the selection of computer applied algorithm is based on user profile.
7. according to before the described method of arbitrary claim, wherein, the selection of computer applied algorithm is based on the type of medical data.
8. according to before the described method of arbitrary claim, wherein, medical data presents according to the specific preference setting of user.
9. according to before the described method of arbitrary claim, wherein, medical data presents in the ending that new session begins as a preceding session, and creates the state of new session on the experience of user's dedicated log.
10. according to before the described method of arbitrary claim, wherein, user profile comprises the information relevant with customer location.
11., wherein, determine the position of computing machine based on the access point of computer-to-computer network according to the described method of arbitrary claim before.
12. according to the described method of arbitrary claim before, wherein, user profile comprises the information with the time correlation of asking the same day.
13. according to the described method of arbitrary claim before, wherein, user profile comprises the relevant information of attribute with previous medical data of asking.
14. according to the described method of arbitrary claim before, wherein, user profile comprises the information relevant with user schedule.
15., wherein, dynamically upgrade user profile according to the described method of arbitrary claim before.
16. according to any one described method in the claim 2 to 15, wherein, graphical medical is based on the data of following the dicom standard of implementing in the PACS system.
17. according to any one described method in the claim 2 to 16, wherein, graphical medical is the three-dimensional picture medical data such as the data that come from MRI, CT, US, PET and SPECT, and such as the X-Y scheme medical data of the data that come from CR and DR.
18. according to claim 1, any one described method in 3 to 15, wherein, data comprise the textual medical data relevant with selected individual.
19. method according to claim 18, wherein, textual medical data is based on the data of following the HL7 standard.
20. method according to claim 18, wherein, textual medical data is based on the data of following the EDIFACT standard.
21. according to the method for claim 16 or 18, wherein, the exchange of figure and/or medical data is based on the IHE framework that is used for data interchange.
22. according to any one described method in the claim 2 to 17, wherein, graphical medical can also operate and analyze except being shown according to the operation and the routine analyzer of standard.
23. according to the described method of arbitrary claim before, wherein, medical data is encrypted.
24. a computer program, when described program was moved on computer network system, it was applicable to that enforcement of rights requires 1 to 23 method.
25. a computer-readable data carrier has been loaded computer program according to claim 24.
26. one is used to provide the computer system with the medical data of relating to persons, described system comprises:
First device and at least one second device, wherein, first device and second device of at least one pass through computer networks interconnection,
Second device of at least one comprises the input media and the display device of the action that can accept request,
Request user's user profile, wherein, described user profile is stored on first device, and can from the first device visit and
The attribute library relevant with medical data is stored on first device, and can therefrom visits,
Wherein, based on the rule-based comparison between user profile and the attribute, produce one group of data object, wherein, each data object is all represented a data set relevant with the individual, and produces the data object tabulation and present to the user,
Therefore, as long as the user is with a data object on the single request action request list, the medical data of asking of demonstration data selected object on display device just.
27. computer system according to claim 26, wherein, described computer system is a client/server system.
28. computer system according to claim 27, wherein, the server in the described computer system comprises the software that is applicable to the process graphical data object, and wherein, client comprises the display device that is used for the display graphics data object.
29. according to any one described system in the claim 26 to 28, wherein, first device also comprises and is used to encrypt the device that will connect the data that send by the computing machine between first device and second device of at least one, and wherein, second device of at least one comprises the device that is used to decipher the reception data.
30. according to any one described system in the claim 26 to 29, wherein, second device of at least one is connected by universal network with first device communicates by letter.
31. according to any one described system in the claim 26 to 30, wherein, first device is a computer server system.
32. according to any one described system in the claim 26 to 31, wherein, second device of at least one is thin-client, workstation second device, PC, laptop computer or wireless handheld device.
CNA038266547A 2003-05-13 2003-05-13 Method and system for direct and persistent access to digital medical data Pending CN1846214A (en)

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