Electronic clinical recording system

• US 6,272,470 B1
• Filed: 09/03/1997
• Issued: 08/07/2001
• Est. Priority Date: 09/03/1996
• Status: Expired due to Fees

• Current Assignee: Kabushiki Kaisha Toshiba (Toshiba Corporation)
• Original Assignee: Kabushiki Kaisha Toshiba (Toshiba Corporation)
• Inventors: Teshima, Fumiaki
• Primary Examiner(s): Millin, Vincent
• Assistant Examiner(s): ROSEN, NICHOLAS D
• Application Number:
  US08/922,458
• Time in Patent Office: 1,434 Days
• Field of Search: 705/2, 705/3, 705/17, 705/21, 705/26, 705/42, 705/41, 705/43, 235/375, 235/487, 707/513
• US Class Current: 705/3
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 10/65 stored on portable record carriers, e.g. on smartcards, RFID tags or CD
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

There is provided an electronic clinical recording system handling, as electronic data, information including a patient'"'"'s consultation record. The system comprises a portable storage medium for storing the patient'"'"'s consultation record; an element for writing the patient'"'"'s consultation record described in a structured language into the storage medium; and an element for reading the patient'"'"'s consultation record from the storage medium. The writing element includes a converting/producing element for converting or producing link information in the consultation record when the consultation record is written in the storage medium, the link information being indicative of making reference to one or more specified files relevant to the consultation record and prepared as external information. The reading element includes a data acquiring/referencing element for acquiring or referencing the one or more specified files indicated by the link information when the consultation record is read from the storage medium.

Claims

1. An electronic clinical recording system handling, as electronic data, information including a patient'"'"'s consultation record, comprising:

a portable storage medium for storing the patient'"'"'s consultation record described in a structured language as one or more specified files containing patient consultation information, as one or more of said specified files and link information indicating one or more external files containing patient consultation information, or as said link information;

means for writing said one or more specified files, said one or more specified files and link information or said link information at at least one of a plurality of medical institutions in order to initially store or to add to the patient'"'"'s consultation record stored in the portable storage medium, said means for writing including converting/producing means for converting or producing the link information as part or all of the patient'"'"'s consultation record when the patient consultation information is determined to have a predetermined characteristic; and

means for reading the patient'"'"'s consultation record from the portable storage medium at each of the plurality of medical institutions so that each medical institution can share the patient'"'"'s consultation record, said means for reading further including data acquiring/referencing means for acquiring or referencing one or more external files indicated by any stored link information read from the portable storage medium,

wherein the predetermined characteristic includes file size and the means for writing further includes first determining means for determining said file size of the one or more specified files and second determining means for determining whether or not to store the one or more specified files in the portable storage medium depending on the file size determined by the first determining means.

2. An electronic clinical recording system handling, as electronic data, information including a patient'"'"'s consultation record, comprising:

a portable storage medium for storing the patient'"'"'s consultation record described in a structured language as one or more specified files containing patient consultation information, as one or more of said specified files and link information indicating one or more external files containing patient consultation information, or as said link information;

means for writing said one or more specified files, said one or more specified files and link information or said link information at at least one of a plurality of medical institutions in order to initially store or to add to the patient'"'"'s consultation record stored in the portable storage medium, said means for writing including converting/producing means for converting or producing the link information as part or all of the patient'"'"'s consultation record when the patient consultation information is determined to have a predetermined characteristic; and

means for reading the patient'"'"'s consultation record from the portable storage medium at each of the plurality of medical institutions so that each medical institution can share the patient'"'"'s consultation record, said means for reading further including data acquiring/referencing means for acquiring or referencing one or more external files indicated by any stored link information read from the portable storage medium,

wherein the predetermined characteristic includes file type and the means for writing further includes first determining means for determining the file type of the one or more specified files and second determining means for determining whether or not to store the one or more specified files in the portable storage medium depending on the file type determined by the first determining means.

3. An electronic clinical recording system handling, as electronic data, information including a patient'"'"'s consultation record, comprising:

a portable storage medium for storing the patient'"'"'s consultation record described in a structured language as one or more specified files containing patient consultation information, as one or more of said specified files and link information indicating one or more external files containing patient consultation information, or as said link information;

means for writing said one or more specified files, said one or more specified files and link information or said link information at at least one of a plurality of medical institutions in order to initially store or to add to the patient'"'"'s consultation record stored in the portable storage medium, said means for writing including converting/producing means for converting or producing the link information as part or all of the patient'"'"'s consultation record when the patient consultation information is determined to have a predetermined characteristic; and

means for reading the patient'"'"'s consultation record from the portable storage medium at each of the plurality of medical institutions so that each medical institution can share the patient'"'"'s consultation record, said means for reading further including data acquiring/referencing means for acquiring or referencing one or more external files indicated by any stored link information read from the portable storage medium,

wherein the predetermined characteristic includes file type and file size and the means for writing further includes first determining means for determining the file type and the file size of the one or more specified files and second determining means for determining whether or not to store the one or more specified files in the portable storage medium depending on the file type and the file size determined by the first determining means.

4. An electrical clinical recording system handling, as electronic data, information including a patient'"'"'s consultation record, comprising:

a portable storage medium for storing the patient'"'"'s consultation record;

means for creating the patient'"'"'s consultation record described in a structured language including determining means for determining that one or more patient consultation data files to be included in the patient'"'"'s consultation record are of a particular file size or of a particular file type and means responsive to the determining means for enabling the creating means to create link information for accessing one or more external patient consultation data files instead of the actual patient consultation data files as at least a part of the created patient'"'"'s consultation record and for otherwise creating the patient'"'"'s consultation record so as to directly contain the one or more patient consultation data files;

means for writing the created patient'"'"'s consultation record into the portable storage medium; and

means for reading the patient'"'"'s consultation record from the portable storage medium including means for acquiring or referencing the one or more external patient consultation data files indicated by link information when link information is read as part of the patient'"'"'s consultation record.

5. An electronic clinical recording system handling, as electronic data, information including a patient'"'"'s consultation record, the patient'"'"'s consultation record being described in a structured language as one or more specified files containing patient consultation information, as one or more of said specified files and link information indicating one or more external files containing patient consultation information, or as said link information, the system comprising:

means for writing said one or more specified files, said one or more specified files and link information or said link information at at least one of a plurality of medical institutions in order to initially store or to add to the patient'"'"'s consultation record, said means for writing including converting/producing means for converting or producing the link information as part or all of the patient'"'"'s consultation record when the patient consultation information is determined to have a predetermined characteristic; and

means for reading the patient'"'"'s consultation record from storage at each of the plurality of medical institutions so that each medical institution can share the patient'"'"'s consultation record, said means for reading further including data acquiring/referencing means for acquiring or referencing one or more external files indicated by any stored link information read as part of the patient'"'"'s consultation record,

wherein the predetermined characteristic includes file size and the means for writing further includes first determining means for determining said file size of the one or more specified files and second determining means for determining whether or not to store the one or more specified files as part of the patient'"'"'s consultation record depending on the file size determined by the first determining means.

6. An electronic clinical recording system handling, as electronic data, information including a patient'"'"'s consultation record, the patient'"'"'s consultation record being described in a structured language as one or more specified files containing patient consultation information, as one or more of said specified files and link information indicating one or more external files containing patient consultation information, or as said link information, the system comprising:

means for writing said one or more specified files, said one or more specified files and link information or said link information at at least one of a plurality of medical institutions in order to initially store or to add to the patient'"'"'s consultation record, said means for writing including converting/producing means for converting or producing the link information as part or all of the patient'"'"'s consultation record when the patient consultation information is determined to have a predetermined characteristic; and

means for reading the patient'"'"'s consultation record from storage at each of the plurality of medical institutions so that each medical institution can share the patient'"'"'s consultation record, said means for reading further including data acquiring/referencing means for acquiring or referencing one or more external files indicated by any stored link information read as part of the patient'"'"'s consultation record,

wherein the predetermined characteristic includes file type and the means for writing further includes first determining means for determining said file type of the one or more specified files and second determining means for determining whether or not to store the one or more specified files as part of the patient'"'"'s consultation record depending on the file type determined by the first determining means.

7. An electronic clinical recording system handling, as electronic data, information including a patient'"'"'s consultation record, the patient'"'"'s consultation record being described in a structured language as one or more specified files containing patient consultation information, as one or more of said specified files and link information indicating one or more external files containing patient consultation information, or as said link information, the system comprising:

means for writing said one or more specified files, said one or more specified files and link information or said link information at at least one of a plurality of medical institutions in order to initially store or to add to the patient'"'"'s consultation record, said means for writing including converting/producing means for converting or producing the link information as part or all of the patient'"'"'s consultation record when the patient consultation information is determined to have a predetermined characteristic; and

means for reading the patient'"'"'s consultation record from storage at each of the plurality of medical institutions so that each medical institution can share the patient'"'"'s consultation record, said means for reading further including data acquiring/referencing means for acquiring or referencing one or more external files indicated by any stored link information read as part of the patient'"'"'s consultation record,

wherein the predetermined characteristic includes file type and file size and the means for writing further includes first determining means for determining the file type and the file size of the one or more specified files and second determining means for determining whether or not to store the one or more specified files as part of the patient'"'"'s consultation record depending on the file type and file size determined by the first determining means.

8. An electrical clinical recording system handling, as electronic data, information including a patient'"'"'s consultation record, comprising:

means for creating the patient'"'"'s consultation record described in a structured language including determining means for determining that one or more patient consultation data files to be included in the patient'"'"'s consultation record are of a particular file size or of a particular file type and means responsive to the determining means for enabling the creating means to create link information for accessing one or more external patient consultation data files instead of the actual patient consultation data files as at least a part of the created patient'"'"'s consultation record and for otherwise creating the patient'"'"'s consultation record so as to directly contain the one or more patient consultation data files;

means for writing the created patient'"'"'s consultation record into storage; and

means for reading the patient'"'"'s consultation record from storage including means for acquiring or referencing the one or more external patient consultation data files indicated by stored link information when link information is read as part of the patient'"'"'s consultation record.

9. The system of claim 8, wherein the structured language is at least one of a SGML (Standard Generalized Markup Language) and an HTML (HyperText Markup Language).

10. The system of claim 8, wherein the storage of the created patient'"'"'s consultation record by the writing means is into an IC card.

11. The system of claim 8, further including means for dynamically changing a content of the stored link information in a manner such that previously included acquiring or referencing information needed for the means for acquiring or referencing the one or more external patient consultation data files is changed according to the dynamically changed link information.

12. The system of claim 11, wherein the dynamically changing means includes means for writing a program into storage when the patient'"'"'s consultation record is written into storage, said program being described in a programming language and containing instructions for dynamically changing the content of the stored link information under a prescribed condition or conditions.

13. The system of claim 8, further including means for dynamically changing a content of the stored link information in a manner such that the one or more external patient consultation data files previously designated for acquiring or referencing by the means for acquiring or referencing are eliminated and a new one or more external patient consultation data files are designated according to the dynamically changed link information.

14. The system of claim 13, wherein the dynamically changing means includes means for writing a program into storage when the patient'"'"'s consultation record is written into storage, said program being described in a programming language and containing instructions for dynamically changing the content of the stored link information under a prescribed condition or conditions.

15. The system of claim 8, wherein the means for acquiring or referencing acquires or references the one or more patient consultation data files on the basis of at least one of protocols of an FTP (File Transfer Protocol), DICOM (Digital Imaging &

Communication Medicine), electronic-mail, HTTP (Hyper Text Transfer Protocol), and TELNET (Telecommunication Network).

16. The system of claim 8, further comprising at least one of means for encrypting data contained in the one or more patient consultation data files and for decrypting the encrypted data and means for compressing data contained in the one or more patient consultation data files and for expanding the compressed data.

17. The system of claim 8, further comprising means for specifying an operator operating the system and means for restricting information to which the operator can obtain access depending on a result of specifying means.

18. The system of claim 8, wherein the means for reading further includes means for graphing at least one of examination data and biomedical data which are included in the patient'"'"'s consultation record and means for outputting the data graph by the graphing means.

19. The system of claim 8 further comprising means for graphing at least one of examination data and biomedical data which are included in the patient'"'"'s consultation record and means for outputting the data graph produced by the means for graphing.

20. The system of claim 8, wherein the means for reading further includes means for displaying data included in the patient'"'"'s consultation record.

21. The system of claim 8, wherein said means for reading the stored patient'"'"'s consultation record from storage is provided at each of the plurality of medical institutions so that each medical institution can share the patient'"'"'s consultation record.

22. The system of claim 8, wherein the means for reading includes means for displaying data included in the patient'"'"'s consultation record.