BG109903A - System for creating, updating and use of personal electronic health records - Google Patents

Abstract

The system for creating, updating and use of personal electronic health records finds application in healthcare. It helps create, update and use a single personal electronic health record of each individual patient, which contains details of all visits to general practitioners, medical specialists, laboratories, pharmacies, hospitals. As a result, every doctor has complete information on the health of a particular patient when determining the diagnosis and prescribing treatment. Furthermore, the system allows national and regional institutions and organizations to use in codified form all available information on the health status of the population on a national and regional scale. Through the system, certified users such as general practitioners, medical specialists, laboratories, pharmacies, hospitals may, through their individual computers (2.1, 2.2, à, 2.n) or via the Internet (3), to create, update and use personal electronic health records that are stored in a database (1.3) of a central server (1). The system can also be used by certified regional and national institutions and organizations.

Description

TECHNICAL FIELD

The invention relates to a system for creating, updating and using personal electronic health records and can be used in the healthcare system.

BACKGROUND OF THE INVENTION

There are known systems for creating personal electronic health records, in which each personal electronic health record of a specific patient is formed and stored on the computer of the respective GP - general practitioner and / or specialist doctor who is visited by the patient. This creates multiple files per patient, stored at the different physicians visited by the particular patient, as well as in laboratories where the particular patient was examined, pharmacies from which the patient took prescribed medication and in hospitals during the patient's stay.

The disadvantages of these systems are that there is no connection between the individual electronic health records of a particular patient, there is no functionality to make that connection. In this way, the attending physician is deprived of the opportunity to use all available information about the patient's health.

SUMMARY OF THE INVENTION ©

The purpose of the invention is to create for each patient a single personal electronic health record in the healthcare system, which contains information from all patient visits to GPs, specialist doctors, laboratories, pharmacies, hospitals. On the other hand, the object of the invention is to enable national and regional institutions and organizations to ....... use in a systematic manner all available information on the health status of the population on a national and regional scale.

The objective is achieved through the proposed system for creating, updating and using personal electronic health records.

The system consists of hardware and software part. The hardware part of the system includes a central server, individual computers located at the individual users - general practitioners, specialist doctors, laboratories, pharmacies, hospitals, regional and national institutions and organizations. An internet connection has been established between each of the individual computers and the central server to provide communication between them. The software part of the system consists of a number of software modules installed on the central server and the individual computers, which interact through communication between program processes and network communication, hereinafter referred to as "modules".

· The central server contains a module for receiving incoming information from individual computers. The output of said module is connected to the input of a module for processing the received information, to which, on the one hand, a module for storing information (database) is connected via bilateral input-output links, and on the other, it is connected through an output connection to a module. for transmitting output information to individual computers and via an incoming connection to a module for receiving requests from individual computers.

Each individual computer includes a data processing module connected to a database storage module independent of a central server database connected to an electronic XML file module containing structured information for the respective visit to the database. a specific patient connected to a module for transmitting outgoing information to the central server, which in turn is connected via an internet connection to the central server module for receiving incoming information from the individual com peters. On the other hand, a module for certification of the right of access to the information from the central server database is included in the composition of each individual computer, which is connected through an outbound connection to a module for sending a request to the database on the central server, which via an Internet connection is connected to the module from the central server to receive a request from individual computers. Each individual computer also includes a module for receiving incoming information from the central server, which is connected via the Internet connection to the output of the module from the central server for transmitting output information to the individual computers, and on the other through an output connection, the module for receiving input from the central server located in each individual computer is connected to a module for sending a request to the database on the central server.

The advantages of the system according to the invention are that it creates, updates and uses a single personal electronic health record for each individual patient, which contains information from all visits to GPs, specialist doctors, laboratories, pharmacies, hospitals. As a result, each treating physician has all the information on the health status of a particular patient in determining the diagnosis and treatment prescriptions. In addition, the system allows national and regional institutions and organizations to use in a systematic manner all available information on the health status of the population on a national and regional scale.

EXPLANATION OF THE FIGURES Attached

The invention is explained in more detail with the aid of the accompanying figure 1, which is a block diagram illustrating the system for creating, updating and using personal electronic health records.

EXAMPLE IMPLEMENTATION OF THE INVENTION

Figure 1 presents the system for creating, updating and using personal electronic health records in the healthcare system, which consists of a central server 1, individual computers 2.1, 2.2, ..., 2.p, located at the individual users general practitioners, specialist doctors, laboratories, pharmacies, hospitals, national and regional institutions and organizations. An internet connection 3 has been established between each of the individual computers 2.1, 2.2, ..., 2, n and the central server 1 to provide communication between them.

For its part, the central server L consists of a module 1.1 for receiving the incoming information from the individual computers 2.1,

2.2, ..., 2.p. The output of module 1.1. is connected to the input of module 1.2 to process the received information. Module 1.3 on the one hand is connected to module 1.2 on the one hand via bilateral input-output links and module 1.3 for storage of information (database), and on the other hand there is an output connection with module 1.4 for transmitting output information to individual computers 2.1, 2.2, ... , 2.p and an input link from module 1.5 for receiving requests from individual computers 2.1.2.2, ..., 2.p.

Individual computers 2.1, 2.2, ..., 2.p include, respectively, modules 2.1.1, 2.2.1, ..., 2.P.1 for data processing respectively connected to modules 2.1.2, 2.2 .2, ..., 2.P.2 for storing information in a database independent of the central server database 1, connected respectively to modules 2.1.3, 2.2.3, ..., 2.P.Z. for creating an electronic XML file containing structured patient visit information related to the respective modules 2.1.4, 2.2.4, ..., 2.P.4 for transmitting output information to the central server 1, which in turn on the internet connection 3 are connected to module 1.1 of the central server 1. On the other hand, modules of 2.1.5, 2.2.5, ..., 2.p.5 for certification of the right to access to the information from the database of the central server 1 connected respectively to modules 2.1.6., 2.2.6, ..., 2.p.6 for sending a request to the database of the central server 1, which via the Internet connection 3 is connected to module 1.5 of the central server 1 to receive a request from the individual computers. Each of the individual computers 2.1, 2.2, ..., 2.p also includes modules

2.1.7, 2.2.7, ..., 2.p.7 for receiving incoming information from the central server 1 which, on the one hand, is connected via the Internet connection 3 to the output of module 1.4 from the central server 1 for transmitting output information to the individual computers, and on the other hand, through output connection modules 2.1.7, 2.2.7, ..., 2.P.7 are connected respectively to modules 2.1.6, 2.2.6, ..., 2.P .6 to send a request to the central server database 1.

In the case of a specific patient visit to a GP, specialist doctor, laboratory, pharmacy, the results of the respective visit shall be processed accordingly through modules 2.1.1, 2.2.1, ..., 2.P.1 and recorded and stored in the respective modules 2.1.2, 2.2.2, ..., 2.P.2, and then, through the corresponding modules 2.1.3, 2.2.3, ..., 2.P.Z, an electronic XML file is created containing structured information for the respective visit, which through the relevant modules 2.1.4, 2.2.4, ...,

2.P.4 and via Internet connection 3 is sent to module 1.1 from the central server 1. The information received in the central server 1 as an electronic XML file is received by module 1.1, which verifies and validates the correctness of the structure of the electronic XML- file and the information contained therein, after which the information contained in the electronic XML file is transmitted to module L2. In Module 1.2, information is allocated to Module 1.3 where it is stored in a database.

On a subsequent visit of a particular patient to a general practitioner, specialist doctor, laboratory, pharmacy, hospital, from each individual computer 2.1, 2.2, ..., 2.p, through the respective modules 2.1.5, 2.2.5, ..., 2.Π.5 for certification of the right of access to the information from the database on the central server 1, through the corresponding modules 2.1.6, 2.2.6, ..., 2.P.6 for sending a request to the database from the central server 1 and via Internet connection 3 a request is made to module 1.5 for receiving requests from individual computers 2.1, 2.2, ..., 2.p. The request received in module 1.5 is transmitted to module 1.2 for processing the information received, which in turn extracts the required patient information from module 1.3 on the central server 1 and sends the extracted information via module 1.4 and via Internet connection 3 to the corresponding modules 2.1 .7,

2.2.7, ..., 2.P.7 on individual computers 2.1, 2.2, ..., 2.p. This received information is displayed on the monitors of the respective individual computers 2.1, 2.2, ..., 2.p and reflects the data from all visits to general practitioners, specialist doctors, research from laboratories, completed prescriptions in pharmacies and hospitals. in the hospitals of the particular patient.

This information is the patient's personal electronic health record.

For further clarity on the operation of the proposed system for the creation, updating and use of personal electronic health records, the following are examples describing the actual functioning of the system itself.

When a patient visits GPs, specialist doctors, laboratories, pharmacies, hospitals, using a data processing module in individual computers, the medical examination data is recorded and stored in a database module located in the respective individual computer - general practitioner, specialist doctor, laboratory, pharmacy, hospital. The recorded and stored data are extracted through an electronic XML file creation module, which structures them and creates the electronic XML file itself. The electronic XML file contains information about the following documents:

- ambulatory sheet;

- supporting documents issued on the basis of the ambulance sheet, namely:

. =. medical referral areas;

- medical fields for highly specialized activity; = medical directions for medical diagnostic activity;

= medical referrals for hospitalization;

= prescriptions for medicines issued by a GP and / or specialist doctor;

- data on performed medical-diagnostic activity by the respective laboratory.

The already created electronic XML file via the module for transmitting the output information from the individual computers and via the Internet connection is sent to the module for receiving the input information located in the central server. The electronic XML file received in the incoming data module of the central server is checked and validated for the correctness of the structure and the information contained therein, after which the electronic XML file and the information contained therein are transmitted to the processing module. the information received, from which the already processed information enters a module for storing information (database). This information is in the form of personalized electronic health records for specific patients and can be used by all certified users.

When the patient visits the relevant GP, from the GP's individual computer, using the certification module, the right to access the information from the database on the central server, subject to the condition that there are two keys for access to the personal electronic health file of the GP. the patient and the conditions set by the module for certification of the right of access to the information, through the module for sending a request to the database on the central server and via Internet connection, the requested is to open the patient's personal electronic health record, which is sent to a central server module to receive inquiries from individual computers. The certification module of the right of access to information enables personal unique access to the central server of the GP. This module contains unidirectionally encrypted information in a certificate entry containing the personal data of the GP concerned, namely: a unique civilian number; a unique identification number from the Bulgarian Medical Association; practice registration number from the Regional Center for Health; Name, surname and last name; medical specialty; name of practice; system ID and password. The aforementioned keys for accessing the patient's personal electronic health record represent, on the one hand, the GP's username and password, and, on the other, a unique civilian patient number and password, which is the password provided on the patient's previously issued personal electronic health card. A personal electronic health card is used to identify the patient in front of the system. It provides Internet access for every certified GP to the patient's personal electronic health record. The following elements are included in the personal electronic health card: card number; patient's name, surname and surname; patient's unique civilian number; password to access the personal electronic health record; validity period; country initials. An exclusive condition is the use of the combination of the certification module the right of access to the information from the central server together with the two keys - the GP and the patient, to access the patient's personal electronic health record.

The received rivet in the module for receiving requests from the individual computers is sent to the module for processing the received information, after which the processed information is sent to the module for storing the information (database), from which the module for receiving the received information is extracted the requested by requesting information which information via the module for transmitting output information to the individual computers and via the Internet connection is transmitted to the module for receiving input information from the central a server located on the individual computer of the GP who made the request. As a result, the individual patient's personal electronic health record appears on the GP's personal computer monitor. It contains, in electronic form, information on:

- medical examinations carried out;

- issued medical referrals;

- medical directions issued for highly specialized activity;

- issued medical directions for medical diagnostic activity;

- prescriptions for medicines issued;

- issued a medical referral for hospitalization;

- dispensary;

- the doctor.

Medical examinations performed provide health information for each patient visit to different GPs and / or specialist physicians who registered the visit by issuing an outpatient record and sending the information from that outpatient sheet from their individual computer to the central server database in the form an XML XML file and an Internet connection. Issued accompanying documents - medical directions for consultation; medical fields for highly specialized activity; medical directions for medical-diagnostic activity; prescriptions for medicines and medical referrals for hospitalization of the particular patient are in electronic form and the GP can be informed about: the consultations with specialists who have been made and / or not made; performed and / or not performed highly specialized activities; performed and / or not performed medico-diagnostic activities; prescribed and / or non-prescribed prescription drugs; the admission and / or non-admission of the particular patient to the hospital and / or to receive information on the patient's discharge from the respective hospital, together with the results of each activity.

- The general practitioner reflects the data from the examination itself in his own individual computer through a module for processing the data on the individual computers. This data is then entered and stored in a module for storing information in a database independent of the database in the central server. After performing the appropriate medical examination, the GP will send the information from the specific ambulance sheet via the Internet connection via the module for creating an electronic XML file containing structured information about the respective patient visit and through the module for transmitting outgoing information from the individual computers. from the medical examination, in the form of an electronic XML file, to the module for receiving incoming information from the individual computers located on the central server that transmits it to the module from the central server for processing the received information, which further transmits it to the information storage module (database) on the central server. With the receipt of the information in the central server database from the specific medical examination by the GP, the personal electronic health record of the examined patient is supplemented with the data from the ambulance sheet and this information is available for use by other certified users with their own key and the patient's key to access the patient's specific personal electronic health record.

When the patient visits the respective specialist doctor, from the individual computer of the specialist doctor, using the certification module, the right of access to the information from the database on the central server, subject to the condition that there are two keys for access to the personal electronic health file of the the patient and the conditions set by the module for certification of the right of access to the information, through the module for sending a request to the database on the central server and via internet connection, a request for opening is on the patient's personal electronic health record, which is sent to a central server module to receive inquiries from individual computers. The module of certification of the right of access to information enables personal unique access to the central server of the respective specialist doctor. This module contains unidirectionally encrypted information in the form of a certificate containing the personal data of the respective specialist doctor, namely: a unique civilian number; a unique identification number from the Bulgarian Medical Association; practice registration number from the Regional Center for Health; Name, surname and last name; medical specialty; name of practice; system ID and password. The aforementioned keys for accessing the patient's personal electronic health record represent, on the one hand, the username and password of the specialist physician, and, on the other, a unique civilian number and password of the patient, which is the password provided on the patient's previously issued personal electronic health card. A personal electronic health card is used to identify the patient in front of the system. It provides Internet access for each certified specialist to the patient's personal electronic health record. The following elements are included in the personal electronic health card: card number; patient's name, surname and surname; patient's unique civilian number; password to access the personal electronic health record; validity period; country initials. An exclusive condition is the use of the combination of the certification module the right of access to the information from the central server together with the two keys - the specialist doctor and the patient, to access the personal electronic health record of the particular patient.

The request received in the module for receiving requests from individual computers is sent to the module for processing the received information, after which the processed information is sent to the module for storing the information (database), from which the module for receiving the received information is extracted the requested by requesting information which information via the module for transmitting output information to the individual computers and via the Internet connection is transmitted to the module for receiving input information from the central a server located on the individual computer of the specialist physician who made the request. As a result, the individual's personal electronic health record of the particular patient appears on the monitor of the specialist's personal computer. It contains, in electronic form, information on:

- medical examinations carried out;

- issued medical referrals;

- medical directions issued for highly specialized activity;

- issued medical directions for medical diagnostic activity;

- prescriptions for medicines issued;

- issued a medical referral for hospitalization;

- dispensaries;

- the doctor.

The medical examinations performed provide health information for each patient visit to different GPs and / or specialist doctors who registered the visit by issuing an outpatient record and sending the information from that outpatient sheet from their personal computer to the central server database in the form of an electronic XML file and using an Internet connection. Issued medical referrals for consultation of a particular patient are in electronic form and a specialist medical examiner can use the active electronic medical referral referral to perform a medical examination.

The specialist physician reflects the data from the medical examination itself in his own individual computer through a module for processing the data in the individual computers. This data is then entered and stored in a module for storing information in a database independent of the database in the central server. After having undergone the relevant medical examination, the data from the electronic medical referral consultation itself and the information from the specific medical examination outpatient record stored in the information storage module, in the form of an electronic XML file created by the electronic XML creation module, file, are sent from the personal computer to the specialist physician via the module for transmitting output information from the individual computers and via the Internet connection to the module for receiving input information from the individual The computer, located on the central server, from where it is transmitted to the module from the central server for processing the received information, which then transmits it to the module for storing information (database) on the central server. The electronic medical referral consultation itself ceases to be active and visible to other physicians, and thus this electronic medical referral referral cannot be used for a second time by other specialist physicians. With the receipt of the information in the central server database from the specific medical examination by the specialist doctor, the personal electronic health record of the examined patient is supplemented with the results of the specific medical examination and this information is available for use by other certified users, who have their own patient key and key to access the patient's specific personal electronic health record.

The issued medical referrals for the highly specialized activity of the particular patient are in electronic form and the specialist medical examiner can use the active medical referral for highly specialized activity for performing the respective highly specialized activity.

The specialist doctor reflects the data from the highly specialized activity in his own individual computer through a module for processing the data in the individual computers. This data is then entered and stored in a module for storing information in a database independent of the database in the central server. After performing the relevant highly specialized activity, the data. from the electronic medical referral for the highly specialized activity and the information from the specific outpatient sheet of the highly specialized activity, recorded in the module for storing the information, in the form of an electronic XML file created by the module for creating an electronic XML file, are sent from the individual computer to the specialist doctor through the module for transmitting output information from the individual computers and via the Internet connection to the module for receiving the input information from the individual computers located at with the Central server, from where it is transmitted to the module by the central server for processing the information received, which transmits it further to the module to store the information (database) on the central server. The highly specialized electronic medical direction itself ceases to be active and visible to other physicians, and thus, this highly specialized electronic medical direction cannot be used for a second time by other specialist physicians. With the receipt of the information in the database on the central server from the specific medical examination by the specialist doctor, the personal electronic health record of the examined patient is supplemented with the results of the specific highly specialized activity and this information is available for use by other certified 'users having their own your patient key and key to access the patient's specific personal electronic health record.

When visiting a patient in a specific laboratory, from the individual computer of the laboratory doctor, using the certification module, the right to access the information from the database on the central server, subject to the condition that there are two keys for access to the patient's personal electronic health record and the conditions set by the module for certification of the right of access to information, through the module for sending a request to the database on the central server and via an Internet connection, a request is made to open a sonalnoto electronic health record of the individual patient that request enters the module to a central server for receiving requests from individual computers. The module of certification of the right of access to information enables personal unique access to the central server of the respective laboratory doctor from the specific laboratory. This module contains unidirectionally encrypted information in the form of a certificate containing the personal data of the respective laboratory doctor, namely: a unique civilian number; a unique identification number from the Bulgarian Medical Association; practice registration number from the Regional Center for Health; name, surname; medical specialty; name of practice; system ID and password. The aforementioned keys for access to the patient's personal electronic health record represent, on the one hand, the laboratory physician's username and password, and, on the other, a unique civilian patient number and password, which is provided on the patient's previously issued personal electronic health card. A personal electronic health card is used to identify the patient in front of the system. It provides Internet access for each certified laboratory physician to the patient's personal electronic health record. The following elements are included in the personal electronic health card: card number; patient's name, surname and surname; patient's unique civilian number; password to access the personal electronic health record; validity period; country initials. An exclusive condition is the use of the combination of the certification module the right of access to the information from the central server together with the two keys - the laboratory doctor and the patient, to access the patient's personal electronic health record.

The request received in the module for receiving requests from individual computers is sent to the module for processing the received information, after which the processed information is sent to the module for storing the information (database), from which the module for receiving the received information is extracted the requested by requesting information that transmits information through the module for transmitting output information to individual computers and via the Internet connection to the module for receiving input information from the central computer. a query located on the individual computer of the respective laboratory physician who made the request. As a result, the individual patient's personal electronic health record appears on the monitor of the laboratory doctor's individual computer. It contains, in electronic form, information on:

- medical examinations carried out;

- issued medical referrals;

- medical directions issued for highly specialized activity;

- issued medical directions for medical diagnostic activity;

- prescriptions for medicines issued;

- issued a medical referral for hospitalization;

- dispensaries;

- the doctor.

The laboratory-physician performing the medical-diagnostic activity in the laboratory visited by the patient may use the active-electronic-medical direction for medical-diagnostic activity in carrying out the medical-diagnostic activity itself.

The laboratory physician reflects the data from the results of the medical-diagnostic activity in his own individual computer through a module for processing the data in the individual computers. This data is then entered and stored in a module for storing information in a database independent of the database in the central server. After performing the relevant medical diagnostic activity, the data from the electronic medical direction for the medical diagnostic activity itself and the information with the results of the specific medical diagnostic activity recorded in the information storage module in the form of an electronic XML file created by the creation module to an electronic XML file are sent from the individual computer to the laboratory physician via the © output module from the individual computers and via an Internet connection to the receiving module in walking information from (the individual computers located on the central server, from where it is transmitted to the module from the central server for processing the received information, which then transmits it to the information storage module (database) on the central server. the medical diagnostic referral activity ceases to be active and visible to other laboratories and laboratory physicians, and thus this electronic medical referral medical activity cannot be used a second time. With the receipt of the information in the database on the central server of the specific performed medical-diagnostic activity by the laboratory doctor, the personal electronic health file of the examined patient is supplemented with the results of the specific medical-diagnostic activity and © this information is available for use by other certified users with their own key and key (patient access to the patient's specific personal electronic health record.,

When visiting the patient at a particular pharmacy, from the pharmacist's individual computer, using the certification module, the right to access the information from the central server database, subject to the condition that there are two keys to access the patient's personal electronic health record and the conditions set by the module for certification of the right of access to the information, through the module for sending a request to the database on the central server and via Internet connection, a request is made for opening the personal el. ktronno medical record individual patient that request enters the module to a central server for Adoption-of inquiries - individual computers. The certification module of the right of access to information enables personal unique access to the central pharmacy server of the respective pharmacist. This module contains unidirectionally encrypted information in the form of a certificate containing the personal data of the respective pharmacy, namely: pharmacy registration number; pharmacy name; system ID and password. The aforementioned keys for accessing the patient's personal electronic health record represent, on the one hand, the pharmacist's user name and password, and, on the other, a unique civilian patient number and password, which is the password provided on the patient's previously issued personal electronic health card. A personal electronic health card is used to identify the patient in front of the system. It provides Internet access for each certified pharmacist to the patient's personal electronic health record. The following elements are included in the personal electronic health card: card number; patient's name, surname and surname; patient's unique civilian number; password to access the personal electronic health record; validity period; country initials. An exclusive condition is the use of the combination of the certification module the right of access to information from the central server together with the two keys - the pharmacist and the patient, to access the personal electronic health record of the particular patient.

The request received in the module for receiving requests from individual computers is sent to the module for processing the received information, after which the processed information is sent to the module for storing the information (database), from which the module for receiving the received information is extracted the requested by requesting information which information via the module for transmitting output information to the individual computers and via the Internet connection is transmitted to the module for receiving input information from the central a server located on the individual computer of the respective pharmacist making the request. As a result, the individual patient's personal electronic health record appears on the pharmacist's individual computer monitor. It contains information about the prescription medicines that have been issued to the patient in electronic form. The pharmacist may use the active electronic prescription drug dispenser when dispensing the medication. The pharmacist reflects the data on the prescribed medicines in his own individual computer through a module for processing the data in the individual computers. This data is then entered and stored in a module for storing information in a database independent of the database in the central server. After prescribing the medicines, the data from the electronic prescription for the medicines and the information with the results of the specific prescribing medicines, recorded in the module for storing the information, in the form of an electronic XML file created by the module for creating the electronic XML file from the pharmacist's individual computer via the module for transmitting output information from the individual computers and via the Internet connection to the module for receiving input information from the individual computers located on the central server where it is transmitted to the module from the central server for processing the received information, which then transmits it to the module for storing information (database) on the central server. The drugs themselves, respectively the electronic prescription drug itself, cease to be active and visible to other pharmacies and pharmacists, and thus the drugs and this electronic prescription drug cannot be used a second time. By entering the information on the central server database for the particular pharmacist prescribed medicines, the personal electronic health record of the examined patient is supplemented with the medicines prescribing data and this information is available for use by other certified users with their own key and the patient's key to access the patient's specific personal electronic health record.

When visiting a patient at a particular hospital, from the individual computer of the hospital registry, using the certification module, the right to access the information from the central server database, subject to the condition that there are two keys to access the personal electronic health file of the the patient and the conditions set by the module for certification of the right of access to the information, through the module for sending a request to the database on the central server and via internet connection, a request for opening is sent and personal electronic health record of the individual patient that request enters the module to a central server for receiving requests from individual computers. The module of certification of the right of access to information enables personal unique access to the central server of the respective registrar and doctor from the respective ward of the particular hospital. This module contains unidirectionally encrypted information in the form of a certificate containing the personal data of the respective hospital, namely: the hospital registration number of the Regional Health Center; the name of the hospital; system ID and password. The aforementioned keys to access the patient's personal electronic health record represent, on the one hand, the username and password of the hospital registrar or physician, and

on the other hand, a unique civilian number and password of the patient, which password is on the pre-issued personal electronic health card. A personal electronic health card is used to identify the patient in front of the system. It provides Internet access to each Certified Registrar and each physician from a particular hospital ward to the individual's personal electronic health record. The following elements are included in the personal electronic health card: card number; patient's name, surname and surname; patient's unique civilian number; password to access the personal electronic health record; validity period; country initials. An exclusive condition is the use of the combination of the certification module the right of access to the information from the central server together with the two keys - the registrar or doctor from the respective hospital department and the patient, to access the patient's personal electronic health record.

(The request received in the module for receiving requests from individual computers is sent to the module for processing the received information, after which the processed information is sent to the module for storing the information (database), from where the requested module is extracted. from the request information which information through the module for transmitting output information to the individual computers and via the Internet connection is transmitted to the module for receiving input information from central the server located on the individual computer of the respective hospital registrar who made the request As a result, the personal electronic health record of the particular patient appears on the monitor of the individual computer of the hospital registrar and contains information about: medical examinations performed; issued medical referrals for consultation; issued medical referrals for highly specialized activity; issued medical referrals for medical diagnostic activity; recipes issued; dispensary; issued a medical referral for hospitalization that has not yet been internalized to the particular patient who is in electronic form. The hospital registrar may use the active electronic medical referral for hospitalization when the patient is admitted to the hospital. The registrar reflects the data of the patient's admission to his own individual computer through a module for processing the data on the individual computers. This data is entered and stored in a module for storing information in a database independent of the database in the central server. Subsequently, the data from the hospital's medical referral unit itself and information from the patient's admission to the hospital enrolled in the information storage module, in the form of an electronic XML file created by the electronic XML file creation module, are sent from the individual computer of the hospital registrar through the module for transmitting output information from the individual computers and via the Internet connection to the module for receiving input information from the individual computers located on the central server p, from where it is transmitted to the module from the central server for processing the received information, which then transmits it to the module for storing information (database) on the central server. The electronic hospital referral hospital itself ceases to be active and visible to other hospital registrars, and thus this electronic hospital hospital referral cannot be used for a second time by other hospital registrars. With the entry into the central server database of the specific patient registration, the patient's personal electronic health record is supplemented with the patient's hospital admission information and this information is available for use by other certified users with their own key and the patient's key to access the patient's specific personal electronic health record.

At each hospital, the patient's personal electronic health record is accessible to physicians at each certified ward by the hospital, through the certification module, the right to access the central server database information, subject to the condition that there are two keys to access the personal patient's electronic health record.

When a patient is discharged, the hospital registrar reflects the patient's discharging data into his or her own individual computer through a data processing module on the individual computers. This data is entered and stored in a module for storing information in a database independent of the database in the central server. Subsequently, the patient discharge information from the hospital enrolled in the information storage module, in the form of an electronic XML file created by the electronic XML file creation module, is sent from the individual computer to the hospital registrar via the module for transmitting output information from the individual computers and via the Internet connection to the module for receiving the information input from the individual computers located on the central server, from where it is transmitted to the module from the central processing server Knowledge of the information received, which transmits it further to the storage unit of the information

(database) on the central server. The hospital registrar also attaches to the personal electronic health record electronically the patient's epicrisis issued by the hospital. With the entry of the information in the database on the central server for the patient's specific discharge, the patient's personal electronic health record is supplemented with the patient's discharge information and this information is available for use by other certified users with a private key and the patient's key to access the patient's specific personal electronic health record.

Through the system, a number of national and regional institutions and organizations have access to the information from the central server database. The national institutions and organizations include the National Assembly, the President, the Prime Minister, the Ministry of Health, the National Health Insurance Fund and the Bulgarian Medical Union. The regional institutions and organizations include the Municipality, the Regional Health Center, the Regional Health Insurance Fund, the Regional Inspectorate for Public Health Protection and Control and the Bulgarian Medical Union. The access to the information from the central server database for these institutions and organizations is realized through the module for certification of the right of access to the information from the database on the central server, subject to the condition that there is one key for access to the information from the database on the central server and the conditions set by the certification module for the right of access to information, through the module for sending a request to the database on the central server and via an Internet connection, at which request is made for a horse retna information that request enters the module to a central server for receiving requests from individual computers.

The certification module for the right of access to information enables personal unique access to the central server of the authorized representative of the respective institution. This module contains unidirectionally encrypted information in the form of a certificate containing the personal data of the respective institution, namely: territorial number; name of the institution; system ID and password. The aforementioned key to access the personal electronic health records system is the username and password of the authorized representative of the institution concerned. An exclusive condition is the use of the combination of the certification module the right of access to information from the central server, together with the key of the authorized representative of the respective institution, to access information from the database on the central server. As national and regional institutions and organizations have only one key, they only have access to certain selected health information related to patients' health status. The authorized representative of the institution concerned may choose by himself / herself the criteria proposed by the system by which the report containing the selected health information is created. The scope of the information to which the authorized representative of the institution concerned has access is determined by the certification module the right of access to the information and applies only to the specific region. For national institutions and organizations, the scope of information available to authorized representatives of relevant institutions and organizations is country-wide.

Claims (2)

Patent Claims 1. A system for creating, updating and using personal electronic health records, characterized in that it consists of a central server (1), individual computers (2.1, 2.2, ..., 2.p) located within the individual certified users (general practitioners, specialist doctors, laboratories, pharmacies, hospitals, national and regional institutions and organizations), with between each of the individual computers (2.1, 2.2, ..., 2.p) and the central server (1) being an Internet connection (3) is provided to provide communication between them, such as by ana, the central server (1) consists of a module (1.1) for receiving input information from individual computers (2.1, 2.2, ..., 2.n), wherein the output of module (1.1) is connected to the module input (1.2) for processing the received information, by module (1.3) for storing the information (database) on the one hand and module (1.2) for connection with the module (1.2), and on the other hand there is an output connection with module (1.4) ) to transmit output information to individual computers (2.1, 2.2, ..., 2.p) and an input connection from module (1.5) to receive requests from an individual ideal computers (2.1, 2.2, ..., 2.p), in addition, individual computers (2.1, 2.2, ..., 2.p) include modules (2.1.1, 22,1, respectively). .., 2.P.1) for processing the data respectively connected to modules (2.1.2, 2.2.2, ..., 2.P.2) for storing the information in a database independent of the database of central server (1) connected respectively to modules (2.1.3, 2.2.3, ..., 2.P.Z) to create an electronic XML file containing structured information for the respective patient visit, related to the respective modules (2,1.4, 2.2.4, ..., 2.Π.4) for transmitting an output yn ormation to the central server (1), which in turn are connected via a web connection (3) to a module (1.1) of the central server (1), and on the other hand, modules (2.1.) are included in the composition of each individual computer. 5, 2.2.5, ..., 2.p.5) for certification of the right of access to the information from the database of the central server (1), which are connected respectively to modules (2.1.6., 2.2.6,. .., 2.P.6) to send a request to the database of the central server (1), which are connected via module Internet connection (3) to module (1.5) from - the central server (1) for receiving a request to the individual computers, such as the composition of each of the individual computers (2.1 2.2, ..., 2, n) are also included the corresponding modules (2.1.7, 2.2.7, ..., 2.P.7) for receiving incoming information from the central server (1), which from one side via the Internet connection (3) are connected to the output of module (1.4) by the central server (1) for transmitting output information to the individual computers, and on the other hand through the output connection the modules (2.1.7, 2.2.7, .. ., 2.P.7) are respectively connected to modules (2.1.6, 2.2.6, ..., 2.P.6) to send a query to the database on the central server (1).