Electronic medical record exchange system

Abstract

An electronic medical record exchange system includes an electronic medical record appliance to interface with a first legacy electronic medical record system. An electronic medical record gateway server interfaces with the electronic medical record appliance and a second legacy electronic medical record system. The electronic medical record appliance and the electronic medical record gateway server communicate utilizing assigned doctor identifiers and patient identifiers that are different than assigned doctor identifiers and patient identifiers utilized by the first legacy electronic medical record system and the second legacy electronic medical record system.

1 . A de-centralized electronic medical record exchange system, comprising:
 a first electronic medical record appliance, separate from but in electronic communication with a first legacy electronic medical record system, where the first electronic medical record appliance is adapted to convert data in a first format from the first legacy electronic medical records system to a common format shared with a second electronic medical record appliance;   said second electronic medical record appliance in communication with the first electronic medical record appliance and said second appliance separate from but in electronic communication with a second legacy electronic medical record system, where the second electronic medical record appliance is adapted to convert data from the common format shared with the first electronic medical record appliance to a third format used by the second legacy electronic medical record system, wherein the first electronic medical record appliance and the second electronic medical record appliance form a closed network that exchanges patient electronic medical record data using the common format among said first and second legacy systems utilizing assigned closed network doctor identifiers and closed network patient identifiers that are different than assigned legacy doctor identifiers and legacy patient identifiers utilized by the first legacy electronic medical record system and the second legacy electronic medical record system;   each of the first electronic medical record appliance and the second electronic medical record appliance having a limited interface that inhibits user inputted operation after setup, said first and second electronic record appliances being dedicated, closed and sealed systems; and   wherein the closed network doctor identifiers and the closed network patient identifiers are unique within the closed network and distinct from the legacy doctor identifiers and legacy patient identifiers utilized by the first legacy electronic medical record system and the second legacy electronic medical record system; and, wherein the closed network is operative with the first legacy electronic medical record system and the second legacy electronic medical record system without synchronization of databases between the first legacy electronic medical record system and the second legacy electronic medical record system.   
     
     
         2 . The de-centralized electronic medical record system of  claim 1  wherein the first electronic medical record appliance maintains an audit trail of an electronic medical record message exchanged between legacy electronic medical record systems. 
     
     
         3 . The de-centralized electronic medical record system of  claim 1  wherein the second electronic medical record appliance maintains an audit trail of an electronic medical record message exchanged between legacy electronic medical record systems. 
     
     
         4 . The de-centralized electronic medical record system of  claim 1  wherein the first electronic medical record appliance provides compatibility between legacy electronic medical record systems utilizing different message formats. 
     
     
         5 . The de-centralized electronic medical record system of  claim 1  wherein the second electronic medical record appliance provides compatibility between legacy electronic medical record systems utilizing different message formats. 
     
     
         6 . The de-centralized electronic medical record system of  claim 1 , wherein the first electronic medical record appliance processes a registration request by securing a doctor list from the first legacy electronic medical record system. 
     
     
         7 . The de-centralized electronic medical record system of  claim 6 , wherein the first electronic medical record appliance routes the doctor list to the second electronic medical record appliance. 
     
     
         8 . The de-centralized electronic medical record system of  claim 7 , wherein the second electronic medical record appliance assigns the closed network doctor identifiers. 
     
     
         9 . The de-centralized electronic medical record system of  claim 8 , wherein the second electronic medical record appliance returns the closed network doctor identifiers to the first electronic medical record appliance. 
     
     
         10 . The de-centralized electronic medical record system of  claim 9 , wherein the first electronic medical record appliance associates patients of the first legacy electronic medical record system with the closed network doctor identifiers. 
     
     
         11 . The de-centralized electronic medical record system of  claim 10 , wherein the first electronic medical record appliance assigns the closed network patient identifiers. 
     
     
         12 - 14 . (canceled)