We are studying a novel concept of the on-line hospital system using a virtual environment called Hyper Hospital," the Hyper Hospital" is a medical care system which is constructed in a distributed manner to the electronic information network using virtual reality (VR) as a human interface. In the present report, we studied the physiological and psychological responses of healthy subjects induced by the usage of the VR in terms of fatigue. Twenty healthy young male subjects were exposed to the virtual reality system and they performed some psychological tasks with a virtual nurse for 30 minutes. Several parameters of physiological, psychological, and subjective fatigue were measured. None of the physiological or psychological parameters such as urinary catecholamine release, ECG, etc. showed significant fatigue induced by our VR system. However, by using a standard questionnaire, some kinds of subjective fatigue were noted and they were thought to be indicating a direction of improvement for our VR system.

In the modern hospital, the physical or chemical therapeutic procedure is regarded as paramount and psychological or spiritual care is quite frequently put aside. The goal of the Hyper Hospital" is to correct this. The Hyper Hospital is constructed in the computer based electronic network using an alternate reality system, such as the virtual reality system, as the human-machine-human interface. The nodes of the Hyper Hospital belong to a patient and also to a variety of medical care facilities; for example, the out patient office, the nursing care center, the medical examination unit, the operating theater, etc. The Hyper Hospital space consists of various kind of spaces including the alternate reality space owned and exclusively controlled by the patient himself or herself, and even the real space as well. Most of the physical contact, such as the visit to the out patient office by the patient, is actualized by the electronic connection of the patient private space and the public space of the hospital system. Prescription drugs, special care, and even the admission to the ward will be integrated into the distributed electronic network. To realize such a system, we need to solve many problems, such as the research on the network oriented architecture of the alternate reality, the development of human-machine interface particularly fitted to various disabilites, the study of the behavior of normal and diseased people, etc. The concept of the Hyper Hospital we are proposing is believed to be a new paradigm of the next generation of medical care.