In the course of the development of the "Hyper Hospital," a novel medical care system constructed in the computerized information network using virtual reality as its human interface, we devised a virtual reality world creating system which allows users to con figure the world interactively. The re-configuration of the virtual world was designed to be carried out without interruptions of activity and the world can continue to exist during the reconfiguration process. This facility comprises an important part of our Hyper Hospital system because one of our major goals of this proposal of the Hyper Hospital is to restore maximum freedom for patients in the medical care system. Discussion was given in the present study with respect to the basic requirements of the system to be realized, including discussions on the permission given to the participants of different levels, and means by which to modify the structure of the virtual world. A preliminary implementation was described following this general consideration. The developed prototype was shown to be practically suitable to the test of our virtual environment applied to realistic medical scenes.

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.