JP2007188243A - Patient information management system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a patient information management system for simplifying the management of patient information by utilizing the merits of paper medical records and the merits of electronic medical records, and for efficiently achieving medical examination desired by a patient. <P>SOLUTION: This patient information management system is provided with a terminal for reception 10 having a function of specifying a patient from registration information unique to a patient preliminarily stored in a medical examination card, a function of issuing paper medical records to be used for medical examination based on medical examination information constituted of the registration information and various information relating to the medical examination of a patient and a function of transmitting the medical examination information; a patient information management server 20 for storing the past patient information stored in patient-categorized folders by patient units as a patient information database; and a terminal 30 for medical examination having a function of acquiring patient information pertinent to the patient as the object of medical examination from the patient information management server based on the medical examination information from the terminal for reception, and for controlling the display of the acquired patient information in desired display format. <P>COPYRIGHT: (C)2007,JPO&INPIT

Description

  The present invention relates to a patient information management system capable of shortening the examination time in a university hospital or general hospital equipped with a large number of medical departments and efficiently managing and browsing patient information.

Conventionally, in addition to basic information such as patient names and patient IDs at the time of medical examination, patient information such as the patient's condition and symptoms is directly entered by a doctor in a paper chart, and the patient information is stored as a paper medium. However, due to difficulties in securing storage space for storing paper charts created for each examination and problems such as loss of paper charts, patient information can now be entered by manual entry of patient information using a keyboard at an input terminal such as a personal computer. The number of hospitals that manage patient information by converting it into electronic data is increasing.
As a medical system for storing / managing such patient information as electronic data, a system such as Patent Document 1 or Patent Document 2 is known.
JP 2005-182239 A JP 2004-157600 A

  However, it is difficult for doctors who have been diagnosing while filling in a paper chart so far to enter patient information such as the contents of examinations while consulting patients at the time of examination, There has been a risk that the quality of medical care may deteriorate due to problems such as the patient's conversation and examination contents becoming distracted and patient information input errors. Therefore, if a doctor who has little keyboard input experience is assigned to a hospital that has introduced an electronic medical record, the staff specializing in input must be stationed to concentrate on the examination, which increases labor costs and other costs. Since the input staff does not have doctor qualifications, there was a risk of a medical accident due to an input error such as the name of the drug or the contents of the examination.

  Furthermore, for doctors who have adopted paper charts until now, there has been a problem that the number of patients who can be examined per day is reduced compared to when using a paper chart by an unfamiliar keyboard operation. Also, in hospitals with a large number of daily examination patients such as university hospitals and general hospitals, it is not possible to efficiently examine patients by keyboard operation, and there is a problem that patients are more wasted than before. Yes. For this reason, patients want to see a conventional paper chart instead of an electronic chart.

  Therefore, the present invention has been made in view of the above problems, and has the advantages of a paper chart and an electronic chart, simplifies the management of patient information, and provides an efficient and high-quality diagnosis. It aims at providing the patient information management system which can be performed.

In order to achieve the above object, the patient information management system according to claim 1 includes a function for identifying the patient from patient-specific registration information stored in advance in a diagnosis card, the registration information, and the patient diagnosis. A reception terminal having a function of issuing a paper chart to be used at the time of a medical examination based on medical examination information including various information related to the medical information, and a function of sending the medical examination information,
A patient information management server for storing past patient information stored in a patient-specific folder for each patient as a patient information database;
Based on the examination information from the reception terminal, the patient information corresponding to the patient to be examined is acquired from the patient information management server, and the acquired patient information is displayed and controlled in a desired display form. A terminal for examination,
It is provided with.

  The patient information management system according to claim 2 is the patient information management system according to claim 1, wherein the examination terminal writes patient information after examination including at least information on the paper chart to the patient information management server. It has the function to perform.

  The patient information management system according to claim 3 is the patient information management system according to claim 1, wherein when the examination terminal selects a date on a calendar displayed together with the patient information, a medical image at the past examination is displayed. A function for displaying a detailed display of the selected medical image data on a separate screen when the medical image data displayed on the enlarged calendar is further displayed when the calendar is displayed with the data corresponding to the examination date. It is characterized by having.

  The patient information management system according to claim 4 is the patient information management system according to claim 1, wherein the examination terminal selects medical image data displayed together with an electronic temperature plate created when the patient is hospitalized. The medical image data is enlarged and displayed, and when the enlarged medical image data is selected, the selected medical image data is displayed in detail on another screen.

  According to the patient information management system of the present invention, the doctor in charge can easily view and examine the past patient information while observing with a paper medical record, so that the medical examination can be performed more efficiently than the examination using only the electronic medical record. And the best medical care can be provided to the patient. Moreover, since patient information is converted into electronic data and collectively managed in the patient-specific folder of the patient information management server, management and search of paper charts and medical images can be performed easily.

  The best mode of the present invention will be described below with reference to the accompanying drawings. FIG. 1 is a conceptual diagram for explaining an outline of a patient information management system according to the present invention, FIG. 2 is a schematic block diagram for explaining a configuration of a patient information management system according to the present invention, and FIG. 3B is an explanatory diagram showing an example of a paper chart issued at a terminal for use, FIG. 3B is an explanatory diagram showing an example of a paper chart issued when symptoms are different from FIG. 3A, and FIG. FIG. 5 is an explanatory diagram for explaining an example of displaying another display form in the display form of FIG. 4, and FIG. 6 is a medical image selected in FIG. FIG. 7 is an explanatory diagram for explaining an example in which an electronic temperature plate for an inpatient is displayed, and FIG. 8 is a medical image selected in FIG. FIG. 9 is an explanatory diagram for explaining an example of detailed display on another screen, and FIG. 9 is an operation at the reception terminal. It is an explanatory view for explaining the.

  First, the patient information management system of this example will be described in detail with reference to FIG. As shown in FIG. 1, a patient information management system 1 is introduced into a hospital where a network such as a LAN is constructed, for example, and is connected to a general reception 10, a patient information management server 20, and a medical department 30 corresponding to a medical examination content. Thus, various types of information such as patient information can be communicated with each other.

  More specifically, as shown in FIG. 2, the patient information management system 1 includes, for example, a reception terminal 11 installed at the reception of the general reception 10 or each department 30, for example, the diagnosis date and time, the contents of the diagnosis, the doctor in charge Name, the patient information management server 20 for storing patient information such as medical images taken at the time of examination, and a diagnostic terminal 31 installed in each clinical department 30, and can communicate data with each other via a network It is connected to the.

  The reception terminal 11 is a terminal device capable of external communication such as a personal computer, for example, and includes a storage unit 11a, a collation control unit 11b, a medical examination information communication unit 11c, a paper chart issuing unit 11d, a display unit 11e, and an input Means 11f. In addition, the reception terminal 11 reads, for example, a diagnosis card 40 composed of, for example, a magnetic card or a card with a built-in IC chip brought by the patient. It is connected via a communication cable such as a cable.

  The storage unit 11a is configured by a magnetic memory, an optical storage medium, or a semiconductor memory such as a ROM or a RAM. The memory | storage means 11a has memorize | stored registration information, such as a patient name memorize | stored in the examination card 40, patient ID, sex, and the kind of insurance card for every patient.

  The collation control means 11b collates the registration information of the examination card 40 read by the card reader 12 with the registration information stored in advance in the storage means 11a, and determines which patient information the read registration information is. Identify and identify the patient. Based on the determination result, the collation control unit 11b obtains diagnosis information including patient registration information and various types of information related to the diagnosis such as the date and time of reception of the patient and the name of the doctor in charge of the diagnosis. 11c and paper chart issuing means 11d.

  The diagnosis information communication means 11c is constituted by, for example, a wireless or wired communication interface, and the diagnosis information output from the collation control means 11b is received by each patient in order to notify that the patient has been accepted. It communicates with the terminal 31 for diagnosis installed in 30 via a network.

  The paper chart issuing means 11d issues a paper chart to be used at the time of examination according to the patient's symptom, for example, as shown in FIG. 3 (a) or (b) based on the received patient examination information and the patient's symptom. To do. This paper chart is a written opinion that contains the two-dimensional code that is the two-dimensional code of the diagnosis information issued and output from the collation control means 11b, the basic information fields such as the patient name and patient ID, and the details of the diagnosis that was examined that day. A mark sheet column and the like for checking a corresponding section such as a name column, a test content, a drug name to be prescribed according to each symptom, and the like are printed.

  The display means 11e is composed of a display device such as a CRT monitor or a liquid crystal display, for example, and is necessary for driving the reception terminal 11 for displaying various information such as registration information and registration information list for each patient and displaying a system operation screen. Various screens are displayed.

  The input means 11f is composed of, for example, a keyboard or a mouse having various input keys such as a numeric keypad and a character input key, and is used when selecting various display contents displayed on the display means 11e and inputting various data. .

  The patient information management server 20 is configured to include a patient information database 21 including a patient-specific folder 21a for each patient and a patient information sorting unit 22, and scan data of paper charts created in the past in each clinical department 30. For example, medical images such as X-ray photographs and MRI photographs taken when a patient is examined, and examination data such as numerical data indicating examination results are automatically distributed as patient information to a patient-specific folder 21a. And save.

Here, a method for storing various information stored in the patient-specific folder 21a will be described.
As a method for storing a paper chart, first, a paper chart created at the time of consultation in each department 30 is read in a PDF format and / or a TIFF format with a resolution of 300 dpi or more using an image reading device 32 such as a scanner, for example. The read paper chart data is written via the examination terminal 31 of each department 30. Then, based on the two-dimensional code data of the paper chart data, the patient information management server 20 automatically sorts and stores the paper chart data transmitted by the patient information sorting unit 22 in the patient-specific folder 21a.
Next, as a method for storing medical images, various medical data captured at the time of examination at each medical department 30 and various examination data such as numerical data of examination results are stored in DICOM using an image reading device 32 such as a scanner. Format and JPEG format are read, and the read medical image data is written via the examination terminal 31 of each department 30. In the patient information management server 20, the patient information distribution unit 22 automatically distributes and stores the information in the patient-specific folder 21a based on the two-dimensional code information of the medical image data. The medical image data can be directly written to the patient information management server 20 via the network from the captured medical device.

  The medical examination terminal 31 is a terminal device that is installed for each clinical department 30 and can communicate with the outside, such as a personal computer. The medical examination information obtaining unit 31a, the patient information obtaining unit 31b, the input unit 31c, and the patient information document 31d, display means 31e, and display control means 31f. The examination terminal 31 converts the paper chart created at the examination and the medical image taken at the examination into electronic data and sends it to the patient information management server 20 or a not-shown receipt computer. For example, an image reading device 32 such as a scanner is used. And a communication cable such as a USB cable.

  The diagnosis information acquisition means 31a is constituted by, for example, a wireless or wired communication interface, acquires the diagnosis information sent from the diagnosis information communication means 11c via a network, and acquires the acquired diagnosis information as patient information acquisition means. To 31b.

  The patient information acquisition means 31b communicates with the patient information management server 20 based on the diagnosis information sent from the reception terminal 11 to read the patient information of the patient to be examined from the patient information management server 20, and based on the diagnosis information. The patient information of the patient to be examined is acquired from the patient information management server 20.

  The input means 31c is composed of, for example, a keyboard or a mouse having various input keys such as a numeric keypad and a character input key, and is necessary for switching or selecting various display contents displayed on the display means 31e, at the time of diagnosis or system setting. Used when inputting various data.

  The patient information writing unit 31d writes patient information such as paper chart data and medical image data read by the externally connected image reading device 32 to the patient information management server 20 by an operation from the input unit 31c.

  The display unit 31e is composed of a display device such as a CRT monitor or a liquid crystal display. The display unit 31e is necessary at the time of diagnosis such as display of patient information such as paper chart data and medical image data read from the patient information management server 20 and display of a system operation screen based on the control of the display control unit 31f described later. Display various screens.

  Based on patient information read from the patient information management server 20 and the operation of the input means 31c, the display control means 31f selects and displays display contents to be displayed on the display means 31e, switches the display, enlarges / reduces the display screen, Various display controls such as screen display are performed. When the patient information is acquired from the patient information management server 20, the display controller 31f first displays a normal display screen on the display 31e as shown in FIG. On this normal display screen, the basic information display area for displaying information such as patient ID, patient name, reception date and time, the paper chart data display area for displaying the patient's paper chart data, and the paper chart data are switched in the page order. Page switch key, medical history display area that displays the patient's medical history, calendar display area that displays past hospital visits and hospitalizations in a calendar, the name of the doctor in charge when the patient visited and the details of treatment performed, etc. for each past medical history Various patient information such as a consultation history content display area to be displayed and a consultation waiting display area to display in order of waiting for a medical examination while updating simple medical examination information of the patient are displayed and controlled.

Here, display control of each display content from the normal display screen will be described. As shown in FIG. 4, the display means 31e displays a normal display screen divided into areas for each display content, and each display area is controlled to be scrollable vertically or horizontally depending on the amount of information. .
When the doctor in charge performs a predetermined operation on the input means 31c and selects the page switching key on this normal display screen, the display contents of the paper chart data are switched in the page order so as to turn the page. Further, when the doctor in charge performs a predetermined operation on the input means 31c and selects the position of the date field of the calendar displayed in the calendar display area on the normal display screen, the monthly calendar of the selected day is displayed as shown in FIG. The medical image data and the like captured at the time of examination are displayed in an enlarged manner, and are simply displayed in date units (the image data in this case is displayed in JPEG format). At this time, if a medical image displayed in a simplified manner is selected, the enlarged image is displayed. If a further enlarged medical image is selected, detailed display is performed on another screen as shown in FIG. 6 (image data in this case is displayed in DICOM format). To do.

  In addition, when the patient is hospitalized, if the doctor in charge performs a predetermined operation on the input means 31c on the normal display screen, the temperature of the inpatient as shown in FIG. 7, various values at the time of examination, medical image data captured at the time of examination An electronic temperature plate in which patient information such as meal intake and excretion records is converted into electronic data is displayed. When the electronic temperature plate is displayed, if a medical image (image data in this case is displayed in JPEG format) is selected by operating the input means 31c in a predetermined manner, the selected medical image is displayed in an enlarged manner. As shown in FIG. 8, the selected medical image is displayed in detail on a separate screen (image data in this case is displayed in DICOM format), as in the calendar display.

  Next, the operation of the above-described patient information management system 1 will be described with specific examples. Here, after a patient visits a hospital and a doctor in charge examines a patient using both a paper chart and an electronic chart, a medical office staff or a nurse sends patient information such as a paper chart and medical images to a patient information management server. An example of updating data to 20 will be described.

  First, when the patient visits the hospital, the patient presents the examination card 40 brought at the general reception desk 10. The reception staff reads and operates the examination card 40 presented by the card reader 12 by a predetermined operation and reads registration information stored in the examination card 40. Then, the reception staff collates the read registration information with the registration information stored in advance in the reception terminal 11 to determine which patient is the patient who visited the hospital. When the patient can be identified, as shown in FIG. 9, the reception staff selects various information related to the diagnosis such as the patient registration information, the reception date and time, the name of the medical doctor in charge of the diagnosis, on the display screen, and the information is referred to as the diagnosis information. As shown in FIG. 3, the medical examination information is converted into a two-dimensional code, and the two-dimensional code is printed and issued at a predetermined position on a paper chart used for the medical examination.

  Then, the examination terminal 31 acquires patient information from the patient information management server 20 based on the examination information received from the reception in the order of examination. Then, the doctor in charge guides the patient to the examination room in the order of the patient information received from the reception terminal 11, and writes the examination contents on the paper chart for each patient issued at the reception as shown in FIGS. Patients are examined using various patient information.

  After the examination, a paper chart describing the contents of the examination is read by the image reading device 32 and converted into electronic data, and the paper chart data converted into electronic data is written into the patient information management server 20 via the examination terminal. Then, the patient information management server 20 sorts the patient-specific folders 21a created for each patient based on the two-dimensional code information of the written paper chart data.

  When the image reading apparatus 32 reads the paper chart, each check item checked in the mark sheet column of the paper chart is also read at the same time, and the read mark sheet information of each item is sent to a receipt computer (not shown) or an inspection room. Send it out. Based on this mark sheet information, the Receipt Computer sends various information such as treatment details, examination details, prescription drug names, etc. required at the time of accounting to the reception and medical department, as well as medications corresponding to each symptom from the selected items. Statistical data such as the type of examination and the contents of the examination are taken, and based on this statistical data, the contents of the paper chart and the treatment policy of the doctor are statistics. Also, the mark sheet information of the paper chart sent to the examination room can be used as order information for reserving an instrument or device to be examined by the patient.

As described above, the patient information management system 1 reads patient registration information from the examination card 40 presented by the patient at the reception, and examination information including the read registration information and various information such as the examination date and time and the name of the medical doctor in charge. Based on this, a paper chart used at the time of medical examination is created, and medical examination information is communicated to the medical terminal 31. Then, the doctor in charge acquires the patient information of the patient from the patient information management server 20 based on the examination terminal 31 received from the reception terminal 11, and uses the paper chart issued at the reception and the acquired patient information together. Examine the patient. Then, after the examination, the paper chart and medical images used at the examination are read and converted into electronic data, and written to the patient information management server 20 via the examination terminal 31, and the patient information management server 20 writes the written patient information. Based on the above, a patient-specific folder 21a created for each patient is automatically distributed.
This makes it possible for the attending physician to conduct examinations while viewing past patient information while examining with a medical record chart, so the examination time is shortened and the examination can be performed more efficiently than the examination using only the electronic chart. At the same time, it is possible to eliminate anxiety about the patient's examination and provide highly reliable medical care.

  In addition, since necessary items in the mark sheet column of the paper chart are checked and the check contents are processed electronically, it is possible to prevent human omissions and omissions. Furthermore, since patient information is converted into electronic data and collectively managed in the patient-specific folder 21a of the patient information management server 20, it is possible to easily manage and search for paper charts, medical images, etc. Since the storage space can be saved, the space in the hospital can be used effectively.

  As mentioned above, although the best form in this invention was demonstrated, this invention is not limited with the description and drawing by this form. That is, it is a matter of course that all other forms, examples, operation techniques, and the like made by those skilled in the art based on this form are included in the scope of the present invention.

It is a conceptual diagram for demonstrating the outline of the patient information management system which concerns on this invention. It is a schematic block diagram for demonstrating the structure of the patient information management system which concerns on this invention. (A) It is explanatory drawing which shows an example of the paper chart issued by the terminal for reception. (B) It is explanatory drawing which shows an example of the paper chart issued at the time of the symptom different from Fig.3 (a). It is explanatory drawing for demonstrating the display form at the time of displaying patient information. It is explanatory drawing for demonstrating the example which displayed the other display form in the display form of FIG. It is explanatory drawing for demonstrating the example which displayed the selected medical image in detail on another screen. It is explanatory drawing for demonstrating the example which displayed the temperature plate for hospitalized patients. It is explanatory drawing for demonstrating the example which displayed in detail the medical image selected in FIG. 7 on another screen. It is explanatory drawing for demonstrating the example of operation in the terminal for reception.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Patient information management system 11 Reception terminal 11a Memory | storage means 11b Collation control means 11c Examination information communication means 11d Paper chart issuing means 11e Display means 11f Input means 12 Card reader 20 Patient information management server 21 Patient information database 21a Patient-specific folder 22 Patient information distribution means 31 Examination terminal 31a Examination information acquisition means 31b Patient information acquisition means 31c Input means 31d Patient information writing means 31e Display means 31f Display control means 32 Image reader 40 Examination card

Claims (4)

Issue a paper chart to be used at the time of examination based on the examination information consisting of the registration information and various information related to the examination of the patient based on the patient-specific registration information stored in advance in the examination card And a reception terminal having a function of transmitting the examination information;
A patient information management server for storing past patient information stored in a patient-specific folder for each patient as a patient information database;
Based on the examination information from the reception terminal, the patient information corresponding to the patient to be examined is acquired from the patient information management server, and the acquired patient information is displayed and controlled in a desired display form. A terminal for examination,
A patient information management system comprising: 2. The patient information management system according to claim 1, wherein the examination terminal has a function of writing post-diagnosis patient information including information on at least the paper chart into the patient information management server. The examination terminal enlarges and displays the calendar in which medical image data at the past examination is displayed corresponding to the examination date when selecting the date of the calendar displayed together with the patient information, and further displays the enlarged display 2. The patient information management system according to claim 1, wherein when medical image data displayed on a calendar is selected, the selected medical image data is displayed in detail on another screen. The medical examination terminal enlarges the medical image data when selecting the medical image data displayed together with the electronic temperature plate created when the patient is hospitalized, and further selects the enlarged medical image data. 2. The patient information management system according to claim 1, wherein the patient information management system has a function of displaying the selected medical image data in detail on another screen.