JP2019133358A - Medical information management system and medical information management program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medical information management system and a medical information management program capable of supporting the efficiency of medical information management work of a patient. SOLUTION: In a medical information management system, an extraction processing unit 111 for extracting patients who satisfy extraction conditions for one or a plurality of preset extraction target items and each of the patients extracted by the extraction processing unit 111 are preset. Which of the extraction target item and the determination target item among the medical information corresponding to the patient extracted by the extraction processing unit 111 and the determination processing unit 112 that determines whether or not the monitoring conditions for one or more determination target items are satisfied. It is provided with a presentation processing unit 113 capable of presenting information related to one or both. [Selection diagram] Fig. 1

Description

  The present invention relates to a medical information management system and a medical information management program that support management of medical information of a patient.

  In a medical institution such as a hospital or a pharmacy, a medical information management system that manages medical information such as patient prescription information or examination information may be used (for example, see Patent Document 1). In this type of medical information management system, it is conceivable that an extraction process for extracting a patient under a specific condition set in advance can be automatically executed at a preset timing. For example, the specific condition includes taking a specific medicine.

JP 2014-191415 A

  By the way, when the medical information about the patient extracted in the extraction process is referred to, if a lot of information included in the medical information is presented, the user cannot quickly confirm the necessary information. It can be considered that the efficiency of the management of patient medical information is hindered.

  An object of the present invention is to provide a medical information management system and a medical information management program capable of supporting the improvement of the efficiency of management of medical information of patients.

  In the medical information management system according to the present invention, an extraction processing unit that extracts a patient that satisfies a predetermined extraction condition regarding one or a plurality of extraction target items set in advance, and each patient extracted by the extraction processing unit is set in advance. A determination processing unit that determines whether or not a monitoring condition related to one or a plurality of determination target items is satisfied, and any one of the extraction target item and the determination target item among the medical information corresponding to the patient extracted by the extraction processing unit A presentation processing unit capable of presenting information related to one or both.

  The medical information management program according to the present invention includes an extraction step for extracting a patient that satisfies an extraction condition related to one or a plurality of extraction target items set in advance, and each of the patients extracted in the extraction step being set in advance A determination step for determining whether or not a monitoring condition regarding a plurality of determination target items is satisfied, and one or both of the extraction target item and the determination target item among the medical information corresponding to the patient extracted by the extraction step A medical information management program for causing a computer to execute a presenting step capable of presenting information related to.

  ADVANTAGE OF THE INVENTION According to this invention, the medical information management system and medical information management program which can support efficiency improvement of the management operation | movement of a patient's medical information are provided.

FIG. 1 is a block diagram showing a configuration of a medical information management system according to an embodiment of the present invention. FIG. 2 is a diagram illustrating an example of an adverse event master used in the medical information management system according to the embodiment of the present invention. FIG. 3 is a diagram illustrating an example of an examination period master used in the medical information management system according to the embodiment of the present invention. FIG. 4 is a diagram showing an example of drug history data used in the medical information management system according to the embodiment of the present invention. FIG. 5 is a diagram illustrating an example of regimen history data used in the medical information management system according to the embodiment of the present invention. FIG. 6 is a diagram showing an example of test data used in the medical information management system according to the embodiment of the present invention. FIG. 7 is a diagram illustrating an example of adverse event data used in the medical information management system according to the embodiment of the present invention. FIG. 8 is a flowchart showing an example of a master registration process executed by the medical information management system according to the embodiment of the present invention. FIG. 9 is a flowchart illustrating an example of medical information management processing executed by the medical information management system according to the embodiment of the present invention. FIG. 10 is a diagram illustrating an example of a display screen displayed by the medical information management system according to the embodiment of the present invention. FIG. 11 is a diagram showing an example of a display screen displayed by the medical information management system according to the embodiment of the present invention. FIG. 12 is a diagram showing an example of a display screen displayed by the medical information management system according to the embodiment of the present invention. FIG. 13 is a diagram illustrating an example of a display screen displayed by the medical information management system according to the embodiment of the present invention. FIG. 14 is a diagram showing an example of a display screen displayed by the medical information management system according to the embodiment of the present invention. FIG. 15 is a diagram illustrating an example of a display screen displayed by the medical information management system according to the embodiment of the present invention. FIG. 16 is a diagram illustrating an example of a proposal sheet output by the medical information management system according to the embodiment of the present invention.

  Hereinafter, embodiments of the present invention will be described with reference to the accompanying drawings for understanding of the present invention. In addition, the following embodiment is an example which actualized this invention, Comprising: The thing of the character which limits the technical scope of this invention is not.

[Medical information management system 10]
As shown in FIG. 1, a medical information management system 10 according to an embodiment of the present invention includes a server 1, a client terminal 2, a printer 3, and the like. The server 1, the client terminal 2, and the printer 3 are connected via a communication network 4 so that they can communicate wirelessly or by wire. The communication network 4 includes a LAN, a WAN, the Internet, an intranet, or the like. Further, a host system 5 is connected to the server 1 through the communication network 4.

  The host system 5 is, for example, an electronic medical record system, an ordering system, or a reception system. The host system 5 inputs into the server 1 prescription data related to prescription of medicines for patients, test data related to test results of various tests performed on patients, patient data indicating personal information of patients, and the like. The server 1 may be configured to actively read the prescription data, the examination data, the patient data, and the like from the host system 5. The prescription data includes preparation data in which a drug such as an anticancer drug is administered according to a preset therapy (regimen).

  For example, the prescription data includes patient information (patient ID, patient name, height, weight, body surface area, etc.), prescription date, preparation date, administration date, drug information (drug code, drug name, etc.), dose and usage, Includes therapy information. The therapy information includes therapy identification information that can identify therapy information such as a therapy name (regimen name), a therapy ID, or a therapy ID. In addition, the prescription data includes doctor information, types of drug containers (such as ampoules with drug solutions, vials with drug solutions, vials with powder drugs, or infusion bags), preparation content information (drug containers, syringes used for mixed injection work, Information such as type and number of injection needles) and preparation procedure information (work contents, dissolved drug, solvent, dissolved drug volume, solvent volume, sampling volume), medication date, prescription classification, clinical department, ward, etc. May be.

[Printer 3]
The printer 3 is a color printer or monochrome printer capable of executing a printing process for recording information included in print data input from the server 1 or the client terminal 2 via the communication network 4 on a sheet such as paper. This is an image forming apparatus. For example, in a medical institution such as a hospital or a pharmacy, a prescription based on the prescription data may be printed by the printer 3. The printer 3 may be used for printing an extraction result and a determination result by an extraction process and a determination process described later.

[Server 1]
The server 1 is a computer including a control unit 11, a storage unit 12, a communication I / F 13, a display device 14, an operation device 15, a drive device 16, and the like. The server 1 may be provided outside a medical institution such as a hospital or a pharmacy where the medical information management system 10 is used. The server 1 may be an information processing apparatus such as a smartphone, a tablet terminal, or a laptop computer.

  The control unit 11 includes control devices such as a CPU, a ROM, a RAM, and an EEPROM (registered trademark). The CPU is a processor that executes various arithmetic processes. The ROM is a non-volatile storage unit in which information such as a control program for causing the CPU to execute various processes is stored in advance. The RAM is a volatile storage unit, and the EEPROM is a non-volatile storage unit. The RAM and the EEPROM are used as a temporary storage memory (working area) for various processes executed by the CPU. And the said control part 11 performs various processes according to the various control programs previously stored in the said ROM, the said EEPROM, or the said memory | storage part 12 using the said CPU.

  The storage unit 12 is a non-volatile storage unit such as a hard disk or an SSD that stores various control programs and various data executed by the control unit 11. The storage unit 12 includes a program storage unit 121, a master storage unit 122, and an information storage unit 123.

  The program storage unit 121 is a storage area for storing a medical information management program for causing the control unit 11 to execute a medical information management process (see FIG. 8) described later. The program storage unit 121 also stores a program such as an operating system (OS).

  The master storage unit 122 is a storage area in which various types of master information such as a medicine master, a patient master, a department master, a pharmacist master, a regimen master, an adverse event master D1, an examination period master D2, and a screening master are stored. .

  For example, the medicine master includes a medicine code (YJ code, etc.), a medicine name, a JAN code, an RSS code, a medicine bottle code, a dosage form, a unit, a specific gravity, a medicine type, a composition change, and an excipient for various medicines. Information such as precautions and attached document information. Further, the package insert information includes a predetermined inspection item and a predetermined inspection condition of an inspection to be performed on a patient taking medicine. Specifically, the predetermined inspection condition is a determination period indicating a range of inspection time at which the inspection of the predetermined inspection item is to be performed or an inspection interval for specifying the determination period. In particular, the predetermined examination conditions are individually determined for each one or a combination of a patient's age, sex, and the number of days elapsed since the first dose. Note that, for example, the necessity of inspection for each of the predetermined inspection items, the inspection conditions, and the like may be determined according to other indicators such as the presence or absence of pregnancy of the patient.

  The patient master includes information such as patient name, patient ID, sex, age, alcohol consumption, smoking presence, and disease name for each patient. The medical department master includes information on various medical departments of a medical institution where the medical information management system 10 is used. The pharmacist master includes information of a pharmacist belonging to a medical institution where the medical information management system 10 is used.

  The regimen master includes therapy information indicating the contents of various regimens determined in advance. Specifically, the therapy information includes information related to the administration plan such as the name of the drug administered based on the therapy, the dose (per body surface area), the administration time, the administration date, and the length of one course. In addition, when the prescription data is generated in the host system 5, therapy identification information such as a therapy name for identifying the therapy information is given to the prescription data together with information such as medicine corresponding to the therapy.

  The adverse event master D1 is information in which a type of an adverse event that occurs in a patient and a grade standard for each adverse event are associated with each other. FIG. 2 is a diagram showing an example of the adverse event master D1. The data structure of the adverse event master D1 is not limited to that described here. For example, the adverse event master D1 may be stored in the master storage unit 122 in a state in which the adverse event master D1 is divided and associated with a plurality of masters.

  As shown in FIG. 2, in the adverse event master D1, information such as an event ID, an event name, an examination ID, a grade condition, a numerical flag, a changeable flag, a related event, and a symptom type are stored in association with each other. . The event ID is identification information for identifying a preset adverse event, and the event name is information indicating the name of each adverse event. The examination ID is identification information for identifying an examination item used for determining the grade of the corresponding adverse event. The symptom type is information indicating whether the adverse event is an objective symptom or a subjective symptom. Here, the subjective symptom is a symptom that can be found by the patient, and the objective symptom is an objective symptom that can be found according to the result of a test performed on the patient.

  The grade condition is a classification index for classifying the grade of the adverse event according to a predetermined standard. Specifically, in the present embodiment, the specific criterion is an adverse event common term criterion (CTCAE: Common Termination Criteria for Adverse Events) in which a classification index of the adverse event grade is defined. The criteria registered in the adverse event master D1 are not limited to the original text defined by the common adverse event terminology criteria. For example, the control unit 11 can determine the grade based on the common adverse event terminology criteria. It may be a standard after being edited.

  In the present embodiment, the grade of the adverse event grade is determined in five stages from “0” to “4”, and is information indicating that the higher the numerical value, the more severe the symptom. The CTCAE also defines the grade “5”, but the grade “5” is less necessary, so the medical information management system 10 according to the present embodiment does not use the grade “5”. And

  In the grade condition, a numerical range used as an index when each grade is determined numerically can be registered. For example, the control unit 11 may automatically extract and register a range corresponding to each grade from the criteria indicated in the CTCAE. Further, the control unit 11 may be able to register a range corresponding to each grade in the adverse event master D1 in accordance with a user operation. The changeability flag is information indicating whether or not the grade can be arbitrarily changed according to a user operation when the grade is automatically set by the control unit 11. When the numerical flag is “0”, the control unit 11 sets all the change enable / disable flags corresponding to each grade to “1 (possible)”.

  The numerical flag is information indicating whether or not at least a part of the grade of the adverse event can be determined according to a numerical value such as a test value or an arbitrarily input state value. For example, the control unit 11 sets the numerical flag to “1 (possible)” when a numerical value is input as range information in the grade condition. In addition, the control unit 11 can set the numerical flag according to a user operation. The related event is one or more for identifying one or a plurality of adverse events registered in advance as information to be displayed alongside or in the vicinity of the adverse event when the adverse event is displayed. Information including the event ID.

  For example, in the adverse event master D1, regarding the “platelet count decrease” that is an objective symptom among the adverse events, regarding the adverse event of the patient according to the test value of the test whose test ID is “0123455” Grades can be classified, and in the grade conditions, the range of the inspection value corresponding to each grade is defined as a classification index. Specifically, grade “0” is “inspection value ≧ 158,000”, grade “1” is “158,000> inspection value ≧ 75,000”, and grade “2” is “75,000> inspection. Value ≧ 50,000 ”, grade“ 3 ”is“ 50,000> inspection value ≧ 25,000 ”, and grade“ 4 ”is“ 25,000> inspection value ”. The control unit 11 can arbitrarily change the range of test values set as grade conditions for each grade in the adverse event master D1 in accordance with a user operation. In addition, the range of the test value corresponding to each grade is set in advance for each gender of the patient, for example, and the control unit 11 determines the range of the test value used for the determination of the grade according to the gender of the patient. It is also possible to change.

  Further, in the adverse event master D1, the “fever” that is a subjective symptom among the adverse events is graded for the adverse event of the patient according to a state value (for example, body temperature) indicating the state of the patient's fever. Classification is possible, and the body temperature corresponding to each grade is defined as a classification index in the grade conditions. On the other hand, in the adverse event master D1, regarding the numbness of the limbs which is the same subjective symptom among the adverse events, the grade of the adverse event of the patient cannot be classified according to the numerical value. In the conditions, the severity of symptoms related to numbness of limbs corresponding to each grade is defined as a classification index.

  FIG. 3 is a diagram showing an example of the inspection period master D2. As shown in FIG. 3, the examination period master D2 includes information for specifying the examination time of examination items to be performed on a patient taking a certain medicine. As shown in FIG. 3, in the examination period master D2, the medicine code, presence / absence of periodic examination, default examination code, execution examination code, start age, end age, sex limitation, pre-dose flag, post-dose flag, start An implementation period, an end implementation period, and an inspection interval are registered in association with each other.

  The presence / absence of the periodic inspection in the inspection period master D2 is set in advance according to the necessity of the periodic inspection of the medicine master, or arbitrarily set by a user operation. For example, when the necessity of the periodic inspection of the medicine master is “1: required” or “0: recommended”, the presence / absence of the periodic inspection in the inspection period master D2 is set to “1: present”. The When the information on the necessity of the periodic inspection of the medicine master is blank, the presence / absence of the periodic inspection in the inspection period master D2 is set to “0: None”. In addition, when the necessity level of the periodic inspection of the medicine master is “0: recommended”, the presence / absence of the periodic inspection in the inspection period master D2 may be set to “0: None”.

  The control unit 11 sets a drug for which the presence / absence of the periodic inspection is “1: present” as a target of the periodic inspection check process, and a medicine for which the setting for the presence / absence of the periodic inspection is “0: not present”. Is excluded from the target of periodic inspection check processing.

  The predetermined inspection code and the execution inspection code are information indicating inspection items of an inspection to be performed on a patient taking a medicine corresponding to the medicine code, and the predetermined inspection code is used in the host system 5. The implementation test code is a code used in the medical information management system 10. In the present embodiment, the case where the default inspection code and the execution inspection code are individually set will be described as an example. However, a common inspection code is used in the host system 5 and the medical information management system 10. It is also conceivable as another embodiment to be used.

  The start age and the end age are information indicating a range of age of a patient to which each record of the examination period master D2 is applied. The gender limitation is information indicating the gender of a patient to which each record of the examination period master D2 is applied. The pre-administration flag and the post-administration flag are flags indicating whether each record of the inspection period master D2 is information applied to an inspection at a time before or after taking a medicine.

  The start execution period and the end execution period are information indicating a range of taking time to which each record of the examination period master D2 is applied, and information indicating a period on the basis of the first medicine taking date by the patient. . When the patient has not taken the medicine before the present time, the first taking day is a start date of taking included in the prescription data. In addition, even when the patient is taking the medicine before the present, if the date when the patient last took the medicine is more than a specific period preset from now, The dose start date included in the prescription data is the first dose date.

  Specifically, when the pre-administration flag is “1”, the start execution period indicates the end of the range of dosing timing to which each record of the examination period master D2 is applied, and the end execution period is The beginning of the range of dosing time to which each record of the examination period master D2 is applied is shown. In addition, when the post-administration flag is “1”, the start execution period indicates the start of the range of dosing timing to which each record of the inspection period master D2 is applied, and the end execution period is the inspection period. It shows the end of the range of taking time to which each record of the period master D2 is applied.

  The inspection interval is information set in advance corresponding to the inspection item indicated by the predetermined inspection code and the execution inspection code of each record of the inspection period master D2, and for example, the inspection item needs to be inspected. This is information indicating the interval. In particular, the examination interval is set for each one or a plurality of combinations of the patient's age, the patient's gender, and the elapsed time from the first medication day.

  For example, in the record R211 of the inspection period master D2 shown in FIG. 3, with respect to the medicine with the medicine code “0001”, the presence / absence of the periodic inspection is “1”, the default inspection code is “01”, and the inspection to be performed It is shown that the periodic inspection of the inspection item whose code is “0172” is necessary. Further, the record R211 indicates that the patient's applicable age is “0” to “15” and the patient's applicable sex is “both”. Furthermore, in the record R211, the post-administration flag is “1”, the start execution period is “0” day, the end execution period is “30” days, and the drug first take day “0” days to “ It is shown to apply if it is 30 "days later. In the record R211, it is determined that the inspection interval is “15” days.

  Further, in the record R212 of the inspection period master D2 shown in FIG. 3, the presence or absence of the periodic inspection is “1” for the medicine whose medicine code is “0001”, the default inspection code is “02”, and the inspection to be performed. It is shown that the periodic inspection of the inspection item whose code is “0173” is necessary. Further, the record R212 indicates that the applicable age of the patient is “0” or more and the applicable sex of the patient is “male”. Further, in the record R212, the pre-administration flag is “1”, the start execution period is “30” days, the end execution period is “0” days, and “0” It is shown that it applies about 30 "days ago. In the record R212, it is determined that the inspection interval at which the inspection item should be inspected is “15” days. In addition, when the pre-administration flag is “1” and it is sufficient that one inspection is performed during the start execution period and the end execution period, the inspection interval is set. It may be omitted.

  The screening master includes periodic screening information indicating extraction conditions and monitoring conditions in periodic screening that is automatically executed periodically, and ad hoc screening information indicating extraction conditions and monitoring conditions in ad hoc screening that is executed at an arbitrary time. included. As described later, the screening information registered in the screening master as the periodic screening information or the occasional screening information includes an extraction name, a filtering condition, a screening condition (target period (execution date standard), drug name, target date). Information such as monitoring conditions is included (see FIG. 11). Hereinafter, the filtering conditions and the screening conditions may be referred to as extraction conditions.

  The control unit 11 can update various types of master information stored in the master storage unit 122 as needed based on information acquired from the host system 5. The control unit 11 can also edit various master information according to user operations using the server 1 or the client terminal 2.

  The information storage unit 123 is a storage area in which patient medical information such as the prescription data, drug history data D11, regimen history data D12, examination data D13, and adverse event data D14 is stored. The control unit 11 acquires the prescription data from the host system 5 and accumulates and stores it in the information storage unit 123. The information storage unit 123 also stores processing time information, which will be described later.

  The drug history data D11 is information indicating a prescription history of the medicine for each patient, and the regimen history data D12 is information indicating a medication history of the medicine according to each patient's therapy. The control unit 11 updates the drug history data D11 and the regimen history data D12 based on the prescription data, for example. FIG. 4 is a diagram showing an example of the drug history data D11, and FIG. 5 is a diagram showing an example of the regimen history data D12.

  The drug history data D11 shown in FIG. 4 includes patient ID (patient identification information), patient name (patient identification information), prescription date, drug name (drug identification information), ward, usage / dose, medical department, Includes information such as doctors in charge. Further, the control unit 11 may be able to arbitrarily update the drug history data D11 according to a user operation of the server 1 or the client terminal 2.

  The regimen history data D12 shown in FIG. 5 includes patient ID (patient identification information), patient name (patient identification information), administration date, therapy name (therapy identification information), ward, cool information, planning department, Includes information such as planners. Further, the control unit 11 may arbitrarily update the regimen history data D12 according to a user operation of the server 1 or the client terminal 2.

  The test data D13 is information including test results such as test values for each test item performed for each patient. FIG. 6 shows an example of the inspection data D13. The examination data D13 shown in FIG. 6 includes patient ID (patient identification information), patient name (patient identification information), examination date, examination ID (examination identification information), examination item (examination identification information), examination Includes information such as results. The control unit 11 is based on patient examination data acquired from the host system 5 or patient examination data read from a recording medium such as a USB memory or a CD inserted into the server 1 or the client terminal 2. The inspection data D13 is updated.

  The adverse event data D14 is information indicating data of adverse events such as subjective symptoms and objective symptoms for each patient. FIG. 7 is a diagram showing an example of the adverse event data D14. The adverse event data D14 shown in FIG. 7 includes patient ID (patient identification information), patient name (patient identification information), date, adverse event ID (adverse event identification information), event name (adverse event identification information). ), Including grade information. The control unit 11 is configured to obtain the adverse event data based on patient examination data acquired from the host system 5 or information on a patient's subjective symptoms arbitrarily input to the server 1 or the client terminal 2. D14 is updated.

  The communication I / F 13 is a network card that performs data communication between the client terminal 2 and an external device such as the printer 3 via the communication network 4 in a wireless or wired manner according to a predetermined communication protocol. And the like.

  The display device 14 is a display unit such as a liquid crystal display or an organic EL display that displays various types of information in accordance with control instructions from the control unit 11. The operation device 15 is an operation unit operated by a user in order to input various kinds of information to the server 1. Specifically, the operation device 15 includes a keyboard and a mouse (pointing device) that accept input operations on various operation screens displayed on the display device 14. The operation device 15 may include a touch panel that accepts touch operations on various operation screens displayed on the display device 14 or a voice input device that accepts input of various information by voice recognition.

  The drive device 16 can read the medical information management program from a computer-readable recording medium 161 in which the medical information management program is recorded temporarily. The recording medium 161 is a CD, DVD, BD, or USB memory, and the drive device 16 is a CD drive, DVD drive, BD drive, USB port, or the like. In the server 1, the medical information management program read from the recording medium 161 using the drive device 16 is installed in the program storage unit 121 of the storage unit 12 by the control unit 11.

  By the way, when a lot of information included in the medical information is presented when referring to the medical information about the patient extracted in the extraction process for extracting the patient under a specific condition set in advance, the user is required. It is conceivable that the information cannot be confirmed quickly, and the efficiency of the management operation of the patient's medical information is hindered. On the other hand, in the medical information management system 10, it is possible to support the efficiency of the management work of the medical information of the patient.

  Specifically, the control unit 11 of the server 1 includes an extraction processing unit 111, a determination processing unit 112, a presentation processing unit 113, a selection processing unit 114, an output processing unit 115, a registration processing unit 116, a simulation processing unit 117, and an evaluation. A processing unit 118, a display processing unit 119, and the like are included. The control unit 11 functions as various processing units by executing various processes such as a master registration process (see FIG. 8) and a medical information management process (see FIG. 9) described later according to the medical information management program. That is, in the present embodiment, the server 1 alone is a medical information management system according to the present invention. Further, the server 1 may constitute a stand-alone medical information management system that also serves as the client terminal 2 operated by a user. Note that some or all of the processing units included in the control unit 11 may be configured by an electronic circuit.

  In addition, it may be considered as another embodiment that part or all of the functions of the server 1 are provided in the client terminal 2. For example, a part or all of the medical information management program is installed in the client terminal 2, and the control unit 21 of the client terminal 2 appropriately acquires necessary information from the server 1 to be described later. It is also conceivable to execute a master registration process (see FIG. 8) and a medical information management process (see FIG. 9). In this case, the client terminal 2 is an example of a medical information management system according to the present invention. Furthermore, in the medical information management system 10, the server 1 and the client terminal 2 may cooperate to execute a master registration process (see FIG. 8) and a medical information management process (see FIG. 9) described later. .

  The extraction processing unit 111 executes an extraction process for extracting a patient who satisfies an extraction condition regarding one or a plurality of extraction target items set in advance. Specifically, the extraction processing unit 111 periodically extracts a patient based on the preset periodic screening information periodically at a preset interval or time, and an arbitrary timing according to a user operation. It is possible to perform screening at any time to extract patients based on the arbitrary screening information that is arbitrarily input in step (b). The periodic screening includes executing the extraction process only once at a preset reservation date and time, or executing the extraction process at a plurality of preset reservation dates and times. In the regular screening and the occasional screening, the determination process described later is also executed. The extraction target items are medicines, adverse events, test values, and the like, and the extraction conditions are conditions related to the types of medicines, the grade of adverse events, the range of test values, and the like.

  The determination processing unit 112 executes a determination process for determining whether or not each patient extracted by the extraction processing unit 111 satisfies a monitoring condition regarding one or a plurality of determination target items set in advance. Specifically, the determination target item is a condition relating to a medicine, a test value, an adverse event, and the like, and the monitoring condition is a condition relating to a medicine type, an adverse event grade, a test value range, and the like.

  The presentation processing unit 113 can present information related to one or both of the extraction target item and the determination target item in the medical information corresponding to the patient extracted by the extraction processing unit 111. That is, the presentation processing unit 113 does not present information that is not related to one or both of the extraction target item and the determination target item in the medical information.

  The selection processing unit 114 executes processing for selecting one or a plurality of the extraction target items and the determination target items according to a user operation. In addition, the output processing unit 115 outputs a proposal sheet including transitions in a preset presentation target period for information on one or a plurality of the extraction target items and the determination target items selected by the selection processing unit 114. Is possible. Specifically, the output processing unit 115 can output a proposal sheet P7 (see FIG. 16) as the proposal sheet, as will be described later.

  In particular, the output processing unit 115 can output a transition of information of the extraction target item and the determination target item in a graph. Here, the selection processing unit 114 can select the graph type of the graph for each of the extraction target item and the determination target item according to a user operation. Then, the output processing unit 115 outputs the information transition of each of the extraction target item and the determination target item in the graph of the graph type selected by the selection processing unit for the determination target item.

  When the extraction condition includes at least the extraction target period, the output processing unit 115 outputs information transition of the extraction target item and the determination target item with the extraction target period as the presentation target period. It is possible to do. Further, the output processing unit 115 may arbitrarily set the presentation target period according to a user operation.

  The registration processing unit 116 can register the extraction condition and the monitoring condition according to a user operation. In addition, the simulation processing unit 117 can perform the extraction according to the extraction condition and the monitoring condition that are currently input in a state in which the registration processing unit 116 can accept a user operation for registering the extraction condition and the monitoring condition. It is possible to present the result of the patient extraction by the processing unit 111 and the monitoring condition determination by the determination processing unit 112 being executed.

  The evaluation processing unit 118 determines that a score (evaluation value) set in advance for each of the extraction target item and the determination target item, the extraction target item from which the patient is extracted, and the patient satisfy the monitoring condition. The total score (total evaluation value) of the patient is calculated based on the determination target item.

  The display processing unit 119 can display the patients extracted by the extraction processing unit 111 in an order based on the total score calculated by the evaluation processing unit 118. For example, the display processing unit 119 can display the patients extracted by the extraction processing unit 111 by rearranging the patients in descending order of the total score according to a user operation. .

[Client terminal 2]
The client terminal 2 is a personal computer including a control unit 21, a storage unit 22, a communication I / F 23, a display device 24, an operation device 25, a drive device 26, and the like. Each of the client terminals 2 is an operation terminal that is arranged in a medical institution where the medical information management system 10 is used and is operated by a user such as a pharmacist. For example, the client terminal 2 is used by a pharmacist who prepares a medicine to be administered to a patient in the medical institution. The client terminal 2 may be an information processing apparatus such as a smartphone, a tablet terminal, or a laptop computer.

  The control unit 21 includes control devices such as a CPU, a ROM, a RAM, and an EEPROM. The CPU is a processor that executes various arithmetic processes. The ROM is a non-volatile storage unit in which information such as a control program for causing the CPU to execute various processes is stored in advance. The RAM is a volatile storage unit, and the EEPROM is a non-volatile storage unit. The RAM and the EEPROM are used as a temporary storage memory (working area) for various processes executed by the CPU. And the said control part 21 performs various processes according to the various control programs previously stored in the said ROM, the said EEPROM, or the said memory | storage part 22 using the said CPU.

  The storage unit 22 is a non-volatile storage unit such as a hard disk or an SSD in which various control programs executed by the control unit 21 and various data are stored. Specifically, the storage unit 22 includes a program storage unit 221 in which application programs such as an operating system (OS) and browser software are stored. The browser software displays various operation screens on the display device 24 by accessing the server 1 via the communication network 4, and performs an input operation on the operation screen using the operation device 25. Application software for transmission to the server 1. For example, when address information such as a URL (Universal Resource Locator) corresponding to the server 1 is input at a predetermined position on the operation screen displayed by the browser software, the control unit 21 is based on the address information. To access the server 1.

  The communication I / F 23 is a network card or the like that performs data communication between the server 1 and an external device such as the printer 3 via the communication network 4 in a wireless or wired manner according to a predetermined communication protocol. Is a communication interface.

  The display device 24 is a display unit such as a liquid crystal display or an organic EL display that displays various types of information in accordance with control instructions from the control unit 21. The operation device 25 is an operation unit operated by a user in order to input various information to the client terminal 2. Specifically, the operation device 25 includes a keyboard and a mouse (pointing device) that accept input operations on various operation screens displayed on the display device 24. The operation device 25 may include a touch panel that accepts touch operations on various operation screens displayed on the display device 24, or a voice input device that accepts input of various information by voice recognition.

  The drive device 26 can read the OS or the browser software from a computer-readable recording medium 261 in which the OS or the browser software is recorded. The recording medium 261 is a CD, DVD, BD, or USB memory, and the drive device 16 is a CD drive, DVD drive, BD drive, USB port, or the like. In the client terminal 2, the OS or the browser software read from the recording medium 261 using the drive device 26 is installed in the program storage unit 221 of the storage unit 22 by the control unit 21.

  In the medical information management system 10, the server 1 displays various information such as a screening list screen P <b> 1 and an extraction result screen P <b> 3 to be described later on the client terminal 2 in accordance with the operation of the client terminal 2 by the user. Let The client terminal 2 controls screen display based on data transmitted from the server 1 or refers to data stored in the storage unit 12 of the server 1 to control screen display. The server 1 can accept an operation input from the user to the client terminal 2. Specifically, in the present embodiment, a server client system is configured by the server 1 and the client terminal 2, and the server 1 performs processing such as display, storage, and printing in accordance with a user operation of the client terminal 2. The case of executing is described. Therefore, in the present embodiment, processing such as “display”, “operation”, “selection”, and “input” described below is performed using the display device 24 and the operation device 25 of the client terminal 2. It will be explained as That is, the client terminal 2 functions as an operation device and a display device for the server 1. Of course, processes such as “display”, “operation”, “selection”, and “input” may be performed by the display device 14 and the operation device 15 of the server 1.

  Hereinafter, an example of the master registration process and the medical information management process executed by the medical information management system 10 will be described with reference to FIGS. 8 and 9. The control unit 11 of the server 1 can execute the master registration process or the medical information management process in parallel. The master registration process and the medical information management process may be executed in parallel corresponding to each client terminal 2 in response to requests from the plurality of client terminals 2.

[Master registration process]
<Step S11>
In step S11, the control unit 11 waits for a user operation to start maintenance of the screening master in which the conditions of the extraction process and the determination process executed in the medical information management process are stored (S11: No) ). For example, when the operation key for displaying a list of screening information registered in the screening master is operated, the control unit 11 determines that a user operation for starting the maintenance of the screening master has been performed. To do. Here, if it is determined that a user operation for starting the maintenance of the screening master is performed (S11: Yes), the process proceeds to step S12.

<Step S12>
In step S12, the control unit 11 causes the client terminal 2 to display a screening list screen P1 including a list of screening information registered in the screening master. FIG. 10 is a diagram showing an example of the screening list screen P1.

  As shown in FIG. 10, on the screening list screen P1, an operation area A11 for receiving various operations and a display area A12 on which the screening information is displayed are displayed. The control unit 11 switches the list of the screening information displayed in the display area A12 according to the selection of the execution method in the display area A13. Specifically, when “regular” is selected in the display area A13, the control unit 11 causes the display area A12 to display a list of the periodic screening information related to the periodic screening, and the display area A13 displays “ When “anytime” is selected, a list of the occasional screening information related to the occasional screening is displayed in the display area A12.

  Each data of the list of screening information in the display area A12 includes information of items A121 to A128. In the item A121, a score value set in advance for the screening information is displayed. In the item A122, an extraction name which is the name of the screening information is displayed. The item A123 displays a filtering condition for filtering patients in the screening information. Specifically, the filtering conditions include “gender / age”, “hospitalization”, “outpatient”, “others”, and the contents of the filtering conditions are set in the display area A12. Conditions are displayed in an identifiable manner.

  In the item A124, an extraction target period of the extraction conditions is displayed, and the control unit 11 can change the extraction target period in accordance with an operation in the item A124. For example, in the item A125, when “0 to 0 days” is input, the extraction target period is the start date of the extraction process, and when “−7 to −1 day” is input, The extraction target period is from 7 days before the start time of the extraction process to the day before the start time. When “−1 to −1 month” is input, the extraction target period is from the start time of the extraction process. One month up to one month ago. The extraction target period is not limited to daily units or monthly units, and may be set in various units such as hourly units, weekly units, or yearly units.

  In addition, the item A125 displays valid and invalid setting states of periodic screening (extraction processing and determination processing) based on the screening information, and the control unit 11 performs the operation according to the operation of the item A125. Switch between valid and invalid periodic screening based on screening information. The item A126 displays the execution timing of the regular screening based on the screening information, and the control unit 11 can change the execution timing according to the operation of the item A126. In the item A127, the startup time of the regular screening based on the screening information is displayed, and the control unit 11 can change the startup time according to the operation of the item A127. In the item A128, the previous execution date of the regular screening based on the screening information is displayed.

  In the operation area A11, operation units K11 to K18 and the like are displayed. And the said control part 11 can receive operation of the said operation parts K11-K18 in the said client terminal 2. FIG.

  Specifically, the control unit 11 registers the screening information input on the screening list screen P1 in the screening master in accordance with the operation of the operation unit K11. Further, the control unit 11 starts a new creation process for starting the creation of screening information to be registered in the screening list screen P1 in accordance with the operation of the operation unit K12. Further, the control unit 11 performs a citation creation process for quoting the screening information selected on the screening list screen P1 and starting the creation of new screening information in accordance with the operation of the operation unit K13. Start.

  Further, when the operation unit K15 is operated with the screening information selected on the screening list screen P1, the control unit 11 executes a process of deleting the screening information. Further, when the operation unit K16 is operated in a state where the screening information is selected on the screening list screen P1, the control unit 11 performs extraction processing based on the extraction condition and the monitoring condition included in the screening information, Execute the judgment process. Further, when the operation unit K17 is operated with the screening information selected on the screening list screen P1, the control unit 11 performs the extraction executed based on the extraction condition included in the screening information A print process for printing a list of patients extracted in the process is executed. The control unit 11 closes the screening list screen P1 when the operation unit K18 is operated.

  Further, the control unit 11 starts a detailed editing process for editing details about the extraction condition selected on the screening list screen P1 in accordance with the operation of the operation unit K14. Specifically, when the operation unit K14 is operated in a state where any of the extraction conditions is selected on the screening list screen P1, the control unit 11 performs detailed setting for editing details of the extraction conditions. The screen P2 is displayed on the client terminal 2. Further, the control unit 11 causes the client terminal 2 to display the detailed setting screen P2 even when the operation unit K12 or K13 is operated and the extraction condition is newly created. FIG. 11 is a diagram showing an example of the detailed setting screen P2.

  As shown in FIG. 11, on the detailed setting screen P2, an operation unit K21, an operation unit K22, display areas A21 to A24, and the like are displayed. The control unit 11 registers screening information including the extraction condition and the monitoring condition input to the detailed setting screen P2 in the screening master according to the operation of the operation unit K21, and the detailed setting screen Close P2. In addition, the control unit 11 executes the extraction process and the determination process based on the screening information input on the detailed setting screen P2 in accordance with the operation of the operation unit K22.

  In the display area A21, operation areas A211 to A214 are displayed. The operation areas A211, A212, A213, and A214 are areas for receiving input of information about the name, score, execution method, and timing of the screening information. The score is an evaluation value for the screening information and is used as an index indicating the importance of the patient extracted by the screening information. The display area A21 displays an execution date and an execution time when the extraction process and the determination process based on the screening information were executed last time. Furthermore, in the display area A21, it is possible to select whether or not to limit the target of the extraction process and the determination process to the currently logged-in pharmacist. The display area may display a required time when the extraction process and the determination process based on the screening information were executed last time.

  In the display area A22, one or a plurality of filtering conditions for narrowing down patients to be extracted from the screening information can be set. The filtering condition is mainly an item condition related to the patient himself. Specifically, as the filtering condition, “gender / age”, “hospital”, “outpatient”, and “other” can be set. For example, in the item of “gender / age”, the gender and age of the patient can be input. In the “hospital” item, the patient's ward can be selected, and in the “outpatient” item, the patient's department can be selected. Furthermore, in the “others” item, a patient's medical treatment schedule (planned to be hospitalized, scheduled to be discharged, etc.) can be selected.

  In the display area A23, it is possible to set one or a plurality of screening conditions for narrowing down patients to be extracted from the screening information. The screening condition is a condition mainly related to the medical treatment contents and state of the patient. Specifically, the screening conditions include medicines, test values, adverse events, and the like as extraction target items of the screening conditions. For example, in the example shown in FIG. 11, the extraction target item of the screening condition is “medicine”, the code of the drug that the patient is taking is “Warfa 05”, and the name of the extraction target item is “Warfarin Tablet 5 mg”. The condition is set to “same component”. In this case, in the extraction process based on the screening conditions, patients who are taking medicines of “Warfarin Tablets 5 mg” and “same ingredients” are extracted. In addition, the administration period of the medicine may be set as the screening condition such that a specific medicine is continuously administered for 4 weeks or more. Furthermore, in the display area A23, in the operation area A231, a score can be set as an index indicating the importance of the patient corresponding to the screening condition for each screening condition.

  In the display area A23, an extraction target period can be set as the extraction condition, and a reference type of the extraction target period can be selected. Specifically, the “dispensing date” or “administration date” (or “dosing date”) included in the prescription data can be selected as the reference for the extraction target period. In the extraction process, a patient whose type of the selected period is included in the extraction target period is extracted.

  In addition, as will be described later, the control unit 11 is configured so that one or a plurality of determination target items set in advance for each patient extracted based on the filtering condition and the screening condition satisfies a monitoring condition set in advance. Judgment processing is performed to determine whether or not. In the display area A24, the determination target item and the monitoring condition can be set. Specifically, the determination target items include chemicals, test values, adverse events, and the like. For example, in the example shown in FIG. 11, the category “drug flag”, the code “8”, and the name “high risk drug” are set as the monitoring condition, and an index indicating the importance of the patient that satisfies the monitoring condition Is set to “5”. In this case, it is determined that a patient taking a high-risk medicine among the patients extracted based on the filtering condition and the screening condition satisfies the monitoring condition, and the score of the patient is added by 8 points.

  In the example shown in FIG. 11, a category “examination value”, a code “001000001”, a name “MG value”, and a determination condition “out of range” are set as the monitoring conditions. The score, which is an index indicating the importance, is set to “10”. In this case, it is determined that a patient whose MG value is outside the preset range among the patients extracted based on the filtering condition and the screening condition satisfies the monitoring condition, and the score of the patient is added by 10 points. . Furthermore, the monitoring conditions of the category “adverse event”, code “20215960”, name “numbness of limbs”, and judgment condition “1” are set as the monitoring conditions, and indicate the importance of the patient who satisfies the monitoring conditions. The score as an index is set to “3”. In the present embodiment, the name of the patient's test value and the name of the patient's adverse event are examples of determination target items.

  In the display area A25, it is possible to set a patient to be automatically registered as a follow-up observation target among the patients extracted by the extraction process. Specifically, in the example shown in FIG. 11, “patients to be screened” for all patients extracted based on the filtering condition and the screening condition, and the monitoring condition is satisfied among the extracted patients. One of “check target patient” that targets the patient and “not target” that is not automatically registered can be selected. The control unit 11 sets, as patient information, that a patient who satisfies the conditions of the follow-up observation target among the patients extracted by the extraction process is patient follow-up subject according to the condition selected in the display area A25. .

<Step S13>
In step S13, the control unit 11 determines whether an operation for creating the screening information to be registered in the screening master has been performed. Specifically, the control unit 11 determines that an operation for creating the screening information has been performed when the operation unit K12 or the operation unit K13 displayed on the screening list screen P1 is operated. To do. When it is determined that an operation for creating the screening information has been performed (S13: Yes), the process proceeds to step S14, and it is determined that an operation for creating the screening information has not been performed. Then (S13: No), the process proceeds to step S15.

<Step S14>
In step S <b> 14, the control unit 11 executes a process for creating screening information including the extraction condition and the monitoring condition and registering it in the screening master. Specifically, the control unit 11 displays the detailed setting screen P2 on the client terminal 2, creates the screening information in response to a user operation on the client terminal 2, and registers it in the screening master. The step S14 is executed by the registration processing unit 116 of the control unit 11.

<Step S15>
In step S15, the control unit 11 determines whether or not an operation for editing the screening information registered in the screening master has been performed. Specifically, when the operation unit K14 is operated while the screening information displayed on the screening list screen P1 is selected, the control unit 11 performs an operation for editing the screening information. Judge that it was done. If it is determined that an operation for editing the screening information has been performed (S15: Yes), the process proceeds to step S16, and it is determined that an operation for editing the screening information is not performed. Then (S15: No), the process proceeds to step S17.

<Step S16>
In step S16, the control unit 11 executes processing for editing the screening information selected on the screening list screen P1. Specifically, the control unit 11 causes the client terminal 2 to display the detailed setting screen P2 on which the screening information selected on the screening list screen P1 is displayed, and according to a user operation on the client terminal 2 Then, the extraction condition and the monitoring condition included in the screening information are edited and registered in the screening master.

<Step S17>
In step S17, the control unit 11 determines whether or not an operation for ending the maintenance of the screening master has been performed. Specifically, when the operation unit K18 is operated, the control unit 11 determines that an operation for ending the maintenance of the screening master has been performed. When it is determined that an operation for ending the maintenance of the screening master has been performed (S17: Yes), the master registration process is completed, and an operation for ending the maintenance of the screening master is performed. If not, the process returns to step S13.

[Medical information management processing]
Next, an example of the medical information management process will be described with reference to FIG.

<Step S21>
In step S21, the control unit 11 determines whether to start the extraction process. Specifically, the control unit 11 determines to start the extraction process when the extraction process start operation is performed on the screening list screen P1 or the detailed setting screen P2. In addition, it is determined that the extraction process is started also when the start-up time of the extraction process set in the screening information has come. If it is determined to start the extraction process (S21: Yes), the process proceeds to step S22. If it is not determined to start the extraction process (S21: No), the process proceeds to step S25.

<Step S22>
In step S22, the control unit 11 executes an extraction process for extracting a patient based on the filtering condition and the screening condition set in advance as the extraction condition. The step S22 is an example of an extraction step, and is executed by the extraction processing unit 111 of the control unit 11. Moreover, the said control part 11 calculates a patient's score based on the score set beforehand about each of the said extraction object item and the said determination object item, and the said extraction object item from which the said patient was extracted.

<Step S23>
In step S23, the control unit 11 executes a determination process for determining whether or not the monitoring condition is satisfied for each patient extracted in step S22. The step S23 is an example of a determination step, and is executed by the determination processing unit 112 of the control unit 11. The control unit 11 calculates a patient score based on a score set in advance for each of the extraction target item and the determination target item and the determination target item determined that the patient satisfies the monitoring condition. To do. And the said control part 11 calculates the total score of the score calculated by said step S22 and S23. The calculation process is executed by the evaluation processing unit 118 of the control unit 11.

<Step S24>
In step S24, the control unit 11 presents the extraction result in step S22 and the determination result in step S23 to the client terminal 2. The step S24 is an example of a presentation step, and is executed by the presentation processing unit 113 of the control unit 11. Specifically, the control unit 11 causes the display device 24 of the client terminal 2 to display an extraction result screen P3 indicating a list of patients extracted by the extraction process in step S22. FIG. 12 is a diagram showing an example of the extraction result screen P3.

  As shown in FIG. 12, on the extraction result screen P3, operation units K31 to K34, display areas A31 to A33, and the like are displayed. The control unit 11 starts a simulation process of the extraction process and the determination process based on the screening information selected on the extraction result screen P3 according to the operation of the operation unit K31. In addition, the control unit 11 displays on the client terminal 2 a detailed display screen P5 on which the medicine history and the examination history for the patient selected on the extraction result screen P3 are displayed according to the operation of the operation unit K32. Display. Furthermore, the control unit 11 prints out a list of patients after extraction displayed on the extraction result screen P3 in accordance with the operation of the operation unit K33. Further, the control unit 11 executes the analysis proposal process for the patient selected on the extraction result screen P3 in accordance with the operation of the operation unit K34.

  In the display area A31, a list of the screening information is displayed. In addition, the control unit 11 displays the number of patients extracted when the extraction process is executed based on each of the screening information in the display area A31 in a thinning column. Further, in the display area A31, the control unit 11 displays the number of patients satisfying any one of the monitoring conditions among the patients extracted by the extraction process in a monitoring check column, and is extracted by the extraction process. The number of patients who satisfy one of the monitoring conditions and are registered as follow-up subjects among the patients is displayed in the monitoring target column.

  In the display area A33, a list of patients extracted by the extraction process executed based on each of the extraction conditions displayed in the display area A31 is displayed as a list. The list of patients includes information such as patient ID, patient name, sex, age, ward, medical department, monitoring start date, score, presence / absence of in-period examination for each patient. Moreover, the said control part 11 displays "(circle)" in a monitor column about the patient which satisfy | fills any one of the said monitoring conditions among the patients displayed on said display area A33. In addition, the control unit 11 selects only patients extracted based on the extraction condition included in one or a plurality of the screening information selected by a user operation among the screening information displayed in the display area A31. It may be possible to display in the display area A33.

  The score is an index indicating the importance of the patient extracted by the screening information. Specifically, the score can be set for each screening information in the operation area A212 of the detailed setting screen P2. The score can be set for each screening condition in the operation area A231 of the detailed setting screen P2. Further, the score can be set for each monitoring condition in the operation area A241 of the detailed setting screen P2. And when the said extraction process and the said determination process are performed, the said control part 11 will calculate the total value of the said score according to the conditions where a patient corresponds, and will display on the said display area A33. For example, when the total score of the patient is “40 (4)”, the total of the four screening conditions or the monitoring conditions is satisfied, and the total score is 40. The score only needs to be set for at least one of the screening information, the filtering condition, the screening condition, and the monitoring condition, and need not be set for all.

  In addition, the determination processing unit 112 can determine whether or not an inspection of a predetermined inspection item is performed within a predetermined determination period for the patient extracted by the extraction processing. . Specifically, the determination processing unit 112 associates the medicine with the medicine in advance in the judgment period set in advance in association with the medicine taken by the patient based on the examination data D13 and the examination period master D2. It is determined whether or not an examination of the set examination item is performed on the patient. In another embodiment, the determination processing unit 112 may use an extraction target period set in advance as the extraction condition for the extraction process as the determination period. In this case, the determination processing unit 112 determines whether an inspection item set in advance within the extraction target period is inspected, and if the inspection is performed, the inspection value for the inspection Is determined to be within a preset range. That is, the determination processing unit 112 may perform determination without using the inspection period master D2. In addition, the case where the inspection item for which the determination processing unit 112 determines whether or not to execute is an item set in advance in association with the medicine taken by the patient will be described, but the inspection item arbitrarily set by the user It may be. For example, the inspection item for which the presence / absence of execution is determined by the determination processing unit 112 may be an inspection item for which presence / absence confirmation is set to “target” among inspection items input as monitoring conditions described later.

  In addition, the control unit 11 can accept a user operation for setting display conditions such as a patient narrowing or sorting condition displayed in the display area A33 in the display area A32. And the said control part 11 narrows down and displays the patient of the display object in the said display area A33 according to the setting of the said display conditions, or changes the display order of the patient in the said display area A33, and displays it. More specifically, the control unit 11 can display the patients displayed in the display area A33 in an order such as ascending order or descending order of the scores according to a user operation. Thereby, the user can easily grasp a patient with a high score, that is, a patient with high importance. The display process is executed by the display processing unit 119 of the control unit 11. In particular, in the display area A33, patients extracted based on a plurality of the extraction conditions may be mixed and displayed. In this case, if the score corresponding to each extraction condition is set to a different value depending on the importance level, the control unit 11 can extract the patient extracted under the extraction condition with the higher importance level according to the user operation. Can be displayed with priority.

<Step S25>
In step S25, the control unit 11 determines whether to start the extraction process and the simulation process of the determination process based on the screening information selected on the extraction result screen P3. Specifically, the control unit 11 determines to start the simulation process when the operation unit K31 is operated on the extraction result screen P3. If it is determined that the simulation process is to be started (S25: Yes), the process proceeds to step S26. If it is not determined to start the simulation process (S25: No), the process proceeds to step S27. .

<Step S26>
In step S <b> 26, the control unit 11 executes a simulation process for displaying execution results of the extraction process and the determination process based on the screening information. The step S26 is executed by the simulation processing unit 117 of the control unit 11. Specifically, the control unit 11 causes the client terminal 2 to display a simulation screen P4 for executing the simulation process. In particular, the control unit 11 displays the simulation screen P4 on the client terminal 2 on which the extraction result screen P3 is displayed. That is, since the extraction result screen P3 and the simulation screen P4 are displayed on the one client terminal 2, it is possible to improve the efficiency of user work. For example, when a large number of patients are displayed on the previous-term extraction result screen P3, the efficiency of the simulation work for narrowing the number of patients to the number that can be handled with care is improved. FIG. 13 shows an example of the simulation screen P4.

  As shown in FIG. 13, on the simulation screen P4, operation units K41 to K43, display areas A41 to A44, and the like are displayed. The display area A41 is an area for setting the filtering condition and the screening condition, and the control unit 11 accepts the setting of the filtering condition and the screening condition in response to a user operation on the display area A41. The display area A42 is an area for setting the monitoring condition, and the control unit 11 accepts the setting of the monitoring condition in response to a user operation on the display area A42. When the simulation screen P4 is displayed, a state in which the extraction conditions and the monitoring conditions included in the screening information selected on the extraction result screen P3 are expanded on the simulation screen P4 is displayed. It is thought that it is done. Thereby, the user can easily change the extraction condition and the monitoring condition included in the screening information developed on the simulation screen P4. Moreover, it is also conceivable as another embodiment that the screening information having the largest number of patients extracted by the extraction process among the screening information is displayed in the simulation screen P4. In the display area A43, a list of patients extracted based on the filtering condition and the screening condition set in the display area A41 and the display area A42 is displayed. In the display area A43, the number of patients satisfying the monitoring condition among the extracted patients is displayed. Further, in the display area A43, the number of patients before and after the change of the extraction condition and the monitoring condition set in the display area A41 and the display area A42 is also displayed. For example, in the display area A43, for the number of patients that satisfy the monitoring condition, the number of patients that have been added as the number of patients that satisfy the monitoring condition before and after the change of the extraction condition and the monitoring condition, and the patients that are excluded The number is also displayed. In addition, in the display area A43, patients who are added as patients who satisfy the monitoring condition before and after the change of the extraction condition and the monitoring condition and patients who are not included are identified by a difference in background color or character color. It may be displayed as possible.

  In addition, the control unit 11 registers information such as the filtering condition, the screening condition, and the monitoring condition set on the simulation screen P4 as the screening information according to the operation of the operation unit K41. Further, the control unit 11 prints a list of patients displayed as an execution result of the simulation process executed on the simulation screen P4 according to the operation of the operation unit K42. In addition, the control unit 11 executes an analysis proposal process for making an analysis proposal for the patient selected in the display area A43 in accordance with the operation of the operation unit K43. On the other hand, according to the operation of the operation unit 44, the control unit 11 performs the extraction process based on the filtering condition, the screening condition, the monitoring condition, and the like set in the display area A41 and the display area A42. A simulation process for executing the determination process is executed, and the execution result of the simulation process is displayed in the display area A43. The simulation screen P4 is closed according to a preset end operation.

<Step S27>
In step S27, the control unit 11 determines whether or not an operation for starting display of medical information on the patient selected on the extraction result screen P3 has been performed. Specifically, the control unit 1 performs an operation for starting display of the medical information when the operation unit K32 is operated in a state where one or a plurality of patients are selected on the extraction result screen P3. Judge that it was broken. If it is determined that an operation for starting display of the medical information has been performed (S27: Yes), the process proceeds to step S28, and an operation for starting display of the medical information is performed. If it is not determined that it has been (S27: No), the process proceeds to step S29.

<Step S28>
In step S28, the control unit 11 causes the client terminal 2 to display a detailed display screen P5 including medical information about the patient selected on the extraction result screen P3. FIG. 14 is a diagram showing an example of the detailed display screen P5. As shown in FIG. 14, on the detailed display screen P5, the operation units K51 to K55, the display area A51 in which the patient's drug history or therapy history is displayed, and the patient's test values or the contents of adverse events are displayed. Display area A52 and the like are displayed. In addition, when a plurality of patients are selected on the extraction result screen P3, the control unit 11 displays the medical information on the detail display screen P5 according to the operation of the operation unit K54 on the detail display screen P5. The target patient can be switched. The control unit 11 is not limited to the operation of the operation unit K32, and can display the detail display screen P5 on the client terminal 2 according to a predetermined operation set in advance on the client terminal 2. is there. The medical information displayed on the detailed display screen P5 is not limited to the drug history, the therapy history, the test value, the adverse event, and the like, and may include other information.

  By the way, when the medical information about the patient extracted in the extraction process is referred to, if a lot of information included in the medical information is presented, the user cannot quickly confirm the necessary information. It can be considered that the efficiency of the management of patient medical information is hindered. On the other hand, in the medical information management system 10, it is possible to support the efficiency of the management work of the medical information of the patient.

  Specifically, the control unit 11 extracts one of the extraction target item and the determination target item from the medical information corresponding to the patient extracted by the extraction processing unit 111 and selected on the extraction result screen P3. Information related to both is presented on the detailed display screen P5. That is, in the detailed display screen P5, the display of information related to items not set as the extraction target item and the determination target item in the medical information is omitted. Thereby, in the said medical information management system 10, it is possible to aim at the efficiency of management work of a patient's medical information. Specifically, in the example shown in FIG. 14, information on drug history regarding “Warfarin Tablets 5 mg” set as the extraction target item in the extraction condition and “limbs” set as the determination target item in the monitoring condition Information on adverse events of “numbness” and information on test values of “MG value” are displayed. The information displayed on the detailed display screen P5 is displayed based on the drug history data D11, the regimen history data D12, the examination data D13, the adverse event data D14, and the like. Further, the control unit 11 displays the medical information to be displayed on the detailed display screen P5 according to an operation of the operation unit K55 of the detailed display screen P5, either the extraction target item or the determination target item, or It is possible to switch whether or not the information is related to both.

  Note that when the operation unit K51 is operated, the control unit 11 can display the simulation screen P4 on the client terminal 2 and execute the simulation process. Further, the control unit 11 prints a list of patients extracted by the extraction process in accordance with the operation of the operation unit K52. Further, the control unit 11 executes the analysis proposal process for the patient whose medical information is displayed on the detailed display screen P5 in accordance with the operation of the operation unit K53.

<Step S29>
In step S29, the control unit 11 determines whether or not an operation for starting the analysis proposal process for the patient selected on the extraction result screen P3 has been performed. Specifically, the control unit 1 performs an operation for starting the analysis proposal process when the operation unit K33 is operated in a state where one or a plurality of patients are selected on the extraction result screen P3. Judge that If it is determined that an operation for starting the analysis proposal process has been performed (S29: Yes), the process proceeds to step S30, and it is determined that an operation for starting the analysis proposal process has been performed. If not (S30: No), the process returns to step S21.

<Step S30>
In step S30, the control unit 11 executes a proposal creation process for the patient selected on the extraction result screen P3. Specifically, the control unit 11 causes the client terminal 2 to display an analysis proposal screen P6 for setting the content of the proposal sheet in the proposal creation process. FIG. 15 shows an example of the analysis proposal screen P6. As shown in FIG. 15, on the analysis proposal screen P6, operation units K61 to K65, display areas A61 to A63, and the like are displayed.

  The control unit 11 executes a registration process for storing the content input in the analysis proposal screen P6 in the storage unit 2 in accordance with the operation of the operation unit K61. In addition, the control unit 11 prints out a proposal sheet P7 (see FIG. 16) created based on the contents input on the analysis proposal screen P6 in accordance with the operation of K62. Further, the control unit 11 creates and displays the proposal sheet P7 based on the contents input on the analysis proposal screen P6 in accordance with the operation of the operation unit K63. The process for outputting the proposal sheet P7 is executed by the output processing unit 115 of the control unit 11. Further, the control unit 11 can accept setting input of an execution period (an example of a presentation target period) indicating a target period of information presented on the proposal sheet P7 in the operation units K64 and K65. The control unit 11 displays the operation units K64 and K65 in a state where the extraction target period in the extraction process is initially input as the execution period. However, the control unit 11 performs the operation for the operation units K64 and K65. The execution time can be arbitrarily changed according to a user operation.

  The display area A61 is an operation area for receiving input of proposal contents included in the proposal sheet P7. The display area A62 is an operation area for receiving an input of a pharmacist comment included in the proposal sheet P7. Note that the input to the display area A62 is performed by text input using the display area A62 or selection of a default sentence example displayed in the display area A63 (for example, drag and drop).

  The display area A64 is an operation area for accepting an operation for selecting the contents of the graph displayed on the proposal sheet P7. Specifically, in the display area A64, the control unit 11 displays items that can be displayed in a graph among the extraction target items and the determination target items set as the screening information, and a graph for each of the items. The type can be selected according to the user operation. The selection process is executed by the selection processing unit 114 of the control unit 11. That is, the extraction target item and the determination target item displayed on the detail display screen P5 can be selected as items shown in the graph. For example, any one of “line graph”, “bar graph”, and “none” can be selected for each of the extraction target item and the determination target item set as the screening information. In the display area A64, it is also possible to set a color scheme when each of the extraction target item and the determination target item set as the screening information is displayed in a graph. As another embodiment, it is also conceivable that the control unit 11 can add an item not displayed in the display area A64 as an item shown in the graph in response to a user operation.

  FIG. 16 is a diagram showing an example of the proposal sheet P7. As shown in FIG. 16, the proposal sheet P7 includes patient information such as patient identification information, the proposal content, and the pharmacist comment, and one or a plurality of the extraction target items or the determination target items. A graph showing the transition of the information is included. In the graph, transitions in a preset presentation target period are shown for the information on the item selected from the extraction target item and the determination target item displayed on the detailed display screen P5. For example, in the example shown in FIG. 16, the dose of “Warfarin Tablets 5 mg” is shown as a bar graph, and the test value of “MG value” is shown as a line graph.

  As described above, in the medical information management system 10, only the medical information related to the extraction target item and the determination target item included in the screening information set in advance is displayed on the detailed display screen P5. The proposal sheet P7 including a transition of information of one or a plurality of the extraction target items or the determination target items selected from the information is output. Therefore, the user can easily select one or a plurality of the extraction target items or the determination target items to be output to the proposal sheet P7. Therefore, in the medical information management system 10, it is possible to increase the work efficiency for the user to create the proposal sheet P7 as compared with the case where a large amount of information is displayed as the medical information.

1 Server 11 Control Unit 12 Storage Unit 13 Communication I / F
14 Display device 15 Operating device 16 Drive device 2 Client terminal 21 Control unit 22 Storage unit 23 Communication I / F
24 display device 25 operation device 26 drive device 3 printer 4 communication network 5 host system 10 medical information management system

Claims (9)

An extraction processing unit that extracts a patient that satisfies an extraction condition regarding one or more extraction target items set in advance;
A determination processing unit that determines whether or not each of the patients extracted by the extraction processing unit satisfies a monitoring condition regarding one or a plurality of determination target items set in advance;
A presentation processing unit capable of presenting information related to one or both of the extraction target item and the determination target item among the medical information corresponding to the patient extracted by the extraction processing unit;
A medical information management system comprising: A selection processing unit that selects one or a plurality of the extraction target items and the determination target item according to a user operation;
An output processing unit that outputs a proposal sheet including transitions in a preset presentation target period for information on the one or more extraction target items and the determination target item selected by the selection processing unit;
Comprising
The medical information management system according to claim 1. The output processing unit outputs a transition of information of the extraction target item and the determination target item in a graph,
The medical information management system according to claim 2. The selection processing unit can select a graph type of the graph for each of the extraction target item and the determination target item according to a user operation.
The output processing unit outputs a transition of information of each of the extraction target item and the determination target item in a graph of the graph type selected by the selection processing unit for the extraction target item and the determination target item.
The medical information management system according to claim 3. The extraction condition includes at least an extraction target period,
The output processing unit outputs a transition of information of the extraction target item and the determination target item with the extraction target period as the presentation target period.
The medical information management system according to any one of claims 2 to 4. The output processing unit can arbitrarily set the presentation target period according to a user operation,
The medical information management system according to any one of claims 2 to 5. A registration processing unit capable of registering the extraction condition and the monitoring condition according to a user operation;
Patient extraction and determination processing by the extraction processing unit according to the extraction condition and the monitoring condition that are currently input in a state in which the registration processing unit can accept a user operation for registering the extraction condition and the monitoring condition A simulation processing unit capable of presenting a result of execution of monitoring condition determination by the unit;
A medical information management system according to any one of claims 1 to 6. A patient based on an evaluation value set in advance for each of the extraction target item and the determination target item, the extraction target item from which the patient is extracted, and the determination target item in which the patient is determined to satisfy the monitoring condition An evaluation processing unit for calculating a total evaluation value of
A display processing unit capable of displaying the patient extracted by the extraction processing unit in an order based on the total evaluation value calculated by the evaluation processing unit;
A medical information management system according to any one of claims 1 to 7. An extraction step for extracting a patient that satisfies the extraction condition regarding one or more extraction target items set in advance;
A determination step of determining whether or not each of the patients extracted in the extraction step satisfies a monitoring condition regarding one or a plurality of determination target items set in advance;
A presentation step capable of presenting information related to one or both of the extraction target item and the determination target item among the medical information corresponding to the patient extracted by the extraction step;
Information management program to make computer run.