JP2002024383A - Diagnosis and treatment record input device, diagnosis and treatment record server, diagnosis and treatment record input program storage medium, and diagnosis and treatment record server program storage medium - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a diagnosis and treatment record input device, a diagnosis and treatment record server, a diagnosis and treatment record input program storage medium and a diagnosis and treatment record server program storage medium which can expand the utilization range of a diagnosis and treatment record electronic record system. SOLUTION: This diagnosis and treatment record input device 51 is provided with a diagnosis and treatment record inputting part 51-1 for inputting a diagnosis and treatment record in accordance with an operation while the device 51 is disconnected from the diagnosis and treatment record server 52, a diagnosis and treatment record transmitting part 51-2 for transmitting the inputted diagnosis and treatment record to the server 52 while the device 51 is connected to the server 52, a diagnosis and treatment record recording part 51-3 for acquiring a diagnosis and treatment record from the server 52 to record it and also updating the diagnosis and treatment record that is acquired from the server 52 and that is recorded with the diagnosis and treatment record inputted from the part 51-1, and an acquisition information storing part 51-4 for storing information about the acquisition of the diagnosis and treatment record when the part 51-3 acquires the diagnosis and treatment record.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

The present invention relates to a medical record input device, a medical record server, a medical record input program storage medium, and a medical record server program storage medium used in an electronic medical record system for electronically recording medical records of doctors. .

[0002]

2. Description of the Related Art In recent years, with the spread of a medical record electronic recording system for electronically recording medical records, a so-called electronic medical record system, not only medical services in medical institutions such as hospitals and clinics, but also doctor visits. Even at times, management of medical records by an electronic recording method has been required.

[0003] The electronic medical record system in a normal medical institution has various system configurations. Generally, a medical record server provided with a medical record database for managing and storing medical records and various masters, etc., refer to the medical record database. In many cases, the system is configured as a client-server system including a client that updates a medical record in a database with data input by a doctor, and a communication line that connects the server and the client. In this client server system, the client and the server are usually used in a state of being constantly connected via a communication line.

[0004]

Therefore, if the doctor leaves the site where the electronic medical record system is installed due to a house call or other reasons, it is impossible and necessary to manage the medical records by the electronic recording system. The only way to do this is to print out the medical record (cart), carry it, and add new information to it by hand. This method is wasteful in terms of resources and requires careful handling of the used paper in terms of patient privacy.

Further, the conventional electronic medical record system does not have a function of acquiring and storing medical record data in a medical record database on the client side. Therefore, when the client is disconnected from the server, it is not possible to update the medical record data in the medical record database using data newly input from the client and reflect the updated medical record data in the medical record database of the server.

Further, it is not impossible to use a mobile terminal as a client, carry the mobile terminal for a house call or the like, and connect it to a server using a public line or the like. In addition, there is a problem that the client cannot be operated in an environment where it cannot be connected to the public line, and the electronic medical record system cannot be used.

[0007] Further, when it is necessary to add or change the medical record itself in the electronic medical record system, for example, when a medical examination is performed at a home visit or when a medical chart is reviewed at home, etc. It is necessary to keep a memo about the contents and the result of the review of the medical record in some form, and after returning to the hospital, it is necessary to input the place to change the medical record into the electronic medical record system while referring to the memo and reflect it in the medical record database There is. However, in such a method, a human error such as a transcription error easily occurs, and in such a case, it is easy to forget that the data itself has been obtained from the server.

The operability and visibility of such a mobile client is often different from the operability and visibility of a stationary client. Furthermore, before starting the system, the connection destination and the operation mode must be set. However, if the connection destination and the operation mode change, there is a problem that the operability and the visibility change.

In view of the above circumstances, the present invention provides a medical record input device, a medical record server, a medical record input program storage medium, and a medical record server program storage medium capable of expanding the use range of the medical record electronic recording system. The purpose is to do.

[0010]

A medical record input device according to the present invention for achieving the above object comprises a medical record database for storing medical records, which constitutes a medical record electronic recording system for electronically recording medical records. A medical record input device connectable to a medical record server provided via a communication line, wherein the medical record input unit for inputting a medical record according to an operation in a state separated from the medical record server; and the medical record server And a medical record sending unit for sending the medical record input by the medical record input unit to the medical record server in a state where the medical record input unit is connected to the medical record server.

Here, the medical record input device of the present invention obtains and records a medical record and a master for preparing the medical record from the medical record server, and records the medical record obtained and recorded from the medical record server. It is preferable that the medical record recording unit is provided with a medical record recording unit that updates the medical record inputted by the medical record input unit.

In the medical record input device of the present invention, when a medical record and a master for preparing the medical record are obtained by the medical information recording unit, the medical record and the master for preparing the medical record are obtained. It is also a preferable embodiment to include an acquisition information storage unit for storing information about

The medical record server of the present invention that achieves the above object constitutes a medical record electronic recording system for electronically recording medical records. A medical record input device for inputting medical records in accordance with an operation communicates with the medical record input device. In a medical record server provided with a medical record database connectable via a line, a medical record and a master for preparing a medical record are created in response to a request from a medical record input device connected via the communication line. The medical record input unit is provided with a medical record providing unit.

Further, the medical record server of the present invention relates to the provision of the medical record and the master for preparing the medical record when the medical record providing unit provides the medical record and the master for preparing the medical record. It is preferable that the information processing apparatus further includes a provision information storage unit for storing information.

Further, the medical record server of the present invention receives the medical record sent from the medical record input device connected via the communication line, and uses the received medical record to execute the medical record database. A medical record updating unit for updating the medical record providing unit, the medical record providing unit provides a medical record and a master for preparing a medical record to the medical record input device,
The medical record database can be provided with an update authority that allows the update of the medical record database and can be provided with the update prohibited, and the medical record update unit receives the medical record from the medical record input device. In this case, it is also preferable that the medical record database is updated only by those having update authority.

Further, the medical record server of the present invention receives the transmission of the medical record sent from the medical record input device connected via the communication line, and uses the received medical record to execute the medical record database. A medical record updating unit that updates the medical record database, and the medical record providing unit provides a medical record and a master for preparing a medical record to the medical record input device. If the medical record update unit receives the transmission of the medical record from the medical record input device, the date and time of the transmission is within the validity period. A first update mode for updating the medical record database as far as possible, and a second update mode for updating the medical record database even when the date and time of the transmission is outside the validity period. It is also a preferred embodiment is intended to.

Further, the medical record input program storage medium of the present invention that achieves the above object has a medical record database storing medical records, which constitutes a medical record electronic recording system for electronically recording medical records. In a medical record input program storage medium storing a medical record input program for forming a medical record input device connectable to a medical record server via a communication line on a computer system, in a state separated from the medical record server, A medical record input unit for inputting a medical record in accordance with an operation, and a medical record transmitting unit for transmitting the medical record input by the medical record input unit to the medical record server when connected to the medical record server. A medical record input program for forming a medical record input device provided with the above on a computer system is stored.

The medical record server program storage medium of the present invention that achieves the above object constitutes a medical record electronic recording system for electronically recording a medical record, and inputs a medical record according to an operation. A medical record server program storage medium storing a medical record server program for forming a medical record server provided with a medical record database on a computer system, which is connectable to the apparatus via a communication line, is connected via the communication line. A medical record server provided with a medical record providing unit for providing a medical record and a master for preparing a medical record to the medical record input device in response to a request from the input medical record input device. The recording server program is stored.

[0019]

Embodiments of the present invention will be described below.

FIG. 1 is a diagram showing a part of a computer system in which an embodiment of a medical record input device and a medical record server of the present invention is constructed.

Here, server machines 100 and 200 comprising a medical record database in which medical records are stored, constituting a medical record electronic recording system for electronically recording medical records.
And three client machines 300, 400, 50
0 is exemplarily shown, and the server machines 100, 20
0 and the client machines 300, 400, and 500 are connected to each other via a communication line 600 such as a LAN (Local Area Network).

The two server machines 100 and 200 are generally constituted by a high-speed and large-capacity computer system such as a workstation. Further, the three client machines 300, 400, and 500 are composed of relatively small computer systems such as personal computers. One of the client machines 500 is a mobile client machine, and is constituted by a notebook computer suitable for carrying.

In the present embodiment, the server machine 100,
Reference numeral 200 denotes a medical record server according to the present invention, and the client machine 5 in the present embodiment.
00 corresponds to the medical record input device according to the present invention. The client machine 500 can be used as an independent medical record input device by disconnecting the connection to the server machines 100 and 200 via the communication line 600, and can be connected to the server machines 100 and 200 to provide other stationary client machines. It can be used similarly to 300 and 400.

Each server machine 100, 200 and each client machine 300, 400, 500
(Central processing unit), RAM (random access memory), hard disk, communication board, etc., in accordance with instructions from main units 101, 201, 301, 401, 501, and main units 101, 201, 301, 401, 501. Display screens 102a, 202a, 302a, 402
a, display unit 10 for displaying images and character strings on 502a
2, 202, 302, 402, 502, server machine 1
00, 200 and client machines 300, 40
Keyboard 103, 203, 303, 403, 503 for inputting user's instruction at 0,500, display screen 1
The mouse 104, 204, 304, 404 for inputting an instruction corresponding to the icon or the like displayed at the position at the time of designation by designating an arbitrary position on the position 02a, 202a, 302a, 402a, 502a; A device 504 is provided.

Further, the two server machines 100 and 200
The medical record database in which medical information including the medical record is stored is constructed on the hard disk of each, and each medical worker is provided with client machines 300, 400, and 50.
0 through the communication line 600 to the server machines 100 and 2
00 can access the medical record database.

Main parts 101 and 201 of each server machine
Has a floppy (registered trademark) disk (not shown) and floppy disk drives 101a and 201a in which a CD-ROM 700 is mounted; and CD-ROM drives 101b and 201b. These drives 101a, 201a; 101b,
Floppy disk loaded from 201b, CD-R
A floppy disk driver and a CD-ROM driver for driving the OM700 are also incorporated.

Similarly, the main unit 3 of each client machine
01, 401, and 501 are floppy disks (not shown) and floppy disk drives 301a, 401a, and 501a on which a CD-ROM 700 is loaded;
CD-ROM drives 301b, 401b, and 501b are provided, and the drives 30
1a, 401a, 501a; 301b, 401b, 50
Floppy disk and CD-ROM loaded from 1b
Floppy disk driver to drive 700, C
A D-ROM driver is also built in.

FIG. 2 is a hardware configuration diagram of a computer system having the appearance shown in FIG.

In this hardware configuration diagram, the CPU 11
1, RAM 112, hard disk controller 11
3. Floppy disk driver 114, CD-ROM
Driver 115, mouse controller 116, keyboard controller 117, display controller 11
8, and a communication board 119, which are interconnected by a bus 110.

Floppy disk driver 114, CD
The ROM driver 115 includes the floppy disk 710 and the CD-RO as described with reference to FIG.
M700 loaded, loaded floppy disk 7
10. It drives the CD-ROM 700.

The communication board 119 is connected to the communication line 600.

FIG. 2 shows the hard disk 12 accessed by the hard disk controller 113.
0, a mouse 104 controlled by a mouse controller 116, a keyboard 103 controlled by a keyboard controller 117, and a CRT display 102 controlled by a display controller 118.

Next, the configurations of the medical record input device and the medical record server of the present embodiment will be described.

FIG. 3 is a schematic configuration diagram of the medical record input device and the medical record server of the present embodiment.

As shown in FIG. 3, the medical record input device 51 of the present embodiment includes a medical record database 52_4 that stores medical records, which constitutes a medical record electronic recording system 50 that electronically records medical records. It can be connected to the provided medical record server 52 via a communication line 53, and includes a medical record input unit 51_1, a medical record sending unit 51_2, and a medical record recording unit 51_
3. It has an acquisition information storage unit 51_4.

The medical record input section 51_1 is for inputting a medical record in accordance with an operation in a state where the medical record input device 51 is separated from the medical record server 52.

The medical record sending unit 51_2 sends the medical record input by the medical record input unit 51_1 to the medical record server 52 in a state where the medical record input device 51 is connected to the medical record server 52.

The medical record recording unit 51_3 is provided for the medical record server 5
2. The medical record and the master for preparing the medical record are obtained and recorded from the medical record 2, and the medical record obtained and recorded from the medical record server 52 is updated with the medical record input by the medical record input unit 51_1. .

The acquired information storage unit 51_4 stores information on acquisition of a medical record and a master for preparing a medical record when the medical record and a master for preparing the medical record are obtained by the medical information recording unit 51_3. Things.

The medical record server 52 constitutes a medical record electronic recording system 50 for electronically recording medical records.
A medical record database 5 that can be connected via a communication line 53 to a medical record input device 51 for inputting medical records according to an operation.
2_4, and includes a medical record providing unit 52_1, a provision information storage unit 52_2, and a medical record updating unit 52_3.

The medical record providing unit 52_1 supplies a medical record and a master for preparing a medical record to the medical record input device 51 in response to a request from the medical record input device 51 connected via the communication line 53. Things.

When the medical record providing unit 52_1 has provided the medical record and the master for preparing the medical record, the provided information storage unit 52_2 stores the information regarding the provision of the medical record and the master for preparing the medical record. Things.

The medical record updating unit 52_3 receives the medical record sent from the medical record input device 51 connected via the communication line 53, and updates the medical record database 52_4 with the received medical record. Things.

In the medical record server 53 of this embodiment, when the medical record providing section 52_1 provides the medical record input device 51 with the medical record and a master for preparing the medical record, the medical record database 52_4 is updated. In the case where the medical record updating unit receives the transmission of the medical record from the medical record input device 51, it receives the transmission of the medical record from the medical record input device 51. A first update mode in which the medical record database 52_4 is updated only when the date and time is within the validity period, and a second update mode in which the medical record database 52_4 is updated even when the date and time when the data is received is outside the validity period. Update mode.

The details of the operation of these units will be described later.

FIG. 4 is a schematic configuration diagram of the medical record input program storage medium of the present embodiment.

As shown in FIG. 4, a medical record database for storing medical records is included in a medical record input program storage medium 55 of this embodiment, which constitutes a medical record electronic recording system for electronically recording medical records. Medical record input device 5 connectable via a communication line to a medical record server 52 equipped with 52_4
A medical record input program 54 for forming the medical record 1 on a computer system is stored.

The medical record input program 54 includes a medical record input device 51 having a medical record input unit 51_1, a medical record sending unit 51_2, a medical record recording unit 51_3, and an acquisition information storage unit 51_4 on a computer system. To form. The medical record input unit 51_1, the medical record sending unit 51_2, the medical record recording unit 51_3, and the acquired information storage unit 51_4 are the same as those described with reference to FIG.

FIG. 5 is a schematic configuration diagram of the medical record server program storage medium of the present embodiment.

As shown in FIG. 5, a medical record server program storage medium 57 of this embodiment constitutes a medical record electronic recording system for electronically recording medical records, and inputs a medical record in accordance with an operation. A medical record server program 56 for forming a medical record server 52 having a medical record database on a computer system to which the medical record input device 51 can be connected via a communication line is stored.

The medical record server program 56 forms a medical record server 52 including a medical record providing unit 52_1, a provided information storage unit 52_2, and a medical record updating unit 52_3 on a computer system. The medical record providing unit 52_1, the provided information storage unit 52_2, and the medical record updating unit 52_3 are the same as those described with reference to FIG.

The medical record input program storage medium 55
The type of storage medium used for the medical record server program storage medium 57 is not particularly limited, and the medical record input program 54 or the medical record server program 5
6 can be used as long as it is a storage medium that can store 6. For example, hard disk, CD-R
A desired storage medium such as OM, CD-R / RW, MO (magneto-optical disk), or floppy disk can be used.

The medical record input program storage medium 55 storing the medical record input program 54 is stored in a CD-ROM of the mobile client machine 500 (see FIG. 1).
The medical record input device 51 is built on the client machine 500 by loading it into the ROM drive 501b (see FIG. 1), reading the medical record input program 54 into the client machine 500, and installing it in the storage device in the client machine 500. It is operated.

The medical record server program storage medium 57 storing the medical record server program 56 is loaded into the CD-ROM drives 101b and 201b (see FIG. 1) of the server machines 100 and 200 (see FIG. 1), and the medical record is stored. The medical record server 50 is constructed and operated on each server machine by reading the server program 56 into each server machine and installing it in a storage device in the server machine.

FIG. 6 is an overall configuration diagram of an embodiment of a medical record input device and a medical record server of the present invention.

As shown in FIG. 6, the medical record electronic recording system 60 comprises a medical record server 62 and a medical record input device (client) 61 connectable to the medical record server 62 via a communication line 63. Is done.

The medical record server 62 includes a data management unit 62_
1, the provision information storage unit 62_2, and the medical record update unit 62_
3 and a medical record database 62_4.

The data management section 62_1 collectively receives and responds to requests for data manipulation of medical records from each client including the medical record input device 61 and the like.
It is the center of data management in the medical record server 62.

Note that the data management unit 6 in the present embodiment
2_1 corresponds to the medical record providing unit according to the present invention.

The provision information storage unit 62_2 records and stores information related to provision of data to each medical record input device 61, that is, management information such as to whom and to whom information and when.

FIG. 7 is a list of management information stored in the provision information storage unit of the medical record server.

As shown in FIG. 7, the provision information storage unit 6
2_2, terminal information 62_2a, data name 62_2
b, data type 62_2c, donation type 62_2d,
User information 62_2e and provision date 62_2f are stored.

The terminal information 62_2a uniquely identifies the medical record input device that has provided the data.

The data name 62_2b is a name for identifying the provided data (table).

The data type 62_2c identifies whether the provided data is an ad-hoc system (one that is easily updated daily, mainly a medical record) or a master system (one that is hard to be updated daily). It is.

In the donation type 62_2d, the data
This is to identify which of the update mode and the reference mode has been performed.

The user information 62_2e is a user (doctor)
Is uniquely specified.

The provision date and time 62_2f records the last date and time when data provision was performed.

Based on these management information, by managing who provided which medical record input device 61, when, what data, and in which mode, the medical record database 62_4 is updated redundantly. And ensure data integrity.

The medical record updating unit 62_3, as described above,
This is for receiving a medical record sent from the medical record input device 61 connected via the communication line 63 and updating the medical record database 62_4 with the received medical record.

Further, in the present embodiment, when providing the medical record and the master for preparing the medical record to the medical record input device 61, the medical record providing unit 62_3 updates the medical record database 62_4 with the update authority. And a renewal validity period added. The operation of providing information by adding a validity period will be described later.

In this embodiment, the medical record updating unit 62
_3 is a first update mode for updating the medical record database 62_4 when the medical record is transmitted from the medical record input device 61 and only when the received date and time is within the validity period, A second update mode is provided for updating the medical record database 62_4 even when the date and time when the transmission was received is outside the validity period. These two update modes will be described later.

The medical record database 62_4 includes a medical record 62_4a and various masters 62_4 for preparing the medical record.
4b is stored.

Next, the medical record input device 61 of this embodiment will be described.

The medical record input device 61 of this embodiment has two operation modes, that is, a “normal operation mode” and a “local operation mode”.

The “normal operation mode” means that the medical record input device 61 is connected to the medical record server 62 via the communication line 63 and the medical record input device 61 is in the server DB (the medical record database of the medical record server 62). 62_4) to access and update medical records, etc.
The “local operation mode” refers to medical record data stored in a local DB (data storage unit 61_7) provided inside the medical record input device 61 in a state where the medical record input device 61 is separated from the medical record server 62. In this mode, access and reference / update of medical records are performed.

The two operation modes are such that when the system of the medical record input device 61 is started, the DB connection unit 61_4
The operation mode is automatically determined by (described later) and one of the operation modes is selected.

The medical record input device 61 includes a data acquisition unit 61
_1, an input unit 61_2, a data processing unit 61_3, a DB connection unit 61_4, an acquisition information storage unit 61_5, an update information file 61_6, and a data storage unit 61_7.

The data acquisition unit 61_1 responds to a data acquisition instruction from a user of the medical record input device 61, and requests the data management unit 62_1 of the medical record server 62 to acquire designated data. The data returned from the management unit 62_1 is recorded in the data storage unit 61_7. At this time, information about data acquisition is recorded in the acquisition information storage unit 61_5.

The input section 61_2 is a section for actually referring to and inputting the medical information, and uses the same input section 61_2 regardless of the operation mode of the normal operation mode or the local operation mode.

The DB connection unit 61_4 is connected to the medical record input device 6
At the time of starting the system 1, the system automatically tries to connect to the medical record server 62. If the connection is successful, the system is started in the normal operation mode. However, if the previous activation was in the local operation mode, the data reflection processing is automatically activated. If the connection fails and there is acquired data on the medical record input device 61 side, the system automatically starts in the local operation mode. If there is no acquired data, the system activation is stopped as a connection error. Details of this operation will be described later.

The data processing section 61_3 has an input section 61_2.
In response to the input operation performed in step (1), this section issues a command for operating data. This data processing unit 61_3
Inputs a medical record to a currently valid DB via the DB connection unit 61_4. That is, in the case of the normal operation mode in which the medical record input device 61 is connected to the medical record server, the medical record is input to the medical record database 62_4, and the medical record input device 61 is disconnected from the medical record server 62. In the case of the local operation mode in the state of being set, the medical record is input to the data storage unit 61_7.

The acquired information storage section 61_5 is provided for each medical record input device 61, and records and stores the information acquired by each medical record input device 61.

FIG. 8 is a list of management information stored in the acquired information storage unit of the medical record input device.

As shown in FIG. 8, this acquired information storage unit 6
1_5 includes a data name 61_5a, an acquisition type 61_5
b, last update date and time 61_5c, last reflection date and time 61_5d
Is stored.

The data name 61_5a is a name for identifying each data (table).

The acquisition type 61_5b identifies the state at the time of acquisition (updatable, reference only).

The last update date and time 61_5c records the last date and time when the data was updated.

The last reflection date and time 61_5d is for recording the last date and time when the update information was reflected in the regular DB.

Based on the acquisition management information recorded in the acquisition information storage section 61_5, it is determined which data can be reflected in the local operation mode.

The update information file 61_6 records update information indicating what data operation (update / addition / deletion) the medical record input device 61 has applied to all data used in the electronic medical record system. Is done.

The data storage section 61_7 records the medical record 61_7a provided to the medical record input device 61 and information 61_7b relating to all data such as various masters and files.
What to store.

The data acquisition unit 6 in the present embodiment
The 1_1 and the data storage unit 61_7 correspond to the medical record recording unit according to the present invention, and the input unit 61_2 and the data processing unit 61_3 in the present embodiment are
The data reflecting unit 61_4a in the DB connection unit 61_4 according to the present embodiment corresponds to the medical record transmitting unit according to the present invention.

Next, the operation of the medical record input device and the medical record server of the present embodiment will be described.

In this embodiment, D of the medical record input device 61
When the system of the medical record input device 61 is started, the B connection unit 61_4 determines whether or not connection to the server DB (the medical record database 62_4 of the medical record server 62) is possible, and according to the determination result, normal operation by the server DB One of the operation modes of the local operation mode or the local operation mode by the local DB (DB of the data storage unit 61_7 of the medical record input device 61) is automatically selected.

FIG. 9 shows the D of the medical record input device of this embodiment.
5 is a flowchart illustrating an operation of a B connection unit.

First, when the system of the medical record input device 61 is activated, the user is authenticated, and if it is authenticated that he / she has the right to use (step S01), the connection with the server DB (medical record database 62_4) is established. Is determined (step S02).

If the result of determination in step S 02 is that connection to the server DB is not possible, the DB connection unit 61 _ 4
It is determined whether or not connection with the local DB (data storage unit 61_7) is possible (step S03).

If the result of determination in step S03 is that connection to the local DB is not possible, an error message is displayed (step S04), and the process ends.

If the result of determination in step S 03 is that connection to the local DB is possible, “local operation mode”
Is started (step S05).

If the result of determination in step S02 is that connection to the server DB is possible, it is determined whether connection to the local DB (data storage unit 61_7) is possible (step S0).
6).

If the result of determination in step S06 is that connection to the local DB is not possible, an error message is displayed (step S07), and the process ends.

If the result of determination in step S06 is that connection to the local DB is possible, it is determined whether or not update acquisition data (data acquired with update authority) exists in the local DB (step S08).

If the result of determination in step S08 is that there is no update acquisition data, the flow shifts to processing in "normal operation mode" (step S11).

As a result of the determination in step S08, if update acquisition data exists, a "data reflection process" (see FIG. 12 described later) is started (step S09), and after executing the data reflection process, the data storage unit After stopping the database function of 61_7 (step S10), the process shifts to processing in the “normal operation mode” (step S1).
1).

As described above, depending on whether or not update acquisition data (data acquired with update authority) exists in the medical record input device 61, either the “normal operation mode” or the “local operation mode” is used. It is automatically determined whether to perform processing in the operation mode.

In the flowchart of the DB connection unit shown in FIG. 9, after the server DB and the local DB are normally connected and the data reflection process (step S09) is executed, the local DB (data of the medical record input device 61) The DB function of the storage unit 61_4) is stopped. However, if there is no data to be reflected in the medical record server 62, the local DB (data storage unit 61_4) is immediately used.
May be configured to stop the DB function. In addition, a setting for automatically stopping the local DB may be provided separately, and the local DB may be stopped arbitrarily according to the user's judgment.

As described above, by stopping the local DB, it is possible to prevent pressure on system resources such as a CPU and a memory and deterioration of performance due to constantly driving the local DB.

Next, the operation of the medical record input device 61 and the medical record server 62 in the “normal operation mode” will be described.

FIG. 10 is a conceptual diagram of an input operation from the medical record input device 61 in the normal operation mode of the present embodiment.

As shown in FIG. 10, the medical record input device 61
The data storage unit 61_7 is separated from other units,
The database function is stopped, and the medical record input device 61
Performs data input / reference / update to the medical record database 62_4 of the medical record server 62.

In FIG. 10, the data management unit 62_1 of the medical record server 62 receives the medical record 62_4 in the medical record database 62_4 based on a request from the medical record input device 61.
4a and a master 62_4b for preparing a medical record are provided to the medical record input device 61.

In providing such information, the data management section 62_1 is configured so as to be able to perform a provision with an update authority permitting the update of the medical record database 62_4 or a provision in which the update is prohibited. The medical record updating unit 62_3 is configured to update the medical record database 62_4 only when the medical record is transmitted from the medical record input device 61 to the medical record database 62_4 provided only with the update authority. I have.

Next, when the doctor takes the medical record input device 61 out of the hospital for reasons such as a house call, the medical records necessary for the house call are stored in the medical record server 62 so that the doctor can operate the device in the local operation mode. Medical record database 62
The operation in the case of acquiring from _4 will be described.

In FIG. 6, when a data acquisition request is made from the data acquisition section 61_1 of the medical record input device 61 to the data management section 62_1 of the medical record server 62, the data management section 62_1 transmits the requested data. The medical record is read from the medical record database 62_4 and transmitted to the data acquisition unit 61_1 of the medical record input device 61.

At this time, the medical record server 62 stores the information on the provided data in the provided information storage unit 62_2, and the medical record input device 61 stores the information on the obtained data in the obtained information storage unit 61_5. I do.

Here, when the data acquisition request from the medical record input device 61 has the authority to update, the data management unit 62_1 of the medical record server 62 sets the provision information storage unit 62
With reference to the management information stored in _2, it is checked whether or not update acquisition (data acquisition with update authority) has been performed by another user.

If the update has already been obtained, the user who made the data acquisition request is notified that the data cannot be provided at present because the update has been obtained by another user. In that case, the reference mode,
That is, data may be provided with the condition that there is no update authority.

On the other hand, if it is possible to provide data with update authority to the above data acquisition request, that is, if data with update authority is not provided to another user, the data The management unit 62_1 transmits the requested data to the data acquisition unit 61_1 of the medical record input device 61, and the data storage unit 61 of the medical record input device 61.
_7 stores desired medical record data.

At this time, the medical record server 62 stores the fact that the data with update authority has been provided to the client in the provision information storage unit 62_2, and the medical record input device 61.
Stores in the acquisition information storage unit 61_5 that the data with update authority has been acquired.

Thus, the medical record input device 61 to which the data has been provided from the medical record server 62 can be set to the "local operation mode".

Next, the above “local operation mode” will be described.

FIG. 11 is an operation conceptual diagram of the medical record input device of the present embodiment in the local operation mode.

As shown in FIG. 11, the medical record input device 61
Is disconnected from the medical record server 62. In this state, the medical record 61_7 stored in the data storage unit 61_7
a and the various masters 61_7b are used to perform medical record reference / input / update processing.

After the processing has been performed in the local operation mode, the doctor takes the medical record input device 61 back to the hospital, and when the medical record input device 61 can be connected to the medical record server 62, the medical The record input device 61 is connected to the medical record server 62, and performs “data reflection processing” for reflecting updated medical record data inside the medical record input device 61 on the medical record database 62_4 of the medical record server 62.

FIG. 12 is a conceptual diagram of the operation of the data reflection processing in this embodiment.

As shown in FIG. 12, the DB connection unit 61_4
When the data updated in the “local operation mode” exists in the medical record input device 61, the data reflecting unit 61_4a stores the updated data in the medical record server 62.
To reflect.

That is, the data reflection unit 61_4a inquires of the acquired information storage unit 61_5 whether there is any updatable acquired data. If there is acquired data to be updated, the data reflection unit 61_4a checks the update information file 61_6. And search for updates. The searched update information is stored in the DB connection unit 6
1_4, sent to the medical record server 62 via the communication line 63.

The medical record server 62 updates the medical record performed by the medical record input device 61 based on the information sent from the medical record input device 61 connected via the communication line 63. This is reflected in the database 62_4.

In this embodiment, the medical record server 52
In providing the medical record and a master for preparing the medical record to the medical record input device 51, the medical record providing unit 52_1 (see FIG. 3) has an update validity period that allows the medical record database 52_4 to be updated. And the medical record updating unit 52_3 receives the medical record from the medical record input device 51 and sets the date and time when the medical record is sent to the medical record updating unit 52_3. Medical record database 52_4 as long as it is within the validity period
Update mode for updating the medical record database 52_ even if the date and time when the data was sent is out of the validity period.
And a second update mode for updating the fourth update mode.

When the medical record server 52 is set to the first update mode, the medical record is transmitted only when the date and time when the medical record is transmitted from the medical record input device 51 is within the validity period. The record database 52_4 is updated, and if the validity period has passed, the user is notified without performing the update.

FIG. 13 is a diagram showing the data structure of the validity period storage file used in the present embodiment.

[0133] The validity period storage file 62_5 is provided in the provision information storage unit 62_2 of the medical record server 62.

As shown in FIG. 13, the validity period storage file 62_5 contains, as setting contents relating to the validity period,
A data name 62_5a, user information 62_5b, and a validity period 62_5c are stored.

The data name 62_5a is a name for identifying each data (table), and the user information 62_5b is
The user (physician) is uniquely specified, and the validity period 62_5c is a period during which update acquisition is permitted.

FIG. 14 is a flowchart of the updating process based on the validity period in this embodiment.

When the application is logged in the medical record input device of the present embodiment, the access to the provision information storage unit 62_2 is performed, and as shown in FIG. A search is performed to determine whether or not the data provided in (1) exists (step S21). At this time, a valid period may be retained according to data or a user.

If the result of determination in step S21 is that there is no updated data, all processing ends.

If the result of determination in step S21 is that update acquisition data exists, the validity period storage file 6
The validity period 62_5c is obtained from 2_5 (see FIG. 13) (step S22).

Next, the validity period acquired in step S22 is matched with the provision date and time 62_2f recorded in the provision information storage unit 62_2, and it is checked whether the validity period has been exceeded (step S23).

If the result of determination in step S23 is that the validity period has been exceeded, the provision information storage unit 62_2
The corresponding management information in (see FIG. 7) is deleted (step S24).

If the result of determination in step S23 is that it is within the validity period, all processing ends.

In this embodiment, an input screen module having the same interface is used for the input units 61_2 of a plurality of client machines including the mobile medical record input device 61, so that any client machine can be used. The same operability and visibility can always be maintained even if the user has a problem. In addition, the same operability and visibility can be always maintained by using the input screen module having the same interface regardless of whether the operation mode is the normal operation mode or the local operation mode. (Supplementary Note 1) In a medical record input device which forms a medical record electronic recording system for electronically recording medical records, and which can be connected via a communication line to a medical record server provided with a medical record database in which medical records are stored. A medical record input unit for inputting a medical record in accordance with an operation in a state separated from the medical record server, and a medical record input by the medical record input unit in a state connected to the medical record server. A medical record input device, comprising: a medical record transmitting unit for transmitting the medical record to the medical record server. (Supplementary Note 2) A medical record and a master for preparing a medical record are acquired and recorded from the medical record server, and the medical record acquired and recorded from the medical record server is stored in the medical record input by the medical record input unit. The medical record input device according to claim 1, further comprising a medical record recording unit that updates the medical record with the medical record. (Supplementary Note 3) When a medical record and a master for creating a medical record are acquired by the medical information recording unit, an acquisition information storage unit that stores information regarding the medical record and the acquisition of the master for creating the medical record is provided. The medical record input device according to claim 2, wherein the medical record input device is provided. (Supplementary Note 4) A medical record database, which constitutes a medical record electronic recording system for electronically recording medical records, and is connectable to a medical record input device for inputting medical records in accordance with an operation via a communication line, is provided. The medical record server includes a medical record providing unit that provides a medical record and a master for preparing a medical record to the medical record input device in response to a request from the medical record input device connected via the communication line. Medical record server characterized by the fact that: (Supplementary Note 5) When a medical record and a master for preparing a medical record are provided by the medical record providing unit, a provision information storage unit for storing information regarding provision of the medical record and a master for preparing the medical record is provided. Supplementary note 4 characterized by having
The medical record server described. (Supplementary Note 6) A medical record update unit that receives a medical record sent from the medical record input device connected via the communication line and updates the medical record database with the received medical record is provided. When the medical record providing unit provides a medical record and a master for preparing a medical record to the medical record input device, the medical record providing unit adds and prohibits the updating of the medical record database by adding an update right to allow the update of the medical record database. Is possible, and the medical record updating unit, when receiving the transmission of the medical record from the medical record input device, updates the medical record database only to those having update authority. The medical record server according to attachment 5, characterized in that: (Supplementary Note 7) A medical record update unit is provided for receiving a medical record sent from the medical record input device connected via the communication line, and updating the medical record database with the received medical record. The medical record providing unit, when providing a medical record and a master for preparing a medical record to the medical record input device, provides the medical record database with an added validity period that allows updating of the medical record database. And when the medical record update unit receives the transmission of the medical record from the medical record input device, the medical record update unit updates the medical record database only when the date and time of the transmission is within the validity period. And a second update mode for updating the medical record database even when the date and time of receiving the data is out of the validity period. Medical record server. (Supplementary Note 8) A medical record input device connectable via a communication line to a medical record server having a medical record database storing medical records, which constitutes a medical record electronic recording system for electronically recording medical records. In a medical record input program storage medium storing a medical record input program formed on a computer system, a medical record input unit for inputting a medical record in accordance with an operation in a state separated from the medical record server; A medical record input device comprising, on a computer system, a medical record input device having a medical record transmission unit for transmitting the medical record input by the medical record input unit to the medical record server in a state connected to the medical record server. A medical record input program storage medium characterized by storing a program. (Supplementary Note 9) A medical record database that includes a medical record input device that configures a medical record electronic recording system that electronically records a medical record and that can input a medical record according to an operation via a communication line is provided. In a medical record server program storage medium storing a medical record server program for forming a medical record server on a computer system, a medical record and a medical record are stored in response to a request from a medical record input device connected via the communication line. A medical record server program storing a medical record server program for forming on a computer system a medical record server provided with a medical record providing unit for providing a master for preparing a record to the medical record input device; Medium.

[0144]

As described above, according to the medical record input device of the present invention, a medical record input unit for inputting a medical record in accordance with an operation in a state separated from the medical record server, A medical record transmitting unit for transmitting the medical record input by the medical record input unit to the medical record server in a state where the medical record server is connected to the medical record server, so that the time when the medical record server is not operating and Even in an environment where the medical record server cannot be connected, the medical record can be referred to and updated only with the medical record input device, and the temporal and spatial operation range of the electronic medical record system can be greatly expanded.

According to the medical record server of the present invention, a medical record and a master for creating the medical record are stored in the medical record input device in response to a request from the medical record input device connected via the communication line. With the provision of a medical record providing unit for medical records, it is possible to input, refer to, and update medical records with the medical record input device alone, greatly expanding the temporal and spatial operation range of the electronic medical record system. it can.

According to the medical record input program storage medium of the present invention, the above medical record input device can be easily formed on a computer system.

According to the medical record server program storage medium of the present invention, the medical record server can be easily formed on a computer system.

[Brief description of the drawings]

FIG. 1 is a diagram showing a part of a computer system in which an embodiment of a medical record input device and a medical record server of the present invention is constructed.

FIG. 2 is a hardware configuration diagram of a computer system having the appearance shown in FIG.

FIG. 3 is a schematic configuration diagram of a medical record input device and a medical record server of the present embodiment.

FIG. 4 is a schematic configuration diagram of a medical record input program storage medium of the present embodiment.

FIG. 5 is a schematic configuration diagram of a medical record server program storage medium of the present embodiment.

FIG. 6 is an overall configuration diagram of an embodiment of a medical record input device and a medical record server of the present invention.

FIG. 7 is a list of management information stored in a provision information storage unit of the medical record server.

FIG. 8 is a list of management information stored in an acquisition information storage unit of the medical record input device.

FIG. 9 is a flowchart showing the operation of the DB connection unit of the medical record input device of the embodiment.

FIG. 10 is a conceptual diagram of an input operation from the medical record input device 61 in the normal operation mode of the embodiment.

FIG. 11 is an operation conceptual diagram of the medical record input device of the present embodiment in the local operation mode.

FIG. 12 is a conceptual diagram illustrating an operation of a data reflection process according to the embodiment.

FIG. 13 is a diagram showing a data structure of a validity period storage file used in the embodiment.

FIG. 14 is a flowchart of an updating process based on a validity period in the embodiment.

[Description of Signs] 50 Medical Record Electronic Record System 51 Medical Record Input Device 51_1 Medical Record Input Unit 51_2 Medical Record Sending Unit 51_3 Medical Record Record Unit 51_4 Acquisition Information Storage Unit 52 Medical Record Server 52_1 Medical Record Provision Unit 52_2 Donation Information Storage Unit 52_3 Medical Record Update Unit 52_4 Medical Record Database 53 Communication Line 54 Medical Record Input Program 55 Medical Record Input Program Storage Medium 56 Medical Record Server Program 57 Medical Record Server Program Storage Medium 60 Medical Record Electronic Record System 61 Medical Record Input Device (Client) 61_1 Data acquisition unit 61_2 Input unit 61_3 Data processing unit 61_4 DB connection unit 61_4a Data reflection unit 61_5 Acquisition information storage unit 61_5a Data name 61_5b Acquisition type 61_5c Last update date and time 61_5d Last reflection date 61_6 Update information file 61_7 Data storage unit 61_7a Medical record 61_7b Various masters 62 Medical record server 62_1 Data management unit 62_2 Provided information storage unit 62_2a Terminal information 62_2b Data name 62_2c Data type 62_2d Provided type 62_2e User information record 62_2f Medical record 62_2f Part 62_4 Medical record database 62_5 Valid period storage file 62_5a Data name 62_5b User information 62_5c Valid period 63 Communication line 100, 200 Server machine 101, 201, 301, 401, 501 Main body 101a, 201a, 301a, 401a, 501a
Floppy disk drives 101b, 201b, 301b, 401b, 501b
CD-ROM drive 102, 202, 302, 402, 502 Display unit 102a, 202a, 302a, 402a, 502a
Display screens 104, 204, 304, 404 Mouse 110 Bus 111 CPU 112 RAM 113 Hard disk controller 114 Floppy disk driver 115 CD-ROM driver 116 Mouse controller 117 Keyboard controller 118 Display controller 119 Communication board 120 Hard disk 504 Pointing device 300, 400, 500 Client machine 600 Communication line 700 CD-ROM

Claims (4)

[Claims] 1. A medical record input device connectable via a communication line to a medical record server comprising a medical record database storing medical records, which constitutes a medical record electronic recording system for electronically recording medical records. In the state separated from the medical record server, a medical record input unit for inputting a medical record in response to an operation, and a medical record input by the medical record input unit when connected to the medical record server And a medical record transmitting unit for transmitting the medical record to the medical record server. 2. A medical record database, comprising a medical record input device for inputting a medical record in accordance with an operation, which constitutes a medical record electronic recording system for electronically recording the medical record, is connectable via a communication line. A medical record providing unit for providing a medical record and a master for preparing a medical record to the medical record input device in response to a request from the medical record input device connected via the communication line. A medical record server provided with: 3. A medical record input device connectable via a communication line to a medical record server comprising a medical record database storing medical records, which constitutes a medical record electronic recording system for electronically recording medical records. In a medical record input program storage medium storing a medical record input program that forms a computer record on a computer system, in a state separated from the medical record server, a medical record input unit that inputs a medical record in accordance with an operation, A medical record input device having a medical record transmitting unit for transmitting a medical record input by the medical record input unit to the medical record server in a state connected to the medical record server, on a computer system; A medical record input program storage medium characterized by storing an input program. 4. A medical record database, which comprises a medical record input device for inputting a medical record according to an operation, which constitutes a medical record electronic recording system for electronically recording the medical record, is connectable via a communication line. In a medical record server program storage medium storing a medical record server program for forming the medical record server on a computer system, a medical record and a medical record are stored in response to a request from a medical record input device connected via the communication line. A medical record server program storing a medical record server program for forming, on a computer system, a medical record server provided with a medical record providing unit for providing a master for preparing a medical record to the medical record input device. Storage medium.