JP2002269243A - Medical information control system, method and program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To use diagnosis contents and medical images of a patient in another medical facility after securing safety without making the patient take his medical chart and the medical images with him by outputting them on paper, a film, etc., at the time of introducing the patient to the other medical facility. SOLUTION: A client terminal 12 furnished in the medical facility 10 transmits medical information of an electronic medical chart, the medical image, etc., to a server 32 connected through a network 20 furnished with a security function. The server 32 receives the medical information, accumulates it and stores it. The client terminal 12 uses the medical information transmitted from its own medical facility by making an access to the server 32, the client terminal 12 transmits instruction to display that use of the medical information transmitted from its own medical facility is permitted to use in another medical facility to the other medical facilities, and the server 32, and the client terminal 12 transmits an instruction to show that use of the medical information transmitted from its own medical facility is permitted to the other medical facility to the server 32, and it becomes possible for the client terminal 12 furnished in the other medical facility to use this medical information as the server 32 receives ths instruction and controls.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical information management system and method for managing medical information, and more particularly, to a medical information management system for managing medical information such as medical records and medical images held by a plurality of medical facilities in one place. The present invention relates to an information management system and method.

[0002]

2. Description of the Related Art In medical facilities such as general hospitals, private hospitals, clinics and the like, a chart is prepared for each patient, and the contents of diagnosis such as findings, symptoms or disease names at the time of consultation are examined each time a consultation or examination is performed. And keep it. In addition, medical images such as radiographic images, CT images, and MR images taken as needed are also stored together with the medical records, and are used for diagnosing patients and knowing changes in injuries and diseases.

Conventionally, medical records and medical images have been stored in medical facilities in the form of paper or hard copy (film). However, in recent years, electronic medical records that digitize and store medical records and medical images in the form of image data have been developed. An image filing apparatus for recording (filing) in a searchable manner on a recording medium such as a magneto-optical disk has been proposed and used in each medical facility.

If medical records and medical images are stored using these electronic means, not only space and labor saving in storage can be realized, but also the search operation can be speeded up and the efficiency at the time of medical examination can be improved. . In addition, since the use of paper and film can be reduced,
It can also contribute to environmental conservation.

[0005]

However, when a detailed examination is required or when there is a request from a patient, the patient is sometimes referred to another medical facility. When such a situation occurs, the referral medical facility sends a letter of introduction describing the diagnosis contents described in the patient's chart and, if there is a medical image, a film that outputs the medical image on a paper. It is enclosed in a jacket or the like and handed to the patient, and the patient brings it to another medical facility.

On the other hand, with the spread of electronic medical records and image filing devices, even when introducing a patient to another medical facility, the contents of diagnosis and medical images are not output to a medium such as paper or film, but electronically. It is desired to provide necessary information to other medical facilities in a safe state by using means.

The present invention has been made in view of the above circumstances, and when introducing a patient to another medical facility, the contents of diagnosis of the patient can be output without outputting the chart or medical image to paper or film or the like and bringing it to the patient. It is an object of the present invention to provide a medical information management system and method that can use medical images and medical images in other medical facilities, and that further ensure safety, and a program for causing a computer to execute the method. .

[0008]

A medical information management system according to the present invention is provided in a plurality of medical facilities.
A client terminal capable of transmitting / receiving medical information and transmitting instructions via a network having a security function, receiving the medical information transmitted from the client terminal via the network, and transmitting the received medical information to the client terminal; A server having a function of storing the medical information having a right to manage medical information separately for each medical facility, and a function of controlling use of the stored medical information by the client terminal, wherein the server The medical information which the facility has the management right can be used in advance by the client terminal provided in the medical facility, and further, from the client terminal, the medical information of the medical facility having the client terminal has the management right. By transmitting a permission instruction to the server to indicate that use is permitted to another medical facility, Server receives a 該許 friendly instruction, is characterized in that to enable use by the client terminal provided in the other medical facility medical information according to 該許 friendly indication based on 該許 friendly instructions.

The above-mentioned "client terminal capable of transmitting / receiving medical information and transmitting instructions" may be at least capable of transmitting / receiving medical information and transmitting instructions. These include those that can exchange various signals (commands, messages, etc.) with the server via the network.

[0010] Further, regardless of the client terminal provided in a medical facility having the management right of the medical information or the client terminal provided in another medical facility, the client terminal when using the medical information is used. A client terminal capable of transmitting / receiving medical information and transmitting an instruction via a network is a typical example, but other client terminals may be used. A device that can only use (transmit and receive) information or a device that can only receive medical information may be used.
That is, any client terminal that is connected to the server and can use medical information may be used. The “use” of medical information refers to the reference, update, addition,
This indicates deletion or the like, and the client terminal here includes one that can use a part (one or a combination of a plurality of them).

[0011] The phrase "storing and storing medical information" includes not only physical (for example, database and file division) division but also logical division. That is, the medical information need only be stored in the server in a form in which the medical facility having the management right of each medical information can be recognized, and the storage form is not limited. The “medical facility having the management right of the medical information” may be a medical facility that transmits the medical information, but is not limited thereto, and may be a medical facility other than the transmitting source.

Further, the server provided with the "storage function" and the "control function" is not necessarily limited to a form in which one server has all functions, and may be a form in which a plurality of servers are used.

[0013] "Medical facility provided with client terminal" or "client terminal provided in medical facility"
The term “mainly” refers to a configuration in which a client terminal is provided in the own medical facility.However, for example, a configuration in which a client terminal of a private hospital is installed in a cooperative general hospital may be used. It is not limited to.

In the medical information management system according to the present invention, the permission instruction may include information indicating a medical information use permitted range or information indicating a medical information use permitted period. In other words, the client terminal provided in the medical facility having the management right of the medical information is permitted to use the medical information within the use range (reference, update, addition, deletion, etc.) of the medical information,
By transmitting a period (period designation or indefinite period) in which the use is permitted in the permission instruction to the server, the server receives the permission instruction, and based on the permission instruction,
The medical information may be allowed to be used by a client terminal provided in another medical facility by restricting a use range and a use period.

[0015] The client terminal used in the medical information management system of the present invention includes a data transmission means for transmitting medical information and an instruction to a server via a network having a security function, and the server from the server via the network. Data receiving means for receiving medical information.

The server used in the medical information management system of the present invention is a server for receiving medical information transmitted from a client terminal provided in each of a plurality of medical facilities via a network having a security function. Receiving means, storing means for storing the medical information received by the data receiving means separately for each medical facility having the management right of the medical information, and the client of the medical information stored in the storing means Control means for controlling the use by the terminal, the control means enables the use of the medical information which the medical facility has the management right by the client terminal provided in the medical facility in advance, and further, the medical facility The medical facility transmitted from the provided client terminal is permitted to use the medical information having the management right to another medical facility. Receiving an authorization indication indicating that,
Based on the permission instruction, the medical information according to the permission instruction can be used by a client terminal provided in the other medical facility.

If the permission instruction received by the server includes information indicating a range of permitted use of the medical information and a period of permitted use of the medical information, the server is provided in another medical facility based on the instruction. The use of the medical information by the client terminal may be enabled by adding a restriction on a use range and a use period.

Also, a process for transmitting medical information to a server via a network having a security function, and a permission instruction for permitting use of the medical information to another medical facility via the network. A program for causing a computer to execute a process of transmitting to the server and a process of receiving the medical information transmitted and stored from the server from the server may be provided.

Also, a process of receiving medical information transmitted from a client terminal provided at each of a plurality of medical facilities via a network having a security function, and managing the received medical information with the medical information The medical facility having the right to manage the information, the medical facility having the administrative right to use the medical information having the management right by the client terminal provided in the medical facility, and the medical facility. Based on the process of receiving a permission instruction transmitted from the client terminal and indicating that the medical facility has permission to use the medical information having a management right to another medical facility, and based on the received permission instruction, And enabling the computer to use the medical information pertaining to the permission instruction by a client terminal provided in the other medical facility. The program may be provided for.

In the medical information management method according to the present invention, a client terminal provided at each of a plurality of medical facilities transmits medical information to a server provided at a location distant from the client terminal, while the server Receiving the transmitted medical information and storing the medical information separately for each medical facility having the right to manage the medical information; and storing the medical information stored in the server in the medical facility having the right to manage the medical information. A step of using the client terminal provided in the facility, and a permission instruction from the client terminal indicating that the medical facility having the client terminal permits the use of the medical information having the management right to another medical facility Transmitting to the server, the server enables the other medical facility to use the medical information based on the permission instruction. And it is characterized in that there was example.

The client terminal that transmits medical information to the server and the client terminal that uses medical information stored in the server may have the same or the same function, or may have different or different functions. May be provided.

[0022]

According to the medical information management system and method of the present invention configured as described above, a server for centrally storing medical information such as electronic medical records and medical image data held by each medical facility is provided. Each medical facility has a function to control the use of medical information for which it has control over client terminals provided in other medical facilities, so when a medical facility introduces a patient to another medical facility, In addition, the medical information of the patient to be introduced can be made available from the referral destination medical facility according to instructions from the referral source medical facility. In other words, when a patient is referred to another medical facility, the necessary medical information can be used by the other medical facility without outputting diagnosis contents or medical images on paper or film. In this case, resource saving can be realized, and the speed of information provision can be increased.

Also, a method of transmitting image information by attaching it to medical chart information by e-mail has been partially adopted. In this case, it is necessary to confirm whether the information has reached the referral medical facility. However, there is a problem that the load on the communication path is heavy because a large amount of data is transferred each time. In contrast, with the system of the present invention, when referral of information is required at the referral medical facility, it is reliably processed only by giving a permission instruction. Since it is possible to select and use only necessary information, the movement of information is minimized and the load on the communication path is light.

Further, since medical information is transmitted and received via a network having a security function, the security of the medical information is also ensured.

[0025] In the case where the use permission range and the use permission period can be specified for medical information permitted to be used by other medical facilities, the safety of the medical information can be further improved.

[0026]

DESCRIPTION OF THE PREFERRED EMBODIMENTS Embodiments of the medical information management system and method according to the present invention will be described below with reference to the drawings. FIG. 1 is a system configuration diagram showing the entire medical information management system according to the present invention.

The medical information management system according to the present embodiment is provided in a plurality of medical facilities 10 (or medical facilities 10).
) And a server 32 connected to the client terminal 12 via the network 20 and provided in the data center 30.

A storage device (not shown) such as a hard disk is built in the client terminal 12, and input devices such as a mouse 14 and a keyboard 15 are connected to a monitor 13. The built-in storage device temporarily stores medical information such as an electronic medical record created when a medical examination is performed in the medical facility 10 and medical image data taken with the medical examination. Data center service software (program) that records each process required to receive 30 services has been introduced. The mouse 14 and the keyboard 15 are used to input various commands from the outside, and the monitor 13 is used for transmitting medical information (such as electronic medical records and medical image data) transmitted to or received from the server 32. It is used for confirming the contents, operating the client terminal 12, and confirming a signal (command, message, etc.) transmitted from the server 32.

The client terminal 12 is connected to a network 20, and is connected to the server 32 of the data center 30 via the network 20 so that medical information can be transmitted and received. In FIG. 1, facility A is used for simplicity.
Although the detailed configuration of the client terminal 12 is described only for the facility C and the facility C, the same configuration is also applied to the facility B.

The medical facility 10 is a client terminal
The installation location of the terminal 12 is not limited, but means a facility that manages the client terminal 12. Here, it is assumed that each client terminal 12 is provided in the facility that manages it.

The network 20 connects the client terminal 12 provided in the medical facility 10 and the server 32 of the data center 30 in a state capable of transmitting and receiving signals such as various instructions and messages in addition to medical information and specific instructions. It is something that is tied. In addition, the network 20 is provided with a security function for ensuring the security of the transmitted and received medical information. A network with this security function can be realized by using, for example, a dedicated line, but in addition to this, a method of giving a password to a user, encrypting medical information to be transmitted and received, It can be realized using various methods such as a method combining these. In the present embodiment, it is assumed that security is ensured by using a dedicated line, and the client terminal 12 provided in the medical facility 10 and installed with the data center service software
It is assumed that 32 can be accessed.

As shown in FIG. 2, the server 32 of the data center 30 includes a transmission / reception control unit 1, a normal control unit 2a, a special control unit 2b, a program control unit 2c, a database 3, and a program file 4.

The transmission / reception control means 1 includes a client terminal 12
Receive various signals such as medical information, instructions, various commands and messages transmitted from the GW, and distribute the signals to the normal control unit 2a, the special control unit 2b, or the program control unit 2c according to the type of the received signal. Control is performed such as transmitting various signals transmitted from the respective control means to the client terminal 12 of the predetermined medical facility 10.

In the database 3, medical information such as electronic medical records and medical image data of each medical facility 10 is stored separately for each medical facility 10. For example, the medical information of facility A is stored and stored in the area a of the database 3, and the medical information of facility B is stored and stored in the area b of the database 3. In addition, each medical information includes, in addition to information identifying the medical facility 10 or the patient who has the right to manage the medical information, information such as a consultation date or an imaging date, and a serial number that uniquely identifies each medical information. It is separately attached and stored in the database 3 together with each medical information.

Normally, the medical information stored in each area is freely managed by the medical facility 10 that owns the area (has a right to manage the medical information stored in the area). That is, in the area of the database 3 assigned to the own medical facility, the medical facility 10
It is possible to freely perform operations such as adding and storing new medical information as needed, and referring to, updating, and deleting stored medical information. Normal control means 2a
The operation of the medical facility 10 on the area owned by the own medical facility is controlled.

On the other hand, the medical facility 10 transmits a specific instruction from the client terminal 12 so that the medical information stored in the area owned by the medical facility 10 can be used by other medical facilities. can do. That is, the medical facility 10 transmits to the server 32 an instruction to permit the use of the predetermined medical information among the medical information stored in the area owned by the own medical facility to another predetermined medical facility. The server 32 can receive the instruction and, based on the instruction, make predetermined medical information available to predetermined other medical facilities. The special control means 2b receives such an instruction and controls the use of the predetermined medical information stored in the database 3 by other medical facilities.

The program file 4 contains a data center
A program related to a screen displayed in each step of the medical information management system in which 30 provides a service is recorded. The program control unit 2c receives a signal related to the program recorded in the program file 4 among the signals received by the transmission / reception control unit 1, and calls a desired program from the program file 4 based on the signal. And the like.

Next, the operation of the medical information management system of the present embodiment configured as described above will be described. FIG.
FIG. 8 to FIG. 8 are flowcharts of various processes by the medical information management system of the present embodiment, and FIG. 9 is a diagram showing a display screen at that time. In the following processing, it is assumed that the medical facility 10 and the client terminal 12 are provided in a specific facility (for example, facility A).

The operator or the like double-clicks the “medical information management system icon” displayed on the desktop of the monitor 13 of the client
When the data center service software installed in the server 12 is started, the client terminal 12 automatically connects to and accesses the server 32 by a program recorded in the software (step S1). Also, for example, at the time of creating an electronic medical record, the data center service software can be started up and accessed by clicking a “data center connection button” or the like provided on the creation screen.

At the time of access in step S1, a medical facility having (managing) a client terminal 12 is provided.
The information specifying 10 is transmitted to the server 32, and the transmission / reception control means 1 of the server 32 can receive the information and determine the medical facility 10 to which the accessing client terminal 12 belongs. In this embodiment, the security is ensured by using the network 20 as a dedicated line. However, when starting up the software on the client terminal 12 (accessing the server 32), the user ID and password must be input. A request may be made to further improve security.

When the access in step S1 is performed,
The transmission / reception control means 1 of the server 32 receives the signal, determines that the processing is started, calls a menu screen program from the program file 4 via the program control means 2c, and transmits it to the client terminal 12 (step S11).

Upon receiving the menu screen program, the client terminal 12 displays the menu screen on the monitor 13 in step S2 (see FIG. 9A). The menu screen shows 1. Data storage, 2. Data utilization, 3. There are three types of processing of data permission, and a cancel button is provided so that the processing can be canceled if necessary.

1. Data Storage Processing The data storage processing will be described with reference to FIG. When "1" is selected and input in the menu screen display of step S2 from the client terminal 12, the transmission / reception control means 1 of the server 32 receives the signal, and the program control means 2c
The program of the data storage processing screen is called from the program file 4 via the program and transmitted to the client terminal 12 (step S12).

Upon receiving the program in step S12, the client terminal 12 displays a data storage processing screen on the monitor 13 in step S3. On the data storage processing screen, an input space for the file name to be stored is provided,
Further, a facility name for managing an area to be stored (or permitted to be stored) by the client terminal 12 as a storage location is displayed in advance (see FIG. 9B). Further, a transmission button for transmitting a file corresponding to the input storage file name and a cancel button for canceling the processing as necessary are provided. Note that the data storage processing screen displayed on the client terminal 12 that can use a plurality of areas as storage areas (such as the area of the own medical facility and the area of another medical facility to which permission has been granted) is displayed. An input space is provided. At this time, a plurality of facility names of storage locations that can be stored are displayed in a selectable manner.

When the operator or the like inputs a storage file name and presses the send button on the data storage processing screen displayed in step S3, the storage device provided in the client terminal 12 temporarily stores the file. The file corresponding to the storage file name is called and the server 32
Sent to. At the same time, a signal identifying whether the storage location is the area of the own medical facility or the area of another medical facility to which permission has been given is transmitted together with the signal indicating the storage location.

When the transmission / reception control means 1 of the server 32 receives the file to be stored and the above signal, it distributes the file and the signal to the normal control means 2a or the special control means 2b based on the received signal. That is, if the storage location is the area of the self-medical facility, it is stored in the normal control unit 2a based on the signal for distinguishing whether the storage location is the area of the self-medical facility or the area of another medical facility to which permission is given. If the location is a region of another medical facility to which permission has been given, the control is distributed to the special control means 2b.

When the control is transferred to the normal control means 2a, the normal control means 2a stores the file in a predetermined area based on the signal indicating the storage location. On the other hand, when the control is transferred to the special control means 2b, the special control means 2b
Confirms whether the client terminal 12 has been given permission to store data in the specified storage location based on the signal indicating the storage location, and stores the file in that area if it can be confirmed that the permission has been given. . Whether or not permission has been given to the client terminal 12 is determined by the special control means 2b having the information in advance (see 3. below).
(See data permission processing).

When the storage processing is completed, each control means transmits a storage completion signal to the client terminal 12 via the transmission / reception control means 1 (step S13). If storage cannot be performed because permission has not been given, a storage denial signal is transmitted to the client terminal 12.

Upon receiving the signal of step S13, the client terminal 12 displays a message based on the signal on the monitor 13 as a confirmation screen in step S4.

2. Data Use Process Next, the data use process will be described with reference to FIGS. The data use process refers to a process of referring, updating, and deleting medical information stored in the area of each medical facility in the database 3 irrespective of the own medical facility or another medical facility to which permission has been given. It is.

When "2" is selected and input from the client terminal 12 on the menu screen display in step S2, the transmission / reception control means 1 of the server 32 receives the signal and performs the data use processing via the program control means 2c. The screen program is called from the program file 4 and transmitted to the client terminal 12 (step S14).

Upon receiving the program in step S14, the client terminal 12 displays a data use processing screen on the monitor 13 in step S5 (screen is not shown).
21. On the data use processing screen, See, 22. Update, 2
3. Three types of processing of deletion are prepared, and a cancel button is provided so that the processing can be canceled as needed.

First, 21. The reference processing will be described.
The reference process is a process used when only referring to medical information such as an electronic medical record or a medical image.

When "21" is selected and input from the client terminal 12 in the data use processing screen display of step 5, as shown in FIG. 5, the transmission / reception control means 1 of the server 32 receives the signal, and The program of the data reference screen is called from the program file 4 via the control means 2c and transmitted to the client terminal 12 (step S
111).

Upon receiving the program in step S111, the client terminal 12 displays a data reference screen on the monitor 13 (see FIG. 9C). The data reference screen is provided with a space for inputting a file name and a storage location, a search button for searching for a file, and a cancel button for canceling processing. When the user inputs a file name to be referred to at a predetermined position on the screen and a storage location where the file is stored and presses a search button, the signal is transmitted from the client terminal 12 (step S101) and received by the server 32. You.

When the transmission / reception control means 1 of the server 32 receives the signal, the transmission / reception control means 1 controls the normal control means 2 based on the received signal.
a or the special control means 2b. That is, if the designated storage location is the medical facility 10 to which the client terminal 12 belongs, the control is distributed to the normal control unit 2a, and otherwise, the control is distributed to the special control unit 2b.

When the control is transferred to the normal control means 2a, the normal control means 2a searches the file stored in the predetermined area based on the signal indicating the storage location, and displays the file on the data reference screen. A file corresponding to the input file name is searched, and a signal representing the file is transmitted to the client terminal 12 via the transmission / reception control means 1 (step S113). When the control is transferred to the normal control unit 2a, the permission of the reference is determined in step S112.
Is omitted.

When the control is transferred to the special control means 2b, the special control means 2b corresponds to the file name stored in the storage location based on the signal indicating the storage location and the file name. It is determined whether or not the file reference permission is given to the client terminal 12 (step S112). If it is confirmed that the permission has been given, the file is searched in step S113, and a signal representing the file is transmitted to the client terminal 12 via the transmission / reception control means 1. The client terminal
Whether or not permission has been given to the special control means 2b
Has the information in advance (see 3. Data Permission Processing below).

The signal transmitted in step S113 is received by the client terminal 12, and is displayed on the monitor 13 in step S102.

On the other hand, if it is not confirmed in step S112 that permission has been given, the server 32 transmits a message to that effect to the client terminal 12 (step S114), and the client terminal 12 transmits the message in step S103. Is displayed.

Next, 22. The update process will be described with reference to FIG. The update process is a process used when, for example, it is desired to correct the content described in the electronic medical record, or when it is desired to add the content with the same symptom (when it is desired to add the content to the electronic medical record of the same file).

When “22” is selected and input from the client terminal 12 in the data use processing screen display of step 5, the transmission / reception control means 1 of the server 32 receives the signal, and
Program file 4 via program control means 2c
, Calls a data update screen program, and transmits it to the client terminal 12 (step S111 ′). Steps S103, S113, and S114 will be described in the following 21. The description is omitted because it is equivalent to the case of the reference processing. Step S10
1 'and S112' are almost the same as S101 and S112, but the screen displayed in step S101 'is a data update screen (equivalent to the data reference screen), and
At 112 ′, it is determined whether or not the file update permission is given to the client terminal 12.

When a signal representing the file retrieved from the database 3 of the server 32 is transmitted to the client terminal 12 in step S113, the client terminal 12 receives the signal and displays the contents of the file on the monitor 13. Here, when the displayed contents are to be corrected or added, the updated contents are overwritten or added to a desired position on the screen and transmitted to the server 32 (step S10).
Four). The transmission / reception control means 1 of the server 32 receives the transmitted signal indicating the update content, and stores the file to be updated (the area of the own medical facility or the area of another medical facility).
Then, the contents of the file stored in the database 3 are updated via the normal control means 2a or the special control means 2b (step S115).

At the end of the data use process, 23. The deletion process will be described with reference to FIG. Deletion processing is
This is a process used when deleting the medical information file itself such as an electronic medical record or a medical image from the database 3 of the server 32.

When "23" is selected and input from the client terminal 12 in the data use processing screen display of step 5, the transmission / reception control means 1 of the server 32 receives the signal, and
Program file 4 via program control means 2c
The program of the data deletion screen is called from, and transmitted to the client terminal 12 (step S111 ″). Since steps S103 and S114 are the same as those in 21. Reference processing, the description is omitted. And S112 ″ are almost the same as S101 and S112, but the screen displayed in step S101 ″ is a data deletion screen (equivalent to the data reference screen), and
Then, it is determined whether the file deletion permission is given to the client terminal 12.

In step S112 ", the special control means 2b (or the normal control means 2)
If confirmed by a), the transmission / reception control means 1 calls the program of the deletion confirmation screen from the program file 4 via the program control means 2c and calls the client terminal 12
(Step S116). Client terminal 12
Receives the program in step S116, displays a deletion confirmation screen on the monitor 13 in step S105. On the deletion confirmation screen, a file name, a storage location, and a confirmation message are displayed to confirm the file to be deleted (see FIG. 9D). When these information are confirmed and the delete button is pressed, The delete command is transmitted to the server 32, and the transmission / reception control means 1 receives the delete command and deletes the specified file from the database 3 via the normal control means 2a or the special control means 2b (step S117). Also, in the deletion confirmation screen display of step S105, when the user presses a deletion cancellation button provided on the screen and transmits a deletion cancellation instruction, the server 32 receives the instruction and stops the deletion processing.

3. Data Permission Processing Finally, the data permission processing will be described with reference to FIG. Data permission processing refers to the process of permitting other medical facilities to use medical information for which their own medical facility has control, and is used when introducing a patient to another medical facility. is there. When the permission is given, the use permission range is specified at the same time. That is, in the area of the own medical facility, the user designates which of the data storage, reference, update, and deletion processings are permitted.

When "3" is selected and input on the menu screen display of step S2 from the client terminal 12, the transmission / reception control means 1 of the server 32 receives the signal and performs the data permission processing via the program control means 2c. The program on the screen is called from the program file 4 and transmitted to the client terminal 12 (step S15).

When the client terminal 12 receives the program in step S15, it displays a data permission processing screen on the monitor 13 in step S6. On the data permission processing screen, there are provided a file name for which use permission is given, names of other medical facilities (permitted facilities) to which permission is given, and input spaces for permission ranges (see FIG. 9E). Further, a transmission button for transmitting a signal indicating the input file name, permitted facility name, and permitted range, and a cancel button for canceling the processing as necessary are provided.

In the data permission processing screen displayed in step S6, when an operator or the like inputs each item and presses a transmission button, a signal representing a file name, a permitted facility name, and a permitted range is transmitted from the client terminal 12 to the server 32. Is done. At the same time, a signal indicating a medical facility (a medical facility having the client terminal 12) having the permission to manage the file to which permission has been given is transmitted to the server 32.

Upon receiving these signals, the transmission / reception control means 1 of the server 32 distributes the control to the special control means 2b. That is, the special control means 2b receives these signals and, based on these signals, uses the specified file among the files stored in the database 3 by the specified permitted facility within the specified permission range. Control to be able to. At this time, after confirming whether the designated file is stored in the area of the medical facility having the management right, the special control means 2b sends a signal of the permission completion via the transmission / reception control means 1 to the client. The data is transmitted to the terminal 12 (step S16). When the permission process cannot be completed due to an incorrect file name or the like, a permission denial signal is transmitted to the client terminal 12.

Upon receiving the signal of step S16, the client terminal 12 displays a message based on the signal on the monitor 13 as a confirmation screen in step S7.

The configuration of the client terminal 12 and the peripheral devices in the medical facility 10, the features of the network 20, and the specific configuration of the server 32 in the data center 30 are not limited to the above-described embodiments. Various modes can be adopted as long as the information management method can be implemented.

The display form of the screen associated with each process is not limited to the above. For example, by pressing the “letter letter creation button” provided on the screen while displaying a patient's electronic medical record, “to which hospital the findings (symptoms and diagnosis contents) of this patient are transferred” Can be specified, and 1 if necessary.
A form in which one or a plurality of medical images are designated to be attached is also possible.

Also, when introducing a patient to another medical facility, if permission to use the medical information of the own medical facility is given to the other medical facility, a means such as e-mail or a system having a communication function may be provided. It is desirable to notify that other medical facilities have been referred.

In addition to the form in which permission is given when introducing a patient as described above, the form in which permission is given so that the client terminal 12 provided in the affiliated hospital can always use it is used. Is also conceivable.

[Brief description of the drawings]

FIG. 1 is a system configuration diagram of a medical information management system according to an embodiment of the present invention.

FIG. 2 is a configuration diagram illustrating a configuration of an image database server according to the embodiment;

FIG. 3 is a data storage processing flow of the medical information management system according to one embodiment of the present invention;

FIG. 4 is a flowchart showing the first half (common part) of a data use process of the medical information management system according to one embodiment of the present invention;

FIG. 5 is a flowchart showing a data reference process in the data use process.

FIG. 6 is a flowchart showing a data update process in the data use process.

FIG. 7 is a flowchart showing a data deletion process in the data use process.

FIG. 8 is a data permission processing flow of the medical information management system according to the embodiment of the present invention;

FIG. 9 is a diagram showing a display screen of the medical information management system according to one embodiment of the present invention.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 Transmission / reception control means 2a Normal control means 2b Special control means 2c Program control means 3 Database 4 Program file

Claims (8)

[Claims] 1. A medical system comprising: a plurality of medical facilities;
A client terminal capable of transmitting and receiving medical information and transmitting instructions via a network having a security function; receiving the medical information transmitted from the client terminal via the network; A server provided with a function of storing the medical information separately for each medical facility having a right to manage medical information, and a function of controlling the use of the stored medical information by the client terminal; The facility enables the use of the medical information having the management right by the client terminal provided in the medical facility in advance, and further, from the client terminal,
The server receives the permission instruction by transmitting, to the server, a permission instruction indicating that the medical facility having the client terminal permits use of the medical information having the management right to another medical facility. And a medical information management system characterized in that medical information related to the permission instruction can be used by a client terminal provided in the other medical facility based on the permission instruction. 2. The medical information management system according to claim 1, wherein the permission instruction includes information indicating a use permission range of the medical information. 3. The medical information management system according to claim 1, wherein the permission instruction includes information indicating a use permission period of the medical information. 4. A data transmitting means for transmitting medical information and instructions to a server via a network having a security function, and a data receiving means for receiving the medical information from the server via the network. The client terminal used in the medical information management system according to claim 1, wherein: 5. A data receiving means for receiving medical information transmitted from a client terminal provided in each of a plurality of medical facilities via a network having a security function, and said medical information received by said data receiving means. Storage means for storing information separately for each medical facility having the right to manage the medical information, and control means for controlling use of the medical information stored in the storage means by the client terminal; The means enables in advance the use of the medical information which the medical facility has the management right by the client terminal provided in the medical facility, and further, the medical facility transmitted from the client terminal provided in the medical facility is Receiving a permission instruction indicating that the use of the medical information having the management right is permitted to another medical facility, based on the permission instruction ,
The server used in the medical information management system according to claim 1, wherein the medical information according to the permission instruction can be used by a client terminal provided in the other medical facility. 6. A process for transmitting medical information to a server via a network having a security function, and a permission instruction for permitting another medical facility to use the medical information via the network. A program for causing a computer to execute a process of transmitting to the server and a process of receiving the medical information transmitted and stored from the server from the server. 7. A process of receiving medical information transmitted from a client terminal provided in each of a plurality of medical facilities via a network having a security function,
A process of storing the received medical information separately for each medical facility having the management right of the medical information, and using the medical information which the medical facility has the management right by a client terminal provided in the medical facility. Receive a permission instruction from the client terminal provided in the medical facility, indicating that the medical facility has a management right and that the medical facility has permission to use the medical information. A program for causing a computer to execute a process and, based on the received permission instruction, a process of enabling medical information related to the permission instruction to be used by a client terminal provided in the other medical facility. 8. A client terminal provided at each of a plurality of medical facilities transmits medical information to a server provided at a location distant from the client terminal, and the server receives the transmitted medical information. And storing the medical information stored in the server separately in the medical facility having the right to manage the medical information, and a client terminal provided in the medical facility having the right to manage the medical information. Transmitting the permission instruction from the client terminal to the server, the permission instruction indicating that the medical facility having the client terminal has permission to use the medical information having the management right to another medical facility. Allowing the server to use the medical information by the other medical facility based on the permission instruction. Management method.