JP2012061230A - Abnormality notification apparatus, method and program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide an abnormality notification apparatus that can accurately detect abnormality according to physical conditions of a patient and can improve accuracy of abnormality notification.SOLUTION: The abnormality notification apparatus includes: an abnormality detection value registering means that receives setting of an abnormality detection value used for detecting whether an inspection result of the checked items is abnormal or not according to the checked items of specimens; an abnormality detection means that detects the abnormality of the specimens by responding to reception of the checked result of the checked items and comparing the abnormality detection value corresponding to the checked items with the received checked result; and a notification means that notifies a preregistered point of contact of the occurrence of the abnormality.

Description

  The present invention relates to an abnormality notification device, an abnormality notification method, and an abnormality notification program.

  There are many devices that detect abnormalities in clinical laboratory systems. For example, Patent Document 1 discloses a personal health management system. This personal health management system collects biopsy data or specimen test data, detects an abnormal value indicating an abnormal health condition based on the collected test data, and sends a hospital to the hospital according to the detection of the abnormal value. On the other hand, the detection result is notified.

  In the personal health management system, when an abnormality is detected, the user notifies the abnormality by selecting a report routine for reporting the test result to a hospital, a clinic, a care facility, or the like. In addition, the personal health management system outputs a comment that the user should consult with the medical staff, and the user who sees the comment contacts the medical staff himself.

  As described above, in the personal health management system, when an abnormality is detected in the examination data, the user has to contact the medical staff himself / herself, which is troublesome and may not be able to be communicated depending on the condition. There is.

  On the other hand, Patent Document 2 discloses an emergency medical system. In this emergency medical system, normal normal blood pressure, pulse, and body temperature are used as normal data, and a current value of a subject is measured by a wristwatch-type simple portable sensor and compared with normal data. As a result of the comparison, when the allowable range of the normal value is exceeded, the emergency medical system transmits the occurrence of the abnormality, and instructs a medical institution or the like on an appropriate coping method according to the degree of the abnormality.

  According to the emergency medical system, when an abnormality is detected, an emergency contact can be automatically made to the attending physician or the like, so an immediate response is possible.

JP 09-028682 A JP 2002-367061 A

  In the emergency medical system described in Patent Document 2, normal normal blood pressure, normal pulse, and normal body temperature are stored in advance as normal data, and the actual measurement data measured by the simple portable sensor is compared with the normal data. An abnormality is detected.

  Thus, the emergency medical system described in Patent Document 2 uses data stored in advance as comparison data for detecting an abnormality. However, since the patient's physical condition changes each time, it is desirable that the comparison data for detecting an abnormality can be flexibly changed according to a doctor's diagnosis or the like. The emergency medical system described in Patent Document 2 uses data stored in advance as comparison data, and the comparison data cannot be arbitrarily set or changed flexibly according to a doctor's diagnosis. Therefore, there is a problem that it is impossible to accurately detect an abnormality according to the physical condition of the patient, and that there is a possibility that the abnormality report may not be accurate.

  SUMMARY OF THE INVENTION The present invention has been made in view of the above problems, and provides an abnormality notification device, an abnormality notification method, and an abnormality notification program capable of accurately detecting an abnormality according to the physical condition of a patient and improving the accuracy of anomaly reporting. The main purpose is to provide.

  The abnormality notification device according to the present invention includes an abnormality detection value registration unit that accepts a setting of an abnormality detection value that is used to detect the presence or absence of an abnormality in a test result of the test item, corresponding to the test item of the sample, In response to receiving the test result of the test item, the abnormality detection means for detecting the abnormality of the sample by comparing the abnormality detection value corresponding to the test item and the received test result; Notification means for notifying a previously registered contact that an abnormality has occurred.

  The abnormality notification method according to the present invention accepts a setting of an abnormality detection value used for detecting the presence or absence of an abnormality in the test result of the test item corresponding to the test item of the sample, and displays the test result of the test item. In response to receiving, the abnormality detection value corresponding to the inspection item is compared with the received inspection result to detect the abnormality of the specimen, and the occurrence of the abnormality is registered in advance. Notify contact information.

  The object is also achieved by a computer program for realizing the abnormality notification device having the above-described configurations and the corresponding method by a computer, and a computer-readable storage medium storing the computer program. The

  According to the present invention, it is possible to accurately detect an abnormality according to the physical condition of the patient and to improve the accuracy of reporting the abnormality.

It is a block diagram which shows the structure of the electronic medical chart system which concerns on the 1st Embodiment of this invention. It is a figure which shows the hardware constitutions of the electronic medical chart system which concerns on the 1st Embodiment of this invention. It is a figure which shows the test result information stored in the test result database of the electronic medical chart system which concerns on the 1st Embodiment of this invention. It is a flowchart which shows operation | movement of the electronic medical chart system which concerns on the 1st Embodiment of this invention. It is a block diagram which shows the structure of the electronic medical chart system which concerns on the 2nd Embodiment of this invention.

First Embodiment Next, an embodiment of the present invention will be described in detail with reference to the drawings.

  FIG. 1 is a block diagram showing a configuration of an electronic medical record system 10 according to the first embodiment of the present invention. As shown in FIG. 1, the electronic medical record system 10 includes a registration module 20, an abnormality detection module 30, an inquiry module 40, and an inspection result database 50.

  The registration module 20 includes an inspection item selection unit 21, a panic value registration unit 22, and a contact address registration unit 23. The abnormality detection module 30 includes an inspection result reception determination unit 31 and an abnormality notification unit 32. The inquiry module 40 includes an inspection result inquiry unit 41.

  When the electronic medical chart system 10 of FIG. 1 is realized by a computer, it has a hardware configuration shown in FIG. The configuration shown in FIG. 2 includes a CPU (Central Processing Unit) 70, a storage medium 71 such as a memory, and a program 72 included in the storage medium 71. The CPU 70 of the electronic medical record system 10 controls the overall operation of the electronic medical record system 10 by executing various software programs (computer programs). In this embodiment and other embodiments described below, the CPU 70 executes a software program of each module (each unit) included in the electronic medical chart system 10 described below while appropriately referring to a storage medium 71 such as a memory. .

  More specifically, the CPU 70 refers to software programs such as the inspection item selection unit 21 and the panic value registration unit 22 included in each module included in the electronic medical record system 10 while appropriately referring to a storage medium 71 such as a memory. Execute.

  The electronic medical record system 10 is a system for managing medical data such as examination data of a patient's clinical examination and medical examination status. A doctor such as a patient's primary doctor or a doctor in charge inquires about medical data of a predetermined patient via the electronic medical record system 10 or registers a specimen test order for the medical data. The specimen test order is data indicating what test items are to be performed, what kind of measures are taken for the test results, and the like.

  The operation of each part of the electronic medical chart system 10 will be described.

  The registration module 20 has a function of registering the specimen test order based on an instruction from a doctor or the like. The inspection item selection unit 21 causes a doctor or the like to select an inspection item, and registers the selected inspection item in the inspection result database 50. The examination item master database 51 stores item names of specimen examinations. The inspection item selection unit 21 may read out the inspection items from the inspection item master database 51 and display a list thereof.

  The panic value registration unit 22 receives an input of a panic value for the selected inspection item and registers the input value in the inspection result database 50. The panic value is a value in a range in which the test result of the target test item is determined to be medically abnormal. The panic value master database 52 stores reference values in the hospital corresponding to each examination item. The panic value registration unit 22 may read the reference value corresponding to the examination item selected by the doctor from the panic value master database 52 and display it when the panic value is registered for the first time. When registering the panic value for the second and subsequent times, the panic value registration unit 22 may display the panic value registered last time.

  The contact address registration unit 23 receives an input of a contact address when an abnormality is detected in the test result, and registers the input contact address in the test result database 50. The contact master database 53 stores contact information of medical personnel in the hospital. When the contact is registered for the first time, the contact registration unit 23 may read the contact from the contact master database 53 and display a list of the read contacts. As contact information, for example, PHS (Personal Handy-phone System) mail addresses of a plurality of doctors such as the attending physician and the attending physician may be registered. Further, different doctor contacts may be registered for each medical field of the examination item.

  The abnormality detection module 30 has a function of receiving the inspection result from the inspection system 60 and responding to the inspection result. When receiving the inspection result from the inspection system 60, the inspection result reception determination unit 31 registers the inspection result in the inspection result database 50. FIG. 3 is a diagram showing inspection result information stored in the inspection result database 50. As shown in FIG. 3, the test result information includes items such as a medical chart number, a patient name, an abnormal contact information, a test item, a test result, a panic value, presence / absence of abnormality, and presence / absence of abnormality confirmation. Among these, the contact information at the time of abnormality, the inspection item, and the panic value are registered by the registration module 20 as described above.

  Moreover, the test result reception determination unit 31 detects whether or not the received test result is abnormal. When the corresponding panic value among the inspection items of the received inspection result is stored in the inspection result database 50, the inspection result reception determination unit 31 compares the panic value with the inspection result, and the inspection result is panicked. It is judged whether it corresponds to a value.

  When the inspection result corresponds to the panic value, the abnormality notification unit 32 notifies the contact registered in the inspection result database 50 to that effect.

  The inquiry module 40 has a function of displaying a test result based on an instruction from a doctor or the like. The test result reference unit 41 refers to the test result database 50 in response to a query request from a doctor or the like, and displays the contents thereof. At this time, the inspection result inquiry unit 41 may display a mark indicating that about the inspection item for which the panic value is set. The inspection result inquiry unit 41 may display only data related to the inspection result determined to be abnormal. Further, the inspection result inquiry unit 41 has a function of receiving an input indicating that the abnormality has been confirmed from a person who has inquired of the abnormal inspection result (details will be described later).

  FIG. 4 is a flowchart showing the operation of the electronic medical chart system 10. The operation of the electronic medical chart system 10 will be described with reference to FIG.

  When a doctor or the like wants to register a specimen test order, the patient's medical data is extracted by inputting the patient's name, identification information, and the like to the registration module 20 of the electronic medical record system 10.

  When the medical doctor extracts the medical data, the doctor starts registration of the specimen test order. In response to the disclosure of registration, the inspection item selection unit 21 accepts selection of inspection items (step ST101). The inspection item selection unit 21 may read out the inspection items from the inspection item master database 51 and display a list thereof. The doctor or the like selects an inspection item from the list and inputs the selected inspection item to the inspection item selection unit 21. The inspection item selection unit 21 registers the input inspection item in the inspection result database 50.

  Subsequently, the panic value registration unit 22 accepts registration of a panic value for the selected inspection item (step ST102). The doctor or the like determines the test item for setting the panic value according to the physical condition of the patient, and inputs the panic value of the test item to the panic value registration unit 22. The panic value registration unit 22 registers the input panic value in the inspection result database 50.

  Subsequently, the contact registration unit 23 accepts contact registration when an abnormality occurs in the inspection result (step ST103). The doctor or the like registers the contact information when the abnormality is detected in the contact address registration unit 23. The contact registration unit 23 may display a list of contacts read from the contact master database 53, and a doctor or the like may select a desired contact. The contact registration unit 23 registers the selected or input contact information in the inspection result database 50.

  After the specimen test order is registered as described above, it is assumed that the abnormality detection module 30 receives a test result from the test system 60 (step ST104). The inspection result reception determination unit 31 registers the received inspection result in the inspection result database 50 (step ST105). Subsequently, the inspection result reception determination unit 31 checks whether a panic value corresponding to the inspection item of the received inspection result is registered in the inspection result database 50 (step ST106).

  If registered, the inspection result reception determination unit 31 determines whether or not the inspection result corresponds to a panic value (step ST107). When there is an inspection result corresponding to the panic value (step ST108), the inspection result reception determination unit 31 registers in the inspection result database 50 that the inspection result is abnormal (step ST109).

  Subsequently, the abnormality notifying unit 32 reads out the inspection item, the inspection result, the patient's name, the contact address, and the like that are abnormal from the inspection result database 50, and notifies the read contact information about the abnormality (step ST110). .

  The person who has received the notification of the abnormality confirms the abnormality through the inspection result inquiry unit 41 and responds immediately. With the above operation, the detection of the abnormality and the notification to that effect are completed, and it becomes possible to take immediate action when the abnormality is detected.

  The inspection result inquiry unit 41 may also accept that the abnormality has been detected. Upon receiving the confirmation that the abnormality has been detected, the inspection result inquiry unit 41 registers that fact in the inspection result database 50. Thereby, it is possible to know whether or not the response to the abnormality has been completed when the doctor makes an inquiry about the test result.

  In addition, the inspection result inquiry unit 41 may notify the contact registered in the inspection result database 50 when it is confirmed that the abnormality has been detected. As a result, when a person other than the person who has been informed that an abnormality has been detected confirms the abnormality and takes action, the person who has been informed can be informed. Can be reduced.

  As described above, according to the first embodiment, the inspection item selection unit 21, the panic value registration unit 22, and the contact registration unit 23 accept and register the registration of the inspection item, the panic value, and the contact, respectively. The contents are registered in the inspection result database 50. When the inspection result reception determination unit 31 receives the inspection result from the inspection system 60, the inspection result reception determination unit 31 determines whether the inspection result is abnormal based on the registered panic value. When the abnormality notification unit 32 determines that there is an abnormality, the abnormality notification unit 32 notifies the registered contact information of the abnormality. With the above configuration, doctors can arbitrarily set the panic value or flexibly change it according to the diagnosis, so that it is possible to detect an abnormality accurately according to the patient's physical condition and to report an abnormality. The effect that accuracy can be improved is obtained.

Second Embodiment FIG. 5 is a block diagram showing a configuration of an abnormality notification device 80 according to a second embodiment of the present invention. As shown in FIG. 5, the abnormality notification device 80 includes an abnormality detection value registration unit 81, an abnormality detection unit 82, and a notification unit 83.

  The abnormality notification device 80 corresponds to the electronic medical record system 10 according to the first embodiment. The abnormality detection value registration unit 81, the abnormality detection unit 82, and the notification unit 83 correspond to the panic value registration unit 22, the test result reception determination unit 31, and the abnormality notification unit 32 of the first embodiment, respectively.

  The abnormality detection value registration unit 81 accepts the setting of an abnormality detection value used for detecting the presence / absence of an abnormality in the inspection result of the inspection item corresponding to the inspection item of the sample. In response to receiving the examination result of the examination item, the abnormality detection unit 82 detects the abnormality of the sample by comparing the abnormality detection value corresponding to the examination item with the received examination result. The notification unit 83 notifies the contact information registered in advance that an abnormality has occurred.

  As described above, according to the second embodiment, since the abnormality notification device 80 has the above configuration, a doctor or the like can arbitrarily set a panic value or flexibly change it according to a diagnosis. As a result, it is possible to accurately detect an abnormality according to the physical condition of the patient and improve the accuracy of reporting the abnormality.

  The present invention can be applied to an electronic medical chart system used in, for example, a hospital or a clinic.

DESCRIPTION OF SYMBOLS 10 Electronic medical record system 20 Registration module 21 Inspection item selection part 22 Panic value registration part 23 Contact registration part 30 Abnormality detection module 31 Inspection result reception determination part 32 Abnormality notification part 40 Inquiry module 41 Inspection result inquiry part 50 Inspection result database 51 Inspection Item master database 52 Panic value master database 53 Contact master database 60 Inspection system

Claims (9)

An abnormality detection value registration means for accepting a setting of an abnormality detection value used for detecting the presence or absence of an abnormality in the inspection result of the inspection item corresponding to the inspection item of the specimen;
In response to receiving the test result of the test item, an abnormality detection means for detecting an abnormality of the specimen by comparing the abnormality detection value corresponding to the test item and the received test result;
An abnormality notification device comprising: notification means for notifying a previously registered contact that the abnormality has occurred. A test result storage means for storing that there is an abnormality in the specimen when an abnormality is detected in the test result;
The abnormality notification device according to claim 1, further comprising inspection result inquiry means for displaying that the abnormality is detected in response to the inspection result inquiry request. The inspection result inquiry means includes means for accepting a confirmed registration from a user who has confirmed that the abnormality has been detected,
The abnormality notification device according to claim 2, wherein the notification means notifies the contact that the abnormality has been confirmed in response to the confirmed registration. In response to the test item of the sample, accepting the setting of an abnormality detection value used for detecting the presence or absence of an abnormality in the test result of the test item,
In response to receiving the test result of the test item, the abnormality detection value corresponding to the test item is compared with the received test result to detect the abnormality of the sample,
An abnormality notification method for notifying a previously registered contact that the abnormality has occurred. When an abnormality is detected in the test result, the test result storage means stores that the sample has an abnormality,
5. The abnormality notification method according to claim 4, wherein the abnormality is displayed in response to the inspection result inquiry request. When displaying that the abnormality has been detected, accept a confirmed registration from the user who has confirmed that the abnormality has been detected,
The abnormality notification method according to claim 5, wherein, in response to the confirmed registration, the contact is notified that the abnormality has been confirmed. A process of accepting a setting of an abnormality detection value used for detecting the presence or absence of an abnormality in a test result of the test item corresponding to the test item of the sample;
In response to receiving the test result of the test item, by comparing the abnormality detection value corresponding to the test item and the received test result, detecting the abnormality of the specimen;
An abnormality notification program for causing a computer to execute a process of notifying a previously registered contact that the abnormality has occurred. When an abnormality is detected in the test result, a process for storing in the test result storage means that the sample is abnormal;
The abnormality notification program according to claim 7, wherein the computer executes a process of displaying that the abnormality is detected in response to the inspection result inquiry request. A process of accepting a confirmed registration from a user who has confirmed that the abnormality has been detected when displaying that the abnormality has been detected;
9. The abnormality notification program according to claim 8, which causes a computer to execute processing for notifying the contact that the abnormality has been confirmed in response to the confirmed registration.

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