JP2018081526A - Electronic medical chart system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a doctor browsing electronic medical chart information with information of a medicine.SOLUTION: An electronic medical chart system is provided that is connected to a medical institution terminal used by a medical worker through a network and displays an electronic medical chart in the medical institution terminal. The electronic medical chart system comprises: storage means for storing announcement information displayed in an announcement frame set at least partially on an electronic medical chart screen displayed in the medical institution terminal and a display destination condition associated with the announcement information; and electronic medical chart information processing means for determining whether the electronic medical chart screen corresponds to the display destination condition when displaying the electronic medical chart screen in the medical institution terminal, and displaying the announcement information associated with the corresponding display destination condition in the announcement frame of the electronic medical chart screen when the electronic medical chart screen corresponds to the display destination condition.SELECTED DRAWING: Figure 1

Description

  The present invention relates to an electronic medical record system that electronically records and manages a medical record that records the progress of medical care in a medical institution.

  According to the Japan Pharmaceutical Information Center (JAPIC) "New Drugs in Japan-New Drug Approval Review Report DB-", 69 in 2013, 102 in 2014, and 71 in 2015 New drugs are approved. In this way, many new drugs are approved each year, and the types of drugs are increasing year by year. In general, a medical information representative (commonly known as MR: Medical Representatives) who belongs to the sales department of a pharmaceutical company visits a medical institution and introduces a new drug to a medical worker (doctor, dentist, pharmacist, nurse, Clark, technician, etc.) The company aims to promote the proper use and spread of new drugs by providing information on its own drugs that have not been adopted.

  By the way, the technique which manages the information of the prescription medicine which the doctor prescribed | regulated in the medical institution as a related system of an electronic medical record system is proposed (for example, refer patent document 1). In the prescription drug management system described in Patent Document 1, since the diagnosis result database is configured by collecting the diagnosis results described in the receipt (medical fee description) or the electronic medical record, other diagnosis names are searched for. It is said that prescription information such as institutions can be obtained. Specifically, the number of hits for the disease name to be searched, the number of hits for prescription drugs prescribed for such disease name, the number of hits for each prescription drug and the occupation ratio, etc. are specified, and the search results are displayed on the prescription drug search screen. Is displayed. Thereby, the doctor can refer to what kind of prescription other institutions are doing.

  Furthermore, in the prescription drug management system described in Patent Document 1, an advertiser such as a pharmaceutical company can display product information corresponding to a disease name, and when a doctor searches by disease name, the search result is displayed statistically. It is described that advertisement information corresponding to the vicinity of a list of search results of disease names can be displayed. Accordingly, a pharmaceutical company or the like can provide advertisement information for a disease name searched by a doctor.

JP 2010-128718 A

  However, Patent Document 1 does not describe specific means and measures for actively and powerfully promoting drug advertising activities. Enormous costs have been invested in drug development, and pharmaceutical companies want to disseminate drug information to a large number of medical personnel as soon as possible to collect development costs. In the prescription drug management system, an advertisement is displayed when a specific disease name is searched, so when a patient with a specific disease name is examined, a specific display that displays the search result of the prescription drug only for the doctor who consulted The advertisement was displayed only while the prescription drug was selected on the screen (see FIG. 10 of Patent Document 1). In the first place, doctors have little room to examine advertisements at the time of examination in order to efficiently examine a large number of patients. In this respect as well, the advertisement display method described in Patent Document 1 has insufficient advertising effect. . Furthermore, in Patent Document 1, advertisement information is for doctors who are inputting electronic medical record information, and effective drug advertisements and information provision are made to those responsible for making decisions on drug adoption in medical institutions. It was difficult. Also, even if you spend money to advertise drugs, pharmaceutical companies can't directly check whether the drugs are actually adopted as prescription drugs, so you can understand the cost effectiveness of drug advertisements. It is also difficult.

  The present invention was made to actively and powerfully promote drug information providing activities, and an object thereof is to provide an electronic medical record system that can solve at least one of the above problems. .

  In order to solve the above-described problems, an electronic medical chart system of the present invention is an electronic medical chart system that is connected to a medical institution terminal used by a medical worker via a network and displays the electronic medical chart on the medical institution terminal, Storage means for storing announcement information displayed in an announcement frame set in at least a part of an electronic medical record screen displayed on the medical institution terminal, and display destination conditions associated with the announcement information; When displaying an electronic medical record screen on the medical institution terminal, it is determined whether or not the electronic medical record screen satisfies the display destination condition, and if applicable, a display corresponding to the announcement frame of the electronic medical record screen Electronic medical record information processing means for displaying announcement information associated with the precondition.

  In the electronic medical record system, the storage means stores attribute information of a medical worker who can log in to the electronic medical record system, and the display destination condition includes attribute information of a medical worker, and the electronic medical record information When the medical staff logs in to the electronic medical record system, the processing means acquires the attribute information of the logged-in medical staff and logs in the announcement information associated with the display destination condition including the acquired attribute information. You may display in the announcement frame of the electronic medical record screen displayed with respect to a person.

  In the electronic medical chart system, the storage means stores attribute information of a medical institution terminal connected to the network, and the display destination condition includes attribute information of the medical institution terminal, and the electronic medical chart information processing The means acquires attribute information of a medical institution terminal connected to the electronic medical chart system, and displays announcement information associated with a display destination condition including the acquired attribute information in an announcement frame of the electronic medical chart screen of the medical institution terminal May be.

  In the electronic medical chart system, the storage means stores attribute information of each electronic medical chart screen, the display destination condition includes attribute information of the electronic medical chart screen, and the electronic medical chart information processing means When displaying the electronic medical record screen on the institution terminal, the attribute information of the electronic medical record screen to be displayed is acquired, and the announcement information associated with the display destination condition including the acquired attribute information is displayed in the announcement frame of the electronic medical record screen It may be displayed.

  According to the present invention, an announcement frame is provided on at least a part of the electronic medical record screen, and the display destination condition (the attribute information of the medical staff, the attribute information of the medical institution terminal, or the information associated with the announcement information displayed in the announcement frame) When the electronic medical record screen is displayed, it is determined whether or not the electronic medical record screen satisfies the display destination condition, and if so, the electronic medical record screen is displayed. The announcement information associated with the display destination condition corresponding to the announcement frame on the screen can be displayed. As described above, according to the present invention, drug information can be provided on a specific electronic medical record screen corresponding to the display destination condition, and drug information can be pinpointed to a desired medical worker. . In addition, according to the electronic medical record system of the present invention, changing the announcement information displayed in the announcement frame by the name, job type, job title, department, department, etc. of the medical worker who displayed the electronic medical record screen, The announcement information displayed in the announcement frame varies depending on the user of the medical institution terminal displaying the electronic medical record screen and the installation location, and the announcement displayed in the announcement frame depending on the type of electronic medical record screen displayed It is possible to change information (however, the present invention does not exclude displaying the same announcement information on announcement screens with different display destination conditions). Other effects will be described in the mode for carrying out the invention.

Schematic which shows an example of the whole structure of the electronic medical chart system of this invention The figure which shows an example of a user information table The figure which shows an example of a terminal information table The figure which shows an example of a medical condition drug information table The figure which shows an example of a prescription order information table The figure which shows an example of an announcement information table Flow chart showing an example of announcement information registration processing Flow chart showing an example of announcement information display processing The figure which shows an example of a user information display screen Figure showing an example of a specific medical department consultation support screen Figure showing an example of the prescription order entry screen Flow chart showing an example of prescription order analysis processing Flow chart showing an example of accounting process

[Outline of the present invention]
FIG. 1 is a schematic diagram showing an example of the overall configuration of an electronic medical record system 1 of the present invention. The electronic medical record system 1 of the present invention is a system for electronically recording and managing a medical record that records the progress of medical care in a medical institution, and an electronic medical chart screen 10 displayed on a medical institution terminal 6 used by a medical worker. In the announcement frame 14 provided at least in part, the announcement information registered by the operator via the operator terminal 7 or the like is displayed based on predetermined requirements. A medical worker is engaged in medical care at a medical institution, and includes, for example, a doctor, a dentist, a pharmacist, a nurse, a Clark, a technician, and the like. Medical institutions include hospitals, clinics, dental clinics, pharmacies, and the like. The business operators include pharmaceutical companies that manufacture drugs, sales agents that sell drugs, and advertising agencies.

  The electronic medical chart screen 10 is a collection of various screens displayed on the medical institution terminal 6 in order for the doctor to input the electronic medical chart information in the course of the patient examination by the doctor. For example, information on the doctor in charge of the medical examination is displayed. User information display screen 11 to be displayed (see FIG. 9), specific medical department examination support screen 12 (see FIG. 10) provided at the examination in a specific medical department (for example, pediatrics), and support for the doctor to determine a prescription order Including a prescription order input screen 13 (see FIG. 11) and the like. Note that the user information display screen 11, the specific medical department examination support screen 12, the prescription order input screen 13 and the like are examples of screens constituting the electronic medical record screen 10. The electronic medical record screen 10 is an example of the electronic medical record system. Depending on the configuration, various screens can be configured in addition to the illustrated screens.

  The announcement frame 14 is provided on at least a part of the various electronic medical chart screens 10, and may be a predetermined area (a part or all of the screen) provided in the screen for displaying the announcement information. ). Announcement frame 14 is provided independently about the attribute of the person who has logged in to the electronic medical record system, the attribute of medical device terminal 6 to be displayed, or the type of electronic medical record screen 10, and the announcement according to those attributes and types It is preferable that the announcement information displayed in the comment frame 14 can be changed. The announcement frame 14 may be configured to display a plurality of announcement information, or may be configured to display only one announcement information.

  The announcement information includes information displayed in the announcement frame 14 and includes, for example, the name of the drug, the effect and efficacy, the difference from the conventional product, and the pharmaceutical company. The announcement information is associated with the display destination condition, and is displayed based on the display destination condition.

  The display destination condition is information for specifying the announcement frame for displaying the announcement information, and may be set in advance on the electronic medical record system side, or may be set when the provider side registers the announcement information. Also good. As the display destination condition, for example, the attribute information of the medical staff, the attribute information of the medical institution terminal, or the attribute information of the electronic medical record screen may be set, and the display destination condition may be one or plural. Also good. When multiple display destination conditions are set, even if AND processing is displayed when all of the multiple display destination conditions are satisfied, OR processing is displayed when any of the multiple display destination conditions is satisfied. Alternatively, the processing may be a combination of AND processing and OR processing.

  The attribute information of the health care worker is information associated with the health care worker. For example, the name, job title (doctor, dentist, pharmacist, nurse, Clark, technician, etc.), job title (director, Deputy Director, General Manager, Dean, etc.), departments and departments to which they belong. The business operator can set attribute information including a medical worker who wants to present announcement information as a display destination condition. The attribute information of the medical institution terminal is information associated with the medical institution terminal, such as a user of the medical institution terminal, an installation destination (installed medical department / department), and the like. The business operator can set attribute information including a medical institution terminal that wants to present announcement information as a display destination condition. The attribute information of the electronic medical record screen is information associated with the electronic medical record screen, for example, the type of the electronic medical record screen. The business operator can set the type of electronic medical record screen on which announcement information is to be presented as the display destination condition.

  According to the present invention, for a medical worker who is inputting, browsing, or editing electronic medical record information, the electronic medical record information is added according to the attribute information of the medical worker, the attribute information of the medical institution terminal, or the attribute information of the electronic medical record screen. Appropriate drug information can be provided in the announcement frame on the chart screen. Further, in the present invention, when the drug displayed in the announcement frame is adopted as a prescription drug, it is also possible to notify the company that has provided the announcement information that the target drug has been adopted, The business operator can correctly grasp the effect of providing drug information using the announcement frame.

[Configuration of electronic medical record system]
An electronic medical record system 1 shown in FIG. 1 includes an electronic medical record server 2 for creating and managing electronic medical record information, receipt creation information, and the like, and an announcement frame management server 3 for managing announcement frames and announcement information, etc. The accounting server 4 that manages the settlement of the sales expenses of the announcement frame, the management terminal 5 for managing each server, and the medical institution terminal operated by the medical workers A to C, if necessary 6A to 6C and the operator terminal 7 operated by the operator who desires to purchase the announcement frame may be included. Each server and each terminal are connected to each other via the network 8.

  The electronic medical record server 2 is an apparatus for managing electronic medical record information for each patient, and displays an electronic medical record screen 10 on a medical institution terminal 6 installed in a medical institution or the like to assist doctors in inputting electronic medical record information. The announcement information is displayed in the announcement frame 14 in the electronic medical record screen 10 in cooperation with the announcement frame management server 3. Further, the electronic medical record server 2 has a function of managing a prescription order that is a part of the electronic medical record information. When a specific medical condition (including disease name, symptom, condition) is selected by a doctor, a list of drugs corresponding to the medical condition is displayed. A prescription order input screen 13 (see FIG. 13) is displayed on a medical institution terminal 6 installed in a medical institution or the like, and can support the input of a prescription order by a doctor. A prescription order is a part of electronic medical record information, which is information including a medical condition diagnosed by a doctor in a patient examination, a prescription drug prescribed for such medical condition, and a usage dose of the prescription drug, It is the basis for creating prescriptions.

  The electronic medical record server 2 can be configured by, for example, various servers, personal computers, computers such as mainframes, or combinations thereof. The electronic medical record server 2 includes a control unit 20 including a processor and a memory, a storage unit 25 including a hard disk device, and a network interface (not shown) for connecting to the network 8 as necessary.

  The control means 20 stores various programs stored in the storage means 25 by a processor or the like in the memory, reads out and executes the various programs stored in the memory, cooperates the hardware and the program, and displays the electronic medical chart screen. Electronic medical record information for executing processing for displaying, processing for displaying announcement information (see FIG. 8), processing for registering electronic medical record information, processing for registering prescription orders, processing for analyzing prescription orders (see FIG. 12), etc. Processing means 22 is included. In addition, the control means 20 has a function of authenticating a user (medical worker), a function of cooperating with an external system (for example, a receipt processing system), a function of referring to a standard medical condition master configured in the external system, and the like. It may be realized.

  The storage means 25 corresponds to a specific medical condition, a user information table 26 (see FIG. 2) for managing information on a medical worker who is a user, and a terminal information table 27 (see FIG. 3) for managing information on a medical institution terminal. A medical condition drug information table 28 (see FIG. 4) for managing the information of the attached drug, a prescription order information table 29 (see FIG. 5) for managing prescription orders, and other electronic data for each patient (not shown) An electronic medical record information table for managing medical record information, a receipt information table for managing receipt information, and the like may be stored.

  The announcement frame management server 3 is a device that manages announcement frames and announcement information, and can be constituted by various servers, personal computers, computers such as main frames, or combinations thereof. The announcement frame management server 3 includes a control unit 30 configured by a processor and a memory, a storage unit 35 configured by a hard disk device, and a network interface (not shown) for connecting to the network 8 as necessary. .

  The control unit 30 stores various programs stored in the storage unit 35 by a processor or the like in the memory, reads and executes the various programs stored in the memory, and makes the hardware and the program cooperate with each other, which will be described later. It includes an announcement frame information processing means 32 for executing processing for registering information (see FIG. 7) and the like. Further, the control means 30 may realize a function of authenticating a user (business operator), a function of cooperating with an external system (for example, a business system of a pharmaceutical company), and the like.

  The storage means 35 stores an announcement information table 36 (see FIG. 6) for managing the announcement information, and in addition, authentication information for the user (operator) to connect to the announcement frame management server 3. Etc. may be stored.

  The accounting server 4 executes accounting processing with the user of the system in cooperation with announcement information recruitment processing, registration processing, etc. executed by the announcement frame management server 3. It can be configured by a computer such as a server, a personal computer, a main frame, or a combination thereof, and includes an appropriate accounting program.

  The management terminal 5 is a device that is operated by an administrator who manages the electronic medical chart system 1. For example, a personal computer or the like can be adopted, and the management terminal 5 includes a management GUI program. The management terminal 5 provides an interface for setting and changing the server configuration, various programs, and various information to the system administrator.

  The medical institution terminal 6 is a device operated by a medical worker, and may adopt a personal computer, a tablet terminal, a PDA (Personal Digital Assistant), a multi-function mobile phone (smart phone, i-phone (registered trademark)), or the like. it can. The medical institution terminal 6 includes storage means, control means, and a network interface, and displays at least a function for connecting to the network 8 and an electronic medical chart screen for inputting and displaying electronic medical chart information provided from the electronic medical chart server 2. It is only necessary to have a function and a function of inputting various information. The medical institution terminal 6 may be installed in a medical institution or may be possessed by a medical worker. The medical institution terminal 6 may arrange a plurality of medical institution terminals 6A to 6C in one medical institution.

  The business operator terminal 7 is a device operated by the business operator, and can adopt various configurations in the same manner as the management terminal 5 and the medical institution terminal 6.

  The network 8 is not particularly limited, and includes, for example, a public telephone network, ISDN (abbreviation of Integrated Service Digital Network, also called a digital integrated service network), ADSL (Asymmetric Digital Subscriber Line), and CATV (CommunityAntennaVintnerA). A network, an optical fiber network, a wireless LAN (Local Area Network), a CS (Communication Satellite) broadcast, a mobile telephone network, and the like can be used.

  The configuration of the electronic medical chart system 1 shown in FIG. 1 is merely an example, and is not limited to this. In FIG. 1, the electronic medical record server 2, the announcement frame management server 3, and the accounting server 4 are illustrated for explanation, but the services provided by each server may be realized by, for example, one server. Other external servers not shown in the figure may be realized. In FIG. 1, the electronic medical record information processing unit 22 is configured in the control unit 20 of the electronic medical record server 2, and the announcement frame information processing unit 32 is configured in the control unit 30 of the announcement frame management server 3. The electronic medical record information processing means 22 or the announcement frame information processing means 32 may be configured to be realized by the cooperation between the electronic medical record server 2 and the announcement frame management server 3, or the electronic medical record information processing means 22 or the announcement frame information processing means 32. Part of the processing executed by thement frame information processing means 32 may be executed by the control means of each terminal 5-7.

  FIG. 2 is a diagram illustrating an example of the user information table 26 stored in the storage unit 25 of the electronic medical record server 2. The user information table 26 manages authentication information and attribute information of a medical worker who uses the electronic medical record system 1, and based on the authentication information input when the medical worker logs in to the electronic medical record system 1, While specifying a medical worker, it is comprised so that the attribute information of the medical worker who logged in can be acquired. Further, the user information table 26 can also be used as information for displaying information on medical workers on the medical institution terminal 6. For example, a user information display screen 11 shown in FIG. 9 is created as a part of the electronic medical record screen 10 based on the contents registered in the user information table 26. The user information table 26 includes a user ID 261, a name 262, a job type 263, a job title 264, a belonging department / department 265, and the like. Although not shown, the user information table 26 may also store passwords and the like that each user inputs at login.

  The user ID 261 is identification information that uniquely identifies a medical worker who uses the electronic medical record system. For example, the user ID 261 may be input to the user at the time of login as authentication information. The name 262 stores the name of a medical worker. The occupation type 263 stores information on the occupation type (doctor, nurse, etc.) of the medical worker. The position 264 stores information on the position of the medical worker (such as a pediatrician or a room manager). The belonging department / department 265 stores information on the department / department (for example, pediatrics, surgery, etc.) to which the medical staff belongs.

  FIG. 3 is a diagram illustrating an example of the terminal information table 27 stored in the storage unit 25 of the electronic medical record server 2. The terminal information table 27 manages the attribute information of the medical institution terminals 6A to 6C, and when the medical staff logs in to the electronic medical record system 1, the electronic medical record server 3 stores the medical institution terminals 6A to 6C used. Information that can specify a terminal such as a terminal ID is also acquired, a medical institution terminal is specified, and attribute information of the used medical institution terminal can be acquired. The terminal information table 27 includes a terminal ID 271, a user 272, an installation 273, and the like. The terminal ID 271 is identification information that uniquely identifies a medical institution terminal. For example, an identification number given from an electronic medical record server, a product number unique to a product, or the like can be used. The name of the person who normally uses the medical institution terminal is stored in the user 272, and when the name is shared by a plurality of people, for example, it is “shared”. The installation 273 stores information on the department and department (for example, pediatrics, surgery, etc.) where the medical institution terminal is installed.

  FIG. 4 is a diagram showing an example of the configuration of the medical condition drug information table 28. The medical condition drug information table 28 is information that associates the correspondence between the medical condition and the medicine, the correspondence between the medical condition and the medical department, and includes the target medical condition 281, the medical department 282, and the medicine 283. The target medical condition 281 stores medical conditions that can be registered in the prescription order or identification information that uniquely identifies such medical conditions. A corresponding medical condition may be referred to from a standard medical condition master configured in another database via the medical condition identification information. The medical department 282 stores the name of the medical department highly relevant to the target medical condition or the identification information of the medical department. In the medicine 283, names of a plurality of medicines associated with the medical condition or identification information of the medicine are stored. The corresponding medicine may be referred to from a medicine master configured in another database via the medicine identification information. For each drug, the drug 283 is associated with another table that defines the drug form (eg, powder, tablet, syrup, etc.), the unit of drug amount (pack, tablet, mg, ml, etc.), dosage, etc. Also good.

  FIG. 5 is a diagram illustrating an example of the prescription order information table 29. The prescription order information table 29 is information for managing the prescription order registered by the doctor. For example, the prescription order input by the doctor is registered via the prescription order input screen 13 shown in FIG. The prescription order information table 29 includes a patient 291, a department 292, a date 293, a medical condition 294, a prescription drug 295, a dosage 296, presence / absence of drug adoption 297, and the like. A patient name or identification information is registered in the patient 291. Registered in the medical department 292 is the name or identification information of the medical department where the patient was examined. In the date 293, information on the date on which the patient was examined is registered. In the medical condition 294, the type (disease name), symptom, condition, and the like of the disease diagnosed from the patient's various symptoms in the examination of the patient by the doctor are registered. In the prescription drug 295, a prescription drug selected by the doctor is registered. In the usage dose 296, information on the usage dose of the subject prescription drug is registered. The presence / absence of drug adoption 297 is information indicating whether or not a drug has been adopted as a prescription drug, and is registered when a prescription order is determined.

  FIG. 6 is a diagram illustrating an example of the announcement information table 36 stored in the storage unit 35 of the announcement frame management server 3. The announcement information table 36 is information for managing the announcement information of the drug displayed on the electronic medical record screen 10 of the medical institution terminal 6 based on predetermined requirements. The announcement information table 361, the drug name 362, and the display content 363 are displayed. , A display destination condition 364, a period 368, an operator ID 369, and the like. Further, the display destination condition 364 includes a medical worker attribute 365, a terminal attribute 366, a screen attribute 367, and the like. Announcement ID 361 is identification information that uniquely identifies announcement information from a business operator. The drug name 362 stores the name of the drug for which information is to be provided. The display content 363 stores announcement information (for example, efficacy, indication, PR, difference from conventional products, pharmaceutical company, approval time, sales start time, etc.) displayed in the announcement frame. The period 368 defines a display period in which announcement information is displayed. The company ID 369 is identification information that uniquely identifies the company that applied for the announcement information.

  In FIG. 6, the display destination condition 364 is divided into a medical worker attribute 365, a terminal attribute 366, and a screen attribute 367. The medical worker attribute 365 stores attribute information of the medical worker. The name, job type (doctor, dentist, pharmacist, nurse, Clark, engineer, etc.), job title (deputy director, deputy director, department manager, department head, etc.), department / department to which the affiliation belongs are stored as necessary. The terminal attribute 366 stores attribute information of a medical institution terminal. For example, a user of the medical institution terminal, an installation destination (installed medical department / department), and the like are stored in a necessary range. In the screen attribute 367, attribute information of the electronic medical record screen is stored, and for example, the type of the electronic medical record screen (for example, “user information display screen”, “specific medical examination support screen”, “prescription order input screen”) is necessary. It is stored in the range. When a plurality of display destination conditions are set, AND processing is displayed when all of the display destination conditions are satisfied, or OR processing is displayed when any of the plurality of display destination conditions is satisfied. Processing that combines OR processing may be used. For example, in the case of an announcement ID: 001, when a post of the chief or higher as a medical worker displays a user information display screen of an electronic medical record system using a medical institution terminal installed in pediatrics, the user information display The display content (announcement information) of the announcement ID: 001 may be displayed in the announcement frame on the screen (AND process). Or, an announcement ID: 001 is displayed in the announcement frame of the electronic medical record screen in which the post of the director or higher is logged in as the medical staff, the electronic medical record screen displayed on the medical institution terminal installed in the pediatrics, and the user information display screen Display content (announcement information) may be displayed (OR processing). It should be noted that the display destination condition includes the patient's medical condition and the type of drug, and is configured to display the display contents (announcement information) on the patient's electronic medical record screen 10 of a certain specific medical condition or drug type. May be.

  Hereinafter, various processes provided by the electronic medical chart system 1 of the present invention will be described with reference to FIGS.

[Announcement information registration process]
FIG. 7 is a flowchart illustrating an example of the announcement information registration process. First, the administrator publishes guidance for soliciting drug announcement information (S101). For example, the guidance may be sent to a business operator, or may be made public on a website that can be viewed by the business operator. Information for recruiting drug announcement information may be sent and published. In such guidance, at least part of display destination conditions such as the installation destination of the medical institution terminal 6 that displays the announcement information and the type of electronic medical record screen may be set in advance. Further, the sales amount may be changed according to the number of display destination conditions such as the installation location of the medical institution terminal 6 and the type of electronic medical record screen. When an application for purchase of the announcement frame is received from each business operator (S102), a purchaser who sells the announcement frame of the drug is determined through a predetermined examination, and the announcement frame processing means 32 determines the announcement frame. Authentication information for connecting to the management server 3 is transmitted to the business operator terminal 7 of the business operator who is the purchaser (S103). Further, the announcement frame processing means 32 may register a new announcement ID 361 in the announcement information table 36 and register the purchaser's ID in the business operator ID 369.

  When the purchaser connects to the announcement frame management server 3 from the company terminal 7 based on the authentication information, the announcement frame processing means 32 displays an appropriate announcement information registration screen on the company terminal 7 (S104). . The purchaser can input the announcement information to be displayed in the announcement frame via the announcement information registration screen. Further, the purchaser may be able to register a part of the display destination condition, the display period, and the like via the announcement information registration screen. When the announcement frame processing means 32 acquires the announcement information of the medicine input by the business operator (S105), it registers the acquired announcement information in a predetermined item of the announcement information table 36 (S106).

  Further, on the announcement information registration screen, payment information necessary for the payment of the purchase cost may be input, and the announcement frame processing means 32 may transmit the input payment information to the accounting server 4. The sales amount of the announcement frame can be changed based on the display period, display destination conditions, and the like. Further, after registering the announcement information in the announcement information table 36, the business operator may confirm the registration state of the announcement information via an appropriate announcement information confirmation screen displayed on the business operator terminal 7. it can. After registering the announcement information, the announcement frame processing means 32 may notify the business operator that the announcement information has been registered.

[Announcement information display processing]
FIG. 8 is a flowchart illustrating an example of the announcement information display process. When a user (medical worker) uses the electronic medical record system 1 via the medical institution terminal 6 and enters authentication information (eg, user ID, name, password, etc.) on a predetermined login screen, The institutional terminal 6 transmits the user authentication information and / or the terminal ID of the terminal to the electronic medical record information processing means 22 of the electronic medical record server 2, and the electronic medical record information processing means 22 acquires the transmitted information ( S201).

  Whether the electronic medical record information processing means 22 is registered as a user of the electronic medical record system 1 based on the user authentication information acquired from the medical institution terminal 6 with reference to the user information table 26. If it is registered (Yes in S202), the electronic medical record system 1 is set in the login state, and the type of electronic medical record screen displayed on the medical institution terminal 6 is determined (S203). If the user is not registered or there is an error in the authentication information (No in S202), a login error screen is displayed on the medical institution terminal 6, and the process is terminated.

  The type of electronic medical chart screen to be displayed is determined by the immediately preceding operation or operation. For example, at the time of login, an acceptance screen (registering a new patient, accepting an outpatient, confirming patient information, starting a medical record, starting a processing system, waiting for an accounting, managing an accounted patient) is displayed as an electronic medical record screen. If so, the type of the electronic medical record screen is determined as the reception screen. On the reception screen, for example, when a patient visits for the first time, if registration of a new patient is selected, a patient information input screen is displayed, and patient information collected at the time of reception (name, gender, date of birth, height, weight, Blood type, symptom (contents of questionnaire), etc.), and the electronic medical chart information processing means 22 newly registers such information in an appropriate electronic medical chart information table, and the electronic chart of the crown person is created. The If the patient's electronic medical record information is already registered in the electronic medical record information table, select the reception of the outpatient or the confirmation of the patient information, and the past medical examination from the patient's name, etc. The electronic medical record information in which the result is input can be searched, and the electronic medical record screen can be displayed on the medical institution terminal 6. Note that the electronic chart screen displayed at login may be set differently depending on the attribute of the logged-in user, or set to display the electronic chart screen that the user displayed immediately before logout. May be.

  Next, the electronic medical record information processing means 22 determines whether or not an announcement frame is set in the determined electronic medical record screen (S204), and when the announcement frame is set (Yes in S204). Then, the announcement information table 36 is referred to in order to determine the announcement information displayed in the announcement frame (S205). When the announcement frame is not set (No in S204), the determined electronic medical record screen is displayed on the medical institution terminal 6 (S208). Whether or not an announcement frame is set in the electronic medical record screen can be determined based on a table (not shown) in which the type of the electronic medical record screen is associated with the presence or absence of the announcement frame.

  The announcement information table 36 is referred to via the announcement frame management server 3. The electronic medical chart information processing means 22 refers to the user information table, specifies the medical worker based on the user authentication information acquired from the medical institution terminal 6, and obtains attribute information of the logged-in medical worker. Acquired and transmitted to the announcement frame management server 3. Further, the electronic medical record information processing means 22 refers to the terminal information table and specifies the medical institution terminal based on the terminal ID obtained from the medical institution terminal 6 and obtains the attribute information of the used medical institution terminal. And transmitted to the announcement frame management server 3. The electronic medical record information processing means 22 transmits the determined electronic medical record screen type to the announcement frame management server 3.

  The announcement information processing means 32 of the announcement frame management server 3 refers to the announcement information table 36 and based on the acquired attribute information of the medical staff, attribute information of the medical institution terminal, or the type of the electronic medical record screen, The announcement information corresponding to the display destination condition is specified, and the announcement information is transmitted to the electronic medical record server 2. The electronic medical record information processing means 22 of the electronic medical record server 2 acquires the relevant announcement information from the announcement frame management server 3 (S206), and displays the announcement information corresponding to the decided announcement frame of the electronic medical record screen. (S207) The determined electronic medical record screen is displayed on the medical institution terminal 6 (S208). If there is no corresponding announcement information, the electronic medical record information processing means 22 displays the determined electronic medical record screen on the medical institution terminal 6 without displaying the announcement information in the announcement frame (S208).

  After that, when the user performs an operation including switching of the electronic medical chart screen via the medical institution terminal 6 on the displayed electronic medical chart screen (Yes in S209), the electronic medical chart information processing means 22 The process proceeds to a step (S203) for determining the type of the electronic medical record, determines an electronic medical record screen corresponding to the immediately preceding operation or operation, determines again the presence or absence of an announcement frame on the new electronic medical record screen, and announces corresponding to the display destination condition Comment information is displayed (S204 to S207). In particular, when there is no operation including screen switching from the user (No in S209), the process ends.

  For example, FIG. 9 is an example of the user information display screen 11. The user information display screen 11 is a screen that is displayed based on the user information registered in the user information table 26, and a photo display unit 111 that displays a facial photograph of a user who uses the electronic medical record system. , A name display unit 112 for displaying the name of the user, an affiliation display unit 113 for displaying the affiliation of the user (for example, pediatrics, surgery, internal medicine, etc.), the occupation and the title of the user (for example, a doctor pediatrician) ) Is displayed, an announcement information display unit 115 (announcement frame) for displaying announcement information of a drug associated with an item on the doctor information display screen 11, and the like. When “Ichiro Yamada” starts up the electronic medical record system as a user and displays the user information display screen 11 (FIG. 9), the electronic medical record information processing means 22 reads the user table 26 from the authentication information at the time of login. By referring to the information, the attribute information of the medical staff of the occupation “doctor”, the title “pediatrician”, and the department / pediatric department to which the department belongs is acquired. Further, the electronic medical record information processing means 22 refers to the terminal information table 27 from the terminal ID received at the time of login, and acquires attribute information of the medical institution terminal such as the user “Ichiro Yamada” and the installation “pediatrics”. Further, the electronic medical record information processing means 22 determines to display the user information display screen 11 requested by the user as the electronic medical record screen, and the announcement information display unit 115 is displayed on the user information display screen 11 of FIG. Since (announcement frame) is set, these attribute information and the like are transmitted to the announcement frame management server 3. The announcement information processing means 32 refers to the announcement information table 36, selects the announcement information of the announcement ID 001 corresponding to the attribute information acquired by the display destination condition, and transmits it to the electronic medical record server 2. The electronic medical record information processing means 22 of the electronic medical record server 2 displays the announcement information of the announcement ID 001 on the announcement information display unit 115 (announcement frame) of the user information display screen 11.

  FIG. 10 is a specific medical department examination support screen 12, which is a screen used for examination in a specific medical department (for example, pediatrics). The specific medical department diagnosis support screen 12 includes a target medical department display unit 121, a medical condition list 122 specific to the target medical department, a drug classification display unit 123, and items of drugs associated with the items of the specific medical department diagnosis support screen 12. An announcement information display unit 124 (announcement frame) for displaying announcement information is included. The medical condition list 122 collectively displays medical conditions that are common to patients (for example, pediatric patients) who receive the target medical department. The medicine classification display unit 123 displays medicines that can be prescribed by child patients for each medicine classification (for example, “syrup”, “powder”, and “tablet”). When the electronic medical chart information processing means 22 displays the specific clinical department examination support screen 12, the processing of FIG. 8 is performed. For example, a medical worker belonging to the pediatrics as the user displays the specific clinical department examination support screen 12 When the specific medical department examination support screen 12 is displayed on the medical institution terminal installed in the pediatric department, the announcement information display unit 124 (announcement) of the announcement information of the announcement ID 002 is displayed. Display frame).

  FIG. 11 shows a prescription order input screen 13, which displays a plurality of medical conditions corresponding to the patient's symptoms and allows a doctor to select a specific medical condition, and a drug associated with the items on the prescription order input screen 13. Announcement information display part 132 (announcement frame) for displaying the announcement information of the patient, a medicine display part 133 for displaying a plurality of medicines associated with the medical condition selected by the doctor, and the final prescription order of the doctor are displayed. For example, a prescription order display unit 134 and a registration button 135 for registering the input prescription order. For example, when a doctor or a nurse displays the prescription order input screen 13, the electronic medical record information processing means 22 cooperates with the announcement frame management server 3 to send the announcement information of the announcement ID 003 to the prescription order input screen 13. Can be displayed on the announcement information display section 132 (announcement frame).

  In the above-described example, when the electronic medical record screen is displayed, the electronic medical record information processing unit 22 and the announcement information processing unit 32 cooperate to select and display the announcement information corresponding to the announcement frame. However, after registering the announcement information, based on the associated display destination conditions, display the announcement frame specified in advance by a combination of a medical worker, a medical institution terminal, and an electronic medical record screen Announcement information may be assigned. Also, depending on the type of electronic medical chart screen to be displayed, for example, on a screen where medical conditions or drugs are limited, such as the specific clinical department examination support screen 12 in FIG. 10 or the prescription order input screen 13 in FIG. The announcement information may be displayed in the announcement frame only when the drug that is the target of the announcement information is a medical condition that includes the drug that is the target of the announcement information. This can be realized, for example, by referring to the medical condition drug information table 28 or by setting the information when registering the announcement information. Furthermore, priorities may be set for a plurality of display destination conditions.

[Prescription order analysis]
FIG. 12 is a flowchart illustrating an example of prescription order analysis processing. In the prescription order analysis process, the electronic medical record information processing means 22 or the announcement information processing means 32 displays an appropriate prescription order analysis screen on the business operator terminal 7 of the business operator (S401). Next, the electronic medical record information processing means 22 or the announcement information processing means 32 refers to the prescription order information table 29, acquires a plurality of prescription orders within an appropriate period (S402), and a plurality of prescription orders included in the prescription order. Prescription drug and drug adoption record are acquired (S403). Then, the electronic medical record information processing means 22 or the announcement information processing means 32 statistically processes the number of times the medicine targeted for the announcement information has been adopted, the number of times the medicine has not been adopted, etc. A report regarding the effect of displaying may be created and provided to the operator (S404). Here, by storing the announcement information displayed on the prescription order input screen 13 or the like in the prescription order information table 29, more detailed statistical data can be obtained. For example, the number of times the announcement information is displayed in the announcement frame, the number of times that the target drug was adopted and the number of times that the target drug was not adopted, and the number of times that it was not adopted It is possible to obtain statistical data such as the number of times and the number of times that it was not adopted.

  In addition, the electronic medical record information processing means 22 determines the presence or absence of drug adoption every time a prescription order is registered, and if the drug displayed in the announcement frame is adopted, the provider providing the announcement information In addition, the fact that the target medicine has been adopted as a prescription order may be notified. Thus, in the present invention, the business operator can correctly grasp the effect of displaying the announcement information and can effectively promote the drug.

[Accounting]
FIG. 13 is a flowchart illustrating an example of the accounting process. In the accounting process, the accounting server 4 can display an appropriate accounting process screen on the management terminal 5 (S501). The accounting server 4 acquires the settlement information provided from the company that purchased the announcement frame (S502), creates an invoice from the contents registered in the settlement information (S503), and sends the invoice to the company. To do. After confirming the payment, the accounting server 4 updates the settlement information (S504). The payment information may be acquired from the announcement frame management server 3 by the operator when the announcement information is registered, or may be directly provided from the operator thereafter.

  The accounting server 4 may charge the purchased company for the entire purchase amount at one time. For example, the accounting server 4 charges only a part of the purchase amount, and a part of the purchase amount is received from the successful bidder. For example, the announcement information to be displayed in the announcement frame is registered, and after that, the remainder of the purchase amount or the actual cost is charged based on the actual result of the drug targeted for the announcement information being adopted as a prescription order. Also good. Accordingly, the business operator can benefit from the effect of displaying the announcement information at an appropriate burden.

1 Electronic Medical Record System 2 Electronic Medical Record Server 3 Announcement Frame Management Server 4 Accounting Server 5 Management Terminal 6 Medical Institution Terminal 7 Business Terminal 8 Network 10 Electronic Medical Record Screen 11 User Information Display Screen 12 Specific Medical Examination Support Screen 13 Prescription Order Input screen 14 Announcement frame 22 Electronic medical record information processing means 25 Storage means 26 User information table 27 Terminal information table 28 Medical condition drug information table 29 Prescription order information table 30 Control means 32 Announcement information processing means 35 Storage means 36 Announcement information table

Claims (4)

An electronic medical chart system that connects to a medical institution terminal used by medical personnel via a network and displays an electronic medical chart on the medical institution terminal,
Storage means for storing announcement information displayed in an announcement frame set in at least a part of an electronic medical record screen displayed on the medical institution terminal, and display destination conditions associated with the announcement information;
When displaying an electronic medical record screen on the medical institution terminal, it is determined whether or not the electronic medical record screen satisfies the display destination condition, and if applicable, a display corresponding to the announcement frame of the electronic medical record screen Electronic medical record information processing means for displaying announcement information associated with the destination condition;
An electronic medical chart system comprising: In the storage means, attribute information of medical personnel who can log in to the electronic medical record system is stored,
The display destination condition includes attribute information of a medical worker,
The electronic medical record information processing means acquires attribute information of a logged-in medical worker when the medical worker logs in to the electronic medical record system, and displays announcement information associated with a display destination condition including the acquired attribute information. 2. The electronic medical record system according to claim 1, wherein the electronic medical record system is displayed in an announcement frame of an electronic medical record screen displayed for a logged-in medical staff. The storage means stores attribute information of medical institution terminals connected to the network,
The display destination condition includes attribute information of a medical institution terminal,
The electronic medical chart information processing means acquires attribute information of a medical institution terminal connected to the electronic medical chart system, and displays announcement information associated with a display destination condition including the acquired attribute information on the electronic medical chart screen of the medical institution terminal. 3. The electronic medical record system according to claim 1, wherein the electronic medical record system is displayed in an announcement frame. The storage means stores attribute information of each electronic medical record screen,
The display destination condition includes attribute information of an electronic medical record screen,
The electronic medical record information processing means acquires attribute information of the electronic medical record screen to be displayed when displaying the electronic medical record screen on the medical institution terminal, and announcement information associated with the display destination condition including the acquired attribute information The electronic medical chart system according to any one of claims 1 to 3, wherein the electronic medical chart system is displayed in an announcement frame of the electronic medical chart screen.