JP3148683U - A system to manage information about patients - Google Patents

Abstract

Provided is a recipient information management system for reliably preventing misunderstanding of medical chart information when using an electronic medical chart system. A barcode reader unit reads a two-dimensional barcode carried by a examinee when the examinee enters the examination room and acquires identification information of the examinee. The barcode reader unit 14 instructs the opening of the door 91 and transmits the identification information of the examinee 7 to the terminal device 13. The terminal device 13 acquires medical chart information corresponding to the received identification information from the server device 11 and enables browsing / updating. When the examinee 7 leaves the examination room 9, the barcode reader unit 15 reads the two-dimensional barcode carried by the examinee 7 and acquires the identification information of the examinee 7, and prohibits the terminal device 13 from accessing medical record information. Instruct. In response to the instruction, the terminal device 13 renders the chart information that can be browsed / updated impossible to browse / update. [Selection] Figure 1

Description

  The present invention relates to a system for correctly managing information of persons who receive medical examinations in medical institutions.

  Doctors, nurses, laboratory technicians, etc. (hereinafter referred to as “healthcare professionals”) in order to prevent mistakes among those who receive medical examinations, medications, sample collection for examinations (hereinafter referred to as “subjects”) It is common practice to confirm the name of the person before the patient performs a medical examination. In addition, wear a wristband with personal information such as name on the arm of the inpatient, and before the medical staff conducts a medical examination, the name listed on the wristband worn by the patient Confirmation by pointing and reading aloud is also widely performed.

  In the above case, the check of the examinee is performed by a human medical worker. Since perfection cannot be sought in human behavior, it is not possible to completely eliminate the occurrence of mistakes such as forgetting to confirm the name or confusion between patients with similar or identical names.

Therefore, it is necessary to attach a wristband printed with a barcode indicating his / her identification number to the examinee, etc., and allow the medical staff to read the barcode using a barcode reader, thereby identifying the examinee etc. An accurate system has been proposed (for example, Patent Document 1).
JP 2002-132962 A

  In recent years, an electronic medical record system for electronically recording information that has been recorded on a paper medium has been put into practical use. In the electronic medical record system, for each of various examinees, medical record information such as past medical history and treatment history of the examinees is stored in the server device, and medical personnel are stored in the server device from the terminal device as necessary. By accessing the existing medical record information, it is possible to view the medical record information of the examinee who is the subject of his / her medical examination or to add additional description to the medical record information.

In order to prevent access to incorrect medical record information when using the electronic medical record system, a system that enables browsing of medical record information specified based on the barcode printed on the ID card worn by the examinee is proposed (For example, Patent Document 2). In addition, a system that enables browsing of medical record information specified based on biological information such as a face and a fingerprint unique to a living body of a medical examinee instead of a barcode has been proposed (for example, Patent Document 3).
JP 2002-041656 A JP 2003-030324 A

  For example, after the examinee A enters the examination room and the identity verification by the medical staff is completed, the examinee A may temporarily leave the room for reasons such as feeling bad. In such a case, after the patient A leaves the room, the person who first enters the room may be a person B who is different from the person A who is temporarily leaving the room. The health care worker is unaware of this and the patient B's examination is misunderstood as the examination for the patient A. For example, the patient B is examined based on the medical record information of the patient A. The health condition of B may be added to the medical record information of the examinee A.

  The above-mentioned misunderstanding of the examinee can also occur in an examination by an apparatus such as X-ray photography. For example, if the examinee B enters the X-ray photography room while the examinee A enters the X-ray photography room while temporarily leaving the room for some reason, the medical staff does not notice it. In addition, there is a possibility that X-ray data of the examinee B is added to the medical record information of the examinee A.

  In view of the above situation, an object of the present invention is to provide a means for reliably preventing misunderstanding of medical chart information in the use of an electronic medical chart system.

In order to achieve the above object, the present invention
Storage means for storing identification information for identifying the living body and information regarding the living body in association with each of a plurality of living bodies;
An image showing the identification information of the one living body possessed by one living body or an image showing the identification information of the one living body formed on a medium carried by the one living body is optically Reading means for reading;
Access means for accessing information stored in the storage means;
Access management means for managing access to information stored in the storage means by the access means, and
The access management unit allows the access unit to access information stored in the storage unit in association with identification information indicated by the image read by the reading unit, and then satisfies a predetermined condition. In this case, an information management system is provided that makes it impossible to access information that can be accessed by the access means (first embodiment).

  According to such an information management system, access to information once made accessible is impossible when a predetermined condition is satisfied. For example, on the condition that the examinee has left the examination room. By making it impossible for the examinee to access the medical chart information, it is possible to reliably prevent the medical record information from being mistaken due to temporary leaving or the like.

In the first embodiment described above,
It is good also as a structure provided with the notification means which performs the notification according to the identification information which the image read by the said reading means shows from the medium which the one biological body carries (2nd embodiment).

  According to such an information management system, for example, the name of the examinee corresponding to the identification number indicated by the barcode printed on the ID card possessed by the examinee is displayed or pronounced as a sound. Thus, it is possible for the examinee himself / herself or a medical worker to confirm whether the examinee is correctly recognized by the information management system. Therefore, for example, even if there is a change of ID card (for example, someone using another family member in the family accidentally), or when biometric information is recognized, misuse of medical record information Is prevented.

In the second embodiment,
The reading unit optically reads an image indicating identification information of the one living body and personal information of the one living body formed on a medium carried by the one living body,
The notification means may be configured to notify the one living body of personal information indicated by an image read by the reading means from a medium carried by one living body as a notification corresponding to the identification information ( Third embodiment).

  According to such an information management system, for example, the examinee wears a wristband printed with a two-dimensional barcode indicating his / her name in addition to his / her identification information, and when the two-dimensional barcode is read, A server in which the terminal device connected to the bar code reader stores and manages the medical record information of various examinees for the notification by displaying the name indicated by the two-dimensional bar code or displaying the pronunciation. It is not necessary to acquire the name from the device, and notification for identity verification is realized quickly and easily.

In any of the first to third embodiments described above,
Door opening and closing control means for controlling the opening and closing of the door provided at the entrance of the room where the access means is arranged,
The reading means is disposed outside the door as viewed from the room;
The door opening / closing control means may be configured to control opening / closing of the door based on an image read by the reading means (fourth embodiment).

  According to such an information management system, when the examinee enters the examination room or examination room, the entry of the examinee can be checked by the information management system.

In the fourth embodiment,
Storage means for storing permission information indicating identification information of a living body permitted to enter the room;
The door opening / closing control means may instruct opening of the door only when the identification information indicated by the image read by the reading means is included in the permission information (fifth embodiment) ).

  According to such an information management system, for example, a patient who has already completed the pre-examination procedure has been registered in advance to permit entry into the room. It is possible to prevent entry into the examination room.

In the fourth or fifth embodiment,
When the door opening / closing control means gives an instruction to open the door based on the image read by the reading means, the access management means stores the information in the storage means in association with the identification information indicated by the image. It is good also as a structure which enables the access by the said access means to the information currently carried out (6th embodiment).

  According to such an information management system, it is possible to access medical record information of a patient who has entered the room.

In the fourth or fifth embodiment,
Comprising detection means for detecting passage of the door by a living body,
When the detection means detects the passage of a plurality of living organisms after the door is opened and before the door is closed, the access management means reads the reading means only when a predetermined condition is satisfied. A configuration may be adopted in which the access means can access information stored in association with identification information indicated by the displayed image (seventh embodiment).

  According to such an information management system, even when there are multiple persons entering a room by reading an image related to a single examinee, for example, when a parent is accompanied by a child's visit, he / she is again engaged in medical care. When a person performs a check operation of the examinee, the medical record information is prevented from being mistaken.

In any one of the fourth to seventh embodiments,
When the door opening / closing control means gives an instruction to open the door based on the image read by the reading means, the storage means opens the door in association with the identification information indicated by the image. It may be configured to store information indicating the time when the instruction is issued (eighth embodiment).

  According to such an information management system, information indicating when and when a patient enters the room is recorded as a log, and the log can be used for, for example, a flow line plan in a medical facility.

In any of the first to eighth embodiments,
Door opening and closing control means for controlling opening and closing of the door provided at the exit of the room;
An image showing the identification information of the one living body possessed by one living body or an image showing the identification information of the one living body formed on a medium carried by the one living body is optically Reading means, comprising: reading means arranged in the room;
The door opening / closing control means for controlling the opening / closing of the door provided at the exit may control the opening / closing of the door provided at the exit based on an image read by the reading means disposed in the room. Good (9th embodiment).

  According to such an information management system, when the examinee leaves the examination room, the examination room or the like, the withdrawal of the examinee can be checked by the information management system.

In the ninth embodiment,
When the door opening / closing control means for controlling the opening / closing of the door provided at the exit is instructed to open the door provided at the exit based on the image read by the reading means arranged in the room The access management means may be configured to make it impossible for the access means to access information stored in the storage means in association with identification information indicated by the image (tenth embodiment).

  According to such an information management system, it is impossible to access the medical record information of the patient who has left the room, and it is certain that the medical record information of the patient who has left the room will mistakenly be mistaken for the medical record information of the patient who has subsequently entered the room. To be prevented.

In the ninth or tenth embodiment,
When the door opening / closing control means for controlling the opening / closing of the door provided at the exit is instructed to open the door provided at the exit based on the image read by the reading means arranged in the room The storage means may be configured to store information indicating a time when an instruction to open the door is made in association with the identification information indicated by the image (an eleventh embodiment).

  According to such an information management system, information as to which examinees have left the room is recorded as a log, and the log can be used for, for example, a flow line plan in a medical facility.

In any of the first to fifth and 8 to 11 embodiments described above,
The access means is means for causing the storage means to store information acquired by an inspection apparatus that inspects a living body and acquires information related to the living body in association with identification information of the living body
The access management unit may be configured to allow the access unit to access information stored in the storage unit in association with identification information indicated by an image read by the reading unit (a twelfth aspect). Embodiment).

  According to such an information management system, it is possible to prevent an accident in which information on a certain patient acquired by an inspection apparatus such as an X-ray photography apparatus is erroneously added to the chart information of other patients. .

[1. Embodiment]
[1.1. Constitution]
1 and 2 are diagrams schematically showing an overall configuration of an information management system 1 according to an embodiment of the present invention. The information management system 1 is used by the medical institution M. The medical institution M has a plurality of medical departments including a medical department Z, and only components related to the medical department Z are shown in FIGS. 1 and 2. Furthermore, although the medical department Z uses a plurality of examination rooms including the examination room 9, only the components related to the examination room 9 are shown in FIGS. In the following, only the components related to the medical department Z and the examination room 9 will be described. However, the information management system 1 includes similar components (not shown) for other medical departments and other examination rooms.

  The information management system 1 includes a server device 11 disposed in the server management room of the medical institution M, a reception terminal device 12 disposed in the reception of the medical department Z, a terminal device 13 disposed in the examination room 9, When the barcode reader unit 14 disposed outside the wall surface of the examination room 9 where the door 91 is disposed, the barcode reader unit 15 disposed inside the same wall surface, and the door 91 is opened. In order to detect the person who passes the door 91, the optical sensor unit 16 arrange | positioned on the side surface of the door 91 and the side surface of the wall facing the side surface is provided.

  The terminal device 13 is connected to the server device 11, the barcode reader unit 14, the barcode reader unit 15, and the optical sensor unit 16, and can communicate with each other. The reception terminal device 12 is connected to the barcode reader unit 14 and can communicate with each other. Further, the barcode reader unit 14 and the barcode reader unit 15 are connected to a door opening / closing mechanism 92 that opens and closes the door 91, and can instruct the door opening / closing mechanism 92 to open the door.

  The server device 11 includes a storage unit 111 that stores a database (hereinafter referred to as “medical record database”) that includes medical record information relating to each of a plurality of examinees as record data. Each chart information included in the chart database is associated with identification information that identifies the patient, and the basic name, address, date of birth, sex, name of the attending physician, name of the department in charge of the examination, etc. Each field includes information and information such as a doctor's findings regarding the health condition of the examinee, a history of medication, and past medical conditions.

  The server device 11 communicates with the terminal device 13 and the same type of terminal device (not shown), receives a medical record information transmission request accompanied by the identification number of the examinee from these terminal devices, and receives the received identification. The chart information stored in association with the number is read from the chart database, and the read chart information is transmitted to the requesting terminal device.

  It is ruled that the examinee who uses the information management system 1 carries an examination ticket or a wristband. A two-dimensional barcode is printed on the examination ticket and wristband carried by the examinee. This two-dimensional barcode encodes the identification information and basic information of the examinee, that is, the name, address, date of birth, sex, name of the attending physician, name of the department in charge of the examination, etc. as a two-dimensional figure. It has been done.

  The reception terminal device 12 includes a barcode reader 121. The barcode reader 121 reads the two-dimensional barcode on the examination ticket or wristband carried by the examinee, and the identification information indicated by the read two-dimensional barcode is examined. The data is transmitted to the barcode reader unit 14 disposed on the external wall surface of each of the medical rooms used by the medical department Z including the room 9 and the same type of barcode reader unit. The identification information transmitted in such a manner is used to determine whether or not the examinee can enter the room.

  The terminal device 13 is a general PC (Personal Computer) having a communication function mainly used by the doctor 8, and is stored in the server device 11 by performing processing according to the application program for the information management system 1. It functions as an access unit 131 that accesses the chart information. Further, the terminal device 13 performs processing according to the application program, thereby permitting access by the access means to be limited to only the chart information related to a specific examinee, or by the access means to the chart information permitted to be accessed. It also functions as an access management unit 132 that prohibits access. The functions of these functional components will be described in the description of operations described later.

  The terminal device 13 further includes an operation unit 133 such as a keyboard for receiving an operation by the doctor 8, a display 134 for displaying medical record information acquired by accessing the medical record database by the access unit 131, and an examination ticket carried by the examinee or A barcode reader 135 for reading a two-dimensional barcode on the wristband is provided. The doctor 8 can display the chart information on the current recipient on the display 134 for browsing, or can operate the operation unit 133 to additionally store the examination result in the chart database. Further, the doctor 8 performs a two-dimensional barcode reading operation using the barcode reader 135 as necessary for reconfirmation of the examinee.

  The barcode reader unit 14 decodes the two-dimensional barcode read by the reading unit 141 and the reading unit 141 that reads the two-dimensional barcode on the examination ticket or wristband carried by the examinee, and the identification information and name, etc. Of the basic information obtained by the decoding unit 142, a notification unit 143 for notifying the municipality of the name and address of the basic information obtained by the decoding unit 142, and the patient's response to the notification by the notification unit 143 A response acquisition unit 144 that acquires response information and a door opening / closing control unit 145 that controls the door opening / closing mechanism 92 are provided.

  The notification unit 143 includes, for example, a display 1431 that displays the name and address acquired from the decoding unit 142 in characters, an audio signal synthesis unit 1432 that synthesizes an audio signal indicating the name and address, and an audio signal synthesis unit 1432. A speaker 1433 is provided to generate the generated audio signal as sound.

  The response acquisition unit 144 is, for example, a touch panel 1441 that detects that the examinee has touched the display position of “Yes” on the display in response to the notification by the notification unit 143, and the examinee in response to the notification by the notification unit 143. The microphone 1442 that picks up the reply voice that is sounded, and whether or not the waveform of the voice picked up by the microphone 1442 has a similarity equal to or higher than a predetermined threshold with the waveform of the reply voice “Yes” as a reference The determination unit 1443 is provided.

  The door opening / closing control unit 145 receives the identification information of the examinee who has completed the reception from the reception terminal device 12 every time reception of the examinee who wishes to see the medical department Z is completed. The door opening / closing control unit 145 includes a storage unit 1451, and stores the identification information received from the reception terminal device 12 in the storage unit 1451 as the identification information of the examinee permitted to enter the room.

  When there is a predetermined response from the examiner to the response acquisition unit 144 as a response to the notification by the notification unit 143, the decoding unit 142 delivers the identification information obtained by the decoding to the door opening / closing control unit 145. The predetermined response from the examinee is, for example, a touch operation on the touch panel 1441 at the display position of “Yes” or an utterance of a response voice “Yes”.

  Upon receiving the identification information from the decoding unit 142, the door opening / closing control unit 145 collates the received identification information with the identification information stored in the storage unit 1451, and stores the identification information received from the decoding unit 142 in the storage unit 1451. The door opening / closing mechanism 92 is instructed to open the door 91 only when it is included in the identification information that has been entered, that is, the identification information of the examinee permitted to enter the room.

  The barcode reader unit 14 has substantially the same configuration as the barcode reader unit 14. That is, the barcode reader unit 15 includes the reading unit 151, the reading unit 141, the decoding unit 142, the notification unit 143, the response acquisition unit 144, and the door opening / closing control unit 145 that are included in the barcode reader unit 14. A decoding unit 152, a notification unit 153, a response acquisition unit 154, and a door opening / closing control unit 155 (all not shown) are provided.

  In addition, the notification unit 153 includes a display 1531, an audio signal synthesis unit 1532, and a speaker 1533 (all not shown) as components corresponding to the display 1431, the audio signal synthesis unit 1432, and the speaker 1433 included in the notification unit 143. The response acquisition unit 154 includes a touch panel 1541, a microphone 1542, and a determination unit 1543 (all not shown) as components corresponding to the touch panel 1441, the microphone 1442, and the determination unit 1443 provided in the response acquisition unit 144, respectively.

  Unlike the door opening / closing control unit 145 of the barcode reader unit 14, the door opening / closing control unit 155 is different from the door opening / closing control unit 145 of the barcode reader unit 14 because the barcode reader unit 15 is a component for checking the leaving of the patient. The identification information check process is not performed. Therefore, the door opening / closing control unit 155 does not include a storage unit corresponding to the storage unit 1451 included in the door opening / closing control unit 145. Instead, the door opening / closing control unit 155 includes a storage unit 1551 (not shown) that stores identification information of the examinee transmitted from the terminal device 13.

  The optical sensor unit 16 includes a light emitting unit 161 provided on the side surface of the door 91 and a light receiving unit 162 provided on the side surface of the wall of the examination room 9. The light emitting unit 161 and the light receiving unit 162 are arranged at positions facing each other so that light emitted from the light emitting unit 161 is received by the light receiving unit 162. The light emitting unit 161 emits light only while the door 91 is open, and the light receiving unit 162 detects light reception only while the door 91 is open. Therefore, when a person passes through the door 91 with the door 91 open, the light emitted from the light emitting unit 161 is blocked and does not reach the light receiving unit 162. For example, in the light receiving unit 162 that has continued during light reception. The energized state is interrupted. As a result, the optical sensor unit 16 functions as a detection unit that detects passage of a person through the door 91.

  When detecting the passage of a person, the optical sensor unit 16 transmits a detection signal indicating the detection to the terminal device 13. The terminal device 13 counts the number of detection signals received from the optical sensor unit 16 while the door 91 is open, thereby determining the number of examinees (or their companions) who entered the room while the door 91 was opened and closed once. Can be acquired.

[1.2. Operation]
Hereinafter, the operation of the information management system 1 will be described with reference to FIGS. 3 and 4, taking as an example the case where the examinee 7 receives a medical examination in the examination room 9.

  The examinee 7 has used the medical institution M in the past and has already received the examination ticket 6. On the examination ticket 6, identification information of the examinee 7 and basic information such as a name are printed as a two-dimensional barcode.

  The examinee 7 goes to the reception of the medical department Z and performs a procedure for the consultation. The operator 5 who operates the reception terminal device 12 at the reception reads the two-dimensional barcode of the examination ticket 6 using the barcode reader 121 (step S101). The read two-dimensional barcode is decoded into identification information and basic information of the examinee. The reception terminal device 12 receives the reception reception notification including the identification information acquired by decoding the barcode reader unit 14 and the barcode reader unit 14 of the same type as the barcode reader unit 14 installed in all examination rooms used by the medical department Z. Transmit to the unit (step S102). The barcode reader unit 14 stores the identification information received from the reception terminal device 12 in the storage unit 1451 as the identification information of the examinee permitted to enter the room (step S103).

  Thereafter, when the order of the medical examinations of the examinee 7 is changed, the doctor 8 announces the name of the examinee 7 using a speaker or the like installed in the vicinity of the examination room 9 and prompts the patient to enter the examination room 9. In accordance with the announcement, the examinee 7 faces the outside of the door 91 of the examination room 9 and holds the examination ticket 6 over the reading unit 141 of the barcode reader unit 14. The reading unit 141 reads the two-dimensional barcode on the examination ticket 6 and delivers the read image data to the decoding unit 142. The decoding unit 142 decodes the two-dimensional barcode image data received from the reading unit 141 to identify information. Basic information is acquired (step S104).

  The notification unit 143 displays the name and address of the municipality included in the basic information acquired by the decoding unit 142 in step S104 on the display 1431 and reads out using the speaker 1433 (step S105). For example, if the name of the examinee 7 is Ichiro Suzuki and the address of the examinee 7 is Chiyoda-ku, the display 1431 displays “Ichiro Suzuki from Chiyoda-ku? Yes / No”. The speaker 1433 emits a voice saying “Is it Mr. Ichiro Suzuki from Chiyoda-ku? Please answer if it is correct or touch Yes on the touch panel.”

  After the notification in step S105, within a predetermined time, the touch panel 1441 of the response acquisition unit 144 does not detect a touch on the portion where “Yes” is displayed, and the voice waveform “Yes” of the reference from the microphone 1442 is detected. When the determination unit 1443 determines that there is no voice input of a waveform having a similarity greater than or equal to a predetermined threshold (step S106; No), the notification unit 143 confirms, for example, “confirmation ticket or wristband, and again to the reader. If you have any questions, please contact the receptionist "and display an announcement (step S107).

  On the other hand, after the notification in step S105, within a predetermined time, the touch panel 1441 of the response acquisition unit 144 detects a touch on the portion where “Yes” is displayed, or the reference “Yes” is heard from the microphone 1442. When the determination unit 1443 determines that there is a voice input of a waveform having a similarity with a waveform equal to or higher than a predetermined threshold (step S106; Yes), the door opening / closing control unit 145 has the identification information acquired from the examination ticket 6 in step S104. In step S103, it is determined whether or not the identification information stored in the storage unit 1451 matches the identification information of the examinee permitted to enter the room (step S108).

  In the determination in step S108, when the identification information acquired from the examination ticket 6 does not coincide with any of the identification information of the examinee permitted to enter the room (step S108; No), the notification unit 143, for example, “Not done. Please contact reception.” Announcement is displayed and pronounced (step S109).

  On the other hand, in the determination in step S108, when the identification information acquired from the examination ticket 6 matches any identification information of the examinee permitted to enter the room (step S108; Yes), the door opening / closing control unit 145 performs the door opening / closing mechanism 92. Is instructed to open the door 91 (step S110). In response to the opening instruction, the door opening / closing mechanism 92 opens the door 91 and closes the door 91 after a predetermined time.

  When the identification information acquired from the examination ticket 6 matches any of the identification information of the examinee permitted to enter the room in the determination in step S108 (step S108; Yes), the door opening / closing control unit 145 notifies the terminal device 13. On the other hand, the identification information acquired from the examination ticket 6 in step S104 is transmitted (step S111).

  When the door 91 is opened, the optical sensor unit 16 starts a process for detecting the passage of a person through the door 91, and transmits a detection signal to the terminal device 13 when the passage of a person is detected (step S112). In this case, the number of times that the detection signal is transmitted to the terminal device 13 in step S112 is one. For example, when two children and their parents pass through the door 91, the number of times is two.

  When the terminal device 13 receives the identification information from the barcode reader unit 14 in step S111, the terminal device 13 waits for reception of the detection signal from the optical sensor unit 16 for a predetermined time, and whether or not the detection signal has been received a plurality of times during that time. Determination is made (step S113).

  When the terminal device 13 receives the detection signal from the optical sensor unit 16 a plurality of times (step S113; Yes), the terminal device 13 displays on the display 134, for example, “Check again whether the examinee is the following person. If the user is not one of the following, read the bar code: “Ichiro Suzuki (Chiyoda-ku)” is displayed (step S114).

  The case where the above display is made is, for example, a case where the parent is accompanied by the child. In that case, the doctor 8 confirms whether or not the person actually receiving the oral examination is the examinee of the examination ticket read by the barcode reader unit 14 (step S115).

  When the person who actually undergoes the examination is different from the examinee of the examination ticket read by the barcode reader unit 14 by the oral confirmation (step S115; No), the doctor 8 uses the barcode reader 135 to actually examine the patient. The operation of reading the two-dimensional barcode on the examination ticket or wristband. In accordance with the operation, the barcode reader 135 reads the two-dimensional barcode, acquires the identification information of the actual examinee, and displays the name and address of the examinee on the display 134 (step S116). The doctor 8 verbally states the name and address displayed on the display 134 and confirms whether the examinee is the person.

  Subsequently, the terminal device 13 receives the identification information received from the barcode reader unit 14 in step S111 (in the case of step S113; No or step S115; Yes) or the identification information acquired by the barcode reader 135 in step S116. The data is transmitted to the barcode reader unit 15 (step S117). The barcode reader unit 15 stores the identification information received from the terminal device 13 in the storage unit 1551.

  Subsequently, the access management unit 132 of the terminal device 13 delivers the same identification information transmitted to the barcode reader unit 15 in step S117 to the access unit 131 as identification information permitted to be accessed. The access unit 131 transmits a request signal for chart information including identification information delivered from the access management unit 132 to the server device 11 (step S118).

  In response to the request signal from the terminal device 13, the server device 11 searches the medical record database for the medical record information using the identification information included in the request signal as a search key, and transmits the searched medical record information to the terminal device 13 (step S119). . The terminal device 13 displays the medical chart information received from the server device 11 on the display 134 (step S120). In this case, the chart information displayed on the display 134 is the chart information of the examinee 7.

  The doctor 8 examines the examinee 7 while referring to the chart information displayed on the display 134, inputs the findings to the terminal device 13 using the operation unit 133, and adds information indicating the entered findings to the chart information. Give instructions. In accordance with this instruction, the terminal device 13 transmits an update instruction including information indicating the findings to the server device 11 (step S121). The server device 11 updates the chart information of the examinee 7 in accordance with the update instruction received from the terminal device 13 (step S122).

  When the examination is completed, the examinee 7 goes to the door 91 and holds the examination ticket 6 over the barcode reader unit 15. The barcode reader unit 15 reads the two-dimensional barcode on the examination ticket 6 and acquires the identification information of the examinee 7 (step S123). Subsequently, the barcode reader unit 14 determines whether or not the identification information received from the terminal device 13 in step S117 matches the identification information acquired from the examination ticket 6 in step S123 (step S124).

  When the identification information received from the terminal device 13 and the identification information acquired from the examination ticket 6 do not match (step S124; No), the barcode reader unit 15 uses the display 1531 and the speaker 1533 to indicate “the correct examination of the person who has undergone the examination”. Please make an announcement such as "Hold the ticket or wristband over the reader" (step S125), and the process returns to step S123.

  On the other hand, when the identification information received from the terminal device 13 matches the identification information acquired from the examination ticket 6 (step S124; Yes), the barcode reader unit 15 instructs the door opening / closing mechanism 92 to open the door 91. (Step S126). In response to the opening instruction, the door opening / closing mechanism 92 opens the door 91 and closes the door 91 after a predetermined time.

  When the identification information received from the terminal device 13 matches the identification information acquired from the examination ticket 6 (step S124; Yes), the barcode reader unit 15 transmits an access prohibition instruction to the terminal device 13 (step S124). S127). When the access management unit 132 of the terminal device 13 receives an access prohibition instruction from the barcode reader unit 15, the access management unit 132 instructs the access unit 131 to stop access to the chart information accessed at that time. In response to this instruction, the access unit 131 erases the medical chart information of the examinee 7 displayed on the display 134, and from the work area which is a work memory area in which the terminal device 13 temporarily stores the medical chart information. Also, the chart information of the examinee 7 is deleted (step 128). Thereby, the doctor 8 cannot browse or update the medical record information of the examinee 7.

  As described above, according to the information management system 1, only the medical record information of the examinee who is entering the examination room can be viewed and updated by a doctor or the like. When the examinee leaves the room, browsing / updating of the chart information becomes impossible. As a result, it is possible to reliably prevent misunderstanding of medical record information.

[2. Modified example]
The above-described embodiments can be variously modified within the scope of the technical idea of the present invention. A modification is shown below.

  In the information management system 1 described above, a two-dimensional barcode is employed for identifying the examinee. The information management system according to the present invention is not limited thereto, and other types of optically readable codes such as a three-dimensional barcode may be adopted.

  In addition, instead of the code printed on the examination ticket, wristband, etc., a configuration may be adopted in which the patient is identified by optically reading biometric information unique to the patient. An example of such biometric information is a palm vein shape. When a vein shape is used for identification of the examinee, a vein-shaped reader may be disposed on a handle used to open and close the door 91.

  In addition, when biometric information unique to the examinee such as a vein shape is adopted instead of the code printed on the examination ticket, wristband, etc., the examinee's name and address are given before the door 91 is opened. Therefore, the vein reader unit corresponding to the barcode reader unit 14 needs to transmit the read vein shape to the server device 11 and acquire the name and address of the examinee as a response.

  In the information management system 1 described above, a configuration is adopted in which access to the medical chart information by the terminal device 13 is permitted / prohibited by entering and leaving the examination room as a trigger. The information management system according to the present invention is not limited thereto. For example, the doctor 8 does not check when entering or leaving the room, and the doctor 8 directly reads the code from the examination ticket carried by the examinee using the code reader or the vein reader. The vein shape of the examinee may be read. In that case, for example, a seating sensor is installed in the chair where the examinee sits so that access to the chart information is prohibited at the end of the examination. The information management system 1 may be configured such that access to medical chart information that has been permitted is prohibited.

  The above-described information management system 1 has a configuration suitable when the doctor 8 examines the examinee in the examination room. The information management system according to the present invention is not limited to the case where the doctor 8 examines the examinee in the examination room. For example, the examinee uses an X-ray, MRI (Magnetic Resonance Imaging), CT (Computed Tomography), etc. It can be used even when

  In that case, an apparatus for accessing the chart information is an inspection apparatus. The inspection device is based on the chart information specified based on the biological information such as the code printed on the wristband worn by the subject in the room where the inspection device is located or the vein shape of the subject. Only allowed access. Therefore, the information about the subject acquired by the inspection apparatus is not erroneously added to the chart information of a person other than the subject.

  Note that many inspection apparatuses represented by X-ray, MRI, CT, and the like cannot obtain normal inspection results when a subject wears metal. Accordingly, it is desirable that the wristband or the like on which the code for identifying the examinee is printed is made of resin.

  In the information management system 1 described above, the time when the barcode reader unit 14 gives an instruction to open the door 91 and the time when the barcode reader unit 15 gives an instruction to open the door 91 are taken into and out of the room. It is good also as a structure which records on the server apparatus 11, the reception terminal device 12, or another management apparatus with a log with the identification information of the performed examinee and the identification information of the examination room. The log thus recorded can be used for flow planning in a medical facility, investigation of the cause when an accident occurs, and the like.

  Many of the components constituting the information management system 1 described above can be changed in arrangement within the scope of the technical idea according to the present invention. For example, in the information management system 1 described above, the access management unit 132 is disposed in the terminal device 13, but the server device 11 may be configured to include the access management unit 132. In this case, the server device 11 determines whether to accept or reject the access request from the terminal device 13.

  The terminal device 13, the server device 11, and the receiving terminal device 12 that constitute the information management system 1 described above may be realized by causing a general-purpose PC to execute processing according to the application program according to the present invention. You may comprise as a collection of the hardware which implement | achieves the component with which an apparatus is provided separately.

It is the figure which showed typically the whole structure of the information management system concerning this invention. It is the figure which showed typically the whole structure of the information management system concerning this invention. It is the flowchart which showed operation | movement of the information management system concerning this invention. It is the flowchart which showed operation | movement of the information management system concerning this invention.

Explanation of symbols

  DESCRIPTION OF SYMBOLS 1 ... Information management system, 11 ... Server apparatus, 12 ... Reception terminal device, 13 ... Terminal device, 14 ... Bar code reader unit, 15 ... Bar code reader unit, 16 ... Optical sensor unit, 91 ... Door.

Claims (12)

Storage means for storing identification information for identifying the living body and information regarding the living body in association with each of a plurality of living bodies;
An image showing the identification information of the one living body possessed by one living body or an image showing the identification information of the one living body formed on a medium carried by the one living body is optically Reading means for reading;
Access means for accessing information stored in the storage means;
Access management means for managing access to information stored in the storage means by the access means, and
The access management unit allows the access unit to access information stored in the storage unit in association with identification information indicated by the image read by the reading unit, and then satisfies a predetermined condition. An information management system that makes it impossible to access information that can be accessed by the access means. The information management system according to claim 1, further comprising a notification unit that performs notification according to identification information indicated by an image read by the reading unit from a medium carried by the one living organism. The reading unit optically reads an image indicating identification information of the one living body and personal information of the one living body formed on a medium carried by the one living body,
The said notification means notifies the said one biological body of the personal information which the image which the said reading means read from the medium which the one biological body carries as a notification according to the said identification information. Information management system. Door opening and closing control means for controlling the opening and closing of the door provided at the entrance of the room where the access means is arranged,
The reading means is disposed outside the door as viewed from the room;
The information management system according to claim 1, wherein the door opening / closing control unit controls opening / closing of the door based on an image read by the reading unit. Storage means for storing permission information indicating identification information of a living body permitted to enter the room;
The information management system according to claim 4, wherein the door opening / closing control unit gives an instruction to open the door only when the identification information indicated by the image read by the reading unit is included in the permission information. When the door opening / closing control means gives an instruction to open the door based on the image read by the reading means, the access management means stores the information in the storage means in association with the identification information indicated by the image. The information management system according to claim 4, wherein the access means can access the information being stored. Comprising detection means for detecting passage of the door by a living body,
When the detection means detects the passage of a plurality of living organisms after the door is opened and before the door is closed, the access management means reads the reading means only when a predetermined condition is satisfied. The information management system according to claim 4, wherein the access unit can access information stored in association with identification information indicated by the displayed image. When the door opening / closing control means gives an instruction to open the door based on the image read by the reading means, the storage means opens the door in association with the identification information indicated by the image. The information management system according to any one of claims 4 to 7, wherein information indicating a time when the instruction is issued is stored. Door opening and closing control means for controlling opening and closing of the door provided at the exit of the room;
An image showing the identification information of the one living body possessed by one living body or an image showing the identification information of the one living body formed on a medium carried by the one living body is optically Reading means, comprising: reading means arranged in the room;
The door opening / closing control means for controlling opening / closing of the door provided at the exit controls opening / closing of the door provided at the exit based on an image read by a reading means arranged in the room. The information management system in any one of thru | or 8. When the door opening / closing control means for controlling the opening / closing of the door provided at the exit is instructed to open the door provided at the exit based on the image read by the reading means arranged in the room The information management system according to claim 9, wherein the access management unit disables access by the access unit to information stored in the storage unit in association with identification information indicated by the image. When the door opening / closing control means for controlling the opening / closing of the door provided at the exit is instructed to open the door provided at the exit based on the image read by the reading means arranged in the room The information management system according to claim 9, wherein the storage unit stores information indicating a time when an instruction to open the door is made in association with identification information indicated by the image. The access means is means for causing the storage means to store information acquired by an inspection apparatus that inspects a living body and acquires information related to the living body in association with identification information of the living body
The access management means enables the access means to access information stored in the storage means in association with identification information indicated by an image read by the reading means. The information management system according to any one of 11.

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