JP6498394B2 - Medical information server and hospital information system - Google Patents

Description

  Embodiments as one aspect of the present invention relate to a medical information server and a hospital information system.

  In recent years, electronic medical record system, interpretation report creation system, centralized medical image management system (PACS: Picture Archiving and Communication Systems), radiology information system (RIS), hospital information system (HIS), medical care Various operations related to medical care such as accounting systems, drug management systems, and nursing support systems are digitized and systemized (hereinafter, these systems used in hospitals are collectively referred to as in-hospital systems). These in-hospital systems are linked with modality devices such as X-ray CT (Computed Tomography) and MRI (Magnetic Resonance Imaging), navigation systems for surgery and diagnosis, and various applications related to electronic medical records and diagnostic imaging. Yes. In-hospital systems have been developed with the development of modality devices and various applications. In this way, with the ever-changing required services, the system can be rebuilt for various reasons, such as the development of hardware such as modality devices and changes in application specifications, such as obsolescence of the current system and functional expansion / modification. Or migration occurs. Along with such system reconstruction and migration, replacement of physical machines such as servers and version upgrades of applications occur.

  Therefore, in order to reduce information migration work in system reconstruction or migration, a technique for extracting common information of servers used in the system and applying them to a new server is provided (for example, Patent Document 1). etc).

  In addition, since the hospital system has various functions, for example, a customized display is provided for each user. A medical information device that analyzes the operation status of these displays and provides a display that is easier to operate is provided (for example, Patent Document 2).

JP 2009-034385 A JP 2011-43962 A

  In particular, in the medical field, it is difficult to stop the business during system reconstruction or migration, and it is necessary to migrate the system while continuing the business. Moreover, since treatment or nursing is required on a 24-hour basis, it is necessary to be able to transfer information without stopping the system. However, the technology of Patent Document 1 relates to the transition of server communication settings, and includes system and user identification information stored in the system, setting information for each system and user (hereinafter referred to as hospital information data). It is not technology related to data migration. Conventionally, a large amount of data transfer work (hospital information data) such as system and user identification information and setting information for each system and user (hospital information data) has been performed manually, which is a cumbersome and time-consuming work.

  Medical institutions store medical information for a long time. At that time, it is necessary to ensure that medical information stored in the old version can be used without any missing information even after the system update application is modified. For example, even when the display layouts of the new version and the old version are different, it is necessary to ensure interoperability such that the display can be performed with the layout of the old version.

  Furthermore, some users such as doctors may work at a plurality of hospitals or a plurality of departments. As described in Patent Document 2, the display used in the in-hospital system differs for each hospital, for each department, or for each user. Users such as doctors working in multiple hospitals and clinical departments must remember the layout of such displays according to the system used, which increases the workload and the work efficiency of working with unfamiliar layouts. This is a problem.

  Therefore, there is a demand for a medical information server that can seamlessly use hospital information data and display between different hospital systems.

  The medical information server according to the present embodiment is a medical information server configured to be able to communicate with a hospital information system of a plurality of different hospitals via a network, and obtains hospital information data in the hospital information system Used in a plurality of different hospital information systems, an acquisition unit, a conversion unit that converts the hospital information data received from the hospital information system into a data format for a server, a database unit that stores the converted hospital information data A layout information storage unit that stores screen layout information that is stored, and a reference that arranges the hospital information data in the database unit using screen layout information of other hospitals for the user of the hospital information system And an information providing unit for providing a screen.

The conceptual block diagram which shows an example of the medical information server and hospital information system which concern on embodiment. The functional block diagram which shows the function structural example of the medical information server which concerns on 1st Embodiment. The flowchart which shows an example of operation | movement of the medical information server which concerns on 1st Embodiment. The figure explaining arrangement | positioning of the information which comprises the reference screen of the medical information server which concerns on embodiment. 6 is a diagram for explaining an example of screen layout information of the medical information server according to the embodiment. FIG. The figure explaining the reference screen of the medical information server which concerns on embodiment. The figure explaining the example of a display of reference screen selection of the medical information server concerning an embodiment. The functional block diagram which shows the function structural example of the medical information server which concerns on 2nd Embodiment. The flowchart which shows an example of operation | movement of the medical information server which concerns on 2nd Embodiment. The figure explaining the reference screen before change of the medical information server which concerns on embodiment, and the selected reference screen. The figure explaining an example of the essential information of the medical information server which concerns on embodiment. The figure explaining the selection method of the recommendation reference screen of the medical information server which concerns on embodiment. The figure explaining the difference extraction in the medical information server which concerns on embodiment. FIG. 6 is a diagram for explaining an example of a method for adding difference content in the medical information server according to the embodiment.

  Hereinafter, embodiments of a hospital information system and a medical information server will be described with reference to the accompanying drawings. The hospital information system according to the present embodiment is a system in which in-hospital systems installed in a plurality of hospitals and data centers installed outside the hospital are connected via an electronic network. The medical information server according to the present embodiment is an apparatus that is installed in a data center or a hospital and is connected to a system in the data center or a hospital, another electronic device, or the like via an electronic network.

(overall structure)
FIG. 1 is a conceptual configuration diagram illustrating an example of a medical information server 600 and a hospital information system 1 according to the embodiment. As shown in FIG. 1, the hospital information system 1 includes an in-hospital system 10 installed in one or a plurality of hospitals and a data center system 20 connected via an electronic network N. In the example of FIG. 1, an in-hospital system 10 a installed in hospital A, an in-hospital system 10 b installed in hospital B, and a data center system 20 are shown. The data center system 20 shown in FIG. 1 is connected to hospitals A and B via an electronic network N, and includes one or more medical information servers 600. The medical information server 600 is a server including the communication control device 30, the main control unit 40, the storage unit 50, and the like. The data center system 20 may be installed in a predetermined data center in a place different from the hospital where the in-hospital system 10 is installed, or may be installed in a hospital in which the in-hospital system 10 is installed. The plurality of medical information servers 600 of the data center system 20 may function as one virtual server, and the in-hospital system 10 can be connected to the medical information server 600 without being aware of physical servers. Thus, the hospital information system 1 may be configured by a cloud system. The medical information server 600 is not limited to the data center system 20 and may be installed in each hospital.

  The in-hospital system 10 includes various systems related to medical care such as an electronic medical record system installed in a hospital, an interpretation report creation system, a PACS, a HIS / RIS, a medical accounting system, a drug management system, and a nursing support system. It consists of various application software used in. Hereinafter, various systems related to medical care or various application programs used in those systems are simply referred to as “systems”. In FIG. 1, the in-hospital system 10a and in-hospital system 10b constituting the hospital A and the hospital B include a PACS 100, a HIS / RIS 200, a modality device 300, an interpretation report creation system (device) 400, and an electronic medical record system (device) 500. Are illustrated respectively. These systems installed in the hospital are interconnected via an electronic network N. In addition, the PACS 100, the HIS / RIS 200, the modality device 300, the interpretation report creation system (device) 400, and the electronic medical record system (device) 500 are the communication control device 30, the main control unit 40, the storage unit 50, the display unit 60, and the input, respectively. This is a system including one or more computers or servers configured from the unit 70 and the like (not shown).

  The communication control device 30 implements various information communication protocols according to the network form. The communication control device 30 connects various systems or electrical devices in the hospital according to the various protocols, and connects the in-hospital system 10 and the data center system 20 outside the hospital. An electrical connection or the like via the electronic network N can be applied to this connection. Here, the electronic network N means an entire information communication network using telecommunications technology. In addition to a wireless / wired LAN such as a hospital backbone LAN and an Internet network, a telephone communication network, an optical fiber communication network, a cable communication network. And satellite communications networks.

  The storage unit 50 includes a recording medium that can be read by the CPU of the main control unit 40, such as a magnetic or optical recording medium or a semiconductor memory. The storage unit 50 stores hospital information data and screen layout information, and stores programs for realizing various functions executed by the CPU of the main control unit 40.

  The display unit 60 is configured by a general display output device such as a liquid crystal display or an OLED (Organic Light Emitting Diode) display, and displays various displays of the system in the hospital under the control of the main control unit 40.

  The input unit 70 is configured by a general input device such as a keyboard, a touch panel, a numeric keypad, and a mouse, for example, and outputs an operation input signal corresponding to a user operation to the main control unit 40.

  In the following description, a screen that is displayed for a user or the like to refer to information in the hospital information system is referred to as a reference screen. Regarding the hospital information system and the medical information server according to the present embodiment, the medical information server and the hospital information system for storing and using the hospital information data and the reference screen are referred to as the “first embodiment” and are added to the first embodiment. A medical information server and a hospital information system that prevent essential information in the hospital or system from being hidden even if the reference screen is changed will be described as a “second embodiment”.

(First embodiment)
The medical information server according to the first embodiment relates to a method for storing and using hospital information data and a reference screen.

(1) Configuration FIG. 2 is a functional block diagram illustrating a functional configuration example of the medical information server 600 according to the first embodiment. As shown in FIG. 2, the hospital information server 600 installed in the data center system 20 of the hospital information system 1 includes a data acquisition unit 41, a conversion unit 43, an information provision unit 45, a layout information storage unit 51, and a database unit 52. Have. Among these, the data acquisition unit 41, the conversion unit 43, and the information providing unit 45 are functional configurations realized by executing a program stored in the storage unit 50 by the CPU of the main control unit 40.

  The data acquisition unit 41 acquires hospital information data in the hospital information system. The data acquisition unit 41 acquires hospital information data of one or a plurality of systems installed in the in-hospital system 10 of each hospital (hospital A and hospital B in FIG. 2). The hospital information data is information necessary for identifying a system and information regarding a user who uses the system. For example, the hospital information data includes the name of the facility where the system is installed, the name of the department in the hospital, the name of the system used in the hospital (including the name of application software used in the hospital), and the system Contains the username that uses. The hospital facility name, the department name in the hospital, the system name used in the hospital, and the user name may be IDs that uniquely identify them. Moreover, about a system, a different name and ID may be provided for every version. The hospital information data may include master data, data stored in various hospital systems such as recovery, backup settings, and update frequency settings.

  The conversion unit 43 converts the hospital information data received from the hospital information system into a server data format. The hospital information data is converted into a format that can be registered in the database by a general method. For example, the conversion unit 43 may store a converter program for information conversion, and the CPU of the main control unit 40 may perform conversion by executing the converter program stored in the conversion unit 43, or in each hospital The hospital information data converted by the system 10 may be acquired.

  The database unit 52 stores the converted hospital information data. The hospital information data of each in-hospital system 10 acquired by the data acquisition unit 41 is converted into a format that can be registered in the database unit 52 of the medical information server 600 by the conversion unit 43 and stored. In this case, for example, it may be stored in XML format or may be stored in table format. The hospital information data of each in-hospital system 10 may be stored in the storage unit 50 of each in-hospital system 10 overlapping with the data center system 20.

  The layout storage unit 51 stores screen layout information used in a plurality of different hospital information systems. The screen layout information is information that defines the type of information constituting the reference screen used in the hospital information system and the arrangement of information constituting the reference screen used in the hospital information system. Types of information constituting the reference screen (hereinafter referred to as content) include an input field, a display field, an image, a fixed phrase, and the like. The types of information (contents) constituting the reference screen and the arrangement of information (contents) constituting the reference screen will be described later. The reference screen is set for each user such as each hospital, each department, each system, or a doctor who uses the system. For example, different hospitals have different reference screens even in the same system. For example, the interpretation report creation system 400 is configured by a multi-display, and a display that creates an interpretation report and a display that displays a medical image for which the interpretation report is created are arranged side by side. The arrangement of these displays may vary from hospital to hospital (for example, left and right). A screen layout such as a finding input field and a key image display field is set in accordance with the arrangement of the display. Further, it is set in detail for each user according to the dominant hand or preference of the user such as a doctor who performs interpretation. Further, when the system or application is changed in the hospital, the display is changed accordingly. Such setting of the reference screen is not limited to the interpretation report creation system 400, but is the same for the reference screen of the electronic medical record system 500, the HIS / RIS 200, or the like. Therefore, the layout information storage unit 51 is based on any of hospital name, hospital department name, hospital department name, system name, and user name using the system, which is hospital information data acquired by the data acquisition unit 41. The layout information is classified and stored. The screen layout information stored in the layout information storage unit 51 will be described later.

  The information providing unit 45 provides a reference screen in which the hospital information data in the database unit 52 is arranged using the screen layout information of another hospital to the user of the hospital information system. The information providing unit 45 generates a reference screen based on the hospital information data stored in the database unit 52 and the screen layout information stored in the layout information storage unit 51, and requests a reference screen. Are displayed on the display unit 60. In addition, the user changes the display of the system in use using the reference screen. The provision of the reference screen will be described later.

(2) Operation FIG. 3 is a flowchart showing an example of the operation of the medical information server 600 according to the first embodiment. In FIG. 3, a case where a user such as a doctor who works at hospital A and hospital B displays the reference screen of the interpretation report creation system 400 installed at hospital B on the reference screen of the interpretation report creation system 400 of hospital A. The operation will be described as an example.

  First, the operation in which the hospital information data and the reference screen of the in-hospital system 10a of the hospital A are stored in the medical information server 600 will be described (ST101 to ST103).

  In ST101, the data acquisition unit 41 acquires hospital information data from the in-hospital system 10a of hospital A. If the hospital information data of the hospital A is already stored in the medical information server 600, this process can be omitted. Note that the data acquisition unit 41 may collect the hospital information data periodically or at a timing designated by the user (for example, timing such as version upgrade).

  In ST103, the screen layout information of the reference screen used in the hospital A hospital system is stored in the layout information storage unit 51. If the layout information of the hospital A is already stored in the layout information storage unit 51, this process can be omitted. Further, the screen layout information may be periodically collected as in the hospital information data, or may be collected at a timing designated by the user (for example, timing such as version upgrade).

  As the screen layout information, the reference screen may be acquired as an image such as a screen capture. The screen capture is an image obtained by copying the reference screen displayed on the display unit 60, and is a copy of the display state of the reference screen at a certain moment as it is. The screen capture may be the entire reference screen or a part thereof. Further, the screen layout information may acquire program data of a system or application, or data for a reference screen generated by the program (for example, HTML data or CSS data stored in an HTTP response in a Web application). The layout information storage unit 51 updates the corresponding screen layout information when screen layout information of the same reference screen already exists. The screen layout information is extracted by analyzing data such as the acquired screen capture image and HTML data. For example, screen layout information is extracted from a screen capture using a general image analysis technique such as image pattern recognition or optical character recognition (OCR). Note that the screen layout information may be added to the screen capture in advance as meta information of the image. In the case of HTML data, screen layout information is extracted by analyzing tags.

  The screen layout information is generated by classification according to information such as the hospital facility name, system, and application acquired as hospital information data. The screen layout information includes the type of information (content) constituting the reference screen and the arrangement of information (content) constituting the reference screen. The information (contents) constituting the reference screen is an input field, a display field, a button, an image, and the like displayed on the screen. For example, the reference screen of the interpretation report creation system 400 includes a finding input field, a fixed sentence selection button, a key image display field, an examination purpose display field in which examination purpose and examination contents are displayed, A patient information display field for displaying the name, gender or age of the patient is displayed. The fixed sentence selection button is a graphical user interface (GUI) such as a button for selecting a fixed sentence often used for finding input or a pull-down menu. When the standard sentence selection button is pressed, the standard sentences registered in the hospital information data are displayed in a list. In addition, the reference screen of the electronic medical record system 500 includes a patient information input (or display) field, a patient inquiry content input field, a test result input field, a drug prescription input field, a medical history, and a treatment in a screen for creating an electronic medical record. A history column in which history and the like are displayed, a fixed sentence selection button regarding a disease name, a drug and the like are displayed. In addition to these types of content, the screen layout information includes content arrangement.

  Drawing 4 is a figure explaining arrangement of information which constitutes a reference screen of hospital information system 1 concerning an embodiment. FIG. 4 illustrates an example in which information defining the arrangement of the content is expressed by the upper left and lower right coordinates of the content. FIG. 4 shows the display unit 60, and arrows indicating the X axis and the Y axis are shown at the upper left. FIG. 4 shows an example in which the horizontal direction of the display unit 60 is the X axis and the vertical direction is the Y axis. The display unit 60 shows “content 1” as the content, and the screen layout information is extracted using the coordinates of the arrows shown at the upper left and lower right of the content 1 as the arrangement information. In the example of FIG. 4, the upper left is indicated by (Xa1, Ya1) and the lower right is indicated by (Xb1, Yb1). By acquiring the two coordinates of the upper left and lower right, the display position of the content 1 on the screen and the height and width of the content 1 can be uniquely specified.

  In addition, although the example which acquires the upper left and lower right coordinate was shown in FIG. 4, lower left and upper right may be sufficient. Also, specific coordinates such as the upper right and center coordinates of the content 1 and the height and width of the content 1 may be extracted as arrangement information. Further, the width or height may be a pixel value, or a ratio based on the size of the screen of the display unit 60. Furthermore, when there are a plurality of pieces of information constituting the reference screen, the reference content may be specified, and the distance, ratio, interval, and the like from the content may be used as the arrangement information.

  FIG. 5 is a diagram illustrating an example of screen layout information of the hospital information system 1 according to the embodiment. FIG. 5 shows an example of the screen layout information of the reference screen set for each user of the reference screen of the interpretation report creation system 400 of hospital A. In the layout information of FIG. 5, “user name”, “content 1 (examination purpose display column)”, “content 2 (finding input column)”, and “content 3 (key image display column)” are shown from the left. Yes. In the first row, “user name” is a standard setting, “content 1 (inspection purpose display column)” upper left (X1a, Y1a), lower right (X1b, Y1b), “content 2 (finding input column)” upper left (X2a, Y2a), lower right (X2b, Y2b), “content 3 (key image display field)”, upper left (X3a, Y3a), and lower right (X3b, Y3b) are shown. The reference setting is a setting value prepared in advance by the hospital A or the interpretation report creation system 400. In the second row, “user name” is doctor 1, “content 1 (examination purpose display column)” upper left (X2a, Y2a), lower right (X2b, Y2b), “content 2 (finding input column)” upper left (X3a, Y3a), lower right (X3b, Y3b), “content 3 (key image display field)” upper left (X1a, Y1a), lower right (X1b, Y1b), “user name” is doctor 2, “content” 1 (examination purpose display column) ”upper left (X3a, Y3a), lower right (X3b, Y3b),“ content 2 (finding input column) ”upper left (X1a, Y1a), lower right (X1b, Y1b),“ content 3 (Key image display field) "Upper left (X2a, Y2a), Lower right (X2b, Y2b) Similarly, in the fourth row," User name "is doctor 3 and" Content 1 (Examination purpose display field) "upper left (X4a , Y4a), lower right (X4b, Y4b), “ Contents 2 (finding input field) ”upper left (reference setting), lower right (reference setting),“ content 3 (key image display field) ”upper left (X1a, Y1a), lower right (X1b, Y1b) are shown. .

  Although FIG. 5 shows an example in which the screen layout information is created for each user of the interpretation report creation system 400 of the hospital A, it may be created for each hospital A and for each interpretation report creation system 400. Moreover, you may create for every medical department or every other hospital information data. Furthermore, it may be created in combination with various information such as a facility name, a department name, a system version, and a user name. For example, when hospital A has system A installed in department A and hospital B has system A installed in department B, screen layout information such as the type of content and the arrangement of contents for each system and department May be held. Moreover, you may hold | maintain the screen layout information of the reference screen in the system and application which are used for every user, such as a doctor.

  As described above, the screen layout information of hospital A is stored in the layout information storage unit 51 (ST103).

  Returning to the flowchart of FIG. 3, the operation of generating a reference screen using the accumulated layout information will be described.

  In ST105, the data acquisition unit 41 acquires hospital information data from the in-hospital system 10a of hospital B. For example, when a user such as a doctor who works in both hospital A and hospital B (hereinafter referred to as doctor 1) uses the interpretation report creation system 400 of hospital B, the interpretation is performed on the same screen as hospital A in hospital B. It is desirable to create a report. For example, when the doctor 1 logs in to the interpretation report creation system 400 of the hospital B, information that the doctor 1 logs in to the interpretation report creation system 400 of the hospital B is acquired by the data acquisition unit 41 via the input unit 70 or the like. The

  In ST107, the information providing unit 45 acquires the screen layout information of the reference screen of the hospital A stored in the layout information storage unit 51 based on the hospital information data of the hospital A corresponding to the hospital information data acquired from the hospital B. To do. In the example in which the doctor 1 uses the interpretation report system of the hospital B, the information providing unit 45 acquires hospital information data (for example, user identification information) that the doctor 1 has logged into the interpretation report system at the hospital B. The information providing unit 45 acquires, from the layout information storage unit 51, screen layout information for generating the same reference screen as the reference screen used by the doctor 1 in the interpretation report creation system of the hospital A. The acquisition of the layout information in the information providing unit 45 may be the timing when the doctor 1 logs in as described above, or may be the case where the doctor 1 acquires the screen layout information.

  The information providing unit 45 generates a reference screen based on the acquired screen layout information. The contents displayed on the reference screen (display contents in each content, for example, list of fixed phrases, patient information, etc.) use the hospital information data of hospital B stored in the database unit 51 of the medical information server 600. It may be generated by using information stored in the PACS 100, HIS / RIS 200, interpretation report creation system, etc. of hospital B. The information providing unit 45 determines where the content is to be displayed based on the screen layout information, and generates a reference screen.

  In ST109, the generated reference screen is displayed on the display unit 60 of the interpretation report creating system 400 of the hospital B.

  FIG. 6 is a diagram illustrating a reference screen of the hospital information system 1 according to the embodiment.

  FIG. 6A shows an example of the reference screen of the doctor 1 displayed on the interpretation report creation system 400 of the hospital A. FIG. 6B shows an example of a standard reference screen displayed on the interpretation report creation system 400 of hospital B. As FIG. 6 shows, the screen layout of the reference screen is different even in the same system in different hospitals. In the reference screen of the doctor 1 of the hospital A shown in FIG. 6A, content 1, content 2, and content 3 are respectively displayed, whereas in the standard setting of the hospital B shown in FIG. 6B, Only content 2 and content 3 are displayed. In the interpretation report creation system 400 of the hospital B, when the doctor 1 tries to display the same screen layout as the reference screen used by the hospital A, the information providing unit 45 displays the screen layout information in the interpretation report creation system 400 of the doctor 1. Obtained from the layout information storage unit 51. For example, when the screen layout information shown in FIG. 5 is stored in the layout information storage unit 51, the “user name” shown in the second row is “content 1 (test purpose)” as layout information corresponding to the doctor 1. "Display column)" Upper left (X2a, Y2a), Lower right (X2b, Y2b), "Content 2 (finding input column)" Upper left (X3a, Y3a), Lower right (X3b, Y3b), "Content 3 (key image display) Column) "The upper left (X1a, Y1a) and the lower right (X1b, Y1b) are acquired. Based on the acquired screen layout information, the information providing unit 45 generates a reference screen to be displayed on the display unit 60 of the interpretation report creating system 400 of the hospital B.

  Thus, by storing the screen layout information in the medical information server 600 of the data center system 20 for each hospital or for each system or for each user, a user such as a doctor uses a common reference screen in all hospitals and systems. can do. Therefore, even when the hospital or the system is changed, the setting can be easily taken over. In addition, in the case of doctors who work at a plurality of hospitals, work can be performed on the same reference screen, and work efficiency can be made uniform. Furthermore, the setting changed in one place among a plurality of hospitals can be easily reflected in other hospitals. In addition, even when there is no dedicated system (especially a dedicated application) in the hospital, the layout can be reproduced, and it is possible to perform work without feeling a barrier due to different hospital information systems. Furthermore, even if the system version is changed, information can be confirmed with the old version and the new version, and interpretation reports and electronic medical records created with different versions of the system can be confirmed in both formats. is there.

  In addition, the data acquisition unit 41 can acquire various data accumulated in the in-hospital system and can store the data in the database unit 52. By using the hospital information data stored in this way, for example, data such as fixed sentences stored in the old system can be easily transferred to the new system. The hospital information data is converted into a format that can be registered in the database unit 52 of the data center system 20 and stored, and data can be transferred by re-converting it into a format suitable for the new system.

  Although the example which provides a common reference screen with respect to the user using a some system was shown above, embodiment is not restricted to it. In the hospital information system 1 according to the present embodiment, the user selects a desired screen layout from the screen layout information stored in the layout information storage unit 51 of the medical information server 600, and the reference screen is selected according to the selected screen layout information. Can also be customized. Conventionally, since reference information in other hospitals describes personal information such as patient information, it has been difficult to take out of the hospital. However, the layout information storage unit 51 of the medical information server 600 according to the present embodiment stores only information that defines the type and arrangement of the contents of the input fields and display fields constituting the reference screen as screen layout information. It is possible to generate a reference screen in a state where information that is actually displayed in the content such as the input field and the display field is not displayed. By using the reference screen generated in this way, the existing reference screen can be changed to an appropriate reference screen.

  FIG. 7 is a diagram illustrating a display example of reference screen selection of the medical information server 600 according to the embodiment. FIG. 7 shows a plurality of reference screens (reference screens 1 to 5) on the reference screen selection screen W1. In the reference screen shown in the reference screen selection screen W1, only an area indicating an input field or a display field may be displayed, or sample data may be displayed. Reference screen samples in which reference screens with different content arrangements on the left and right, such as the reference screen 2 and the reference screen 4, and reference screens with different content types, such as the reference screen 1 and the reference screen 2, are displayed. The user may be able to use the layout information by selecting a desired reference screen from among them. The reference screen sample may be stored in advance in the layout information storage unit 51 as an image file or a PDF file, or may be generated as necessary.

  Although FIG. 7 shows an example in which the reference screen samples are displayed as a list from the screen layout information stored in the layout information storage unit 51, the screen layout information may be searched using a keyword or the like. For example, by entering the type of system or application, a list of reference screens used in the same system or application may be displayed in a list, or the type of content such as the input field or display field to be displayed The screen layout information may be searched accordingly.

  Thus, the reference screen generated variously based on the screen layout information can be selected, so that the layout of the reference screen can be changed more easily. In addition, since reference screens that have actually been used in other hospitals or the like are stored as screen layout information, a highly practical reference screen can be selected.

(Second Embodiment)
In addition to the first embodiment, the second embodiment relates to a method for preventing essential information from being hidden in the hospital information system or application even if the layout of the reference screen is changed. For example, in the operation of a system for each hospital, information that must be displayed, information that should be confirmed, and the like exist individually. If the layout is changed, the data may be lost from the reference screen even though the data is retained internally. Further, if the input field for the essential information is not on the reference screen, the information cannot be input, and the essential information may not be stored. The second embodiment relates to a medical information server 600 that can determine whether essential information is missing due to a layout change and notify the user of that fact.

(1) Configuration FIG. 8 is a functional block diagram illustrating a functional configuration example of the medical information server 600 according to the second embodiment. In addition, the same code | symbol is attached | subjected to the structure same as 1st Embodiment shown in FIG. 2, and description is abbreviate | omitted.

  As shown in FIG. 8, the hospital information server 600 installed in the data center system 20 of the hospital information system 1 includes a difference extraction unit 46, a determination unit 47, a recommended reference screen presentation unit 48, in addition to the configuration of FIG. A message generator 49 is included. The difference extraction unit 46, the determination unit 47, the recommended reference screen presentation unit 48, and the message generation unit 49 are functional configurations realized by executing a program stored in the storage unit 50 by the CPU of the main control unit 40. .

  The difference extraction unit 46 extracts a difference between the reference screen displayed on the hospital information system 1 and a reference screen selected from a plurality of reference screens. A method for extracting the difference between the reference screens in the difference extraction unit 46 will be described later.

Determining unit 47, when changing the screen layout of the reference screen in either system of a plurality of different hospital hospital information system, the required information on the screen layout information constituting the reference screen to be changed in the hospital information system Whether or not is included is determined. A determination method in the determination unit 47 will be described later.

  The recommended reference screen presentation unit 48 generates and presents a recommended reference screen in which essential information is added to the reference screen selected when the reference screen is changed in the system to be changed. The operation of the recommended reference screen presentation unit 48 will be described later.

  The message generation unit 49 generates a message according to the determination of the determination unit 47. The message generated by the message generator 49 will be described later.

(2) Operation FIG. 9 is a flowchart showing an example of the operation of the medical information server 600 according to the second embodiment. In FIG. 9, an operation for changing the reference screen of the electronic medical record system 500 of the hospital A will be described as an example.

  In ST201, the user starts changing the reference screen of the electronic medical record system 500 of hospital A. The reference screen is changed by, for example, pressing a reference screen change button. Hereinafter, the reference screen that has been changed by the user is referred to as a reference screen before the change.

  In ST203, the reference screen that the user wants to change is selected. Hereinafter, the reference screen that the user wants to change is referred to as a change-destination reference screen. The selection of the reference screen to be changed may be performed, for example, using the reference screen selection screen W1 illustrated in FIG. Further, when the user inputs the type of content (for example, the type of input field or display field) from the input unit 70, the user may automatically select from the layout information storage unit 51, or the reference screen before the change may be displayed. A reference screen to be changed having common screen layout information may be selected based on the corresponding screen layout information.

  In ST205, the determination unit 47 determines whether or not the reference screen before the change includes essential information. The essential information is set for each hospital, each system, or each user. The essential information is stored in the layout information storage unit 51. The essential information may be associated and stored as part of the screen layout information, or may be stored independently of the screen layout information. As a result of the determination by the determination unit 47, if the selected reference screen for the change destination does not include the essential information of the reference screen before the change (No in ST205), a message is generated in ST207. As a result of the determination by the determination unit 47, when the selected reference screen for the change destination includes the essential information of the reference screen before the change (ST205 Yes), the process of ST213 is executed.

  Hereinafter, a case where the selected reference screen for the change destination does not include the essential information of the reference screen before the change (No in ST205) will be described.

  FIG. 10 is a diagram for explaining the reference screen before the change and the selected reference screen for the change destination of the medical information server 600 according to the embodiment. FIG. 10A shows an example of the reference screen before the change of the electronic medical record system 500 of the hospital A, and FIG. 10B shows an example of the selected reference screen of the change destination. As shown in FIG. 10A, the reference screen before the change is composed of content 1, content 2, and content 3. Further, as shown in FIG. 10B, the selected reference screen for change destination is composed of content 2, content 3, and content 4.

  FIG. 11 is a diagram illustrating an example of essential information of the medical information server 600 according to the embodiment. The essential information in FIG. 11 illustrates the essential information in the electronic medical record system 500 of the hospital A. The table in FIG. 11 shows “facility name”, “content”, and “required / optional” from the left. In the first to fourth rows, the “facility name” is hospital A, and content 1, content 2, content 3, and content 4 are shown as “content”, respectively. Of these, it is indicated that content 1, content 3, and content 4 are essential.

  For example, when changing the reference screen of the electronic medical record system 500 of hospital A, content 1, content 3, and content 4 are registered as essential information. However, the selected change destination reference screen shown in FIG. 10B is a reference screen in which “content 1” is not displayed. Therefore, the determination unit 47 determines that the selected reference screen to be changed does not include the content 1 that is essential information in the reference screen before the change in the electronic medical chart system 500 of the hospital A.

  Returning to the flowchart of FIG. As a result of the determination by the determination unit 47, the operation when the selected change destination reference screen does not include the essential information (No in ST205) will be described.

  In ST207, the message generation unit 49 generates a message according to the determination result in the determination unit 47. For example, the message generation unit 49 generates a message indicating that the selected change destination reference screen does not include essential information. After selecting the reference screen for the change, display such a message on the screen in a dialog message or pop-up screen to notify the user that a reference screen that may lack essential information is selected. . Further, the missing essential information may be notified as a message. Note that the message to be generated is not limited to the wording, and may be a symbol or a table such as ○ or ×, or may be generated by combining them.

  The medical information server 600 according to the present embodiment guides the user to select the reference screen again by such a message, and presents a recommended reference screen that combines essential information with the selected reference screen to be changed. The user can select a reference screen from the presented recommended reference screens, thereby having essential information and selecting a desired reference screen.

  Hereinafter, returning to the flowchart of FIG. 9, the change of the reference screen by presenting the recommended reference screen will be described.

  In ST209, the recommended reference screen presentation unit 48 generates a recommended reference screen and displays it on the display unit 60. The recommended reference screen is generated based on the selected reference screen and essential information. The recommended reference screen may display a result of searching the layout information stored in the layout information storage unit 51, or a new reference screen in which essential information is added to the reference screen selected by the recommended reference screen presentation unit 48. May be generated.

  In ST211, one recommended reference screen is selected from the recommended reference screens presented by the user.

  In ST213, the information providing unit 45 generates a reference screen based on the layout information of the selected recommended reference screen.

  In ST215, the generated reference screen is displayed on display unit 60.

  FIG. 12 is a diagram illustrating a method for selecting a recommended reference screen of the medical information server 600 according to the embodiment. In the recommended reference screen selection W2 in FIG. 12, recommended reference screens 1 to 5 are shown. In all recommended reference screens, content 1, which is essential in hospital A, is displayed in addition to content 2, content 3, and content 4 included in the reference screen selected in FIG. The user can select a reference screen having essential information and having a layout of the selected reference screen by selecting a reference screen from the recommended reference screens presented by the recommended reference screen presentation unit 48. .

  As described above, in the second embodiment, by recommending a recommended reference screen based on essential information that must be displayed for each hospital, system, or user, a reference screen is desired while preventing loss of essential information. It is possible to change the layout.

  In the above description, an example in which a message or a recommended reference screen is presented based on essential information has been described. However, the embodiment is not limited to the above, and the difference information extracted by the difference extraction unit 46 may be presented to the user. A recommended reference screen may be generated based on the difference information. The difference extraction unit 46 extracts a difference between the reference screen before the change and the selected reference screen after the user selects the reference screen.

  FIG. 13 is a diagram illustrating difference extraction in the medical information server 600 according to the embodiment. The example of FIG. 13 shows the difference in content type between the reference screen before the change in FIG. 10A and the selected reference screen in FIG. As shown in FIG. 13, in the reference screen before the change and the selected reference screen, the content 1 of the first stage is “present” on the reference screen before the change, but “none” on the selected reference screen. (Difference 1). Further, regarding the content 4 in the fourth row, “None” is displayed on the reference screen before the change, whereas “Yes” is displayed on the selected reference screen (difference 2). Content 2 and content 3 are common to the reference screen before the change and the selected reference screen.

  As described above, the difference extraction unit 46 compares the layout information of the selected reference screen with that before the change, and extracts the difference in the type of each content. Note that not only the content type but also the arrangement difference may be extracted.

  For example, before the change of the reference screen is executed, the difference information such as which content is changed by the message generation unit 49 and which content is changed may be presented to the user. Alternatively, content layout information related to the difference may be searched to generate a recommended reference screen combined with the common part content. Further, the user may be able to freely arrange the difference content based on the reference screen that displays only the content of the common part of the reference screen before the change and the reference screen selected by the user.

  FIG. 14 is a diagram for explaining an example of a difference content adding method of the medical information server 600 according to the embodiment. FIG. 14 shows an example in which the difference content is arranged at a desired location by dragging and dropping with a mouse or the like constituting the input unit 70. The left side of FIG. 14 shows a reference screen W3 displaying only the common part of the reference screen before change and the reference screen selected by the user. In the difference content W4, contents 1 and 4 corresponding to the difference 1 and the difference 2 shown in FIG. 13 are displayed. The user may be able to change the reference screen by selecting the content 1 or 4 displayed in the difference content W4 and moving it to a desired position on the reference screen W3 by an operation such as drag and drop.

  Note that the size of each content may be changed by drag and drop using a mouse or the like constituting the input unit 70. Further, the size may be changed by inputting numerical values such as width and height. Also, the position of each content may be changed by drag and drop with a mouse or the like. In addition, when the display unit 60 is a touch panel screen, the size and position of each content may be changed by a touch operation.

  As described above, since the content extracted as the difference information can be freely arranged, customization according to the user's preference can be easily performed while using the existing layout information.

  Although several embodiments of the present invention have been described, these embodiments are presented by way of example and are not intended to limit the scope of the invention. These embodiments can be implemented in various other forms, and various omissions, replacements, and changes can be made without departing from the spirit of the invention. These embodiments and their modifications are included in the scope and gist of the invention, and are also included in the invention described in the claims and the equivalents thereof.

DESCRIPTION OF SYMBOLS 1 Hospital information system 10 Hospital system 20 Data center system 30 Communication control apparatus 40 Main control part 50 Storage part 60 Display part 70 Input part 41 Data acquisition part 43 Conversion part 45 Information provision part 46 Difference extraction part 47 Judgment part 48 Reference recommendation Screen presentation unit 49 Message generation unit 51 Layout information storage unit 52 Database unit 100 PACS
200 HIS / RIS
300 Modality device 400 Interpretation report creation system (device)
500 Electronic medical record system (apparatus)
600 Medical Information Server

Claims (10)

A medical information server configured to be able to communicate with a hospital information system of a plurality of different hospitals via a network,
A data acquisition unit for acquiring hospital information data in the hospital information system;
A converter that converts the hospital information data received from the hospital information system into a data format for a server;
A database unit for storing the converted hospital information data;
A layout information storage unit for storing screen layout information used in a plurality of different hospital information systems;
The first hospital information system, the said hospital information data according to the first hospital information system, one or a plurality of the plurality of second hospital information system screen layout information a plurality of arranged respectively using An information providing unit that provides a reference screen and changes a display layout in the first hospital information system based on layout information of the reference screen selected from the plurality of reference screens ;
A medical information server comprising: The database unit stores the hospital information data including at least one of a facility name of the hospital, a department name in the hospital, a system name installed in the hospital, and a user name using the system,
The layout information storage unit classifies the screen layout information according to at least one of a facility name of the hospital, a department name in the hospital, a system name installed in the hospital, and a user name using the system. Remember,
The information providing unit provides the reference screen based on at least one of a facility name of the hospital, a medical department name in the hospital, a system name installed in the hospital, and a user name using the system. about,
The medical information server according to claim 1. The screen layout information is information that defines the type of information constituting the reference screen used in the hospital information system and the arrangement of information constituting the reference screen used in the hospital information system;
The medical information server according to claim 2. The types of information constituting the reference screen used in the hospital information system include an input field, a display field, an image, and a fixed phrase,
The medical information server according to claim 3. The information providing unit generates a reference screen to be displayed on the hospital information system based on screen layout information of the reference screen selected from the reference screen;
The medical information server according to any one of claims 1 to 4. When the screen layout of the reference screen is changed in any one of the hospital information systems of the plurality of different hospitals, is the essential information included in the screen layout information constituting the reference screen of the hospital information system to be changed? A determination unit for determining whether or not,
A message generation unit that generates a message according to a result of the determination unit;
Further comprising
The layout information storage unit includes information on whether or not the information constituting the reference screen is the essential information for each of the hospital information data or the screen layout information,
The determination unit determines whether the essential information is included in the changed reference screen;
The medical information server according to claim 1, wherein the medical information server is a medical information server. A difference extraction unit for extracting a difference between the reference screen selected when changing the reference screen and the reference screen before the change in the hospital information system;
A message generation unit that generates a message according to the difference extracted by the difference extraction unit;
Further provided,
The medical information server according to claim 1. A medical information server configured to be able to communicate with a hospital information system of a plurality of different hospitals via a network,
A data acquisition unit for acquiring hospital information data in the hospital information system;
A converter that converts the hospital information data received from the hospital information system into a data format for a server;
A database unit for storing the converted hospital information data;
A layout information storage unit for storing screen layout information used in a plurality of different hospital information systems;
For the hospital information system, an information providing unit that provides a reference screen in which the hospital information data in the database unit is arranged using screen layout information of another hospital;
A difference extraction unit for extracting a difference between the reference screen selected when changing the reference screen and the reference screen before the change in the hospital information system;
A message generation unit that generates a message according to the difference extracted by the difference extraction unit;
A recommended reference screen presentation unit that generates a recommended reference screen based on the difference extracted by the difference extraction unit;
A medical information server comprising: A reference screen selected when changing the reference screen is further provided with a recommended reference screen presentation unit that generates and presents a recommended reference screen with essential information added thereto,
The medical information server according to claim 1. A hospital information system of a plurality of different hospitals configured to be communicable via a network,
A data acquisition unit for acquiring hospital information data in the hospital information system;
A converter that converts the hospital information data received from the hospital information system into a data format for a server;
A database unit for storing the converted hospital information data;
A layout information storage unit for storing screen layout information used in a plurality of different hospital information systems;
The first hospital information system, the said hospital information data according to the first hospital information system, one or a plurality of the plurality of second hospital information system screen layout information a plurality of arranged respectively using An information providing unit that provides a reference screen and changes a display layout in the first hospital information system based on layout information of the reference screen selected from the plurality of reference screens ;
Hospital information system characterized by comprising

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