JP6559927B2 - Medical information management apparatus and medical information management system - Google Patents

Description

  Embodiments described herein relate generally to a medical information management apparatus and a medical information management system that support examination performed by a doctor on a patient.

  Currently, after entering a medical chart with an electronic medical chart system, a doctor may create an order in order to request a technician to examine the patient. The order includes modality information such as MRI (Magnetic Resonance Imaging) and CT (Computed Tomography), site information about a site to be imaged, an imaging method, and the like. When creating an order, the doctor opens an order input screen from the electronic medical record system, and selects or inputs the above information according to the opened order input screen.

  However, when creating an order, the doctor has to select or input a plurality of pieces of information as described above, so that there is a problem that it takes time to create the order.

Japanese Patent Laid-Open No. 2008-9589

  As described above, there is a problem that it takes time to create an order when requesting inspection.

  Therefore, an object is to provide a medical information management apparatus and a medical information management system that allow a doctor to easily create an order.

  The medical information management apparatus according to the present embodiment includes a basic information storage unit, a medical information storage unit, an order information storage unit, a basic information acquisition unit, a medical information acquisition unit, an acquisition determination unit, an order information acquisition unit, and a transmission unit. . The basic information storage unit stores past basic information that is basic information of patients examined in the past. The medical information storage unit stores past medical information obtained by the past examination. The order information storage unit stores past order information on orders created by a doctor in the past examination. The basic information acquisition unit refers to the basic information of the target patient to be examined, and acquires past basic information from the basic information storage unit. The medical information acquisition unit refers to the medical information about the target patient or the acquired past basic information, and acquires the past medical information from the medical information storage unit. The acquisition determination unit selects past basic information and past medical information similar to the basic information and the medical information from the acquired past basic information and the acquired past medical information. The order information acquisition unit acquires past order information associated with the selected past medical care information from the order information storage unit. The transmission unit transmits the acquired past order information to the operator.

It is a figure which shows the function structure of the system in which the medical information management apparatus concerning 1st Embodiment is contained. It is a block diagram which shows the function structure of the medical information management apparatus shown in FIG. It is a flowchart which shows the operation | movement at the time of the medical information management apparatus shown in FIG. 2 transmitting past order information. It is a figure which shows the function structure of the medical information management apparatus concerning 2nd Embodiment. It is a figure which shows the function structure of the medical information management apparatus concerning 3rd Embodiment.

  The medical information management apparatus according to this embodiment will be described below with reference to the drawings.

(First embodiment)
FIG. 1 is a diagram illustrating a functional configuration of a system including a medical information management apparatus 10 according to the first embodiment. The system shown in FIG. 1 includes a medical information management apparatus 10 and an electronic medical record system 20.

  The electronic medical record system 20 includes a monitor 21, an operation input unit 22, and a control unit 23. The control unit 23 includes, for example, a CPU (Central Processing Unit) and a storage area for programs and data for the CPU to execute processing such as a ROM (Read Only Memory) and a RAM (Random Access Memory). The control unit 23 causes the CPU to execute an application program, thereby realizing an electronic medical record creation unit 231 and an order processing unit 232.

  The electronic medical record creation unit 231 receives basic patient information and medical information input by a doctor, and creates an electronic medical record according to the received information. At this time, patient basic information includes patient ID, patient name, sex, age, lifestyle, and the like. Lifestyle refers to smoking, drinking, and exercise status. The medical information includes finding information, disease name information, vital information, examination stage information, and the like. Vital information refers to height, weight, blood pressure, and the like. The inspection stage information includes screening, fine inspection, follow-up observation, and the like.

  When the doctor completes the creation of the electronic medical record and determines that the patient needs to be examined, the doctor inputs an order input screen display instruction from the operation input unit 22.

  When the display instruction for the order input screen is input, the order processing unit 232 indicates that the display instruction has been input and the basic patient information and the medical information input when creating the electronic medical record. Output to.

  The monitor 21 reports from the medical information management apparatus 10 past order information about past orders, which will be described later, image information about images taken according to the orders, and reports created by interpreting the images. Receive information and display orders, images and reports.

  When the doctor refers to the images and reports displayed on the monitor 21 and selects the past order information obtained from these, the order processing unit 232 uses the selected past order information as order information for the patient (not shown). Send to

  FIG. 2 is a block diagram illustrating a functional configuration of the medical information management apparatus 10 according to the first embodiment. 1 includes a basic information storage unit 11, a medical information storage unit 12, an order information storage unit 13, an image / report information storage unit 14, a basic information acquisition unit 15, a medical information acquisition unit 16, and an acquisition. A determination unit 17, an order information acquisition unit 18, an image / report information acquisition unit 19, and a transmission unit 110 are provided.

  The basic information storage unit 11 stores patient basic information about patients examined in the past. Hereinafter, the patient basic information stored in the basic information storage unit 11 is referred to as past basic information. The basic information storage unit 11 may store past basic information using a database, or may store past basic information using a file system.

  The medical information storage unit 12 stores medical information about a patient examined in the past. Hereinafter, the medical information stored in the medical information storage unit 12 is referred to as past medical information. The medical information storage unit 12 may store past medical information in association with a patient ID that identifies past basic information stored in the basic information storage unit 11. The medical information storage unit 12 may store past medical information using a database, or may store past medical information using a file system.

  The order information storage unit 13 stores order information about orders previously created by a doctor. Hereinafter, the order information stored in the order information storage unit 13 is referred to as past order information. At this time, the past order information may be stored in association with the medical chart ID for identifying the past medical information stored in the medical information storage unit 12. The past order information may be stored in association with a patient ID for identifying past basic information stored in the basic information storage unit 11 and a medical chart ID for identifying past medical information. Note that the order is an imaging request specifying the examination content, modality information, part information, imaging method, imaging direction, and the like. The order information storage unit 13 may store past order information using a database, or may store past order information using a file system.

  The image / report information storage unit 14 stores image information about an image captured according to an order created by a doctor in the past and report information about a report created by interpreting the image. The image format may be a DICOM (Digital Imaging and Communication in Medicine) format or other formats.

  The basic information acquisition unit 15 reads the past basic information stored in the basic information storage unit 11 according to the age, gender, lifestyle, and the like included in the patient basic information specified by the acquisition determination unit 17. At this time, the basic information acquisition unit 15 reads past basic information that is at least one of the specified age, sex, and lifestyle. The basic information acquisition unit 15 outputs the read past basic information to the acquisition determination unit 17.

  The medical information acquisition unit 16 reads past medical information stored in the medical information storage unit 12 in accordance with the finding information, disease name information, vital information, examination stage information, and the like included in the medical information specified by the acquisition determination unit 17. . At this time, the medical information acquisition unit 16 reads past medical information that is at least one of the specified finding information, disease name information, vital information, and examination stage information. The medical information acquisition unit 16 outputs the read past medical information to the acquisition determination unit 17. When the past medical information is associated with the patient ID in the past basic information, the medical information acquisition unit 16 reads the past medical information associated with the patient ID specified from the acquisition determination unit 17. good.

  The acquisition determining unit 17 receives the patient basic information and medical information of the target patient to be examined from the electronic medical record system 20. The acquisition determination unit 17 specifies the age, sex, lifestyle, and the like for the basic information acquisition unit 15 based on the received patient basic information. The acquisition determination unit 17 receives the past basic information acquired by the basic information acquisition unit 15 and calculates the degree of similarity between the patient basic information of the target patient and the received past basic information.

  Note that the acquisition determination unit 17 may set a patient having a degree of similarity exceeding a preset value as a similar patient, and output a patient ID for identifying the similar patient to the medical information acquisition unit 16.

  In addition, the acquisition determination unit 17 designates finding information, disease name information, vital information, examination stage information, and the like to the medical information acquisition unit 16 based on the received medical information. The acquisition determination unit 17 receives the past medical information acquired by the medical information acquisition unit 16, and calculates the similarity between the target patient's medical information and the received past medical information. At this time, the acquisition determination unit 17 calculates the similarity of past medical care information based on the degree of coincidence of finding information, the degree of coincidence of vital information, and the like.

  The acquisition deciding unit 17 selects past basic information and past medical care information whose similarity is higher than a preset value in descending order of similarity. Note that the acquisition determination unit 17 may select a preset number of past basic information and past medical information with a high degree of similarity in descending order of the degree of similarity. The acquisition determining unit 17 outputs the chart ID included in the selected past medical information, or the patient ID included in the selected past basic information and the medical chart ID included in the selected past medical information to the order information acquiring unit 18.

  When receiving the chart ID or the patient ID and the chart ID, the order information acquisition unit 18 reads the past order information from the order information storage section 13 based on the received chart ID or the patient ID and the chart ID. The order information acquisition unit 18 outputs the read past order information to the image / report information acquisition unit 19 and the order transmission unit 110.

  The image / report information acquisition unit 19 reads the image information corresponding to the past order information output from the order information acquisition unit 18 and the report information from the image / report information storage unit 14. The image / report information acquisition unit 19 outputs the read image information and report information to the order transmission unit 110.

  The order transmission unit 110 transmits the past order information output from the order information acquisition unit 18 and the image information and report information output from the image / report information acquisition unit 19 to the electronic medical record system 20.

  A doctor who operates the electronic medical record system 20 refers to image information and report information, and selects past order information that can acquire an image and report intended by the doctor. The past order information selected by the doctor is output to the server as an order for the target patient.

  Next, the operation when the medical information management apparatus 10 configured as described above transmits past order information to the electronic medical record system 20 will be described in detail. FIG. 3 is a flowchart showing an operation when the medical information management apparatus 10 according to the first embodiment transmits past order information.

  First, the acquisition determination unit 17 receives basic patient information and medical information of a target patient to be examined from the electronic medical record system 20 (step S31). The acquisition determination unit 17 calculates the similarity between the past basic information read by the basic information acquisition unit 15 and the patient basic information of the target patient (step S32).

  The acquisition determination unit 17 calculates the similarity between the past medical information read by the medical information acquisition unit 16 and the medical information of the target patient (step S33).

  The acquisition determining unit 17 selects past basic information and past medical information whose similarity is higher than a preset value, and outputs the chart ID included in the selected past medical information to the order information acquiring unit 18 (step S34). ).

  The order information acquisition unit 18 refers to the medical chart ID given from the acquisition determination unit 17 and reads past order information from the order information storage unit 13 (step S35).

  The image / report information acquisition unit 19 reads the image information corresponding to the past order information output from the order information acquisition unit 18 and the report information from the image / report information storage unit 14 (step S36).

  The order transmitting unit 110 transmits the past order information acquired by the order information acquiring unit 18 and the image information and report information acquired by the image / report information acquiring unit 19 to the electronic medical record system 20 (step S37).

  As described above, in the first embodiment, the medical information management apparatus 10 receives the supplied patient basic information and medical information, and stores the received patient basic information and medical information and the basic information storage unit 11. The similarity between the past basic information and the past medical information stored in the medical information storage unit 12 is calculated. Then, the medical information management apparatus 10 reads past order information associated with past basic information and past medical information with high similarity from the order information storage unit 13 and transmits them to the operator. Thereby, the medical information management apparatus 10 can present an appropriate order to the operator for the patient who is the subject of the examination.

  Therefore, according to the medical information management apparatus 10 according to the first embodiment, a doctor can easily create an order.

  In addition, the medical information management apparatus 10 according to the first embodiment uses image data for an image captured according to past order information and report data for a report obtained by interpreting the image as past order. The information is transmitted to the operator together with the information. Thereby, the medical information management apparatus 10 can acquire what images can be acquired according to past order information and what test results can be acquired together with the past order information. .

(Second Embodiment)
In the first embodiment, a case has been described in which past basic information with high similarity and past order information associated with past medical care information are transmitted to the electronic medical record system 20 as an example. However, it is not limited to this. As illustrated in FIG. 4, the medical information management apparatus 10 may further include a trend calculation unit 111, a device information storage unit 112, and a device information acquisition unit 113.

  The device information storage unit 112 stores device information about devices provided in a facility where the electronic medical record system 20 is installed. For example, when medical image diagnostic apparatuses such as MRI, CT, and ultrasonic diagnostic apparatus are provided in the facility, the apparatus information storage unit 112 stores information about these apparatuses.

  The device information acquisition unit 113 reads the device information from the device information storage unit 112 and outputs the read device information to the trend calculation unit 111.

  The trend calculation unit 111 receives past order information output from the order information acquisition unit 18 and device information output from the device information acquisition unit 113. The trend calculation unit 111 extracts orders frequently created in a recent predetermined period set in advance from the received past order information. For example, the total number of orders using the new function is not large, but in the last month, there may be more orders than other orders. In such a case, the trend calculation unit 111 assumes that an order using this new function is on the trend, and extracts past order information about this order.

  Also, the trend calculation unit 111 refers to the device information and determines whether or not the facility can handle orders on the trend. Even when the past order information about the order on the trend is extracted, there is a possibility that this order cannot be handled in this facility. In such a case, the trend calculation unit 111 does not output the extracted past order information to the subsequent stage. On the other hand, when the order can be handled in this facility, the trend calculation unit 111 outputs the extracted past order information to the image / report information acquisition unit 19 and the order transmission unit 110.

  As described above, in the second embodiment, the trend calculation unit 111 extracts orders that are frequently created in the most recent predetermined period from the past order information output from the order information acquisition unit 18. ing. Thereby, although the medical information management apparatus 10 is small as a total number, it is possible to present to the doctor orders that are frequently created recently, that is, popular orders that use new models and new functions.

  In the second embodiment, the trend calculation unit 111 refers to the device information to determine whether the facility where the medical information management device 10 is installed corresponds to a trendy order. Thereby, the medical information management apparatus 10 can efficiently present to the doctor orders that are in fashion and that correspond to the facility.

  Therefore, according to the medical information management apparatus 10 according to the second embodiment, a doctor can easily create an order.

(Third embodiment)
In the first embodiment, a case has been described in which past basic information with high similarity and past order information associated with past medical care information are transmitted to the electronic medical record system 20 as an example. However, it is not limited to this. As illustrated in FIG. 5, the medical information management apparatus 10 includes a device information storage unit 112, a device information acquisition unit 113, an order information acquisition unit 114, a doctor information storage unit 115, a doctor information acquisition unit 116, and a determination unit 117. May be.

  When the order information acquisition unit 114 receives the chart ID or the patient ID and the chart ID from the acquisition determination unit 17, the order information acquisition unit 114 stores the past order from the order information storage unit 13 based on the received chart ID or the patient ID and the chart ID. Read information. At this time, the past order information includes the doctor ID of the doctor who created the order. The order information acquisition unit 114 outputs the read past order information to the determination unit 117. Further, the order information acquisition unit 114 outputs the doctor ID included in the read past order information to the doctor information acquisition unit 116.

  The doctor information storage unit 115 stores in advance information about a doctor who has created an order, for example, a doctor ID, a doctor name, a doctor's qualification, a department, and the like.

  The doctor information acquisition unit 116 reads the doctor information stored in the doctor information storage unit 115 according to the doctor ID output from the order information acquisition unit 114. The doctor information acquisition unit 116 outputs the read doctor information to the determination unit 117.

  The determination unit 117 receives the past order information output from the order information acquisition unit 114 and the doctor information output from the doctor information acquisition unit 116. The determination unit 117 refers to the doctor information, and determines whether or not the received past order information is order information regarding an order created in the past by the requesting doctor. When the requesting doctor determines that the order information is created in the past, the determination unit 117 treats the similarity of the past order information higher than other past order information having the same degree of similarity.

  Further, the determination unit 117 refers to the device information to determine whether or not the facility can handle the order created by the requesting doctor. When it is impossible to respond to the order created by the requesting doctor at this facility, the determination unit 117 does not output the past order information to the subsequent stage. On the other hand, when the facility can handle the order created by the requesting physician, the determination unit 117 outputs the past order information about this order to the image / report information acquisition unit 19 and the order transmission unit 110.

  As described above, in the third embodiment, the determination unit 117 advantageously handles the order information about the order created in the past by the requesting doctor among the received past order information with respect to the other past order information. I am doing so. Thereby, since the medical information management apparatus 10 can make a doctor refer to the order which a requesting department doctor creates preferentially, it becomes possible to improve the reliability of the past order information to present.

  In the third embodiment, the determination unit 17 refers to the device information to determine whether the facility where the medical information management device 10 is installed corresponds to the order created by the requesting doctor. ing. As a result, the medical information management apparatus 10 can efficiently present to the doctor the order created by the requesting doctor and corresponding to the facility.

  Therefore, according to the medical information management apparatus 10 according to the third embodiment, a doctor can easily create an order.

  In addition, although each said embodiment demonstrated the medical information management apparatus 10, it is not limited to an apparatus. For example, the above embodiments may be realized by a medical information management system including a plurality of PCs connected by a network.

  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 novel embodiments can be implemented in various other forms, and various omissions, replacements, and changes can be made without departing from the scope of the invention. These embodiments and modifications thereof are included in the scope and gist of the invention, and are included in the invention described in the claims and the equivalents thereof.

  DESCRIPTION OF SYMBOLS 10 ... Medical information management apparatus, 11 ... Basic information storage part, 12 ... Medical treatment information storage part, 13 ... Order information storage part, 14 ... Image / report information storage part, 15 ... Basic information acquisition part, 16 ... Medical care information acquisition part , 17 ... acquisition determination unit, 18, 114 ... order information acquisition unit, 19 ... image / report information acquisition unit, 110 ... transmission unit, 111 ... trend calculation unit, 112 ... device information storage unit, 113 ... device information acquisition unit, DESCRIPTION OF SYMBOLS 115 ... Doctor information storage part, 116 ... Doctor information acquisition part, 117 ... Judgment part, 20 ... Electronic medical record system, 21 ... Monitor, 22 ... Operation input part, 23 ... Control part, 231 ... Electronic medical record preparation part, 232 ... Order Processing part

Claims (6)

A basic information storage unit for storing past basic information which is basic information of patients examined in the past;
A medical information storage unit for storing past medical information obtained by the past examination;
In the past examination, a doctor creates a past order information about an order including at least one of examination contents, modality information, part information, imaging method, and imaging direction designation , the past basic information and the past medical care. An order information storage unit for storing information in association with the information;
An image / report storage unit that stores image information captured in the past according to the order stored in the order information storage unit, and report information about the image information;
A basic information acquisition unit that refers to basic information of a target patient to be examined, and acquires past basic information from the basic information storage unit;
Medical information about the target patient, or referring to the acquired past basic information, a medical information acquisition unit that acquires past medical information from the medical information storage unit,
An acquisition determining unit that selects past basic information and past medical information similar to the basic information and the medical information from the acquired past basic information and the acquired past medical information;
An order information acquisition unit that acquires past order information about an order created by a doctor when the selected past medical care information is obtained from the order information storage unit;
An image / report acquisition unit that acquires image information corresponding to the acquired past order information and report information about the image information from the image / report storage unit;
A medical information management apparatus comprising: a transmission unit configured to transmit the acquired past order information , the acquired image information, and the report information to a doctor who is an operator.   The medical information management apparatus according to claim 1, further comprising a trend calculation unit that extracts, from the past order information, order information about orders frequently created in a preset recent predetermined period. A device information storage unit for storing device information about devices existing in the facility;
A device information acquisition unit that acquires the device information from the device information storage unit;
The medical information management apparatus according to claim 2 , wherein the trend calculation unit refers to the acquired apparatus information, and outputs an order that can be handled in the facility among the extracted orders to the transmission unit as the past order information. . A doctor information storage unit for storing doctor information about the doctor;
A doctor information acquisition unit for reading the doctor information from the doctor information storage unit;
The medical information management apparatus according to claim 1, further comprising a determination unit that refers to the doctor information and determines whether to output the acquired past order information. A device information storage unit for storing device information about devices existing in the facility;
A device information acquisition unit that acquires the device information from the device information storage unit;
The medical information management apparatus according to claim 4 , wherein the determination unit determines whether to output the acquired past order information by referring to the acquired apparatus information and the doctor information. Basic information storage means for storing past basic information that is basic information of patients examined in the past;
Medical information storage means for storing past medical information obtained by the past examination;
In the past examination, the doctor created the examination contents, the modality information, the part information, the imaging method, and the past order information about the order including the designation of the imaging direction, in association with the past basic information, Or, order information storage means for storing in association with the past basic information and the past medical information ,
Image / report storage means for storing image information captured in the past according to the order stored in the order information storage means, and report information on the image information;
Basic information acquisition means for referring to basic information of a subject patient to be examined and acquiring past basic information from the basic information storage means;
Medical information about the target patient, or medical information acquisition means for acquiring past medical information from the medical information storage means with reference to the acquired past basic information,
An acquisition determining means for selecting past basic information and past medical information similar to the basic information and the medical information from the acquired past basic information and the acquired past medical information;
Order information acquisition means for acquiring past order information about an order created by a doctor when the selected past medical care information is obtained from the order information storage means;
Image / report acquisition means for acquiring image information corresponding to the acquired past order information and report information about the image information from the image / report storage unit;
A medical information management system comprising: transmission means for transmitting the acquired past order information and the acquired image information and the report information to a doctor who is an operator.