JP7052473B2 - Medical information management server and medical information management system - Google Patents

Description

The present invention relates to a medical information management server and a medical information management system.

In recent years, with the diversification of medical technology, medical information is being shared among a plurality of medical facilities such as hospitals belonging to the same group. The patient ID for identifying the patient is usually managed separately for each medical facility, and when referring to the medical information related to each patient, the facility ID for identifying the medical facility and the facility ID are used in the facility. It is necessary to specify the patient ID.

As a method of integrating information managed by different identification systems by multiple medical facilities, a common patient ID is set for a pair of facility ID and in-facility patient ID, and information related to the same patient is used with this common patient ID. A technique for management has been proposed (see Patent Document 1).

Further, in some group hospitals, a common numbering rule is set in advance within the group, and a common patient ID is used among medical facilities.

Japanese Unexamined Patent Publication No. 2016-157189

However, as the grouping of hospitals expands, it is possible that existing independent hospitals will join the group later. In this case, it is difficult to always manage the information with the common patient ID in the group because it takes a lot of labor to reassign the common patient ID to the patients in the medical facility who joined the group later.
For this reason, medical facilities that have newly joined the group have adopted a method of assigning a patient ID common to the group only to new patients and sharing information. On the other hand, for existing patients, the already assigned in-facility patient ID may overlap with the common patient ID, so the patient's medical history, past examination images, etc. are mutually referred to between the facilities in the group. There was a problem that it could not be done.

The present invention has been made in view of the above-mentioned problems in the prior art, and for medical information relating to a plurality of patients generated in a plurality of medical facilities, each patient is provided with a common patient ID among the medical facilities. The challenge is to make it manageable regardless of whether or not it is covered.

In order to solve the above problem, in the invention according to claim 1, the medical information generated in each of a plurality of medical facilities is the facility information indicating the medical facility from which the medical information was generated and the medical information in the medical facility. The facility information is included in at least a part of the first storage means stored in association with the combination of the in-facility patient ID indicating the patient related to the medical information and the combination of the facility information and the in-facility patient ID. And the second storage means in which common information indicating that the patients specified by the combination of the in-facility patient ID and the in-facility patient ID are the same patient is stored in association with each other, and data communication is possible via a communication network. When the common information is associated with the selected combination in the reception means that accepts the selection of the combination of the facility information and the in-facility patient ID from the reference terminal and the second storage means. , All combinations that are the same patient as the patient specified by the selected combination are extracted from the second storage means based on the common information, and medical information associated with all the extracted combinations. Is acquired from the first storage means, the acquired medical information is provided to the reference terminal, and the common information is not associated with the selected combination in the second storage means. A control means for acquiring only the medical information associated with the selected combination from the first storage means and providing the acquired medical information to the reference terminal, and in at least two or more medical facilities. This is a medical information management server to which the common information is not associated with the generated medical information of the same patient .
In the invention according to claim 2, the medical information generated in each of the plurality of medical facilities indicates the facility information indicating the medical facility from which the medical information was generated and the facility indicating the patient related to the medical information in the medical facility. The facility information and the in-facility patient ID are included in at least a part of the combination of the first storage means stored in association with the combination with the in-facility patient ID and the facility information and the in-facility patient ID. The facility is from a second storage means in which common information indicating that the patients specified by the combination are the same patient is stored in association with each other, and a reference terminal connected to enable data communication via a communication network. When the common information is associated with the selected combination in the reception means that accepts the selection of the combination of the information and the in-facility patient ID and the second storage means, based on the common information. All combinations that are the same patient as the patient specified by the selected combination are extracted from the second storage means, and medical information associated with all the extracted combinations is acquired from the first storage means. Then, the acquired medical information is provided to the reference terminal, and when the common information is not associated with the selected combination in the second storage means, the acquired medical information is associated with the selected combination. A control means for acquiring only the medical information obtained from the first storage means and providing the acquired medical information to the reference terminal is provided, and the common information is a combination to which the common information is associated. It is dual-purpose information indicating that the included in-facility patient ID also serves as a common patient ID common among the plurality of medical facilities, and the control means is used in the second storage means in the selected combination. When the combined information is associated, the combination includes the same in-facility patient ID as the in-facility patient ID included in the selected combination, and the combined information is associated with the combination. It is a medical information management server that extracts all combinations from the second storage means.
In the invention according to claim 3, the medical information generated in each of the plurality of medical facilities indicates the facility information indicating the medical facility from which the medical information was generated and the facility indicating the patient related to the medical information in the medical facility. The facility information and the in-facility patient ID are included in at least a part of the combination of the first storage means stored in association with the combination with the in-facility patient ID and the facility information and the in-facility patient ID. The facility is from a second storage means in which common information indicating that the patients specified by the combination are the same patient is stored in association with each other, and a reference terminal connected to enable data communication via a communication network. When the common information is associated with the selected combination in the reception means that accepts the selection of the combination of the information and the in-facility patient ID and the second storage means, based on the common information. All combinations that are the same patient as the patient specified by the selected combination are extracted from the second storage means, and medical information associated with all the extracted combinations is acquired from the first storage means. Then, the acquired medical information is provided to the reference terminal, and when the common information is not associated with the selected combination in the second storage means, the acquired medical information is associated with the selected combination. Each of the plurality of medical facilities is connected to a control means that acquires only the medical information obtained from the first storage means and provides the acquired medical information to the reference terminal so as to be capable of data communication via a communication network. The receiving means for receiving medical information from the in-facility terminal used in the above, the identification means for identifying the medical facility corresponding to the in-facility terminal that transmitted the received medical information, and the received medical information are attached. The in-facility patient ID acquisition means for acquiring the in-facility patient ID and the received medical information are associated with the combination of the facility information indicating the identified medical facility and the acquired in-facility patient ID. When there is a first storage control means to be stored in the first storage means and the common information corresponding to the received medical information, the common information is acquired as facility information indicating the identified medical facility and the acquisition. A second storage control means for storing in the second storage means in association with the combination with the in-facility patient ID is provided, and the first storage control means includes facility information indicating the identified medical facility. The combination with the acquired in-facility patient ID is already the first 1 It is determined whether or not the combination is registered in the storage means, and when the combination is already registered in the first storage means, the received medical information is associated with the combination and the first storage means. It is a medical information management server to be stored in.

The invention according to claim 4 is the medical information management server according to claim 1 or 3 , wherein the common information is a common patient ID common among the plurality of medical facilities, and the second storage means , The same common patient ID is associated with the combination of the facility information of the same patient and the in-facility patient ID, and the control means is the selected combination in the second storage means. When the common patient ID is associated, all combinations to which the same common patient ID is associated with the common patient ID are extracted from the second storage means.

The invention according to claim 5 is the medical information management server according to claim 1 or 3 , wherein the common information includes the plurality of in-facility patient IDs included in a combination to which the common information is associated. It is the combined information indicating that the common patient ID is also shared between medical facilities, and the control means is the case where the combined information is associated with the selected combination in the second storage means. , All combinations that include the same in-facility patient ID as the in-facility patient ID included in the selected combination and are associated with the combined information are extracted from the second storage means. do.

The invention according to claim 6 is connected to the medical information management server according to claim 1 or 2 so as to be capable of data communication via a communication network, and is used from an in-facility terminal used in each of the plurality of medical facilities. Acquires a receiving means for receiving medical information, an identification means for identifying a medical facility corresponding to the in-facility terminal that transmitted the received medical information, and an in-facility patient ID attached to the received medical information. The in-facility patient ID acquisition means and the received medical information are stored in the first storage means in association with the combination of the facility information indicating the identified medical facility and the acquired in-facility patient ID. When there is the common information corresponding to the received medical information with the first memory control means, the common information is the facility information indicating the identified medical facility and the acquired in-facility patient ID. A second storage control means for storing in the second storage means in association with the combination is provided.

The invention according to claim 7 is the medical information management server according to claim 3 or 6 , wherein the identification means uses the facility ID of the medical facility where the in-facility terminal is used and the in-facility terminal. The medical facility corresponding to the in-facility terminal is identified based on at least one of the facility name of the medical facility, the AE title of the in-facility terminal, and the IP address of the in-facility terminal.

The invention according to claim 8 is the medical information management server according to claim 6 , wherein the first memory control means comprises facility information indicating the identified medical facility and the acquired in-facility patient ID. It is determined whether or not the combination is already registered in the first storage means, and if the combination is already registered in the first storage means, the received medical information is associated with the combination. It is stored in the first storage means.

The invention according to claim 9 is a medical information management system in which a medical information management server and a reference terminal are connected so as to be capable of data communication via a communication network, and the medical information management server is a plurality of medical facilities. The medical information generated in each is stored in association with the combination of the facility information indicating the medical facility from which the medical information was generated and the in-facility patient ID indicating the patient related to the medical information in the medical facility. In at least a part of the combination of the facility information and the in-facility patient ID with the first storage means, the patients specified by the combination of the facility information and the in-facility patient ID are the same patient. In the second storage means in which the common information shown is associated and stored, the reception means that accepts the selection of the combination of the facility information and the in-facility patient ID from the reference terminal, and the second storage means. When the common information is associated with the selected combination, all combinations that are the same patient as the patient specified by the selected combination are transferred from the second storage means based on the common information. The medical information extracted and associated with all the extracted combinations is acquired from the first storage means, the acquired medical information is provided to the reference terminal, and the selection is made in the second storage means. When the common information is not associated with the combined combination, only the medical information associated with the selected combination is acquired from the first storage means, and the acquired medical information is transferred to the reference terminal. The common information is not associated with the medical information of the same patient generated in at least two or more medical facilities, which comprises the provided control means.
The invention according to claim 10 is a medical information management system in which a medical information management server and a reference terminal are connected so as to be capable of data communication via a communication network, and the medical information management server is a plurality of medical facilities. The medical information generated in each is stored in association with the combination of the facility information indicating the medical facility from which the medical information was generated and the in-facility patient ID indicating the patient related to the medical information in the medical facility. In at least a part of the combination of the facility information and the in-facility patient ID with the first storage means, the patients specified by the combination of the facility information and the in-facility patient ID are the same patient. In the second storage means in which the common information shown is associated and stored, the reception means that accepts the selection of the combination of the facility information and the in-facility patient ID from the reference terminal, and the second storage means. When the common information is associated with the selected combination, all combinations that are the same patient as the patient specified by the selected combination are transferred from the second storage means based on the common information. The medical information extracted and associated with all the extracted combinations is acquired from the first storage means, the acquired medical information is provided to the reference terminal, and the selection is made in the second storage means. When the common information is not associated with the combined combination, only the medical information associated with the selected combination is acquired from the first storage means, and the acquired medical information is transferred to the reference terminal. The common information includes a control means to be provided, and the in-facility patient ID included in the combination to which the common information is associated also serves as a common patient ID common among the plurality of medical facilities. The control means is the in-facility patient ID included in the selected combination when the combined information is associated with the selected combination in the second storage means. All combinations including the same in-facility patient ID as the above and to which the combined information is associated are extracted from the second storage means.
The invention according to claim 11 is a medical information management system in which a medical information management server and a reference terminal are connected so as to be capable of data communication via a communication network, and the medical information management server is a plurality of medical facilities. The medical information generated in each is stored in association with the combination of the facility information indicating the medical facility from which the medical information was generated and the in-facility patient ID indicating the patient related to the medical information in the medical facility. In at least a part of the combination of the facility information and the in-facility patient ID with the first storage means, the patients specified by the combination of the facility information and the in-facility patient ID are the same patient. In the second storage means in which the common information shown is associated and stored, the reception means that accepts the selection of the combination of the facility information and the in-facility patient ID from the reference terminal, and the second storage means. When the common information is associated with the selected combination, all combinations that are the same patient as the patient specified by the selected combination are transferred from the second storage means based on the common information. The medical information extracted and associated with all the extracted combinations is acquired from the first storage means, the acquired medical information is provided to the reference terminal, and the selection is made in the second storage means. When the common information is not associated with the combined combination, only the medical information associated with the selected combination is acquired from the first storage means, and the acquired medical information is transferred to the reference terminal. A receiving means that is connected to the provided control means so as to be capable of data communication via a communication network and receives medical information from an in-facility terminal used in each of the plurality of medical facilities, and a receiving means that receives the received medical information. The identification means for identifying the medical facility corresponding to the in-facility terminal, the in-facility patient ID acquisition means for acquiring the in-facility patient ID attached to the received medical information, and the received medical information are described above. The first storage control means to store the identified medical facility in the first storage means in association with the combination of the facility information indicating the identified medical facility and the acquired in-facility patient ID, and the said corresponding to the received medical information. When there is common information, the second storage control stores the common information in the second storage means in association with the combination of the facility information indicating the identified medical facility and the acquired in-facility patient ID. The first storage control hand is provided with the means. The stage determines whether or not the combination of the facility information indicating the identified medical facility and the acquired in-facility patient ID is already registered in the first storage means, and the combination is already in the first storage means. When registered in the storage means, the received medical information is stored in the first storage means in association with the combination.

According to the present invention, medical information relating to a plurality of patients generated in a plurality of medical facilities can be managed regardless of whether or not each patient is provided with a common patient ID among the medical facilities.

It is a system block diagram of the medical information management system in 1st Embodiment. It is a block diagram which shows the functional configuration of the medical information management server. It is a configuration example of each table stored in the medical information management server. It is a block diagram which shows the functional configuration of a client terminal. It is a flowchart which shows the 1st medical information registration process. This is an example of a patient information correction screen. It is a flowchart which shows the 1st medical information provision process. It is a figure for demonstrating a specific example of the usage of a common patient ID. It is a configuration example of each table stored in the medical information management server of the second embodiment. It is a flowchart which shows the 2nd medical information registration process. It is a flowchart which shows the 2nd medical information provision processing. It is a figure for demonstrating a specific example of the usage of a common flag.

[First Embodiment]
First, a first embodiment of the medical information management system according to the present invention will be described with reference to FIGS. 1 to 8. The present invention is not limited to the illustrated examples.

FIG. 1 shows the system configuration of the medical information management system 100 according to the first embodiment.
As shown in FIG. 1, the medical information management system 100 includes a medical information management server 10, a client terminal 20A used in the medical facility A, a client terminal 20B used in the medical facility B, and so on. It is composed of. The medical information management server 10 and the client terminals 20A, 20B, ... Are connected to each other via a communication network N so that data communication is possible. Each device constituting the medical information management system 100 conforms to the DICOM (Digital Image and Communications in Medicine) standard, and communication between the devices is performed according to the DICOM.
The number of medical facilities and the number of client terminals 20A, 20B, ... Installed in each medical facility are not particularly limited.

The medical information management server 10 is a device that stores and manages medical information such as medical images generated in each medical facility, and provides medical information in response to a request from an external device.

In the medical facility A, the client terminal 20A, the modality 30A, the PACS (Picture Archiving and Communication System) 40A, and the like are connected to each other so as to be capable of data communication by an in-facility network 50A such as a LAN (Local Area Network).

The client terminal 20A is a computer device used by a doctor in medical facility A. The client terminal 20A accesses the medical information management server 10 via the communication network N, registers medical information in the medical information management server 10, browses medical information stored in the medical information management server 10, and the like. Used for.

The modality 30A photographs a human body and generates digital data of the captured image (medical image). For example, CR (Computed Radiography), FPD (Flat Panel Detector), CT (Computed Tomography), MRI (Magnetic). Resonance Imaging), a reader dedicated to the cassette, a film digitizer, etc. can be applied.

The PACS 40A is a computer device including a control unit, a RAM (Random Access Memory), a communication unit, a storage unit, etc., and stores a medical image generated by the modality 30A in the medical facility A in the storage unit to store the medical image. It is an in-facility server that manages.

In the medical facility B, the client terminal 20B, the modality 30B, the PACS 40B, and the like are connected to each other so as to be capable of data communication by an in-facility network 50B such as a LAN.
The devices provided in the client terminal 20B, the modality 30B and the PACS 40B, and the medical facilities other than the medical facilities A and B provided in the medical facility B are the same as those provided in the medical facility A. Therefore, the description is omitted.
Hereinafter, when each medical facility is not particularly distinguished, the client terminals 20A, 20B, ..., PACS40A, 40B, ..., The in-facility network 50A, 50B, ..., The client terminals 20, PACS40, ... Described as in-facility network 50.

FIG. 2 shows the functional configuration of the medical information management server 10.
As shown in FIG. 2, the medical information management server 10 includes a control unit 11, a RAM 12, a communication unit 13, a storage unit 14, and the like, and each unit is connected by a bus 15.

The control unit 11 is configured by a CPU (Central Processing Unit) or the like, and comprehensively controls the processing operation of each unit of the medical information management server 10. The control unit 11 reads various programs stored in the storage unit 14 and develops them in the RAM 12, and executes various processes in cooperation with the programs.

The RAM 12 forms a work area for temporarily storing various programs, input or output data, parameters, etc. read from the storage unit 14 in various processes executed and controlled by the control unit 11.

The communication unit 13 is a communication circuit configured by a network interface or the like and transmitting / receiving data to / from an external device such as a client terminal 20 connected via the communication network N.

The storage unit 14 is a storage device composed of a hard disk, a non-volatile semiconductor memory, or the like. The storage unit 14 stores various programs executed by the control unit 11, as well as parameters and data necessary for executing the various programs. Further, in the storage unit 14, a facility information table T1, a patient information table T2, an examination information table T3, a series information table T4, an image information table T5, a source terminal information table T6, a medical image generated in each medical facility, etc. Medical information is stored.

FIG. 3 shows a configuration example of each table.
The facility information table T1 is a table for managing information about medical facilities. In the facility information table T1, a facility LID, a facility ID, a facility name, a facility address, a facility telephone number, and the like are stored in association with each medical facility.
The facility LID is an internal control number assigned to each record (medical facility) in the facility information table T1. Each LID (facility LID, patient LID, examination LID, series LID, image LID, source terminal LID) is an internal control number for associating a record of each table.
The facility ID is identification information indicating a medical facility.
The facility name, facility address, and facility telephone number are the name, address, and telephone number of the medical facility, respectively.

The patient information table T2 is a table for managing information about the patient. In the patient information table T2, a patient LID, a facility LID, an in-facility patient ID, a common patient ID, a patient name, a gender, a date of birth, an address, and the like are stored in association with each other.
The patient LID is an internal control number assigned to each record (patient) in the patient information table T2.
The facility LID is information corresponding to the medical facility in which the medical information of the patient is generated.
The in-facility patient ID is patient identification information in the medical facility where the patient's medical information is generated. That is, the patient LID (patient) is specified by the combination of the facility LID and the in-facility patient ID. Since the facility LID and the facility ID are associated one-to-one in the facility information table T1, the patient LID (patient) is specified by the combination of the facility ID and the in-facility patient ID. ..
The common patient ID is patient identification information common among a plurality of medical facilities, and is defined so as not to be duplicated in the medical information management system 100. If the patient has a common patient ID, the "common patient ID" field has a value (common patient ID), and if the patient does not have a common patient ID, the "common patient ID". The field remains "NULL".
The patient name, gender, date of birth, and address are the patient's name, gender, date of birth, and address, respectively.
The "In-facility patient ID" field, "Patient name" field, "Gender" field, "Date of birth" field, and "Address" field of the patient information table T2 are included in the patient information attached to the medical information. Information is stored respectively.

The inspection information table T3 is a table for managing information related to inspection. In the examination information table T3, an examination LID, a patient LID, an examination instance ID, an examination ID, a reception number, an examination date and time, an examination comment, a requesting doctor, an image interpretation doctor, etc. are stored in association with each other.
The inspection LID is an internal control number assigned to each record (inspection) in the inspection information table T3.
The patient LID is information corresponding to the patient to be examined.
In the "examination instance ID" field, "examination ID" field, "reception number" field, "examination date and time" field, "examination comment" field, "requesting doctor" field, and "interpretation doctor" field of the examination information table T3, Information included in the examination information attached to the medical information is stored.

The series information table T4 is a table for managing information about the series. In the series information table T4, a series LID, an inspection LID, a series instance ID, a series number, a modality, a series date and time, left and right, a part, a series comment, etc. are stored in association with each other for each series.
The series LID is an internal control number assigned to each record (series) in the series information table T4.
The inspection LID is information corresponding to the inspection to which the series belongs.
The "series instance ID" field, "series number" field, "modality" field, "series date and time" field, "left and right" field, "part" field, and "series comment" field of the series information table T4 are for medical information. The information included in the attached series information is stored respectively.

The image information table T5 is a table for managing information related to medical images. In the image information table T5, an image LID, a series LID, a SOP instance ID, an image number, a patient direction, a collection date and time, an image type, an image comment, and the like are stored in association with each medical image.
The image LID is an internal control number assigned to each record (medical image) in the image information table T5.
The series LID is information corresponding to the series to which the medical image belongs.
The SOP instance ID is identification information given to each medical image. The medical image can be identified by the SOP instance ID.
The "SOP instance ID" field, "image number" field, "patient direction" field, "collection date and time" field, "image type" field, and "image comment" field of the image information table T5 are attached to medical information. The information included in the existing image information is stored.

The source terminal information table T6 is a table for managing information about a client terminal 20 capable of transmitting medical information (medical image or the like) to the medical information management server 10. In the source terminal information table T6, a source terminal LID, a facility LID, an AE title, an IP address, a port number, and the like are stored in association with each client terminal 20.
The source terminal LID is an internal control number assigned to each record (client terminal 20) in the source terminal information table T6.
The facility LID is information corresponding to the medical facility in which the client terminal 20 is used.
The AE title, IP address, and port number are information corresponding to the client terminal 20.

In the patient information table T2, the examination information table T3, which is associated with the patient (patient LID) specified by the combination of the facility LID (corresponding to the facility ID in the facility information table T1) and the in-facility patient ID, Medical information is managed by the series information table T4 and the image information table T5. That is, in the storage unit 14, the medical information generated in each of the plurality of medical facilities is the facility ID (facility information) indicating the medical facility in which the medical information was generated, and the patient related to the medical information in the medical facility. It is stored in association with the combination with the in-facility patient ID indicating (first storage means).

Further, in the patient information table T2, the combination of the facility LID (corresponding to the facility ID in the facility information table T1) and the in-facility patient ID is associated with the case where the common patient ID is associated. There are cases where it is not done (Null). That is, in the storage unit 14, at least a part of the combination of the facility ID (facility information) and the in-facility patient ID is that the patients specified by the combination of the facility ID and the in-facility patient ID are the same patient. The common patient ID (common information) indicating the above is stored in association with each other (second storage means). Specifically, the storage unit 14 is associated with the same common patient ID for the combination of the facility ID of the same patient and the patient ID in the facility.

When the communication unit 13 receives the medical information generated in the medical facility from the client terminal 20 of each medical facility, the control unit 11 stores the medical information in the storage unit 14 and relates to the medical information. Patient information, examination information, series information, and image information are stored in each table.

The control unit 11 receives medical information from the client terminal 20 as an in-facility terminal used in each of the plurality of medical facilities via the communication unit 13.

The control unit 11 identifies the medical facility corresponding to the client terminal 20 that has transmitted the received medical information. That is, the control unit 11 functions as an identification means. For example, the control unit 11 has at least one of the facility ID of the medical facility where the client terminal 20 is used, the facility name of the medical facility where the client terminal 20 is used, the AE title of the client terminal 20, and the IP address of the client terminal 20. Identify the medical facility corresponding to the client terminal 20 based on.
The control unit 11 acquires the in-facility patient ID attached to the received medical information. That is, the control unit 11 functions as an in-facility patient ID acquisition means.

The control unit 11 associates the received medical information with the combination of the facility ID (facility information) indicating the identified medical facility and the acquired in-facility patient ID in the storage unit 14 (first storage means). Remember. That is, the control unit 11 functions as a first storage control means.
The control unit 11 determines whether or not the combination of the facility ID indicating the identified medical facility and the acquired in-facility patient ID is already registered in the storage unit 14, and the combination is already registered in the storage unit 14. If so, the received medical information is stored in the storage unit 14 in association with the combination.

When the control unit 11 has a common patient ID (common information) corresponding to the received medical information, the control unit 11 uses the common patient ID as a facility ID indicating the identified medical facility and an acquired in-facility patient ID. It is stored in the storage unit 14 (second storage means) in association with the combination. That is, the control unit 11 functions as a second storage control means.

When the control unit 11 receives the medical information reference request including the designation of the patient from the client terminal 20, the control unit 11 acquires the medical information corresponding to the patient, and the control unit 11 obtains the acquired medical information via the communication unit 13 as a client. Send to terminal 20.

The control unit 11 accepts selection of a combination of the facility ID and the in-facility patient ID from the client terminal 20 as a reference terminal connected so as to be able to perform data communication via the communication network N. That is, the control unit 11 functions as a receiving means.

When the common patient ID is associated with the combination of the selected facility ID (corresponding to the facility LID) and the in-facility patient ID in the storage unit 14 (patient information table T2), the control unit 11 said. Based on the common patient ID, all combinations that are the same patient as the patient specified by the selected combination are extracted from the patient information table T2, and the medical information associated with all the extracted combinations is stored in the storage unit. It is acquired from 14 and the acquired medical information is provided to the client terminal 20. Specifically, when the common patient ID is associated with the selected combination in the storage unit 14 (patient information table T2), the control unit 11 corresponds to the same common patient ID as the common patient ID. All the attached combinations are extracted from the patient information table T2.

When the common patient ID is not associated with the combination of the selected facility ID and the in-facility patient ID in the storage unit 14 (patient information table T2), the control unit 11 is associated with the selected combination. Only the medical information obtained is acquired from the storage unit 14, and the acquired medical information is provided to the client terminal 20.

FIG. 4 shows the functional configuration of the client terminal 20.
As shown in FIG. 4, the client terminal 20 includes a control unit 21, a RAM 22, a communication unit 23, an operation unit 24, a display unit 25, a storage unit 26, and the like, and each unit is connected by a bus 27 or the like. ..

The control unit 21 is composed of a CPU and the like, and comprehensively controls the processing operation of each unit of the client terminal 20. The control unit 21 reads out various programs stored in the storage unit 26, develops them in the RAM 22, and executes various processes in cooperation with the programs.

The RAM 22 forms a work area for temporarily storing various programs, input or output data, parameters, etc. read from the storage unit 26 in various processes executed and controlled by the control unit 21.

The communication unit 23 is a communication circuit configured by a network interface or the like and transmitting / receiving data to / from an external device connected via the communication network N or the in-facility network 50.

The operation unit 24 is an operation device including a keyboard having a cursor key, a character input key, various function keys, and a pointing device such as a mouse, and an operation signal input by a key operation or a mouse operation on the keyboard. Is output to the control unit 21. For example, the operation unit 24 is used when selecting a facility ID and an in-facility patient ID in order to specify a patient to display medical information.

The display unit 25 is a display device provided with a monitor such as an LCD (Liquid Crystal Display), and displays various screens according to instructions of display signals input from the control unit 21.

The storage unit 26 is a storage device composed of a hard disk, a non-volatile semiconductor memory, or the like. The storage unit 26 stores various programs executed by the control unit 21, as well as parameters and data necessary for executing the various programs.

When registering medical information in the medical information management server 10, the control unit 21 acquires the medical information selected in the operation unit 24 from the PACS 40 or the like, and transfers the medical information to the medical information management server 10 via the communication unit 23. Send.

When referring to the medical information managed by the medical information management server 10, the control unit 21 inputs information indicating a combination of the facility ID selected by the operation unit 24 and the in-facility patient ID via the communication unit 23. , Send to the medical information management server 10. It is also possible to specify the patient by the common patient ID instead of the combination of the facility ID and the in-facility patient ID.

Next, the operation in the first embodiment will be described.
FIG. 5 is a flowchart showing a first medical information registration process performed on the medical information management server 10. The first medical information registration process is realized by the cooperation between the control unit 11 and the program stored in the storage unit 14.

First, the control unit 11 receives medical information from the client terminal 20 of a certain medical facility via the communication unit 13 (step S1).

Next, the control unit 11 acquires the facility ID of the medical facility specified from the medical information transmission source terminal (client terminal 20) (step S2). Specifically, the control unit 11 refers to the source terminal information table T6 of the storage unit 14, and is associated with the AE title, IP address, or port number in DICOM communication when medical information is received. Get LID. Then, the control unit 11 refers to the facility information table T1 of the storage unit 14 and acquires the facility ID associated with the acquired facility LID.

It should be noted that the facility ID of the medical facility from which the medical information is transmitted is acquired by receiving the medical information from the client terminal 20 in a state where the facility ID is included in the private information attached to the medical information. May be. Further, by receiving the medical information from the client terminal 20 with the facility name included in the private information attached to the medical information, the facility name of the medical facility from which the medical information is transmitted is acquired. The facility ID associated with the acquired facility name may be acquired by referring to the facility information table T1.

Next, the control unit 11 acquires the in-facility patient ID from the patient information attached to the medical information (step S3).

Next, the control unit 11 determines whether or not the combination of the facility ID acquired in step S2 and the in-facility patient ID acquired in step S3 is registered (step S4). Specifically, the control unit 11 determines whether or not a record including the facility LID corresponding to the facility ID and the in-facility patient ID is registered in the patient information table T2 of the storage unit 14.

If the combination of the facility ID and the in-facility patient ID has not been registered (step S4; NO), the control unit 11 registers the patient information in association with the facility ID (step S5). Specifically, the control unit 11 assigns a new patient LID and creates a new record in the patient information table T2, and the facility LID corresponding to the facility ID and the patient information (facility) attached to the medical information. Register the patient ID, patient name, gender, date of birth, address, etc.).

If the combination of the facility ID and the in-facility patient ID is registered in step S4 (step S4; YES), or after step S5, the control unit 11 receives the common patient ID together with the medical information. (Step S6). For example, the control unit 11 determines whether or not the common patient ID is included in the patient information or private information attached to the medical information.

For a patient for which a common patient ID is defined, a correspondence table in which the combination of the facility ID and the in-facility patient ID and the common patient ID are associated with each other is prepared in advance, and the control unit 11 controls this. The existence of the common patient ID may be confirmed by referring to the correspondence table and acquiring the common patient ID associated with the combination of the facility ID and the in-facility patient ID.

When the common patient ID is received together with the medical information (step S6; YES), the control unit 11 adds the common patient ID and updates the patient information table T2 (step S7). Specifically, the control unit 11 stores the common patient ID in the "common patient ID" field of the record including the facility LID corresponding to the facility ID of the patient information table T2 and the in-facility patient ID.

In step S6, when the common patient ID is not received together with the medical information (step S6; NO), or after step S7, the control unit 11 corresponds the medical information with the combination of the facility ID and the in-facility patient ID. Attach and register (step S8). Specifically, the control unit 11 stores the medical information in the storage unit 14, and also stores the examination information, the series information, and the image information attached to the medical information (medical image) in the examination information table T3 and the series information table. Register in T4 and the image information table T5. The association between the tables is performed by each LID.
This completes the first medical information registration process.

It should be noted that the common patient ID can be added to the patient for which the common patient ID is not registered, not only when the medical information is received.
For example, the control unit 11 of the medical information management server 10 accepts the selection of a patient to register a common patient ID from the client terminal 20. Specifically, the control unit 11 identifies the patient by accepting the selection of the facility name and the in-facility patient ID from the operation unit 24 of the client terminal 20.

The control unit 11 acquires the facility LID corresponding to the facility name selected in the client terminal 20 from the facility information table T1 of the storage unit 14, and combines this facility LID with the in-facility patient ID selected in the client terminal 20. The record (patient information) including the above is acquired from the patient information table T2 of the storage unit 14. Then, the control unit 11 generates display data for displaying the patient information correction screen on the display unit 25 of the client terminal 20 based on the acquired record and the selected facility name.
The control unit 11 transmits the generated display data of the patient information correction screen to the client terminal 20 via the communication unit 13.

FIG. 6 shows an example of the patient information correction screen 251 displayed on the display unit 25 of the client terminal 20. The patient information correction screen 251 includes a pre-change information display area 61, a post-change information display area 62, a change button B1, and a cancel button B2.

In the pre-change information display area 61, the contents of each item (facility name, in-facility patient ID, common patient ID, patient name, gender, date of birth) registered in the medical information management server 10 are displayed. If the common patient ID is not registered, the common patient ID is blank in the pre-change information display area 61.
In the post-change information display area 62, the same contents as the pre-change information display area 61 are initially displayed. The user can correct the content of each item by inputting the content to be corrected in the corresponding area of the changed information display area 62 by the operation from the operation unit 24 and pressing the change button B1. For example, when the user inputs "0300123456" in the common patient ID input field 63 of the changed information display area 62 by the operation from the operation unit 24 and presses the change button B1, the control unit 21 of the client terminal 20 changes. The input common patient ID is transmitted to the medical information management server 10 via the communication unit 23.

In the medical information management server 10, the control unit 11 uses the common patient ID received from the client terminal 20 via the communication unit 13 as the target record of the patient information table T2 (the facility LID corresponding to the facility name and the in-facility patient ID). Add to the included record) and register by overwriting.

FIG. 7 is a flowchart showing a first medical information provision process performed on the medical information management server 10. The first medical information provision process is realized by the cooperation between the control unit 11 and the program stored in the storage unit 14.

First, the control unit 11 accepts the patient's selection from the client terminal 20 of a certain medical facility via the communication unit 13 (step S11). In the first embodiment, the patient is specified by the combination of the facility ID and the in-facility patient ID or the common patient ID.

Next, the control unit 11 determines whether the selection of the patient received from the client terminal 20 is based on the combination of the facility ID and the in-facility patient ID or the common patient ID (step S12). ..

When the selection of the patient is based on the combination of the facility ID and the in-facility patient ID (step S12; facility ID / in-facility patient ID), the control unit 11 controls the facility ID of the patient information table T2 of the storage unit 14. It is determined whether or not there is a value (common patient ID) in the "common patient ID" field of the record including the facility LID and the in-facility patient ID corresponding to (step S13). That is, the control unit 11 determines whether or not the common patient ID is associated with the combination of the facility ID and the in-facility patient ID.

If there is a value in the "common patient ID" field (step S13; YES), or if the patient selection is based on the common patient ID in step S12 (step S12; common patient ID), the control unit 11 Extracts all patients (combination of facility ID and in-facility patient ID) associated with the same common patient ID from the patient information table T2 (step S14). Specifically, the control unit 11 has a common patient ID stored in the "common patient ID" field of the record including the facility LID corresponding to the facility ID and the in-facility patient ID from the patient information table T2, or All patient LIDs associated with the common patient ID specified by patient selection are extracted.

Next, the control unit 11 acquires medical information associated with all the extracted patients (step S15). Specifically, the control unit 11 acquires the test LID associated with all the extracted patient LIDs from the test information table T3, and acquires the series LID associated with the test LID from the series information table T4. , The SOP instance ID associated with this series LID is acquired from the image information table T5, and the medical information (medical image) specified by each SOP instance ID is acquired from the storage unit 14.

In step S13, if there is no value in the "common patient ID" field (step S13; NO), that is, if the "common patient ID" field is "Null", the combination of the facility ID and the in-facility patient ID Acquire medical information associated with the identified patient (step S16). Specifically, the control unit 11 extracts the patient LID associated with the combination of the facility LID corresponding to the facility ID and the in-facility patient ID from the patient information table T2, and associates it with the extracted patient LID. The inspected LID is acquired from the inspection information table T3, the series LID associated with this inspection LID is acquired from the series information table T4, and the SOP instance ID associated with this series LID is acquired from the image information table T5. , The medical information (medical image) specified by each SOP instance ID is acquired from the storage unit 14.

After step S15 or step S16, the control unit 11 provides the acquired medical information to the client terminal 20 via the communication unit 13 (step S17). Here, the control unit 11 first provides a list of medical information to be displayed on the display unit 25 of the client terminal 20, and then displays the medical information selected from the client terminal 20 on the display unit 25 of the client terminal 20. It may be provided so that it can be provided.
This completes the first medical information provision process.

Next, a specific example of how to use the common patient ID will be described with reference to FIG.
FIG. 8 extracts a set of “patient LID”, “facility LID”, “in-facility patient ID”, and “common patient ID” from the patient information table T2, and displays the “facility LID” in the facility information table T1. It is a table replaced with "facility ID" associated with "facility LID".
Patients with "patient LID" of "1", "2", and "4" are the same patient because the "common patient ID" is "20001". When any of the patients whose "patient LID" is "1", "2", or "4" is selected, all the patients whose "patient LID" is "1", "2", or "4" are selected. The associated medical information will be provided to the client terminal 20.

On the other hand, the patients whose "patient LID" is "3" and "5" have the "common patient ID" of "Null" and do not have a common patient ID, so that they are different from other "patient LID" patients. Treated as another patient. When a patient whose "patient LID" is "3" is selected, medical information associated with the patient whose "patient LID" is "3" is provided to the client terminal 20. Similarly, when a patient whose "patient LID" is "5" is selected, medical information associated with the patient whose "patient LID" is "5" is provided to the client terminal 20.

As described above, according to the first embodiment, when the common patient ID is associated with the combination of the facility ID selected as the reference target and the in-facility patient ID, the common patient ID is used. Based on this, all combinations that are the same patient as the patient specified by the selected combination are extracted, and medical information associated with all the extracted combinations is provided to the client terminal 20.
On the other hand, when the common patient ID is not associated with the combination of the facility ID selected as the reference target and the in-facility patient ID, only the medical information associated with the selected combination is provided to the client terminal 20. ..
Therefore, regardless of whether or not each patient has a common patient ID (common patient ID) among medical facilities, it is possible to manage medical information related to a plurality of patients generated in a plurality of medical facilities. .. Therefore, even if a patient having a common patient ID and a patient having no common patient ID coexist, medical information can be shared among a plurality of medical facilities, and a new medical facility can be used. Can easily handle the case where a patient joins the group of the medical information management system 100.

Specifically, when the common patient ID is associated with the combination of the facility ID selected as the reference target and the in-facility patient ID, the same common patient ID as the common patient ID is associated. Since all combinations are extracted from the patient information table T2, medical information of the same patient can be obtained from medical information generated in a plurality of medical facilities.

Further, when the medical information management server 10 receives the medical information, if there is a common patient ID corresponding to the medical information, the common patient ID is used, the facility ID indicating the medical facility to which the medical information is transmitted, and the medical information. It can be associated with the combination with the in-facility patient ID of the patient according to the above.

If the combination of the facility ID indicating the medical facility to which the medical information was transmitted and the in-facility patient ID of the patient related to the medical information is already registered when the medical information is received, it is already registered. Medical information can be stored in association with the combination (patient).

[Second Embodiment]
Next, a second embodiment to which the present invention is applied will be described.
Since the medical information management system in the second embodiment has the same configuration as the medical information management system 100 shown in the first embodiment, FIGS. 1, 2 and 4 are used with reference to the configuration. Is omitted from the illustration and description. Hereinafter, the configuration and processing characteristic of the second embodiment will be described.

In the second embodiment, the patient information table T12 is stored in the storage unit 14 of the medical information management server 10 in place of the patient information table T2 shown in the first embodiment.
FIG. 9 shows an example of the facility information table T1, the patient information table T12, the examination information table T3, the series information table T4, the image information table T5, and the source terminal information table T6 in the second embodiment.

The patient information table T12 is a table for managing information about the patient. In the patient information table T12, a patient LID, a facility LID, a patient ID, a common flag, a patient name, a gender, a date of birth, an address, etc. are stored in association with each other for each patient.
The patient ID is patient identification information (in-facility patient ID) in the medical facility where the patient's medical information is generated. In the second embodiment, the patient ID may also serve as patient identification information (common patient ID) common to a plurality of medical facilities.
The common flag is information indicating whether or not the patient ID also serves as the common patient ID. When the patient ID also serves as the common patient ID, the common flag is "TRUE", and when the patient ID does not also serve as the common patient ID, the common flag is "FALSE". That is, in the common flag "TRUE", the patient ID included in the combination (combination of facility LID (facility ID) and patient ID) to which the common flag "TRUE" is associated is common among a plurality of medical facilities. It is dual-purpose information indicating that it also serves as a common patient ID. The initial value of the common flag is "FALSE".

In the patient information table T12, the examination information table T3, series information is associated with the patient (patient LID) specified by the combination of the facility LID (corresponding to the facility ID in the facility information table T1) and the patient ID. Medical information is managed by the table T4 and the image information table T5. That is, in the storage unit 14, the medical information generated in each of the plurality of medical facilities is a facility ID indicating the medical facility in which the medical information is generated and a patient ID indicating a patient related to the medical information in the medical facility. It is stored in association with the combination with (first storage means).

Further, in the patient information table T12, when common information is associated with the combination of the facility LID (associated with the facility ID in the facility information table T1) and the patient ID (common flag "TRUE"). And when it is not associated (common flag "FALSE"). That is, in the storage unit 14, common information (common flag "common flag" indicating that the patients specified by the combination of the facility ID and the patient ID are the same patient in at least a part of the combination of the facility ID and the patient ID. "TRUE") is associated and stored (second storage means).

The control unit 11 receives medical information from the client terminal 20 as an in-facility terminal used in each of the plurality of medical facilities via the communication unit 13.

The control unit 11 identifies the medical facility corresponding to the client terminal 20 that has transmitted the received medical information.
The control unit 11 acquires the patient ID attached to the received medical information.

The control unit 11 stores the received medical information in the storage unit 14 (first storage means) in association with the combination of the facility ID indicating the identified medical facility and the acquired patient ID.
The control unit 11 determines whether or not the combination of the facility ID indicating the identified medical facility and the acquired patient ID is already registered in the storage unit 14, and the combination is already registered in the storage unit 14. If so, the received medical information is stored in the storage unit 14 in association with the combination.

When the control unit 11 has the combined information (information indicating that the patient ID also serves as the common patient ID) corresponding to the received medical information, the combined information (common flag “TRUE”) is identified. It is stored in the storage unit 14 (second storage means) in association with the combination of the facility ID indicating the medical facility and the acquired patient ID.

The control unit 11 accepts selection of a combination of the facility ID and the patient ID from the client terminal 20 as a reference terminal connected so as to be able to perform data communication via the communication network N.

In the storage unit 14 (patient information table T12), the control unit 11 has a common flag “TRUE” (combined information) associated with the combination of the selected facility ID (corresponding facility LID) and the patient ID. In this case, based on the common flag "TRUE", all combinations that are the same patient as the patient specified by the selected combination are extracted from the patient information table T12 and associated with all the extracted combinations. The medical information is acquired from the storage unit 14, and the acquired medical information is provided to the client terminal 20. Specifically, the control unit 11 together with the patient ID included in the selected combination when the common flag "TRUE" is associated with the selected combination in the storage unit 14 (patient information table T12). All combinations including the same patient ID and to which the common flag "TRUE" is associated are extracted from the patient information table T12.

In the storage unit 14 (patient information table T12), the control unit 11 selects the combination when the combined information is not associated with the combination of the selected facility ID and the patient ID (common flag “FALSE”). Only the medical information associated with is acquired from the storage unit 14, and the acquired medical information is provided to the client terminal 20.

Next, the operation in the second embodiment will be described.
FIG. 10 is a flowchart showing a second medical information registration process performed on the medical information management server 10. The second medical information registration process is realized by the cooperation between the control unit 11 and the program stored in the storage unit 14.

Since the processes of steps S21 and S22 are the same as the processes of steps S1 and S2 of the first medical information registration process (see FIG. 5), the description thereof will be omitted.

Next, the control unit 11 acquires the patient ID from the patient information attached to the medical information (step S23).

Next, the control unit 11 determines whether or not the combination of the facility ID acquired in step S22 and the patient ID acquired in step S23 has been registered (step S24). Specifically, the control unit 11 determines whether or not the record including the facility LID corresponding to the facility ID and the patient ID is registered in the patient information table T12 of the storage unit 14.

If the combination of the facility ID and the patient ID has not been registered (step S24; NO), the control unit 11 registers the patient information in association with the facility ID (step S25). Specifically, the control unit 11 assigns a new patient LID and creates a new record in the patient information table T12, and the facility LID corresponding to the facility ID and the patient information attached to the medical information (patient). Register ID, patient name, gender, date of birth, address, etc.).

When the combination of the facility ID and the patient ID is registered in step S24 (step S24; YES), or after step S25, the control unit 11 determines whether or not the patient ID also serves as the common patient ID. Determine (step S26). For example, the control unit 11 refers to information indicating whether or not the patient ID also serves as a common patient ID, which is included in the private information attached to the medical information.

If a common patient ID is introduced for all patients on a medical facility basis, the medical facility that has the common patient ID is registered in advance, and the registered medical facility is used. Regarding the transmitted medical information, it may be determined that the patient ID also serves as the common patient ID.

When the patient ID also serves as the common patient ID (step S26; YES), the control unit 11 sets the “common flag” of the corresponding record in the patient information table T12 to “TRUE” (step S27). Specifically, the control unit 11 stores "TRUE" in the "common flag" field of the record including the facility LID corresponding to the facility ID of the patient information table T12 and the patient ID.

In step S26, when the patient ID does not also serve as the common patient ID (step S26; NO), or after step S27, the control unit 11 registers the medical information in association with the combination of the facility ID and the patient ID. (Step S28). Specifically, the control unit 11 stores the medical information in the storage unit 14, and also stores the examination information, the series information, and the image information attached to the medical information (medical image) in the examination information table T3 and the series information table. Register in T4 and the image information table T5. The association between the tables is performed by each LID.
This completes the second medical information registration process.

FIG. 11 is a flowchart showing a second medical information provision process performed by the medical information management server 10. The second medical information provision process is realized by the cooperation between the control unit 11 and the program stored in the storage unit 14.

First, the control unit 11 accepts the selection of the combination of the facility ID and the patient ID from the client terminal 20 of a certain medical facility via the communication unit 13 (step S31).

Next, the control unit 11 determines whether the "common flag" of the record including the facility LID corresponding to the facility ID of the patient information table T12 of the storage unit 14 and the patient ID is "TRUE" or "FALSE". Is determined (step S32).

When the "common flag" is "TRUE" (step S32; TRUE), the control unit 11 has the patient information table T12 that the "patient ID" is the same as the selected patient ID and ". All patients whose "common flag" is "TRUE" are extracted (step S33). Specifically, the control unit 11 extracts from the patient information table T12 the patient LID of the record in which the "patient ID" included in the combination accepted for selection in step S31 is included and the "common flag" is "TRUE". do.

Next, the control unit 11 acquires medical information associated with all the extracted patients (step S34). Specifically, the control unit 11 acquires the test LID associated with all the extracted patient LIDs from the test information table T3, and acquires the series LID associated with the test LID from the series information table T4. , The SOP instance ID associated with this series LID is acquired from the image information table T5, and the medical information (medical image) specified by each SOP instance ID is acquired from the storage unit 14.

In step S32, when the "common flag" is "FALSE" (step S32; FALSE), the medical information associated with the patient specified by the combination of the facility ID and the patient ID is acquired (step S35). ). Specifically, the control unit 11 extracts the patient LID associated with the combination of the facility LID corresponding to the facility ID and the patient ID from the patient information table T12, and the examination associated with the extracted patient LID. The LID is acquired from the inspection information table T3, the series LID associated with this inspection LID is acquired from the series information table T4, and the SOP instance ID associated with this series LID is acquired from the image information table T5. The medical information (medical image) specified by the SOP instance ID is acquired from the storage unit 14.

After step S34 or step S35, the control unit 11 provides the acquired medical information to the client terminal 20 via the communication unit 13 (step S36).
This completes the second medical information provision process.

Next, a specific example of how to use the common flag will be described with reference to FIG.
FIG. 12 extracts a set of “patient LID”, “facility LID”, “patient ID”, and “common flag” from the patient information table T12, and sets the “facility LID” to the “facility LID” in the facility information table T1. It is a table replaced with the "facility ID" associated with.
Patients with "patient LID" of "3" and "4" are the same patient because the "patient ID" is "1003" and the "common flag" is "TRUE". When any of the patients whose "patient LID" is "3" or "4" is selected, the medical information associated with all the patients whose "patient LID" is "3" or "4" is displayed. It will be provided to the client terminal 20.

On the other hand, a patient whose "patient LID" is "1", "2", and "5" is treated as a separate patient from other "patient LID" patients because the "common flag" is "FALSE". For example, a patient whose "patient LID" is "1" and "2" is treated as the same patient because the "patient ID" is "10001" but the "common flag" is "FALSE". not. Further, the patient whose "patient LID" is "5" has the "patient ID" of "1003" and is common to the patients whose "patient LID" is "3" and "4", but the "common flag". Is "FALSE", so the "patient ID" of the patient whose "patient LID" is "5" merely represents the in-facility patient ID.

As described above, according to the second embodiment, when the common flag "TRUE" (combined information) is associated with the combination of the facility ID selected as the reference target and the patient ID, the said case is concerned. Based on the common flag "TRUE", all combinations that are the same patient as the patient specified by the selected combination are extracted, and medical information associated with all the extracted combinations is provided to the client terminal 20. do.
On the other hand, when the common flag "TRUE" is not associated with the combination of the facility ID and the patient ID selected as the reference target, only the medical information associated with the selected combination is provided to the client terminal 20. ..
Therefore, regardless of whether or not each patient is provided with a common patient ID among medical facilities, it is possible to manage medical information relating to a plurality of patients generated in a plurality of medical facilities. Therefore, even if the patient specified by the common patient ID and the patient specified by the patient ID in the medical facility are mixed, the medical information can be shared among a plurality of medical facilities.

Specifically, when the common flag "TRUE" (combined information) is associated with the combination of the facility ID selected as the reference target and the patient ID, it is the same as the patient ID included in the selected combination. Since all combinations including the patient ID and to which the common flag "TRUE" (combined information) is associated are extracted from the patient information table T12, the medical information generated in a plurality of medical facilities can be obtained. Medical information of the same patient can be obtained from the inside.

In addition, when the medical information management server 10 receives medical information, if there is combined information corresponding to the medical information (information indicating that the patient ID also serves as a common patient ID), the combined information (common). The flag "TRUE") can be associated with a combination of a facility ID indicating a medical facility that has transmitted medical information and a patient ID of a patient related to the medical information.

If the combination of the facility ID indicating the medical facility that sent the medical information and the patient ID of the patient related to the medical information is already registered when the medical information is received, the combination already registered. Medical information can be stored in association with (patient).

The description in each of the above embodiments is an example of the medical information management system according to the present invention, and is not limited thereto. The detailed configuration and detailed operation of each device constituting the system can be appropriately changed without departing from the spirit of the present invention.

For example, in each of the above embodiments, medical images are mainly described as medical information managed by the medical information management server 10, but the same applies to other medical information such as test results and medical records.

Further, in FIG. 1, the case where the medical information management server 10 is placed outside the medical facility is illustrated, but the medical information management server 10 is placed inside the medical facility A, the medical facility B, or other medical facilities. May be.

In the above description, an example in which a hard disk or a non-volatile semiconductor memory is used as a computer-readable medium in which a program for executing each process is stored has been disclosed, but the present invention is not limited to this example. As another computer-readable medium, a portable recording medium such as a CD-ROM can be applied. Further, a carrier wave may be applied as a medium for providing program data via a communication line.

10 Medical information management server 11 Control unit 13 Communication unit 14 Storage unit 20A, 20B Client terminal 20 Client terminal 21 Control unit 23 Communication unit 24 Operation unit 25 Display unit 26 Storage unit 100 Medical information management system N Communication network T1 Facility information table T2 Patient information table T3 Examination information table T4 Series information table T5 Image information table T6 Source terminal information table T12 Patient information table

Claims (11)

The medical information generated in each of the plurality of medical facilities is associated with the combination of the facility information indicating the medical facility from which the medical information was generated and the in-facility patient ID indicating the patient related to the medical information in the medical facility. The first storage means that is stored and stored,
At least a part of the combination of the facility information and the in-facility patient ID is associated with common information indicating that the patients specified by the combination of the facility information and the in-facility patient ID are the same patient. The second storage means that is stored in
A reception means that accepts selection of a combination of the facility information and the in-facility patient ID from a reference terminal connected to enable data communication via a communication network.
In the second storage means, when the common information is associated with the selected combination, all combinations that are the same patient as the patient specified by the selected combination based on the common information. Is extracted from the second storage means, medical information associated with all the extracted combinations is acquired from the first storage means, and the acquired medical information is provided to the reference terminal.
In the second storage means, when the common information is not associated with the selected combination, only the medical information associated with the selected combination is acquired from the first storage means, and the acquisition is performed. A control means for providing the medical information provided to the reference terminal,
Equipped with
A medical information management server to which the common information is not associated with medical information of the same patient generated in at least two or more medical facilities . The medical information generated in each of the plurality of medical facilities is associated with the combination of the facility information indicating the medical facility from which the medical information was generated and the in-facility patient ID indicating the patient related to the medical information in the medical facility. The first storage means that is stored and stored,
At least a part of the combination of the facility information and the in-facility patient ID is associated with common information indicating that the patients specified by the combination of the facility information and the in-facility patient ID are the same patient. The second storage means that is stored in
A reception means that accepts selection of a combination of the facility information and the in-facility patient ID from a reference terminal connected to enable data communication via a communication network.
In the second storage means, when the common information is associated with the selected combination, all combinations that are the same patient as the patient specified by the selected combination based on the common information. Is extracted from the second storage means, medical information associated with all the extracted combinations is acquired from the first storage means, and the acquired medical information is provided to the reference terminal.
In the second storage means, when the common information is not associated with the selected combination, only the medical information associated with the selected combination is acquired from the first storage means, and the acquisition is performed. A control means for providing the medical information provided to the reference terminal,
Equipped with
The common information is combined information indicating that the in-facility patient ID included in the combination to which the common information is associated also serves as a common common patient ID among the plurality of medical facilities.
When the combined information is associated with the selected combination in the second storage means, the control means has the same in-facility patient ID as the in-facility patient ID included in the selected combination. A medical information management server that extracts all combinations to which the combined information is associated from the second storage means. The medical information generated in each of the plurality of medical facilities is associated with the combination of the facility information indicating the medical facility from which the medical information was generated and the in-facility patient ID indicating the patient related to the medical information in the medical facility. The first storage means that is stored and stored,
At least a part of the combination of the facility information and the in-facility patient ID is associated with common information indicating that the patients specified by the combination of the facility information and the in-facility patient ID are the same patient. The second storage means that is stored in
A reception means that accepts selection of a combination of the facility information and the in-facility patient ID from a reference terminal connected to enable data communication via a communication network.
In the second storage means, when the common information is associated with the selected combination, all combinations that are the same patient as the patient specified by the selected combination based on the common information. Is extracted from the second storage means, medical information associated with all the extracted combinations is acquired from the first storage means, and the acquired medical information is provided to the reference terminal.
In the second storage means, when the common information is not associated with the selected combination, only the medical information associated with the selected combination is acquired from the first storage means, and the acquisition is performed. A control means for providing the medical information provided to the reference terminal,
A receiving means that is connected to data communication via a communication network and receives medical information from an in-facility terminal used in each of the plurality of medical facilities.
An identification means for identifying the medical facility corresponding to the in-facility terminal that transmitted the received medical information, and
The in-facility patient ID acquisition means for acquiring the in-facility patient ID attached to the received medical information, and the in-facility patient ID acquisition means.
A first storage control means for storing the received medical information in the first storage means in association with a combination of the facility information indicating the identified medical facility and the acquired in-facility patient ID.
When there is the common information corresponding to the received medical information, the common information is associated with the combination of the facility information indicating the identified medical facility and the acquired in-facility patient ID. 2 The second storage control means to store in the storage means,
Equipped with
The first memory control means determines whether or not the combination of the facility information indicating the identified medical facility and the acquired in-facility patient ID is already registered in the first storage means, and the combination is determined. Is already registered in the first storage means, a medical information management server that stores the received medical information in the first storage means in association with the combination. The common information is a common patient ID common among the plurality of medical facilities.
The second storage means is associated with the same common patient ID for the combination of the facility information of the same patient and the in-facility patient ID.
When the common patient ID is associated with the selected combination in the second storage means, the control means is all combinations to which the same common patient ID is associated with the common patient ID. The medical information management server according to claim 1 or 3 , wherein the medical information is extracted from the second storage means. The common information is combined information indicating that the in-facility patient ID included in the combination to which the common information is associated also serves as a common common patient ID among the plurality of medical facilities.
When the combined information is associated with the selected combination in the second storage means, the control means has the same in-facility patient ID as the in-facility patient ID included in the selected combination. The medical information management server according to claim 1 or 3 , wherein all the combinations to which the combined information is associated are extracted from the second storage means. A receiving means that is connected to data communication via a communication network and receives medical information from an in-facility terminal used in each of the plurality of medical facilities.
An identification means for identifying the medical facility corresponding to the in-facility terminal that transmitted the received medical information, and
The in-facility patient ID acquisition means for acquiring the in-facility patient ID attached to the received medical information, and the in-facility patient ID acquisition means.
A first storage control means for storing the received medical information in the first storage means in association with a combination of the facility information indicating the identified medical facility and the acquired in-facility patient ID.
When there is the common information corresponding to the received medical information, the common information is associated with the combination of the facility information indicating the identified medical facility and the acquired in-facility patient ID. 2 The second storage control means to store in the storage means,
The medical information management server according to claim 1 or 2 . The identification means is at least the facility ID of the medical facility where the in-facility terminal is used, the facility name of the medical facility in which the in-facility terminal is used, the AE title of the in-facility terminal, and the IP address of the in-facility terminal. The medical information management server according to claim 3 or 6 , which identifies a medical facility corresponding to the terminal in the facility based on one. The first memory control means determines whether or not the combination of the facility information indicating the identified medical facility and the acquired in-facility patient ID is already registered in the first storage means, and the combination thereof. The medical information management server according to claim 6 , wherein the received medical information is stored in the first storage means in association with the combination when is already registered in the first storage means. A medical information management system in which a medical information management server and a reference terminal are connected to each other via a communication network so that data communication is possible.
The medical information management server is
The medical information generated in each of the plurality of medical facilities is associated with the combination of the facility information indicating the medical facility from which the medical information was generated and the in-facility patient ID indicating the patient related to the medical information in the medical facility. The first storage means that is stored and stored,
At least a part of the combination of the facility information and the in-facility patient ID is associated with common information indicating that the patients specified by the combination of the facility information and the in-facility patient ID are the same patient. The second storage means that is stored in
A reception means that accepts selection of a combination of the facility information and the in-facility patient ID from the reference terminal.
In the second storage means, when the common information is associated with the selected combination, all combinations that are the same patient as the patient specified by the selected combination based on the common information. Is extracted from the second storage means, medical information associated with all the extracted combinations is acquired from the first storage means, and the acquired medical information is provided to the reference terminal.
In the second storage means, when the common information is not associated with the selected combination, only the medical information associated with the selected combination is acquired from the first storage means, and the acquisition is performed. A control means for providing the medical information provided to the reference terminal,
Equipped with
A medical information management system in which the common information is not associated with medical information of the same patient generated in at least two or more medical facilities . A medical information management system in which a medical information management server and a reference terminal are connected to each other via a communication network so that data communication is possible.
The medical information management server is
The medical information generated in each of the plurality of medical facilities is associated with the combination of the facility information indicating the medical facility from which the medical information was generated and the in-facility patient ID indicating the patient related to the medical information in the medical facility. The first storage means that is stored and stored,
At least a part of the combination of the facility information and the in-facility patient ID is associated with common information indicating that the patients specified by the combination of the facility information and the in-facility patient ID are the same patient. The second storage means that is stored in
A reception means that accepts selection of a combination of the facility information and the in-facility patient ID from the reference terminal.
In the second storage means, when the common information is associated with the selected combination, all combinations that are the same patient as the patient specified by the selected combination based on the common information. Is extracted from the second storage means, medical information associated with all the extracted combinations is acquired from the first storage means, and the acquired medical information is provided to the reference terminal.
In the second storage means, when the common information is not associated with the selected combination, only the medical information associated with the selected combination is acquired from the first storage means, and the acquisition is performed. A control means for providing the medical information provided to the reference terminal,
Equipped with
The common information is combined information indicating that the in-facility patient ID included in the combination to which the common information is associated also serves as a common common patient ID among the plurality of medical facilities.
When the combined information is associated with the selected combination in the second storage means, the control means has the same in-facility patient ID as the in-facility patient ID included in the selected combination. A medical information management system that extracts all combinations including the above-mentioned combinations and to which the combined information is associated from the second storage means. A medical information management system in which a medical information management server and a reference terminal are connected to each other via a communication network so that data communication is possible.
The medical information management server is
The medical information generated in each of the plurality of medical facilities is associated with the combination of the facility information indicating the medical facility from which the medical information was generated and the in-facility patient ID indicating the patient related to the medical information in the medical facility. The first storage means that is stored and stored,
At least a part of the combination of the facility information and the in-facility patient ID is associated with common information indicating that the patients specified by the combination of the facility information and the in-facility patient ID are the same patient. The second storage means that is stored in
A reception means that accepts selection of a combination of the facility information and the in-facility patient ID from the reference terminal.
In the second storage means, when the common information is associated with the selected combination, all combinations that are the same patient as the patient specified by the selected combination based on the common information. Is extracted from the second storage means, medical information associated with all the extracted combinations is acquired from the first storage means, and the acquired medical information is provided to the reference terminal.
In the second storage means, when the common information is not associated with the selected combination, only the medical information associated with the selected combination is acquired from the first storage means, and the acquisition is performed. A control means for providing the medical information provided to the reference terminal,
A receiving means that is connected to data communication via a communication network and receives medical information from an in-facility terminal used in each of the plurality of medical facilities.
An identification means for identifying the medical facility corresponding to the in-facility terminal that transmitted the received medical information, and
The in-facility patient ID acquisition means for acquiring the in-facility patient ID attached to the received medical information, and the in-facility patient ID acquisition means.
A first storage control means for storing the received medical information in the first storage means in association with a combination of the facility information indicating the identified medical facility and the acquired in-facility patient ID.
When there is the common information corresponding to the received medical information, the common information is associated with the combination of the facility information indicating the identified medical facility and the acquired in-facility patient ID. 2 The second storage control means to store in the storage means,
Equipped with
The first memory control means determines whether or not the combination of the facility information indicating the identified medical facility and the acquired in-facility patient ID is already registered in the first storage means, and the combination thereof. Is already registered in the first storage means, a medical information management system that stores the received medical information in the first storage means in association with the combination.

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