JP2000285178A - Maternity passbook information link device and maternity passbook information link program storage medium - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a maternity passbook information link device where electronic health information described on the maternity passbook is made electronic and linked with medical consultation information in the medical consultation information data base of a medical institution and a maternity passbook information link program storage medium storing the maternity passbook information link program. SOLUTION: An IC card 2 is provided with an input means 11 for inputting health information 12 concerning mother and baby described on the maternity passbook and link information 13 for linking that health information 12 with medical consultation information 22a, 22b,... stored in medical consultation information data bases 21a, 21b,... of respective medical institutions and an information link means 14 for linking the health information 12 stored on the IC card 2 with the medical consultation information 22a, 22b,... stored in the medical consultation information data bases 21a, 21b,... on the basis of that link information 13.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an information link device for effectively utilizing health information on a mother and a child described in a mother's handbook.

[0002]

2. Description of the Related Art A maternal and child handbook, or more precisely, a maternal and child health handbook, is issued by the prefectural governor to those who have notified of pregnancy. It is stipulated by the Maternal and Child Health Law that necessary items should be described when receiving health guidance. The contents of the MCH Handbook vary slightly by prefecture, but are generally related to health related to non-diseases such as maternal perinatal illness and past child birth history, vaccination records, height, weight and blood type. Contains important information.

[0003]

However, since the maternal and child handbook is no longer used after the child enters elementary school, the necessity of the maternal and child handbook is low on a daily basis and it is almost impossible to find it. For this reason, there is a problem in that the health status, medical history, and other important health information before and after birth of the child are not effectively used for medical care after the child is grown.

[0004] Generally, in a hospital, at the first consultation, a patient is often asked by a doctor about medical history, vaccination records, and the like. It is awful and the response is left to the patient's will, so accurate information may not be transmitted to the doctor. Therefore, important information for the medical treatment of the doctor cannot be obtained, which may hinder the medical treatment. For example, when treating childhood leukemia, a physician should check with the patient's infant and child to determine their past medical history, particularly if they have had asthma or febrile seizures, and have not received any steroids. Will be These pieces of information are extremely important information that greatly influences a treatment plan when performing a bone marrow transplant or the like. However, at present, besides the information of medical records held in medical institutions,
The only way to confirm is to ask the patient or his family. In addition, patients themselves usually do not have an accurate memory of the history of infancy, and in the worst case there is no possibility of causing serious medical errors.

[0005] In recent years, medical institutions have been developing and putting into practical use a comprehensive medical information system that has been converted to an electronic medical record instead of the conventional handwritten medical chart system. However, as described above, at present, valuable health information described in the mother's handbook is not reflected in the database of the medical information system using these electronic medical records.

SUMMARY OF THE INVENTION In view of the above circumstances, the present invention provides a maternal and child handbook information linking device for digitizing health information described in a maternal and child handbook and linking it to electronic medical record medical information of a medical institution medical information system. An object of the present invention is to provide a mother and child notebook information link program storage medium in which a notebook information link program is stored.

[0007]

According to the present invention, there is provided a maternal and child handbook information linking device for achieving the above object.
Health information about the mother and child, as listed in the maternal and child handbook,
Input means for inputting link information for linking the health information to medical information stored in a medical information database that manages medical information of a plurality of patients; and input means for inputting the health information stored in the storage medium based on the link information. Health information,
An information linking means for linking the medical information stored in the medical information database is provided.

Here, it is preferable that the health information includes information on vaccination of the child, and that the health information includes information on a growth record of the child.

[0009] The health information may also include family identification information for identifying a parent and sibling of the child, and the information link means may include health information of the child based on the family identification information; It is also preferable to link the medical information on the parent and sibling of the child stored in the medical information database.

[0010] Further, the mother-child handbook information linking device is provided with a vaccination schedule creating means for creating a vaccination schedule for the child based on the information on the vaccination, and the growth record. It is a preferable embodiment to include a growth curve creating means for creating a growth curve of the child based on the information on the above.

Further, the mother-child notebook information linking device is
It is also one of the preferable embodiments to include a medical examination table creating means for creating a medical examination table of the mother or the child based on the health information. Alternatively, it is also a preferable embodiment to include a medical treatment schedule creation unit for creating a child medical schedule.

Further, the health information includes the mother's new name and maiden name, and the information linking means uses the mother's new name or maiden name included in the health information to form the health information and the maiden name. It is preferable to link the medical information.

Further, the mother-child notebook information linking device includes
It is also preferable that the apparatus has a security protection means for protecting the security of the health information stored in the storage medium.

The mother-child handbook information link program storage medium of the present invention that achieves the above object provides a mother-child handbook with health information on mother and child described in the mother-child handbook and a plurality of patient health information. Input means for inputting link information for linking to medical information stored in a medical information database that manages medical information of the subject, and health information stored in the storage medium and the medical information database based on the link information A maternal and child handbook information link program provided with information link means for linking the medical information stored in the personal computer.

[0015]

Embodiments of the present invention will be described below.

FIG. 1 is a schematic diagram showing an embodiment of the mother-child notebook information link apparatus of the present invention.

As shown in FIG. 1, this maternal and child handbook information linking device 10 includes health information 12 about mother and child described in the maternal and child handbook 1 and medical information for managing medical information of a plurality of patients. The link information 13 for linking to the medical information stored in the medical information databases 21a, 21b,... Of the institutions A, B,.
The health information 12 stored in the card 2 and the medical information 22 stored in the medical information databases 21a, 21b,.
a, 22b,... are provided.

The medical information stored in the medical information databases 21a, 21b,... Linked to the maternal and child notebook information link device 10 is displayed on a screen of the display device 3 connected to the maternal and child notebook information link device 10.

Here, the health information in the present embodiment includes a child's birthplace, birth records, neonatal and childhood growth / checkup records, vaccination records, allergic history, past medical history, and the like. .

In the present embodiment, the above-mentioned health information 1
2 also includes family identification information for identifying the parent sibling of the child.

The information linking means 14 in the maternal and child handbook information linking device 10 is based on the above-mentioned family identification information and the child's health information and the medical treatment information databases 21a, 21b,. Is linked to the medical information 22a, 22b,.

The mother-child notebook information link device 10
Is provided with a vaccination schedule preparing means 15 for preparing a vaccination schedule for a child based on the above information on vaccination.

The mother-child notebook information link device 10
Includes a growth curve creating means 16 for creating a child growth curve based on the information on the growth record.

Further, the mother-child notebook information link device 10
Is a pre-diagnosis table preparing means 17 for preparing a mother or child pre-diagnosis table based on the health information 12, and a medical treatment plan table preparing means 1 for preparing a mother or child medical plan based on the health information 12.
8 is provided.

The health information 12 includes information on the mother's new name and maiden name, and the information link means 14 uses the mother's new name or maiden name included in the health information 12 to indicate the health information. 12 is linked to the medical information 22a, 22b,... Stored in the medical information databases 21a, 21b,.

Further, the mother-child notebook information link device 10
Is provided with security protection means 19 for protecting the security of the health information 12 stored in the IC card 2.

The IC card 2 according to the present embodiment
Corresponds to the storage medium according to the present invention. This storage medium is not limited to an IC card, but may be any storage medium that can store digitized information.

FIG. 2 is a diagram showing an example of information stored in the IC card and an example of medical information linked thereto.

On the left side of FIG. 2, the contents of the mother-child notebook information file 20 stored in the IC card 2 are shown. The mother-child notebook information file 20 stores a personal information manager 20a, a mother-child notebook information manager 20b, link information 20c, a parent information manager 20d, a brother information manager 20e, and the like.

The personal information management section 20a stores basic information on the mother and the child, for example, various information such as a personal management number, name, gender, date of birth, place of birth, and the like.

As described above, the maternal and child handbook information management unit 20b stores health information such as birthplace, birth record, neonatal and childhood growth / checkup records, vaccination records, allergic history, and past medical history. Have been.

Vaccination records include tuberculin reaction and BCG vaccination, pertussis, diphtheria, tetanus (4
), Acute poliomyelitis (polio) (twice), measles (measles), chickenpox, Japanese encephalitis (three times), mumps, rubella, and the like.

As the link information 20c, a medical institution identification code, a patient number, a consultation department, and the like are stored.

Further, the parent information management section 20d and the brother information management section 20e store information on parent siblings and link information thereof.

As shown on the right side of FIG. 2, the medical information 23 of the medical institution includes a medical institution identification code, patient number, name, gender, date of birth corresponding to the link information stored in the IC card 2. , Medical history, hospitalization / discharge history, disease name information, and the like.

Based on the link information 20c including the medical institution identification code, the patient number, the consultation department and the like stored in the mother and child notebook information file 20, the mother and child notebook information file 2 is used.
0 and each medical institution A,
B,... (See FIG. 1) medical information database 21a, 2
1b,... Are stored in the medical information 22a, 22b,.
And are linked.

There is no particular limitation on the storage format in the IC card 2, but when it is stored in, for example, a CSV format, data exchange with various external computer systems is facilitated and convenient. Further, the owner of the IC card can manage the data by himself.

However, since the privacy may be infringed by storing information in such a manner that data can be easily exchanged, the mother-child notebook information link device 10 of the present embodiment has a confidentiality for protecting privacy. Protection means 1
9 is added. The security means 19 has a security function for protecting the privacy of the patient, and can be configured by combining known authentication techniques and encryption techniques.

By mounting this security function on an IC card, the IC card can also have a function as a personal security card.

Next, the operation of the information link means in this embodiment will be described.

FIG. 3 is an explanatory diagram of the operation of the information link means in this embodiment.

As shown in FIG. 3, on the display device of the maternal and child handbook information link device 10 located in the premises of the medical institution A or in a nearby place, the medical information database (medical record DB) 21a of the medical institution A is stored. It is assumed that the medical care information 22a is in a searchable state.

(1) Now, when a certain patient inputs, for example, his / her patient number into the maternal and child handbook information link device 10, his / her hospital A medical record information 30_1 is retrieved from the medical record DB 21a and the display device of the maternal and child handbook information link device 10 is displayed. Is displayed on the screen.

(2) Here, the mother-child notebook information link device 1
When the IC card reader 0 reads the IC card 2 (see FIG. 2) in which the mother's handbook information is stored,
(3) The display device of the maternal and child notebook information link device 10 displays a menu 30_2 for selecting maternal and child notebook information display and selecting a hospital name to which information link is to be performed.

(4) When the display of the mother-child notebook information is selected by the menu 30_2, the information linking means 14 (see FIG. 1) of the mother-child notebook information link device 10 is read from the IC card 2 and stored in the medical chart DB 21a of the hospital A. Data such as name, date of birth, and gender read in the notebook information file 31 is collated with data of basic patient information in the medical chart DB 21a of Hospital A to check the identity of the individual. In addition, the identification check of the person is performed in the mother and child handbook information file 31.
Alternatively, it may be performed by the A hospital link information 31a.

(5) When the identification check is passed, the content 30_3 of the mother-child notebook information is displayed on the screen of the display device of the mother-child notebook information link device 10.

FIG. 4 is a view showing an example of the mother and child notebook information screen displayed on the display device in the present embodiment.

As shown in FIG. 4, the mother and child notebook information screen 32 includes a family history window 32_1, a vaccination history window 32_2, a past history window 32_3, a growth curve window 32_4, and the like. The family history window 32_1 displays the name, age, cause of death, etc. of the grandparents, parents, and siblings. Tetanus, acute poliomyelitis (polio), other vaccination records, and the like are displayed. The medical history window 32_3 displays the name of the child's medical history and the age or age at that time.

In the growth curve window 32_4, the horizontal axis indicates age (years), the vertical axis indicates height (cm) and weight (Kg), and the standard height and the standard weight range are indicated by broken lines, respectively. A growth curve graph in which the body weight is indicated by a solid line is displayed. This growth curve graph is created by the growth curve creation means. The operation of the growth curve creating means will be described later.

Next, returning to FIG. 3, the description will be continued.

(6) After the content 30_3 of the mother-child notebook information is displayed on the screen, when the display of the patient's chart information at the hospital B is selected by the menu 30_2, the medical care information system 30a causes the medical information system 30a to store the B-book in the mother-child notebook information file 31. Based on the hospital link information 31b, the medical record DB 21b of Hospital B
Access to.

(7) Medical Information System 30b of Hospital B
Performs a personal identification check using the basic patient information of the system.

(8) If the identification check is passed, necessary information is extracted from the medical treatment information 22b in the medical record DB 21b of the hospital B, and the medical record information 30_4 of the hospital B is displayed on the maternal and child handbook information link device 10 on a screen.

Thus, in each of the medical institutions A, B,.
Comprehensive data processing of valuable health information recorded in the maternal and child handbook including information other than medical history, such as infant and childhood growth records, allergic history, vaccination records, etc. It becomes possible. In addition, since all of this information is used electronically, it is possible to freely exchange information with existing electronic medical record systems operating at each medical institution, providing a seamless information search environment for system users. Is done.

In addition, since information on parents and siblings can be realized by the parent information management unit 31c and brother information management unit 31d in the mother-child handbook information file 31, information on parents and brothers is used as a key. As in the case of the individual, it is possible to search for medical history information of the family, and it is possible to make an accurate diagnosis in the case of a genetic disease or the like.

Further, in the present embodiment, since the information on the mother's new name and maiden name is stored in the mother and child handbook information of the IC card, it is possible to check the identification of the person by the new name or maiden name.

FIG. 5 is a schematic diagram of the vaccination schedule creation processing by the vaccination schedule creation means in this embodiment.

As shown in FIG. 5, the vaccination schedule table preparing means 15 in the present embodiment uses the vaccination history obtained from the vaccination history in the mother and child handbook information file 31 read from the IC card 2. Vaccination master file that manages the target age for each vaccination, implementation time, relation to other vaccinations, vaccination intervals, etc., created in advance in the medical information system of each medical institution based on the results of vaccinations A vaccination schedule is created with reference to 40 and is output to a display device 41, a printing device 42, a storage medium 43, or the like.

FIG. 6 is a schematic diagram of the growth curve creation processing by the growth curve creation means in this embodiment.

As shown in FIG. 6, the growth curve creating means 16 according to the present embodiment uses the age (0 to 12 months) acquired from the growth record in the mother-child notebook information file 31 read from the IC card 2. Months), age (1 to 6 years old)
Based on information such as height and weight for each child, the standard height and standard weight (10% tile and 90% tile each) for each gender of infants are managed in advance in the medical information system of each medical institution. Infant Body Development Master File 50
To create a growth curve graph and display it on the display device 5
1. Output to the printing device 52 or the storage medium 53. The outline of the growth curve graph displayed on the display device 51 has been described with reference to FIG. 4, and the detailed diagram is shown below.

FIG. 7 is a schematic diagram of a pre-examination table creation process by the pre-examination table creation means in the present embodiment.

As shown in FIG. 7, the pre-diagnosis table preparing means 17 according to the present embodiment uses the medical information of each medical institution in advance from various kinds of information in the mother-child notebook information file 31 read from the IC card 2. Items described in the preliminary examination table target item table 60 created in the system, for example,
Items such as vaccination records, medical history, allergic history, etc. are extracted to create a pre-diagnosis table, which is displayed on the display device 61 and the printing device 6.
2, or output to the storage medium 63 or the like.

FIG. 8 is a schematic diagram of a medical treatment plan table preparation process by the medical treatment plan table preparation means in this embodiment.

As shown in FIG. 8, the medical treatment plan table creating means 18 in the present embodiment selects the various information in the mother-child notebook information file 31 read from the IC card 2 to
Information corresponding to the items described in the medical plan table target item table 70 created in advance in the medical information system of each medical institution is extracted, and the information is integrated to create a medical plan table. The data is output to a display device 71, a printing device 72, a storage medium 73, or the like.

As described above, since the maternal and child handbook information linking device 10 of this embodiment is provided with the pre-diagnosis table preparation means 17 and the medical treatment plan table preparation means 18, the pre-diagnosis table preparation work and the medical treatment plan table preparation at each medical institution are provided. Work can be omitted,
It can reduce the burden on doctors and nurses and save labor.

Next, an embodiment of the mother-child notebook information link program storage medium of the present invention will be described.

FIG. 9 is a schematic diagram showing an embodiment of the mother-child notebook information link program storage medium.

FIG. 9 (a) shows a schematic configuration of a computer system 81 in which the mother-child notebook information link device 10 (see FIG. 1) of the present invention is internally constituted by the mother-child notebook information link program storage medium 80 of the present embodiment. The figure is shown. FIG. 9B shows the internal structure of the computer system 81.

As shown in FIGS. 9A and 9B, the computer system 81 includes a CPU (central processing unit) 82, a RAM (random access memory) 8
3. CRT (cathode ray tube display) 84, printer 85,
A communication control device 86, a CD-ROM drive 87, a magnetic disk device 88, a mouse 89, a keyboard 90, an IC card device 91, and the like are connected to each other by a bus 92 to form a computer system 81. are doing.

In this embodiment, a CD-ROM is used as a medium of the mother-child notebook information link program storage medium 80. However, the medium is not limited to a CD-ROM, and may be, for example, an MO (magneto-optical disk) or a magnetic disk. A tape or the like may be used.

The mother-child handbook information link program storage medium 80 stores, in the above-described medium, health information on the mother and child described in the mother-child handbook and medical information for managing medical information of a plurality of patients. Input means for inputting link information for linking to the medical information stored in the database; and, based on the link information, the health information stored in the storage medium and the medical information stored in the medical information database. A maternal and child handbook information link program including information link means for linking is stored and configured.

The mother and child notebook information link program storage medium 80 is inserted into the CD-ROM drive 87 of the computer system 81, and the mother and child notebook information link program stored in the mother and child notebook information link program storage medium 80 is read into the computer system 81. By installing in the magnetic disk device 88, the mother-child notebook information link device 10 shown in FIG.

Thus, the mother-child notebook information link device 10 is formed in the computer system 81, and the input means 11
(See FIG. 1), from the IC card 2 inserted into the IC card device 81, the health information 12 on the mother and the child described in the mother's handbook and the health information 12 are transmitted via the communication control device 86 and the communication line 93. Each medical institution A, B,
(See FIG. 1) Medical Information Databases 21a, 21
The link information 13 for linking to the medical information 22a, 22b,... stored in b,. The information link means 14 (see FIG. 1) provides link information 13.
, The health information 12 stored in the IC card 2 and the medical information 22a, 22b,... Stored in the medical information databases 21a, 21b,.

In this embodiment, the mother-child notebook information link program stored in the mother-child notebook information link program storage medium 80 is stored in an independent computer system 8.
Although the example in which the mother and child notebook information link program is installed in the first embodiment has been described, the mother and child notebook information link program stored in the mother and child notebook information link program storage medium 80 may be directly installed in the medical care information system of each medical institution.

[0075]

As described above, according to the maternal and child handbook information linking device of the present invention, the health information described in the maternal and child handbook is digitized and linked to the medical information in the medical information database of each medical institution. When a doctor examines a patient, the doctor can refer to the patient's birth history, vaccination information, and family information before birth, thereby risking serious medical errors. Can be prevented.

According to the maternal and child handbook information link program storage medium of the present invention, the predetermined storage medium stores the health information on the mother and child described in the maternal and child handbook and the medical information of a plurality of patients. Input means for inputting link information for linking to medical information stored in the medical information database to be managed; and health information stored in the storage medium and stored in the medical information database based on the link information. Since the maternal and child notebook information link program provided with the information link means for linking the medical information with the medical information is stored, the maternal and child notebook information link program can be easily installed in a desired computer system.

[Brief description of the drawings]

FIG. 1 is a schematic diagram showing an embodiment of a mother-child notebook information link device of the present invention.

FIG. 2 is a diagram illustrating an example of information stored in a storage medium and an example of medical information linked thereto.

FIG. 3 is an explanatory diagram of an operation of an information link unit in the embodiment.

FIG. 4 is a diagram showing an example of a mother and child notebook information screen displayed on a display device in the embodiment.

FIG. 5 is a schematic diagram of a vaccination schedule creation process performed by a vaccination schedule creation unit according to the embodiment;

FIG. 6 is a schematic diagram of a growth curve creation process by a growth curve creation unit according to the present embodiment.

FIG. 7 is a schematic diagram of a diagnosis table creation process by a diagnosis table creation unit in the present embodiment.

FIG. 8 is a schematic diagram of a medical treatment plan table creation process by a medical treatment plan table creation unit in the present embodiment.

FIG. 9 is a schematic diagram showing an embodiment of a mother-child notebook information link program storage medium.

[Explanation of symbols]

DESCRIPTION OF SYMBOLS 1 Mother's handbook 2 IC card 3 Display device 10 Mother's handbook information link device 11 Input means 12 Health information 13 Link information 14 Information link means 15 Immunization schedule table creation means 16 Growth curve creation means 17 Pre-diagnosis table creation means 18 Medical treatment plan creation Means 19 Security protection means 20 Mother-child notebook information file 20a Personal information manager 20b Mother-child notebook information manager 20c Link information 20d Parent information manager 20e Brother information manager 21a, 21b, ... Medical information database (medical record DB) 22a, 22b, … Medical information 30a, 30b,… medical information system 30_1 A hospital chart information 30_2 menu 30_3 maternal and child handbook information contents 30_4 medical record information 31 maternal and child handbook information file 31a A hospital link information 31b B hospital link information 31c parents information management unit 31 Brother information management unit 32 Maternal and child handbook information screen 32_1 Family history window 32_2 Vaccination history window 32_3 Past history window 32_4 Growth curve window 40 Vaccination master file 41, 51, 61, 71 Display device 42, 52, 62, 72 Printing device 43 , 53, 63, 73 Storage medium 50 Infant body development master file 60 Preliminary examination table target item table 70 Medical treatment plan table target item table 80 Maternal and child notebook information link program storage medium 81 Computer system 82 CPU 83 RAM 84 CRT 85 Printer 86 Communication control device 87 CD-ROM drive 88 Magnetic disk device 89 Mouse 90 Keyboard 91 IC card device 92 Bus 93 Communication line

Claims (11)

[Claims] 1. A predetermined storage medium links health information about a mother and a child described in a mother and child handbook with medical information stored in a medical information database that manages medical information of a plurality of patients. Input means for inputting link information for the patient, and information link means for linking the health information stored in the storage medium and the medical information stored in the medical information database based on the link information. A mother-child notebook information link device characterized by the following. 2. The maternal and child handbook information link device according to claim 1, wherein the health information includes information on vaccination of the child. 3. The maternal and child notebook information link device according to claim 1, wherein the health information includes information on a growth record of the child. 4. The health information also includes family identification information for identifying a parent and sibling of the child, and the information linking means includes: the health information of the child based on the family identification information; 2. The maternal and child handbook information linking device according to claim 1, wherein the information is linked with medical information on the parent sibling of the child stored in the medical information database. 5. The maternal and child handbook information linking device according to claim 2, further comprising a vaccination schedule preparing means for preparing a vaccination schedule for the child based on the information on the vaccination. 6. The mother-child notebook information linking device according to claim 3, further comprising a growth curve creating means for creating a growth curve of the child based on the information on the growth record. 7. The maternal and child handbook information link device according to claim 1, further comprising: a pre-diagnosis table preparing means for preparing a pre-diagnosis table of the mother or the child based on the health information. 8. The maternal and child handbook information linking device according to claim 1, further comprising: a medical treatment schedule creating unit that creates a medical schedule of the mother or the child based on the health information. 9. The health information includes the mother's new name and maiden name, and the information linking means includes the mother's new name or maiden name included in the health information and the health information and the maiden name. 2. The maternal and child handbook information linking device according to claim 1, wherein the device links the medical information. 10. The mother-child handbook information link device according to claim 1, further comprising security protection means for protecting the security of the health information stored in said storage medium. 11. A predetermined storage medium links the health information on mother and child described in the mother and child handbook with the medical information stored in the medical information database for managing the medical information of a plurality of patients. Means for inputting link information for use in the mother and child notebook, and information link means for linking health information stored in the storage medium and medical information stored in the medical information database based on the link information An information link program storage medium characterized by storing an information link program.