JP2002117142A - Medical information system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To comparatively easily run a high-level medical application program (AP) such as electronic medical record in an institution related to medical treatment such as hospital and to effectively utilize patient treatment data, which are generated by utilizing this AP, in each of institutions related to medical treatment. SOLUTION: This system is provided with plural client devices (110), which are respectively installed in plural institutions (111) related to medical treatment, to respectively work browsers and a shared server device (120), which is connected through a communication means 800 to these client devices, for providing the medical AP containing the electronic medical record to each of plural client devices. The client device can receive and can refer to the patient treatment data showing information on the medical treatment of each of patients on the electronic medical record while utilizing the medical AP by the browser. The shared server device holds such patient treatment and for each of patients.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

[0001] The present invention belongs to the technical field of a medical information system in which a medical application program such as an electronic medical record is executed.

[0002]

2. Description of the Related Art Conventionally, various medical information systems using a computer have been realized, and a medical accounting system for electronically performing, for example, automatic calculation of medical fee calculation has been widely used. In addition, inspection orders are given to each department in the hospital,
The introduction of various order systems, such as a test order system and a pharmacy system, which transmit drug prescription orders and the like as electronic data, has also been promoted, and this has indirectly improved the quality of medical care by speeding up various operations in hospitals. . Recently, electronic medical records have been introduced in place of traditional paper medical records, and are expected to contribute more directly to improving the quality of medical care.

[0003]

However, as an advanced medical information system using electronic medical records and the like is required, enormous initial investment is required for its introduction, and further system maintenance management and version upgrade are required. Also, it takes enormous effort and cost for electronic data backup and maintenance. Therefore, while the importance of this kind of advanced medical information system is the consensus of almost all physicians or medical professionals, given the worsening healthcare economic situation,
Its introduction into medical facilities has not progressed as expected.
As a result, the quality of medical treatment in each medical-related facility is relatively reduced (or has not reached a theoretically obtainable level). There is a fatal problem of not being respected.

[0004] Further, even if it is assumed that an advanced medical information system using such electronic medical records has been introduced into each medical-related facility, it is simply a matter of effectively utilizing the patient medical data obtained thereby. It is expected to be more difficult than operating a medical information system in one hospital,
Under such an expectation, there is also a problem that the motivation to introduce the above-mentioned medical information system that leads to respect for human life does not appear in each medical-related facility.

SUMMARY OF THE INVENTION The present invention has been made in view of the above-mentioned problems, and it is possible to relatively easily operate an advanced medical application program such as an electronic medical record in each medical-related facility. It is an object of the present invention to provide a medical information system that enables patient medical data generated by using an application program to be effectively used in each medical facility.

[0006]

In order to solve the above-mentioned problems, a first medical information system according to the present invention comprises a plurality of client devices which are respectively installed in a plurality of medical facilities and each of which operates a browser; A shared server device connected to the client device via communication means and providing a medical application program including an electronic medical record to the plurality of client devices, wherein each of the plurality of client devices is It is possible to input and refer to patient medical data indicating information on medical care of each patient on the electronic medical record using the program by the browser, and the shared server device is
At least a portion of the input and referenced patient medical data is at least temporarily retained for each patient.

According to the first medical information system of the present invention,
A shared server device is connected to a plurality of client devices installed in a plurality of medical-related facilities via communication means. Here, “medical facilities” refers to hospitals, clinics,
This is a broad concept representing a care facility, a nursing home, and a facility related to medical treatment including a home or home when a patient receives home medical care. Then, the shared server device provides the client device with a medical application program including an electronic medical record.

In operation, each client device inputs and refers to patient medical data on an electronic medical record using a medical application program by a browser. Here, the “patient medical data” refers to, for example, patient medical care data regarding patient medical care such as test results (sample test result data, image test result data, etc.), reports, etc., input on an electronic medical record. In addition, referral letter data indicating a letter of introduction to introduce a patient to another medical facility, reservation data indicating a patient's medical appointment, a patient identification ID uniquely assigned at each facility, a shared server device ID of the patient uniformly assigned by the patient
And various types of data related to patient medical care on the medical information system. And the shared server device,
At least a part of the patient medical data input and referred to in this way is at least temporarily retained for each patient.

Therefore, according to the first medical information system of the present invention, the client device in each medical facility can use the medical application program including the electronic medical record only by the computer on which the browser operates. Therefore, a standardized and maintained medical application program including the latest, high-quality, standard electronic medical records can be provided at low cost, for example, wherever a client device can be connected to a communication means such as the Internet. Moreover, each client device can use only necessary medical application programs according to the individual situation of each medical facility. In particular, by selecting a browser, it is possible to refer to patient medical data in various formats such as time-series display, graph display, specimen test result display, and reference image display.

Further, according to the first medical information system of the present invention, since the patient medical data is stored in the shared server device, it is possible to guarantee the prevention of falsification of the electronic medical record which is regarded as a problem when handling the electronic medical record.

Further, since the patient medical data is held at least temporarily in the shared server device, the patient medical data can be transmitted and received between the client devices installed in a plurality of medical facilities via the shared server device. Is also possible. For example, when a patient receives medical treatment at a plurality of medical-related facilities by referral, etc., one medical-related facility exchanges patient medical data indicating details of patient medical treatment information and summary information with another medical-related facility. Can be sent and received via a shared server device.

In addition, the shared server can back up the patient medical data inputted by each client. In addition, for example, a summary such as the history of each patient can be stored as individual patient data in the shared server device in association with the patient ID. Further, it becomes possible for a patient to input patient medical data in a hospital or the like where a client device is not installed from a home terminal or another specific terminal. On the other hand, when only a brief explanation of the result is given to the patient after the medical treatment (for example, only communication without abnormality), the e-mail of the result explanation is sent to the client device installed at the patient's home or the like. It is sufficient to send via a shared server device and the patient does not need to visit.

In particular, by transmitting and receiving patient medical data between client devices via the shared server device as described above, for example, introductions, reservations, test results, reports, prescription histories, etc. can be transferred between related or affiliated hospitals. May be configured. In particular, transfer of patient medical data between related or affiliated hospitals involves centralized management of data, provision of basic patient data for emergency medical care, benchmarking between medical institutions, data collection for medical research, and G for pharmaceutical companies.
It is very useful in practice from various viewpoints such as collecting CP data, collecting basic data for medical policy, and creating medical records based on data effects. However, transmission and reception of patient medical data between a plurality of facilities may be limited to introduction and reservation only in consideration of interests between a plurality of hospitals.

In order to solve the above-mentioned problems, the second medical information system of the present invention is provided with a plurality of client devices on which browsers are respectively operated, and the same medical device among the plurality of client devices provided for each medical facility. A plurality of facility-specific server devices connected to those installed in the facility and each providing a medical application program including an electronic medical record to the connected client device; and And a shared server device connected to the plurality of client devices, the plurality of client devices respectively use the medical application program by the browser to transmit patient medical data indicating information regarding medical treatment of each patient on the electronic medical record. The shared server device is capable of inputting and referencing, and the shared server device At least a portion of the medical data at least temporarily stored for each patient.

According to the second medical information system of the present invention,
A facility-specific server device is provided for each medical facility. Client devices installed at each medical facility are
It is connected to the corresponding facility-specific server device. The shared server device is connected to the plurality of facility-specific server devices via communication means. Such a server device for each facility may be installed in each medical facility, and in this case, generally, the shared server device and the server device for each facility that are installed at a distance from each other are connected to the Internet or the like. (In this case, for example, a plurality of client devices arranged in each department within the same facility are connected to the same facility-specific server device via a LAN.)
(Connected via communication means such as a Local Area Network). Alternatively, such a facility-specific server device may be installed near the shared server device (for example, a plurality of facility-specific server devices are connected to the shared server device via communication means such as a LAN). In general, each facility-specific server device and each client device installed at a distance from each other are connected by communication means such as the Internet.

In operation, each client device inputs or refers to patient medical data on an electronic medical record by using a medical application program by a browser. Then, the shared server device at least temporarily retains at least a part of the patient medical data thus input and referred to for each patient.

Therefore, according to the second medical information system of the present invention, the client device in each medical facility is electronically operated only by the computer on which the browser operates, as in the case of the first medical information system of the present invention described above. Medical applications, including medical charts, are available, which can provide various benefits.

Further, according to the second medical information system of the present invention, as in the case of the above-described first medical information system of the present invention, at least a part of the patient medical data is at least temporarily stored in the shared server device. Therefore, various benefits can be obtained.

Note that each facility-specific server device may provide the entirety of the medical application program to each client device. However, each facility-specific server device provides only a part of the medical application program to the client device. Alternatively, the shared server device may provide another part of the medical application program to the client device or the server device for each facility.

[0020] In one aspect of the first or second medical information system of the present invention, one of the plurality of client devices is one of the orders that instruct to execute a plurality of types of medical-related actions set in advance. A desired order input or specified on the browser is transmitted to another of the plurality of client devices via the shared server device, and the other client device receives the transmitted order. I do.

According to this aspect, various orders are transmitted / received between client devices which are installed in each facility within the same hospital or outside the hospital and are driven by a browser. This is very advantageous because a complicated operation environment in which a so-called order system for performing various medical-related actions quickly and reliably is used in conjunction with an electronic medical record can be easily constructed.

In the aspect of transmitting and receiving the order, the order includes a drug prescription order, and the other client device may be installed in an in-hospital or out-of-hospital pharmacy.

According to this structure, a so-called pharmacy system for quickly and reliably performing a dispensing operation by transmitting an order to a client device installed in an in-hospital or out-of-hospital pharmacy is used in conjunction with an electronic medical record (for example, This makes it possible to easily construct a complicated operating environment such that a pharmaceutical prescription order can be issued on an electronic medical record), which is very advantageous. For example, cooperation with in-hospital pharmacies and out-of-hospital pharmacies can be relatively easily performed by transferring a drug prescription order via a shared server. Then, upon receiving the medicine prescription order, the prescription can be printed at the in-hospital or out-of-hospital pharmacy.

In this case, the other client device is further connected to an automatic dispensing machine for automatically performing dispensing, and upon receiving the medicine prescription order, the other client apparatus receives the medicine prescription order according to the received medicine prescription order. The dispensing machine may be configured to be controlled.

With this configuration, the time and labor required from the time when the patient medical data is input to the electronic medical record at a hospital or the like to the time when the medicine is actually delivered to the patient at an in-hospital pharmacy or an out-of-hospital pharmacy can be reduced. It is convenient.

[0026] In the aspect of transmitting and receiving the order, the order includes a medical test order, and when the other client device receives the medical test order, the other client device issues a test instruction according to the received medical test order, Transmitting the medical test result data regarding the medical test performed in response to the test instruction to the shared server device, the one client device receiving the medical test result data via the shared server device, The information may be displayed in a predetermined format on the electronic medical record.

According to this configuration, in one client device, a medical examination order is placed on an electronic medical record via a shared server device in a medical facility such as an in-hospital or out-of-hospital inspection center or an inspection company. Can be sent to other client devices. After such a test, one client device receives, via the shared server device, test result data such as image test data and sample test data input on a browser or the like in the other client device. Then, one client device can display the inspection result data on the electronic medical record in a predetermined format.

[0028] In another aspect of the first or second medical information system of the present invention, one of the plurality of client devices is calculated as a basis for calculating medical accounting input or specified on the browser. The basis data and the medical accounting order are transmitted to the shared server device or the facility-specific server device, and the shared server device or the facility-specific server device performs a predetermined type of medical accounting calculation based on the calculated basis data. The medical accounting data indicating the accounting result is transmitted to the one client device or another client device among the plurality of client devices.

According to this aspect, a so-called medical accounting system for automatically calculating medical insurance points and medical fees can be easily constructed in a complicated operating environment in conjunction with an electronic medical record, which is very advantageous. . In particular, even if each client device does not have an arithmetic processing capability, a storage capability, a knowledge base, or the like for performing medical accounting calculations, the shared server device or the facility-specific server device may have such capability. If this is the case, medical accounting data can be obtained quickly and reliably. Therefore, it is possible to realize a medical accounting system using hardware resources and software resources extremely efficiently as a whole.

[0030] In this aspect, the one client device extracts the calculation basis data from the patient medical data input on the electronic medical record and transmits it to the shared server device or the facility-specific server device. You may.

This configuration is convenient because various orders and the like are fetched on the electronic medical record, and the calculation basis data is automatically extracted therefrom. In particular, on the side of one client device, medical accounting data can be automatically obtained without being aware of whether or not any data is necessary for the medical accounting (any of various medical accounting). Very convenient. However, it goes without saying that a configuration in which an operator extracts and transmits data serving as a basis for calculation on the electronic medical record, or a configuration in which the operator manually inputs and transmits data serving as a basis for calculation is also possible.

Alternatively, in this aspect, the shared server device or the facility-specific server device extracts the calculation basis data included in the patient medical data transmitted from the one client device from the received patient medical data. Then, the medical accounting calculation may be performed based on the extracted calculation basis data.

With this configuration, one client device only needs to transmit the patient medical data including the calculation basis data regardless of what data is the calculation basis data. Since there is no need to perform data extraction work, the processing load on one client device is reduced. However, it goes without saying that the above-mentioned medical accounting calculation may be performed after the operator extracts data serving as the basis of calculation from the received patient medical data on the shared server device or the facility-specific server device side.

[0034] In another aspect of the first or second medical information system of the present invention, at least one of the plurality of client devices performs a plurality of types of predetermined medical actions on a time axis for each type. The patient medical data can be referred to or input on a browser in an arranged table format.

According to this aspect, a so-called critical path or care map (registered trademark of Kameda Medical Information Research Institute) in a tabular format in which a plurality of types of predetermined medical actions are arranged along the time axis for each type is prepared. It is possible to refer to and create on a browser. In particular, an environment in which performance data is referenced and a medical process management is appropriately performed using a critical path can be easily realized by a client device.

The operation and other advantages of the present invention will become more apparent from the embodiments explained below.

[0037]

Embodiments of the present invention will be described below with reference to the drawings.

(First Embodiment) First, a medical information system according to a first embodiment of the present invention will be described with reference to FIGS.

Referring to FIG. 1, a medical information system 100 according to the first embodiment includes a plurality of client devices 110 and a shared server device 120 connected to these devices via communication means 800 such as the Internet. I have.

The shared server device 120 is connected to the communication unit 80
0, a computer that provides a medical application program including an electronic medical record to each client device 110 via the Internet.

Each client device 110 is installed in a medical facility 111 such as a hospital, a clinic, a nursing home, a nursing home, and a patient's home. Each client device 110 is composed of a computer on which a browser runs, and
The medical application program provided from the shared server device 120 through the browser 00 is used by a browser so that patient medical data indicating information on medical care of each patient can be input and referred to on the electronic medical record.

The shared server device 120 is a large storage device such as a magnetic disk device or an optical disk device for temporarily storing at least a part of the patient medical data input and referred to on the browser in each client device 110 for each patient. It is provided with.

The computer constituting the shared server device 120 includes, for example, a CPU (Central Processing Unit) for executing the processing described below, in addition to such a large storage device, and a CPU for executing data processing by the CPU. A memory and a modem used for transmitting and receiving medical application programs, patient medical data, various orders, mail data, etc .; input devices such as a keyboard and a mouse; and LCDs (liquid crystal display devices) and speakers. It consists of a large computer, a medium computer or a small or personal computer with an output device.

On the other hand, the computer constituting the client device 110 is, for example, a CP for driving a browser or the like.
U, a memory used for data processing by the CPU, a modem and an interface for transmitting and receiving medical application programs, patient medical data, various orders, mail data, etc .; input devices such as a keyboard and a mouse; , A personal computer or a workstation including an output device such as a speaker and a storage device such as a magnetic disk device.

In FIG. 1, one client device 110 may be installed in each medical-related facility 111 such as a hospital, or two or more client devices 110 may be installed. In addition, such a client device 110 may use only the medical application program provided from the shared server device 120, or may separately load another medical application program into the client device 110, and Then, it may be configured to further execute this.

Next, one operation of the medical information system 100 will be described with reference to FIG.

In FIG. 2, first, at a medical facility 111 such as a hospital, the provision of a medical application program such as an electronic medical record to the shared server device 120 is performed by operating the keyboard of the client device 110 for medical treatment of each patient. Request (step S1).

Upon receiving a request signal for requesting a medical application program such as an electronic medical record (step S2), shared server apparatus 120 responds to the request signal from various medical application programs prepared in advance. The client selects one of them and provides it to the client device 110 via the communication means 800 (step S
3).

At about the same time as the provision, the browser of the medical application program such as the requested electronic medical record is operated in the client device 110. And
A screen display of the electronic medical chart or the like provided from the shared server device 120 is performed, and input or reference of the patient medical data on the electronic medical chart or the like is performed (step S4).
For example, the user inputs or refers to the patient's medical treatment data related to the patient's medical treatment, such as test results (sample test result data, image test result data, etc.) related to the medical treatment of each patient, and reports. Alternatively, introduction letter data indicating a letter of introduction to introduce a patient to another medical-related facility, appointment data indicating a patient's medical appointment, and a patient identification I uniquely assigned at each facility.
D. Input or refer to a patient identification ID or the like uniformly assigned on the shared server device side.

At this time, the basic functions of the electronic medical record include, for example, logon, patient selection, input condition selection, and the like. In the electronic medical record, the patient profile such as basic patient information, allergy / infectious disease information, and summary information is also provided. It is possible to refer to and input information, which is particularly convenient when data is input using a template of a doctor record.
In addition, by selecting a browser, it is possible to refer to the patient medical data in various formats such as a time-series display, a graph display, a sample test result display, and a reference image display.

Thereafter, according to the contents of the medical application program such as an electronic medical chart provided to the client apparatus 110, all or all of the patient medical data input on the electronic medical chart or the like by a key input operation or the like on the client apparatus 110. Partially client device 110
Is transmitted to the shared server device 120 via the communication means 800 (step S5).

The shared server device 120 receives the thus transmitted patient medical data via the communication means 800 and at least temporarily stores the patient medical data in the storage device for each patient (step S6). Since the patient medical data is stored in the shared server device 120 in this manner, it is possible to guarantee the prevention of falsification of the electronic medical record which is regarded as a problem when handling the electronic medical record. In addition, data backup of the patient medical data input by each client device 110 can be taken. Further, for example, a summary such as the history of each patient may be stored in the shared server device as individual patient data in association with the patient ID.

Thereafter, the series of operations is terminated by, for example, logging off the client device 110.

As described above, according to the medical information system 100 of this embodiment, the medical facilities 111 such as hospitals
In the client device 110, a medical application program such as an electronic medical record can be used only by a computer on which a browser operates. Therefore, if it is possible to connect to the communication means 800 such as the Internet, medical application programs such as advanced electronic medical records can be provided wherever such medical facilities 111 are located.
In addition, the shared server device 120 can standardize and maintain medical application programs such as electronic medical records.
Medical application programs such as high-quality, standard electronic medical records can be provided at low cost. Moreover, each client device 110 can use only necessary medical application programs according to the individual situation of each medical facility.

Further, the patient medical data thus held may be transmitted and received between the client devices 110 installed in a plurality of medical facilities 111 via the shared server device 120. For example, when a patient receives medical treatment at a plurality of medical-related facilities 111 by referral or the like, the patient at one medical-related facility 111 shows details of patient medical treatment information and summary information with another medical-related facility 111. Medical data can be transmitted and received via the shared server device 120.

Further, the patient's medical data at a hospital or the like where the client device 110 is not installed can be input from the client device 110 installed at home by the patient himself or the client device 110 at another hospital or the like. On the other hand, in the case where only a brief explanation of the result (for example, only communication without abnormality) is given to the patient after medical treatment, an e-mail of the result explanation is sent to the client device 110 installed at the patient's home or the like. , Shared server device 12
It is sufficient to send via 0 and the patient does not need to visit.

(Second Embodiment) Next, a medical information system according to a second embodiment of the present invention will be described with reference to FIGS.

In FIG. 3, a medical information system 200 according to the second embodiment communicates with a plurality of client devices 210 and one or a plurality of client devices 210 installed in the same medical facility 211 via a communication means such as a LAN. A plurality of facility-specific server devices 215 connected to each other, and a shared server device 220 connected to the plurality of facility-specific server devices 215 via communication means 800 such as the Internet.

Each facility-specific server device 215 is composed of a computer that provides a medical application program including an electronic medical record to each client device 210 via a LAN or the like.

Each client device 210 is composed of a computer on which a browser is operated, and utilizes a medical application program provided from the institution-specific server device 215 via a LAN or the like by the browser to display the information of each patient on the electronic medical record. It is configured to be able to input and refer to patient medical data indicating medical information.

The facility-specific server device 215 at least temporarily stores patient medical data input and referred to on the browser in each client device 210 in the storage device.

The computer constituting the facility-specific server device 215 includes, for example,
CPU relating to execution of processing described below, and CPU
, A modem and an interface for transmitting and receiving patient medical data, various orders, mail data, etc., input devices such as a keyboard and a mouse, and output devices such as an LCD and a speaker. It consists of a large, medium or small or personal computer.

In particular, the facility-specific server device 215 extracts the patient medical data to be stored in the shared server device 220 from the stored patient medical data, or executes the shared server based on the stored patient medical data. Device 2
20 is configured to generate patient medical data to be stored.

The shared server device 220 receives the patient medical data extracted or generated by the facility-specific server device 215 as described above, and stores at least temporarily for each patient a large-scale storage such as a magnetic disk device or an optical disk device. It is configured with a device.

Next, one operation of the medical information system 200 will be described with reference to FIG.

In FIG. 4, first, in a medical facility 211 such as a hospital, when medical treatment of each patient is performed, the provision of a medical application program such as an electronic medical chart is provided to the facility-specific server apparatus 215 by operating the keyboard of the client apparatus 210 or the like. Request (step S11).

When receiving the request signal for requesting the medical application program such as the electronic medical chart (step S12), the facility-specific server device 215 responds to the request signal from the various medical application programs prepared in advance. To be provided to the client device 210 via a LAN or the like (step S1).
3).

Around this time, the browser of the medical application program such as the requested electronic medical chart is operated in the client device 210. And
A screen display of an electronic medical record or the like provided from the facility-specific server device 215 is performed, and input or reference of patient medical data on the electronic medical record or the like is performed (step S1).
4).

Thereafter, the patient medical data input on the electronic medical record or the like by a key input operation or the like on the client device 210 is transmitted to the facility-specific server device 2 via a LAN or the like.
15 (step S15) and stored in the storage device of the facility-specific server device 215 (step S16).

Then, on a regular or irregular basis, the facility-specific server device 215 extracts the patient medical data to be stored in the shared server device 220 from the patient medical data stored in the storage device, or Then, based on the accumulated patient medical data, patient medical data to be stored in the shared server device 220 is generated (step S17).

Thereafter, the patient medical data extracted or generated by the facility-specific server device 215 is transmitted to the shared server device 220 via the communication means 800 (step S18).

The shared server device 220 receives the patient medical data transmitted in this way via the communication means 800, and at least temporarily stores the patient medical data in the storage device for each patient (step S19). Since the patient medical data is stored in the shared server device 220 as described above, it is possible to guarantee the prevention of falsification of the electronic medical record which is regarded as a problem when handling the electronic medical record. Further, a data backup of the patient medical data input by each client device 210 can be taken.
Further, for example, a summary such as the history of each patient may be stored in the shared server device as individual patient data in association with the patient ID.

Thereafter, the client device 210 finishes the series of operations by logging off or the like.

As described above, according to the medical information system 200 of this embodiment, the medical facilities 211 such as hospitals
In the client device 210, a medical application program such as an electronic medical record can be used only by a computer on which a browser operates. Moreover, since the medical application programs such as the electronic medical records can be standardized and maintained on the side of the facility-specific server device 220, the latest, regardless of the presence or absence of computer knowledge of a doctor or the like operating each client device 210. Medical application programs such as high-quality, standard electronic medical records can be provided at low cost. Moreover, each client device 210 can use only necessary medical application programs according to the individual situation of each medical facility.

Further, it may be configured such that the patient medical data stored in the facility-specific server device 215 is transmitted and received between the client devices 210 installed in the same medical-related facility 211, or alternatively, the facility-specific server device 215 to the shared server device 220
May be transmitted and received between client devices 210 installed in different medical-related facilities 211 via the Internet. For example, when receiving medical care in different departments (medical departments or the like) in the same medical facility 211, one client device 210 shows details of patient medical information and summary information with another client device 210. Patient medical data can be transmitted and received via the server device 215 for each facility. Or, if the patient is referred to multiple medical facilities 2
When receiving medical treatment at the medical facility 11, the client device 210 in one medical related facility 211 uses the other medical facility 21.
1 can transmit / receive patient medical data indicating details of patient medical care information and summary information via the shared server device 220 to / from the client device 210 in the first server 1.

Third Embodiment Next, a medical information system according to a third embodiment of the present invention will be described with reference to FIG.

Referring to FIG. 5, a medical information system 300 according to the third embodiment includes a plurality of client devices 310 and one or more client devices 310 installed in the same medical facility 311 provided with communication means 80 such as the Internet.
A plurality of facility-specific server devices 3 connected to each other via
15 and a shared server device 320 connected to a plurality of facility-specific server devices 315 via communication means such as a LAN. Of these, a plurality of facility-specific server devices 315 and shared server devices 320 are installed in a medical information center 330 such as a huge hospital, for example.

Each facility-specific server device 315 is composed of a computer that provides a medical application program including an electronic medical record to each client device 310 via communication means 800 such as the Internet.

Each client device 310 is composed of a computer on which a browser is operated. The medical application program provided from the facility-specific server device 315 via the communication means 800 such as the Internet is used by the browser to display the electronic medical record. Is configured to be able to input and refer to patient medical data indicating information on medical care of each patient.

Then, the facility-specific server device 315 at least temporarily stores the patient medical data input and referred to on the browser in each client device 310 in the storage device. Further, the facility-specific server device 315
Extracts the patient medical data to be stored in the shared server device 320 from the stored patient medical data, or extracts the patient medical data to be stored in the shared server device 320 based on the stored patient medical data. Is configured to generate

The shared server device 320 receives the patient medical data extracted or generated by the facility-specific server device 315 as described above, and stores at least temporarily for each patient a large-scale storage such as a magnetic disk device or an optical disk device. It is configured with a device.

The operation of the medical information system 300 is described in terms of the facility-specific server device 315 and the client device 3.
Transmission / reception of patient medical data, medical application programs, etc. between the ten communication means 800 such as the Internet
4, except that transmission and reception of patient medical data and the like between the institution-specific server device 315 and the shared server device 320 in the same medical center 330 are performed via a LAN or the like. This is almost the same as the case of the second embodiment.

(Fourth Embodiment) Next, a medical information system according to a fourth embodiment of the present invention will be described with reference to FIG.

In FIG. 6, the medical information system 400 of the fourth embodiment has the same basic configuration as that of the first embodiment shown in FIG.
The client device 110 a installed in the pharmacy 11 a receives, via the shared server device 120, a drug prescription order (that is, electronic data instructing what kind of dispensing is performed at the pharmacy) input or specified on the browser.
b is configured to be able to transmit to the client device 110b installed in the client device 110b. Then, the client device 110
b is configured to receive the transmitted medicine prescription order and to control the automatic dispensing machine 450 according to the received medicine prescription order. At this time, the transmission of the medicine prescription order from the client device 110a to the client device 110b may be performed by forcibly sending the prescription order to the client device 110b, or periodically or via a mailbox provided in the shared server device 120. A method of taking in irregularly may be used.

Therefore, according to the fourth embodiment, the medicine prescription order is transmitted from the computer driven by the browser in the same hospital or out of the hospital to each client device 11.
0a and 110b can be transmitted and received, and a so-called pharmacy system can be used in conjunction with an electronic medical record. In particular, upon receiving a drug prescription order, the in-hospital or out-of-hospital pharmacy not only can print a prescription, but also has an automatic dispensing machine 450
Can automatically perform dispensing corresponding to the drug prescription order, from the point when the patient's medical data is entered into the electronic medical record at a hospital, etc., until the drug is actually delivered to the patient at an in-hospital pharmacy or out-of-hospital pharmacy. Time and labor can be reduced.

Incidentally, such order transfer is preferably standardized by, for example, HL7.

In addition, in the basic configuration of the second embodiment shown in FIG. 3, the client device 210 disposed in a medical care facility and a pharmacy in the same medical facility 211 is connected to the client device 210 via the facility-specific server device 215. The transmission and reception of the medicine prescription order as in the fourth embodiment may be performed,
Alternatively, the medicine prescription order as in the above-described fourth embodiment may be transmitted and received between the client devices 210 disposed in the medical facilities and pharmacies in different medical-related facilities 211 via the shared server device 220.

Further, in the basic configuration of the third embodiment shown in FIG. 5, a plurality of client devices 310 arranged in medical facilities and pharmacies within the same medical facility 311 are provided.
The medicine prescription order as in the fourth embodiment may be transmitted / received between the facilities via the facility-specific server apparatus 315, or the client apparatus 310 disposed in a medical facility and a pharmacy in a different medical-related facility 311. The transmission and reception of the medicine prescription order as in the fourth embodiment may be performed via the shared server device 320 between them.

(Fifth Embodiment) Next, a medical information system according to a fifth embodiment of the present invention will be described with reference to FIG.

In FIG. 7, the medical information system 500 according to the fifth embodiment has the same basic configuration as that of the first embodiment shown in FIG.
The client device 110a installed in the server 11a receives a medical test order input or specified on a browser (that is, electronic data indicating what type of test is to be performed by the test company) via the shared server device 120 for external test. Client device 110c installed in company 111c
Is configured to be able to be transmitted. The transmission of the medical examination order from the client device 110a to the client device 110c may be performed by forcibly sending the order to the client device 110c, periodically or via a mailbox provided in the shared server device 120. A method of taking in irregularly may be used.

The client device 110c receives the transmitted medical test order and issues a test instruction according to the received medical test order. For example, the inspection instruction is printed out on a predetermined sheet, or an image is displayed on a display in the inspection room. Thereafter, in the client device 110c, medical test result data such as image test data and sample test data relating to the medical test performed in response to the test instruction is input on a browser or the like, and transmitted to the shared server device 120. I do. The client device 110a receives the medical test result data via the shared server device 120 and displays the data on the electronic medical record in a predetermined format. For example, the medical test result data may be displayed as a part of the data of the electronic medical record in various formats such as a time series and a graph display. At this time, prior to transmitting the medical examination order, it is also possible to refer to the medical examination result data in another hospital.

Therefore, according to the fifth embodiment, the client device 110c or the shared server device 120 installed in the external inspection company 111c or related hospitals or affiliated hospitals.
However, when a special image server device is included, the image data generated thereby can also be displayed on the client device 110a side, which is very convenient in practice. For example, a medical information system performs a series of operations from a hospital without a special imaging device (MRI imaging facility, CT scan imaging facility, etc.) to requesting or appointing an examination to a specialized hospital having such facilities and obtaining a report. 500 makes it possible to perform the operation smoothly. As a result, the external inspection company 111
It is not necessary to prepare a slip, prepare a floppy (registered trademark) for c, and process the result slip, and easily receive inspection guidance.

Incidentally, the transfer of such medical examination orders and medical examination result data may be standardized by HL7 or the like.
It is good to standardize with M etc.

In addition, in the basic configuration of the second embodiment shown in FIG. 3, the client device 210 disposed in the medical care facility, the examination department, etc. in the same medical facility 211.
The medical test order and the medical test result data as in the fifth embodiment may be transmitted and received via the facility-specific server device 215 between the facilities, or a medical facility and an external test company in different medical-related facilities 211. Shared server device 22 between client devices 210 arranged in
0, the medical test order and the medical test result data as in the fifth embodiment may be transmitted and received.

Further, in the basic configuration of the third embodiment shown in FIG. 5, a plurality of client devices 310 arranged in a medical care facility, an examination department, and the like in the same medical facility 311 are connected via a facility-specific server device 315. Thus, the medical examination order and the medical examination result data as in the fifth embodiment may be transmitted and received, or the client apparatus 310 disposed in a medical facility and an external examination company in a different medical-related facility 311 may be used. The transmission and reception of the medical test order and the medical test result data as in the fifth embodiment may be performed via the shared server device 320.

(Sixth Embodiment) Next, a medical information system according to a sixth embodiment of the present invention will be described with reference to FIG.

In FIG. 8, the medical information system 600 of the sixth embodiment has the same basic configuration as that of the first embodiment shown in FIG.
11a is a client device 110a installed in the fifth
As in the embodiment, the medical test order is configured to be transmitted to the client device 110c installed in the external test company 111c via the shared server device 120, and further, the client device 110c responds to the medical test order. Shared medical test result data server device 1
20 and the client device 110a is configured to receive and display it.

In the sixth embodiment, in particular, the client device 110a transmits the accounting order input or specified on the browser (that is, electronic data for instructing execution of medical accounting such as medical fee calculation) to the shared server device 120. It is configured to be able to transmit. Further, the client device 11
Reference numerals 0a and 110c are configured to be able to transmit calculation basis data, which is a basis for calculation of medical accounting such as medical fee calculation, in patient medical data or medical test result data input or referred to on an electronic medical record. ing. Alternatively, each of the client devices 110a and 110c is configured to be able to extract such calculation basis data from the patient medical data and the medical test result data and transmit the extracted data to the shared server device 120. On the other hand, the shared server device 120 executes the medical accounting application program, and based on the calculated basis data extracted from the patient medical data and medical test result data received from the client devices 110a and 110c or the received calculated basis data. Then, a predetermined type of medical accounting calculation is performed to generate medical accounting data indicating the accounting result. The medical accounting data is transferred to the client device 110d located in the accounting department 111d (for example, the accounting department located in the same hospital as the medical facility 111a).
Is configured to be transmitted to. At this time, as the medical accounting data, data indicating only the medical accounting result such as a bill and a receipt may be provided to the client device 110d side, or only the medical application and the medical database may be provided on the shared server device 120 side. All of the other medical accounting functions may be provided to the client device 110d side in this case.
It becomes easy to correct the accounting result on the 0d side.

Therefore, according to the sixth embodiment, the medical accounting system can be used in conjunction with the electronic medical record. In particular, in the client device 110d (and 110a), the processing capacity and the storage for performing the medical accounting calculation are stored. Even if the shared server device 120 does not have a capability or a knowledge base, such a capability is sufficient.

In addition, in the basic configuration of the second embodiment shown in FIG. 3, the medical accounting calculation as in the sixth embodiment is performed by the facility-specific server device 215 based on the calculation basis data from one client device 210. The medical accounting data may be transmitted to the one client device 210 or the client device 210 disposed in the same medical facility 211 as the one client device 210 or the one client device 21.
Shared server device 2 based on the basis data calculated from 0
At 20, a medical accounting calculation as in the sixth embodiment is performed, and a medical-related facility 2 different from the one client device 210 is performed.
The medical accounting data may be transmitted to the client device 210 arranged in the server 11.

Further, in the basic configuration of the third embodiment shown in FIG. 5, a medical accounting calculation as in the sixth embodiment is performed by the facility-specific server device 315 based on the calculation basis data from one client device 310. The medical accounting data may be transmitted to the one client device 310 or the client device 310 disposed in the same medical facility 311 as the one client device 310 or the one client device 31.
Shared server device 3 based on the basis data calculated from 0
At 20, a medical accounting calculation as in the sixth embodiment is performed, and a medical-related facility 3 different from the one client device 310.
The medical accounting data may be transmitted to the client device 310 arranged in the server 11.

(Seventh Embodiment) Next, a medical information system according to a seventh embodiment of the present invention will be described with reference to FIG.

The medical information system of the seventh embodiment has the same basic configuration as those of the above-described first to sixth embodiments, but at least one client device is provided from a shared server device or a facility-specific server device. Using a medical application program, as shown in FIG. 9, on a browser having a format of Table 10 in which a plurality of types of preset medical actions 11 are arranged on the time axis 12 for each type, It is configured to be able to refer to or input patient medical data. Then, the medicine prescription order as shown in the fourth embodiment may be transmitted by designating the corresponding item (item of medicine administration) in Table 10 with a mouse or the like, or the fifth embodiment. May be transmitted by designating a corresponding item (test item) in Table 10 with a mouse or the like.

Therefore, according to the seventh embodiment, a so-called critical path (see FIG. 9) can be referred to or created on the browser. In particular, the use of the critical path can appropriately refer to the result data and manage the medical care process. I can do it.

By standardizing such a template for inputting critical paths and various patient medical data in the medical information system, the quality of medical care in all medical facilities using each client device can be improved. It is also possible to keep it constant.

The present invention is not limited to the above-described embodiment, but can be appropriately modified without departing from the spirit or spirit of the invention which can be read from the claims and the entire specification. Medical information systems are also included in the technical scope of the present invention.

[0107]

As described above in detail, according to the medical information system of the present invention, in the medical facilities such as hospitals, clinics, nursing homes, nursing homes, patient homes, etc. The application program for medical use can be operated relatively easily, and the patient medical data generated by using such a medical application program can be effectively used in each medical facility. As a result, it leads to respect for human life by improving the quality of medical care in each medical-related facility.

[Brief description of the drawings]

FIG. 1 is a block diagram of a medical information system according to a first embodiment of the present invention.

FIG. 2 is a flowchart showing an operation of the medical information system of the first embodiment.

FIG. 3 is a block diagram of a medical information system according to a second embodiment of the present invention.

FIG. 4 is a flowchart illustrating an operation of the medical information system according to the second embodiment.

FIG. 5 is a block diagram of a medical information system according to a third embodiment of the present invention.

FIG. 6 is a block diagram of a medical information system according to a fourth embodiment of the present invention.

FIG. 7 is a block diagram of a medical information system according to a fifth embodiment of the present invention.

FIG. 8 is a block diagram of a medical information system according to a sixth embodiment of the present invention.

FIG. 9 is a plan view of a table displayed on a client device in the medical information system according to the seventh embodiment of the present invention.

[Explanation of symbols]

 110, 210, 310 client device 120, 220, 320 server device 215, 315 server device by facility 450 automatic dispensing machine 800 communication means

Claims (10)

[Claims] 1. A plurality of client devices each installed in a plurality of medical facilities and running a browser, and an electronic medical record is connected to the plurality of client devices via communication means, and the plurality of client devices are provided with electronic medical records. And a shared server device that provides a medical application program including the medical application program, wherein the plurality of client devices each use the browser to use the medical application program to indicate information related to medical care of each patient on the electronic medical record. A medical information system capable of inputting and referencing patient medical data, wherein the shared server device at least temporarily stores at least a part of the input and referenced patient medical data for each patient. 2. A plurality of client devices, each of which operates a browser, and a plurality of client devices provided for each medical facility and connected to one of the plurality of client devices installed at the same medical facility. A plurality of facility-specific server devices each providing a medical application program including an electronic medical record to a client device; and a shared server device connected to the plurality of facility-specific server devices via communication means. Each of the client devices can input and refer to patient medical data indicating information on medical care of each patient on the electronic medical record using the medical application program by the browser, and the shared server device can And at least part of the referenced patient medical data is at least temporary for each patient Medical information system, characterized in that the holding. 3. The method according to claim 1, wherein one of the plurality of client devices transmits a desired order input or specified on the browser among orders instructing execution of a plurality of types of medical-related actions set in advance. 3. The device of claim 1, wherein the transmitted order is transmitted to another client device of the plurality of client devices via a shared server device, and the other client device receives the transmitted order. 4. Medical information system. 4. The medical information system according to claim 3, wherein the order includes a drug prescription order, and the other client device is installed in an in-hospital or out-of-hospital pharmacy. 5. The another client device is connected to an automatic dispensing machine for automatically performing dispensing, and upon receiving the medicine prescription order, controls the automatic dispensing machine in accordance with the received medicine prescription order. The medical information system according to claim 4, wherein: 6. The order includes a medical test order, and when the other client device receives the medical test order, the other client device issues a test instruction according to the received medical test order, and responds to the test instruction. Transmitting the medical test result data relating to the performed medical test to the shared server device, the one client device receiving the medical test result data via the shared server device, and performing a predetermined process on the electronic medical record. The medical information system according to claim 3, wherein the information is displayed in a format. 7. A client device among the plurality of client devices, wherein calculation basis data and a medical accounting order serving as a basis for calculating medical accounting input or specified on the browser are stored in the shared server device or the facility. The shared server device or the facility-specific server device transmits to the server device,
A medical accounting data of a predetermined type is calculated based on the calculation basis data, and medical accounting data indicating an accounting result is transmitted to the one client device or the other client devices among the plurality of client devices. The medical information system according to claim 1. 8. The method according to claim 1, wherein the one client device extracts the calculation basis data from the patient medical data input on the electronic medical record and transmits the data to the shared server device or the facility-specific server device. The medical information system according to claim 7, characterized in that: 9. The shared server device or the facility-specific server device extracts the calculation basis data included in the patient medical data transmitted from the one client device from the received patient medical data, The medical information system according to claim 7, wherein the medical accounting calculation is performed based on the extracted calculation basis data. 10. At least one of the plurality of client devices refers to the patient medical data on a browser in a tabular format in which a plurality of preset medical activities are arranged on a time axis for each type. Alternatively, the medical information system according to any one of claims 1 to 9, wherein input is possible.