JP2002318820A - Medical treatment information providing system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To make customizable a display screen for displaying information, when providing information from the server machine side to the client machine side in a medical treatment institution. SOLUTION: A display condition corresponding to a combination of a user identifier, a client machine identifier or the like is housed in a display condition DB 24. When a connection request is proposed from a client machine 14 to a server machine 12, the server machine 12 specifies the display condition corresponding to the combination of the user identifier and the client machine identifier, and creates a WEB page following the display condition. When the page is down-loaded to the client machine 14, users can acquire the customized WEB page.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical information providing system, and more particularly, to a system for medical personnel to search for various information in a medical facility.

[0002]

2. Description of the Related Art Recently, in medical facilities such as hospitals, computerization and networking of information have been advanced. In such a facility, necessary information is provided from a server machine to each client machine via a network. In such a case, for example, WWW (World Wide) which is currently widely used on the Internet
Web) technology is used, that is, a web page (display screen) provided from a web server is browsed (browsed) by a web client, and a linked display screen is displayed as necessary.

In the above case, first, WE
A common screen (common page) is provided as a top page from the B server to each client, and from there, the screen is gradually shifted to a screen (individual page) of each item that exists hierarchically, and desired information is searched and displayed. . Then, normally, when shifting from the top page common to each client to each item, an access right such as a password is checked. This is to limit the range of information that can be accessed according to the duties of medical personnel such as doctors, nurses, pharmacists, accounting clerks, and reception clerks. In a medical institution, various medical information such as general information (patient information), clinical information (medical record description information), medication information, and image information on a patient exist in a database, but according to the system, The database of each information can be integrated and managed in a unified manner, and the necessary information can be provided to the required persons.

[0004] However, according to the above-mentioned conventional system configuration, various medical personnel always access a page common to those persons first, and then select a necessary page step by step from there. Is indispensable, so that the operation tends to be complicated, and there is a problem that desired information cannot be quickly obtained. In other words, the range of the information accessed for each medical staff among all the information existing in the medical institution is predetermined. Also,
According to the above conventional system configuration, it is only after trying to access certain information that it is possible to recognize whether or not access to the information is possible, that is, since the specifications of the top page are uniformly defined. , Even information items that are essentially unnecessary (inaccessible) for each person are displayed,
There is a problem that convenience of operation of each user cannot be achieved.
Also, if you try to browse the information in other items continuously, it is necessary to always go back to the top page, select the page step by step, and arrive at the target information, which is very complicated There's a problem.

Further, in the above-mentioned conventional system configuration, an information providing service in consideration of a place where a client machine is installed (for example, an operating room or a nurse station) is not provided. It is also required to ease the burden of inputting patient identification information.

The present invention has been made in view of the above-mentioned conventional problems, and an object of the present invention is to construct a medical information providing system capable of quickly obtaining target information while reducing an operation load.

Another object of the present invention is to construct a medical information providing system capable of narrowing down information to be provided in advance according to the job scope of medical personnel and the location of terminals.

[0008]

In order to achieve the above object, the present invention comprises a server machine having a medical information database, and a plurality of client machines connected to the server machine via a network, In a medical information providing system in which medical information is provided from a server machine to a client machine that has issued a connection request, the server machine includes, for each identification information including at least one of a user identifier, a client machine identifier, and a patient identifier, Display condition storage means for storing display conditions for customizing a display screen to be provided to the client machine which has issued the connection request, and basic identification information obtained from the client machine which has issued the connection request; Table that identifies the display conditions associated with the A condition specifying unit, a display screen creating unit that searches for medical information stored in the medical information database according to the identified display condition, and creates a display screen reflecting the search result; Display screen providing means for providing the created display screen to the issuing client machine, and each time the connection request is issued, the display screen customized according to the identification information issues the connection request Provided to client machines.

According to the above configuration, when searching and displaying information using a client machine, the user identifier of the user who uses the client machine, the client machine identifier of the client machine, and the patient identifier for identifying a patient are selected from the group consisting of: One or more pieces of information (identification information) are recognized by the server machine, and the specifications of the screen displayed on the client machine are determined according to the display conditions corresponding to the identification information. That is, according to the identification information,
The contents of the display screen can be customized. Therefore, it is possible to quickly and efficiently reach necessary information. Of course, necessary information may be displayed immediately from the beginning.

[0010] In the above configuration, for example, with respect to a client machine installed in a hospital room, a unique screen for a nurse or the like to access information necessary for daily nursing activities and medical care activities may be displayed. Also, at this time, if the user is identified as a nurse or a doctor, the provided information can be narrowed down more finely in advance. Further, for example, regarding a client machine installed in a nurse center, information particularly required at the place such as emergency contact information may be displayed in addition to normal patient information. Furthermore, regarding a client machine installed in an operating room, a patient identifier and a doctor identifier may be recognized, and an ultrasound image, a CT image, or the like representing an affected part of a patient may be immediately displayed. That is, if the specifications of the display screen and the range of the displayed information are customized in consideration of the duties of the user of the client machine, special circumstances of the installation location, and the like, a more convenient system can be provided. To realize the above configuration, for example, WEB
The server may be combined with servlet technology.

Preferably, a display image is customized according to a combination of the user identifier and the client machine identifier. Preferably, the display screen is customized according to the combination of the client identifier and the patient identifier. Preferably, the client machine is provided with a card reader for reading a patient identifier recorded on a patient card. By using a patient card that is carried or attached to each patient and inputting the patient identifier, the input load can be reduced,
In addition, input errors and mistakes can be prevented.

[0012] The user identifier may be an identifier of an individual such as a doctor or a nurse (nurse) or an identifier of a job, and the client machine identifier may be:
The identifier may be an installation location, a network address, or the like. The patient identifier may be an individual identifier, or may be a category identifier such as gender, age, subject, inpatient / outpatient, and the like. In any case,
It is desirable to adaptively set a page layout to be browsed according to a user of information, a place where information is used, an object related to information, and the like.

[0013]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Preferred embodiments of the present invention will be described below with reference to the drawings.

FIG. 1 shows a preferred embodiment of a medical information providing system according to the present invention, and FIG. 1 is a block diagram showing the entire configuration. This system is installed, for example, in a hospital.

The network 10 includes a server machine 1
Two and a plurality of client machines 14 are connected. The server machine 12 is configured by a host computer, and the client machine 14 is configured by an information processing device as a terminal device. The client machine 14 is installed in each hospital room 18, and furthermore, the operating room 2
It is installed at a necessary place such as 0. The client machine 14 is equipped with a web client such as a web browser, and can browse and refer to information provided from the server machine 12 using the web browser. A card reader 16 is connected to the client machine 14 as needed. The card reader 16 is a device for reading patient identification information on a patient card provided for each patient.

The server machine 12 has a plurality of databases (DB) as shown. Specifically, in the present embodiment, the display condition DB 24, the patient information DB 26, the clinical information DB 28, the medication information DB 30,
An image DB 32 and an ultrasonic image DB 34 are provided. Here, the display condition DB 24 is a database that stores display conditions according to a combination of a user identifier and a client machine identifier as described later. According to the display condition DB 24, the display condition DB 24 displays according to various users and situations. It is possible to customize the screen. The patient information DB 26 is a database that stores general bibliographic information such as age and gender for each patient. Clinical information D
B28 is a database storing information described in a medical record such as a medical record for each patient. The medication information DB 30 is a database that stores medication information that has been administered or prescribed for each patient. CT image DB
A database 32 stores, for example, X-ray CT images for each patient. The ultrasound image DB 34 is a database that stores ultrasound images for each patient.

The integrated management server 22 manages the plurality of databases described above in a unified manner, and
It is a server for providing and searching for information as if only one large database exists when viewed from the four sides. The web server 36 is a server that creates the web page when referring to or searching for information via the web page on the client machine 14. Specifically, the display screen is configured as an HTML format file. You. In this case, a known servlet technology or the like is used to customize the display screen for each client machine 14.

FIGS. 2 to 5 show the display condition DB2 described above.
4 shows a specific configuration example. In the configuration example shown in FIG. 2, the display condition 104 is associated with each combination of the user identifier 100 and the client machine identifier 102. Here, the user identifier 100 specifically indicates the type of job of the medical staff, and the client machine identifier 102 is information on the location where each client machine is installed. The display condition 104 is WEB
This is information describing the specifications of the web page when the web page is created by the server 36, and corresponds to page configuration conditions such as the layout of the page and the definition (link) of buttons included in the page. By the way, as shown in FIG.
5 may be set. The display conditions are determined for each of the user identifier, the client machine identifier, and the patient identifier, or for each combination thereof, thereby realizing the customization of the WEB page according to various situations.

In the configuration example shown in FIG.
06 is associated with the job type of the medical staff, and display conditions are set for each of the user identifiers 106. In the configuration example shown in FIG. 4, a display condition 112 is associated with each client machine identifier 110. In the configuration example shown in FIG.
2 is the same as that shown in FIG. 2 in that the display condition 118 is associated with each combination of the client machine identifier 116 and the client machine identifier 116. However, in the configuration example shown in FIG. Is represented. That is, according to the configuration example shown in FIG. 5, it is possible to finely set display conditions for each user. Of course, the display condition may be set in combination with the patient. This is the same for other configuration examples.

Next, the operation on the client machine side and the operation on the server machine side will be described with reference to FIG.

First, in S101, a connection request is issued from any one of the client machines 14 according to a predetermined operation. The connection request is received by the server machine 12, and the connection is confirmed in the server machine 12 (S102).

Next, in S103, a request for authentication information is issued from the server machine 12 to the client machine 14 which has issued the connection request. Here, the authentication information is, for example, a user password or account.

In S104, the authentication information is input by the user in the client machine 14 which has received the request for the authentication information. That is, a password, an account, and the like are input. When the information is transmitted to the server machine 12, the server machine 12 first authenticates the input information in S105, and then identifies the connection partner of the client machine 14. That is, the client machine 1
Referring to the information transmitted from the four sides, the client machine identifier and the user identifier included therein are specified. Of course, the above-mentioned password or the like may be used as the user identifier, and for example, the address of the client machine may be referred to as the client machine identifier. In any case, both the user of the information and the location where the information is used are specified by the process of S105.

In S106, the display condition DB shown in FIG.
24, a specific display condition is selected according to the user identifier and the client machine identifier specified as described above, and a WEB page, that is, a display screen is created according to the display condition.

This is created, for example, in the form of an HTML file. In S107, the display screen thus created is downloaded to the client machine 14, and in S108, the downloaded display screen is displayed on a display included in the client machine 14. In S109, the user performs a necessary input operation on such a display screen to execute the corresponding process S110 on the server machine 12 side.
Can be executed. For example, by clicking a predetermined button on a web page,
It is possible to search or display information associated with the button. In this case, the search range and display range of the information are defined according to the display conditions described above, that is, information search and display are performed within the range defined by the combination of the information user and the information use place. Will be. Therefore, there is an advantage that the information search operation can be easily performed and the search processing can be performed quickly. After S110, the input operation is continuously performed on the client machine 14 side as necessary, and the corresponding processing is executed.

In the above embodiment, the input of the patient identifier is executed, for example, in step S109.
For example, the patient identifier may be input by reading the contents of the patient card by the card reader 16 shown in FIG. The concept in that case is shown in FIG. For example, if the patient identifier is specified together with the user identifier and the client machine identifier in S105, as shown in FIG. 2, the display screen is configured according to the display conditions specified by the combination of the three. There is an advantage that required information can be browsed more quickly.

In the system described above,
For example, when a patient is transported from the hospital room 18 to the operating room 20 shown in FIG. 1, first, the contents of the patient card of the patient are read by the card reader 16, and the patient information of the patient is displayed on the client machine 14. Or medical information may be displayed. When the patient is transported to the operating room 20, the patient card 17 carried by the patient is read by the card reader 16, and thereafter, the patient information, clinical information, ultrasonic image, etc. of the patient are displayed on the client machine 14. May be displayed. According to such processing,
Because you can check the patient at the required location,
There is an advantage that patients can be prevented from being mixed up, and patient information can be obtained immediately prior to surgery. The patient card as described above may be held by the patient himself, or may be provided on a bed for transporting the patient.

According to the above-described embodiment, for example, in a reception office of a hospital, necessary office information is displayed on a client machine existing there.
In an examination room or an operating room, patient-related information suitable for the place is displayed, and thus there is an advantage that the work of each staff can be performed rationally. In addition, there is an advantage that security of various information can be ensured. When displaying information at a nurse's station or the like, information such as emergency contact information about the patient may be displayed in addition to the patient's information. Information and the like may be displayed together, and in any case, there is an advantage that the information display screen is customized according to the user of the information and the place of use of the information, thereby facilitating the work of the medical staff. .

[0029]

As described above, according to the present invention,
It is possible to quickly obtain desired information while reducing the operation burden. Further, according to the present invention, it is possible to narrow down the content of information to be provided according to the job range of medical personnel and the circumstances of the terminal installation location.

[Brief description of the drawings]

FIG. 1 is a block diagram showing an overall configuration of a medical information providing system according to the present invention.

FIG. 2 is a diagram illustrating a configuration example of a display condition database illustrated in FIG. 1;

FIG. 3 is a diagram showing another configuration example of the display condition database shown in FIG. 1;

FIG. 4 is a diagram showing another configuration example of the display condition database shown in FIG. 1;

FIG. 5 is a diagram showing another configuration example of the display condition database shown in FIG. 1;

FIG. 6 is a flowchart for explaining operations of a client machine and a server machine.

[Explanation of symbols]

10 network, 12 server machine, 14 client machine, 16 card reader, 17 patient card, 18 hospital room, 20 operating room, 24 display condition D
B, 36 WEB server.

Claims (4)

[Claims] 1. A server machine having a medical information database, and a plurality of client machines connected to the server machine via a network, wherein medical information is provided from the server machine to a client machine which has issued a connection request. In the medical information providing system, the server machine customizes a display screen provided to the client machine that has issued the connection request, for each piece of identification information including at least one of a user identifier, a client machine identifier, and a patient identifier. Display condition storage means for storing display conditions in association with each other, display condition obtaining means for obtaining identification information from the client machine which has issued the connection request, and specifying display conditions associated with the identification information, According to the display conditions Display screen creation means for searching for medical information stored in the medical information database and creating a display screen reflecting the search result; and displaying the created display screen for the client machine that issued the connection request. Providing a display screen providing means, wherein each time the connection request is issued, a display screen customized according to the identification information is provided to the client machine which issued the connection request. system. 2. The medical information providing system according to claim 1, wherein a display image is customized according to a combination of the user identifier and the client machine identifier. 3. The medical information providing system according to claim 1, wherein a display screen is customized according to a combination of the client identifier and the patient identifier. 4. The medical information providing system according to claim 1, wherein the client machine is provided with a card reader for reading a patient identifier recorded on a patient card.