JP2003076789A - System for electronic chart using mobile telephone - Google Patents

Abstract

PROBLEM TO BE SOLVED: To improve the efficiency of medical care and reduce medical care costs along with an improvement of quality of the medical care by allowing referring to previous medical records when treating the medical care. SOLUTION: When a patient gets the medical care at a clinic/hospital 2, the patient itself instructs a transfer of a medical record regarding to itself to a hospital medical information system 3a installed in a hospital 3 via a mobile telephone 1. The information system 3a acquires the requested medical record from a patient information database 3b and transmits to the mobile telephone 1 or a processing device for information 2a installed in the clinic/ hospital 2 via a mobile communication exchange network/LAN (Local Area Network) 4. The mobile telephone 1 transfers the transmitted medical record of the patient itself to the device for information 2a. A doctor of the clinic/ hospital 2 treats the medical care while displaying the medical record of the patient.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an electronic medical record system for providing patient information using a mobile phone applied to the medical field.

[0002]

2. Description of the Related Art Conventionally, a medical record is referred only to a patient at the time of medical treatment, and when a medical examination is made at another hospital, the medical record of the medical history such as a medical history is again recorded within the range remembered by the patient. It was necessary to present it to the person and re-examine various inspections. In particular, it has been difficult to disclose a patient's medical record in the past. Even if it is disclosed, whether or not to disclose it depends on the intention of the medical institution (doctor), and the patient discloses it on his / her own will. I didn't have the right.

[0003]

In recent years, medical records have been digitized, and past medical records can be stored in a database storing the medical records using a mobile communication device or the like at the patient's will. Obtaining has become feasible. However, it has been difficult to record past medical records in medical records created by another medical institution. As described above, in the past, it is difficult to refer to a medical record that has been previously visited by another medical institution, and each time the medical institution to be consulted is changed, a new medical institution receives a new I had to revisit the interview and examination. As a result, the same medical procedure is repeatedly performed, which results in poor efficiency of medical treatment and an increase in medical expenses. The present invention has been made in view of the above circumstances, and an object of the present invention is to make it possible for another medical institution to refer to past medical records at the time of medical treatment, thereby improving the efficiency of work relating to medical treatment. The aim is to improve the quality of medical care and reduce medical costs.

[0004]

FIG. 1 is a diagram for explaining the outline of the present invention. As shown in the figure, when the patient receives a medical examination at the clinic / hospital 2, the patient himself / herself transfers the medical record about himself / herself by the mobile telephone 1 to the hospital medical information system 3a installed in the hospital 3. In response to the instruction, the hospital medical information system 3a acquires the medical record instructed by the mobile telephone 1 from the patient information database 3b according to the instruction, and the medical information is instructed by the mobile telephone 1 or the mobile telephone 1. It is designed to be transferred to a transfer destination.
To access the hospital medical information system 3a, for example, the mobile phone with card 1 having a number for accessing the hospital medical information system 3a is used. As the card, for example, a card such as a medical examination ticket issued by the hospital 3 can be used. As shown in FIG. 1, the request for the medical record from the mobile phone 1 to the hospital medical information system 3a and the transfer of the medical record are performed as follows. (1) When the patient visits the clinic / hospital 2, the mobile phone with card 1 to the hospital medical information system 3a
The patient requests his own medical record. The hospital medical information system 3a acquires the requested medical record from the patient information database 3b and sends it to the mobile telephone 1 via the mobile communication switching network 4. The medical record of the patient himself / herself sent to the mobile phone 1 is transferred to the information processing device 2a provided in the clinic / hospital 2 where the patient consults, and the doctor of the clinic / hospital 2 is transferred to the information processing device 2a. , Carry out medical services while displaying medical records of patients. (2) When the patient visits the clinic / hospital 2, the mobile phone with card 1 to the hospital medical information system 3a
The patient requests his own medical record. The hospital medical information system 3a obtains the requested medical record from the patient information database 3b, transfers it to the information processing device 2a provided in the clinic / hospital 2 via the network 4 such as LAN, and the clinic / hospital. 2 doctor is the information processing device 2a
In addition, the medical service is performed while displaying the medical record of the patient. (3) When the patient visits the clinic / hospital 2, the mobile phone with card 1 is set in the cradle 2b of the information processing device 2a provided in the clinic / hospital 2, and the mobile phone 1 is used for the hospital medical information system. The patient requests the medical record of the patient himself to 3a. The hospital medical information system 3a acquires the requested medical record from the patient information database 3b,
It is sent to the mobile telephone 1 via the mobile communication switching network 4. The patient's own medical record sent to the mobile phone 1 is the credor 2b.
Is transferred to the information processing device 2a provided in the clinic / hospital 2 where the patient consults, and the doctor of the clinic / hospital 2
The medical service is performed while displaying the medical care information of the patient on the information processing device 2a. In the hospital medical information system 3a,
Billing information corresponding to the amount of accessed data is accumulated, and billing processing is performed from the billing information to the patient or hospital / clinic via the financial institution 5. In the present invention, as described above, the medical record of the patient is transferred to the information processing device 2a of the clinic / hospital 2 under the management of the patient, so that the medical record of the patient's past can be efficiently stored. It can be used for medical treatment, and the quality of medical care can be improved. Also,
Since the medical records can be used effectively by using the past medical records, it is not necessary to perform various tests again, and it is possible to contribute to the reduction of medical costs. Further, since the medical record is transferred to the clinic / hospital 2 in response to the request from the mobile phone of the patient, the privacy of the patient can be protected.

[0005]

FIG. 2 is a diagram showing the configuration of a system according to a first embodiment of the present invention. In this embodiment, a medical record of a patient is stored in a clinic from a hospital medical information system. Fig. 3 shows an example of a transfer to a processing device using a mobile phone of a patient. In the figure, 11 is a hospital medical information system installed in a hospital, and a patient database 11a of the hospital medical information system 11 stores medical records such as medical history and family history of each patient. Reference numeral 12 is a clinic, and an information processing device 12a is installed in the clinic 12. Reference numeral 13 is a patient, and the patient has his or her own mobile telephone 13a, and accesses the hospital medical information system 11 by setting a card such as a medical examination ticket issued by the hospital on the mobile telephone 13a. be able to. As the mobile phone, for example, a mobile phone, PHS, mobile terminal, or the like can be used, and the case of using the mobile phone will be described below. Reference numeral 14 is a mobile communication switching network, and the medical record can be transferred from the patient database 11a to the mobile phone 13a via the mobile communication switching network 14. Reference numeral 15 is a financial institution such as a bank, and charges an access fee to the patient 13 when the patient accesses the patient database.

[0006] Next, when a patient receives a medical examination at the clinic 12, the process of transferring the medical record of the patient from the patient database 11a to the mobile phone 13a and storing it in the information processing device 12a of the clinic 12 will be described. This will be described with reference to the flowchart of FIG. First, hospital medical information system 11
A mobile phone with a card that holds a number to access the patient database 11 of the hospital medical information system 11.
The start of access to a is instructed (step S1). As the above-mentioned card, it is possible to use, for example, a medical examination ticket or the like made of an IC card or the like issued by a hospital operating the hospital medical information system 11. Then, the password for accessing the hospital medical information system 11 is input from the mobile phone 13a (step S2). The hospital medical information system 11 checks from the card information and the password whether or not the access is from the person who has the authority to access the hospital medical information system 11, and if it is the access to the authority, the patient database 11a The necessary information is selected from the stored information, and the transfer of the information is instructed (step S3).

[0007] For selecting the above information, for example, as shown in FIG. 4, a selection screen is displayed on the mobile phone, information corresponding to an instruction from the mobile phone is selected and transferred to the mobile phone. Figure 4
FIG. 4A shows an example of a selection screen displayed on the mobile phone, and FIG. 4B shows a display example of information selected on the screen of FIG. As shown in FIG. 4 (a), a selection screen is displayed on the mobile phone, and when a consultation date is designated on this selection screen, the medical record related to the consultation day is transmitted from the hospital medical information system 11, It is displayed on the telephone as shown in FIG. When the medical record of the patient is transferred from the hospital medical information system 11,
This information is received by the mobile phone 13a and the mobile phone 13a
Information processing device 12a for doctors installed in the clinic 12 from
(Step S4).

FIG. 5 shows an example of a screen displayed on the screen of the doctor's information processing apparatus 12a. As shown in the figure,
The medical record transmitted from the hospital medical information system 11 is displayed on the information processing device 12a [FIG. 5 (a)].
Further, in the case of the medical record of “with image”, the image sent from the hospital medical information system 11 is displayed by clicking the “image” part. The doctor of the medical office 12 carries out medical care work while displaying the medical care information of the patient shown in FIG. 5A on the information processing device 12a (step S5). Then, the information processing apparatus 12a creates the medical examination chart shown in FIG. The hospital medical information system 11 accumulates billing information according to the amount of accessed data, and bills the patient or hospital / clinic via the financial information 15 from the billing information (steps S6, S7). . FIG. 6 shows an example of billing information stored in the hospital medical information system 11.

In the present embodiment, the medical record of the patient is transferred to the information processing device of the clinic under the management of the patient via the mobile phone of the patient as described above.
The past medical record of the patient can be effectively used for medical treatment, and the quality of medical treatment can be improved. In addition, since the medical records can be effectively used by using the past medical records, it is not necessary to perform various tests again, which can contribute to the reduction of medical costs. Further, since the medical record of the patient is acquired via the mobile phone of the patient, the medical record of the patient is not known to others, and the privacy of the patient can be protected.

FIG. 7 is a diagram showing the configuration of the system according to the second embodiment of the present invention. In this embodiment, a request for transfer of a medical record is sent from a mobile phone to a hospital medical information system, and hospital medical information is sent. An example is shown in which a medical record from the system is transferred to an information processing device in a clinic via a network such as a LAN. In FIG. 7, the same components as those shown in FIG. 2 are designated by the same reference numerals, 11 is a hospital medical information system installed in the hospital, and the patient database 11a of the hospital medical information system 11 has Stores medical records such as medical history and family history of each patient. Reference numeral 16 is a hospital, and the hospital 16 is provided with an information processing apparatus 12a connectable to the network 17. Reference numeral 13 is a patient, who has a mobile telephone 13a. Reference numeral 15 is a financial institution such as a bank, and charges the access fee, for example, to the patient 13 when the patient accesses the patient database as described above.

Next, the processing of this embodiment will be described with reference to the flowchart of FIG. First, the access to the patient database 11a of the hospital medical information system 11 is instructed to start using the card-equipped mobile phone that holds the number for accessing the hospital medical information system 11 (step S1). As the card, it is possible to use, for example, a medical examination ticket such as an IC card issued by the hospital having the hospital medical information system 11 as described above. Then, enter the password for accessing the hospital medical information system 11 from the mobile phone 13a (step S
2). Based on the card information and the password, the hospital medical information system 11 checks whether the access is from a person who has the authority to access the hospital medical information system 11,
If the access is authorized, the necessary information is selected from the information stored in the patient database 11a, and the transfer of the information is instructed (step S).
3). The information to be transferred can be selected by the mobile phone 13a as shown in FIG. 4, for example. The medical record from the hospital medical information system 11 is a doctor's information processing device 16a installed in the hospital 16 via the network 17.
(Step S4). The doctor of the hospital 16 carries out the medical service while displaying the transferred medical record of the patient on the information processing device 16a (step S5). The hospital medical information system 11 accumulates billing information according to the amount of accessed data, and the financial institution 1
Claim processing is performed for the patient or hospital / clinic via 5 (steps S6 and S7).

In this embodiment, the medical record of the patient is transferred to the information processing device of the hospital under the management of the patient in response to the request from the mobile phone of the patient as described above. Besides, it is possible to improve the quality of medical care, and it is possible to contribute to the reduction of medical costs without having to perform various tests again. In addition, the network 17
Since the medical care data is directly sent from the hospital information system 11 to the information processing apparatus of the hospital 16 via the, it is possible to easily cope with the large amount of data to be sent. Further, as in the first embodiment, since the medical record is requested from the mobile phone of the patient and the medical record is transferred to the information processing device of the hospital in response to the request from the patient, the same as in the first embodiment. ,
Patient privacy can be protected.

FIG. 9 is a diagram showing a configuration of a system according to a third embodiment of the present invention. In this embodiment, a mobile phone is placed on a cradle of an information processing apparatus installed in a clinic to carry the mobile phone. An example in which a medical record from the hospital medical information system 11 is received via a telephone and transferred to an information processing device installed in a clinic is shown. In the figure, the same components as those shown in FIG. 2 are designated by the same reference numerals, 11 is a hospital medical information system installed in the hospital, and the patient database 11 a of the hospital medical information system 11 Is
Medical records such as medical history and family history of each patient are stored. Reference numeral 12 is a clinic, and an information processing apparatus 12a is installed in the clinic 12, and a cradle 12b for mounting a mobile phone is connected to the information processing apparatus 12a. The cell phone 13a of the patient is placed on the cradle 12b.
The mobile phone 13a receives the medical record from the hospital medical information system 11 via the mobile communication switching network 14 and transfers the medical record to the information processing device 12a. Reference numeral 15 is a financial institution such as a bank, and when the patient accesses the patient database as described above, the access fee is, for example, the patient 13
Charge to.

Next, the processing of this embodiment will be described with reference to the flowchart of FIG. First, the card-equipped mobile phone that holds the number for accessing the hospital medical information system 11 is placed in the credor that is connected to the information processing device of the clinic 12, and the patient places the mobile phone that the patient himself / herself owns. The start of access to the patient database 11a of the system 11 is instructed (step S1).
Then, from the mobile phone 13a to the hospital medical information system 11
Enter a password to access (step S2). The hospital medical information system 11 checks from the card information and the password whether or not the access is from the person who has the authority to access the hospital medical information system 11, and if it is the access to the authority, the patient database 11a The necessary information is selected from the stored information, and the transfer of the information is instructed (step S3). The information to be transferred can be selected by the mobile phone 13a as shown in FIG. 4, for example. The medical record from the hospital medical information system 11 is received by the mobile phone 13a via the mobile communication switching network 14, and the received information is the information processing device 12a of the doctor installed in the clinic 12.
(Step S4). The doctor at the clinic 12
The transferred medical record of the patient is stored in the information processing device 12a.
The medical care work is performed while being displayed on the screen (step S5).
The hospital medical information system 11 accumulates billing information according to the amount of accessed data, and bills the patient or hospital / clinic via the financial information 15 from the billing information (steps S6, S7). .

In this embodiment, the medical record of the patient is transferred to the mobile phone in response to the request from the mobile phone of the patient placed in the cradle as described above, and the medical record received by the mobile phone is managed by the patient. Since it is transferred to the information processing device of the hospital based on the above, it is possible to improve the quality of medical care as described above, and it is also possible to contribute to the reduction of medical costs without having to perform various tests again. it can. Further, as in the first and second embodiments, since the medical record is requested from the mobile phone of the patient and the medical record is transferred to the information processing device of the clinic via the mobile phone in response to the request from the patient, Patient privacy can be protected.

[0016]

As described above, in the present invention, the medical record of the patient is transferred to the information processing device of the clinic / hospital under the management of the patient via the mobile phone of the patient. Therefore, the past medical record of another medical institution can be referred to at the time of medical treatment, and the past medical record of the patient can be effectively used for medical treatment. Therefore, it is possible to improve the efficiency of work related to medical treatment and improve the quality of medical care.
In addition, since the medical records can be effectively used by using the past medical records, it is not necessary to perform various tests again, which can contribute to the reduction of medical costs.

[Brief description of drawings]

FIG. 1 is a diagram illustrating an outline of the present invention.

FIG. 2 is a diagram showing a configuration of a system according to a first embodiment of the present invention.

FIG. 3 is a flowchart showing a process of the first embodiment of the present invention.

FIG. 4 is a diagram showing an example of a screen displayed on a mobile phone.

FIG. 5 is a diagram showing an example of a screen displayed on an information processing device of a doctor in a clinic.

FIG. 6 is a diagram showing an example of billing information.

FIG. 7 is a diagram showing a configuration of a system of a second exemplary embodiment of the present invention.

FIG. 8 is a flowchart showing the processing of the second embodiment of the present invention.

FIG. 9 is a diagram showing a configuration of a system of a third exemplary embodiment of the present invention.

FIG. 10 is a flowchart showing the processing of the third embodiment of the present invention.

[Explanation of symbols]

1 mobile phone 2 Clinic / Hospital 2a Information processing device 3 hospitals 3a Hospital medical information system 3b Patient information database 4 Mobile communication switching network / LAN 11 Hospital medical information system 12 clinics 12a Information processing device 13 patients 13a Mobile phone (mobile phone) 14 Mobile Communications Switching Network 15 financial institutions 16 hospitals 16a Information processing device 17 network

   ─────────────────────────────────────────────────── ─── Continued front page    (72) Inventor Kiyoshi Sato             4-11-4 Nakamachi, Setagaya-ku, Tokyo (72) Inventor Hiroyuki Sato             5-20-10 Nishi-Ogikita, Suginamiya-ku, Tokyo F term (reference) 5K067 AA21 BB02 BB21 BB34 DD51                       EE02 EE10 EE16 FF02 FF23                       HH11 HH17 HH22 KK13 KK15

Claims (4)

[Claims] 1. An electronic medical record system having a hospital medical information system having a database for storing medical records and a mobile telephone set to be accessible to the database, wherein the mobile telephone is the hospital medical information system. The hospital medical information system includes a means for the patient to instruct the transfer of medical records relating to himself / herself to the database, and the medical information system instructed by the mobile phone is instructed by the mobile phone or the mobile phone. An electronic medical record system using a mobile phone, characterized in that the electronic medical record system is provided with means for transferring to a specified transfer destination. 2. An electronic medical record system, wherein the hospital medical information system can be accessed from the mobile telephone using a card for accessing the hospital medical information system. 3. A program applied to a hospital medical information system for transferring medical records to a mobile phone, the program comprising: when the mobile phone requests the transfer of medical records about the patient, The process of reading the medical record of the patient himself / herself from the database storing the records, and the medical record instructed by the mobile phone,
Alternatively, a program for transferring a medical record to a mobile phone, which causes a computer to execute a process of transferring to a transfer destination designated by the mobile phone. 4. A method of transferring an electronic medical record according to a patient's instruction, which transfers the medical record of the patient himself / herself, wherein the patient himself / herself records a medical record to the database of the hospital medical information system by a mobile telephone. The mobile medical information system is used to transfer the medical record specified by the mobile phone to the mobile phone or the transfer destination specified by the mobile phone from the hospital medical information system. How to transfer electronic medical records.