JP2004178065A - Data management system and method - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a data management system for satisfactorily preventing an inappropriate operator from illegally browsing or editing electronic medical records. <P>SOLUTION: Electronic medical records are set in each of various data areas in which medical examination data are classified and registered with authority data as browsing authority, and when an operator performs access to the electronic medical records by using his or her own log-in data, only the medical examination data in the data area corresponding to the log-in data are made freely browsable and editable. Thus, the browsable and editable range of the electronic medical records is automatically controlled for each operator, and to prevent an inappropriate operator from illegally browsing or editing electronic medical records. <P>COPYRIGHT: (C)2004,JPO

Description

[0001]
TECHNICAL FIELD OF THE INVENTION
The present invention relates to a data management system and method for managing electronic medical records for each subject.
[0002]
[Prior art]
Conventionally, at a medical site such as a hospital, in order to manage data of an electronic medical record for each subject, medical data is written on a medical chart sheet in which entries are described in a predetermined format. However, since medical data can be managed only on a paper basis, an electronic medical record is now being developed as electronic data corresponding to a medical record paper.
[0003]
A conventional data management system includes, for example, one central processing unit in which electronic medical records are stored, and a plurality of site terminal devices installed at each work site such as a medical office, which are connected via a communication network. ing.
[0004]
The electronic medical record is composed of electronic data in which entry items are set in a predetermined format, and medical data can be input to the entry items as text data or the like. For example, when a worker such as a doctor performs a predetermined operation on the site terminal device, the electronic medical record is read out from the central processing unit and displayed and output on the site terminal device, so that the operator can browse the desired electronic medical record. Can be.
[0005]
Further, when the operator performs a predetermined operation on the site terminal device on which the electronic medical record is displayed and output, the electronic medical record is edited, so that the operator can add new medical data to the electronic medical record. (For example, refer to Patent Documents 1 to 4).
[0006]
[Patent Document 1]
JP-A-2002-132934
[Patent Document 2]
JP-A-2002-117142
[Patent Document 3]
JP-A-2002-117143
[Patent Document 4]
JP-A-2002-304466
[0007]
[Problems to be solved by the invention]
However, in the conventional data management system, since the electronic medical record can be freely viewed and edited by inputting and operating the site terminal device as described above, for example, an inappropriate worker illegally browses or edits the electronic medical record. Cannot be prevented. In order to prevent this, for example, it can be assumed that the electronic medical record is protected by a keyword or the like so that the electronic medical record cannot be viewed unless the keyword is input.
[0008]
However, the number of workers who register medical data in electronic medical records varies from doctors, nurses, technologists such as X-rays, pharmacists, and accounting personnel. It is impossible to prevent a person from browsing or editing an electronic medical record illegally.
[0009]
The present invention has been made in view of the above-described problems, and has as its object to provide a data management system and a data management method that can appropriately prevent an inappropriate worker from illegally browsing or editing an electronic medical record. I do.
[0010]
[Means for Solving the Problems]
A first / second data management system according to the present invention includes a chart storage unit, a login input unit, an authority identification unit, an area detection unit, a browse input unit, a data browse unit, an edit input unit, and a data edit unit. It manages electronic medical records for each subject in which various medical data are registered.
[0011]
In the first data management system according to the present invention, the medical chart storage unit stores the electronic medical chart as data, and the electronic medical chart has authority data as browsing authority for each of various data areas in which medical care data is classified and registered. Is set. The login input means inputs the login data for each worker, the authority identifying means identifies the authority data from the input operated login data, and the area detecting means matches the identified authority data with the viewing authority. The data area is detected as a viewing area. The browsing input means inputs a browsing instruction of the electronic medical chart, and the data browsing means displays and outputs the medical data only in the browsing area of the electronic medical chart corresponding to the browsing instruction input. The editing input unit is operated to input an editing instruction to the electronic medical record that is displayed and output, and the data editing unit edits the medical data only in the editing area in response to the editing instruction input.
[0012]
Therefore, in the first data management system of the present invention, when a worker accesses the electronic medical record with his / her own login data, only the medical data in the data area corresponding to the login data can be viewed and edited freely. The range in which the chart can be viewed and edited is automatically regulated for each worker.
[0013]
In the second data management system according to the present invention, the authority identifying means identifies the authority data from the login data input and operated, and the area detecting means identifies a data area in which the identified authority data matches the browsing authority. And a data area that matches the editing authority is detected as an editing area. The data browsing means displays and outputs the medical data only in the browsing area of the electronic medical record corresponding to the input browsing instruction, and the data editing means edits the medical care data only in the editing area in accordance with the input browsing instruction. I do.
[0014]
For this reason, in the second data management system of the present invention, when an operator accesses the electronic medical record with his or her own login data, a data area in which medical data can be viewed and a data area in which the medical data can be edited correspond to the login data. Is set, the viewable range and the editable range of the electronic medical record are automatically regulated individually for each worker.
[0015]
The various means referred to in the present invention may be formed so as to realize their functions. For example, dedicated hardware for performing predetermined functions, a data processing device provided with predetermined functions by a computer program, and the like. , Predetermined functions realized inside the data processing device by a computer program, combinations thereof, and the like are possible.
[0016]
In addition, various means referred to in the present invention do not necessarily have to be individually independent, and a plurality of means are formed as one member, a certain means is a part of another means, It is also possible that part of a certain means and part of another means overlap.
[0017]
Further, the subject in the present invention means a person who undergoes medical care work, and includes a person who is affected and receives treatment, a person who is healthy but undergoes a diagnosis or examination, and the like. Similarly, the medical care work means the work performed by the subject described above, and includes treatment, diagnosis, examination, and the like.
[0018]
In addition, the medical treatment data referred to in the present invention means various data registered for each patient in connection with the medical treatment work, for example, in addition to the first and last names and medical conditions of the subject to be written on a normal medical chart sheet, Nursing records, work records such as X-rays, drug prescriptions, accounting records, and the like can also be included.
[0019]
BEST MODE FOR CARRYING OUT THE INVENTION
[Configuration of Embodiment]
An embodiment of the present invention will be described below with reference to the drawings. The data management system 10 of the present embodiment has one central processing unit 11 and a plurality of site terminal devices 12 as shown in FIG. 1, and these are connected to a LAN (LAN) as shown in FIG. (Local Area Network) 13.
[0020]
The central processing unit 11 is composed of one database server or the like installed in one management office of a hospital (not shown), and is shared by the entire hospital. The on-site terminal device 12 includes a client terminal installed at each of a plurality of medical sites in a hospital, and is used by a doctor at the medical site.
[0021]
As shown in FIG. 3, the central processing unit 11 has a CPU (Central Processing Unit) 101 as hardware serving as a main body of the computer, and the CPU 101 has a bus line 102 and a ROM (Read Only Memory). 103, a random access memory (RAM) 104, a hard disk drive (HDD) 105, a flexible disc-cartridge (FD) 106, an FDD (FD Drive) 107 in which the interchangeable disc 106 is mounted, and a CD (Compact Disc exchangeable ROM). Drive 109, keyboard 110, mouse 111, display unit 112, optical scanner 113, I / F (Interface) unit 1 4, hardware etc. are connected.
[0022]
Although the data capacity and the processing speed of each unit are different, the on-site terminal device 12 also has the same hardware as the central processing unit 11, and here, each unit of the on-site terminal device 12 and the central processing unit 11 is used. The detailed description is omitted by using the same names and reference numerals.
[0023]
In the central processing unit 11 and the on-site terminal device 12 of the present embodiment, hardware such as a ROM 103, a RAM 104, an HDD 105, a replaceable FD 106, a replaceable CD-ROM 108, etc., correspond to an information storage medium. Computer programs and resources are stored as software. Such software is installed in the central processing unit 11 and the on-site terminal device 12 in advance, and the data is read by the CPU 101 when the respective devices 11 and 12 are activated.
[0024]
As described above, when the CPU 101 reads the appropriate computer program data and executes various processes, the data management system 10 according to the present embodiment, as shown in FIG. Means 203, area detecting means 204, browsing input means 205, data browsing means 206, editing input means 207, data editing means 208, browsing monitoring means 211, duplication notification means 212, condition checking means 213, communication support means 214, etc. Various means are logically provided as various functions.
[0025]
The medical chart storage unit 201 corresponds to a storage area or the like constructed in the HDD 105 by the CPU 101 of the central processing unit 11 in accordance with the computer program stored in the RAM 104, and stores an electronic medical record as data. As will be described in detail later, this electronic medical chart is divided into various data areas corresponding to the duties of workers such as doctors and nurses, and various medical data are registered for each data area.
[0026]
However, as described above, since the data area of the electronic medical record is divided according to the duties of the worker, the authority data of various workers is set as the viewing authority and the editing authority for each data area. This authority data is composed of identification data of the job of the worker, and is set as login data for each worker.
[0027]
The login input unit 202 corresponds to, for example, a function of the CPU 101 of the site terminal device 12 recognizing an input operation to the keyboard 110 in accordance with a computer program, and the login data for each worker is input. The authority identification unit 203 corresponds to a function of the CPU 101 of the central processing unit 11 to execute predetermined processing on input data of the communication I / F 114, and identifies authority data from login data input to the site terminal device 12.
[0028]
In the data management system 10 of the present embodiment, for example, the login data is composed of text data of a predetermined number of digits previously notified to each worker, and authority data is set at a predetermined position. For this reason, the central processing unit 11 identifies the authority data by extracting the text data at a predetermined position from the login data input and operated on the site terminal device 12.
[0029]
The area detection unit 204 corresponds to a function of the CPU 101 of the central processing unit 11 to execute a predetermined process, and the like. The area is detected as an edit area.
[0030]
For example, as shown in FIG. 4, when the authority data “ad” is set as the viewing authority and the editing authority for the data areas “1 to 5”, the authority data detected from the login data is “a”. ", The data area in which the authority data" a "is set as the viewing authority is detected as the viewing area" 1 to 5 ", and the data area set as the editing authority is the editing area" 1, 4, 4 ". 5 "and so on.
[0031]
Since it is normally impossible to edit medical data without browsing it, the editing area is a part of the browsing area, and the authority data of the editing authority is set as a part of the authority data of the browsing authority. For this reason, in the data management system 10 of the present embodiment, when the operator sets the authority data of the editing authority in the data area, the authority data is also automatically set to the viewing authority.
[0032]
The browsing input unit 205 corresponds to, for example, a function of the CPU 101 of the site terminal device 12 recognizing an input operation to the keyboard 110 or the like, and a browsing instruction for an electronic medical record is input. This browsing instruction is performed by, for example, inputting a keyboard 110 or a mouse 111 of the site terminal device 12 from a list of electronic medical records provided with data from the central processing unit 11 and displayed on the display unit 112 of the site terminal device 12. The processing is executed by specifying one, or by the central processing unit 11 searching for one electronic medical record from search conditions input and operated on the site terminal device 12 with the keyboard 110 or the like.
[0033]
The data browsing means 206 corresponds to a function of the CPU 101 of the central processing unit 11 transmitting data registered in the HDD 105 to the site terminal device 12 as a display image of the display unit 112, and the like. The medical care data is displayed and output only in the browsing area.
[0034]
The editing input means 207 also corresponds to a function of the CPU 101 of the site terminal device 12 for recognizing an input operation to the keyboard 110 or the like, and an editing instruction to the displayed and output electronic medical record is input. The data editing means 208 corresponds to a function of the CPU 101 of the central processing unit 11 updating the registration data of the HDD 105 in accordance with the transmission data of the site terminal device 12, and the like. Edit medical care data.
[0035]
The browsing monitoring unit 211 corresponds to a function of executing predetermined data processing by the CPU 101 of the central processing unit 11 and detects overlapping of browsing to the same electronic medical record by a plurality of site terminal devices 12. The duplication notifying means 212 corresponds to a function of the CPU 101 of the central processing unit 11 transmitting data of a predetermined guidance text to the site terminal device 12. Notify data.
[0036]
The following corresponds to the function of the CPU 101 of the central processing unit 11 executing predetermined data processing, and the like, and the condition checking means 213 detects a combination matching the predetermined condition from the plurality of detected login data, and Makes the on-site terminal device 12 of the login data of the detected combination freely communicable.
[0037]
More specifically, the central processing unit 11 is mounted in advance on the plurality of site terminal devices 12 when the login data of the plurality of site terminal devices 12 simultaneously browsing the same electronic medical record matches predetermined conditions. Since application software such as a chat or an electronic conference is started to open a communication line, a plurality of on-site terminal devices 12 can be brought into contact in real time.
[0038]
The various units of the data management system 10 as described above are realized by using hardware such as the HDD 105 and the I / F unit 114 as necessary. The main unit is a computer program stored in an information storage medium such as the RAM 104. This is realized by the functioning of the CPU 101, which is hardware, corresponding to.
[0039]
For example, the computer program of the central processing unit 11 stores the electronic medical record in the HDD 105 or the like, identifies the authority data from the login data input and operated on the site terminal device 12, and sets the identified authority data as the browsing authority. Detecting the matching data area as the viewing area and detecting the data area matching the editing authority as the editing area, and allowing only the viewing area of the electronic medical record corresponding to the viewing instruction input to the site terminal device 12 to transfer the medical care data to the site. Displaying and outputting on the terminal device 12, editing medical care data only in the editing area in response to the editing instruction input to the site terminal device 12, and browsing to the same electronic medical record by a plurality of site terminal devices 12. Detecting duplication, browsing to the same electronic medical record on a plurality of detected site terminal devices 12 Notifying duplicate data, detecting a combination matching the predetermined condition from the login data for each of the plurality of site terminal devices 12 in which the browsing duplication was detected, and freely communicating the site terminal device 12 of the login data of the detected combination. Are stored in an information storage medium such as the RAM 104 as software for causing the CPU 101 or the like to execute the processing operation such as
[0040]
In addition, the computer program of the site terminal device 12 receives an input operation of login data for each worker using the keyboard 110 or the like and transmits the data to the central processing unit 11, and receives an input operation of a browsing instruction of an electronic medical record and performs central processing. Receiving data input from the central processing unit 11 to display and output medical data in the viewing area of the electronic medical chart viewed from the central processing unit 11 on the display unit 112; Transmitting data to the central processing unit 11, notifying the display unit 112 or the like of the duplication of browsing to the same electronic medical record notified by the data from the central processing unit 11, and performing other operations in response to the remote operation of the central processing unit 11. To open a communication line with the on-site terminal device 12 Stored in the information storage medium RAM104 such as software to be executed by the like PU 101.
[0041]
[Operation of Embodiment]
In the configuration as described above, a data management method by the data management system 10 of the present embodiment will be described below. First, in a hospital where the data management system 10 of the present embodiment is constructed, one central processing unit 11 is installed in one management office, and a plurality of site terminal devices 12 are installed in a plurality of medical sites.
[0042]
In the central processing unit 11, a basic format of an electronic medical record in which a plurality of data areas are set is registered as data, and as shown in FIG. Data is set. Also, login data is individually notified to workers who perform medical care work at medical sites, and authority data for each job of the workers is set in predetermined positions in the login data.
[0043]
In the state described above, for example, when a subject at the first consultation visits and is accepted, the basic format of the electronic medical record is read out from the central processing unit 11 at the site terminal device 12 by the reception worker who is one of the medical sites. Then, the subject's name and the like are registered as data, so that an electronic medical record for each subject is created and stored in the central processing unit 11.
[0044]
Then, as described above, when the subject whose electronic medical record is accumulated in the central processing unit 11 is guided to a medical office, which is a medical site, and a medical care operation is performed by a worker such as a doctor or a nurse, the work is performed. The electronic medical record is read out from the central processing unit 11 by the user at the site terminal device 12 and the medical treatment data is registered.
[0045]
In this case, when the operator inputs his / her login data into the site terminal device 12 using the keyboard 110 or the like, the login data is transmitted from the site terminal device 12 to the central processing unit 11. Then, as shown in FIG. 5, the central processing unit 11 checks whether the received log-in data is appropriate (steps S1 and S2), and if the log-in data is not appropriate, the message “Login data is incorrect. Error guidance such as "Please input login data." Is transmitted to the on-site terminal device 12 and displayed on the display unit 112 (step S3), thereby preventing inappropriate workers from logging in.
[0046]
When it is determined that the login data is appropriate, the central processing unit 11 identifies the authority data from the login data (step S4), detects a data area in which the identified authority data matches the browse authority as the browse area, and edits the edit authority. Is detected as an edit area (step S5).
[0047]
Then, when the operator inputs a browsing instruction of a desired data area on the site terminal device 12 with the keyboard 110 or the like, the central processing unit 11 receiving the data (step S6) browses the data area designated by the browsing. It is determined whether it is an area (step S7).
[0048]
Therefore, when the browsing area is instructed to be browsed, the central processing unit 11 transmits the data to the site terminal device 12 and causes the display unit 112 to display and output the browsing area (step S8). Data area can be browsed.
[0049]
On the other hand, when a data area that is not a browsing area is instructed to be browsed, the central processing unit 11 outputs a message such as “The specified data area is not allowed to be browsed. Specify a data area that is allowed to be browsed.” Since the error guidance is transmitted to the site terminal device 12 and displayed on the display unit 112 (step S9), it is possible to prevent an inappropriate worker from viewing the data area of the electronic medical record.
[0050]
When the site terminal device 12 browses the electronic medical record as described above, the central processing unit 11 monitors overlapping of browsing to the same electronic medical record by a plurality of site terminal devices 12 (step S10). Then, when the occurrence of browsing duplication is detected, the duplication of browsing to the same electronic medical record is performed on the plurality of site terminal devices 12 such as "Currently, this electronic medical record is also viewed on other site terminal devices." Since the data is notified by the guidance data (step S11), the worker who is browsing the electronic medical record can recognize that other workers are also browsing.
[0051]
Further, the central processing unit 11, when detecting a combination that matches the predetermined condition such as the same authority data from the login data for each of the plurality of site terminal devices 12 in which the browsing duplication is detected (step S12), is detected. Since the on-site terminal device 12 of the combined login data can be freely contacted by, for example, a chat tool (step S13), the operators of the plurality of on-site terminal devices 12 can be contacted in real time.
[0052]
Further, as shown in FIG. 6, when the operator inputs an editing instruction to the site terminal device 12 with the keyboard 110 or the like in a state where the medical care data of the browsing area is displayed and output as described above, the data is received. The central processing unit 11 (step S15) determines whether the data area instructed to be edited is an editing area (step S16). Therefore, when an editing instruction is given to the editing area, the central processing unit 11 edits the medical care data in accordance with the editing instruction (step S17), and the operator edits the desired data area of the electronic medical record. Can be.
[0053]
On the other hand, if a data area that is not an edit area is instructed to be edited, the central processing unit 11 states, "Editing of the specified data area is not permitted. Specify a data area for which editing is permitted." The error guidance described above is transmitted to the site terminal device 12 and displayed on the display unit 112 (step S18), thereby preventing an inappropriate operator from editing the data area of the electronic medical record.
[0054]
[Effects of Embodiment]
In the data management method by the data management system 10 according to the present embodiment, when the worker accesses the electronic medical record with his / her own login data as described above, the medical data can be browsed and the data area can be edited in accordance with the login data. The data area is set.
[0055]
For this reason, the range in which the electronic medical record can be viewed and the range in which the electronic medical record can be edited can be automatically regulated individually for each worker, and individual workers are prevented from unauthorized viewing or editing the electronic medical record. it can. Therefore, a doctor can view and edit the entire data area of the electronic medical record, but a nurse can view only a specific data area and can edit only a part of the data area.
[0056]
However, in the data management system 10 of the present embodiment, since a data area that can be viewed and edited by all workers is set in the electronic medical record, for example, a nurse who cannot edit the data area of a doctor requests the editing. It is also possible to state your opinion.
[0057]
Further, as described above, when a plurality of site terminal devices 12 simultaneously view the same electronic medical record, the plurality of site terminal devices 12 are notified of data duplication to the same electronic medical record by data. One worker can recognize that other workers are also browsing, and for example, can confirm in real time that the medical data of the electronic medical record is edited.
[0058]
Further, when the login data for each of the plurality of site terminal devices 12 in which the browsing duplication is detected matches the predetermined condition, the plurality of site terminal devices 12 can be freely contacted. Can be discussed.
[0059]
[Modification of Embodiment]
The present invention is not limited to the above-described embodiment, and allows various modifications without departing from the gist of the invention. For example, in the above-described embodiment, the data management system 10 in which one central processing unit 11 and a plurality of site terminal devices 12 are connected online is illustrated, but a single standalone data management system (not shown) can also be implemented. .
[0060]
Further, in the above-described embodiment, the browsing authority and the editing authority are separately set for each data area of the electronic medical record. However, the browsing authority and the editing authority can be used together. In this case, the browsing and editing of the data area by the operator cannot be separately regulated, but the setting of the editing authority is unnecessary, so that the work load can be reduced and the data capacity of the electronic medical record can be reduced. .
[0061]
Further, in the above-described embodiment, an example is described in which login data including text data of a predetermined number of digits includes authority data. However, for example, login data does not include authority data, and the correspondence between login data and authority data is not included. By registering the list in the central processing unit 11, the central processing unit 11 can identify the corresponding authority data from the login data.
[0062]
Further, in the above-described embodiment, it is assumed that medical data composed of electronic data is registered in format data composed of electronic data of an electronic medical record. For example, as the applicant of the present application filed Japanese Patent Application No. 2001-393968, Medical data composed of electronic data can be registered in a format image read and scanned from a sheet.
[0063]
In this case, the doctor at the medical site can enter medical data in the same way as handwritten on a familiar chart paper, and can easily create an electronic chart in the same format as the chart paper without requiring a software company or the like to create it on a bespoke basis. Can be generated and used.
[0064]
In the above embodiment, the CPU 101 operates in accordance with a computer program stored in the RAM 104 or the like, so that various units are logically realized as various functions of the central processing unit 11. However, it is also possible to form each of these various means as unique hardware, and it is also possible to store a part of the various means as software in the RAM 104 or the like and form a part as hardware.
[0065]
【The invention's effect】
In the first data management system of the present invention, when the operator accesses the electronic medical record with his / her login data, only the medical data in the data area corresponding to the login data can be viewed and edited freely. In addition, the range that can be edited can be automatically regulated for each worker, and it is possible to prevent an inappropriate worker from illegally reading or editing the electronic medical record.
[0066]
In the second data management system of the present invention, when a worker accesses the electronic medical record with his / her own login data, a data area where medical care data can be viewed and a data area where the medical data can be edited are set in accordance with the login data. Therefore, the range in which the electronic medical record can be viewed and the range in which the electronic medical record can be edited can be automatically regulated individually for each worker, and individual workers are prevented from unauthorized viewing or editing the electronic medical record. it can.
[Brief description of the drawings]
FIG. 1 is a schematic diagram showing a logical structure of a data management system according to an embodiment of the present invention.
FIG. 2 is a block diagram showing a physical structure of the data management system.
FIG. 3 is a block diagram illustrating a physical structure of a central processing unit and a site terminal device;
FIG. 4 is a schematic diagram showing a state in which browsing authority and editing authority are set for each data area.
FIG. 5 is a flowchart showing a first half of a data processing method of the central processing unit.
FIG. 6 is a flowchart showing a latter half part.
[Explanation of symbols]
10 Data management system
11 Central processing unit
12 Field terminal equipment
201 medical record storage means
202 Login input means
203 Authority identification means
204 area detecting means
205 viewing input means
206 Data browsing means
207 Editing input means
208 Data editing means
211 Browsing monitoring means
212 Duplication notification means
213 Condition confirmation means
214 Communication support means

Claims (7)

A data management system for managing electronic medical records for each subject in which various medical data are registered,
Medical chart storage means for storing data of the electronic medical record in which authority data is set as browsing authority for each of various data areas in which the medical care data is classified and registered;
A login input means for inputting login data for each worker,
Authority identification means for identifying the authority data from the input login data,
Area detecting means for detecting the data area in which the identified authority data matches the viewing authority as a viewing area;
Reading input means for inputting a reading instruction of the electronic medical record,
A data browsing unit that displays and outputs the medical care data only in the browsing area of the electronic medical record corresponding to the input operation and the browsing instruction;
Edit input means for inputting and displaying an edit instruction to the electronic chart that has been displayed and output,
Data editing means for editing the medical care data only in the browsing area in response to the editing instruction input operated,
A data management system. A data management system for managing electronic medical records for each subject in which various medical data are registered,
Medical chart storage means for storing data of the electronic medical chart in which authority data is set as browsing authority and editing authority for each of various data areas in which the medical care data is classified and registered;
A login input means for inputting login data for each worker,
Authority identification means for identifying the authority data from the input login data,
An area detection unit that detects the data area in which the identified authority data matches the viewing authority as a viewing area and detects the data area matching the editing authority as an editing area;
Reading input means for inputting a reading instruction of the electronic medical record,
A data browsing unit that displays and outputs the medical care data only in the browsing area of the electronic medical record corresponding to the input operation and the browsing instruction;
Edit input means for inputting and displaying an edit instruction to the electronic chart that has been displayed and output,
Data editing means for editing the medical care data only in the edit area in response to the input operation of the edit instruction,
A data management system. Having at least one central processing unit and a plurality of on-site terminal devices for data communication with each other;
The central processing unit has at least the chart storage unit,
The site terminal device has at least the login input unit, the browse input unit, and the edit input unit,
Browsing monitoring means for detecting duplication of browsing by the plurality of site terminal devices on the same electronic medical record,
Duplication notification means for data notification of browsing duplication to the same electronic medical record to the plurality of site terminal devices detected,
The data management system according to claim 1, further comprising: Condition checking means for detecting a combination that matches a predetermined condition from the login data for each of the plurality of site terminal devices in which the browsing duplication is detected,
Contact support means for freely connecting the site terminal device of the login data of the detected combination,
4. The data management system according to claim 3, comprising: 5. The data management system according to claim 4, wherein the condition confirmation unit detects a combination of the same authority data from the login data for each of the plurality of site terminal devices in which the browsing duplication is detected. A data management method for managing electronic medical records for each subject in which various medical data are registered,
A medical chart storage step of storing data of the electronic medical chart in which authority data is set as browsing authority for each of various data areas in which the medical care data is classified and registered;
A login instruction process for receiving an input operation of login data for each worker,
An authority identification step of identifying the authority data from the input login data,
An area detection step of detecting the data area in which the identified authority data matches the viewing authority as a viewing area,
A browsing input step of receiving an input operation of a browsing instruction of the electronic medical record,
A data browsing step of displaying and outputting the medical care data only in the browsing area of the electronic medical record corresponding to the input operation of the browsing instruction;
An edit input step of accepting an input operation of an edit instruction to the displayed electronic chart,
A data editing step of editing the medical data only in the data area corresponding to the authority data in response to the input instruction that is operated,
A data management method having: A data management method for managing electronic medical records for each subject in which various medical data are registered,
A chart storing step of storing data of the electronic medical chart, in which authority data is set as browsing authority and editing authority for each of various data areas in which the medical care data is classified and registered;
A login instruction process for receiving an input operation of login data for each worker,
An authority identification step of identifying the authority data from the input login data,
An area detection step of detecting the data area matching the viewing authority as the viewing area and detecting the data area matching the editing authority as the editing area;
A browsing input step of receiving an input operation of a browsing instruction of the electronic medical record,
A data browsing step of displaying and outputting the medical care data only in the browsing area of the electronic medical record corresponding to the input operation of the browsing instruction;
An edit input step of accepting an input operation of an edit instruction to the displayed electronic chart,
A data editing step of editing the medical care data only in the editing area in response to the input operation of the editing instruction,
A data management method having:

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