JP2005063156A - Medical information providing device and program - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To increase the efficiency of medical care by automatically determining the order of necessary additional inspections if inspection results show that further inspections are needed. <P>SOLUTION: An inspection result input part 12 is used to input the results of inspections conducted according to an inspection order received and registered by an inspection order receiving and registering part 11. An additional inspection item determining part 13 determines additional inspection items to be added according to the inspection results. An inspection order updating part 14 updates the inspection order according to the additional inspection items determined. <P>COPYRIGHT: (C)2005,JPO&NCIPI

Description

  The present invention relates to a medical information providing apparatus and program, and more particularly to a medical information providing apparatus and program for providing medical information according to a test result.

  In a hospital, when a doctor conducts a patient examination, an examination order may be issued to the examination department and the patient may be examined by the examination department. The notification of the examination result to the doctor has conventionally required time and labor such as an extension telephone and a hospital facsimile. Also, in the case of tests that require test results as soon as possible, the doctor must repeatedly ask the system whether the test has been completed until the test result data is registered in the system. It was.

A technique for solving such a problem is disclosed in Patent Document 1, for example. According to this technology, when the medical information system receives test result data from an inspector, the medical information system searches the schedule data of the doctor in charge of the patient corresponding to the test and sends it to the terminal device in the examination room where the doctor is located. To notify the end of the inspection.
JP-A-8-329146 (paragraph numbers [0009] to [0016], FIG. 1)

  By the way, depending on the result of the inspection, another inspection may be required. In the conventional technology, the doctor who is notified of the test results confirms the test results. However, when multiple disease names are presumed, it is necessary to use materials to determine which of them corresponds. The need to determine which inspection will occur. Then, the examination order is issued again, and as a result, there is a problem that a burden is imposed on the doctor and the patient.

  The present invention has been made in view of the above points, and when a further examination is required depending on the examination result, the efficiency of medical care is increased by automatically determining the order of the additional examination required. An object of the present invention is to provide a medical information providing apparatus and a program that can be used.

  In the present invention, in order to solve the above problem, in a medical information providing apparatus that provides medical information according to a test result, as shown in FIG. 1, a test order reception registration unit 11 that receives and registers a patient test order. An inspection result input unit 12 for inputting an inspection result of an inspection performed based on the inspection order, an additional inspection item determination unit 13 for determining an additional inspection item to be added according to the inspection result, and the determined addition There is provided a medical information providing apparatus 10 including an examination order updating unit 14 that updates an examination order according to an examination item.

  According to the above configuration, the inspection result input unit 12 inputs the inspection result of the inspection performed based on the inspection order received and registered by the inspection order reception registration unit 11. The additional inspection item determination unit 13 determines an additional inspection item to be added according to the inspection result. The inspection order update unit 14 updates the inspection order according to the determined additional inspection item.

  In the present invention, when a further examination is required depending on the examination result, the necessary additional examination items are determined, and the examination order is updated according to the determined additional examination items, thereby reducing the burden on the doctor. , Can increase the efficiency of medical treatment. This also makes it possible to shorten the staying time of the patient in the hospital.

Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings.
First, the principle of the embodiment of the present invention will be described.
FIG. 1 is a functional block diagram showing the principle of the medical information providing apparatus according to the embodiment of the present invention.

  The medical information providing apparatus 10 receives a test order of a patient input by the terminal device 20a under the instruction of the doctor 50 or the doctor 50 and receives and registers the test order of the patient, and a test performed based on the test order. An inspection result input unit 12 for inputting an inspection result by the input device 30, an additional inspection item determination unit 13 for determining an additional inspection item to be added according to the inspection result, and an inspection according to the determined additional inspection item A result notification for notifying a terminal device (hereinafter referred to as PHS (Personal Handyphone System)) 20b that is carried by the doctor 50 and that can be referred to the examination order update unit 14 that updates the order and the determined additional examination items. Part 15.

Hereinafter, the operation of the medical information providing apparatus 10 will be described.
When the examination order of the patient is inputted by the terminal device 20a under the instruction of the doctor 50 in charge of a patient or the doctor 50, the medical information providing apparatus 10 receives the examination order by the examination order reception registration unit 11. For example, it registers in the database. In the inspection department, the patient is inspected based on the inspection order. The inspection result is input to the inspection result input unit 12 by the input device 30. The additional inspection item determination unit 13 determines an additional inspection item to be added according to the input inspection result. For example, when an abnormality is found as a result of a certain test, an additional test item corresponding to the test result is automatically added in order to increase the determination material necessary for the doctor 50 to make a correct determination (such as a disease name). judge. Next, the result notification unit 15 notifies the determined additional examination items to the PHS 20b that can be referred to by the doctor 50. The doctor 50 refers to the additional examination item notified to the PHS 20b and determines whether the additional examination item should be performed. When the doctor 50 determines that it should be performed, the PHS 20b notifies the medical information providing apparatus 10 to that effect, and the test order update unit 14 determines the test order according to the additional test item determined by the additional test item determination unit 13. Update.

  In this way, when a further examination is required depending on the examination result, the necessary additional examination items are automatically determined and the examination order is updated, thereby reducing the burden on the doctor and improving the efficiency of the medical treatment. be able to. In addition, this makes it possible to shorten the staying time of the patient in the hospital and to expect improvement in service to the patient.

Hereinafter, embodiments of the present invention will be described specifically and in detail.
FIG. 2 is a configuration diagram of the medical information providing system.
Such a medical information provision system is arranged in a hospital, for example. The medical information system includes an electronic medical chart system 100 and an examination department system 200 installed in an examination department that examines a patient, for example.

  The electronic medical record system 100 includes a test order reception registration unit 110 that receives and registers a patient's test order input to the terminal device 300 under the instruction of the doctor 500 or the doctor 500, and a test order DB that manages the test order ( Database) 120, an examination order transmission unit 130 that transmits the entered examination order to the examination department system 200, an examination result reception registration unit 140 that receives and registers patient examination results from the examination department system 200, and An inspection result DB 150 for managing inspection results, various types of initially set DBs 160 to be described later, an additional inspection item determining unit 170 for determining additional inspection items to be added according to the inspection results, and the determined additional inspection Notification data consisting of the inspection order update unit 180 that updates the inspection order according to the items, and the determined additional inspection items. To generate (e-mail), a result notifying unit 190 to send to PHS320 to possession of a physician 500 through the in-house extension network 310 is an extension network in a hospital, and a.

  The examination department system 200 also receives an examination order reception registration unit 210 that receives and registers a patient examination order transmitted from the electronic medical record system 100, an examination request DB 220 that manages the received examination order as an examination request, and an examination. An inspection result input unit 230 for inputting the inspection result of the inspection performed in response to the request through the input device 230a such as a keyboard and a mouse, an inspection result DB 240 for managing the input inspection result, and the electronic medical record system 100 for the inspection result. And an inspection result transmission unit 250 that transmits the data.

  The medical information providing apparatus 10 as shown in FIG. 1 can be realized as such a medical information providing system. Here, the examination order reception registration unit 11 of the medical information providing apparatus 10 of FIG. 1 corresponds to the examination order reception registration unit 110 of the electronic medical record system 100, and the examination result input unit 12 inputs the examination result of the examination department system 200. Corresponds to the unit 230. Further, the additional inspection item determination unit 13 corresponds to the additional inspection item determination unit 170 of the electronic medical record system 100, the inspection order update unit 14 is the inspection order update unit 180, and the result notification unit 15 is the result of the electronic medical record system 100. Each corresponds to the notification unit 190.

The electronic medical record system 100, the examination department system 200, and the terminal device 300 in FIG. 2 are computers, for example, and can be realized by the following hardware configuration.
FIG. 3 is a hardware configuration example of a computer.

  The computer 600 includes a CPU (Central Processing Unit) 601, ROM (Read Only Memory) 602, RAM (Random Access Memory) 603, HDD (Hard Disk Drive) 604, graphic processing unit 605, input I / F (Interface) 606, The communication I / F 607 and the like are connected to each other via a bus 608.

Here, the CPU 601 controls each unit in accordance with a program stored in the HDD 604 and data managed in various databases as shown in FIG.
The ROM 602 stores basic programs and data executed by the CPU 601.

The RAM 603 temporarily stores programs being executed by the CPU 601 and data being calculated.
The HDD 604 stores an OS executed by the CPU 601, application programs, various databases as shown in FIG.

  A display device 605a such as a display is connected to the graphic processing unit 605, and an image is displayed on the screen of the display device 605a in accordance with a drawing command from the CPU 601.

A mouse 606 a and a keyboard 606 b are connected to the input I / F 606, and information input by the user is received and transmitted to the CPU 601 via the bus 608.
The communication I / F 607 is an interface for LAN (Local Area Network) connection between the electronic medical record system 100 and the terminal device 300 and between the electronic medical record system 100 and the inspection department system 200 in FIG. The electronic medical record system 100 is an interface for communicating with the PHS 320 via the in-hospital extension network 310.

  Here, the transmission of various data in the inspection order reception registration units 110 and 210, the inspection order transmission unit 130, the inspection result reception registration unit 140, the inspection order update unit 180, the result notification unit 190, and the inspection result transmission unit 250 in FIG. Alternatively, the reception process is realized using the communication I / F 607 of FIG. Further, the inspection result input unit 230 of the inspection department system 200 is realized using the input I / F 606. The processing of each functional block and additional inspection item determination unit 170 described above functions by executing a program stored in the HDD 604 under the control of the CPU 601.

The processing according to the embodiment of the present invention is realized by the hardware configuration as described above.
The operation of the medical information processing system in FIG. 2 will be described below.
First, in the terminal device 300, the doctor 500 directly or the instruction of the doctor 500 inputs the examination order of the patient.

4, 5, 6, and 7 are examples of input screens when inputting an inspection order.
In the terminal device 300, when inputting the examination order, first, as shown in FIG. 4, the doctor ID input field 701 and the password input field 702 are displayed on the screen, and the doctor ID and the password are input. At the time of login to the electronic medical record system 100, a doctor DB (to be described later) included in various types of DBs 160 that are initially set in the electronic medical record system 100 is used to check the existence of the doctor ID and to verify the identity using a password. If the authentication is performed correctly here, a patient designation screen as shown in FIG. 5 is displayed on the display of the terminal device 300.

  For example, as shown in FIG. 5, the name of the doctor managed by the doctor DB and the requested department (for example, “internal medicine”) are displayed. Furthermore, a patient ID input field 703 is displayed, and the patient ID is input here. If the input patient ID is registered in the patient DB included in the various DB groups 160 that are initially set in the electronic medical record system 100, the name of the patient is displayed in the patient ID input field 703 as shown in FIG. Displayed at the bottom. Here, when the examination input button 704 is pressed by a mouse operation or the like, the screen shifts to an examination order input screen as shown in FIG.

  In FIG. 6, candidates for examination items to be performed on the patient selected on the screen of FIG. 5 are displayed. Check boxes 705, 706, 707, 708, and 709 for selecting each inspection item are provided on the inspection order input screen. In the check boxes 705 to 709, the items selected by operating the mouse on the screen are displayed in black. FIG. 6 shows that “TP” is selected as the inspection item.

  In the test items shown in FIG. 6, GOT (Glutamic Oxaloacetic Transaminase) is a representative index of liver function, and GPT (Glutamic Pyruvate Transaminase) is an enzyme that deviates into the blood when hepatocytes are destroyed. Therefore, it is more specific for the liver than GOT and is used as a disease index for hepatitis. In addition, γ-GTP (γ-Glutamyltranspeptidase) is a test used for screening for liver and biliary tract disorders, and ALP (ALkaline Phosphatase) is an enzyme that shows an increase in various pathological conditions including liver and biliary tract diseases. TP (Total Protein) shows total lightness and is an indicator of nutritional status and liver / kidney function.

When the inspection item is determined on the screen as shown in FIG. 6, the screen shifts to an inspection order issuance screen as shown in FIG.
First, the name of the doctor in charge and the requested department (for example, “internal medicine”) are displayed on the examination order issuance screen, and the patient's name and the patient examination order selected on the input screen up to FIG. 6 are displayed. Inspection date, slip number, and inspection items are displayed.

  Further, on the inspection order issuance screen, settings relating to the inspection result notification method are made. For example, check boxes 710 and 711 are provided so as to select whether to notify the inspection result even when normal or whether to notify only when there is an abnormal value. In addition, check boxes 712 and 713 indicate whether to notify the result only to individual doctors or, for example, whether to notify a specific group (for example, a plurality of doctors belonging to internal medicine) when the doctor in charge is absent. Make it selectable. When the check boxes 710 to 713 are selected on the screen by a mouse operation or the like, the check boxes 711 and 712 corresponding to the selected item are displayed in black as in the check boxes 711 and 712, for example. In the example of the inspection order input screen shown in FIG. 7, the check boxes 710 and 711 and the check boxes 712 and 713 cannot be selected in duplicate.

Setting information regarding such a notification method is also transmitted to the inspection order reception registration unit 110 of the electronic medical record system 100 together with the inspection order, and is registered in the inspection order DB 120.
FIG. 8 is an example of the inspection order DB.

  In the examination order DB 120, for example, as shown in FIG. 8, the received examination order is a slip number, a requested doctor ID, a requester code, for example, a patient ID, which is a patient ID number, an examination execution date, and an examination item code (multiple settings are possible. ), Notification identification 1 (result notification if notification identification 1 is “0”, abnormal value notification if “1”), notification identification 2 (individual notification if notification identification 2 is “0”, group notification if “1”) Manage with.

Here, the request source code, the inspection item code, and the like are codes described in various DBs included in the various initially set DB groups 160, which will be described later.
Next, the inspection order transmitting unit 130 transmits the inspection order to the inspection department system 200 via the LAN.

The inspection department system 200 receives the inspection order by the inspection order reception registration unit 210 and registers it in the inspection request DB 220.
For example, a doctor in the examination department examines a patient based on an examination order managed in the examination request DB 220. The result of the inspection is input to the inspection result input unit 230 of the inspection department system 200 using, for example, an input device 230a such as a keyboard or a mouse. The inspection result may be input from a terminal device (not shown) connected to the inspection department system 200 via a LAN.

FIG. 9 is an example of an input screen when inputting an inspection result in the inspection department system.
First, the slip number of the patient who has been examined is entered in the slip number input field 720. When the slip number is input, the examination request DB 220 is referred to, the examination order is specified, and the patient information, the patient name, the requested doctor, and the request source are displayed in the request information display field 721. Also, the inspection item name in the inspection result input field 722 is displayed. At this time, in order to display the name of the patient, the name of the requesting doctor, the name of the examination item, etc., from each code of the examination order, the initial set of various DB groups 160 of the electronic medical record system will be referred to. It may be owned by the department system 200.

  Next, when an inspection result corresponding to the displayed inspection item is input and the registration button 723 is pressed, the inspection result is registered in the inspection result registration field 725. If an erroneous result is input and it is desired to delete the inspection result, it can be deleted by pressing the clear button 724.

FIG. 10 is an example of the inspection result DB.
In the test result DB 240, the registered test results are managed in the order of, for example, a slip number, a requested doctor ID, a requester code, a patient ID, a test execution date, a test item code, and a test result as shown in the figure.

The inspection result is registered in the inspection result DB 240 as described above. Next, the inspection result is immediately sent to the electronic medical chart system 100 by the inspection result transmission unit 250.
Here, before proceeding to the description of the processing after receiving the inspection result in the electronic medical record system 100, a specific example of initial setting processing for main DBs managed by the various types of DBs 160 that have been initially set and the DB structure explain.

FIG. 11 is an example of a doctor DB initial setting screen.
As shown in the figure, for example, on the screen of the terminal device 300, the doctor ID, password, doctor name (kana), doctor name (kanji), affiliation code, affiliation name, PHS320 notification number, e-mail address Etc. When registering in the doctor DB, the registration button 730 is pressed and an incorrect result is input. If an item is to be deleted, the item is deleted by pressing the clear button 731.

FIG. 12 is an example of a doctor DB.
Based on the information input on the registration screen as shown in FIG. 11, for example, doctor ID, password, doctor name (kana), doctor name (kanji), affiliation code, PHS 320 notification number, e-mail address in this order. Data is managed.

FIG. 13 shows an example of the initial setting screen of the affiliation (group).
As shown in the figure, enter the affiliation name and the affiliation code corresponding to it. When registering this input content in the affiliation DB, the registration button 740 is pressed and an incorrect result is input. When the item is to be deleted, the clear button 741 is pressed to delete the item. .

FIG. 14 is an example of the affiliation DB.
Based on the information input on the registration screen as shown in FIG. 13, the affiliation code and the affiliation name associated therewith are managed as shown in FIG.

FIG. 15 is an example of a setting screen for inspection item abnormal value determination.
As shown in the figure, when the inspection item name to which the inspection item code is assigned and the abnormal value definition (upper and lower limits of the reference value) for each inspection item are set, and there is an abnormality in the inspection Whether or not there is an additional inspection is set as presence / absence of an additional item (0 indicates no addition, 1 indicates that there is an addition). The upper reference value “M: 80, W: 30” of “γ-GTP” of the inspection item code “00003-00” indicates an example in which the reference value is different between male (M) and female (W). ing.

  When registering the value set here or the like, the registration button 750 is pressed to input an incorrect result, and when an item is to be deleted, the item is deleted by pressing the clear button 751.

FIG. 16 is an example of an inspection item abnormal value determination DB.
Based on the information registered on the setting screen as shown in FIG. 15, for example, in the order of the inspection item code, the reference value (upper limit), the reference value (lower limit), and whether or not an item is added (0: not added, 1: added) Data is managed.

FIG. 17 is an example of an abnormal additional inspection item addition setting screen.
As shown in the figure, an inspection item code and an inspection item name of an inspection item that requires an additional inspection at the time of abnormality are displayed, and an additional inspection item to be added when the inspection item is abnormal is set. To set the additional inspection item, the inspection item code of the additional inspection item and the inspection item name are input. Here, when registering the set additional inspection item, the registration button 760 is pressed to input an incorrect result, and when the item is to be deleted, the item is deleted by pressing the clear button 761.

FIG. 18 is an example of an additional inspection item addition DB at the time of abnormality.
Based on the information registered on the setting screen as shown in FIG. 17, an inspection item code of a certain inspection item is associated with a code of an additional inspection item to be added when the inspection item is abnormal. Managed.

This is the end of the description of the initially set various DB groups 160.
Hereinafter, processing after receiving the inspection result in the electronic medical chart system 100 will be described with reference to a flowchart.

FIG. 19 is a flowchart for explaining the processing flow of the electronic medical chart system.
When the inspection result reception registration unit 140 receives the inspection result from the inspection department system 200, the received inspection result is managed in the inspection result DB 150 having the same DB configuration as the inspection result DB 240 as shown in FIG. (Step S10). Next, the additional inspection item determination unit 170 refers to the inspection item abnormal value determination DB as illustrated in FIG. 16 based on the inspection result, and checks whether there is an inspection item having an abnormal value in the inspection result. For example, when a patient undergoes an examination “TP”, the examination item abnormal value determination DB is searched using the examination item code “00005-00” as a key, and the result value is a registered standard. Check if it is within the range of values. As described above, the abnormal value is checked for the test results of all the tests received by the patient. If there is no abnormal value, the process proceeds to step S12. If there is an abnormal value, the process proceeds to step S13. Proceed (step S11).

  First, the case where there is no abnormal value will be described. The result notifying unit 190 uses the result notification method (notification identification 1) determined at the time of setting the inspection order from the inspection order DB 120 as shown in FIG. ), In the case of an abnormal value notification (notification identification 1 is “1”), since there is no abnormal value, the process is terminated as it is. In the case of a result notification (notification identification 1 is “0”), the process proceeds to step S15 (step S12).

  On the other hand, if there is an abnormal value, the additional inspection item determination unit 170 refers to the inspection item abnormal value determination DB as shown in FIG. 16 to determine whether there is an item to be added when there is an abnormality. Judgment (if the presence / absence of additional items is “0”, there is no addition; If there is an additional item, the process proceeds to step S14. If there is no additional item, the process proceeds to step S15 (step S13).

  If it is determined that there are additional items, the additional inspection item determination unit 170 collects the overlapping items because the additional inspection items may overlap when there are abnormal values for a plurality of inspection items. Thereafter, the additional content is stored in the additional inspection order DB. The additional inspection order DB has a database structure similar to that of the inspection order DB 120, although not shown (step S14).

  In the process of step S15, the result notifying unit 190 refers to the notification destination (notification identification 2) determined at the time of setting the inspection order from the inspection order DB 120 as shown in FIG. If (notification identification 2 is “0”), the process proceeds to step S16. If group notification (notification identification 2 is “1”), the process proceeds to step S17 (step S15).

  If it is determined in step S15 that the notification is personal, the result notifying unit 190 refers to the requested doctor ID managed in the examination result DB 150 having the DB structure as shown in FIG. The requested doctor's mail address is searched from the doctor DB among the various DB groups 160, and the process proceeds to step S18 (step S16).

  On the other hand, if it is determined in step S15 that the group notification is made, the result notification unit 190 similarly requests the source code of the department (for example, internal medicine) to which the requesting doctor managed in the examination result DB 150 belongs. Referring to (same as the above-mentioned affiliation code), the doctor (group member) belonging to the same department as the requesting doctor is searched in the doctor DB, the mail address of the group member is searched, and step S18 is performed. The process proceeds to (Step S17).

  In the process of step S18, the result notifying unit 190 creates a mail text addressed to the mail address (which is the PHS mail address) searched in the process of step S16 or step S17 (step S18). The unit 190 issues an e-mail to the PHS 320 via the in-hospital extension network 310 and ends the process (step S19).

  Thus, by notifying the result to the PHS 320 carried by the doctor 500, it can be immediately known that the examination of the patient is completed, and the efficiency of the examination work can be expected. In addition, it is possible to prevent verbal communication leakage.

FIG. 20 is a display example of an e-mail issued to the PHS when there are no additional inspection items.
This figure shows an example of e-mail when there is no additional examination item in the process of step S13, indicating that an abnormal value has been detected, the patient ID, the patient name, and confirming the examination result It is a sentence that encourages you to do.

  The doctor 500 who has received such an e-mail by the PHS 320 accesses the electronic medical record system 100 using his / her terminal device 300, refers to the examination result DB 150 based on the patient ID, and confirms the examination result of the patient. be able to. Note that the inspection result may be transmitted to the terminal device 300 by e-mail.

21 and 22 are display examples of an e-mail issued to the PHS when there are additional inspection items.
FIG. 21 shows an example of an e-mail when there is an additional examination item in the process of step S13. The fact that an abnormal value has been detected, the patient ID, and the patient name are described, and “Do you want to perform additional examination? "And so on.

  The next screen of FIG. 21 shown in FIG. 22 is an additional inspection approval screen, which displays additional inspection items stored in the additional inspection order DB in the process of step S14, and is a screen for selecting approval or rejection for that. . However, this screen is displayed only by the requesting doctor.

  When approval or rejection is made on the screen as shown in FIG. 22, the information is transmitted to the electronic medical chart system 100. The flow of processing of the electronic medical chart system 100 at this time will be described using a flowchart.

FIG. 23 is a flowchart for explaining the flow of additional inspection approval processing.
The examination order update unit 180 determines whether the doctor 500 has approved the addition. If the additional inspection item is rejected, the process is terminated. If the additional inspection item is approved, the process proceeds to step S21 (step S20).

  If the addition is approved, an additional inspection item approved from the slip number is acquired by searching an additional inspection order DB (not shown) (step S21). Next, the examination order update unit 180 updates the examination order DB 120 of the electronic medical record system 100 from the acquired information (step S22). Further, the inspection order transmitting unit 130 transmits an additional inspection order from the updated inspection order DB 120 to the inspection department system 200, and the process is terminated (step S23).

  As described above, when a further examination is necessary depending on the examination result, a necessary additional examination item is automatically determined and transmitted to the PHS 320 of the doctor 500, and the approval by the doctor 500 is made by the PHS 320. By updating the examination order, it is possible to reduce the burden on the doctor and increase the efficiency of medical treatment. In addition, this makes it possible to shorten the staying time of the patient in the hospital and to expect improvement in service to the patient.

In the above description, it has been described that the computer is composed of two computers, that is, the inspection department system 200 and the electronic medical record system 100.
In the above description, the PHS has been described as an example of the mobile mobile terminal device, but a mobile mobile terminal device such as a mobile phone or a PDA (Personal Digital Assistant) may be used.

  Note that the processing functions described above can be realized by a computer as described above. In that case, a program describing the processing contents of the functions that the medical information providing apparatus 10 should have is provided. By executing the program on a computer, the above processing functions are realized on the computer. The program describing the processing contents can be recorded on a computer-readable recording medium. Examples of the computer-readable recording medium include a magnetic recording device, an optical disk, a magneto-optical recording medium, and a semiconductor memory. Examples of the magnetic recording device include a hard disk device (HDD), a flexible disk (FD), and a magnetic tape. Examples of the optical disc include a DVD (Digital Versatile Disc), a DVD-RAM (Random Access Memory), a CD-ROM (Compact Disc Read Only Memory), and a CD-R (Recordable) / RW (ReWritable). Magneto-optical recording media include MO (Magneto-Optical disc).

  When distributing the program, for example, portable recording media such as a DVD and a CD-ROM on which the program is recorded are sold. It is also possible to store the program in a storage device of a server computer and transfer the program from the server computer to another computer via a network.

  The computer that executes the program stores, for example, the program recorded on the portable recording medium or the program transferred from the server computer in its own storage device. Then, the computer reads the program from its own storage device and executes processing according to the program. The computer can also read the program directly from the portable recording medium and execute processing according to the program. Further, each time the program is transferred from the server computer, the computer can sequentially execute processing according to the received program.

  It can be applied to computer systems that improve efficiency by automating operations in hospitals.

It is a functional block diagram which shows the principle of the medical information provision apparatus of embodiment of this invention. It is a block diagram of a medical information provision system. It is an example of a hardware configuration of a computer that realizes an electronic medical record system or an inspection department system. It is an example of an input screen at the time of inspection order input. It is an example of an input screen at the time of inspection order input. It is an example of an input screen at the time of inspection order input. It is an example of an input screen at the time of inspection order input. It is an example of inspection order DB. It is an example of the input screen in the case of the test result input in a test | inspection department system. It is an example of inspection result DB. It is an example of the initial setting screen of doctor DB. It is an example of doctor DB. It is an example of the initial setting screen of the affiliation (group). It is an example of affiliation DB. It is an example of a setting screen for inspection item abnormal value determination. It is an example of inspection item abnormal value judgment DB. It is an example of an additional inspection item addition setting screen at the time of abnormality. It is an example of additional inspection item addition DB at the time of abnormality. It is a flowchart explaining the flow of a process of an electronic medical chart system. It is an example of a display of the electronic mail issued to PHS when there is no additional inspection item. It is an example of a display of the electronic mail issued to PHS when there exists an additional test | inspection item. It is an example of a display of the electronic mail issued to PHS when there exists an additional test | inspection item. It is a flowchart explaining the flow of an additional test | inspection approval process.

Explanation of symbols

DESCRIPTION OF SYMBOLS 10 Medical information provision apparatus 11 Test order reception registration part 12 Test result input part 13 Additional test item determination part 14 Test order update part 15 Result notification part 20a Terminal device 20b Portable mobile terminal device (PHS)
30 input device 50 doctor

Claims (3)

In the medical information providing device that provides medical information according to the test result,
A test order reception registration unit for receiving and registering a patient test order;
An inspection result input unit for inputting an inspection result of an inspection performed based on the inspection order;
In accordance with the inspection result, an additional inspection item determination unit that determines an additional inspection item to be added;
An inspection order update unit that updates the inspection order in accordance with the determined additional inspection item;
A medical information providing apparatus characterized by comprising: Further comprising a result notification unit for notifying the determined additional examination item to a terminal device that can be referred to by a doctor,
The medical information providing apparatus according to claim 1, wherein the examination order update unit updates the examination order when receiving a signal from the terminal device that the execution of the additional examination item is approved. In a program that causes a computer to function to provide medical information according to a test result,
Computer
A test order reception registration means for receiving and registering a patient test order;
An inspection result input means for inputting an inspection result of an inspection performed based on the inspection order;
Additional inspection item determination means for determining an additional inspection item to be added according to the inspection result,
Inspection order updating means for updating the inspection order according to the determined additional inspection item;
Program to function as.

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