JP2005084709A - Patient information management system - Google Patents

Patient information management system Download PDF

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Publication number
JP2005084709A
JP2005084709A JP2003312522A JP2003312522A JP2005084709A JP 2005084709 A JP2005084709 A JP 2005084709A JP 2003312522 A JP2003312522 A JP 2003312522A JP 2003312522 A JP2003312522 A JP 2003312522A JP 2005084709 A JP2005084709 A JP 2005084709A
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Japan
Prior art keywords
patient information
corrected
patient
information
correction instruction
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Pending
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JP2003312522A
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Japanese (ja)
Inventor
Takanori Ando
貴則 安藤
Original Assignee
Konica Minolta Medical & Graphic Inc
コニカミノルタエムジー株式会社
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Application filed by Konica Minolta Medical & Graphic Inc, コニカミノルタエムジー株式会社 filed Critical Konica Minolta Medical & Graphic Inc
Priority to JP2003312522A priority Critical patent/JP2005084709A/en
Publication of JP2005084709A publication Critical patent/JP2005084709A/en
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Abstract

<P>PROBLEM TO BE SOLVED: To provide a patient information management system that displays patient information whose contents should be corrected in an identifiable manner until the patient information is corrected. <P>SOLUTION: The patient information management system 100 for managing patient information has displaying means (Step S1) for displaying patient information, and inputting means (Step S5) allowing an input of correction direction information showing patient information to be corrected in the displayed patient information; and if correction direction information is input (Step S5: Y), uses controlling means to display a correction direction mark as well as the patient information to be corrected on the displaying means (Step S10). <P>COPYRIGHT: (C)2005,JPO&NCIPI

Description

  The present invention relates to a patient information management system for managing patient information in a hospital or the like.

  In recent years, hospitals have become more intelligent, and information management such as patient information using information management systems such as PACS (Picture Archiving and Communication System), HIS (Hospital Information System), and RIS (Radiology Information System) has been performed. Yes. PACS is called an image file communication storage system, etc., together with patient personal information (patient identification information (hereinafter referred to as “patient ID”), patient name, age, gender, address, visit history, treatment status) This is a system for managing digital medical images of patients taken by CR (Computed Radiography) or the like. The HIS is called a hospital information system or the like, and is a system that manages and manages personal information of patients, accounting for medical expenses, and the like. The RIS is called a radiology information system or the like, and is a diagnosis support system that consistently performs reservations for radiological examinations such as CR, acceptance of examinations, interpretation and storage of examination data.

  PACS, HIS, and RIS are configured to be connected to each other via a communication network such as a LAN (Local Area Network), and the information is received from terminals installed in each department such as an outpatient reception, a clinic, and a radiology laboratory. Can be provided and viewed.

Incidentally, patient information is usually managed by a patient ID assigned to each patient. For example, if patient IDs are assigned to a single patient, such as a temporary patient ID and a regular patient ID, unified management of patient information becomes impossible. Therefore, a system is known in which a temporary patient ID and patient information associated with the temporary patient ID are sent to an information management system, and the temporary patient ID is corrected to a regular patient ID (for example, , See Patent Document 1). In such a system, it is preferable that patient information is managed by a person with management authority (hereinafter referred to as “manager”) from the viewpoint of security.
JP 2002-92155 A

  However, since the conventional system (Patent Document 1) is used in various departments, patient information registration errors may be found in various situations. For example, this may be the case when an interpretation doctor notices a registration error in patient information at the time of diagnosis. In such a case, an interpreting physician who has noticed a registration error in patient information will request an administrator to make corrections. I couldn't know that there was. In addition, other image interpretation doctors have also noticed patient information registration mistakes, and there have been cases where duplicate correction requests are made to the administrator. Moreover, until it was corrected by the administrator, it was impossible to know what patient information had to be corrected.

  The subject of this invention is providing the patient information management system which displays patient information with the content which should be corrected so that identification is possible until patient information is corrected.

  In order to solve the above-mentioned problems, the invention described in claim 1 is a patient information management system for managing patient information, and is present in one or more display means for displaying patient information and the displayed patient information. Input means capable of inputting correction instruction information indicating patient information to be corrected, and control means for causing the display means to display the patient information to be corrected together with the correction instruction mark when the correction instruction information is input. And.

  According to a second aspect of the present invention, in the patient information management system according to the first aspect, the patient information includes a plurality of item information related to the patient, and the correction instruction information is an item to be corrected in the patient information to be corrected. And the content to be corrected.

  According to a third aspect of the present invention, in the patient information management system according to the second aspect, when the correction instruction information is input, the control means displays the items to be corrected and the contents to be corrected on the display means. The display is controlled to be displayable.

  According to a fourth aspect of the present invention, in the patient information management system according to any one of the first to third aspects, when the correction instruction information is input, the control means provides an administrator of the patient information. A notification means for notifying that effect is provided.

  According to a fifth aspect of the present invention, in the patient information management system according to the fourth aspect, when the patient information to be corrected is corrected by the manager, the control means deletes the display of the correction instruction mark It is characterized by doing.

  According to the first aspect of the present invention, when patient information to be corrected exists in the patient information displayed on the display means, the patient information to be corrected is input by the person who has noticed this to input the correction instruction information. Can be displayed together with the correction instruction mark, so that the other patient can be identified that the patient information has the correction contents.

  According to the second aspect of the present invention, not only patient information to be corrected but also items to be corrected and contents to be corrected can be input.

  According to the third aspect of the present invention, not only the correction instruction mark but also the items to be corrected and the contents to be corrected can be displayed together with the patient information to be corrected. Until the patient information is corrected, the correction contents can be identified by other persons.

  According to the invention described in claim 4, when the correction instruction information is input, the administrator who manages the patient information is notified to that effect, so that the administrator immediately applies the corresponding patient information based on the correction instruction information. The patient information can be corrected by confirming whether there is a point to be corrected and whether the correction content included in the correction instruction information is correct.

  According to the fifth aspect of the present invention, after the patient information is corrected by the administrator, the display of the correction instruction mark is deleted. For example, the patient information is given to the person who has input the correction instruction information. Can be informed that it has been modified. Further, it is possible to avoid a situation in which the correction instruction mark remains displayed even though there is no correction content.

  A patient information management system 100 of the best mode for carrying out the present invention will be described below with reference to the drawings. The patient information management system 100 is configured based on PACS, is a system that manages patient information, medical images of patients, and the like, and can search and display such information. When there is patient information to be corrected, the system 100 displays the patient information with a correction instruction mark indicating that the correction content is included until it is corrected by the administrator. As shown in FIG. 1, a modality 1, a patient information management device 2, a patient information display device 3, etc. are connected to each other via a network N.

  The network N is an information communication network such as a LAN (Local Area Network) or a WAN (Wide Area Network) constructed in a building such as a hospital or between hospitals.

  The modality 1 includes a film digitizer (X-ray film image reader) 11, an angiography apparatus (DSA) 12, a CR apparatus 13, a CT scanner apparatus (computer tomography apparatus) 14, an MRI 15, a nuclear medicine diagnostic apparatus (RI) 16, An ultrasonic diagnostic apparatus 17 and an electronic endoscope apparatus 18 are provided. These comply with the DICOM (Digital Imaging and Communications in Medicine) standard and generate digitized DICOM medical images. Note that the types and number of modalities constituting the system 100 are not limited to this.

In the modality 1, item information related to the examination is input by a radiographer or an interpreting doctor who has requested imaging, and transmitted to the patient information management device 2 when imaging the affected area of the patient.
As item information related to the examination, specifically, patient ID, patient name, examination date, imaging part, imaging apparatus (type of modality 1), imaging method, imaging request department name, imaging request interpretation doctor name, number of images, Examples include inspection numbers issued for each inspection.

  The patient information management device 2 manages the patient information and medical images input from the modality 1, the patient information display device 3, etc. in a database and manages the patient information and medical images in response to a request from the patient information display device 3. Transfer. As shown in FIG. 2, a control unit 21, a storage unit 22, an I / F unit 23, and the like are provided, and each unit is connected to each other via a bus 24.

  The control unit 21 includes a CPU (Central Processing Unit), a RAM (Random Access Memory), a ROM (Read Only Memory), and the like. In the CPU, a predetermined area of the RAM is stored as a work area in the ROM or the storage unit 22. In accordance with various programs such as a patient information management program, a control signal is sent to each of the above parts by computer control to centrally control the overall operation of the patient information management apparatus 2, and a patient information management process including a correction instruction mark display process to be described later is executed. .

  The storage unit 22 includes, for example, a magnetic or optical storage medium such as an HDD (Hard Disc Drive) or an optical disk, or a storage medium (not shown) such as a semiconductor memory, which is fixed or detachable. The patient information management program, patient information Store medical images and so on. Patient information and medical images are associated with each other and stored in a database.

  The patient information includes a plurality of item information associated with the patient ID. The item information includes basic item information related to the patient, item information related to the examination described above, item information related to the findings of the interpretation doctor, and the like.

  Examples of basic item information related to a patient include a patient ID, name, date of birth, age, sex, address, and past history. The basic item information regarding the patient is input to the patient information management device 2 via the network N from a terminal device (not shown) installed at the time of outpatient reception in a hospital, for example.

  Examples of the item information related to the interpretation doctor's findings include the creation status of the findings, the text data of the findings, and information related to the importance of the medical image evaluated by numerical values such as a five-step evaluation. The item information relating to the findings of the interpreting doctor is created by the interpreting doctor at the time of medical examination or the like, and is input to the patient information management apparatus 2 via the patient information display apparatus 3 or the like.

  The I / F unit 23 is a network interface for communication connection with the modality 1 and the patient information display device 3 through the network N, and exchanges data between these devices.

  The patient information display device 3 is a terminal device or the like installed in an examination room or the like, and a plurality of patient information display devices 3 are provided. Patient information and medical images can be displayed and searched from each patient information display device 3 via the network N. The interpretation doctor uses the patient information display device 3 to display patient information and medical images, interpret the displayed medical images, create findings, and the like. In addition, when there is patient information to be corrected in the displayed patient information, the correction instruction information is input, and the patient information or the patient information management system administrator is requested to correct the patient information. Can do.

  Of course, the number of patient information display devices 3 connected to the network N is not limited.

  As shown in FIG. 3, the patient information display device 3 includes a control unit 31, an operation unit 32, a storage unit 33, an I / F unit 34, a display unit 35, etc., and each unit is connected to each other via a bus 36. Yes.

  The control unit 31 includes a CPU, a RAM, a ROM, and the like. The control unit 31 centrally controls the overall operation of the patient information display device 3 by sending control signals to the above-described units by computer control according to various programs such as a patient information management program. A patient information management process including a correction instruction process is executed.

  The operation unit 32 includes an input operation of an interpretation doctor ID number, correction instruction information related to patient information to be corrected, a number key, a character key, various function keys, and the like operated when performing various menu screen display operations. It includes a pointing device such as a keyboard and mouse.

  The storage unit 33 includes, for example, a magnetic or optical storage medium such as an HDD (Hard Disc Drive) or an optical disk, a semiconductor memory, or the like, which is fixed or detachable, via various programs such as a patient information management program and the network N. The received patient information, medical images, etc. are stored.

  The I / F unit 34 is an interface for communication connection with the modality 1 and the patient information management device 2 through the network N, and exchanges data between these devices.

  The display unit 35 includes a display device such as a CRT (Cathode Lay Tube) or an LCD (Liquid Crystal Display), and performs various displays based on a control signal input from the control unit 31.

  The display unit 35 displays a patient information display screen (see FIG. 4) for displaying patient information and the like, a correction instruction information input screen (see FIGS. 5 and 6), and the like. In addition to patient information, various operation buttons, operation menus, and input menus that can be operated by the operation unit 32 are displayed on these screens.

The patient information display screen will be described based on FIG.
The patient information display screen displays various operation button display areas A1 including a “correction request” button 35a for inputting correction instruction information when there is patient information to be corrected, and an emergency mark 35b when there is an emergency patient. An emergency mark display area A2 to be displayed, a patient information list display area A3 for displaying patient information corresponding to an unread medical image to be interpreted (hereinafter referred to as “unread image”), and patient information waiting for correction are displayed. A patient information list display area A4 and the like waiting for correction.

  When the “correction request” button 35a is pressed, the correction instruction information input screen shown in FIGS. 5 and 6 is displayed in a window, and the patient instruction correction instruction information is input via the correction instruction information input screen to the administrator. On the other hand, correction request information can be transmitted. The correction request information is notified to the administrator by e-mail or the like, for example.

  In the patient information list display area A3, a list of patient information can be displayed for each classification based on the shooting date and the patient. In FIG. 4, as shown as “Yesterday unread” and “Today's unread”, it is classified according to the shooting date and according to the patient type, such as “Case” patient and “Emergency” patient. A list of patient information corresponding to shadow images can be displayed.

  Switching between display / non-display of the patient information list display for each category can be performed by operating the expand / collapse button 35c of the display bar provided for each category. FIG. 4 shows a state in which patient information corresponding to each of the “unread image of today” image and the unread image of the “emergency” patient is displayed as a list. Further, in the case of a patient with an examination history, item information relating to examinations such as examination numbers corresponding to past examination dates and imaging parts is displayed as related information B1 in a tree format below the patient information B2 of the corresponding patient. be able to.

  Next, the correction instruction information input screen will be described with reference to FIGS. As described above, the correction instruction information input screen includes a menu screen displayed by the operation unit 32 in addition to pressing the “correction request” button 35a displayed in the various operation button display areas A1. By selecting the correction request menu from the menu, the correction instruction information input screen can be displayed.

  In the correction instruction information input screen, an item information display correction area A5 and a text data input display area A6 are provided. Further, a “request” button 35d for transmitting the correction instruction information and a “cancel” button 35e for canceling the input of the correction instruction information are provided.

  In the item information display correction area A5, the item name of each item information included in the patient information and the content of the item information are displayed so as to be freely corrected. In the text data input display area A6, text data input by an interpreting doctor or the like is displayed. 5 shows a correction instruction information input screen before inputting the correction instruction information, and FIG. 6 shows a correction instruction information input screen after the correction instruction information is input.

  Next, patient information management processing including correction instruction processing and correction instruction mark display processing executed in the patient information management system 100 will be described based on the flowchart shown in FIG.

  When the patient information display device 3 is turned on, a patient information display screen (see FIG. 4) is displayed on the display unit 35 (step S1), and a patient information list regarding uninterpreted images to be interpreted on that day is displayed on the display unit 35. Is displayed.

  At this time, for example, the interpretation doctor may be requested to input an ID number and the like, and the interpretation doctor may be authenticated, and a patient information display screen corresponding to the authenticated interpretation doctor may be displayed on the display unit 35.

  Next, when predetermined patient information is selected (step S2: Y), the selected patient information is highlighted (see FIG. 8), and when the “correction request” button 35a is pressed (step S3: Y). ), A correction instruction information input screen (see FIG. 5) for inputting correction instruction information related to the selected patient information is displayed (step S4).

  In the case shown in FIGS. 5 and 8, each item information included in the patient information about the patient name “Taro” of the patient ID “0000001” is displayed on the correction instruction information input screen.

  Next, the input of correction instruction information and the pressing of the “request” button 35d are waited. When the “request” button 35d is input (step S5: Y), the input correction instruction information is transmitted to the patient information management apparatus 2. (Step S6).

  In the case illustrated in FIG. 6, “examination number” is corrected from “s0000001” to “s1234567” in the patient information of “Taro”.

  When the patient information management apparatus 2 receives the correction instruction information (step S7), the patient information management apparatus 2 notifies the administrator of the correction instruction information by e-mail or the like (step S8). Almost simultaneously with this, a correction instruction mark display request is transmitted to the patient information display device 3 (step S9).

  Note that step S8 and step S9 may be performed simultaneously, or step S9 may be performed first.

  Upon receiving the correction instruction mark display request (step S10), the patient information display device 3 displays item information to be corrected for the corresponding patient together with the correction instruction mark (step S11).

  For example, in the case shown in FIG. 9, the correction instruction mark 35f is displayed for the inspection number “s0000001”. At this time, item information before correction (“s0000001”) is displayed, but item information after correction (“s1234567”) may be displayed. In addition, by selecting the correction instruction mark 35f via the operation unit 32, the menu screen or the like may be displayed to display the correction instruction content.

  Next, in the patient information management device 2, when the patient information to be corrected is corrected by the administrator (step S12: Y), a correction instruction mark deletion request is transmitted to the patient information display device 3 (step S13). ).

  When receiving the correction instruction mark deletion request (step S14: Y), the patient information display device 3 deletes the correction instruction mark attached to the item information to be corrected of the patient information as indicated by an arrow A in FIG. At the same time, the item information of the corrected content is displayed (step S15).

  From the above, according to the best mode for carrying out the present invention, when patient information to be corrected exists in the patient information displayed on the patient information display screen (FIG. 4) of the display unit 35, this is noticed. When the interpretation doctor inputs correction instruction information via the correction instruction information input screen (FIGS. 5 and 6), the item information to be corrected in the patient information is displayed together with the correction instruction mark, and the correction contents are displayed in the patient information. It can be made identifiable to other image interpretation doctors.

  Further, based on the input correction instruction information, not only the correction instruction mark but also the items to be corrected and the contents to be corrected can be displayed together with the patient information to be corrected. Until the patient information to be corrected is corrected, the correction contents can also be displayed so as to be identifiable to other interpretation doctors.

  Furthermore, when correction instruction information is input, the administrator is notified by e-mail or the like, so that the administrator should immediately correct the patient information based on the correction instruction information. The patient information can be corrected by checking whether the correction content included in the information is correct.

  In addition, since the display of the correction instruction mark is deleted after the patient information is corrected by the administrator, for example, it is possible to notify the interpretation doctor who has input the correction instruction information that the patient information has been corrected. it can. Further, it is possible to avoid a situation in which the correction instruction mark remains displayed even though there is no correction content.

It is a figure which shows the system configuration | structure of the patient information management system 100 in the best form for implementing. It is a block diagram which shows the functional structure of the patient information management apparatus shown in FIG. It is a block diagram which shows the functional structure of the patient information display apparatus shown in FIG. It is a figure which shows the patient information display screen displayed on the display part of the patient information display apparatus of FIG. It is a figure which shows the correction instruction content input screen displayed on the display part of the medical image display apparatus of FIG. It is a figure which shows the correction instruction content input screen displayed on the display part of the medical image display apparatus of FIG. It is a flowchart which shows the patient information management process performed in the best form for implementing this invention. It is a figure which shows the patient information display screen displayed on the display part of the patient information display apparatus of FIG. It is a figure which shows the state by which the correction instruction mark was displayed on the patient information display screen displayed on the display part of the patient information display apparatus of FIG. It is a figure which shows the state from which the correction instruction mark was deleted in the patient information display screen displayed on the display part of the patient information display apparatus of FIG.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Modality 2 Patient information management apparatus 21 Control part 22 Storage part 23 I / F part 3 Patient information display apparatus 31 Control part 32 Operation part 33 Storage part 34 I / F part 35 Display part 35a Correction request button 35d Request button 100 Patient information Management system A1 Various operation button display area A2 Emergency mark display area A3 Patient information list display area A4 Patient information list display area waiting for correction A5 Item information display correction area A6 Text data input display area N Network

Claims (5)

  1. In a patient information management system for managing patient information,
    One or more display means for displaying patient information;
    An input means capable of inputting correction instruction information indicating patient information to be corrected existing in the displayed patient information;
    Control means for causing the display means to display the patient information to be corrected together with the correction instruction mark when the correction instruction information is input;
    A patient information management system comprising:
  2. In the patient information management system according to claim 1,
    The patient information includes a plurality of item information about the patient,
    The correction instruction information includes items to be corrected and contents to be corrected in patient information to be corrected.
    A patient information management system characterized by that.
  3. The patient information management system according to claim 2,
    When the correction instruction information is input, the control means controls the display means so that the items to be corrected and the contents to be corrected can be displayed.
  4. In the patient information management system according to any one of claims 1 to 3,
    The said control means is provided with the notification means which notifies the manager of the said patient information when the said correction instruction information is input, The patient information management system characterized by the above-mentioned.
  5. In the patient information management system according to claim 4,
    The control means deletes the display of the correction instruction mark when the patient information to be corrected is corrected by the manager.
JP2003312522A 2003-09-04 2003-09-04 Patient information management system Pending JP2005084709A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2011022743A (en) * 2009-07-15 2011-02-03 Fuji Xerox Co Ltd Information processing program and information processing apparatus

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2011022743A (en) * 2009-07-15 2011-02-03 Fuji Xerox Co Ltd Information processing program and information processing apparatus
US8850606B2 (en) 2009-07-15 2014-09-30 Fuji Xerox Co., Ltd. Computer readable medium storing program, information processing apparatus, and information processing method for document security

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