JP2005173737A - Medical information management system, terminal device, and program - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a technology which helps giving sufficient explanations to patients regardless of the experiences and abilities of persons engaged in health care. <P>SOLUTION: An information management server 105 in a hospital transmits guidance information to a terminal device 104 when it receives a request for the guidance information from the terminal device 104 via a subsystem server 102. The guidance information is for adequately performing medical care to be taken and adequately giving explanations to be made to patients. Such guidance information is transmitted to the terminal device 104, and consequently persons engaged in medical care, who use the terminal device 104, are helped to adequately perform medical care including the explanations to the patients. <P>COPYRIGHT: (C)2005,JPO&NCIPI

Description

  The present invention relates to a technique for assisting a patient in a medical facility such as a hospital or a clinic to appropriately perform a medical action on a patient.

  In recent years, in the medical field, informed consent has been emphasized to fully explain to patients what kind of medical practice is performed and for what reason, and to obtain consent to perform the medical practice. Has been. By doing so, the patient can comfortably receive the medical service, so that the quality of the medical service can be improved.

The experience and ability of the practitioners who perform medical treatments on patients vary from worker to worker. As a result, some workers cannot give sufficient explanations to patients. Such workers should be supported by experienced workers, but it is not always possible to support them. For this reason, in order to maintain the quality of medical services at a high level, it is very important to be able to provide sufficient explanations to patients regardless of their experiences and abilities.
JP 2001-312566 A

  An object of this invention is to provide the technique which assists so that it can fully explain with respect to a patient irrespective of a worker's experience, ability, etc.

  The medical information management system according to the first aspect of the present invention is a system for managing information for supporting the implementation of medical practice for a patient under treatment, and communicates from a terminal device used by a worker who performs the medical practice. A request accepting means for accepting a request for providing guidance information related to the implementation of the medical practice transmitted via the network, and the guidance information for which the provision request accepting means accepts the provision request is sent to the terminal device via the communication network. Information providing means to be provided.

In addition, it is desirable that the guidance information includes, as necessary, information for explanation that should be given to a patient who performs a medical practice.
In the medical information management system of the second aspect, in addition to the configuration in the first aspect, a notification that the explanation to be given to the patient performing the medical practice has been performed is made from the terminal device via the communication network. The information processing apparatus further includes a notification receiving unit that receives information and a recording unit that records, as information, information that has been given to the patient based on the notification received by the notification receiving unit.

The notification accepting means can accept a notification that the medical practice has been performed on the patient, and the recording means can confirm that the medical practice has been performed on the patient by the notice accepted by the notification accepting means. It is desirable that it can be recorded as information.
The terminal device according to the first aspect of the present invention is based on the premise that the terminal device can be connected to a medical information management system that manages information for supporting the implementation of medical practice for a patient under treatment via a communication network. A medical action selection unit for selecting a medical practice to be performed on the medical information management system is requested via a communication network and guidance information related to the implementation of the medical practice selected by the medical practice selection unit is transmitted to the medical information management system. Requesting means, receiving means for receiving guidance information transmitted from the medical information management system via a communication network in response to a provision request by the requesting means, and information presenting means for presenting the guidance information received by the receiving means .

In addition to the configuration in the first aspect, the terminal device according to the second aspect of the present invention is a notification means for notifying the medical information management system that an explanation to be given to a patient performing a medical practice has been performed, Is further provided.
It is desirable that the notification means can notify the medical information management system that the medical practice has been performed on the patient.

  A program according to a first aspect of the present invention is a program that is executed by a data processing device used to construct a system for managing information for supporting the implementation of medical practice for a patient being treated, and performs the medical practice A function for receiving a request for providing guidance information related to the implementation of the medical practice, transmitted from a terminal device used by a worker via a communication network, and a communication network for receiving guidance information received by the function for receiving the guidance request. And the function to be provided by transmitting via the network.

  The program according to the second aspect of the present invention is a program that is executed by a terminal device that can be connected to a medical information management system that manages information for supporting the implementation of medical practice for a patient under treatment via a communication network. Request to provide guidance information related to the implementation of the medical practice selected by the function for selecting the medical practice to be performed on the patient and the medical information management system via the communication network. A function for receiving guidance information transmitted from a medical information management system via a communication network in response to a provision request by a function for performing a provision request, and a function for presenting guidance information received by a function for receiving make it happen.

  In the present invention, when a guidance information provision request related to the implementation of medical practice is received from a terminal device, the guidance information is transmitted to the terminal device and provided. As a result, healthcare professionals who use terminal devices can always ensure sufficient explanation to patients and appropriate implementation of medical practices using the provided guidance information, regardless of their experience or ability. Become. For this reason, the quality of medical services can always be maintained high.

Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings.
FIG. 1 is a diagram showing a configuration of a hospital information system having a medical information management system according to the present embodiment. The information system was built to provide team medical care at a medical facility such as a hospital, for example, and team medical workers (doctors, nurses, nurses, etc.) shared information through the information system. ing.

  As shown in FIG. 1, the information system connects a communication server 101 with a subsystem server 102, a plurality of access points (AP) 103 for performing wireless communication, and a terminal device 104 used by medical personnel. In addition, an in-hospital information management server (hereinafter abbreviated as “management server”) 105 that manages and generates various types of information is connected to the subsystem server 102. The worker who contacts the patient operates the terminal device 104 directly connected to the communication network 101 or the terminal device 104 connected to the communication network 101 via the AP 103 to access the management server 105 to Information is obtained and various information is registered. The medical information management system according to this embodiment is realized on the management server 105, and the terminal device according to this embodiment is realized as the terminal device 104.

  The communication network 101 is, for example, a LAN. A terminal device 104 capable of wireless communication used by a worker is a tablet-type personal computer (hereinafter referred to as “portable computer”) that can communicate with the AP 103 wirelessly so that the management server 105 can be accessed even in a place where a patient is present (hereinafter referred to as a personal computer) "PC") or PDA. Here, for convenience of explanation, unless otherwise specified, the terminal device 104 is used to indicate a device that can perform wireless communication.

FIG. 2 is a diagram showing a functional configuration of the management server 105.
As shown in FIG. 2, the management server 105 includes a communication unit 201 that performs communication via the communication network 101, a storage unit 202 that manages various databases (DB), and a control unit 203 that controls the entire server 105. And, it has a configuration comprising. The control unit 204 is realized by, for example, a CPU installed in the management server 105 executing a program stored in a hard disk device or the like while using the resource.

The storage unit 202 manages a patient information DB 211, a guidance execution record DB 212, a medical practice execution record DB 213, and a guidance information management DB 214. They are as follows. This will be specifically described with reference to various explanatory diagrams shown in FIGS.
The patient information DB 211 is prepared for managing patient personal information. As shown in FIG. 3, the patient ID assigned to the patient for identification, its name, gender, age, blood type, date of birth, hospitalization / outpatient classification indicating hospitalization or outpatient classification, and the presence of the patient Data such as hospital wards and patient rooms are stored for each patient.

  The guidance execution record DB 212 is prepared for recording the explanation given to the patient who performs the medical practice. As shown in FIG. 4, the time when the medical practice should be performed, the patient ID of the patient who should perform the medical practice, the name of the medical practice that should be performed on the patient, and the worker for the implementation of the medical practice of that name Guidance information display indicating whether or not the user has referred to the guidance information, guidance performer indicating the worker who explains the guidance, guidance implementation date that is the date of the guidance, guidance execution time that is the time of the execution, etc. Are stored for each medical practice performed on a patient.

  The medical practice for the patient is performed in advance. The contents of explanations to be provided are determined for each medical practice performed on a patient. For this reason, the time when the medical practice should be performed, the patient ID, and the name of the medical practice are prepared and stored in the guidance implementation record DB 212 at the stage before the time when the medical practice should be performed. The guidance information display stores a predetermined initial value. Accordingly, according to the implementation of the explanation, the guidance information display, the guidance executor, the guidance implementation date, and the guidance implementation time are stored in the corresponding records to record that the implementation has been performed. The guidance executor identifies the terminal device 104 from the authentication result performed when accessing the management server 105, and stores the guidance execution date and the guidance execution time transmitted from the terminal device 104. The same applies to the medical practice record DB 213.

  A value of 0 stored as the guidance information display indicates that the worker does not refer to the guidance information. A value of 1 stored as the value indicates that the guidance information has been referred to. In the present embodiment, the description is recorded only for the worker who refers to the guidance information. As a result, only the record in which 1 is stored as the guidance information display is to be recorded.

  The medical practice execution record DB 213 is prepared for recording a medical practice performed on a patient. As shown in FIG. 5, the time when the medical action should be performed, the patient ID of the patient who should perform the medical action, and the name of the medical action that should be performed on the patient are stored in the same manner as the guidance execution record DB 212. . Other data includes the implementation input that indicates whether or not the implementation of the medical practice of that name was recorded, the implementer that indicates the worker who performed the medical practice, the implementation date that is the date of the implementation, The execution time, which is the current time, is stored. A value of 0 stored as an execution input indicates that the recording has not been performed, and a value of 1 indicates that the recording has been performed.

  The guidance information management DB 214 is prepared for managing guidance information to be provided to a worker who performs a medical practice on a patient. As shown in FIG. 6, data such as a medical practice name, a guidance information storage destination indicating a storage destination of guidance information to be provided to a worker who performs the medical practice of the medical practice name, and the like are stored.

The guidance information varies depending on the medical practice, but it has at least one of the procedures and precautions for conducting the medical practice and the contents that should be explained to the patient. It is information to support.
The management server 105 provides guidance information by transmitting it to the terminal device 104 in response to a request from the terminal device 104. For this reason, the worker who is the user of the terminal device 104 can always appropriately perform the medical practice including the explanation to be performed regardless of the experience and ability by referring to the guidance information. In order to adequately explain to the patient, even if it is a medical practice that requires consent, the patient will have a thorough understanding and consent. Since the proportion of workers depending on their experience and ability decreases, the quality of medical services can always be maintained at a high level even with a smaller number of people.

  In the present embodiment, it is possible to record that the explanation to be performed and the medical action to be performed have been performed. Thereby, it is possible to confirm whether or not they are actually performed. For this reason, through the confirmation, it can be confirmed whether or not the quality of the medical service is maintained.

  FIG. 7 is a flowchart illustrating a flow of processing executed by the terminal device 104, the subsystem server 102, and the management server 105 when the worker performs a medical practice. The example of the flow is shown paying attention to the processing related to the implementation of the medical practice. Next, processing executed by the terminal device 104, the subsystem server 102, and the management server 105 in that case will be described in detail with reference to FIG.

  The execution of the processing shown in FIG. 7 is realized in the subsystem server 102 and the management server 105 by, for example, an installed CPU executing a program stored in a hard disk device or the like. The terminal device 104 is realized by, for example, an installed CPU executing a program stored in a semiconductor memory such as a hard disk device or a flash memory.

  As described above, a medical practice for a patient is performed in advance. The schedule is registered in the management server 105 as order information. Accordingly, the worker accesses the terminal device 104 to the management server 105 to download the order information and confirm the medical action for the patient to be performed.

  After the terminal device 104 accesses the management server 105 to perform authentication and the operator performs an operation for requesting order information, the terminal device 104 requests the management server 105 to transmit the order information. (Step ST1), and an order list display screen 800 as shown in FIG. 8 in which it is arranged is displayed on the display device (step ST2). When one of the orders arranged on the order list display screen 800 is clicked, the terminal device 104 displays an order display screen 810 corresponding to the order as shown in FIG. 8 on the display device (step ST3).

  On the order display screen 810, as shown in FIG. 8, “display explanation”, “execution input”, and “return” buttons are arranged. The “description display” button 811 is for instructing to display guidance information corresponding to the order, and the “execution input” button 812 is for instructing to record that the medical action instructed by the order has been performed. Is for.

In this embodiment, in this way, the corresponding order display screen 810 is displayed by selecting the order. This makes it possible for the worker to easily display (acquire) necessary guidance information and record the medical practice.
The terminal device 104 displaying the order display screen 810 moves to step ST4, and determines whether or not the “display explanation” button 811 is clicked (selected). If the owner clicks the button 811, the determination is YES, the process proceeds to step ST 5, and a guidance information acquisition request for requesting provision of guidance information is transmitted to the management server 105. On the other hand, when that is not right, determination is NO and it transfers to step ST12 mentioned below. In the guidance information acquisition request, for example, a medical practice name and a patient ID are transmitted together in order to designate necessary guidance information or update the guidance execution record DB 212.

  Data transmission / reception between the terminal device 104 and the management server 105 is performed via the subsystem server 102. Therefore, when the subsystem server 102 receives the guidance information acquisition request from the terminal device 104 (step SS1), it transmits it to the management server 105 (step SS2). Thereby, the transmission of the guidance information acquisition request is relayed.

  When the management server 105 receives the guidance information acquisition request via the subsystem server 102 (step SM1), the management server 105 searches the guidance information management DB 214 using the name of the medical practice being requested as a key, thereby requesting the requested guidance information. Is stored, and the guidance information stored in the storage location is read and transmitted. Further, by searching the guidance execution record DB 212 using the medical practice name and patient ID as a key, a record is extracted, and 1 is stored as a guidance information display value in the record (step SM2). .

When the subsystem server 102 receives the guidance information from the management server 105 (step SS3), it transmits it to the terminal device 104 via the communication network 101 (step SS4).
When the terminal device 104 receives the guidance information via the subsystem server 102 as described above (step ST6), the terminal device 104 displays a guidance information display screen 820 as shown in FIG. ST7).

On the display screen 820, as shown in FIG. 8, an “explanation completion registration” button 821 for instructing to record that the explanation to be performed has been performed is arranged. Thereby, when an explanation to be performed is given, the recording can be easily instructed.
When the terminal device 104 displays the guidance information display screen 820, the terminal device 104 proceeds to step ST8 and determines whether or not the “description completion registration” button 821 has been clicked (selected). When the owner clicks the button 821, the determination is YES, the process proceeds to step ST9, and explanation completion registration information for recording that the explanation to be performed is recorded is transmitted to the management server 105. On the other hand, when that is not right, determination is NO and it transfers to step ST12 mentioned below. The explanation completion registration information includes, for example, the date and time when the owner clicks on the “explanation completion registration” button 821, the name of the medical practice, and the patient ID. The medical practice name and patient ID are transmitted from the management server 105 as data constituting the order information.

When the subsystem server 102 receives the description completion registration information from the terminal device 104 (step SS5), it transmits it to the management server 105 (step SS6). Thereby, transmission of the registration information is relayed.
When the management server 105 receives the explanation completion registration information via the subsystem server 102 (step SM3), the management server 105 searches the guidance execution record DB 212 using the medical practice name and patient ID in the registration information as keys, and the data Extract the records that are to be stored. In the extracted record, the owner identified from the terminal device 104 that is the transmission source of the registration information is used as a guidance implementer, and the implementer, the guidance implementation date identified from the date and time in the registration information, and the guidance implementation time are stored. . In this way, the result of executing the processing according to the reception of the explanation completion registration information is transmitted to the terminal device 104 as the explanation completion registration response (step SM4). By transmitting the registration response, it is notified whether or not the explanation to be performed has been recorded.

When receiving the explanation completion registration response from the management server 105 (step SS7), the subsystem server 102 transmits it to the terminal device 104 via the communication network 101 (step SS8).
When the terminal device 104 receives the explanation completion registration response via the subsystem server 102 in this manner (step ST10), the terminal device 104 displays the content notified by the registration response on the display device (step ST11). After that, the order display screen 810 as shown in FIG. 8 is displayed again on the display device, and processing for responding to the click on the “execution input” button 812 is executed (step ST12). A series of processes for supporting the implementation of the medical action instructed in one order is terminated after the button 812 is clicked or the “return” button is clicked. Although not specifically illustrated, when the “execution input” button 812 is clicked, the terminal device 104 performs processing similar to steps ST9 to ST11, and the subsystem server 102 performs processing similar to steps SS5 to SS8. The management server 105 executes processes similar to those in steps SM3 and SM4.

  In the present embodiment, the recording of the explanation to be performed and the recording of the medical practice are performed in such a manner that the worker who is the user of the terminal device 104 is selected. However, such recording may be performed by a worker unconditionally. The explanation may be recorded in the form of video or audio.

  Guidance information is provided at any time in response to a request from the terminal device 104. However, when a medical practice performed by a worker is known in advance, guidance information corresponding to the medical practice is provided. By providing in advance, necessary guidance information on the terminal device 104 side may be presented at any time. Alternatively, a plurality of guidance information may be collected into one group and guidance information may be provided in units of groups.

The guidance information is displayed as a document, but may be output in the form of video or audio. If such is the case, the patient may be automatically explained by video or audio.
A program for realizing the operation of the management server 105 or the terminal device 104 as described above may be distributed by being recorded on a recording medium such as a CD-ROM, a DVD, or a magneto-optical disk. Part or all of the program may be distributed via a transmission medium such as a communication network or a public network. In such a case, the user can implement the medical information management system or the terminal device to which the present invention is applied by using the data processing device by acquiring the program and loading it into the data processing device. it can. Therefore, the recording medium may be accessible by a device that distributes the program.

It is a figure which shows the structure of the hospital information system which has a medical information management system by this Embodiment. It is a figure which shows the function structure of the hospital information management server carrying the medical information management system by this Embodiment. It is a figure explaining the data structure of a patient information database. It is a figure explaining the data structure of a guidance implementation record database. It is a figure explaining the data structure of a medical practice implementation record database. It is a figure explaining the data structure of a guidance information management database. It is a flowchart which shows the flow of the process which a terminal device, a subsystem server, and an in-hospital information management server each perform when a worker implements medical practice. It is a figure explaining the screen displayed on the display device of a terminal device, and its transition.

Explanation of symbols

DESCRIPTION OF SYMBOLS 101 Communication network 102 Subsystem server 103 Access point 104 Terminal device 105 Hospital information management server 201 Communication part 202 Storage part 203 Control part 211 Patient information database 212 Guidance execution record database 213 Medical practice execution record database 214 Guidance information management database

Claims (9)

A system for managing information to support the implementation of medical practice for a patient being treated,
Request accepting means for accepting a provision request for guidance information related to the implementation of the medical practice, transmitted from a terminal device used by a worker performing the medical practice via a communication network;
Information providing means for providing the provision request information received by the provision request receiving means by transmitting the guidance information to the terminal device via the communication network;
A medical information management system comprising: The guidance information includes, as necessary, information for explanation to be given to a patient who performs the medical practice.
The medical information management system according to claim 1. A notification accepting means for accepting a notification to the effect that an explanation to be given to a patient performing the medical practice is performed from the terminal device via the communication network;
A recording means for recording as information that an explanation to be given to the patient has been made by the notification received by the notification receiving means;
The medical information management system according to claim 2, further comprising: The notification receiving means can receive a notification that the medical practice has been performed on a patient,
The recording means can record information indicating that a medical practice has been performed on the patient based on the notification received by the notification receiving means.
The medical information management system according to claim 3. In a terminal device connectable via a communication network with a medical information management system that manages information for supporting the implementation of medical practice for a patient under treatment,
Medical practice selection means for selecting a medical practice to be performed on the patient;
Request means for requesting provision of guidance information related to the implementation of the medical practice selected by the medical practice selection means to the medical information management system via the communication network;
Receiving means for receiving guidance information transmitted from the medical information management system via the communication network in response to a provision request by the request means;
Information presenting means for presenting the guidance information received by the receiving means;
A terminal device comprising: A notification means for notifying the medical information management system that an explanation to be given to a patient performing the medical practice has been performed;
The terminal device according to claim 5, further comprising: The notification means can notify the medical information management system that the medical practice has been performed on a patient.
The terminal device according to claim 6. A program to be executed by a data processing device used to construct a system for managing information for supporting medical practice for a patient being treated,
A function of receiving a request for providing guidance information related to the implementation of the medical practice transmitted from the terminal device used by the worker performing the medical practice via a communication network;
A function of providing guidance information received by the receiving function by sending the guidance information to the terminal device via the communication network;
A program to realize A program to be executed by a terminal device connectable via a communication network with a medical information management system that manages information for supporting the implementation of medical practice for a patient under treatment,
A function for selecting a medical practice to be performed on the patient;
A function of requesting the medical information management system via the communication network to provide guidance information related to the implementation of the medical practice selected by the function for selection;
A function of receiving guidance information transmitted from the medical information management system via the communication network in response to a provision request by the function of performing the provision request;
A function of presenting guidance information received by the function of receiving;
A program to realize

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