JP2008225618A - Local medical information system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a local medical information system for, when the medical information of a duplicate origin is not found out in response to the acquisition request of the medical information, sending the duplicate of the medical information to a medical facility of the acquisition request origin. <P>SOLUTION: This local medical information system is provided with: a temporary storage place management means 007 for storing the correspondence table of the storage place of medical information in a local medical facility 004b and the storage place of duplicate; and an acquisition relay means 005a for making an acquisition request to a local medical facility 004b when receiving the acquisition request of medical information from the medical facility 004a, and for, when the medical information is acquired, transmitting the medical information to the local medical facility 004a, and for referring to a temporary storage place management means 007, and for, when the information of the storage place of the duplicate of the medical information is not present, preparing and storing duplicate in a temporary storage means 006b, and for transmitting the storage place to the temporary storage place management means 007, and for, when the medical information is not acquired, referring to the temporary storage place management means 007, and for acquiring duplicate from the temporary storage means 006b based on the information of the storage place of duplicate, and for transmitting it to the local medical facility 004a. <P>COPYRIGHT: (C)2008,JPO&INPIT

Description

  The present invention relates to a regional medical information system in which patient medical information centered on electronic medical records is shared among the medical facilities in a plurality of regional medical facilities. In particular, the present invention relates to a regional medical information system with improved fault tolerance when viewing medical information.

  In a medical facility, for example, when treating a patient, if the patient uses a different medical institution with multiple symptoms, the medical history of the patient or past treatment history, the other medical facility By knowing in advance the details of treatment performed on a patient, the patient can be treated more effectively.

  For this purpose, it is required to share medical information between medical facilities, including electronic medical records, medical images such as CT and MRI, referral letters, prescription drugs, and health checkup results. Therefore, in recent years, medical records of patients, information on life-long medical records, daily biological information, and information on individual drugs used, such as EHR (Electric Health Record), can be used from multiple medical facilities. A system that centrally manages personal medical information such as the above has become widespread.

  Conventionally, as such a regional medical information system, medical information itself is stored in a data management center that supervises each medical facility (see, for example, Patent Document 1), or medical information is managed in each medical facility. A regional medical information system (see, for example, Patent Document 2) in which the central management system manages the management information has been proposed.

  Here, the details of the local medical information system in which each conventional medical facility manages medical information will be described. FIG. 9 is a block diagram showing the system configuration of a conventional regional medical information system. Hereinafter, as shown in FIG. 9, there are medical facilities 004a, medical facilities 004b, and other medical facilities as medical facilities, and each medical facility stores medical information storage means 002a, medical information storage means 002b, and other medical facilities. A case where medical information storage means, an operation terminal 003a, an operation terminal 003b, and other operation terminals are arranged will be described. Further, in the following, each medical facility, each medical information storage means, and each operation means will be described as “medical facility 004”, “medical information storage means 002”, and “operation means 003”, respectively.

  In the above-mentioned EHR, as shown in FIG. 9, in order to refer to the medical information, the medical information itself is maintained and managed by the medical record storage unit 002 arranged in the medical facility 004 in which the medical information is created. A method of storing storage location information such as a link for searching medical information in the storage location management means 001 is employed. Then, the user (doctor or patient) in each medical facility 004 stores the medical information shared in the area in the medical record information storage means 002 arranged in each medical facility, and further, management information (patient) of the medical information The storage location information is registered in the storage location management means 001 in association with the ID and Unique ID. In this way, the storage location management means 001 stores the original storage location correspondence table that is a correspondence table between the management information of the diagnostic information stored in each medical facility and the storage location of the diagnostic information.

  The user (doctor or patient) who wants to refer to the medical record uses the operation terminal 003 such as a PC disposed in the medical facility 004 to the storage location management unit 001 to locate the medical information to be referred to based on the management information. Inquire. The storage location management means 001 refers to the original storage location correspondence table, searches the storage location of the medical information based on the management information of the medical information requested to be searched, and sends the medical information to the operation terminal 003 that requested the acquisition. Notify the storage location of. The user (doctor or patient) receives the storage location of the medical information in the medical facility 004 (for example, the medical facility 004b) in which the medical record that requested the search is stored, and based on the storage location, stores the medical facility 004b. The medical information is acquired from a medical information storage unit 002b.

  However, in such a regional medical information system, there is a possibility that medical records stored in each medical facility 004 may be temporarily inaccessible due to a network failure or hardware failure of each medical facility 004. . In addition, since only the storage location information is managed in the storage location management means 001, the medical information itself may be lost due to the convenience of each medical facility 004, for example, bankruptcy, absorption, or merger of the medical facility. There is a risk that medical information may be lost within the range that the user (doctor or patient) cannot control. Furthermore, in each medical facility 004, old medical information may be sequentially moved to a permanent storage medium such as a tape. Even in such a case, there is a possibility that medical information stored in each medical facility 004 cannot be acquired.

  In view of this, some regional medical information systems create a backup of each medical information storage unit 002 (see, for example, Patent Document 3).

JP 2003-67506 A JP 11-338950 A JP 2004-110446 A

  However, when the medical information itself is stored in the storage location management unit 001 as in Patent Document 1, the storage location management unit 001 in which necessary storage capacity is secured and the medical information is concentrated is provided. It is difficult to realize due to the magnitude of the risk of failure.

  Further, when creating a backup as in Patent Document 3, since most data of each server is stored and used for recovery, when backup is performed with a tape device or the like, it takes time to recover from a failure. In addition, when each medical facility adopts a backup method, the management of medical information at each medical facility is left to the medical facility, so the medical information is lost due to a reason (such as destruction) at the medical facility. If you do, you can not cope.

  In addition, when an inquiry is made by hand to each medical facility that stores medical records and the storage location information registered in the medical information storage location management means 001 is periodically updated, the number of medical information is It is assumed that it will be enormous, and it is difficult to do it manually.

  The present invention has been made in view of such circumstances, and temporarily stores a copy of the original medical information that has been acquired, and in response to the request for acquisition of the medical information, It is an object of the present invention to provide a regional medical information system that sends a copy of medical information to a requesting medical facility when no medical information is found.

  To achieve the above object, the regional medical information system according to claim 1 is a regional medical information system connected to a plurality of external medical facilities through a network, and is a database of any of the external medical facilities. A storage location management means for storing a storage location of medical information stored in the medical information, receiving a search request for the storage location of the medical information from any of the external medical facilities, and notifying the storage location of the medical information Medical information storage means for storing medical information shared in the region, and the medical information created by the other medical facilities in each of the medical facilities to retrieve the medical information from the medical facility from which the medical information is created A regional medical information system comprising: an operation terminal that acquires and displays information, and registers the medical information created by each medical facility in the database. One or a plurality of temporary storage location management means for storing a correspondence table of the storage location in the external medical facility and a storage location of a copy of the medical information, and the notification from any of the external medical facilities The medical information acquisition request based on the stored medical information storage location is received, the medical information acquisition request is made to the external medical facility, and if the medical information can be acquired, the acquisition request The medical information is transmitted to the medical facility and the temporary storage location management means is referred to. If there is no information on the storage location of the duplicate of the medical information, a copy of the medical information is created and stored in the temporary storage means for a predetermined period. When the medical information cannot be obtained from the external medical facility, the temporary storage location management means is referred to and the medical information is copied. One or a plurality of acquisition relay means for acquiring a copy of the medical information from the temporary storage means based on the storage location information and transmitting the copy to the medical facility that requested the acquisition. It is.

  The regional medical information system according to claim 2 is a regional medical information system connected to a plurality of external medical facilities via a network, and stores medical information stored in a database of any one of the external medical facilities. Storing a storage location, receiving a search request for the storage location of the medical information from any of the external medical facilities, and storing location management means for notifying the storage location of the medical information, and medical information shared in the region Medical information storage means to hold, search the medical information created by the other medical facilities from within each of the medical facilities, obtain and display the medical information from the medical facility from which the medical information was created, A regional medical information system comprising an operation terminal for registering the medical information created by each medical facility in the database, wherein the medical information and the storage location of the medical information One or a plurality of address temporary storage location management means for storing a correspondence table of a duplicate address storage location that is a storage location of a copy of the information, and a registration request for the medical information from any of the external medical facilities, Registering the storage location of the medical information in the storage location management means, creating a copy of the storage location of the medical information, storing it in the temporary address storage device for a predetermined period, and storing the duplicate address storage location in the temporary address storage location Sending to the management means, receiving a search request for the medical information from any of the external medical facilities, requesting the storage location of the medical information from the storage location management means, and acquiring the storage location of the medical information If the storage location of the medical information is transmitted to the medical facility that requested the search, and the storage location of the medical information cannot be acquired, the temporary address storage location One or more searches that refer to the management means, obtain a copy of the storage location information of the medical information from the temporary address storage means based on the copy address storage location, and transmit the copy to the medical facility that requested the acquisition And a relay means.

  According to the regional medical information system according to the first aspect, when medical information managed in each medical facility cannot be acquired, a copy of the medical information can be acquired instead of the original medical information. This allows users (doctors and patients) to obtain necessary medical information immediately even if the medical information managed at each medical facility cannot be acquired due to a system failure or has been lost due to destruction, etc. As a result, stable medical information can be acquired. Therefore, it is possible to support the provision of prompt and safe medical care.

  According to the regional medical information system according to claim 2, when information on the storage location of medical information managed in the center cannot be acquired, a copy of the storage location can be acquired instead of the information on the original storage location. . As a result, even when the medical information storage location cannot be acquired due to a system failure, the user can immediately acquire a copy of the necessary medical information storage location, and can acquire stable medical information.

[First Embodiment]
The regional medical information system according to the first embodiment of the present invention will be described below. Here, FIG. 1 is a block diagram showing the configuration of the regional medical information system according to the present embodiment. In the present embodiment, as shown in FIG. 1, there are a regional medical facility 004a, a regional medical facility 004b, and a plurality of other regional medical facilities. Below, when not distinguishing each regional medical facility, it is set as the regional medical facility 004. The medical information storage means 002a and the operation terminal 003a for the regional medical facility 004a, and the medical information storage means 002 and the operation terminal 003 for each regional medical facility 004 (hereinafter, the medical information storage means are not distinguished). The medical information storage unit 002 and the operation unit 003 when the operation units are not distinguished are sometimes arranged, and the medical information storage unit 002 and the operation terminal 003 are connected to the network. Further, on the network, storage location management means 001, acquisition relay means 005a and acquisition relay means 005b (hereinafter referred to as acquisition relay means 005 if each acquisition relay means is not distinguished), temporary storage means 006a and temporary storage means 006a. A storage unit 006b (hereinafter referred to as a temporary storage unit 006 when each temporary storage unit is not distinguished) and a temporary storage location management unit 007 are arranged. Each unit and the operation terminal 003 are connected to each other via a network and can communicate with each other.

  The regional information system according to the present embodiment indicates each unit arranged on the upper side of the network shown in FIG. In this embodiment, a server is assigned to each means, but each means may be arranged in one or several servers.

  In the following, a case will be described where another user is trying to acquire the medical information 100 stored in the medical information storage unit 002b by the user using the operation terminal 003b via the acquisition relay unit 005a using the operation terminal 003a. To do. Here, medical information includes electronic medical records, medical images such as CT and MRI, letters of introduction, prescribed medicines, and health checkup results. The operation of saving medical information from the operation terminal 003b is the same as the saving method described in the background art. Therefore, the user who wants to acquire the medical information 100 has acquired the storage location of the medical information 100 from the storage location management means 001 and makes an acquisition request for the medical information 100 based on the storage location of the medical information 100. . Here, the signals and data actually pass through the network, but the solid line arrows shown in FIG. 1 schematically represent the flow of data in response to the acquisition request of the medical information 100 from the operation terminal 003a. In the following description, the medical information 100 is acquired via the acquisition relay unit 005a. However, this may be performed using another acquisition relay unit 005 (for example, the acquisition relay unit 005b) on the network. Good.

  The acquisition relay unit 005a includes a CPU and a program. Based on the storage location information of the medical information 100 included in the acquisition request of the medical information 100 from the operation terminal 003a, the acquisition relay unit 005a sends the medical information to the medical information storage unit 002b based on the storage location of the medical information 100. Request 100.

  The acquisition relay unit 005a copies the medical information 100 to the temporary storage location management unit 007 based on the storage location information of the medical information 100 included in the acquisition request of the medical information 100 from the operation terminal 003a (hereinafter, “copy 101”). “)”).

  When the medical information 100 can be acquired, the acquisition relay unit 005a creates a copy 101 that is a copy of the acquired medical information 100 when the temporary storage location management unit 007 does not have information on the storage location of the copy 101. Save in the temporary storage means 006b. Here, in the following description, the case where the copy 101 is stored in the temporary storage unit 006b will be described. However, the location where the copy 101 is stored is the temporary storage unit 006 (for example, the temporary storage unit 006a) connected to the network. Any is fine. This is not performed when there is information on the storage location of the copy 101 in the temporary storage location management unit 007.

  Furthermore, when the medical information 100 can be acquired, the acquisition relay unit 005a stores the storage location of the medical information 100 in the temporary storage location management unit 007 when the temporary storage location management unit 007 does not have the storage location information of the copy 101. And the storage location of the copy 101 is transmitted. This is not performed when there is information on the storage location of the copy 101 in the temporary storage location management unit 007.

  When the medical information 100 can be acquired, the acquisition relay unit 005a transmits the medical information 100 to the operation terminal 003a.

  The acquisition relay unit 005a notifies the operation terminal 003a of error information when the medical information 100 cannot be acquired and the temporary storage location management unit 007 does not have the storage location information of the copy 101.

  If the medical information 100 cannot be acquired and the temporary storage location management unit 007 has information on the storage location of the copy 101, the acquisition relay unit 005a sends the temporary storage unit 006b to the temporary storage unit 006b based on the storage location of the copy 101. The medical information 100 is requested to be acquired.

  The acquisition relay unit 005a transmits the copy 101 received from the temporary storage unit 006b to the operation terminal 003.

  The temporary storage unit 006 is composed of a storage medium such as a hard disk. Then, the temporary storage unit 006 deletes the copy 101 when one year, which is a predetermined period in which the copy 101 is stored, elapses. Here, the certain period of storage is set to one year in consideration of the necessity of the copy 101 and the capacity of the temporary storage unit 006, but this depends on the requirements for operating the system. The value needs to be calculated according to the requirements.

  The temporary storage location management means 007 has a copy storage location correspondence table showing the correspondence between the storage location of the original medical information and the storage location of the copy of the medical information.

  When the temporary storage location management unit 007 receives a confirmation request for the existence of the storage location information of the copy 101 based on the storage location information of the medical information 100 from the acquisition relay unit 005a, the temporary storage location management unit 007 refers to the copy storage location correspondence table, When there is a correspondence between the storage location of the information 100 and the storage location of the copy 101, a presence confirmation signal is transmitted to the acquisition relay unit 005a, and there is no correspondence between the storage location of the medical information 100 and the storage location of the copy 101. In this case, a non-existing signal is transmitted to the acquisition relay unit 005a.

  When the temporary storage location management unit 007 receives an acquisition request for the storage location of the copy 101 based on the storage location information of the medical information 100 from the acquisition relay unit 005a, the temporary storage location management unit 007 refers to the copy storage location correspondence table and stores the storage location of the copy 101. Is transmitted to the acquisition relay means 005a. If there is no information about the storage location of the copy 101 in the copy storage location correspondence table, an error is transmitted.

  Next, with reference to FIG. 2, the flow of medical information acquisition of the regional medical information system according to the present embodiment will be described. Here, FIG. 2 is a flowchart of medical information acquisition of the regional medical information system according to the present embodiment.

  Step S001: The acquisition relay unit 005a receives an acquisition request for the medical information 100 based on the storage location of the medical information 100 from the operation terminal 003a.

  Step S002: The acquisition relay unit 005a requests the medical information storage unit 002b to acquire the medical information 100 based on the storage location information of the medical information 100. If the medical information 100 can be acquired from the medical information storage unit 002b, the process proceeds to step S003, and if the acquisition fails, the process proceeds to step S006.

  Step S003: The acquisition relay unit 005a confirms the existence of the storage location information of the copy 101 with respect to the temporary storage location management unit 007 based on the storage location of the received medical information 100. The temporary storage location management unit 007 refers to the copy storage location correspondence table based on the storage location of the medical information 100 received from the acquisition relay unit 005a, and determines whether the storage location information of the copy 101 exists. Notify When the acquisition relay unit 005a receives the presence confirmation signal from the temporary storage location management unit 007, the process proceeds to step S004, and when the acquisition relay unit 005a receives the non-existence signal from the temporary storage location management unit 007. Advances to step S005.

  Step S004: The acquisition relay unit 005a acquires the medical information 100 from the medical information storage unit 002b, and transmits the acquired medical information 100 to the operation terminal 003a.

  Step S005: The acquisition relay unit 005a transmits the storage location of the medical information 100 and the storage location of the copy 101 to the temporary storage location management unit 007. The temporary storage location management unit 007 writes the correspondence between the storage location of the medical information 100 and the storage location of the copy 101 in the copy storage location correspondence table.

  Step S006: The acquisition relay unit 005a requests the temporary storage location management unit 007 to acquire the storage location information of the copy 101 based on the storage location of the received medical information 100. If there is information on the storage location of the copy 101 in the temporary storage location management unit 007, the process proceeds to step S007, and if there is no information on the storage location of the copy 101, the process proceeds to step S010.

  Step S007: The temporary storage location management unit 007 refers to the copy storage location correspondence table based on the storage location of the medical information 100 received from the acquisition relay unit 005a, and notifies the acquisition relay unit 005a of the storage location of the copy 101. .

  Step S008: The acquisition relay unit 005a acquires the copy 101 from the temporary storage unit 006b based on the storage location of the copy 101 received from the temporary storage location management unit 007.

  Step S009: The acquisition relay unit 005a transmits the copy 101 acquired from the temporary storage unit 006 to the operation terminal 003a.

  Step S010: The temporary storage location management unit 007 returns an error to the acquisition relay unit 005a. The acquisition relay unit 005a transmits an error message to the operation terminal 003a.

  As described above, in the regional medical information system according to the present embodiment, in response to a medical information acquisition request from a user or an operator, medical information in one of the local medical facilities 004 cannot be acquired due to some failure. In addition, the duplicate can be obtained and transmitted to the user or the operator. Thereby, the state which cannot acquire the medical treatment information which a user or an operator needs can be reduced, and a user or an operator can provide quick and stable regional medicine.

[Second Embodiment]
The regional medical information system according to the second embodiment of the present invention will be described below. In this embodiment, in addition to the first embodiment, when the storage location of the medical information 100 cannot be acquired from the storage location management unit 001, a copy thereof is sent to the regional medical facility 004. FIG. 3 is a block diagram showing the system configuration of the regional medical information system according to the present embodiment. Since acquisition of medical care information is the same as that of the first embodiment in the present embodiment, search of medical care information will be described below. Here, acquisition of medical information refers to acquiring medical information itself, and retrieval of medical information refers to acquiring a storage location of medical information. Registration in the following description refers to saving the storage location of the medical information 100 from the medical facility 004 to the temporary storage unit 006.

  As shown in FIG. 3, the regional medical information system according to the present embodiment includes a search relay unit 008a and a search relay unit 008a (hereinafter, when each search relay unit is not distinguished), in addition to the system configuration of the first embodiment. Simply referred to as “search relay means 008”), address temporary storage means 009a and address temporary storage means 009b (hereinafter simply referred to as “address temporary storage means 009” if they are not distinguished from each other). The temporary storage location management means 010 is added. Each means is connected to each other via a network and can communicate with each other.

  The regional information system according to the present embodiment indicates each unit arranged on the upper side of the network shown in FIG. In this embodiment, a server is assigned to each means, but each means may be arranged in one or several servers.

  In the following, the user stores the medical information 100 in the medical information storage unit 002b using the operation terminal 003b, registers the storage location through the search relay unit 008b, and then uses the operation terminal 003a to search the relay unit 008a. A case will be described in which another user is trying to search for a storage location of the medical information 100 via the user ID. 3 indicates the data flow in the registration request for the medical information 100 from the operation terminal 003b, and the solid line arrow indicates the data flow in response to the search request for the medical information 100 from the operation terminal 003a. In the following description, the storage location of the medical information 100 is registered through the search relay unit 008b, and the search is performed through the search relay unit 008a. The search relay unit 008 (for example, the acquisition relay unit 005b) may be used, or these may use the same search relay unit 008. Here, the registration of the storage location of the medical information 100 is performed only once when the medical information 100 is stored in the medical information storage unit 002b.

  The search relay unit 008b receives the management information of the medical information 100 including the management information of the medical information 100 and the storage location of the medical information 100 from the medical information storage unit 002b, and receives the management information of the medical information 100 from the storage location management unit 001. A storage location 301 that is a storage location of the medical information 100 is transmitted.

  The search relay unit 008b creates a copy of the storage location 301 (hereinafter referred to as “copy address 302”) and stores it in the temporary address storage unit 009b.

  The search relay unit 008b transmits the management information of the medical information 100 and the storage location of the duplicate address 302 to the temporary address storage location management unit 010.

  The search relay unit 008a receives a search request including the management information of the medical information 100 from the operation terminal 003a, and requests the storage location 301 from the storage location management unit 001 based on the management information of the medical information 100.

  When receiving the storage location 301 from the storage location management unit 001, the search relay unit 008a transmits the storage location of the medical information 100 to the operation terminal 003a.

  If the search relay unit 008a fails to receive the storage location 301 from the storage location management unit 001, the search relay unit 008a requests the storage location of the duplicate address 302 from the temporary address storage unit 009b based on the management information of the diagnostic information 100.

  The search relay unit 008a acquires the duplicate address 302 from the temporary address storage unit 009b based on the storage location of the duplicate address 302 received from the temporary address storage unit 009b.

  The search relay unit 008a transmits the storage location of the duplicate address 302 to the operation terminal 003.

  The storage location management unit 001 writes the correspondence between the management information of the medical information 100 received from the search relay unit 008b and the storage location 301 in the original storage location correspondence table.

  The storage location management unit 001 receives the request for the storage location 301 including the management information of the medical information 100 from the search relay unit 008a, refers to the original storage location correspondence table based on the management information of the medical information 100, and stores the storage location. 301 is transmitted to the search relay means 008a.

  The address temporary storage unit 009 has a storage medium such as a hard disk. Then, the address temporary storage unit 009 deletes the storage location of the duplicate address 302 when one year, which is a predetermined period of time, in which the storage location of the duplicate address 302 is stored has elapsed. Here, the fixed period of storage is set to one year in consideration of the necessity of the storage location of the duplicate address 302 and the capacity of the temporary address storage unit 009, which depends on the requirements for operating the system. The value needs to be calculated according to the requirements of the operating system.

  The temporary address storage location management means 010 has a duplicate address storage location correspondence table showing the correspondence between the management information of the medical information 100 and the storage location of the duplicate address 302.

  The temporary address storage location management unit 010 receives the management information of the medical information 100 and the storage location of the duplicate address 302 from the medical information storage unit 002b, and writes the correspondence to the duplicate address storage location correspondence table.

  When the address temporary storage location management unit 010 receives a request for the storage location of the duplicate address 302 based on the management information of the medical information 100 from the search relay unit 008a, the temporary address storage location management unit 010 refers to the duplicate address storage location correspondence table and stores the duplicate address 302. The location is transmitted to the search relay means 008a.

  Hereinafter, the flow of registration of medical examination information with reference to FIG. 4 and the flow of medical examination information search with reference to FIG. Here, FIG. 4 is a flowchart of diagnosis information registration in the regional medical information system according to the present embodiment, and FIG. 5 is a flowchart of diagnosis information search in the regional medical information system according to the present embodiment.

(Consultation information registration)
Step S101: The search relay unit 008b receives a registration request for the medical information 100 including the management information of the medical information 100 and the storage location 301 from the medical information storage unit 002b.

  Step S102: The search relay unit 008b transmits the management information of the medical information 100 and the storage location 301 to the storage location management unit 001. The storage location management unit 001 writes the correspondence between the management information of the medical information 100 and the storage location 301 in the original storage location correspondence table.

  Step S103: The search relay unit 008b creates a duplicate address 302 that is a duplicate of the storage location 301, and stores it in the temporary address storage unit 009b.

  Step S102: The search relay unit 008b transmits the management information of the medical information 100 and the storage location of the duplicate address 302 to the temporary address storage management unit 010. The temporary address storage location management unit 010 writes the correspondence between the management information of the medical information 100 and the storage location of the duplicate address 302 in the duplicate address correspondence table.

(Examination information search)
Step S201: The search relay unit 008a receives a search request for medical information 100 including management information of the medical information 100 from the operation terminal 003a.

  Step S202: The search relay unit 008a requests the storage location 301 from the storage location management unit 001 based on the medical information 100 received from the operation terminal 003a. The storage location management unit 001 refers to the original storage location correspondence table and transmits the storage location 301 to the search relay unit 008a. If the search relay unit 008a receives the storage location 301 from the storage location management unit 001, the process proceeds to step S203. If the search relay unit 008a cannot receive the storage location 301, the process proceeds to step S204.

  Step S203: The search relay unit 008a transmits the storage location 301 received from the storage location management unit 001 to the operation terminal 003a.

  Step S204: The search relay unit 008a requests the storage location of the duplicate address 302 based on the management information of the medical information 100 from the temporary address storage location management unit 010. The temporary address storage location management unit 010 refers to the duplicate address correspondence table based on the management information of the medical information 100 and sends the storage location of the duplicate address 302 to the search relay unit 008a.

  Step S205: The search relay unit 008a acquires the duplicate address 302 from the temporary address storage unit 009b based on the storage location of the duplicate address 302 received from the temporary address storage location management unit 010.

  Step S206: The search relay unit 008a transmits the acquired duplicate address 302 to the operation terminal 003a.

  As described above, in the regional medical information system according to this embodiment, the duplicate address 302 that is a duplicate of the storage location 301 of the medical information 100 is stored, and a search request for medical information is received from the user or the operator. Even if the storage location 301 cannot be acquired, the duplicate address 302 can be notified. Thereby, the state which cannot acquire the preservation | save location of the medical information which a user or an operator requires can be reduced, and a user or an operator can provide quicker and more stable regional medicine.

  In the second embodiment, in the first embodiment, the local medical information system configured to send a copy of the medical information 100 to the local medical facility 004 when the storage location of the medical information 100 cannot be acquired from the storage location management unit 001. As described above, this is only a configuration in which the temporary storage unit 006 and the acquisition relay unit 005 are not provided, and a copy of the medical information 100 is sent to the local medical facility 004 when the storage location of the medical information 100 cannot be acquired from the storage location management unit 001. It can also operate as a regional medical system.

[Third Embodiment]
A regional medical information system according to the third embodiment of the present invention will be described below. In this embodiment, in the first embodiment, when the number of failed acquisitions of the medical information 100 reaches a predetermined threshold, the copy 101 is acquired from the temporary storage unit 006b, and the original storage that the storage location management unit 001 has is further acquired. The storage location of the medical information 100 in the location correspondence table is updated to the storage location of the copy 101. FIG. 6 is a block diagram showing the system configuration of the regional medical information system according to this embodiment. Thus, a case will be described in which acquisition of the medical information 100 from the medical information storage unit 002b fails when searching for medical information in the regional medical information system according to the present embodiment.

  As shown in FIG. 6, the regional medical information system according to the present embodiment has a configuration in which a problem processing unit 011 and a problem recording unit 015 are added to the system configuration of the first embodiment. The problem processing unit 011 and the problem recording unit 015 are connected to each other via a network and can communicate with each other.

  The regional information system according to the present embodiment indicates each unit arranged on the upper side of the network shown in FIG. In this embodiment, a server is assigned to each means, but each means may be arranged in one or several servers.

  In the following, a case will be described where another user is trying to acquire the medical information 100 stored in the medical information storage unit 002b by the user using the operation terminal 003b via the acquisition relay unit 005a using the operation terminal 003a. To do. The operation of saving medical information from the operation terminal 003b is the same as the saving method described in the background art. Therefore, the user who wants to acquire the medical information 100 has acquired the storage location of the medical information 100 from the storage location information management unit 001 and makes an acquisition request for the medical information 100 based on the storage location of the medical information 100. Yes. Here, the solid arrow shown in FIG. 6 represents the flow of data in response to an acquisition request for the medical information 100 from the operation terminal 003a. In the following description, the medical information 100 is acquired via the acquisition relay unit 005a. However, this may be performed using another acquisition relay unit 005 (for example, the acquisition relay unit 005b) on the network. Good. Here, in the present embodiment, a copy of the medical information 100 is already stored in the temporary storage unit 006, and the storage location of the medical information 100 and the storage location of the copy 101 are stored in the copy correspondence table of the temporary storage location management unit 007. This will be described in the case where the correspondence is described.

  The acquisition relay unit 005a requests the medical information storage unit 002b to acquire the medical information 100 based on the storage location information of the medical information 100 included in the acquisition request of the medical information 100 from the operation terminal 003a.

  When the acquisition of the medical information 100 from the medical information storage unit 002b fails, the acquisition relay unit 005a notifies the problem recording unit 015 of the problem occurrence and the error content of the medical information storage unit 002b.

  If there is no instruction for acquiring the copy 101 from the problem processing unit 011, the acquisition relay unit 005 a retries acquisition of the medical information 100 from the medical information storage unit 002 b.

  If there is an instruction to acquire the copy 101 from the problem processing unit 011, the acquisition relay unit 005 a requests the temporary storage location management unit 007 for the storage location of the copy 101.

  The acquisition relay unit 005a requests the temporary storage unit 006b to acquire the medical information 100 based on the storage location of the copy 101 acquired from the temporary storage location processing unit 007.

  The acquisition relay unit 005a transmits the copy 101 received from the temporary storage unit 006b to the operation terminal 003.

  The problem recording unit 015 receives the problem occurrence and error contents of the medical information storage unit 002b from the acquisition relay unit 005a, stores the name and error content of the medical information storage unit 002b, and further stores the error in the medical information storage unit 002b. Stores the number of content problems. Here, in this embodiment, only the problem occurrence information sent from the acquisition relay unit 005a is described, but this is the same error in the medical information storage unit 002b sent from another acquisition relay unit 005. The content problem occurrence information is also stored as one time. That is, the cumulative number of problem occurrences sent from several acquisition relay means 005 is stored.

  The problem processing means 011 has a storage area composed of a hard disk, a memory, and the like, and stores a threshold value for the number of problem occurrences as 10 in advance in the storage area. Here, in the present embodiment, the threshold for the number of occurrences of the problem is set to 10 in consideration of the speed of failure handling, the load on the system, and the like, but this is set to an appropriate value according to the system configuration and operation requirements. There is a need.

  The problem processing unit 011 receives the number of problem occurrences of the medical information storage unit 002b and the error contents stored in the problem recording unit 015, and the problem occurrence count of the same error content of the medical information storage unit 002b is a threshold value. If it exceeds 10 times, an instruction to acquire the copy 101 is sent to the acquisition relay means 005a.

  The problem processing unit 011 confirms the error content when the number of occurrences of the problem of the error content in the medical care information storage unit 002b stored in the problem recording unit 015 exceeds 10 which is a threshold value, and the error content is If the cause is not the network failure or the like but the absence of the medical information 100, that is, the failure in the medical information storage unit 002 b storing the medical information 100, the temporary storage location management unit 007 stores the medical information 100. An acquisition request for storage location information of the copy 101 based on the information is sent.

  When the problem processing unit 011 acquires the storage location information of the copy 101 from the temporary storage location management unit 007, the problem processing unit 011 sends the management information of the medical information 100 and the storage location of the copy 101 to the storage location management unit 001. Further, when the error processing unit 011 receives an error from the temporary storage location management unit 007, the problem processing unit 011 sends an instruction to invalidate the storage location information of the medical information 100 to the storage location management unit 001.

  When the temporary storage location management unit 007 receives an acquisition request for the storage location of the copy 101 based on the storage location information of the medical information 100 from the problem processing unit 011, the temporary storage location management unit 007 refers to the copy storage location correspondence table and stores the storage location of the copy 101. Is transmitted to the problem processing means 011. If there is no information about the storage location of the copy 101 in the copy storage location correspondence table, an error is transmitted.

  The storage location management unit 001 receives the management information of the medical information 100 and the storage location of the copy 101 from the problem processing unit 011, and receives the medical information corresponding to the management information of the medical information 100 described in the original storage location correspondence table of the storage location management unit 001. The storage location of the information 100 is updated to the storage location of the copy 101. In addition, when the storage location management unit 001 receives an invalid instruction from the problem processing unit 011, the storage location management unit 001 invalidates the storage location information of the medical information 100.

  As described above, in the regional medical information system according to the present embodiment, even when the medical information 100 cannot be acquired, the copy 101 is not immediately taken and it is considered that the medical information 100 cannot be reliably accessed. You can only get a copy 101. As a result, the load of access to the temporary storage unit 006 can be reduced. Further, when the number of problem occurrences in the local medical facility 004 exceeds a predetermined threshold, the storage location of the medical information 100 managed by the storage location management unit 001 can be used as the storage location of the copy 101. As a result, when it is considered that the medical information 100 already managed on the medical facility 004 side has been lost, the access from the acquisition relay means 005 reduces unnecessary access to the local medical facility 004 and reduces the load on the entire local medical information system. Smooth medical information 100 can be acquired.

[Fourth Embodiment]
A regional medical information system according to the fourth embodiment of the present invention will be described below. In the present embodiment, in the first embodiment, when the number of failed acquisitions of the medical information 100 reaches a predetermined threshold, the copy 101 is acquired from the temporary storage unit 006b, and the information of the storage location information management unit 001 is further acquired. In this configuration, the copy 101 is directly acquired in response to the acquisition request for the medical information 100 in which the number of acquisition failures exceeds a predetermined threshold without updating the. FIG. 7 is a block diagram showing the system configuration of the regional medical information system according to this embodiment.

  As shown in FIG. 7, the regional medical information system according to the present embodiment is configured by adding a problem processing unit 011, an acquisition failure management unit 012, and a problem recording unit 015 in addition to the system configuration of the first embodiment. . The problem processing unit 011, the acquisition failure management unit 012, and the problem recording unit 015 are connected to each other via a network and can communicate with each other.

  The area information system according to the present embodiment indicates each means arranged on the upper side of the network shown in FIG. In this embodiment, a server is assigned to each means, but each means may be arranged in one or several servers.

  In the following, a case will be described where another user is trying to acquire the medical information 100 stored in the medical information storage unit 002b by the user using the operation terminal 003b via the acquisition relay unit 005a using the operation terminal 003a. To do. The operation of saving medical information from the operation terminal 003b is the same as the saving method described in the background art. Here, the solid arrow shown in FIG. 7 represents the flow of data in response to an acquisition request for the medical information 100 from the operation terminal 003a. In the following description, the medical information 100 is acquired via the acquisition relay unit 005a. However, this may be performed using another acquisition relay unit 005 (for example, the acquisition relay unit 005b) on the network. Good. In this embodiment, a copy of the medical information 100 is already stored in the temporary storage unit 006, and the storage location of the medical information 100 and the storage location of the copy 101 are stored in the copy correspondence table of the temporary storage location management unit 007b. This will be described in the case where the correspondence is described.

  When the acquisition relay unit 005a receives the acquisition request of the medical information 100 from the operation terminal 003a, the acquisition relay unit 005a sends the acquisition failure management unit 012 to the medical information storage unit 002b based on the information on the storage location of the medical information 100 included in the acquisition request. On the other hand, the acquisition of the storage location of the copy 101 is requested.

  The acquisition relay unit 005a requests the copy 101 to the temporary storage unit 006b when the storage location of the copy 101 can be acquired from the acquisition failure management unit 012.

  The acquisition relay unit 005a sends the copy 101 received from the temporary storage unit 006b to the operation terminal 003a.

  The acquisition relay unit 005a requests the medical information 100 from the medical information storage unit 002b when the storage location of the copy 101 cannot be acquired from the acquisition failure management unit 012.

  When the acquisition of the medical information 100 from the medical information storage unit 002b fails, the acquisition relay unit 005a notifies the problem recording unit 015 of the problem occurrence and the error content of the medical information storage unit 002b.

  If there is no instruction for acquiring the copy 101 from the problem processing unit 011, the acquisition relay unit 005 a retries acquisition of the medical information 100 from the medical information storage unit 002 b.

  If there is an instruction to acquire the copy 101 from the problem processing unit 011, the acquisition relay unit 005 a requests the temporary storage location management unit 007 for the storage location of the copy 101.

  The acquisition relay unit 005a requests the temporary storage unit 006b to acquire the medical information 100 based on the storage location of the copy 101 acquired from the temporary storage location processing unit 007.

  The acquisition relay unit 005a transmits the copy 101 received from the temporary storage unit 006b to the operation terminal 003.

  The problem recording unit 015 receives the problem occurrence and error contents of the medical information storage unit 002b from the acquisition relay unit 005a, stores the name and error content of the medical information storage unit 002b, and further stores the error in the medical information storage unit 002b. Stores the number of content problems. Here, in this embodiment, only the problem occurrence information sent from the acquisition relay unit 005a is described, but this is the same error in the medical information storage unit 002b sent from another acquisition relay unit 005. The content problem occurrence information is also stored as one time. That is, the cumulative number of problem occurrences sent from several acquisition relay means 005 is stored.

  The problem processing means 011 has a storage area composed of a hard disk, a memory, and the like, and stores a threshold value for the number of problem occurrences as 10 in advance in the storage area. Here, in the present embodiment, the threshold for the number of occurrences of the problem is set to 10 in consideration of the speed of failure handling, the load on the system, and the like, but this is set to an appropriate value according to the system configuration and operation requirements. There is a need.

  The problem processing unit 011 receives the number of problem occurrences of the medical information storage unit 002b and the error contents stored in the problem recording unit 015, and the problem occurrence count of the same error content of the medical information storage unit 002b is a threshold value. If it exceeds 10 times, an instruction to acquire the copy 101 is sent to the acquisition relay means 005a.

  The problem processing unit 011 confirms the error content when the number of occurrences of the same error content in the medical care information storage unit 002b stored in the problem recording unit 015 exceeds 10 as a threshold, and the error content If the medical information 100 is not present but the medical information 100 does not exist, the storage location of the medical information 100 and the storage location of the copy 101 are sent to the acquisition failure management unit 012. Further, a request for acquiring storage location information of the copy 101 based on the information of the medical information 100 is sent to the temporary storage location management unit 007.

  When the problem processing unit 011 acquires the storage location information of the copy 101 from the temporary storage location management unit 007, the problem processing unit 011 sends the management information of the medical information 100 and the storage location of the copy 101 to the storage location management unit 001. Further, when the error processing unit 011 receives an error from the temporary storage location management unit 007, the problem processing unit 011 sends an instruction to invalidate the storage location information of the medical information 100 to the storage location management unit 001.

  When the temporary storage location management unit 007 receives an acquisition request for the storage location of the copy 101 based on the storage location information of the medical information 100 from the problem processing unit 011, the temporary storage location management unit 007 refers to the copy storage location correspondence table and stores the storage location of the copy 101. Is transmitted to the problem processing means 011. If there is no information about the storage location of the copy 101 in the copy storage location correspondence table, an error is transmitted.

  The storage location management unit 001 receives the management information of the medical information 100 and the storage location of the copy 101 from the problem processing unit 011, and receives the medical information corresponding to the management information of the medical information 100 described in the original storage location correspondence table of the storage location management unit 001. The storage location of the information 100 is updated to the storage location of the copy 101. In addition, when the storage location management unit 001 receives an invalid instruction from the problem processing unit 011, the storage location management unit 001 invalidates the storage location information of the medical information 100.

  The acquisition failure management unit 012 has an acquisition failure correspondence table that describes the correspondence between the storage location of the medical information 100 and the storage location of the copy 101. The acquisition failure management unit 012 receives the storage location of the medical information 100 and the storage location of the copy 101 from the problem processing unit 011 and receives the medical information corresponding to the management information of the medical information 100 described in the acquisition failure correspondence table that the acquisition failure management unit 012 has. The storage location of 100 is updated to the storage location of copy 101.

  As described above, in the regional medical information system according to the present embodiment, the copy 101 of the medical information 100 in which the number of problem occurrences exceeds the predetermined threshold in the local medical facility 004 without updating the information of the storage location management unit 001. Can go directly. As a result, even if the important original storage location correspondence table is not changed, if it is considered that the medical information 100 already managed on the medical facility 004 side has been lost, the acquisition medical device 005 is useless from the regional medical facility 004. The access can be reduced and the load on the entire regional medical information system can be reduced, and the medical information 100 can be acquired smoothly.

[Fifth Embodiment]
A regional medical information system according to the fifth embodiment of the present invention will be described below. In the third embodiment, the medical information 100 in which the number of acquisition failures exceeds a predetermined threshold in the third embodiment is stored for a long period of time. FIG. 8 is a block diagram showing the system configuration of the regional medical information system according to this embodiment.

  As shown in FIG. 8, the regional medical information system according to this embodiment includes a problem processing unit 011, a medical information backup unit 013, a long-term storage unit 014, and a problem recording unit 015 in addition to the system configuration of the first embodiment. This is an added configuration. The problem processing unit 011, the medical information backup unit 013, the long-term storage unit 014, and the problem recording unit 015 are connected to each other through a network and can communicate with each other.

  The regional information system according to the present embodiment indicates each unit arranged on the upper side of the network shown in FIG. In this embodiment, a server is assigned to each means, but each means may be arranged in one or several servers.

  In the following, a case will be described where another user is trying to acquire the medical information 100 stored in the medical information storage unit 002b by the user using the operation terminal 003b via the acquisition relay unit 005a using the operation terminal 003a. To do. The operation of saving medical information from the operation terminal 003b is the same as the saving method described in the background art. Here, the solid arrow shown in FIG. 8 represents the flow of data in response to an acquisition request for the medical information 100 from the operation terminal 003a. In the following description, the medical information 100 is acquired via the acquisition relay unit 005a. However, this may be performed using another acquisition relay unit 005 (for example, the acquisition relay unit 005b) on the network. Good. Here, in the present embodiment, a copy of the medical information 100 is already stored in the temporary storage unit 006, and the storage location of the medical information 100 and the storage location of the copy 101 are stored in the copy correspondence table of the temporary storage location management unit 007. This will be described in the case where the correspondence is described.

  In the present embodiment, in response to an acquisition request for medical information 100, the number of problem occurrences exceeds the threshold, and the operation from the problem processing unit 011 until the copy 101 acquisition instruction is sent to the acquisition relay unit 005a is the third embodiment. Or since it is the same as that of 4th Embodiment, below, operation | movement is demonstrated.

  When receiving the copy 101 acquisition instruction from the problem recording unit 015, the acquisition relay unit 005a sends an instruction to acquire the copy 101 from the temporary storage unit 006b to the medical information backup unit 013. This instruction includes information on the storage location of the copy 101 received from the temporary storage location management unit 007.

  The acquisition relay unit 005a transmits the copy 101 received from the medical information backup unit 013 to the operation terminal 003a.

  The medical information backup unit 013 is composed of a CPU and a program that defines its operation. The medical information backup unit 013 acquires the copy 101 from the temporary storage unit 006b based on the storage location of the copy 101 received from the acquisition relay unit 005a.

  The medical information backup unit 013 sends the copy 101 acquired from the temporary storage unit 006b to the acquisition relay unit 005a and stores it in the long-term storage unit 014.

  The long-term storage unit 014 is composed of a storage medium such as a hard disk. Then, the long-term storage unit 014 stores the medical information 100 for a long period of time, such as a legal information storage period of medical information, or permanently.

  The long-term storage unit 014 updates the storage location of the medical information 100 corresponding to the management information of the medical information 100 in the original storage location correspondence table of the storage location management unit 001 to the storage location of the copy 101 in the long-term storage unit 014.

  As described above, in the regional medical information system according to the present embodiment, when the number of problem occurrences exceeds a predetermined threshold, the copy is moved from a temporary storage location to a long-term storage location, and storage location management is performed. The storage location of the medical information 100 in the original storage location correspondence table of the means 001 can also be updated to the long-term storage location. Thereby, when it is considered that the medical information 100 already managed on the medical facility 004 side has been lost, the medical information 100 can be retained for a long period of time, and the medical information 100 can be completely lost. It becomes possible to prevent.

Block diagram in the regional medical information system according to the first embodiment The figure of the flowchart of medical care information acquisition in the regional medicine information system concerning a 1st embodiment Block diagram in the regional medical information system according to the second embodiment The figure of the flowchart of medical care information registration in the regional medicine information system concerning a 2nd embodiment The figure of the flowchart of the medical treatment information search in the regional medicine information system concerning a 2nd embodiment Block diagram in the regional medical information system according to the third embodiment Block diagram of the regional medical information system according to the fourth embodiment Block diagram in the regional medical information system according to the fifth embodiment Block diagram of a conventional regional medical information system

Explanation of symbols

001 Storage location management means 002a, 002b Medical information storage means 003a, 003b Operation terminals 004a, 004b Regional medical facilities 005a, 005b Acquisition relay means 006a, 006b Temporary storage means 007 Temporary storage location management means 008a, 008b Search relay means 009a, 009b Address temporary storage unit 010 Address temporary storage location management unit 011 Problem processing unit 012 Acquisition failure management unit 013 Medical information backup unit 014 Long-term storage unit 015 Problem recording unit

Claims (6)

A regional medical information system connected to multiple external medical facilities via a network,
The medical information storage location stored in the database of any one of the external medical facilities is stored, and a search request for the storage location of the medical information is received from any of the external medical facilities, A storage location management means for notifying the storage location;
Medical information storage means for storing medical information shared in the region;
The medical information created by other medical facilities is searched from within each medical facility, and the medical information is acquired from the medical facility from which the medical information is created and displayed, and each medical facility is created. A regional medical information system comprising an operation terminal for registering the medical information in the database,
One or a plurality of temporary storage location management means for storing a correspondence table of the storage location of the medical information in the external medical facility and a storage location of a copy of the medical information;
In response to an acquisition request for the medical information based on the notified storage location of the medical information from any of the external medical facilities, the medical information is requested to be acquired from the external medical facility, and the medical information is received. Can be acquired, the medical information is transmitted to the medical facility that requested the acquisition, and the temporary storage location management means is referred to. If a copy of the information is created and stored in the temporary storage means for a predetermined period, the storage location is stored in the temporary storage location management means, and the medical information cannot be obtained from the external medical facility, the temporary storage location management means One or a plurality of acquisition relay means for acquiring a copy of the medical information from the temporary storage means based on the information on the storage location of the copy of the medical information, and transmitting it to the medical facility that requested the acquisition Regional medical information system, characterized in that it comprises a. A regional medical information system connected to multiple external medical facilities via a network,
The medical information storage location stored in the database of any one of the external medical facilities is stored, and a search request for the storage location of the medical information is received from any of the external medical facilities, A storage location management means for notifying the storage location;
Medical information storage means for storing medical information shared in the region;
The medical information created by other medical facilities is searched from within each medical facility, and the medical information is acquired from the medical facility from which the medical information is created and displayed, and each medical facility is created. A regional medical information system comprising an operation terminal for registering the medical information in the database,
One or a plurality of address temporary storage location management means for storing a correspondence table of duplicate address storage locations, which is a storage location of a copy of the medical information and storage location information of the medical information;
In response to a request for registration of the medical information from any one of the external medical facilities, registers the storage location of the medical information in the storage location management means, and creates a copy of the storage location of the medical information and temporarily stores the address. Stored in the storage means for a predetermined period, the duplicate address storage location is transmitted to the address temporary storage location management means, receives a search request for the medical information from any one of the external medical facilities, and sends it to the storage location management means When the medical information storage location is requested and the medical information storage location can be acquired, the medical information storage location is transmitted to the medical facility that requested the search, and the medical information storage location is acquired. If not, the address temporary storage location management means is referred to and a copy of the medical information storage location information is obtained from the address temporary storage means based on the duplicate address storage location. Regional medical information system, characterized in that it comprises a one or more search relay means for transmitting to a medical facility of the acquisition request. One or a plurality of address temporary storage location management means for storing a correspondence table of duplicate address storage locations, which are storage locations of the medical information and the storage location information of the medical information, and any one of the external medical facilities Upon receiving a request for registration of medical information, the medical information storage location is registered in the storage location management means, and a copy of the medical information storage location is created and stored in the address temporary storage means for a predetermined period of time. Sending the address storage location to the address temporary storage location management means, receiving a search request for the medical information from any of the external medical facilities, and requesting the storage location of the medical information from the storage location management means, If the storage location of the medical information can be acquired, the storage location of the medical information can be acquired by transmitting the storage location of the medical information to the medical facility that requested the search. If not, refer to the address temporary storage location management means, obtain a copy of the medical information storage location information from the address temporary storage means based on the duplicate address storage location, and the medical facility where the acquisition request was made The regional medical information system according to claim 1, further comprising: one or a plurality of search relay means for transmitting to When the acquisition relay means acquires the requested medical information in the storage location of the external medical facility, a problem recording means for recording the number of past acquisition failures;
The number of times exceeds a predetermined threshold, the cause of the failure is in the medical information storage means holding the medical information of the acquisition target, and the storage location management means is the medical care of the acquisition target If the information storage location information is held, the temporary storage location management means is referred to. If there is a storage location for the copy of the medical information to be acquired, the information is stored in the storage location management means. The stored medical information storage location is updated to a storage location for the copy of the medical information, and if the temporary storage location management means does not have a storage location for the copy of the medical information to be acquired, the storage location The regional medical information system according to any one of claims 1 to 3, further comprising problem processing means for invalidating a storage location of medical information stored in the management device. When the acquisition relay means acquires the requested medical information in the storage location of the external medical facility, a problem recording means for recording the number of past acquisition failures;
The number of times exceeds a predetermined threshold, the cause of the failure is in the medical information storage means that holds the medical information of the acquisition target, and the storage location management device is the medical service of the acquisition target When the information storage location information is held, the temporary storage location management means is referred to, and the presence or absence of the medical information and the storage location of the copy of the medical information to be acquired are recorded in the acquisition failure management means. And a problem handling means for
The acquisition relay means receives an acquisition request for the medical information from any of the external medical facilities, first refers to the acquisition failure management means, and if there is storage location information of the medical information, the acquisition failure management A copy of the medical information is acquired from the temporary storage means based on the storage location of the copy of the medical information stored in the means, and the acquisition failure management means has no information on the storage location of the medical information. The regional medical information system according to any one of claims 1 to 3, wherein the medical information is acquired from the medical information storage means. When the acquisition relay means acquires the requested medical information in the storage location of the external medical facility, a problem recording means for recording the number of past acquisition failures;
When the number of times exceeds a predetermined threshold, the cause of the failure is in the medical information storage device holding the medical information of the acquisition target, and the storage location management device is the acquisition target of the acquisition target When the medical information is held, the temporary storage location management unit is referred to. When there is a copy of the medical information to be acquired, the medical information is copied to the temporary storage unit. Problem-handling means for notifying transfer instructions of
A storage location of the copy of the medical information of the acquisition target exceeding the acquisition failure threshold is received from the problem processing means, the copy of the medical information is acquired from the temporary storage means, and the copy of the medical information is stored for a long time Medical information backup means for storing a period longer than the predetermined period,
Further comprising
The long-term storage means rewrites the storage location of the medical information stored in the storage location management means to a storage location of a copy of the medical information that the self storage device has. Regional medical information system described in 1.

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