JP2009266077A - Electronic medical chart management server and electronic medical chart management system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To integrate and manageably control electronic medical charts even if the electronic medical charts are separately managed by a plurality of hospitals etc. <P>SOLUTION: An electronic medical chart management server 10 acquires through a communication network an electronic medical chart including the content of the medical examination of a patient in which a system ID by which the patient who has become an object for the medical examination can uniquely be identified is presented, creates the electronic medical chart integrated information which is the electronic medical chart information adjusted in entries of the electronic medical chart information in the acquired electronic medical charts and associated with the system ID, stores it in an electronic medical chart integrated database 11, receives a browsing request of the electronic medical chart by presenting a keyword through a communication network 40, refers to the electronic medical chart integrated database 11, retrieves electronic medical chart integrated information which is in agreement with the received keyword, sorts the electronic medical chart information included in the retrieved electronic medical chart integrated information according to predetermined categories, and transmits the electronic medical chart information sorted according to predetermined categories to a terminal device of a browsing request source. <P>COPYRIGHT: (C)2010,JPO&INPIT

Description

  The present invention relates to an electronic medical record management server that integrates and manages an electronic medical record in which a doctor's examination contents of a patient are described, and an electronic medical record management system including the server.

  2. Description of the Related Art Conventionally, there has been proposed an electronic medical record system that accumulates and manages electronic medical records obtained by digitizing medical charts that are created and updated during medical examinations and medical examinations (for example, Patent Document 1-2).

JP 2008-021015 A JP 2008-328678 A

  However, in the conventional electronic medical chart system, the electronic medical chart is managed in a specific range such as for each hospital. Therefore, when performing an examination or examination in another hospital outside the specified range, another type of electronic medical chart is used. As a result, there is a problem that electronic medical records cannot be integrated and managed for patients receiving medical examinations at multiple hospitals.

  An object of the present invention is to solve the above-described problems and to perform control so that the electronic medical records can be integrated and managed even when the electronic medical records are individually managed by a plurality of hospitals. And

  The electronic medical record management server of the present invention is an electronic medical record management server that integrates and manages an electronic medical record in which the contents of medical examination of a patient by a doctor are described, and a system ID that can uniquely identify a patient to be examined Electronic medical record acquisition means for acquiring electronic medical records each created in a plurality of different formats including the examination contents of the presented patient via a communication network, and adjusting items of electronic medical record information in the acquired electronic medical records, Integrated information generating means for generating electronic medical chart integrated information in which the system ID presented to the adjusted electronic medical chart information is associated, integrated information storing means for storing the generated electronic medical chart integrated information in the integrated information storage database, and a keyword The browsing request receiving means for receiving the browsing request of the electronic medical chart presenting the information via the communication network, and the integration Integrated information search means for searching electronic medical record integrated information that matches the received keyword with reference to the information storage database, and electronic medical record information distribution that sorts the electronic medical record information included in the searched electronic medical record integrated information into predetermined categories Means, and electronic medical record information providing means for transmitting electronic medical record information sorted according to a predetermined category to the terminal device of the browsing request source.

  By being configured as described above, even if the electronic medical records are individually managed by a plurality of hospitals or the like, the electronic medical records can be integrated and controlled to be manageable.

  The electronic medical record acquisition means is configured to transmit electronic data via a communication network from a doctor terminal used by a doctor for creating or updating an electronic medical record, or from a hospital server to which the doctor terminal is connected and which manages the electronic medical record of the corresponding hospital. You may be comprised so that a medical chart may be acquired.

  The integrated information generation means, for example, performs an item adjustment by assigning an item of electronic medical record information in the received electronic medical record to a corresponding item among predetermined items for integrated electronic medical record information. Is done.

  The items for integrated electronic medical record information include, for example, a medical record number, a patient's name, a patient ID used in a hospital, a patient's sex and age, a doctor in charge, an examination date, and a specific item corresponding to each examination content. In addition, the integrated information generating means includes information items entered during the examination such as examination results and doctor comments among the items of the electronic medical record information. You may be set as the structure allocated to an item.

  The integrated information generation unit may be configured to assign items not corresponding to the specific item among items of the electronic medical record information to the non-specific item.

  Even if the browsing request receiving means is configured to receive a request for browsing an electronic medical record from a patient terminal used by a patient to whom a system ID is assigned or a doctor terminal used by a doctor who examines the patient. Good.

  Including disclosure prohibition information excluding means for excluding predetermined disclosure prohibition information from the electronic medical record information included in the electronic medical record integrated information searched by the integrated information searching means, and the electronic medical record information providing means includes the disclosure prohibition The electronic medical record information from which the disclosure prohibition information is excluded by the information exclusion unit may be transmitted.

  The electronic medical record management system according to the present invention is an electronic medical record management system including an electronic medical record management server that integrates and manages an electronic medical record in which a doctor's examination contents are described. An electronic medical chart acquisition means for acquiring electronic medical charts respectively created in a plurality of different formats including the contents of the medical examination of the patient presented with a system ID capable of uniquely identifying the patient to be examined; An integrated information generating unit that adjusts items of electronic medical record information in the acquired electronic medical record and generates electronic medical record integrated information in which the system ID presented to the adjusted electronic medical record information is associated; and the generated electronic medical record integration Integrated information storage means for storing information in the integrated information storage database, and viewing of electronic medical records presenting keywords Included in the retrieved electronic medical chart integrated information, the browsing request receiving means for receiving the information via the communication network, the integrated information search means for searching for the electronic medical chart integrated information that matches the received keyword with reference to the integrated information storage database Electronic medical record information distribution means for distributing the electronic medical record information according to a predetermined category, and electronic medical record information providing means for transmitting the electronic medical record information distributed according to the predetermined category to the terminal device of the browsing request source And

  According to the present invention, even when electronic medical records are individually managed by a plurality of hospitals or the like, the electronic medical records can be integrated and controlled to be manageable.

Hereinafter, an embodiment of the present invention will be described with reference to the drawings.
FIG. 1 is a block diagram showing an example of the configuration of an electronic medical record management system 100 according to an embodiment of the present invention. As shown in FIG. 1, the electronic medical chart management system 100 includes an electronic medical chart management server 10, a plurality of hospital servers 20A and 20B, and patient terminals 31 to 3N (N = 1, 2,...). The electronic medical record management server 10, hospital servers 20A and 20B, and patient terminals 31 to 3N are each connected to a communication network 40 such as the Internet, for example.

  The electronic medical record management server 10 is configured by an information processing apparatus such as a WWW server. Each of the hospital servers 20A and 20B is configured by an information processing device such as a workstation server. Each of the patient terminals 31 to 3N is a terminal device managed by a patient, and is configured by an information processing device such as a personal computer or a mobile communication terminal. Although two hospital servers 20A and 20B are disclosed in FIG. 1, any number of hospital servers may be provided. The patient terminals 31 to 3N may be virtual devices such as a dedicated folder managed on a specific server device instead of a fixed device.

  The electronic medical record management server 10 is a server managed by a system administrator of the electronic medical record management system 100, for example, and has a function of integrating and managing electronic medical records managed separately by each hospital.

  The electronic medical record management server 10 includes an electronic medical record integrated DB 11 in which electronic medical record integrated information obtained by integrating electronic medical records is stored. The electronic medical chart integrated DB 11 may be inside or outside the electronic medical chart management server 10.

  The hospital server 20A is a server managed by a system administrator of the hospital A, and doctor terminals 22A and 23A used by doctors belonging to the hospital A are connected by a communication network such as a LAN. The doctor terminals 22A and 23A are information processing apparatuses such as personal computers used by doctors in an examination room, for example.

  The hospital server 20A includes an electronic medical record DB 21A in which electronic medical records created and updated at the hospital A are stored. The electronic medical record DB 21A may be inside or outside the hospital server 20A.

  The hospital server 20B is a server managed by a system administrator of the hospital B, and doctor terminals 22B and 23B used by doctors belonging to the hospital B are connected by a communication network such as a LAN. The doctor terminals 22B and 23B are information processing devices such as personal computers used by doctors in an examination room, for example.

  The hospital server 20B includes an electronic medical record DB 21B in which electronic medical records created and updated at the hospital B are stored. The electronic medical record DB 21B may be inside or outside the hospital server 20B.

  In this example, it is assumed that the electronic medical record created / updated at the hospital A is of a different format from the electronic medical record created / updated at the hospital B. Electronic medical records generally include the patient's name, patient's age, patient's gender, patient ID assigned at the hospital (hereinafter referred to as “patient HID”), doctor in charge, examination date, examination contents (examination results) Information such as diagnosis results, doctor's comments, name and amount of prescription drugs, etc.). It is assumed that the electronic medical chart used in the hospital A and the electronic medical chart used in the hospital B include the above information (electronic medical chart information).

  FIG. 2 is an explanatory diagram illustrating an example of electronic medical record information included in the electronic medical record used in the hospital A. The electronic medical chart information shown in FIG. 2 is stored in the electronic medical chart DB 21A provided in the hospital server 20A. As shown in FIG. 2, the electronic medical record information included in the electronic medical record used in Hospital A includes the medical record number, the patient's name, the HID, the patient's age, and the patient's gender, the doctor in charge, the examination date, the examination result, etc. Is associated information.

  FIG. 3 is an explanatory diagram illustrating an example of electronic medical record information included in the electronic medical record used in the hospital B. The electronic medical chart information shown in FIG. 3 is stored in the electronic medical chart DB 21B provided in the hospital server 20B. As shown in FIG. 3, the electronic medical record information included in the electronic medical record used in Hospital B includes the medical record number, the patient's name, HID, the patient's age, and the patient's gender. Is associated information.

Next, the operation of the electronic medical record management system 100 of this example will be described.
FIG. 4 is a flowchart showing an example of electronic medical record integrated information registration processing in the electronic medical record management system 100 of this example. Here, a case will be described as an example in which electronic medical chart integrated information based on an electronic medical chart created and updated by the doctor D using the doctor terminal 22A when the patient X is examined at the hospital A is registered.

  In the electronic medical chart integrated information registration process, first, the doctor terminal 22A displays an initial screen as shown in FIG. On the initial screen, doctor D gives the doctor ID and password (password given by hospital A, which is commonly used by doctors, departments such as surgery and internal medicine, or hospital A). Specify and press the login button to make a login request.

  Upon receiving the login request, the doctor terminal 22A presents the designated doctor ID and password, and requests the hospital server 20A to acquire electronic medical record information (step S101).

  Upon receiving an electronic medical record information acquisition request, the hospital server 20A performs an authentication process based on the presented doctor ID and password (step S102), and if authenticated, transmits the patient list of the hospital A to the doctor terminal 22A. (Step S103). The patient list is registered in a DB (not shown) provided in the hospital server 20A.

  When the patient list is received, the doctor terminal 22A displays the patient list of the hospital A on the display device that the doctor terminal 22A has as shown in FIG. 6 (step S104). Next, the doctor terminal 22A accepts selection of the patient X to be examined in the patient list by operation of the input device (keyboard operation, mouse operation, etc.) of the doctor D (step S105), and the HID of the patient X is received by the hospital server 20A. Transmit (step S106). In addition, when the patient X is the first visit, the fact is notified to the hospital server 20A.

  When receiving the HID of the patient X selected from the patient list, the hospital server 20A reads out the electronic medical record information of the patient X from the electronic medical record DB 21A and transmits it to the doctor terminal 22A (step S107). In addition, when the notification that the patient X is the first visit is received, the hospital server 20A automatically assigns the HID of the patient X, for example, and transmits the assigned HID to the doctor terminal 22A.

  Upon receipt of the electronic medical record information of the patient X, the doctor terminal 22A displays the electronic medical record input screen of the patient X on which the received electronic medical record information can be browsed on the display device provided therein (step S108).

  FIG. 7 is an explanatory diagram illustrating an example of an electronic medical record input screen. On the electronic medical record input screen, as shown in FIG. 7, a display area 701 for displaying a doctor in charge and a patient name, and a history browsing button 702 that is pressed to browse past electronic medical records of the corresponding patient X, An input area 703 for inputting a patient's symptom, a period during which the symptom develops, a frequency, a cause, etc., an input area 704 for inputting a symptom occurrence location in the patient X, and information input to the input area 704 A plurality of icons 705 selected for printing, a print icon 706 selected when the electronic medical record input screen is printed, a completion icon 707 selected when information input work on the electronic medical record input screen is completed, An SID input area 708 for inputting an ID (system ID: hereinafter referred to as “SID”) that can uniquely identify a patient in the system is provided.

  For example, it is assumed that the SID is given to the patient X in advance by the system administrator of the system 100. The SID may be any ID that can identify an individual in the system 100. For example, the SID is an insurance card number written on an insurance card or a national number uniquely assigned to a Japanese citizen. May be.

  For example, the doctor D operates the doctor terminal 22 </ b> A while examining the patient X in the hospital room and inputs diagnosis information such as a medical condition and a diagnosis result in the input areas 703 and 704. When the examination is completed, for example, the SID is heard from the patient X and input to the SID input area 708, and the completion icon 707 is selected.

  The doctor terminal 22A accepts the input of the examination information and SID by the operation of the input device of the doctor D (step S109). When the doctor terminal 22A recognizes the selection of the completion icon 707, the electronic medical record information including the accepted examination information and the SID of the patient X Is transmitted to the hospital server 20A (step S110).

  Upon receipt of the electronic medical record information, the hospital server 20A transmits the received electronic medical record information to the electronic medical record management server 10 and registers the received electronic medical record information in the electronic medical record DB 21A (step S111).

  When the electronic medical record information is received from the hospital server 20A, the electronic medical record management server 10 creates electronic medical record integrated information in which the items of the received electronic medical record information are adjusted (step S112), and the electronic medical record integrated information is integrated with the electronic medical record integrated information. For example, registration is performed in the DB 11 in time series (for example, in order of registration date and time) (step S113).

  In step S112, the electronic medical record management server 10 sorts the information of each item of the received electronic medical record information into the corresponding item of each item provided for the electronic medical record integrated information. ”To integrate. Then, the electronic medical record information in which the items are integrated is associated with the presented SID and the registration date and time (for example, the date and time when the electronic medical record information is received or the date and time registered in the DB 11) to generate electronic medical record integrated information. To do.

  FIG. 8 is an explanatory diagram showing an example of electronic medical record integration information stored in the electronic medical record integration DB 11. As shown in FIG. 8, the electronic medical chart integrated information is information in which SID, registration date and time, and electronic medical chart information are associated with each other.

  As described above, the electronic medical record integrated information in which the format of the electronic medical record information of the electronic medical record created at the time of the examination received by the patient X is converted into the integrated format is generated and stored in the electronic medical record integrated DB 11.

  As described above, the electronic medical record integrated information is created by converting the electronic medical record information format of each patient's electronic medical record, which was created when each hospital A and B was examined, into an integrated format. The integrated electronic medical record information is sequentially stored in the electronic medical record integration DB 11 in time series, for example.

  FIG. 9 is a flowchart illustrating an example of electronic medical record provision processing in the electronic medical record management system 100 of the present example. Here, for each patient terminal 31 used by a user (patient X: whether or not he / she is still in the hospital) who has received medical examinations at a plurality of hospitals, An example will be described in which an electronic medical record created in each is provided.

  In the electronic medical record providing process, first, the patient terminal 31 provides an SID input screen for accessing the electronic medical record browsing site established by the electronic medical record management server 10 in accordance with the operation of the patient X and inputting the SID. A request is made (step S201).

  In response to the request, the electronic medical record management server 10 transmits an SID input screen to the patient terminal 31 via the communication network 40 (step S202).

  The patient terminal 31 displays the SID input screen received from the electronic medical record management server 10 on its own display device, accepts input of its own SID from the user (step S203), and accepts the received SID as the electronic medical record management server 10 Is transmitted via the communication network 40 (step S204).

  When receiving the SID, the electronic medical record management server 10 searches the electronic medical record integrated information associated with the received SID with reference to the electronic medical record integrated DB 11 (step S205), and is included in the searched electronic medical record integrated information. An electronic medical chart browsing screen capable of browsing the electronic medical chart information being generated is generated, and the generated electronic medical chart browsing screen is transmitted to the patient terminal 31 (step S206).

  Then, the patient terminal 31 displays the electronic medical chart browsing screen received from the electronic medical chart management server 10 on the display device provided therein (step S207). On the electronic medical chart browsing screen, all of the electronic medical chart information created and updated when the patient X has been examined in the past is displayed regardless of the hospital where the medical examination was received. Specifically, as shown in FIG. 10, for example, the electronic medical chart browsing screen includes an electronic medical chart information display area 1001 for displaying electronic medical chart information related to the examination of the patient X (Ichiro Tanaka). In this example, in the electronic medical record information display area 1001, the doctor in charge, the date of the medical examination, the medical examination information (examination result, input information at the time of medical examination), and the medical examination at the hospital B are obtained. Among the electronic medical record information when received, the doctor in charge, the date of examination, and the examination information (doctor's comment, information inputted at the examination) are displayed.

  As described above, by searching for electronic medical records that are integrated and managed, the electronic medical records of the same patient separately created in a plurality of hospitals are searched, and the process of providing to the user who is the patient is executed. The Since the electronic medical record is provided in this way, it becomes possible for the user who is a patient to collectively browse his / her past electronic medical records created separately at a plurality of hospitals.

  In the above example, the electronic medical charts created at each hospital when the patient X is examined with respect to the patient terminal 31 used by a user (patient X) who has been examined at a plurality of hospitals. Although it was intended to be provided, in the same manner as described above (see FIGS. 9 and 10), when a user (patient X) who had received a medical examination at another hospital is undergoing a medical examination, a medical examination is performed. An electronic medical chart created in each hospital including other hospitals may be provided at the time when the patient X has received a past medical examination for the doctor terminal 22A used by the doctor D. In this case, the doctor D may hear and input the SID from the patient X.

  FIG. 11 is a flowchart illustrating another example of the electronic medical record providing process in the electronic medical record management system 100 of the present example. Here, a case where an electronic medical record that matches a keyword designated by the user is provided to the patient terminal 31 used by the user (patient X) will be described as an example.

  In the electronic medical record provision process, first, the patient terminal 31 provides a keyword input screen for accessing an electronic medical record browsing site established by the electronic medical record management server 10 and inputting a keyword in accordance with the operation of the patient X. A request is made (step S301).

  In response to the request, the electronic medical record management server 10 transmits a keyword input screen to the patient terminal 31 via the communication network 40 (step S302).

  The patient terminal 31 displays the keyword input screen received from the electronic medical record management server 10 on its own display device, accepts input of its own keyword from the user (step S303), and accepts the accepted keyword as the electronic medical record management server 10 Is transmitted via the communication network 40 (step S304). The “keyword” may be a case, disease name, hospital name, symptom, period, or the like. Here, it is assumed that “pneumonia” is designated as a keyword.

  When receiving the keyword, the electronic medical record management server 10 refers to the electronic medical record integrated DB 11 and the same character (may include up to similar ones) as the received keyword is used for each item such as the medical examination content (input information at the time of medical examination). The electronic medical record integrated information included in any of the electronic medical record information included in the electronic medical record information included in the searched electronic medical record information is deleted or masked. An electronic medical chart browsing screen capable of browsing information is generated, and the generated electronic medical chart browsing screen is transmitted to the patient terminal 31 (step S306). The prohibition information is an item or a word determined in advance by the system administrator of the system 100, and is not suitable for disclosure or information that can identify an individual such as a patient's name or doctor's name. This applies to words.

  Then, the patient terminal 31 displays the electronic medical chart browsing screen received from the electronic medical chart management server 10 on the display device provided therein (step S307). For example, as shown in FIG. 12, the electronic medical chart browsing screen includes a display area for displaying the keyword used for the search, a display area for displaying the number of searched electronic medical charts, and the electronic medical record information as a search result. And a display area for displaying the disclosure permission information. In this example, as disclosure permission information, information excluding disclosure prohibition information in the electronic medical record that includes the keyword “pneumonia” in the examination contents (input information at the time of examination) (hospital name, patient gender / age) , Examination date, examination contents) are displayed in a viewable manner.

  As described above, it is possible to search electronic medical record information of electronic medical records created in different formats at multiple hospitals by keyword search of electronic medical records that are integrated and managed. The process for providing the disclosure permission information is performed in a viewable manner. Since the electronic medical record is provided in this way, information can be provided by keyword search using a database managed by integrating electronic medical records created in different formats, which is useful for the user. Information can be provided, and the database can be used effectively.

  In the above example, the disclosure permission information of the electronic medical record information searched for the keyword is provided so as to be viewable as it is (for example, in time series), but the electronic medical record information searched for the keyword is provided for each patient, After performing the process of organizing specific categories such as corresponding doctors or corresponding hospitals (processing to sort electronic medical records for each specific category), the disclosure prohibition information is excluded and the information is provided for browsing. Good. Specifically, for example, when collected for each hospital, on the electronic medical chart browsing screen, as shown in FIG. 13, for example, a display area for displaying keywords used for the search and the number of electronic medical records searched A display area for displaying the number of hospitals that have created the searched electronic medical record, and a display area for displaying disclosure permission information of the electronic medical record information for each hospital as a search result It is done. Moreover, the format of the electronic medical chart browsing screen for each hospital may be prepared, and the electronic medical chart browsing screen may be generated and provided in the format for the corresponding hospital in response to a request from the hospital server 20A.

  Further, although not particularly mentioned in the example shown in FIG. 11, the SID is presented as in the example shown in FIG. 9, and information is provided only to the user who is given the SID. May be.

  As described above, the electronic medical record management server 10 creates the electronic medical charts respectively created in a plurality of different formats including the contents of the patient's examination in which the system ID capable of uniquely identifying the patient to be examined is presented. Is generated via the communication network 40, the electronic medical record information in the acquired electronic medical record is adjusted, and the electronic medical record integrated information is generated by associating the system ID presented to the adjusted electronic medical record information. The electronic medical chart integrated information is stored in the integrated information storage database (electronic medical chart integrated DB11), the electronic medical chart browsing request presenting the keyword is received via the communication network 40, the electronic medical chart integrated DB11 is referred to, and the received keyword is set. Search for electronic medical chart integrated information that matches, and the electronic information included in the searched electronic medical chart integrated information Since it is configured to distribute the record information into predetermined categories (patients, doctors, hospitals, etc.) and send the electronic medical record information distributed according to the predetermined categories to the terminal device requesting browsing, multiple hospitals, etc. Even if the electronic medical charts are managed separately by each other, the electronic medical charts can be integrated and controlled to be manageable. In addition, keyword search can be performed for all of the electronic medical records created and updated during examinations at multiple hospitals that manage electronic medical records in different formats, providing useful information that matches the keywords. It becomes possible to do. In addition, electronic medical record information sorted by category such as by patient, by doctor, by hospital, etc. is provided, so that the client can browse by category and provide more useful information. Is possible.

  That is, since it is possible to manage separately in different formats and integrate the electronic medical records, for example, the range in which the electronic medical records are managed in a common format (for example, the same hospital, the same hospital of the same hospital) Departments, partner hospitals, etc.) outside electronic medical records can be integrated and managed.

  In the above-described embodiment, distribution is made to a predetermined category. However, designation of a desired category to be distributed from a user who requests information provision is accepted, and distribution is made to the accepted category. Good.

  In the embodiment described above, the electronic medical record management server 10 is connected to the doctor terminal 22A used by the doctor for creating or updating the electronic medical record, and manages the electronic medical record 20A of the corresponding hospital. Since the electronic medical record is obtained from the communication network 40, the electronic medical record can be easily obtained. Note that the electronic medical record may be acquired directly from the doctor terminal 22A via the communication network 40 without going through the hospital server 20A.

  In the above-described embodiment, the electronic medical record management server 10 assigns the items of the electronic medical record information in the received electronic medical record to the corresponding items among the items for the integrated electronic medical record information. Since the configuration is such that the items are adjusted in the item, the items can be adjusted easily and quickly.

  In the above-described embodiment, as shown in FIG. 8, the items for the electronic medical chart integrated information include the chart number, the patient's name, the patient ID used in the hospital, the patient's gender and age, and the person in charge. It is assumed that there are specific items corresponding to the doctor, the date of examination, and the contents of the examination, and other non-specific items corresponding to the examination, and the electronic medical record management server 10 includes the examination result and the doctor's Since the items of information entered in the examination such as comments are assigned to the items of the examination contents, it is possible to reliably manage the information input by the doctor with the same items.

  In the above-described embodiment, the electronic medical record management server 10 assigns items not corresponding to specific items among the items of the electronic medical record information to the non-specific items. Items can be assigned without omission.

  In the above-described embodiment, the electronic medical record management server 10 excludes the disclosure prohibition information set in advance from the electronic medical record information included in the electronic medical record integrated information searched by the keyword, and the disclosure prohibition information is excluded. Since it is configured to provide electronic medical record information, for example, personal information defined as disclosure prohibition information can be kept secret, and it is possible to prevent personal information from leaking.

  If the requesting terminal device is a patient terminal, the patient will obtain integrated electronic medical record information even if the patient has been examined at multiple hospitals that manage electronic medical records in different formats. Can be viewed. Therefore, even if the hospital or doctor who receives the medical examination is changed, the integrated electronic medical record information can be acquired and browsed.

  In addition, when the browsing request source terminal device is a doctor terminal, even if the doctor is a patient who has received a medical examination in another hospital that manages electronic medical records in a different format, The acquired electronic medical record information can be acquired and browsed. Therefore, when examining a patient who has received medical examinations at a plurality of hospitals, the burden of the medical examination can be reduced, and the past medical examination results can be referred to. Even if the doctor himself / herself moves, the integrated electronic medical record information about the patient who is continuously consulting from the hospital where he / she was enrolled can be obtained and viewed. become.

  Although not particularly mentioned in the above-described embodiment, each processing described above is executed by a processing entity such as the electronic medical record management server 10 in accordance with a computer program stored in a storage medium included in the processing subject. It is.

  According to the present invention, when electronic medical records are individually managed by a plurality of hospitals or the like, it is useful to control the electronic medical records so that they can be integrated.

It is a block diagram which shows the example of a structure of the electronic medical chart management system which concerns on one embodiment of this invention. It is explanatory drawing which shows the example of the electronic medical chart information managed in the hospital A. It is explanatory drawing which shows the example of the electronic medical chart information managed in the hospital B. It is a flowchart which shows the example of an electronic medical chart integrated information registration process. It is explanatory drawing which shows the example of an initial screen. It is explanatory drawing which shows the example of a patient list display screen. It is explanatory drawing which shows the example of an electronic medical record input screen. It is explanatory drawing which shows the example of electronic medical chart integrated information. It is a flowchart which shows the example of an electronic medical record provision process. It is explanatory drawing which shows the example of the display screen on which electronic medical chart information is integratedly displayed. It is a flowchart which shows the other example of an electronic medical record provision process. It is explanatory drawing which shows the example of the display screen on which the electronic medical record information searched with the keyword is integratedly displayed. It is explanatory drawing which shows the other example of the display screen on which the electronic medical record information searched with the keyword is integratedly displayed.

Explanation of symbols

10 Electronic medical record management server 11 Electronic medical record integrated DB
20A, 20B Hospital server 21A, 21B Electronic medical record DB
22A, 22B Doctor terminal 31 to 3N Patient terminal 40 Communication network 100 Electronic medical record management system

Claims (14)

An electronic medical record management server that integrates and manages an electronic medical record in which a doctor's examination details are described,
An electronic medical chart acquisition means for acquiring electronic medical charts respectively created in a plurality of different formats including the contents of the patient's medical examination in which a system ID capable of uniquely identifying the patient to be examined is presented;
Integrated information generating means for adjusting items of electronic medical record information in the acquired electronic medical record and generating electronic medical record integrated information in which the system ID presented to the adjusted electronic medical record information is associated;
Integrated information storage means for storing the generated electronic medical record integrated information in the integrated information storage database;
A browsing request receiving means for receiving a browsing request for an electronic medical record presenting a keyword via a communication network;
An integrated information search means for referring to the integrated information storage database and searching for electronic medical record integrated information that matches the received keyword;
Electronic medical record information distribution means for distributing the electronic medical record information included in the searched electronic medical record integrated information into predetermined categories;
An electronic medical record management server, comprising: electronic medical record information providing means for transmitting electronic medical record information sorted according to a predetermined category to the terminal device of the browsing request source. The electronic medical record acquisition means is configured to transmit electronic data via a communication network from a doctor terminal used by a doctor for creating or updating an electronic medical record, or from a hospital server to which the doctor terminal is connected and which manages the electronic medical record of the corresponding hospital. The electronic medical record management server according to claim 1, wherein the medical record is acquired. The integrated information generating means performs item adjustment by assigning items of electronic medical record information in the received electronic medical record to corresponding items among predetermined items for integrated electronic medical record information. The electronic medical record management server according to claim 2. The items for electronic medical record integrated information include medical record number, patient name, patient ID used in the hospital, patient gender and age, doctor in charge, examination date, examination contents, and other items. There is a non-specific item corresponding to
The electronic medical record management server according to claim 3, wherein the integrated information generation unit assigns items of information entered during a medical examination such as a medical examination result and a doctor's comment among the items of the electronic medical chart information to a medical examination content item. 5. The electronic medical record management server according to claim 4, wherein the integrated information generation unit assigns an item not corresponding to the specific item among items of the electronic medical record information to the non-specific item. The said browsing request reception means receives the browsing request | requirement of an electronic medical record from the patient terminal which the patient with whom system ID is provided, or the doctor terminal which the doctor who examines the said patient uses is used. The electronic medical record management server according to any one of 5. Including disclosure prohibition information excluding means for excluding predetermined disclosure prohibition information from the electronic medical record information included in the electronic medical record integrated information searched by the integrated information searching means,
The electronic medical record management server according to any one of claims 1 to 6, wherein the electronic medical record information providing unit transmits the electronic medical record information from which the disclosure prohibition information is excluded by the disclosure prohibition information excluding unit. An electronic medical record management system comprising an electronic medical record management server that integrates and manages an electronic medical record in which a doctor's medical examination details are described,
The electronic medical record management server
An electronic medical chart acquisition means for acquiring electronic medical charts respectively created in a plurality of different formats including the contents of the patient's medical examination in which a system ID capable of uniquely identifying the patient to be examined is presented;
Integrated information generating means for adjusting items of electronic medical record information in the acquired electronic medical record and generating electronic medical record integrated information in which the system ID presented to the adjusted electronic medical record information is associated;
Integrated information storage means for storing the generated electronic medical record integrated information in the integrated information storage database;
A browsing request receiving means for receiving a browsing request for an electronic medical record presenting a keyword via a communication network;
An integrated information search means for referring to the integrated information storage database and searching for electronic medical record integrated information that matches the received keyword;
Electronic medical record information distribution means for distributing the electronic medical record information included in the searched electronic medical record integrated information into predetermined categories;
An electronic medical chart management system, comprising: electronic medical chart information providing means for transmitting electronic medical chart information sorted according to a predetermined category to the terminal device of the browsing request source. A doctor terminal used by a doctor for creating or updating an electronic medical record, and a hospital server that is connected to the doctor terminal and manages the electronic medical record of the corresponding hospital;
The electronic medical record management system according to claim 8, wherein the electronic medical record acquisition unit acquires the electronic medical record from the doctor terminal or the hospital server via a communication network. 9. The integrated information generation unit performs item adjustment by assigning items of electronic medical record information in the received electronic medical record to corresponding items among predetermined items for electronic medical record integrated information. The electronic medical chart management system according to claim 9. The items for electronic medical record integrated information include medical record number, patient name, patient ID used in the hospital, patient gender and age, doctor in charge, examination date, examination contents, and other items. There is a non-specific item corresponding to
The electronic medical record management system according to claim 10, wherein the integrated information generation unit assigns items of information entered during a medical examination such as a medical examination result and a doctor's comment among the items of the electronic medical chart information to a medical examination content item. The electronic medical record management system according to claim 11, wherein the integrated information generation unit assigns an item not corresponding to the specific item among items of the electronic medical record information to the non-specific item. A patient terminal used by a patient to whom a system ID is assigned, and a doctor terminal used by a doctor who examines the patient;
The electronic medical chart management system according to any one of claims 8 to 12, wherein the browsing request receiving unit receives a browsing request for an electronic medical chart from the patient terminal or the doctor terminal. The electronic medical record management server includes disclosure prohibition information excluding means for excluding predetermined disclosure prohibition information from the electronic medical record information included in the electronic medical record integrated information searched by the integrated information searching means,
The electronic medical record management system according to any one of claims 8 to 13, wherein the electronic medical record information providing unit transmits the electronic medical record information from which the disclosure prohibition information is excluded by the disclosure prohibition information excluding unit.

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