JP2010079319A - Medical information provision device, program, storage medium and medical information provision system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a medical information provision device, a program and a storage medium for storing tracking information in the medium M together with first-generated medical information, and to provide a medical information provision system wherein the medium is used. <P>SOLUTION: The tracking information specifies a patient or an examination, and is stored in the medium M. A reader of the medium M can acquire the presence/absence second-generated medical information based on the tracking information, and can acquire the second-generated medical information. <P>COPYRIGHT: (C)2010,JPO&INPIT

Description

  The present invention relates to a medical information providing apparatus and program for storing medical information in a portable medium, and a medical information providing system using a portable medium in which the medical information is stored.

In recent years, digitalization of medical information has been attempted in many medical institutions. An electronic medical record system using network technology is one example, and it is possible to search quickly without taking up a place for storing information as compared with a conventional paper medical record. As a technique using an electronic medical chart system, there is a regional electronic medical chart system disclosed in Patent Document 1, for example. According to this, an electronic medical record created by a certain medical institution is stored in a shared database through a network. Other medical institutions can mutually use the electronic medical records stored here, and it is possible to realize one patient and one medical record that always requires only one medical record regardless of the medical institution where the patient visits. Become. Thereby, the test | inspection which overlapped with respect to one patient between medical institutions can be reduced, and a patient's test | inspection burden can be eased.
JP 2001-155100 A

  However, in the electronic medical record system as described above, it is assumed that a plurality of medical institutions are network-connected to the shared database. If such an electronic medical record system is to be established, a large cost is required for the maintenance of the equipment. In addition, a medical institution that is not connected to a shared database via a network needs to create a new electronic medical record for patients who have come to the hospital as usual.

  While the network system is being promoted, the operation of storing digitized medical information on a portable medium (media) such as a CD-R (Compact Disk Recordable) or a DVD (Digital Versatile Disc) is also being planned. According to this, a patient takes over the media created by a certain medical institution and carries it to another medical institution so that the other medical institution can diagnose itself from the diagnosis information and examination information stored in the media. Can be used. Therefore, it is not necessary to construct a network infrastructure at a great cost.

  On the other hand, when medical information is stored and operated on a medium, there arises a problem that only medical information obtained at the time of creating the medium can be written on the medium. Usually, media is created when a patient is examined and handed to the patient. For example, medical information includes tests that require one or two weeks until a test result is obtained, such as a physiological test or pathological test. Because these test results cannot be obtained at the time of medical examination, they cannot be written on the media. In addition, the patient may not recognize the existence of the test result obtained later. In these cases, even if the patient carries the media to another medical institution, the examination information that has not been written may be subjected to the same examination again, which does not contribute to prompt medical treatment.

  An object of the present invention is to facilitate acquisition of medical information obtained later.

The invention described in claim 1
Control means for generating tracking information indicating the presence or absence of subsequently obtained medical information obtained later, and generating medical information with tracking information in which the tracking information is included in previously obtained medical information;
Writing means for storing the medical information with tracking information generated by the control means in a portable storage medium;
It is characterized by having.

The invention described in claim 2
The tracking information is information for specifying a patient or an examination.

The invention according to claim 3
Computer
Control means for generating tracking information indicating the presence or absence of subsequently obtained medical information obtained later, and generating medical information with tracking information in which the tracking information is included in previously obtained medical information;
Writing means for storing the medical information with tracking information generated by the control means in a portable storage medium;
It is characterized by making it function as.

The invention according to claim 4
It is characterized in that tracking information indicating the presence or absence of subsequent medical information obtained later is stored.

The invention described in claim 5
Control means for generating tracking information indicating the presence or absence of subsequently obtained medical information obtained later, and generating medical information with tracking information in which the tracking information is included in the previously obtained medical information, generated by the control means A medical information providing apparatus comprising: writing means for storing the medical information with tracking information recorded in a portable storage medium;
Storage means for storing subsequent medical information acquired based on the tracking information;
A medical information processing apparatus comprising: a reading unit that reads the medical information with tracking information from the portable storage medium; and an acquisition control unit that acquires subsequent medical information corresponding to the tracking information from the storage unit;
It is characterized by consisting of.

According to invention of Claims 1-4,
Tracking information indicating the presence or absence of the subsequent medical information currently obtained and the subsequent medical information to be obtained later is stored in the portable storage medium. Subsequent medical information includes physiological examinations and pathological examinations that produce results several weeks after examination. The tracking information includes a flag indicating the presence or absence of subsequent medical information, and includes information such as a reception number for specifying a patient or an examination, an examination date, date information on which an examination result is output, and the like. By this tracking information, the patient can easily grasp the test results that are not stored in the portable storage medium. With this portable storage medium, the patient can recognize the presence or absence of subsequent medical information and can quickly and appropriately acquire the subsequent medical information.

According to the invention of claim 5,
When the patient carries a portable storage medium in which his / her medical information is stored to a second medical institution different from the first medical inspected, the second medical institution is concerned with the portable storage medium based on the tracking information. Test results that are not stored in are acquired from the first medical institution. Thereby, even if a patient is a case where it examines in a medical institution different from the medical institution which performed the test | inspection, duplication of a test | inspection can be prevented and a continuous medical examination can be received. In addition, since the medical institution can easily recognize and acquire the subsequent medical information, a quick medical examination can be achieved.

  Hereinafter, the configuration and operation of an optimal embodiment of the medical information providing apparatus according to the present invention will be described in detail with reference to the drawings.

  First, FIG. 1 shows a medical information providing system 100 including a medical information providing apparatus according to the present embodiment. As illustrated in FIG. 1, the medical information providing system 100 includes a medical information providing apparatus 10, a medical information processing apparatus 20, and a storage unit (not illustrated) included in the medical information providing apparatus 10. The medical information providing apparatus 10 and the medical information processing apparatus 20 can communicate with each other via a communication line N. The communication line N may be connected by a LAN (Local Area Network) or a dedicated line. However, in the present invention, it is not always necessary that both medical institutions can communicate with each other.

  The medical information providing apparatus 10 is installed in the first medical institution. The medical information providing apparatus 10 uses a portable storage medium (hereinafter referred to as “media”) M such as a CD-R to store medical information such as a test result obtained when a patient visits and undergoes a test. It is to provide. The “medical information” refers to a summary of information related to the patient's examination, such as the patient's physical information, the contents of the examination performed, the information relating to the examination such as the examination result, and the electronic medical record indicating the contents of the examination.

  The medical information processing apparatus 20 is installed in the second medical institution. The medical information processing apparatus 20 reads the data in the medium M received by the patient at the first medical institution, displays the patient's medical information stored in the medium M, and browses the patient, medical workers, and the like.

  In addition, the examination center C analyzes a specific examination among examinations that the patient has received at the first medical institution. The specific examination corresponds to an examination undertaken by a medical institution such as a physiological examination or a pathological examination, and refers to an examination that requires a predetermined period of time after the patient receives the examination. The examination center C sends the analysis result to the first medical institution when the analysis result of the specific examination is obtained. Therefore, when the patient receives the medium M at the first medical institution, the analysis result at the examination center C is not stored. As described above, medical information obtained later than when the medium M is created is referred to as “later medical information” when the examination is performed and when the result is obtained. Also, the medical information already obtained when the examination is performed and the result is acquired at the same time and the medium M is created will be referred to as “first medical information”, and will be described separately below.

FIG. 2 shows an internal configuration of the medical information providing apparatus 10.
The medical information providing apparatus 10 includes a control unit 1, a storage unit 2, an I / F unit 3, an input unit 4, a display unit 5, and a communication unit 6. The basic configuration function of the medical information processing apparatus 20 is the same as that of the medical information providing apparatus 10, and a description thereof is omitted here.

The control unit 1 includes a CPU (Central Processing Unit), a RAM (Random Access Memory), and the like (not shown), expands a predetermined program stored in the storage unit 2 to the RAM, and performs a processing operation in cooperation with the program. Overall control.
In addition, the control unit 1 temporarily stores the medical information stored in the medium M in the RAM, generates new medical information to which tracking information is added (hereinafter referred to as “medical information with tracking information”), and The execution of a series of writing processes for writing medical information with tracking information to the medium M is controlled. The tracking information is information for specifying a patient or a test, and is information for acquiring subsequent medical information.

  The storage unit 2 includes, in addition to the system program, an execution program related to generation of tracking information, an execution program related to generation of medical information with tracking information, an execution program related to writing of medical information to the medium M, and control of the I / F unit 3 Various programs such as programs are provided, and data processed by each program is stored. The storage unit 2 stores medical information, tracking information, and the like of patients.

  Here, FIG. 3 shows a tracking information table 200 as an example of tracking information stored in the storage unit 2. The tracking information table 200 includes a patient ID indicating a patient who has been examined, an examination UID indicating an examination that the patient has received, a reception number assigned to the patient on the examination date, an examination date, an examination execution organization, and an examination summary. The However, the information is not limited to these, and information such as the doctor performing the examination and the doctor in charge may be added.

  Patient ID (IDentification) is identification information for individually identifying a patient, and examination UID (Unique IDentification) is examination identification information issued for each examination. The receipt number and the examination date and time are identification information issued by a medical institution for the convenience of paperwork when a patient visits. In the present embodiment, the examination execution organization is the first medical institution.

  The inspection summary is information indicating a summary of inspection items and inspection results of the performed inspection. Whether or not the test results have already been obtained for each of the test items of “image” indicating test imaging, “blood” indicating blood test, “pathology” indicating pathological test, and “physical measurement” indicating physical measurement test Flag information is set. The flag information is set to “ON” when an inspection result has already been obtained, and “OFF” when it has not been acquired. Therefore, by referring to this inspection summary, it is possible to grasp the inspection result that has not yet been acquired but is scheduled to be acquired later. In FIG. 3, the results of the blood test and pathological test are not yet acquired.

  If there is at least information specifying the patient or examination as the tracking information, the second medical institution can acquire the subsequent medical information. Therefore, if it is possible to specify a patient or an examination, it is not always necessary to write tracking information of all items listed in the tracking information table 200 as tracking information.

The information specifying the patient is necessary for specifying which patient's subsequent medical information is requested when the second medical institution makes an inquiry about the subsequent medical information to the first medical institution. In addition, the first medical institution receiving the inquiry is required for the presence or absence of information about the patient, security authentication, and the like.
The information specifying the examination is necessary for the medical staff of the second medical institution to grasp the presence or absence of subsequent medical information for the patient who brought the media M, while the first medical institution that received the inquiry It is necessary to specify which medical information related to the examination is requested in the inquiry of the subsequent medical information.

  The tracking information table 200 is stored on the storage unit 2 of the medical information providing apparatus 10 on the one hand, and stored on the medium M on the other hand. This media M is carried by the patient to the second medical institution. Therefore, by collating the two tracking information tables 200 held by the medical information providing apparatus 10 and the medical information processing apparatus 20, the medical information providing apparatus 10 or the medical information processing apparatus 20 can identify the patient and details of the subsequent medical information. Information can be recognized quickly and appropriately.

  Note that there are a plurality of pieces of tracking information in the tracking information table 200 described above. Therefore, for example, a timed program for notifying the alarm on the date when the inspection result is output may be included in the tracking information. In this case, the medical information processing apparatus 20 may make an inquiry request to the medical information providing apparatus 10 after receiving an alarm notification from the medium M, and the timed program prevents useless inquiries made before the alarm notification.

  The I / F unit 3 performs a writing process for storing medical information with tracking information in which the tracking information is added to the medium M according to the control of the control unit 1.

  The input unit 4 includes a keyboard having numeric keys, character keys, function keys, etc., a mouse, and the like, and outputs an operation signal corresponding to the operated key to the control unit 1.

  The display unit 5 is a display unit composed of an LCD (Liquid Crystal Display) or the like. Moreover, the display part 5 is good also as an aspect which comprises the input part 4 and an integrated touch panel.

  The communication unit 6 is configured to include a communication interface such as a network interface card or a modem, and exchanges information with the medical information processing apparatus 20 on the communication line N.

  Next, processing operations performed by the medical information providing apparatus 10 until the medical information with tracking information is written to the medium M will be described with reference to FIG. Note that the writing process performed by the medical information providing apparatus 10 is executed in cooperation with the control unit 1 and a predetermined program provided in the storage unit 2.

  The control unit 1 stores the medical information of the patient who has been examined at the first medical institution in the storage unit 2 of the medical information providing apparatus 10 (step S1).

  The medical information stored here includes medical images such as MRI (Magnetic Resonance Imaging) and CT (Computed Tomography) and electronic medical records, in addition to the information displayed in the tracking information table 200. That is, the medical information providing apparatus 10 stores all medical information related to the patient who has visited the hospital. In the present embodiment, the storage unit 2 is included in the medical information providing apparatus 10. However, the present invention is not limited thereto, and a server (not shown) includes the storage unit 2, and the storage unit 2 is a communication unit of the medical information providing apparatus 10. 6 may be used to share all the medical information.

  The control unit 1 generates basic information regarding subsequent medical information such as a physiological test or a pathological test that requires an analysis request to the test center C, and stores the basic information in the storage unit 2 (step S2). Basic information includes the scheduled date of acquisition of the inspection result, inquiry information to the inspection center C, and the like. This basic information is used to identify which test result of which patient is the analysis result of the test sent from the test center C at a later date and manage it as subsequent medical information.

After all the medical information and basic information about the patient are stored in the storage unit 2, the control unit 1 generates tracking information as a pre-stage of the writing process (step S3). The tracking information is generated based on the patient's total medical information and basic information stored in the storage unit 2 by the control unit 1 executing a predetermined program included in the storage unit 2. After the generation of the tracking information, the control unit 1 performs a writing process of the medical information with the tracking information including the generated tracking information in the information necessary for storing in the medium M (step S4).
Here, the necessary information stored in the medium M is mainly character information such as patient information and an electronic medical record. This is because the amount of information that can be stored in the medium M is finite. For a medical image having a large amount of information, a URL (Uniform Resource Locator) indicating the storage location of the medical image is stored in the medium M.

  The writing process is executed when the control unit 1 controls a writing program provided in the storage unit 2 with respect to the medium M set at a predetermined position of the I / F unit 3. The medium M used here is not limited to a disk-type portable storage medium such as a CD-R or DVD, but may be a portable storage medium having a communication function such as a pager. When the medium M is a pager, it is possible to notify the pager's holder when the medical information providing apparatus 10 acquires the subsequent medical information.

  When the first medical institution acquires the analysis result of the test from the test center C, the control unit 1 updates the flag of the tracking information table 200 and stores this setting (step S5), and this process ends.

  According to this process, tracking information that is a clue is generated and stored in the medium M for subsequent medical information for which no test result has been output during the writing process to the medium M. The viewer of the media M can easily grasp the time when the subsequent medical information can be acquired later, the examination content of the subsequent medical information, the inquiry destination, and the like. The patient can continuously receive medical examinations by carrying the media M at other medical institutions other than the medical institution that has acquired the media M.

Next, a series of inquiry processes using the medium M will be described with reference to FIG.
The patient carries the media M created at the first medical institution to the second medical institution.
When the media M carried from the patient to the second medical institution is set in the medical information processing apparatus 20, the medical information processing apparatus 20 starts a series of inquiry processes shown in FIG.
First, in the medical information processing apparatus 20, the data in the medium M is read by the I / F unit and displayed on the display unit (step S11).

Since the tracking information is written in addition to the advance medical information in the medium M, the medical information processing apparatus 20 performs the test result and the electronic medical record of the test performed by the patient at the first medical institution based on the advance medical information. The examination result such as is displayed. On the other hand, the control unit of the medical information processing apparatus 20 also displays the presence / absence of a test result (later medical information) that is currently being analyzed and is scheduled to be acquired at a later date based on the tracking information. As a display mode at this time, a list may be displayed, or a related medical information comment may be displayed when a mouse is placed at a predetermined position of the electronic medical record.
In the medical information providing apparatus 10 of the first medical institution, when all the subsequent medical information is stored in the storage unit 2, the subsequent medical information is acquired for the media M holder by the control of the control unit 1. Notification of. As the notification means at this time, for example, there is an e-mail to the media M holder or an alarm if the media M is a pager.

  In the medical information processing apparatus 20, the tracking information read from the medium M is referred to by a control unit (not shown), and the presence or absence of subsequent medical information is determined based on the tracking information (step S12). Since the tracking information has the same contents as the tracking information table 200 shown in FIG. 3, the control unit refers to the flag information set in the item of the inspection summary, and the presence / absence of the inspection item set to “OFF” Is determined. When all are set to “ON”, the control unit determines that there is no subsequent medical information (Step S12; No), and all the medical information has been acquired, and ends this processing.

  On the other hand, when there is an examination item set to “OFF” and there is subsequent medical information (step S12; Yes), the control unit is set to “OFF” for the medical information providing apparatus 10 of the first medical institution. Inquiries and transmission requests for the later medical information are made for the examination items being present (step S13). In addition, as a timing for inquiring the medical information providing apparatus 10 about the examination items for which the medical information processing apparatus 20 side is set to “OFF”, all the examination items are set to “ON” on the medical information providing apparatus 10 side. After notifying the media M holder by e-mail or the like at that time.

  The inquiry and transmission request for the subsequent medical information are performed by transmitting the tracking information to the first medical institution via a communication unit (not shown) included in the medical information processing apparatus 20. The tracking information is transmitted via the communication line N to which the first medical institution and the second medical institution are connected. Further, the same processing can be executed by presenting the patient ID and the examination UID to the first medical institution based on the tracking information acquired by the operator of the media M without going through the communication line N.

  The medical information providing apparatus 10 that has received an inquiry and a transmission request for the subsequent medical information in the medium M searches for the subsequent medical information based on the tracking information acquired from the medical information processing apparatus 20, and stores the subsequent medical information in the medical information processing. It transmits to the apparatus 20 (step S14).

  The medical information processing apparatus 20 receives the subsequent medical information from the medical information providing apparatus 10 and displays or stores it (step S15), and this process ends.

As described above, according to the present embodiment, when the medium M is created by the medical information providing apparatus 10, no test result is output and the test result cannot be stored in the medium M. If there is subsequent medical information to be obtained, tracking information is generated as information for acquiring the subsequent medical information and stored in the medium M.
The tracking information is information that can identify at least a patient or an examination, and can be an information that enables a viewer of the media M to recognize the existence of subsequent medical information that has been examined but has not yet obtained results. That's fine. With this tracking information, the patient can continue to receive medical examinations so far even when the medical examination is performed at another medical institution different from the medical institution where the examination was performed. Even on the medical institution side, it is not necessary to carry out a duplicate examination with the information stored in the medium M, and the burden on the patient can be reduced.

Moreover, in the medical information provision system 100 in the said embodiment, although the 1st medical institution and the 2nd medical institution were directly connected via the communication line N, it is not restricted to this.
For example, as shown in FIG. 5, a data center D may be arranged between the medical information providing apparatus 10 and the medical information processing apparatus 20, and each medical institution may be connected to the data center D. According to this, the medical information providing apparatus 10 transmits the subsequent medical information acquired from the examination center C to the data center D. The data center D stores the subsequent medical information transmitted from the medical information providing apparatus 10 to a storage unit (not shown). The other data center D also stores medical information such as advance medical information and tracking information sent from the medical information providing apparatus 10. When the patient carries the media M to the second medical institution, the medical information processing apparatus 20 makes an inquiry and transmission request for subsequent medical information to the data center D.

  According to this embodiment, by arranging the data center D in the medical information providing system 100, it is possible to share subsequent medical information and other necessary medical information, and even if there are multiple medical institutions, A single contact point for medical information and necessary medical information is sufficient, and it is possible to prevent complication of the network and complication of information.

It is a whole structure of the medical information provision system in this embodiment. It is an internal structure of a medical information provision apparatus. It is an example of the tracking information table required when acquiring subsequent medical information. It is a flowchart explaining the processing operation of a medical information provision apparatus. It is a flowchart explaining operation | use of the subsequent medical information using a medium. It is the whole medical information provision system structure in other embodiments.

Explanation of symbols

DESCRIPTION OF SYMBOLS 100 Medical information provision system 10 Medical information provision apparatus 20 Medical information processing apparatus C Inspection center D Data center

Claims (5)

Control means for generating tracking information indicating the presence or absence of subsequently obtained medical information obtained later, and generating medical information with tracking information in which the tracking information is included in previously obtained medical information;
Writing means for storing the medical information with tracking information generated by the control means in a portable storage medium;
A medical information providing apparatus comprising:   The medical information providing apparatus according to claim 1, wherein the tracking information is information for specifying a patient or an examination. Computer
Control means for generating tracking information indicating the presence or absence of subsequently obtained medical information obtained later, and generating medical information with tracking information in which the tracking information is included in previously obtained medical information;
Writing means for storing the medical information with tracking information generated by the control means in a portable storage medium;
Program to function as.   A computer-readable storage medium in which tracking information indicating the presence or absence of subsequently obtained medical information is stored. Control means for generating tracking information indicating the presence or absence of subsequently obtained medical information obtained later, and generating medical information with tracking information in which the tracking information is included in the previously obtained medical information, generated by the control means A medical information providing apparatus comprising: writing means for storing the medical information with tracking information recorded in a portable storage medium;
Storage means for storing subsequent medical information acquired based on the tracking information;
A medical information processing apparatus comprising: a reading unit that reads the medical information with tracking information from the portable storage medium; and an acquisition control unit that acquires subsequent medical information corresponding to the tracking information from the storage unit;
A medical information provision system consisting of

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