JP2010117969A - Medical information management device and medical information management method - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a medical information management device for identifiably displaying priority of a doctor who can cope with medical examination when a nurse call is received. <P>SOLUTION: The medical information management device includes: a patient identification part 101 which, in response to input of information about a change of condition from a specific input device 001 and input of identification information about the input device 001, searches a patient information storage part 102 and obtains identification information about a patient P corresponding to the input device 001; a patient information acquisition part 103 for searching a diagnosis information storage part 104 on the basis of the identification information about the patient P to obtain medical record information about the patient P; and a notification part 105 for prioritizing diagnosis requests with reference to a schedule storage part 107 on the basis of the medical record information and notifying the doctor of the result. <P>COPYRIGHT: (C)2010,JPO&INPIT

Description

  The present invention relates to a medical information management apparatus and a medical information management method for providing information of a doctor who can perform a medical examination when receiving a nurse call from a patient.

  In the current nurse call system, when a nurse call is received at the nurse station, the nurse responds and confirms the patient's symptoms. Thereafter, when the nurse determines that the doctor who has confirmed the symptom needs to see a doctor, the nurse searches for a doctor who can see the patient and requests the patient to be examined. The doctor in charge of the examination refers to the patient's medical records and medical records, and starts the examination after obtaining information necessary for the examination of the patient.

  In such a nurse call system, when the nurse call is transmitted only to the nurse station, the nurse can answer only at the nurse station. For this reason, there is a problem that it is impossible to respond when there is no nurse at the nurse station.

  Therefore, conventionally, a technique for directly transmitting a nurse call to a portable terminal held by a nurse in charge has been provided (for example, see Patent Document 1) in order to deal with the nurse call reliably and promptly. In addition to the nurse in charge, a technique for determining the most suitable nurse for the nurse call room from the schedule of other nurses and sending the call to the nurse's terminal (see, for example, Patent Document 2) .) Has been proposed.

JP-A-7-278776 JP 2001-237959 A

  However, in the technique described in Patent Document 1 or Patent Document 2 above, each process from reception of the nurse call to the start of the examination functions separately, so the nurse's response to the nurse call is quick. However, there is a time lag between the time when the nurse receives the nurse call and the time when the doctor starts the examination. In addition, since it is difficult to determine which doctor is currently available, a request may be made to a plurality of doctors, and a situation may occur in which a quick medical examination cannot be started.

  The present invention has been made in view of such circumstances, and a medical information management apparatus and medical information management for displaying a doctor who can respond to a medical examination when receiving a nurse call so that the priority of a medical examination request can be identified. It aims to provide a method.

In order to achieve the above object, the medical information management apparatus according to claim 1 stores in advance identification information of a plurality of input devices for notifying patient condition information and patient identification information corresponding to the input devices. Patient information storage means, and medical information storage means for preliminarily storing medical record information including at least a patient name corresponding to the patient identification information, identification information of the attending physician, and information on a department in charge of the patient. A plurality of doctor departments in charge and a schedule storage means for storing the schedule in advance; and the patient information storage means for receiving the information on the change of the body and the identification information of the input device from the specific input device. The patient identification means for acquiring patient identification information corresponding to the input device, and the medical care information storage means based on the patient identification information included in the medical chart information, Patient information acquiring means for acquiring the medical record information of the patient,
Based on the information of the attending doctor and the department in charge, the schedule storage means is referred to, and based on the schedule of each doctor when receiving input from the specific input device and the information of the attending doctor and the attending doctor, each doctor And a notification means for notifying with priority of the medical examination request.

  The medical information management method according to claim 8, a patient information storage step of storing identification information of a plurality of input devices notifying patient condition information and patient identification information corresponding to the input devices; A medical information storage stage for storing medical record information including at least a patient name corresponding to the identification information, identification information of the attending physician, and information on the department in charge of the patient, and a schedule for previously storing departments and schedules of a plurality of doctors A patient corresponding to the input device by searching the patient information stored in the patient information storage step by receiving the input of the condition change information and the identification information of the input device from the specific input device; A patient identification stage for obtaining the identification information of the patient, and a patient who retrieves the medical information stored in the medical information storage stage based on the identification information of the patient and obtains the medical chart information of the patient The information acquisition step, referring to schedule storage means based on the information of the attending doctor and the department in charge, the schedule of each doctor when receiving input from the specific input device, and the information of the attending doctor and the attending doctor And a notification stage for giving a notification request priority to each doctor with priority.

  The medical information management apparatus according to claim 1 and the medical information management method according to claim 8 are configured to prioritize the information of a doctor who performs medical examination of a patient at the time when the patient's condition information is input. And a notification of the list of doctors. Thereby, it is possible to shorten the time from receiving the patient's condition information to the doctor's examination.

[First Embodiment]
The medical information management apparatus according to the first embodiment of the present invention will be described below. FIG. 1 is a block diagram showing functions of a medical information management apparatus according to the present invention.

  As shown in FIG. 1, the medical information management apparatus 100 according to the present embodiment is configured to be capable of transmitting and receiving information to and from an input device (nurse call input device) 001 (hereinafter referred to as “nurse call input device 001”). ing.

  The medical information management apparatus 100 according to this embodiment includes a patient identification unit 101, a patient information storage unit 102, a patient information acquisition unit 103, a diagnosis information storage unit 104, a notification unit 105, a schedule storage unit 107, and a user interface 108. is doing. The user interface 108 includes a display unit 109 and an input unit 110. The functional units indicated by dotted lines in FIG. 1 will be described in the second embodiment and the third embodiment.

  The nurse call input device 001 is installed beside the bed on which the patient P is placed. One nurse call input device 001 is installed in one bed. In this embodiment, the nurse call input device 001 is an input device having a button. The patient P notifies the nurse station by pressing the button and inputs his / her physical information to the medical information management apparatus 100 (hereinafter, this physical information input may be referred to as “nursing call input”). .)I do. The nurse call input device 001 outputs the condition information and the identification information of the nurse call input device 001 to the patient identification unit 101 of the medical information management device 100. Here, in this embodiment, a button is used as an input method, but this may be another method, for example, a configuration in which input is performed by pulling a string. This nurse call input device 001 corresponds to the “input device” in the present invention.

  The patient information storage unit 102 includes a storage medium such as a hard disk or a memory. In the patient information storage unit 102, the nurse call input device 001 described above is installed on the side of which bed, and which patient is currently placed on the bed is stored in advance. This information is entered when the bed on which the patient P is placed is determined, and a doctor or nurse or the like inputs the identification information of the patient P in correspondence with the identification information of the bed on which the patient P is placed using the input unit 110. And stored in the patient information storage unit 102. Here, since the nurse call input device 001 and the bed have a one-to-one relationship as described above, the nurse call input device 001 and the bed can be identified by inputting the patient P identification information corresponding to the bed identification information. The patient P is in one-to-one correspondence. In other words, it can be said that the patient information storage unit 102 stores the identification information of the nurse call input device 001 and the identification information of the patient P who currently uses the nurse call input device 001 in association with each other. This patient information storage unit 102 corresponds to “patient information storage means” in the present invention.

  The patient identification unit 101 receives the input of the condition information and the identification information of the nurse call input device 001 input from the nurse call input device 001. The patient identification unit 101 searches the patient information storage unit 102 based on the inputted identification information of the nurse call input device 001, and acquires the identification information of the patient P corresponding to the nurse call input device 001. The patient identification unit 101 outputs the acquired identification information of the patient P to the patient information acquisition unit 103. This patient identification unit 101 corresponds to “patient information identification means” in the present invention.

  The examination information storage unit 104 is configured by a storage medium such as a hard disk or a memory. The examination information storage unit 104 stores the chart information of the patient in correspondence with the identification information of the patient (including the patient P). The medical record information includes information written in the patient's medical record and medical records. Specifically, the patient chart information includes the patient name, patient identification information, the name and identification information of the patient's attending physician, and the department in charge of the patient (specifically, internal medicine, surgery, orthopedics, And ophthalmology, etc. For example, in the case of a patient hospitalized for injury, the department in charge is surgery). The information described in the patient chart is input by the doctor or nurse using the input unit 110 based on the result of the diagnosis when the patient has been examined in the past. This examination information storage unit 104 corresponds to “diagnosis information storage means” in the present invention.

  Here, in this embodiment, the diagnosis information storage unit 104 is provided inside the medical information management apparatus 100, but it may be arranged outside, for example, stored in a HIS (Hospital Information System) or the like. It may be configured to use information on a patient chart.

  The patient information acquisition unit 103 receives input of patient P identification information from the patient identification unit 101. The patient information acquisition unit 103 searches the examination information storage unit 104 based on the input identification information of the patient P, and acquires the medical record information of the patient P. The patient information acquisition unit 103 outputs the identification information of the attending physician of the patient P and the information on the department in charge of the patient P described in the acquired medical record information to the notification unit 105. In this embodiment, it is assumed that the attending doctor of the patient P is “doctor A” and the department in charge of the patient P is “surgery”. In other words, in this embodiment, the patient information acquisition unit 103 outputs information on the primary doctor “doctor A” and the department in charge “surgery” to the notification unit 105. This patient information acquisition unit 103 corresponds to “patient information acquisition means” in the present invention.

  The schedule storage unit 107 is composed of a storage medium such as a hard disk or a memory. The schedule storage unit 107 stores a schedule of each registered doctor (at least one day of the day). Specifically, in this embodiment, the schedule table shown in FIG. 2 is stored. Here, FIG. 2 is an example of a schedule table in which the schedule of each doctor is described. The thick black arrow 201 in FIG. 2 represents the time in the room, the thick thick arrow 202 represents the time during medical treatment, and the thin black arrow 203 represents the time during the return home. Here, in the case of “in the room” represented by the arrow 201, since the doctor can immediately respond to the examination, the examination of the patient P is most possible. Further, in the case of “under medical care” represented by the arrow 202, since the next medical care is started when the current medical care is completed, the patient P can be handled second. In the case of “return home” represented by the arrow 203, it is a state in which the patient has gone home and does not know whether or not he / she can go out to the hospital, and is the state in which the patient P is most difficult to deal with. That is, the priority of the schedule of the doctor in charge is “in-room”> “under medical care”> “return home”. Here, the priority of the schedule is based on the relationship with the patient in terms of distance and time and the state of work of the doctor at that time, and the working state that is easy to handle the patient's examination is considered to be high in priority. Is. Furthermore, as shown in FIG. 3, the schedule storage unit 107 stores a department table in which each doctor's department is described. FIG. 3 is a diagram of an example of a department table in which the departments of each doctor are described. The doctor's department in charge described in the column 301 of FIG. 3 is described in the corresponding column 302. For example, the department in charge of doctor A is “surgery” and the department in charge of doctor E is “internal medicine”. Furthermore, the schedule storage unit 107 also stores contact information for each doctor. Moreover, the schedule memory | storage part 107 has also memorize | stored the whereabouts in each schedule of each doctor. That is, when the schedule of doctor A's medical treatment is in progress, doctor A also stores a schedule that the first clinic is being used. Here, in this embodiment, as will be described later, the contact information of each doctor and the location of each doctor so that the nurse can quickly contact each doctor after the available doctors are displayed. However, the present invention can operate without having such information. In this embodiment, the department, contact information, and whereabouts of each doctor are stored in the schedule storage unit 107. However, this may be stored in an external device, for example, stored in the HIS described above. The information of each doctor who has been used may be used. The schedule storage unit 107 corresponds to the “schedule storage unit” in the present invention.

  The notification unit 105 includes a display control unit 106 and further includes a clock (not shown) inside. The notification unit 105 has a storage area (not shown) such as a memory. The notification unit 105 stores a weighting value for determining the priority of each schedule. Specifically, in the present embodiment, the notification unit 105 stores weighted numerical values of “in-room” = 5, “under medical care” = 3, and “return home” = 1. Furthermore, the notification unit 105 prioritizes the doctor in charge and the department in charge (hereinafter, information indicating whether each doctor is a primary doctor, a doctor in charge, or a doctor other than the doctor in charge). The numerical value of weighting for judging is stored. Here, the priority of the doctor type is based on which doctor type is appropriate for the examination of the patient, and a more appropriate doctor type has a higher priority. Specifically, in the present embodiment, the notification unit 105 has weights of “primary physician” = 3, “in charge physician in charge of patient P” = 2, and “doctor other than the department in charge of patient P” = 1. I remember the numerical value of the date. This notification unit 105 corresponds to “notification means” in the present invention.

  The notification unit 105 receives input from the patient information acquisition unit 103 of identification information of the primary doctor of the patient P (“doctor A” in the present embodiment) and information on the department in charge of the patient P (“surgery” in the present embodiment). . In addition, the notification unit 105 refers to the internal clock when receiving the input of the above-described information from the patient information acquisition unit 103, and acquires the time when the input is received. In the present embodiment, it is assumed that the notification unit 105 has acquired “19:00” as the time at which the input is received.

  The notification unit 105 refers to the schedule table shown in FIG. 2 stored in the schedule storage unit 107 based on the acquired time “19:00”, and acquires the schedule of each doctor at 19:00. In FIG. 2, a dotted line 204 represents the time of 19:00. That is, the notification unit 105 includes a schedule of each doctor on the dotted line 204, specifically, doctor A: returning home, doctor B: staying in the room, doctor C: during examination, doctor D: returning home, doctor E: staying in the room, doctor F. : Get information that you are going home.

  Furthermore, the notification unit 105 refers to each doctor's department in FIG. 3 stored in the schedule storage unit 107 based on the identification information of the primary doctor of the patient P and the information of the department in charge of the patient P. Information on whether the doctor is a primary doctor, a department in charge, or a doctor other than the department in charge (doctor type) is acquired. In the present embodiment, information on a doctor type such as doctor A: doctor in charge, doctor B, doctor C, doctor D: doctor in charge, doctor E, doctor F: doctor other than the department in charge is acquired.

  And the notification part 105 adds the weighting numerical value of the priority of a schedule in each doctor, and the numerical value of the weight for judging the priority of a doctor classification, and gives the numerical value of the priority which makes a patient P medical examination. Ask. Here, the priority for giving a medical examination to the patient P is based on which doctor is appropriate for requesting the medical examination of the patient P, and a higher priority is given to an appropriate medical doctor by requesting the medical examination of the patient P. A doctor. Specifically, doctor A is “returning home” (1) (here, the numerical value in parentheses represents a weighting numerical value; the same applies hereinafter) and “in-charge doctor” (3). 1 + 3 = 4. Since Doctor B is “in-room” (5) and “in-charge physician” (2), the priority value is 5 + 2 = 7. Since doctor C is “under examination” (3) and “in charge of physician” (2), 3 + 2 = 5. Since the doctor D is “returning home” (1) and “in charge physician” (2), the numerical value of the priority is 1 + 2 = 3. Since the doctor E is “resident” (5) and “doctor other than the department in charge” (1), the numerical value of the priority is 5 + 1 = 6. Since the doctor F is “returning home” (1) and “doctor other than the department in charge” (1), the numerical value of the priority is 1 + 1 = 2. Therefore, the priority for performing the examination of the patient P is in the order of Doctor B> Doctor E> Doctor C> Doctor A> Doctor D> Doctor F. Here, when the priority values of a plurality of doctors have the same value, they are arranged according to a predetermined order. Here, the predetermined order is, for example, in the present embodiment, the overlapping doctors are arranged in the priority order of the schedule, and if they overlap, the doctors are arranged in the order of the priority of the doctor type. If so, use a lexicographic method.

  Here, in this embodiment, in order to balance the schedule and the doctor type, the priority of the doctor who weights the priority for each of the schedule and the doctor type and adds them to perform the examination of the patient P is added. Seeking. (However, the weighting of the present embodiment increases the weighting so that the priority of the schedule is prioritized.) However, the method of obtaining the priority for performing the examination of the patient P may be another method, For example, when giving priority to the schedule first, a method may be used in which doctors are first arranged in the order of schedules, and doctors' ranks are changed in order of priority of doctor types in the schedule. Furthermore, in this embodiment, the schedule is divided into three types. However, this classification may be further divided (for example, “in operation” is added). It becomes possible.

  The notification unit 105 acquires contact information and location of each doctor from the schedule storage unit 107. Then, the display control unit 106 of the notification unit 105, as shown in FIG. 4, identifies each doctor's identification information (in charge department, doctor type, name, etc.), schedule, whereabouts, In addition to the contact information, information on the patient P is displayed on the display unit 109 and the portable terminal 002 carried by the nurse. FIG. 4 is a diagram illustrating an example of a list of doctors that prioritize and notify doctors who can respond to the examination of the patient P according to the present embodiment. The display control unit 106 displays each doctor in a list in order of priority in which the doctors P are examined. This display corresponds to “list display of doctors” in the present invention. Here, as described above, in this embodiment, the whereabouts and the contact information are displayed for quick contact with the doctor who performs the examination of the patient P. However, these may not be displayed. A list of only the names of doctors may be displayed in order. Moreover, in this embodiment, although the information of the doctor who makes the patient P medical examination is displayed on both the display part 109 and the portable terminal 002, this may be any one.

  Then, the nurse receives the nurse call input from the patient P (input of physical information), observes the patient P who has input the nurse call, and appropriately responds to the patient P. Determine whether it is necessary. For example, when the patient P pushes a nurse call with mischief, it is determined that a doctor's examination is unnecessary. When the nurse determines that medical examination is necessary, the nurse refers to the list of doctors displayed by the display control unit 106 on the display unit 109 of the user interface 108. The nurse who sees the list of doctors contacts the contacts in order of the doctors with the highest priority and requests the patient P to be examined.

  Next, with reference to FIG. 5, the notification of the doctor corresponding to the diagnosis in the medical information management apparatus 100 according to the present embodiment and the communication to the doctor by the operator will be described. Here, FIG. 5 is a flowchart of the notification with the priority given to the doctor corresponding to the medical examination in the medical information management apparatus 100 according to the present embodiment and the communication to the doctor by the operator.

  Step S001: The patient P inputs the condition information using the nurse call input device 001 and the identification information of the nurse call input device 001.

  Step S002: The patient identification unit 101 receives an input of body information and an input of identification information of the nurse call input device 001 from the nurse call input device 001. The patient identification unit 101 searches the patient information storage unit 102 based on the identification information of the nurse call input device 001 and acquires the identification information of the patient P.

  Step S003: The patient information acquisition unit 103 receives input of identification information of the patient P from the patient identification unit 101. The patient information acquisition unit 103 searches the examination information storage unit 104 based on the identification information of the patient P, and acquires the medical record information of the patient P.

  Step S004: The notification unit 105 receives the input of the identification information of the doctor in charge of the patient P and the information of the department in charge of the patient P from the patient information acquisition unit 103. Further, the notification unit 105 acquires the time when the input is received with reference to the clock it has.

  Step S005: The notification unit 105 refers to the schedule table stored in the schedule storage unit 107 based on the acquired reception time, and acquires the schedule of each doctor at the reception time.

  Step S006: The notification unit 105 acquires the doctor type of each doctor based on the received identification information of the doctor in charge and information on the department in charge.

  Step S007: The notification unit 105 assigns a priority weighting value to each doctor's schedule and doctor type, and obtains a priority numerical value for causing the patient P to be examined by adding each weighting value. Determine doctor priorities. Furthermore, when the numerical values are the same and overlap, the notification unit 105 first determines the priority order of the doctors, then the priority order of the doctor types, and finally the dictionary priority.

  Step S008: The display control unit 106 causes the display unit 109 and the portable terminal 002 to display in order from the doctor with the highest priority that causes the patient P to be examined.

  Step S009: The operator confirms the condition of the patient P and performs other appropriate measures.

  Step S010: The operator determines whether or not a doctor's examination request for the patient P is necessary. If a medical examination request is required, the process proceeds to step S010. When a medical examination request is not required, the correspondence to the patient P is terminated without contacting the doctor.

  Step S <b> 011: The operator refers to the display unit 109, determines a doctor who is to examine the patient P in order from the doctor with the highest priority, and contacts the doctor.

  In the above description, it has been described that the operator confirms the condition of the patient P and other appropriate measures in step S009 after step S008, but the nurse call and the notification to the medical information management apparatus are simultaneously performed. Thus, actually, the processing of the medical information management apparatus from step S002 to step S008 and the response by the operator in step S009 are performed in parallel. Thus, the time until the patient P's examination can be shortened by performing the correspondence to the patient P and the selection of the doctor in parallel.

  Here, in the present embodiment, priority is given to all the doctors stored in the schedule storage unit 107 for the examination of the patient P. “Ophthalmology” etc.) may be stored, and doctors in the field of charge who are not closely related to the department in charge of the patient P may be obtained to obtain priority and display those doctors. With such a configuration, the number of doctors displayed can be reduced, and the display can be easily viewed.

  As described above, the medical information management apparatus according to the present embodiment has a configuration in which, when a patient's condition information is input, a doctor who automatically examines the patient gives priority to display. This makes it possible for nurses, etc. to quickly contact an appropriate doctor who can see the patient without worrying about the doctor requesting the patient's examination, and shorten the time from receiving the nurse call to the examination. It becomes possible to do.

[Second Embodiment]
A medical information management apparatus according to the second embodiment of the present invention will be described below. The medical information management apparatus according to the present embodiment is different from the first embodiment in the input method of the condition information. Therefore, in the following description, a method for inputting the condition information will be mainly described. The block diagram of the medical information management apparatus according to this embodiment is also represented by the block diagram shown in FIG. In the following description, functional units having the same reference numerals as those in the first embodiment are assumed to have the same functions unless otherwise specified.

  The medical information management apparatus 100 according to the present embodiment has a configuration in which an abnormality notification unit 111, a change measurement unit 112, and a biological information acquisition unit 113 are further provided in the medical information management apparatus according to the first embodiment. Here, for convenience of explanation, only one biological information acquisition unit 113 is illustrated in FIG. 1, but there may be a plurality of such information, for example, as many patients as necessary to acquire biological information are provided. Also good. In the present embodiment, since the biometric information acquisition unit 113 uses an electrocardiograph, the biometric information acquisition unit 113 is hereinafter referred to as an electrocardiograph 113. This biological information acquisition unit 113 corresponds to “biological information acquisition means” in the present invention.

  The electrocardiograph 113 acquires an electrocardiogram of the patient P based on an electrical signal sent from an electrode attached to the patient P. The electrocardiograph 113 outputs the generated electrocardiogram to the change measurement unit 112. Here, in the present embodiment, an electrocardiograph is used as the biological information acquisition unit 113, but this may be any other device as long as it is a device that acquires biological information, for example, a pulse meter, a thermometer, an expiration detector, etc. But you can.

  The change measurement unit 112 receives an electrocardiogram input from the electrocardiograph 113. The change measurement unit 112 calculates the heart rate per minute in the electrocardiogram and outputs the heart rate to the abnormality notification unit 111. Here, in this embodiment, since the electrocardiogram is acquired as the biological information, the change measurement unit 112 measures the heart rate, but this may measure other numerical values, for example, the pulse rate and the number of breaths. However, even when an electrocardiograph is used, other numerical values for detecting arrhythmia may be used. The change measuring unit 112 corresponds to “change measuring means” in the present invention.

  The abnormality notification unit 111 has a storage area (not shown) such as a memory. The abnormality notification unit 111 stores the threshold value of the electrocardiogram waveform in its own storage area. The heart rate is generally called bradycardia when it falls below 60 times per minute, and tachycardia when it exceeds 100 times per minute. Therefore, in this embodiment, the abnormality notification unit 111 stores a value smaller than 60 times per minute and a value larger than 100 times per minute as threshold values. This abnormality notification unit 111 corresponds to “abnormality notification means” in the present invention.

  The abnormality notification unit 111 receives an input of the heart rate per minute from the change measurement unit 112. When the abnormality notification unit 111 is less than 60 times per minute or more than 100 times per minute, the abnormality notification unit 111 acquires identification information from the biological information acquisition unit 113, and the patient P's physical information and the identification information of the biological information acquisition unit 113 are obtained from the patient. Output to the identification unit 101.

  The patient information storage unit 102 stores the identification information of the biological information acquisition unit 113 in association with the identification information of the patient P as the identification information of the input device.

  The patient identification unit 101 receives input of patient condition information and identification information of the biological information acquisition unit 113 from the abnormality notification unit 111. The patient identification unit 101 searches the patient information storage unit 102 based on the identification information of the biological information acquisition unit 113 and acquires the identification information of the patient P. The patient identification unit 101 outputs the acquired identification information of the patient P to the patient information acquisition unit 103.

  As described above, the medical information management apparatus according to the present embodiment monitors changes in biological information acquired from the biological information acquisition unit, and automatically determines that an abnormality has occurred in the biological information. Information is input (that is, nurse call is input), and a priority is given to a doctor who performs medical examination of the patient, and the information is displayed. As a result, even if the patient is not moving during treatment with ICU etc., the nurse call is automatically entered, and the nurse can quickly find the corresponding doctor, and the time from the occurrence of abnormality of the patient's condition to the examination Can be shortened.

  In the above description, only the input from the abnormality notification unit 111 has been described as the input of the condition information of the patient P. However, this is the condition by the patient P using the input device 001 described in the first embodiment. It is also possible to adopt a configuration in combination with information input. In the case of such a configuration, a list with priorities of doctors who can receive an input from either the input device 001 or the abnormality notification unit 111 and can examine the patient P is displayed.

(Modification)
Next, a modification of the second embodiment will be described. In this modified example, an emergency threshold value is further stored in the abnormality notification unit 111 of the medical information management apparatus 100 according to the second embodiment. The emergency threshold is a value that requires immediate treatment for a patient who exceeds the threshold. Hereinafter, the threshold value in the second embodiment is referred to as a “normal threshold value”. The emergency threshold is set as a value exceeding the normal threshold. Here, the value exceeding the threshold means a value lower than that when the threshold is the lower limit, and a value higher than that when the threshold is the upper limit. This emergency threshold corresponds to the “emergency threshold” in the present invention.

  Also in this modification, the biological information acquisition unit 113 acquires biological information of the patient P, and the change measurement unit 112 measures the state of the biological information of the patient P.

  The abnormality notification unit 111 compares the measurement value input from the change measurement unit 112 with the normal threshold value and the emergency threshold value. When the measured value exceeds the normal threshold and does not exceed the emergency threshold, the abnormality notification unit 111 outputs the physical information to the patient identification unit 101 and the living body as described in the second embodiment. The identification information of the information acquisition unit 113 is output. In this case, the display of a list of doctors who can perform subsequent medical examinations of the patient P is the same as in the first embodiment.

  Hereinafter, a case where the measured value exceeds the emergency threshold will be described. When the measured value exceeds the emergency threshold value, the abnormality notification unit 111 outputs an emergency notification to the patient identification unit 101 and the identification information of the biological information acquisition unit 113.

  The patient identification unit 101 refers to the patient information storage unit 102 based on the identification information of the biological information acquisition unit 113, acquires the identification information of the patient P, and outputs an emergency notification together with the identification information to the patient information acquisition unit 103. To do.

  The patient information acquisition unit 103 refers to the diagnosis information storage unit 104 based on the identification information of the patient P, acquires the medical record information of the patient P, and urgently together with the identification information of the attending physician of the patient P and the information of the department in charge of the patient P Is output to the notification unit 105.

  The notification unit 105 receives the input from the patient information acquisition unit 103, acquires the time when the input is received, and refers to the schedule table stored in the schedule storage unit 107 to determine the schedule of each doctor at that time. Acquires and acquires the doctor type of each doctor. And the notification part 105 calculates | requires the priority of the doctor who performs the medical examination of the patient P based on the acquired schedule and doctor classification. Then, the notification unit 105 receiving the emergency notification automatically refers to the information on each doctor's contact information stored in the schedule storage unit 107 and automatically notifies the doctor in descending order of priority. Send a consultation request. This notification is performed until the doctor accepts information on acceptance of the examination from the input unit 012 of the medical information terminal 010 to the notification unit 105. Then, this notification is performed for a doctor in advance (five times in the present modification), and if the doctor does not accept the consultation, the doctor with the next priority is given. The contact with the doctor with the highest priority is repeated after the doctor with the lowest priority. Further, in this embodiment, the notification is terminated by the input of the medical examination request from the medical information terminal 010, but this input method may be other methods, for example, the doctor contacts the nurse station to accept the medical examination, The nurse who has received the communication may input the acceptance of the diagnosis using the input unit 110.

  Next, the flow of determination of a doctor who makes a medical examination request using the medical information management apparatus 100 according to this modification and the flow of notification to the doctor will be described with reference to FIG. FIG. 6 is a flowchart showing a flow of determination of a doctor who makes a medical examination request using the medical information management apparatus 100 according to this modification and notification to the doctor. The flowchart in FIG. 6 is described in the case of the medical information management apparatus configured to use both the input device 001 and the abnormality notification unit 111 as input of the body information. Further, in the flowchart of FIG. 6, generation of the doctor list is the same as the generation method in the first embodiment, and is therefore omitted from step S107 and step S112.

  Step S101: The biological information acquisition unit 113 acquires biological information such as an electrocardiogram and a pulse of the patient P, and outputs the biological information to the change measurement unit 112.

  Step S102: The change measurement unit 112 measures the state of biological information such as heart rate measurement and pulse rate measurement. The change measurement unit 112 outputs the measurement value to the abnormality notification unit 111.

  Step S103: The abnormality notification unit 111 compares the normal threshold value stored in advance with the measurement value input from the change measurement unit 112, and whether the measurement value exceeds the threshold value (in this case, “exceeds”). Indicates that it is above the upper threshold or below the lower threshold). If the measured value exceeds the threshold value, the process proceeds to step S105. If the measured value does not exceed the threshold value, steps S101 to S103 are repeated.

  Step S104: The abnormality notification unit 111 determines whether the emergency threshold value stored in advance and the measured value input from the change measurement unit 112 exceed the emergency threshold value. If the measured value does not exceed the emergency threshold, the process proceeds to step S106. If the measured value exceeds the emergency threshold, the process proceeds to step S111.

  Step S <b> 105: The abnormality notification unit 111 inputs the condition information to the patient identification unit 101 and the identification information of the biological information acquisition unit 113.

  Step S106: The patient P inputs the condition information using the input device 001 and the identification information of the input device 001.

  Step S107: Based on the identification information of the biometric information acquisition unit 113 or the identification information of the input device 001, a doctor who can examine the patient P by the patient identification unit 101, the patient information acquisition unit 103, and the notification unit 105 The priority order for requesting the patient P to be examined is determined.

  Step S108: The display control unit 106 causes the display unit 109 and the portable terminal 002 to display in order from the doctor with the highest priority that causes the patient P to be examined.

  Step S109: The operator determines whether or not a doctor's examination request for the patient P is necessary. If a medical examination request is required, the process proceeds to step S110. If a medical examination request is not required, the patient P is appropriately dealt with without contacting the doctor, and then the treatment for the patient P is terminated.

  Step S110: The operator refers to the display unit 109, determines the doctors who are to examine the patient P in order from the doctor with the highest priority, and contacts the doctor.

  Step S <b> 111: The abnormality notification unit 111 inputs an emergency notification to the patient identification unit 101 and identification information of the biological information acquisition unit 113.

  Step S112: Based on the identification information of the biometric information acquisition unit 113, a request is made for the patient P to be examined by a doctor who can examine the patient P by the patient identification unit 101, the patient information acquisition unit 103, and the notification unit 105. The priority to be determined is determined.

  Step S113: The notification unit 105 notifies the doctor of a medical examination request in descending order of priority.

[Third Embodiment]
A medical information management apparatus according to the third embodiment of the present invention will be described below. The medical information management apparatus according to the present embodiment gives a doctor who has received a medical examination request for a patient P an access right to the patient P's medical chart information so that the doctor can view the patient P's medical chart information. The configuration for managing rights is different from the first and second embodiments. Therefore, in the following description, management of access rights will be mainly described. The block diagram of the medical information management apparatus according to this embodiment is also represented by the block diagram shown in FIG. In the following description, functional units having the same reference numerals as those in the first embodiment are assumed to have the same functions unless otherwise specified.

  The medical information management apparatus 100 according to the present embodiment has a configuration in which an access right management unit 114 and a chart display control unit 115 are further provided in the medical information management apparatus according to the first embodiment or the second embodiment. . Furthermore, the medical information management apparatus 100 according to the present embodiment is connected to the medical information terminal 010 via the network 003 so that data can be transmitted and received. Further, in the following description, a list of doctors who can already see the patient P generated by the same method as the first embodiment or the second embodiment is displayed on the display unit 109. And

  The nurse refers to the list of doctors who can see the patient P displayed on the display unit 109, and determines a doctor who will perform the examination of the patient P. Then, the nurse contacts the determined doctor with a request for a medical examination of the patient P, and uses the input unit 110 to input the doctor's identification information for performing the medical examination of the patient P.

  The access right management unit 114 stores and manages the access right to the medical chart information of each patient stored in the examination information storage unit 104 of each doctor stored in the schedule storage unit 107. The access right management unit 114 receives input of identification information of a doctor who makes the patient P medical examination from the input unit 110. The access right management unit 114 gives the right of access to the chart information of the patient P to the doctor based on the input identification information of the doctor.

  The doctor who has received the medical examination request for the patient P uses the input unit 012 of the medical information terminal 010 to input a request for displaying the medical chart information of the patient P to the medical chart display control unit 115 of the medical information management apparatus 100. The input of this request includes the identification information of the doctor who has received the medical examination request of the patient P.

  The chart display control unit 115 receives a request to display the chart information of the patient P from the input unit 012, and accesses the access right management section 114 to manage the access right based on the identification information of the doctor who has received the examination request for the patient P. Referring to the section 114, it is confirmed whether or not the doctor has an access right to the medical record information of the patient P. If the doctor has access to the medical record information of the patient P, the medical record display control unit 115 acquires the medical record information from the examination information storage unit 104 and transmits the medical record information to the medical information terminal 010. Then, the chart information of the patient P is displayed on the display unit 011. If the doctor does not have access to the medical record information of the patient P, information that cannot be displayed is transmitted to the medical information terminal 010, and information that cannot be displayed is displayed on the display unit 011.

  As described above, the medical information management apparatus according to the present embodiment is configured to be able to give the right of access to the patient's medical record information to a doctor who performs a medical examination of the patient. As a result, only necessary doctors can be granted access to medical record information, and the security of the patient's personal information can be increased, and doctors who have been given access rights can quickly view medical record information. It is possible to improve the efficiency.

Block diagram of medical information management apparatus according to the present invention Illustration of an example of a schedule table in which the schedule of each doctor is described Illustration of an example of the department table in which each doctor's department is listed The figure of an example of the list of doctors giving priorities and notifying doctors who can respond to patient examinations according to the first embodiment The flowchart figure of the notification which attached the priority of the doctor made to respond | correspond to the medical examination in the medical information management apparatus which concerns on 1st Embodiment, and the contact to the doctor by an operator The flowchart figure showing the flow of the decision of the doctor who performs a medical examination request using the medical information management device concerning the modification of a 2nd embodiment, and the notice to the doctor

Explanation of symbols

001 input device 002 mobile terminal 003 network 010 medical information terminal 011 display unit 012 input unit 100 medical information management device 101 patient identification unit 102 patient information storage unit 103 patient information acquisition unit 104 diagnosis information storage unit 105 notification unit 106 display control unit 107 Schedule storage unit 108 User interface 109 Display unit 110 Input unit 111 Abnormality notification unit 112 Change measurement unit 113 Biometric information acquisition unit (electrocardiograph)
114 Access Right Management Unit 115 Medical Record Display Control Unit P Patient

Claims (8)

Patient information storage means for storing in advance identification information of a plurality of input devices for notifying patient condition information and patient identification information corresponding to the input devices;
Medical information storage means for storing in advance medical record information including at least a patient name corresponding to the identification information of the patient, identification information of an attending physician, and information on a department in charge of the patient;
A schedule storage means for storing a department in charge of a plurality of doctors and a schedule thereof;
A patient identification means for receiving the information on the change of the body and the identification information of the input device from the specific input device, searching the patient information storage means, and acquiring patient identification information corresponding to the input device; ,
Patient information acquisition means for searching the medical information storage means based on the patient identification information included in the medical chart information and acquiring the medical chart information of the patient;
Based on the information of the attending doctor and the department in charge, the schedule storage means is referred to, and based on the schedule of each doctor when receiving input from the specific input device and the information of the attending doctor and the attending doctor, each doctor A notification means for prioritizing a medical examination request for
A medical information management apparatus comprising:   The notification means prioritizes the examination requests in the order of schedules that are easy to deal with examinations when receiving an input from the specific input device, and in the order of the attending physician, the attending physician, and other doctors. The medical information management apparatus according to claim 1, wherein the medical information management apparatus is a medical information management apparatus. A display means,
The medical information management according to claim 1, wherein the notification unit includes a display control unit that causes the display unit to display a list of doctors that can be examined and to display priority levels in an identifiable manner. apparatus.   The medical information management apparatus according to claim 3, further comprising transmission means for transmitting the list of doctors to a portable terminal of a nurse. An access right management means for receiving an input of identification information of a doctor described in the list of doctors and setting an access right to the acquired patient chart information for the doctor;
In response to a request to display the acquired patient chart by the doctor who has received the identification information, chart display control means for displaying the patient chart on the display means,
The medical information management apparatus according to claim 3 or 4, further comprising: Threshold storage means for storing in advance a threshold for changes in patient biometric information;
Biometric information acquisition means for receiving biometric information from a patient;
Change measuring means for measuring changes in the acquired biological information;
Referring to the threshold value storage means based on the measurement value of the change in the biological information, and when the measurement value exceeds the threshold value, an abnormality notification means for inputting the identification information of the patient to the patient information acquisition means;
The medical information management apparatus according to any one of claims 1 to 5, further comprising: The threshold storage means further stores an emergency threshold that is an emergency threshold,
The abnormality notification means, when the measured value exceeds the emergency threshold, outputs information on occurrence of an emergency to the notification means,
The notification means receives an input of the information on the occurrence of the emergency, and performs an emergency notification to the doctor in descending order of priority.
The medical information management apparatus according to claim 6. A patient information storage step for storing identification information of a plurality of input devices for notifying patient condition information and patient identification information corresponding to the input devices;
A medical information storage step for storing medical record information including at least a patient name corresponding to the identification information of the patient, identification information of an attending physician, and information of a department in charge of the patient;
A schedule storage stage for storing in advance departments and schedules of a plurality of doctors;
The patient information stored in the patient information storage step is retrieved in response to the input of the condition change information and the identification information of the input device from the specific input device, and the patient identification information corresponding to the input device is obtained. A patient identification stage to be acquired;
Searching the medical information stored in the medical information storage stage based on the identification information of the patient, and acquiring the patient information of the patient,
Based on the information of the attending doctor and the department in charge, the schedule storage means is referred to, and based on the schedule of each doctor when receiving input from the specific input device and the information of the attending doctor and the attending doctor, each doctor A notification stage for prioritizing and requesting consultation requests for
A medical information management method characterized by comprising:

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