JP2011022731A5

JP2011022731A5 -

Info

Publication number: JP2011022731A5
Application number: JP2009166195A
Authority: JP
Filing date: 2009-07-14
Publication date: 2012-08-16
Anticipated expiration: 2029-07-14

Description

この発明の電子カルテ端末装置は、患者ＩＤ毎に情報を記憶するデータベースを有するサーバ装置と、このサーバ装置に通信回線を介して接続された状態において前記サーバ装置との間でデータを送受信可能な端末装置と、を有し、前記端末装置は、診療録を記憶できる領域を備える記憶装置を備えるとともに、通信回線状態を判断し、その判断結果に応じて、前記端末装置の記憶装置との間でデータのアクセスを可能とする入力装置から診療録の入力を行う院外での院外動作モードと、前記サーバ装置との間で通信回線を介してデータのアクセスを可能とする院内での院内動作モードのいずれかに設定する電子カルテ端末装置であって、前記端末装置は、前記通信回線との接続を行うネットワーク処理部と、記憶装置と、入力装置と、表示装置と、これらの動作を制御する制御部とを有し、院外動作モード時に前記記憶部にユーザが希望する患者ＩＤが仮登録されおり、前記制御部は、院内動作モード時に仮登録された患者ＩＤとサーバ装置内に既に格納されている患者ＩＤとの間で重複するか否かを判断し、仮登録された患者ＩＤが重複しない場合には仮登録された患者ＩＤを院内環境における患者ＩＤとしてサーバ装置内のデータベースに格納することを特徴とする。
また、前記端末装置の制御部は、端末動作中ネットワーク処理部の状態から通信回線状態を判断し、その判断結果に応じて、前記端末装置の記憶装置又は前記サーバ装置のどちらか一方にアクセス可能に制御するように構成すればよい。
また、前記端末装置の制御部は、通信回線が接続されていると判断したときは前記サーバ装置との間でデータを送受信可能なようにアクセス先を制御して院内動作モードに設定し、通信回線が遮断されていると判断したときには前記端末装置の記憶装置との間でデータの送受信可能なようにアクセス先を制御して院外動作モードに設定するように構成すればよい。 Electronic medical record terminal apparatus of the present invention, which can transmit and receive data between a server device having a database for storing information for each patient ID, and the server device in a state of being connected via a communication line to the server device A terminal device, the terminal device including a storage device having an area capable of storing a medical record, determining a communication line state, and depending on the determination result, the terminal device is connected to the storage device of the terminal device. An out-of-hospital operation mode for inputting medical records from an input device that enables data access in the hospital, and an in-hospital operation mode for enabling data access between the server device and the server device via a communication line the electronic medical record terminal apparatus set to any of, the terminal device includes a network processing unit that performs connection to the communication line, and storage peripherals, input devices, display Patients have a location, and a control unit for controlling operations, patient ID desired by the user in the storage unit in the hospital operation mode has been temporarily registered, the control unit, which is temporarily registered in the hospital operation mode determines whether or not to overlap with the patient ID that is already stored in the ID and the server device, the patient a patient ID that is temporarily registered in the hospital environment when provisionally registered patient ID does not overlap ID It is characterized by being stored in a database in the server device.
Further, the control unit of the terminal device can determine the communication line state from the state of the network processing unit during operation of the terminal, and can access either the storage device of the terminal device or the server device according to the determination result What is necessary is just to comprise so that it may control.
In addition, when the control unit of the terminal device determines that a communication line is connected, it controls the access destination so that data can be transmitted to and received from the server device, and sets the hospital operation mode. When it is determined that the line is cut off, the access destination may be controlled and set to the out-of-hospital operation mode so that data can be transmitted / received to / from the storage device of the terminal device.

また、この発明は、患者ＩＤ毎に情報を記録した診療録を保存するデータベースを有するサーバ装置と、このサーバ装置に通信回線を介して接続された状態において前記サーバ装置との間でデータを送受信可能な端末装置とを有し、前記端末装置は、診療録を記憶できる領域を備える記憶装置を備えるとともに、通信回線状態を判断し、その判断結果に応じて、前記端末装置の記憶装置との間でデータのアクセスを可能とする入力装置から診療録の入力を行う院外での院外動作モードと、前記サーバ装置との間で通信回線を介してデータのアクセスを可能とする院内での院内動作モードのいずれかに設定する電子カルテ端末装置であって、前記端末装置は、前記通信回線との接続を行うネットワーク処理部と、記憶装置と、入力装置と、表示装置と、これらの動作を制御する制御部とを有し、前記制御部は、院外動作モード時に前記記憶部に格納した診療録を格納するデータベースに更新したデータがあるか否か判断し、更新データがある場合にサーバ装置内に既に格納されている診療録と重複するか否かを判断し、重複する診療録がある場合、前記表示装置に重複するサーバ装置に格納された診療録と記憶装置に格納された診療録を表示し、どちらか一方の診療録を選択可能にし、選択された診療録を院内モード時の診療録として前記サーバ装置のデータベースに格納することを特徴とする。 Further, the present invention includes a transmitting and receiving a server device having a database that stores medical records which records information for each patient ID, and data to and from the server apparatus in a state of being connected via a communication line to the server device A terminal device capable of storing a medical record, and determining a communication line state, and according to the determination result, the terminal device is connected to the storage device of the terminal device. Out-of-hospital operation mode in which medical records are input from an input device that enables data access between the hospital and in-hospital operation that enables data access to the server device via a communication line the electronic medical record terminal apparatus set to any mode, the terminal device includes a network processing unit that performs connection to the communication line, and storage peripherals, input devices, display And a control unit that controls these operations, the control unit determines whether there is updated data in the database that stores the medical record stored in the storage unit in the out-of-hospital operation mode, and updates When there is data, it is determined whether or not the medical record already stored in the server device is duplicated. If there is a duplicate medical record, the medical record and the memory stored in the server device are duplicated in the display device. The medical record stored in the apparatus is displayed, and one of the medical records can be selected, and the selected medical record is stored in the database of the server device as a medical record in the hospital mode.

ユーザが院外端末モードで使用しようとして、院外端末用のＩＤを入力してエラーが何度も発生する場合には、ユーザは、ＩＤの間違いかＬＡＮケーブルが接続されたままの状態かが認識できる。このため、ユーザはＬＡＮケーブルの接続状態を見て院外端末モードとして用いる予定にも関わらず、ＬＡＮケーブルが接続されている場合には、ＬＡＮケーブルを外すことにより、院外端末モードへの動作の起動に切り替えることができる。 As the user tries to use in hospital terminal mode, when the error by entering the ID for the hospital outside terminal also occurs repeatedly, the user can recognize whether the state where is inaccurate or LAN cable ID is connected it can. For this reason, when the user looks at the connection state of the LAN cable and plans to use it as the out-of-hospital terminal mode, when the LAN cable is connected, the operation is started to the out-of-hospital terminal mode by removing the LAN cable. You can switch to

Claims

Includes a server device having a database for storing information for each patient ID, and a transmission and reception terminal device capable of data to and from the server apparatus in a state of being connected via a communication line to the server apparatus, wherein The terminal device includes a storage device having an area capable of storing a medical record, determines a communication line state, and enables input of data with the storage device of the terminal device according to the determination result An electronic medical record terminal that is set to either an out-of-hospital operation mode in which medical records are input from the apparatus or an in-hospital operation mode in which data can be accessed between the server apparatus via a communication line A device,
The terminal device includes a network processing unit that performs connection to the communication line, the serial has a憶device, an input device, a display device, and a control unit for controlling operations, the storage in the hospital operation mode Whether or not the patient ID desired by the user is provisionally registered in the department, and the control part overlaps between the patient ID provisionally registered in the hospital operation mode and the patient ID already stored in the server device. determines, electronic medical record terminal device and storing, in a database in the server apparatus patient ID that is temporarily registered in the case of provisionally registered patient ID does not overlap the patient ID in the hospital environment.

The control unit of the terminal device determines the communication line state from the state of the network processing unit during terminal operation, and controls to allow access to either the storage device of the terminal device or the server device according to the determination result The electronic medical chart terminal device according to claim 1, wherein:

When it is determined that a communication line is connected, the control unit of the terminal device controls the access destination so that data can be transmitted to and received from the server device, and sets the hospital operation mode. 3. The method according to claim 1, wherein the access destination is controlled and set to an out-of-hospital operation mode so that data can be transmitted to and received from the storage device of the terminal device when it is determined that the terminal device is blocked. The electronic medical chart terminal device as described.

A control section of the terminal device, when the temporary registered patient ID overlap, wherein the patient ID that is temporarily registered and storing, in a database of the patient ID and the replacement server not duplicate in hospital environments The electronic medical chart terminal device according to any one of claims 1 to 3 .

A server device having a database for storing a medical record in which information is recorded for each patient ID, and a terminal device capable of transmitting and receiving data to and from the server device in a state connected to the server device via a communication line The terminal device includes a storage device having an area capable of storing a medical record, determines a communication line state, and accesses data with the storage device of the terminal device according to the determination result. Set to either an out-of-hospital operation mode in which medical records are input from an enabled input device, or an in-hospital operation mode in which data can be accessed with the server device via a communication line Electronic medical record terminal device,
The terminal device includes a network processing unit that performs connection to the communication line, and storage peripherals, an input device, a display device, and a control unit for controlling operations, the control unit, hospital It is determined whether there is updated data in the database storing the medical record stored in the storage unit in the operation mode, and if there is updated data, whether the medical record already stored in the server device is duplicated If there is a duplicate medical record, the medical record stored in the duplicate server device and the medical record stored in the storage device are displayed on the display device, and one of the medical records can be selected, An electronic medical record terminal device that stores a selected medical record as a medical record in the hospital mode in a database of the server device.

The control unit of the terminal device determines the communication line state from the state of the network processing unit during terminal operation, and controls to allow access to either the storage device of the terminal device or the server device according to the determination result The electronic medical chart terminal device according to claim 5, wherein:

When it is determined that a communication line is connected, the control unit of the terminal device controls the access destination so that data can be transmitted to and received from the server device, and sets the hospital operation mode. The access destination is controlled so that data can be transmitted to and received from the storage device of the terminal device when it is determined that it is blocked, and the out-of-hospital operation mode is set. The electronic medical chart terminal device as described.

The electronic medical record terminal device according to any one of claims 5 to 7, wherein the control unit stores a duplicate medical record that has not been selected in the database of the server device as a past history.

Wherein, during the terminal operation, monitors the state of the communication line, according to claim 1 to claim communication state on the display device when it detects that the communication state has changed, characterized in that the display that have changed The electronic medical chart terminal device according to any one of 8 .