JP2012053639A - Electronic medical chart device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide an electronic medical chart device in which, when outputting a prescription, its data can be uploaded to a server device for external reference to be available for reference by a patient.SOLUTION: An electronic medical chart device inputs and records medical examination information on a patient in a medical institution and outputs a prescription based on the recorded medical examination information. When outputting the prescription of the patient, the electronic medical chart device uploads prescription information on the prescription to an external server device so as to be available for reference and outputs a referential code required for referencing a dosage history on the server device composed of the uploaded prescription information.

Description

  The present invention relates to an electronic medical chart apparatus.

  Electronic medical record devices that record medical information of patients in medical institutions are becoming widespread. The electronic medical record device can output a history of medicines prescribed to the patient, so-called medication history (see Patent Document 1).

JP2007-328473

  Usually, the medication history is printed on paper and passed to the patient, but there is an increasing demand to refer to this on the WEB using a portable terminal or the like. Therefore, an object of the present application is to provide an electronic medical record apparatus that can upload the data to a server device for external reference when the prescription is output by the electronic medical record apparatus and can be used for patient reference.

  The present invention relates to an electronic medical record device that inputs and records patient medical information in a medical institution and outputs a prescription based on the recorded medical information, and outputs the prescription information of the prescription when the patient prescription is output to an external server device The above-mentioned problem is solved by outputting the reference code necessary for referring to the medication history on the server device including the uploaded prescription information.

  According to the present invention, since the prescription data is uploaded to the external reference server device in conjunction with the printing of the prescription by the electronic medical record device, the reference medication history can be easily and easily stored without any special effort. Will be able to build on top. The patient can refer to his / her medication history using a portable terminal or the like without any restrictions on time or place.

It is a block diagram which shows the structure of the electronic medical chart apparatus of embodiment. It is a figure which shows the record structure of the chemical | medical agent master file of embodiment. It is a figure which shows the record structure of the usage master file of embodiment. It is a figure which shows the record structure of the folder attribute file of embodiment. It is a figure which shows the example of a display of the master edit screen of embodiment. It is a figure which shows the example of a display of the user setting screen of embodiment. It is a figure which shows the example of a display of prescription etc. input screens of embodiment. It is a figure which shows the example of a display of prescription etc. input screens of embodiment. It is a figure which shows the example of a display of prescription etc. input screens of embodiment. It is a figure which shows the example of a display of the master edit screen of embodiment. It is a figure which shows the example of a display of the master edit screen of embodiment. It is a block diagram which shows the whole structure of the medication history reference system of embodiment.

  FIG. 12 is a block diagram showing an overall configuration of a medication history reference system according to an embodiment. Here, an electronic medical chart apparatus installed in a medical institution is connected to an external reference server apparatus via a communication network such as the Internet. Yes.

  FIG. 1 shows the configuration of the electronic medical chart apparatus. The electronic medical record device is equipped with a medical information file that records patient medical information for each patient, and records information related to the medical practice performed on the patient, and prescription information that is information on prescription drugs is also recorded. The

  In the figure, 1 is a control device having a CPU and a memory, 2 is a file device composed of auxiliary storage means such as a hard disk device, and 3 is an input device as data input means composed of a pointing device such as a keyboard and a mouse. Is a display device as an information display means constituted by an LCD or the like, and 5 is a printing device as a printing means constituted by an LBP or the like.

  The control device 1 has a function of receiving input from the input device 3, a function of controlling display on the display device 4, a function of controlling print output by the printing device 5, a function of controlling file input / output of the file device 2, and a device. It has a function to control the whole. The keyboard and pointing device function as selection input means in the following description.

  The electronic medical chart apparatus can use a general computer such as a personal computer as basic hardware. A program (not shown) having functions specific to the apparatus is installed in the file device 2 in advance, and the control apparatus 1 introduces and executes the program, so that functions specific to the apparatus can be achieved. Demonstrate.

  The file device 2 stores a medicine master file, a usage master file, a setting file, and a folder attribute file. The file device 2 has a directory structure having a hierarchical structure similar to a general personal computer, and has various files and directories necessary for operation, but the description thereof is omitted here.

  As shown in FIG. 2, the medicine master file includes a “medicine code” unique to each medicine, a “name (kanji)” representing the medicine in kana-kanji characters, a “phonetic” for search, and a “measurement unit”. And “insurance points” and “classification” per unit amount. In the following description, individual drug data may be referred to as a drug code.

  As shown in FIG. 3, the usage master file relates a “usage code” unique to each usage and “instructions” in which usage is recorded in text when using a medicine such as “after dinner / before going to bed”. It is a file to attach. In the following description, individual usage data may be referred to as a usage code.

  As shown in FIG. 4, the folder attribute file is a file that associates a folder name including information for specifying a folder with classification information that is an attribute assigned to the folder.

  The setting file is a file that records various setting information related to the operation of the electronic medical chart apparatus, and records whether or not to associate with the other when a usage or category is set in inputting a medicine.

  Next, the operation of the present apparatus will be described with reference to the screen display examples of FIGS.

  In this apparatus, in the initial state, all usage codes are registered in advance in the usage master file regardless of the category. Therefore, the medical institution that is the user extracts the usage code used in the medical institution and stores it in a folder divided into the respective categories.

  Therefore, first, as shown in FIG. 10, a folder for storing the usage code is created under the directory for the user. In this example, four folders are created in association with the categories of “internal use”, “free use”, “external use”, and “self-injection”, and the names of these folders are “internal use”, “overuse”, “external use”, And “self-injection” (indicated by reference numeral 91 in the figure). The folder name can be given in any way, but here it is given the same name as the category for easy understanding.

  Then, in order to set the attribute of the created folder, the user right-clicks the folder with the mouse. In response to this, the control device 1 displays a menu for specifying the usage category for the folder. This is shown in FIG. When the user designates one of the four categories of “internal use”, “free use”, “external use”, and “self-injection” displayed in the menu with a mouse click, the control device 1 displays the folder name of the folder. Are registered in the folder attribute file. The user similarly designates and registers the category attribute for the self-injection folder from the out-of-place clothes. At this time, since the category attribute of the folder can be set regardless of the name given to the folder, it is also optional to set the same category attribute for a plurality of folders.

  Next, the user activates a master editing job in order to store a usage code that matches the category attribute of the created folder in the folder. FIG. 5 is a display example of a master edit screen displayed and output on the display device 4 by the control device 1. On the left side of the screen, the user selects the required usage code from the usage codes displayed in a predetermined category, and copies it from the folder specified on the right side of the screen, that is, the internal folder created earlier to one of the self-injection folders. . In this device, the usage codes prepared in advance in the usage master file are stored in separate folders according to the readings of the “instructions”. And select the desired usage code and copy it. In the example shown in the figure, the four usage codes registered in the folder in the row are copied to the previously created messenger folder.

  The usage codes required in this way are stored together in a folder having each category attribute for each category. Thereby, for example, when the internal use folder is opened, only the usage codes corresponding to the internal use category are displayed in a list and can be selected. Therefore, compared to selecting a usage code from a usage master that includes all usage codes, a much smaller amount of usage codes, such as just the usage code for internal use or just the usage code for use, will be displayed in a list. .

  Next, an actual usage example for inputting and registering a medicine prescribed to a patient will be described. The procedure for inputting a drug prescription in this device is to first select a drug code and then select a usage code. At this time, control is performed according to the setting contents of association between usage and category registered in the setting file. The movement of the device 1 is different.

FIG. 6 is a user setting screen for performing various settings of the apparatus, which is displayed on the display apparatus 4 by the control apparatus 1. Here, “association between usage and category” can be set. Here, when “category → usage” is designated, the folder of usage codes to be displayed in a list is determined according to the category assigned to the medicine code. When “usage → category” is designated, all the usage codes are read from the usage master and displayed in a list regardless of the category of the medicine code. And the control part records the setting content of this setting screen in a setting file.

  Here, the operation when “category → usage” is set will be described with reference to the prescription input screen illustrated in FIG. The user first selects a drug code on the prescription input screen. In the example shown in the figure, “PL granule” is selected and input, and a category of internal use is given to this medicine and is displayed in the category input field 72. Here, when the user clicks the usage input field 71 in the lower right of the screen to input the usage, the control unit sets the association between the usage and the category as “category → usage”. Try to list only the corresponding usage codes. Therefore, the folder attribute file is referred to search for a folder with the internal attribute classification attribute. Since this is the case for the internal use folder in this example, the usage code is read from the internal use folder and displayed in a list below the usage input field as shown in the figure.

  Only the usage codes for the internal use classification are stored in advance in the internal use folder by the user. Accordingly, only the usage codes for internal use are displayed in a list with respect to the drug code “PL granule” of the internal use category. The list may need to be scrolled due to the limitation of the screen size, but it can be selected from a much smaller amount than when selecting from all usage codes regardless of the category. In addition, since the usage codes for the sections other than the internal use are basically not mixed, the user may select the usage code without worrying about the difference in the sections.

  Then, in response to the user pressing the OK button to instruct registration, the control device 1 reads the PL granule drug code, the usage code, the classification information, the quantity / count information, and the screen displayed. The insurance score information is registered in the medical information file as patient prescription information.

  Next, the operation when the association between the usage and the category is set to “Usage → Division” in the setting file will be described with reference to FIGS. The user first selects a drug code on the prescription input screen. In the example shown in the figure, “Solantal Tablets” is selected and input, and since this medicine is given a category of internal use, the control unit displays “internal use” in the category input field 72. When the user clicks on the usage input field 71 at the lower right of the screen to input the usage, the setting of the usage and category association is “Usage → Category”, so that the control unit is independent of the inputted medicine category. Try to list all usage codes.

  Therefore, the control unit reads the usage code from the usage master file and displays it in a list below the usage input field 71. The user searches for and selects and inputs a desired usage code by scrolling the list. Here, the usage code of “taken when headache” is selected. In response to this, the control unit displays the selected usage of “taken at headache” in the usage input field 71 and displays the category of the usage code in the category input field 72. In other words, in this case, the original classification “internal use” of the solantal tablet is changed to “unused”, which is the usage code classification for headache use (see FIG. 9). Then, in response to the user's registration instruction, the control device 1 sends the drug code of the solantal tablet, the usage code, the classification information, that is, the use, the quantity / number of times information, the insurance score information, and the patient prescription information. As a medical information file. Thus, the mode that preferentially uses the category of the usage code and adopts it as the category of the drug or prescription is the case where the setting of the association between the usage and the category is “Usage → Category”.

  Based on the prescription information registered in the medical information file, a prescription for instructing the dispensing pharmacy (pharmacist) can be printed out using the printing apparatus. For medical institutions that do not have a dispensing pharmacy in the hospital, issue an out-of-hospital prescription for an out-of-hospital pharmacy. Since this is printed on paper and handed to the patient, the patient is brought to an appropriate dispensing pharmacy outside the hospital and the medicine is prepared and handed to the patient.

  When the electronic medical record device issues a prescription, the prescription information is simultaneously uploaded to the server device. At that time, a reference code necessary for the user to refer to the medication history (prescription information) is also uploaded. In the present embodiment, the reference code includes patient identification data and a password related to the prescription, and for example, a patient number in a medical institution is used as the identification data. Note that the reference code may continue to use the initially set value thereafter, but in this embodiment, each time a prescription is issued, a new password is generated and the reference code is generated and updated. I have to. The generated reference code is printed on paper like the prescription and handed to the patient. At this time, the URL information of the server device may be output as a two-dimensional code.

  The server device registers the uploaded prescription information in the internal prescription information database for each medical institution and patient. Since prescription information is registered in order of date for each patient, it constitutes a medication history. The medication history is based on the fact that all prescription information is included, but the capacity may be limited to the latest one year or the latest 10 prescriptions depending on the capacity of the database.

  Therefore, the user accesses the server device using a portable terminal or the like, and requests to refer to the medication history.

  The server device downloads (displays) a screen that prompts the user to input a reference code when a medication history reference request is received via the communication network. When the reference code is input by the user, the server device confirms whether or not the user is a legitimate user having a reference authority based on the entered reference code. The medication history for which a reference request has been made is downloaded to the terminal device of the user. As a result, the user can refer to the medication history without being restricted by place or time, and the convenience for the user is enhanced.

  In the above embodiment, when the electronic medical record device issues a prescription, it is described as an example of printing it. However, the present invention is not limited to this, and electronic data of the prescription can be directly transmitted or transmitted to the terminal of the dispensing pharmacy. In such a case, the prescription information may be transmitted to the server device in accordance with the power transmission output or the transmission output.

1 Control device 2 File device 3 Input device 4 Display device

Claims (4)

In an electronic medical chart device that inputs and records patient medical information at a medical institution and outputs a prescription based on the recorded medical information,
When outputting a patient's prescription, the prescription information of the prescription is uploaded to an external server device so that it can be referred to, and a reference code necessary for referring to the medication history on the server device consisting of the uploaded prescription information is output An electronic medical chart device characterized by: 2. The electronic medical chart apparatus according to claim 1, wherein the reference code includes patient identification data and a password related to the prescription. The electronic medical chart apparatus according to claim 1, wherein the reference code is generated every time the prescription is output. The electronic medical chart apparatus according to claim 1, wherein the prescription is printed out on paper.