JP2013069255A - Medical information connection control system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To significantly improve workability of medical staff in respective divisions and convenience of patients by promoting linkage among respective division systems in information processing and information transmission, and acquiring, storing and transmitting status information of patients in the respective divisions.SOLUTION: A middleware system is interposed between an ordering system and respective division systems that are present individually and independently. Namely, the middleware system is connected to the respective division systems and also connected to the ordering system. The middleware system functions to relay medical information items of the respective division systems and to transmit them to the ordering system. The middleware system also functions to relay communication connection among the respective division systems and allows a certain division system to acquire information of another division system.

Description

  The present invention is an intermediary between an ordering system that collectively manages electronic information processed by computers of each department and a department system of each department in a medical institution such as a hospital, and Healthcare that can greatly improve the workability and patient convenience of medical staff in each department by promoting the cooperation of information processing and information transmission in the department, and acquiring, storing and transmitting patient status information in each department The present invention relates to an information connection control system.

  Medical institutions such as hospitals are equipped with systems such as medical systems, ordering systems, and electronic medical record systems, and various types of data in the hospital are processed and managed as electronic information, thereby facilitating medical operations in the hospital. It improves the workability and work efficiency of medical staff and contributes to patient convenience and safety.

  The medical system consists of window work for patient registration, outpatient accounting, disease name registration, storage processing, etc., hospitalization work for entrance / exit, reception work for receipt-related work, statistical work, and patient-specific management work. It is a system that performs work related to medical office work.

  The ordering system is a system that supports orders such as instructions and orders properly. When a health care worker such as a hospital inputs an order for examination, medication, injection, etc., the contents are electronically related to the relevant department. The process from medical examination to drug prescription and medical accounting is performed quickly and accurately. These consist of a collection of independent systems for each department. Specifically, this is a collection of departmental systems that perform data processing for each department such as radiology, clinical laboratory, physiological examination, and pharmacy. is there. In recent years, dozens of systems have been put into practical use for each of these departmental systems, and they tend to increase as they are further subdivided.

  The electronic medical record system is a system for electronically storing and updating medical information such as medical records in place of a conventional paper medical record. Medical staff use this electronic medical record system to order prescriptions and examinations, and to describe medical records. Medical staff, nurses, laboratory technicians, pharmacists, physical therapies and medical staff It is shared and can provide consistent medical care as a team.

  Among these systems, the ordering system performs the core function, and communicates data with the medical system and electronic medical record system. Medical departments are related through the electronic medical record system (clinical department). When an instruction is issued (order), the corresponding medical department performs a medical practice based on the instructed content. For example, in the radiological examination department, when there is an instruction from a medical worker through an electronic medical record system and an ordering system for a radiological examination such as MRI or CT for a certain patient, this examination instruction information is output to the system of the radiological examination department, This is confirmed by an on-site radiology technician on the computer screen, and MRI and CT examinations of the corresponding patient are performed by operating MRI and CT equipment. Results after the examination (image data and the like) are stored and registered in the database of the electronic medical record system and the database of the radiation department information system (RIS).

  By the way, each department system is independent. The conventional ordering system is connected so as to be able to communicate with the systems of each department individually, and the ordering system itself can communicate with the systems of all departments individually. However, the systems in each department are not connected so that they can communicate with each other, and when you want to know the information of other departments, each department system makes an inquiry to the ordering system individually. Only when the provided information includes inquiry information, this information is provided to the inquiring department.

Thus, in the conventional medical information system, since each department is not connected, when a patient has to perform a plurality of examinations such as MRI examination and CT examination, blood examination, and urine examination, The ordering system issues individual inspection instructions to the relevant department system, but it is often inconvenient because it is up to the patient's will to start from which inspection and in what order. It was. Even if the medical staff instructs the order of examination, if some examination departments are crowded and waiting time is long, and patients remain in the department for a long time, the medical staff in other departments I didn't understand and I was confused. If the patient itself can make a vacant examination first, the waiting time will be less and the burden will be reduced, but in order to realize such an operation, we can only expect an operation with the help of experienced staff There wasn't.
In other words, the ordering system itself has not been provided with information regarding the status of these patients in each department, and there has been a reality that even if there is an inquiry from another department, it cannot be answered.

  As a conventional technique for solving such a problem, there is one disclosed in Patent Document 1. In the technique of Patent Document 1, an inspection guidance system for displaying inspection information scheduled at a lower level of the ordering system is provided separately (exclusively). Therefore, in some departments, by making an inquiry to this display system, the progress of the examination of the patient in other departments, for example, in which examination department the patient is currently in and in the middle of what examination is being conducted. It is possible to know the status of whether there is a waiting time of 5 minutes, or that the reception has been completed. For this reason, in a congested examination department, even if the patient comes, other examination departments are available, so it is possible to give advice, such as it is better to have another examination department in advance. It is possible to carry out reduction and efficient medical services.

JP 2003-196388 A

  However, even with the technique shown in Patent Document 1, the information that the examination guidance system can know is only information related to the patient input from the system of each department to the ordering system. Each department system only provides information such as completion of acceptance, completion of examination, etc. to the ordering system. Calling, absence of patient, patient verification, examination, completion of examination, order, provisional acceptance, temporary hold, findings It was difficult to obtain detailed patient status information such as waiting.

  Also, there is no reason to know about information related to devices connected to the lower level of each departmental system that is not provided to the ordering system. Other information about label issuance, label issuance, error processing, inspection, completion of inspection, etc. The department could not grasp at all.

  Furthermore, since the technique of the inspection guidance system of Patent Document 1 is connected to a lower level with respect to the ordering system, there is a problem that all functions cannot be operated when the ordering system stops functioning. The reason is that each department system is often manufactured by a different manufacturer, and the interface in that case is adopted by each manufacturer, and the interface of each department system cannot be unified. Is attributed.

  The present invention has been improved and removed in view of the above-described problems, and promotes cooperation between information processing and information transmission between departmental systems, and acquires and stores patient status information in each department・ It is intended to provide a medical information connection control system that can improve the workability of medical staff and the convenience of patients in each department.

  The means of claim 1 adopted by the present invention in order to solve the above problem is that in a medical information system in which a system that functions independently in each department of a medical institution is individually connected to an ordering system, each department The middleware system is interposed between the system and the ordering system to connect each department system and the middleware system, and the middleware system and the ordering system are connected to each other, and medical information can be exchanged between the departments through the middleware system. The medical information connection control system is characterized in that it is configured as described above.

  The means of claim 2 adopted by the present invention is the medical information connection control system according to claim 1, wherein the middleware system includes a database for storing medical information.

  According to the third aspect of the present invention, each department system connected to the middleware system includes at least a radiation examination department information system, a physiological examination department information system, and a blood collection examination department information system. The medical information connection control system according to claim 1, wherein the medical information connection control system is a medical information connection control system.

  In the invention of claim 1, in each department such as a radiological examination department, a clinical examination department, a physiological examination department, and a blood examination department of a medical institution, a radiation examination system, a clinical examination system, a physiological examination system, a blood examination system Etc. are functioning independently within each department. Each of these systems is connected to the ordering system, and performs each function according to an instruction from the ordering system.

  According to the first aspect of the present invention, a middleware system is interposed between the ordering system and each department system that exists independently. That is, the middleware system is connected to each department system and on the other hand is connected to the ordering system. This middleware system functions to relay medical information of each department system and transmit it to the ordering system. The middleware system also functions to relay communication connections between departmental systems, and can acquire information on other departmental systems from a certain departmental system.

For example, to know in detail about the status of the patient on the day of the blood collection room in the blood test department (whether there is an order with blood collection, waiting for blood collection, during blood collection, blood collection completed, etc.) and how long the patient has waited Similarly, the blood collection room side of the blood test department also knows the status (existence of menstruation order, waiting for menstruation, during examination, completion of examination) and the time concerning the patient on the day of the physiological examination in the other department of the physiological examination department can do.
Thus, according to the invention of claim 1, a certain department can know the status information of the patient's day in another department, and it is possible to efficiently carry out medical practice and respond in the hospital with less burden on the patient. .

  In the invention of claim 2, the middleware system includes a database for storing medical information. Therefore, through this database, a department can obtain information on other departments, for example, information on specimen tests in the blood test department of the patient, information on the presence of pathological tests, bacteriological tests, and physiological tests in the physiological examination department, and radiation examination department. The information regarding the image data and the history thereof can be confirmed.

  In the invention of claim 3, each department system connected to the middleware system includes at least a radiation examination department information system, a physiological examination department information system, and a blood collection examination department information system. Therefore, in the present invention, it is possible to acquire information about at least these three departments.

It is a block diagram which shows the whole medical information connection control system which concerns on 1st embodiment of this invention. It is drawing which shows the example of the screen which shows the patient information of the medical information connection control system which concerns on 1st embodiment of this invention.

  The configuration of the present invention will be described below based on one embodiment shown in FIGS. 1 and 2. FIG. 1 is a block diagram showing the entire medical information connection control system, and FIG. 2 is a drawing showing an example of a screen showing patient information of the medical information connection control system. As shown in FIG. 1, the medical information connection system of this embodiment is composed of department systems indicated by reference numerals 1 to 10, an ordering system 11, and a middleware system 12 disposed between them. The department systems 1 to 10 are connected to the middleware system 12, and the middleware system 12 is connected to the authoring system 11.

In this embodiment, each department system includes a revisit reception system 1, an outpatient examination waiting system 2, a barcode system 3, a blood collection support system 4, a sample inspection system 5, a physiological inspection system 6, a pathological inspection system 7, and a bacterial inspection system. 8, a blood transfusion inspection system 9 and a radiation inspection system 10.
The middleware system 12 includes a database 14 relating to medical information of each department and a database 15 relating to a status relating to the current status of the patient.
The ordering system 11 is also connected to a medical system 16 and an electronic medical record system 17, and these systems 11, 16, and 17 constitute a hospital information management system (HIS).

  Next, an operation mode of the medical information connection control system configured as described above will be described. First, the patient inserts an examination ticket into the card reader unit of the automatic reception machine in the re-entry reception system 1 to read patient information and performs automatic reception. In the case of the first visit, it is only necessary to have the medical system 16 issue an examination ticket, go to the department where the examination is desired, and receive a doctor's examination. When there is an examination after the examination, the flow is the same as the flow after the re-acceptance reception.

  When the reception with the examination ticket is completed, a reception slip is issued. This reception slip is printed with the reception date, patient ID, medical subject, reception number, patient call number, examination scheduled today, guidance on the examination location, and necessary barcode information. When the reception at the revisit machine is completed, necessary information such as the patient's name, status, reception time, examination category, examination items, etc. is displayed on the display screen of the personal computer terminal of the department where the patient is scheduled to be examined. When the reception is completed, the items related to the patient are displayed with a green marking, for example. Display items can be arbitrarily set for each audit room. When the patient enters the examination stage, it is displayed in blue, during examination, it is displayed in yellow, and when the examination is completed, it is displayed in gray, and it is color-coded according to the patient's status, so that the patient's status can be understood only by color. Yes.

  By the way, in the case of a patient who has been given multiple examination instructions, if the examination room arrives at one examination room and the examination room is very crowded and there is considerable waiting time, another examination will be performed. If the reception status and progress of the room are known, if other tests can be performed first and then the tests can be performed, the hospital can perform medical work efficiently, and the waiting time for patients will be reduced. You can receive examinations and treatments with less burden.

  FIG. 2 shows an example of a screen for guiding a patient in each examination room and appropriately guiding the patient. As shown in the figure, for example, when the patient “Taro Yamada” is waiting for a call for an electrocardiogram in front of the examination room of the physiological examination system 6, in this examination room, Blood sampling test: accepted waiting time (15 minutes), physiological test: accepted waiting time (10 minutes), radiation examination: accepted (waiting time 20 minutes), etc. are displayed. Assume that a waiting time of 10 minutes has passed and a call is made in the physiology laboratory.

  In this physiological examination room, first, it is verified whether or not the called patient and the patient who has entered the examination room are the same person. In the verification, the barcode information of the receipt slip possessed by the patient is read by a barcode reader, and it is checked whether the called patient and the incoming patient are identical. If they match, the character of “collation” shown in FIG. 2 is surrounded by red circles (the drawing shows a state surrounded by red circles). In the physiological examination room, when the electrocardiogram examination is completed, when the information is inputted from the terminal of the physiological examination system 6, the information is registered in the database 15 of information on the current state of the middleware system 12. In a blood collection room or radiation examination room other than the physiological examination room, information from the database 15 is provided and displayed on the terminal, and a message indicating that the physiological examination is completed is displayed.

  On the other hand, since the waiting time between the other blood collection support system 4 and the radiation inspection system 10 is displayed in the physiological examination room, the blood collection examination is performed by going to the blood collection room of the blood collection support examination system 4 which is the smaller one. Giving the patient “Taro Yamada” advice that the person who received the treatment has less waiting time and is more efficient. “Taro Yamada” may then go to the blood collection laboratory. Then, it is sufficient to wait until a call is made in front of the blood collection laboratory. In the blood collection laboratory, when the order comes, call “Taro Yamada” and verify the identity by reading the barcode of the receipt slip held by “Taro Yamada” with the barcode reader, and they match. If necessary, collect blood. After the blood collection, the current waiting time of the patient displayed on the terminal screen of the examination room in the radiation examination system 10 which is the last examination may be transmitted.

By the way, the items of the current status (status) of the patient displayed on the terminal screen of each laboratory include: unaccepted, acceptance completed, during examination, blood collection completed (electrocardiogram completed or MRI completed, etc.) There is waiting time of the patient. Other than these items may be displayed, and the setting is arbitrary. The setting can also be set in each laboratory. In the blood collection laboratory, there are presence / absence of an order accompanying blood collection, waiting for blood collection, during blood collection, completion of blood collection, and the like.
Each laboratory accesses the database 14 of the middleware system 12 in addition to the status information related to the examination of the patient on the same day, the examination information in the other examination system related to the patient, the information of the doctor in charge, the examination schedule, and the like. Can be obtained.

  As departments that require horizontal cooperation through the middleware system 12, a radiation examination department information system, a physiological examination department information system, and a blood collection examination department information system can be considered particularly recently. This is because the inspection system order given by the doctor's examination / diagnosis can occupy most of the blood collection / radiography / physiological examination.

By the way, the middleware system 12 can exchange information between each department in addition to the transmission of these information between each department system and the ordering system 11, and furthermore, medical information in each department can be exchanged. It is also possible to store in the database 14. With such a configuration of the middleware system 12, even when the ordering system 11 stops functioning for some reason, necessary medical information is extracted from the database 14 of the middleware system 12 and the system is stopped before the system is stopped. It is possible to perform the inspection operation of the hospital without interrupting the contents ordered by the hospital.
In addition, in a laboratory of a certain department system, medical information of other department systems can also be confirmed through the database 14, and whether the patient accepts whether there is an examination order or whether there is a place to inspect each other. It is convenient in that it can be obtained from the system by using a telephone or on-site confirmation, which can be known only by operation by human hands, such as checking information such as whether it is waiting for inspection from an integrated system. .

  By providing the middleware system 12 in this way, each department system is constructed by a different manufacturer, and even if it has its own interface, each department can be linked laterally and exchange information between each department. Therefore, efficient operation can be performed in the entire hospital, and the burden on the patient can be reduced.

DESCRIPTION OF SYMBOLS 1 ... Receipt reception system 2 ... Outpatient examination waiting system 3 ... Barcode system 4 ... Blood collection support system 5 ... Sample inspection system 6 ... Physiological examination system 7 ... Pathological examination system 8 ... Bacteria examination system 9 ... Blood transfusion examination system 10 ... Radiation examination System 11 ... Ordering system 12 ... Middleware system 14 ... Medical information database 15 ... Current situation database

Claims (3)

  In a medical information system in which a system that functions independently in each department of a medical institution is individually connected to the ordering system, a middleware system is interposed between each department system and the ordering system, and each department system and middleware. A medical information connection control system characterized in that a middleware system and an ordering system are connected to each other, and medical information can be exchanged between departments through the middleware system.   The medical information connection control system according to claim 1, wherein the middleware system includes a database for storing medical information.   3. Each department system connected to the middleware system comprises at least a radiation department information system, a physiological department information system, and a blood collection department information system. Medical information connection control system described

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