JP2018013846A - Hospital information system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a hospital information system capable of avoiding omission of confirmation of the contents of medical information by a medical professional.SOLUTION: A hospital information system 1A has: a storage part 152 for storing examination result information; a processing part 12a for adding electronic signature information indicating that the examination result information has been referred to the examination result information; and a display part 13 for displaying a list of the examination result information and the signature information. The display part 13 displays a sentence indicating that the examination result information has been confirmed, displays a signature to the examination result information in such a manner as to receive it. The processing part 12a adds the signature information to the examination result information only when receiving the signature to the examination result information.SELECTED DRAWING: Figure 2

Description

  Embodiments described herein relate generally to a hospital information system.

  A hospital information system (HIS) that digitizes various business processes in medical facilities is provided. The HIS is a system having various functions such as an ordering function for a doctor to give instructions to other medical staff, an electronic medical record creation function for recording medical information of a patient, and a medical appointment reservation function for receiving a patient to be examined.

  Compared with the case where medical information is managed and operated on paper media, a large amount of medical information can be handled by digitizing the hospital business process. On the other hand, medical information to be confirmed by medical personnel such as doctors increases, and the display method of medical information tends to be complicated. In order for a medical worker to display medical information on a display terminal, a complicated operation of executing screen transition a plurality of times is involved. Thus, since the screen transition is complicated, for example, when there is a change in the medical information, it takes time to display the medical information on the display terminal, and the change may be overlooked.

  In view of this, the prior art discloses an information processing apparatus that determines the unread state of medical information and changes the display layout so that unread medical information is displayed preferentially. In this information processing apparatus, unread medical information is preferentially displayed, so that it is possible to prompt the medical staff to confirm unread medical information.

JP 2007-316872 A

  The problem to be solved by the present invention is to provide a hospital information system that can avoid omission of confirmation of the contents of medical information by medical staff more reliably than in the prior art.

  A hospital information system according to an embodiment includes a storage unit that stores examination result information, and a processing unit that assigns electronic signature information indicating that the examination result information has been referred to to the examination result information. .

The conceptual block diagram which shows the structural example by which the hospital information system which concerns on 1st Embodiment is mounted as a part of system operated by the hospital. The functional block diagram which shows the function structural example of the hospital information system which concerns on 1st Embodiment. 6 is a flowchart illustrating an example of an operation for performing a reference signature on the inspection result information according to the first embodiment. The schematic diagram which shows the example of a display of the electronic medical record and order screen in 1st Embodiment. The schematic diagram which shows the example of a display of the test result information in 1st Embodiment. The schematic diagram which shows the example of a display of the reference signature screen in 1st Embodiment. The schematic diagram explaining the test result information and signature information in 1st Embodiment. The flowchart which shows another example of the operation | movement which displays the test result information in 1st Embodiment. The schematic diagram which shows the example of a display of the test result log | history in 1st Embodiment. The functional block diagram which shows the function structural example of the hospital information system which concerns on 2nd Embodiment. 9 is a flowchart illustrating an example of an operation for notifying unsigned inspection result information according to the second embodiment. The schematic diagram which shows the example of a display of the notification information that the unsigned test result information in 2nd Embodiment exists. The schematic diagram which shows the example of a display of the unsigned test result information list in 2nd Embodiment.

  Hereinafter, after focusing on the focus of the present inventors, specific embodiments will be described.

  The above-described conventional technology changes the display layout so that medical information in an unread state is preferentially confirmed based on an unread state or an already read state of medical information. This is a technology that prompts medical staff such as doctors to confirm unread medical information.

  The determination of the unread state or the read state in the prior art is automatically executed based on an access operation to an electronic file in which medical information is electronically recorded. The access operation to an electronic file is, for example, an operation of opening an electronic file in which medical information is recorded, placing a cursor such as a mouse on the medical information displayed on the display, or printing an electronic file in which medical information is recorded It is.

  That is, when an electronic file in which medical information is recorded is printed, it is determined that the medical information has been read based on the execution of printing. Further, when medical information is displayed on the display, it is determined that the medical information has been read based on the opening of the electronic file in which the medical information is recorded.

  In the prior art, when medical information is printed, it is determined as being read, and the priority of the medical information in the display layout is lowered. However, in the prior art, it is not possible to confirm whether or not the printed medical information is actually read by the medical staff.

  In addition, the medical worker may not be sufficiently confirmed by the medical worker because the medical worker has left the display terminal while checking the medical information. Even if the confirmation of the medical information is interrupted in this way, the medical information is determined to be read based on the opening of the electronic file in which the medical information is recorded. Information priority is lowered.

  As described above, in the conventional technology, as a result of determining the read state based only on the presence / absence of an access operation to the electronic file in which the medical information is recorded, a confirmation omission regarding the content of the medical information may occur.

  Therefore, the present inventors have devised a hospital information system configuration that allows medical staff to browse the contents of medical information with an electronic signature, sufficiently confirm the contents, and record what they understand. In the following description, checking the contents of medical information and understanding or grasping all the contents included in the medical information are defined as “reference”. In addition, a signature that a medical worker refers to medical information by electronic or electromagnetic means with respect to the medical information is defined as a “reference signature”.

  According to an epoch-making configuration conceived by the present inventors, a reference signature is configured only when a medical worker refers to medical information. Therefore, when the confirmation of the medical information is interrupted or when the content of the medical information is not sufficiently grasped, the reference signature is not given to the medical information. Therefore, it can be proved that the medical staff has referred to the medical information by the reference signature. In addition, since a reference signature is not given to unreferenced or insufficiently confirmed medical information, it is possible to prompt the medical staff to refer to the medical information without the reference signature. As a result, it is possible to reliably avoid omission of confirmation of the contents of the medical information by the medical staff, so that it is possible to expect a medical instruction for performing an appropriate treatment.

  Hereinafter, a hospital information system according to an embodiment of the present invention will be described with reference to the accompanying drawings. In addition, in each figure, the same code | symbol is attached | subjected to the same element and the overlapping description is abbreviate | omitted.

(First embodiment)
The first embodiment relates to a hospital information system that allows medical personnel to refer to and sign test result information.

(1) Configuration FIG. 1 is a conceptual configuration diagram illustrating a configuration example in which the hospital information system according to the first embodiment is mounted as a part of a system operated in a hospital. In FIG. 1, a hospital information system 1A, a radiology department system 2, a clinical examination department system 3, and other department systems 4 are illustrated as systems operated in a medical facility.

  In this specification, a system provided for each medical department such as a radiology department and a clinical laboratory department and interconnected with the hospital information system 1A is referred to as a “department system”. The radiology department system 2, clinical examination department system 3, and other department system 4 are examples of department systems.

  The hospital information system 1 </ b> A, the radiology department system 2, the clinical examination department system 3, and the other department system 4 are interconnected via an electronic network 18 so that they can communicate with each other.

  Here, the electronic network 18 means the entire information communication network using telecommunications technology. In addition to the hospital basic LAN, wireless / wired LAN, and Internet network, a telephone communication line network, an optical fiber communication network, a cable communication network, and Includes satellite communications network.

  As shown in FIG. 1, each communication interface (IF: interface) 16, communication IF 21, and communication IF 31 included in the hospital information system 1 A, the radiology department system 2, and the clinical examination department system 3 correspond to the network form. Implement various communication protocols. Similarly, the hospital information terminal 10a and the other department system 4 are connected to the electronic network by a communication IF (not shown).

  A hospital information system 1A in FIG. 1 is a system that electronically realizes medical-related business processes such as medical accounting, prescription reception, medical appointment reservation, electronic medical record, or ordering. It is a concept to include.

  As shown in FIG. 1, the hospital information system 1A includes a plurality of hospital information terminals 10a, a hospital information server 15, and a communication IF 16.

  The hospital information terminal 10a includes a storage circuit 11, a processing circuit 12a, a display 13, and an input circuit 14.

  The storage circuit 11 includes, for example, a semiconductor memory element such as a RAM (Random Access Memory) and a flash memory, a hard disk, an optical disk, and the like. The storage circuit 11 may be configured by a portable medium such as a USB (Universal Serial Bus) memory and a DVD (Digital Video Disk).

  The storage circuit 11 stores various programs executed by the processing circuit 12a (including an application system as well as an operating system), data necessary for executing the program, and image data. Further, the storage circuit 11 may store various commands for controlling the operating system and a GUI (Graphical User Interface) program that supports input from the input circuit 14.

  The processing circuit 12a is interconnected to each hardware component constituting the hospital information terminal 10a via a system bus 17 as a common signal transmission path.

  The processing circuit 12a may be configured by dedicated hardware, or may be configured to realize various functions described later by software processing by a built-in processor. Here, as an example, a case where the processing circuit 12a realizes various functions by software processing by a processor will be described.

  The processor in the above description is a dedicated or general-purpose CPU (Central Processing Unit), GPU (Graphics Processing Unit), application specific integrated circuit (ASIC), programmable logic device, and field programmable gate array. It means a circuit such as (FPGA: Field Programmable Gate Array). Examples of the programmable logic device include a simple programmable logic device (SPLD) and a complex programmable logic device (CPLD). The processing circuit 12a implements each function by reading and executing a program stored in the storage circuit 11 or a program directly incorporated in the processor of the processing circuit 12a.

  The processing circuit 12a may be configured by a single processor or a combination of a plurality of independent processors. In the latter case, a plurality of storage circuits respectively corresponding to the plurality of processors may be provided, and a program executed by each processor may be stored in a storage circuit corresponding to the processor. As another example, one storage circuit may be configured to collectively store programs corresponding to the functions of a plurality of processors.

  The display 13 is a display device such as a liquid crystal display panel, a plasma display panel, and an organic EL (Electro Luminescence) panel. The display 13 displays medical information such as electronic medical record information and examination result information according to the control of the processing circuit 12a.

  The input circuit 14 is a circuit that inputs signals from input devices such as a keyboard, a mouse, a joystick, and a trackball. Here, the input device itself is also included in the input circuit 14. When the input device is operated by the operator, the input circuit 14 generates an input signal corresponding to the operation and outputs the input signal to the processing circuit 12a.

  The hospital information terminal 10 a is interconnected to the hospital information server 15 via the electronic network 18. The medical information input from the hospital information terminal 10a is stored in the hospital information server 15, and the medical information stored in the hospital information server 15 is output to the hospital information terminal 10a.

  The hospital information server 15 is a server including a CPU, a processor, and a storage circuit (not shown). A server is a computer that provides its own functions and data to a client computer in a computer network, for example. In FIG. 1, the client computer is a hospital information terminal 10a.

  Moreover, although one hospital information server 15 is shown in FIG. 1, there may be a plurality of hospital information servers 15. A plurality of hospital information servers 15 may function as one virtual server. Furthermore, in the hospital information system 1A, the user of the hospital information terminal 10a may be configured to be able to connect to the hospital information server 15 without being aware of the physical server. In addition, the hospital information server 15 may exist in a geographically different place from the hospital information terminal 10a. Thus, the hospital information system 1A may be configured using a cloud system.

  The hospital information terminal 10a is equipped with an application corresponding to the above-described medical-related business process. The hospital information terminal 10a provides an electronic medical record function and an ordering function according to the type of installed application.

  For example, the electronic medical record function electronically records medical records generated by medical examinations of patients. The electronic medical record is created on the hospital information terminal 10a, and is stored in the hospital information server 15 for each patient as electronic medical record information. In the electronic medical record information, patient information such as the patient's name and medical information related to examinations and treatments performed on the patient are accumulated.

  In addition, when a doctor requests a medical worker other than the doctor to perform inspection or treatment, the doctor issues an order corresponding to the inspection or treatment on the hospital information terminal 10a. Order information corresponding to the issued order is stored in the hospital information server 15 and transmitted to the department system.

  As shown in FIG. 1, the radiology department system 2 includes a communication IF 21, a diagnostic report system 22, a radiology information system (RIS) 23, an image storage communication system (PACS: Picture Archiving and Communication Systems) 24, And a modality 25. The modalities 25 include medical image acquisition apparatuses such as an X-ray diagnostic apparatus, an X-ray CT apparatus (Computed Tomography Apparatus), and a magnetic resonance imaging apparatus (MRI). The elements constituting the radiology department system 2 are connected to each other via an electronic network 18 (not shown).

  The radiology department system 2 is a department in which a medical image of a patient is acquired by a radiologist. For example, when an order regarding acquisition of a medical image is issued in the hospital information terminal 10a, order information corresponding to the order is transmitted to the radiology department system 2. The RIS 23 of the radiology department system 2 that has received the order information instructs the modality 25 to acquire a medical image based on the order information. The medical image acquired by the modality 25 is stored in the PACS 24. Further, the diagnostic report system 22 creates a diagnostic report regarding the acquired medical image. The diagnostic report stores a key image that is an image used for diagnosis in the examination and findings observed in the key image.

  Thus, the diagnostic report created by the radiology department system 2 for the order issued by the hospital information terminal 10a is transmitted to the hospital information system 1A as examination result information and stored in the hospital information server 15.

  The clinical laboratory department system 3 shown in FIG. 1 includes a communication IF 31, a clinical laboratory information system (LIS) 32, and a test device 33. Each element constituting the clinical laboratory department system 3 is connected to each other via an electronic network 18 (not shown).

  The clinical examination department system 3 is a department in which a specimen examination in which a specimen such as blood and urine obtained from a patient is analyzed by a clinical laboratory technician and a physiological function examination for measuring a patient's brain wave and electrocardiogram are performed. As in the case of the radiology department system 2, when an order related to a clinical examination is issued in the hospital information terminal 10a, order information corresponding to the order is transmitted to the clinical examination department system 3. In the clinical examination department system 3, a specimen examination and a physiological function examination are performed by a clinical laboratory technician based on the order information. In some cases, the specimen test may be outsourced to an external testing organization. The clinical examination corresponding to the order information is managed in the LIS 32. The result of the clinical examination performed by the clinical examination department system 3 is transmitted to the hospital information system 1A as examination result information and stored in the hospital information server 15.

  The other department system 4 is, for example, a surgery department, a rehabilitation department, or a dialysis department. Similar to the radiology department system 2 and the clinical examination department system 3 described above, the examination result information such as the operation execution report and the rehabilitation execution report according to the order issued by the doctor in the hospital information terminal 10a in the other department system 4 as well. Is created.

  The test result information is an electronic file created in the department system for an order issued by the hospital information terminal 10a, and includes a diagnosis report, a sample test result, a surgical operation report, and the like. Thus, the examination result information created by the department system is transmitted to the hospital information system 1A and stored in the hospital information server 15.

  FIG. 2 is a functional block diagram showing a functional configuration example of the hospital information system 1A according to the first embodiment. As shown in FIG. 2, the hospital information system 1 </ b> A includes a hospital information terminal 10 a and a hospital information server 15, and is interconnected with a department system via an electronic network 18. In response to the order information transmitted from the hospital information terminal 10a of the hospital information system 1A, the department system generates test result information and transmits it to the hospital information server 15 of the hospital information system 1A.

  The hospital information server 15 of the hospital information system 1A in FIG. 2 includes an electronic medical record information storage circuit 151, an examination result information storage circuit 152, and a signature information storage circuit 153. The electronic medical record information storage circuit 151, the examination result information storage circuit 152, and the signature information storage circuit 153 may be configured as separate storage circuits, or one storage circuit is divided into a plurality of storage areas. May be configured.

  The electronic medical record information storage circuit 151 stores electronic medical record information. The electronic medical record information includes patient information, medical information regarding examinations and treatments performed on the patient, order information, and the like. The patient information includes the patient's name, age, date of birth, and gender for each patient identification number (ID). The order information includes, for each order, an order ID, an order code indicating the order type, or information on a department system that performs an inspection corresponding to the order. The medical information includes the patient's past history, treatment details, medication prescription history, and the like.

  The inspection result information storage circuit 152 stores inspection result information. The test result information is a diagnostic report or clinical test result created by the department system for the order information. The examination result information includes, for each examination, an examination ID, a patient ID to be examined, an order ID, an order type, an examination type, or the contents of the examination result. The inspection result information will be described in detail with reference to FIG.

  The signature information storage circuit 153 stores signature information. The signature information includes information related to a reference signature electronically executed by a medical staff such as a doctor who referred to the test result information. The signature information includes information for specifying the examination result information that is the target of the reference signature and information for specifying the medical worker who has made the reference signature. Further, the signature information may include the date and time when the reference signature was made. The signature information will be described in detail with reference to FIG.

  The processing circuit 12a of the hospital information terminal 10a executes a display function 121a and a signature function 122a. The display function 121a and the signature function 122a are functions realized when the processor of the processing circuit 12a executes a program stored in the storage circuit 11.

  The display function 121 a displays the electronic medical record information, examination result information, and signature information stored in the hospital information server 15 on the display 13. For example, the display function 121a displays a list of inspection result information and signature information. In addition, a reference signature screen on which a health care worker who is a user performs a reference signature is displayed. The display generated by the display function 121a will be described in detail with reference to FIGS. 4 to 6 and FIG.

  The signature function 122a generates signature information according to the execution of the reference signature by the user, and stores the signature information and the inspection result information in association with each other. The signature function 122a will be described in detail with reference to FIGS.

  2 shows an example in which the hospital information terminal 10a includes the display function 121a and the signature function 122a. However, the hospital information server 15 may be configured to include the display function 121a and the signature function 122a. That is, the program of the display function 121a and the signature function 122a stored in the storage circuit of the hospital information server 15 may be executed by the processing circuit of the hospital information server 15. As described above, the hospital information terminal 10a, which is a client computer, may be configured as a thin client that performs only necessary minimum operations such as display of electronic medical record information and a reference signature screen.

(2) Operation FIG. 3 is a flowchart illustrating an example of an operation of performing a reference signature on the inspection result information in the first embodiment. Hereinafter, the operation of the hospital information system 1A according to the first embodiment will be described according to the step numbers in the flowchart of FIG. 3 while referring to FIGS. 4 to 7 as appropriate.

  The processing in each step of the flowchart of FIG. 3 is realized by the processing circuit 12a calling and executing a predetermined program corresponding to the display function 121a and the signature function 122a from the storage circuit 11. Hereinafter, processing executed by the display function 121a and the signature function 122a realized by the processing circuit 12a will be described for each corresponding step.

  In step ST101, the user selects inspection result information to be referred to from the electronic medical record and the order screen.

  FIG. 4 is a schematic diagram illustrating a display example of an electronic medical record and an order screen according to the first embodiment. Hereinafter, the selection operation of the inspection result information in step ST101 will be described with reference to FIG.

  The electronic medical record and order screen D1 of FIG. 4 is displayed on the display 13 of the hospital information terminal 10a. Medical information such as electronic medical record information and order information for each patient is input from the electronic medical record and order screen D1, and the input medical information is displayed on the electronic medical record and order screen D1.

  For example, the electronic medical record and order input area E3 is displayed on the right side of the lower part of the electronic medical record and order screen D1. In the electronic medical record information, medical information such as a patient's chief complaint, treatment performed on the patient, or medicine prescribed to the patient is accumulated. These pieces of information are input from the electronic medical record and order input area E3. In addition, order information, which is information for a doctor to request a medical staff such as a laboratory technician, is also input from the electronic medical record and order input area E3.

  The hospital information system 1A is configured so that information such as treatment for a patient and medicine prescribed to the patient can be input in a text format or can be selectively input using a GUI such as a directory format or a pull-down menu. May be. As with the order information, the hospital information system 1A may be configured so that it can be input in a text format or can be selectively input.

  A patient information display area E1 is displayed in the upper part of the electronic medical record and order screen D1, and an order history display area E2 is displayed in the lower part.

  Patient information included in the electronic medical chart information is displayed in the patient information display area E1. FIG. 4 illustrates a case where the patient ID is “000123456”, the name is “patient Taro”, the age is “33 years old”, the gender is “male”, and the date of birth is “March 9, 1983”. .

  On the right side of the patient information display area E1, an examination result history button G11 for displaying an examination result history screen is displayed. The examination result history screen is a screen that displays a list of all examination result information created for orders issued in the past examination for the patient. The inspection result history screen will be described in detail later with reference to FIG.

  In the order history display area E2, order information issued in the latest examination for the patient under examination is displayed. In the order history display area E2, order information issued in the patient's examination is displayed. In the order history display area E2, the order type, the order date, and the like are displayed in the order of order issuance, for example, in the order from the newest order request date.

  In the example of FIG. 4, two pieces of order information are displayed in the order history display area E2. In the first order display area E22, there is exemplified a case in which the order type is CT simple imaging (chest) image inspection order and the inspection request date is February 18, 2016 14:22. Similarly, in the second order display area E23, a case is shown in which the order type is a blood test (liver) specimen test order and the test request date is February 18, 2016 14:21.

  Although the example of FIG. 4 shows an example in which two orders are displayed, past order information can also be displayed by scrolling the display area with the scroll bar G12 shown in the order history display area E2.

  Order information corresponding to the order shown in the order history display area E2 is transmitted from the hospital information system 1A to the department system, and the examination according to the order information is performed in the department system. The department system creates test result information corresponding to the order information and transmits it to the hospital information server 15 of the hospital information system 1A. The hospital information server 15 stores the test result information in the test result storage circuit 152.

  The display function 121a displays an inspection result button in the order display area when the inspection result information for the order information exists. As shown in FIG. 4, an inspection result button G13 is displayed in the order display area E22. Thus, when the examination result information corresponding to the image examination order of CT simple imaging (chest) exists in the hospital information server 15, the display function 121a displays the examination result button G13 at the lower right of the order display area E22. . The inspection result information created for the CT simple imaging (chest) image inspection order can be confirmed by pressing the inspection result button G13.

  On the other hand, no examination result button is displayed in the order display area E23 in FIG. In this case, it is indicated that the test result information corresponding to the specimen test order of the blood test (liver) does not exist in the hospital information server 15.

  This completes the description of the processing related to the selection of inspection result information in step ST101. Returning to FIG. 3, the description of the flowchart will be continued.

  In step ST103, the display function 121a displays an inspection result information screen on the display 13 based on the inspection result information selected by the user. Specifically, when the examination result button G13 in the order history display area E22 of FIG. 4 is pressed by the user, the display function 121a causes the display 13 to display an examination result information screen regarding CT simple imaging (chest) image examination. indicate.

  FIG. 5 is a schematic diagram illustrating a display example of the inspection result information in the first embodiment. The examination result information screen D2 shown in FIG. 5 is examination result information for an image examination order of CT simple imaging (chest). The examination result information screen D2 of FIG. 5 shows an example of examination result information on which a key image IM1 that is an image used for diagnosis and a finding R1 that is observed in the key image IM1 are displayed.

  A reference signature button G22 is shown in the upper right of the inspection result information screen D2 in FIG. The user can give a reference signature to the inspection result information by pressing the reference signature button after referring to the selected inspection result information.

  Returning to FIG. 3, the description of the flowchart will be continued.

  In step ST105, the user performs a reference signature on the referred inspection result information. Specifically, the user presses the reference signature button at the upper right of the inspection result information screen D2 shown in FIG.

  In step ST107, the display function 121a displays a reference signature screen.

  FIG. 6 is a schematic diagram illustrating a display example of a reference signature screen according to the first embodiment. Here, as an example, the screen of FIG. 4 described above is displayed in a state where the doctor A logs in to the hospital information terminal 10a, the test result button G13 is pressed, the screen of FIG. 5 is displayed, and the reference signature button G22 is displayed. It is assumed that it has been pressed. That is, since the reference signature screen in FIG. 6 is displayed in a state where the doctor A is logged in, the reference signature screen is displayed by the doctor A. When logging in, for example, the user authentication process is executed by inputting a user ID and a password. Further, FIG. 6 illustrates an example in which the doctor A makes a reference signature on the examination result information regarding the image examination of the CT simple imaging (chest) shown in FIG.

  In the upper part of the reference signature screen D3 in FIG. 6, a signature button G31 for canceling the reference signature and a cancel button G32 are displayed. When the cancel button G32 is pressed, the reference signature screen D3 is closed, and the display function 121a may be configured so that the inspection result information screen D2 of FIG.

  When the signature button G31 is pressed, signature information is added to the inspection result information. The display function 121a may be configured to determine whether or not the following two conditions are satisfied, and when all the conditions are satisfied, the signature button G31 can be pressed.

  The first condition is that the user agrees with reference to the inspection result information. As shown in FIG. 6, the reference signature screen D3 displays a word confirming that the inspection result information has been referred to. FIG. 6 shows an example in which a confirmation message M1 to the user for the reference signature is displayed under the sign button G31.

  In the example of FIG. 6, a confirmation message M <b> 1 is displayed as “The patient Taro's CT simple imaging (chest) examination result information was referenced at 10:59:59 on February 20, 2016”. The reference signature date and time “February 20, 2016 10:59:59” shown in the confirmation message M1 is the date and time when the reference signature button G22 is pressed on the inspection result information screen D2 in FIG. is there.

  FIG. 6 shows an example in which a check box G33 is displayed on the left side of the confirmation message M1. When the user agrees with the content of the confirmation message M1, the check box G33 is checked using an input device such as a mouse. For example, the first condition can be determined based on whether or not a check box G43 indicating that the user agrees with the confirmation message M1 is checked.

  The second condition is that the user who makes the reference signature is the person himself / herself. A user such as a doctor who uses the hospital information terminal 10a logs in to the hospital information terminal 10a through personal authentication and refers to the test result information. However, the hospital information terminal 10a may be left in a state where the test result information is displayed on the display 13 of the hospital information terminal 10a. In such a case, personal authentication for confirming that the user who makes the reference signature is the principal is made a condition so that only the user does not make the reference signature.

  FIG. 6 shows an example in which an input box 34 for inputting the password of the currently logged-in user (in this example, doctor A) is displayed on the reference signature screen D3 for personal authentication. In addition, the method of personal authentication is not limited to the aspect of FIG. For example, the personal authentication may be a combination of a user ID and a password that uniquely identify the user, or may be a method using biometric authentication such as a user's fingerprint, voiceprint, vein, or iris.

  When the above two conditions are satisfied, the display function 121a displays the signature button G31 so that it can be pressed. That is, when the above two conditions are satisfied, the display function 121a activates the signing button G31 or displays the signing button G31 on the reference signature screen D3. On the other hand, when at least one of the above two conditions is not satisfied, the display function 121a may display the signature button G31 in an inactive state or may not display the signature button G31 on the reference signature screen D3. .

  In the case of a reference signature, the display function 121a may be configured to display the comment input field G35 on the reference signature screen D3 so that the user can input a comment. For example, when another doctor other than the doctor in charge performs a diagnosis for a patient and the other doctor refers to the test result information, as shown in the comment input field G35 of FIG. You can optionally enter a comment such as

  The above is the description of the reference signature screen displayed in the process of step ST107. Returning to FIG. 3, the description of the flowchart will be continued.

  In step ST109, the signature function 122a stores the signature information and the inspection result information in association with each other. Specifically, the signature function 122a generates signature information when the user presses the signature button G31 on the reference signature screen D3 in FIG. Store in the server 15.

  The above is the description of the flowchart in FIG. 3, but the association between the signature information and the inspection result information will be supplemented using FIG. 7.

  FIG. 7 is a schematic diagram for explaining inspection result information and signature information in the first embodiment. The left side of FIG. 7 shows inspection result information, and the right side of FIG. 7 shows signature information. FIG. 7 shows an example in which a doctor A makes a reference signature for an image examination of CT simple imaging (chest).

  The test result information is information including a diagnostic report and a clinical test result created by the department system based on the order information. The test result information shown on the left side of FIG. 7 shows an example in which the test ID is “000987654”, the patient ID is “000123456”, and the order type is “CT simple imaging (chest)” from the left. Although not shown in FIG. 7, the inspection result information may include information regarding the contents of the inspection result such as an order code, a key image, and finding information.

  The signature information is generated by the signature function 122a. The signature information includes information regarding the user who has signed the reference and time stamp information indicating the date and time of the reference signature. The reference signature information shown on the right side of FIG. 7 includes, from the left, the examination ID “000987654”, the reference information “doctor A”, the time stamp information “2016/02/20 10:59:59”, and the comment “ I confirmed on behalf of Professor B. "

  The signature function 122a can specify the inspection result information that is the target of the reference signature, for example, from the screen information that is the transition source of the reference signature screen D3. Based on the specified inspection result information, the signature function 122a acquires the inspection ID from the inspection result information. In addition, the signature function 122a acquires the referrer information based on the authentication information of the user who pressed the signature button G31 on the reference signature screen.

  Furthermore, the signature function 122a acquires the date and time displayed in the confirmation message on the reference signature screen D3 as time stamp information. The time stamp information is the date and time when the reference signature button is pressed on the inspection result information screen D2. Similarly, the signature function 122a acquires a comment input on the reference signature screen. Note that time stamp information and comments are not essential items of signature information. The signature function 122a generates signature information based on the information acquired as described above.

  Further, the signature information is not limited to the aspect of FIG. For example, the referrer information may be a doctor's user ID, or may be information on an electronic certificate that electronically certifies the doctor A issued by a certification authority (CA).

  Note that the method of associating the signature information with the inspection result information is not limited to the aspect of FIG. For example, the signature function 122a generates reference signature history information in which an examination result information ID that uniquely identifies examination result information to be a reference signature and a signature information ID that uniquely identifies a reference signature are generated, and the hospital information server 15 may be configured to store.

  As described above, the hospital information system 1A of the first embodiment can store the signature information of the referrer who referred to the test result information in association with the referred test result information.

  In the above-described example, a method in which new signature information is added every time inspection result information is referred to has been described. Note that the method of adding signature information is not limited to the above-described method. For example, the display of the inspection result information screen D2 may be changed depending on whether or not a reference signature is given to the inspection result information. Hereinafter, a modified example related to the display of the inspection result information will be described with reference to FIG.

  FIG. 8 is a flowchart illustrating another example of the operation of displaying the inspection result information in the first embodiment. In the example of FIG. 8, an operation for hiding the reference signature button on the inspection result information screen D <b> 2 when the same referenceer refers to the inspection result information with respect to the inspection result information that has already been given a reference signature will be described. .

  In step ST111, the user selects inspection result information to be referred to from the electronic medical record and the order screen.

  In step ST113, the display function 121a determines whether signature information is associated with the selected inspection result information. For example, when the signature information is associated with the inspection result information as shown in FIG. 7 described above, the process proceeds to step ST115, and when there is no signature information associated with the inspection result information, the process proceeds to step ST119.

  In step ST115, the display function 121a determines whether the signer of the signature information associated with the inspection result information and the referrer who refers to the inspection result information are the same person. For example, as shown in FIG. 7 described above, consider a case where the name of the referrer who referred to the examination result information of CT simple imaging of the chest is doctor A. When the user who refers to this examination result information from now on is the doctor A, it is determined that the referrer is the same person as the referrer of the signature information. On the other hand, when the user who refers to this test result information from now on is the doctor B, it is determined that the referring person is not the same as the referring person of the signature information. When the referrer of the signature information associated with the test result information and the referrer who refers to the test result information are the same person, the process proceeds to step ST117. Otherwise, the process proceeds to step ST119.

  In step ST117, the display function 121a hides the reference signature button G22 shown at the upper right of the inspection result information screen D2 in FIG.

  In step ST119, the display function 121a displays a reference signature button G22 on the inspection result information screen as shown in the inspection result information screen D2 of FIG.

  Thus, when the same person refers to the same examination result information, the hospital information terminal 10a may be configured to omit the signature (step ST117). Even when the same person refers to the same inspection result information, the reference signature may be displayed so as to be inputable. In this case, the hospital information terminal 10a may be configured to manage the history for each reference signature based on the time stamp information without overwriting the signature information.

  In the above description, the method of reference signing the inspection result information for the order information issued in the most recent examination has been described. Hereinafter, a method for displaying a list of all the test result information created in the past examination of the patient and confirming the presence or absence of the reference signature will be described.

  For example, when the examination result history button G11 displayed on the right side of the patient information display area E1 in FIG. 4 is pressed, all examination result information created for orders issued in the past examination for the patient are listed. Can be displayed.

  FIG. 9 is a schematic diagram illustrating a display example of the inspection result history in the first embodiment. FIG. 9 illustrates an inspection result history display screen D4 showing a list of inspection result information.

  In the patient information display area E4 in the upper part of the examination result history display screen D4 in FIG. 9, the patient information of the same patient Taro as the electronic medical record and order screen D1 in FIG. 4 is displayed. Note that the display function 121a may be configured such that when the close button G41 on the right side of the patient information display area E4 is pressed, the examination result history display screen D4 is closed and the electronic medical record and order screen D1 as a transition source are opened.

  In the middle part of FIG. 9, a GUI for searching for inspection result information is displayed. From the left in the middle of FIG. 9, a search period selection area E5, a signature status selection area E6, a department selection area E7, an examination result information type selection area E8, and a search execution button G44 are illustrated. When an item in each selection area is selected and the search execution button G44 is pressed, the corresponding inspection result information is displayed in a list in the inspection result information list display area E9.

  In the search period selection area E5, a period for searching for inspection result information is input. For example, FIG. 9 shows an example in which the inspection result information “until one month before 2014/01/01” is specified to be narrowed down and displayed. Note that “month” or “week” may be selected by the pull-down menu G45.

  In the signature status selection area E6, it is possible to select whether to display the inspection result information “with signature” or the inspection result information “without signature” from the pull-down menu G46. When “undesignated” is selected, all inspection result information is displayed regardless of the presence or absence of a signature. The example of FIG. 9 shows a case where “undesignated” is selected. In the following description, the selected items are shown with grayscale hatching to distinguish them from non-selected items.

  In the department selection area E7, the department that the patient has visited is selected. FIG. 9 shows an example in which a plurality of departments can be displayed by scrolling with a scroll bar G42, and a plurality of departments can be selected with check boxes. FIG. 9 shows an example in which “all clinical departments” are selected by the check box.

  In the inspection result information type selection area E8, the inspection result information type is selected. FIG. 9 shows an example in which a plurality of inspection result information types can be displayed by scrolling with a scroll bar G43, and a plurality of inspection result information types can be selected by check boxes. FIG. 9 shows an example in which “interpretation report” and “endoscopy report” are selected by check boxes.

  The lower left side of FIG. 9 shows an inspection result information list display area E9. The inspection result information list displayed in the inspection result information list display area E9 includes No. Test result report date and time, test information type, department, and signature are shown. No. narrowed down by the above search conditions. 1-No. Six pieces of inspection result information 6 are displayed in a list. By scrolling with the scroll bar G47, No. The inspection result information after 6 can be displayed. The signature item in the rightmost column of the inspection result information list indicates the presence or absence of a reference signature for the inspection result information.

  Here, as an example, the inspection result information selected in the inspection result information list display area E9 is indicated by gray scale hatching. 5 shows an example in which inspection result information 5 is selected. Signature information related to the selected inspection result information is displayed in a list in a signature list display area E10 on the right side of the inspection result information list display area E9. In the signature list displayed in the signature list display area E10, the signature date and time, the signer name, and the comment are shown from the left. By scrolling with the scroll bar G48, it is possible to display all the contents of the comment.

  In the signature list of FIG. The signature information corresponding to the inspection result information 5 is displayed. The signature date and time in the signature list of FIG. 9 is displayed based on the time stamp information of the signature information. Similarly, the signer name is displayed based on the referrer information of the signature information. In the example of FIG. 9, the signature information given by the doctor A at 2016/02/20 10:59:59 and the signature information given by the doctor B at 2016/02/21 09:05:30 are displayed. ing. As described above, signature information by a plurality of different users may exist for one inspection result information. A plurality of pieces of signature information having different time stamps may exist by the same user.

  In addition, the signature item in N0.6 of the inspection result information list display area E9 is “none”, indicating that the inspection result information is not signed. The display function 121a may be configured so that a reference signature can be made for an unsigned item in the inspection result information displayed in the inspection result information list display area E9. For example, the display function 121a may be configured to display a button for displaying each inspection result information displayed in the list.

  Thus, according to the hospital information system 1A according to the first embodiment, the reference signature can be given to the examination result information. The reference signature is for the user himself / herself to prove that the user has grasped the contents described in the inspection result information. Therefore, for example, it is possible to avoid overlooking the contents of the inspection result information due to the user's belief that the inspection result information has been confirmed. In addition, by recording that a reference signature has been made on the inspection result information, it is possible to clarify the location of responsibility regarding the reference to the inspection result information from the viewpoint of a third party.

(Second Embodiment)
The second embodiment relates to a hospital information system having a configuration for notifying a user that there is examination result information to which signature information is not added, in addition to the configuration of the first embodiment.

(1) Configuration The second embodiment has the same configuration as that of the first embodiment shown in FIG. 1 as hardware. However, in the hospital information system 1B of the second embodiment, in addition to the functions of the hospital information system 1A of the first embodiment, the hospital information system 1B has a function of notifying the user of examination result information to which no signature information is assigned. Therefore, in the description of the second embodiment, as shown in FIG. 10, parts different from the first embodiment are denoted by reference numerals different from those of the first embodiment, and description of the same parts as in the first embodiment. Is omitted.

  FIG. 10 is a functional block diagram illustrating a functional configuration example of the hospital information system 1B according to the second embodiment. The processing circuit 12b included in the hospital information terminal 10b of the hospital information system 1B illustrated in FIG. 10 executes the notification function 123b. The notification function 123b is a function realized when the processor of the processing circuit 12b executes a program stored in the storage circuit 11.

  The notification function 123b determines whether or not signature information is attached to the inspection result information, and when the signature information is not attached to the inspection result information, the notification function 123b displays the fact on the display 13. For example, when the user logs in to the hospital information system 1B, the notification function 123b notifies that there is no signature information for the examination result information to be confirmed by the user. Specifically, if the inspection result information created for the order issued by the logged-in user does not have a reference signature by the user, that fact is displayed on the display 13.

(2) Operation FIG. 11 is a flowchart illustrating an example of an operation for notifying unsigned inspection result information in the second embodiment.

  Hereinafter, referring to FIGS. 12 and 13 as appropriate, the operation of the hospital information system 1B according to the second embodiment will be described according to the step numbers in the flowchart of FIG. In the example of FIG. 11, an operation for notifying the user of examination result information to which signature information is not given when the user logs in to the hospital information system 1B will be described.

  The processing in each step of the flowchart of FIG. 11 is realized by the processing circuit 12b calling and executing a predetermined program corresponding to the notification function 123b from the storage circuit 11. Hereinafter, processing executed by the notification function 123b realized by the processing circuit 12b will be described for each corresponding step.

  In step ST201, the user logs in to the hospital information system 1B. For example, a user such as a doctor goes to a hospital where he / she works and logs in to the hospital information system 1B when starting work. When logging in, for example, user authentication is performed by entering a user ID and a password.

  In step ST203, the notification function 123b searches for the inspection result information without the reference signature of the user from the inspection result information created for the order issued by the logged-in user. If there is no inspection result information without the reference signature of the logged-in user, the process branches to NO in step ST203, and the screen after login is displayed on the display 13. On the other hand, if there is inspection result information without a reference signature of the logged-in user, the process branches to YES in step ST203 and proceeds to step ST205.

  In step ST205, the notification function 123b displays a screen after login, and displays on the display 13 that there is unsigned inspection result information.

  FIG. 12 is a schematic diagram illustrating a display example of notification information indicating that unsigned inspection result information exists in the second embodiment. A patient list display screen D5 in FIG. 12 is an example of an initial display screen after logging in to the hospital information system 1B.

  When there is unsigned inspection result information among the inspection result information corresponding to the order issued by the logged-in user, the notification function 123b displays a notification information display screen D6. The notification information display screen D6 is displayed as a pop-up on the display 13, for example. As shown in FIG. 12, a notification information display screen D6 is displayed in front (front side) of the patient list display screen D5. That is, the notification information display screen D6 is displayed superimposed on the patient list display screen D5.

  On the notification information display screen D6 in FIG. 12, a message M2 indicating that there is unsigned inspection result information is displayed. A close button G61 and a list display button G62 are displayed in the lower part of the notification information display screen D6. The user presses the list display button G62 when checking unsigned inspection result information in a list. On the other hand, when the user wants to immediately start another operation such as a diagnosis without checking the list of unsigned inspection result information, the user presses the close button G61.

  If the work is started immediately, a GUI such as a button may be displayed on the patient list display D5 screen so that unsigned examination result information can be confirmed in a list later, or the patient list display D5 screen is displayed. The notification information display screen D6 may be displayed when it is done.

  FIG. 13 is a schematic diagram illustrating a display example of an unsigned inspection result information list according to the second embodiment. FIG. 13 shows an example of an unconfirmed (unsigned) inspection result list display screen D7 displayed when the list display button G62 is pressed on the notification information display screen D6 of FIG.

  In the example of the inspection result list display screen D7 on the right side of FIG. 13, four unsigned inspection result information is shown. The examination result list display screen D7 in FIG. 13 shows an example in which the patient ID, patient name, order type, and order request date included in the examination result information are displayed.

  The user can display the inspection result information selected from the display on the inspection result list display screen D7 on the display 13. In FIG. 13, as an example, the selected item is indicated by gray scale hatching, and the inspection result information on the second line of the inspection result list display screen D7 is displayed. In the example of FIG. 13, the case where the patient name on the second line of the test result list display screen D7 is patient Taro and the test result information whose order type is a blood test (liver) is selected.

  The right side of FIG. 13 shows the inspection result display screen D8 in the second row selected from the inspection result list display screen D7. A reference signature button G81 is displayed on the upper right of the inspection result display screen D8. In addition, the test result display screen D8 displays the test item name, the reference value, and the numerical value indicating the test result in the sample test of the blood test (liver). After referring to the inspection result display screen D8 in FIG. 13, the user can give a reference signature to the inspection result information by pressing the reference signature button G81.

  Note that the notification function 123b may be configured so that the inspection result information to which the reference signature is given is deleted from the inspection result list display screen D7. That is, for the inspection result list display screen D7 including the four inspection result information, when the hatched inspection result information on the second line is referred to and signed, the inspection result information on the second line is obtained from the inspection result list display screen D7. It may be deleted. As described above, the notification function 123b may be configured to update unsigned inspection result information displayed on the inspection result list display screen D7 each time the inspection result information is referred to as a reference signature.

  In the operation example of the flowchart of FIG. 11 described above, the example in which the notification information is displayed by determining the presence or absence of the reference signature of the user when the user who issued the order is logged in has been described. It is not limited to this aspect. The notification function 123b may be configured to display unsigned inspection result information on the display 13 regardless of whether or not the user has issued an order.

  For example, on the patient list display screen D5 in FIG. 12, patients waiting for examination are displayed. When there is unsigned test result information for the patient, the hospital information system 1B is configured to display the notification information display screen D6 regardless of whether or not the doctor performing the examination is the doctor who issued the order. May be.

  In addition, when there is examination result information not having signature information among the examination result information of the patient on the electronic medical record and the order screen displayed on the hospital information terminal 10b in the examination of a certain patient, the notification function 123b notifies the fact. Information may be displayed on the display 13. Note that the notification information is not limited to the pop-up display shown in FIG. For example, the notification function 123b may be configured to display graphics and text information on an electronic medical record and an order screen.

  Thus, also in 2nd Embodiment, the effect similar to 1st Embodiment can be acquired. In addition, according to the hospital information system according to the second embodiment, when there is unsigned examination result information, it can be notified. When the user who issued the order does not have a reference signature for the inspection result information created for the order, the user can be prompted to refer to the inspection result information. As a result, it is possible to prevent omission of reference to the inspection result information. In addition, every time a user logs in to the hospital information system, unsigned test result information is displayed in a list, so the user can check unsigned test result information at once without performing complicated screen transitions. Can do. As a result, the hospital information system 1B contributes to the efficiency of the user's work.

  According to the hospital information system of at least one embodiment described above, it is possible to more reliably avoid omissions in confirmation of the contents of medical information by medical staff than in the prior art.

  Note that the correspondence between the terms in the claims and the embodiments is, for example, as follows. The storage circuit of the hospital information server 15 is an example of a storage unit described in claims. The processing circuits 12a and 12b are an example of a processing unit described in the claims. The display 13 is an example of a display unit described in the claims.

  Although several embodiments of the present invention have been described, these embodiments are presented by way of example and are not intended to limit the scope of the invention. These embodiments can be implemented in various other forms, and various omissions, replacements, and changes can be made without departing from the spirit of the invention. These embodiments and their modifications are included in the scope and gist of the invention, and are also included in the invention described in the claims and the equivalents thereof.

1A ... Hospital information system 2 ... Radiology department system 10A ... Hospital information terminal 15 ... Hospital information server

Claims (8)

A storage unit for storing inspection result information;
A processing unit for adding electronic signature information indicating that the inspection result information has been referred to to the inspection result information;
Hospital information system with A display unit for displaying the inspection result information and the signature information in a list;
The hospital information system according to claim 1. The display unit displays a word indicating that the inspection result information has been confirmed, and displays a signature for the inspection result information so as to be accepted,
The processing unit gives the signature information to the inspection result information only when a signature for the inspection result information is received.
The hospital information system according to claim 2. The processing unit determines whether or not a referrer who refers to the test result information and a referrer of the signature information given to the test result information are the same,
The display unit displays the signature by the referrer so that it can be accepted when the referrer who refers to the test result information and the referrer of the signature information given to the test result information are not the same.
The hospital information system according to claim 2 or claim 3. The processing unit determines whether the signature information is given to the inspection result information,
The display unit displays that the signature information is not added to the inspection result information when the signature information is not attached to the inspection result information;
The hospital information system according to any one of claims 2 to 4. When the requester who requested the examination logs in to the hospital information system, the processing unit determines the presence or absence of the signature information by the requester for the examination result information based on the request,
When the requester does not have the signature information by the requester, the signature information by the requester is obtained for the examination result information based on the request while the requester is logged in to the hospital information system. To indicate that is not granted,
The hospital information system according to any one of claims 2 to 5. The processing unit acquires a time when the inspection result information is signed as time stamp information, and adds the signature information including the time stamp information to the inspection result information.
The hospital information system according to any one of claims 1 to 6. A storage unit for storing inspection result information;
A processing unit for giving access information indicating that the inspection result information has been accessed to the inspection result information;
A display unit for displaying the inspection result information and the access information in a list;
The processing unit determines whether or not the access information is given to the inspection result information,
The display unit displays that the access information is not given to the test result information when the access information is not given to the test result information.
Hospital information system.

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