JP2019121050A - Medical information management system and medical information management program - Google Patents

Abstract

To provide a medical information management system and a medical information management program capable of supporting efficiency of a management job of medical information on a patient.SOLUTION: The medical information management system comprises an extraction processing unit for performing extraction processing to extract a patient on the basis of predetermined extraction conditions, a storage processing unit for causing a storage unit to store time required for the extraction processing performed based on the extraction conditions in association with the extraction conditions and a display processing unit capable of displaying the required time stored in the storage unit and an operation accepting unit capable of accepting execution request operation of extraction processing having the same extraction conditions with a part or all of the extraction conditions associated with the required time.SELECTED DRAWING: Figure 1

Description

  The present invention relates to a medical information management system and a medical information management program for supporting management of medical information of a patient.

  BACKGROUND In a medical institution such as a hospital or a pharmacy, a medical information management system that manages medical information such as patient prescription information or examination information may be used (see, for example, Patent Document 1). In this type of medical information management system, extraction processing for extracting a patient under a specific condition set in advance is automatically performed at a preset timing such as night time avoiding work hours such as during medical care time. It is conceivable that it is feasible. For example, the specific conditions include taking a specific medicine, and the like.

JP, 2014-191415, A

  By the way, it is also conceivable that the extraction process is temporarily performed within the business hours. However, for example, when the extraction process is executed at a busy time, the extraction process becomes a processing load on the medical information management system, which may affect the processing speed when using the medical information management system in business. Therefore, while the extraction process is being performed, the medical information management system can not be used for other purposes, and it is conceivable that the efficiency of management operation of medical information of patients is hindered.

  An object of the present invention is to provide a medical information management system and a medical information management program capable of supporting the efficiency improvement of management operation of medical information of a patient.

  In the medical information management system according to the present invention, an extraction processing unit that executes an extraction process for extracting a patient based on a preset extraction condition, and a processing time of the extraction process performed based on the extraction condition. A storage processing unit for storing in the storage unit in association with an extraction condition, and an extraction process in which part or all of the extraction condition associated with the processing time and the processing time stored in the storage unit are common And a display processing unit capable of displaying an operation receiving unit capable of receiving an execution request operation.

  The medical information management program according to the present invention includes an extraction step of performing an extraction process of extracting a patient based on a preset extraction condition, and a processing time of the extraction process executed based on the extraction condition. A storage step to be stored in a storage unit in association with a condition, and an execution request for an extraction process in which part or all of the extraction condition associated with the processing time and the processing time stored in the storage unit are common The medical information management program for causing a computer to execute a display step capable of displaying an operation receiving unit capable of receiving an operation.

  According to the present invention, there is provided a medical information management system and a medical information management program capable of assisting in the efficiency improvement of management operations of medical information of patients.

FIG. 1 is a block diagram showing the configuration of a medical information management system according to an embodiment of the present invention. FIG. 2 is a diagram showing an example of an adverse event master used in the medical information management system according to the embodiment of the present invention. FIG. 3 is a view showing an example of an examination period master used in the medical information management system according to the embodiment of the present invention. FIG. 4 is a view showing an example of medicine history data used in the medical information management system according to the embodiment of the present invention. FIG. 5 is a diagram showing an example of regimen history data used in the medical information management system according to the embodiment of the present invention. FIG. 6 is a view showing an example of examination data used in the medical information management system according to the embodiment of the present invention. FIG. 7 is a diagram showing an example of adverse event data used in the medical information management system according to the embodiment of the present invention. FIG. 8 is a flowchart showing an example of a medical information management process executed by the medical information management system according to the embodiment of the present invention. FIG. 9 is a view showing an example of a display screen displayed by the medical information management system according to the embodiment of the present invention. FIG. 10 is a view showing an example of a display screen displayed by the medical information management system according to the embodiment of the present invention. FIG. 11 is a view showing an example of a display screen displayed by the medical information management system according to the embodiment of the present invention. FIG. 12 is a view showing an example of a display screen displayed by the medical information management system according to the embodiment of the present invention. FIG. 13 is a view showing an example of a display screen displayed by the medical information management system according to the embodiment of the present invention. FIG. 14 is a flowchart showing an example of the periodic extraction process executed by the medical information management system according to the embodiment of the present invention.

  Hereinafter, embodiments of the present invention will be described with reference to the accompanying drawings for understanding of the present invention. The following embodiments are merely specific examples of the present invention, and are not of the nature to limit the technical scope of the present invention.

[Medical Information Management System 10]
As shown in FIG. 1, a medical information management system 10 according to an embodiment of the present invention includes a server 1, a client terminal 2, a printer 3, and the like. The server 1, the client terminal 2, and the printer 3 are communicably connected wirelessly or by wire via the communication network 4. The communication network 4 includes a LAN, a WAN, the Internet, an intranet, or the like. Also, a host system 5 is connected to the server 1 via the communication network 4.

  The upper system 5 is, for example, an electronic medical record system, an ordering system, or a receipt system. Then, the upper level system 5 inputs into the server 1 prescription data on prescription of medicine for the patient, examination data on examination results of various examinations performed on the patient, patient data indicating personal information of the patient, and the like. The server 1 may be configured to actively read out the prescription data, the examination data, the patient data and the like from the host system 5. The prescription data also includes preparation data in which a drug such as an anticancer drug is administered in accordance with a preset therapy.

  For example, in the prescription data, patient information (patient ID, patient name, height, weight, body surface area, etc.), prescription date, preparation date, administration date, drug information (drug code, drug name, etc.), dose / dosage, It contains therapy information. The therapy information includes therapy identification information capable of identifying therapy information such as a therapy name (a regimen name), a therapy ID, or a therapy ID. In addition, in the prescription data, doctor information, type of medicine container (ampoule with drug solution, vial with drug solution, vial with powder, vial for infusion, etc.), preparation content information (drug container used for co-infusion operation, syringe, Type and number of injection needles, etc., preparation procedure information (work content, dissolving drug, solvent, dissolving dose, solvent amount, removing amount), dosing date, prescription classification, medical department, ward, etc. information is included. May be

[Printer 3]
The printer 3 is a color printer or a monochrome printer capable of executing printing processing for recording information contained in print data input from the server 1 or the client terminal 2 via the communication network 4 on a sheet such as paper. Image forming apparatus. For example, in a medical institution such as a hospital or a pharmacy, the printer 3 may print a prescription based on the prescription data. Further, the printer 3 may be used to print the extraction result by the extraction processing described later.

[Server 1]
The server 1 is a computer including a control unit 11, a storage unit 12, a communication I / F 13, a display device 14, an operation device 15, a drive device 16, and the like. The server 1 may be provided outside a medical institution such as a hospital or a pharmacy where the medical information management system 10 is used. In addition, the server 1 may be an information processing apparatus such as a smartphone, a tablet terminal, or a laptop computer.

  The control unit 11 includes control devices such as a CPU, a ROM, a RAM, and an EEPROM (registered trademark). The CPU is a processor that executes various arithmetic processing. The ROM is a non-volatile storage unit in which information such as a control program for causing the CPU to execute various processes is stored in advance. The RAM is a volatile storage unit, and the EEPROM is a non-volatile storage unit. The RAM and the EEPROM are used as temporary storage memories (work areas) of various processes executed by the CPU. Then, using the CPU, the control unit 11 executes various processes in accordance with various control programs stored in advance in the ROM, the EEPROM, or the storage unit 12.

  The storage unit 12 is a non-volatile storage unit such as a hard disk or an SSD in which various control programs to be executed by the control unit 11 and various data are stored. Further, the storage unit 12 includes a program storage unit 121, a master storage unit 122, and an information storage unit 123.

  The program storage unit 121 is a storage area in which a medical information management program or the like for causing the control unit 11 to execute a medical information management process (see FIG. 8) described later is stored. The program storage unit 121 also stores programs such as an operating system (OS).

  The master storage unit 122 is a storage area in which various master information such as drug master, patient master, medical department master, pharmacist master, regimen master, adverse event master D1, examination period master D2, and screening master are stored. .

  For example, the drug master includes, for various drugs, drug code (YJ code etc.), drug name, JAN code, RSS code, vial code, dosage form, unit, specific gravity, drug type, composition change, excipient drug , Notes, and information such as attached document information. The package insert information also includes predetermined examination items and examination conditions of examinations to be performed on patients who take medicines. Specifically, the predetermined inspection condition is a judgment period indicating a range of inspection time at which the inspection of the predetermined inspection item is to be performed or an inspection interval for specifying the judgment period. In particular, the predetermined test conditions are individually determined for each of one or more combinations of the patient's age, sex, and days elapsed from the first dose. In addition, according to other indexes, such as the presence or absence of a patient's pregnancy, for example, the test necessity or non-necessity of the test of each of the predetermined test items may be defined.

  The patient master includes, for each patient, information such as patient name, patient ID, gender, age, drinking or not smoking, smoking or not, and disease name. The medical department master includes information of various medical departments of a medical institution where the medical information management system 10 is used. The pharmacist master includes information of a pharmacist who belongs to a medical institution where the medical information management system 10 is used.

  The regimen master includes therapy information indicating contents of various predetermined regimens. Specifically, the therapy information includes information on the administration name such as drug name administered based on the therapy, dosage (per body surface area), administration time, administration date, and length of one course. Further, at the time of generation of the prescription data in the upper system 5, therapy identification information such as a therapy name for identifying the therapy information is added to the prescription data together with information such as a drug corresponding to the therapy.

  The adverse event master D1 is information in which the type of adverse event occurring in a patient is associated with the grade of each adverse event. Here, FIG. 2 is a diagram showing an example of the adverse event master D1. The data structure of the adverse event master D1 is not limited to the one described here. For example, the adverse event master D1 may be stored in the master storage unit 122 in a state of being divided and associated with a plurality of masters.

  As shown in FIG. 2, in the adverse event master D1, information such as event ID, event name, examination ID, grade condition, numerical flag, changeable flag, related event, symptom type and the like are stored in association. . The event ID is identification information for identifying a preset adverse event, and the event name is information indicating the name of each adverse event. The examination ID is identification information for identifying an examination item used to determine the grade of the corresponding adverse event. The symptom type is information indicating whether the adverse event is an objective symptom or a subjective symptom. Here, the subjective symptom is a symptom which can be detected by the patient himself, and the objective symptom is an objective symptom which can be detected according to the result of a test performed on the patient.

  The grade condition is a classification index for classifying the grade of the adverse event according to a predetermined standard. Specifically, in the present embodiment, the specific criterion is an adverse event common term criterion (CTCAE: Common Terminology Criteria for Adverse Events) in which a classification index of the grade of the adverse event is defined. Note that the criteria registered in the adverse event master D1 are not limited to the original text defined in the adverse event common term criteria, and for example, in an aspect in which the control unit 11 can determine the grade based on the adverse event common term criteria. It may be a criterion after being edited.

  In the present embodiment, the grade type of the adverse event is determined in five stages of “0” to “4”, and is information indicating that the higher the numerical value, the more severe the symptom. Although the CTCAE defines the grade “5”, the grade “5” is not necessary in the medical information management system 10 according to the present embodiment because the grade “5” is not necessary. I assume.

  And, under the grade condition, it is possible to register a range of numerical values used as an index in the case of judging each of the grades numerically. For example, it is conceivable that the control unit 11 automatically extracts and registers the range corresponding to each of the grades from the criteria indicated in the CTCAE. Furthermore, the control unit 11 may be able to register a range corresponding to each of the grades to the adverse event master D1 according to a user operation. The changeable / unchangeable flag is information indicating whether the grade can be arbitrarily changed according to a user operation when the grade is automatically set by the control unit 11. When the numerical value flag is “0”, the control unit 11 sets all the changeability flags corresponding to the respective grades to “1 (possible)”.

  Further, the numerical value flag is information indicating whether or not at least a part of the grade of the adverse event can be determined according to a numerical value such as a test value or a state value arbitrarily input. For example, when a numerical value is input as the information of the range in the grade condition, the control unit 11 sets the numerical value flag to “1 (acceptable)”. Further, the control unit 11 can set the numerical value flag in accordance with a user operation. The related event is one or more for identifying one or more adverse events registered in advance as information to be displayed side by side with the adverse event or when the adverse event is displayed. Information including the event ID of

  For example, in the adverse event master D1, among the adverse events, “platelet count reduction” which is an objective symptom among the adverse events, the adverse event of the patient according to the test value of the test whose test ID is “0123455”. Grades can be classified, and in the grade conditions, a range of the inspection value corresponding to each grade is defined as a classification index. Specifically, grade “0” is “test value ≧ 158,000”, grade “1” is “158,000> test value ≧ 75,000”, grade “2” is “75,000> test The value “50,000”, the grade “3” is “50,000> test value> 25,000”, and the grade “4” is “25,000> test value”. The control unit 11 can arbitrarily change the range of the inspection value set as the grade condition of each grade in the adverse event master D1 according to the user operation. Further, the range of the test value corresponding to each grade is set in advance, for example, for each sex of the patient, and the control unit 11 determines the range of the test value used to determine the grade according to the sex of the patient. It is also possible to change.

  In the adverse event master D1, regarding the fever that is a subjective symptom among the adverse events, the grade for the adverse event of the patient is determined according to the condition value (for example, the body temperature) indicating the condition about the patient's fever. It is possible to classify, and in the grade condition, the body temperature corresponding to each grade is defined as a classification index. On the other hand, in the adverse event master D1, with regard to the same subjective symptom “hand-foot numbness” among the adverse events, the grade for the adverse event of the patient can not be classified according to the numerical value. Under the conditions, the severity of the symptoms of numbness of the limb corresponding to each grade is defined as a classification index.

  Here, FIG. 3 is a view showing an example of the inspection period master D2. As shown in FIG. 3, the examination period master D2 includes information for specifying an examination time of an examination item to be performed for a patient who takes a certain medicine. As shown in FIG. 3, in the examination period master D2, the drug code, presence / absence of periodic examination, default examination code, examination date conducted, age at start, end age, gender limitation, pre-administration flag, post-administration flag, initiation The implementation period, the end implementation period, and the inspection interval are registered in association with each other.

  The presence or absence of the periodic examination in the examination period master D2 is preset according to the necessity degree of the periodic examination of the medicine master, or is arbitrarily set by user operation. For example, when the degree of necessity of the periodical examination of the medicine master is “1: required” or “0: recommended”, the presence or absence of the periodical examination in the examination period master D 2 is set to “1: present” Ru. In addition, when the information on the necessity degree of the periodic examination of the medicine master is blank, the presence or absence of the periodic examination in the examination period master D2 is set to “0: none”. In addition, when the necessity degree of the said periodic inspection of a medicine master is "0: recommendation", it is also considered that the presence or absence of the said periodic inspection in the said inspection period master D2 is set to "0: none".

  The control unit 11 targets medicines for which the setting of presence / absence of the periodic inspection is “1: present” as a target of periodic inspection check processing, and medicines for which the setting of presence / absence of the periodic inspection is “0: absent”. To be excluded from the periodic inspection check process.

  The predetermined examination code and the execution examination code are information indicating examination items of examinations to be performed on a patient who takes a medicine corresponding to the medicine code, and the predetermined examination code is used in the upper system 5 It is a code | cord | chord and the said implementation test | inspection code | cord | chord is a code | cord | chord used by the said medical information management system 10. In FIG. In this embodiment, although the case where the predetermined examination code and the execution examination code are set individually is described as an example, the examination code common to the upper system 5 and the medical information management system 10 is the same. It is also conceivable as another embodiment to be used.

  The start age and the end age are information indicating a range of the age of a patient to which each record of the examination period master D2 is applied. The gender limitation is information indicating the gender of the patient to which each record of the examination period master D2 is applied. The pre-administration flag and the post-administration flag are flags indicating whether each record of the examination period master D2 is information to be applied to examination before or after taking a medicine.

  The start implementation period and the end implementation period are information indicating the range of dosing timing to which each record of the test period master D2 is applied, and information indicating a period based on the first dose of the drug by the patient. . The first dose date is the dose start date included in the prescription data, if the patient has not taken the drug prior to the present. Also, even if the patient has taken the drug before the current time, if the day the patient last took the drug is more than a specific period preset from now on. The dose start date included in the prescription data is the first dose date.

  Specifically, when the pre-administration flag is “1”, the start implementation period indicates the end of the dose timing range to which each record of the examination period master D 2 is applied, and the end implementation period is It shows the beginning of the range of dosing period to which each record of the examination period master D2 is applied. In addition, when the post-administration flag is “1”, the start implementation period indicates the start of the range of dosing timing to which each record of the inspection period master D2 is applied, and the end implementation period is the inspection Period master D2 indicates the end of the range of dosing period to which each record is applied.

  The inspection interval is information preset corresponding to the inspection item indicated by the predetermined inspection code and the execution inspection code of each record of the inspection period master D2, and it is necessary to carry out the inspection of the inspection item, for example. It is information indicating an interval. In particular, the examination interval is set for any one or more combinations of the patient's age, the patient's sex, and the elapsed time from the first dose of the drug.

  For example, in the record R211 of the inspection period master D2 shown in FIG. 3, the presence or absence of the periodic inspection is “1” for the medicine having the medicine code “0001”, and the default inspection code is “01”. It is indicated that the regular inspection of the inspection item of code “0172” is necessary. Further, in the record R211, it is shown that the application age of the patient is “0” year to “15” and the application sex of the patient is “both”. Furthermore, in the record R211, the post-administration flag is “1”, the start implementation period is “0” day, the end implementation period is “30” day, and “0” day after the first dose of medicine It is indicated that it will apply if it is after 30 "days. Then, in the record R211, it is defined that the inspection interval is "15" days.

  Further, in the record R 212 of the inspection period master D 2 shown in FIG. 3, the presence or absence of periodic inspection is “1” for the medicine having the medicine code “0001”, and the default inspection code is “02”. It is indicated that the regular inspection of the inspection item of code “0173” is necessary. Further, in the record R212, it is shown that the application age of the patient is “0” or more and the application sex of the patient is “male”. Furthermore, in the record R212, the pre-administration flag is “1”, the start implementation period is “30” days, the end implementation period is “0” day, and “0” days before the first dose of medicine It is indicated that it applies about 30 days ago. Then, in the record R212, it is defined that the inspection interval at which the inspection of the inspection item is to be carried out is “15” days. When the pre-administration flag is “1” and it is sufficient if one examination is performed between the start implementation period and the end implementation period, setting of the inspection interval is performed. It may be omitted.

  The screening master includes regular screening information indicating extraction conditions in periodic screening that is automatically performed on a regular basis, and random screening information indicating extraction conditions in an occasional screening performed at an arbitrary time. The regular screening information includes information such as a screening name, activation setting, extraction target period (execution date standard), and target date as described later (see FIG. 9). The occasional screening information includes information such as a screening name, an extraction target period, and a target date as described later (see FIG. 10).

  The control unit 11 can update the various types of master information stored in the master storage unit as needed based on the information acquired from the host system 5. The control unit 11 can also edit various master information in accordance with a user operation using the server 1 or the client terminal 2.

  The information storage unit 123 is a storage area in which patient medical information such as the prescription data, medicine history data D11, regimen history data D12, examination data D13, adverse event data D14 and the like is stored. The control unit 11 acquires the prescription data from the host system 5 and stores the prescription data in the information storage unit 123 for storage. The information storage unit 123 also stores processing time information and the like described later.

  The medication history data D11 is information indicating the prescription history of each drug of the patient, and the regimen history data D12 is information indicating the medication history of the drug according to the therapy of each patient. The control unit 11 updates the medicine history data D11 and the regimen history data D12, for example, based on the prescription data. Here, FIG. 4 is a view showing an example of the medicine history data D11, and FIG. 5 is a view showing an example of the regimen history data D12.

  The medicine history data D11 shown in FIG. 4 includes patient ID (patient identification information), patient name (patient identification information), prescription date, medicine name (drug identification information), ward, usage / dose, medical department, Includes information such as the doctor in charge. In addition, the control unit 11 may be able to optionally update the medicine history data D11 in accordance with the user operation of the server 1 or the client terminal 2.

  The above-mentioned regimen history data D12 shown in FIG. 5 includes patient ID (patient identification information), patient name (patient identification information), administration date, therapy name (therapy identification information), ward, cool information, planned medical department, It contains information such as a planning doctor. Further, the control unit 11 may be able to optionally update the regimen history data D12 in accordance with user operation of the server 1 or the client terminal 2.

  The examination data D13 is information including examination results such as examination values for each examination item performed for each patient. FIG. 6 is a diagram showing an example of the inspection data D13. The examination data D13 shown in FIG. 6 includes patient ID (patient identification information), patient name (patient identification information), examination date, examination ID (examination identification information), examination item (examination identification information), examination Contains information such as results. The control unit 11 is based on examination data of a patient acquired from the upper system 5 or examination data of a patient read from a recording medium such as a USB memory or a CD inserted into the server 1 or the client terminal 2. The inspection data D13 is updated.

  The adverse event data D14 is information indicating data on adverse events such as subjective symptoms and objective symptoms for each patient. Here, FIG. 7 is a view showing an example of the adverse event data D14. The adverse event data D14 shown in FIG. 7 includes patient ID (patient identification information), patient name (patient identification information), date, adverse event ID (adverse event identification information), event name (adverse event identification information). ), Including information such as grade. The said control part 11 is said adverse event data based on the test | inspection data of the patient acquired from the said high-order system 5, or the information of the subjective symptom of the patient arbitrarily input with respect to the said server 1 or the client terminal 2. Update D14.

  The communication I / F 13 is a network card that executes wireless or wired data communication with an external device such as the client terminal 2 and the printer 3 via the communication network 4 according to a predetermined communication protocol. And so on.

  The display device 14 is a display unit such as a liquid crystal display or an organic EL display that displays various information in accordance with a control instruction from the control unit 11. The operating device 15 is an operating unit operated by a user to input various information to the server 1. Specifically, the operation device 15 includes a keyboard and a mouse (pointing device) that receive input operations on various operation screens displayed on the display device 14. Further, the operation device 15 may include a touch panel that receives a touch operation on various operation screens displayed on the display device 14 or a voice input device that receives an input of various information by voice recognition.

  The drive device 16 can read the medical information management program from a computer readable recording medium 161 in which the medical information management program is recorded non-temporarily. The recording medium 161 is, for example, a CD, a DVD, a BD, or a USB memory, and the drive device 16 is, for example, a CD drive, a DVD drive, a BD drive, or a USB port. Then, in the server 1, the medical information management program read from the recording medium 161 using the drive device 16 is installed in the program storage unit 121 of the storage unit 12 by the control unit 11.

  By the way, in the medical information management system 10, an extraction process for extracting a patient under a specific condition set in advance is automatically executed at a preset timing such as night time avoiding work hours such as during medical care time. It is considered possible. For example, the specific conditions include taking a specific medicine, and the like. Here, it is also conceivable that the extraction process is temporarily performed within the business hours. However, for example, when the extraction process is executed in a busy time, the extraction process may become a processing load of the medical information management system 10 and may affect the processing speed when using the medical information management system 10 in business. . Therefore, while the extraction process is being performed, the medical information management system 10 can not be used for other purposes, and it is conceivable that the efficiency of management operation of medical information of a patient is inhibited. In addition, a system capable of displaying, as medical information of the patient, whether the test value of the test performed on the patient is within a preset range may be used. However, it is difficult to simultaneously grasp the information as to whether the test value is within the preset range and the information as to whether the test of the necessary test item is carried out at an appropriate time, and the patient's The management of medical information has not been streamlined sufficiently. On the other hand, in the medical information management system 10, it is possible to support the efficiency improvement of the management operation of the medical information of the patient.

  Specifically, the control unit 11 of the server 1 includes an extraction processing unit 111, a storage processing unit 112, a display processing unit 113, a first determination processing unit 114, a second determination processing unit 115, a presentation processing unit 116, and the like. . The control unit 11 functions as various processing units by executing various processes such as a medical information management process (see FIG. 8) and a periodic extraction process (see FIG. 14) described later according to the medical information management program. That is, in the present embodiment, the server 1 alone is the medical information management system according to the present invention. Further, the server 1 may constitute a stand-alone type medical information management system in which the server 1 doubles as the client terminal 2 operated by a user. A part or all of the processing units included in the control unit 11 may be configured by an electronic circuit.

  Also, it is conceivable as another embodiment that some or all of the functions of the server 1 are provided to the client terminal 2. For example, a part or all of the medical information management program is installed in the client terminal 2, and the control unit 21 of the client terminal 2 appropriately acquires necessary information from the server 1 to be described later. It is also conceivable to execute a medical information management process (see FIG. 8) or a periodic extraction process (see FIG. 14). In this case, the client terminal 2 is an example of the medical information management system according to the present invention. Furthermore, in the medical information management system 10, the server 1 and the client terminal 2 may cooperate to execute medical information management processing (see FIG. 8) and periodic extraction processing (see FIG. 14) described later. .

  The extraction processing unit 111 executes an extraction process of extracting a patient based on extraction conditions set in advance. Specifically, the extraction processing unit 111 performs periodic screening (an example of a first extraction process) in which a patient is extracted on the basis of preset periodic extraction conditions periodically at preset intervals (as an example of user operation). Accordingly, it is possible to execute an optional screening (an example of a second extraction process) of extracting a patient based on an arbitrary extraction condition which is arbitrarily input at an arbitrary timing.

  The storage processing unit 112 causes the information storage unit 123 to store processing time (required time) required for execution of the extraction process performed based on the extraction condition in association with the extraction condition as processing time information. . Specifically, the processing time information includes information such as the extraction condition, the execution date and time of the extraction process, and the processing time for the extraction process performed based on the extraction condition.

  The display processing unit 113 can receive an execution request operation of extraction processing in which the processing time stored in the information storage unit 123 and part or all of the extraction conditions associated with the processing time are common Can be displayed. Specifically, the display processing unit 113 causes the client terminal 2 to display the processing time and the operation receiving unit. In the present embodiment, an operation unit K121 (see FIGS. 9 and 10), which will be described later, is displayed as an example of the operation reception unit.

  The first determination processing unit 114 determines, based on the examination data D13, whether or not the examination value of the examination performed on the patient extracted in the extraction process is within a preset range. The range is set in advance for each type of examination. Further, the first determination processing unit 114 determines whether or not the examination of the examination item set in advance is performed within the determination period set in advance, for the patient extracted in the extraction process. Specifically, based on the examination data D13 and the examination period master D2, the first determination processing unit 114 associates the medicine with the medicine which is previously set in association with the medicine to be taken by the patient. It is determined whether an examination of examination items set in advance is performed for the patient.

  In another embodiment, the first determination processing unit 114 may use an extraction target period set in advance as the extraction condition for the extraction process as the determination period. In this case, the first determination processing unit 114 determines whether an inspection of an inspection item set in advance within the extraction target period is performed, and when the inspection is performed, the inspection It is determined whether the inspection value is within a preset range. That is, the first determination processing unit 114 may perform the determination without using the inspection period master D2. In addition, although the case where the examination item whose execution status is determined by the first determination processing unit 114 is an item set in advance in association with the medicine taken by the patient will be described, the user arbitrarily sets it. It may be an inspection item. For example, it is conceivable that the inspection item whose execution status is determined by the first determination processing unit 114 is an inspection item selected and input in the monitoring registration area A23 described later.

  The second determination processing unit 115 determines whether or not the content of the adverse event registered in advance for the patient extracted by the extraction processing satisfies the preset adverse event. For example, based on the adverse event data D14, the second determination processing unit 115 determines that the adverse event condition is satisfied when the grade of the adverse event is 1 or more, and the grade of the adverse event is 0. It is determined that the adverse event condition is not satisfied. More specifically, the second determination processing unit 115 determines whether or not the adverse event condition is satisfied based on the grade of the adverse event in the extraction target period preset as the extraction condition. It is also conceivable that determination target periods by the first determination processing unit 114 and the second determination processing unit 115 can be set individually. Further, the adverse event condition may be set in advance for each of the extraction processes.

  In the extraction result screen P3 (see FIG. 12) described later on which the patient information extracted by the extraction processing unit 111 is displayed, the presentation processing unit 116 determines the determination result by the first determination processing unit 114 and the second The determination result by the determination processing unit 115 is presented. In particular, in the present embodiment, the presentation processing unit 116 displays the determination result by the first determination processing unit 114 and the determination result by the second determination processing unit 115 on the same screen. In addition, it can be considered as another embodiment that the presentation processing unit 116 sequentially displays the determination result by the first determination processing unit 114 and the determination result by the second determination processing unit 115 according to the scroll operation.

[Client terminal 2]
The client terminal 2 is a personal computer including a control unit 21, a storage unit 22, a communication I / F 23, a display device 24, an operation device 25, a drive device 26 and the like. Each of the client terminals 2 is an operation terminal disposed at a medical institution where the medical information management system 10 is used and operated by a user such as a pharmacist. For example, the client terminal 2 is used by a pharmacist who prepares a medicine to be administered to a patient at the medical institution. The client terminal 2 may be an information processing apparatus such as a smartphone, a tablet terminal, and a laptop computer.

  The control unit 21 includes control devices such as a CPU, a ROM, a RAM, and an EEPROM. The CPU is a processor that executes various arithmetic processing. The ROM is a non-volatile storage unit in which information such as a control program for causing the CPU to execute various processes is stored in advance. The RAM is a volatile storage unit, and the EEPROM is a non-volatile storage unit. The RAM and the EEPROM are used as temporary storage memories (work areas) of various processes executed by the CPU. Then, using the CPU, the control unit 21 executes various processes according to various control programs stored in advance in the ROM, the EEPROM, or the storage unit 22.

  The storage unit 22 is a non-volatile storage unit such as a hard disk or an SSD in which various control programs to be executed by the control unit 21 and various data are stored. Specifically, the storage unit 22 includes a program storage unit 221 in which application programs such as an operating system (OS) and browser software are stored. The browser software displays various operation screens and the like on the display device 24 by accessing the server 1 via the communication network 4, and performs an input operation on the operation screen using the operation device 25. Application software for transfer to the server 1. For example, when address information such as a URL (Universal Resource Locator) corresponding to the server 1 is input to a predetermined position of the operation screen displayed by the browser software, the control unit 21 is based on the address information. Access the server 1.

  The communication I / F 23 is a network card or the like that executes data communication wirelessly or in a wired manner according to a predetermined communication protocol between the server 1 and an external device such as the printer 3 via the communication network 4 Communication interface.

  The display device 24 is a display unit such as a liquid crystal display or an organic EL display that displays various information in accordance with a control instruction from the control unit 21. The operating device 25 is an operating unit operated by the user to input various information to the client terminal 2. Specifically, the operation device 25 includes a keyboard and a mouse (pointing device) that receive input operations on various operation screens displayed on the display device 24. Further, the operation device 25 may include a touch panel that receives touch operations on various operation screens displayed on the display device 24 or a voice input device that receives input of various information by voice recognition.

  The drive device 26 can read the OS or the browser software from a computer readable recording medium 261 in which the OS or the browser software or the like is recorded. The recording medium 261 is a CD, a DVD, a BD, a USB memory, or the like, and the drive device 16 is a CD drive, a DVD drive, a BD drive, a USB port, or the like. In the client terminal 2, the OS or the browser software read from the recording medium 261 using the drive device 26 is installed in the program storage unit 221 of the storage unit 22 by the control unit 21.

  Then, in the medical information management system 10, the server 1 displays various information such as an extraction start screen P1 and an extraction result screen P3 described later on the client terminal 2 in accordance with an operation of the client terminal 2 by the user. Let The client terminal 2 controls screen display based on the data transmitted from the server 1 or controls screen display with reference to the data stored in the storage unit 12 of the server 1. Further, the server 1 can receive an operation input to the client terminal 2 by a user. Specifically, in the present embodiment, a server client system is configured by the server 1 and the client terminal 2, and processing such as display, storage, printing, etc. in response to user operation of the client terminal 2 by the server 1 Will be described. Therefore, in the present embodiment, processes such as “display”, “operation”, “selection”, and “input” described below are performed using the display device 24 and the operation device 25 of the client terminal 2. Explain as what is being That is, the client terminal 2 functions as an operation device and a display device of the server 1. Of course, processing such as “display”, “operation”, “selection”, and “input” may be performed by the display device 14 and the operation device 15 of the server 1.

  Hereinafter, an example of a medical information management process performed by the medical information management system 10 will be described with reference to FIG. Specifically, the control unit 11 of the server 1 starts the medical information management process in response to the start request operation of the medical information management process performed on the client terminal 2. The start request operation is an example of a display request operation for displaying an extraction start screen P1 described later. Hereinafter, the description of “the client terminal 2” in the medical information management process refers to the client terminal 2 that has performed the start request operation of the medical information management process among the client terminals 2 connected to the medical information management system 10. It shall be shown. The medical information management process may be executed in parallel corresponding to each client terminal 2 in response to requests from a plurality of the client terminals 2.

<Step S1>
In step S1, the control unit 11 causes the client terminal 2 to display an extraction start screen P1 for executing an extraction process (screening) for extracting a patient. Here, FIG. 9 and FIG. 10 are diagrams showing an example of the extraction start screen P1. The step S1 is an example of a display step which is executed by the display processing unit 113 of the control unit 11 and causes the extraction start screen P1 to display the processing time and the operation reception unit.

  As shown in FIGS. 9 and 10, the extraction start screen P1 displays an operation area A11 for receiving various operations and a display area A12 corresponding to the regular screening or a display area A13 corresponding to the occasional screening. Be done. In the operation area A11, detail operation parts K111 to K114 and the like are displayed. Then, the control unit 11 can receive the operation of the operation units K111 to K114 in the client terminal 2.

  Specifically, the control unit 11 displays the detailed contents of the result of the extraction process based on the extraction condition being selected in the display area A12 or the display area A13 according to the operation of the operation unit K111. Further, the control unit 11 starts a new registration process for newly registering the extraction condition in the screening master in accordance with the operation of the operation unit K112. Furthermore, the control unit 11 starts an editing process for updating the screening master in response to the operation of the operation unit K113. The control unit 11 closes the extraction start screen P1 when the operation unit K114 is operated.

  Further, in the display area A12 and the display area A13, a periodic tab T11 and a tab T12 as needed are displayed. Then, the control unit 11 switches and displays the display area A12 or the display area A13 according to the selection operation of the regular tab T11 and the occasional tab T12 by the user. Specifically, when the regular tab T11 is selected, the display area A12 is displayed as shown in FIG. 9, and when the optional tab T12 is selected, as shown in FIG. The display area A13 is displayed. The control unit 11 causes the display area A12 to be initially displayed, for example, when the extraction start screen P1 is displayed, and switches the display to the display area A13 according to the operation of the tab T12 as needed, or vice versa. It is conceivable.

  Further, as shown in FIG. 9, the display area A12 includes a list of the extraction conditions already registered, and an operation unit K121 (an operation accepting unit for receiving the start of the execution of the extraction process based on the extraction conditions). An example) is displayed. The operation unit K121 is individually displayed corresponding to each of the extraction conditions. Here, the previous operation unit K121 corresponding to the area where the extraction condition is not registered in the display area A12 may be displayed in gray out or the like. Further, each data of the list of extraction conditions in the display area A12 includes information of items A120 to A126.

  In the item A120, information for identifying whether or not the detailed content of the result of the extraction process executed based on each of the extraction conditions is already displayed is displayed. For example, the control unit 11 displays “new” indicating that the detailed content is not displayed in the item A120 until the detailed content of the result of the extraction process is displayed by the operation of the operation unit K111. When the detailed content is displayed, “done” indicating that the detailed content is displayed is displayed in the item A120.

  In the item A121, a screening name preset as identification information for identifying the content of each of the extraction conditions is displayed. The extraction condition is a condition related to medical information of a patient to be extracted in the extraction process, for example, drug identification information such as drug name or drug code of drug being taken by patient, patient information (sex, age, height , Body weight, etc.), patient test results, adverse events occurring in the patient are included. The extraction conditions also include the extraction target period for the dispensing day or dosing day of the drug. The setting of the extraction condition will be described later.

  The extraction target period of the extraction process when the extraction process based on each of the extraction conditions is performed last time is displayed in the item A122. When the periodic tab T11 is selected, the item A122 displayed on the display area A12 is an inoperable area. Then, when the extraction start screen P1 is displayed, the display processing unit 113 of the control unit 11 displays the contents of the item A122 by the execution date and time and the extraction target period (execution date reference) by the control unit 11. Automatically update and display based on.

  Further, the control unit 11 executes, in the item A123, the execution date and time of each of the extraction processes previously performed based on the extraction conditions based on the processing time information stored in the information storage unit 123. And the processing time of each of the extraction processes. The processing time of the extraction process is stored in the processing time information in step S7 described later or in step S24 described later. Thus, in the display area A12, the processing time is displayed on the same screen together with the operation unit K121, so the user can operate the operation unit K121 in a state where the processing time of the extraction process can be grasped at a glance. It is possible to determine whether or not to execute the extraction process.

  In the item A124, it is possible to input information for determining the start time for periodically performing the extraction process based on the extraction condition. Specifically, in the item A 124, the control unit 11 receives the input of the execution frequency of the extraction process based on the extraction condition and the start time of the extraction process. For example, in the display area A12 shown in FIG. 9, the extraction condition whose screening name is "screening condition to be confirmed every day" is displayed at the top. Then, in the item A 124 of the extraction condition, it is set that the extraction process is started every day at 18 o'clock. Similarly, in the item A 124 of the second stage extraction condition, it is set that the extraction process is started every Monday at 1 o'clock.

  In the item A125, information for automatically setting the extraction target period in the extraction process can be input based on an execution date. Specifically, in the item A125, it is possible to input information when setting the extraction target period in a mode from several days to several days before the start time of the extraction process. That is, the item A125 is an example of a change operation unit capable of receiving a change operation of the extraction target period. For example, in the item A125, when "0 to 0 days" is input, the extraction target period is on the current day of the start time of the extraction process, and when "-7 to -1 days" is input, The extraction target period is from 7 days before the start time of the extraction process to the day before the start time, and when “−1 to −1 month” is input, the extraction target period is from the start time of the extraction process It is one month until one month ago. The extraction target period may be set in various units such as time unit, week unit, or year unit, not limited to day unit or month unit.

  In the item A 126, the type of the reference of the period extracted as the extraction target period can be selected. For example, in the item A126, as the basis of the extraction target period, the “dispense date” or the “administration date” (or “dosage date”) included in the prescription data can be selected. And in the said extraction process, the patient in which the day of the classification of the period selected by the said item A 126 is contained in the said extraction object period will be extracted.

  The operation unit K121 is an example of an operation reception unit used for an operation for starting extraction processing based on each of the extraction conditions. Specifically, the control unit 11 starts the extraction process based on the extraction condition corresponding to the operation unit K121 by the operation of the operation unit K121 in the client terminal 2. When the result of the extraction process based on the extraction condition displayed in the display area A12 is displayed, the control unit 11 causes the operation unit K121 to display “re-execute”. In addition, when the result of the extraction process is not displayed, the control unit 11 causes the operation unit K121 to display “execution”. Note that “execution” may be displayed on the operation unit K121 without distinction between “re-execution” and “execution”. Further, as another embodiment, when the extraction target period is changed in the item A125 or A127, the control unit 11 also changes the display on the operation unit K121 from “re-execution” to “execution”. Conceivable.

  Next, as shown in FIG. 10, in the state in which the tab T12 is selected as required, a list of the extraction conditions already registered in the display area A13 as in the display area A12, and The operation unit K121 for receiving start of execution of the extraction process based on the extraction condition is displayed. In particular, in the list of the extraction conditions in the display area A13, in addition to the item A120, the item A121 and the item A126 similar to the display area A12, the item A127 and the item A123 instead of the item A127 and Item A 128 is displayed.

  In the item A127, the extraction target period in the extraction process can be arbitrarily input. More specifically, the display processing unit 113 of the control unit 11 causes the item A127 to initially display the extraction target period in the extraction process previously executed based on the extraction condition corresponding to the item A127. That is, when the display processing unit 113 receives a display request operation of the extraction start screen P1, the display processing unit 113 performs at least a preset item A127 of the extraction target period among the extraction conditions when the extraction process is performed. The extraction start screen is displayed in a state where is input. Thereafter, the control unit 11 can arbitrarily change the extraction target period according to the user operation of the item A127. That is, the item A127 is an example of a change operation unit capable of receiving a change operation of the extraction target period. The item A 127 corresponding to the extraction condition for which the extraction process has not been executed in the past is displayed, for example, as a blank.

  In the item A128, the display processing unit 113 of the control unit 11 executes each of the extraction processes previously performed for each of the extraction conditions based on the processing time information stored in the information storage unit 123. The date and time and the processing time of each extraction process are displayed. For example, in the display area A13 shown in FIG. 10, the extraction condition whose screening name is “inpatient using 患者 medicine” is displayed at the top. Then, in the item A128 of the extraction condition, the extraction target period of the extraction process executed last time is “7/1 (Fri) to 7/25 (Month)”, and the previous execution date / time is “7/1 26 (Tue) 10: 15 "and that the processing time of the extraction process was" 32 minutes ". Thereby, in the display area A13, it is determined whether or not the user operates the operation unit K121 to execute the extraction process in a state where the user can grasp the processing time of the extraction process at first glance. It is possible.

  Next, the new registration process and editing process of the screening master will be described. The control unit 11 causes the client terminal 2 to display a master editing screen P2 for editing the screening master in accordance with the operation of the operation unit K112 or the operation unit K113 of the operation area A11. Specifically, when the operation unit K112 is operated, the master editing screen P2 is displayed in a state where the extraction condition is blank or in a predetermined initial state, and the operation unit K113 is operated. The master editing screen P2 for reediting the extraction condition selected in the display area A12 at the time of operation is displayed.

  FIG. 11 is a diagram showing an example of the master editing screen P2. As shown in FIG. 11, in the master editing screen P2, an operation area A21, a master registration area A22, and a monitoring registration area A23 are displayed.

  In the operation area A21, operation parts K211 to K214 are displayed. The control unit 11 executes a registration process of storing the extraction conditions input to the master registration area A22 in the screening master in accordance with the operation of the operation unit K211. Further, the control unit 11 executes a deletion process of deleting the extraction condition displayed in the master registration area A22 from the screening master in accordance with the operation of the operation unit K212. The control unit 11 closes the master editing screen P2 and causes the client terminal 2 to display the extraction start screen P1 in accordance with the operation of the operation unit K213. Further, the control unit 11 executes an extraction process based on the extraction condition displayed in the master registration area A22 according to the operation of the operation unit K214.

  The master registration area A22 includes areas A221 to A225 for inputting various information. The control unit 11 sets the type of the extraction condition to be registered to either the periodic screening or the occasional screening in accordance with the user operation of the display area A 221. Specifically, in the case where the periodic screening is selected as the type of the extraction condition in the display area A221, the periodic extraction condition corresponding to the periodic screening can be registered, and the occasional screening is selected. In the table, arbitrary extraction conditions corresponding to the occasional screening can be registered. On the master editing screen P2 shown in FIG. 11, a state in which the screening is selected as needed in the display area A 221 is shown. In the following, a master registration process regarding the random screening will be described as an example.

  The control unit 11 can receive an input of a screening name as identification information capable of identifying the extraction condition according to a user operation of the display area A 222. The control unit 11 can select the already registered screening name according to the user operation of the display area A 222, and when the screening name is selected, the extraction corresponding to the screening name is performed. A condition can be displayed on the master editing screen P2 to accept an editing operation.

  Further, the control unit 11 can receive, in the display area A 223, an input of a condition related to the content of the extraction target among the extraction conditions. Specifically, the display area A223 includes items K221 to K223. The control unit 11 can receive the selection operation of the condition type in the extraction condition in the item K221. The condition types include drugs, drug types, test values, adverse events, therapy, and monitoring. Furthermore, the control unit 11 receives an input of the content of the extraction condition corresponding to the condition type selected in the item K221 in the item K222 and the item K223. In particular, in the item K221, only one of the condition types can be selected from a plurality of the condition types, and in the items K222 and K223, only the content of the selected one of the condition types can be input. .

  For example, in the item K221, when a drug is selected as the condition type, the drug name is input to the item K222, and the item K223 indicates the extraction condition in relation to the drug corresponding to the drug name. For example, information such as “same component” is selected as information for specifying the content. In this case, in the extraction process based on the extraction condition including the extraction condition, a patient who takes a medicine having the same component name as the medicine name input to the item K222 is an extraction target.

  Further, in the item K221, when the medicine type is selected as the condition type, the medicine type is input to the item K222. The drug type is an anticancer drug or a high risk drug. In this case, in the extraction process based on the extraction condition including the extraction condition, a patient who takes a medicine belonging to the medicine type input to the item K222 is an extraction target.

  In the item K221, when an inspection value is selected as the condition type, an inspection name capable of identifying the inspection item is input to the item K222, and the value of the inspection result of the inspection item is input to the item K223. Information for specifying the range of is input. In this case, in the extraction process based on the extraction condition including the extraction condition, a patient whose inspection result of the inspection item input to the item K222 falls within the range of the inspection value input to the item K223 is an extraction target .

  In the item K221, when an adverse event is selected as the condition type, an adverse event name capable of identifying the adverse event is input in the item K222, and the grade of the adverse event is input in the item K223. The information for identifying is input. In this case, in the extraction process based on the extraction condition including the extraction condition, a patient in which the adverse event input to the item K222 falls within the grade range input to the item K223 is an extraction target.

  Further, in the item K221, when a therapy is selected as the condition type, a therapy name for identifying a therapy is input in the item K222. In this case, in the extraction process based on the extraction condition including the extraction condition, the patient who is performing the therapy input in the item K222 is the extraction target.

  Further, in the item K221, when the monitoring is selected as the condition type, a monitoring name for identifying the content of the monitoring is input to the item K222. The monitoring name is, for example, renal function monitoring or liver function monitoring. In this case, in the extraction process based on the extraction condition including the extraction condition, a patient registered in advance as a monitoring object of the monitoring name input to the item K222 is an extraction object. Note that the information as to whether or not to be monitored is stored in the information storage unit 123 as medical information of each patient.

  In the display area A224, the extraction target period included in the extraction condition can be input. The control unit 11 invalidates the operation of the operation unit K 214 until the extraction target period is input to the display area A 224, and the extraction target period is input to the display area A 224. Then, the operation of the operation unit K214 is enabled. That is, the display area A 224 is an operation area for setting the extraction target period when the extraction process is performed in a state where the master editing screen P 2 is displayed.

  In the display area A 225, it is possible to set whether or not the patient extracted in the extraction process executed based on the extraction condition is automatically designated as a monitoring target. Specifically, in the display area A 225, “all patients who are screened” that set all patients extracted in the screening as monitoring targets, and the check conditions set in the item K233 among the patients extracted in the screening It is possible to select either “check item corresponding patient only” in which only patients satisfying the above are to be monitored, or “non-target” in which a patient extracted by screening is not set as a target for monitoring.

  Here, the setting of the arbitrary extraction condition corresponding to the occasional screening has been described, but the setting of the periodic extraction condition corresponding to the periodic screening is also possible on the master editing screen P2. Specifically, when the periodic screening is selected in the display area A221 of the master editing screen P2, an input screen for inputting the periodic extraction condition corresponding to the periodic screening is displayed in the display area A221. Is displayed. Then, on the input screen, items such as the screening name, the activation setting, the extraction target period (execution date standard), and the target date (see FIG. 9) are the periodic extraction conditions corresponding to the periodic screening. It is conceivable that input is possible. In addition, the input screen for inputting the periodic extraction condition corresponding to the periodical screening may be the same as the input screen for inputting the arbitrary extraction condition corresponding to the optional screening.

  In the monitoring registration area A23, an operation area A231 for setting the content of monitoring is displayed. For example, in the operation area A231, information such as a monitoring item indicating the type of the monitoring target, a code indicating the item to be monitored, an item name, a normal range, and contents of the inspection value determination condition are displayed. Further, in the monitoring registration area A23, an item K231 capable of selecting one or more monitoring names included in the monitoring master registered in advance is displayed.

  Then, when the monitoring name is selected in the item K231, the control unit 11 reads the monitoring content corresponding to the monitoring name from the monitoring master and causes the area A232 to display the monitoring content. When the operation unit K235 displayed in the monitoring registration area A23 is operated, the control unit 11 reflects the monitoring contents displayed in the area A232 in the operation area A231. Enter at once. The monitoring name and the monitoring content are associated in advance and stored as a monitoring master in the master storage unit 122 or the like, and the control unit 11 can arbitrarily edit the monitoring master according to a user operation.

  Further, in the operation area A231, items K231 to K233 indicating conditions for determining appropriateness in monitoring are displayed. Specifically, in the item K231, it is possible to select whether to enable the determination function that determines that the inspection determination condition is not satisfied when the inspection value of the item to be monitored is outside the normal range. is there. Further, in the item K232, a range for determining the propriety of the inspection value of the item to be monitored can be arbitrarily set separately from the normal range. Further, in the item K233, it is possible to select whether or not the periodic inspection check is to be performed as to whether or not the inspection of the item to be monitored is performed in a preset period.

<Step S2>
In step S2, the control unit 11 determines the presence / absence of the switching operation of the tab displayed on the extraction start screen P1. Specifically, the control unit 11 determines that the switching operation is performed when a tab different from the currently selected tab of the periodic tab T11 and the occasional tab T12 is operated. Here, if it is determined that the switching operation has been performed, the process proceeds to step S3, and if it is determined that the switching operation is not performed, the process proceeds to step S4.

<Step S3>
In step S3, the control unit 11 executes processing for switching the currently selected tab of the periodic tab T11 and the occasional tab T12 on the extraction start screen P1 to the other tab and displaying the tab. Specifically, when the periodic tab T11 is selected and the display area A12 is displayed, if the tab T12 is operated as needed, the display area A13 is displayed. Similarly, when the periodic tab T11 is operated in a state where the tab T12 is selected at any time and the display area A13 is displayed, the display area A12 is displayed. That is, in the extraction start screen P1, operations relating to the regular screening and the occasional screening in the regular tab T11 and the occasional tab T12 can be switched by the tab.

<Step S4>
In step S4, the control unit 11 stands by for the extraction start operation (S4: No), and when it is determined that the extraction start operation is performed (S4: Yes), shifts the processing to step S5. Specifically, when the operation unit K121 displayed on the display area A12 or the display area A13 of the extraction start screen P1 is operated, the control unit 11 sets the extraction condition corresponding to the operation section K121. It is determined that the extraction start operation has been performed for the extraction process based on the above.

<Step S5>
In step S5, the extraction processing unit 111 of the control unit 11 executes the extraction process based on the extraction condition corresponding to the extraction start operation. Specifically, when the operation section K121 is operated in a state where the periodic tab T11 is selected and the display area A12 is displayed, the control section 11 is based on the extraction condition corresponding to the operation section K121. And execute the extraction process. Similarly, when the operation unit K121 is operated in a state in which the tab T12 is selected as needed and the display area A13 is displayed, the control unit 11 determines the extraction condition corresponding to the operation unit K121. The extraction process is performed. Here, the extraction process of step S5 executed at an arbitrary timing according to the extraction start operation is an example of a second extraction process, and the step S5 is an example of an extraction step.

  In addition, in step S5, the first determination processing unit 114 of the control unit 11 determines whether the test value of the test performed on the patient extracted in the extraction process is within a preset range. judge. Furthermore, the first determination processing unit 114 determines, for the patient extracted in the extraction process, whether or not the examination of the examination item set in advance in the determination period set in advance is performed for the patient. Specifically, based on the examination period master D2, the first determination processing unit 114 associates the medicine extracted in the extraction process with the medicine which is previously set in association with the medicine to be taken. It is determined whether an examination of examination items set in advance is performed for the patient. Further, the second determination processing unit 115 of the control unit 11 determines whether the content of the adverse event registered in advance for the patient extracted in the extraction process satisfies the preset adverse event condition. As a result, the presentation processing unit 116 can present the determination result by the first determination processing unit 114 and the second determination processing unit 115 on the extraction result screen P3 described later.

  Note that the determination by the first determination processing unit 114 and the determination by the second determination processing unit 115 are not limited to those performed in step S5. For example, it is considered that the first determination processing unit 114 and the second determination processing unit 115 execute determination processing at preset times or intervals, and store the determination result in the storage unit 12 as the medical information. Be Even in this case, the presentation processing unit 116 can present the determination results by the first determination processing unit 114 and the second determination processing unit 115 on an extraction result screen P3 described later.

<Step S6>
In step S6, the control unit 11 causes the client terminal 2 to display an extraction result screen P3 indicating the result of the extraction process in step S5. When an operation of closing the extraction result screen P3 is performed, the extraction result screen P3 is closed, the extraction start screen P1 is displayed, and the process proceeds to step S7. FIG. 12 is a diagram showing an example of the extraction result screen P3 on which the result of the extraction process is displayed.

  As shown in FIG. 12, the extraction result screen P3 includes an operation area A31 in which an operation unit for receiving various operations is displayed, and a condition display area A32 in which a part or all of the extraction conditions are displayed. And a result display area A33 in which the result of the extraction process is displayed.

  Specifically, the operation unit K311, the operation unit K312, and the like are displayed in the operation area A31. Then, when the operation unit K311 is operated, the control unit 11 causes the client terminal 2 to display a detailed display screen P4 displaying detailed information on the patient corresponding to the result selected in the result display area A33. Display. FIG. 13 is a view showing an example of the detail display screen P4. The detail display screen P14 displays a display area A41 in which the medicine history or therapy history of the patient is displayed, and a display area A42 in which the contents of the adverse event of the patient are displayed. The control unit 11 can display the detail display screen P14 for each patient on the client terminal 2 according to any operation on the client terminal 2 as well as the operation of the operation unit K311. . Further, when the operation unit K312 is operated, the control unit 11 causes the client terminal 2 to display a reset screen (not shown) for resetting the extraction condition, or the extraction result screen P3. The extraction start screen P1 before displaying is displayed. Note that, when the operation unit K312 is operated, the control unit 11 receives condition setting for further narrowing down the result of the extraction process displayed on the extraction result screen P3, and the control unit 11 receives the condition setting based on the condition. A narrowing-down process may be performed to narrow down and display the result of the extraction process.

  In the condition display area A32, a screening name for identifying the extraction condition among the extraction conditions is displayed. Further, the extraction target period in the extraction process may be displayed in the condition display area A32. In addition, the control unit 11 selects “all patients who are subject to screening” among patients extracted as extraction results of the extraction process in accordance with the operation of the condition display area A 32. , "Check item corresponding patient only", or "no target" can be set.

  In the result display area A33, the extraction target period in the extraction process, the extraction implementation date and time indicating the date and time when the extraction and removal process is performed, and a list of patients displayed as extraction results are displayed. In particular, the extraction start time, the execution end time, and the processing time of the extraction process are displayed as the extraction implementation date and time.

  In the patient list, a patient number, a patient name, a gender, a ward, a medical department, and the like are displayed as the patient information extracted by the extraction process. Further, in the patient list, information such as whether or not the patient is set as a monitoring target is also displayed. Furthermore, in the patient list, a test value determination display A331 and an adverse event determination display A332 are displayed for each patient.

  Specifically, the presentation processing unit 116 presents the determination result by the first determination processing unit 114 to the inspection value determination display unit A 331 in the extraction result screen P3, and the determination result by the second determination processing unit 115 Are displayed on the adverse event determination display unit A332.

  The test value determination display unit A 331 identifiably presents a determination result as to whether the test value of the test performed on the patient extracted in the extraction process is within a preset range. For example, when it is determined that the inspection value is within the range, “o” is displayed on the inspection value determination display portion A331, and it is determined that the inspection value is not within the range. "X" is displayed on the inspection value determination display part A331. Also, when at least one of the plurality of examination items for the patient is not within the range, "x" is displayed on the examination value determination display unit A331, and all the examination values of the plurality of examination items are displayed. Is within the above range, “内” is displayed on the inspection value determination display part A331.

  Further, in the test value determination display unit A331, the test of the test item set in advance in association with the medicine in the judgment period set in advance in association with the medicine taken by the patient extracted in the extraction process is relevant. The determination of whether or not it is being performed for the patient is presented in an identifiable manner. For example, when the inspection item is performed in the determination period, the field of the inspection value determination display portion A331 is displayed in the same color as the other area, and the inspection item is not performed in the determination period. In this case, the field of the inspection value determination display area A331 is displayed in a predetermined color such as red, orange, or yellow which is set in advance. Thereby, the user refers to the extraction result screen P3 to test the test item corresponding to the medicine taken by the patient in addition to the determination result as to whether the test value is within the range. It is possible to grasp the determination result as to whether or not it is carried out in the determination period.

  In addition, in the case where at least one of the test values of the plurality of test items is not within the range for the patient, the test on at least one test item of the test items is not performed within the determination period. In this case, it is conceivable that "x" is displayed on the inspection value determination display A331 and the inspection value determination display A331 is displayed in the predetermined specific color. Similarly, in the case where all the inspection values of a plurality of inspection items are within the range, and the inspection for at least one inspection item of the inspection items is not performed within the determination period, While "(circle)" is displayed on the said test value determination display part A331, it is possible that the said test value determination display part A331 is displayed in the said specific color set beforehand.

  Further, the adverse event determination display unit A332 presents a determination result as to whether the content of the adverse event registered in advance for the patient extracted in the extraction process satisfies the preset adverse event condition. The adverse event may be an objective symptom whose presence or absence of an adverse event can be determined according to the test result of a test item set in advance among the adverse events, and a state indicating the condition of the patient among the adverse events. Accordingly, it includes subjective symptoms that can determine the occurrence of adverse events. Thereby, the user grasps the information about the occurrence of the adverse event in addition to the judgment result on the test presented on the test value judgment display part A331 by referring to the extraction result screen P3. Is possible.

<Step S7>
In step S7, the control unit 11 stores the processing time of the extraction process executed based on the extraction condition in the information storage unit 123 as processing time information in association with the extraction condition. Specifically, when the extraction process is performed, the control unit 11 calculates the processing time based on the difference between the execution start date and the execution end date of the extraction process. Further, the control unit 11 may acquire the processing time by measuring a time from the start of the execution of the extraction process to the end of the execution. The step S7 is an example of a storage step executed by the storage processing unit 112 of the control unit 11.

<Step S8>
In step S8, the control unit 11 determines whether the extraction condition changing operation has been performed on the extraction start screen P1. Here, if it is determined that the change operation of the extraction condition is performed, the process proceeds to step S9, and if it is not determined that the change operation of the extraction condition is performed, the process proceeds to step S10.

<Step S9>
In step S9, the control unit 11 executes a process of changing the extraction condition in accordance with the change operation of the extraction condition received in step S8. Specifically, when the periodic tab T11 is selected, the contents of the items A124 to A126 can be changed in the display area A12. Further, in the state where the tab T12 is selected as needed, the items A126 to A127 can be changed in the display area A13.

  In addition, when the extraction target period is changed in the item A 125 or the item A 127, the control unit 11 may change the extraction target period so that the actual processing time may be significantly different from the previous processing time. It is conceivable to make a message such as the message pop up. Note that the control unit 11 changes the extraction target period in the item A 125 or the item A 127, and the length of the extraction target period after the change is longer than the length of the previous extraction target period, the previous time It is also conceivable as another embodiment to hide the display of the processing time at the time of execution of the extraction processing. The control unit 11 may also increase or decrease the processing time according to the ratio of the length of the extraction target period after the change to the length of the previous extraction target period and display the processing time as the processing time. In this case, since the processing time is an estimated value, it may be considered to be displayed in, for example, a preset color such as red, orange or yellow.

<Step S10>
In step S10, the control unit 11 determines whether a maintenance request operation related to the extraction condition has been performed. Specifically, the control unit 11 determines that the maintenance request operation has been performed when the operation unit K12 is operated. Here, if it is determined that the maintenance request operation has been performed, the process proceeds to step S11, and if it is determined that the maintenance request operation is not performed, the process proceeds to step S12.

<Step S11>
In step S11, the control unit 11 executes a master maintenance process for changing the extraction condition. Specifically, the control unit 11 causes the client terminal 2 to display the master editing screen P2 for changing the extraction condition. Then, as described above, the control unit 11 updates the screening master in accordance with the user operation on the master editing screen P2.

<Step S12>
In step S12, the control unit 11 determines whether a new registration operation for newly registering the extraction condition has been performed. Specifically, the control unit 11 determines that the new registration operation has been performed when the operation unit K13 is operated. Here, if it is determined that the new registration operation has been performed, the process proceeds to step S13, and if it is determined that the new registration operation has not been performed, the process proceeds to step S14.

<Step S13>
In step S13, the control unit 11 executes a master maintenance process for newly registering the extraction condition. Specifically, the control unit 11 causes the client terminal 2 to display the master editing screen P2 for newly registering the extraction condition. Then, as described above, the control unit 11 registers the screening master in accordance with the user operation on the master editing screen P2.

<Step S14>
In step S14, the control unit 11 determines whether an operation for ending the medical information management process has been performed. Specifically, when the operation unit K 114 is operated on the extraction start screen P1, the control unit 11 determines that the operation for ending the medical information management process has been performed. Then, if the ending operation of the medical information management process has not been performed (S14: No), the process is returned to the step S2. On the other hand, when it is determined in step S14 that the operation for ending the medical information management process has been performed (S14: Yes), the medical information management process ends.

  Subsequently, an example of the periodic extraction process executed by the medical information management system 10 will be described with reference to FIG. The periodic extraction process is performed in parallel with the medical information management process. The periodic extraction process may be performed in a situation where the medical information management process is not performed. Furthermore, a plurality of the periodic extraction processes may be executed in parallel corresponding to a plurality of the periodic extraction conditions.

<Step S21>
In step S21, the control unit 11 determines whether the start time of the extraction process set under the periodic extraction condition has come. Here, if it is determined that the start time of the extraction process has come (S21: Yes), the process proceeds to step S22, and if it is determined that the start time of the extraction process has not come ((S21: Yes) S21: No), the process proceeds to step S25.

<Step S22>
In step S22, the extraction processing unit 111 of the control unit 11 executes the extraction process based on the periodic extraction condition determined to have reached the start time. Here, the extraction process of the step S22 periodically executed based on the periodic extraction condition is an example of a first extraction process, and the step S22 is an example of an extraction step.

  Further, similarly to the step S5, the first determination processing unit 114 of the control unit 11 also sets in advance the examination value of the examination performed on the patient extracted in the extraction process also in the step S22. Whether it is within the range and whether the examination of the examination item set in advance in association with the medicine is performed for the patient in the determination period set in advance in association with the medicine taken by the patient Determine Further, the second determination processing unit 115 of the control unit 11 determines whether the content of the adverse event registered in advance for the patient extracted in the extraction process satisfies the preset adverse event condition.

<Step S23>
In step S23, the control unit 11 accumulates and stores the result of the extraction process in step S22 in the information storage unit 123. Thereby, the control unit 11 can display or print the result of the extraction process according to the user operation.

<Step S24>
In step S24, the control unit 11 associates the processing time of the extraction process performed based on the extraction condition performed in the step S22 with the extraction condition and sets the processing time information in the information storage unit 123 as processing time information. Remember. The step S24 is an example of a storage step executed by the storage processing unit 112 of the control unit 11.

<Step S25>
In step S25, the control unit 11 determines whether a display request for the result of the extraction process performed in the past has been made. For example, in the display request for the result of the extraction process, the periodic extraction condition or the arbitrary extraction condition is selected in advance as a display target. In the step S25, only the result of the extraction process based on the periodic extraction condition may be selectable as a display target. Then, if it is determined that the display request has been made (S25: Yes), the process proceeds to step S26, and if it is determined that the display request has not been made (S25: No), the process proceeds to the step It is returned to S21.

<Step S26>
In step S26, the control unit 11 causes the client terminal 2 to display the extraction result screen P3 (see FIG. 12) indicating the result of the extraction process corresponding to the display request in step S25. The processes of steps S25 to S26 may be executed in parallel corresponding to each of the client terminals 2. That is, the control unit 11 may be able to simultaneously display the result of the extraction process which is different for each of the client terminals 2.

  As described above, according to the medical information management system 10, information on the processing time in the case where the extraction process is performed under a specific extraction condition is presented to the user on the extraction start screen P1. Thus, for example, the user can determine whether or not the extraction process needs to be performed after grasping the processing time required for the extraction process.

  Further, in the medical information management system 10, when the extraction result by the extraction process is displayed on the extraction result screen P3, an examination performed when the patient takes a prescribed medicine for the extracted patient is appropriate It is possible to display information as to whether or not it is being performed at a certain time, and information as to whether the result of the examination is appropriate. Thereby, for example, the user can easily grasp not only whether the result of the test is appropriate for each of the patients but also whether or not the test is being performed at an appropriate time.

1 server 11 control unit 12 storage unit 13 communication I / F
14 Display Device 15 Operation Device 16 Drive Device 2 Client Terminal 21 Control Unit 22 Storage Unit 23 Communication I / F
24 Display Device 25 Operation Device 26 Drive Device 3 Printer 4 Communication Network 5 Host System 10 Medical Information Management System

Claims (7)

An extraction processing unit that executes an extraction process of extracting a patient based on extraction conditions set in advance;
A storage processing unit that causes a storage unit to store processing time of the extraction process executed based on the extraction condition in association with the extraction condition;
A display capable of displaying an operation reception unit capable of receiving an execution request operation of extraction processing in which a part or all of the extraction condition associated with the processing time and the processing time stored in the storage unit are common A processing unit,
Medical information management system comprising: The extraction processing unit performs a first extraction process of periodically extracting the patient based on a preset periodic extraction condition at a preset interval, and an arbitrary extraction condition or the input which is input at an arbitrary timing. It is possible to execute a second extraction process of extracting the patient based on a periodic extraction condition,
The medical information management system according to claim 1. When the display processing unit receives a display request operation of the extraction start screen including the operation receiving unit, at least an item set in advance among the extraction conditions when the extraction process is executed is input. To display the extraction start screen,
The medical information management system according to claim 1 or 2. The extraction conditions include a prescribed medicine prescribed for the patient and an extraction target period to be subjected to the extraction process,
The display processing unit can display a change operation unit capable of receiving an operation for changing the extraction target period.
The medical information management system according to any one of claims 1 to 3. Whether or not the test value of the test performed on the patient extracted in the extraction process is within a preset range, and the test of the test item preset on the determination period set in advance is performed on the patient A first determination processing unit that determines whether or not
A presentation processing unit that presents an extraction result by the extraction processing unit and a determination result by the first determination processing unit;
The medical information management system according to any one of claims 1 to 4, comprising: A second determination processing unit that determines whether the content of the adverse event registered in advance for the patient extracted by the extraction processing satisfies the preset adverse event condition;
A presentation processing unit that presents an extraction result by the extraction processing unit and a determination result by the second determination processing unit;
The medical information management system according to any one of claims 1 to 5, comprising: An extraction step of executing an extraction process of extracting a patient based on extraction conditions set in advance;
Storing the processing time of the extraction process executed based on the extraction condition in the storage unit in association with the extraction condition;
A display capable of displaying an operation reception unit capable of receiving an execution request operation of extraction processing in which a part or all of the extraction condition associated with the processing time and the processing time stored in the storage unit are common Step and
Medical information management program to make a computer run.