JP2021099808A - Information processing system - Google Patents

Abstract

To facilitate cooperation when patients are introduced between medical facilities.SOLUTION: An inter-medical facility cooperation system includes a first system, which is a system of a medical facility that has introduced a patient, and a second system, which is a system of a medical facility to which the patient has been introduced. The first system includes transmission means for transmitting patient information including information of a plurality of items related to the patient to be introduced to the second system. The second system includes reception means for receiving the patient information transmitted from the first system, and a display control unit for causing a display device to display the patient information received by the reception means. When the display control unit causes the display device to display a plurality of screens each including part of the patient information by sequentially switching, the display control unit displays information of a predetermined item related to the patient's body included in the patient information on each of the plurality of screens.SELECTED DRAWING: Figure 3

Description

The present invention relates to information linkage between medical facilities.

As a technique for linking information between medical facilities, for example, in Patent Document 1, test data, primary diagnosis results, and detailed test results are registered in a database server, and terminals of the requesting facility, primary diagnosis facility, and detailed test facility are registered. The technology to browse from is disclosed.

Japanese Unexamined Patent Publication No. 2006-85545

In the medical industry, for example, a mechanism is used to smoothly start medical examinations at a core hospital by submitting a letter of introduction prepared by a doctor at a regional hospital to the core hospital. However, even if a patient goes to a core hospital with a letter of referral, he / she may not be able to receive a medical examination immediately depending on the congestion status of doctors and medical equipment (examination using medical equipment).
Therefore, an object of the present invention is to facilitate cooperation when introducing a patient between medical facilities.

In order to achieve the above object, the present invention includes a first system which is a system of a medical facility where a patient is referred, and a second system which is a system of a medical facility where a patient is referred. The second system includes a transmission means for transmitting patient information including information of a plurality of items related to a patient to be referred to the second system, and the second system receives the patient information transmitted from the first system. The display control unit includes means and a display control unit for displaying the patient information received by the receiving means on a display device, and the display control unit sequentially switches a plurality of screens each including a part of the patient information to display the display. Provided is an information processing system that displays information on a predetermined item related to a patient's body included in the patient information on each of the plurality of screens when the device displays the information.

Further, in the present invention, when the display control unit sequentially switches the plurality of screens and causes the display device to display the information, the information of the predetermined item is arranged at a common position of each of the plurality of screens. It may be displayed in the area.

According to the present invention, it is possible to facilitate cooperation of medical treatment in a medical facility when a patient is introduced between medical facilities, and to comprehensively support the continuity and continuity of medical care in the region.

Diagram showing an example of the overall configuration of the inter-medical facility cooperation system according to the embodiment Diagram showing an example of the hardware configuration of the linked device Diagram showing the functional configuration realized by each device Diagram showing an example of the displayed introduction screen Diagram showing an example of the displayed referral letter generation screen Diagram showing an example of the displayed reservation screen of the core hospital Diagram showing an example of the displayed medical treatment result screen of the core hospital Diagram showing an example of operation procedure in linked processing Diagram showing another example of operation procedure in linked processing Diagram showing the functional configuration realized by each device of the modified example Diagram showing an example of the displayed user screen Diagram showing the basic information column A11 in an enlarged scale Enlarged view of medical record column A12 Enlarged view of insurance information column A13 Diagram showing an example of another type of specified patient information Diagram showing an example of the fixed area displayed in the modified example

[1] Example FIG. 1 shows an example of the overall configuration of the inter-medical facility cooperation system 1 according to the embodiment. The medical facility cooperation system 1 is a system that supports cooperation of information and business between medical facilities such as hospitals. The inter-medical facility cooperation system 1 particularly supports cooperation when a core hospital conducts a medical examination or examination for a patient referred from a regional hospital. The present invention can also be applied to referrals from clinics to regional hospitals or core hospitals.

The medical facility cooperation system 1 includes a regional hospital system 3, a core hospital system 4, and an information cooperation system 5. The regional hospital system 3 includes a patient information management system 31, an electronic medical record system 32, a reservation system 33, an initial consultation reception machine 34, and a return consultation reception machine 35. The core hospital system 4 includes a patient information management system 41, an electronic medical record system 42, a reservation system 43, an initial consultation reception machine 44, and a return consultation reception machine 45.

Medical facilities include hospitals, clinics, etc. Hospitals include core hospitals and regional hospitals. A core hospital is a hospital that is the core of a regional medical center that can provide advanced acute care and generous nursing care except for some special specialized medical care. A regional hospital is a hospital that is rooted in the community and is familiar to patients, and supports regional medical care in cooperation with core hospitals. As an example of cooperation, patients first visit a local clinic or hospital, and when it is determined that treatment at a core hospital is necessary, they are referred and visit a core hospital.

The regional hospital system 3 is a system that performs processing related to the business of the regional hospital. The patient information management system 31 is a system that manages patient information, which is information about patients who have visited a regional hospital. Depending on the regional hospital, the medical accounting system may be used as the patient information management system. The electronic medical record system 32 is a system for managing electronic medical records of patients who have visited a regional hospital. The reservation system 33 is a system that manages reservations for examinations using doctors or medical devices (medical devices such as CT, MR and highly specialized physiological functions) in regional hospitals.

The initial consultation reception machine 34 is a machine that accepts a patient who visits a regional hospital for the first time. The return-visit reception machine 35 is a machine that accepts return-visit patients who have visited a regional hospital for the second time or later. The core hospital system 4 is a system that performs processing related to the operations of the core hospital. The patient information management system 41 is a system that manages patient information, which is information about patients who have visited a core hospital. The medical accounting system may also be used as a patient information management system in a core hospital.

The electronic medical record system 42 is a system for managing electronic medical records of patients who have visited a core hospital. Since the electronic medical record system 42 also has a function of managing patient information, the electronic medical record system 42 may be used as the patient information management system 41. The reservation system 43 is a system that manages reservations for examinations using a doctor or a medical device in a core hospital. The initial consultation reception machine 44 is a machine that accepts a patient who visits a core hospital for the first time. The return-visit reception machine 45 is a machine that accepts return-visit patients who have visited a core hospital for the second time or later.

Each system and the like provided in the regional hospital system 3 and the core hospital system 4 can communicate with each other by a LAN (Local Area Network) or the like in the medical facility. In FIG. 1, for the sake of brevity, the regional hospital system 3 and the core hospital system 4 are shown one by one, but the inter-medical facility cooperation system 1 has two or more regional hospital systems 3 and the core hospital, respectively. System 4 may be provided.

The information cooperation system 5 includes a network 2, a regional cooperation device 10, and a core cooperation device 20. The network 2 is a communication system including a mobile communication network, the Internet, and the like, and relays data exchange between devices accessing the own system. The regional cooperation device 10 and the core cooperation device 20 are connected to the network 2 by wired communication (or wireless communication).

Similar to the regional hospital system 3, the regional cooperation device 10 is a system of the medical facility from which the patient is introduced, and is an information processing device that performs processing for linking the regional hospital system 3 and the core hospital system 4. Further, the regional cooperation device 10 functions as an interface on the regional hospital system 3 side. The regional cooperation device 10 is an example of the "first system" of the present invention.

Similar to the core hospital system 4, the core cooperation device 20 is a system of a medical facility to which a patient is referred, and is an information processing device that performs processing for linking the regional hospital system 3 and the core hospital system 4. It also functions as an interface on the core hospital system 4 side. The backbone cooperation device 20 is an example of the "second system" of the present invention.

The regional cooperation device 10 is connected to the regional hospital system 3, and the core cooperation device 20 is connected to the core hospital system 4. Therefore, the regional hospital system 3 transmits and receives various information to and from the core hospital system 4 via the regional cooperation device 10 and the core cooperation device 20. Further, the core hospital system 4 transmits and receives various information to and from the regional hospital system 3 via the core cooperation device 20 and the regional cooperation device 10. The hardware configuration of both cooperation devices (regional cooperation device 10 and core cooperation device 20) will be described with reference to FIG.

FIG. 2 shows an example of the hardware configuration of the cooperation device. The regional cooperation device 10 and the core cooperation device 20 are computers including a processor 11, a memory 12, a storage 13, a communication device 14, an input device 15, an output device 16, and a bus 17. The processor 11 includes a central processing unit (CPU) including an interface with peripheral devices, a control device, an arithmetic unit, registers, and the like, and operates, for example, an operating system to control the entire computer.

For each function in the regional cooperation device 10, the processor 11 performs calculations by loading predetermined software (program) on the hardware such as the processor 11 and the memory 12, and controls the communication by the communication device 14 or the memory. It is realized by controlling at least one of reading and writing of data in the storage 13 and the storage 13.

The memory 12 is a computer-readable recording medium, for example, by at least one of ROM (Read Only Memory), EPROM (Erasable Programmable ROM), EPROM (Electrically Erasable Programmable ROM), RAM (Random Access Memory), and the like. It is composed. The storage 13 is a computer-readable recording medium, such as a hard disk drive or a flash memory.

The communication device 14 is hardware (transmission / reception device) for communicating between computers via at least one of a wired network and a wireless network, and is also referred to as, for example, a network device, a network controller, a network card, a communication module, or the like. The communication device 14 also wirelessly communicates with an IC (Integrated Circuit) card to read and write information. The input device 15 is an input device (for example, a keyboard, a mouse, etc.) that receives an input from the outside.

The output device 16 is an output device (for example, a display, a speaker, etc.) that outputs to the outside. An image may be displayed and input may be accepted by a touch screen in which the input device 15 and the output device 16 are integrated. Each device such as the processor 11 and the memory 12 is connected by a bus 17 for communicating information. The bus 17 may be configured by using a single bus, or may be configured by using a different bus for each device.

The functions described below are realized by each processor of the regional cooperation device 10 and the core cooperation device 20 executing a program stored in the own device to control each part of the own device.
FIG. 3 shows a functional configuration realized by each device. The regional cooperation device 10 includes a referral screen processing unit 101, a referral letter generation unit 102, a patient information cooperation unit 103, a medical record cooperation unit 104, and a cooperation information transmission / reception unit 105.

The backbone cooperation device 20 includes a cooperation information transmission / reception unit 201, a candidate schedule acquisition unit 202, a reservation reflection unit 203, a patient information cooperation unit 204, a referral letter display unit 205, and a result information acquisition unit 206. The referral screen processing unit 101 performs processing related to the referral screen that displays the referral letter and accepts operations. A referral letter is a document created when a doctor at a regional hospital introduces a patient to a doctor at a core hospital.

FIG. 4 shows an example of the displayed introduction screen. In the example of FIG. 4, the referral screen processing unit 101 uses information for identifying the patient (patient ID and patient name in this case), a referral letter generation button B1, a reservation button B2 for a core hospital, and referral information. The send button B3 and the medical treatment result button B4 of the core hospital are displayed on the display of the own device. The referral screen is mainly operated by the doctor at the regional hospital in charge of the patient. When the operation of pressing the generation button B1 is performed, the introduction screen processing unit 101 displays the generation screen of the introduction letter.

FIG. 5 shows an example of the displayed referral letter generation screen. In the example of FIG. 5, the referral screen processing unit 101 uses the patient information input field A1, the electronic medical record input field A2, the referral letter destination input field A3, and the comment input field as input fields for information to be included in the referral letter. A4 and the letter of introduction generation button B5 are displayed. The input to each input field may be a text input method or a selection method from a pull-down list or the like.

When the operation of pressing the referral letter generation button B5 is performed, the referral screen processing unit 101 supplies the input contents of each input field and the referral letter generation request to the referral letter generation unit 102. The referral letter generation unit 102 generates a referral letter for a patient who is referred from a regional hospital to a core hospital. The referral letter includes basic information about the patient (name, date of birth, gender, age, health insurance card number, etc.), purpose of referral, main symptoms, disease name, treatment course, medication details, test results, and other medical information. Is done.

These medical information are held by the patient information management system 31 and the electronic medical record system 32. The patient information cooperation unit 103 cooperates with the patient information management system 31 of the regional hospital system 3 to read and update patient information of patients in the regional hospital. The medical record cooperation unit 104 cooperates with the electronic medical record system 32 of the regional hospital system 3 to read and update the electronic medical record of the patient in the regional hospital.

The referral letter generation unit 102 acquires patient information from the input contents of each input field supplied from the referral screen processing unit 101 via the patient information cooperation unit 103, and electronic medical record information via the medical record cooperation unit 104. .. As the information of the electronic medical record, any one of the information obtained by extracting a part of the electronic medical record, the information summarizing the contents of the electronic medical record, or all the information of the electronic medical record is acquired. The referral letter generation unit 102 generates a referral letter for a patient based on the acquired patient information and information held by the regional hospital system 3 called an electronic medical record. The referral letter generated in this way includes information on the patient's health insurance card at the regional hospital and information on the electronic medical record.

When the operation of pressing the reservation button B2 of the core hospital is performed on the introduction screen of FIG. 4, the introduction screen processing unit 101 displays the reservation screen of the core hospital.
FIG. 6 shows an example of the displayed reservation screen of the core hospital. In the example of FIG. 6, the introduction screen processing unit 101 displays a reservation target selection field A6 and a candidate schedule C1 and a reservation request button B7 as input fields for information necessary for reservation.

The reservation target is, for example, a doctor in a clinical department visited when the referred patient receives a medical examination or the like at a core hospital, or a medical device used when the patient undergoes an examination or the like at a core hospital. When the reservation target to be selected is input in the selection field A6, the introduction screen processing unit 101 generates schedule inquiry data for inquiring a candidate schedule that can be reserved for the selected reservation target and supplies it to the cooperation information transmission / reception unit 105. ..

The cooperation information transmission / reception unit 105 transmits / receives cooperation information, which is information for linking the regional hospital and the core hospital, with the core cooperation device 20. The cooperation information transmission / reception unit 105 transmits, for example, patient information including information on a plurality of items related to the patient to be referred to the core cooperation device 20. The cooperation information transmission / reception unit 105 is an example of the "transmission means" of the present invention. Further, the cooperation information transmission / reception unit 105 transmits, for example, the schedule inquiry data supplied from the introduction screen processing unit 101 to the core cooperation device 20 as data indicating the cooperation information. The transmitted schedule inquiry data is received by the cooperation information transmission / reception unit 201 of the core cooperation device 20.

The cooperation information transmission / reception unit 201 transmits / receives cooperation information, which is information for linking the regional hospital and the core hospital, with the regional cooperation device 10. The cooperation information transmission / reception unit 201 receives, for example, patient information transmitted from the regional cooperation device 10. The cooperation information transmission / reception unit 201 is an example of the "reception means" of the present invention. Further, when the cooperation information transmission / reception unit 201 receives the schedule inquiry data as data indicating the cooperation information, the cooperation information transmission / reception unit 201 supplies the received schedule inquiry data to the candidate schedule acquisition unit 202. The candidate schedule acquisition unit 202 acquires a schedule that can be reserved for a patient referred from a regional hospital to a core hospital as a candidate schedule that is a candidate for reservation.

The candidate schedule acquisition unit 202 accesses the reservation system 43 of the core hospital system 4 and acquires the candidate schedule to be reserved indicated by the schedule inquiry data. The candidate schedule acquisition unit 202 supplies the schedule data indicating the acquired candidate schedule to the cooperation information transmission / reception unit 201. The cooperation information transmission / reception unit 201 transmits the supplied schedule data to the regional cooperation device 10. The cooperation information transmission / reception unit 105 of the regional cooperation device 10 receives the schedule data and supplies it to the introduction screen processing unit 101.

The introduction screen processing unit 101 displays the candidate schedule indicated by the supplied schedule data on the introduction screen. For example, in the candidate schedule C1 of FIG. 6, "○" indicates that there is a margin in the time zone that can be reserved, "△" indicates that there are only a few time zones that can be reserved, and "×" indicates that there is no time zone that can be reserved. ing. When the schedule to be reserved is selected and the operation of pressing the reservation request button B7 is performed, the introduction screen processing unit 101 generates request data requesting the reservation of the selected schedule and supplies it to the cooperation information transmission / reception unit 105. ..

The cooperation information transmission / reception unit 105 transmits the supplied request data to the core cooperation device 20 as data indicating the cooperation information. The transmitted request data is received by the cooperation information transmission / reception unit 201 of the core cooperation device 20. When the cooperation information transmission / reception unit 201 receives the request data as data indicating the cooperation information, the cooperation information transmission / reception unit 201 supplies the received request data to the reservation reflection unit 203. The reservation reflection unit 203 accesses the reservation system 43 and performs a reservation process that reflects the reservation of the schedule indicated by the supplied request data.

When the reservation is reflected by the reservation processing, the reservation reflection unit 203 generates reservation data indicating the reserved schedule and supplies it to the cooperation information transmission / reception unit 201 as a result of the reservation processing. The cooperation information transmission / reception unit 201 transmits the supplied reservation data to the regional cooperation device 10. The cooperation information transmission / reception unit 105 of the regional cooperation device 10 receives the reservation data and supplies it to the introduction screen processing unit 101. The introduction screen processing unit 101 displays the reserved schedule indicated by the supplied reservation data on the introduction screen.

As described above, when the core cooperation device 20 transmits a candidate schedule for which a patient can be reserved to the regional cooperation device 10, the regional cooperation device 10 displays the transmitted candidate schedule and makes a reservation for the selected schedule. It is transmitted to the device 20. The core cooperation device 20 performs a process of reflecting the transmitted reservation in the core hospital system 4, and notifies the regional cooperation device 10 of the result of the process. By displaying the candidate schedule as described above, it is possible to reduce the time and effort required for making a reservation as compared with the case where the candidate schedule is not displayed.

The referral letter generation unit 102 creates a referral letter as described above, and when the reservation is completed, the referral letter and the referral information data including the reservation are generated. When the operation of pressing the referral information transmission button B3 shown in FIG. 4 is performed, the referral letter generation unit 102 supplies the generated referral information data to the cooperation information transmission / reception unit 105. The cooperation information transmission / reception unit 105 transmits the introduction information data supplied from the introduction screen processing unit 101 to the core cooperation device 20 as data indicating the cooperation information.

The transmitted referral information data is received by the cooperation information transmission / reception unit 201 of the core cooperation device 20. The cooperation information transmission / reception unit 201 supplies the referral information data received as data indicating the cooperation information to the patient information cooperation unit 204 and the referral letter display unit 205. The patient information cooperation unit 204 cooperates with the patient information management system 41 of the core hospital system 4 to read and update patient information of patients in the core hospital.

When the referral information data is supplied from the cooperation information transmission / reception unit 201, the patient information cooperation unit 204 confirms whether or not the patient information indicated by the supplied referral information data is registered in the patient information management system 41. When the patient information is not registered, the patient information cooperation unit 204 registers the patient information including the information of the insurance certificate in the patient information management system 41. As a result, when a patient visits the core hospital for the first time, the worker on the hospital side can save the trouble of registering the patient information including the insurance card information in the core hospital system 4.

The referral letter display unit 205 displays the referral letter indicated by the referral information data supplied from the cooperation information transmission / reception unit 201, that is, the referral letter from the regional hospital, based on the operation to the own device. The doctor at the core hospital operates the core cooperation device 20 to display the referral letter, and examines the patient with reference to the contents of the referral letter. Since the referral letter contains the information of the electronic medical record as described above, the doctor of the core hospital can perform a new medical examination while referring to the result of the medical examination at the regional hospital.

When the doctor at the core hospital examines the patient, he / she inputs the examination result into the patient information management system 41 and the electronic medical record system 42. When the operation of pressing the medical treatment result button B4 of the core hospital is performed on the introduction screen of FIG. 4 after the examination result is input, the introduction screen processing unit 101 displays the medical treatment result screen of the core hospital.

FIG. 7 shows an example of the displayed medical treatment result screen of the core hospital. In the example of FIG. 7, the referral screen processing unit 101 uses the patient information input field A8 for designating the patient referred to the core hospital and the information D1 of the electronic medical record of the patient at the core hospital as information on the medical treatment result of the patient. Is displayed. When the patient name or patient ID of the patient specified in the input field A8 is input, the introduction screen processing unit 101 generates result inquiry data for inquiring the medical treatment result of the input patient and supplies it to the cooperation information transmission / reception unit 105. ..

The cooperation information transmission / reception unit 105 transmits the result inquiry data supplied from the introduction screen processing unit 101 to the core cooperation device 20 as data indicating the cooperation information. The transmitted result inquiry data is received by the cooperation information transmission / reception unit 201 of the core cooperation device 20. When the cooperation information transmission / reception unit 201 receives the result inquiry data as data indicating the cooperation information, the cooperation information transmission / reception unit 201 supplies the received result inquiry data to the result information acquisition unit 206.

The result information acquisition unit 206 acquires the result information indicating the result of the medical treatment for the patient referred from the regional hospital to the core hospital from the core hospital system 4. The result information acquisition unit 206 supplies the result data indicating the acquired result information to the cooperation information transmission / reception unit 201. The cooperation information transmission / reception unit 201 transmits the supplied result data to the regional cooperation device 10. The cooperation information transmission / reception unit 105 of the regional cooperation device 10 receives the result data and supplies it to the introduction screen processing unit 101.

The referral screen processing unit 101 displays the medical treatment result of the patient indicated by the supplied result data on the referral screen as shown in FIG. The cooperation information transmission / reception unit 105 reflects the received result data in the patient information management system 31 via the patient information cooperation unit 103. Further, the cooperation information transmission / reception unit 105 reflects the received result data in the electronic medical record system 32 via the medical record cooperation unit 104.

In this way, when the core cooperation device 20 transmits the result of the action in the core hospital based on the reservation reflected in the reservation system 43 of the core hospital system 4 to the regional cooperation device 10, the regional cooperation device 10 transmits the result to the region. Supply to hospital system 3. As a result, the doctor of the regional hospital can easily know the subsequent condition of the patient referred to the core hospital.

Each device included in the medical facility cooperation system 1 performs a cooperation process for linking information and operations between hospitals based on the above configuration.
FIG. 8 shows an example of an operation procedure in the cooperative processing. The operation procedure shown in FIG. 8 is started when, for example, a doctor in a regional hospital operates the regional cooperation device 10 to input an introduction letter.

First, when the regional cooperation device 10 receives the referral letter input operation of the patient to be introduced (step S11), the regional cooperation device 10 acquires the patient information and the like of the patient from the regional hospital system 3 (step S12). Next, the regional cooperation device 10 generates a letter of introduction using the acquired patient information and the like (step S13). Subsequently, when the doctor of the regional hospital performs the reservation operation, the regional cooperation device 10 accepts the reservation operation (step S21) and inquires of the core cooperation device 20 about the candidate schedule that can be reserved (step S22).

The core cooperation device 20 acquires the candidate schedule for the reservation target that has been inquired from the reservation system 43 of the core hospital system 4 (step S23), and transmits it to the regional cooperation device 10 (step S24). The regional cooperation device 10 displays the transmitted candidate schedule (step S25). Next, when the doctor of the regional hospital determines the reservation schedule, the regional cooperation device 10 transmits the reservation on the determined schedule to the core cooperation device 20 (step S26).

The backbone cooperation device 20 reflects the transmitted reservation in the reservation system 43 (step S27), and transmits the reflected reservation result to the regional cooperation device 10 (step S28). The regional cooperation device 10 displays the result of the transmitted reservation (step S29). Next, when the doctor of the regional hospital performs an operation of transmitting the referral information, the regional cooperation device 10 accepts the transmission operation (step S31), generates the referral information, and transmits it to the core cooperation device 20 (step S32). ).

When the backbone cooperation device 20 receives the referral information, the backbone cooperation device 20 reflects the patient information and the electronic medical record information indicated by the received referral information in the backbone hospital system 4 (step S33). After that, when the patient visits the hospital on the reflected appointment schedule, the core cooperation device 20 displays the referral information based on the operation of the doctor of the core hospital (step S34). The doctor examines the patient by referring to the displayed referral information.

FIG. 9 shows another example of the operation procedure in the cooperative processing. The operation procedure shown in FIG. 9 is performed after the medical treatment results of the referred patients are stored in the core hospital system 4. First, when an operation of displaying the medical treatment result of the patient introduced by the doctor of the regional hospital in the core hospital is performed, the regional cooperation device 10 accepts the display operation (step S41) and inquires of the medical treatment result to the core cooperation device 20 (step S41). Step S42).

The core cooperation device 20 acquires the medical treatment result of the inquired patient from the core hospital system 4 (step S43) and transmits it to the regional cooperation device 10 (step S44). The regional cooperation device 10 displays the transmitted medical treatment result (step S45). As described above, by exchanging the cooperation information between the regional cooperation device 10 and the core cooperation device 20, the patient information stored in the regional hospital system 3 and the core hospital system 4 is synchronized, and the patient information between the regional hospital and the core hospital is synchronized. It is possible to facilitate cooperation when introducing patients at.

[2] Modifications Each of the above-described embodiments is merely an example of the embodiment of the present invention, and may be modified as follows. Moreover, each embodiment and each modification may be combined as necessary.

[2-1] In the first cooperation unit and the second cooperation unit embodiment, the regional cooperation device 10 is represented as an external device of the regional hospital system 3, and the core cooperation device 20 is represented as an external device of the core hospital system 4. However, the present invention is not limited to this, and the regional cooperation device 10 may be an internal device of the regional hospital system 3, or the core cooperation device 20 may be an internal device of the core hospital system 4.

Further, computer resources provided by the cloud computing service may be used as the regional cooperation device 10 and the core cooperation device 20, respectively. Further, the information cooperation system 5 may include the regional hospital system 3 and the core hospital system 4. In either case, the information cooperation system 5 may include a first cooperation unit which is an interface on the regional hospital system 3 side and a second cooperation unit which is an interface on the core hospital system 4 side.

[2-2] Regional hospital system and core hospital system The systems and the like provided in the regional hospital system 3 and the core hospital system 4 are not limited to those shown in FIG. For example, an ordering system, a medical accounting system, a nursing support system, an examination system (clinical examination, bacterial examination, pathological examination, biological examination, etc.), a diagnostic imaging system, a pharmaceutical department system, a rehabilitation system, and the like may be provided. In short, any system may be provided as long as it holds information about the patient.

[2-3] Reservation method As a method of reserving an examination using a doctor or a medical device in a clinical department of a core hospital, in the embodiment, the number of time zones that can be reserved is set to "○", "△", "×". I was asked to select the schedule I want to reserve by displaying all the dates in the above, but it is not limited to this method.

For example, when a doctor in a regional hospital designates a doctor or medical device in a clinical department, the candidate schedule acquisition unit 202 acquires and introduces a schedule and time zone in which an examination using those doctors or medical devices can be reserved. The screen processing unit 101 may display a list of those dates and time zones. In this method, unlike the reservation method of the embodiment, the time zone that cannot be reserved is not displayed.

Further, for example, when a plurality of doctors or medical devices are designated, the candidate schedule acquisition unit 202 acquires a schedule and time zone that can be commonly reserved for examinations using the plurality of doctors or medical devices. The introduction screen processing unit 101 may display a list of those dates and time zones. The candidate schedule acquisition unit 202 may acquire the schedule and time zone that can be reserved continuously, and the introduction screen processing unit 101 may display the schedule and time zone that can be reserved in common.

In addition, when the candidate schedule acquisition unit 202 has already made an appointment for an examination using a certain doctor or a certain medical device for the patient to be referred to, the examination using the doctor or the medical device can be performed. The candidate schedule acquisition unit 202 may acquire the time zone common to or before and after the reserved time zone, and the introduction screen processing unit 101 may display it. With the above configuration, when making a plurality of reservations for a certain patient, it becomes easy to bring the reservation time zones closer to each other.

[2-4] Reservable dates and times Patients who are referred by, for example, a regional hospital contracted with the core hospital regarding the schedule and time when reservations for examinations using doctors or medical equipment can be made at the core hospital. There may be a distinction between the schedule and time zone for medical examinations, etc. of the hospital and the schedule and time zone for medical examinations, etc. of existing patients in the core hospital. In the examples, the distinction between these dates and time zones is not considered, but a configuration that considers them may be adopted. Specifically, the schedule and time zone reserved for the examination of the referral patient and the schedule and time zone reserved for the examination of the existing patient by the reservation system 43 of the core hospital system 4 On the reservation screen of the core hospital (see Fig. 6), the schedule and time zone for medical examinations of patients introduced by the regional hospitals are indicated by "○", "△", and "×". It should be configured to be displayed.

The present invention can be regarded as an information processing system including information processing devices such as the regional cooperation device 10 and the core cooperation device 20, as well as an information processing system (the inter-medical facility cooperation system 1 is an example). It can also be regarded as an information processing method for realizing the processing performed by those information processing devices and a program for operating the computer that controls those devices. These programs may be provided in the form of a recording medium such as an optical disk that stores them, or may be downloaded to a computer via a network such as the Internet, and installed and made available. May be provided.

[2-5] Screens for Doctors A common screen may be provided to doctors in regional hospitals and doctors in core hospitals who use the inter-medical facility cooperation system 1.
FIG. 10 shows a functional configuration realized by each device of this modified example. In FIG. 10, a backbone cooperation device 20a including an introduction screen processing unit 207 and a medical record cooperation unit 208 instead of the introduction letter display unit 205 shown in FIG. 3 is shown.

The introduction screen processing unit 207 of the core cooperation device 20 displays patient information, which is information on a plurality of items related to the patient stored in the core hospital system 4, on the screen of a user (for example, a doctor) of the core hospital system 4. Further, the introduction screen processing unit 207 causes the display device to display the patient information transmitted by the regional cooperation device 10 and received by the cooperation information transmission / reception unit 201. The introduction screen processing unit 207 is an example of the "display control unit" of the present invention.

FIG. 11 shows an example of the displayed user screen. In the example of FIG. 11, the introduction screen processing unit 207 displays the user screen G11 of the inter-medical facility cooperation system. The introduction screen processing unit 207 displays the basic information column A11, the medical record column A12, and the insurance information column A13 in the fixed area E1. Further, the introduction screen processing unit 207 displays a medical information / medical request display field A14 and a medical inquiry content display field A15 in the designated area E2. In addition to each of these fields, the introduction screen processing unit 207 displays the user screen G11 including the input completion button B11.

The basic information column A11 is a display column for displaying the basic information of the display information fixed portion patient. The medical record column A12 is a display column for displaying the medical record of the patient. The insurance information column A13 is a display column for displaying the insurance information of the patient. The medical information / medical request display column A14 is a display column for the description (providing medical information) of the medical treatment performed to the patient by the referral source doctor and the medical treatment request content. The inquiry content display column A15 is an information display column for supporting the medical treatment of the doctor in parallel with the description of the patient's special information (interview content: medical record including the interview) to be transmitted to the doctor or the nurse.

The basic patient information, the patient's medical record, the patient's insurance information, the input result of the interview and the medical examination record are all patient information including a plurality of items of information regarding the patient. The referral screen processing unit 207 always displays the fixed type of patient information in the fixed region E1. In the example of FIG. 11, the fixed type of patient information is patient information to be displayed in the basic information column A11, the medical record column A12, and the insurance information column A13.

FIG. 12 shows the basic information column A11 in an enlarged manner. The referral screen processing unit 207 displays the patient ID, name, gender, date of birth, address, contact information, desired clinical department, and appointment date in the basic information column A11.

FIG. 13 shows the medical record column A12 in an enlarged manner. The introduction screen processing unit 207 displays disorder information, allergy information, infection information, occupational comments, drug contraindication information, food contraindication information, body metal information, and contrast contraindication information in the medical record column A12.

FIG. 14 is an enlarged representation of the insurance information column A13. The introduction screen processing unit 207 displays the insurance card number, the public expense beneficiary number, the valid / invalidity, and the main insurance in the insurance information column A13.

On the other hand, the referral screen processing unit 207 causes the designated area E2 to display the type of patient information designated by the user (mainly a doctor). In the example of FIG. 11, the designated type of patient information is patient information to be displayed in the medical information / medical request display column A14 and the interview content display column A15. When another type of patient information is specified by the user, the introduction screen processing unit 207 causes the specified type of patient information to be displayed in the designated area E2.

FIG. 15 represents an example of another type of designated patient information. In the example of FIG. 15, the introduction screen processing unit 207 displays the basic information column A11, the medical record column A12, and the insurance information column A13 in the fixed area E1 as in the example of FIG. Further, unlike the example of FIG. 11, the referral screen processing unit 207 displays the referral source medical record display column A16 and the medical record description column A17 newly designated by the user in the designated area E2. There is.

The display column A16 of the referral source medical record is a display column for displaying the medical record summary (medical information provision form) from the referral source doctor. The medical record entry column A17 is a entry column in which the referred doctor describes the medical record for the patient. As described above, the introduction screen processing unit 207 displays the information of the item designated by the user among the patient information in the designated area E2 arranged at a predetermined position on the screen. Further, the referral screen processing unit 207 changes the patient information displayed in the designated area E2 into the fixed area E1 in which the information of the predetermined item among the patient information is arranged at a position different from the designated area E2. But keep displaying.

Further, in the fixed area E1, the information displayed in the medical record column A12, that is, disorder information, allergy information, infection information, occupational comment, drug contraindication information, food contraindication information, internal metal information, and contrast contraindication information, must be examined. And information to be considered in dispensing etc. is displayed. That is, when the introduction screen processing unit 207 sequentially switches a plurality of screens (for example, the screen of FIG. 11 and the screen of FIG. 15) including a part of the patient information and displays them on the display device, the introduction screen processing unit 207 includes the patient information. Information on predetermined items (contraindication information, etc.) regarding the patient's body is displayed on each of a plurality of screens.

Further, when the introduction screen processing unit 207 sequentially switches the plurality of screens and displays them on the display device, the introduction screen processing unit 207 displays the information of the predetermined items described above in the areas arranged at the common positions of the plurality of screens. In the examples of FIGS. 11 and 15, the introduction screen processing unit 207 causes the medical record column A12, which has the same position, shape, and size, to display information on a predetermined item. Not only the introduction screen processing unit 207 of the core hospital system 4 but also the introduction screen processing unit 101 of the regional hospital system 3 controls the display to the fixed area E1 and the designated area E2 in the same manner as the introduction screen processing unit 207.

Therefore, when the referral screen processing unit 101 sequentially switches a plurality of screens including a part of the patient information and displays them on the display device, the information (contraindications) of predetermined items related to the patient's body included in the patient information. Information, etc.) is displayed on each of the multiple screens. Further, when the introduction screen processing unit 101 sequentially switches a plurality of screens and displays the information on the display device, the introduction screen processing unit 101 places the information of the predetermined items described above in a common position on each of the plurality of screens (for example, a medical record). It is displayed in column A12).

In the inter-medical facility cooperation system 1, as described in the embodiment, the patient information stored in the regional hospital system 3 and the core hospital system 4 is synchronized. Therefore, the patient information displayed by the referral screen processing unit 101 and the referral screen processing unit 207 is information on a plurality of items related to the patient, which is stored in both the regional hospital system 3 and the core hospital system 4.

The referral screen processing unit 101, together with the patient information, displays the medical information / medical request display column A14, that is, the description of the medical practice performed on the patient by the referral source doctor (providing medical information) and the display column of the medical request content. Is displayed. The introduction screen processing unit 101 supplies the medical information / medical request displayed in the medical information / medical request display field A14 to, for example, the medical record cooperation unit 104.

The medical record cooperation unit 104 stores the supplied medical information / medical request in the electronic medical record system 32 of the regional hospital system 3 as patient information of the corresponding patient. In addition, the referral screen processing unit 101 causes the patient to display medical records such as interviews conducted in the past in the inquiry content display column A15. The contents of the interview here include not only the record of the interview conducted by the doctor of the regional hospital but also the record of the interview conducted by the doctor of the core hospital.

The interviews conducted by the doctors of the regional hospitals are stored as patient information in the electronic medical record system 32 of the regional hospital system 3 as described above, but the contents of the interviews conducted by the doctors of the core hospitals are also stored in the regional hospital system 3 as described later. It is stored as patient information in the electronic medical record system 32 of the above. The introduction screen processing unit 101 reads out and displays the interview record of the corresponding patient (interview conducted by a doctor in a regional hospital and interview conducted by a doctor in a core hospital) via the medical record cooperation unit 104.

The introduction screen processing unit 101 supplies the patient information displayed as described above to the cooperation information transmission / reception unit 105. The cooperation information transmission / reception unit 105 transmits the supplied patient information, that is, the patient information displayed by the introduction screen processing unit 101 to the core hospital system 4. The patient information transmitted by the cooperation information transmission / reception unit 105 is received by the cooperation information transmission / reception unit 201 included in the core cooperation device 20a.

The cooperation information transmission / reception unit 201 supplies the patient information transmitted from the regional cooperation device 10 to the patient information cooperation unit 204 or the medical record cooperation unit 208. The patient information cooperation unit 204 stores the supplied patient information in the core hospital system 4, and updates the corresponding patient information if it already exists. The medical record cooperation unit 208 stores the medical examination result in the electronic medical record system 42, for example, as the patient information corresponding to the electronic medical record information.

The introduction screen processing unit 207 of the core cooperation device 20a reads out the patient information stored in the core hospital system 4 as described above, and displays the read patient information on the user screen of the core hospital system 4. The items and layouts displayed by the introduction screen processing unit 207 are the same as the items and layouts displayed by the introduction screen processing unit 101 of the regional cooperation device 10. As a result, the items and layouts to be displayed are common between the patient information screen displayed by the referral screen processing unit 207 and the patient information screen displayed by the referral screen processing unit 101.

The referral screen processing unit 207 displays the inquiry content display column A15, which is a display column for medical records such as interviews at a core hospital, together with patient information. The introduction screen processing unit 207 supplies the medical record of the medical record and the like displayed in the display column A15 of the displayed medical inquiry content to the medical record cooperation unit 208. The medical record cooperation unit 208 stores the medical records such as interviews supplied from the introduction screen processing unit 207 in the electronic medical record system 42 as the information of the electronic medical record of the corresponding patient. In this way, medical records such as interviews with doctors at the core hospital are stored in the core hospital system 4 as patient information.

The introduction screen processing unit 207 supplies the medical record of the medical inquiry or the like displayed in the display column A15 of the displayed medical inquiry content to the cooperation information transmission / reception unit 201. The cooperation information transmission / reception unit 201 transmits the supplied medical records such as interviews to the regional hospital system 3 as patient information. The cooperation information transmission / reception unit 105 of the regional hospital system 3 stores the received medical records such as interviews in the electronic medical record system 32 via the medical record cooperation unit 104.

In this way, medical records such as interviews with doctors at the core hospitals are stored in the regional hospital system 3 as patient information. As described above, in this modified example, the medical records such as interviews with doctors in the regional hospital and the medical records such as interviews with doctors in the core hospital are both stored in both the regional hospital system 3 and the core hospital system 4. As a result, doctors at regional hospitals and doctors at core hospitals can share medical records such as interviews conducted with each other.

In addition, by displaying the predetermined patient information in the fixed area E1 as described above, the doctor of the regional hospital can refer to the patient referred by himself, and the doctor of the core hospital can refer to the patient referred by the doctor of the regional hospital. The examination can be performed while always looking at the information related to the patient. In this way, according to this modified example, it is possible to facilitate cooperation of medical treatment in medical facilities when referrals of patients between medical facilities, and to comprehensively support the continuity and continuity of medical care in the region. it can.

[2-6] Arrangement in a common position In the introduction screen processing unit 207, the information of the predetermined items described above is arranged in a common position on each of a plurality of screens, and the display column has the same shape and size. It was displayed in. The introduction screen processing unit 207 may change the shape and size of these display fields according to, for example, the number of characters of the patient information to be displayed.

FIG. 16 shows an example of the fixed region E1 displayed in this modified example. In FIG. 16A, the basic information column A11, the medical record column A12, and the insurance information column A13 shown in FIGS. 11 and 15 are shown. The introduction screen processing unit 207 stores the coordinates D11, D12, and D13 on the screen in the upper left corner of each display area. Of these, the patient information displayed in the medical record column A12 is used in the above-mentioned medical examination and preparation of disability information, allergy information, infection information, occupational comments, drug contraindication information, food contraindication information, body metal information, and contrast contraindication information. Information to consider.

The number of characters in this patient information varies considerably from patient to patient. For example, drug contraindication information includes some patients who have no contraindicated drugs and some patients who have many contraindicated drugs. In the case of a patient whose medical record column A12 has more characters than the patient shown in FIG. 16A, the referral screen processing unit 207 has coordinates D11, D12 and as shown in FIG. 16B. While keeping D13 common, the shape and size of the medical record column A12 are changed so that all patient information is displayed.

Further, although the number of characters of the insurance information does not change significantly, the introduction screen processing unit 207 displays the insurance information column A13 in which the vertical length is matched with the medical record column A12. Similar to the referral screen processing unit 207, the referral screen processing unit 101 of the regional hospital system 3 also has the same display column positions, but the shape and size of the display columns are, for example, displayed by the patient. It may be changed according to the number of characters of the information.

By changing the shape and size of the display column in this way, it is possible to display all the necessary patient information for any patient. Also, since the position of the upper left corner of each display column is common, the position of the display column is not fixed because it is always displayed in the same position when you want to see the basic information of the patient, medical records, and insurance information. It is possible to make the information easier to find than in the case.

1 ... Inter-medical facility cooperation system, 3 ... Regional hospital system, 4 ... Core hospital system, 5 ... Information cooperation system, 10 ... Regional cooperation device, 20 ... Core cooperation device, 31 ... Patient information management system, 32 ... Electronic chart system , 33 ... Reservation system, 34 ... First visit reception machine, 35 ... Return visit reception machine, 41 ... Patient information management system, 42 ... Electronic chart system, 43 ... Reservation system, 44 ... First visit reception machine, 45 ... Return visit reception machine, 101 ... Referral screen processing unit, 102 ... Referral letter generation unit, 103 ... Patient information cooperation unit, 104 ... Carte cooperation unit, 105 ... Cooperation information transmission / reception unit, 201 ... Cooperation information transmission / reception unit, 202 ... Candidate schedule acquisition unit, 203 ... Reservation reflection department, 204 ... Patient information cooperation department, 205 ... Referral letter display department, 206 ... Result information acquisition department.

Claims (2)

The first system, which is the system of the medical facility that referred the patient,
Equipped with a second system, which is the system of the medical facility to which the patient is referred,
The first system includes a transmission means for transmitting patient information including information of a plurality of items regarding the patient to be referred to the second system.
The second system includes a receiving means for receiving the patient information transmitted from the first system, and a display control unit for displaying the patient information received by the receiving means on a display device.
When the display control unit sequentially switches a plurality of screens including a part of the patient information and displays the information on the display device, the display control unit displays the information of a predetermined item related to the patient's body included in the patient information. An information processing system that is displayed on each of the screens of. A claim that the display control unit sequentially switches the plurality of screens and displays the information of the predetermined item in an area arranged at a common position of each of the plurality of screens when the display device displays the information. The information processing system according to 1.

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