JP2022022333A - Electronic medical record system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To enable efficient management of medical records of animals..

SOLUTION: An electronic medical record system for managing animals in a veterinary hospital is provided, the system comprising: a medical record information storage unit configured to store medical record information on each treatment, including medical examination, hospitalization, and surgery, associated with animals; and a medical record item display unit configured to read and display items from the medical record information on a second treatment different from a first treatment when giving the first treatment.

SELECTED DRAWING: Figure 1

COPYRIGHT: (C)2022,JPO&INPIT

Description

The present disclosure relates to an electronic medical record system.

Electronic medical records for animals are used (see Patent Document 1).

JP 2015-09578

In Patent Document 1, an electronic medical record for medical examination is assumed, but an independent medical record is separately created when hospitalization or surgery is performed.

The present disclosure has been made in view of such a background, and an object of the present disclosure is to provide a technique capable of efficiently managing medical records for animals.

The main invention of the present invention for solving the above-mentioned problems is an electronic medical record system that manages animals in a veterinary hospital, and is a medical record information storage that stores medical record information for each response including medical examination, hospitalization, and surgery related to the animal. It is characterized by including a unit and a medical record item display unit that reads out and displays an item from the medical record information about the second correspondence different from the first correspondence when performing the first correspondence. do.

According to the present disclosure, medical records for animals can be efficiently managed.

It is a figure which shows the structural example of the electronic medical record system 1 which concerns on 1st Embodiment of this disclosure. It is a figure which shows the hardware configuration example of the computer which realizes the server 10 which concerns on this embodiment. It is a figure which shows the software configuration example of the server 10 which concerns on this embodiment. It is a figure which shows an example of the medical record DB 104 which concerns on this embodiment. It is a figure explaining the operation of the electronic medical record system of this embodiment. It is a figure which shows an example of the screen 201 displayed on the user terminal 20.

<Overview>
The electronic medical record system according to the embodiment of the present disclosure will be described below with reference to the accompanying drawings. In the present specification and the drawings, components having substantially the same functional configuration are designated by the same reference numerals, and duplicate description will be omitted.

The electronic medical record system of the present embodiment is intended to electronically manage medical records of animals in a veterinary hospital. In veterinary hospitals, medical record information is created at the time of medical treatment. The medical record information includes information on the tests, treatments, prescriptions, etc. that the animal received at the time of medical examination. The electronic medical record system of the present embodiment manages this medical record information in a database of a computer. In addition, at the veterinary hospital, different medical records are created separately from the medical records created at the time of examination at the time of admission or surgery. The electronic medical record system of the present embodiment enables a veterinary hospital worker to scan a plurality of types of medical record information in a cross-sectional manner. This enables the medical staff to determine the care policy of the animal patient in advance by referring to a plurality of types of medical records.

<System configuration>
FIG. 1 is a diagram showing a configuration example of an electronic medical record system 1 according to the first embodiment of the present disclosure. As shown in the figure, the electronic medical record system 1 of the present embodiment includes a veterinary hospital management server 10 (hereinafter referred to as a server 10). The server 10 is communicably connected to the user terminal 20 (20a, 20b, 20c, ...) Via the network NW. It should be noted that this configuration is an example, and a certain configuration may have another configuration or may include another configuration.

In this embodiment, the network NW assumes the Internet. The network NW is constructed by, for example, a public telephone line network, a mobile phone line network, a wireless communication network, Ethernet (registered trademark), and the like.

The server 10 is a computer that manages medical records of animal patients. The server 10 may be managed directly by, for example, a veterinary hospital, or may be managed by an organization that manages a veterinary hospital or a servicer that provides a veterinary hospital management system 1 for at least one veterinary hospital.

Further, for example, the server 10 may be a general-purpose computer such as a workstation or a personal computer, or may be logically realized by cloud computing.

The user terminal 20 is, for example, a terminal owned or rented by a medical worker R1 working in a veterinary hospital. The user terminal 20 can be operated by the medical worker R1. For example, the user terminal 20 may be a mobile phone, a smartphone, a tablet computer, a personal computer, or the like.

<Server 10>
FIG. 2 is a diagram showing a hardware configuration example of a computer that realizes the server 10 according to the present embodiment. The computer includes at least a control unit 11, a memory 12, a storage 13, a communication unit 14, an input / output unit 15, and the like. These are electrically connected to each other through the bus 16.

The control unit 11 is an arithmetic unit that controls the operation of the entire server 10, controls the transmission and reception of data between each element, and performs information processing necessary for application execution and authentication processing. For example, the control unit 11 is a processor such as a CPU (Central Processing Unit), and executes each information processing by executing a program or the like stored in the storage 13 and expanded in the memory 12.

The memory 12 includes a main storage configured by a volatile storage device such as a DRAM (Dynamic Random Access Memory) and an auxiliary storage configured by a non-volatile storage device such as a flash memory or an HDD (Hard Disk Drive). .. The memory 12 is used as a work area or the like of the control unit 11, and also stores a BIOS (Basic Input / Output System) executed when the server 10 is started, various setting information, and the like.

The storage 13 stores various programs such as application programs. A database storing data used for each process may be built in the storage 13.

The communication unit 14 connects the server 10 to the network. The communication unit 14 is external, for example, by a method such as a wired LAN (Local Area Network), a wireless LAN, Wi-Fi (Wireless Fidelity, registered trademark), infrared communication, Bluetooth (registered trademark), short-range or non-contact communication, etc. Communicate directly with the device or via a network access point.

The input / output unit 15 is, for example, an information input device such as a keyboard, a mouse, and a touch panel, and an output device such as a display.

The bus 16 is commonly connected to each of the above elements and transmits, for example, an address signal, a data signal, and various control signals.

Since the hardware configuration of a terminal such as a computer or a smartphone that realizes the user terminal 20 according to the present embodiment is the same as the hardware configuration example of the server 10 shown in FIG. 2, the description thereof will be omitted.

FIG. 3 is a diagram showing a software configuration example of the server 10 according to the present embodiment. The server 10 includes a medical record display control unit 101, an input means control unit 102, a medical record information update unit 103, and a medical record DB 104. The medical record display control unit 101, the input means control unit 102, and the medical record information update unit 103 can be realized by the control unit 11 reading the program stored in the storage 13 into the memory 12 and executing the program. Further, the medical record DB 104 can be realized as a part of the storage area provided by the memory 12 and the storage 13. The medical record DB 104 may be realized as a part of an external storage area provided by one or a plurality of servers other than the server 10.

The medical record DB 104 is a database for managing medical record information of animals admitted to or admitted to a veterinary hospital. FIG. 4 is a diagram showing an example of the medical record DB 104 according to the present embodiment. As shown in FIG. 4, the medical record information may include medical record information, hospitalization medical record information, and surgical medical record information. In addition, medical record information is created for animals that have visited the animal hospital even once, hospitalization chart information is created for animals admitted to the animal hospital, and surgical chart information is created for animals that have undergone surgery. Therefore, hospitalization chart information and surgery chart information are not necessarily created for all animals. All the medical record information is managed in association with the animal ID for each animal, for example, and the medical record information for each animal is managed for each consultation date or hospitalization period.

In addition to the medical record information entered by the veterinarian when the animal visits the hospital, when the veterinarian or the like inputs the animal when the animal is admitted, it can be managed as inpatient medical record information. In this case, the hospitalization chart information at the time of admission may include information in common with the consultation chart information at the time of consultation, for example, information on eating and drinking, urination, excretion, images and / or videos of animals in the hospital, at the time of admission. When going out for a walk to confirm the excretion of the patient, the image and / or the moving image during the walk, and comments regarding each image and the like can be included. Furthermore, when an animal undergoes surgery and is input by a veterinarian or the like, it can be managed as surgical chart information. In this case, the surgical chart information at the time of surgery may include information in common with the medical record information at the time of consultation, but the surgical chart information may further include, for example, the content of the surgery received, the date and time of the surgery, and the medication at the time of surgery. Information such as drugs taken can be included. Of the medical record information, the range that can be shared with users such as animal owners (for example, limited to medical record information related to hospitalization and hospitalization) is set in response to a setting request from the user terminal 20 operated by the medical staff. can do.

As shown in FIG. 4, the items included in the medical record information include animal information, interview information, physical findings, medical history, examination information, diagnostic information, treatment / medication information, prescription information, memos, image information, and the like.

The animal information includes the animal species information to which the animal patient is applicable. Examples of animal species information include dogs, foxes, tanukis, phenecks, cats, hamsters, guinea pigs, pigeons, shimaris, taiwan squirrels, prairie dogs, momonga, rabbits, monkeys, miniature pigs, ferrets, skunks, donkeys, horses (miniature horses, farabella). ), Nine Government Birds, Juushimatsu, Budgerigars, Cockatiels, Rose-ringed Parakeets, Birds, Pigeons, Water Turtles, Rikugames, Geckos, Sauria, Snakes, Crocodile, Frogs, Scorpions, Goldfish, Nishikigoi, Tropical Fish, Shrimp, Beetles, Examples include aquatic insects, cockatiels, spiders, scorpions, scorpions, parakeets, rose-ringed parakeets, mucades, and spiders, but this is not the case. Furthermore, even in dogs, there may be subordinate concepts such as dog breeds (dog breeds). Animal information can be included in all of the medical record information, the hospitalized medical record information and the surgical chart information.

The interview information is subjective information (chief complaint) obtained from the owner. For example, "I don't eat much rice", "I have scratches on my legs", "I'm getting fat", "I'm not feeling well", "I have a runny nose", etc. It is an observed symptom. The medical examination information may be obtained from the owner using a medical examination table or a medical examination terminal when visiting a veterinary hospital, or it may be obtained by having the owner enter it in advance using a mobile terminal or the like owned by the owner. May be good. Interviews are also conducted at the time of admission and surgery, and the inpatient chart information and the surgery chart information may also include the interview information.

Physical findings are included. Physical findings are physical information that can be examined by a veterinarian or the like at a veterinary hospital or the like and can be expressed as an objective numerical value. For example, "weight", "body temperature", "heart rate", "respiratory rate" and the like.

Medical history is subjective information heard by veterinarians and the like. The medical history is often the same as the above-mentioned medical examination information, but it also includes items that are difficult for the owner to actually confirm, such as "red throat". In addition, even if the information that "hematuria is occurring" is obtained from the interview information, the current medical history that "bleeding from the anus" may be heard when examined by a veterinarian or the like.

The test information includes at least the contents of the tests that the animal patient has received in the past. The test information can include tests that have been performed in the past visits, hospitalizations, or operations, tests that have been performed in the examinations, and the like. At that time, the reaction to the test (information on the acceptability / acceptability of the test itself such as whether or not it was disliked) may be associated and stored.

The diagnostic information includes at least a history of diagnoses that the animal patient has received in the past. The diagnostic information can include information such as specific disease names and injuries that have occurred in the past. Diagnostic information may include information about diagnoses suspected in previous visits, hospitalizations or surgery.

The treatment / dosing information includes information about the treatment or dosing that the animal patient has received in the past. The treatment / dosing information may be associated with and stored in response to the treatment or medication (information regarding the acceptability / tolerance of the treatment or the medication itself, such as whether or not the patient disliked it or whether it affected the physical condition). The contents of the treatment include, for example, anal gland treatment, nail cutting treatment, sole treatment, ear treatment, hair removal, ophthalmic treatment, dental treatment, Elizabeth color / abdominal band, acupuncture and moxibustion treatment, indwelling, stool removal, thread removal, disinfection, oxygen. Treatment, emetic treatment, emergency resuscitation treatment, drainage, forced feeding, washing, exclusion, massage, microchip, trimming, catheter, rehabilitation, surgery, anesthesia, hospitalization, injection, blood transfusion, drip, examination, radiotherapy, various docks, Nursing care, hygiene treatment, shampoo, training, supplements, snacks, contraception, neutering, flea mite extermination, mad dog disease medicine, vaccine, food, internal medicine, ear drops, nasal drops, eye drops, external medicine (ointment / cream), external use Examples include medicines (disinfectants / sprays), local medicines, and prevention of filaria, but this is not the case.

The prescription information includes drugs and the like previously prescribed by the animal patient. In the prescription information, the user's mobile terminal contains information on the acceptability / tolerance of the treatment or the medication itself, such as whether or not the drug prescribed at home could be taken, whether or not it was disliked, and whether or not it affected the physical condition. It may be acquired and added via.

The memo is text data input by the doctor in charge of medical examination, hospitalization or surgery, the nurse in charge, the office work in charge, and the like.

The image information is an image of an animal patient. The image information may be a still image or a moving image.

<Operation>
FIG. 5 is a diagram illustrating the operation of the electronic medical record system of the present embodiment. FIG. 6 is a diagram showing an example of the screen 201 displayed on the user terminal 20.

When an animal patient is designated in the user terminal 20 (S101), the server 10 transmits screen information for displaying the screen 201 to the user terminal 20, and the screen 201 is displayed on the user terminal 20. The screen 201 contains patient information 2001. The patient information 2001 can be animal information included in the medical record information, but the patient information may be managed separately from the medical record information. On the screen 201, a medical record selection button 2002 for designating the type of medical record, an inpatient medical record selection button 2003, and a surgical chart selection button 2004 are displayed. The buttons 2002 to 2004 can be toggle buttons, and a plurality of selections are possible. The designation of the type of medical record can be accepted by the buttons 2002 to 2004 (S103). Further, a medical record item selection tag 2002 and an item detail selection tag 2003 are arranged on the screen 201, and the medical record item (and its details) to be displayed by the selection tags 2002 and 2003 can be selected (S105). It is not necessary to select the item and the item details. When the animal patient, the type of medical record, and the item (and item details) of the medical record are specified on the screen 201, the user terminal 20 notifies the server 10, and the server 10 displays the medical record information corresponding to the designated animal patient. Among them, the designated item is extracted from the designated type of medical record information and transmitted to the user terminal 20, and the user terminal 20 displays the item received from the server 10 on the screen 201 (S107). For example, the user terminal 20 can display a list of dates 2007 and details 2008 of medical record items corresponding to the selected dates 2007 on the screen 201.

In the example of FIG. 6, all the inspection items for the inpatient chart of the patient animal "Tanaka Cavi" are specified. Correspondingly, a list of tests performed on the patient animal at the time of admission is displayed. Thereby, for example, when the patient animal comes to the hospital after admission, the medical staff can grasp the contents of the examination performed at the time of admission and prepare the examination policy for the day in advance. In addition, at the time of medical examination, it is possible to grasp the medicines that were regularly administered at the time of admission and whether or not contraceptive surgery is being performed, so that medical staff can efficiently prepare for the medical examination. It can be done effectively and effectively.

Although the preferred embodiments of the present disclosure have been described in detail with reference to the accompanying drawings, the technical scope of the present disclosure is not limited to such examples. It is clear that anyone with ordinary knowledge in the art of the present disclosure may come up with various modifications or amendments within the scope of the technical ideas set forth in the claims. Is, of course, understood to belong to the technical scope of the present disclosure.

The device described in the present specification may be realized as a single device, or may be realized by a plurality of devices (for example, a cloud server) which are partially or wholly connected by a network. For example, the control unit 11 and the storage 13 of the server 10 may be realized by different servers connected to each other by a network.

The series of processes by the apparatus described herein may be implemented using software, hardware, or any combination of software and hardware. It is possible to create a computer program for realizing each function of the server 10 according to the present embodiment and implement it on a PC or the like. It is also possible to provide a computer-readable recording medium in which such a computer program is stored. The recording medium is, for example, a magnetic disk, an optical disk, a magneto-optical disk, a flash memory, or the like. Further, the above computer program may be distributed, for example, via a network without using a recording medium.

Further, the processes described with reference to the flowcharts in the present specification may not necessarily be executed in the order shown in the drawings. Some processing steps may be performed in parallel. Further, additional processing steps may be adopted, and some processing steps may be omitted.

In addition, the effects described herein are merely explanatory or exemplary and are not limited. That is, the technique according to the present disclosure may exert other effects apparent to those skilled in the art from the description of the present specification, in addition to or in place of the above effects.

<Disclosure matters>
The present disclosure also includes the following configurations.
[Item 1]
An electronic medical record system that manages animals in a veterinary hospital.
A medical record information storage unit that stores medical record information for each response including medical examination, hospitalization, and surgery related to the animal.
A medical record item display unit that reads and displays an item from the medical record information about the second correspondence, which is different from the first correspondence, when the first correspondence is performed.
An electronic medical record system characterized by being equipped with.
[Item 2]
The electronic medical record system according to item 1.
The medical record item display unit extracts the same item from the medical record information for different correspondences and displays it in a list.
An electronic medical record system featuring.
[Item 3]
The electronic medical record system according to item 1.
The item includes at least one of testing, treatment and prescribing,
An electronic medical record system featuring.
[Item 4]
The electronic medical record system according to item 1.
The medical record item display unit displays the list price and the billed amount related to the item.
An electronic medical record system featuring.

1 Electronic medical record system 10 Server 20 User terminal 101 Medical record display control unit 102 Input means control unit 103 Medical record information update unit 104 Medical record DB

Claims (4)

An electronic medical record system that manages animals in a veterinary hospital.
A medical record information storage unit that stores medical record information for each response including medical examination, hospitalization, and surgery related to the animal.
A medical record item display unit that reads and displays an item from the medical record information about the second correspondence, which is different from the first correspondence, when the first correspondence is performed.
An electronic medical record system characterized by being equipped with. The electronic medical record system according to claim 1.
The medical record item display unit extracts the same item from the medical record information for different correspondences and displays it in a list.
An electronic medical record system featuring. The electronic medical record system according to claim 1.
The item includes at least one of testing, treatment and prescribing,
An electronic medical record system featuring. The electronic medical record system according to claim 1.
The medical record item display unit displays the list price and the billed amount related to the item.
An electronic medical record system featuring.

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