JP2023086628A - Inter-organization document information sharing system - Google Patents

Abstract

To provide a general-purpose inter-organization document sharing system that enables versatile information transmission and reception without individual handling even between electronic medical records of medical and nursing care institutions having different document categories and arrangement of description items.SOLUTION: A method for sharing document information between electronic medical records of a plurality of organizations where the structure of document categories and description items in the document categories do not necessarily match includes: transmission/reception format definition management means that defines and manages a versatile transmission/reception format between the plurality of organizations; transmission/reception format substitution transmitting means for extracting information from description items for each document category of a transmitting side electronic medical record, substituting it into the transmission/reception format, and transmitting it; and transmission/reception format reception recording means for recording information on the received transmission/reception format in the corresponding description items of the document category of a receiving side electronic medical record.SELECTED DRAWING: Figure 1

Description

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a system for sharing documents created by a plurality of organizations, particularly medical institutions and nursing care facilities.

In medical and nursing care settings, staff of many occupations such as doctors, nurses, and caregivers use basic information documents, medical and nursing care plan documents, execution plan documents, execution result report documents, and usage documents for hospitalization and admission. Documents such as various certificates to be issued to persons are created as electronic charts. Through these documents, information is shared between staff members and between different occupations.
When a patient or user uses another medical institution or nursing care facility, the same huge amount of information is required. Re-obtaining information from the beginning is a huge waste of effort, and it is painful for patients and users to be asked the same questions over and over again. It is required to electronically quickly refer to the electronic medical record documents of the previously used medical institution or nursing care facility, especially when it is necessary to quickly confirm the information in an emergency.

It was never easy to send documents stored in the server to the server of another facility. Initially, the internal structure and standards of the document to be sent, the transmission procedure, the reception procedure, etc. were discussed in advance between the staff on the sending and receiving sides, and then the document was sent and received. For this reason, flexible and mobile document transmission/reception has been difficult.
Since around 2000, web services have been used. A procedural document called WSDL (Web Service Description Language) describing the internal structure and standards of the document to be sent, the sending procedure, the receiving procedure, etc. is made available to the server on the sending side. The receiving server first reads the WSDL document and automatically generates a receiving program (BrokerProgram) for receiving. After that, a document transmission request is sent to the server on the transmission side, the transmitted document is received, and the server on the reception side captures it. Flexible and agile document transmission and reception is now possible because there is no need for prior meetings between staff members. It has become a standard method in present-day home page creation, such as displaying information sources such as weather, news, and stock prices from multiple servers simultaneously.

With the progress of aging, it has become necessary to comprehensively cure and support each elderly person in cooperation with multiple medical institutions and nursing care facilities in order to realize regional medical care and nursing care.
In order to realize this, information such as electronic medical records created by each medical institution and nursing care facility must be made available to each other. Electronic medical records consist of various document categories such as documents created by doctors, nurses, and caregivers. It includes a description of general information collected at the time of admission, plans for examinations, treatments, and interventions based on that information, and written reports after the implementation of interventions.
Each document category has at least one item of information to be described (hereinafter referred to as description item). Products such as ID-LINK (registered trademark of NEC Corporation) and HumanBridge (registered trademark of Fujitsu Limited) are often used.
For any product, when exchanging documents such as electronic medical records, for each document category disclosed by the provider, the description items in the document category are created in a standardized format (SSMIX-II), The document is sent and received by the aforementioned web service.
Prior art documents relevant to this application include: US Pat.

JP-A-2002-117142 JP-A-2002-366656 JP-A-2002-99561 JP 2015-114896 A JP 2010-286881 A

https://jpn.nec.com/medical_healthcare/solution/id-link/index.html

If the electronic medical charts of different medical or nursing care institutions are simply browsed, the content of the electronic medical charts can be browsed with a web browser by attaching the WSDL to the provider's electronic medical charts and disclosing the WSDL to the browsing side.
However, document categories and arrangement of description items in electronic medical records differ for each medical and nursing care institution, making it difficult to understand where the desired information is recorded, and it is often difficult to quickly find the recorded document. Have difficulty.
In addition, when attempting to import the discovered descriptive items into the electronic medical record of one's own facility, manual copying and pasting must be performed each time, making it difficult to acquire the necessary large amounts of systematic information.

Regarding SSMIX-II shown in Non-Patent Document 1, a disclosure document is created in the format specified by SSMIX-II for each document category disclosed by the provider's electronic medical record.
Since the arrangement of document categories and description items differs for each medical and nursing care institution, it is necessary to create an SSMIX-II document creation program for disclosure for each document category to be disclosed in the provider's electronic medical record.
This requires a minimum amount of work exceeding three man-days and a cost of several hundred thousand yen for each document category.
In addition, since the arrangement of document categories and descriptive items in the electronic medical record on the receiving side is often different from that on the provider side, if you try to incorporate descriptive items into the electronic medical record of your facility, you will have to manually Copying and pasting must be performed each time in the work, and it is difficult to acquire the necessary large amount of systematic information.
Although it is possible to automatically import descriptive items into your own hospital's electronic medical records, the arrangement of document categories and descriptive items differs for each provider's electronic chart, so , it is necessary to create a non-versatile description item capturing program, which requires a great deal of cost.
In fact, Saga University of Medical Sciences has attempted to mutually accumulate electronic medical records among university hospitals and to continue medical care using the accumulated electronic medical record information in the event of a disaster, with a budget of 300 million yen. However, due to the lack of compatibility between the electronic medical records of university hospitals, it was necessary for each university to manually enter the accumulated information one by one. Appropriate spending certification is a problem.

Patent Literature 1 proposes a system in which electronic medical record information is stored in a shared server and referenced from a web browser of each medical institution. In this method, the electronic medical record information of each medical institution, which is a mass of personal information, is accumulated in a shared server. Not only does the recording capacity become enormous, requiring high-cost operation, but also the damage will be enormous if the security is breached and the information leaks.

Patent Literature 2 proposes a system that uses XML tags defined by DTD to determine the correspondence between different items in electronic medical charts between medical institutions and to share information. This method is similar to the method of the present application, but it is necessary to create XML tags defined by DTD each time between medical institutions that exchange information. In the current situation where electronic medical charts with a wide variety of document categories, document formats, and item tags are already in use, it is very difficult to match the XML tags of both electronic medical chart documents with DTD as a preliminary step every time information is exchanged. It requires a lot of work, and information exchange does not proceed easily.

Patent Literature 3 proposes a system that analogizes the correspondence between document description items between different organizations from the degree of similarity between the items. However, electronic medical record items are defined for each medical institution, and are at most hundreds to thousands of items. It would be less problematic to specify the correspondences while directly checking than to make vague analogies and risk specifying the wrong correspondences.

Patent Document 4 proposes a system that enables consistent reference even if categories and formats of documents within the hospital are changed for reasons such as laws and regulations. It designates the correspondence between the items in the new and old document categories within the hospital, and does not aim to share information between medical institutions with different document categories and items within categories, as in the present application.

Patent Document 5 proposes a system in which electronic medical record data is converted into intermediate code using a semantic conversion table and transmitted, and the intermediate code is reconverted on the receiving side to restore the electronic medical record data. . This method has the same problem as that of Patent Document 2. Furthermore, the task of converting to intermediate code using a semantic conversion table is complicated, and it is difficult to think that it is versatile for information sharing among many medical institutions.

The present invention has been made to solve such conventional problems, and its object is to provide a general-purpose transmission/reception format among multiple organizations, which is a list of tags indicating description items that need to be shared. Equipped with a sending/receiving format definition management means that defines and manages, it is possible to send/receive information universally without having to deal with each individually, even between electronic medical records of medical and nursing care institutions that have different document categories and description items. and to provide a general-purpose inter-organizational document sharing system capable of automatically fetching information corresponding to the unique document category and description item arrangement of the electronic medical record on the receiving side.

As a means for achieving the above object, in the inter-organizational document information sharing system according to claim 1, in document information sharing among electronic medical records of a plurality of organizations in which the structure of the document category and the description items in the document category do not necessarily match, the plurality of Transmission/reception format definition management means for defining and managing general-purpose transmission/reception formats between organizations, Transmission/reception format assignment transmission means for extracting information from description items for each document category of the electronic medical record on the transmitting side, substituting it into the transmission/reception format, and transmitting it a sending/receiving format reception recording means for recording received sending/receiving format information in corresponding description items of the document category of the electronic medical record on the receiving side; is a list of tags indicating necessary description items.

In the inter-organizational document information sharing system according to claim 2, in the inter-organizational document information sharing system according to claim 1, the sending/receiving format assignment sending means, for each list of tags indicating description items that need to be shared, A sending side map definition means for defining a correspondence with description items of corresponding document categories in a sending side electronic medical record, and sharing the contents of the description items of the corresponding document categories based on the sending side map definition means. is provided with transmission description item substitution means for substituting each of a list of tags indicating necessary description items.

In the inter-organizational document information sharing system according to claim 3, in the inter-organizational document information sharing system according to any one of claims 1 and 2, the transmission/reception format reception and recording means includes a list of tags indicating the description items that need to be shared. has a receiving side map definition means for defining the correspondence with the description items of the corresponding document category in the receiving side electronic medical record for each of and reception description item recording means for recording in the description items of the document category of the corresponding reception side electronic medical record based on the reception side map definition means.

In the inter-organizational document information sharing system according to claim 4, in the inter-organizational document information sharing system according to any one of claims 1 to 3, in the transmission/reception form, multiple description item substitution means for allowing multiple records to be substituted for description items characterized by having

In the inter-organizational document information sharing system according to claim 5, in the inter-organizational document information sharing system according to claim 4, in the description item multiple substitution means, each description item is a document in which the description item is recorded. It is characterized by having means for substituting a plurality of description items with date and time for simultaneously substituting created date and time records.

In the inter-organizational document information sharing system according to claim 6, in the inter-organizational document information sharing system according to any one of claims 1 to 5, the sending/receiving format definition management means is a description item format that enables format setting for description items. It is characterized by having definition means.

In the inter-organizational document information sharing system according to claim 7, in the inter-organizational document information sharing system according to claim 2, the transmission description item substitution means replaces the contents of the description item extracted from the sender's electronic medical record with the description item. It is characterized by having transmission description item format conversion means for converting to a format defined in the item.

In the inter-organizational document information sharing system according to claim 8, in the inter-organizational document information sharing system according to claim 3, the received description item recording means stores the contents of the received description item in the corresponding description item of the receiving side electronic medical record. and receiving description item format conversion means for converting to a format defined in .

In the inter-organizational document information sharing system according to claim 9, in the inter-organizational document information sharing system according to any one of claims 1 to 8, the sending/receiving format assignment transmission means (i) directly receives the assigned sending/receiving format. The present invention is characterized by having transmission/reception format transmission means for either transmitting to a side electronic medical chart or (ii) once transmitting to a relay server and then transmitting from the relay server to a receiving side electronic medical chart.

In the inter-organizational document information sharing system according to claim 1, since the transmission/reception format definition management means is provided, general-purpose transmission/reception formats are defined and managed among a plurality of organizations.
Since the sending/receiving format substitution transmission means is provided, information is extracted from the description items for each document category of the electronic medical record on the sending side, substituted for the sending/receiving format, and sent.
Since the sending/receiving format reception recording means is provided, the received sending/receiving format information is recorded in the description item of the corresponding document category of the receiving side electronic medical record.
A general-purpose transmission/reception format defined by transmission/reception format definition management means is a list of tags indicating description items that need to be shared.

In the inter-organizational document information sharing system according to claim 2, since the transmission description item substitution means is provided, each of the list of tags indicating the description items that need to be shared is associated with the description item of the corresponding document category in the sender's electronic medical record. and assigning the contents of the description items of the corresponding document category to each of a list of tags indicating description items that need to be shared, based on the sender map definition means. substitute. It is possible to decompose the configuration of document categories and description items of the electronic medical record on the sending side once and convert it to a general-purpose expression.

In the inter-organizational document information sharing system according to claim 3, since the received description item recording means is provided, each of the list of tags indicating the description items that need to be shared is recorded as the description item of the document category corresponding to the receiving side electronic medical record. and assigning contents to each list of tags indicating description items that need to be shared, based on the receiving side map definition means, of the corresponding receiving side electronic medical record Recorded in the document category descriptor. General-purpose expressions can be reconstructed into document categories and description items of electronic medical records on the receiving side.

In the inter-organizational document information sharing system according to claim 4, the transmission/reception form has description item multiple substitution means for allowing multiple records to be substituted for the description item. Multiple description contents can be shared in the same description item at the same time.

In the inter-organizational document information sharing system according to claim 5, since the means for substituting multiple description items with date and time is provided, each description item is simultaneously substituted with the record of the date and time when the document in which the description item is recorded was created. As a result, the contents of description items can be assigned in chronological order.

In the inter-organizational document information sharing system according to claim 6, the sending/receiving format definition management means has description item format definition means for enabling format setting for the description items. As a result, it is possible to express the contents of the description items without fluctuations in expression.

In the inter-organizational document information sharing system according to claim 7, since the transmission description item format conversion means is provided, the content of the description item extracted from the sender's electronic medical record is converted into the format defined in the description item. As a result, the format of the electronic medical record on the sending side can be converted into a general-purpose format.

In the inter-organizational document information sharing system according to claim 8, since the receiving description item format conversion means is provided, the contents of the received description item are converted into the format defined for the description item of the receiving side electronic medical record. As a result, it can be converted into the original format of the electronic medical record on the receiving side.

In the inter-organizational document information sharing system according to claim 9, the sending/receiving format assignment transmission means (i) directly sends the assigned sending/receiving format to the electronic medical chart on the receiving side, (ii) temporarily sends it to the relay server, and Transmits from the relay server to the electronic medical record on the receiving side. As a result, the transmission/reception method can be selected according to the cost and purpose.

1 is a schematic diagram of an inter-organizational document information sharing system of the present invention; FIG. An example of a format for setting tags of description items in the transmission/reception format definition management means is shown. Sending/receiving format substitution sending means for extracting and substituting description items necessary for sending/receiving formats based on the sending side map defined by the sending side map definition means from the document categories and description items in the electronic medical record of the sending side medical care institution It is a schematic diagram. Based on the receiving side map defined by the receiving side map definition means, the sending and receiving format reception recording means that extracts and records the necessary description items from the sending and receiving form to the document categories and description items in the electronic medical record of the receiving side medical care institution It is a schematic diagram. Using the means for substituting multiple description items with dates and times, the contents of multiple description items with dates and times assigned to the transmission/reception format are converted to the corresponding document category (in the figure, FIG. 10 is an explanatory diagram of creating a plurality of documents with dates and times on a "temperature check plate") and recording the contents of description items in each. The format of the description items in the electronic medical record of the sending medical care institution is converted into the format set in the transmission/reception format and substituted, and the description items are converted into the electronic chart format of the receiving medical care care institution and recorded. It is an explanatory diagram. Two examples of the method of transmitting the transmission/reception form created from the electronic medical chart on the transmitting side to the electronic medical chart on the receiving side are described.

FIG. 1 is a schematic diagram of an inter-organizational document information sharing system of the present invention.
The electronic medical record server of the sending medical care institution has various document categories such as doctor's first visit record. There are usually multiple description entries for each document category.
For each date and time, a new document is newly created in which the description items are recorded in the relevant document category, and the date and time of creation is recorded in the document.
The description items of the transmission/reception format defined by the transmission/reception format definition management means are substituted with the contents of the description items of the corresponding document category extracted from the sender's electronic medical record, and then transmitted (transmission/reception format substitution transmission means).
The electronic medical record of the receiving side medical care institution that received the substituted transmission/reception format records the contents of each description item in the transmission/reception format in the document category and description item of the corresponding self electronic medical chart (transmission/reception format reception record means).

Conventionally, the category of documents to be sent and received and the description items within the category were fixed and converted to a format such as SSMIX-II.
As a result, it is not possible to flexibly cope with the arrangement of document categories and description items of electronic medical charts that differ for each medical care institution. The transmission/reception format of the present invention does not use document categories, and consists only of a list of tags corresponding to description items. Naturally, the tag name, which is the description item name, must be unique without duplication.

Here, if the tag list, which is the transmission/reception format, changes for each combination of medical institutions, the transmission/reception format substitution transmission means and the transmission/reception format reception/recording means must be created for each combination of medical institutions. (problem of the aforementioned "Patent Document 2").
In order to eliminate this complicated work, the sending/receiving format definition management means of the present application not only defines a list of tags corresponding to a wide variety of electronic medical record item groups as a general-purpose sending/receiving format, but also arbitrarily Manage without allowing changes.
It is desirable that national organizations such as various academic societies have the authority to ensure uniformity in management. Furthermore, it goes without saying that multilingual tag list management by an international organization is more desirable.

If there is a list of tags unified by the sending/receiving format definition management means of the present application, the sending medical institution can send a single sending/receiving format assignment without worrying about the document category or item structure of the receiving medical institution. You have to prepare the means.
The medical institution on the receiving side can prepare a single transmission/reception format reception recording means without worrying about the document category or item structure of the medical institution on the transmitting side.
The unified list of tags is a list of a large number of tags depending on the clinical department or the like, but only necessary tags may be used for transmission/reception.
This makes it possible to transmit and receive description item contents without being restricted by differences in the configuration of document categories for each electronic medical record.

Receiving medical and nursing care institutions can view the received content in the familiar electronic medical record document category and description item configuration, and if necessary, copy and paste it into their own electronic medical record without manual copy and paste work. Recording becomes possible.
It should be noted that the contents of description items are not limited to a single description item, as in the description item multiple substitution means described later, and multiple contents are paralleled, such as "disease name:" and "findings:" in the transmission/reception format of FIG. It may be substituted (description item multiple substitution means).

FIG. 2 shows an example of a format for setting tags of description items in the transmission/reception format definition management means.
(a) is a setting by XML, and describes the contents of the relevant description item between <description item name> and </description item name>.
(b) is a JSON format in which ":" is added following the description item name, and then the contents of the description item are described.
A plurality of contents such as "disease name" and "findings" may be substituted for the description item in the transmission/reception format of FIG. 1 (plural description item substitution means).
The delimiter between multiple contents may be set arbitrarily.
(c) and (d) are commonly called message format or CSV (Comma Separated Values). CR/LF or the like is used as a delimiter between items (inter-item delimiter).
The tag list of description items in the send/receive format may skip description items that are unnecessary for information sharing.
Only necessary description items should be assigned and only necessary description items should be recorded.
The description items required for each of the many clinical departments are diverse.
These descriptors can be added in any number of arbitrary tags without affecting healthcare organizations using existing lists, as long as the descriptor tags are unique and non-duplicate. When sending/receiving, you may skip description items that have no content assigned to them. As a result, it is possible to flexibly deal with various descriptive item contents of many clinical departments without imposing restrictions. Also, by substituting only description items that need to be shared (for example, disease names, doctor articles, test results, etc.), information can be easily shared.

FIG. 3 shows a transmission/reception format for extracting and substituting description items necessary for a transmission/reception format based on a transmission-side map defined by a transmission-side map definition means from document categories and description items in an electronic medical record of a transmission-side medical care institution. It is a schematic diagram of a substitution transmission means.
The sender map shows a correspondence list of pairs of the document category of the sender's electronic medical record to be substituted into the transmission/reception format, the description items recorded in the document category, and the corresponding description items of the transmission/reception format.
Based on this map on the sender side, the specified description items are extracted from the latest document of each document category from the electronic chart on the sender side, and substituted for the description items of the specified transmission/reception format.
In general, electronic medical charts contain descriptive items such as "weight" scattered among multiple nursing records, rehabilitation records, and the like.
It is not always the case that each person measures their body weight. For example, there are many cases in which the contents measured and recorded in the nursing records by nurses are transcribed into the records of other occupations.
In such a case, it is only necessary to extract only the content of the transcription source, which is the latest record, and substitute it into the transmission/reception format.

Figure 4. Based on the receiving side map defined by the receiving side map definition means, the sending and receiving format reception recording means that extracts and records the necessary description items from the sending and receiving form to the document categories and description items in the electronic medical record of the receiving side medical care institution It is a schematic diagram.
In the map on the receiving side, each description item of the transmission/reception form corresponds to the document category of the receiving side electronic medical record that extracts and records the contents from the corresponding transmission/reception form and the pair of description items to be recorded in the document category. List. Based on this receiving side map, the contents are extracted from the description items of the transmission/reception form, and the contents of the description items of the transmission/reception form are recorded in the description items of each document category in the receiving side electronic chart.
In general, electronic medical charts contain descriptive items such as "weight" scattered among multiple nursing records, rehabilitation records, and the like. It is not always the case that each person measures their body weight. For example, there are many cases in which the contents measured and recorded in the nursing records by nurses are transcribed into the records of other occupations.
In such a case, the contents of the description items of the transmission/reception format, which is the latest record, should be recorded in the description item group of the document category specified in the receiver's electronic medical record based on the receiver's map.

FIG. 5 shows the contents of a plurality of descriptive items with date and time assigned to the transmission/reception format using the means for substituting multiple descriptive items with date and time (the means for substituting multiple descriptive items with date and time) into the receiving side medical Create multiple documents with date and time in the corresponding document category ("Temperature plate" in Fig. 5) of the electronic medical record of the nursing care institution, and enter the contents of the description items ("BT:", "HR:" in Fig. 5) ) (recording means for multiple description items with date and time).
When sharing information between medical and nursing care institutions, it is often necessary to share document information in chronological order.
Documents are created in chronological order in the document category of the sender's electronic medical record ("Nursing progress note" in Figure 5), and the date and time of creation of the document, and the description items at the time ("Body temperature", "Heart rate" in Figure 5) number”) are recorded. In the transmission/reception format, a plurality of contents of description items of the time-series document are substituted with the date and time of creation of the document (multiple substitution means for description items with date and time).
In the electronic medical record on the receiving side, create multiple documents with date and time of creation in the corresponding document category ("Temperature plate" in Fig. 5), and enter the contents of the description items ("BT:", "HR: ”) is recorded (recording means for multiple description items with date and time).
As a result, the time-series document group of the electronic medical chart on the transmitting side can be reproduced on the electronic medical chart on the receiving side. In FIG. 5, for convenience of explanation, the document category to be recorded in the electronic medical chart on the receiving side is a single "temperature check plate", but when the contents of the description items are distributed to multiple document categories in the electronic medical chart on the receiving side may create and record multiple document categories in chronological order as needed.

FIG. 6 converts the description item format of the electronic medical record of the sending side medical care institution into the format defined in the transmission/reception format (description item format definition means) and substitutes it, and furthermore, converts the description item format into the format defined by the transmission/reception format (description item format definition means) 1 is an explanatory diagram for converting and recording into an electronic medical chart format.
Depending on the type of electronic medical record, there are many cases in which a strict format is defined for each description item in order to facilitate processing or prevent fluctuations in description.
The aforementioned failure of Saga Medical College was also caused by a lack of consideration for this point.
In the transmission/reception format, the transmission/reception format definition management means defines the format of description items.
The description items of the electronic medical record on the transmitting side are converted into the corresponding description item format and substituted into the transmission/reception format (transmission description item format conversion means).
In the electronic medical record on the receiving side, the descriptive items in the transmission/reception format are converted into the descriptive item format of the own hospital and recorded (receiving descriptive item format conversion means).
This makes it possible to share information without being conscious of differences in the format of description items between electronic medical charts.

FIG. 7 illustrates two examples of a method of transmitting a transmission/reception form created from the electronic medical chart on the transmitting side to the electronic medical chart on the receiving side.
In (a), a sending/receiving form is created in the electronic medical record of the sending medical/nursing institution, and sent/received 1:1 to the electronic medical record of the receiving medical/nursing institution using methods such as web services. . It's straightforward and costs a minimum.
On the other hand, in (b), the prepared transmission/reception form is once transmitted to a relay server, and then distributed from this relay server to a plurality of medical care institutions.
For purposes such as the above example of Saga Medical College, the method (b) would be suitable because the 1:1 management of (a) is difficult. Although two examples of the transmission/reception method have been given, the method is not limited to these, and there are methods such as P2P, which may be selected as appropriate.

Although the embodiments of information sharing in medical and nursing care institutions have been described above, the specific configuration of the present invention is not limited to the above-described embodiments, and design changes, etc. within the scope of the invention are possible. Included in the present invention.
For example, the present invention includes the sharing of document information between organizations other than medical and nursing care institutions.
The shared document information can be permanently recorded after describing the sender in the electronic medical record of the receiving medical care institution, but even if it is only temporary storage and viewing, the document category, It is useful because it can be used in the configuration of description items.
Although I didn't mention it specifically, it goes without saying that security against patient identity confirmation and information leakage is essential.

In the inter-organizational document information sharing system according to claim 1 as a means for achieving the above object, in document information sharing among electronic medical records of multiple organizations where the structure of the document category and the description items in the document category do not necessarily match,
transmission/reception format definition management means for defining and managing general-purpose transmission/reception formats among the plurality of organizations;
Transmission/reception format substitution transmission means for extracting information from the description items for each document category of the sender's electronic medical record, substituting it into the transmission/reception format, and transmitting the information;
a sending/receiving format reception recording means for recording the information of the received sending/receiving format in the description item of the document category of the corresponding electronic medical record on the receiving side;
The general-purpose transmission/reception format defined by the transmission/reception format definition management means is a list of tags indicating description items that need to be shared,
The sending/receiving format assignment sending means has sending-side map defining means for defining the correspondence between each of the list of tags indicating the description items that need to be shared and the description items of the corresponding document category in the sending-side electronic medical record. , sending description item substitution means for substituting the contents of the description items of the corresponding document category into each of a list of tags indicating description items that need to be shared, based on the sending side map definition means;
The sending/receiving format receiving and recording means has a receiving side map defining means for defining a correspondence between each of the list of tags indicating the descriptive items to be shared and corresponding descriptive items of the document category in the receiving side electronic medical record. , a reception description item for recording, in a description item of a document category of a corresponding reception side electronic medical record, substitution contents for each of the list of tags indicating the description items that need to be shared, based on the reception side map definition means; having recording means;
The transmission/reception format is characterized by having description item multiple substitution means for allowing multiple records to be substituted for a description item .

In the inter-organizational document information sharing system according to claim 2 , in the inter-organizational document information sharing system according to claim 1 , in the description item multiple substitution means, each description item has a document in which the description item is recorded. It is characterized by having means for substituting a plurality of description items with date and time for simultaneously substituting created date and time records.

In the inter-organizational document information sharing system according to claim 3 , in the inter-organizational document information sharing system according to any one of claims 1 and 2, the sending/receiving format definition management means is a description item format that enables format setting for description items. It is characterized by having definition means.

In the inter-organizational document information sharing system according to claim 4 , in the inter-organizational document information sharing system according to claim 1 , the transmission description item substitution means replaces the contents of the description item extracted from the sender's electronic medical record with the description. It is characterized by having transmission description item format conversion means for converting to a format defined in the item.

In the inter-organizational document information sharing system according to claim 5 , in the inter-organizational document information sharing system according to claim 1 , the received description item recording means stores the contents of the received description item in the corresponding description item of the receiving side electronic medical record. and receiving description item format conversion means for converting to a format defined in .

In the inter-organizational document information sharing system according to claim 6 , in the inter-organizational document information sharing system according to any one of claims 1 to 5, the sending/receiving format assignment transmission means (i) directly receives the assigned sending/receiving format. The present invention is characterized by having transmission/reception format transmission means for either transmitting to a side electronic medical chart or (ii) once transmitting to a relay server and then transmitting from the relay server to a receiving side electronic medical chart.

In the inter-organizational document information sharing system according to claim 1 , since the transmission description item substitution means is provided, each of the list of tags indicating the description items that need to be shared is used as the description item of the corresponding document category in the sender's electronic medical record. and assigning the contents of the description items of the corresponding document category to each of a list of tags indicating description items that need to be shared, based on the sender map definition means. substitute. It is possible to decompose the configuration of document categories and description items of the electronic medical record on the sending side once and convert it to a general-purpose expression.

In the inter-organizational document information sharing system according to claim 1 , since the received description item recording means is provided, each of the list of tags indicating description items that need to be shared is recorded as the description item of the document category corresponding to the receiving side electronic medical record. and assigning contents to each list of tags indicating description items that need to be shared, based on the receiving side map definition means, of the corresponding receiving side electronic medical record Recorded in the document category descriptor. General-purpose expressions can be reconstructed into document categories and description items of electronic medical records on the receiving side.

In the inter-organizational document information sharing system according to claim 1 , the transmission/reception form has description item multiple substitution means for allowing multiple records to be substituted for the description item. Multiple description contents can be shared in the same description item at the same time.

In the inter-organizational document information sharing system according to claim 2 , since the means for substituting a plurality of description items with date and time is provided, each description item is simultaneously assigned with the date and time when the document in which the description item is recorded was created. As a result, the contents of description items can be assigned in chronological order.

In the inter-organizational document information sharing system according to claim 3 , the sending/receiving format definition management means has description item format definition means for enabling format setting for the description items. As a result, it is possible to express the contents of the description items without fluctuations in expression.

In the inter-organizational document information sharing system according to claim 4 , since the transmission description item format conversion means is provided, the content of the description item extracted from the transmitting side electronic medical record is converted into the format defined in the description item. As a result, the format of the electronic medical record on the sending side can be converted into a general-purpose format.

In the inter-organizational document information sharing system according to claim 5 , since the receiving description item format conversion means is provided, the contents of the received description item are converted into the format defined for the description item of the receiving side electronic medical record. As a result, it can be converted into the original format of the electronic medical record on the receiving side.

In the inter-organizational document information sharing system according to claim 6 , the sending/receiving format assignment transmission means (i) directly sends the assigned sending/receiving format to the electronic medical record on the receiving side, (ii) temporarily sends it to the relay server, and Transmits from the relay server to the electronic medical record on the receiving side. As a result, the transmission/reception method can be selected according to the cost and purpose.

Claims (9)

In document information sharing between electronic medical records of multiple organizations where the structure of the document category and the description items in the document category do not necessarily match,
transmission/reception format definition management means for defining and managing general-purpose transmission/reception formats among the plurality of organizations;
Transmission/reception format substitution transmission means for extracting information from the description items for each document category of the sender's electronic medical record, substituting it into the transmission/reception format, and transmitting the information;
a sending/receiving format reception recording means for recording the information of the received sending/receiving format in the description item of the document category of the corresponding electronic medical record on the receiving side;
An inter-organizational document information sharing system, wherein the universal transmission/reception format defined by the transmission/reception format definition management means is a list of tags indicating description items that need to be shared. The sending/receiving format assignment sending means has sending-side map defining means for defining the correspondence between each of the list of tags indicating the description items that need to be shared and the description items of the corresponding document category in the sending-side electronic medical record. , sending description item substitution means for substituting the contents of the description items of the corresponding document category into each of a list of tags indicating description items that need to be shared based on the sending side map definition means. The inter-organizational document information sharing system according to claim 1. The sending/receiving format receiving and recording means has a receiving side map defining means for defining a correspondence between each of the list of tags indicating the descriptive items to be shared and corresponding descriptive items of the document category in the receiving side electronic medical record. , a reception description item for recording, in a description item of a document category of a corresponding reception side electronic medical record, substitution contents for each of the list of tags indicating the description items that need to be shared, based on the reception side map definition means; 3. An inter-organizational document information sharing system according to claim 1, further comprising recording means. 4. An inter-organizational document information sharing system according to claim 1, further comprising descriptive item multiple substitution means for permitting substitution of a plurality of records into a descriptive item in said transmission/reception format. 5. The means for substituting a plurality of description items with a date and time, wherein the means for substituting a plurality of description items with a date and time simultaneously substitutes for each description item a record of the date and time when the document in which the description item is recorded is created. The inter-organizational document information sharing system described. 6. An inter-organizational document information sharing system according to claim 1, wherein said transmission/reception format definition management means has description item format definition means for enabling format setting for description items. 3. The transmission description item substitution means includes transmission description item format conversion means for converting the contents of the description item extracted from the electronic medical record on the transmitting side into a format defined in the description item. inter-organizational document information sharing system. 4. The receiving descriptive item recording means according to claim 3, further comprising receiving descriptive item format converting means for converting the contents of the received descriptive item into a format defined in the descriptive item of the receiving side electronic medical record. Inter-organization document information sharing system. The sending/receiving format assignment sending means (i) directly sends the assigned sending/receiving format to the electronic medical record on the receiving side, and (ii) temporarily sends it to the relay server and then sends it from the relay server to the electronic medical record on the receiving side. 9. An inter-organizational document information sharing system according to any one of claims 1 to 8, characterized by having any one of transmission/reception format transmission means.

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