JP3328882B2 - Comprehensive medical information management method - Google Patents

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an electronic medical record system for converting medical information relating to medical treatment into electronic information using a computer and to form a network, and a finding input and a pathological tissue inspection report from a radiology department which is a department system. The present invention relates to a comprehensive medical information management method that can effectively cooperate with a certain report system.

[0002]

2. Description of the Related Art A report system for inputting findings from a radiology department and a pathological examination report exists as a database structure in a department system with respect to a main system networked in a medical facility. For clinical practice represented by clinical practice, it also exists as an important report attached to the medical chart as a carbon copy.

[0003]

In order for the electronic medical record system to function effectively, it is necessary that the reports generated from the respective departments and the core medical record system cooperate effectively. Is only discussed in radiology departments such as PACS (medical image information system), and none of them has been proposed as a system for managing comprehensive medical information.

Accordingly, the present invention realizes a comprehensive medical information management method capable of comprehensively handling a report generated from each department and an electronic medical chart in cooperation with each other and increasing the efficiency of the entire system. The purpose is to:

[0005]

In order to achieve the above object, a comprehensive medical information management method according to the present invention provides a radiology department for a patient at a computer terminal of each medical subsystem in a computer network for managing medical information. When a report for a medical record such as a finding input and a histopathological report is generated, the computer terminal converts the report into a file of a print image with a file name having a patient identification code and a classification code representing a medical category. The print image file is sent to a print image file management server provided in the computer network that manages the print image file, and the print image file management server decodes the patient identification code of the file name and transmits the print image file to the computer. Network From the patient medical record file server for managing a large number of patient records folder provided in the click identifies the patient record folder corresponding to the patient code,
The report is transmitted to a folder created according to the classification code in the patient chart folder, and the report of each medical subsystem is linked to the patient chart folder without a time lag. .

[0006] The category of medical care indicated by the division code is an order that is a medical instruction such as examination, prescription, injection, or the like.
Nursing records, medical records written by doctors, reports that are reports from the radiology, pathology, and bacterial examination departments, documents such as medical certificates and medical information provision documents, scan documents input from a scanner, medical charts at the time of admission, medical charts for outpatients, It is characterized by being a past medical record or the like.

In addition, the computer of each medical subsystem
The data terminal adds date information to a file name attached to the report so as to sort the report to be transmitted to the patient chart folder on a time axis.

[0008]

1 and 2 show a comprehensive medical information management method according to the present invention. In this embodiment, a computer network system using an intranet is constructed in a medical facility. ing. In the figure, reference numeral 1 denotes a client PC that manages a report system as a medical department subsystem in the computer network, that is, a department database, and operates an electronic medical record system simultaneously with the report system. The following is an example of the radiology department as one of the medical departments. Reference numeral 2 denotes a radiology department database provided on a WWW server also provided in the computer network, using a distributed database system WWW, which is a hypertext format of a radiology finding input report. It is published as a database with a URL, which is an address character string specifying a radiology department.

Reference numeral 3 denotes a client PC that manages medical information as an electronic medical record system in the computer network on the medical practice side. When the medical practice side refers to the report system, the WWW server sends it to each medical department. Of the patient and the patient identification code, and using the WWW browser, the report of the desired patient in the radiology department database 2 can be referred to.

Reference numeral 4 denotes a patient chart file server which manages a patient chart folder 5 in which computerized medical information is converted into a database in the same computer network, and is organized in units of patients. Reference numeral 6 denotes a print record of a specific record in the report database generated by the medical subsystems 1 of the radiology department, that is, the report itself for each patient.
This is a file transmitted as a print image using ure. In the present embodiment, as an example of the print image file 6, as shown in FIG.
(Portable Document Format
t, Adobe Systems), but of course other print image files may be used. Then, as shown in FIG. 2, the file name 7 of the print image file 6 is given a patient identification code, a classification code representing a medical category, and date information (year, month, day, and time).

The patient identification code in the file name 7 attached to the print image file 6 is managed as a unique identification of the patient in various database systems in the computer network. The medical categories represented by the classification codes include orders that are medical instructions such as examinations, prescriptions, and injections, nursing records, medical records, reports that are reports from the radiology department, pathology department, and bacterial examination department, and medical certificates. And documents such as medical information provision documents, scanned documents input from a scanner,
There are medical charts at the time of admission, outpatient charts, past charts, and the like. In addition, date information (year, month, day, time) is added to sort the reports in the file 6 on the time axis.

Reference numeral 8 denotes a file 6 of the print image.
The program is a PDF transmission program for transmitting a PDF file, and is installed in each client PC of each medical department subsystem 1 for creating a report. Reference numeral 9 denotes a print image file management server for managing the print image file 6 within the same computer network. When the print image file 6 is sent to a designated folder in the print image file management server 9, the print image file management server 9 The sorting program 10 first decodes the patient code from the file name 7 attached to the print image file 6, specifies the patient chart folder 5 corresponding to the patient code from the patient chart file server 4, and The print image file 6 is sent out to a folder created according to the division code in the chart folder 5, for example, the order folder 11, and reports are sequentially accumulated. In the print image file 6 stored in the order folder 11 in the patient chart folder 5, the file name 7 has the same patient identification number and classification code, and differs only in the date information. Therefore, file name 7
By sorting, many files 6 can be aligned on the time axis.

The client PC 3 on the medical practice side operates the electronic medical record system to access the patient medical record file server 4 and specify a patient code, thereby obtaining information in various folders in the patient medical record folder 5. Can be referred to. This is equivalent to a carbon copy of the report attached to the chart in the conventional system, which maintains the coordination between the chart and the report, and also takes an active action to access the report system from the medical service. It is possible to view the patient's report simply by looking at the folder from which the report is sent, without any need, thereby ensuring excellent promptness without a time lag.

FIG. 3 illustrates a screen 12 of a display device in each medical department subsystem 1 that manages a report system as a department database in the computer network described above, and is in a state of being written into the report system.

In each medical subsystem 1, the report system is operated, and at the same time, the electronic medical record system is also operated. Further, a temporary file (for example, named “ptid.tmp”) is used temporarily.
Create This temporary file is a null file when no patient identification code is input, but when a patient identification code (as an example) is input, a patient chart file server 4 that manages the electronic medical record system. The information including the patient attributes is imported from, and the temporary file is downloaded with the patient attribute information such as identification code, name, hospitalization / discharge, etc. of the patient selected on the electronic medical record in a format such as CSV. Shall be performed. The screen 12 in FIG. 3 shows that the above-mentioned patient attribute information is displayed on the same screen in a state where an external application such as a database or a word processor is operating and a patient identification code is being input. Is shown. As a result, when writing in the report system, the trouble of inputting patient attributes from the keyboard or accessing the electronic medical record system to retrieve information is greatly reduced, and errors and duplication of patient attributes are eliminated. And every time the patient choice changes,
It is assumed that the patient attribute information is overwritten on the temporary file. Further, when sending a print image file using the function of printing the current screen display, for example, a symbol representing a database (eg,
DB) to which a frame name DB12345 is automatically generated by adding a patient identification code (example: 12345) to the DB).

In the above-described embodiment, a PDF file has been described as an example of a print image file. However, the present invention is not limited to this.
The file may be a file transmitted as a print image using the int procedure.

[0017]

As described in detail above, according to the present invention,
A file equivalent to a carbon copy of the report attached to the chart in the conventional system is sent to the electronic chart system as a print image when the report is created, maintaining the link between the chart and the report. At the same time, there is no need to take active action to access the reporting system from the medical service side,
Excellent reporting without time lag in that you can see the patient's report just by looking at the folder where the report is sent out, and this report is independent as a department database separate from the electronic medical record system It is also managed.

Also, the computer of each medical subsystem
The data terminal adds the date information to the file name attached to the report to sort the reports to be sent to the patient chart folder on the time axis, and for many reports in the folder, it is a very simple operation to sort the file names It is possible to align the time axis and make it easier to refer to.

[Brief description of the drawings]

FIG. 1 is an explanatory diagram of a comprehensive medical information management method of the present invention.

FIG. 2 is an explanatory diagram of a comprehensive medical information management method of the present invention.

FIG. 3 is an explanatory diagram of a screen of a display device in a client PC for managing a report system in the comprehensive medical information management method of the present invention.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 Medical subsystems 2 Department database 3 Client PC of medical practice 4 Patient chart file server 5 Patient chart folder 6 Print image file 7 File name 8 PDF transmission program 9 Print image file management server 10 Sorting program 11 Order folder 12 screen

──────────────────────────────────────────────────続 き Continuation of the front page (56) References JP-A-11-39294 (JP, A) JP-A-9-330374 (JP, A) JP-A-2000-222502 (JP, A) Shigeki Yokoi, Internet technology Computer Aided Surgery, Medical Care and Computer, Japan, JEOL Ltd., May 20, 1998, Vol. 9, No. 5, p. 3-8 (58) Field surveyed (Int. Cl. ⁷ , DB name) G06F 17/60 126 JICST file (JOIS)

Claims (3)

(57) [Claims] 1. A computer terminal of a medical department subsystem in a computer network for managing medical information, when a report for a medical record such as a radiology finding input for a patient and a histopathological examination report is generated, the computer terminal Will report this report as a file with a file name and print image with a patient identification code and a category code representing the medical category.
The print image file is sent to a print image file management server provided in the computer network which manages the print image file, and the print image file management server decodes the patient identification code of the file name and sends it to the computer network. A patient chart file folder corresponding to the patient code is specified from a patient chart file server that manages a large number of patient chart folders provided in the patient chart folder, and the report is created in a folder created according to the classification code in the patient chart folder. And transmitting a report of each medical subsystem to the patient chart folder without a time lag. 2. The medical category indicated by the category code is an order that is a medical instruction such as examination, prescription, injection, etc., a nursing record, a medical chart, a report from a radiology department, a pathology department, or a bacteria test department. Documents such as reports, medical certificates and medical information reports, scan documents input from a scanner,
2. The comprehensive medical information management method according to claim 1, wherein the medical chart is a chart at the time of admission, a chart at the time of outpatient service, a past chart, and the like. 3. Computer of each medical department subsystem
2. The comprehensive medical information management method according to claim 1, wherein the terminal adds date information to a file name attached to the report to sort the report to be transmitted to the patient chart folder on a time axis.