JP5098056B2 - Medical management apparatus, medical management method, and medical management program - Google Patents

Description

  The present invention relates to a medical management apparatus that manages medical progress using an electronic medical record, and more particularly to a medical management apparatus that manages medical progress by associating a paper document with an electronic medical record.

  Currently, electronic medical records are used in many medical settings. The electronic medical chart is a mechanism in which a paper chart conventionally used is electronically taken into a computer, centrally managed by the computer, and recorded in a database. However, in medical practice, paper documents are frequently forwarded and consented, and if there is a discrepancy between paper media management and electronic management, it will lead to a serious medical error. Management is required.

  As a technique for performing accurate management when using a paper document, there is a technique shown in Patent Document 1 or Patent Document 2. The technique shown in Patent Document 1 adds barcode data for identifying each document in advance to each document, stores management information for operation management of each document in the server in association with the barcode data, This is a document management system in which each time an operation process is performed on a document, the document is specified based on barcode data, and management information of the document is changed or added according to the operation process.

In addition, the technique disclosed in Patent Document 2 includes an external memory that stores document data, a file management mechanism that manages a file name of the stored document data, and a correspondence relationship between a file name in the external memory and an external identification code. An external identification code management unit for managing the external identification code, a paper surface reading unit for reading the external identification code recorded on the paper surface on which the document data is printed, and a file name corresponding to the external identification code read by the reading unit. A document management apparatus comprising means for finding out from a management unit and accessing the corresponding file to read from the external memory.
Japanese Patent Application Laid-Open No. 10-198687 Japanese Patent Laid-Open No. 1-197878

  However, the technique shown in Patent Document 1 is not sufficiently addressed in that it is necessary to input identification information one by one when various operations are performed, and the burden on the operator is reduced. Has the problem.

  In addition, when there is an operation such as receiving, there is no function to import the contents of a paper document and determine the presence or absence of a receipt stamp. However, since it is necessary to add or change management information while confirming, there is a problem that a burden is imposed on the worker.

As described above, the technique disclosed in Patent Document 2 has a problem that it becomes a burden on the operator because the input operation of the identification code must be performed for each paper document.
In addition, although access to the file becomes faster, management of the contents and state of the file needs to be performed manually, which again has a problem of increasing the burden on the work.

  Accordingly, the present invention has been made to solve the above-described problems, and in medical treatment at a hospital or the like, a paper document forwarded in operation is collectively read and associated with an electronic medical record, thereby making a medical error. An object of the present invention is to provide a medical management device and the like that can reduce the labor of the administrator while eliminating the problem.

The medical management apparatus is a medical management apparatus that manages an agreement form related to medical treatment at a hospital or the like in association with an electronic medical record, and includes an identification information printing unit that prints identification information on the consent form, and the identification information is printed. Based on the acquired identification information, the content information of the consent form and the electronic medical record for the acceptance means captured by the content information of the consent form and the printed identification information, and the consent form captured by the capture means. Association means for storing in association with each other, sign reading means for reading the patient's signature described in the consent form, and a patient name indicated by the identification information printed on the consent form by the sign read by the sign reading means The consent form judging means for judging whether or not the signs match, and the signature read by the sign reading means matches the patient name of the electronic medical record associated by the associating means. Whether a determining chart determining means for determining a result of the association means has performed the association, and, on the basis of the result determined by the agreement judging means and chart judging means, the state indicating the state of the agreement In addition to updating information, the management unit includes state management means for updating the state information of the consent form based on the content information of the consent form taken in by the taking-in means.

  As described above, in the medical management apparatus, when the identification information is printed on the paper document in advance and the paper document is captured as an electronic file, the document is imported by associating with the electronic medical record via the identification information. At the same time, electronic files can be associated with each other, and it is possible to reduce the labor of management while performing reliable management by a computer.

  In addition, by updating the status information on the paper document based on the content information of the imported paper document, for example, as shown in the above problem, the administrator can set the receipt stamp for each paper document. Even without confirmation, it is possible to automatically recognize that there is a receipt stamp, update the status information to the received status, and reduce the burden on the administrator.

Furthermore, since the status information indicating the status of the paper document is updated based on the result of the association, the operating status on the paper can always be managed in the computer, and the administrator can easily manage the status. Play.
Furthermore, in order to determine whether the patient's signature on the consent form matches the identification information printed on the consent form, the consent form goes to the wrong patient and the wrong patient signs as it is. Even if it is a case, it can be noticed before a medical treatment, and it has the effect that a medical care mistake can be prevented by a patient's mistake.
Furthermore, in order to determine whether or not the patient's signature on the consent form matches the patient on the associated electronic medical record, a medical error such as mistaking the patient who gave the medical instruction and the patient who signed the medical instruction There is an effect that it can be prevented.

(2. List output)
The medical management apparatus includes output means for outputting a list of the consent documents based on the content information and status information of the paper document.
In this way, in this medical management apparatus, since the list is output based on the contents and state of the paper document, the administrator can perform management centrally by checking the list, and more paper There is an effect that it becomes easy to manage documents.

  In this way, in this medical management device, in order to determine whether the patient's signature described in the consent form matches the identification information printed on the consent form, the consent form goes to the wrong patient and remains as it is. Even if the wrong patient signs, it can be noticed before medical treatment, and it is possible to prevent a medical error due to the patient's mistake.

  In addition, in order to determine whether or not the patient's signature on the consent form matches the patient on the associated electronic medical record, it prevents medical errors such as mistaking the patient who gave the medical instruction and the signed patient. There is an effect that can be done.

(4. Association of signature images)
In the medical management device, when the association means associates the contents of the consent form with the electronic medical record, the patient's signature part in the consent form is cut out as an image, and the image is associated with the electronic medical record. .

  In this way, in this medical management device, since the electronic medical record and the image of the patient's signature part are associated, the medical care instructor can visually confirm the sign of the consent form with the electronic medical record, There is an effect that mistakes can be prevented.

  In addition, when there are a plurality of consent documents for one patient, it is possible to confirm the consent at a glance by checking each consent document information and signature image in a list.

  Furthermore, by displaying a list of multiple consent documents and their signatures, you can check the difference in handwriting, so you can judge the authenticity of the visual signature, and confirm your consent. The effect is that medical treatment can be performed.

(5. Association of signature images)
The medical management apparatus includes an analysis unit that analyzes the electronic medical record including the associated paper document, and a medical treatment that determines whether or not a next-stage medical treatment can be performed based on the analysis result of the analysis unit. Determination means.

  Thus, in this medical management apparatus, in order to determine whether or not to perform the next stage of medical examination by analyzing the electronic medical record including the paper document, for example, the medical care is performed even though consent has not yet been obtained. In the case of medical treatment in stages, there is no effect of performing medical treatment ignoring the order.

  Although the present invention has been described as an apparatus, the present invention can be understood as a system, method, and program as will be apparent to those skilled in the art. These outlines of the invention do not enumerate the features essential to the present invention, and a sub-combination of these features can also be an invention.

  Embodiments of the present invention will be described below. The present invention can be implemented in many different forms. Therefore, the present invention should not be construed based only on the description of the present embodiment. Also, the same reference numerals are given to the same elements throughout the present embodiment.

  In this embodiment, the apparatus will be mainly described. However, as will be apparent to those skilled in the art, the present invention can be implemented as a system, a method, and a program for operating a computer. In addition, the present invention can be implemented in hardware, software, or hardware and software embodiments. The program can be recorded on any computer-readable medium such as a hard disk, CD-ROM, DVD-ROM, optical storage device, or magnetic storage device. Furthermore, the program can be recorded on another computer via a network.

(First embodiment of the present invention)
(1. Configuration and function)
(1-1 Hardware configuration)
FIG. 1 is a hardware configuration diagram of the medical management apparatus according to the present embodiment. The medical management apparatus 100 includes a CPU (Central Processing Unit) 101, a RAM (Random Access Memory) 102, a ROM (Read Only Memory) 103, a flash memory (Flash memory) 104, an HD (Hard disk) 105 as an external storage device, A LAN (Local Area Network) card 106, a mouse 107, a keyboard 108, a video card 109, a display 109a that is a display device electrically connected to the video card 109, a sound card 110, and an electrical connection to the sound card 110. It comprises a speaker 110a, which is a sound output device, and a drive 111 for reading and writing a storage medium such as a flexible disk, CD-ROM, DVD-ROM or the like.
Note that the above hardware configuration is merely an example, and it is natural that the components can be changed.

(1-2 Module configuration and functions)
FIG. 2 is a module configuration diagram of the medical management apparatus according to the present embodiment. The medical management apparatus 100 includes an acquisition unit 210, a related unit 220, a state management unit 230, an output unit 240, an identification information printing unit 250, and a medical information database 260.

  The capturing unit 210 performs processing for capturing the information in the consent form 205. Since the identification information is printed on the consent form 205 in advance, the identification information is read, and the contents of the consent form 205 including the patient's signature are read and read by a scanner or the like.

  The identification information may be a unique number for each consent form 205, or may be a bar code or a QR code. The identification information may be read at the same time as scanning, or may be read by using image processing or OCR functions after being once captured by a scanner.

  The association unit 220 performs processing for storing data as content information captured by the capture unit 210 in the medical information database 260 while associating the data with the electronic medical record. At the same time, in order to update the status information indicating the status of the data, a process for notifying the status management unit 230 of the fetch result is performed.

  The state management unit 230 performs processing for managing the state of data. When the consent form 205 is output, the data state becomes “issued”, and when the consent form 205 obtained from the patient is signed and saved in the medical care information database 260, the “imported” state is displayed. Data is managed in the “completed” state. Also, the presence / absence of the signature of the consent form 205 is also managed.

  The output unit 240 performs processing for outputting the consent form 205 and other printed matter 206. Although not shown, the output unit 240 performs not only printing but also processing for outputting various information to the screen.

  The identification information printing unit 250 performs processing for printing the identification information on the consent form 205. The identification information includes information such as an order number, patient ID, medical department, Dr ID, document ID, issue date, and version number. When printing with a bar code or QR code, the information is coded and printed. When printing as a character string, the information is simplified with numerical values to generate a character string and then printed.

  The medical information database 260 stores various information related to medical care, and includes an electronic medical record. In addition, the consent form 205 captured after the patient's signature is stored in the medical information database 260 in association with the electronic medical record.

(2. Operation)
FIG. 3 is a flowchart showing the operation of the medical management apparatus according to the present embodiment. First, an agreement is ordered according to the doctor's instruction (step S301). Information such as a patient and a doctor is printed on the consent form as identification information and printed (step S302), and empty data for the printed consent form is created (step S303). At this time, the information indicating the status of the data is in a state where it is understood that the consent form is in the form of paper and is sent to the patient, such as “Issued”, “Not loaded”, and “Requesting”. .

  Here, the issuing of the consent form will be described in detail. FIG. 4 is a diagram illustrating a process of issuing a consent form. The medical management apparatus 100 prints the consent form 105 on which the identification information is printed, and creates empty data in which only basic data is stored in the database. The basic data refers to basic information that will not be changed in the future processing related to the consent form 105, such as an order number, patient ID, patient name, department, document ID, order issue date, and order issuer ID. . The printed consent form 105 is forwarded to the patient for a sign of consent. The medical record history information in the electronic medical record is displayed on the screen in a “request” state indicating that the consent of the patient is being confirmed on the screen.

  Returning to FIG. 3, the consent form sent in a paper state is signed by the patient (step S304), and the consent form is scanned and captured (step S305). At this time, identification information is also taken in. Based on the acquired identification information, it is stored in association with the electronic medical record (step S306). When the consent form is saved, the data state is taken in (step S307).

  Here, the fetching of the sent consent form will be described in detail. FIG. 5 is a diagram showing a process for fetching a consent form. The consent form 105 sent to the patient is collected and captured by the scanner. At this time, identification information is also read.

  When the identification information is a barcode or QR code, a barcode or QR code reading function may be added to the scanner function, or the barcode or QR code image may be read after being acquired. It may be. When the identification information is a character string, the character string may be read by OCR simultaneously with scanning or after scanning.

  The captured image is automatically associated with the electronic medical record based on the identification information, stored in the database, and the data state is updated. In the update contents, the document scan flag is updated to 1 (acquired), and the date of scanning is updated on the document scan date. The consent presence / absence flag is also updated. The consent presence / absence flag is determined whether there is a patient's signature in the collected consent form 105, and is updated to 1 when there is a signature, and is updated to 2 when there is no signature. As for the presence / absence of a signature, it is determined that there is a signature when a consent result with no signature is compared with image processing and a different result is obtained.

  Also, the medical record history information in the electronic medical record is displayed on the screen in the state of “consent” indicating that the consent form 105 has been accepted if the patient has signed the consent. If the patient has not signed an agreement, it is shown as “not consented” indicating that the scan was performed but not agreed.

  Returning to FIG. 3, it is determined whether or not processing has been completed for all consent documents (step S308). If processing has not been completed for all consent documents, the process returns to step S305 to scan the next consent document. Capture. If processing has been completed for all consent documents, the processing result is output to a form (step S309), and the processing ends.

(3. Processing when a medical order is deleted)
Here, processing when a medical order is deleted will be described. If the medical care order is canceled at the discretion of the doctor or patient before the medical treatment is performed, the forwarded consent form must be discarded, but who has the consent form in hand? It is difficult to grasp. In particular, when performing team medical treatment or the like, not only doctors and patients but also various people are involved, so it is very difficult to manage the consent form on paper as needed. In such a case, even if the medical care is canceled, it is difficult to immediately discard the consent form. Therefore, on the instruction history of the electronic medical record, a process of updating the consent form to a state where it has been discarded is performed. A person who performs medical care determines whether or not to perform medical care by looking at the instruction history of the electronic medical record.

  FIG. 6 is a diagram illustrating processing when an order is canceled after scanning. Here, it is assumed that the medical care of order number 0000002 is canceled. In the data on the database, the invalid flag is updated to 1 (invalid), the date of performing invalid processing on the invalid date is updated, and the ID of the person who performed invalid processing is updated.

  The medical record history information in the electronic medical record is shown in a “deleted” state indicating that the consent form has become invalid. In order to emphasize that the medical treatment itself has become invalid, a strikethrough or the like may be used as shown in the figure.

  FIG. 7 is a diagram illustrating processing when an order is canceled before scanning. Also here, it is assumed that the medical care of order number 0000002 is canceled. Data on the database before cancellation is empty data (only basic data is stored) because it is before scanning. If cancellation is performed in this state, the invalid flag is updated to 1 (invalid), the date of invalid processing on the invalid date is updated, and the ID of the person who performed invalid processing is updated (FIG. 7 ( a)).

  Also, the medical record history information in the electronic medical record is shown in a “deleted” state indicating that the consent form has become invalid, as in the case of cancellation after scanning. In order to emphasize that the medical treatment itself has become invalid, a strikethrough or the like may be used as shown in the figure. Here, in order to distinguish it from cancellation after scanning, the area before and after “deletion” is represented by a white square (the cancellation before scanning is a black square).

  Even when the medical care is canceled before the scan and the database is updated, the paper consent form may be scanned away from the attending physician. When scanning is performed in such a case, the document scan flag, the document scan date, and the consent presence / absence flag are updated, but the invalid flag, invalid date, and order invalid person ID are maintained as they are. The medical record history information in the medical record does not change. Further, by comparing the document scan date with the invalid date, it is possible to identify whether the document was canceled before the scan or after the scan (FIG. 7B).

(4. Processing to output processing results)
Hereinafter, processing for outputting the processing result to a form will be described. The types of forms to be output are a document reading OK list, a document reading NG list, and a document invalid list. The document reading OK list is a list of documents that have been successfully imported and have an agreement sign, that is, a document with an invalid flag = 0 (valid) and an agreement presence flag = 1 (with agreement). This document reading OK list is forwarded to each department or managed by a center that manages medical care.

  The document reading NG list is a document that has not been successfully imported or a document that has been successfully imported but has no consent sign, that is, invalid flag = 0 (valid) and consent flag = 2 (no consent). A document or document scan flag = 0 (not fetched) is a list of documents. At this time, the case where the identification information cannot be read normally is included in the list. The document reading NG list is referred to when a document is read again based on the list. Also, when consent has not been obtained, it is used when confirming with the attending physician.

  The document invalid list is a document in which the order of medical care is canceled, that is, a document with invalid flag = 1 (invalid). This document invalidity list is referred to when a paper document is searched and discarded in order to prevent the paper document from walking alone. If a paper document is not found, it is also referred to when notifying the attending physician and the department in charge of the cancellation.

  As described above, according to the medical management device according to the present embodiment, identification information is printed on a paper document in advance, and when the paper document is imported as an electronic file, the electronic medical record is associated with the identification information. The electronic file can be associated simultaneously with the loading of the document, and the management effort can be reduced while performing the reliable management by the computer.

  In addition, by updating the information related to the paper document based on the contents of the imported paper document, for example, the information can be automatically updated without the administrator checking the signature of each consent document. Can reduce the burden on the administrator.

  Furthermore, since the information indicating the state of the paper document is updated based on the result of the association, the operation state on paper can always be managed in the computer, and the administrator can easily manage it.

  Furthermore, since the list is output based on the contents and state of the paper document, the administrator can more easily manage the paper document by checking the list.

  Furthermore, when the order of medical care is cancelled, the status of the data can be updated or maintained, so that accurate management can be realized, reducing the possibility of unnecessary medical care and medical care mistakes. can do.

(Second embodiment of the present invention)
The second embodiment of the present invention will be described below. Here, in the medical management apparatus according to the first embodiment, processing for determining the authenticity of the signature is added.
(1. Configuration and function)
FIG. 8 is a module configuration diagram of the medical management apparatus according to the present embodiment. A configuration different from the first embodiment is that a signature reading unit 810, a consent document determination unit 820, and a chart determination unit 830 are provided.

  The signature reading unit 810 performs processing for reading the signature portion of the consent form 205 associated with the electronic medical record. Generally, since the name of the patient is written in the sign of the consent form, the contents of the sign can be confirmed by reading a character string by OCR. In the case of an original signature such as an English cursive character like a foreigner, it is difficult to recognize characters, so the signature is acquired as an image.

  The consent document determination unit 820 compares the content of the signature read by the signature reading unit 810 with the identification information printed on the consent document, and performs a process of determining whether or not they match. The name of the patient is obtained by recognizing the signature by OCR, and the name of the patient to whom the consent form is to be obtained is obtained by reading the identification information, and it is determined whether or not they match. If they do not match, the consent form may be wrongly sent to another patient, and the other patient may sign as it is, so confirmation is required.

  The medical chart determination unit 830 performs processing for determining whether or not the content of the signature read by the signature reading unit 810 matches the name of the patient managed by the electronic medical record. The name of the patient is acquired by recognizing the signature by OCR, and the name of the patient managed by the electronic medical record is acquired to determine whether or not they match. If they do not match, there is a possibility that the association of the related part 220 may be wrong, so confirmation is required.

The state management unit 230 performs a process of updating the data state based on the results of the consent document determination unit 820 and the medical chart determination unit 830 and storing it in the medical care information database 260.
When the signature is acquired as an image, the patient's signature is registered and stored in advance, and the image and the image read by the signature reading unit 810 are compared to determine whether or not they match. Also good.

(2. Operation)
FIG. 9 is a flowchart showing the operation of the medical management apparatus according to the present embodiment. Since the processing from step S301 to step S305 is the same as that of the first embodiment, description thereof is omitted. When the consent form is scanned and captured in step S305, the consent form is associated with the electronic medical record based on the read identification information (step S306a), and the patient's signature in the consent form is read (step S306b).

  It is determined whether or not the read signature and the patient name (or patient name indicated by the patient ID) included in the identification information match (step S306c), and if they do not match, the data state is set to a no-sign state (step S306c). S306e). If they match, it is determined whether or not the signature and the patient name in the electronic medical record match (step S306d). If they do not match, the data state is set to no sign (step S306e). If they match, the data state is set to be signed (step S306f). Since the processing after step S308 is the same as that of the first embodiment, a description thereof will be omitted.

  Thus, according to the medical management device according to the present embodiment, the consent form is incorrect in order to determine whether the patient's signature described in the consent form matches the identification information printed on the consent form. Even if the patient goes around and signs the wrong patient as it is, it can be noticed before medical treatment, and a medical error can be prevented due to the patient's mistake.

  In addition, in order to determine whether or not the patient's signature on the consent form matches the patient on the associated electronic medical record, it prevents medical errors such as mistaking the patient who gave the medical instruction and the signed patient. can do.

(Other embodiments)
(1. Sign image association)
When associating the electronic medical record with the consent form, a process of associating the signature image is performed so that the signature portion can be visually confirmed. FIG. 10 is a diagram illustrating an example of a screen display when a signature image and an electronic medical record are associated with each other. Currently, three consent forms (radiation examination consent form, anesthesia consent form, and surgical consent form) are issued to the patient, and all of them are signing consent. For example, if only the sign of the anesthesia consent form is clearly different from the other consent forms, the authenticity of the sign of the anesthesia consent form is low, and therefore a separate confirmation is required. Further, if the signature is not associated, it means that the consent has not been obtained, so the medical care needs to be stopped.

  As described above, according to the medical management apparatus according to the present embodiment, in order to associate the electronic medical record with the image of the patient's signature part, the medical care instructor visually confirms the sign of the consent form with the electronic medical record. Can prevent medical errors.

In addition, when there are a plurality of consent documents for one patient, the consent can be confirmed with a glance by checking each consent document information and signature image in a list.
Furthermore, by displaying a list of multiple consent documents and their signatures, you can check the difference in handwriting, so you can judge the authenticity of the visual signature, and confirm your consent. Medical treatment.

(2. Judgment of next-stage medical care)
As shown in FIG. 10, for example, when an operation is performed, a plurality of consent forms may be required for various medical treatments associated with a prior examination or operation. In such a case, even if all the consent forms are not complete, if an operation is performed, it becomes a big problem, which may lead to a medical error.

  In order to solve the above problem, the medical management apparatus according to the present embodiment does not authorize permission to perform the next medical care unless a necessary consent form is prepared. In the example of FIG. 10, if you do not ask for the anesthesia consent form and you are giving the surgery consent form, you can't perform the operation until you ask for the anesthesia consent. There is a possibility that surgery will be performed only by checking the letter. In order to prevent such mistakes, the status of the electronic medical record is analyzed to determine the validity of whether or not the next medical care can be performed. In the situation where the next medical care should not be performed yet, the fact is displayed on the screen, sound, or paper to notify the person in charge or the attending physician.

  The notification method may be any method that can notify the attending physician, such as a display method by changing the color, alerting by letters, a voice message, setting of an approval button, or a combination thereof.

  As described above, according to the medical management device according to the present embodiment, in order to determine whether or not to perform the next stage of medical care by analyzing a paper document, for example, the medical care is performed even though consent has not yet been obtained. In the case of medical treatment that is performed or followed in stages, it is not possible to perform medical treatment ignoring the order.

  Although the present invention has been described with the above embodiments, the technical scope of the present invention is not limited to the scope described in the embodiments, and various modifications or improvements can be added to these embodiments. . And embodiment which added such a change or improvement is also contained in the technical scope of the present invention. This is apparent from the claims and the means for solving the problems.

It is a block diagram of the hardware of the medical management apparatus which concerns on 1st Embodiment. It is a module block diagram of the medical management apparatus which concerns on 1st Embodiment. It is a flowchart which shows operation | movement of the medical management apparatus which concerns on 1st Embodiment. It is a figure which shows the process which issues consent form. It is a figure which shows the process which takes in a consent document. It is a figure which shows the process when an order is canceled after a scan. It is a figure which shows the process when an order is canceled before a scan. It is a module block diagram of the medical management apparatus which concerns on 2nd Embodiment. It is a flowchart which shows operation | movement of the medical management apparatus which concerns on 2nd Embodiment. It is a figure which shows an example of the screen display at the time of associating a signature image and an electronic medical record.

Explanation of symbols

100 medical management apparatus 101 CPU
102 RAM
103 ROM
104 Flash memory 105 HD
106 LAN card 107 Mouse 108 Keyboard 109 Video card 109a Display 110 Sound card 110a Speaker 111 Drive 205 Consent form 206 Other printed matter 210 Capture unit 220 Related unit 230 Status management unit 240 Output unit 250 Identification information printing unit 260 Medical information database 810 Sign Reading unit 820 Consent form determination unit 830 Medical chart determination unit

Claims (6)

A medical management device that associates and manages a consent form for medical treatment in a hospital or the like and an electronic medical record,
Identification information printing means for printing identification information on the consent form;
Content information of the written consent form on which the identification information is printed, and capture means for capturing the printed identification information;
With respect to the consent document captured by the capturing means, association means for storing the content information of the consent document and the electronic medical record in association with each other based on the captured identification information;
Sign reading means for reading the patient's signature described in the consent form;
A consent form determination means for determining whether the signature read by the sign reading means matches the patient name indicated by the identification information printed on the consent form;
A medical chart determination means for determining whether or not the signature read by the signature reading means matches the patient name of the electronic medical record associated with the association means;
Based on the result of the association performed by the association unit and the result determined by the consent document determination unit and the chart determination unit, the state information indicating the state of the consent document is updated, and the capture unit A state management means for updating the state information of the consent form based on the content information of the consent form taken in by the medical management device. The medical management device according to claim 1, wherein
Based on the content information and the state information of the agreement, the medical management device characterized by comprising output means for outputting a list of the agreement. The medical management device according to claim 1 or 2,
When the association means associates the contents of the consent document and the electronic medical record, a medical management apparatus characterized by cutting out a patient's signature part in the consent document as an image and associating the image with the electronic medical record . In the medical management device according to any one of claims 1 to 3,
Analyzing means for analyzing an electronic medical record including the associated consent form;
A medical management apparatus comprising: a medical judgment unit that determines whether or not a next stage of medical care can be performed based on a result of analysis by the analysis unit. A medical management method in which a computer associates and manages an electronic medical record with a consent form regarding medical practice in a hospital,
An identification information printing step for printing identification information on the consent form;
A step of taking in the content information of the consent form on which the identification information is printed and the printed identification information;
An information update step for updating information related to the consent document based on the content information of the consent document captured in the capturing step;
An associating step for associating and storing the consent document captured in the capturing step based on the content of the consent document and the identification information capturing the electronic medical record;
A sign reading step for reading a patient's signature described in the consent form;
A consent document determination step for determining whether the signature read by the signature reading step matches the patient name indicated by the identification information printed on the consent document;
A chart determination step for determining whether the signature read in the signature reading step matches the patient name of the electronic medical record associated in the association step;
A state management step of updating state information indicating the state of the consent form based on the result of the association in the association step and the result determined in the consent form determination step and the chart determination step. A medical management method comprising: A medical management program for executing a computer to manage in association with agreement and an electronic medical record regarding medical practice in hospitals,
An identification information printing procedure for printing identification information on the consent form;
The contents information of the consent form on which the identification information is printed and the capture procedure for taking in the printed identification information;
An information update procedure for updating information related to the consent document based on the content information of the consent document captured in the capture procedure ;
An association procedure for associating and storing the consent document captured in the capture procedure based on the content of the consent document and the identification information captured by the electronic medical record;
A signature reading procedure for reading the patient's signature described in the consent form;
A consent document determination procedure for determining whether the signature read by the sign reading procedure matches the patient name indicated by the identification information printed on the consent document;
A chart determination procedure for determining whether the signature read by the signature reading procedure matches the patient name of the electronic medical record associated in the association procedure;
A state management procedure for updating the state information indicating the state of the consent document based on the result of the association performed in the association procedure and the result determined in the consent document determination procedure and the chart determination procedure ; Medical management program to be executed by a computer .