JP6531354B2 - Patient information update method and visit care system - Google Patents

Description

  TECHNICAL FIELD The present invention relates to a technique for managing patient address information.

  In recent years, a technology has been developed to support visit care in which a medical staff visits a patient's home to provide medical treatment.

  In the case of visiting medical treatment that deals with a plurality of patients, since the routing doctor determines the order in which the visiting doctor visits each patient, information on the visiting destination of each patient is registered in the system. And when determining the visit route by a visiting doctor, there is proposed a technique for setting and registering an efficient visit route, etc. by referring to the visited address etc. of each patient registered in the system.

JP 2004-302890 A Japanese Patent Application Publication No. 2008-527519

  However, there are various cases where a patient visits a patient's home, a nursing home, or the like depending on the patient's convenience. Therefore, if the patient's home is changed although the nursing facility which is the visiting destination does not change, the visiting destination data registered in the system should be updated, such as when the visiting destination is changed due to inter-facility movement Judgment of whether it is troublesome.

  Therefore, in one aspect, the present invention aims to provide a system that takes into consideration the circumstances of a patient who is a target of visiting medical care.

According to one aspect, the task includes first address information indicating a home address of the patient and a second address indicating an address of a facility to which the patient moves, in association with a patient who is a target patient of visiting medical care. In the case where the address information and the address information are registered so as to identify which one is the visit destination, and there is an update for the address of the patient registered in the electronic medical record system, the second address information corresponds to the update If the first address information is updated according to the update and the identification information of the patient is received from a specific terminal without performing the update, if the second address information is a visiting destination, wherein the address position corresponding update corresponds to the not made the second address information to the update is indicated by the visited map, the visiting destination, wherein the updated update corresponding to is made first Address information and updates according to the above Among the not made the second address information, displaying the information indicating that corresponding to the second address information, patient information update method characterized by treating the computer perform is provided.

  Further, as means for solving the above problems, an apparatus for performing the above method, a program for causing a computer to execute the above processing, and a storage medium storing the program may be used.

  It is possible to provide a system that takes into consideration the circumstances of the patient who is the subject of the visit medical care.

It is a figure which shows the structural example of the cooperation system in 1st Example. It is a figure which shows the data structural example of visit destination information DB in 1st Example. It is a figure which shows the hardware constitutions of a visit care system. It is a flowchart figure for demonstrating the registration process in 1st Example, and an update process. It is a flowchart figure in a 1st Example. It is a figure which shows the example of a patient information screen after registration of the patient information in 1st Example. It is a figure which shows the example of a patient information screen after the update of the patient information in 1st Example. It is a figure which shows the structural example of the cooperation system in 2nd Example. It is a figure which shows the data structural example of the visit destination information DB in 2nd Example. It is a flowchart figure for demonstrating the edit process by the patient information management part in 2nd Example. It is a flowchart figure in a 2nd example. It is a figure which shows the example of an edit screen before the entrance address is set. It is a figure which shows the edit screen example (the 1) after the setting of an entrance address. It is a figure which shows the edit screen example (the 2) after the setting of an entrance address. It is a figure which shows the edit screen example (the 1) after address information update. It is a figure which shows the edit screen example (the 2) after address information update.

Hereinafter, embodiments of the present invention will be described based on the drawings.
[First embodiment]
The cooperation system 1001 in which the electronic medical record system 4 and the home-care system 100 cooperate in the first embodiment will be described with reference to FIG. In the following description, visiting care may be expressed by summarizing care to a patient by visiting a patient's location, such as home-visit medical care in home care, home-visit nursing, home-care, etc.

  FIG. 1 is a diagram showing an example of the configuration of a linkage system in the first embodiment. In FIG. 1, a collaboration system 1001 includes a terminal 1, an electronic medical record system 4, and a home care system 100. The terminal 1, the electronic medical record system 4, and the home care system 100 are connected via the network 2.

  The terminal 1 is a terminal permitted to access either the electronic medical record system 4 or the home-visit care system 100, or both, and is a computer terminal used by medical personnel such as a doctor, a nurse, a care manager, and a receptionist. is there.

  The electronic medical record system 4 is a server device accessed from the terminal 1 such as a doctor and an operator such as a receptionist. The electronic medical record system 4 is provided with the function to a hospital or a clinic as SaaS (Software as a Service) by cloud computing, for example. The electronic medical record system 4 may have its function realized by a plurality of computers.

  The electronic medical record system 4 provides a function to record and manage medical examinations of patients conducted by a doctor, and the patient information DB (database) 5 includes patient address information, patient's medical examination records, and patient visits by visits. Medical records etc. are managed.

  In the patient information DB 5, the patient's address information 3a is recorded as the address registered in the public medical insurance of the patient. For example, the address described in the patient's insurance card can be used as the patient's address information 3a. Health insurance, National Health Insurance, and the elderly care system for the elderly are examples of public medical insurance. The address information 3a is used, for example, in the electronic medical record system 4 as information on the delivery destination of a medical claim fee. Since the address information 3a is information on payment, it is necessary to always manage correct information. Therefore, if there is a change in the patient's address, the operator changes the address information 3a recorded in the patient information DB 5.

  When patient information 30 including address information 3a of the patient at registration is inputted to the electronic medical record system 4 by the operator for a new patient, a patient identification number is given to the patient information 30, and registered in the patient information DB 5 Be done.

  When the address information of the patient who has been examined in the past is changed, and the operator inputs the patient information 30 including the new address information 3b into the electronic medical record system 4, the patient information DB 5 is updated. Address information 3a is changed to new address information 3b. That is, the new address information 3b includes a change from the address information 3a due to a change of the address registered in the public medical insurance due to the patient's move or the like, a correction of an error or the like.

  The patient information 30 includes patient identification information 3 id and address information 3 a or 3 b. The patient identification information 3 id indicates the patient name indicating the full name of the patient and / or the ticket number given by the electronic medical chart system 4. The address information 3a or 3b indicates the patient's zip code, address, telephone number and the like. The patient information 30 preferably further includes a date of birth, an age, a gender, and the like.

  When the patient information 30 is registered and the patient information 30 is updated, for example, the file 6 f is electronically stored as electronic data including the patient identification information 3 id by the patient name and the address information 3 a in the patient information 30. The medical record system 4 is transferred to the visit care system 100 via the network 2. The file 6 f transferred from the electronic medical record system 4 is stored in the file storage area 31 of the visit care system 100.

  The visit care system 100 is a server device accessed from a terminal 1 such as a medical staff engaged in a medical institution who visits a patient's entrance and performs medical treatment and care. The visit care system 100 provides the terminal 1 with a function to support determination of a route for visiting a plurality of patients, preparation of a visit schedule for each patient, preparation of a home medical care management instruction and the like, and the like. The visit care system 100 provides these functions to a medical institution that is performing visit care, for example, as a SaaS by cloud computing. The function of the home-visit care system 100 may be realized by a plurality of computers.

  The visit care system 100 has a patient information management unit 61, a visit schedule unit 62, a instruction book creation unit 63, a file storage area 31, and a visit destination information DB 72. The file storage area 31 corresponds to a part of the storage unit 130 described later, and the visit destination information DB 72 is stored in the storage unit 130.

  The patient information management unit 61 manages the visit destination information DB 72. The patient information management unit 61 registers or updates the patient information 70 in the visit destination information DB 72 each time the file 6 f is newly stored, for example, in the file storage area 31.

  At the time of registration, the patient information management unit 61 creates and registers the patient information 70 in the visit destination information DB 72 based on the patient identification information 3 id in the file 6 f and the address information 3 a. The patient information 70 corresponds to one record in the visited information DB 72, and includes at least patient identification information 7 id and address information 3a. The patient identification information 7 id is information for identifying a patient, and indicates information such as a patient ID, and is information uniquely associated with the patient identification information 3 id of the file 6 f.

  At the time of updating, the patient information management unit 61 rewrites the address information 3a of the patient information 70 with the address information 3b based on the patient identification information 3id in the file 6f and the address information 3b.

  The visit schedule unit 62 sets a visit content of a patient, creates a visit schedule, and the like in response to a request from the terminal 1. When determining the visit route, the visit schedule unit 62 refers to the patient information 70 stored in the visit destination information DB 72 to determine a visit route for efficiently visiting the entry destination of each patient.

  The guidance book creating unit 63 supports creation of a home medical care management guidance book for performing planned medical management performed by visiting a patient's home (home address or destination).

  FIG. 2 is a view showing an example of the data configuration of the visited information DB in the first embodiment. In FIG. 2, the visit destination information DB 72 is a database that stores and manages the address information 3a for each patient, and has items such as patient ID, patient name, date of birth, gender, address, and telephone number.

  Patient ID shows the identification information which the visiting care system 100 provided and which identifies the patient to visit. The patient name indicates the patient's full name. The patient name indicated by the patient identification information 3 id of the file 6 f is set as the patient name. The patient identification information 7 id corresponds to a patient ID and / or a patient name.

  The date of birth indicates the patient's date of birth. As the date of birth, the date of birth indicated by the file 6 f is set. Sex indicates the gender of the patient. The date of birth shown in the file 6 f is set as the gender.

  The address indicates the registered address information 3 a or the updated address information 3 b indicated by the file 6 f transferred by the electronic medical record system 4. The telephone number indicates the patient's telephone number.

  The visit destination information DB 72 may further include items such as a medical examination ticket number assigned by the electronic medical record system 4, and may be stored in association with the patient ID.

In the data example of FIG. 2, with respect to the patient information 70 of the patient name "Taro Yamada" of the patient ID "0037", the birth date is "January 1, 1945" and the gender is "male". It is shown to be. In addition, the address and telephone number at the time of registration are “住所 222-9999 from address information 3a.
Yokohama-shi, Kanagawa Prefecture ○ ○ ○ 9-9-9 "
And "044-9999-9999"
It is shown to be. These pieces of information are registered in the visit destination information DB 72 when the file 6 f is received from the electronic medical record system 4.

The patient information 70 of the patient name "Taro Yamada" is transferred from the electronic medical record system 4 even when the electronic medical record system 4 is updated, so that the address information 3a to the address information 3b are transmitted.
"Aoi 222-8888
Yokohama-shi, Kanagawa Prefecture ○ ○ ○ 8-8-8 "
And "044-9999-8888"
Is changed to

  As described above, by linking the visit care system 100 with the electronic medical record system 4, the address information of the patient recorded in the electronic medical record system 4 is reflected in the address information of the patient managed by the visiting medical system 100. It is done. This makes it possible to reduce the trouble of the operator who inputs the same address information for the same patient in each system. Since registration and update of the patient information 70 can be performed automatically, manual input work to the home-visit care system 100 can be reduced, and the patient information 70 can be managed with high accuracy.

  The visit care system 100 has, for example, a hardware configuration as shown in FIG. FIG. 3 is a diagram showing a hardware configuration of the home-visit care system. In FIG. 3, a visit care system 100 is a terminal controlled by a computer, and includes a CPU (Central Processing Unit) 11, a main storage unit 12, an auxiliary storage unit 13, an input unit 14, and a display unit 15. , Communication I / F (interface) 17 and drive device 18, and are connected to the bus B.

  The CPU 11 controls the visit care system 100 in accordance with a program stored in the main storage device 12. That is, the patient information management unit 61, the visit schedule unit 62, and the instruction book creation unit 63 shown in FIG. 1 are realized by the CPU 11 executing a corresponding program.

  A RAM (Random Access Memory), a ROM (Read Only Memory), and the like are used for the main storage device 12, and a program executed by the CPU 11, data necessary for processing by the CPU 11, and processing by the CPU 11 are obtained. Store or temporarily store stored data etc.

  The auxiliary storage device 13 uses an HDD (Hard Disk Drive) or the like, and stores data such as a program for executing various processes. A part of the program stored in the auxiliary storage device 13 is loaded to the main storage device 12 and executed by the CPU 11 to realize various processing. The storage unit 130 includes a main storage unit 12 and / or an auxiliary storage unit 13.

The input device 14 includes a mouse, a keyboard, and the like, and is used by the user to input various information necessary for processing by the visit care system 100. The display device 15 displays various information necessary under the control of the CPU 11. The communication I / F 17 communicates through a wired or wireless network. Communication by the communication I / F 17 is not limited to wireless or wired.
A program for realizing the processing performed by the home-visit care system 100 is provided to the home-visit care system 100 by a storage medium 19 such as a compact disc read-only memory (CD-ROM), for example.

  The drive device 18 interfaces the home care system 100 with a storage medium 19 (for example, a CD-ROM or the like) set in the drive device 18.

  The storage medium 19 stores programs for realizing various processes according to the embodiment described later, and the program stored in the storage medium 19 is installed in the visit care system 100 via the drive device 18. Be done. The installed program is executable by the visit care system 100.

The medium for storing the program is not limited to the CD-ROM, and any medium readable by a computer may be used. The computer readable storage medium may be a portable recording medium such as a DVD disk or a USB memory in addition to a CD-ROM, or a semiconductor memory such as a flash memory. The electronic medical record system 4 is as shown in FIG. Since the hardware configuration is the same, the description of the hardware configuration is omitted. The various processes performed by the electronic medical record system 4 are realized using computer resources as shown in FIG.

  Next, various processes by the patient information management unit 61 of the home-visit care system 100 will be described. First, processing in the case where the file 6 f is received from the electronic medical record system 4 will be described. When the file 6 f is received, the patient information management unit 61 executes a process of registering or updating the visited information DB 72.

  FIG. 4 is a flowchart for explaining the registration process and the update process in the first embodiment. In FIG. 4, the patient information management unit 61 determines whether the file 6 f has been received from the electronic medical record system 4 (step S 11). By checking whether or not the file 6 f is stored in the file storage area 31, it can be determined whether or not the file 6 f is received. When the file 6f is not received from the electronic medical record system 4, that is, when the file 6f does not exist in the file storage area 31, the patient information management unit 61 executes step S11 at predetermined intervals.

  On the other hand, when the file 6 f exists in the file storage area 31 (step S 11 -YES), the patient information management unit 61 determines whether the file 6 f is information related to the patient registered in the visit destination information DB 72. (Step S12). It is determined whether the patient specified by the patient identification information 3 id of the file 6 f exists in the visit destination information DB 72.

  When the patient is not registered (Step S12-NO), the patient information management unit 61 performs registration processing in the visited information DB 72 (Step S13). In the registration process, patient identification information 7id corresponding to the patient name and the ticket number included in the patient identification information 3id is created. Patient information 70 including patient identification information 7 id and address information 3 a in the file 6 f is registered in the visit destination information DB 72. When the birth date, age, sex and the like exist in the file 6 f, the patient information management unit 61 includes the patient information 70 and registers it in the visit destination information DB 72.

  On the other hand, when the patient is registered in step S12 (step S12-YES), the patient information management unit 61 causes the visit destination information DB 72 to be patient information of the patient identification information 7id corresponding to the patient identification information 3id of the file 6f. The address information 3a of 70 is overwritten with the address information 3b of the file 6f to perform update processing (step S14).

  After the registration process in step S13 or the update process in step S14, the patient information management unit 61 deletes the processed file 6f from the file storage area 31, returns to step S11, and repeats the same process as described above. .

  As described above, in order to register and update the patient information 70 in the visit destination information DB 72 in response to the reception of the file 6 f transferred from the electronic medical record system 4, manual management of the patient information 70 is performed in the visit care system 100. It is possible to reduce the time and effort. Further, since the patient information 70 is automatically registered and updated in cooperation with the electronic medical record system 4 as described above, the patient information 70 can be efficiently and timely managed.

  The visit destination information DB 72 is referred to by the visit schedule unit 62 and the instruction book creation unit 63. FIG. 5A shows a flowchart for explaining the outline of the process by the visit schedule unit in the first embodiment, and FIG. 5B shows the outline of the process by the instruction book preparing unit in the first embodiment. It is a flowchart figure for demonstrating.

  In FIG. 5A, when the visit schedule unit 62 receives one or more patient identification information 7id from the terminal 1 connected via the network 2 (step S31), the visit destination information DB 72 is received by the received patient identification information 7id. Is searched (step S32). The patient information 70 of the received patient identification information 7 id is extracted from the visit destination information DB 72.

  The visit schedule unit 62 displays the patient information 70 retrieved from the visit destination information DB 72 on the terminal 1 (step S33). Then, the visit schedule unit 62 executes the process requested from the terminal 1 using the address information 3a (or 3b) (step S34). The processing by the visit schedule unit 62 ends.

  In the process requested from the terminal 1 in step S33, for example, based on the address information 3a (or 3b) of the patient information 70 retrieved in step S32, the patient identified by the patient identification information 7 id received in step S31. Support for making a visit schedule is provided.

  Further, when the plurality of pieces of patient identification information 7 id or date information is received from the terminal 1 in step S31, the plurality of patient information 70 is searched in step S32. A process of determining a visit route is performed based on each address information 3a (or 3b) of the plurality of searched patient information 70.

  Since the visit schedule unit 62 can perform various processes using the latest address information 3a (or 3b) of the patient, the medical staff at the terminal 1 can manually address the address information 3a of the patient information 70 Alternatively, appropriate processing results can be obtained without managing 3b).

  In FIG. 5 (B), when the instruction book creating unit 63 receives one or more patient identification information 7 id from the terminal 1 connected via the network 2 (step S51), the received patient identification information 7 id makes the visit destination information The DB 72 is searched (step S52). Patient information 70 of the received patient identification information 7 id is extracted.

  The instruction book creating unit 63 displays the patient information 70 retrieved from the visit destination information DB 72 on the terminal 1 (step S53). Then, the instruction book creating unit 63 executes the process requested from the terminal 1 using the address information 3a (or 3b) (step S54). The process by the instruction book creating unit 63 is completed.

  In the process requested from the terminal 1 in step S53, for example, a home medical treatment for medical treatment or care of the patient specified by the patient identification information 7 id received in step S51 based on the patient information 70 searched in step S52 Support for preparation of management instruction manuals etc. is provided.

  An example of a patient information screen displayed on the terminal 1 in step S33 of FIG. 5A and step S53 of FIG. 5B will be described with reference to FIG.

  FIG. 6 is a view showing an example of a patient information screen after registration of patient information in the first embodiment. In FIG. 6, a patient information screen G81 is a screen for displaying patient information 70 of the patient designated from the terminal 1, and has items such as patient ID, patient name, date of birth, gender, address and the like.

  The patient ID indicates an ID for identifying a patient in the home-visit care system 100. The patient name indicates the patient's full name. Patient identification information 7 id of patient information 70 is indicated by the patient ID and the patient name. The date of birth indicates the patient's date of birth. Sex indicates the gender of the patient. The address indicates the patient's address. Address information 3a (or 3b) of patient information 70 is indicated by the address. In the patient information 70, the patient name, date of birth, gender, and address information are information provided from the electronic medical record system 4.

In this patient information screen G81, address information 3a at the time of registration of patient name "Taro Yamada" of patient ID "0037" in the item of address.
"〒 222-9999
Yokohama-shi, Kanagawa Prefecture ○ ○ ○ 9-9-9
TEL 044-9999-9999 "
Is shown.

  Also, the item of address has a map button 81a. When the medical staff of the terminal 1 clicks the map button 81a, the visit schedule unit 62 or the guidance book creation unit 63 displays the address position based on the address information 3a on the map of the visit route screen G81-2. Medical personnel can visually confirm the patient's address location and surrounding geography.

  FIG. 7 is a view showing an example of a patient information screen after updating of patient information in the first embodiment. In FIG. 7, the patient information screen G82 is the same as the patient information screen G81 of FIG. 6, so the same reference numerals are given and the description thereof is omitted.

In the patient information screen G82, when the file 6f is received from the electronic medical record system 4, the content of the address of the patient name "Taro Yamada" of the patient ID "0037" is the address information at the time of registration as described in FIG. Address information 3b to 3a
"〒 222-8888
Yokohama-shi, Kanagawa Prefecture ○ ○ ○ 8-8-8
TEL 044-9999-8888 "
It has been changed to. When the medical staff at terminal 1 clicks map button 81a, visit schedule unit 62 or instruction book preparation unit 63 displays an address position based on address information 3b on the map of visit route screen G81-2. Be

  As described in FIG. 6 and FIG. 7, since the latest information is always displayed as the contents of the address, the medical staff at the terminal 1 can obtain the accurate address information 3 a or 3 b.

  As described above, in the first embodiment, the electronic medical record system 4 and the visiting care system 100 are linked, and the patient's address information 3a or 3b recorded in the electronic medical record system 4 is reflected in the visited information DB 72 of the visiting care system 100. In order to do so, the patient's address information 3a or 3b can be synchronized between the electronic medical record system 4 and the home-visit care system 100. That is, the home-visit care system 100 can include the same address information 3 a or 3 b as the electronic medical record system 4.

  In addition, it is possible to reduce the work of medical personnel who input the same address information 3a or 3b to the respective systems 4 and 100 for the same patient.

  By the way, in the home care, medical personnel visit the patient's location to perform medical treatment or care. Although the address registered for public medical insurance is mainly the patient's home address, the patient may enter a nursing home etc. depending on his or her health condition, and may be in a different place from his home for a long time. Therefore, the address recorded in association with the patient identification information 7 id is not necessarily the home address.

Therefore, simply linking the two systems of the electronic medical record system 4 and the home-visit care system 100, the address information of the patient recorded in the electronic medical record system 4, the address information managed in the home-care system 100 The inventors have noted that the address of the facility where the patient who has been recorded as the visit destination is staying is updated with the patient's home address if it is reflected on the site, and the address of the visit destination can not be correctly indicated. did. The following second example is presented.
Second Embodiment
A cooperation system 1002 in which the electronic medical record system 4 and the home-care system 100 cooperate in the second embodiment will be described with reference to FIG.

  FIG. 8 is a view showing a configuration example of a linkage system in the second embodiment. In FIG. 8, the collaboration system 1002 has a terminal 1, an electronic medical record system 4, and a home care system 100. The terminal 1, the electronic medical record system 4, and the home care system 100 are connected via the network 2. The terminal 1 and the electronic medical chart system 4 are the same as in the first embodiment, so the description thereof is omitted.

  As in the first embodiment, in the patient information 30, the file 6f including the patient identification information 3id by the patient name and the address information 3a is included in the electronic medical record every time the patient information 30 is registered and the patient information 30 is updated. It is transferred from the system 4 to the visit care system 100 via the network 2. The file 6 f transferred from the electronic medical record system 4 is stored in the file storage area 31 of the visit care system 100.

  The visit care system 100 is a server device accessed from a terminal 1 such as a medical staff engaged in a medical institution who visits a patient's entrance and performs medical care and care, as in the first embodiment.

  The visit care system 100 includes a patient information management unit 61-2, a visit schedule unit 62, a guidance book creation unit 63, a file storage area 31, and a visit destination information DB 72. The difference from the first embodiment is the patient information management unit 61-2 and the patient information 74 of the visit destination information DB 72.

  The patient information management unit 61-2 manages the visit destination information DB 72 as in the first embodiment. The patient information management unit 61-2 registers or updates the patient information 74 in the visit destination information DB 72 each time the file 6f is newly stored in the file storage area 31.

  At the time of registration, the patient information management unit 61-2 creates and registers patient information 74 in the visit destination information DB 72 based on the patient identification information 3id in the file 6f and the address information 3a. The patient information 74 corresponds to one record in the visited information DB 72, and includes at least patient identification information 7 id and address information 3a. The patient identification information 7 id is information for identifying a patient, and indicates information such as a patient ID, and is information uniquely associated with the patient identification information 3 id of the file 6 f.

  At the time of updating, the patient information management unit 61-2 rewrites the address information 3a of the patient information 74 with the address information 3b based on the patient identification information 3id in the file 6f and the address information 3b.

  In the second embodiment, the patient information management unit 61-2 further reflects the setting information 8 received from the terminal 1 on the patient information 74 already registered. The setting information 8 registers another address different from the address information 3a registered in the public medical insurance provided from the electronic medical record system 4, and either the address information 3a or the entrance information 7c indicating another address Is information for specifying whether to select as a visit destination.

  The setting information 8 includes patient identification information 7 id, entrance information 7 c, visit destination selection information 7 e, and the like designated by the medical staff of the terminal 1. The patient identification information 7 id is used to specify the patient information 74 already registered in the visited information DB 72. The entrance information 7c indicates the location of the care facility or the like where the patient entered. The visit destination selection information 7e indicates the selection of the medical staff who should visit the address information 3a (or 3b) obtained from the electronic medical record system 4 or the entrance destination information 7c. Therefore, in the second embodiment, the patient information 74 includes patient identification information 7 id, address information 3 a, entrance information 7 c, visit destination selection information 7 e and the like.

  FIG. 9 is a view showing an example of the data configuration of the visited information DB in the second embodiment. In FIG. 9, the visit destination information DB 72 is a database for storing and managing the address information 3a for each patient, patient ID, patient name, date of birth, gender, address, address telephone number, entrance destination address, entrance destination telephone It has items such as a number and a visiting address.

  Patient ID shows the identification information which the visiting care system 100 provided and which identifies the patient to visit. The patient name indicates the patient's full name. The patient name indicated by the patient identification information 3 id of the file 6 f is set as the patient name. The patient identification information 7 id corresponds to a patient ID and / or a patient name.

  The date of birth indicates the patient's date of birth. As the date of birth, the date of birth indicated by the file 6 f is set. Sex indicates the gender of the patient. The date of birth shown in the file 6 f is set as the gender.

  The address indicates the registered address information 3 a or the updated address information 3 b indicated by the file 6 f transferred by the electronic medical record system 4. The address telephone number indicates the telephone number of the patient's address.

  The entrance address indicates the entrance address of the patient managed by the home-visit care system 100. The entry destination information 7 c of the setting information 8 is set to the entry destination address. The destination telephone number indicates a telephone of the patient's destination address. The destination selection information 7 e of the setting information 8 is set to the destination telephone number.

  The visiting address indicates either the address obtained from the electronic medical record system 4 or the entering address managed by the visiting care system 100. The destination selection information 7 e of the setting information 8 is set in the destination address.

  As in the first embodiment, the visit destination information DB 72 may further include items such as a medical examination ticket number assigned by the electronic medical record system 4, and may be stored in association with the patient ID.

  The visit care system 100 has the same hardware configuration (FIG. 3) as that of the first embodiment, so the description thereof will be omitted.

  The registration process and the update process in the second embodiment are the same as the registration process and the update process (FIG. 4) in the first embodiment, and thus the description thereof will be omitted.

  An editing process performed by the patient information management unit 61-2 performed after registration of the patient information 74 will be described with reference to FIG. FIG. 10 is a flowchart for explaining the editing process by the patient information management unit in the second embodiment.

  In FIG. 10, when the patient information management unit 61-2 receives the patient identification information from the terminal 1 (step S201), the patient information management unit 61-2 searches the visited information DB 72 with the received patient identification information 7id (step S202). The patient information 70 of the received patient identification information 7 id is extracted from the visit destination information DB 72.

  The patient information management unit 61-2 displays an edit screen indicating the patient information 74 retrieved from the visit destination information DB 72 on the terminal (step S203).

  Thereafter, when the setting information 8 is received from the terminal 1 (step S204), the patient information management unit 61-2 updates the patient information 74 of the visit destination information DB 72 with the received setting information 8 (step 205).

  The entry destination information 7 c of the setting information 8 and the visit destination selection information 7 e are written to the patient information 74 that matches the patient identification information 7 id of the setting information 8. When the entrance destination information 7c is already set in the patient information 74, the entry destination information 7c reflects the change of the entrance destination, correction of an error, and the like by being updated by the setting information 8. In addition, the change of the visit destination selection information 7e is performed.

  The visit destination information DB 72 is referred to by the visit schedule unit 62 and the instruction book creation unit 63. FIG. 11A shows a flow chart for explaining the outline of the process by the visit schedule part in the second embodiment, and FIG. 11B shows the outline of the process by the instruction book preparing part in the second embodiment. It is a flowchart figure for demonstrating.

  In FIG. 11A, when the visit schedule unit 62 receives one or more patient identification information 7 id from the terminal 1 connected via the network 2 (step S131), the visit destination information DB 72 is received by the received patient identification information 7 id. Are searched (step S132). Patient information 74 of the received patient identification information 7 id is extracted from the visit destination information DB 72.

  The visit schedule unit 62 displays the patient information 74 retrieved from the visit destination information DB 72 on the terminal 1 (step S133).

  The visit schedule unit 62 acquires the address information 3a (or 3b) or the entrance information 7c from the patient information 74 based on the visit destination selection information 7e of the patient information 74, and sets it in the visit information 9 (step S134). ).

  And the visit schedule part 62 performs the process requested | required from the terminal 1 using the visit destination information 9 (step S135). The processing by the visit schedule unit 62 ends.

  In FIG. 11B, when the instruction book creating unit 63 receives one or more patient identification information 7 id from the terminal 1 connected via the network 2 (step S151), the received patient identification information 7 id uses the visited information. The DB 72 is searched (step S152). Patient information 74 of the received patient identification information 7 id is extracted from the visit destination information DB 72.

  The guidance book creating unit 63 displays the patient information 74 retrieved from the visit destination information DB 72 on the terminal 1 (step S153). The instruction book preparing unit 63 acquires the address information 3a (or 3b) or the entrance information 7c from the patient information 74 based on the visit destination selection information 7e of the patient information 74, and sets it as the visit information 9 (step S154).

  Then, the guidance book creating unit 63 executes the process requested from the terminal 1 using the visit destination information 9 (step S155). The process by the instruction book creating unit 63 is completed.

  Next, an example of an edit screen of the patient information 74 in the second embodiment will be described with reference to FIGS. 12 to 14. FIG. 12 is a diagram showing an example of an editing screen before setting of the entry address. In FIG. 12, an editing screen G91 is a screen for editing patient information 74 of the patient designated from the terminal 1, and the patient ID, patient name, date of birth, gender, address, entrance address, visiting address Etc have items.

  The patient ID indicates an ID for identifying a patient in the home-visit care system 100. The patient name indicates the patient's full name. The patient identification information 7 id of the patient information 70 is shown in the patient ID and the patient name. The date of birth indicates the patient's date of birth. Sex indicates the gender of the patient.

The address indicates the address of a patient registered for public medical insurance provided by the electronic medical record system 4. In the address, address information 3a (or 3b) of the patient information 70 is shown. In this example, the address information 3a at the time of registration is “〒 222-9999
Yokohama-shi, Kanagawa Prefecture ○ ○ ○ 9-9-9
TEL 044-9999-9999 "
Is shown. The contents of this address can not be edited from the visit care system 100.

  In the patient information 74, the patient name, date of birth, gender, and address information are information provided from the electronic medical record system 4. In particular, since the content of the address is always overwritten with the latest information, the medical personnel of the terminal 1 can obtain the accurate address information 3a (or 3b).

  Also, the item of the address has a map button 91a. When the medical staff of the terminal 1 clicks the map button 91a, the visit schedule section 62 or the instruction book creation section 63 displays the position of the address on the visit route screen G91-2. Medical personnel can visually confirm the patient's address location and surrounding geography.

  Furthermore, the item of the address is provided with a copy button 91b for copying the address information 3a (or 3b) to the entry address. When the medical staff of the terminal 1 clicks the copy button 91b, the medical information person of the terminal 1 can copy and edit the address information 3a (or 3b) in the entry field 91c of the entry address of the lower part.

  The entry address has an input field 91c for entering the address of a nursing home or the like where the patient entered. In the input field 91c, it is possible to input a zip code, an address, and a telephone number. Further, as described above, the address information 3a (or 3b) may be copied in the input field 91c by clicking the copy button 91b of the item of the address, and then edited. The information set in the input field 91 c corresponds to the entrance information 7 c of the patient information 74.

  The entry address has a map button 91d as well as the item of the address. When the medical staff of the terminal 1 clicks the map button 91d, the visit schedule section 62 or the guidance book preparation section 63 shows the position of the entrance address on the visit route screen G91-2. Medical personnel can visually confirm the location and surrounding geography of the visiting patient.

  The visiting address indicates the address that the medical staff actually visits, and has a visiting destination selection button 91e, a visiting address display field 91f, and a map button 91g. The visit destination selection button 91 e has an address button and an entrance destination button, and is a button for the medical staff to select an address or an entrance address as a visit destination. The visited address display field 91 f is a display field for displaying an address or an entrance address corresponding to the visited place selected by the medical staff. The map button 91g is a button for displaying the visit route screen G91-2 and indicating the position of the visit destination.

  As described above, on the editing screen G91 in the second embodiment, the medical staff can copy the address information 3a in the entry address field and hold the information at that time. In addition, after copying the address information 3a, the edited address information such as the entrance is held separately from the address information 3a obtained from the electronic medical record system 4, so the address information 3a by the electronic medical record system 4 is updated to visit It is possible to prevent the entry information 7c edited by the care system 100 from being overwritten when updating the address information 3a.

  A medical staff person demonstrates the case where a visit destination is changed into an entrance after setting an entrance address with reference to FIG. FIG. 13 is a diagram showing an example of the editing screen after setting of the entry address. The items of the editing screen G92 are the same as those of the editing screen G91 shown in FIG.

  In FIG. 13, the editing screen G92 shows a state in which an entrance address is set on the editing screen G91 of FIG. 12.

The destination address 7c for the visiting care system 100 from the terminal 1 in the entry address 91c of the entry address
221-7777
Kawasaki City, Kanagawa Prefecture ○ ○ ○ 7-7-7
TEL 044-9999-7777 "
Indicates a set state. This input field 91c can be edited even after the visit destination information 7c is set. The visit destination information 7c set in the input column 91c is included in the setting information 8 and transmitted to the visit care system 100, whereby the patient information 74 of the patient name "Taro Yamada" of the visit destination information DB 72 (see FIG. It is set to 9).

  Further, in the editing screen G92, it is shown that the medical staff changes the visiting destination selection button 91e of the visiting address from “address” to “entry destination”. At this time before the change, in the visited address display field 91 f, the address information 3 a indicated in the address provided from the electronic medical record system 4 is displayed.

When the medical staff changes to "place of arrival" with the destination selection button 91e, as shown in FIG. 14, in the destination address display column 91f, the destination information 7c set in the entry address 91c of the destination address.
221-7777
Kawasaki City, Kanagawa Prefecture ○ ○ ○ 7-7-7
TEL 044-9999-7777 "
Is displayed. In the visit route screen G93-2 displayed by pressing the map button 91g by the change to the "place of arrival", a map in which the address position of the place of entry is indicated is displayed.

  Thereafter, by receiving the file 6f from the electronic medical record system 4, the address of the patient name "Taro Yamada" may be updated. FIG. 15 is a diagram showing an example of an editing screen (1) after updating the address information. The items of the editing screen G93 are the same as those of the editing screen G91 shown in FIG.

In FIG. 15, the edit screen G93 shows a state where the address information 3a at the time of registration of the patient name "Taro Yamada" is updated to the address information 3b by the electronic medical record system 4. In the visited address display column 91f, address information 3b
"〒 222-8888
Yokohama-shi, Kanagawa Prefecture ○ ○ ○ 8-8-8
TEL 044-9999-8888 "
Is displayed.

  The contents of the entry address 91 c of the entry address (entry address information 7 c) are not overwritten. In addition, since “enter” is still selected on the edit screen G 92 of FIG. 14 in the select destination button 91 e of the destination address, the “visit address” column 91 f includes the input address 91 c of the entry address. The contents (incoming address information 7c) are indicated.

  As described above, in the second embodiment, the address of the facility in which the patient who is recorded as the visit destination is staying is not updated with the home address or the like of the patient registered in the public medical insurance. Therefore, the address of the visited place can be correctly indicated.

  Next, a case where the address is changed from the address information 3a at the time of registration to the address information 3b in a state where the "address" is selected by the destination selection button 91e of the destination address will be described with reference to FIG. FIG. 16 is a diagram showing an example of the editing screen (part 2) after updating the address information. The items of the editing screen G94 are the same as those of the editing screen G91 shown in FIG.

In FIG. 16, an edit screen G94 shows a state where the address information 3a at the time of registration of the patient name "Taro Yamada" is updated to the address information 3b by the electronic medical record system 4. In the visited address display column 91f, address information 3b
"〒 222-8888
Yokohama-shi, Kanagawa Prefecture ○ ○ ○ 8-8-8
TEL 044-9999-8888 "
Is displayed.

  The contents of the entry address 91 c of the entry address (entry address information 7 c) are not overwritten. Further, since the “address” is still selected at the destination selection button 91 e for the destination address, the destination address display column 91 f shows the address information 3 b displayed in the address.

  Specifically, the following situations can be considered. In the editing screen G91 (FIG. 12) and the editing screen G92 (FIG. 13), the content of the address is the address information 3a at the time of registration, and the "address" is selected in the visiting destination selection button 91e of the visiting address.

  For example, if the address information 3a at the time of registration is updated to the address information 3b before the editing screen G91 or the editing screen G92 is ended in this state and the editing screen G94 is subsequently displayed on the terminal 1, the editing screen G94 When the is displayed, the address of the visiting address is not the address information 3a at the time of registration, but the updated address information 3b is displayed.

  As described above, in the second embodiment, even when there is an update for an address registered in public medical insurance such as the patient's home address, the public medical insurance such as the home address may be used as the visiting address. If the registered address is specified, the changed address is displayed as the visiting address.

  In the home-visit care system 100 according to the second embodiment, the address information of the patient can be updated in synchronization with the electronic medical record system 4, and the visiting address can be appropriately presented to the medical staff.

  In the second embodiment, two addresses of the address registered in public medical insurance such as the patient's home address and the address of the entrance are managed and the selection of the visiting destination is possible, but three or more addresses It may be Even in such a case, updating of the address registered in the public medical insurance such as the home address of the patient in the home-visit care system 100 is not possible, and registration and updating of other addresses are enabled. Then, the medical staff may select an address of 1 as the visit destination.

  The present invention is not limited to the specifically disclosed embodiments, and various modifications and changes are possible without departing from the scope of the claims.

The following appendices will be further disclosed regarding the embodiment including the above first to second embodiments.
(Supplementary Note 1)
Which is the first address information indicating the home address of the patient and the second address information indicating the address of the facility to which the patient moves in association with the patient who is the subject of the visiting medical care Register to be identifiable,
The first address information is updated according to the update, and the second address information is not updated according to the update, when the address of the patient registered in the electronic medical record system is updated. ,
When the second address information is a visit destination, the second address information which has not been updated according to the update is displayed as the visit information.
A patient information update method characterized in that a computer performs processing.
(Supplementary Note 2)
Which is the first address information indicating the home address of the patient and the second address information indicating the address of the facility to which the patient moves in association with the patient who is the subject of the visiting medical care Register to be identifiable,
The first address information is updated according to the update, and the second address information is not updated according to the update, when the address of the patient registered in the electronic medical record system is updated. ,
When the first address information is a visit destination, the first address information updated according to the update is displayed as visit information.
A patient information update method characterized in that a computer performs processing.
(Supplementary Note 3)
The patient information updating method according to claim 1 or 2, wherein the address of the patient registered in the electronic medical record system matches the address of the patient described in a health insurance card.
(Supplementary Note 4)
Receiving the first address information from the electronic medical record system and registering the patient with the first address information;
The computer executes a process of updating the first address information with the third address information when the third address information of the patient is received from the electronic medical record system. The patient information update method according to any one of the items.
(Supplementary Note 5)
The patient information updating method according to any one of appendices 1 to 4, characterized in that the computer performs a process of acquiring the second address information by receiving setting information on the patient from a terminal.
(Supplementary Note 6)
The setting information includes selection information indicating either the first address information or the second address information.
The patient information updating method according to claim 5, wherein the computer performs a process of selecting address information designated by the selection information as the visit destination.
(Appendix 7)
Which is the first address information indicating the home address of the patient and the second address information indicating the address of the facility to which the patient moves in association with the patient who is the subject of the visiting medical care Register to be identifiable,
The first address information is updated according to the update, and the second address information is not updated according to the update, when the address of the patient registered in the electronic medical record system is updated. ,
When the second address information is a visit destination, the second address not updated according to the update is displayed as the visit destination information.
A patient information update program that causes a computer to execute a process.
(Supplementary Note 8)
Which is the first address information indicating the home address of the patient and the second address information indicating the address of the facility to which the patient moves in association with the patient who is the subject of the visiting medical care Register to be identifiable,
The first address information is updated according to the update, and the second address information is not updated according to the update, when the address of the patient registered in the electronic medical record system is updated. ,
When the first address information is a visited destination, the first address updated according to the update is displayed as visited information.
A patient information update program that causes a computer to execute a process.
(Appendix 9)
The electronic medical record system connected via the network receives the first address information indicating the home address of the patient who is the subject of the visiting medical care registered in the electronic medical record system, and the patient is subjected to the first address information A registration processing unit registered by the
An update processing unit that receives the first address information of the patient from the electronic medical record system and the second address information of the patient and updates the first address information with the second address information; Have a visit care system.
(Supplementary Note 10)
Which is the first address information indicating the home address of the patient and the second address information indicating the address of the facility to which the patient moves in association with the patient who is the subject of the visiting medical care Is registered in the storage unit so as to be identifiable, and the first address registered in the storage unit when there is an update for the address of the patient registered in the electronic medical record system connected via the network. A patient information management unit which updates the address information of the user according to the update and does not update the second address information according to the update;
A visit schedule unit for displaying the second address information not updated according to the update as the visit destination information when the second address information is a visit destination; system.

1 terminal 2 network 3a address information 3b address information 3id patient identification information 4 electronic medical record system 5 patient information DB
6f File 7id Patient Identification Information 7c Destination Information 7e Destination Selection Information 8 Setting Information 11 CPU
12 main storage device 13 auxiliary storage device 14 input device 15 display device 16 output device 17 communication I / F
18 drive 19 storage medium 30 patient information 31 file storage area 61, 61-2 patient information management unit 62 visit schedule unit 63 instruction book preparation unit 72 visit destination information DB
70, 74 patient information 100 visit care system

Claims (7)

Which is the first address information indicating the home address of the patient and the second address information indicating the address of the facility to which the patient moves in association with the patient who is the subject of the visiting medical care Register to be identifiable,
When the address of the patient registered in the electronic medical record system is updated, the second address information is not updated according to the update, and the first address information is updated according to the update Update and
When the identification information of the patient is received from a specific terminal, when the second address information is a visit destination, the address position corresponding to the second address information which has not been updated according to the update is a visit Among the previously indicated map and the first address information for which the visit destination has been updated according to the update and the second address information for which the update according to the update has not been made, the second Display information indicating that the second address information is supported,
A patient information update method characterized in that a computer performs processing. Which is the first address information indicating the home address of the patient and the second address information indicating the address of the facility to which the patient moves in association with the patient who is the subject of the visiting medical care Register to be identifiable,
When the address of the patient registered in the electronic medical record system is updated, the second address information is not updated according to the update, and the first address information is updated according to the update Update and
When the identification information of the patient is received from a specific terminal, if the first address information is a visit destination, the address position corresponding to the first address information updated according to the update is a visit destination And the first address information for which the visit destination is updated according to the update, and the second address information for which the update according to the update is not performed. To display information indicating that it corresponds to the address information of
A patient information update method characterized in that a computer performs processing.   The patient information updating method according to claim 1 or 2, wherein the address of the patient registered in the electronic medical record system matches the address of the patient described in a health insurance card. Receiving the first address information from the electronic medical record system and registering the patient with the first address information;
4. The computer according to claim 1, wherein when the third address information of the patient is received from the electronic medical record system, the computer performs a process of updating the first address information with the third address information. The patient information update method according to any one of the above. The patient information updating method according to any one of claims 1 to 4, wherein the computer performs a process of acquiring the second address information by receiving setting information relating to the patient from a terminal. . The setting information includes selection information indicating either the first address information or the second address information.
The patient information updating method according to claim 5, characterized in that the computer performs a process of selecting address information designated by the selection information as the visit destination. Which is the first address information indicating the home address of the patient and the second address information indicating the address of the facility to which the patient moves in association with the patient who is the subject of the visiting medical care If the address of the patient registered in the electronic medical record system connected via the network is updated, the second address information may be updated The patient information management unit that updates the first address information registered in the storage unit according to the update without updating according to the patient information management unit that does not update the second address information according to the update When,
When the identification information of the patient is received from a specific terminal, when the second address information is a visit destination, the address position corresponding to the second address information which has not been updated according to the update is a visit Among the previously indicated map and the first address information for which the visit destination has been updated according to the update and the second address information for which the update according to the update has not been made, the second A visit care system comprising: a visit schedule section for displaying information indicating that the second address information corresponds to the second address information.

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