JP6701471B1 - Inspection management system and relay device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To securely manage an inspection result executed by each inspection device in an existing electronic medical record server. A relay device (management device 200) receives a measurement result performed by each of a plurality of inspection devices (300) together with identification information of a subject, and a receiving unit each time the measurement result is received. Issuing means for issuing a serial number, data processing means for generating data in a format that can be processed by a medical record server that manages medical records, including the serial number and the measurement result, and the generated data And a transmission means for transmitting to the server (electronic medical record server 100). [Selection diagram] Figure 1

Description

  The present invention relates to a technique for managing information obtained by a plurality of medical testing devices.

  A so-called electronic medical record server, which centrally electronically manages medical records including test results, has become widespread (Patent Document 1). Further, it is also practiced to connect an inspection device having a communication function to an electronic medical record server and automatically send the measurement result of the inspection device to the electronic medical record server. Specifically, when a patient uses an inspection device to perform an inspection, a doctor or the like first decides to perform the inspection, and a nurse or the like accesses an electronic medical record server and inputs necessary information. Then, the electronic medical record server issues a serial number for uniquely identifying the inspection, and sends a measurement request to the inspection device together with this serial number. When receiving the inspection result corresponding to the serial number from the inspection device, the electronic medical record server writes the inspection result in the electronic medical record. Here, all the processing related to the inspection (for example, accounting processing of expenses related to the inspection) is performed based on the information stored in the electronic medical chart.

  Here, in an emergency or the like, there is a case that the examination cannot be performed without waiting for the request from the electronic medical record server because there is no room to go through the above procedure. In this case, the fact or the result of the inspection may not be recorded in the electronic medical record server. In addition, even if the inspection result is sent from the inspection device to the electronic medical record server, or even if the medical staff or the clerical staff accesses the electronic medical record server and manually inputs it, the serial number is not issued for the inspection. Therefore, the electronic medical record server cannot perform unified processing. As a result, not only the accuracy of the contents of the electronic medical record deteriorates, but also the cost for the inspection cannot be charged. Here, it is conceivable that medical staff and clerical staff will access the electronic medical record server and input the facts and results of the examination, but this will increase the human cost and the possibility of making mistakes in the input contents. Can not.

  In addition, in recent years, the number of test instruments installed in wards other than the examination room is increasing, and the manufacturers of the test instruments are diversifying their functions. And, in many cases, the manufacturer adopts an original format for the output data of the inspection result. In addition, there are cases where the operating method of each inspection device is not uniform among departments. With the existing electronic medical record server, it is becoming more and more difficult to deal with the latest situation such as the existence, detailed specifications, and operation method of all devices in the hospital.

JP, 2016-122426, A

  It is an object of the present invention to reliably manage the inspection results executed by each inspection device with an existing electronic medical record server.

  In one aspect of the present invention, a receiving unit that receives a measurement result performed by each of a plurality of inspection devices together with identification information of a subject, and an issuing unit that issues a serial number each time the measurement result is received. , A data processing unit that includes the serial number and the measurement result and that generates data in a format that can be processed by a medical record server that manages medical records, and a transmission unit that transmits the generated data to the medical record server. There is provided a relay device having:

  According to the present invention, the inspection result executed by each inspection device can be recorded without omission.

1 is a schematic diagram of an electronic medical record management system 10. FIG. The functional diagram of the inspection apparatus 300. The functional diagram of the electronic medical record server 100. An example of the database DB11. An example of the database DB12. The functional diagram of the management apparatus 200. An example of the database DB21. An example of the database DB22. An operation example of the electronic medical record management system 10. Example of data DT1. Example of data DT2. Example of data DT3. An example of the database DB12. Overview of electronic medical record management system 10A. The external view of the relay apparatus 500. FIG. 3 is a functional diagram of the relay device 500. 3 is a functional diagram of the sample management server 400. FIG. An example of the data DT1a. An example of the data DT3a.

  FIG. 1 is a schematic diagram of an electronic medical record management system 10. The electronic medical record management system 10 includes an electronic medical record server 100, a management device 200, and an inspection device 300. The electronic medical record management system 10 is installed in, for example, one hospital. The electronic medical record server 100, the management apparatus 200, and the inspection device 300 are connected via a network 900 in a wired or wireless manner. For example, the network 900 is a LAN (local area network) provided in the hospital. It should be noted that the electronic medical record server 100 and each inspection device 300 may not be directly connected to each other and may only be permitted to communicate via the management device 200. That is, the network 900 is composed of a first network that connects the electronic medical record server 100 and the management apparatus 200, and a second network that connects the management apparatus 200 and each inspection device 300, that is, a total of two networks. Good.

  The inspection devices 300-1, 300-2, and 300-3 are installed in a hospital such as an inspection room, a hospital room, a treatment room, an operating room, and an examination room, and the physical or mental state of the subject. It is a medical device that acquires information about. The measurement method, the target part, the purpose, the format of the information to be output, other functions and detailed specifications are not limited as long as they have a communication function. In addition, as will be described later, it is not necessary to obtain prior approval from another management device such as the electronic medical record server 100 when performing the inspection, and the measurement can be executed by the operator of the inspection device 300. .. Here, the operator may be the patient himself or may be a medical staff (engineer, doctor, nurse). The number of inspection devices 300 shown in the figure is an example.

Further, the inspection device 300 may include a plurality of inspection devices having the same function. That is, the inspection device 300 may include a first inspection device and a second inspection device that measure one measurement item. Alternatively, devices that have the same measurement target but different measurement accuracy may be included.
Hereinafter, when it is not necessary to distinguish between the inspection devices 300, they are simply referred to as “inspection device 300”.

  The electronic medical record server 100 is a server that manages a so-called electronic medical record that stores medical information of all patients in a hospital. The medical information includes personal information about the patient, the results of medical examinations and tests performed in the past, and information about the cost of medical treatment. A doctor or a clerk accesses the electronic medical record server 100 from a terminal (not shown) as needed to browse or update information.

  Usually, an inspection will incur some cost, but this cost is the unique identification information (so-called "inspection order number"; hereinafter referred to as "serial number") given to one inspection performed. However, it is not limited to what is expressed by a number string). Therefore, the electronic medical record server 100 has at least a function that an existing electronic medical record server generally has and that can recognize and process the serial number. The electronic medical record server 100 may have a function of issuing identification information in addition to this function.

  The management device 200 is typically provided in a hospital, and as a basic function, appropriately manages information acquired from each inspection device 300 and transmits data that the electronic medical record server 100 can process to the electronic medical record server 100. .. As an additional function, it has a function of transmitting an instruction regarding the control of the inspection device 300 to the inspection device 300 as needed.

  Hereinafter, the functions of the electronic medical record server 100, the management device 200, and the inspection device 300 will be described in detail. The functions of a general electronic medical record server, such as the information input/output function of the electronic medical record server 100 and the communication function with other terminals (not shown) in the hospital, will be described. Is omitted. Similarly, the description of the general data output function of the inspection device 300 as the inspection device and the function of receiving the operation input will be omitted.

FIG. 2 is a functional diagram of the inspection device 300. The inspection device 300 includes a communication unit 310, an ID reading unit 320, a measuring unit 330, a storage unit 340, a data processing unit 350, and a device calibration unit 360.
The measuring unit 330 is various sensors, and in accordance with a set operation program, information such as body temperature, blood pressure, blood glucose level, blood gas concentration, electrocardiogram, heart rate, X-ray image, and ultrasonic image is converted into numerical values, images, voices, and the like. Information is acquired, analyzed as necessary, and the result is output to the data processing unit 350. The measuring unit 330 makes adjustments such as setting of parameters and operation modes according to the instruction supplied from the device calibration unit 360.

  The ID reading unit 320 is a reading device such as a barcode reader or an information input device such as a touch panel, and acquires an ID (hereinafter referred to as a patient ID) for uniquely identifying a subject (patient). For example, the patient ID is read from a paper on which the patient ID is printed, which is wound around the arm of the patient in advance, or a bracelet type electronic device having an electronic chip in which the patient ID is stored. Alternatively, a nurse attending the examination operates the touch panel to input the patient ID.

  The data processing unit 350 is a processor, and based on the information result supplied from the measurement unit 330, performs a data processing process as needed, and generates data according to the specifications defined by the inspection device 300. At least the measurement result and the patient ID are included in the generated data. In addition to these, the measurement conditions (various parameter settings, operation modes, etc.) used during measurement, the measurement environment (room temperature, humidity, etc. at that time), the patient's condition at the time of examination (body temperature, blood pressure, pulse, etc.) ), and other additional information may be included.

The communication unit 310 is a communication interface for exchanging information with the management device 200 by wire or wirelessly. Specifically, the data processing unit 350 transmits information including the measurement result, and receives control information from the management device 200.
The storage unit 340 is a storage device such as a semiconductor memory or a hard disk, and stores setting information, measurement conditions, and operation programs.

  The device calibration unit 360 is a processor and controls the processing content of the measurement unit 330 and/or the data processing unit 350 based on the control information received from the management device 200. The control information includes, for example, a parameter value that can affect the accuracy of measurement and designation of an operation mode. Specifically, the device calibration unit 360 outputs a command for changing the parameter value to the measurement unit 330.

  FIG. 3 is a functional diagram of the electronic medical record server 100. The electronic medical record server 100 includes a communication unit 110, a storage unit 120, and a control unit 130. The communication unit 110 is a communication interface and receives information including an inspection result from the management device 200 via the network 900. When the electronic medical record server 100 has a function of issuing serial numbers, the measurement execution instruction including the serial numbers issued by the electronic medical record server 100 is directly sent to each inspection device 300 or the management device 200. May be transmitted via. The storage unit 120 is a storage device such as a semiconductor memory or a hard disk, and stores an OS program, electronic medical record information, and information necessary for updating electronic medical record information such as a patient ID.

The control unit 130 includes a billing processing unit 131, is realized by a processor, and generates and updates electronic medical record information. Specifically, when the billing processing unit 131 receives the examination result from the management apparatus 200, the billing processing unit 131 adds information about the cost incurred for the examination to the electronic medical chart as information related to the examination. The control unit 130 may be provided with a function of issuing a serial number, and an instruction to execute measurement may be transmitted to each inspection device 300 directly or via the management apparatus 200. Even in this case, the measurement result including the serial number is still obtained from the management apparatus 200.
In this way, the electronic medical record server 100 manages the measurement results executed by all the inspection devices 300 in association with the serial number that uniquely identifies that the measurement was performed.

  FIG. 4A is an example of the database DB 11 stored in the storage unit 120. In the database DB11, personal information such as name, age, sex, address, type of insurance subscribed, and other personal information is stored in association with the patient ID.

  FIG. 4B is an example of the database DB 12 stored in the storage unit 120. The database DB12 is created for each patient ID. The database DB12 is composed of a plurality of records, and each record is generated each time a medical action such as a medical examination or an examination occurs. In each record, items such as the date when the medical treatment is performed, the content of the medical treatment, the measurement item, the measurement result, the inspection serial number, and the amount charged for the medical treatment when the medical examination is an inspection performed using the inspection device 300. including. Here, in the measurement result, a file name of the measurement data or link information for accessing the measurement data stored in the storage unit 120 may be described, or information such as a numerical value or an evaluation classification may be directly described. It may have been done. The billing amount is generated by the billing processing unit 131.

FIG. 5 is a functional diagram of the management device 200. The management device 200 includes a communication unit 210, a storage unit 220, a clock unit 230, a control information generation unit 240, and a control unit 250.
The communication unit 210 is an interface for communicating with the electronic medical record server 100 and each inspection device 300, and includes a transmission unit 211 and a reception unit 212.
The transmitting unit 211 receives the measurement result performed by each of the plurality of testing devices 300 together with the identification information (patient ID) of the subject. Preferably, the transmission unit 211 further acquires information indicating the environment or condition in which the measurement is performed by the inspection device 300 (hereinafter, collectively referred to as measurement condition). The measurement conditions include, for example, information on the temperature, humidity, atmospheric pressure, etc. of the room in which the inspection device 300 is installed, or information on the timing, such as the season and time when the measurement was performed.
The reception means 212 transmits the generated data to the electronic medical record server 100. Preferably, the reception unit 212 transmits the control information generated by the control information generation unit 240 to the relevant inspection device 300.

  The storage unit 220 is a storage device such as a semiconductor memory, and stores a program that is executed by the control unit 250 and that causes the management device 200 to implement the functions described below, in addition to the OS of the management device 200. In addition, information about the function of each inspection device 300 is stored. In addition, the storage unit 220 stores a reception record of the measurement result.

  FIG. 6A is an example of the database DB 21 stored in the storage unit 220. In this example, the measurement item (measurement target), data format (measurement result output format), installation location, and decryption key information are described in association with the identifiers of all the inspection devices 300. ing. The composite key is information necessary for decrypting the encrypted data when the data transmitted from each inspection device 300 is encrypted. In this way, by pre-registering the information about the structure of the data output by each inspection device 300 and the meaning of the information, the management apparatus 200 determines which inspection device 300. Even if the data is received from, the content can be interpreted and processed as necessary.

  FIG. 6B is an example of the database DB 22 stored in the storage unit 220. The control unit 250 extracts the transmission source device ID and the patient ID from all the data received from each inspection device 300, associates the issued serial number and the reception date and time with the data indicating the measurement result, and stores the data in the database DB 22. Write. That is, the database DB22 stores all the inspections performed in the electronic medical chart management system 10.

  The clock unit 230 includes an access means to an internal clock or a time server, and stores the time when the information is received from the inspection device 300.

  The control information generation unit 240 generates control information for controlling each inspection device 300. Preferably, the control information generation unit 240 generates the control information generation unit 240 based on the measurement condition. Specifically, the information transmitted at a timing independent of the measurement result is acquired from a sensor provided near the place where the inspection device 300 is installed and connected to the network 900. Alternatively, when the inspection device 300 has a sensor, the measurement condition included in the measurement result may be received from the inspection device 300. Alternatively, it may be acquired from a server (not shown) that manages the measurement conditions that manage all the inspection devices 300 connected to the network 900. In addition, the control information generation unit 240 generates control information for the second inspection device (for example, inspection device 300-1) based on the measurement result obtained by the first inspection device (for example, inspection device 300-1). You may. In other words, the measurement result obtained by a certain inspection device 300 is used to adjust the other inspection device 300.

The control unit 250 includes a number issuing unit 251 and a data processing unit 252. The number issuing unit 251 issues a serial number each time the measurement result is received.
The data processing unit 252 generates data in a format that can be processed by the electronic medical record server 100 that manages the medical record, in which at least the serial number issued by the number issuing unit 251 and the measurement result are included. Here, the data processing unit 252 may correct the measurement result acquired from the inspection device 300. The correction may be a substantial correction (correction to the data value), a formal correction (such as conversion of the data format), or both. When making a formal correction, for example, referring to the database DB21, processing such as deletion or addition of metadata (header) is performed so that the electronic medical record server 100 can process the metadata.

  Substantive modification is typically intended to ensure the accuracy or reliability of the data. For example, the data processing unit 252 may correct the measurement result based on the measurement condition. This is because reliability may be improved by performing data calibration in consideration of measurement conditions. For example, it is known that there is a predetermined relationship between conditions such as the environment at which the measurement was performed and the time when the measurement was performed, and the patient's condition (or the measurement result that reflects the condition). Therefore, if the information about this relationship is stored in the storage unit 220, it is possible to correct the data using the information.

  Alternatively, the data processing unit 252 may correct the measurement result obtained by the second inspection device using the measurement result obtained by the first inspection device. For example, when two or more test devices 300 have similar functions (for example, blood pressure measurement), there is a significant difference when the measurement is performed on the same patient under the same conditions. If the result is obtained, it may be due to the performance of the equipment or the usage of the equipment. Therefore, for example, the storage unit 220 stores in advance information that the second inspection device (for example, the inspection device 300-2) has higher accuracy than the first inspection device (for example, the inspection device 300-1). , When the measurement is performed on the same patient under the same measurement environment or measurement conditions with the second test device (for example, at the same time on the next day), with the first test device, The result of the first inspection device is replaced with the result of the second inspection device. Alternatively, the second inspection device result and the average value of the first inspection device are adopted, or other statistical processing is performed to generate new data.

FIG. 7 is an operation example of the electronic medical record management system 10. Hereinafter, it is assumed that all the inspection devices 300 are registered in the database DB21.
When the medical staff performs a predetermined operation such as pressing a switch, the inspection device 300 prepares for measurement (S501). When the inspection device 300 has a remote control function, the measurement may be started when the inspection device 300 receives a measurement start instruction from the electronic medical record server 100 or the management apparatus 200.
Subsequently, the inspection device 300 prompts the input of the patient ID. When the ID of the patient to be inspected is read (S502), the medical worker or the like performs a predetermined operation by holding the bracelet of the patient on which the barcode is printed or the medical worker or the like inputs the patient ID. And measurement is started (S503). When the measurement is completed, the information including the measurement result is transmitted to the management device 200 automatically or according to the operation of the medical staff (S504).

  FIG. 8 is an example of the structure of the data DT1 generated by the inspection device 300 and transmitted to the management device 200. In this example, according to the data format that the inspection device 300-1 uniquely determines in advance, the device ID indicating the inspection device 300-1 on which the measurement is performed, the patient ID that is the measurement target, the measurement item, and the measurement value are arranged in this order. To be done. Although the data structure may differ for each examination device 300, at least four information items including a device ID, a patient ID, a measurement value, and a measurement item are common.

  Returning to FIG. 7, the management device 200 having received the data DT1 updates the database DB22 and issues a new serial number (S505). Then, the data is processed by referring to the database DB21 and/or the database DB22 as necessary. Then, data including the serial number, which is based on the received measurement data and which can be processed by the electronic medical record server 100, is generated (S506). FIG. 9 shows an example of the structure of the data DT2 generated at this time.

  In this example, in addition to the data item (d1) acquired from the inspection device 300, the issued serial number (“00135”), measurement date and time, and measurement location (d2) are added as information items. The arrangement of each information item is, in order from the beginning, a serial number, a measurement date and time, a measurement place, a patient ID, a measurement item, and a measurement result corrected as necessary in order to match the format defined by the electronic medical record server 100. The structure is arranged in this order. Further, in this example, the numerical value “90 Torr” was received as the measurement result, but the management device 200 corrects the data value “91 Torr”.

  In addition, as a result of referring to the database DB22, the management device 200, with respect to the measurement data acquired in the past, with respect to the measurement data acquired in the past for the same (or a similar state) patient under similar measurement conditions. , You may check the consistency with the data acquired this time. When the data processing unit 252 determines that the reliability of the data is suspected as a result of the check, such as a large discrepancy between the numerical values, or the suitability of the measurement method or the defect of the inspection device 300 is suspected, the data processing unit 252 issues an instruction for re-measurement, or It is also possible to cause the control information generating unit 240 to generate an instruction for correcting the defect of the inspection device 300 and information about the control parameter to be changed in the measurement, and transmit the information to the inspection device 300. In this case, the data processing unit 252 may stop the transmission of the data based on the received measurement data to the electronic medical record server 100.

  Returning to FIG. 7, the data generated by the data processing unit 252 is transmitted to the electronic medical record server 100 (S507).

  Upon receiving the information shown in FIG. 9, the electronic medical record server 100 updates the database DB12 based on the information. Specifically, the information to be entered in the electronic medical record is extracted from the received information. An example of information extracted at this time is shown in FIG. In this example, the serial number, date and time, patient ID, measurement item identifier, and measurement value are extracted, and other information may be deleted. Of course, all the received information may be added to the electronic medical record.

  Then, the control unit 130 generates charging information by referring to a database (not shown) that describes the relationship between the inspection content and the remuneration amount as needed (S508), and creates a new information including these information. The record is added to the electronic medical record (S509). FIG. 11 shows an example of the database DB12 updated when the patient (ID: 0985) in the state shown in FIG. 4B has undergone an examination. Comparing FIG. 4B and FIG. 11, it can be seen that a record corresponding to the search executed by the inspection device 300 is added to the electronic medical chart of this patient.

  According to the above-described embodiment, it is possible to make the electronic medical record server 100 surely grasp the result of the inspection performed in a state where the electronic medical record server 100 is not managed including the issuance of serial numbers, such as in an emergency. Further, the management apparatus 200 knows the function of the inspection device 300 and the structure of the output data, and the management apparatus 200 always provides the electronic medical chart server 100 with data in a format that the electronic medical chart server 100 can process. Therefore, it is possible to use the function of the conventional electronic medical record server for billing the inspection cost using the serial number as a key without modification. Further, since there is no need to issue a serial number in the electronic medical record server 100, the processing load on the electronic medical record server 100 is reduced and there is no need to wait for the serial number issuing procedure, so there is no delay in the implementation of the inspection. Further, even if a new inspection device 300 is introduced, it is only necessary to update the database DB21 of the management device 200.

  Further, the management device 200 uses the inspection results acquired from a plurality of inspection devices 300 that may have different measurement environments and measurement conditions to perform information processing for improving the accuracy of measurement data or ensuring the reliability of measurement data. It can be carried out. For example, based on a plurality of measurement data, it becomes easy to early detect that the setting of the device or the measuring method is not appropriate. In this case, if improper settings or device malfunctions are suspected, control information is generated and transmitted to the inspection device 300 to adjust the inspection device 300 (adjustment related to hardware such as the positioning mechanism of the measurement unit and And/or software-related adjustments such as adjusting the offset value of the output data value.

<Modification>
In the above embodiment, the electronic medical record server 100 may have a function of issuing a serial number. Even in this case, the management apparatus 200 manages all serial numbers issued by the electronic medical chart management system 10. Specifically, when the management apparatus 200 receives a measurement request from the electronic medical record server 100 with the serial number to the inspection device 300, the management apparatus 200 checks whether the number has been issued, and if it has been issued, , And does not issue a new number, but makes a measurement request to the inspection device 300 including the number. The management device 200 transfers the inspection device 300. Then, the inspection device 300 includes the serial number when transmitting the measurement result to the management device 200. Then, when the measurement result including the issue number is received from the inspection device 300, it is checked whether or not the number has been issued. If not, the number is stored in the database DB 22 together with the number.
If it has been issued from the electronic medical record server 100 or the inspection device 300, it means that the numbers have been duplicated and issued in the electronic medical record management system 10, so that the electronic medical record server 100 and/or the inspection device 300 are It is also possible to specify a serial number that has been issued redundantly and send a message indicating that the request for measurement or the output of the measurement result associated with the number is invalid.
In this way, the serial number issuing function of the electronic medical record server can be activated so that there is no omission of serial number issuance or duplicate issuance of the same number.

  In the above embodiment, it is assumed that one electronic medical record management system 10 is installed in one medical institution, but the administrator of the electronic medical record server 100 and the administrator of the inspection device 300 are different. Good. For example, the testing device 300 may be provided in a place under the jurisdiction of two or more medical facilities having different operating entities. In this case, a plurality of medical institutions share one electronic medical record server 100. Alternatively, the inspection equipment 300 may include equipment installed in a place other than a medical facility, such as a patient's home. In this case, the inspection device 300 may be connected to the management device 200 via the Internet.

  The function of the management apparatus 200 may be assigned to a plurality of devices. FIG. 12 is a conceptual diagram of an electronic medical chart management system 10A according to another embodiment of the present invention. In this example, the sample management server 400 and the relay device 500 have a function corresponding to the management device 200. Although only one relay device 500 is shown in the figure, a plurality of relay devices 500 may be provided. For example, one relay device 500 is provided for a predetermined number of 300 (for example, 5 units).

  FIG. 13 shows the appearance of the relay device 500. The relay device 500 is installed on the wall or ceiling of a hospital, and communicates with the inspection device 300 (in this example, the inspection devices 300-4 to 300-6) and the sample management server 400 within a predetermined distance range by wire or wirelessly. To do.

  Hereinafter, functional examples of the sample management server 400 and the relay device 500 will be described with reference to FIGS. 14 and 15. The same functions as those in FIGS. 3 and 5 are designated by the same reference numerals, and the description thereof will be omitted.

As illustrated in FIG. 14, the relay device 500 includes a communication unit 210B, a memory 220B, and a control unit 250B.
The communication unit 210B includes a communication module, a wireless antenna, and the like, transmits and receives information to and from the sample management server 400 in accordance with a wired communication standard such as LAN, and the testing device 300 in accordance with a wireless communication standard such as Bluetooth (registered trademark). Exchange information with. Specifically, the transmission unit 211B receives data from each 300. The reception unit 212B transmits the data processed by the control unit 250B to the sample management server 400. In addition, when the transmitting unit 211B receives the control information from the sample management server 400 addressed to a certain 300, the transmitting unit 211B broadcasts a control signal including the identification information of the inspection device 300.

Note that the relay device 500 preferably includes an uninterruptible power supply device or an automatic shutdown function (not shown). In addition, the relay device 500 is provided with a display and/or a speaker, and in order to prevent the function from being stopped in the event of a power failure, switching to an emergency power source, or when the power supply to the relay device 500 becomes unstable. It is preferable to have the function of.
Further, the relay device 500 has a function of receiving a command from the administrator of the relay device 500 via the communication unit 210B. Further, the relay device 500 may include an input device such as a touch panel and may have a function of inputting the command and other information.

  The memory 220B is a semiconductor memory, and stores at least the identifiers of all 300 under the control of the relay device 500 and information necessary for decrypting the received data when the received data is encrypted. In addition, the memory 220B stores information such as a conversion algorithm and a conversion table necessary for the control unit 250B to perform conversion, processing, and other information processing on the data received from each inspection device 300. May be. This information may differ for each type of testing device 300. When newly adding the inspection device 300 under the jurisdiction, information such as the identification information and the output data format of the added inspection device 300 input via the input device or via the communication unit 210B is displayed. It is stored in the memory 220B.

  The control unit 250B is a processor and performs predetermined information processing on the data received from the inspection device 300 under its control. Specifically, the control unit 250B performs all or some of the functions of the data processing unit 252 except for issuing serial numbers. As an example, only information processing such as data relabeling, layout change, and decryption of encrypted data is performed without substantially modifying the data such as correction of the data value. The data processed by the control unit 250B is transmitted to the sample management server 400 via 212B.

As shown in FIG. 15, the sample management server 400 includes a control unit 250A, a communication unit 210A, and a storage unit 220A.
The data processing unit 252A has at least a function of executing information processing which the control unit 250B does not have among the information processing functions of the data processing unit 252.
The communication unit 210A communicates with the electronic medical chart server 100 and the sample management server 400. Specifically, the transmission unit 211A supplies the data received from the sample management server 400 to the control unit 250A, and the reception unit 212A transmits the data generated by the control unit 250A to the electronic medical chart server 100.
The storage unit 220A is a semiconductor memory or the like, and stores at least the information stored in the storage unit 220 excluding the information stored in the memory 220B.

  According to this embodiment, among the functions of the management device 200 shown in FIG. 1, the relay process of the data received from each inspection device 300 can be distributed to one or more relay devices 500. As a result, each relay device 500 can be downsized. In addition, for example, even when a new inspection device 300 is introduced in a hospital, by adding the relay device 500, it is possible to perform the operation with the new inspection device without the need to newly install the sample management server 400. It becomes easy for the electronic medical record server 100 to manage the information regarding the obtained inspection. In other words, the inspection device 300 can be easily connected to the existing electronic medical record server 100.

  The structure of data processed by the examination device 300 and the electronic medical record server 100, and the data processing in the 200, the sample management server 400, and the relay device 500 are not limited to the examples described above. Hereinafter, another example of data processing will be described.

FIG. 16 shows a format of data output by a certain inspection device 300, and FIG. 17 shows an example of a data format defined in the electronic medical record server 100. The data value is omitted. As shown in FIG. 16, the data output by this testing device 300 is mainly the “reception number” managed by this testing device 300, the “patient information” that mainly describes the information related to the subject, and mainly It is composed of information items such as “specimen information” including information on an inspection target, an inspection device, and inspection conditions, an “inspection name” for identifying the content of inspection, and an “inspection value” which is an inspection result. The data items “patient information” and “sample information” have a hierarchical structure, which means that there are sub-items.
On the other hand, as shown in FIG. 17, in the electronic medical record server 100, “header”, “examination information” including information about examination contents and examination results, and “patient information” that is information regarding the subject are included. Composed. The header is composed of a serial number for uniquely identifying each examination performed in the electronic medical chart management system 10 or 10A, the date and time when this data was created, and information indicating the type of data.
As can be seen by comparing the two figures, the data DT1a output from the inspection device 300 and the data DT3a to be transmitted to 100 have differences in content (data items) and structure (arrangement of data items). This difference may differ for each inspection device 300 due to differences in manufacturers, functions, and the like. In order to absorb this difference, the management apparatus 200 (or the sample management server 400 and the relay apparatus 500 cooperate with each other) is acquired from the testing device 300 according to a predetermined algorithm including information about the correspondence between data items. Data items are selected from the selected data, and the selected data value is used to generate data according to the format shown in FIG.

In this example, the data values described in the data item “patient ID” and “inpatient/outpatient classification” in the data DT1a (for example, “0” for inpatient, “1” for outpatient) are respectively It is used as it is as the data value of the data item “patient ID” and “hospitalization/outpatient classification” in the data DT3a. That is, the data item and the data value are used as they are.
On the other hand, if the data value described in the data item “analysis date and time” (for example, the data format (notation) of {“8 digit number of the Christian era”+“_”+24 hour time}] is adopted, (20130132_18:30)) is described in accordance with a predetermined data format in a plurality of items such as "date and time" which is a sub item of the data item "patient information" and "date and time" which is a sub item of the header part. For example, for “date and time”, which is a sub-item of “patient information”, the character string “03-21_18:30” is described according to a predefined data format, while “date and time” is a sub-item of the header part. Describes a character string "2019/03/21_18:30". As described above, it is not necessary that the data items and data formats before and after conversion have a one-to-one correspondence.
Further, the value of the data item "inspection time" in DT3a may be generated based on the data value described in the data item "analysis date and time" in DT1a and the value described in the data item "reception date and time". In this way, the data values of a plurality of items may be used to perform various arithmetic processes and combination processes to generate a data value of one item.
The data values described in "doctor name 1", "doctor name 2", and "patient age" are deleted because there are no items described in DT3a. Note that the data item “reception number” is a number that is independently managed by the inspection device 300, and thus may be used for checking duplicate data reception, but when issuing the “serial number” in the header of FIG. Never referenced.

  If the data values of some data items of the information to be transmitted to 100 cannot be acquired from 300, data with no data value for that data item may be transmitted to 100. Alternatively, the management apparatus 200 or the sample management server 400 may connect to a database (not shown) connected to 100 or 900 to request the data value and acquire the information from the database. For example, the data values of the data items “doctor name” and “hospital room” are transmitted to the database or the like to make an inquiry, and the data value to be described in the data item “medical department code” is acquired.

100... Electronic medical record server, 200... Management device, 300... Examination device, 400... Sample management server, 500... Relay device, 310... Communication unit, 320... ID reading Part, 330... Measuring part, 340... Storage part, 110... Communication part, 120... Storage part, 130... Control part, 131... Charge processing part, 210, 210A, 210B ...Communication section, 211, 211A, 211B... transmission means, 212, 212A, 212B... reception means, 220, 220A... storage section, 220B... memory, 230... clock section, 250, 250A, 250B... Control unit, 240... Control information generating unit, 251... Number issuing unit, 252... Data processing unit, 1010A... Electronic medical record management system.

Claims (6)

Receiving means for receiving the measurement results performed in each of the plurality of testing equipment together with the identification information of the subject,
Issuing means for issuing a serial number each time the measurement result is received,
A data processing unit that includes the serial number and the measurement result and that generates data in a format that can be processed by a medical record server that manages medical records,
And a transmission means for transmitting the generated data to the medical record server. The receiving means further acquires the condition under which the measurement was made,
The apparatus according to claim 1, wherein the data processing unit corrects the measurement result based on the condition. The plurality of inspection devices include a first inspection device and a second inspection device that measure one measurement item,
The apparatus according to claim 1, wherein the data processing unit corrects a measurement result obtained by the first inspection device using a measurement result obtained by the second inspection device. Further comprising: a generation unit that generates control information for controlling each inspection device, and a unit that transmits the generated control information to each inspection device,
The receiving means further acquires the condition under which the measurement was made,
The device according to claim 1, wherein the generation unit generates the control information based on the condition. Further comprising: a generation unit that generates control information for controlling each inspection device, and a unit that transmits the generated control information to each inspection device,
The plurality of inspection devices include a first inspection device and a second inspection device that measure one measurement item,
The apparatus according to claim 1, wherein the generation unit generates control information for the second inspection device based on a measurement result obtained by the first inspection device. An inspection management system including a plurality of inspection devices, a relay device, and a medical record server,
Receiving means for receiving the measurement results performed in each of the plurality of inspection devices together with the identification information of the subject,
Issuing means for issuing a serial number each time the measurement result is received,
A generation unit that includes the serial number and the measurement result and that generates data in a format that can be processed by a medical record server that manages medical records,
Transmitting means for transmitting the generated data to the medical record server;
An examination management system comprising: a billing processing unit that, when receiving the generated data, adds billing information to the medical record in association with the serial number.

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