JP6797003B2 - Inspection equipment management equipment and programs - Google Patents

Description

The present invention relates to an inspection device management device and a program for managing medical inspection devices.

In recent years, in order to shorten the examination time of patients, the introduction of point-of-care testing (POCT), in which a medical worker conducts an examination beside a patient using a predetermined examination device, is being promoted. ..

In Patent Document 1, when a medical worker reads a patient ID code (bar code) worn by a patient using a code reader of a vital data management terminal, the vital data management terminal reads the patient ID code. The server is inquired whether or not it is registered in the patient list to be measured, and if it is registered, the vital data measuring device connected to the vital data management terminal measures the patient and manages the measurement result in vital data management. It is disclosed that the terminal sends to the server. This prevents the patient and the measurement result from being erroneously associated with each other.

Japanese Unexamined Patent Publication No. 2004-351063

However, in Patent Document 1, for example, in a case where a patient ID code printed on an in-hospital prescription is read by a code reader to perform an examination, the in-hospital prescription is mistaken between a certain patient and another patient. In such a case, the medical staff cannot know this, and the test result may be associated with the wrong patient. In order to reduce such a possibility, it is required that the medical staff who conducts the examination using the examination equipment know the information such as the patient's name.

An object of the present invention is to provide a testing device management device and a program capable of providing patient information to a medical worker who performs a test using a testing device.

The inspection device management device according to the present invention is an inspection device management device that aggregates test results transmitted from each medical test device that performs a prescription-based test and provides the electronic medical record device with a storage unit. When the patient information corresponding to the patient ID is acquired from the electronic medical record device and stored in the storage unit, and the set of the patient ID and the test result read by the test device from the prescription is received from the test device , it corresponds to the received patient ID. A control unit that identifies patient information from a storage unit and displays the identified patient information and the received test result in association with each other is provided , and the control unit corresponds the specified patient information with the received test result. After the patient is attached and displayed, the received inspection result is output to the shared folder, and the electronic medical record device fetches the inspection result from the shared folder at an arbitrary timing and deletes the imported inspection result from the shared folder .

According to the present invention, it is possible to provide a testing device management device and a program capable of providing patient information to a medical worker who performs a test using the testing device.

It is a figure which shows the structural example of the medical system which concerns on one Embodiment. It is a figure which shows the structural example of the inspection equipment management apparatus which concerns on one Embodiment. It is a figure which shows the example of the flow of inspection. It is a figure which shows an example of GUI (Graphic User Interface) that the inspection equipment management apparatus displays an inspection result.

Hereinafter, embodiments of the present invention will be described with reference to the drawings.

FIG. 1 is a diagram showing a configuration example of a medical system 1 according to an embodiment.

The medical system 1 includes an electronic medical record device 12, an inspection device management device 10, and at least one inspection device 14.

The electronic medical record device 12 is a device that manages a patient's medical record as electronic data. The electronic medical record device 12 manages patient information 42 (see FIG. 2). The patient information 42 includes, for example, a patient's kanji name, katakana name, gender, age, address, telephone number, and the like.

The testing device 14 is a device used for testing a patient. The inspection device 14 complies with the POCT1-A standard. The testing device 14 measures, for example, a hemoglobin A1c value, an estimated average blood glucose level, a total cholesterol level, a triglyceride value, a Non-HDL cholesterol level, a high specific gravity lipoprotein level, a low specific gravity lipoprotein level, and the like.

The inspection device management device 10 is a device that aggregates the inspection results transmitted from each medical inspection device 14 and provides them to the electronic medical record device 12.

The electronic medical record device 12 and the inspection device management device 10 exchange information via the first communication network 16. The first communication network 16 is, for example, a LAN (Local Area Network). The function related to the electronic medical record device 12 is realized by an application program running on a computer. Further, the function related to the inspection device management device 10 is also realized by an application program running on the computer. In this case, the application program related to the electronic medical record and the application program related to the inspection device management may exchange information by socket communication.

The inspection device management device 10 and each inspection device 14 exchange information via the second communication network 18. The second communication network 18 is, for example, a LAN. The inspection device management device 10 and the inspection device 14 may be directly connected by a predetermined communication cable instead of the LAN. In this case, the inspection device management device 10 and the inspection device 14 may exchange information by COM communication.

The inspection device management device 10 has a shared folder 15 accessible to the inspection device management device 10 and the electronic medical record device 12. The inspection device management device 10 outputs the inspection result information collected from the inspection device 14 to the shared folder 15. The electronic medical record device 12 takes in the inspection result information from the shared folder 15 at an arbitrary timing. The location of the shared folder 15 is not limited to the inspection device management device 10, and may be, for example, the electronic medical record device 12 or a predetermined server device.

FIG. 2 is a diagram showing a configuration example of an inspection management device according to an embodiment.

The inspection equipment management device 10 includes a control unit 20, a first communication unit 28, a second communication unit 30, an input unit 24, a display unit 26, and a storage unit 22. These components 20, 22, 24, 26, 28 and 30 are connected by a bus 32 capable of bidirectional communication.

The first communication unit 28 connects to the first communication network 16 and controls the transmission and reception of information performed with the electronic medical record device 12.

The second communication unit 30 connects to the second communication network 18 and controls the transmission / reception of information to / from the inspection device 14.

The input unit 24 is an input device such as a keyboard, a mouse and / or a microphone. The input unit 24 transmits the information input by the medical worker to the control unit 20.

The display unit 26 is a display device such as a display. The display unit 26 displays the GUI, information, and the like generated by the control unit 20.

The storage unit 22 is a non-volatile storage device such as a flash memory or an HDD (Hard Disk Drive). The information stored in the storage unit 22 includes the patient ID and the test result transmitted from the test device 14, the patient information 42 transmitted from the electronic medical record device 12, and the like.

The control unit 20 is an arithmetic circuit device composed of a CPU (Central Processing Unit), a memory, and the like. The control unit 20 realizes the following various functions, for example, by executing a predetermined computer program.

The control unit 20 acquires the patient information 42 corresponding to the patient ID from the electronic medical record device 12 and stores it in the storage unit 22, and when the set of the patient ID and the test result is received from the test device 14, the received patient ID is displayed. The corresponding patient information 42 is specified from the storage unit 22, and the identified patient information 42 and the received test result are associated and displayed on the display unit 26.

Further, when the control unit 20 cannot specify the patient information 42 corresponding to the received patient ID from the storage unit 22, the control unit 20 requests the electronic medical record device 12 for the patient information 42 corresponding to the patient ID.

As a result, the medical staff can know the test result by the test device 14 and the information such as the name of the patient corresponding to the test result.

The control unit 20 holds the inspection result in the storage unit 22 at least until the inspection result is taken into the electronic medical record device 12. This makes it possible to prevent the inspection result from being lost.

The control unit 20 displays information on whether or not the inspection result has been taken into the electronic medical record device 12 on the display unit 26 together with the inspection result. As a result, the medical staff can know the patient whose test result has not yet been incorporated into the electronic medical record device 12.

When the inspection result is out of the predetermined range, the control unit 20 displays information indicating that fact together with the inspection result. The predetermined range differs for each inspection item.

In addition, the predetermined range is set in multiple stages. For example, as a predetermined range, a first range having no health problem and a second range having no problem in the specifications of the inspection device 14 are set. The first range is included in the second range.

The first range differs depending on the content of the patient information 42 (for example, gender, age, etc.). Further, the information indicating that the information is outside the predetermined range is displayed in different modes depending on whether the information is higher than the first range or lower than the first range. For example, if it is higher than the first range, the information (icon) of the up arrow is displayed, and if it is lower than the first range, the information (icon) of the down arrow is displayed.

The second range differs depending on the inspection device 14 and the inspection item. If the test result is out of the second range, it is suspected that the test has failed or the test device 14 has failed. Therefore, the medical staff retests or confirms the test device 14.

The control unit 20 displays a GUI in which each inspection device 14 can be selected, and displays the inspection result by the inspection device 14 selected via the GUI. This allows the healthcare professional to know the testing device 14 on which the patient has been tested.

Next, the flow of inspection by the medical system 1 including the inspection equipment management device 10 will be described.

FIG. 3 is a diagram showing an example of an inspection flow.

The patient receives the in-hospital instruction sheet 90 printed from the electronic medical record device 12 (ST10). A one-dimensional code (bar code) or a two-dimensional code (QR code (registered trademark)) indicating the patient ID of the patient is printed on the in-hospital instruction sheet 90.

Next, the patient brings the in-hospital prescription 90 and moves to the treatment room where the examination device 14 is installed (ST12).

Next, the medical staff reads the patient ID of the in-hospital prescription 90 using the code reader of the examination device 14 (ST14).

Next, the medical staff examines the patient with the patient ID read in ST14 using the examination device 14 (ST16). The inspection device 14 generates the inspection result information 40. The test result information 40 includes a patient ID, a test date and time, and a test result.

Next, the inspection device 14 transmits the generated inspection result information 40 to the inspection device management device 10 (ST18).

The inspection device management device 10 stores the inspection result information 40 transmitted in ST18 in the storage unit 22 (ST20).

Next, the inspection device management device 10 determines whether or not the patient information 42 corresponding to the patient ID of the inspection result information 40 of ST18 exists in the storage unit 22 (ST22).

When the patient information 42 corresponding to the patient ID exists in the storage unit 22 (ST22: YES), the inspection device management device 10 executes the process of ST30.

When the patient information 42 corresponding to the patient ID does not exist in the storage unit 22 (ST22: NO), the examination device management device 10 transmits a request for the patient information 42 corresponding to the patient ID to the electronic medical record device 12. (ST24).

When the electronic medical record device 12 receives the request of ST24, it returns a response including the patient information 42 corresponding to the patient ID of the request to the examination device management device 10 (ST26).

Upon receiving the response of ST26, the examination equipment management device 10 stores the patient information 42 of the response in the storage unit 22 and associates the patient information 42 with the examination result information 40 of ST20 (ST28). Then, the inspection device management device 10 executes the process of ST30.

As shown in FIG. 4 described later, the examination device management device 10 displays the contents of the examination result information 40 stored in the storage unit 22 and the patient information 42 associated with the examination result information 40. Is displayed (ST30). As a result, the medical staff can confirm information such as the patient's name corresponding to the test result information 40, so that the test result and the patient are registered in the electronic medical record device 12 while being erroneously associated with each other. It is possible to prevent it from happening.

The inspection device management device 10 outputs the unoutput inspection result information 40 stored in the storage unit 22 to the shared folder 15 for each period set as the automatic output period (ST32). The inspection device management device 10 changes the status of the inspection result information 40 output to the shared folder 15 in the storage unit 22 from "not output" to "output".

The electronic medical record device 12 takes in the inspection result information 40 from the shared folder 15 at an arbitrary timing or at a predetermined period (ST34). The electronic medical record device 12 deletes the imported inspection result information 40 from the shared folder 15.

As described above, the examination device management device 10 once aggregates the examination result information 40 of each patient transmitted from each examination device 14, and outputs the aggregated examination result information 40 to the shared folder 15 at predetermined intervals. .. As a result, the electronic medical record device 12 can take in a plurality of inspection result information 40 aggregated in the inspection device management device 10 at an arbitrary timing. Therefore, the processing load of the electronic medical record device 12 can be reduced.

FIG. 4 shows an example of a GUI in which the inspection equipment management device 10 displays the inspection result. The GUI is an example of the display in ST30 of FIG.

The control unit 20 generates a GUI (test result GUI) 100 for displaying the patient information 42 and the test result information 40, and displays the GUI (test result GUI) 100 on the display unit 26.

The inspection result GUI 100 includes an inspection device name display area 102, an inspection device selection area 104, a result display area 105, a connection status display area 110, an automatic output setting area 112, and a manual output button 114.

Buttons for selecting one or a plurality of inspection devices 14 are arranged in the inspection device selection area 104. Buttons for selecting all the inspection devices 14 may be arranged in the inspection device selection area 104.

In the inspection device name display area 102, the name of the inspection device 14 selected in the inspection device selection area 104 is displayed.

In each line of the result display area 105, the patient information 106 and the test results 108A and 108B of each test item corresponding to the patient information 106 are displayed.

In FIG. 4, the patient ID, the patient's kanji name, and the patient's katakana name are displayed as the patient information 106. Then, in the same line as the patient information 106, the HbA1C test result 108A of the patient and the cholesterol test result 108B indicated by the patient information 106 are displayed. By looking at the result display area 105, the medical staff can confirm the name and the like of the patient corresponding to the test result.

In addition, the date and time 206 when the inspection was performed is displayed together with the inspection result.

If the inspection result is out of the predetermined range, information 204 indicating that fact is displayed together with the inspection result. This information is called "warning information". The alert information 204 is displayed as an icon such as a character, a symbol, or a figure.

As a predetermined range, as described above, when the first range where there is no health problem and the second range where there is no problem in the specifications of the inspection device 14 are set, and when it is outside the first range. The alert information 204 that is different from the case outside the second range is displayed.

When the alert information 204 indicating the outside of the second range is displayed, the medical staff can suspect a failure of the inspection or a failure of the inspection device 14.

When the alert information 204 indicating the outside of the first range is displayed, the medical staff can inform the patient to that effect or perform a re-examination just in case.

In addition to the inspection result, information 202 indicating whether or not the inspection result has already been output to the shared folder 15 is displayed. This information is referred to as "output status information". The output status information 202 is displayed as an icon such as a character, a symbol, or a graphic. By checking the output status information 202, the medical staff can know whether or not the test result has been output to the shared folder 15.

In the connection status display area 110, information such as whether the inspection device management device 10 is normally connected to the inspection device 14 and / or whether the inspection result information 40 from the inspection device 14 is being received is displayed. Is displayed. This information is referred to as "connection status information". By confirming the connection status information, the medical staff can know whether or not the inspection device management device 10 and the inspection device 14 are communicating normally.

The automatic output setting area 112 is provided with a GUI for setting a cycle for outputting the inspection result information 40 to the shared folder 15. The control unit 20 outputs the inspection result information 40 to the shared folder 15 at a cycle set in the automatic output setting area 112.

The manual output button 114 is a button for outputting the inspection result information 40 to the shared folder 15. When the medical staff selects an unoutput test result from the results displayed in the result display area 105 and presses the manual output button 114, the control unit 20 shares the selected test result information with the shared folder 15. Output to.

<Effect>
According to the above-described embodiment, the examination device management device 10 can provide the medical staff who performs the examination using the examination device 14 with information such as the name of the patient who performed the examination together with the examination result. As a result, for example, in a case where the patient ID code printed on the in-hospital prescription is read by a code reader to perform an examination, the in-hospital prescription is mistaken between one patient and another patient. Even in such a case, the medical staff can confirm the patient's name and the like by looking at the test result GUI100 of the test device management device 10, so that the test result and the patient remain erroneously associated with each other. It is possible to prevent the patient from being registered in the electronic medical record device 12.

<Note>
Although the embodiments according to the present invention have been described in detail with reference to the drawings, the functions of the above-described devices can be realized by a computer program.

Computers that programmatically realize the functions of each of the above devices include input devices such as keyboards, mice, and touch pads, output devices such as displays and speakers, CPUs (Central Processing Units), ROMs (Read Only Memory), and RAMs (Random). Access Memory), storage devices such as hard disk devices and SSDs (Solid State Drives), readers that read information from recording media such as DVD-ROMs (Digital Versatile Disk Read Only Memory) and USB (Universal Serial Bus) memories, and networks. It is equipped with a network card that communicates via a bus, and each part is connected by a bus.

Then, the reading device reads the program from the recording medium on which the program for realizing the function of each of the above devices is recorded, and stores the program in the storage device. Alternatively, the network card communicates with the server device connected to the network, and stores the program downloaded from the server device for realizing the function of each device in the storage device.

Then, the CPU copies the program stored in the storage device to the RAM, sequentially reads the instructions included in the program from the RAM, and executes the program, thereby realizing the functions of the respective devices.

The above-described embodiment of the present invention is an example for explaining the present invention, and does not mean that the scope of the present invention is limited to the embodiment. One of ordinary skill in the art can practice the present invention in various other aspects without departing from the gist of the present invention.

The inspection device management device according to the present invention is suitable for use in a system including a medical inspection device.

1 Medical system 10 Inspection equipment management equipment 12 Electronic medical record equipment 14 Inspection equipment 16 First communication network 18 Second communication network 20 Control unit 22 Storage unit 24 Input unit 26 Display unit 28 First communication unit 30 Second communication unit 40 Test result information 42 Patient information

Claims (7)

It is an inspection equipment management device that aggregates the inspection results sent from each medical inspection equipment that performs prescription-based inspections and provides them to the electronic medical record equipment.
Memory and
When the patient information corresponding to the patient ID is acquired from the electronic medical record device and stored in the storage unit, and the set of the patient ID and the test result read by the test device from the prescription is received from the test device , the received patient It is provided with a control unit that identifies the patient information corresponding to the ID from the storage unit and displays the identified patient information and the received test result in association with each other.
The control unit displays the identified patient information and the received test result in association with each other, and then outputs the received test result to a shared folder.
The electronic medical record device captures the inspection result from the shared folder at an arbitrary timing, and deletes the captured inspection result from the shared folder.
Inspection equipment management device. When the control unit cannot specify the patient information corresponding to the received patient ID from the storage unit, the control unit requests the electronic medical record device for the patient information corresponding to the patient ID.
The inspection equipment management device according to claim 1. The control unit holds the inspection result in the storage unit at least until the inspection result is taken into the electronic medical record device.
The inspection equipment management device according to claim 1 or 2. The control unit displays information on whether or not the inspection result has been incorporated into the electronic medical record device together with the inspection result.
The inspection equipment management device according to any one of claims 1 to 3. When the inspection result is out of the predetermined range, the control unit displays information indicating that fact together with the inspection result.
The inspection equipment management device according to any one of claims 1 to 4. The control unit generates a GUI (Graphical User Interface) capable of selecting each inspection device, and displays the inspection result by the selected inspection device via the GUI.
The inspection equipment management device according to any one of claims 1 to 4. It is a testing equipment management program that aggregates the test results sent from each medical testing device that performs prescription-based testing and provides it to the electronic medical record program.
On the computer
When the patient information corresponding to the patient ID is acquired from the electronic medical record program and stored in a predetermined storage unit, and the set of the patient ID and the test result read by the test device from the prescription is received from the test device , the received patient A process of identifying the patient information corresponding to the ID from the storage unit and displaying the identified patient information in association with the received test result.
The electronic medical record program fetches the test result from the shared folder at an arbitrary timing, and in order to delete the fetched test result from the shared folder, the identified patient information is associated with the received test result. After displaying, the process of outputting the received inspection result to the shared folder, and
A program to execute.

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