JP6895722B2 - Hospital information system - Google Patents

Description

Embodiments of the present invention relate to hospital information systems.

A hospital information system (HIS) that digitizes various business processes in medical facilities is provided. HIS is a system having various functions such as an ordering function in which a doctor gives instructions to other medical staff, an electronic medical record creation function for recording medical information of a patient, and a medical appointment function for accepting a patient to be examined.

Compared to the case of managing and operating medical information on paper media, it is possible to handle a large amount of medical information by digitizing the business process of the hospital. On the other hand, the amount of medical information that medical professionals such as doctors should check increases, and the method of displaying medical information tends to be complicated. Displaying medical information on a display terminal by a medical professional involves a complicated operation such as executing screen transitions multiple times. As described above, since the screen transition is complicated, for example, when there is a change in the medical information, it takes time and effort to display the medical information on the display terminal, and the change may be overlooked.

Therefore, in the prior art, an information processing device that determines the unread state of medical information and changes the display layout so that the unread medical information is preferentially displayed is disclosed. Since the unread medical information is preferentially displayed in this information processing device, it is possible to encourage the medical staff to confirm the unread medical information.

JP-A-2007-316872

An object to be solved by the present invention is to provide a hospital information system that can surely avoid omission of confirmation of the contents of medical information by medical staff as compared with the prior art.

The hospital information system according to one embodiment includes a storage unit for storing test result information and a processing unit for adding electronic signature information indicating that the test result information has been referred to the test result information. ..

A conceptual configuration diagram showing a configuration example in which a hospital information system according to a first embodiment is installed as a part of a system operated in a hospital. The functional block diagram which shows the functional structure example of the hospital information system which concerns on 1st Embodiment. The flowchart which shows an example of the operation of reference-signing the inspection result information in 1st Embodiment. The schematic diagram which shows the display example of the electronic medical record and the order screen in 1st Embodiment. The schematic diagram which shows the display example of the inspection result information in 1st Embodiment. The schematic diagram which shows the display example of the reference signature screen in 1st Embodiment. The schematic diagram explaining the inspection result information and the signature information in 1st Embodiment. The flowchart which shows another example of the operation which displays the inspection result information in 1st Embodiment. The schematic diagram which shows the display example of the inspection result history in 1st Embodiment. The functional block diagram which shows the functional configuration example of the hospital information system which concerns on 2nd Embodiment. FIG. 5 is a flowchart showing an example of an operation of notifying unsigned inspection result information in the second embodiment. The schematic diagram which shows the display example of the notification information that the unsigned inspection result information exists in 2nd Embodiment. The schematic diagram which shows the display example of the unsigned inspection result information list in 2nd Embodiment.

Hereinafter, specific embodiments will be described after the points of view of the present inventors have been described first.

In the above-mentioned prior art, the display layout is changed so that the medical information in the unread state is preferentially confirmed based on the unread state or the read state of the medical information. This is a technology that encourages medical professionals such as doctors to confirm unread medical information.

The determination of the unread state or the read state in the prior art is automatically executed based on the access operation to the electronic file in which the medical information is electronically recorded. The operation of accessing an electronic file is, for example, an operation of opening an electronic file in which medical information is recorded, moving a cursor such as a mouse on the medical information displayed on the display, or printing an electronic file in which medical information is recorded. Is.

That is, when the electronic file in which the medical information is recorded is printed, the medical information is determined to be read based on the fact that the printing is executed. When the medical information is displayed on the display, the medical information is determined to be read based on the opening of the electronic file in which the medical information is recorded.

In the prior art, when the medical information is printed, it is determined to be read, and the priority of the medical information in the display layout is lowered. However, in the prior art, it is not possible to confirm whether or not the printed medical information was actually read by the medical staff.

In addition, the content of the medical information may not be sufficiently confirmed by the medical worker because the medical worker leaves the display terminal while checking the medical information. Even if the confirmation of medical information is interrupted in this way, the medical information is determined to be read based on the opening of the electronic file in which the medical information is recorded. Therefore, the medical information in the display layout Information has a lower priority.

As described above, in the prior art, as a result of determining the read state only based on the presence or absence of the access operation to the electronic file in which the medical information is recorded, confirmation omission regarding the content of the medical information may occur.

Therefore, the present inventors have devised a configuration of a hospital information system that allows medical staff to browse the contents of medical information by electronic signature, sufficiently confirm the contents, and record what they understand. In the following description, confirming the contents of medical information and understanding or grasping all the contents contained in the medical information is defined as "reference". In addition, a signature that a medical worker gives to medical information by electronic or electromagnetic means after referring to the medical information is defined as a "reference signature".

According to the epoch-making structure conceived by the present inventors, the reference signature is given only when the medical worker refers to the medical information. Therefore, if the confirmation of the medical information is interrupted or the content of the medical information is not sufficiently grasped, the reference signature is not given to the medical information. Therefore, the reference signature can prove that the medical staff has referred to the medical information. Further, since the reference signature is not given to the medical information that has not been referred to or is insufficiently confirmed, it is possible to encourage the medical staff to refer to the medical information without the reference signature. As a result, it is possible to surely avoid omission of confirmation of the contents of medical information by the medical staff, so that medical instructions for performing appropriate treatment can be expected.

Hereinafter, the hospital information system according to the embodiment of the present invention will be described with reference to the accompanying drawings. In each figure, the same elements are designated by the same reference numerals, and duplicate description will be omitted.

(First Embodiment)
The first embodiment relates to a hospital information system in which medical staff can refer to and sign test result information.

(1) Configuration FIG. 1 is a conceptual configuration diagram showing a configuration example in which a hospital information system according to a first embodiment is mounted as a part of a system operated in a hospital. FIG. 1 exemplifies a hospital information system 1A, a radiology department system 2, a clinical examination department system 3, and other department systems 4 as systems operated in a medical facility.

In this specification, a system provided for each medical department such as a radiology department or a clinical examination department and interconnected with a hospital information system 1A is referred to as a "department system". The radiology department system 2, the clinical examination department system 3, and the other department system 4 are examples of departmental systems, respectively.

The hospital information system 1A, the radiology department system 2, the clinical examination department system 3, and the other department system 4 are interconnected in a communicable manner via the electronic network 18.

Here, the electronic network 18 means an entire information communication network using telecommunications technology, and in addition to a hospital backbone LAN, a wireless / wired LAN, and an Internet network, a telephone communication line network, an optical fiber communication network, a cable communication network, and the like. Includes satellite communications networks.

As shown in FIG. 1, the respective communication interfaces (IFs) 16, communication IF21, and communication IF31 provided in the hospital information system 1A, the radiology department system 2, and the clinical examination department system 3 correspond to the network form. Implement various communication protocols. Similarly, the hospital information terminal 10a and the other department system 4 are also connected to the electronic network by a communication IF (not shown).

The hospital information system 1A of FIG. 1 is a system that electronically realizes medical-related business processes such as medical accounting, prescription reception, medical appointment, electronic medical record, or ordering, and includes an electronic medical record system and an ordering system. It is a concept to be included.

As shown in FIG. 1, the hospital information system 1A includes a plurality of hospital information terminals 10a, a hospital information server 15, and a communication IF 16.

The hospital information terminal 10a includes a storage circuit 11, a processing circuit 12a, a display 13, and an input circuit 14.

The storage circuit 11 is composed of, for example, semiconductor memory elements such as a RAM (Random Access Memory) and a flash memory (Flash Memory), a hard disk, an optical disk, and the like. The storage circuit 11 may be composed of a portable medium such as a USB (Universal Serial Bus) memory and a DVD (Digital Video Disk).

The storage circuit 11 stores various programs (including an operating system and the like in addition to the application program) executed in the processing circuit 12a, data necessary for executing the programs, and image data. Further, the storage circuit 11 may store various commands for controlling the operating system and a GUI (Graphical User Interface) program that supports input from the input circuit 14.

The processing circuit 12a is interconnected to each hardware component constituting the hospital information terminal 10a via a system bus 17 as a common signal transmission line.

The processing circuit 12a may be configured by dedicated hardware, or may be configured to realize various functions described later by software processing by a built-in processor. Here, as an example, a case where the processing circuit 12a realizes various functions by software processing by the processor will be described.

The processors in the above description include a dedicated or general-purpose CPU (Central Processing Unit), a GPU (Graphics Processing Unit), an application specific integrated circuit (ASIC), a programmable logic device, and a field programmable gate array. It means a circuit such as (FPGA: Field Programmable Gate Array). Examples of the programmable logic device include a simple programmable logic device (SPLD: Simple Programmable Logic Device) and a compound programmable logic device (CPLD: Complex Programmable Logic Device). The processing circuit 12a realizes each function by reading and executing a program stored in the storage circuit 11 or a program directly incorporated in the processor of the processing circuit 12a.

Further, the processing circuit 12a may be composed of a single processor or a combination of a plurality of independent processors. In the latter case, a plurality of storage circuits corresponding to the plurality of processors may be provided, and the program executed by each processor may be stored in the storage circuit corresponding to the processor. As another example, one storage circuit may collectively store programs corresponding to each function of a plurality of processors.

The display 13 is a display device such as a liquid crystal display panel, a plasma display panel, and an organic EL (Electro Luminescence) panel. The display 13 displays medical information such as electronic medical record information and test result information under the control of the processing circuit 12a.

The input circuit 14 is a circuit for inputting signals from input devices such as a keyboard, a mouse, a joystick, and a trackball. Here, it is assumed that the input device itself is also included in the input circuit 14. When the input device is operated by the operator, the input circuit 14 generates an input signal corresponding to the operation and outputs the input signal to the processing circuit 12a.

The hospital information terminal 10a is interconnected to the hospital information server 15 via the electronic network 18. The medical information input from the hospital information terminal 10a is stored in the hospital information server 15, and the medical information stored in the hospital information server 15 is output to the hospital information terminal 10a.

The hospital information server 15 is a server including a CPU, a processor, and a storage circuit (not shown). The server is, for example, a computer that provides its own functions and data to a client computer in a computer network. In FIG. 1, the client computer is a hospital information terminal 10a.

Further, although one hospital information server 15 is shown in FIG. 1, there may be a plurality of hospital information servers 15. Further, a plurality of hospital information servers 15 may function as one virtual server. Further, in the hospital information system 1A, the user of the hospital information terminal 10a may be configured to be able to connect to the hospital information server 15 without being aware of the physical server. In addition, the hospital information server 15 may exist in a location geographically different from the hospital information terminal 10a. As described above, the hospital information system 1A may be configured by using the cloud system.

The hospital information terminal 10a is equipped with an application corresponding to the above-mentioned medical-related business process. The hospital information terminal 10a provides an electronic medical record function and an ordering function according to the type of installed application.

For example, the electronic medical record function electronically records medical records generated by a doctor's examination of a patient. The electronic medical record is created on the hospital information terminal 10a and is stored in the hospital information server 15 for each patient as electronic medical record information. The electronic medical record information stores patient information such as the patient's name and medical information regarding examinations and treatments performed on the patient.

When a doctor requests an examination or treatment from a medical worker other than the doctor, the doctor issues an order corresponding to the examination or treatment on the hospital information terminal 10a. The order information corresponding to the issued order is stored in the hospital information server 15 and transmitted to the department system.

As shown in FIG. 1, the radiology department system 2 includes a communication IF 21, a diagnostic report system 22, a radiological information system (RIS) 23, and an image storage communication system (PACS: Picture Archiving and Communication Systems) 24. And modality 25. Modality 25 includes medical image acquisition devices such as an X-ray diagnostic device, an X-ray CT device (Computed Tomography MFP), and a magnetic resonance imaging device (MRI). The elements constituting the radiology department system 2 are connected to each other via an electronic network 18 (not shown).

The radiologist department system 2 is a department in which a medical image of a patient is acquired by a radiologist. For example, when an order for acquiring a medical image is issued by the hospital information terminal 10a, the order information corresponding to the order is transmitted to the radiology department system 2. The RIS23 of the radiology department system 2 that has received the order information instructs the modality 25 to acquire a medical image based on the order information. The medical image acquired by modality 25 is stored in PACS24. In addition, the diagnostic report system 22 creates a diagnostic report regarding the acquired medical image. The diagnostic report stores a key image, which is an image used for diagnosis in the examination, and findings observed in the key image.

In this way, the diagnostic report created by the radiology department system 2 for the order issued by the hospital information terminal 10a is transmitted to the hospital information system 1A as test result information and stored in the hospital information server 15.

The clinical laboratory information system 3 shown in FIG. 1 includes a communication IF 31, a clinical laboratory information system (LIS) 32, and a laboratory device 33. The elements constituting the clinical laboratory department system 3 are connected to each other via an electronic network 18 (not shown).

The clinical laboratory department system 3 is a department in which a sample test in which a sample such as blood or urine obtained from a patient is analyzed by a clinical laboratory technician and a physiological function test for measuring an electroencephalogram or an electrocardiogram of the patient are performed. Similar to the case of the radiology department system 2, when an order related to a clinical examination is issued by the hospital information terminal 10a, the order information corresponding to the order is transmitted to the clinical examination department system 3. In the clinical laboratory department system 3, a sample test and a physiological function test are performed by a clinical laboratory technician based on order information. The sample test may be outsourced to an external testing institution. Laboratory tests corresponding to order information are managed in LIS32. The results of the clinical tests performed by the clinical test department system 3 are transmitted to the hospital information system 1A as test result information and stored in the hospital information server 15.

The other department system 4 is, for example, a surgery department, a rehabilitation department, a dialysis department, or the like. Similar to the above-mentioned radiology department system 2 and clinical examination department system 3, in other department systems 4, test result information such as an operation report and a rehabilitation report issued by a doctor on the hospital information terminal 10a Is created.

The test result information is an electronic file created in the department system for the order issued by the hospital information terminal 10a, and includes a diagnostic report, a sample test result, an operation execution report, and the like. In this way, the test result information created by the department system is transmitted to the hospital information system 1A and stored in the hospital information server 15.

FIG. 2 is a functional block diagram showing a functional configuration example of the hospital information system 1A according to the first embodiment. As shown in FIG. 2, the hospital information system 1A includes a hospital information terminal 10a and a hospital information server 15 and interconnects with a department system via an electronic network 18. With respect to the order information transmitted from the hospital information terminal 10a of the hospital information system 1A, the department system generates test result information and transmits it to the hospital information server 15 of the hospital information system 1A.

The hospital information server 15 of the hospital information system 1A of FIG. 2 has an electronic medical record information storage circuit 151, an inspection result information storage circuit 152, and a signature information storage circuit 153. The electronic medical record information storage circuit 151, the inspection result information storage circuit 152, and the signature information storage circuit 153 may be configured as separate storage circuits, or one storage circuit may be divided into a plurality of storage areas. It may be configured by.

The electronic medical record information storage circuit 151 stores electronic medical record information. Electronic medical record information includes patient information, medical information regarding examinations and treatments performed on patients, order information, and the like. The patient information includes the patient's name, age, date of birth, and gender for each patient identification number (ID). The order information includes an order ID, an order code indicating the type of order, or information on a department system that inspects according to the order for each order. The medical information includes the patient's medical history, treatment details, drug prescription history, and the like.

The inspection result information storage circuit 152 stores the inspection result information. The test result information is a diagnostic report or clinical test result created by the department system for the order information. The test result information includes a test ID, a patient ID to be tested, an order ID, an order type, a test type, the content of the test result, and the like for each test. The inspection result information will be described in detail with reference to FIG.

The signature information storage circuit 153 stores signature information. The signature information includes information regarding a reference signature electronically executed by a medical worker such as a doctor who referred to the test result information. The signature information includes information that identifies the test result information that is the target of the reference signature and information that identifies the medical worker who has the reference signature. Further, the signature information may include the date and time of reference signature. The signature information will be described in detail with reference to FIG.

The processing circuit 12a of the hospital information terminal 10a executes the display function 121a and the signature function 122a. The display function 121a and the signature function 122a are functions realized by the processor of the processing circuit 12a executing the program stored in the storage circuit 11.

The display function 121a displays the electronic medical record information, the test result information, and the signature information stored in the hospital information server 15 on the display 13. For example, the display function 121a displays the inspection result information and the signature information in a list. In addition, a reference signature screen is displayed in which a medical worker who is a user signs a reference. The display generated by the display function 121a will be described in detail with reference to FIGS. 4 to 6 and 9.

The signature function 122a generates signature information according to the execution of the reference signature by the user, and stores the signature information and the inspection result information in association with each other. The signature function 122a will be described in detail with reference to FIGS. 6 and 7.

Although FIG. 2 shows an example in which the hospital information terminal 10a has a display function 121a and a signature function 122a, the hospital information server 15 may be configured to have a display function 121a and a signature function 122a. That is, the programs of the display function 121a and the signature function 122a stored in the storage circuit of the hospital information server 15 may be configured to be executed by the processing circuit of the hospital information server 15. As described above, the hospital information terminal 10a, which is a client computer, may be configured as a thin client that performs only the minimum necessary operations such as displaying electronic medical record information and a reference signature screen.

(2) Operation FIG. 3 is a flowchart showing an example of an operation of reference-signing the inspection result information in the first embodiment. Hereinafter, the operation of the hospital information system 1A according to the first embodiment will be described with reference to FIGS. 4 to 7, according to the step numbers in the flowchart of FIG.

The processing in each step of the flowchart of FIG. 3 is realized by the processing circuit 12a calling and executing a predetermined program corresponding to the display function 121a and the signature function 122a from the storage circuit 11. Hereinafter, the processing executed by the display function 121a and the signature function 122a realized by the processing circuit 12a will be described for each corresponding step.

In step ST101, the user selects the inspection result information to be referred to from the electronic medical record and the order screen.

FIG. 4 is a schematic view showing a display example of the electronic medical record and the order screen in the first embodiment. Hereinafter, the operation of selecting the inspection result information in step ST101 will be described with reference to FIG.

The electronic medical record and order screen D1 of FIG. 4 are displayed on the display 13 of the hospital information terminal 10a. Medical information such as electronic medical record information and order information for each patient is input from the electronic medical record and order screen D1, and the input medical information is displayed on the electronic medical record and order screen D1.

For example, the electronic medical record and order input area E3 is displayed on the lower right side of the electronic medical record and order screen D1. The electronic medical record information stores medical information such as the patient's complaint, the treatment given to the patient, or the medicine prescribed to the patient. These information are input from the electronic medical record and the order input area E3. In addition, order information, which is information for a doctor to request an examination or the like from a medical worker such as an examination engineer, is also input from the electronic medical record and the order input area E3.

The hospital information system 1A is configured so that information such as treatment for patients and medicines prescribed to patients can be input in text format, or can be selectively input by GUI such as directory format or pull-down menu. You may. Similarly to the above, the hospital information system 1A may be configured so that the order information can be input in a text format or can be selectively input.

The patient information display area E1 is displayed in the upper part of the electronic medical record and the order screen D1, and the order history display area E2 is displayed in the lower part.

The patient information included in the electronic medical record information is displayed in the patient information display area E1. FIG. 4 illustrates the case where the patient ID is "000123456", the name is "Patient Taro", the age is "33 years old", the gender is "male", and the date of birth is "March 9, 1983". ..

On the right side of the patient information display area E1, the test result history button G11 for displaying the test result history screen is displayed. The test result history screen is a screen that displays a list of all the test result information created for the order issued in the past examination for the patient. The inspection result history screen will be described in detail with reference to FIG. 9 described later.

In the order history display area E2, the order information issued in the latest examination for the patient under examination is displayed. In the order history display area E2, the order information issued in the examination of patient Taro is displayed. In the order history display area E2, the order issuance order, for example, the order type and the request date are displayed in the order of new order request date.

In the example of FIG. 4, two order informations are displayed in the order history display area E2. In the first order display area E22, a case where the type of order is an image inspection order for CT simple imaging (chest) and the inspection request date is February 18, 2016 at 14:22 is exemplified. Similarly, in the second order display area E23, a case where the type of order is a sample test order for a blood test (liver) and the test request date is February 18, 2016 at 14:21 is exemplified.

In the example of FIG. 4, two orders are displayed, but past order information can be displayed by scrolling the display area with the scroll bar G12 shown in the order history display area E2.

The order information corresponding to the order shown in the order history display area E2 is transmitted from the hospital information system 1A to the department system, and the inspection according to the order information is performed in the department system. The department system creates test result information corresponding to the order information and transmits it to the hospital information server 15 of the hospital information system 1A. The hospital information server 15 stores the test result information in the test result storage circuit 152.

The display function 121a displays the inspection result button in the order display area when the inspection result information for the order information exists. As shown in FIG. 4, the inspection result button G13 is displayed in the order display area E22. In this way, when the examination result information corresponding to the image examination order of CT simple imaging (chest) exists in the hospital information server 15, the display function 121a displays the examination result button G13 at the lower right of the order display area E22. .. The examination result information created for the image examination order of CT simple imaging (chest) can be confirmed by pressing the examination result button G13.

On the other hand, the inspection result button is not displayed in the order display area E23 in FIG. In this case, it indicates that the test result information corresponding to the sample test order of the blood test (liver) does not exist in the hospital information server 15.

The above is the description of the process relating to the selection of the inspection result information in step ST101. Returning to FIG. 3, the explanation of the flowchart will be continued.

In step ST103, the display function 121a displays the inspection result information screen on the display 13 based on the inspection result information selected by the user. Specifically, when the inspection result button G13 in the order history display area E22 of FIG. 4 is pressed by the user, the display function 121a displays the inspection result information screen related to the image inspection of CT simple imaging (chest) on the display 13. indicate.

FIG. 5 is a schematic diagram showing a display example of inspection result information in the first embodiment. The inspection result information screen D2 shown in FIG. 5 is inspection result information for an image inspection order of CT simple imaging (chest). The inspection result information screen D2 of FIG. 5 shows an example of inspection result information in which the key image IM1 which is an image used for diagnosis and the finding R1 observed in the key image IM1 are displayed.

A reference signature button G22 is shown in the upper right of the inspection result information screen D2 of FIG. After referring to the selected inspection result information, the user can give a reference signature to the inspection result information by pressing the reference signature button.

Returning to FIG. 3, the explanation of the flowchart will be continued.

In step ST105, the user references and signs the referenced inspection result information. Specifically, the user presses the reference signature button on the upper right of the inspection result information screen D2 shown in FIG.

In step ST107, the display function 121a displays the reference signature screen.

FIG. 6 is a schematic view showing a display example of the reference signature screen according to the first embodiment. Here, as an example, the screen of FIG. 4 is displayed with the doctor A logged in to the hospital information terminal 10a, the test result button G13 is pressed, the screen of FIG. 5 is displayed, and the reference signature button G22 is displayed. It is assumed that it has been pressed. That is, since the reference signature screen of FIG. 6 is displayed in a state where the doctor A is logged in, it is a screen of the reference signature by the doctor A. When logging in, for example, the personal authentication process is executed by entering the user ID and password. Further, in FIG. 6, a case where the doctor A references and signs the examination result information regarding the image examination of the CT simple imaging (chest) shown in FIG. 5 will be described as an example.

In the upper part of the reference signature screen D3 of FIG. 6, a signature button G31 for reference signature and a cancel button G32 are displayed. When the cancel button G32 is pressed, the reference signature screen D3 may be closed, and the display function 121a may be configured so that the inspection result information screen D2 of FIG. 5, which is the transition source, is redisplayed.

When the signature button G31 is pressed, the signature information is added to the inspection result information. The display function 121a may be configured to determine whether or not the following two conditions are satisfied, and if all of the conditions are satisfied, the signature button G31 can be pressed.

The first condition is that the user agrees to refer to the test result information. As shown in FIG. 6, the reference signature screen D3 displays a wording confirming that the inspection result information has been referred to. FIG. 6 shows an example of displaying a confirmation message M1 to the user for the reference signature under the signing button G31.

In the example of FIG. 6, the confirmation message M1 is shown, "The examination result information of the patient Taro's CT simple imaging (chest) was referred to at 10:59:59 on February 20, 2016." The reference signature date and time "February 20, 2016 10:59:59" shown in the confirmation message M1 is the date and time when the reference signature button G22 is pressed on the inspection result information screen D2 of FIG. is there.

FIG. 6 shows an example in which the check box G33 is displayed on the left side of the confirmation message M1. If the user agrees with the content of the confirmation message M1, the check box G33 is checked using an input device such as a mouse. For example, the first condition can be determined by whether or not the check box G43 indicating that the confirmation message M1 is agreed is checked.

The second condition is that the user who signs the reference is the person himself / herself. A user such as a doctor who uses the hospital information terminal 10a logs in to the hospital information terminal 10a after personal authentication and refers to the test result information. However, the hospital information terminal 10a may be left with the test result information displayed on the display 13 of the hospital information terminal 10a. In such a case, personal authentication is required to confirm that the user who signs the reference is the person so that only the user can sign the reference.

FIG. 6 shows an example in which an input box 34 for entering the password of the currently logged-in user (doctor A in this example) is displayed on the reference signature screen D3 for personal authentication. The method of personal authentication is not limited to the aspect shown in FIG. For example, the personal authentication may be a combination of a user ID and a password that uniquely identifies the user, or may be a method using biometric authentication such as a user's fingerprint, voiceprint, vein, or iris.

When the above two conditions are satisfied, the display function 121a displays the signature button G31 so that it can be pressed. That is, when the above two conditions are satisfied, the display function 121a activates the signing button G31 or displays the signing button G31 on the reference signature screen D3. On the other hand, when at least one of the above two conditions is not satisfied, the display function 121a may display the signature button G31 in an inactive state, or may not display the signature button G31 on the reference signature screen D3. ..

In the case of reference signature, the display function 121a may be configured to display the comment input field G35 on the reference signature screen D3 so that the user can input a comment. For example, when another doctor other than the doctor in charge examines a patient and the other doctor refers to the test result information, as shown in the comment input field G35 of FIG. 6, "on behalf of Dr. B". You can optionally enter a comment such as "I have confirmed."

The above is the description of the reference signature screen displayed in the process of step ST107. Returning to FIG. 3, the explanation of the flowchart will be continued.

In step ST109, the signature function 122a stores the signature information and the inspection result information in association with each other. Specifically, the signature function 122a generates signature information when the user presses the signature button G31 on the reference signature screen D3 of FIG. 6, and associates the generated signature information with the test result information to provide hospital information. Store in server 15.

The above is the description of the flowchart of FIG. 3, but the association between the signature information and the inspection result information will be supplemented with reference to FIG. 7.

FIG. 7 is a schematic diagram illustrating inspection result information and signature information according to the first embodiment. The left side of FIG. 7 shows the inspection result information, and the right side of FIG. 7 shows the signature information. FIG. 7 shows an example in which Doctor A has signed a reference signature for an image examination of CT simple imaging (chest).

The test result information is information including diagnostic reports and clinical test results created by the department system based on the order information. The test result information shown on the left side of FIG. 7 shows an example in which the test ID is "000987654", the patient ID is "000123456", and the order type is "CT simple radiography (chest)" from the left. Although not shown in FIG. 7, the inspection result information may include information regarding the contents of the inspection result such as an order code, a key image, and finding information.

The signature information is generated by the signature function 122a. The signature information includes information about the user who signed the reference and time stamp information indicating the date and time when the reference was signed. From the left, the reference signature information shown on the right side of FIG. 7 has an examination ID of "000987654", a referrer information of "Doctor A", a time stamp information of "2016/02/20 10:59:59", and a comment of "2016/02/20 10:59:59". I confirmed it on behalf of Dr. B. "

The signature function 122a can specify the inspection result information that is the target of the reference signature from, for example, the screen information that is the transition source of the reference signature screen D3. Based on the identified inspection result information, the signature function 122a acquires the inspection ID from the inspection result information. In addition, the signature function 122a acquires referrer information based on the authentication information of the user who has pressed the signature button G31 on the reference signature screen.

Further, the signature function 122a acquires the date and time displayed in the confirmation message on the reference signature screen D3 as time stamp information. The time stamp information is the date and time when the reference signature button is pressed on the inspection result information screen D2. Similarly, the signature function 122a acquires the comment input on the reference signature screen. The time stamp information and the comment are not essential items of the signature information. The signature function 122a generates signature information based on the information acquired as described above.

Further, the signature information is not limited to the aspect shown in FIG. For example, the referrer information may be a user ID of a doctor, or may be information of an electronic certificate issued by a certificate authority (CA) that electronically certifies a doctor A.

The method of associating the signature information with the inspection result information is not limited to the aspect of FIG. 7. For example, the signature function 122a generates reference signature history information in which an inspection result information ID that uniquely identifies the inspection result information to be referred to and a signature information ID that uniquely identifies the reference signature is associated with the hospital information server. It may be configured to be stored in 15.

As described above, the hospital information system 1A of the first embodiment can store the signature information of the referrer who referred to the test result information in association with the referred test result information.

In the above example, a method of assigning new signature information each time the inspection result information is referred to has been described. The method of giving the signature information is not limited to the above-mentioned method. For example, the display of the inspection result information screen D2 may be changed depending on whether or not the inspection result information is given a reference signature. Hereinafter, a modified example relating to the display of the inspection result information will be described with reference to FIG.

FIG. 8 is a flowchart showing another example of the operation of displaying the inspection result information in the first embodiment. In the example of FIG. 8, when the same reference person refers to the inspection result information with respect to the inspection result information to which the reference signature has already been given, the operation of hiding the reference signature button on the inspection result information screen D2 will be described. ..

In step ST111, the user selects the inspection result information to be referred to from the electronic medical record and the order screen.

In step ST113, the display function 121a determines whether or not the signature information is associated with the selected inspection result information. For example, if the signature information is associated with the inspection result information as shown in FIG. 7, the process proceeds to step ST115, and if there is no signature information associated with the inspection result information, the process proceeds to step ST119.

In step ST115, the display function 121a determines whether or not the signer of the signature information associated with the inspection result information and the referrer who refers to the inspection result information are the same person. For example, as shown in FIG. 7, consider the case where the reference person name who has referred and signed the examination result information of CT simple imaging of the chest is doctor A. When the user who will refer to this test result information is Doctor A, it is determined that the referrer is the same person as the referrer of the signature information. On the other hand, when the user who will refer to this test result information is Doctor B, it is determined that the referrer is not the same as the referrer of the signature information. If the reference person of the signature information associated with the inspection result information and the reference person who refers to the inspection result information are the same person, the process proceeds to step ST117, and if not, the process proceeds to step ST119.

In step ST117, the display function 121a hides the reference signature button G22 shown in the upper right of the inspection result information screen D2 of FIG.

In step ST119, the display function 121a displays the reference signature button G22 on the inspection result information screen as shown in the inspection result information screen D2 of FIG.

In this way, when the same person refers to the same test result information, the hospital information terminal 10a may be configured so as to omit the signature (step ST117). Even when the same person refers to the same inspection result information, the reference signature may be displayed so that it can be input. In this case, the hospital information terminal 10a may be configured to manage the history for each reference signature based on the time stamp information without overwriting the signature information.

In the above description, the method of referencing and signing the test result information for the order information issued in the latest medical examination has been described. In the following, we will explain how to display a list of all test result information created in the patient's past examination and confirm the presence or absence of a reference signature.

For example, when the test result history button G11 displayed on the right side of the patient information display area E1 in FIG. 4 is pressed, all the test result information created for the order issued in the past examination for the patient is listed. Can be displayed.

FIG. 9 is a schematic diagram showing a display example of the inspection result history in the first embodiment. FIG. 9 illustrates an inspection result history display screen D4 showing a list of inspection result information.

In FIG. 9, the patient information display area E4 in the upper part of the examination result history display screen D4 displays the patient information of the same patient Taro as the electronic medical record and order screen D1 of FIG. The display function 121a may be configured so that when the close button G41 on the right side of the patient information display area E4 is pressed, the test result history display screen D4 is closed and the electronic medical record and order screen D1 that are the transition sources are opened.

In the middle of FIG. 9, a GUI for searching the inspection result information is displayed. From the left in the middle of FIG. 9, a search period selection area E5, a signature status selection area E6, a clinical department selection area E7, a test result information type selection area E8, and a search execution button G44 are illustrated. When an item in each selection area is selected and the search execution button G44 is pressed, the corresponding inspection result information is displayed in a list in the inspection result information list display area E9.

In the search period selection area E5, a period for searching the test result information is input. For example, FIG. 9 shows an example in which the inspection result information of "from 2014/01/01 to one month before" is specified to be narrowed down and displayed. In addition, "month" or "week" may be selected by the pull-down menu G45.

In the signature status selection area E6, it is possible to select whether to display the inspection result information of "signed" or the inspection result information of "unsigned" by the pull-down menu G46. If "Unspecified" is selected, all inspection result information will be displayed regardless of whether or not it is signed. In the example of FIG. 9, the case where "not specified" is selected is shown. In the following description, the selected items are shown with grayscale hatching to distinguish them from the non-selected items.

In the clinical department selection area E7, the clinical department visited by the patient is selected. FIG. 9 shows an example in which a plurality of clinical departments can be displayed by scrolling with the scroll bar G42, and a plurality of clinical departments can be selected by the check boxes. FIG. 9 shows an example in which "all clinical departments" is selected by the check box.

In the inspection result information type selection area E8, the inspection result information type is selected. FIG. 9 shows an example in which a plurality of inspection result information types can be displayed by scrolling with the scroll bar G43, and a plurality of inspection result information types can be selected by a check box. FIG. 9 shows an example in which "interpretation report" and "endoscopic report" are selected by the check boxes.

The lower left side of FIG. 9 shows the inspection result information list display area E9. In the inspection result information list displayed in the inspection result information list display area E9, No. , Test result report date and time, test information type, clinical department, and signature are shown. No. narrowed down by the above search conditions. 1-No. Six inspection result information of 6 is displayed in a list. By scrolling with the scroll bar G47, No. The inspection result information after 6 can be displayed. The signature item in the rightmost column of the inspection result information list indicates the presence or absence of a reference signature for the inspection result information.

Here, as an example, since the inspection result information selected in the inspection result information list display area E9 is shown by grayscale hatching, No. 9 is shown in FIG. An example in which the inspection result information of 5 is selected is shown. The signature information related to the selected inspection result information is displayed in a list in the signature list display area E10 on the right side of the inspection result information list display area E9. In the signature list displayed in the signature list display area E10, the signature date and time, the signer name, and the comment are shown from the left. By scrolling with the scroll bar G48, all the contents of the comment can be displayed.

In the signature list of FIG. 9, No. The signature information corresponding to the inspection result information of 5 is displayed. The signature date and time in the signature list of FIG. 9 is displayed based on the time stamp information of the signature information. Similarly, the signer name is displayed based on the referrer information of the signature information. In the example of FIG. 9, the signature information given by the doctor A at 10:59:59 on 02/20/2016 and the signature information given by the doctor B at 09:05:30 on 02/02/2016 are displayed. ing. In this way, signature information by a plurality of different users may exist for one inspection result information. Further, there may be a plurality of signature information having different time stamps by the same user.

Further, the signature item in N0.6 of the inspection result information list display area E9 is "none", indicating that the inspection result information is not signed. Among the inspection result information displayed in the inspection result information list display area E9, the display function 121a may be configured so that the unsigned item can be referred and signed. For example, the display function 121a may be configured to display a button for displaying each inspection result information displayed in the list.

As described above, according to the hospital information system 1A according to the first embodiment, a reference signature can be given to the test result information. The reference signature certifies that the user has grasped the contents described in the inspection result information. Therefore, for example, it is possible to avoid overlooking the content of the inspection result information due to the user's belief that the inspection result information has been confirmed. In addition, by recording that the inspection result information is referenced and signed, it is possible to clarify the responsibility for the reference of the inspection result information from the viewpoint of a third party.

(Second embodiment)
The second embodiment relates to a hospital information system having a configuration for notifying a user that there is test result information to which signature information is not attached, in addition to the configuration of the first embodiment.

(1) Configuration The second embodiment has the same hardware configuration as the first embodiment shown in FIG. However, the hospital information system 1B of the second embodiment has a function of notifying the user of the test result information to which the signature information is not attached, in addition to each function of the hospital information system 1A of the first embodiment. Therefore, in the description of the second embodiment, as shown in FIG. 10, the parts different from the first embodiment are designated by different reference numerals from those of the first embodiment, and the same parts as those of the first embodiment will be described. Is omitted.

FIG. 10 is a functional block diagram showing a functional configuration example of the hospital information system 1B according to the second embodiment. The processing circuit 12b included in the hospital information terminal 10b of the hospital information system 1B shown in FIG. 10 executes the notification function 123b. The notification function 123b is a function realized by the processor of the processing circuit 12b executing the program stored in the storage circuit 11.

The notification function 123b determines whether or not the signature information is attached to the inspection result information, and if the signature information is not attached to the inspection result information, the notification function 123b displays that fact on the display 13. For example, the notification function 123b notifies that when the user logs in to the hospital information system 1B, there is no signature information for the test result information to be confirmed by the user. Specifically, if the inspection result information created for the order issued by the logged-in user does not have a reference signature by that user, that fact is displayed on the display 13.

(2) Operation FIG. 11 is a flowchart showing an example of an operation of notifying unsigned inspection result information in the second embodiment.

Hereinafter, the operation of the hospital information system 1B according to the second embodiment will be described with reference to FIGS. 12 and 13, according to the step numbers in the flowchart of FIG. In the example of FIG. 11, when the user logs in to the hospital information system 1B, the operation of notifying the user of the test result information to which the signature information is not given will be described.

The processing in each step of the flowchart of FIG. 11 is realized by the processing circuit 12b calling and executing a predetermined program corresponding to the notification function 123b from the storage circuit 11. Hereinafter, the processing executed by the notification function 123b realized by the processing circuit 12b will be described for each corresponding step.

In step ST201, the user logs in to the hospital information system 1B. For example, a user such as a doctor goes to work at the hospital where he / she works and logs in to the hospital information system 1B when starting work. When logging in, for example, personal authentication is performed by entering a user ID and password.

In step ST203, the notification function 123b searches the inspection result information created for the order issued by the logged-in user for the inspection result information without the reference signature of the user. If there is no inspection result information without the reference signature of the logged-in user, the process branches to NO in step ST203, and the screen after login is displayed on the display 13. On the other hand, if the inspection result information without the reference signature of the logged-in user exists, the process branches to YES in step ST203 and proceeds to step ST205.

In step ST205, the notification function 123b displays a screen after login and displays on the display 13 that there is unsigned inspection result information.

FIG. 12 is a schematic diagram showing a display example of notification information indicating that unsigned inspection result information exists in the second embodiment. The patient list display screen D5 of FIG. 12 is an example of an initial display screen after logging in to the hospital information system 1B.

When there is unsigned inspection result information among the inspection result information corresponding to the order issued by the logged-in user, the notification function 123b displays the notification information display screen D6. The notification information display screen D6 is pop-up displayed on the display 13, for example. As shown in FIG. 12, the notification information display screen D6 is displayed in front of (front side) the patient list display screen D5. That is, the notification information display screen D6 is superimposed and displayed on the patient list display screen D5.

On the notification information display screen D6 of FIG. 12, a message M2 indicating that there is unsigned inspection result information is displayed. A close button G61 and a list display button G62 are displayed at the bottom of the notification information display screen D6, respectively. When confirming the unsigned inspection result information in a list, the user presses the list display button G62. On the other hand, when the user wants to immediately start another work such as a medical examination without checking the list of unsigned test result information, the user presses the close button G61.

If the business is started immediately, a GUI such as a button may be displayed on the patient list display D5 screen so that unsigned test result information can be confirmed in a list later, or the patient list display D5 screen is displayed. When this is done, the notification information display screen D6 may be displayed.

FIG. 13 is a schematic diagram showing a display example of an unsigned inspection result information list in the second embodiment. FIG. 13 shows an example of an unconfirmed (unsigned) inspection result list display screen D7 displayed when the list display button G62 is pressed on the notification information display screen D6 of FIG.

In the example of the inspection result list display screen D7 on the right side of FIG. 13, four unsigned inspection result information is shown. The test result list display screen D7 of FIG. 13 shows an example of displaying the patient ID, the patient name, the order type, and the order request date included in the test result information.

The user can display the inspection result information selected from the display of the inspection result list display screen D7 on the display 13. As an example, FIG. 13 shows a case where the selected item is indicated by grayscale hatching and the inspection result information on the second line of the inspection result list display screen D7 is displayed. In the example of FIG. 13, the case where the patient name on the second line of the test result list display screen D7 is patient Taro and the test result information whose order type is blood test (liver) is selected is shown.

The right side of FIG. 13 shows the inspection result display screen D8 on the second line selected from the inspection result list display screen D7. A reference signature button G81 is displayed on the upper right of the inspection result display screen D8. Further, on the test result display screen D8, a test item name, a reference value, and a numerical value indicating the test result in the sample test of the blood test (liver) are displayed. By pressing the reference signature button G81 after referring to the inspection result display screen D8 of FIG. 13, the user can add a reference signature to the inspection result information.

The notification function 123b may be configured so that the inspection result information to which the reference signature is attached is deleted from the inspection result list display screen D7. That is, when the hatched second line of inspection result information is reference-signed for the inspection result list display screen D7 including the four inspection result information, the inspection result information of the second line is displayed from the inspection result list display screen D7. It may be deleted. As described above, the notification function 123b may be configured to update the unsigned inspection result information displayed on the inspection result list display screen D7 every time the inspection result information is reference-signed.

In the operation example of the flowchart of FIG. 11 described above, an example of determining the presence / absence of the reference signature of the user who issued the order and displaying the notification information has been described. However, the embodiment of the present invention describes the embodiment of the present invention. It is not limited to this aspect. The notification function 123b may be configured to display unsigned inspection result information on the display 13 regardless of whether or not the user has issued the order.

For example, on the patient list display screen D5 of FIG. 12, patients waiting for medical examination are displayed. If there is unsigned test result information for the patient, the hospital information system 1B is configured to display the notification information display screen D6 regardless of whether the doctor performing the examination is the doctor who issued the order. You may.

In addition, if there is test result information that does not have signature information among the test result information of the patient on the electronic medical record and order screen displayed on the hospital information terminal 10b in the examination of a certain patient, the notification function 123b notifies that fact. It may be displayed on the display 13 as information. The notification information is not limited to the pop-up display shown in FIG. For example, the notification function 123b may be configured to display graphic or text information on an electronic medical record, an order screen, or the like.

As described above, the same effect as that of the first embodiment can be obtained in the second embodiment. In addition, according to the hospital information system according to the second embodiment, when there is unsigned test result information, it is possible to notify that fact. If the user who issued the order has not signed the inspection result information created for the order by reference, the user can be prompted to refer to the inspection result information. As a result, it is possible to prevent omission of reference of inspection result information. Furthermore, since unsigned test result information is displayed in a list every time the user logs in to the hospital information system, the user can check the unsigned test result information at once without performing complicated screen transitions. Can be done. As a result, the hospital information system 1B contributes to the efficiency of the work of the user.

According to the hospital information system of at least one embodiment described above, it is possible to more reliably avoid omission of confirmation of the contents of medical information by medical staff than in the prior art.

The correspondence between the terms of the claims and the embodiments is as follows, for example. The storage circuit of the hospital information server 15 is an example of the storage unit according to the claim. Further, the processing circuits 12a and 12b are examples of the processing unit according to the claim. The display 13 is an example of the display unit described in the claims.

Although some embodiments of the present invention have been described, these embodiments are presented as examples and are not intended to limit the scope of the invention. These embodiments can be implemented in various other forms, and various omissions, replacements, and changes can be made without departing from the gist of the invention. These embodiments and modifications thereof are included in the scope and gist of the invention, as well as in the scope of the invention described in the claims and the equivalent scope thereof.

1A ... Hospital information system 2 ... Radiology department system 10A ... Hospital information terminal 15 ... Hospital information server

Claims (6)

A storage unit that stores test result information and
An electronic signature information indicating that a person different from the creator of the inspection result information understands or confirms the contents included in the inspection result information is given to the inspection result information, and the inspection result information is signed. A processing unit that stores information to which information is given in the storage unit, and a processing unit that stores the information.
A display unit that displays the inspection result information and the signature information in a list, and
Prepare
When the requester who requested the inspection logs in to the hospital information system, the processing unit determines whether or not the requester has the signature information for the inspection result information based on the request.
If the requester does not have the signature information, the display unit displays the signature information by the requester with respect to the inspection result information based on the request during the period when the requester is logged in to the hospital information system. Indicates that is not granted,
Hospital information system. The display unit displays a wording indicating that the inspection result information has been confirmed, and displays a signature for the inspection result information so that it can be accepted.
The processing unit adds the signature information to the inspection result information only when the signature for the inspection result information is received.
The hospital information system according to claim 1. The processing unit determines whether or not the reference person who refers to the inspection result information and the reference person of the signature information given to the inspection result information are the same.
When the reference person who refers to the inspection result information and the reference person of the signature information given to the inspection result information are not the same, the display unit displays the signature by the reference person so as to be acceptable.
The hospital information system according to claim 1 or 2. The processing unit determines whether or not the signature information is added to the inspection result information, and determines whether or not the signature information is added.
When the signature information is not added to the inspection result information, the display unit displays that the signature information is not added to the inspection result information.
The hospital information system according to any one of claims 1 to 3. The processing unit acquires the time when the inspection result information is signed as time stamp information, and adds the signature information including the time stamp information to the inspection result information.
The hospital information system according to any one of claims 1 to 4. The processing unit determines whether or not the inspection result information is provided with access information indicating that the inspection result information has been accessed.
The display unit displays the inspection result information and the access information in a list, and when the access information is not added to the inspection result information, the inspection result information is not given the access information. indicate,
The hospital information system according to claim 1.

Images