JP7262069B1 - Patient management system and program - Google Patents

Abstract

Kind Code: A1 A patient management system and a program are provided that enable detailed follow-up of a patient with multiple diseases from a medical institution to the multiple diseases at an appropriate timing. SOLUTION: A patient management server 1 manages patient information by a patient ID, and based on patient interview information, receipt information, chart information acquired from a clinic terminal 2, and further feedback information acquired from a patient terminal 3, a plurality of A patient management system and a program for segmenting a patient with a disease and notifying the patient terminal 3 of a follow-up inquiry of a predetermined fixed phrase according to the segmented content to obtain feedback information. [Selection diagram] Fig. 1

Description

TECHNICAL FIELD The present invention relates to a system for managing patients, and more particularly to a patient management system and program capable of managing patients in segments based on medical interviews and receipts and appropriately following up the patients according to the segments.

[Conventional technology]
Some conventional patient management systems manage patients in cooperation with electronic medical records.
Also, conventionally, there was a mechanism for following up on dispensed drugs.

[Related technology]
In addition, as related prior art documents, Japanese Patent Application Laid-Open No. 2003-248722 "Medical Record Book Management Method and System" (Patent Document 1), Japanese Patent Application Laid-Open No. 2004-038633 "Home Medical Guidance Support System" (Patent Document 2) , Japanese Patent No. 7132556 "Information Processing Apparatus and Program" (Patent Document 3).

Patent Literature 1 discloses a medical record book management method that extracts only the contents of specific items from a medical chart, displays the extracted contents in chronological order, and can reduce unnecessary information references.

Patent Literature 2 discloses a home medical guidance support system that provides respiratory rehabilitation guidance to patients with chronic respiratory diseases in collaboration with hospitals and clinics.

Patent Literature 3 discloses an information processing device that presents a follow-up candidate date when a specific medicine is dispensed under different conditions than before.

Japanese Patent Application Laid-Open No. 2003-248722 Japanese Patent Application Laid-Open No. 2004-038633 Japanese Patent No. 7132556

However, the conventional patient management system has the problem that it is not possible to follow up patients with multiple diseases at appropriate timings and details.

Incidentally, Patent Literatures 1 to 3 do not describe a configuration for performing detailed follow-up of a patient with multiple diseases from a medical institution with respect to the multiple diseases at appropriate timing.

The present invention has been made in view of the above-mentioned actual situation, and provides a patient management system and program capable of performing detailed follow-up on a patient with multiple diseases from a medical institution at an appropriate timing for those multiple diseases. intended to

The present invention for solving the problems of the conventional example is a patient management system having a patient management server for managing patients, wherein the patient management server manages patient information including contact information using a patient identifier. store, acquire interview information and claim information related to the patient identifier , extract a disease for each patient from the acquired interview information and claim information, and if the patient has a plurality of the extracted diseases, the plurality of A combination of certain diseases is grouped and patients are classified into segments, and segment information is added to the patient identifier. Notifying the contact of a predetermined follow-up inquiry according to, and repeating the segmentation process and segmentation update when the interview information or claim is updated and an item that changes the state of the disease occurs. characterized by

In the above patient management system, the patient management server classifies the patients into segments by grouping the diseases even if there is only one disease extracted from each patient, and when updating the segmentation, the AND condition and logic It is characterized in that it can be adjusted in combination with the sum condition .

In the patient management system of the present invention, the patient management server stores, as feedback information, the content of a reply from the patient to the inquiry in association with the patient identifier, and uses the feedback information for segmentation.

According to the present invention, in the patient management system described above, the patient management server uses medical record information for segmentation.

The present invention is a computer program that operates on a patient management server that manages patients, in which the patient management server manages and stores patient information including contact information using a patient identifier, and interview information and patient information related to the patient identifier. Receipt information is acquired, a disease is extracted for each patient from the acquired interview information and receipt information, and if the patient has multiple diseases extracted, the combination of the multiple diseases is grouped and the patient is segmented. and perform segmentation processing to assign segment information to the patient identifier, update the segmentation by combining multiple set conditions, and make a predetermined follow-up inquiry according to the segment information is notified to the contact, and the segmentation process and the update of the segmentation are repeated when the interview information or the receipt is updated and an item that changes the state of the disease occurs.

In the above program, the patient management server classifies the patients into segments by grouping the diseases even if there is only one disease extracted for each patient, and when updating the segmentation, the logical product condition and the logical sum condition It is characterized by functioning so as to be adjustable in combination with .

The present invention is characterized in that, in the above program, the patient management server stores the content of the patient's reply to the inquiry as feedback information in association with the patient identifier, and operates to use the feedback information for segmentation.

The present invention is characterized in that, in the above program, the patient management server functions to use medical record information for segmentation.

According to the present invention, the patient management server manages and stores patient information including contact information using a patient identifier, acquires interview information and claim information related to the patient identifier, and retrieves the acquired interview information and claim information. A segment that extracts a disease for each patient from the patient, and if the patient has multiple diseases that are extracted, classifies the patient into segments by grouping the combination of the multiple diseases and adds segment information to the patient identifier . In addition to performing segmentation processing, combine multiple set conditions to update the segmentation, notify the contact of a predetermined follow-up inquiry according to the segment information, and update the interview information or receipt Since the patient management system and program repeat segmentation processing and segmentation update when an item that changes the disease state occurs, it is effective in realizing detailed follow-up at an appropriate timing for patients with multiple diseases. There is

It is a schematic block diagram of this system. FIG. 11 is an explanatory diagram showing a display example of a patient details screen; FIG. 11 is an explanatory diagram showing a display example of a patient segment setting screen; FIG. 4 is a schematic diagram of a segment processing flow;

An embodiment of the present invention will be described with reference to the drawings.
[Outline of Embodiment]
A patient management system (this system) according to an embodiment of the present invention manages patient information using patient identifiers, and identifies patients with multiple diseases from patient interview information, receipt information, chart information, and feedback information. It segments by disease, prescription drug, age, and arbitrarily set conditions, and notifies the patient of predetermined follow-up inquiries according to the segmented content, and is suitable for patients with multiple diseases. It is possible to realize detailed follow-up at appropriate timing.

[This system: Fig. 1]
The system will be described with reference to FIG. FIG. 1 is a schematic configuration diagram of this system.
This system comprises a patient management server 1, a clinic terminal 2, a patient terminal 3, and a network 4, as shown in FIG.
Although only one clinic terminal 2 and one patient terminal 3 are shown in FIG.

[Patient management server 1]
The patient management server 1 manages patient information with a patient identifier (patient ID), segments the patient from medical interview information, receipt information, medical record information, and feedback information obtained by the clinic terminal 2, and creates segmented segments Based on the information, a follow-up inquiry (progress observation) is notified to the patient terminal 3 .

Incidentally, when the patient management server 1 is not linked with the electronic medical record, the segmentation is performed from the interview information, the receipt information, and the feedback information.
Furthermore, the segmentation in the patient management server 1 is to be redone periodically or at the timing of an event such as an interview with the patient, because the patient's condition changes over time.
Details of the processing in the patient management server 1 will be described later.

The patient management server 1 includes a control section 11 , a storage section 12 and an interface section 13 .
The storage unit 12 stores patient information, interview information, medical bill information, chart information, and feedback information corresponding to the patient ID, and stores a processing program for performing characteristic processing of the present embodiment.

A patient ID is a number for identifying a patient, and a health insurance card number is used. In addition, you may use my number as patient ID.
Patient information consists of the patient's name, date of birth, address, telephone number, e-mail address as an electronic contact, mobile phone number for short messages, and SNS (Social Network Service) contact information, corresponding to the patient ID. be.
The patient management server 1 notifies the contact address of follow-up by the contact method.

The interview information is information obtained as a result of an interview at a doctor's office, and includes disease information and information on the date and time when the patient consulted in correspondence with the patient ID.
Receipt information is information about the receipt at the clinic, and includes disease information corresponding to the patient ID.
The medical chart information is information about the patient's disease registered in the electronic medical chart. The chart information is also stored in the storage unit 12 in association with the patient ID.

The feedback information is information indicating the patient's condition returned in response to the follow-up notification, which will be described later.
The patient information, interview information, medical bill information, and chart information are transmitted from the clinic terminal 2 to the patient management server 1 . The medical record information may be obtained directly by the patient management server 1 in conjunction with the electronic medical record system.

The control unit 11 executes a processing program stored in the storage unit 12 to implement characteristic processing of this embodiment. This processing will be described later.
The interface unit 13 is an interface that connects to the network 4 .

[clinic terminal 2]
The clinic terminal 2 is an information terminal such as a computer connected to the network 4 and transmits patient information, interview information, medical bill information, and chart information to the patient management server 1 .

[Patient terminal 3]
The patient terminal 3 is an information terminal such as a smart phone or tablet connected to the network 4, receives follow-up inquiry notification from the patient management server 1, and responds (replies) to the inquiry. This response becomes feedback information.

[Network 4]
A network 4 connects the patient management server 1, the clinic terminal 2, and the patient terminal 3, and is assumed to be the Internet. Data transmission and reception on the network 4 are encrypted.

[Processing content]
The processing means realized by executing the processing program in the patient management server 1 are patient information acquisition means, segment processing means, notification means, reply reception means, and report means. Each means will be described below.

[Patient information acquisition means]
The patient information acquisition means acquires patient information, interview information, medical bill information, medical chart information, and feedback information transmitted from the clinic terminal 2, and stores them in the storage unit 12 in association with the patient identifier.

[Patient details screen: Fig. 2]
Here, the detailed patient screen displayed on the clinic terminal 2 will be described with reference to FIG. FIG. 2 is an explanatory diagram showing a display example of the patient detail screen.
In FIG. 2, the patient information and patient disease information corresponding to the patient ID on the left side are obtained from the chart information, and the activity information in the center of the screen is chronologically arranged from top to bottom. Information and events that reflect out-of-office information are displayed.
Information at the time of consultation includes interview information, receipt information, and chart information, and non-consultation information includes feedback information after consultation and vital information provided by the patient as feedback information.

[Segment processing means]
The segment processing means automatically segments the patient based on interview information, receipt information, chart information, and feedback information. Specifically, a disease (disease) included in medical interview information and receipt information is extracted, and the disease is classified into segments based on the disease name, prescription drug, age, sex, and patient status. Here, when a patient has multiple diseases, segmentation is performed by combining multiple diseases.

The segmentation process can be further conditioned and adjusted by the system administrator.
Then, the segment processing means stores segment information relating to a combination of multiple diseases in the storage unit 12 in association with the patient ID.

[Patient segment setting screen: Fig. 3]
Here, the patient segment setting screen displayed on the clinic terminal 2 will be described with reference to FIG. FIG. 3 is an explanatory diagram showing a display example of the patient segment setting screen.
In FIG. 3, the patient segment setting screen is a setting screen for updating the segment, and the segment name, explanation, and color (coloring of the segment name) can be set. condition) and "OR condition" (logical sum condition) can be set.
The information set on the patient segment setting screen in FIG. 3 serves as segment information, and the content is indicated by the segment name and description.

In FIG. 3, condition A and condition B are ANDed to set condition group 1, condition C and condition D are ANDed to set condition group 2, and condition group 1 and condition group 2 are set by OR. ing.
Specifically, if the condition A is "medical practice" and the condition B is "rehabilitation of the musculoskeletal system", the condition is that the medical practice includes rehabilitation of the musculoskeletal system (condition group 1), and the condition C is "disease name , condition D is "clavicle fracture", the condition (condition group 2) is that the disease name includes clavicle fracture.
In other words, narrowing down is performed by setting conditions A to D based on information obtained from medical interview information, medical bill information, chart information, and feedback information, and segments according to the patient's situation can be realized.

Then, when the segment is updated under the set conditions, the number of target patients is displayed on the right side, and the specific patient ID, name, gender, date of birth, and last medical examination date of the target patient are displayed. It has become.

[Segment processing flow: Fig. 4]
Next, the flow of segment processing in this system will be described with reference to FIG. FIG. 4 is a schematic diagram of the segment processing flow.
The patient management server 1 refers to the patient information, interview information, receipt information, chart information, and feedback information stored in the storage unit 12 according to the conditions set in FIG. 3 (S1), and segments using the disease name as a key. (S2).

In the segmentation, if there are multiple diseases, it is desirable to group the multiple diseases into one group and further segment the patient by sex and age. A segmented patient will belong to that group.
Segmented groups are identified by segment information set on the segment setting screen shown in FIG.

Then, when the medical interview information, receipt information, chart information, and feedback information are updated (S3), it is determined whether or not any change (items that change the disease state) has occurred in the patient (S4). , if a matter that changes the state of the disease has occurred (if Yes), the process returns to step S1.
Here, the matter that changes the state of the disease means that the cold has been cured, or the state of the disease has been alleviated and the medicine to be taken has changed.

In determination processing S4, if no matter that changes the state of the disease occurs (if No), it is determined whether or not the specified period has elapsed (S5), and if the specified period has elapsed (if Yes), process Returning to S1, if it has not passed (in the case of No), the judgment processing S5 is repeated.
Segment processing is performed as described above.

[Notification method]
The notification means generates a predetermined follow-up inquiry item based on the segment information and notifies the contact indicated in the patient information. The timing of notification is __ days after the examination date (consultation date), __ days before the next hospital visit, and periodically every __ day of the week. is XX months old, XX days before surgery, XX days after surgery, and so on.

In other words, the fixed phrase and timing of the content of the follow-up inquiry are set by the segment information.
For example, for cold symptoms, it is asked whether the fever has subsided after one day and whether the medicine has been taken, and in the case of diabetes, the body weight and diet are regularly asked.
In addition to the inquiry, a message prompting the patient to make an appointment for the next medical examination or advice on how to spend time at home may be sent.

Also, when the patient has multiple diseases, the inquiry about the multiple diseases is not notified individually, but the multiple diseases are inquired with one notification. For this reason, a process is performed in which items that are duplicated in the inquiry items are combined into one.

[Reply Receiving Means]
The reply receiving means stores the content (feedback information) returned to the inquiry notified by the notifying means in the storage unit 12 in correspondence with the patient ID.
The contents of the reply can be browsed from the clinic terminal 2 together with the inquiry information, the medical bill information, and the chart information.
Here, the obtained feedback information is used for patient segmentation.

[Report method]
The report means generates and provides a report for a doctor based on patient information, interview information, receipt information, chart information, and feedback information. In the report, numerical values may be displayed graphically.
Also, the report means generates and provides a report for the patient based on the above information.
The doctor's report will be detailed, while the patient's report will be a simple check.

[Effects of Embodiment]
According to this system, the patient management server 1 manages patient information by patient ID, and based on the patient interview information, receipt information, medical record information acquired from the clinic terminal 2, and feedback information acquired from the patient terminal 3 Patients with multiple diseases are segmented, and feedback information is obtained by notifying the patient terminal 3 of a predetermined follow-up inquiry according to the segmented content. It has the effect of realizing a detailed follow-up at an appropriate timing.

INDUSTRIAL APPLICABILITY The present invention is suitable for a patient management system and program capable of performing detailed follow-up on a patient with multiple diseases from a medical institution at an appropriate timing.

DESCRIPTION OF SYMBOLS 1... Patient management server 2... Clinic terminal 3... Patient terminal 4... Network 11... Control part 12... Storage part 13... Interface part

Claims (8)

A patient management system having a patient management server for managing patients,
The patient management server manages and stores patient information including contact information using a patient identifier, acquires medical interview information and medical insurance claim information related to the patient identifier, and obtains information for each patient from the acquired medical medical inquiry information and medical insurance claim information. When the patient has multiple extracted diseases, the combination of the multiple diseases is grouped to classify the patient into segments and segment information is added to the patient identifier. Segmentation is updated by combining a plurality of conditions set while performing processing, notifying the contact of a predetermined follow-up inquiry according to the segment information, and receiving the medical interview information or the receipt is updated to repeat the process of segmentation and the update of the segmentation when an event occurs that changes the state of the disease. The patient management server classifies the patients into segments by grouping the diseases even if there is only one disease extracted from each patient, and when updating the segmentation, it can be adjusted by combining logical product conditions and logical sum conditions. The patient management system according to claim 1, characterized in that: 3. The patient management system according to claim 1, wherein the patient management server stores the patient's reply to the inquiry as feedback information in association with the patient identifier, and uses the feedback information for segmentation. 4. The patient management system of claim 3, wherein the patient management server uses chart information for segmentation. A computer program operating on a patient management server for managing patients, comprising:
The patient management server manages and stores patient information including contact information with a patient identifier, acquires medical interview information and claim information related to the patient identifier, and obtains information for each patient from the acquired medical inquiry information and medical bill information. When the patient has multiple extracted diseases, the combination of the multiple diseases is grouped to classify the patient into segments and segment information is added to the patient identifier. Segmentation is updated by combining a plurality of conditions set while performing processing, notifying the contact of a predetermined follow-up inquiry according to the segment information, and receiving the medical interview information or the receipt is updated to repeat the segmentation process and the segmentation update upon occurrence of an event that changes the state of the disease. The patient management server classifies patients into segments by grouping the diseases even if there is only one disease extracted from each patient, and can be adjusted by combining logical product conditions and logical sum conditions when segmentation is updated. 6. A program according to claim 5, characterized in that it functions to 7. The program according to claim 5 or 6, wherein the patient management server stores the content of a reply from the patient to the inquiry as feedback information in association with the patient identifier, and functions to use the feedback information for segmentation. 8. The program of claim 7, operable to cause the patient management server to use chart information for segmentation.

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