JP7484603B2 - Medical information management system and medical information management program - Google Patents

Description

This disclosure relates to a medical information management system that manages patient medical information, and a medical information management program.

Conventionally, staff guiding patients who came to the hospital would check a reception slip on which the test items and test order were printed for each patient, and guide the patient to each examination room in the test order written on the reception slip (see Patent Document 1).

Japanese Patent Application Laid-Open No. 06-119360

However, previously, orders were simply printed on the reception slip in the order instructed by the doctor or in a preset order. This led to problems such as not knowing which tests could be performed at any time, not knowing which tests had to be performed in the correct order, or not knowing which tests had to be performed in advance. As a result, inexperienced staff did not know which tests to change the order of, and were unable to guide patients to available tests first and perform tests efficiently.

In consideration of the problems inherent in the past, the technical objective of this disclosure is to provide a medical information management system and a medical information management program that allow even inexperienced staff to easily understand the order of tests.

To solve the above problems, the present disclosure is characterized by having the following configuration:

(1) A medical information management system that manages patient medical information, comprising: an order storage means that stores the patient's test orders; a setting storage means that stores setting information for the test order or test conditions of the test items included in the test order; and a control means that, based on the setting information, divides the test order into test items for which a test order or test conditions are set and test items for which a test order or test conditions are not set, and outputs the divided test orders to an output means.
(2) A medical information management program executed in a medical information management system that manages patient medical information, characterized in that, when executed by a control means of the medical information management system, it causes the medical information management system to execute the following: an order storage step of storing a patient's examination order; a setting storage step of storing setting information for the examination order or examination conditions of the examination items included in the examination order; and a control step of dividing the examination order into examination items for which an examination order or examination conditions are set and examination items for which an examination order or examination conditions are not set based on the setting information, and outputting the examination orders to an output means.

This disclosure makes it easy to understand the order of testing.

1 is a block diagram showing a schematic configuration of an ophthalmology information management system. 1 is a flowchart showing the flow of an inspection. FIG. 13 is a diagram showing an example of a screen for setting a parent-child relationship between test items. FIG. 13 is a diagram showing an example of a screen for inputting an order for an examination. FIG. 13 is a diagram showing an example of a printed reception ticket. FIG. 13 is a diagram showing another example of the reception slip.

<Embodiment>
Hereinafter, an embodiment according to the present disclosure will be described with reference to FIGS. 1 to 6. A medical information management system (e.g., medical information management system 1) of this embodiment manages medical information of patients. The medical information management system includes, for example, an order storage unit (e.g., server storage unit 4), a setting storage unit (e.g., server storage unit 4), and a control unit (e.g., server control unit 3 or client control unit 6). The order storage unit stores, for example, an examination order of a patient. The setting storage unit stores, for example, setting information of an examination order or examination conditions (e.g., whether or not mydriatic eye drops are applied, whether or not contrast agent is injected, etc.) of an examination item included in the examination order. The control unit outputs the examination order to an output unit (e.g., output device 9 or display unit 7) based on, for example, the setting information, into an examination item for which an examination order or examination conditions are set and an examination item for which an examination order or examination conditions are not set. This allows even inexperienced staff to distinguish between test items with test orders or test conditions and test items without test orders or test conditions by using the reception ticket (or test ticket, consultation ticket, etc.), allowing them to rearrange the test order and perform tests efficiently.

The medical information management system may further include an operation reception unit (e.g., the server control unit 3 or the client control unit 6). The operation reception unit, for example, receives user operations on an operation unit (e.g., the operation unit 8). In this case, the control unit may output the examination order by prioritizing the examination order or examination conditions specified by the user's operation. Furthermore, if there is no user specification, the control unit may output the examination order using the default examination order or examination conditions stored in the setting storage unit. This saves the user time and effort, since the default examination order or examination conditions are adopted even if the user does not specify all examination orders or examination conditions.

The control unit may further separate and output the test items for which the test order or test conditions are set by test order or test condition. This makes it easy to understand the test order or test conditions for test items with test orders or test conditions.

The output unit may be a printing unit (e.g., the printing device 9). In this case, the control unit may cause the printing unit to print the test order on a reception slip. The output unit may be a display unit (e.g., the display unit 7). In this case, the control unit may cause the display unit to display the test order as a reception slip, for example.

The control unit of the medical information management system may execute a medical information management program stored in a storage unit or the like. The medical information management program includes, for example, an order storage step, a setting storage step, and a control step. The order storage step is, for example, a step of storing a patient's test order. The setting storage step is, for example, a step of storing setting information of the test order or test conditions of the test items included in the test order. The control step is, for example, a step of outputting the test order to the output unit based on the setting information, dividing the test order into test items for which the test order or test conditions are set and test items for which the test order or test conditions are not set.

An embodiment of the present disclosure will be described below with reference to the drawings. A medical information management system 1 manages patient medical information. As shown in FIG. 1, the medical information management system 1 of this embodiment is composed of, for example, a server device 2, a client device 5, and an output device 9. The server device 2, the client device 5, and the output device 9 are connected to each other so that they can communicate with each other wirelessly or via wires.

The server device 2 includes, for example, a server control unit 3 and a server memory unit 4. The server control unit 3, for example, controls the server device 2 and communicates with the client device 5. The server memory unit 4 stores, for example, patient information, examination information, and the like. The patient information is, for example, a patient number, name, sex, date of birth, and reservation time. The examination information is, for example, an examination order or examination results. The examination order is, for example, an examination code, an examination name, medication, materials, examination comments, the order order or examination prerequisites specified by the order inputter (e.g., whether mydriatic eye drops have been applied or not), or default examination order or examination conditions. The server memory unit 4 may store not only examination information but also treatment information.

The client device 5 includes, for example, a client control unit 6, a display unit 7, and an operation unit 8. The client control unit 6 controls the client device 5 and communicates with the server device 2 or the output device 9. The display unit 7 displays, for example, various input screens. The operation unit 8 is, for example, a user interface such as a keyboard, mouse, or touch panel that accepts operations from a user. The client device 5 is, for example, a desktop PC, a notebook PC, or a tablet PC. The client control unit 6 requests the output device 9 to output a reception ticket based on the patient information and examination information acquired from the server device 2. In other words, the client control unit 6 functions as an output request unit. Multiple client devices 5 may be connected to the server device 2 for reception, order registration, etc.

The output device 9 outputs a receipt or the like based on an output request from the client control unit 6. The output device 9 may be, for example, a printing device such as a printer, or a display device such as a display.

<Test procedure>
2, a description will be given of the flow of an examination and the operation of the medical information management system 1. In the following description, an ophthalmic examination will be taken as an example.

(Step S1: Setting and registering parent-child relationships)
First, an order inputter such as a doctor registers in advance in the server device 2 parent-child relationships (such as test order or prerequisites) for test items whose test order or test conditions are determined. For example, a doctor registers parent and child test items using an order setting screen (see FIG. 3) 11 displayed on the display unit 7 of the client device 5. In the example of FIG. 3, an intraocular pressure test and a mydriatic agent, a refraction test and a mydriatic agent, a mydriatic agent and a fundus photograph, and a mydriatic agent and a fundus OCT (fundus tomography) are registered as parent-child relationships. In other words, it is registered as the test order or test conditions that an intraocular pressure test is performed before a mydriatic agent, a refraction test before a mydriatic agent, a mydriatic agent before a fundus photograph, and a mydriatic agent before a fundus OCT.

(Step S2: Registration of inspection instructions)
Next, the doctor inputs the test order required for the patient, without worrying about the test order, using the order input screen (see FIG. 4) 12 displayed on the display unit 7 of the client device 5. In the example of FIG. 4, it is registered that a visual acuity test, an intraocular pressure test, a refraction test, a mydriatic agent, a fundus photograph, a fundus OCT, and a visual field test will be performed at the next visit. The test order input to the client device 5 is transmitted to the server device 2 together with the patient information, and stored in the server storage unit 4.

(Step S3: Print receipt)
When a patient comes to the hospital, the reception staff inputs the patient information such as the patient number into the client device 5 to receive the patient and print a reception ticket. For example, the client device 5 transmits reception information such as the reception number or reception date and time, and patient information to the server device 2, and requests output information (e.g., print contents) of the reception ticket. The server device 2 reads out the patient's examination order, the default examination order, and the parent-child relationship registered in step S1 from the server storage unit 4 based on the patient information and reception information, and creates output information of the reception ticket. The server device 2 then transmits the output information of the reception ticket to the client device 5. When creating the output information of the reception ticket, the server device 2 may prioritize the examination order or examination conditions specified by the order inputter, and may adopt the default settings stored in the server storage unit 4 if there is no specification by the order inputter. Conversely, if there is a default setting, the default examination order or examination conditions may be prioritized, and if there is no default setting, the examination order or examination conditions specified by the order inputter may be adopted. In addition, the user may be able to change which is prioritized.

In response to the reception staff's printing operation, the client device 5 sends the output information of the reception ticket acquired from the server device 2 to the output device 9 and requests the output of the reception ticket. The output device 9 outputs the reception ticket based on the output information received from the client device 5.

As shown in FIG. 5, the reception slip 13 is provided with, for example, a patient information column 14 and a test item column 15. In the patient information column 14, the reception number, reception date and time, patient number, gender, name, date of birth, etc. are written. In the test item column 15, the test items are divided into a group of test items for which a test order or test conditions are set, and a group of test items for which a test order or test conditions are not set. In addition, in the group of test items for which a test order or test conditions are set, the test items are written by test order or test condition. In the example of FIG. 5, the test item column 15 is in a table format, and each row of the test item column 15 is divided into groups such as "group 1", "group 2", and "group 3", and each column is divided into test orders such as "test order 1", "test order 2", and "test order 3". In each group, after the test in "test order 1" is completed, the test in "test order 2" can be performed, and after the test in "test order 2" is completed, the test in "test order 3" can be performed. In addition, the order of tests in other groups can basically be changed.

(Step S4: Guide to examination room)
The guidance staff checks the reception slip that the patient has and guides the patient to the next examination room. At this time, the order of the examinations may be changed and the examination room to which the patient is guided may be changed depending on the congestion of the examination room. For example, the guidance staff checks the reception slip, and if there is an examination room available among the examinations for which the order can be changed, the order of the examinations may be changed and the patient may be guided to the examination room that is less crowded.

In the example of reception slip 13 in Figure 5, the visual acuity test, intraocular pressure test, refraction test, and visual field test listed in the "Test Order 1" column can be tested in any order. Therefore, the guiding staff can guide the patient to the examination room that is more vacant among the visual acuity test, intraocular pressure test, refraction test, and visual field test. If the intraocular pressure test and refraction test listed in "Test Order 1" for "Group 2" are completed first, the patient may instill the pupil dilating agent listed in "Test Order 2" for "Group 2", or the visual acuity test for "Group 1" or the visual field test for "Group 3" may be performed.

(Step S5: Determining whether the test order is correct)
When the patient enters the examination room, the examiner checks the reception slip to confirm the examination order and judges whether the examination order is correct or not. If the examination order is correct, the patient proceeds to step S6, and if the examination order is incorrect, the patient is guided again to the correct examination room or examination location.

(Step S6: Conducting an inspection)
The inspector carries out the test. For example, when the inspector finishes the test, he or she checks the box on the reception sheet. If there are tests that have not yet been carried out, the staff will guide the person to the next test.

As described above, the medical information management system 1 of this embodiment groups and outputs test orders according to the test sequence or test conditions, making it easy to know whether or not it is okay to change the order of the tests. Therefore, even inexperienced staff can change the order of the tests and perform the tests efficiently.

The method of grouping the test orders is not limited to the above method. For example, the server control unit 3 may output each group with emphasis by coloring, shading, diagonal lines, or a thick frame, as in the test item column 21 shown in FIG. 6. This allows even inexperienced staff to easily understand the test order groups by color, etc. Furthermore, when the test orders are displayed on the display unit, they may be highlighted by blinking.

In the above embodiment, the test order is set and the output request is made by the client device 5, and the output information of the reception slip is created by the server device 2, but this is not limited to the above. For example, the test order may be set and the output request may be made by the server device 2, or the output information of the reception slip may be created by the client device 5. In addition, patient information or test information, etc. may be stored in the memory unit of the client device 5.

1 Medical information management system 2 Server device 5 Client device 9 Output device

Claims (6)

A medical information management system for managing patient medical information,
an order storage means for storing test orders for patients;
A setting storage means for storing setting information of an inspection order or inspection conditions of the inspection items included in the inspection order;
a control means for dividing the inspection order into an inspection item for which an inspection order or inspection conditions are set and an inspection item for which an inspection order or inspection conditions are not set based on the setting information, and outputting the divided inspection orders to an output means;
A medical information management system comprising: The device further includes an operation receiving means for receiving an operation from a user,
2. The medical information management system according to claim 1, wherein the control means, when outputting the test order, prioritizes the test order or test conditions specified by a user's operation, and uses the default test order or test conditions stored in the setting storage means if there is no specification by the user. The medical information management system of claim 1 or 2, characterized in that the control means outputs the test items for which the test order or test conditions are set, further divided by test order or test condition. The output means is a printing means,
4. The medical information management system according to claim 1, wherein said control means causes said printing means to print said test order on a reception slip. The output means is a display means,
4. The medical information management system according to claim 1, wherein the control means controls the display means to display the test order as a receipt. A medical information management program executed in a medical information management system that manages patient medical information, the program being executed by a control means of the medical information management system,
an order storage step of storing a test order for a patient;
a setting storage step of storing setting information of an inspection order or inspection conditions of the inspection items included in the inspection order;
a control step of outputting the inspection order to an output means by dividing the inspection order into inspection items for which an inspection order or inspection conditions are set and inspection items for which an inspection order or inspection conditions are not set based on the setting information;
The medical information management program is characterized by causing the medical information management system to execute the above steps.

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