JPH096867A - Medical information transmission system - Google Patents

Abstract

PURPOSE: To enable departments or hospitals to mutually use medical information and eliminate the need for the burden on people and the time for the transmission of the information by reading information on a patient out of a portable storage medium and writing the medical information. CONSTITUTION: The patient submits his or her IC card 7 at the counters of departments 2-4. The IC card 7 is loaded on a terminal device to read the patient information and request information out. At the respective departments 2-4, examination results and treatment results are written as request result information on the IC card 7, which is handed over to the patient. After the patient makes a round of all the departments 2-4 to have all examinations and treatments, the patient returns to a consultation department and submits the IC card 7. At this time, the IC card 7 is loaded on a hospital information system(HIS) terminal device to read the examination results or treatment results (request result information) and store them in the HIS. Further, clinical consultation result information and dosage information are written on the IC card 7 at the consultation department. At the accounting section, accounts information is read out of the IC card 7 to perform account settling operation, and the IC card 7 is returned to the patient.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an IC (integr) for transmitting medical information between departments within a hospital or between hospitals.
ated circuit) card system.

[0002]

2. Description of the Related Art In recent hospitals, large-scale computers have been introduced to provide hospital information management systems (HIS = hospital).
Information system) has been constructed to digitize information. In addition, the department system (
For example, RIS (= radiology information) of the radiation department
system) and the LIS etc. of the specimen testing department)) and digitize information within the department. This kind of computerization of information tends to be popularized even in hospitals that are privately owned by general practitioners.

However, the mutual use of electronic medical information between departments or hospitals has not yet been fully implemented. In other words, the online facility for connecting each system of departments or hospitals is too expensive, and not all systems are connected online, but bidirectional information exchange is possible in all systems. Since it is not in a state, a transmission medium such as a slip (request slip) is used to transmit information.

[0004]

That is, in the conventional hospital information management system, information is digitized in the present situation where online facilities that require a large cost are not complete, but the digitized medical information is used. There is a problem that the information can be used only within a department or a hospital of private management, and cannot be used mutually between departments or hospitals.
In addition, there is a problem in that the transmission of information using a slip (mutual use) takes a lot of time and labor for creating a slip.

Therefore, the present invention provides a medical information transmission system in which digitized medical information can be mutually used between departments or hospitals, and transmission of the information can be done without burdening a person and time. The purpose is to do.

[0006]

The present invention comprises a portable storage medium in which patient information is stored, and an information processing device to which the portable storage medium is detachably mounted. Reads the patient information from the portable storage medium, writes the medical information corresponding to the read patient, and writes the medical information corresponding to the patient together with the patient information from the portable storage medium. And a medical information reading means for reading.

[0007]

In the present invention having such a structure, the portable storage medium can be moved between information processing devices. For example, the portable storage medium mounted in the first information processing device is mounted in the second information processing device. Then, the first
The medical information written by the medical information writing means of the information processing apparatus is read by the medical information reading means of the second information processing apparatus.

Further, the portable storage medium mounted on the second information processing apparatus is mounted on the first information processing apparatus. Then, the medical information written by the medical information writing unit of the second information processing apparatus is read by the medical information reading unit of the first information processing apparatus.

[0009]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS An embodiment of the present invention will be described below with reference to the drawings. FIG. 1 is a block diagram showing a schematic configuration of the entire medical information transmission system to which the present invention is applied. 1
Is a hospital information system (HI) that manages information on the entire hospital.
S). This hospital has five departments from department A to department E. Each department has an A department system 2, a B department system 3 and a C department system 4, which manage information for each department.
A D department system 5 and an E department system 6 are constructed. The hospital information system 1 is composed of a HIS terminal device, and each department system 2 to 6 is composed of a department system terminal device.

The electronic medical information managed by the hospital information system 1 is transferred to the A department system 2, the B department system 3 and the B department system 3 via an IC (integrated circuit) card 7 as a portable storage medium. It is transmitted to the C department system 4. On the other hand, the department A system 2,
The electronic medical information managed by the B department system 3 and the C department system 4 is transmitted to the hospital information system 1 via the IC card 7.

Further, the D department system 5 and the E department system 6 which are already online connected to the hospital information system 1 by an online facility exchange electronic medical information with each other via online (
Mutual use).

FIG. 2 is a diagram showing a schematic memory configuration of the IC card 7. The IC card 7 includes a patient information area 7-1, a medical record information area 7-2, a medication record information area 7-3, a request information area 7-4, and a request result information area 7.
-5, various areas such as a report (finding information) area 7-6, an image information area 7-7, and an accounting information area 7-8 are formed.

The patient information area 7-1 stores personal information such as name, date of birth, medical history, chronic illness, allergies, height and weight of the registered person (patient). In the medical treatment record information area 7-2, the period and contents of medical treatment received by the registrant are stored as a history. In the medication record information area 7-3, the medication name and the dose of the medication administered when the registrant received medical treatment are stored as a history.

The request information area 7-4 stores request source information and request information such as inspections and treatments. For example, when a medical department requests an inspection to each department, the medical department is stored as request source information, and the inspection item information is stored for each department as request information. The request result information area 7-5 stores the result information for the request information stored in the request information area 7-4, that is, the result information of the inspection or treatment (request result information). In the report area 7-6,
Information on findings of an inspection engineer or a doctor with respect to the request result information stored in the request result information area 7-5 is stored.

The image information area 7-7 stores, as a history, information of images taken when an inspection such as X-ray imaging is requested in the request information area 7-4. In the accounting information area 7-8, various billing amounts including the amount for the request are stored and the total amount thereof is also stored.

FIG. 3 is a block diagram showing a basic circuit configuration of a terminal device as an information processing device installed in each department. Reference numeral 11 denotes a CPU (cen
tral processing unit). A ROM (read only) in which program data for processing performed by the CPU 11 is stored
memory) 12, a RAM (random acce) in which areas of various memories used when the CPU 11 performs processing are formed.
ss memory) 13, an external memory interface 15 for controlling data transmission (writing / reading of data) to / from an external memory 14 such as a floppy disk or a hard disk, for example, various inspection devices such as an X-ray diagnostic device are connected I / O
A communication interface 17 connected to the port 16 and an online network line is connected to the CPU 11 via a system bus 18, respectively.

Further, the CPU 11 controls, via the system bus 18, a keyboard interface 20 for controlling data transmission with a keyboard 19, a display controller 22 for controlling a display 21, and a data transmission control with a printer 23. The printer interface 24 is connected to an IC card reader / writer interface 26 that controls data transmission with an IC card reader / writer 25 that writes and reads various information (data) to and from the IC card 7.

In this embodiment having such a structure, when the medical department or the like issues an inspection request to each department, the HIS
The content of the inspection request is input by the terminal device. The contents of the input inspection request are transmitted online to the D department system 5 and the E department system 6 via the online system, and at the same time, I
Written to C card 7. The IC card 7 is given to the registered patient.

The patient carries the IC card 7 and goes to the reception of each department 2 to 4 to submit the IC card 7. The submitted IC card 7 is attached to the terminal device for the department system in each department, and the patient information and the request information of the IC card 7 are read. If necessary, the medical record information and the medication record information can also be read.

Here, in each department, inspection or treatment is performed based on the read request information, and again, the inspection result or treatment result is written in the IC card 7 as request result information by the terminal device for the department system. In rare cases, if the request includes image capturing, the captured image information is also stored in the IC card 7. Further, when the inspection engineer or the doctor determines that it is necessary, a report is written on the IC card 7 as a finding of the inspection engineer or the doctor by the terminal device for the department system.
Further, the amount charged for this inspection or treatment is stored and the total amount is updated by adding the amount charged. When the examination or treatment in this department is completed, the IC card 7 is given to the patient.

The patient carries the IC card 7, travels through all departments, and when all examinations and treatments have been completed, returns to the medical department and submits the IC card 7. Here, in the clinical department, the IC card 7 is attached to the HIS terminal device, and the inspection result or treatment result (request result information), image information, and report data are read and stored in the hospital information system (HIS). In the medical department, the medical care result information and the medication information in this medical care for this patient are written in the IC card 7, and the IC
Give the card 7 to the patient.

The patient carries the IC card 7 and goes to checkout, and submits the IC card 7. In the accounting, the accounting information is read from the IC card 7 to perform the settlement operation, and when the settlement is completed, the IC card 7 is given to the patient.

The patient carries the IC card 7 to the pharmacy and submits the IC card 7. IC card 7 at the pharmacy
The latest medical care result information and medication information stored in are read, the medication information in this medical examination is confirmed, and the medication is sold to the patient based on the medication information.

When the patient is introduced to another hospital that uses the same medical information transmission system, the IC card 7 is given to the patient together with the letter of introduction. The patient carries the IC card 7 to another hospital and submits the IC card 7.

In other hospitals, the IC card 7 is attached to a terminal device to read medical record information, medication record information, request result information, reports, and image information. The medical record information, the medication record information, the request result information, the report, and the image information serve as a reference for the medical treatment at this hospital, and it is not necessary to duplicate examinations (for example, X-ray photography) and treatments.

As described above, according to this embodiment, request information such as inspection and treatment is written in the IC card 7, and inspection and treatment are performed based on the request information read from the IC card 7.
Request result information and report of this inspection result and treatment result (
Finding information), image information is written in the IC card 7,
By reading the request result information, the report, and the image information from the C card 7, the medical information can be transmitted and exchanged via the IC card 7, and can be digitized between departments or hospitals without installing an online facility. Mutual use of medical information can be performed.

Moreover, since medical information can be transmitted by writing to and reading from the IC card 7, the burden on the person can be reduced.
The time required for transmission can be shortened. In the mutual use of medical information between hospitals, it is possible to prevent duplicate examinations and treatments.

[0028]

As described above in detail, according to the present invention,
It is possible to provide a medical information transmission system in which digitized medical information can be mutually used between departments or hospitals and the transmission of the information does not require a burden and time for a person.

[Brief description of drawings]

FIG. 1 is a block diagram showing a schematic configuration of an entire medical information transmission system according to an embodiment of the present invention.

FIG. 2 is a diagram showing a schematic memory configuration of an IC card of the medical information transmission system of the same embodiment.

FIG. 3 is a block diagram showing a basic circuit configuration of a main part of the terminal device for the medical information transmission system of the embodiment.

[Explanation of symbols]

 1 ... Hospital information system (HIS), 2-6 ... Department system, 7 ... IC card, 7-1 ... Patient information area, 7-2 ... Medical record information area, 7-3 ... Medication record information area, 7-4 ... request information area, 7-5 ... request result information area, 7-6 ... report area, 7-7 ... image information area, 7-8 ... accounting information area, 11 ... CPU, 25 ... IC card reader / writer.

Claims (4)

[Claims] 1. A portable storage medium in which patient information is stored, and an information processing device to which the portable storage medium is detachably mounted, the information processing device comprising the portable storage medium. Medical information writing means for reading patient information and writing medical information corresponding to the read patient, and medical information reading means for reading the medical information corresponding to the patient together with the patient information from the portable storage medium. A medical information transmission system characterized by being provided. 2. The medical information transmission system according to claim 1, wherein the medical information includes request information such as an examination corresponding to a patient. 3. The medical information transmission system according to claim 1, wherein the medical information includes implementation information such as a test result corresponding to a patient. 4. The medical information transmission system according to claim 3, wherein the medical information includes finding information for the implementation information.