JPH11143956A - Method and device for disclosing medical treatment information to other medical clinic - Google Patents

Abstract

PROBLEM TO BE SOLVED: To enable a medical clinic to easily refer to medical treatment information on an introduced patient when the patient is introduced to the medical clinic by other medical clinic. SOLUTION: Copies of electronic charts DB12, 13, etc., of each medical clinic are stored in an electronic chart DB1 of an electronic chart server 2. A file generation part 15 of an introduced patient server 1 is requested to register the medical treatment information on the introduced patient by a computer 3 at the medical clinic as an introduction origin. Corresponding medical treatment information is drawn from the electronic chart DB11 and registered in a medical treatment information file 14 of the introduced patient by adding information on the medical clinic as the introduction destination to the medical information by the file generation part 15. When the medical treatment information on the introduced patient is referred to from a computer 4 at the medical clinic as the introduction origin, the medical treatment information file 14 on the introduced patient is retrieved, the corresponding medical treatment information is acquired and transmitted to the computer 4 at the medical clinic as the introduction destination by a file reference processing part 16. The received medical treatment information is displayed on a display by the computer 4 by the medical clinic as the introduction destination.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a method and apparatus for creating medical information of a referral patient using an electronic medical record stored in a backup center and disclosing the information to other medical institutions.

[0002]

2. Description of the Related Art Medical records of medical treatments of patients at medical institutions are required to be stored for five years by law. However, due to the enormous volume, long-term storage is difficult except for some large hospitals. . There is also a need for a medical research institution to extract prescription information such as information on which illness and which medicine was used from a medical record. A backup center that manages a medical record collected from each medical institution in a database is being studied.

[0003]

When a medical institution introduces a patient to another medical institution, at present, the digitization of medical charts is not widespread, so most of them use X-ray films or handwritten medical information reports. They are sent by fax or mail to other medical institutions. In such a situation, it is difficult to transmit the patient's medical information in detail. If the above-mentioned backup center is constructed and the electronic medical record is made public, the referral medical institution can extract and refer to the medical information of the patient belonging to the referral medical institution. However, in a state where a medical institution can freely refer to the electronic medical record of the backup center, there is a risk that medical information of the patient may be leaked, which poses a serious privacy problem. Therefore, there is a demand for a method of disclosing medical information so that the target of medical record disclosure is limited to the referral medical institution for each referral patient.

The present invention has been made in view of the above circumstances, and has as its object to provide a method and apparatus for creating medical information of a referred patient and disclosing the information to other relevant medical institutions. is there.

[0005]

According to the present invention, there is provided a first storage means for collectively storing copies of electronic medical records belonging to a plurality of medical institutions, and a patient from a computer of a medical institution which introduces a patient. Processing means for obtaining the corresponding electronic medical record from the first storage means in response to the medical information registration request of the first medical information, adding the referral medical institution identification information and storing the information in the second storage means, Processing means for acquiring a corresponding electronic medical record from the second storage means in response to a medical information inquiry for the referred patient from the computer and transmitting the electronic medical record to the computer of the referred medical institution; The device is characterized by:

According to the present invention, medical information for a referral medical institution is created and disclosed with reference to an electronic medical record in a first storage means for collectively storing copies of electronic medical records belonging to a plurality of medical institutions. A medical information registration request for a patient from a computer of a medical institution that introduces the patient, obtains a corresponding electronic medical record from the first storage unit, and stores identification information of the referral destination medical institution. In addition, the electronic medical record is stored in the second storage means, and the corresponding electronic medical record is obtained from the second storage means in response to the medical care information inquiry about the referral patient from the computer of the referral destination medical institution. The method is characterized in that the medical information transmitted to the computer is disclosed to other medical institutions. This method can be embodied as a computer program on a computer-readable storage medium and executed by a computer.

[0007]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS One embodiment of the present invention will be described below with reference to the drawings.

FIG. 1 is a configuration diagram of a system of the present embodiment for sharing medical information of a referral patient among a plurality of medical institutions. The system includes a referral patient server 1 and an electronic medical record server 2 installed at a backup center, a computer installed at each medical institution such as a referral source medical institution computer 3 and a referral destination medical institution computer 4, a backup center server 1, 2 and a network 30 connecting the computers 3, 4,... Of each medical institution. A transmission line 20 connects the referral patient server 1 and the electronic medical record server 2.

The electronic medical record database (DB) 12
The electronic medical record stored in the storage device of the referral source medical institution computer 3 and created by the medical institution is held. Electronic medical record D
B13 is stored in the storage device of the referral destination medical institution computer 4, and holds an electronic medical record created by the medical institution. The electronic medical record DB 11 is stored in the storage device of the electronic medical record server 2 and accumulates a copy of the electronic medical record of each medical institution sent from each medical institution computer such as the computers 3 and 4. The electronic medical record server 2 registers the electronic medical records sent from the computers such as the computers 3 and 4 in the electronic medical record DB 11, and responds to a search request from the referral patient server 1.
11 is retrieved, and the target electronic medical record is passed to the referral patient server 1.

The referral patient medical information file 14 is stored in the storage device of the referral patient server 1 and registers the contents of the electronic patient's electronic medical record for each referral patient and each referral destination medical institution.
A file creation unit 15 is provided in the main storage device of the referral patient server 1.
Each application program of the file inquiry processing unit 16 is stored and executed by the processing device of the referral patient server 1. When there is a registration request for the referral patient medical information from the referral source medical institution computer 3, the file creating unit 15 acquires the electronic medical record of the designated referral patient from the electronic medical record server 2, and acquires the referral patient and the referral medical institution. The identification information is added and registered in the referral patient medical information file 14. When there is an inquiry of the referral patient medical information from the referral medical institution computer 4, the file inquiry processing unit 16 retrieves the referral patient medical information file 14, retrieves the contents of the designated electronic patient medical record, and retrieves the referral medical information. It is transmitted to the engine computer 4. In this way, the referral medical institution computer 4
The electronic medical chart created by the referral source medical institution computer 3 can be shared via the referral patient server 1.

The programs of the file creation unit 15 and the file inquiry processing unit 16 are stored in a storage medium and read into the main storage device of the referral patient server 1 via a drive unit (not shown), or the referral patient server 1 via a network. And stored in the main storage device of the referral patient server 1 for execution. In addition, the functions of the referral patient server 1 and the electronic medical record server 2 can be integrated into one information processing device, in which case the transmission path 20 is unnecessary. On the other hand, since the referral patient server 1 is not directly related to the backup center, it is assumed that the referral patient server 1 is managed by another organization independent of the backup center.
The present invention can be implemented by a configuration in which the electronic medical record server 2 and the electronic medical record server 2 are connected via a network.

FIG. 2A is a diagram showing a data format of the electronic medical record DB 11. As shown in FIG. Each electronic medical record in the electronic medical record DB 11 includes a medical institution code, basic patient information, and medical treatment information. Patient basic information includes patient identifier (ID), name,
Includes address, gender, date of birth, health insurance card number, etc. The medical care information includes a consultation history, findings information, test results, prescription information, test images, and the like. FIG. 2B is a diagram showing a data format of the referral patient medical information file 14. One piece of data in the referral patient medical information file 14 includes a header and the contents of an electronic medical record. The header includes a referral medical institution code and patient identification information. The patient identification information is the patient I
D is identification information capable of uniquely identifying a patient across a plurality of medical institutions. Electronic medical records DB11
It has the same data structure as each electronic medical record. Since the patient identification information in the header is also included in the electronic medical record, it may be omitted as the header.

An electronic medical record DB1 stored by each medical institution
The contents of 2, 13, ... are regularly calculated on computers 3, 4, ...
And sent to the electronic medical record server 2 of the backup center via the network 30, and the electronic medical record server 2 stores and stores the electronic medical record DB 11 in the electronic medical record DB 11.

FIG. 3 is a flowchart showing the flow of processing of the file creation unit 15 and the electronic medical record server 2 of the referral patient server 1. When a patient to be referred to another medical institution occurs, the referral source medical institution computer 3 sets the network 30
The patient identification information and the referral destination medical institution code are transmitted to the referral patient server 1 via the. The file creation unit 15 receives the information (Step 61). Next, after authenticating the user, the file creating unit 15 sends the received patient identification information and the referral destination medical institution code to the electronic medical record server 2 and issues a search request (step 62). The electronic medical record server 2 receives this search request (step 6).
3) After authenticating the user, the electronic medical record DB 11 is searched using the patient identification information and the referral medical institution code as keys (step 64). Next, the electronic medical record server 2 transmits the obtained electronic medical record to the referral patient server 1 (step 65). The file creation unit 15 receives this electronic medical record (step 66), adds a header including the referral medical institution code and patient identification information to the electronic medical record, and compiles the entire information using the encryption key of the referral medical institution. It is encrypted (step 67) and stored in the referral patient medical information file 14 (step 68).

FIG. 4 is a flowchart showing the flow of the processing of the file inquiry processing unit 16. Referral medical institutions
By knowing that the medical information of the referral patient has been registered in the backup center by contact from the referral medical institution, the medical information can be acquired upon the visit of the referral patient. The referral destination medical institution computer 4 has a network 30
And transmits the referral patient identification information and the referral destination medical institution code to the referral patient server 1 via. File inquiry processing unit 1
6 receives the information (step 71). Next, the file inquiry processing unit 16 authenticates the user,
The referral medical care information file 14 is searched using the referral destination medical institution code and the patient identification information as keys (step 72),
The contents of the obtained electronic medical record are transmitted to the referral destination medical institution computer 4 (step 73). Referral medical institution computer 4
Receives the electronic medical record, decrypts it with the encryption key of the referral destination medical institution, and displays it on the display device.

The referral medical institution and the referral source medical institution also refer to the referral patient server 1 when reporting the medical treatment progress from the referral destination medical institution to the referral source medical institution or returning the patient to the referral source medical institution. Can be used. That is, the electronic medical record created by the referral destination medical institution computer 4 for the referred patient is stored in the electronic medical record DB 13,
If the information is stored in the electronic medical record DB 11 of the backup center, the referral medical institution will act as the referral source medical institution,
When the referral source medical institution plays the role of the referral destination medical institution and performs the above-described processing, the electronic medical record of the referral patient created by the referral destination medical institution computer 4 is registered in the referral patient medical information file 14, and is referred to. The medical institution computer 3 can acquire new medical information about the referred patient.

[0017]

According to the present invention, the medical information of the referred patient is transferred to another medical institution using the electronic medical record of the backup center, so that the other medical institution can easily obtain the detailed medical information of the referred patient. Can be referenced. In addition, since the medical information is disclosed only to the designated medical institution, it is possible to prevent unintended outflow of the medical information.

[Brief description of the drawings]

FIG. 1 is a system configuration diagram of an embodiment.

FIG. 2 is a diagram showing a data format corresponding to each electronic medical record in an electronic medical record DB 11 and an introduction patient medical care information file 14 of the embodiment.

FIG. 3 is a flowchart illustrating a flow of processing centered on a file creation unit 15 according to the embodiment.

FIG. 4 is a flowchart illustrating a processing procedure of a file inquiry processing unit 16 according to the embodiment.

[Explanation of symbols]

1: Referral patient server, 14: Referral patient medical information file, 15: File creation unit, 16: File inquiry processing unit

 ──────────────────────────────────────────────────続 き Continuing on the front page (72) Inventor Hideyuki Nomura 1-6-27 Shinsuna, Koto-ku, Tokyo Within the public information business of Hitachi, Ltd.

Claims (3)

[Claims] 1. A first storage means for collectively storing copies of electronic medical records belonging to a plurality of medical institutions, and responding to a request for registration of medical information of a patient from a computer of a medical institution which introduces the patient. Processing means for acquiring the corresponding electronic medical record from the first storage means, adding the referral medical institution identification information and storing the same in the second storage means, and providing medical care for a referral patient from a computer of the referral medical institution. Processing means for acquiring the corresponding electronic medical record from the second storage means in response to the information inquiry and transmitting the electronic medical record to the computer of the referral destination medical institution, the medical information being disclosed to another medical institution. 2. A method for creating and disclosing medical information for a referral source medical institution by referring to an electronic medical record in a first storage means for collectively storing copies of electronic medical records belonging to a plurality of medical institutions. Then, in response to a patient's medical information registration request from the computer of the referral medical institution which introduces the patient, the corresponding electronic medical record is obtained from the first storage means, and the referral destination medical institution identification information is added. The electronic medical record is stored in the second storage unit, and the corresponding electronic medical record is acquired from the second storage unit in response to the medical care information inquiry about the referred patient from the computer of the referred medical institution and transmitted to the computer of the referred medical institution. A method of disclosing medical information to another medical institution. 3. A computer program embodied on a computer-readable storage medium, with reference to an electronic medical record in a first storage means for collectively storing copies of electronic medical records belonging to a plurality of medical institutions. A program for creating and disclosing medical information for a referral medical institution, the program including the following steps: (a) a request for registration of patient's medical information from a computer of a referral medical institution introducing a patient; (B) obtains the corresponding electronic medical record from the first storage means, adds the referral medical institution identification information and stores it in the second storage means, and (b) introduces the patient from the computer of the referred medical institution. In response to the medical information inquiry about, the relevant electronic medical record is obtained from the second storage means and transmitted to the computer of the referred medical institution.