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

Method and device for disclosing medical treatment information to other medical clinic

Info

Publication number
JPH11143956A
JPH11143956A JP31308897A JP31308897A JPH11143956A JP H11143956 A JPH11143956 A JP H11143956A JP 31308897 A JP31308897 A JP 31308897A JP 31308897 A JP31308897 A JP 31308897A JP H11143956 A JPH11143956 A JP H11143956A
Authority
JP
Japan
Prior art keywords
medical
patient
referral
information
computer
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
JP31308897A
Other languages
Japanese (ja)
Other versions
JP3472690B2 (en
Inventor
Koichiro Kimotsuki
浩一郎 肝付
Hiroyuki Arai
啓之 荒井
Yoshiki Murakami
芳樹 村上
Hideyuki Nomura
英行 野村
Original Assignee
Hitachi Ltd
株式会社日立製作所
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Hitachi Ltd, 株式会社日立製作所 filed Critical Hitachi Ltd
Priority to JP31308897A priority Critical patent/JP3472690B2/en
Publication of JPH11143956A publication Critical patent/JPH11143956A/en
Application granted granted Critical
Publication of JP3472690B2 publication Critical patent/JP3472690B2/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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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

【発明の詳細な説明】DETAILED DESCRIPTION OF THE INVENTION
【0001】[0001]
【発明の属する技術分野】本発明は、バックアップセン
ターに蓄積された電子カルテを利用して紹介患者の診療
情報を作成して他医療機関に開示する方法及び装置に関
する。
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】[0002]
【従来の技術】医療機関で患者の診療を記録したカルテ
は、法律で5年間の保存が義務付けられているが、量が
膨大になるため一部の大病院を除けば長期間の保管は難
しい。また医薬の研究機関がカルテからどの病気にどの
薬を使ったかなどの処方情報を抽出したいというニーズ
もあり、各医療機関から集められたカルテをデータベー
ス化して管理するバックアップセンターが検討されてい
る。
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】[0003]
【発明が解決しようとする課題】医療機関が他の医療機
関に患者を紹介する場合に、現状ではカルテの電子化が
普及していないため、多くはX線フィルムや手書きの診
療情報報告書をファックスや郵送によって他の医療機関
へ送っている。このような状況では患者の診療情報を詳
しく伝達することは困難である。上記のようなバックア
ップセンターが構築され電子カルテが公開されれば、紹
介先の医療機関が紹介元の医療機関に属する患者の診療
情報を引き出して参照することが可能となる。しかし医
療機関が自由にバックアップセンターの電子カルテを参
照できる状態では、患者の診療情報が流出する恐れがあ
り、プライバシィ上の問題が大きい。従ってカルテ公開
の対象を各紹介患者についての紹介先医療機関に限定す
るように診療情報を開示する方式が望まれる。
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.
【0004】本発明は、上記の事情に鑑みてなされたも
のであり、その目的とするところは紹介患者の診療情報
を作成して該当する他医療機関に開示する方法及び装置
を提供することにある。
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】[0005]
【課題を解決するための手段】本発明は、複数の医療機
関に属する電子カルテの複写を一括して蓄積する第1の
記憶手段と、患者を紹介する紹介元の医療機関の計算機
からの患者の診療情報登録要求に応答して第1の記憶手
段から該当する電子カルテを取得して紹介先医療機関識
別情報を付加して第2の記憶手段に格納する処理手段
と、紹介先医療機関の計算機からの紹介患者についての
診療情報照会に応答して第2の記憶手段から該当する電
子カルテを取得して紹介先医療機関の計算機へ送信する
処理手段とを有する診療情報を他医療機関に開示する装
置を特徴とする。
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:
【0006】また本発明は、複数の医療機関に属する電
子カルテの複写を一括して蓄積する第1の記憶手段の電
子カルテを参照して紹介元の医療機関向けの診療情報を
作成して開示する方法であって、患者を紹介する紹介元
の医療機関の計算機からの患者の診療情報登録要求に応
答して第1の記憶手段から該当する電子カルテを取得し
て紹介先医療機関識別情報を付加して第2の記憶手段に
格納し、紹介先医療機関の計算機からの紹介患者につい
ての診療情報照会に応答して第2の記憶手段から該当す
る電子カルテを取得して紹介先医療機関の計算機へ送信
する診療情報を他医療機関に開示する方法を特徴とす
る。この方法をコンピュータプログラムとしてコンピュ
ータ読み取り可能な記憶媒体上に実体化し、コンピュー
タによって実行することが可能である。
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】[0007]
【発明の実施の形態】以下、本発明の一実施形態につい
て図面を用いて説明する。
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS One embodiment of the present invention will be described below with reference to the drawings.
【0008】図1は、本実施形態の紹介患者の診療情報
を複数医療機関の間で共有するシステムの構成図であ
る。システムは、バックアップセンターに設置される紹
介患者サーバ1及び電子カルテサーバ2と、紹介元医療
機関計算機3,紹介先医療機関計算機4など各医療機関
に設置される計算機と、バックアップセンターのサーバ
1,2と各医療機関の計算機3,4,・・・との間を接
続するネットワーク30から構成される。20は紹介患
者サーバ1と電子カルテサーバ2とを接続する伝送路で
ある。
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.
【0009】電子カルテデータベース(DB)12は、
紹介元医療機関計算機3の記憶装置に格納され、当該医
療機関が作成した電子カルテを保有する。電子カルテD
B13は、紹介先医療機関計算機4の記憶装置に格納さ
れ、当該医療機関が作成した電子カルテを保有する。電
子カルテDB11は、電子カルテサーバ2の記憶装置に
格納され、計算機3,4など各医療機関計算機から送ら
れた各医療機関の電子カルテのコピーを蓄積する。電子
カルテサーバ2は、計算機3,4などの計算機から送ら
れた電子カルテを電子カルテDB11に登録し、また紹
介患者サーバ1からの検索要求に応じて電子カルテDB
11を検索し、目的の電子カルテを紹介患者サーバ1に
渡す。
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.
【0010】紹介患者診療情報ファイル14は、紹介患
者サーバ1の記憶装置に格納され、紹介患者別、紹介先
医療機関別に紹介患者の電子カルテの内容を登録する。
紹介患者サーバ1の主記憶装置にはファイル作成部15
及びファイル照会処理部16の各アプリケーションプロ
グラムが格納され、紹介患者サーバ1の処理装置によっ
て実行される。ファイル作成部15は、紹介元医療機関
計算機3から紹介患者診療情報の登録要求があったと
き、指定された紹介患者の電子カルテを電子カルテサー
バ2から取得し、紹介患者及び紹介先医療機関の識別情
報を付加して紹介患者診療情報ファイル14に登録す
る。ファイル照会処理部16は、紹介先医療機関計算機
4から紹介患者診療情報の照会があったとき、紹介患者
診療情報ファイル14を検索して指定された紹介患者の
電子カルテ内容を取り出して紹介先医療機関計算機4へ
送信する。このようにして紹介先医療機関計算機4は、
紹介患者サーバ1を介して紹介元医療機関計算機3によ
って作成された電子カルテを共有することができる。
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.
【0011】なおファイル作成部15及びファイル照会
処理部16のプログラムを記憶媒体に格納して図示しな
い駆動装置を介して紹介患者サーバ1の主記憶装置に読
み込むか又はネットワークを介して紹介患者サーバ1へ
伝送し、紹介患者サーバ1の主記憶装置に格納して実行
することが可能である。また紹介患者サーバ1と電子カ
ルテサーバ2の機能を1台の情報処理装置に統合するこ
とも可能であり、その場合には伝送路20は不要であ
る。また逆に紹介患者サーバ1はバックアップセンター
とは直接関係しないので、バックアップセンターから独
立した別の機関が管理するものとし、紹介患者サーバ1
と電子カルテサーバ2の間をネットワークで接続するよ
う構成しても本発明を実施できる。
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.
【0012】図2(a)は、電子カルテDB11のデー
タ形式を示す図である。電子カルテDB11内の各電子
カルテは、医療機関コード、患者基本情報及び診療情報
を含む。患者基本情報は、患者識別子(ID)、氏名、
住所、性別、生年月日、健康保険証番号などを含む。診
療情報は、受診歴、所見情報、検査結果、処方情報、検
査画像などを含む。図2(b)は、紹介患者診療情報フ
ァイル14のデータ形式を示す図である。紹介患者診療
情報ファイル14内の1件のデータは、ヘッダ及び電子
カルテ内容から構成される。ヘッダは紹介先医療機関コ
ード及び患者識別情報を含む。患者識別情報は、患者I
Dなど複数の医療機関に亘って患者を一意に識別可能な
識別情報である。電子カルテ内容は電子カルテDB11
の各電子カルテと同じデータ構成をもつ。なおヘッダ中
の患者識別情報は、電子カルテ中にも含まれるからヘッ
ダとしては省略してもよい。
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.
【0013】各医療機関が蓄積する電子カルテDB1
2,13,・・・の内容が定期的に計算機3,4,・・
・及びネットワーク30を介してバックアップセンター
の電子カルテサーバ2へ送られ、電子カルテサーバ2は
電子カルテDB11に格納し、蓄積する。
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.
【0014】図3は、紹介患者サーバ1のファイル作成
部15及び電子カルテサーバ2の処理の流れを示すフロ
ーチャートである。他の医療機関に紹介する患者が生じ
たとき、紹介元医療機関計算機3は、ネットワーク30
を介して紹介患者サーバ1へ患者識別情報及び紹介先医
療機関コードを送信する。ファイル作成部15は、これ
らの情報を受信する(ステップ61)。次にファイル作
成部15は、ユーザの認証を行った後、受け取った患者
識別情報及び紹介先医療機関コードを電子カルテサーバ
2へ送り、検索要求を発行する(ステップ62)。電子
カルテサーバ2は、この検索要求を受診し(ステップ6
3)、ユーザの認証を行った後、患者識別情報と紹介先
医療機関コードをキーにして電子カルテDB11を検索
する(ステップ64)。次に電子カルテサーバ2は、得
られた1件の電子カルテを紹介患者サーバ1へ送信する
(ステップ65)。ファイル作成部15は、この電子カ
ルテを受信し(ステップ66)、この電子カルテに紹介
先医療機関コードと患者識別情報を含むヘッダを付加
し、全体の情報を紹介先医療機関の暗号化キーによって
暗号化し(ステップ67)、紹介患者診療情報ファイル
14に格納する(ステップ68)。
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).
【0015】図4は、ファイル照会処理部16の処理の
流れを示すフローチャートである。紹介先医療機関は、
紹介元医療機関からの連絡によってバックアップセンタ
ーに紹介患者の診療情報が登録されたことを知り、紹介
患者の来診を契機としてその診療情報を取得することが
できる。紹介先医療機関計算機4は、ネットワーク30
を介して紹介患者サーバ1へ紹介患者の識別情報及び紹
介先医療機関コードを送信する。ファイル照会処理部1
6は、これらの情報を受信する(ステップ71)。次に
ファイル照会処理部16は、ユーザの認証を行った後、
紹介先医療機関コードと患者識別情報をキーにして紹介
患者診療情報ファイル14を検索し(ステップ72)、
得られた電子カルテの内容を紹介先医療機関計算機4へ
送信する(ステップ73)。紹介先医療機関計算機4
は、この電子カルテを受信し、紹介先医療機関の暗号化
キーによって復号して表示装置上に表示する。
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.
【0016】なお紹介患者について紹介先医療機関から
紹介元医療機関へ診療経過を報告する場合又は紹介元医
療機関へ患者を戻す場合にも紹介先医療機関及び紹介元
医療機関は、紹介患者サーバ1を利用することができ
る。すなわち紹介先医療機関計算機4が紹介患者につい
て作成した電子カルテを電子カルテDB13に格納し、
バックアップセンターの電子カルテDB11に蓄積すれ
ば、紹介先医療機関が逆に紹介元医療機関の役割をし、
紹介元医療機関が逆に紹介先医療機関の役割をして上記
処理を行うことによって、紹介先医療機関計算機4が作
成した紹介患者の電子カルテが紹介患者診療情報ファイ
ル14に登録され、紹介元医療機関計算機3は紹介患者
についての新たな診療情報を取得することができる。
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】[0017]
【発明の効果】本発明によれば、バックアップセンター
の電子カルテを利用して紹介患者についての診療情報を
他の医療機関に引き渡すので、他の医療機関は容易に紹
介患者の詳細な診療情報を参照することができる。しか
も診療情報は指定された医療機関に限定して開示される
ため、診療情報の不本意な流出を防止できる。
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.
【図面の簡単な説明】[Brief description of the drawings]
【図1】実施形態のシステム構成図である。FIG. 1 is a system configuration diagram of an embodiment.
【図2】実施形態の電子カルテDB11及び紹介患者診
療情報ファイル14の各電子カルテ対応分のデータ形式
を示す図である。
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.
【図3】実施形態のファイル作成部15を中心とする処
理の流れを示すフローチャートである。
FIG. 3 is a flowchart illustrating a flow of processing centered on a file creation unit 15 according to the embodiment.
【図4】実施形態のファイル照会処理部16の処理手順
を示すフローチャートである。
FIG. 4 is a flowchart illustrating a processing procedure of a file inquiry processing unit 16 according to the embodiment.
【符号の説明】[Explanation of symbols]
1:紹介患者サーバ、14:紹介患者診療情報ファイ
ル、15:ファイル作成部、16:ファイル照会処理部
1: Referral patient server, 14: Referral patient medical information file, 15: File creation unit, 16: File inquiry processing unit
───────────────────────────────────────────────────── フロントページの続き (72)発明者 野村 英行 東京都江東区新砂一丁目6番27号 株式会 社日立製作所公共情報事業内 ──────────────────────────────────────────────────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)

    【特許請求の範囲】[Claims]
  1. 【請求項1】複数の医療機関に属する電子カルテの複写
    を一括して蓄積する第1の記憶手段と、患者を紹介する
    紹介元の医療機関の計算機からの患者の診療情報登録要
    求に応答して第1の記憶手段から該当する電子カルテを
    取得して紹介先医療機関識別情報を付加して第2の記憶
    手段に格納する処理手段と、紹介先医療機関の計算機か
    らの紹介患者についての診療情報照会に応答して第2の
    記憶手段から該当する電子カルテを取得して紹介先医療
    機関の計算機へ送信する処理手段とを有することを特徴
    とする診療情報を他医療機関に開示する装置。
    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. 【請求項2】複数の医療機関に属する電子カルテの複写
    を一括して蓄積する第1の記憶手段の電子カルテを参照
    して紹介元の医療機関向けの診療情報を作成して開示す
    る方法であって、患者を紹介する紹介元の医療機関の計
    算機からの患者の診療情報登録要求に応答して第1の記
    憶手段から該当する電子カルテを取得して紹介先医療機
    関識別情報を付加して第2の記憶手段に格納し、紹介先
    医療機関の計算機からの紹介患者についての診療情報照
    会に応答して第2の記憶手段から該当する電子カルテを
    取得して紹介先医療機関の計算機へ送信することを特徴
    とする診療情報を他医療機関に開示する方法。
    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. 【請求項3】コンピュータ読み取り可能な記憶媒体上に
    実体化されたコンピュータプログラムであり、複数の医
    療機関に属する電子カルテの複写を一括して蓄積する第
    1の記憶手段の電子カルテを参照して紹介元の医療機関
    向けの診療情報を作成して開示するプログラムであっ
    て、該プログラムは下記ステップを含む: (a)患者を紹介する紹介元の医療機関の計算機からの
    患者の診療情報登録要求に応答して第1の記憶手段から
    該当する電子カルテを取得して紹介先医療機関識別情報
    を付加して第2の記憶手段に格納し、(b)紹介先医療
    機関の計算機からの紹介患者についての診療情報照会に
    応答して第2の記憶手段から該当する電子カルテを取得
    して紹介先医療機関の計算機へ送信する。
    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.
JP31308897A 1997-11-14 1997-11-14 Method and apparatus for disclosing medical information to other medical institutions Expired - Fee Related JP3472690B2 (en)

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JP2001118020A (en) * 1999-10-19 2001-04-27 Meditrial Corp Medical treatment data management system
JP2001306691A (en) * 2000-02-17 2001-11-02 Shimizu Haruo Clinical consultation information system
JP2001306686A (en) * 2000-04-18 2001-11-02 Medeipuran:Kk Cooperative medical computer system
JP2002203045A (en) * 2000-12-28 2002-07-19 Olympus Optical Co Ltd Medical data management system and medical data management device
JP2007241559A (en) * 2006-03-07 2007-09-20 Toshiba Medical Systems Corp Medical image diagnosis support device and medical image diagnostic device equipped with this device
JP2009037481A (en) * 2007-08-02 2009-02-19 Toshiba Corp Patient information management device and patient information management method
JP2009199128A (en) * 2008-02-19 2009-09-03 Toshiba Corp Patient information management device and method
JP2013101654A (en) * 2013-01-04 2013-05-23 Toshiba Medical Systems Corp Medical image diagnosis support device and medical image diagnostic device including the same
JP2014174635A (en) * 2013-03-06 2014-09-22 Japan Medical Solutions Inc Medical care information display system
US20160048647A1 (en) * 2014-08-18 2016-02-18 Fuji Xerox Co., Ltd. Information processing apparatus, information processing method, and non-transitory computer readable medium

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JPH09259177A (en) * 1996-03-19 1997-10-03 Fujitsu General Ltd Medical re-examination reservation system

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JPH08180072A (en) * 1994-12-26 1996-07-12 Fujitsu Ltd Data base system and its information utilization support device
JPH09135816A (en) * 1995-11-15 1997-05-27 Hitachi Ltd Wide area medical data system
JPH09259177A (en) * 1996-03-19 1997-10-03 Fujitsu General Ltd Medical re-examination reservation system

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2001118020A (en) * 1999-10-19 2001-04-27 Meditrial Corp Medical treatment data management system
JP2001306691A (en) * 2000-02-17 2001-11-02 Shimizu Haruo Clinical consultation information system
JP2001306686A (en) * 2000-04-18 2001-11-02 Medeipuran:Kk Cooperative medical computer system
JP2002203045A (en) * 2000-12-28 2002-07-19 Olympus Optical Co Ltd Medical data management system and medical data management device
JP2007241559A (en) * 2006-03-07 2007-09-20 Toshiba Medical Systems Corp Medical image diagnosis support device and medical image diagnostic device equipped with this device
US8095388B2 (en) 2006-03-07 2012-01-10 Kabushiki Kaisha Toshiba Medical imaging diagnosis supporting apparatus and image diagnosis supporting method
JP2009037481A (en) * 2007-08-02 2009-02-19 Toshiba Corp Patient information management device and patient information management method
JP2009199128A (en) * 2008-02-19 2009-09-03 Toshiba Corp Patient information management device and method
JP2013101654A (en) * 2013-01-04 2013-05-23 Toshiba Medical Systems Corp Medical image diagnosis support device and medical image diagnostic device including the same
JP2014174635A (en) * 2013-03-06 2014-09-22 Japan Medical Solutions Inc Medical care information display system
US20160048647A1 (en) * 2014-08-18 2016-02-18 Fuji Xerox Co., Ltd. Information processing apparatus, information processing method, and non-transitory computer readable medium

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