KR102154474B1 - Method and system for monitoring suspected patients of infection - Google Patents

Abstract

Disclosed is a method and system for monitoring patients with suspected infectious diseases. In the method for monitoring a patient with suspected infectious disease according to an embodiment of the present invention, the step of confirming whether or not to visit an infectious disease-producing country within a certain period of time for a patient receiving medical treatment, and as a visit to the infectious disease-producing country is confirmed, Determining whether the first data created by pre-investigation of the patient satisfies a selected condition, and if the condition is satisfied, classifying the patient as a suspected patient, and generating according to the treatment based on the pre-investigation And transmitting the medical record of the patient to be transmitted to a server of an infectious disease management institution to report the occurrence of the suspected patient.

Description

Monitoring method for suspected infectious disease patients and monitoring system for suspected infectious diseases {METHOD AND SYSTEM FOR MONITORING SUSPECTED PATIENTS OF INFECTION}

The present invention relates to a monitoring technology for a suspected infectious disease patient linked with an EMR (Electronic Medical Record) system, and is related to a monitoring system for early detection of a suspected overseas infectious disease patient before confirmation.

The Korea Centers for Disease Control and Prevention is required to fill out a health status questionnaire (implemented by 16.8.4) to domestic and foreign nationals entering the country after traveling to an infectious disease suspected area. However, in the incubation period, there are no obvious symptoms, so the immigration will not write it.

Even if symptoms appear and visit a medical institution afterwards, the medical institution cannot know that the patient has visited the country of infectious disease until the patient speaks, so the medical institution must perform various tests to diagnose the patient.

In addition, even if a medical institution has confirmed an infectious disease as a result of the test and reports the occurrence of an infectious disease patient to the Centers for Disease Control and Prevention, it is highly likely that other patients or medical staff in the medical institution visited by the patient (carrier) are already infected at this time.

When an infectious disease outbreak is reported, the Centers for Disease Control and Prevention quarantines the patient and conducts epidemiological investigations on subjects who have contact with the patient during the incubation period.The later the infectious disease outbreak is reported, the larger the scope of the investigation, which can take a lot of cost and time.

Accordingly, it is necessary to detect a patient suspected of an infectious disease early and immediately notify an infectious disease management institution even before the infection is confirmed to take measures in preparation for the diagnosis.

The embodiment of the present invention interlocks with an EMR (Electronic Medical Record) system of a medical institution that treats a patient, detects a patient suspected of having an overseas infectious disease among patients treated at a medical institution, and notifies the infectious disease management institution. The purpose of this is to prevent the spread of infectious diseases by taking prompt measures when the infectious disease is confirmed, and to manage the increase or decrease of suspected infectious diseases as a whole.

In the method for monitoring a patient with suspected infectious disease according to an embodiment of the present invention, the step of confirming whether or not to visit an infectious disease-producing country within a certain period of time for a patient receiving medical treatment, and as a visit to the infectious disease-producing country is confirmed, Determining whether the first data created by pre-investigation of the patient satisfies a selected condition, and if the condition is satisfied, classifying the patient as a suspected patient, and generating according to the treatment based on the pre-investigation And transmitting the medical record of the patient to be transmitted to a server of an infectious disease management institution to report the occurrence of the suspected patient.

In addition, the monitoring system for a suspected infectious disease patient according to an embodiment of the present invention includes a confirmation unit that checks whether a patient who receives medical treatment has visited an infectious disease-producing country within a certain period of time, and a visit to the infectious disease-producing country is confirmed. Accordingly, according to a classification unit that determines whether the first data created by pre-investigation of the patient satisfies the selected condition, and if the condition is satisfied, classifies the patient as a suspected patient, and treatment based on the pre-investigation It may include a processing unit that transmits the generated medical record of the patient to a server of an infectious disease management institution and reports the occurrence of the suspected patient.

According to an embodiment of the present invention, by interlocking with the EMR system of a medical institution, based on the entry/exit records and vital signs of the patient receiving treatment, a patient suspected of having an overseas infectious disease is detected early, and the infectious disease is confirmed. Even before it becomes possible, it can be notified to the infectious disease management agency.

According to an embodiment of the present invention, even if the patient did not recognize the infection because the symptoms of the overseas infectious disease did not appear due to the incubation period, the symptoms appeared after entering Korea and the patient who visited the medical institution did not disclose the fact of visiting the country where the infectious disease occurred. Even so, a system for early detection of patients with suspected overseas infectious diseases can be established.

According to an embodiment of the present invention, an infectious disease management institution can identify the increasing trend of overseas infectious disease patients early to take measures to prevent the spread of infectious diseases, and inform the medical institution that the patient visited at the beginning of the infectious disease, and provide assistance during epidemiological investigations. Can give.

According to an embodiment of the present invention, even after classification as a suspected infectious disease patient, by continuously collecting the patient's medical records and monitoring the patient's condition, it is possible to quickly identify the confirmation of the infectious disease and prevent the spread of the infectious disease.

According to an embodiment of the present invention, when the infectious disease is confirmed, the increase or decrease of the suspected infectious disease patient can be managed as a whole by registering a subject related to the suspected infectious disease as a suspected patient.

1 is a diagram illustrating a network including a system for monitoring patients with suspected infectious diseases according to an embodiment of the present invention.
2 is a block diagram showing the internal configuration of a monitoring system for a suspected infectious disease patient according to an embodiment of the present invention.
FIG. 3 is a diagram illustrating an example of a screen for preliminary investigation of a patient according to a treatment reception in the monitoring system for a suspected infectious disease patient according to an embodiment of the present invention.
4 is a diagram illustrating an example of a treatment screen in the monitoring system for a patient with suspected infectious disease according to an embodiment of the present invention.
5 is a flowchart illustrating a procedure of a method for monitoring a patient with suspected infectious disease according to an embodiment of the present invention.
6 is a diagram illustrating a process of tracking and managing a subject having a relationship with a suspected patient in the monitoring system for a suspected infectious disease patient according to an embodiment of the present invention.

Hereinafter, exemplary embodiments will be described in detail with reference to the accompanying drawings. However, since various changes may be made to the embodiments, the scope of the rights of the patent application is not limited or limited by these embodiments. It should be understood that all changes, equivalents, or substitutes to the embodiments are included in the scope of the rights.

The terms used in the examples are used for illustrative purposes only and should not be interpreted as limiting. Singular expressions include plural expressions unless the context clearly indicates otherwise. In the present specification, terms such as "comprise" or "have" are intended to designate the presence of features, numbers, steps, actions, components, parts, or combinations thereof described in the specification, but one or more other features. It is to be understood that the presence or addition of elements or numbers, steps, actions, components, parts, or combinations thereof, does not preclude in advance.

Unless otherwise defined, all terms used herein, including technical or scientific terms, have the same meaning as commonly understood by one of ordinary skill in the art to which the embodiment belongs. Terms such as those defined in a commonly used dictionary should be interpreted as having a meaning consistent with the meaning in the context of the related technology, and should not be interpreted as an ideal or excessively formal meaning unless explicitly defined in this application. Does not.

In addition, in the description with reference to the accompanying drawings, the same reference numerals are assigned to the same components regardless of the reference numerals, and redundant descriptions thereof will be omitted. In describing the embodiments, when it is determined that a detailed description of related known technologies may unnecessarily obscure the subject matter of the embodiments, the detailed description thereof will be omitted.

1 is a diagram illustrating a network including a system for monitoring patients with suspected infectious diseases according to an embodiment of the present invention.

Referring to FIG. 1, the network 100 may include a suspicious infectious disease monitoring system 110, an EMR system 120 of a medical institution, an immigration control institution server 130, and an infectious disease management institution server 140. .

The suspected infectious disease patient monitoring system 110 may be implemented inside or outside the EMR system 120, but in the present specification, for convenience of explanation, the suspected infectious disease patient monitoring system 110 of the present invention is, the EMR system 120 It will be described by limiting the implementation by being connected to the network 100 from the outside of.

That is, the suspicious infectious disease monitoring system 110 may interwork with the EMR system 120 to detect a suspected infectious disease patient early among patients who visit a medical institution to receive treatment and notify the infectious disease management institution server 140.

The EMR system 120 may refer to a system that is installed in a terminal of a medical institution that treats patients such as hospitals, nursing homes, and public health centers, and generates and manages patient medical records (electronic medical records).

The suspected infectious disease patient monitoring system 110 may check whether or not a patient who receives medical treatment through the EMR system 120 visits the country where the infectious disease occurs within a certain period of time by the immigration control agency server 130.

When it is confirmed that a visit to an infectious disease-occurring country is confirmed, the infectious disease patient monitoring system 110 preliminarily investigates the patient and the first data (eg, current symptoms, biometric measurements, etc.) written in the EMR system 120 It is determined whether the selected condition is satisfied, and if the above condition is satisfied, the patient can be classified as a suspected infectious disease patient.

That is, in the monitoring system for patients with suspected infectious diseases, whether or not to visit the country where the infectious disease occurs is True, and there is at least one biometric measurement value outside the normal range, it is true, and the current symptom of the patient written in the EMR system 120 (PI : present illness) matches one or more symptoms of an infectious disease and is True, the patient can be classified as a suspected infectious disease patient.

The suspicious patient monitoring system 110 may report the occurrence of a suspected patient to the infectious disease management institution server 140. At this time, the monitoring system for a suspected infectious disease patient 110 may transmit the patient's medical record generated according to the treatment based on the pre-investigation to the infectious disease management institution server 140.

In this way, the suspicious infectious disease patient monitoring system 110 may detect a suspected overseas infectious disease patient early by interlocking with the EMR system 120 of a medical institution treating the patient.

In addition, the monitoring system for a suspected infectious disease patient 110 may immediately notify the occurrence of a suspected patient to the infectious disease management institution server 140 even before the infectious disease is confirmed.

Accordingly, the infectious disease management institution server 140 can monitor the increase or decrease of suspected infectious disease patients as a whole, and quickly prepare a countermeasure for spreading the infectious disease.

2 is a block diagram showing the internal configuration of a monitoring system for a suspected infectious disease patient according to an embodiment of the present invention.

Referring to FIG. 2, the monitoring system for a suspected infectious disease patient 200 may include a confirmation unit 210, a classification unit 220, and a processing unit 230. In addition, according to an embodiment, the monitoring system 200 for a suspected infectious disease may be configured by adding a guide unit 240, a generation unit 250, and a database 260.

The verification unit 210 checks whether or not the patient receiving medical treatment has visited the country where the infectious disease has occurred within a certain period of time.

Here, a certain period can be determined in consideration of the incubation period of the infectious disease. For example, in the case of'MERS', a Middle Eastern respiratory syndrome, it can be set as 15 days considering the incubation period ('14 days').

The verification unit 210 uses the patient identifier input at the time of receiving the medical treatment, from the server of the immigration control agency, inquires the patient's entry/exit records for the predetermined period, and in the entry/exit records, by the infectious disease management agency. By checking whether the country designated as the country of occurrence of the infectious disease is included, you can check whether or not to visit the above.

The EMR system is a system that creates medical records of patients in a medical institution, and can check health insurance information by conducting inquiry for examinees using a patient identifier (eg, resident registration number or alien registration number) input from a patient receiving treatment.

At this time, the verification unit 210 uses the patient identifier transmitted from the EMR system to inquire the immigration record within a certain period (infectious disease incubation period, for example, '14 days') from the current point (the date of treatment), from the server of the immigration agency, It is possible to check whether the country of occurrence of the infectious disease designated by the infectious disease management organization is described in the entry and exit record.

Here, the infectious disease management agency is the'Disease Management Headquarters' in Korea.

The'Disease Management Headquarters' defines'MERS', a Middle Eastern respiratory syndrome, as one of the infectious diseases, and countries in the Middle East where'MERS' occurs, such as Bahrain, Iraq, Iran, the West Bank and Gaza Strip of Israel, and Jordan , Kuwait, Lebanon, Oman, Qatar, Saudi Arabia, Syria, United Arab Emirates, and Yemen are designated as infectious disease outbreak countries.

If the country of the Middle East region is included in the patient's entry and exit record for 14 days, which is the incubation period of the'MERS', the verification unit 210 may confirm that the country has visited the'MERS' generating country.

At this time, the confirmation unit 210 may additionally inquire the entrant who boarded the same plane as the patient from the server of the immigration agency, and register the entrant in the suspected patient list when the patient's infectious disease is confirmed.

As the visit to the country where the infectious disease occurs is confirmed, the classification unit 220 determines whether the first data created by preliminary investigation of the patient satisfies the selected condition, and if the condition is satisfied, the patient is suspected. Classify as patient.

If the patient's entry/exit record includes at least one infectious disease-occurring country, the classification unit 220 collects first data on the current symptoms or biometric measurements created by preliminary investigation of the patient prior to treatment from the EMR system of the medical institution. , It is possible to determine whether the patient is suspicious based on the current symptoms or biometric measurements.

As an example, the classification unit 220 may classify the patient as the suspected patient if the current symptom created in the preliminary survey matches at least one of a plurality of symptoms specified in the infectious disease.

For example, when a patient receives treatment, he or she explains his current symptoms ('fever','diarrhea','cough','headache','chills') to a medical staff such as a nurse. The EMR system of FIG. 3 may create the pre-investigation screen 320 of FIG. 3.

When the current symptom of the patient collected from the EMR system matches at least one of the symptoms of'MERS', the classification unit 220 may determine that the patient is suspected of having an infectious disease.

In this case, as a symptom appears to the extent that the patient feels it, the classification unit 220 may determine that the possibility of developing an infectious disease is high, and may classify it as a suspected patient.

As another example, the classification unit 220 may classify the patient as a suspected infectious disease patient if at least one biometric value of body temperature, respiration, and pulse created in the pre-irradiation is out of a normal range.

For example, prior to treatment, a patient is subjected to measurement of his/her body temperature, pulse, respiration, blood pressure, etc. by a medical staff, and based on this, the EMR system of a medical institution may create the pre-investigation screen 320 of FIG. 3.

At this time, if the classification unit 220 has one or more biometric values out of the normal range (body temperature: 36.0 to 37.0, pulse: 60 to 100, respiration: 12 to 20, blood pressure: systolic 90 to 130 / diastolic 60 to 90), It can be identified as a patient suspected of infectious disease.

In this case, the classification unit 220 may classify the patient as a suspected patient for follow-up management because the symptom does not appear to the extent that the patient feels it, but there is a possibility of an onset based on the biometric value.

In addition, when one of the conditions is satisfied, the classification unit 220 may classify as a suspected patient to broaden the object to be monitored, or if all of the conditions are satisfied, the classification unit 220 may classify as a suspected patient to increase accuracy of infectious disease determination.

That is, the classification unit 220 is True if the visit to the country where the infectious disease occurs is true, and there is one or more biometric values outside the normal range, and the present illness (PI) of the patient written in the EMR system is true. If it matches one or more symptoms of and is True, the patient can be classified as a suspected patient.

The processing unit 230 automatically reports the occurrence of the suspected patient to the server of an infectious disease management institution ('Disease Management Headquarters').

That is, even before the infectious disease is confirmed, the processing unit 230 may immediately notify the occurrence of the suspected patient so that the infectious disease management institution can identify the increasing trend of the suspected patient early.

At this time, the processing unit 230 may transmit the patient's medical record generated according to the treatment based on the preliminary investigation to the server of the infectious disease management institution, so that a database on the suspected patient is built in the server of the infectious disease management institution.

When transmitting the patient's medical records, the processing unit 230 transmits the patient identifier, patient information including the patient name and gender, reception information including the visit date and time of the patient, and the medical institution receiving the patient. Detailed information including the medical institution identifier, medical institution information including the medical institution name, address, and phone number, and software information on the EMR system installed in the medical institution may be transmitted to the server of the infectious disease management institution.

For example, the processing unit 230 stores the patient's medical records (the doctor in charge, current symptoms, test results, prescription details, etc.), patient information (patient name, gender, patient identifier, etc.), and reception information (treatment date, mobile phone number, Address, etc.) and medical institution information (medical institution symbol, medical institution name, address, phone number, etc.) are transmitted to the server of the infectious disease management institution to notify the occurrence of a suspected patient.

That is, when the processing unit 230 reports the occurrence of a suspected patient, it notifies the medical institution that treated the suspected patient to the infectious disease management institution, so that the infectious disease management institution can help to conduct an epidemiological investigation of the subject who has contacted the patient during the incubation period. have.

At this time, the processing unit 230 transmits the medical institution identifier to the server of the infectious disease management institution, requests authentication, and when the medical institution is authenticated by the server of the infectious disease management institution, the patient's medical record and the detailed information are stored. , EDI format, the converted medical record and the detailed information of the patient can be encrypted by HTTPS and transmitted to the server of the infectious disease management institution.

That is, the processing unit 230 may convert the patient's medical record and the detailed information into the EDI format used in the server of the infectious disease management institution and transmit it, and store it in the database in the server of the infectious disease management institution without a separate processing process.

In addition, the processing unit 230 may prevent leakage of personal information by encrypting the patient's medical record and the detailed information.

Depending on the embodiment, the suspicious patient monitoring system 200 may be configured by adding a guide unit 240 and a generating unit 250, respectively.

If the country of origin of the infectious disease is included in the entry/exit record, the guide unit 240 informs the terminal for treating the patient with the fact of a visit to the country of occurrence of the infected country and symptoms prescribed by the infectious disease.

The generation unit 250 generates the medical record so that second data on at least one of a test, prescription, drug injection, and self-quarantine, which is created by the terminal, related to an infectious disease is included.

For example, the information unit 240 interworks with the EMR system and displays the patient's visitation record ('Qatar') to the patient's infectious disease occurrence country on the treatment screen 400 of FIG. It can guide the possibility of an outbreak.

In addition, the information unit 240 displays symptoms of an infectious disease ('MERS') on the treatment screen 400 together, and can help the doctor in charge to diagnose whether the current symptom of the patient is a symptom due to the onset of an infectious disease. have.

If the doctor in charge knows the possibility of MERS infection through the treatment screen 400 during patient treatment, the doctor in charge will conduct a MERS diagnostic test to confirm the infectious disease, and to perform a test to diagnose flu and pneumonia that have symptoms similar to MERS. It can be entered on the screen 400.

In addition, the doctor in charge may input instructions such as'vitamin injection' for strengthening immunity, a prescription for confirmation of'MERS', and instructions such as'self-price' on the treatment screen 400.

The generation unit 250 may generate a medical record of a patient including all of the second data input by the doctor in charge.

At this time, if the medical record contains second data on a test related to an infectious disease, the classification unit 220 identifies the patient with the approval of the terminal (the doctor in charge) according to the result of the test ('MERS positive'). , Reclassified as an infectious disease confirmed patient, and the processing unit 230 may report the confirmation of the infectious disease to the server of the infectious disease management institution.

As described above, according to the present invention, by notifying the doctor in charge of whether to visit the infectious disease-producing country and the symptoms of the infectious disease through the treatment screen, it is possible to quickly and accurately diagnose the patient and to take a prompt action by advancing the time of confirmation of the infectious disease.

According to an embodiment, the classification unit 220 may register the patient in the suspected patient list according to the classification, and the processing unit 230 may store the patient's medical record in the database 260. Thereafter, the processing unit 230 may accumulate and store the medical records additionally generated by the medical institution treating the patient in the database 260 until the incubation period of the infectious disease elapses.

The classification unit 220 may determine whether the infectious disease is confirmed based on all medical records of the patient in the database 260. For example, if the MERS diagnostic test result is'positive', the classification unit 220 may reclassify a suspected patient as a confirmed patient.

That is, according to the present invention, it is possible to easily track and manage patients with suspected infectious diseases through the establishment of the database 260 on the suspected patient.

In addition, according to an embodiment, the classification unit 220 may additionally register a subject having a relationship with a patient to the suspected patient list in connection with the confirmation of an infectious disease.

For example, the classification unit 220 may search a person entering the country after boarding the same plane as a patient from the server of the immigration agency, and additionally register the person entering the suspected patient list.

In addition, the classification unit 220 retrieves the medical staff facing the patient from the EMR system of the medical institution that treated the patient or another patient who used the same room as the patient, and additionally registers the inquired medical staff or patient to the suspected patient list. I can.

The processing unit 230 may report the subject as a suspected patient to a server of an infectious disease management institution.

At this time, the processing unit 230 may transmit the medical records of the subject collected from the EMR system to the server of the infectious disease management institution to help epidemiological investigation of the patient in the server of the infectious disease management institution.

Also, the processing unit 230 may transmit a result of monitoring the increase or decrease of the suspected patient to the server of the infectious disease management institution based on the total number of suspected patients in the suspected patient list.

As described above, according to the present invention, a suspected patient who has not been confirmed with an infectious disease can be managed as a whole in consideration of the spread.

As described above, according to an embodiment of the present invention, according to an embodiment of the present invention, infectious diseases overseas based on the entry/exit records and vital signs of patients receiving medical treatment in conjunction with the EMR system of a medical institution. This suspected patient can be detected early and notified to an infectious disease management organization even before the infectious disease is confirmed.

According to an embodiment of the present invention, even if the patient did not recognize the infection because the symptoms of the overseas infectious disease did not appear due to the incubation period, the symptoms appeared after entering Korea and the patient who visited the medical institution did not disclose the fact of visiting the country where the infectious disease occurred. Even so, a system for early detection of patients with suspected overseas infectious diseases can be established.

According to an embodiment of the present invention, an infectious disease management institution can identify the increasing trend of overseas infectious disease patients early to take measures to prevent the spread of infectious diseases, and inform the medical institution that the patient visited at the beginning of the infectious disease, and provide assistance during epidemiological investigations. Can give.

According to an embodiment of the present invention, even after classification as a suspected infectious disease patient, by continuously collecting the patient's medical records and monitoring the patient's condition, it is possible to quickly identify the confirmation of the infectious disease and prevent the spread of the infectious disease.

According to an embodiment of the present invention, when the infectious disease is confirmed, the increase or decrease of the suspected infectious disease patient can be managed as a whole by registering a subject related to the suspected infectious disease as a suspected patient.

FIG. 3 is a diagram illustrating an example of a screen for preliminary investigation of a patient according to a treatment reception in the monitoring system for a suspected infectious disease patient according to an embodiment of the present invention.

Referring to FIG. 3, the monitoring system for suspected infectious diseases interlocks with the EMR system of a medical institution to check whether a visit to an infectious disease-occurring country is made using information of a patient receiving treatment, and if the visit is confirmed within a certain period, the patient is By checking the current symptoms and biometric measurements created by preliminary investigation from the EMR system, it is possible to determine whether there is a suspected patient.

In a medical institution, a treatment reception screen 310 may be created in order to receive treatment from a patient.

Specifically, the monitoring system for a suspected infectious disease patient transmits the patient's resident registration number to the server of the immigration agency, among the patient information input on the treatment reception screen 310, and can query the patient's immigration record for a certain period immediately before. .

If the infectious disease occurrence country is included in the inquiry result, the entry/exit record, the infectious disease monitoring system displays the infectious disease occurrence country and the symptoms of the infectious disease visited by the patient, as shown in the treatment screen 400 of FIG. 4, and informs the doctor in charge. I can.

In addition, a pre-investigation screen 320 may be created by a medical staff who pre-investigate the patient prior to treatment.

In the monitoring system for a suspected infectious disease patient, the patient's biometric values (body temperature, pulse, respiration, blood pressure) input to the pre-investigation screen 320 are outside the normal range, or the patient's current symptoms (PI) are If coincident and inquired as having visited an infectious disease outbreak country within a certain period of time, the patient can be classified as a patient suspected of infectious disease.

In this case, the monitoring system for a patient suspected of infectious disease generates the patient's medical record including data input to the treatment reception screen 310, the pre-investigation screen 320, and the treatment screen 400 of FIG. 4, and While transmitting the data to the server of the infectious disease management institution, the occurrence of a suspected patient can be notified to the server of the infectious disease management institution.

4 is a diagram illustrating an example of a treatment screen in the monitoring system for a patient with suspected infectious disease according to an embodiment of the present invention.

Referring to FIG. 4, the monitoring system for a patient with suspected infectious disease includes a record of a patient's infectious disease occurrence country visit record ('Qatar') and an infectious disease ('MERS') on the treatment screen 400 through the EMR system of a medical institution treating the patient. Can display the symptoms of.

Through this, the monitoring system for suspected infectious diseases can inform the doctor in charge of treating the patient of the possibility of the onset of the infectious disease, and can help diagnose whether the patient's current symptoms are due to the onset of the infectious disease.

When the doctor in charge knows the possibility of MERS infection through the treatment screen 400 during patient treatment, the treatment screen 400 may be created to perform a MERS diagnosis test for confirming the infectious disease. In addition, the doctor in charge may fill out the treatment screen 400 including a prescription for the diagnosis of'MERS' and instructions such as'self-price'.

The suspected infectious disease patient monitoring system generates patient medical records including test types, prescription details, and instructions entered on the treatment screen 400, and transmits the patient's medical records to the server of the infectious disease management institution, Occurrence can be reported.

Thereafter, the monitoring system for suspected infectious diseases reclassifies the suspected patient as a confirmed patient for infectious disease according to the MERS diagnostic test result ('positive') in the medical record that is additionally created for the patient, and reports the confirmation of the infectious disease to the infectious disease management agency. You can notify the server of

According to the present invention, the doctor in charge can quickly and accurately diagnose the patient by checking the fact of the patient's visit to the infectious disease occurrence country and general symptoms of the infectious disease through the treatment screen while treating the patient. Because it is faster, measures can be taken to prevent the spread of infectious diseases.

Hereinafter, in FIGS. 5 to 6, the work flow of the suspicious patient monitoring system 200 according to embodiments of the present invention will be described in detail.

5 is a flowchart illustrating a procedure of a method for monitoring a patient with suspected infectious disease according to an embodiment of the present invention.

The method for monitoring a suspected infectious disease patient according to the present embodiment may be performed by the above-described suspected infectious disease monitoring system 200.

Referring to FIG. 5, in step 510, the monitoring system 200 for a suspected infectious disease patient checks whether reception information according to reception of a patient's treatment is received from a medical institution.

When the reception information is received, in step 520, the monitoring system for patients with suspected infectious diseases 200 inquires the patient's entry/exit records for a predetermined period from the server of the immigration agency.

In step 530, the infectious disease suspected patient monitoring system 200 checks whether the patient has visited the infectious disease generating country within a certain period based on the immigration record.

In the case of not visiting the infectious disease-producing country, in step 540, the infectious disease suspected patient monitoring system 200 outputs a normal treatment screen to a terminal treating the patient.

In addition, the suspicious infectious disease patient monitoring system 200 outputs a message informing the medical staff that there is no record of the patient's visit to the infectious disease occurrence country within a certain period on the treatment screen, thereby helping to diagnose the patient's disease name. I can.

In the case of visiting a country where an infectious disease has occurred, in step 550, the monitoring system for a patient suspected of infectious disease 200 determines whether the current symptoms of the patient, created in the preliminary investigation conducted on the patient prior to treatment, match the symptoms of the infectious disease.

If the current symptom of the patient coincides with at least one of the symptoms of the infectious disease, in step 570, the suspicious patient monitoring system 200 classifies the patient as a suspected infectious disease patient.

If the patient's current symptoms do not match the symptoms of the infectious disease, in step 560, the patient monitoring system 200 suspected of infectious disease deviates from the normal range of the patient's biometric measurements created in the preliminary investigation conducted on the patient prior to treatment. Determine whether it is.

If there is no biometric measurement value deviating from the normal range, the infectious disease suspected patient monitoring system 200 moves to step 540 and outputs a normal treatment screen to the terminal treating the patient.

If there is at least one biometric measurement value deviating from the normal range, in step 560, the patient monitoring system 200 suspected of infectious disease classifies the patient as a suspected infectious disease patient.

In step 580, the suspicious patient monitoring system 200 reports the occurrence of the suspected patient to the server of the infectious disease management institution.

As an example, the suspicious patient monitoring system 200 transmits the patient's medical records generated according to the treatment based on the preliminary investigation to the server of the infectious disease management institution, so that a database on the suspected patient is built in the server of the infectious disease management institution. can do.

As another example, the infectious disease suspected patient monitoring system 200 stores the medical records of the patient registered in the suspected patient list in a database, and additionally generated medical records by the medical institution that treated the patient until the incubation period of the infectious disease elapses. By accumulating and storing in a database, patients with suspected infectious diseases can be easily tracked and managed.

In step 590, the suspicious patient monitoring system 200 provides the result of monitoring the increase or decrease of the suspected patient to the server of the infectious disease management institution.

As described above, according to an embodiment of the present invention, the infectious disease is confirmed by interlocking with the EMR system of a medical institution that treats the patient, by early detection of a patient suspected of having an overseas infectious disease among patients treated at the medical institution and notifying the infectious disease management institution. A system can be in place to monitor unsuspected patients.

6 is a diagram illustrating a process of tracking and managing a subject having a relationship with a suspected patient in the monitoring system for a suspected infectious disease patient according to an embodiment of the present invention.

The method for monitoring a suspected infectious disease patient according to the present embodiment may be performed by the above-described suspected infectious disease monitoring system 200.

Referring to FIG. 6, in step 610, the monitoring system 200 for a suspected infectious disease registers patient A classified as a suspected patient in step 570 of FIG. 5 in a suspected patient list.

In step 620, the infectious disease suspected patient monitoring system 200 determines whether the infectious disease is confirmed for patient A according to the test result.

For example, referring to FIG. 4, the monitoring system for a suspected infectious disease patient 200 may notify the doctor in charge of treating patient A of the visit record of the infectious disease originating country ('Qatar') and symptoms of the infectious disease through the treatment screen 400. have.

When instructions such as a MERS diagnostic test for confirming an infectious disease and'self-improvement' are input to the treatment screen 400 by the doctor in charge who knows the possibility of a patient's MERS infection, the infectious disease patient monitoring system 200 May generate a medical record of a patient including first data according to the pre-investigation and second data input to the treatment screen 400.

If the MERS diagnostic test result is confirmed as'positive' in the medical record of patient A generated later, the patient A suspected infectious disease monitoring system 200 may reclassify patient A as a confirmed patient.

In step 630, the infectious disease suspected patient monitoring system 200 removes patient A from the suspected patient list if the infectious disease is not confirmed until the incubation period specified for the infectious disease has elapsed.

For example, the infectious disease suspected patient monitoring system 200 may remove patient A from the list of suspected patients if the MERS diagnostic test result in the medical record of patient A is not confirmed as'positive' until the incubation period elapses. .

On the other hand, the monitoring system for suspected infectious diseases 200 is linked to the confirmation of the infectious disease, and additionally registers a target related to the patient to the list of suspected patients, and reports the target as a suspected patient to the server of an infectious disease management institution. can do.

In step 640, if the infectious disease suspected patient monitoring system 200, if the infectious disease is confirmed, inquires from the server of the immigration control agency the inbound person with the same arrival date and flight number as the patient A, and as a target person having a relationship with patient A. Add to the list of suspected patients.

In step 650, the infectious disease suspected patient monitoring system 200 inquires from a medical institution for a patient who has the same medical staff and inpatient room in contact with patient A, and additionally registers it in the suspected patient list as a subject related to patient A.

At this time, the suspicious infectious disease monitoring system 200 transmits the medical records of the subject collected from the EMR system to the server of the infectious disease management institution, thereby helping to conduct an epidemiological investigation of the patient in the server of the infectious disease management institution.

Thereafter, the infectious disease suspected patient monitoring system 200 moves to step 590 of FIG. 5 and manages the result of monitoring the increase or decrease of suspected infectious disease patients based on the total number of suspected patients registered in the suspected patient list. It can be provided to the organization's server.

Accordingly, the infectious disease management institution can prevent the spread of the infectious disease by taking prompt measures when the infectious disease is confirmed, and overall manage the increase or decrease of patients with suspected infectious diseases.

The method according to the embodiment may be implemented in the form of program instructions that can be executed through various computer means and recorded in a computer-readable medium. The computer-readable medium may include program instructions, data files, data structures, and the like alone or in combination. The program instructions recorded on the medium may be specially designed and configured for the embodiment, or may be known and usable to those skilled in computer software. Examples of computer-readable recording media include magnetic media such as hard disks, floppy disks, and magnetic tapes, optical media such as CD-ROMs and DVDs, and magnetic media such as floptical disks. -A hardware device specially configured to store and execute program instructions such as magneto-optical media, and ROM, RAM, flash memory, and the like. Examples of program instructions include not only machine language codes such as those produced by a compiler but also high-level language codes that can be executed by a computer using an interpreter or the like. The hardware device described above may be configured to operate as one or more software modules to perform the operation of the embodiment, and vice versa.

The software may include a computer program, code, instructions, or a combination of one or more of these, configuring the processing unit to behave as desired or processed independently or collectively. You can command the device. Software and/or data may be interpreted by a processing device or to provide instructions or data to a processing device, of any type of machine, component, physical device, virtual equipment, computer storage medium or device. , Or may be permanently or temporarily embodyed in a transmitted signal wave. The software may be distributed over networked computer systems and stored or executed in a distributed manner. Software and data may be stored on one or more computer-readable recording media.

As described above, although the embodiments have been described by the limited drawings, a person of ordinary skill in the art can apply various technical modifications and variations based on the above. For example, the described techniques are performed in an order different from the described method, and/or components such as a system, structure, device, circuit, etc. described are combined or combined in a form different from the described method, or other components Alternatively, even if substituted or substituted by an equivalent, an appropriate result can be achieved.

Therefore, other implementations, other embodiments and claims and equivalents fall within the scope of the following claims.

200: Suspected Infectious Disease Patient Monitoring System
210: confirmation unit
220: classification unit
230: processing unit
240: information
250: generation unit
260: database

Claims (16)

Checking whether or not the patient receiving medical treatment has visited the country of infectious disease within a certain period of time;
Determining whether the first data created by preliminary investigation of the patient satisfies a selected condition as a visit to the infectious disease-occurring country is confirmed;
If the condition is satisfied, classifying the patient as a suspected patient;
Reporting the occurrence of the suspected patient by transmitting the patient's medical record generated according to the treatment based on the preliminary investigation to a server of an infectious disease management institution;
Registering the patient in a suspected patient list according to the classification;
Storing the patient's medical records in a database;
Accumulating and storing medical records additionally generated by the medical institution that treated the patient in the database until the incubation period of the infectious disease elapses;
Determining whether an infectious disease is confirmed based on all medical records of the patient in the database;
When the infectious disease is confirmed, registering a subject who is related to the patient in the list of suspected patients; And
Transmitting a result of monitoring the increase or decrease of the suspected patient to the server of the infectious disease management institution based on the total number of suspected patients in the suspected patient list
Infectious disease suspicious patient monitoring method comprising a. The method of claim 1,
The step of classifying as a suspected patient,
Classifying the patient as the suspected patient if the current symptom created in the preliminary investigation coincides with at least one of a plurality of symptoms defined in the infectious disease.
Infectious disease suspicious patient monitoring method comprising a. The method of claim 1,
The step of classifying as a suspected patient,
Classifying the patient as the suspected patient when at least one biometric value of body temperature, respiration, and pulse created in the pre-investigation is out of the normal range
How to monitor patients with suspected infectious diseases. The method of claim 1,
The step of checking whether to visit the visit,
Querying the patient's entry/exit records for the predetermined period from the server of the immigration agency using the patient identifier input at the time of receiving the medical treatment; And
Checking whether the country name designated as the country of occurrence of the infectious disease by the infectious disease management agency is included in the entry and exit record, and confirming whether the visit has occurred
Infectious disease suspicious patient monitoring method comprising a. The method of claim 4,
If the country of occurrence of the infectious disease is included in the immigration record,
The method of monitoring a patient suspected of infectious disease,
Guiding the fact of visiting the infected country to the originating country and symptoms prescribed by the infectious disease to a terminal treating the patient; And
Generating the medical record so that second data related to at least one of tests, prescriptions, drug injections, and self-isolation, created by the terminal, is included.
Infectious disease suspicious patient monitoring method further comprising. The method of claim 5,
If the medical record contains second data on tests related to infectious diseases,
The method of monitoring a patient suspected of infectious disease,
Reclassifying the patient as an infectious disease confirmed patient according to the result of the test, with the approval of the terminal; And
Reporting the confirmation of the infectious disease for the patient to the server of the infectious disease management institution
Infectious disease suspicious patient monitoring method further comprising. The method of claim 1,
When transmitting the patient's medical records,
The patient identifier for the patient, patient information including the patient name and gender, reception information including the date and time of the visit of the patient, the medical institution identifier of the medical institution that received treatment for the patient, and the medical institution name, address, and telephone number. Transmitting the included medical institution information and detailed information including software information on the EMR system installed in the medical institution to the server of the infectious disease management institution
Infectious disease suspicious patient monitoring method further comprising. The method of claim 7,
The step of transmitting together to the server of the infectious disease management institution,
Transmitting the medical institution identifier to a server of the infectious disease management institution to request authentication; And
When the medical institution is authenticated by the server of the infectious disease management institution,
Converting the patient's medical record and the detailed information into an EDI format, encrypting the converted patient's medical record and the detailed information by HTTPS, and transmitting the converted disease management institution to a server
Infectious disease suspicious patient monitoring method comprising a. delete delete A confirmation unit for confirming whether or not to visit a country where an infectious disease occurs within a certain period of time for a patient receiving treatment;
As the visit to the infectious disease-occurring country is confirmed, it is determined whether the first data created by preliminary investigation of the patient satisfies the selected condition, and if the condition is satisfied, the patient is classified as a suspected patient, and the A classification unit for registering the patient in a suspected patient list according to the classification; And
The patient's medical record generated according to the treatment based on the preliminary investigation is transmitted to the server of an infectious disease management institution to report the occurrence of the suspected patient, store the patient's medical record in a database, and the incubation period of the infectious disease Until elapsed, a processing unit that accumulates and stores medical records additionally generated by the medical institution that treated the patient in the database
Including,
The classification unit,
Based on all the medical records of the patient in the database, it is determined whether or not the infectious disease is confirmed, and when the infectious disease is confirmed, a subject having a relationship with the patient is additionally registered in the suspected patient list,
The processing unit,
Transmitting the result of monitoring the increase or decrease of the suspected patient to the server of the infectious disease management institution based on the total number of suspected patients in the suspected patient list
Suspected infectious disease monitoring system. The method of claim 11,
The classification unit,
Classifying the patient as the suspected patient if the current symptom created in the preliminary investigation coincides with at least one of a plurality of symptoms defined in the infectious disease.
Suspected infectious disease monitoring system. The method of claim 11,
The classification unit,
Classifying the patient as the suspected patient when at least one biometric value of body temperature, respiration, and pulse created in the pre-investigation is out of the normal range
Suspected infectious disease monitoring system. The method of claim 11,
The confirmation unit,
Using the patient identifier input at the time of receiving the treatment, from the server of the immigration agency, inquires the patient's immigration record for the predetermined period,
Checking whether the country of origin designated as the country of occurrence of the infectious disease by the infectious disease management agency is included in the entry/exit record,
Suspected infectious disease monitoring system. delete delete

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