WO1999021114A1 - Systeme d'enregistrement d'informations medicales, d'assurance et d'assistance sociale - Google Patents

Systeme d'enregistrement d'informations medicales, d'assurance et d'assistance sociale Download PDF

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Publication number
WO1999021114A1
WO1999021114A1 PCT/JP1998/004816 JP9804816W WO9921114A1 WO 1999021114 A1 WO1999021114 A1 WO 1999021114A1 JP 9804816 W JP9804816 W JP 9804816W WO 9921114 A1 WO9921114 A1 WO 9921114A1
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WO
WIPO (PCT)
Prior art keywords
information
medical
input device
data
recording medium
Prior art date
Application number
PCT/JP1998/004816
Other languages
English (en)
Japanese (ja)
Inventor
Shiro Shiraokawa
Hiroshi Hirai
Yasuhisa Kaneko
Original Assignee
Hikari Medikaru Kabushiki Kaisya
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
Priority claimed from JP30927597A external-priority patent/JPH11126233A/ja
Application filed by Hikari Medikaru Kabushiki Kaisya filed Critical Hikari Medikaru Kabushiki Kaisya
Priority to AU96475/98A priority Critical patent/AU9647598A/en
Publication of WO1999021114A1 publication Critical patent/WO1999021114A1/fr

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Classifications

    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q99/00—Subject matter not provided for in other groups of this subclass
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • G16H10/65—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records stored on portable record carriers, e.g. on smartcards, RFID tags or CD
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms

Definitions

  • the present invention relates to a medical information recording system. More specifically, the present invention records information on medical treatment, medication, examinations, health insurance affairs, etc. performed by medical institutions such as hospitals, pharmacies, and laboratories in the form of information such as text, images, and voice. In particular, it is possible for multiple medical institutions to refer to each other's medical treatment and medication history at the same time, and at the same time, to protect the privacy and present information to medical institutions. It relates to a completely new medical information recording system that can respect the will. Background art
  • JP-A-60-54550, JP-A-61-161571, JP-A-61-260356, JP-A-62-247463, JP-A-62-269534, and JP-A-5 Japanese Patent Application Laid-Open Nos. 2613, 5-35756, 5-225212, 6-83880, and the like are disclosed.
  • Japanese Patent Application Laid-Open No. Sho 60-54550 proposes that slip processing in a hospital be digitized to eliminate duplication of transcription work.
  • Japanese Patent Application Laid-Open No. 61-161571 proposes using a card storing electronic information for authentication of each patient.
  • Japanese Patent Laying-Open No. 62-247463 describes that inspection data is stored in a memory card.
  • Japanese Patent Application Laid-Open No. 62-269534 proposes that various procedures in a hospital be processed by a single network system.
  • Hei 5-2613 proposes that a plurality of hospitals use a common database by using a network system.
  • Japanese Patent Laying-Open No. 5-35756 proposes to reduce the number of operations in an information processing apparatus used in a hospital.
  • Japanese Patent Application Laid-Open No. 5-225212 proposes storing various kinds of information in an ID field corresponding to each patient.
  • Japanese Patent Laid-Open Publication No. Hei 6-83880 proposes displaying medical information stored in a database so that it can be easily used.
  • doctors are obliged to record a so-called “medical record”, that is, a medical record, on medical care performed on each patient.
  • Medical records are required to be kept for 5 years, so physicians can refer to patients who have re-examined their medical records, such as their medical history, medication history, and whether or not they have a lentogen test.
  • patients who have re-examined their medical records such as their medical history, medication history, and whether or not they have a lentogen test.
  • past medical records are rarely transmitted to other medical institutions. This can be disadvantageous or dangerous for the patient itself, such as duplication of tests, medication, and excessive exposure to X-rays, as well as contributing to the financial pressure on medical insurance.
  • the medical information described in the medical record is information that can be referred only to those who have special qualifications such as doctors.
  • a laboratory technician performs a test while referring to some medical information according to a doctor's inspection instruction, and, for example, a pharmacist prepares a drug according to a doctor's injection instruction.
  • the medical administration department performs business operations with reference to only items related to billing to patients and so-called receipts to medical insurance organizations, that is, descriptions of medical fee reimbursement statements. In this way, necessary information differs depending on the business of each party. Therefore, the information processing system built by medical institutions must be complicated. Therefore, individual information processing systems may be constructed for each department or institution, but with such a system configuration, a rational system cannot be realized due to duplication of equipment and operations.
  • the medical information there is information such as the name of the disease, such as cancer, that the notification to the patient is a problem, and at the same time, the patient himself wants to keep it confidential to the doctor due to the human relationship between the doctor and the patient. There is also information to do. In some cases, such as AIDS, a simple response can cause problems in privacy protection. Therefore, it is desirable that the use of medical information for oneself reflects the patient's will, but the information processing system for a medical institution reflects the patient's will and desire for privacy protection. There is no room.
  • the present invention solves the above-mentioned problems of the prior art, and allows a plurality of medical institutions to refer to each other's medical information while respecting the privacy and will of the patient, and to introduce new medical information that is easy to introduce. Its purpose is to provide a recording system. Disclosure of the invention
  • a recordable information recording medium in which records on medical treatment and medication are stored and owned by each patient, respectively; installed in each medical institution or medical department, and utilizing the medical institution or medical department Information writing means for storing usage information on the information recording medium brought by the patient who has taken care of, and information installed at each medical institution or medical department and brought by the patient who used the medical institution or medical department.
  • a medical information recording system comprising: an information reading unit that can read data stored in a recording medium under restrictions corresponding to each of the medical institutions, medical departments, or operators. Is provided.
  • the main feature of the medical information recording system is that the medical information itself is stored in a write-once type information recording medium, and the use of this recording medium is left to the patient's own judgment. That is, in this medical information system, the medical information is recorded on an information recording medium which is owned and carried by the patient himself.
  • This information recording medium is a write-once type, and once the medical information is recorded, even if it is corrected by a qualified person, the information including the one before correction is not deleted internally.
  • Each patient can arbitrarily submit such an information recording medium to a medical institution used by the patient, that is, a hospital, a pharmacy, a laboratory, an insurance place, or the like.
  • each medical institution can refer to the medical information, such as the symptoms, medical history, presence / absence of the test, and the results of each patient, as well as the medical treatment performed there. Information on medications, tests, etc. can be added.
  • writing and reading of medical information to and from a recording medium are performed within a range allowed for each medical institution, department, or operator.
  • medical information only medical doctors are allowed to write and read medical contents.
  • reception and back-office departments have the ability to read out treatment items and examination items related to fee calculation, and writing is limited to information related to back-office processing.
  • Inspection laboratories or inspection departments can read instructions for inspection items and inspection reports and write inspection results, but cannot access other information.
  • Medical information related to the test can be referred to.
  • a pharmacy only information on a doctor's medication order can be referred to.
  • the recording medium on which the medical information is recorded is attributed to each patient and carried by the patient. Therefore, even if a medical institution that supports this system is used, the use of the system is left to each patient's will. In addition, even when using medical information, the medical information is referred to under restrictions according to each medical institution, so that the privacy of the patient is not infringed. On the other hand, as long as this medical information recording system is used, the past medical information of each patient is accumulated, so that duplicate examinations, excessive medication, excessive X-ray exposure, etc. can be prevented beforehand. However, efficient medical care becomes possible.
  • the medical information recording system there is no particular restriction on the information processing system used by each medical institution as long as an interface for the information recording medium owned by the patient is secured. Therefore, in a large hospital, it can be incorporated as a part of the information processing system of the hospital. On the other hand, in small clinics and pharmacies, etc., the system can be incorporated into the system using an inexpensive information processing device such as a personal computer. Can respond. Also, it is not necessary to introduce equipment for network connection between medical institutions, install special software for it, and learn how to operate it. Therefore, it is possible to build a system for sharing medical information among multiple medical institutions without making huge investments like a large-scale network system.
  • a write-once information recording medium carried by a patient a laser card or a Drex La card (trade name) is used.
  • Type recording media are preferred.
  • This recording medium is a complete write-once type, and once recorded information cannot be changed, the contents are surely preserved.
  • the storage capacity of several megabytes makes it possible to store not only medical treatment information in text, but also lentogen photographs, image information on the affected area, and conversations of patients during medical interviews. Further, since a relatively simple writing / reading device is provided, it can be used by connecting to various information processing devices.
  • the write / read device (hereinafter, referred to as “drive device”) of the write-once information recording medium, it is possible to reliably restrict the use of medical information. It can be. That is, high security can be realized by mounting the use restriction function as a part of the hardware in the drive device.
  • the actual drive device is small and lightweight, more complete security can be realized by removing the drive device itself when not used by qualified persons. Needless to say, it is preferable that the medical information on the recording medium is encrypted by some method.
  • reading and writing of information in each institution or department are performed together with information processing in each institution or department. That is, a doctor can write medical information, a test instruction, a medication instruction, and the like while also filling in a medical record, and the inspection department can record information as a recording operation of a test result.
  • the system can be configured to write data at the same time as accounting and insurance processing. With this configuration, no additional work related to recording of medical information is required.
  • each data is separated into unit information, classified according to the content, and stored in a directory corresponding to each classification.
  • basic information such as the name of the recording medium owner and the insurance number is referred to each time it is accessed, it is stored in the highest level of the file system of the recording medium, that is, the so-called root directory. Is preferred.
  • a file name include a part indicating the data type as an extension so that each data can be classified according to a data type defined according to the information form.
  • a file system that allows both a single recording method, which adds data to past files when updating data, and a history information method, which generates a new independent file, to be appropriately selected according to the purpose.
  • a recordable information recording medium that stores records related to medical treatment, medication, and medical images and is owned and carried by each patient, and is installed in each medical institution or medical department, Information writing means for storing medical information in the information recording medium brought by a patient using the medical institution or medical department; installed in each medical institution or medical department; Information reading means which can read information stored in the information recording medium brought by a patient using the department under the restrictions corresponding to each of the medical institutions, medical departments or operators.
  • a data input device for a medical information system comprising: an image display device for displaying a choice of data to be input; The data input device of a medical information system, characterized in that the probable choice next input is configured to be displayed in order. Is provided.
  • This input device is configured so that a doctor unfamiliar with the operation of a so-called information processing device can quickly and accurately operate the input device.
  • the input device displays a highly probable option on a display device, and the selection device is selected by a pointing device. Input is completed only by instructing one of. For this reason, extremely quick input is possible, and omission of input or incomplete description can be prevented.
  • FIG. 1 is a diagram schematically showing a configuration of a medical care information recording system according to the present invention.
  • FIG. 2 is a diagram schematically showing the structure of data stored in a light source used in the medical information recording system shown in FIG.
  • FIG. 3 is a diagram schematically showing a configuration of a drive device that can be suitably used in the medical information recording system according to the present invention.
  • FIG. 4 is a diagram showing an input screen of examination instruction data in a doctor's terminal device.
  • FIG. 5 is a diagram showing an input screen of examination instruction data in a doctor's terminal device.
  • FIG. 6 is a diagram showing an input screen for examination instruction data in a doctor's terminal device.
  • FIG. 7 is a diagram showing display data on the terminal device of the inspection department.
  • FIG. 8 is a diagram showing an input screen of medication instruction data in a doctor's terminal device.
  • FIG. 9 is a diagram showing display data on a terminal device of a pharmacy.
  • FIG. 10 is a diagram showing display data on the terminal device of the office department.
  • FIG. 11 is a diagram showing display data on the terminal device of the office department.
  • FIG. 12 is a diagram showing a configuration example of a directory on a recording medium.
  • FIG. 13 is a diagram showing a data structure of information stored in a recording medium.
  • FIG. 14 is a diagram illustrating an example of a file name of information stored in a recording medium.
  • FIG. 15 is a diagram showing a configuration example of a file system for adding information to be recorded on a recording medium.
  • FIG. 16 is a diagram showing a procedure for accessing data on a recording medium.
  • FIG. 17 is a diagram showing a procedure for referring to data on a recording medium.
  • FIG. 18 is a diagram illustrating an input screen of an input device that can be suitably used in the system according to the present invention.
  • FIG. 19 is a diagram showing another screen of the input device.
  • FIG. 20 is a diagram also showing another screen of the input device.
  • the force s ′ described more specifically with reference to the drawings.
  • the following disclosure is merely an example of the present invention and does not limit the technical scope of the present invention in any way.
  • FIG. 1 is a diagram schematically showing a configuration example of a medical information recording system according to the present invention.
  • an optical recording card of the Japan Delux (DELA) method is used as a write-once type information recording medium carried by the patient.
  • the SIOC method can be used for a similar system.
  • the medical information recording system shown here sells to patients patients patients a hospital X equipped with a reception a, an office b, a consultation room (, an examination room d, etc., and a medicine prescribed at the hospital X. It is constructed to include a pharmacy Y, a clinic Z separate from hospital X, and a patient Q who owns a card C.
  • reception a, office b, examination room (:, examination room d)
  • Each of them has introduced an information processing device or terminal device Pa to Pd, and a card drive C a to C d device connected to it and equipped with restrictions according to each department.
  • the clinic Z also have installed personal computers Py and Pz connected to the optical card drive devices Cy and Cc, respectively, provided that the information installed at each of these medical institutions Processing devices or terminal devices Pa to Pd are not necessarily connected by a network. Not a translation.
  • a personal computer that has been introduced to the pharmacy Y and clinics Z is quite running in a stand-alone.
  • FIG. 2 is a diagram schematically showing a data structure stored in a light source used in the above system.
  • the optical card C contains the identification data D p that is always referred to by the user of this system, such as the patient's name, blood type, date of birth, and social insurance number, as well as the reception data D.
  • a, medical office data Db, treatment data Dc, examination data Dd, medication data Dy, etc. are stored as medical care data.
  • each medical data of the medical office data Da, the treatment data Dc, the medication data Dz, and the test data Dd is, for each data unit, what kind of data the data is.
  • the headers include Ha to Hd and Hp.
  • Each data is encrypted using algorithms Aa to Ad and Ap specific to the type of the data.
  • an algorithm corresponding to each kind of data is indispensable.
  • one data may have multiple attributes.
  • the treatment items themselves in the medical treatment data are also necessary for fee calculation and insurance claim processing in paperwork. Therefore, the treatment items are described using an algorithm that is compatible with the algorithm Aa in the medical office data.
  • Data that is compatible with such other types of data is represented by multiple headers in the figure for convenience, but the technology that achieves partial compatibility of the encryption algorithm is information processing technology. The detailed description is omitted in this specification.
  • FIG. 3 is a diagram schematically showing a configuration example of a drive device of an information recording medium that can be suitably used in the above-mentioned medical information recording system.
  • the drive unit is connected to a general-purpose input / output port of a main unit, which is a general-purpose information processing device or terminal device, using a cable.
  • the internal configuration of the drive device differs depending on the qualification of the user. That is, the drive device includes a connector 11 for connecting a cable, a communication circuit 12 for transmitting information to a main device to which the drive device is connected, and information recorded on the inserted force.
  • a ROM 15 storing an algorithm for decryption, a decryption circuit 13 for decrypting information with reference to the ROM 15, and a writing / reading device U for reading / writing information from / to a force inserted in the device. Each has.
  • the content of the ROM 15 mounted on the drive device differs depending on the drive device. That is, in the drive device shown in FIG. 3A, a ROM storing only the algorithm Aa is mounted. Therefore, in this drive device, only the data Da required for the reception work can be written or read. However, data Db-Dd which requires other algorithms Ab-Ad cannot be read and written by this drive device at all.
  • the drive device shown in Fig. 3 (c) implements a ROM that stores algorithms Ab to Ad. Therefore, this drive device can read and write all of the medical treatment data Dc, examination data Dd, and medication data Dz.
  • each drive device shown in FIGS. 3 (b) and 3 (d) can handle only data corresponding to the algorithm stored in each ROM.
  • the algorithm Ap is implemented in all drive devices. However, the identification data D p For this reason, writing is not allowed except when personalizing the force for the first time.
  • the above-mentioned drive device is used by clerks, doctors, pharmacists, laboratory technicians, etc. according to their qualifications. Then, each authorized data can be handled.
  • this drive unit can write or read data permitted by the drive unit owner to or from the card. Therefore, by removing and bringing the drive unit from the main unit, it is possible to restrict the use of others while away from home, and at the same time, connect to another main unit to perform work in different places become.
  • the patient Q When the patient Q receives medical treatment at the hospital X in the system as described above, first, he submits his optical card C at the reception desk a.
  • the card C of the patient Q is inserted into the drive device C a of the receptionist a, and the administrative data such as the insurance number of the patient Q, whether this patient Q is the first consultation or a re-examination, and whether or not there is a leading doctor. Is read from card C and accepted a.
  • patient Q brings card C and goes to consulting room c.
  • the physician conducts an inquiry while referring to the medical history and the like while inserting the card C of the patient Q into his / her own drive device Cc, and writes findings and instructions for examination.
  • patient Q brings card C to laboratory d to be examined.
  • the laboratory technician inserts the force C of the patient Q into his / her drive device C d and performs a test while referring to the doctor's test instructions and the patient's Q allergic response and X-ray exposure history.
  • the output of inspection results is automated in many inspection devices. Therefore, the writing of inspection data can be automated by interposing an appropriate interface.
  • the physician's own findings such as Lentogen examination, CT, MRI, and ultrasound echo
  • the findings can be added as medical information by connecting to the main device installed in the hospital.
  • Patient Q returns to examination room c with card C on which the test results are recorded.
  • the physician performs treatment while referring to the test results from the card C, and writes a record of treatment, a medication instruction, and the like on the card C.
  • Patient Q who has completed the consultation brings card C and brings card C to reception desk a.
  • the fee is calculated by referring to the examination items, treatment items, etc. from card C.
  • Office b handles insurance claims processing.
  • patient Q brings his card C and pharmacy Y go to. At the pharmacy Y, the drug is sold by referring to the doctor's medication order using the drive device Cy there.
  • the apparatus it is preferable to configure the apparatus so that the work of writing information to the card is performed simultaneously with the work for information processing in each department.
  • a doctor's office for example, to automatically enter the data to be described on the card with appropriate attributes when entering the electronic medical record. That is.
  • the office data to be recorded in the force can also be recorded on the card.
  • the output of various inspection devices can be recorded directly on the card.
  • FIG. 4 is a diagram showing an examination instruction input screen 100 as an example of an input screen display on the doctor's terminal device. As shown in the figure, the physician selects an appropriate one of the examination type options displayed on the upper left of the screen, and further details of each examination content as shown on the lower left of the screen 101 in FIG. 6 to complete the inspection instruction as shown on the right side of the screen 102 in FIG.
  • All the data entered here is stored in the optical medium, which is the recording medium, and the force 5 'is displayed on the terminal device of the inspection department in which this card is inserted, as shown in screen 103 in FIG. You. That is, here, a screen for inputting the inspection result is displayed at the same time as displaying the inspection items and methods. In addition, on this screen 103, a “doctor comment” column indicating precautions on examination is also displayed. However, here, only information related to the test is displayed, and information such as the disease name is not disclosed to the test department.
  • FIG. 8 is a diagram showing input of a medication instruction as another example of the display of the input screen 104 on the doctor's terminal device.
  • the doctor selects an appropriate one from the options displayed on the left side of the screen 104, and completes the prescription instruction as shown on the right side of the screen 104.
  • the data thus input is displayed on the terminal device of the pharmacy as shown on a screen 105 in FIG. That is, here, information such as the power s for displaying the drug type, the amount, the taking method, and the like, the name of the patient's disease, and the like are not disclosed.
  • FIG. 10 and FIG. 11 show display examples of the terminal device in the office / accounting processing department for a patient who received a medical examination and received the above-mentioned examination or medication instruction.
  • a terminal device such as a receptionist corresponding to a visitor displays only information relevant to the work, such as a patient's share of medical treatment costs.
  • the terminal device of the accounting department as shown in a screen 107 in FIG. 11, only the cost required for preparing the medical remuneration bill statement is displayed.
  • the data entry is performed by a specialist related to each task such as a doctor or a laboratory technician. Therefore, as shown in the figure, the contents of the data recorded on the card include the disease name, drug name, Laws, etc. are recorded in technical terms in each field.
  • the data format on the card is preferably stored in a simple data format such as a standard text file in ASCII code. That is, by keeping such a simple data format, a wide range of applications can be realized only by updating the information form conversion function on the reading side.
  • the name of the disease or drug is irrelevant to the work, and the medical fee required for entering the basic data for calculating the medical fee and calculating the patient's co-payment and the medical fee statement
  • each medical department can refer to one piece of medical information recorded on the card in an optimal state. Conversely, information that is not desired to be referenced by other departments is not displayed. Therefore, it is possible to rationalize medical services while achieving both effective use of medical information and protection of privacy. Further, in the system according to the present invention as described above, when a write-once type recording medium such as a light source is used as a recording medium, in particular, in order to reduce loss of capacity due to updating of recording data, It is preferable to write as small as possible. Thus, according to one of the preferred embodiments of the present invention, each data is separated into unit information and then classified according to the content, and as shown in FIG. Is preferably stored.
  • FIG. 16 is a diagram showing an access procedure to an optical card when using data recorded in the above format.
  • the application software ⁇ used in the information device connected to the optical power drive sends an information disclosure request including the ID and the passcode to the optical power driver B. Send to.
  • the optical driver B responds to the application software A with an approval or denial of access. If the access is approved, the application software A sends a command 3 for information retrieval to the optical power driver B.
  • the description file (2) and the unique information file (2) generated according to this command (3) are transferred according to the write or read processing.
  • the optical card driver B returns a response ⁇ ⁇ notifying the end of the process to the application software A.
  • the terminal devices Pa to Pd arranged in each department have force drive devices Ca to Cd connected thereto. Also a terminal device?
  • the display units of a to Pd are touch panels 21, and are configured so that a selection operation can be performed by touching an option area displayed on the screen. In addition to this selection operation, a normal input means such as a keyboard and a mouse can be used.
  • the card drive devices Ca to Cd are configured to display stored data in different forms depending on the department in which they are arranged.
  • FIG. 18 is a diagram showing an example of the initial display on the liquid crystal panel of the input device as described above. As shown in a screen 108 of the figure, on the liquid crystal panel screen 108, the medical information is displayed on the left side, and options for assisting the input of the doctor are displayed on the right side. Since the display has a touch panel function, the selection can be executed by directly touching the option on the screen 108.
  • the display in this figure is for a doctor to start a medical care operation.
  • a list of hospitalized patients read from the light source at the reception is displayed.
  • a patient who has visited for a medical examination and a patient who has visited only for, for example, medication, injection, or examination are distinguished from each other by changing the display color or display type. You. From these patients, the physician selects the next patient to be treated. Patient selection is also made by directly touching the list on the screen, and when the patient is selected, the screen display changes.
  • FIG. 19 is a diagram showing a screen displayed after selecting a patient.
  • a so-called medical record image is displayed on the left side, and options for assisting a doctor's input are displayed on the right side.
  • the past medical history and the data of the past illness stored in the card brought by each patient are also displayed.
  • an interview is carried out, and when "chief complaint" is selected, the display of options on the right side of the screen 109 changes. That is, as already shown on the screen 104 in FIG. 8, options such as where, how, how much, etc. appear sequentially. Therefore, by selecting these, the entry of the chief complaint in the medical record is completed as shown in the upper right column of the display.
  • a display device with a touch panel or the like that can be operated directly. This allows physicians to enter data by simply touching the screen with one hand. Further, according to a preferred embodiment of the present invention, the options appearing at this time are displayed in descending order of the probability of the option selected before. Therefore, it is not only easy to input, but also it is possible to effectively reduce entry errors and omissions.
  • a doctor makes a selection of a necessary test or the like according to the result of the above interview.
  • the screen 100 shifts to an inspection item selection screen as shown in FIG.
  • options with a high probability are sequentially displayed also for an instruction such as an inspection method, so that a simple operation such as touching this with a finger or the like can be performed.
  • the input of the inspection instruction is also completed.
  • past inspection results and the like can be referred to as necessary, as shown on a screen 110 in FIG.
  • data input for other medical treatments, treatments, and medications can be performed by simple operations.
  • the chief complaint can be recorded without using a keyboard at all. After completing the chief complaint and selecting “Close”, the screen returns to the medical record and initial options screen shown in Figure 19. Therefore, if you select “Remarks” and “Policy”, you can fill out the medical record with the same volume as the chief complaint.
  • the same input method can be used to create referral letters, prescriptions, and instructions. For the letter of introduction or prescription, a hard copy may be made on the spot, or the content may be transferred to the destination of the document via a LAN or the Internet. .
  • a series of operations as described above can be configured so that a doctor can perform the operation with one hand, so that it is possible to use a stethoscope or the like to immediately enter findings while using or operating the stethoscope. is there.
  • options can be selected by foot or line of sight, it can be used even in special situations during surgery or treatment.
  • this input device does not require special operation methods, it can be used immediately by doctors who are not used to operating a computer. (4) Mistakes are unlikely to occur.
  • the data input device can be easily operated even by a doctor unfamiliar with the operation of the information processing device, and can input data quickly and accurately. Therefore, at the same time as reducing the attendant duties of physicians, it is possible to prevent omissions and omissions, and to significantly improve the quality of information in the medical field.
  • medical information that is converted into electronic data with a certain quality can be used not only for doctors' own medical work, but also for operating clinics and saving labor in accounting.
  • the input device includes: Encourage physicians to focus on the core work of health care, make medical work records more accurate, and make a significant contribution to streamlining the overall health care system
  • the medical care information is stored in a write-once recording medium owned by the patient, and the use of the medical care information is set in advance in accordance with the qualification of each medical institution. Have been. Therefore, a single medical information can be used by many medical institutions, and the information can be efficiently stored and reused. In addition, it is possible to prevent duplication of examinations, excessive medication, X-ray exposure, etc., and to provide efficient medical treatment, thereby suppressing excessive expenditure on medical insurance.
  • the information recording medium storing the medical information is attributed to the patient's own, and its use is left to the patient's own will. Therefore, each patient's intention and privacy can be fully respected.
  • the configuration of the information processing system of each medical institution is not particularly limited as long as the interface for the recording medium owned by the patient is secured. . Therefore, it is possible to use the system with a device configuration according to each situation, from large-scale medical institutions with high systemization to small medical institutions such as clinics and pharmacies.
  • the system according to the present invention not only contributes to the rationalization of the operation and management of specific medical institutions, but also protects the privacy of each patient for medical treatment and at the same time is aware of the patient's own judgment and responsibility. And greatly contribute to the rationalization of the healthcare system as a whole.

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  • Engineering & Computer Science (AREA)
  • Health & Medical Sciences (AREA)
  • General Business, Economics & Management (AREA)
  • General Physics & Mathematics (AREA)
  • Physics & Mathematics (AREA)
  • Theoretical Computer Science (AREA)
  • Business, Economics & Management (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Primary Health Care (AREA)
  • Public Health (AREA)
  • Medical Treatment And Welfare Office Work (AREA)

Abstract

L'invention concerne un nouveau système de gestion d'informations utilisant des informations médicales, d'assurance et d'assistance sociale traitées dans une institution médicale tel qu'un hôpital, une pharmacie ou un institut effectuant des examens médicaux. Un support d'enregistrement inscriptible une seule fois est employé pour stocker des informations concernant le dossier médical d'un patient, ce support étant porté par le patient. On installe un dispositif d'inscription d'informations servant à stocker des information médicales sur le support d'enregistrement d'informations porté par le patient dans chaque institut médical ou dans chaque section de celui-ci. Chaque institut médical ou chaque section de celui-ci peut inscrire des informations sur le support d'enregistrement porté par le patient, ou lire des informations sur le support dans des limites fixées pour l'opérateur.
PCT/JP1998/004816 1997-10-23 1998-10-23 Systeme d'enregistrement d'informations medicales, d'assurance et d'assistance sociale WO1999021114A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU96475/98A AU9647598A (en) 1997-10-23 1998-10-23 System for recording medical, insurance and welfare information

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
JP30927597A JPH11126233A (ja) 1997-10-23 1997-10-23 診療情報記録システム
JP9/309275 1997-10-23
JP3679298 1998-02-03
JP10/36792 1998-02-03
JP3957298 1998-02-05
JP10/39572 1998-02-05

Publications (1)

Publication Number Publication Date
WO1999021114A1 true WO1999021114A1 (fr) 1999-04-29

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Family Applications (1)

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PCT/JP1998/004816 WO1999021114A1 (fr) 1997-10-23 1998-10-23 Systeme d'enregistrement d'informations medicales, d'assurance et d'assistance sociale

Country Status (2)

Country Link
AU (1) AU9647598A (fr)
WO (1) WO1999021114A1 (fr)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7949545B1 (en) 2004-05-03 2011-05-24 The Medical RecordBank, Inc. Method and apparatus for providing a centralized medical record system
JP2019531568A (ja) * 2016-09-12 2019-10-31 ナショナル ヘルス コーリション， インコーポレイテッドＮａｔｉｏｎａｌ Ｈｅａｌｔｈ Ｃｏａｌｉｔｉｏｎ， Ｉｎｃ． 処方薬の提出および履行に関連するリアルタイムヘルスケアデータを処理するためのシステム

Citations (6)

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Publication number Priority date Publication date Assignee Title
JPS63153666A (ja) * 1986-12-17 1988-06-27 Morita Mfg Co Ltd コンピユ−タ利用の医療総合処理システム
JPH04199271A (ja) * 1990-11-26 1992-07-20 Takehide Shimauchi 電子カルテ作成装置
JPH05143620A (ja) * 1991-11-22 1993-06-11 Dainippon Printing Co Ltd Ｉｃカードを利用した薬歴管理システム
JPH06149836A (ja) * 1992-11-12 1994-05-31 Shinichi Shiina 医療情報カードおよびこれを用いた医療情報システム
JPH06223089A (ja) * 1993-01-25 1994-08-12 Hitachi Ltd 処方箋発行方法および装置
JPH096867A (ja) * 1995-06-16 1997-01-10 Toshiba Medical Eng Co Ltd 医療情報伝送システム

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JPS63153666A (ja) * 1986-12-17 1988-06-27 Morita Mfg Co Ltd コンピユ−タ利用の医療総合処理システム
JPH04199271A (ja) * 1990-11-26 1992-07-20 Takehide Shimauchi 電子カルテ作成装置
JPH05143620A (ja) * 1991-11-22 1993-06-11 Dainippon Printing Co Ltd Ｉｃカードを利用した薬歴管理システム
JPH06149836A (ja) * 1992-11-12 1994-05-31 Shinichi Shiina 医療情報カードおよびこれを用いた医療情報システム
JPH06223089A (ja) * 1993-01-25 1994-08-12 Hitachi Ltd 処方箋発行方法および装置
JPH096867A (ja) * 1995-06-16 1997-01-10 Toshiba Medical Eng Co Ltd 医療情報伝送システム

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Title
JOURNAL OF SHIKOKU PUBLIC HEALTH SOCIETY, Vol. 41, No. 1, 1996, TAMAKI KAJIMOTO: "Concerning Cooperation Among Insurance, Medical Care and Welfare Through IC Cards (in Japanese)", pages 98-100, XP002922213. *

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7949545B1 (en) 2004-05-03 2011-05-24 The Medical RecordBank, Inc. Method and apparatus for providing a centralized medical record system
US8239218B1 (en) 2004-05-03 2012-08-07 The Medical RecordBank, Inc. Method and apparatus for providing a centralized medical record system
JP2019531568A (ja) * 2016-09-12 2019-10-31 ナショナル ヘルス コーリション， インコーポレイテッドＮａｔｉｏｎａｌ Ｈｅａｌｔｈ Ｃｏａｌｉｔｉｏｎ， Ｉｎｃ． 処方薬の提出および履行に関連するリアルタイムヘルスケアデータを処理するためのシステム

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