WO2013002127A1 - Programme modifiant des informations sur des patients gérées par des établissements médicaux, système utilisant ce programme et support d'enregistrement - Google Patents

Programme modifiant des informations sur des patients gérées par des établissements médicaux, système utilisant ce programme et support d'enregistrement Download PDF

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Publication number
WO2013002127A1
WO2013002127A1 PCT/JP2012/065919 JP2012065919W WO2013002127A1 WO 2013002127 A1 WO2013002127 A1 WO 2013002127A1 JP 2012065919 W JP2012065919 W JP 2012065919W WO 2013002127 A1 WO2013002127 A1 WO 2013002127A1
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WIPO (PCT)
Prior art keywords
information
patient
storage area
medical
program
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PCT/JP2012/065919
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English (en)
Japanese (ja)
Inventor
利文 福留
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Fukutome Toshifumi
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Application filed by Fukutome Toshifumi filed Critical Fukutome Toshifumi
Publication of WO2013002127A1 publication Critical patent/WO2013002127A1/fr

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    • 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

Definitions

  • the present invention relates to a program for converting patient information managed by each medical institution, a system using the program, and a storage medium storing the program.
  • medical information of a patient such as a medical record, which is a diagnosis result of a doctor, is electronically managed by a medical information system.
  • Patent Literature 1 a doctor is concentrated on an original medical practice by providing a control unit that calls up past electronic medical record information and creates the electronic medical record as the new electronic medical record information.
  • An electronic medical chart system that can reduce the burden when inputting medical information into a doctor's electronic medical chart is disclosed.
  • the medical information system introduced in each medical institution is unique for each manufacturer, and these medical information systems are not compatible between manufacturers. Therefore, a medical institution or the like that electronically outputs a patient's medical record from a medical information system of a certain medical institution and introduces a medical information system of a different manufacturer reads the medical record etc. into its own medical information system. The medical records etc. could not be viewed.
  • the medical information system introduced in each medical institution such as a hospital is unique as described above, the patient records his / her medical records electronically output from the medical information system on the PC at home. It was not possible to browse by etc.
  • the present invention has been made in view of such circumstances, and even if the medical information system introduced in each medical institution such as a hospital is different, it is electronically output from each medical information system. It is an object of the present invention to provide a program capable of converting patient information into a specific format, a system using the program, and a storage medium storing the program.
  • An instruction input means for receiving input of patient identification information The control means searches the patient information storage means of the information processing apparatus that manages patient information based on the inputted patient identification information, and calls the patient information related to the patient identification information;
  • the control means is a program that causes the information processing apparatus to execute the step of converting the called patient information into a specific format based on the conversion table stored in the conversion table storage means.
  • the control means searches the patient information storage means of the information processing apparatus that manages patient information based on the input patient identification information, and calls the patient information related to the patient identification information to the information processing apparatus.
  • a storage medium storing a program to be executed;
  • Information processing apparatus storing a program for causing the information processing apparatus to execute a step of converting the patient information called by the control unit into a specific format based on the conversion table stored in the conversion table storage unit
  • the control means searches the patient information storage means of the information processing apparatus that manages patient information based on the input patient identification information, and calls the patient information related to the patient identification information to the information processing apparatus.
  • An information processing apparatus storing a program to be executed;
  • a storage medium storing a program for causing the information processing apparatus to execute a step of converting the called patient information into a specific format based on the conversion table stored in the conversion table storage unit;
  • the control means searches the patient information storage means of the information processing apparatus that manages patient information based on the inputted patient identification information, and calls the patient information related to the patient identification information;
  • a program that causes the information processing apparatus to execute a step of converting the called patient information into a specific format based on the conversion table stored in the conversion table storage unit is stored. The medium.
  • the patient information electronically output from each medical information system is stored in a specific format. Can be converted to
  • FIG. 1 It is a schematic diagram which shows illustratively the input screen of the medical institution basic information of the authentication program of Example 2 which concerns on this invention. It is the figure which showed exemplarily the display screen which called the medical information which concerns on specific medical institution ID from each storage area
  • the instruction input unit receives the patient identification information
  • the control unit searches the patient information storage unit of the information processing apparatus that manages the patient information based on the input patient identification information. Calling the patient information related to the patient identification information, and the control means converting the called patient information into a specific format based on the conversion table stored in the conversion table storage means. Because it is configured to be executed by the information processing device, patient information electronically output from each medical information system is in a specific format even if the medical information system introduced in each medical institution such as a hospital is different Can be converted.
  • the configuration of the medical information card A according to this embodiment will be described with reference to FIG.
  • the medical information card A mainly includes a card unit 1 and a USB memory unit 2.
  • a neck strap 3 is attached to the card unit 1 so that the medical information card A can be hung from the user's neck.
  • the USB memory unit 2 is folded on the back side of the card unit 1 as shown in FIG.
  • the USB memory unit 2 is rotated to project the USB connector 21 as shown in FIG.
  • the USB memory unit 2 can be prevented from being broken even when wet.
  • the card unit 1 is made of plastic, for example, and has an IC card size of about 1.9 mm in thickness.
  • the USB memory unit 2 mainly includes a USB connector 21, a USB interface 22, a control unit 23, a storage unit 24, and a bus 25 that connects each device provided in the USB memory unit 2. These are formed on the same semiconductor substrate, for example.
  • the USB memory since the USB memory is used as the storage medium, it is necessary to prepare a dedicated device in order to view and input the medical information of the patient stored in the storage medium.
  • a general-purpose PC equipped with a USB connection terminal can be used.
  • a general-purpose PC equipped with a USB connection terminal is already convenient for patients and medical institutions, so there is no need to introduce new equipment.
  • the USB interface 22 receives data and commands output from the information processing apparatus 4 via the USB connector 21.
  • the USB interface 22 outputs data, programs, and the like read from the storage unit 24 to the information processing apparatus 4 via the USB connector 21.
  • LSI integrated circuit
  • the storage unit 24 is, for example, a 2 GB or 4 GB flash memory, and reads and outputs data according to a command from the control unit 23, and stores data received from the information processing apparatus 4. Details will be described later.
  • the information processing apparatus 4 includes at least a CPU 41 (an example of a control unit), a RAM 42, a ROM 43, an HD 44, a display 45, an instruction input unit 46 (an example of an instruction input unit), an interface 47, and these devices.
  • a bus 48 is connected.
  • the instruction input means 46 such as a keyboard or a mouse
  • the ROM 43 stores therein a program such as a basic I / O program and various data used in basic processing.
  • the HD 44 stores application programs, OS, control programs, related programs, and the like.
  • the HD 44 is provided with a conversion program storage area 441 and a conversion table storage area 442 (an example of a conversion table storage unit).
  • XML eXtensible Markup Language
  • the conversion program includes a step of causing the CPU 41 of the information processing device 4 to create the reception information storage area 247 in an empty area in the storage unit 24.
  • the reception information storage area 247 is created according to arguments (type, ver, pid, path).
  • the conversion program also stores the basic patient information and patient medical information, which are called from the patient information storage unit 121 of the information processing apparatus 12 (see FIG. 11) such as a medical institution server, into the CPU 41 of the information processing apparatus 4. Storing in the region 247.
  • the conversion program causes the CPU 41 of the information processing device 4 to call the patient basic information or the patient medical information stored in the reception information storage area 247 and refers to the conversion table stored in the conversion table storage area 442.
  • the conversion program includes a step of causing the CPU 41 of the information processing device 4 to store the patient basic information or patient medical information converted into a specific format such as XML in the patient basic information storage area 242 or the patient medical information storage area 243. .
  • the display 45 serves as a display means, and is, for example, a liquid crystal display, an organic EL display, a CRT, or a plasma display, and displays a command input from the instruction input means 46, a response output of the information processing apparatus 4 in response thereto, and the like. To do.
  • the instruction input unit 46 is, for example, a keyboard, a pointing device (such as a mouse), or a touch panel.
  • the user uses the instruction input unit 46 to instruct the information processing apparatus 4 to input a command or the like for controlling the information processing apparatus 4.
  • the instruction input means 46 receives input of patient identification information such as a medical examination ticket number from a user such as a medical institution.
  • Reference numeral 47 denotes an interface, through which data is exchanged with other devices.
  • the information processing apparatus 4 has at least an interface 47 connected to the USB connector 21 of the USB memory unit 2 and a USB connection terminal for exchanging data with the USB memory unit 2.
  • the storage unit 24 includes a browsing password storage area 241, a patient basic information storage area 242, a patient medical information storage area 243, an authentication program storage area 244, an encryption program storage area 245, an information calling program storage area 246, and a reception information storage area. 247 is provided.
  • the identification code is, for example, a combination of 7-digit alphabet and numbers.
  • the basic patient information storage area 242 stores basic patient information.
  • a writing password arbitrarily registered by a doctor or the like who inputs the information is set.
  • the medical information of the patient that is normally described in the medical chart is stored for each medical chart.
  • the medical information of the patient includes, for example, the name of the medical institution, the telephone number and address of the medical institution, the name of the medical office, the name of the doctor, the contents of the medical examination (surgery), the site of the medical examination, the name of the medication, the normal blood pressure, the normal pulse, , Medications, visit records, chief complaints, findings, tests.
  • a writing password arbitrarily registered by a doctor or the like who has input the information is set in the medical information of the patient.
  • the patient basic information stored in the patient basic information storage area 242 and the patient medical information stored in the patient medical information storage area 243 are encrypted.
  • the authentication program storage area 244 compares the input browsing password with the browsing password stored in the browsing password storage area 241, and if they match, the patient's information stored in the patient basic information storage area 242 is found. Permit browsing of the medical information stored in the basic information and patient medical information storage area 243, and compare the input write password with the specified medical information or the write password set in the basic information, If they match, an authentication program that permits writing to the medical information or basic information is stored.
  • AES-CBC-256 is preferably stored as an encryption program.
  • the information processing apparatus 12 that manages its own medical information, such as a server of a medical institution, based on patient identification information for identifying each patient in the medical institution such as an examination ticket number.
  • An information calling program for retrieving patient basic information and patient medical information such as a medical record stored in the patient information storage unit 121 and calling the patient basic information and patient medical information related to the patient identification information is stored.
  • the configuration of the information calling program will be described in detail below.
  • the information calling program has a step of causing the instruction input means 46 of the information processing apparatus 4 to accept input of patient identification information such as a medical examination ticket number.
  • the information calling program also sends the basic patient information or the patient medical information stored in the patient information storage unit 121 of the information processing apparatus 12 such as a medical institution server to the CPU 41 of the information processing apparatus 4 based on the patient identification information. And searching for patient basic information or patient medical information related to the patient identification information.
  • the received information storage area 247 stores basic patient information and patient medical information related to the patient identification information, which is called from the patient information storage unit 121 of the information processing apparatus 12 such as a medical institution server.
  • a doctor who examines a patient rotates the USB memory unit 2 of the medical information card A and connects the USB connector 21 to a USB connection terminal which is an interface 47 of the information processing apparatus 4 such as an electronic medical record input PC. Connect.
  • control unit 23 When the control unit 23 recognizes that the USB memory unit 2 is connected to the information processing apparatus 4 through the USB interface 22 (YES in step S501), the control unit 23 calls the authentication program from the authentication program storage area 244 and The encrypted program is called from the encrypted program storage area 245 and output to the information processing apparatus 4.
  • the CPU 41 of the information processing device 4 temporarily stores the received authentication program and encryption program in the RAM 42.
  • the information processing device 4 electrically detects the connection of the USB memory unit as a device, and the USB standard specification for the USB memory unit 2 is used.
  • the initialization process specified in is executed. Specifically, for example, exchange of USB device requests, exchange of descriptors, assignment of addresses to the USB memory unit 2 that is a connected device, and the like are executed.
  • the CPU 41 executes an authentication program. That is, the CPU 41 displays a browsing password input screen on the display 45 as shown in FIG. 6 (step S502).
  • the doctor inputs a viewing password using instruction input means 46 such as a keyboard or a mouse while viewing the input screen displayed on the display 45.
  • the CPU 41 compares the input browsing password with the browsing password stored in the browsing password storage area 241 (step S504), and if they match. (Yes in step S505), the access to the patient basic information storage area 242 and the patient medical information storage area 243 is permitted (step S506).
  • the CPU 41 displays an input screen such as a medical institution code on the display 45 as shown in FIG. 7 in order to register a new chart (step S507).
  • the doctor inputs a medical institution code or the like using an instruction input means 46 such as a keyboard or a mouse while looking at an input screen for a medical institution code or the like displayed on the display 45.
  • the CPU 41 displays a write password input screen on the display 45 in order to set the write password for the registered new chart (step S509).
  • the doctor inputs the writing password using the instruction input means 46 such as a keyboard or a mouse while looking at the writing password input screen displayed on the display 45.
  • the CPU 41 displays a medical chart input screen on the display 45 as shown in FIG. 8 in order to input medical information to the registered new medical chart (step S511). ).
  • the doctor inputs medical information using instruction input means 46 such as a keyboard or a mouse while looking at the chart input screen displayed on the display 45.
  • the CPU 41 encrypts the medical information included in the medical chart using the encryption program (step S513) and stores it in the patient medical information storage area 243. (Step S514).
  • a patient rotates the USB memory unit 2 of the medical information card A and connects the USB connector 21 to a USB connection terminal that is an interface 47 of the information processing apparatus 4 such as a home PC.
  • control unit 23 When the control unit 23 recognizes that the USB memory unit 2 is connected to the information processing apparatus 4 through the USB interface 22 (YES in step S901), the control unit 23 calls the authentication program from the authentication program storage area 244 and The encrypted program is called from the encrypted program storage area 245 and output to the information processing apparatus 4.
  • the CPU 41 of the information processing device 4 temporarily stores the received authentication program and encryption program in the RAM 42.
  • the CPU 41 executes an authentication program. That is, the CPU 41 displays a browsing password input screen on the display 45 as shown in FIG. 6 (step S902).
  • the patient inputs a viewing password using instruction input means 46 such as a keyboard and a mouse while viewing the input screen displayed on the display 45.
  • instruction input means 46 such as a keyboard and a mouse
  • the CPU 41 compares the input browsing password with the browsing password stored in the browsing password storage area 241 (step S904), and if they match. (YES in step S905), the access to the patient basic information storage area 242 and the patient medical information storage area 243 is permitted (step S906).
  • the CPU 41 calls the patient basic information stored in the patient basic information storage area 242 of the USB memory unit 2 and the medical information stored in the patient medical information storage area 243, The information is decrypted using an encryption program. Then, the CPU 41 temporarily stores the information in the RAM 42 and displays the information on the display 45.
  • a doctor at a medical institution rotates the USB memory unit 2 of the medical information card A and connects the USB connector 21 to a USB connection terminal that is an interface 47 of the information processing apparatus 4 such as an electronic medical record input PC. .
  • control unit 23 When the control unit 23 recognizes that the USB memory unit 2 is connected to the information processing apparatus 4 through the USB interface 22 (YES in step S1001), the control unit 23 calls the authentication program from the authentication program storage area 244 and The encrypted program is called from the encrypted program storage area 245 and output to the information processing apparatus 4.
  • the CPU 41 of the information processing device 4 temporarily stores the received authentication program and encryption program in the RAM 42.
  • the CPU 41 executes an authentication program. That is, the CPU 41 displays a browsing password input screen on the display 45 as shown in FIG. 6 (step S1002).
  • the doctor inputs a viewing password using instruction input means 46 such as a keyboard or a mouse while viewing the input screen displayed on the display 45.
  • the CPU 41 compares the input browsing password with the browsing password stored in the browsing password storage area 241 (step S1004), and if they match. (YES in step S1005), the access to the patient basic information storage area 242 and the patient medical information storage area 243 is permitted (step S1006).
  • the CPU 41 displays a medical institution code input screen on the display 45 as shown in FIG. 7 in order to search the medical record in which the medical information previously input by the doctor is recorded.
  • the doctor inputs a medical institution code or the like using an instruction input means 46 such as a keyboard or a mouse while looking at an input screen for a medical institution code or the like displayed on the display 45.
  • the CPU 41 calls the corresponding chart (step S1009).
  • the CPU 41 displays a write password input screen on the display 45 (step S1010).
  • the doctor inputs the writing password using the instruction input means 46 such as a keyboard or a mouse while looking at the writing password input screen displayed on the display 45.
  • the CPU 41 compares the input write password with the write password set in the called medical chart (step S1012). (YES in step S1013), writing of medical information to the medical chart is permitted (step S1014). That is, the CPU 41 displays a chart input screen of the chart on the display 45 as shown in FIG. 8 in order to input medical information to the chart.
  • the doctor adds or corrects medical information using instruction input means 46 such as a keyboard or a mouse while viewing the chart input screen displayed on the display 45.
  • the configuration when medical information or the like is stored in the USB memory unit 2, a configuration in which a doctor or the like inputs using the instruction input unit 46 such as a keyboard or a mouse is shown.
  • the configuration is limited to this configuration. It is not done.
  • a configuration may be adopted in which necessary data is output from the information processing apparatus 4 and captured. This configuration will be specifically described below.
  • an information processing device 4 such as a terminal PC installed in a medical institution is connected to an information processing device 12 (an example of an information processing device that manages patient information) such as a medical institution server. Is connected using.
  • the information processing device 12 manages each patient information related to the medical institution.
  • the information processing apparatus 12 is provided with patient information storage means 121 (an example of patient information storage means) in which basic information and medical information of each patient related to the medical institution is stored.
  • the patient information storage means 121 includes basic information of each patient, medical records of each patient, etc. based on the standardized storage decided in the Ministry of Health, Labor and Welfare's electronic medical information exchange promotion project (SS-MIX; Standardized Structured Medical Information Exchange). Medical information is stored.
  • the patient information storage unit 121 stores patient information such as a receipt such as a medical remuneration statement and a dispensing remuneration statement for each patient.
  • the network 14 is typically a LAN (Local Area Network), but may have any configuration as long as it can transmit and receive data regardless of wired / wireless.
  • a public line analog line, ISDN (Integrated Service Digital Network), etc.
  • WAN Wide Area Network
  • wireless LAN or the like may be used.
  • TCP / IP Transmission Control Protocol / Internet Protocol
  • TCP / IP Transmission Control Protocol / Internet Protocol
  • FIG. 5 and FIG. 12 are used for the flow when the patient medical information stored in the information processing apparatus 12 is stored in the patient medical information storage area 243 of the USB memory unit 2 using the information processing apparatus 4.
  • I will explain. Note that a case where a doctor or the like of a medical institution stores patient basic information in the patient basic information storage area 242 is the same as the case where medical information is written, and thus description thereof is omitted.
  • the flow will be described below using a case where a doctor stores medical information in a new medical record, but the same applies to the case where a doctor adds medical information to a medical record that has already been stored.
  • a doctor who examines a patient rotates the USB memory unit 2 of the medical information card A and connects the USB connector 21 to a USB connection terminal which is an interface 47 of the information processing apparatus 4 such as an electronic medical record input PC. Connect.
  • control unit 23 When the control unit 23 recognizes that the USB memory unit 2 is connected to the information processing apparatus 4 through the USB interface 22 (YES in step S501), the control unit 23 calls the authentication program from the authentication program storage area 244 and The encrypted program is called from the encrypted program storage area 245 and output to the information processing apparatus 4.
  • the CPU 41 of the information processing device 4 temporarily stores the received authentication program and encryption program in the RAM 42.
  • the CPU 41 executes an authentication program. That is, the CPU 41 displays a browsing password input screen on the display 45 as shown in FIG. 6 (step S502).
  • the doctor inputs a viewing password using instruction input means 46 such as a keyboard or a mouse while viewing the input screen displayed on the display 45.
  • the CPU 41 compares the input browsing password with the browsing password stored in the browsing password storage area 241 (step S504), and if they match. (Yes in step S505), the access to the patient basic information storage area 242 and the patient medical information storage area 243 is permitted (step S506).
  • the CPU 41 displays an input screen such as a medical institution code on the display 45 as shown in FIG. 7 in order to register a new chart (step S507).
  • the doctor inputs a medical institution code or the like using an instruction input means 46 such as a keyboard or a mouse while looking at an input screen for a medical institution code or the like displayed on the display 45.
  • the CPU 41 displays a write password input screen on the display 45 in order to set the write password for the registered new chart (step S509).
  • the doctor inputs the writing password using the instruction input means 46 such as a keyboard or a mouse while looking at the writing password input screen displayed on the display 45.
  • the CPU 41 displays a medical chart input screen on the display 45 as shown in FIG. 8 in order to input medical information to the registered new medical chart (step S511). ).
  • the doctor uses an instruction input means 46 such as a keyboard or a mouse to display an information capture screen (step S1201), and patient identification such as an examination ticket number related to the patient. Enter information.
  • the CPU 41 searches the patient medical information stored in the patient information storage unit 121 based on the patient identification information and relates to the patient identification information. Call the patient medical information (step S1203).
  • the CPU 41 creates the reception information storage area 247 in an empty area in the storage unit 24 (step S1204).
  • the CPU 41 stores the called patient medical information in the reception information storage area 247 (step S1205).
  • the CPU 41 calls out the patient medical information stored in the reception information storage area 247 and refers to the conversion table stored in the conversion table storage area 442 to extract a specific item from the called patient medical information. , Conversion to a specific format such as XML (step S1206).
  • the CPU 41 stores the patient medical information converted into a specific format such as XML in the patient medical information storage area 243 (step S1207).
  • Step S1206 will be described with a specific example.
  • the patient medical information stored in the reception information storage area 247 is classified by data type (for example, meal, prescription, injection, examination). Therefore, as shown in FIG. 13, the CPU 41 calls the medical information related to the prescription from the patient medical information stored in the reception information storage area 247.
  • the conversion table here, “item: prescription” portion
  • “Digocin 1000 times“ Chugai ”” is extracted as an item of “medicine information” and converted into a specific format such as XML.
  • “0.2 mg” is extracted as an item of “one dose” and converted into a specific format such as XML.
  • “After breakfast once a day” is extracted as an item of “daily amount” and converted into a specific format such as XML.
  • “5 days” is extracted as an item of “medication days” and converted into a specific format such as XML.
  • “November 26, 2005” is extracted as an item of “administration start date” and is converted into a specific format such as XML.
  • “November 30, 2005” is extracted as an item of “administration end date” and is converted into a specific format such as XML.
  • “ishi01” is extracted as an item of “registrant code” and converted into a specific format such as XML.
  • “ishi01 Keijima Kosuke” is extracted as an item of “registrant code” and converted into a specific format such as XML.
  • “November 26, 2005” is extracted as an item of “registrant date” and is converted into a specific format such as XML.
  • the patient information electronically output from each medical information system is XML or the like. Can be converted to a specific format.
  • the configuration of the medical information card B according to the present embodiment will be described with reference to FIG.
  • the medical information card B mainly includes a card unit 1 and a USB memory unit 6.
  • the neck strap 3 is attached to the card unit 1 so that the medical information card B can be hung from the user's neck.
  • the USB memory unit 6 is folded to the back side of the card unit 1 as shown in FIG.
  • the USB memory unit 6 is rotated to project the USB connector 61 as shown in FIG.
  • the USB memory unit 6 can be prevented from being damaged even when wet.
  • the USB memory unit 6 mainly includes a USB connector 61, a USB interface 62, a control unit 63, a storage unit 64, and a bus 65 that connects each device provided in the USB memory unit 6. These are formed on the same semiconductor substrate, for example.
  • the USB memory since the USB memory is used as the storage medium, it is necessary to prepare a dedicated device in order to view and input the medical information of the patient stored in the storage medium.
  • a general-purpose PC equipped with a USB connection terminal can be used.
  • a general-purpose PC equipped with a USB connection terminal is already convenient for patients and medical institutions, so there is no need to introduce new equipment.
  • the USB interface 62 receives data and commands output from the information processing apparatus 8 via the USB connector 61. In addition, the USB interface 62 outputs data, programs, and the like read from the storage unit 64 to the information processing apparatus 8 via the USB connector 61.
  • the storage unit 64 is, for example, a 2 GB or 4 GB flash memory, and reads and outputs data in accordance with a command from the control unit 63 and stores data received from the information processing apparatus 8. Details of the storage unit 64 will be described later.
  • the information processing apparatus 8 includes at least a CPU 81 (an example of a control unit), a RAM 82, a ROM 83, an HD 84, a display 85, an instruction input unit 86 (an example of an instruction input unit), an interface 87, and these devices.
  • a bus 88 is connected to each other.
  • the ROM 83 stores therein a program such as a basic I / O program and various data used in basic processing.
  • the HD 84 stores application programs, OS, control programs, related programs, and the like.
  • the HD 84 is provided with a conversion program storage area 841 and a conversion table storage area 442 (an example of a conversion table storage unit).
  • XML eXtensible Markup Language
  • the conversion program includes a step of causing the CPU 81 of the information processing device 8 to create the reception information storage area 247 in an empty area in the storage unit 64.
  • the reception information storage area 247 is created according to arguments (type, ver, pid, path).
  • the conversion program causes the CPU 81 of the information processing device 8 to store the basic patient information and the patient medical information called from the patient information storage unit 121 of the information processing device 12 such as a medical institution server in the reception information storage region 247.
  • the conversion program causes the CPU 81 of the information processing device 8 to call the patient basic information or patient medical information stored in the reception information storage area 247 and refers to the conversion table stored in the conversion table storage area 442.
  • the conversion program stores the patient basic information or patient medical information converted into a specific format such as XML from the patient basic information storage area 645 or the patient summary information storage area 646 in the CPU 81 of the information processing apparatus 8. Storing in any of the storage areas up to the area 651.
  • the display 85 serves as a display means, and is, for example, a liquid crystal display, an organic EL display, a CRT, or a plasma display, and displays a command input from the instruction input means 86, a response output of the information processing device 8 in response thereto, and the like. To do. In particular, the display 85 displays basic patient information and medical information.
  • the instruction input unit 86 is, for example, a keyboard, a pointing device (such as a mouse), or a touch panel.
  • the user uses the instruction input unit 86 to instruct the information processing apparatus 8 to input a command or the like for controlling the information processing apparatus 8.
  • the instruction input means 86 receives input of patient identification information such as a medical examination ticket number from a user such as a medical institution.
  • Reference numeral 87 denotes an interface, through which data is exchanged with other devices.
  • the information processing apparatus 8 has at least an USB connection terminal for connecting to the USB connector 61 of the USB memory unit 6 and exchanging data with the USB memory unit 6 as an interface 87.
  • the storage unit 64 includes a browsing password storage area 641, an authentication program storage area 642, an encryption program storage area 643, a login history storage area 644, a patient basic information storage area 645, and a patient summary information storage area. 646, patient prescription information storage area 647, patient examination information storage area 648, patient injection information storage area 650, patient care information storage area 651, patient reservation information storage area 653, patient personal information storage area 654, medical institution basic information storage An area 655, an access control information storage area 656, an information calling program storage area 246, and a reception information storage area 247 are provided.
  • the authentication program storage area 642 stores an authentication program.
  • the configuration of the authentication program will be described in detail below.
  • the authentication program has a step of causing the information processing apparatus 8 to display a browsing password input screen as shown in FIG. Further, when the authentication program receives the input of the browsing password through the instruction input unit 86, the authentication program calls the browsing password stored in the browsing password storage area 641 for reference, and matches the input browsing password. Whether to determine whether or not.
  • the authentication program when the input browsing password matches any browsing password stored in the browsing password storage area 641, and the input browsing password is a password indicating a medical institution,
  • the authentication program displays an input screen as shown in FIG. , Receiving the input of basic information of medical institutions such as a telephone number, a location, a department, and a doctor in charge.
  • the authentication program includes a step of causing the information processing apparatus 8 to store the medical institution basic information received through the instruction input unit 86 in the medical institution basic information storage area 655.
  • the authentication program accepts an input such as a medical institution ID through the instruction input means 86
  • the information processing apparatus 8 calls and refers to each medical institution ID stored in the medical institution basic information storage area 655 for input. And determining whether or not the medical institution ID matches.
  • the authentication program stores the input browsing password and The medical institution ID is stored in the login history storage area 644 at the time of login acceptance.
  • the authentication program stores the access control information storage area 656 in the information processing apparatus 8. And controlling access to each storage area from the patient basic information storage area 645 to the patient personal information storage area 654 by the medical institution based on the access control information related to the medical institution.
  • the authentication program causes the information processing apparatus 8 to refer to the access control information storage area 656 and stores the information by dividing each medical institution ID in each storage area from the patient prescription information storage area 647 to the patient care information storage area 651.
  • the authentication program includes a step of causing the information processing apparatus 8 to refer to the access control information storage area 656 and to call and display the patient basic information stored in the patient basic information storage area 645.
  • the authentication program includes a step of causing the information processing apparatus 8 to refer to the access control information storage area 656 and to call and display medical information stored in the patient summary information storage area 646 as shown in FIG.
  • the authentication program stores the medical information through the instruction input means 86 for any storage area assigned to the medical institution ID in each storage area from the patient prescription information storage area 647 to the patient care information storage area 651.
  • the information processing device 8 has a step of referring to the access control information storage area 656 and storing the medical information in the corresponding storage area.
  • the authentication program when the authentication program accepts input of patient basic information through the instruction input unit 86 to the patient basic information storage area 645, the authentication program causes the information processing apparatus 8 to refer to the access control information storage area 656, and the patient basic information storage area 645 has the step which memorize
  • the authentication program when the authentication program accepts input of medical information to the patient summary information storage area 646 through the instruction input unit 86, the authentication program causes the information processing apparatus 8 to refer to the access control information storage area 656 and the patient summary information storage area 646. Storing the medical information.
  • the authentication program When the authentication program receives a command for displaying medical information stored in the patient prescription information storage area 647 or the patient examination information storage area 648 via the instruction input unit 86, the authentication program accesses the information processing apparatus 8. Reference is made to the information storage area 656, and medical information stored in the patient prescription information storage area 647 or the patient examination information storage area 648 is displayed. In addition, when the authentication program receives input of medical information through the instruction input unit 86 for the patient prescription information storage area 647 or the patient examination information storage area 648, the authentication program causes the information processing apparatus 8 to refer to the access control information storage area 656. The medical prescription information storage area 647 or the patient examination information storage area 648 does not store the medical information but causes an error.
  • the authentication program When the authentication program receives a command to display the login history stored in the login history storage area 644 via the instruction input unit 86, the authentication program causes the information processing apparatus 8 to refer to the access control information storage area 656, A step of calling and displaying the login history stored in the login history storage area 644;
  • the authentication program is such that the input browsing password matches one of the browsing passwords stored in the browsing password storage area 641, and the input browsing password is any of fire fighting (emergency lifesaving), police, or local government.
  • the information processing apparatus 8 has a step of storing the input browsing password in the login history storage area 644 when the login is accepted.
  • the authentication program is such that the input browsing password matches one of the browsing passwords stored in the browsing password storage area 641, and the input browsing password is any of fire fighting (emergency lifesaving), police, or local government.
  • the information processing device 8 is made to refer to the access control information storage area 656, and based on the access control information related to fire fighting (emergency lifesaving) etc., the patient basics by fire fighting (emergency lifesaving) etc. There is a step of controlling access to each storage area from the information storage area 645 to the patient personal information storage area 654.
  • the authentication program includes a step of causing the information processing apparatus 8 to refer to the access control information storage area 656 and to call and display the medical information stored in the patient summary information storage area 646 as shown in FIG.
  • the authentication program when the authentication program accepts input of medical information to the patient summary information storage area 646 through the instruction input unit 86, the authentication program causes the information processing apparatus 8 to refer to the access control information storage area 656 and the patient summary information storage area 646.
  • the medical information is not stored in the memory, and an error is caused.
  • the information processing apparatus 8 includes a step of storing the input browsing password in the login history storage area 644 when the login is accepted.
  • the authentication program when the input browsing password matches any of the browsing passwords stored in the browsing password storage area 641, and the input browsing password is a password indicating the patient,
  • the information processing device 8 is referred to the access control information storage area 656, and based on the access control information related to the patient himself / herself, to each storage area from the patient basic information storage area 645 by the patient himself to the patient himself / herself information storage area 654 A step of controlling access to
  • the authentication program causes the information processing apparatus 8 to refer to the access control information storage area 656, and the patient basic information stored in the patient basic information storage area 645 and the patient stored in the patient reservation information storage area 653. Recalling and displaying the reservation information and the patient's personal information stored in the patient's personal information storage area 654.
  • the authentication program when the authentication program accepts input of patient basic information through the instruction input unit 86 to the patient basic information storage area 645, the authentication program causes the information processing apparatus 8 to refer to the access control information storage area 656, and the patient basic information storage area 645 has the step which memorize
  • the authentication program accepts input of patient reservation information to the patient reservation information storage area 653 through the instruction input means 86, the authentication program causes the information processing apparatus 8 to refer to the access control information storage area 656, and the patient reservation information storage area And 653 storing the patient reservation information.
  • the authentication program when the authentication program accepts input of patient personal information through the instruction input means 86 to the patient personal information storage area 654, the authentication program causes the information processing apparatus 8 to refer to the access control information storage area 656 and The information storage area 654 has a step of storing the patient's own medication information.
  • the authentication program When the authentication program accepts a command for displaying the medical information stored in the patient summary information storage area 646 through the instruction input means 86, the authentication program causes the information processing apparatus 8 to refer to the access control information storage area 656. , And a step of calling and displaying the medical information stored in the patient summary information storage area 646 as shown in FIG.
  • the authentication program when the authentication program accepts input of medical information to the patient summary information storage area 646 through the instruction input unit 86, the authentication program causes the information processing apparatus 8 to refer to the access control information storage area 656 and the patient summary information storage area 646.
  • the medical information is not stored in the memory, and an error is caused.
  • the authentication program When the authentication program receives a command to display the login history stored in the login history storage area 644 via the instruction input unit 86, the authentication program causes the information processing apparatus 8 to refer to the access control information storage area 656, A step of calling and displaying the login history stored in the login history storage area 644;
  • AES-CBC-256 is preferably stored as an encryption program.
  • the login subject is a medical institution
  • not only the browsing password but also a medical institution ID for identifying each medical institution is stored.
  • a user code can be stored as shown in FIG.
  • the user code identifies the user of the medical institution, for example, “Surgery A teacher”.
  • the authentication program can be obtained simply by browsing the login history storage area 644. It is possible to grasp the main body logged in and the login date and time.
  • the patient basic information storage area 645 stores basic patient information.
  • patient summary information storage area 646 for example, as patient summary information, past history, contraindications / allergy, allergy can be grasped only by browsing medical information stored in the patient summary information storage area 646. Medical information such as regular medicine is stored.
  • the patient prescription information storage area 647 stores medical information related to prescription performed by the medical staff for the patient as shown in FIG.
  • the medical information related to prescription is, for example, the type of medicine prescribed to the patient, the amount of medicine, the date of prescription, and the name of the prescription medical worker. These medical information regarding prescriptions are stored separately for each medical institution, and are stored in association with each medical institution ID.
  • ⁇ Configuration of patient examination information storage area 648> medical information relating to examinations performed by medical personnel on the patient is stored.
  • the medical information related to the examination includes, for example, the type of examination examined by the patient, the examination result, the date of examination, and the name of the medical worker who conducted the examination.
  • the medical information related to the examination is stored separately for each medical institution, and is stored in association with each medical institution ID.
  • medical information relating to injections performed by medical personnel on the patient is stored.
  • the medical information regarding the injection includes, for example, the type of injection received by the patient, the amount of medicine injected, the date of injection, and the name of the medical worker who performed the injection.
  • the medical information related to the injection is stored separately for each medical institution, and is stored in association with each medical institution ID.
  • the patient care information storage area 651 stores medical information related to care related to the patient.
  • Medical care-related medical information includes, for example, a long-term care insurance number, an expiration date, a degree of long-term care, an insurance type, a pension type, a use service such as a special nursing home / short stay / day service, a degree of dementia, and a mental state.
  • the medical information related to care is stored separately for each medical institution, and is stored in association with each medical institution ID.
  • medical information related to a reservation of a medical institution related to the patient is stored.
  • the medical information related to the reservation of the medical institution is, for example, the name of the reserved medical institution, the date and time of appointment for medical treatment, the doctor in charge, and the like.
  • medical information relating to the over-the-counter medicine taken by the patient himself / herself at home or the like is stored as shown in FIG.
  • the medical information related to the marketed medicine taken by itself is, for example, the type of medicine taken, the amount of medicine taken, the date of taking, and the like.
  • the medical institution basic information storage area 655 stores basic information related to each medical institution as shown in FIG.
  • Basic information relating to a medical institution is, for example, a medical institution ID, a name of the medical institution, a telephone number, a postal code, a location, a department, a doctor in charge, and the like.
  • Basic information relating to a medical institution is stored separately for each medical institution, and is stored in association with each medical institution ID.
  • access control information it is stored that browsing / writing is permitted when a medical institution accesses the patient basic information storage area 645 or the patient summary information storage area 646. Further, in this embodiment, when access is made to any one of the patient prescription information storage area 647 and the patient examination information storage area 648 from the medical institution as the access control information, the browsing includes other medical institutions. On the other hand, regarding writing, it is stored that only medical information relating to the medical institution is allowed. Further, in this embodiment, when access is made from the medical institution to any one of the patient injection information storage area 650 and the patient care information storage area 651 as the access control information, the medical information related to the medical institution It is remembered that only browsing / writing is permitted.
  • access control information when the patient himself / herself accesses any one of the storage areas of the patient basic information storage area 645, the patient reservation information storage area 653, and the patient himself / herself information storage area 654, browsing is performed. / It is remembered that writing is allowed. Further, in the present embodiment, as access control information, information indicating that browsing is permitted when the patient himself / herself accesses the patient summary information storage area 646 is stored.
  • the users are five members of “medical institution”, “fire fighting (emergency life)”, “police”, “local government (country, prefecture, municipality, self-defense force)”, “patient”,
  • the configuration in which the access control information described above is stored in the access control information storage area 656 for the user is shown.
  • the number of users is not limited to the above five persons. For example, even if two persons are a “medical institution” and a “patient”, the above five persons include “out-of-hospital pharmacy” and “home care support establishment”. ”,“ Visiting care station ”,“ care manager ”,“ nursing facility ”, and“ life insurance company ”may be added as 11 persons.
  • the access control information for each user is not limited to the above-described configuration, and the above-described configuration is an example.
  • the patient injection information storage area 650 and the patient care information storage are provided as access control information for a medical institution.
  • it may be configured to store that only browsing is permitted.
  • the patient summary information storage area 646 as access control information for the police and local governments (countries, prefectures, municipalities, self-defense forces), it is stored that the browsing and writing are not permitted.
  • a configuration may be stored in which browsing is permitted.
  • the patient basic information stored in the patient basic information storage area 645 and the medical information of the patients stored in each storage area from the patient summary information storage area 646 to the patient personal information storage area 654 are respectively Encrypted and stored.
  • FIG. 32 a doctor who examines a patient (person) rotates the USB memory unit 6 of the medical information card B to connect to the USB 87 as the interface 87 of the information processing apparatus 8 such as a desktop PC installed in the hospital. Connect the USB connector 61 to the terminal.
  • control unit 63 When the control unit 63 recognizes that the USB memory unit 6 is connected to the information processing apparatus 8 through the USB interface 62 (“YES” in step S3201), the control unit 63 calls the authentication program from the authentication program storage area 642 and The encryption program is called from the encryption program storage area 643 and output to the information processing apparatus 8.
  • the CPU 81 of the information processing apparatus 8 temporarily stores the received authentication program and encryption program in the RAM 82.
  • the information processing device 8 electrically detects the connection of the USB memory unit 6 as a device, and the USB standard for the USB memory unit 6 is detected.
  • the initialization process specified in the specification is executed. Specifically, for example, exchange of USB device requests, exchange of descriptors, assignment of addresses to the USB memory unit 6 that is a connected device, and the like are executed.
  • the CPU 81 of the information processing apparatus 8 executes an authentication program.
  • the CPU 81 performs control to display the browsing password input screen as shown in FIG. 19 on the display 85 (step S3202).
  • the CPU 81 accepts the input of the browsing password through the instruction input means 86 (“YES” in step S3203), the CPU 81 calls and references the browsing password stored in the browsing password storage area 641, and matches the input browsing password. Control to determine whether or not.
  • the CPU 81 matches the input browsing password with any of the browsing passwords stored in the browsing password storage area 641 (“YES” in step S3204), and the input browsing password indicates a medical institution.
  • a doctor or the like of the medical institution operates the instruction input unit 86 while viewing the input screen of the medical institution ID, and inputs the medical institution ID, user code, and the like related to his / her medical institution.
  • the doctor of the medical institution operates the instruction input unit 86 to input the medical institution basic information. Enter.
  • the CPU 81 receives an input of the command through the instruction input unit 86, the CPU 81 displays an input screen as shown in FIG. 21 on the display 85, and medical names such as the name of the medical institution, the telephone number, the location, the medical department, the doctor in charge, etc. Control to accept input of basic engine information.
  • the CPU 81 performs control to store the medical institution basic information in the medical institution basic information storage area 655.
  • the CPU 81 when the CPU 81 receives an input of a medical institution ID or the like through the instruction input unit 86 (“YES” in step S3206), the CPU 81 calls and refers to each medical institution ID stored in the medical institution basic information storage area 655, Control is performed to determine whether or not it matches the input medical institution ID.
  • the CPU 81 inputs the browse password and the medical
  • the engine ID is stored in the login history storage area 644. Further, when the input medical institution ID matches any medical institution ID stored in the medical institution basic information storage area 655, the CPU 81 refers to the access control information storage area 656, and FIG.
  • the medical information related to the medical institution ID is called out among the medical information stored in the respective storage areas from the patient prescription information storage area 647 to the patient care information storage area 651 for each medical institution ID.
  • Control to display on the display 85 is performed (step S3208).
  • the CPU 81 refers to the access control information storage area 656 and stores the medical information stored in the respective storage areas from the patient prescription information storage area 647 to the patient care information storage area 651 for each medical institution ID. Among them, the medical information related to the medical institution ID is called, and the medical information is decrypted using the encryption program. Then, the CPU 81 temporarily stores the medical information in the RAM 82 and displays the medical information on the display 85.
  • the instruction input means 86 is operated to operate the patient. Any storage area from the prescription information storage area 647 to the patient care information storage area 651 is designated, and medical information is input to the designated storage area.
  • the encryption program I used to encrypt the medical information and refer to the access control information storage area 656 to perform control for storing the medical information in the corresponding storage area (step S3302).
  • the instruction input means 86 When a doctor of a medical institution wants to view the basic information or patient summary information of the patient, the instruction input means 86 is operated, and the patient basic information or patient summary information stored in the patient basic information storage area 645 A command for displaying medical information stored in the storage area 646 is input.
  • the CPU 81 When the CPU 81 receives an input of a command for displaying the patient basic information stored in the patient basic information storage area 645 or the medical information stored in the patient summary information storage area 646 through the instruction input means 86 (step S3303). "YES"), the access control information storage area 656 is referred to, the patient basic information stored in the patient basic information storage area 645 or the medical information stored in the patient summary information storage area 646 is called and encrypted. The information is decrypted using a program. Then, the CPU 81 temporarily stores the information in the RAM 82 and then performs control to display the information on the display 85 (step S3304).
  • the instruction input unit 86 is used. Operate to input basic patient information or medical information.
  • the instruction input unit 86 When a doctor of a medical institution wants to view medical information related to the patient's prescription or medical information related to the patient's examination, the instruction input unit 86 is operated to store the patient prescription information storage area 647 or the patient examination information storage. A command for displaying medical information stored in area 648 is input.
  • step S3309 When the CPU 81 receives a command for displaying the login history stored in the login history storage area 644 via the instruction input means 86 (“YES” in step S3309), the login stored in the login history storage area 644 is performed. Control to call and display the history is performed (step S3310).
  • a lifesaving person who transports a patient rotates the USB memory unit 6 of the medical information card B, and is a USB that is an interface 87 of an information processing apparatus 8 such as a notebook PC mounted on an ambulance. Connect the USB connector 61 to the connection terminal.
  • control unit 63 When the control unit 63 recognizes that the USB memory unit 6 is connected to the information processing apparatus 8 through the USB interface 62 (YES in step S3201), the control unit 63 calls the authentication program from the authentication program storage area 642 and encrypts the information. The encrypted program is called from the encrypted program storage area 643 and output to the information processing apparatus 8.
  • the CPU 81 of the information processing apparatus 8 temporarily stores the received authentication program and encryption program in the RAM 82.
  • the CPU 81 of the information processing apparatus 8 executes an authentication program.
  • the CPU 81 performs control to display the browsing password input screen as shown in FIG. 19 on the display 85 (step S3202).
  • the CPU 81 accepts the input of the browsing password through the instruction input means 86 (“YES” in step S3203), the CPU 81 calls the browsing password stored in the browsing password storage area 641 and matches it, and matches the input browsing password. Control to determine whether or not.
  • the CPU 81 matches the input browsing password with one of the browsing passwords stored in the browsing password storage area 641 (“YES” in step S3204), and the input browsing password is the fire fighting (emergency lifesaving). If the password is recognized as a password indicating the password, control is performed to store the input browsing password in the login history storage area 644 when the login is accepted.
  • the CPU 81 refers to the access control information storage area 656 and stores it in the patient summary information storage area 646.
  • the stored medical information is called and the medical information is decrypted using an encryption program.
  • the CPU 81 temporarily stores the medical information in the RAM 82 and then performs control to display the medical information on the display 85 as shown in FIG. 23 (step S3401).
  • the patient (person) rotates the USB memory unit 6 of the medical information card B and connects the USB connection terminal which is the interface 87 of the information processing apparatus 8 such as a desktop PC at the patient's (person's) home.
  • the connector 61 is connected.
  • control unit 63 When the control unit 63 recognizes that the USB memory unit 6 is connected to the information processing apparatus 8 through the USB interface 62 (YES in step S3201), the control unit 63 calls the authentication program from the authentication program storage area 642 and encrypts the information. The encrypted program is called from the encrypted program storage area 643 and output to the information processing apparatus 8.
  • the CPU 81 of the information processing apparatus 8 temporarily stores the received authentication program and encryption program in the RAM 82.
  • the CPU 81 of the information processing apparatus 8 executes an authentication program.
  • the CPU 81 performs control to display the browsing password input screen as shown in FIG. 19 on the display 85 (step S3202).
  • the CPU 81 accepts the input of the browsing password through the instruction input means 86 (“YES” in step S3203), the CPU 81 calls the browsing password stored in the browsing password storage area 641 and matches it, and matches the input browsing password. Control to determine whether or not.
  • the CPU 81 matches the input browsing password with one of the browsing passwords stored in the browsing password storage area 641 (“YES” in step S3204), and the input browsing password indicates the patient (person). If it is recognized that the password is shown, control is performed to store the input browsing password in the login history storage area 644 when the login is accepted.
  • the CPU 81 refers to the access control information storage area 656 and stores it in the patient basic information storage area 645. The stored patient basic information and the medical information stored in the patient reservation information storage area 653 and the patient personal information storage area 654 are called, and the information is decrypted using an encryption program. Then, the CPU 81 temporarily stores the information in the RAM 82 and then performs control to display the information on the display 85 (step S3501).
  • the means 86 is operated to input basic patient information or medical information.
  • the CPU 81 When the CPU 81 accepts the input of the patient basic information to the patient basic information storage area 645 through the instruction input means 86 (“YES” in step S3601), the CPU 81 encrypts the information using the encryption program and accesses the information. With reference to the control information storage area 656, control is performed to store the encrypted patient basic information in the patient basic information storage area 645 (step S3602). Alternatively, when the CPU 81 accepts input of medical information related to the reservation through the instruction input unit 86 to the patient reservation information storage area 653 (“YES” in step S3601), the CPU 81 encrypts the medical information using the encryption program.
  • the access control information storage area 656 is referred to, and the medical information encrypted in the patient reservation information storage area 653 is stored (step S3602).
  • the CPU 81 accepts input of medical information related to personal use through the instruction input unit 86 to the patient personal use information storage area 654 (“YES” in step S3601), the medical information is stored using the encryption program.
  • the access control information storage area 656 is referred to, and the encrypted medical information is stored in the patient personal use information storage area 654 (step S3602).
  • the instruction input unit 86 is operated to input a command for displaying the medical information stored in the patient summary information storage area 646.
  • the CPU 81 When the CPU 81 receives a command for displaying the medical information stored in the patient summary information storage area 646 via the instruction input means 86 (“YES” in step S3603), the CPU 81 refers to the access control information storage area 656. The medical information is decrypted using an encryption program. Then, the CPU 81 temporarily stores the medical information in the RAM 82, and then performs control to call and display the medical information stored in the patient summary information storage area 646 as shown in FIG. 23 (step S3604).
  • the instruction input means 86 is operated to input a command for displaying the login history stored in the login history storage area 644.
  • the CPU 81 When the CPU 81 receives a command for displaying the login history stored in the login history storage area 644 via the instruction input means 86 (“YES” in step S3605), the CPU 81 refers to the access control information storage area 656 and logs in. Control is performed to call and display the login history stored in the history storage area 644 (step S3606).
  • each storage area such as the patient basic information storage area 645, the patient summary information storage area 646, and the patient prescription information storage area 647. Since information is set for each browsing password, each storage area can be browsed / read according to the browsing password entered by each user such as a patient (person), medical institution, fire department (emergency lifesaving), police officer, local government, etc. Whether or not writing is permitted can be changed.
  • a configuration in which a doctor or the like inputs using the instruction input means 86 such as a keyboard or a mouse is shown. It is not limited. For example, a configuration may be adopted in which necessary data is output from the information processing apparatus 8 and captured. This configuration will be specifically described below.
  • an information processing apparatus 8 such as a terminal PC installed in a medical institution is connected to an information processing apparatus 12 (an example of an information processing apparatus that manages patient information) such as a medical institution server. Is connected using.
  • the patient medical information stored in the information processing apparatus 12 is stored in the storage area from the patient summary information storage area 646 of the USB memory unit 6 to the patient care information storage area 651 using the information processing apparatus 8.
  • the flow in the case of performing will be described with reference to FIGS. 32 and 38.
  • a doctor who examines a patient rotates the USB memory unit 6 of the medical information card B to connect to the USB 87 as the interface 87 of the information processing apparatus 8 such as a desktop PC installed in the hospital. Connect the USB connector 61 to the terminal.
  • control unit 63 When the control unit 63 recognizes that the USB memory unit 6 is connected to the information processing apparatus 8 through the USB interface 62 (“YES” in step S3201), the control unit 63 calls the authentication program from the authentication program storage area 642 and The encryption program is called from the encryption program storage area 643 and output to the information processing apparatus 8.
  • the CPU 81 of the information processing apparatus 8 temporarily stores the received authentication program and encryption program in the RAM 82.
  • the information processing device 8 electrically detects the connection of the USB memory unit 6 as a device, and the USB standard for the USB memory unit 6 is detected.
  • the initialization process specified in the specification is executed. Specifically, for example, exchange of USB device requests, exchange of descriptors, assignment of addresses to the USB memory unit 6 that is a connected device, and the like are executed.
  • the CPU 81 of the information processing apparatus 8 executes an authentication program.
  • the CPU 81 performs control to display the browsing password input screen as shown in FIG. 19 on the display 85 (step S3202).
  • the CPU 81 accepts the input of the browsing password through the instruction input means 86 (“YES” in step S3203), the CPU 81 calls and references the browsing password stored in the browsing password storage area 641, and matches the input browsing password. Control to determine whether or not.
  • the CPU 81 matches the input browsing password with any of the browsing passwords stored in the browsing password storage area 641 (“YES” in step S3204), and the input browsing password indicates a medical institution.
  • a doctor or the like of the medical institution operates the instruction input unit 86 while viewing the input screen of the medical institution ID, and inputs the medical institution ID, user code, and the like related to his / her medical institution.
  • the doctor of the medical institution operates the instruction input unit 86 to input the medical institution basic information. Enter.
  • the CPU 81 receives an input of the command through the instruction input unit 86, the CPU 81 displays an input screen as shown in FIG. 21 on the display 85, and medical names such as the name of the medical institution, the telephone number, the location, the medical department, the doctor in charge, etc. Control to accept input of basic engine information.
  • the CPU 81 performs control to store the medical institution basic information in the medical institution basic information storage area 655.
  • the CPU 81 when the CPU 81 receives an input of a medical institution ID or the like through the instruction input unit 86 (“YES” in step S3206), the CPU 81 calls and refers to each medical institution ID stored in the medical institution basic information storage area 655, Control is performed to determine whether or not it matches the input medical institution ID.
  • the CPU 81 inputs the browse password and the medical
  • the engine ID is stored in the login history storage area 644.
  • the CPU 81 refers to the access control information storage area 656 to obtain patient prescription information.
  • the medical information related to the medical institution ID is called and displayed on the display 85. Control is performed (step S3208).
  • the doctor of the medical institution uses an instruction input means 86 such as a keyboard or a mouse to display an information capture screen (step S3801), and the examination ticket number related to the patient. Enter patient identification information.
  • the CPU 81 searches patient medical information stored in the patient information storage unit 121 based on the patient identification information, and relates to the patient identification information. Call the patient medical information (step S3803).
  • the CPU 81 creates the reception information storage area 247 in an empty area in the storage unit 64 (step S3804).
  • the CPU 81 stores the called patient medical information in the reception information storage area 247 (step S3805).
  • the CPU 81 retrieves the patient medical information stored in the reception information storage area 247 and refers to the conversion table stored in the conversion table storage area 442 to extract a specific item from the called patient medical information. , Conversion into a specific format such as XML (step S3806). The CPU 81 stores the patient medical information converted into a specific format such as XML in any storage area from the patient summary information storage area 646 to the patient care information storage area 651 (step S3807).
  • Steps S3806 and S3807 will be described with specific examples.
  • the patient medical information stored in the reception information storage area 247 is classified by data type (for example, meal, prescription, injection, examination). Therefore, as shown in FIG. 13, the CPU 81 calls the medical information related to the prescription from the patient medical information stored in the reception information storage area 247.
  • the conversion table here, “item: prescription” portion
  • “Digocin 1000 times“ Chugai ”” is extracted as an item of “medicine information” and converted into a specific format such as XML.
  • “0.2 mg” is extracted as an item of “one dose” and converted into a specific format such as XML.
  • “After breakfast once a day” is extracted as an item of “daily amount” and converted into a specific format such as XML.
  • “5 days” is extracted as an item of “medication days” and converted into a specific format such as XML.
  • “November 26, 2005” is extracted as an item of “administration start date” and is converted into a specific format such as XML.
  • “November 30, 2005” is extracted as an item of “administration end date” and is converted into a specific format such as XML.
  • “ishi01” is extracted as an item of “registrant code” and converted into a specific format such as XML.
  • the patient information electronically output from each medical information system is XML or the like. Can be converted to a specific format.
  • the storage unit 64 includes a browsing password storage area 641, an authentication program storage area 642, an encryption program storage area 643, a login history storage area 644, a patient basic information storage area 645, and a patient summary information storage area 646.
  • Patient prescription information storage area 647, patient examination information storage area 648, patient injection information storage area 650, patient care information storage area 651, patient reservation information storage area 653, patient personal information storage area 654, medical institution basic information storage area 655 a configuration in which an access control information storage area 656 is provided is shown. However, it is not limited to this configuration.
  • a patient finding information storage area for storing medical information related to the findings of a doctor of a medical institution for the patient
  • a patient mother and child notebook information storing area for storing medical information related to the patient as a pregnant woman and the child of the patient
  • the medical information is divided into items such as “prescription”, “examination”, and “injection”, and the medical information is stored in the storage area for each divided item.
  • the items are merely examples, and are not limited to the configurations shown in the present embodiment.
  • the CPU 41 or 81 searches the patient basic information or the patient medical information stored in the patient information storage unit 121 based on the patient identification information, and the patient related to the patient identification information.
  • the reception information storage area 247 is created in a vacant area in the storage unit 24 or 64 after calling the basic information or the patient medical information
  • the present invention is not limited to this configuration, and the CPU 41 or 81 May be configured to search the patient information storage unit 121 based on the patient identification information after the reception information storage area 247 is created.
  • the CPU 41 or 81 temporarily stores the patient basic information or patient medical information called from the patient information storage area 121 in the reception information storage area 247 and then calls it from the reception information storage area 247.
  • the present invention is not limited to this configuration, and basic patient information or patient medical information called from the patient information storage area 121 is converted to a specific format such as XML. It is good also as a structure.
  • the patient information stored in the patient information storage unit 121 is stored based on the standardized storage negotiated in the Ministry of Health, Labor and Welfare Electronic Medical Information Exchange Promotion Project (SS-MIX).
  • the patient information stored based on the standardized storage is converted using a conversion program.
  • DPC Diagnosis Procedure Combination: April 2003
  • Patient information, online receipt usage files, electronic medical record output files, etc. which are stored based on a comprehensive evaluation system per day based on the diagnosis group classification of acute inpatient medical care introduced to specific function hospitals, etc. Can be converted to
  • the medical information and authentication program of the patient is stored in the USB memory unit 2 or 6, and the USB connector 21 or 61 is connected to the information processing device 4 or 8, so that the authentication program Is read into the RAM 42 or 82 of the information processing apparatus 4 or 8, and the CPU 41 or 81 executes the program.
  • an authentication program may be installed in a storage unit such as a flash memory of a smartphone or a tablet PC, and the authentication program may be executed by a CPU of the smartphone or the like. In this case, for each storage area for storing patient medical information and the like, storage means provided in the smartphone or the like is used.
  • USB memory unit 2 or 6 since the USB memory unit 2 or 6 is installed in a smartphone or the like, it is convenient that the patient does not need to carry the medical information card A or B separately. Further, the patient can view his / her medical information stored in the USB memory unit 2 or the like without using a home PC or the like, which is convenient.
  • the storage medium is not limited to the USB memory.
  • the storage medium may be any removable medium that can be carried by the patient, for example, a memory card.
  • the information calling program and the conversion program are shown as separate configurations, but the program having the configuration of these two programs is the USB memory unit 2 or 6 or the information processing device 4. Or it is good also as a structure memorize
  • FIG. 1 the program having the configuration of these two programs is the USB memory unit 2 or 6 or the information processing device 4. Or it is good also as a structure memorize
  • the information calling program is stored in the USB memory unit 2 or 6 and the conversion program is stored in the information processing device 4 or 8, but the information calling program and Two conversion programs may be stored in the USB memory unit 2 or 6 or stored in the information processing device 4 or 8.

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (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)
  • Storage Device Security (AREA)

Abstract

La présente invention a pour but de proposer un programme et autre pouvant modifier des informations sur des patients émises électroniquement en provenance de systèmes appartenant à des établissements médicaux, afin de leur donner un format prédéfini. Grâce audit programme, le processus suivant se déroule dans un dispositif de traitement d'informations (4) : un moyen de saisie d'indications (46) reçoit la saisie d'informations d'identification de patients ; sur la base des informations d'identification de patients saisies, un moyen de commande effectue une recherche dans un moyen d'enregistrement d'informations sur des patients (121) qui appartient à un dispositif de traitement d'informations (12) gérant des informations sur des patients, et appelle des informations sur des patients qui sont liées auxdites informations d'identification de patients ; et ledit moyen de commande modifie les informations sur des patients appelées pour leur donner un format prédéfini sur la base d'une table de modification enregistrée dans un moyen d'enregistrement de table de modification (442).
PCT/JP2012/065919 2011-06-28 2012-06-21 Programme modifiant des informations sur des patients gérées par des établissements médicaux, système utilisant ce programme et support d'enregistrement WO2013002127A1 (fr)

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JP2011143188 2011-06-28
JP2011-143188 2011-06-28

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PCT/JP2012/065910 WO2013002122A1 (fr) 2011-06-28 2012-06-21 Programme et support d'informations destinés au stockage d'informations concernant des patients

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JP2017070249A (ja) * 2015-10-08 2017-04-13 日特エンジニアリング株式会社 個体データ管理システム
JP6675182B2 (ja) * 2015-11-29 2020-04-01 学校法人慶應義塾 複数の医療機関が保有する患者情報を医療情報提示端末に提示するシステム
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WO2020218707A1 (fr) * 2019-04-26 2020-10-29 주식회사 네오펙트 Procédé et système de fourniture d'un service de rééducation à domicile lié à un dispositif de rééducation

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JP2014063489A (ja) 2014-04-10
JPWO2013002127A1 (ja) 2015-02-23
JP6345400B2 (ja) 2018-06-20
WO2013002122A1 (fr) 2013-01-03
JPWO2013002122A1 (ja) 2015-04-30

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