WO2018151181A1 - 医療情報管理システム、臨床情報取得サーバ、医療情報管理方法およびプログラム - Google Patents
医療情報管理システム、臨床情報取得サーバ、医療情報管理方法およびプログラム Download PDFInfo
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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
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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
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Definitions
- the present invention relates to a medical information management system, a clinical information acquisition server, a medical information management method, and a program.
- a data collection processing system including a terminal and a clinical trial data collection server connected to be communicable with the terminal has been proposed (see, for example, Patent Document 1).
- the clinical trial data collection server stores electronic medical record information including information on prescription drugs, diagnosis names, and test values acquired at medical institutions.
- the present invention has been made in view of the above reasons, and an object thereof is to provide a medical information management system, a clinical information acquisition server, a medical information management method, and a program that can efficiently collect clinical information.
- a medical information management system includes: Electronic medical record information storage that stores electronic medical record information stored in each of a plurality of electronic medical record servers that store electronic medical record information in different formats; A definition information generating unit for generating definition information for defining a combination of search keys for searching electronic medical record information related to a specific case from a plurality of electronic medical record information; An electronic medical record information search unit for acquiring electronic medical record information related to the specific case from the plurality of electronic medical record information based on the definition information; A clinical information extraction unit that extracts clinical information of a patient corresponding to the specific case from the electronic medical record information acquired by the electronic medical record information search unit.
- the clinical information acquisition server viewed from another viewpoint is Obtained from the plurality of electronic medical record information based on definition information that defines a combination of search keys for retrieving electronic medical record information related to a specific case from a plurality of electronic medical record information stored in the electronic medical record information storage.
- a clinical information extracting unit that extracts clinical information of a patient corresponding to the specific case from the electronic medical record information regarding the specific case.
- the medical information management method from another viewpoint is as follows: A medical information management method using electronic medical record information storage that stores electronic medical record information stored in the same format each of a plurality of electronic medical record servers that store electronic medical record information in different formats, Generating definition information that defines a combination of search keys for searching electronic medical record information related to a specific case from a plurality of electronic medical record information; Obtaining electronic medical chart information on the specific case from the plurality of electronic medical chart information based on the definition information; Extracting clinical information of a patient corresponding to the specific case from the acquired electronic medical record information.
- the program according to the present invention is Computer Electronic medical record information storage for storing electronic medical record information stored in each of a plurality of electronic medical record servers storing electronic medical record information in different formats,
- a definition information generating unit for generating definition information for defining a combination of search keys for searching electronic medical record information related to a specific case from a plurality of electronic medical record information;
- An electronic medical record information search unit for acquiring electronic medical record information relating to the specific case from the plurality of electronic medical record information based on the definition information;
- a clinical information extraction unit that extracts clinical information of a patient corresponding to the specific case from the electronic medical record information acquired by the electronic medical record information search unit; To function as.
- the electronic medical record information storage stores the electronic medical record information stored in each of a plurality of electronic medical record servers storing the electronic medical record information in different formats in the same format.
- the electronic medical record information search unit acquires electronic medical record information related to a specific case from a plurality of electronic medical record information based on the definition information generated by the definition information generation unit, and the clinical information extraction unit searches the electronic medical record information search The patient's clinical information corresponding to a specific case is extracted from the electronic medical record information acquired by the department.
- clinical information can be collected in the same manner as collecting clinical information included in each of the plurality of electronic medical record servers individually. Therefore, it is possible to efficiently collect clinical information included in the electronic medical record information accumulated in a plurality of electronic medical record servers. This also has the advantage that secondary use of the collected clinical information may be facilitated.
- FIG. 1 is a schematic configuration diagram of a medical information management system according to an embodiment of the present invention. It is a block diagram which shows the structure of the terminal device which concerns on embodiment. It is a figure which shows the content of the table which the definition information storage part which concerns on embodiment memorize
- the medical information management system includes a storage server that stores electronic medical record information, and uses a definition information that defines a combination of search keys from the electronic medical record information stored in the storage server. Get medical record information. Then, the medical information management system acquires desired clinical information from the acquired electronic medical record information.
- the medical information management system includes a terminal device 1 installed in a laboratory that conducts a clinical examination of pharmaceuticals, and a test value information acquisition server (clinical clinic) installed in a medical facility.
- Information acquisition server) 5 a storage server 2, and a plurality of electronic medical record servers 3.
- the terminal device 1 is connected to a network NT1 installed in the inspection organization.
- the test value information acquisition server 5 and the storage server 2 are connected to a network NT2 laid in a medical facility.
- the plurality of electronic medical record servers 3 are connected to a network NT2 laid in a medical facility or a network NT4 different from the network NT2.
- the plurality of electronic medical record servers 3 have different vendors and store a plurality of pieces of electronic medical record information in different formats.
- a terminal device 4 used by a user of a medical facility (for example, a doctor or a pharmacist) is connected to the network NT2.
- the inspection institution network NT1 and the medical facility network NT2 are connected to the wide area network NT3 via firewall devices 61 and 62, respectively.
- the user of the inspection organization inputs, for example, a search key combination for extracting inspection value information of an inspection performed on a patient suffering from a specific disease to the terminal device 1.
- the terminal device 1 generates definition information that defines the combination of the input search keys, and transmits the generated definition information to the storage server 2 of the medical facility.
- the inspection value information acquisition server 5 receives the definition information, it transmits the received definition information to the storage server 2.
- the storage server 2 searches the electronic medical record information using a combination of search keys defined by the received definition information, and transmits the obtained electronic medical record information to the inspection value information acquisition server 5.
- the inspection value information acquisition server 5 extracts inspection value information from the received electronic medical chart information and transmits it to the terminal device 1 of the inspection organization.
- the terminal device 1 stores the received inspection value information.
- the terminal device 1 is composed of, for example, a general-purpose personal computer. As shown in FIG. 2, the terminal device 1 includes a CPU (Central Processing Unit) 101, a main storage unit 102, an auxiliary storage unit 103, a user interface 104, and a communication unit 105. And a bus 106 that connects them to each other.
- the main storage unit 102 includes a volatile memory and is used as a work area for the CPU 101.
- the auxiliary storage unit 103 includes a nonvolatile memory such as a magnetic disk or a semiconductor memory, and stores programs for realizing various functions of the terminal device 1. Then, the CPU 101 reads out this program to the main storage unit 102 and executes it, thereby realizing various functions of the terminal device 1.
- the communication unit 105 is connected to a network NT1 installed in the inspection organization.
- the user interface 104 includes an input unit configured with, for example, a keyboard and a touch panel, and a display unit configured with a display.
- the CPU 101 functions as a definition information generation unit 111 and an inspection value information acquisition unit 112 by executing a program stored in the auxiliary storage unit 103.
- the auxiliary storage unit 103 includes a definition information storage unit 131.
- the definition information storage unit 131 stores a table in which definition information defining a combination of search keys is associated with a disease name corresponding to the definition information, definition information identification information, and the like.
- the definition information generation unit 111 searches for electronic medical record information relating to a specific case (hereinafter referred to as “potential case”) from among a plurality of electronic medical record information stored in a standardized storage described later.
- Definition information that defines a combination of search keys is generated.
- the search key includes information indicating a disease name, a therapeutic drug, and a medical practice included in the electronic medical record information.
- the potential case corresponds to a case corresponding to electronic medical record information mechanically extracted based on the definition information.
- Definition information is generated from a combination of search keys for extracting test value information indicating a result of a medical test performed on a patient suffering from a specific disease input to the terminal device 1 by the user via the user interface 104 To do.
- the definition information generation unit 111 adds definition information identification information to the generated definition information and stores it in the definition information storage unit 131.
- the definition information is stored in the definition information storage unit 131 as an XML format file, for example.
- the test value information acquisition unit 112 acquires the definition information from the definition information storage unit 131 and transmits the definition information to the test value information acquisition server 5, whereby the patient corresponding to the search key for the definition information from the test value information acquisition server 5 (hereinafter referred to as the search information). This is referred to as “potential case.”) Each inspection value information is acquired.
- the storage server 2 includes a CPU 201, a main storage unit 202, an auxiliary storage unit 203, a user interface 204, a communication unit 205, and a bus 206 that connects these components to each other.
- the auxiliary storage unit 203 stores programs for realizing various functions of the storage server 2.
- the CPU 201 reads out this program to the main storage unit 202 and executes it, thereby realizing various functions of the storage server 2.
- the communication unit 205 is connected to a network NT2 laid in a medical facility.
- the CPU 201 functions as a reception unit 211, an analysis unit 212, an information management unit 213, a potential case search unit 214, and a connection control unit 218 by executing a program stored in the auxiliary storage unit 203.
- the auxiliary storage unit 203 includes a standardized storage (electronic medical record information storage) 231.
- the standardized storage 231 is composed of, for example, an SS-MIX standardized storage, and stores the electronic medical record information stored in different formats by the plurality of electronic medical record servers 3 in the same format.
- HL means a standard related to a comprehensive framework of computerized healthcare information.
- the name of each file has a structure of “(patient identification information) _ (medical date) _ (data type) _ (order No) _ (occurrence date / time) _ (clinical department) _ (condition flag)”, for example.
- the data type is composed of information related to the exchange of medical information as shown by the balloon in FIG.
- the order number is an identification number for specifying an instruction from a doctor or nurse.
- the occurrence date / time indicates the file creation date / time.
- the condition flag is flag information indicating whether the file is valid or invalid.
- the structure of the file includes event information, patient identification information, patient visit information, failure information, and test result information, as shown by a balloon in FIG.
- the event information is information indicating the date when the patient visited the medical facility, the date when the disease occurred, and the like.
- the patient identification information is information indicating the name and address of the patient.
- the patient visit information is information indicating the name of the person accompanying the patient, the number of visits to the medical facility, and the like.
- the failure information is information indicating an abnormality seen in the patient.
- the test result information is information indicating the result of the result performed on the patient.
- the standardized storage 231 manages electronic medical record information in a directory structure based on patient identification information, information indicating a medical treatment date, and information indicating a data type included in each of the plurality of electronic medical record information. is doing.
- the receiving unit 211 receives the definition information transmitted from the terminal device 1 of the inspection organization and the electronic medical record information packet transmitted from the electronic medical record server 3.
- the analysis unit 212 analyzes the electronic medical record information packet received by the receiving unit 211 and extracts patient identification information, information indicating a medical treatment date, and information indicating a data type included in the electronic medical record information packet.
- the information management unit 213 sets the file path of the acquired electronic medical record information based on the patient identification information included in the electronic medical record information, the information indicating the medical treatment date, and the information indicating the data type. Then, the information management unit 213 stores the electronic medical record information in the standardized storage 231 based on the set file path.
- the potential case search unit 214 extracts definition information from the electronic medical record information acquisition request, and searches for and acquires potential case electronic medical record information from a plurality of electronic medical record information based on the extracted definition information.
- the potential case transmission unit 215 transmits the electronic medical record information acquired by the potential case search unit 214 to the inspection value information acquisition server 5.
- the connection control unit 218 executes authentication processing of the electronic medical record server 3 that is the transmission source of the connection request. Also, when the authentication of the electronic medical record server 3 is successful, the connection control unit 218 establishes a connection with the electronic medical record server 3 and transmits a connection permission notification to the electronic medical record server 3.
- the inspection value information acquisition server 5 includes a CPU 501, a main storage unit 502, an auxiliary storage unit 503, a user interface 504, a communication unit 505, and a bus 506 that interconnects these, Is provided.
- the auxiliary storage unit 503 stores programs for realizing various functions of the inspection value information acquisition server 5. Then, the CPU 501 reads out and executes this program in the main storage unit 502, thereby realizing various functions of the inspection value information acquisition server 5.
- the communication unit 505 is connected to a network NT2 installed in a medical facility.
- the CPU 501 executes a program stored in the auxiliary storage unit 503, thereby causing a potential case acquisition unit (electronic medical record information search unit) 514, a test value information extraction unit (clinical information extraction unit) 515, a combining unit 516, and test value information. It functions as the transmission unit 517.
- the auxiliary storage unit 503 includes an inspection value information storage unit 532.
- the inspection value information storage unit 532 stores a table in which inspection value information corresponding to definition information is associated with definition information identification information and potential cases.
- the inspection value information is composed of inspection items and corresponding inspection values.
- the inspection value information storage unit 532 also stores inspection value information obtained by combining a plurality of inspection value information corresponding to one definition information.
- the inspection value information is stored in the inspection value information storage unit 532 as, for example, an XML format file.
- the potential case acquisition unit 514 generates an electronic medical record information request including definition information received from the terminal device 1 of the inspection organization. Then, the potential case acquisition unit 514 acquires the potential case electronic medical record information from the storage server 2 by transmitting the generated electronic medical record information request to the storage server 2.
- the test value information extraction unit 515 extracts test value information indicating a medical test result, which is clinical information of a patient corresponding to the potential case, from the electronic medical record information acquired by the potential case acquisition unit 514. Then, the inspection value information extraction unit 515 stores the extracted inspection value information in the inspection value information storage unit 532.
- the combining unit 516 combines a plurality of pieces of inspection value information according to a combining condition designated by the user.
- the combining unit 516 requests a test value information combination request to combine a plurality of test value information. Accept.
- This inspection value information combination request includes information indicating a combination condition designated by the user.
- the combining unit 516 combines a plurality of pieces of inspection value information along information indicating a combination condition included in the inspection value information combining request. Further, the combining unit 516 compresses the inspection value information combined with each other and stores the compressed information in the inspection value information storage unit 532.
- the inspection value information transmission unit 517 acquires the compressed inspection value information from the inspection value information storage unit 532 and transmits the acquired inspection value information to the terminal device 1.
- the plurality of electronic medical record servers 3 store a plurality of electronic medical record information in different formats.
- Each electronic medical record server 3 includes a CPU 301, a main storage unit 302, an auxiliary storage unit 303, a user interface 304, a communication unit 305, and a bus 306 that connects these components to each other.
- the auxiliary storage unit 303 stores programs for realizing various functions of the electronic medical record server 3.
- the CPU 301 reads out this program to the main storage unit 302 and executes it, thereby realizing various functions of the electronic medical record server 3.
- the communication unit 305 is connected to a network NT2 installed in a medical facility.
- the CPU 301 functions as an acquisition unit 311, a packet generation unit 312, and a transmission unit 313 by executing a program stored in the auxiliary storage unit 303.
- the auxiliary storage unit 303 includes an electronic medical record storage 331.
- the acquisition unit 311 acquires electronic medical record information from the terminal device 4 and stores it in the electronic medical record storage 331.
- the electronic medical record storage 331 stores a plurality of electronic medical record information in different formats that are not compatible with each other.
- the packet generation unit 312 generates an electronic medical record information packet including electronic medical record information stored in the electronic medical record storage 331.
- the transmission unit 313 adds the header information based on HL7 to the electronic medical record information converted into a format suitable for HL7 by the packet generation unit 312 and transmits the information to the storage server 2.
- Step S1 when a user of an inspection organization inputs a search key combination for searching for a potential case to the terminal device 1 via the user interface 104, the terminal device 1 generates definition information from the input search key combination.
- Step S2 the generated definition information is transmitted from the terminal device 1 to the inspection value information acquisition server 5 (step S2).
- the inspection value information acquisition server 5 receives the definition information, it generates an electronic medical record information request including the definition information (step S3). Subsequently, an electronic medical record information request is transmitted from the examination value information acquisition server 5 to the storage server 2 (step S4).
- the storage server 2 acquires the electronic medical record information request from the inspection value information acquisition server 5, the storage server 2 extracts the definition information included in the acquired electronic medical record information request, and searches the standardized storage 231 using the definition information.
- Step S5 the electronic medical record information of the potential case is acquired. Thereafter, the electronic chart information of the acquired potential case is transmitted from the storage server 2 to the inspection value information acquisition server 5 (step S6). Then, the inspection value information acquisition server 5 extracts inspection value information from the potential case electronic medical record information received from the storage server 2 and stores the inspection value information in the inspection value information storage unit 532 (step S7).
- the test value information acquisition server 5 receives a test value information combining request for requesting to combine test value information (step S8).
- a test value information combining request for requesting to combine test value information (step S8).
- an operation screen 204a as shown in FIG. 8 is displayed.
- the user clicks the merge data output button EK after checking a check box of inspection value information to be combined see a portion CB surrounded by a broken line in FIG. 8.
- the test value information acquisition server 5 accepts a test value information combination request including a combination condition for combining the test value information with the identification numbers 1 to 3.
- the inspection value information acquisition server 5 when the inspection value information acquisition server 5 receives the inspection value information combination request, the inspection value information acquisition server 5 combines the inspection value information in accordance with the combination condition designated by the user (step S9). Subsequently, the inspection value information acquisition server 5 compresses the combined inspection value information and stores it in the inspection value information storage unit 532 (step S10). Thereafter, the compressed inspection value information is transmitted from the inspection value information acquisition server 5 to the terminal device 1 (step S11).
- the terminal device 1 expands the received test value information and stores it in the main storage unit 102 (step S12).
- the storage server 2 executes the process described below in parallel with the operation described with reference to FIG.
- the electronic medical record server 3 receives the electronic medical record information from the terminal device 4 (step S21).
- a connection request for requesting establishment of a connection is transmitted from the electronic medical record server 3 to the storage server 2 (step S22).
- the electronic medical record server 3 stores the received electronic medical record information in the electronic medical record storage 331.
- the storage server 2 executes an authentication process of the electronic medical record server 3 that is the transmission source of the connection request (step S23).
- the storage server 2 establishes a connection with the electronic medical record server 3 (step S24).
- a connection permission notification for notifying the electronic medical record server 3 that connection to the storage server 2 is permitted is transmitted from the storage server 2 to the electronic medical record server 3 (step S25).
- the electronic medical record server 3 acquires electronic medical record information from the electronic medical record storage 331, and generates an electronic medical record information packet from the acquired electronic medical record information (step S26).
- the electronic medical record server 3 generates an electronic medical record information packet corresponding to each of a plurality of potential cases from the electronic medical record storage 331.
- an electronic medical record information packet is transmitted from the electronic medical record server 3 to the storage server 2 (step S27).
- the storage server 2 when receiving the electronic medical record information packet, the storage server 2 sets a file path corresponding to the electronic medical record information included therein (step S28). Thereafter, the storage server 2 stores the received electronic medical record information in the standardized storage 231 based on the set file path (step S29). Next, a storage completion notification for notifying that the received electronic medical record information is stored in the standardized storage 231 is transmitted from the storage server 2 to the electronic medical record server 3 (step S30).
- step S31 when the electronic medical record server 3 receives the storage completion notification from the storage server 2, another electronic medical record information packet is transmitted from the electronic medical record server 3 to the storage server 2 (step S31).
- the storage server 2 sets a file path corresponding to the packet (step S32), and stores the electronic medical record information in the standardized storage 231 based on the file path (step S33).
- step S34 a storage completion notification is transmitted from the storage server 2 to the electronic medical record server 3 (step S34). Thereafter, the processing of steps S31 to S34 is repeatedly executed until the transmission of all the electronic medical record information packets generated by the electronic medical record server 3 is completed.
- step S35 when the electronic medical record server 3 determines that all the electronic medical record information packets converted into a format conforming to HL7 have been transmitted (step S35), a transmission end notification for notifying the end of transmission of the electronic medical record information is sent to the electronic medical record information packet. It is transmitted from the chart server 3 to the storage server 2 (step S36). On the other hand, when the storage server 2 receives the transmission end notification, the storage server 2 disconnects the connection with the electronic medical record server 3 (step S37).
- This inspection value information acquisition process is started when an operation for executing the inspection value information acquisition process is performed on the terminal device 1 by the user.
- the definition information generation unit 111 uses a search key for extracting test value information of a test performed on a patient suffering from a specific disease, which is input to the terminal device 1 by the user via the user interface 104. Definition information is generated from the combination (step S101). At this time, the definition information generation unit 111 adds definition information identification information to the generated definition information and stores the definition information in the definition information storage unit 131.
- the inspection value information acquisition unit 112 transmits definition information to the storage server 2 (step S102). Subsequently, the inspection value information acquisition unit 112 determines whether inspection value information has been received during a preset waiting time after the definition information is transmitted (step S103). When the inspection value information is not received during the waiting time (step S103: No), the inspection value information acquisition unit 112 transmits the definition information to the storage server 2 again (step S102). On the other hand, when it is determined that the inspection value information has been received (step S103: Yes), the inspection value information acquisition unit 112 develops the received inspection value information and stores it in the main storage unit 102 (step S104).
- This inspection value information transmission process is started when the storage server 2 is powered on.
- the potential case acquisition unit 514 determines whether definition information has been received from the terminal device 1 (step S201). If the potential case acquisition unit 514 determines that the definition information has not been received (step S201: No), a process of step S210 described later is executed.
- the potential case acquisition unit 514 determines that the definition information has been received (step S201: Yes)
- the potential case acquisition unit 514 generates an electronic medical record information transmission request including the received definition information and transmits it to the storage server 2. (Step S202).
- the potential case acquisition unit 514 determines whether or not electronic medical record information has been received from the storage server 2 (step S203). If the potential case acquisition unit 514 determines that the electronic medical record information has not been received from the storage server 2 (step S203: No), it executes the process of step S202 again.
- the potential case acquisition unit 514 determines that the electronic medical record information has been received from the storage server 2 (step S203: Yes)
- the potential case acquisition unit 514 stores the received potential case electronic medical record information in the main storage unit 102.
- the inspection value information extraction unit 515 extracts inspection value information from the electronic medical record information acquired from the storage server 2 and stores the extracted inspection value information in the inspection value information storage unit 532 (step S204).
- the combining unit 516 determines whether or not the above-described inspection value information combining request has been received (step S205).
- the combining unit 516 receives a test value information combining request when the user performs an operation for combining a plurality of test value information with the storage server 2 as described above.
- the combining unit 516 determines that the inspection value information combining request has not been received (step S205: No)
- a process of step S209 described later is executed.
- the combining unit 516 determines that the inspection value information combining request has been received (step S205: Yes)
- the combining unit 516 acquires a combining condition included in the inspection value information combining request (step S206), and performs a plurality of inspections according to the combining condition.
- the value information is combined (step S207). Thereafter, the combining unit 516 compresses the inspection value information combined with each other and then stores the compressed information in the inspection value information storage unit 532 (step S208).
- the inspection value information transmission unit 517 transmits the compressed inspection value information stored in the inspection value information storage unit 532 to the terminal device 1 (step S209). Subsequently, the potential case acquisition unit 514 determines whether or not there has been an end command for instructing the user to end the test value information transmission process via the user interface 504 (step S210). If it is determined by the potential case acquisition unit 514 that there is an end command (step S210: Yes), the inspection value information transmission process ends. On the other hand, if the potential case acquisition unit 514 determines that there is no termination command (step S210: No), it executes the process of step S201 again.
- step S601 determines whether or not an electronic medical record information request has been received from the examination value information acquisition server 5 (step S601). If the receiving unit 211 determines that the electronic medical record information request has not been received (step S601: No), a process of step S605 described later is executed.
- the potential case search unit 214 extracts definition information included in the received electronic medical record information request (step S602). Next, the potential case search unit 214 searches the electronic medical record information of the potential case using the combination of search keys defined by the extracted definition information (step S603).
- the potential case transmission unit 215 transmits the electronic medical record information acquired by the search by the potential case search unit 214 to the inspection value information acquisition server 5 (step S604).
- the receiving unit 211 determines whether or not there has been an end command for instructing the user to end the electronic medical record information search process via the user interface 204 (step S605). If it is determined by the receiving unit 211 that there has been an end command (step S605: Yes), the electronic medical record information search process ends. On the other hand, when the receiving unit 211 determines that there is no termination command (step S605: No), the receiving unit 211 executes the process of step S601 again.
- This standardized storage management process is executed in parallel with the above-described electronic medical record information search process, and is started when the storage server 2 is powered on.
- the receiving unit 211 determines whether or not a connection request is received from the electronic medical record server 3 (step S301). If the receiving unit 211 determines that the connection request has not been received (step S301: No), the process of step S312 described below is executed.
- step S301: Yes the connection control unit 218 executes an authentication process of the electronic medical record server 3 that is the transmission source of the connection request (step S302).
- step S303: No a process of step S312 described later is executed.
- step S303 if the authentication of the electronic medical record server 3 is successful (step S303: Yes), the connection control unit 218 establishes a connection with the electronic medical record server 3 (step S304), and transmits a connection permission notification to the electronic medical record server 3. (Step S305).
- the analysis unit 212 determines whether or not an electronic medical record information packet has been received from the electronic medical record server 3 within a predetermined waiting time after transmission of the connection permission notification (step S306). If the analysis unit 212 determines that the electronic medical record information packet has not been received within the waiting time (step S306: No), the process of step S310 described later is executed.
- the analysis unit 212 determines that the electronic medical record information packet has been received within the waiting time (step S306: Yes)
- the analysis unit 212 analyzes the electronic medical record information packet received by the reception unit 211 and includes the patient included in the electronic medical record information packet Identification information, information indicating a medical treatment date, and information indicating a data type are extracted.
- the information management part 213 sets the file path
- the information management unit 213 stores the electronic medical record information in the standardized storage 231 based on the set file path (step S308). Thereafter, the information management unit 213 transmits a storage completion notification notifying that the storage of the electronic medical record information in the standardized storage 231 is completed to the electronic medical record server 3 (step S309).
- the receiving unit 211 determines whether or not a transmission end notification has been received from the electronic medical record server 3 (step S310). If it is determined that the reception unit 211 has not received the transmission end notification (step S310: No), the process of step S306 is executed again.
- step S310 when it is determined that the reception unit 211 has received the transmission end notification (step S310: Yes), the connection control unit 218 disconnects the connection with the electronic medical record server 3 (step S311). Subsequently, the receiving unit 211 determines whether or not there has been an end command for instructing the user to end the standardized storage management process via the user interface 204 (step S312). If the receiving unit 211 determines that there is an end command (step S312: Yes), the standardized storage management process ends. On the other hand, if the receiving unit 211 determines that there is no termination command (step S312: No), it executes the process of step S301 again.
- the acquisition unit 311 determines whether or not electronic medical record information has been received from the terminal device 4 (step S401). When it is determined that the acquisition unit 311 has not received the electronic medical record information (step S401: No), a process of step S410 described later is executed.
- step S401: Yes the transmission unit 313 transmits a connection request to the storage server 2 (step S402).
- the packet generation unit 312 determines whether or not a connection permission notification is received from the storage server 2 within a preset waiting time after the connection request is transmitted (step S403). If the packet generation unit 312 determines that the connection permission notification has not been received within the waiting time (step S303: No), the process of step S402 is executed again.
- the packet generation unit 312 determines that the connection permission notification has been received within the waiting time (step S403: Yes)
- the packet generation unit 312 acquires a plurality of electronic medical record information from the electronic medical record storage 331, and acquires the acquired plurality of electronic medical record information.
- An electronic medical record information packet is generated (step S404).
- the transmission unit 313 transmits the generated electronic medical record information packet to the storage server 2 (step S405).
- the transmission unit 313 determines whether or not a storage completion notification is received from the storage server 2 within a preset waiting time after the electronic medical record information is transmitted (step S406). If the transmission unit 313 does not receive the storage completion notification within the waiting time (step S406: No), after retransmitting the same electronic medical record information packet to the storage server 2 (step S407), the transmission unit 313 again performs step S406. Execute the process.
- step S406 when the transmission unit 313 receives the storage completion notification within the waiting time (step S406: Yes), the transmission unit 313 determines whether or not all the generated electronic medical record information packets have been transmitted to the storage server 2 (step S408). If the transmission unit 313 determines that an untransmitted electronic medical record information packet remains in the generated plurality of electronic medical record information packets (step S408: No), the transmission unit 313 executes the process of step S405 again.
- step S408 determines that all of the generated plurality of electronic medical record information packets have been transmitted to the storage server 2 (step S408: Yes)
- the transmission unit 313 transmits a transmission end notification to the storage server 2 (step S409).
- the acquisition unit 311 determines whether or not there has been an end command that instructs the user to end the electronic medical record information transmission process via the user interface 304 (step S410). If it is determined by the acquisition unit 311 that there has been an end command (step S410: Yes), the electronic medical record information transmission process ends. On the other hand, when the acquisition unit 311 determines that there is no termination command (step S410: No), the acquisition unit 311 executes the process of step S401 again.
- the electronic medical record information stored in each of the plurality of electronic medical record servers 3 may not be compatible.
- the user confirms the inspection value information included in each of the electronic medical record information stored in the plurality of electronic medical record servers 3, checks the electronic medical record information individually in each electronic medical record server 3, and includes the inspection value information included therein.
- the work of reading out and the work of storing the read out inspection value information in a recording medium may be forced.
- the standardized storage 231 of the storage server 2 stores the electronic medical record information stored in each of the plurality of electronic medical record servers 3 that store the electronic medical record information in different formats. Store in the same format.
- the potential case search unit 214 acquires the electronic medical record information of the potential case from the plurality of electronic medical record information based on the definition information.
- the inspection value information extraction unit 515 extracts the inspection value information of the potential case from the electronic medical record information acquired by the potential case search unit 214.
- the examination value information included in each of the electronic medical record information stored in each of the plurality of electronic medical record servers 3 is individually collected. Inspection value information can be collected. Accordingly, it is possible to efficiently collect the inspection value information included in the electronic medical record information accumulated in the plurality of electronic medical record servers 3 described above. In addition, there is an advantage that secondary use of the collected inspection value information may be facilitated.
- the inspection value information acquisition server 5 includes a combining unit 516 that combines a plurality of pieces of inspection value information in accordance with a combining condition designated by the user.
- the user can collect the electronic medical record information of the potential case according to the combination condition specified by the user, and there is an advantage that the electronic medical record information can be easily managed.
- the standardized storage 231 manages a plurality of electronic medical record information in a directory structure based on patient identification information, information indicating a medical treatment date, and information indicating a data type included in each of the plurality of electronic medical record information. is doing. And when the information management part 213 acquires electronic medical chart information, based on the patient identification information contained in the acquired electronic medical chart information, the information which shows a medical treatment date, and the information identification information which shows a data type, the acquired electronic medical chart information Set the file path.
- the present invention has been described above, but the present invention is not limited to the configuration of the embodiment described above.
- the network NT1 and the network NT2 are not connected, and the definition information from the terminal device 1 to the storage server 2 and the inspection value information from the storage server 2 to the terminal device 1 are transferred via USB (Universal Serial Bus).
- the configuration may be performed through a recording medium such as a memory.
- the medical information management system has a function of evaluating the validity of definition information used when extracting specific medical information from the electronic medical record information stored in the storage server 2 Good.
- the medical information management system according to this modification, for example, has a positive mediumity of medical information extracted by collating the medical information extracted using the above-described definition information with an information source that is an optimal standard (gold standard) (PPV: Positive Predictive Value) may be calculated.
- the medical information management system may evaluate that the combination of the calculated search keys having a higher positive mediumness is more appropriate.
- the terminal device 2001 includes a CPU (Central Processing Unit) 101, a main storage unit 102, an auxiliary storage unit 103, as shown in FIG. A user interface 104, a communication unit 105, and a bus 106 that connects them to each other are provided.
- a CPU Central Processing Unit
- main storage unit 102 main storage unit
- auxiliary storage unit 103 main storage unit
- a user interface 104 user interface 104
- communication unit 105 communication unit
- a bus 106 that connects them to each other are provided.
- FIG. 15 the same reference numerals as those in FIG. 2 are assigned to the same configurations as those of the terminal device 1 according to the embodiment.
- the CPU 101 executes the program stored in the auxiliary storage unit 103 to thereby define the definition information generation unit 111, the test value information acquisition unit 112, the determination unit 113, the PPV calculation unit (positive medium calculation unit) 114, and the definition validity. It functions as the evaluation unit 115.
- the auxiliary storage unit 103 includes a definition information storage unit 131, a determination criterion storage unit 132, and a PPV storage unit 133.
- the determination criterion storage unit 132 stores various types of information necessary for executing the best determination method (gold standard) among currently available determination criteria for determining the presence or absence of illness from test value information. .
- the determination criteria are determined with reference to, for example, “Diabetic medical care guideline 2010 based on chemical basis” and “Arteriosclerotic disease prevention guideline 2007 version”.
- the determination criterion storage unit 132 stores a table in which determination criterion value information indicating a determination criterion value is associated with a corresponding clinical test item and disease name.
- the PPV storage unit 133 stores the PPV corresponding to the inspection value information obtained from each definition information in association with the definition information identification information.
- the determination criterion storage unit 132 further stores target period information indicating a period to be determined and determination method information indicating a determination method for determining whether or not the determination target patient is a true patient. .
- the PPV storage unit 133 stores a table in which the PPV, the definition information identification information, and the correspondence are associated.
- the determination unit 113 refers to the table including the information indicating the determination criterion stored in the determination criterion storage unit 132, and uses the inspection value information acquired by the inspection value information acquisition unit 112 to generate the potential. It is determined whether the patient corresponding to the case is positive.
- a case where a patient corresponding to a potential case is positive is referred to as a “true case”.
- the test value information indicates that both of the test values in the test performed twice on the same day or another day in the determination target period are equal to or higher than the determination reference value, the test value information is included in the test value information.
- the corresponding potential case is determined to be a true case.
- the PPV calculation unit 114 calculates the positive moderate (hereinafter referred to as “PPV”) of the patient corresponding to the potential case based on the determination result by the determination unit 113. Specifically, the PPV calculation unit 114 includes, for all patients corresponding to the potential case, the number of patients determined to be a true case by the determination unit 113, the number of patients not determined to be a true case, Are counted. Then, the PPV calculation unit 114 calculates the PPV by dividing the number of patients determined to be a true case by the number of all patients corresponding to the potential case. The PPV calculation unit 114 stores the calculated PPV in the PPV storage unit 133 in association with the definition information identification information.
- PPV positive moderate
- the definition validity evaluation unit 115 refers to the PPV storage unit 133 and evaluates the validity of the definition information based on the patient's PPV corresponding to the potential case.
- the definition validity evaluation unit 115 ranks each definition information so that the definition information having a larger PPV has higher validity.
- the PPV evaluation process is started when the user performs an operation for executing the PPV evaluation process on the terminal device 2001.
- the determination unit 113 refers to the determination reference value information, the target period information, and the determination method information stored in the determination reference storage unit 132, and uses the inspection value information stored in the main storage unit 102 to deal with the potential case. It is determined whether or not the patient to be true is a true case (step S701). Here, the determination unit 113 determines whether all of the patients corresponding to the potential case are true cases, and causes the main storage unit 102 to store the determination result.
- the PPV calculation unit 114 totals the number of patients determined to be a true case by the determination unit 113 and the number of patients not determined to be a true case. To do. Then, the PPV calculation unit 114 calculates the PPV by dividing the number of patients determined to be a true case by the number of all patients corresponding to the potential case (step S702). The PPV calculation unit 114 stores the calculated PPV in the PPV storage unit 133 in association with the definition information identification information.
- the definition validity evaluation unit 115 refers to the PPV storage unit 133 and evaluates the validity of each definition information (step S703).
- the determination unit 113 determines whether or not a patient corresponding to a specific case is positive using the test value information extracted by the test value information extraction unit 515 of the test value information acquisition server 5. Then, the PPV calculation unit 114 calculates the PPV evaluation process for the patient corresponding to the specific case based on the determination result by the determination unit 113. Then, the definition validity evaluation unit 115 evaluates the validity of the definition information based on the patient's PPV corresponding to the specific case. Thereby, the user can select and correct the definition information as appropriate with reference to the evaluation result of the validity of the definition information that defines the combination of the search keys. Therefore, the user can acquire the electronic medical record information of a positive patient with a high probability from a plurality of electronic medical record information by using an appropriate combination of search keys. Therefore, a clinical trial using the electronic medical record information. This has the advantage of improving the accuracy.
- the clinical information is test value information indicating a medical test result
- the present invention is not limited to this example, and other information related to all clinics (for example, the patient's general state, local state, drug) Sensitivity, presence / absence of recurrence, survival status, etc.).
- the storage server 2 includes the potential case search unit 214 and the potential case transmission unit 215 has been described.
- the present invention is not limited to this.
- a server other than the storage server 2 such as the inspection value information acquisition server 5 may have the potential case search unit 214 and the potential case transmission unit 215.
- the configuration is not limited to this, and for example, a configuration in which a plurality of electronic medical record servers 3 are respectively connected to different networks may be employed. Or the structure by which the some electronic medical record server 3 is connected to the same network may be sufficient.
- the configuration may be such that electronic medical record information is exchanged between the storage server 2 and the plurality of electronic medical record servers 3 through a recording medium such as a USB memory.
- the various functions of the terminal device 1, the storage server 2, and the electronic medical record server 3 according to the present invention can be realized by using a normal computer system without depending on a dedicated system.
- a program for executing the above operation is stored and distributed on a non-transitory recording medium (CD-ROM, magnetic disk, etc.) that can be read by a computer system.
- You may comprise the terminal device 1, the storage server 2, and the electronic medical record server 3 which perform the above-mentioned process by installing a program in a computer system.
- the method of providing the program to the computer is arbitrary.
- the program may be uploaded to a bulletin board (BBS) on a communication line and distributed to a computer via the communication line.
- BSS bulletin board
- the computer activates this program and executes it like other applications under the control of the OS.
- the computer functions as the terminal device 1, the storage server 2, and the electronic medical record server 3 that execute the above-described processing.
- the electronic medical record information storage used in the present invention mainly refers to standardized storage in the embodiment of the present invention, but includes other than standardized storage (for example, expanded storage).
- the present invention is suitable when the electronic medical record information is secondarily used in pharmacoepidemiological research.
- Terminal device 2: Storage server, 3: Electronic medical record server, 5: Inspection value information acquisition server, 61, 62: Firewall device, 101, 201, 301, 501: CPU, 102, 202 , 302, 502: main storage unit, 103, 203, 303, 503: auxiliary storage unit, 104, 204, 304, 504: user interface, 105, 205, 305, 505: communication unit, 106, 206, 306, 506 : Bus, 111: Definition information generation unit, 112: Inspection value information acquisition unit, 113: Determination unit, 114: PPV calculation unit, 115: Definition validity evaluation unit, 131: Definition information storage unit, 132: Determination standard storage unit 133: PPV storage unit, 204a: operation screen, 211: reception unit, 212: analysis unit, 213: information management unit, 214: potency Lecase search unit, 215: potential case transmission unit, 218: connection control unit, 231: standardized storage, 3
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Abstract
Description
互いに異なる形式で電子カルテ情報を記憶する複数の電子カルテサーバそれぞれが記憶する電子カルテ情報を同一の形式で記憶する電子カルテ情報ストレージと、
複数の電子カルテ情報の中から特定の症例に関する電子カルテ情報を検索するための検索キーの組み合わせを定義する定義情報を生成する定義情報生成部と、
前記定義情報に基づいて前記複数の電子カルテ情報の中から前記特定の症例に関する電子カルテ情報を取得する電子カルテ情報検索部と、
前記電子カルテ情報検索部が取得した電子カルテ情報から前記特定の症例に対応する患者の臨床情報を抽出する臨床情報抽出部と、を備える。
電子カルテ情報ストレージが記憶する複数の電子カルテ情報の中から特定の症例に関する電子カルテ情報を検索するための検索キーの組み合わせを定義する定義情報に基づいて前記複数の電子カルテ情報の中から取得された前記特定の症例に関する電子カルテ情報から前記特定の症例に対応する患者の臨床情報を抽出する臨床情報抽出部を備える。
互いに異なる形式で電子カルテ情報を記憶する複数の電子カルテサーバそれぞれが記憶する電子カルテ情報を同一の形式で記憶する電子カルテ情報ストレージを用いた医療情報管理方法であって、
複数の電子カルテ情報の中から特定の症例に関する電子カルテ情報を検索するための検索キーの組み合わせを定義する定義情報を生成するステップと、
前記定義情報に基づいて前記複数の電子カルテ情報の中から前記特定の症例に関する電子カルテ情報を取得するステップと、
取得した電子カルテ情報から前記特定の症例に対応する患者の臨床情報を抽出するステップと、を含む。
コンピュータを、
互いに異なる形式で電子カルテ情報を記憶する複数の電子カルテサーバそれぞれが記憶する電子カルテ情報を同一の形式で記憶する電子カルテ情報ストレージ、
複数の電子カルテ情報の中から特定の症例に関する電子カルテ情報を検索するための検索キーの組み合わせを定義する定義情報を生成する定義情報生成部、
前記定義情報に基づいて前記複数の電子カルテ情報の中から前記特定の症例に関する電子カルテ情報を取得する電子カルテ情報検索部、
前記電子カルテ情報検索部が取得した電子カルテ情報から前記特定の症例に対応する患者の臨床情報を抽出する臨床情報抽出部、
として機能させる。
Claims (7)
- 互いに異なる形式で電子カルテ情報を記憶する複数の電子カルテサーバそれぞれが記憶する電子カルテ情報を同一の形式で記憶する電子カルテ情報ストレージと、
複数の電子カルテ情報の中から特定の症例に関する電子カルテ情報を検索するための検索キーの組み合わせを定義する定義情報を生成する定義情報生成部と、
前記定義情報に基づいて前記複数の電子カルテ情報の中から前記特定の症例に関する電子カルテ情報を取得する電子カルテ情報検索部と、
前記電子カルテ情報検索部が取得した電子カルテ情報から前記特定の症例に対応する患者の臨床情報を抽出する臨床情報抽出部と、を備える、
医療情報管理システム。 - ユーザの指定した結合条件に沿って複数の前記臨床情報を結合する結合部を更に備える、
請求項1に記載の医療情報管理システム。 - 前記電子カルテ情報ストレージは、前記複数の電子カルテ情報を、前記複数の電子カルテ情報それぞれに含まれる識別情報に基づくディレクトリ構造で管理し、
電子カルテ情報を取得すると、取得した電子カルテ情報に含まれる識別情報に基づいて、前記取得した電子カルテ情報のファイルパスを設定する情報管理部を更に有する、
請求項1または2に記載の医療情報管理システム。 - 前記臨床情報抽出部により抽出された臨床情報を用いて、前記特定の症例に対応する患者が陽性であるか否かを判定する判定部と、
前記判定部による判定結果に基づいて、前記特定の症例に対応する患者の陽性的中度を算出する陽性的中度算出部と、
前記特定の症例に対応する患者の陽性的中度に基づいて、定義情報の妥当性を評価する妥当性評価部と、を更に備える、
請求項1乃至3のいずれか1項に記載の医療情報管理システム。 - 電子カルテ情報ストレージが記憶する複数の電子カルテ情報の中から特定の症例に関する電子カルテ情報を検索するための検索キーの組み合わせを定義する定義情報に基づいて前記複数の電子カルテ情報の中から取得された前記特定の症例に関する電子カルテ情報から前記特定の症例に対応する患者の臨床情報を抽出する臨床情報抽出部を備える、
臨床情報取得サーバ。 - 互いに異なる形式で電子カルテ情報を記憶する複数の電子カルテサーバそれぞれが記憶する電子カルテ情報を同一の形式で記憶する電子カルテ情報ストレージを用いた医療情報管理方法であって、
複数の電子カルテ情報の中から特定の症例に関する電子カルテ情報を検索するための検索キーの組み合わせを定義する定義情報を生成するステップと、
前記定義情報に基づいて前記複数の電子カルテ情報の中から前記特定の症例に関する電子カルテ情報を取得するステップと、
取得した電子カルテ情報から前記特定の症例に対応する患者の臨床情報を抽出するステップと、を含む、
医療情報管理方法。 - コンピュータを、
互いに異なる形式で電子カルテ情報を記憶する複数の電子カルテサーバそれぞれが記憶する電子カルテ情報を同一の形式で記憶する電子カルテ情報ストレージ、
複数の電子カルテ情報の中から特定の症例に関する電子カルテ情報を検索するための検索キーの組み合わせを定義する定義情報を生成する定義情報生成部、
前記定義情報に基づいて前記複数の電子カルテ情報の中から前記特定の症例に関する電子カルテ情報を取得する電子カルテ情報検索部、
前記電子カルテ情報検索部が取得した電子カルテ情報から前記特定の症例に対応する患者の臨床情報を抽出する臨床情報抽出部、
として機能させるためのプログラム。
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Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2008276761A (ja) | 2007-04-06 | 2008-11-13 | Sbs Joho System:Kk | データ収集処理システム |
JP2014002505A (ja) * | 2012-06-18 | 2014-01-09 | Macro Com Co Ltd | 医用データ変換送信装置及び医用データ変換送信方法 |
JP2014052821A (ja) * | 2012-09-06 | 2014-03-20 | Mebix Kk | 電子カルテスクリーニングシステム、電子カルテスクリーニング装置、電子カルテスクリーニング方法及び電子カルテスクリーニングプログラム |
JP2017026368A (ja) | 2015-07-17 | 2017-02-02 | 日本特殊陶業株式会社 | 微粒子センサ |
Family Cites Families (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
RU2598328C2 (ru) * | 2010-09-30 | 2016-09-20 | Конинклейке Филипс Электроникс Н.В. | Система уточнения медицинских запросов |
CN103049556B (zh) * | 2012-12-28 | 2016-11-09 | 中国科学院深圳先进技术研究院 | 一种海量医疗数据的快速统计查询方法 |
-
2018
- 2018-02-15 KR KR1020197024614A patent/KR20190107714A/ko active Search and Examination
- 2018-02-15 WO PCT/JP2018/005149 patent/WO2018151181A1/ja unknown
- 2018-02-15 EP EP18754204.8A patent/EP3576043A4/en not_active Withdrawn
- 2018-02-15 JP JP2018568585A patent/JP6833878B2/ja active Active
- 2018-02-15 CN CN201880012201.XA patent/CN110313035A/zh not_active Withdrawn
Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2008276761A (ja) | 2007-04-06 | 2008-11-13 | Sbs Joho System:Kk | データ収集処理システム |
JP2014002505A (ja) * | 2012-06-18 | 2014-01-09 | Macro Com Co Ltd | 医用データ変換送信装置及び医用データ変換送信方法 |
JP2014052821A (ja) * | 2012-09-06 | 2014-03-20 | Mebix Kk | 電子カルテスクリーニングシステム、電子カルテスクリーニング装置、電子カルテスクリーニング方法及び電子カルテスクリーニングプログラム |
JP2017026368A (ja) | 2015-07-17 | 2017-02-02 | 日本特殊陶業株式会社 | 微粒子センサ |
Non-Patent Citations (3)
Title |
---|
ATHEROSCLEROTIC DISEASES PREVENTION GUIDELINE, 2007 |
EVIDENCE-BASED CLINICAL PRACTICE GUIDELINE FOR DIABETES, 2010 |
See also references of EP3576043A4 * |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2020166431A (ja) * | 2019-03-28 | 2020-10-08 | 富士通株式会社 | 検索結果表示プログラム、検索結果表示方法および検索結果表示システム |
Also Published As
Publication number | Publication date |
---|---|
EP3576043A1 (en) | 2019-12-04 |
JP6833878B2 (ja) | 2021-02-24 |
EP3576043A4 (en) | 2020-07-15 |
KR20190107714A (ko) | 2019-09-20 |
JPWO2018151181A1 (ja) | 2020-01-09 |
CN110313035A (zh) | 2019-10-08 |
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