WO2021199204A1 - Method and electronic medical chart management system - Google Patents

Method and electronic medical chart management system Download PDF

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Publication number
WO2021199204A1
WO2021199204A1 PCT/JP2020/014679 JP2020014679W WO2021199204A1 WO 2021199204 A1 WO2021199204 A1 WO 2021199204A1 JP 2020014679 W JP2020014679 W JP 2020014679W WO 2021199204 A1 WO2021199204 A1 WO 2021199204A1
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Prior art keywords
sample
information
animal
medical record
analysis result
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PCT/JP2020/014679
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French (fr)
Japanese (ja)
Inventor
岡崎　純
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株式会社Ｐｅｃｏ
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Application filed by 株式会社Ｐｅｃｏ filed Critical 株式会社Ｐｅｃｏ
Priority to PCT/JP2020/014679 priority Critical patent/WO2021199204A1/en
Priority to JP2021533766A priority patent/JP7005083B1/en
Publication of WO2021199204A1 publication Critical patent/WO2021199204A1/en
Priority to JP2021209405A priority patent/JP2022031405A/en

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    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q50/00—Information and communication technology [ICT] specially adapted for implementation of business processes of specific business sectors, e.g. utilities or tourism
    • G06Q50/10—Services
    • 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
    • G16H10/40—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for data related to laboratory analysis, e.g. patient specimen analysis

Definitions

  • This disclosure relates to methods and electronic medical record management systems.
  • Patent Document 1 discloses a technique relating to a management method for testing a sample.
  • veterinary hospitals do not have facilities for analyzing specimens (for example, testing and diagnosis), and such analysis is performed by a third-party analysis institution. In such an analysis, it takes a lot of time to prepare and send a sample, input analysis result information to an electronic medical record, and the like, and the burden on the veterinary hospital side due to the analysis is large.
  • an object of the present disclosure is to provide a method and an electronic medical record management system capable of easily reflecting the analysis results by an external organization in an electronic medical record. ..
  • a terminal of a third-party organization that analyzes a sample acquires information on the analysis result of the sample obtained by analyzing an animal sample.
  • Information relating to the analysis result of the sample is transmitted to a server that manages a medical record database in which the medical record information of the animal is stored, and the server that manages the medical record database of the transmitted animal.
  • a method is provided that comprises adding information relating to the analysis result of the sample to the medical record information of the animal.
  • a server that manages a medical record database and a terminal of a third-party organization includes a sample information acquisition unit that acquires information related to animal samples.
  • Analysis information transmission that acquires information on the analysis result of the sample obtained by the analysis of the sample and transmits the information related to the analysis result of the sample to a server that manages a medical record database in which the medical record information of the animal is stored.
  • An electronic medical record management system is provided, wherein the server has a medical record information input unit that adds information related to the transmitted analysis result of the sample of the animal to the medical record information of the animal.
  • the analysis result by an external organization can be easily reflected in the electronic medical record.
  • FIG. 1 is a diagram showing a configuration example of an electronic medical record management system 1 according to an embodiment of the present disclosure.
  • the electronic medical record management system 1 includes an electronic medical record server 10 (hereinafter referred to as a server 10), a third-party institution terminal 20, and a hospital terminal 30.
  • the server 10, the third-party institution terminal 20, and the hospital terminal 30 are communicably connected via the network NW.
  • NW an electronic medical record server 10
  • the electronic medical record management system 1 according to the present embodiment is an aspect for realizing the electronic medical record management method according to the present embodiment.
  • the network NW assumes the Internet.
  • the network NW is constructed by, for example, a public telephone line network, a mobile phone line network, a wireless communication network, Ethernet (registered trademark), and the like.
  • the server 10 is, for example, a computer for managing the medical record of the animal C1 who is a examinee at a veterinary hospital and processing the medical record.
  • a server 10 may be managed directly by, for example, a veterinary hospital, or may be managed by an organization that manages a veterinary hospital or a servicer that provides an electronic medical record management system 1 for at least one veterinary hospital. ..
  • the server 10 may be a general-purpose computer such as a workstation or a personal computer, or may be logically realized by cloud computing.
  • the third-party institution terminal 20 is, for example, a terminal installed in a third-party institution such as an external inspection institution other than a veterinary hospital. Such a terminal can be operated, for example, by staff R2 of a third party organization.
  • the third party terminal 20 may be a smartphone, a tablet computer, a personal computer, or the like.
  • the hospital terminal 30 is, for example, a terminal installed in a veterinary hospital. Such a terminal can be operated, for example, by a staff member R1 such as a veterinarian in a veterinary hospital.
  • the server 10 can be accessed from the hospital terminal 30.
  • animal chart information managed by the server 10 can be acquired from the hospital terminal 30.
  • the hospital terminal 30 can be a smartphone, a tablet computer, a personal computer, or the like.
  • the outline of the electronic medical record management system 1 will be described.
  • the veterinarian R1 browses and inputs the medical records of pet animals via the hospital terminal 30.
  • the hospital terminal 30 acquires medical record information about animals from the server 10.
  • the veterinarian R1 performs an operation on the screen to input the state of the animal.
  • the animal sample 2 may be provided to an external laboratory different from the veterinary hospital, and the analysis of the sample 2 may be performed at the laboratory.
  • the third-party institution terminal 20 inputs the analysis result (for example, test result, diagnosis result, etc.) of the sample 2, re-inputs the input data in the hospital terminal 30, and the medical record of the server 10. It was required to be imported into the database. Data entry of such analysis results becomes a bottleneck for medical examination and can be a burden for the owner.
  • the analysis result is input to the third party institution terminal 20 by, for example, the staff R2. NS. Then, the information related to the input analysis result is transmitted to the server 10. Then, the information related to the analysis result is added to the medical record information of the animal stored in the medical record database of the server 10. With such a configuration, the result of the analysis performed by the third party organization is automatically reflected in the medical record information. As a result, even if an external institution is requested to analyze the sample, it can be treated as medical record information immediately after the analysis is completed.
  • the electronic medical record management system 1 is applied to a case where an examination or diagnosis is requested to a third party organization, for example, a pathological diagnosis that cannot be performed inside a veterinary hospital, an analysis using a specific device, or the like. can do.
  • a third party organization for example, a pathological diagnosis that cannot be performed inside a veterinary hospital, an analysis using a specific device, or the like. can do.
  • FIG. 2 is a diagram showing a hardware configuration example of a computer that realizes the server 10 according to the present embodiment.
  • the computer includes at least a control unit 11, a memory 12, a storage 13, a communication unit 14, an input / output unit 15, and the like. These are electrically connected to each other through the bus 16.
  • the control unit 11 is an arithmetic unit that controls the operation of the entire server 10, controls the transmission and reception of data between each element, and performs information processing and the like necessary for application execution and authentication processing.
  • the control unit 11 is a processor such as a CPU (Central Processing Unit), and executes each information processing by executing a program or the like stored in the storage 13 and expanded in the memory 12.
  • CPU Central Processing Unit
  • the memory 12 includes a main memory composed of a volatile storage device such as a DRAM (Dynamic Random Access Memory) and an auxiliary memory composed of a flash memory or a non-volatile storage device such as an HDD (Hard Disk Drive). ..
  • the memory 12 is used as a work area or the like of the control unit 11, and also stores a BIOS (Basic Input / Output System) executed when the server 10 is started, various setting information, and the like.
  • BIOS Basic Input / Output System
  • the storage 13 stores various programs such as application programs.
  • a database storing data used for each process may be built in the storage 13.
  • the communication unit 14 connects the server 10 to the network.
  • the communication unit 14 uses, for example, a wired LAN (Local Area Network), wireless LAN, Wi-Fi (Wireless Fidelity, registered trademark), infrared communication, Bluetooth (registered trademark), short-range or non-contact communication, or the like. Communicate directly with the device or via a network access point.
  • LAN Local Area Network
  • Wi-Fi Wireless Fidelity, registered trademark
  • infrared communication Bluetooth (registered trademark)
  • short-range or non-contact communication or the like.
  • the input / output unit 15 is, for example, an information input device such as a keyboard, a mouse, and a touch panel, and an output device such as a display.
  • the bus 16 is commonly connected to each of the above elements and transmits, for example, an address signal, a data signal, and various control signals.
  • FIG. 3 is a diagram showing a software configuration example of the server 10 according to the present embodiment.
  • the server 10 includes a medical record information acquisition unit 101, an image information output unit 102, an analysis result acquisition unit 103, a medical record information input unit 104, and a medical record DB 105.
  • the chart information acquisition unit 101, the image information output unit 102, the analysis result acquisition unit 103, and the chart information input unit 104 can be realized by the control unit 11 reading the program stored in the storage 13 into the memory 12 and executing the program. ..
  • the medical record DB 105 can be realized as a part of the storage area provided by the memory 12 and the storage 13.
  • the medical record DB 105 may be realized as a part of an external storage area provided by one or more servers other than the server 10.
  • the medical record information acquisition unit 101 has a function of acquiring animal medical record information recorded in the medical record DB (database) 108 from the medical record DB (database). For example, when the veterinarian R1 takes out the medical record of the animal to be examined at the hospital terminal 30, the medical record information acquisition unit 101 acquires the medical record information of the animal to be examined based on the request from the hospital terminal 30.
  • the image information output unit 102 has a function of outputting such image information to a third-party institution terminal 20 when an image of a sample is captured and acquired at a veterinary hospital.
  • the third-party organization obtains the analysis result of the sample by analyzing the image of the sample.
  • the image of such a sample may be, for example, a still image or a moving image.
  • the moving image may be, for example, a moving image obtained by preliminarily capturing the movement of the sample, or a moving image delivered to the third-party institution terminal 20 in real time while capturing the sample on the spot. You may.
  • the analysis result acquisition unit 103 has a function of acquiring information related to the analysis result of the animal sample transmitted from the third-party institution terminal 20.
  • the analysis result acquisition unit 103 acquires information related to the analysis result generated by inputting to a predetermined form displayed on the third-party institution terminal 20, and the contents of the form are described in the chart information input unit described later.
  • 104 adds to the corresponding form of chart information.
  • the medical record information input unit 104 has a function of adding information related to the analysis result of the animal sample to the medical record information of the animal. Specifically, the chart information input unit 104 adds the information related to the analysis result of the animal sample acquired by the analysis result acquisition unit 103 to the chart information of the animal acquired by the chart information acquisition unit 101. For example, when the analysis result acquisition unit 103 acquires the test result of the animal sample, the medical record information input unit 104 can add the test result information to the item related to the “test” of the medical record.
  • the medical record DB 105 is a database that stores medical record information of animals to be examined registered at a veterinary hospital.
  • medical record information includes, for example, information on animals (for example, animal name, animal species, age, animal owner, etc.) and information on the past current medical history of animals, as shown in FIGS. 4 and 5.
  • the medical record information may include information related to at least one of medical history, physical findings, diagnosis, examination, treatment / medication, prescription, hospitalization, and surgery.
  • FIG. 4 is a diagram showing a software configuration example of the third-party institution terminal 20 according to the present embodiment.
  • the third-party institution terminal 20 includes a sample information acquisition unit 201 and an analysis information transmission unit 202.
  • the sample information acquisition unit 201 and the analysis information transmission unit 202 can be realized by a control unit (not shown) provided in the third-party institution terminal 20 reading a program stored in the storage into a memory and executing the program.
  • the sample information acquisition unit 201 has a function of acquiring information on a sample acquired from a veterinary hospital.
  • the information about the sample is, for example, information about the animal from which the sample was collected, the date when the sample was collected, the sample number, the position where the sample was collected, the type of the sample, the hospital where the animal visited, and the like.
  • the information regarding the sample is, for example, information obtained by inputting information accompanying the sent sample via a third-party institution terminal 20 or the like, information transmitted from the hospital terminal 30, or the like. May be good.
  • the sample information acquisition unit 201 can acquire information related to the analysis result of the sample. Analysis of the sample can be performed by a third party.
  • the information related to the analysis result obtained by such analysis may be, for example, information obtained by inputting via a third-party institution terminal 20 or the like, or analysis information directly obtained from an analysis device.
  • the information related to the analysis result is, for example, the test result obtained by the analysis device (test device), or the diagnosis result obtained by the staff of a third party organization (for example, a medical worker) based on the test result. It may be.
  • Such information may include information related to pathological images and the like.
  • the analysis information transmission unit 202 has a function of transmitting information related to the analysis result of the sample to the server 10 that manages the medical record DB 108 in which the medical record information of the animal is stored.
  • the information related to the analysis result can be acquired by the analysis result acquisition unit 103 of the server 10.
  • FIG. 5 is a flowchart showing the flow of the electronic medical record management method in the electronic medical record management system 1 according to the present embodiment.
  • an example of testing an animal sample by the electronic medical record management system 1 and reflecting the test result in the medical record will be described.
  • the server 10 acquires the medical record information of the animal corresponding to the sample to be analyzed from the medical record DB 105 (step S101).
  • the server 10 acquires the medical record information of the animal corresponding to the sample to be analyzed from the medical record DB 105 (step S101).
  • a sample is collected from the animal and the sample is inspected.
  • FIG. 6 is a diagram showing an example of the display of the medical record information screen according to the present embodiment.
  • the medical record information screen 1000 includes an animal information display area 1010 for displaying information related to an animal as a patient, an item button 1020 for switching the medical record screen for each item, and medical record information for each item.
  • the chart information display area 1030 shown is included.
  • the medical record information display area 1030 displays information related to "inspection”.
  • the chart information display area 1030 includes an information text 1031 regarding the sample, a sample image display area 1032, a form 1033 regarding the staff / institution in charge of the test, and a form 1034 for describing the test result. Since it is before the test at this stage, only the information regarding the sample collection date and the sample number is input to the information text 1031. In addition, information such as a sample collection position may be included as the information regarding such a sample.
  • the sample (or information about the sample, for example, image information of the sample when the sample is imaged) is sent to the inspection institution (third-party institution) (step S103).
  • information about the sample can be acquired by the sample information acquisition unit 201 of the third-party institution terminal 20.
  • the testing institution analyzes (tests) the sample (step S105).
  • the staff of the testing institution inputs the analysis result to the third-party institution terminal 20 (step SS107).
  • the analysis result may be input to a predetermined form linked with the medical record managed by the electronic medical record management system used by the veterinary hospital.
  • FIG. 7 is a diagram showing an example of an analysis result input screen according to the present embodiment. As shown in FIG. 7, the analysis result input screen 2000 is displayed on the screen 25 of the third-party institution terminal 20.
  • the analysis result input screen 2000 includes a sample information display area 2010, a sample image input area 2020, and a test information input area 2030 for displaying information about the sample.
  • sample information display area 2010, for example, a test date, information on a patient (animal) who is a sample provider, a sample collection date, a sample number, and the like can be displayed.
  • sample image input area 2020 may be provided with a form 2021 for inputting a sample image.
  • the staff R2 of the inspection institution can attach the image obtained by imaging the sample to the form.
  • the number of forms 2021 is not particularly limited and can be adjusted as appropriate.
  • annotations, comments, and the like can be appropriately added to the pasted image.
  • the examination information input area 2030 may be provided with an in-charge doctor / examination institution input form 2031 and an examination result / diagnosis input form 2032.
  • the staff R2 of the inspection institution can enter his / her name and the name of the inspection institution in the doctor / inspection institution input form 2031.
  • the staff R2 can input the test result and the content of the diagnosis into the test result / diagnosis input form 2032.
  • the input form provided in the inspection information input area 2030 is not limited to such an example, and may be provided as appropriate.
  • FIG. 8 is a diagram showing another example of the analysis result input screen according to the present embodiment.
  • the example shown in FIG. 8 is a screen example when the input of the analysis information to the analysis result input screen 2000 shown in FIG. 7 is completed.
  • an image of a sample such as an imaged cell for performing pathological diagnosis of an animal is attached to the sample image input area 2020.
  • the test information input area 2030 information such as the name of the staff in charge of the test / diagnosis and the findings obtained by the analysis of the sample is input.
  • the staff R2 can input the analysis information input on the input screen to the server 10 by inputting to the transmission button or the like (not shown).
  • FIG. 9 is a diagram showing another example of displaying the medical record information screen according to the present embodiment.
  • the medical record information screen 1000 regarding the items related to “inspection” in the medical record information display area 1030 shown in FIG. 6, the sample image display area 1032, the form 1033 regarding the staff / institution in charge of the examination, and the examination
  • the form 1034 for describing the results reflects the sample image, the doctor in charge, and the information on the test result input by the staff R2 of the third-party organization via the terminal 20 of the third-party organization, respectively.
  • the sample provider automatically obtains the information regarding the analysis result of the sample input to the third-party institution terminal 20.
  • the content of the analysis result is automatically reflected on the medical record screen of a certain animal.
  • the analysis result is directly reflected in the electronic medical record of the veterinary hospital, so that the veterinary hospital can easily obtain the analysis result.
  • the electronic medical record management system 1 it is also possible for the veterinary hospital to acquire an image of the sample and transmit the image to a third party organization.
  • the content that can be evaluated from the sample image can be analyzed without sending the sample. Therefore, it is possible to reduce the complexity of the procedure associated with sending and the like, and it is also possible to shorten the lead time.
  • the image is a moving image delivered in real time, the analysis result can be shared between the veterinary hospital and a third-party organization on the spot.
  • the device described in the present specification may be realized as a single device, or may be realized by a plurality of devices (for example, a cloud server) in which some or all of them are connected by a network.
  • the control unit 11 and the storage 13 of the server 10 may be realized by different servers connected to each other by a network.
  • the series of processes by the apparatus described in the present specification may be realized by using any of software, hardware, and a combination of software and hardware. It is possible to create a computer program for realizing each function of the server 10 according to the present embodiment and implement it on a PC or the like. It is also possible to provide a computer-readable recording medium in which such a computer program is stored.
  • the recording medium is, for example, a magnetic disk, an optical disk, a magneto-optical disk, a flash memory, or the like. Further, the above-mentioned computer program may be distributed via, for example, a network without using a recording medium.
  • (Item 1) It ’s a method of managing electronic medical records.
  • the terminal of a third-party organization that analyzes the sample Obtaining information on the analysis results of the sample obtained by analyzing the animal sample, and Sending the information related to the analysis result of the sample to the server that manages the medical record database in which the medical record information of the animal is stored, and Including The server that manages the medical record database A method comprising adding information relating to the transmitted analysis result of the sample of the animal to the medical record information of the animal.
  • the analysis result of the sample is obtained by analyzing the animal sample at the third party organization.
  • Method (Item 3) The method described in item 1.
  • the image of the animal sample is transmitted to the terminal of the third party organization,
  • the analysis result of the sample can be obtained by analyzing the image of the sample at the third party organization.
  • Method. (Item 4) The method described in item 3
  • the image is a moving image, Method.
  • (Item 5) The method according to item 4.
  • the moving image is a moving image obtained by imaging the sample and delivering it to the terminal of the third party organization in real time.
  • Method. (Item 6) The method according to any one of items 1 to 5.
  • Information related to the analysis result of the sample is generated by inputting to a predetermined form displayed on the terminal of the third party organization.
  • the server adds information related to the analysis result of the sample of the animal to the form of the medical record information of the animal corresponding to the predetermined form.
  • the analysis result includes a test result obtained by testing the sample.
  • Method. (Item 8) The method according to any one of items 1 to 7.
  • the analysis result includes a diagnostic result obtained by diagnosing the sample.
  • Method. (Item 9)
  • a server that manages the medical record database, a terminal of a third-party organization, With The terminal of the third party organization
  • the sample information acquisition unit that acquires information related to animal samples, Analysis information transmission that acquires information on the analysis result of the sample obtained by the analysis of the sample and transmits the information related to the analysis result of the sample to a server that manages a chart database in which the chart information of the animal is stored. Department and Have,
  • the server An electronic medical record management system having a medical record information input unit that adds information related to the transmitted analysis result of the sample of the animal to the medical record information of the animal.

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Abstract

[Problem] To cause analysis results by an external organization to be reflected in an electronic medical chart, in an easy manner. [Solution] An electronic medical chart management method according to this disclosure is configured so that: a third party organization terminal 20, which analyzes specimens, acquires information relating to specimen analysis results obtained by analyzing a specimen of an animal; the third party organization terminal transmits the information pertaining to the specimen analysis results to a server 10 which manages a medical chart database 105 that stores medical chart information of the animal; and the server 10 which manages the medical chart database 105 adds, to the medical chart information of the animal, the transmitted information pertaining to the analysis results of the specimen of the animal.

Description

方法および電子カルテ管理システムMethod and electronic medical record management system
　本開示は、方法および電子カルテ管理システムに関する。 This disclosure relates to methods and electronic medical record management systems.
　医療機関においては、電子カルテによる検査の管理に係る技術の開発が進められている。例えば、特許文献１には、検体の検査に関する管理方法に関する技術が開示されている。 Medical institutions are developing technology related to the management of examinations using electronic medical records. For example, Patent Document 1 discloses a technique relating to a management method for testing a sample.
特開２０１８－５９７１５号JP-A-2018-59715
　動物病院の場合、検体を解析（例えば検査や診断）するような施設を所有していないケースが多く、かかる解析は第三者の解析機関で行われる。かかる解析においては、検体の準備、送付や解析結果情報の電子カルテへの入力等に多くの時間を要し、解析に伴う動物病院側の負担は大きい。 In many cases, veterinary hospitals do not have facilities for analyzing specimens (for example, testing and diagnosis), and such analysis is performed by a third-party analysis institution. In such an analysis, it takes a lot of time to prepare and send a sample, input analysis result information to an electronic medical record, and the like, and the burden on the veterinary hospital side due to the analysis is large.
　そこで、本開示は上記問題点に鑑みてなされたものであり、その目的は、外部機関による解析結果を容易に電子カルテに反映させることが可能な方法および電子カルテ管理システムを提供することである。 Therefore, the present disclosure has been made in view of the above problems, and an object of the present disclosure is to provide a method and an electronic medical record management system capable of easily reflecting the analysis results by an external organization in an electronic medical record. ..
　本開示によれば、電子カルテの管理の方法であって、検体の解析を行う第三者機関の端末が、動物の検体の解析により得られる前記検体の解析結果に関する情報を取得することと、前記検体の解析結果に係る情報を、前記動物のカルテ情報が格納されているカルテデータベースを管理するサーバに送信することと、を含み、前記カルテデータベースを管理するサーバが、送信された前記動物の前記検体の解析結果に係る情報を、前記動物のカルテ情報に追加することを含む、方法が提供される。 According to the present disclosure, which is a method of managing electronic medical records, a terminal of a third-party organization that analyzes a sample acquires information on the analysis result of the sample obtained by analyzing an animal sample. Information relating to the analysis result of the sample is transmitted to a server that manages a medical record database in which the medical record information of the animal is stored, and the server that manages the medical record database of the transmitted animal. A method is provided that comprises adding information relating to the analysis result of the sample to the medical record information of the animal.
　また、本開示によれば、カルテデータベースを管理するサーバと、第三者機関の端末と、を備え、第三者機関の端末は、動物の検体に係る情報を取得する検体情報取得部と、前記検体の解析により得られる前記検体の解析結果に関する情報を取得し、前記検体の解析結果に係る情報を、前記動物のカルテ情報が格納されているカルテデータベースを管理するサーバに送信する解析情報送信部と、を有し、前記サーバは、送信された前記動物の前記検体の解析結果に係る情報を、前記動物のカルテ情報に追加するカルテ情報入力部とを有する、電子カルテ管理システムが提供される。 Further, according to the present disclosure, a server that manages a medical record database and a terminal of a third-party organization are provided, and the terminal of the third-party organization includes a sample information acquisition unit that acquires information related to animal samples. Analysis information transmission that acquires information on the analysis result of the sample obtained by the analysis of the sample and transmits the information related to the analysis result of the sample to a server that manages a medical record database in which the medical record information of the animal is stored. An electronic medical record management system is provided, wherein the server has a medical record information input unit that adds information related to the transmitted analysis result of the sample of the animal to the medical record information of the animal. NS.
　本開示によれば、外部機関による解析結果を容易に電子カルテに反映させることができる。 According to this disclosure, the analysis result by an external organization can be easily reflected in the electronic medical record.
本開示の一実施形態に係る電子カルテ管理システム１の構成例を示す図である。It is a figure which shows the configuration example of the electronic medical record management system 1 which concerns on one Embodiment of this disclosure. 同実施形態に係るサーバ１０を実現するコンピュータのハードウェア構成例を示す図である。It is a figure which shows the hardware configuration example of the computer which realizes the server 10 which concerns on this embodiment. 同実施形態に係るサーバ１０のソフトウェア構成例を示す図である。It is a figure which shows the software configuration example of the server 10 which concerns on the same embodiment. 同実施形態に係る第三者機関端末２０のソフトウェア構成例を示す図である。It is a figure which shows the software configuration example of the third party organization terminal 20 which concerns on this embodiment. 同実施形態に係る電子カルテ管理システム１における電子カルテ管理方法の流れに係るフローチャート図である。It is a flowchart which concerns on the flow of the electronic medical record management method in the electronic medical record management system 1 which concerns on the same embodiment. 同実施形態に係るカルテ情報画面の表示の一例を示す図である。It is a figure which shows an example of the display of the medical record information screen which concerns on the same embodiment. 同実施形態に係る解析結果入力画面の一例を示す図である。It is a figure which shows an example of the analysis result input screen which concerns on the same embodiment. 同実施形態に係る解析結果入力画面の他の例を示す図である。It is a figure which shows another example of the analysis result input screen which concerns on the same embodiment. 同実施形態に係るカルテ情報画面の表示の他の例を示す図である。It is a figure which shows another example of the display of the medical record information screen which concerns on the same embodiment.
　以下に添付図面を参照しながら、本開示の好適な実施の形態について詳細に説明する。なお、本明細書及び図面において、実質的に同一の機能構成を有する構成要素については、同一の符号を付することにより重複説明を省略する。 Hereinafter, preferred embodiments of the present disclosure will be described in detail with reference to the accompanying drawings. In the present specification and the drawings, components having substantially the same functional configuration are designated by the same reference numerals, so that duplicate description will be omitted.
　図１は、本開示の一実施形態に係る電子カルテ管理システム１の構成例を示す図である。図示するように、本実施形態に係る電子カルテ管理システム１は、電子カルテサーバ１０（以下、サーバ１０と称する）と、第三者機関端末２０と、病院端末３０とを備える。サーバ１０と、第三者機関端末２０と、病院端末３０とは、ネットワークＮＷを介して通信可能に接続されている。なお、本構成は一例であり、ある構成が他の構成を兼ね備えていたり、他の構成が含まれていたりしてもよい。本実施形態に係る電子カルテ管理システム１は、本実施形態に係る電子カルテ管理方法を実現するための一態様である。 FIG. 1 is a diagram showing a configuration example of an electronic medical record management system 1 according to an embodiment of the present disclosure. As shown in the figure, the electronic medical record management system 1 according to the present embodiment includes an electronic medical record server 10 (hereinafter referred to as a server 10), a third-party institution terminal 20, and a hospital terminal 30. The server 10, the third-party institution terminal 20, and the hospital terminal 30 are communicably connected via the network NW. It should be noted that this configuration is an example, and a certain configuration may have another configuration or may include another configuration. The electronic medical record management system 1 according to the present embodiment is an aspect for realizing the electronic medical record management method according to the present embodiment.
　本実施形態においてネットワークＮＷはインターネットを想定している。ネットワークＮＷは、例えば、公衆電話回線網、携帯電話回線網、無線通信網、イーサネット（登録商標）などにより構築される。 In this embodiment, the network NW assumes the Internet. The network NW is constructed by, for example, a public telephone line network, a mobile phone line network, a wireless communication network, Ethernet (registered trademark), and the like.
　サーバ１０は、例えば、動物病院において受診者である動物Ｃ１のカルテの管理およびカルテに関する処理を行うためのコンピュータである。かかるサーバ１０は、例えば、動物病院により直接的に管理されてもよいし、動物病院を経営する組織や、少なくとも一の動物病院にかかる電子カルテ管理システム１を提供するサービサーにより管理されてもよい。 The server 10 is, for example, a computer for managing the medical record of the animal C1 who is a examinee at a veterinary hospital and processing the medical record. Such a server 10 may be managed directly by, for example, a veterinary hospital, or may be managed by an organization that manages a veterinary hospital or a servicer that provides an electronic medical record management system 1 for at least one veterinary hospital. ..
　また、例えば、サーバ１０は、ワークステーションまたはパーソナルコンピュータのような汎用コンピュータとしてもよいし、或いはクラウドコンピューティングによって論理的に実現されてもよい。 Further, for example, the server 10 may be a general-purpose computer such as a workstation or a personal computer, or may be logically realized by cloud computing.
　第三者機関端末２０は、例えば、動物病院ではない外部の検査機関等の第三者機関に設置される端末である。かかる端末は、例えば、第三者機関のスタッフＲ２により操作され得る。例えば、第三者機関端末２０は、スマートフォン、タブレットコンピュータまたはパーソナルコンピュータ等であり得る。 The third-party institution terminal 20 is, for example, a terminal installed in a third-party institution such as an external inspection institution other than a veterinary hospital. Such a terminal can be operated, for example, by staff R2 of a third party organization. For example, the third party terminal 20 may be a smartphone, a tablet computer, a personal computer, or the like.
　病院端末３０は、例えば、動物病院に設置される端末である。かかる端末は、例えば、動物病院の獣医等のスタッフＲ１により操作され得る。サーバ１０には、病院端末３０からアクセスすることが可能である。例えば、サーバ１０により管理されている動物のカルテ情報は、病院端末３０から取得することが可能である。例えば、病院端末３０は、スマートフォン、タブレットコンピュータまたはパーソナルコンピュータ等であり得る。 The hospital terminal 30 is, for example, a terminal installed in a veterinary hospital. Such a terminal can be operated, for example, by a staff member R1 such as a veterinarian in a veterinary hospital. The server 10 can be accessed from the hospital terminal 30. For example, animal chart information managed by the server 10 can be acquired from the hospital terminal 30. For example, the hospital terminal 30 can be a smartphone, a tablet computer, a personal computer, or the like.
　本実施形態に係る電子カルテ管理システム１の概要について説明する。獣医Ｒ１は、病院端末３０を介して、ペットである動物のカルテの閲覧や入力を行う。病院端末３０は、サーバ１０から動物に関するカルテ情報を取得する。獣医Ｒ１は、かかる画面に対する操作を行って、動物の状態について入力を行う。 The outline of the electronic medical record management system 1 according to this embodiment will be described. The veterinarian R1 browses and inputs the medical records of pet animals via the hospital terminal 30. The hospital terminal 30 acquires medical record information about animals from the server 10. The veterinarian R1 performs an operation on the screen to input the state of the animal.
　例えば、動物病院の設備では動物の病気や怪我等に係る検査を行うことが困難な場合が存在する。この場合、動物病院とは異なる外部の検査機関に対して動物の検体２を提供し、かかる検体２の解析を該検査機関において実施されることがある。しかしながら、従来は、第三者機関端末２０が、かかる検体２の解析の結果（例えば検査結果や診断結果等）を入力し、かかる入力データを再度病院端末３０において入力し直し、サーバ１０のカルテデータベースに取り込むことが求められていた。かかる解析結果のデータ入力が診察のボトルネックとなり、飼主にとっても負担となり得る。 For example, there are cases where it is difficult to inspect animal diseases, injuries, etc. at the facilities of a veterinary hospital. In this case, the animal sample 2 may be provided to an external laboratory different from the veterinary hospital, and the analysis of the sample 2 may be performed at the laboratory. However, conventionally, the third-party institution terminal 20 inputs the analysis result (for example, test result, diagnosis result, etc.) of the sample 2, re-inputs the input data in the hospital terminal 30, and the medical record of the server 10. It was required to be imported into the database. Data entry of such analysis results becomes a bottleneck for medical examination and can be a burden for the owner.
　そこで、本実施形態に係る電子カルテ管理システム１によれば、第三者機関において動物の検体２の解析が行われると、その解析結果は、例えばスタッフＲ２により第三者機関端末２０に入力される。すると、入力された解析結果に係る情報は、サーバ１０へと送信される。そして、サーバ１０のカルテデータベースに記憶されている動物のカルテ情報に、かかる解析結果に係る情報が追加される。かかる構成により、第三者機関により行われた解析の結果が、自動的にカルテ情報に反映される。これにより、外部機関に検体の解析を依頼した場合であっても、解析終了とともにすぐカルテ情報として扱うことが可能となる。よって、外部機関による解析結果を容易に電子カルテに反映させることができ、動物の診察にかかるリードタイムも短くすることができる。本実施形態に係る電子カルテ管理システム１は、例えば、動物病院の内部では実施できないような病理診断、特定の装置を用いた解析等の、第三者機関に検査や診断を依頼するケースに適用することができる。以下、本実施形態の詳細について説明する。 Therefore, according to the electronic medical record management system 1 according to the present embodiment, when the animal sample 2 is analyzed by a third party institution, the analysis result is input to the third party institution terminal 20 by, for example, the staff R2. NS. Then, the information related to the input analysis result is transmitted to the server 10. Then, the information related to the analysis result is added to the medical record information of the animal stored in the medical record database of the server 10. With such a configuration, the result of the analysis performed by the third party organization is automatically reflected in the medical record information. As a result, even if an external institution is requested to analyze the sample, it can be treated as medical record information immediately after the analysis is completed. Therefore, the analysis result by an external organization can be easily reflected in the electronic medical record, and the lead time required for animal examination can be shortened. The electronic medical record management system 1 according to the present embodiment is applied to a case where an examination or diagnosis is requested to a third party organization, for example, a pathological diagnosis that cannot be performed inside a veterinary hospital, an analysis using a specific device, or the like. can do. The details of this embodiment will be described below.
　図２は、本実施形態に係るサーバ１０を実現するコンピュータのハードウェア構成例を示す図である。コンピュータは、少なくとも、制御部１１、メモリ１２、ストレージ１３、通信部１４および入出力部１５等を備える。これらはバス１６を通じて相互に電気的に接続される。 FIG. 2 is a diagram showing a hardware configuration example of a computer that realizes the server 10 according to the present embodiment. The computer includes at least a control unit 11, a memory 12, a storage 13, a communication unit 14, an input / output unit 15, and the like. These are electrically connected to each other through the bus 16.
　制御部１１は、サーバ１０全体の動作を制御し、各要素間におけるデータの送受信の制御、及びアプリケーションの実行及び認証処理に必要な情報処理等を行う演算装置である。例えば制御部１１は、ＣＰＵ（Ｃｅｎｔｒａｌ　Ｐｒｏｃｅｓｓｉｎｇ　Ｕｎｉｔ）等のプロセッサであり、ストレージ１３に格納されメモリ１２に展開されたプログラム等を実行して各情報処理を実施する。 The control unit 11 is an arithmetic unit that controls the operation of the entire server 10, controls the transmission and reception of data between each element, and performs information processing and the like necessary for application execution and authentication processing. For example, the control unit 11 is a processor such as a CPU (Central Processing Unit), and executes each information processing by executing a program or the like stored in the storage 13 and expanded in the memory 12.
　メモリ１２は、ＤＲＡＭ（Ｄｙｎａｍｉｃ　Ｒａｎｄｏｍ　Ａｃｃｅｓｓ　Ｍｅｍｏｒｙ）等の揮発性記憶装置で構成される主記憶と、フラッシュメモリまたはＨＤＤ（Ｈａｒｄ　Ｄｉｓｃ　Ｄｒｉｖｅ）等の不揮発性記憶装置で構成される補助記憶と、を含む。メモリ１２は、制御部１１のワークエリア等として使用され、また、サーバ１０の起動時に実行されるＢＩＯＳ（Ｂａｓｉｃ　Ｉｎｐｕｔ／Ｏｕｔｐｕｔ　Ｓｙｓｔｅｍ）、及び各種設定情報等を格納する。 The memory 12 includes a main memory composed of a volatile storage device such as a DRAM (Dynamic Random Access Memory) and an auxiliary memory composed of a flash memory or a non-volatile storage device such as an HDD (Hard Disk Drive). .. The memory 12 is used as a work area or the like of the control unit 11, and also stores a BIOS (Basic Input / Output System) executed when the server 10 is started, various setting information, and the like.
　ストレージ１３は、アプリケーション・プログラム等の各種プログラムを格納する。各処理に用いられるデータを格納したデータベースがストレージ１３に構築されていてもよい。 The storage 13 stores various programs such as application programs. A database storing data used for each process may be built in the storage 13.
　通信部１４は、サーバ１０をネットワークに接続する。通信部１４は、例えば、有線ＬＡＮ（Local　Area　Network）、無線ＬＡＮ、Ｗｉ－Ｆｉ（Wireless　Fidelity、登録商標）、赤外線通信、Ｂｌｕｅｔｏｏｔｈ（登録商標）、近距離または非接触通信等の方式で、外部機器と直接またはネットワークアクセスポイントを介して通信する。 The communication unit 14 connects the server 10 to the network. The communication unit 14 uses, for example, a wired LAN (Local Area Network), wireless LAN, Wi-Fi (Wireless Fidelity, registered trademark), infrared communication, Bluetooth (registered trademark), short-range or non-contact communication, or the like. Communicate directly with the device or via a network access point.
　入出力部１５は、例えば、キーボード、マウス、タッチパネル等の情報入力機器、及びディスプレイ等の出力機器である。 The input / output unit 15 is, for example, an information input device such as a keyboard, a mouse, and a touch panel, and an output device such as a display.
　バス１６は、上記各要素に共通に接続され、例えば、アドレス信号、データ信号及び各種制御信号を伝達する。 The bus 16 is commonly connected to each of the above elements and transmits, for example, an address signal, a data signal, and various control signals.
　本実施形態に係る第三者機関端末２０および病院端末３０を実現するコンピュータやスマートフォン等の端末のハードウェア構成は、図２に示すサーバ１０のハードウェア構成例と同様であるため、説明を省略する。 Since the hardware configuration of terminals such as computers and smartphones that realize the third-party institution terminal 20 and the hospital terminal 30 according to the present embodiment is the same as the hardware configuration example of the server 10 shown in FIG. 2, the description is omitted. do.
　図３は、本実施形態に係るサーバ１０のソフトウェア構成例を示す図である。サーバ１０は、カルテ情報取得部１０１、画像情報出力部１０２、解析結果取得部１０３、カルテ情報入力部１０４およびカルテＤＢ１０５を備える。カルテ情報取得部１０１、画像情報出力部１０２、解析結果取得部１０３およびカルテ情報入力部１０４は、制御部１１がストレージ１３に記憶されているプログラムをメモリ１２に読み出して実行することにより実現され得る。また、カルテＤＢ１０５は、メモリ１２およびストレージ１３が提供する記憶領域の一部として実現され得る。なお、カルテＤＢ１０５は、サーバ１０以外の一または複数のサーバが提供する外部の記憶領域の一部として実現されてもよい。 FIG. 3 is a diagram showing a software configuration example of the server 10 according to the present embodiment. The server 10 includes a medical record information acquisition unit 101, an image information output unit 102, an analysis result acquisition unit 103, a medical record information input unit 104, and a medical record DB 105. The chart information acquisition unit 101, the image information output unit 102, the analysis result acquisition unit 103, and the chart information input unit 104 can be realized by the control unit 11 reading the program stored in the storage 13 into the memory 12 and executing the program. .. Further, the medical record DB 105 can be realized as a part of the storage area provided by the memory 12 and the storage 13. The medical record DB 105 may be realized as a part of an external storage area provided by one or more servers other than the server 10.
　カルテ情報取得部１０１は、カルテＤＢ（データベース）１０８に記録されている動物のカルテ情報をカルテＤＢ（データベース）から取得する機能を有する。例えば、病院端末３０において獣医Ｒ１が診察対象の動物のカルテを取り出す場合に、カルテ情報取得部１０１は、病院端末３０からの要求に基づいて、診察対象の動物のカルテ情報を取得する。 The medical record information acquisition unit 101 has a function of acquiring animal medical record information recorded in the medical record DB (database) 108 from the medical record DB (database). For example, when the veterinarian R1 takes out the medical record of the animal to be examined at the hospital terminal 30, the medical record information acquisition unit 101 acquires the medical record information of the animal to be examined based on the request from the hospital terminal 30.
　画像情報出力部１０２は、検体の画像を動物病院で撮像して取得した場合に、かかる画像情報を第三者機関端末２０に出力する機能を有する。この場合、第三者機関は、検体の画像を解析することによって、検体の解析結果を得る。かかる検体の画像は、例えば、静止画像であってもよいし、動画像であってもよい。なお、動画像は、例えば検体の動きを予め撮像して得られる動画像であってもよいし、その場で検体を撮像しながらリアルタイムに第三者機関端末２０に配信される動画像であってもよい。検体の画像を動物病院で取得して第三者機関端末２０に画像情報を送信することで、検体そのものを送付する手間や時間が省くことができ、検体の採取から結果を得るまでのリードタイムを短くすることができる。 The image information output unit 102 has a function of outputting such image information to a third-party institution terminal 20 when an image of a sample is captured and acquired at a veterinary hospital. In this case, the third-party organization obtains the analysis result of the sample by analyzing the image of the sample. The image of such a sample may be, for example, a still image or a moving image. The moving image may be, for example, a moving image obtained by preliminarily capturing the movement of the sample, or a moving image delivered to the third-party institution terminal 20 in real time while capturing the sample on the spot. You may. By acquiring the image of the sample at the veterinary hospital and transmitting the image information to the third-party institution terminal 20, it is possible to save the trouble and time of sending the sample itself, and the lead time from collecting the sample to obtaining the result. Can be shortened.
　解析結果取得部１０３は、第三者機関端末２０から送信された動物の検体の解析結果に係る情報を取得する機能を有する。例えば、解析結果取得部１０３は、第三者機関端末２０に表示される所定のフォームへの入力により生成される解析結果に係る情報を取得し、かかるフォームの内容を、後述するカルテ情報入力部１０４がカルテ情報の対応するフォームに追加する。 The analysis result acquisition unit 103 has a function of acquiring information related to the analysis result of the animal sample transmitted from the third-party institution terminal 20. For example, the analysis result acquisition unit 103 acquires information related to the analysis result generated by inputting to a predetermined form displayed on the third-party institution terminal 20, and the contents of the form are described in the chart information input unit described later. 104 adds to the corresponding form of chart information.
　カルテ情報入力部１０４は、動物の検体の解析結果に係る情報を、動物のカルテ情報に追加する機能を有する。具体的には、カルテ情報入力部１０４は、解析結果取得部１０３が取得した動物の検体の解析結果に係る情報を、カルテ情報取得部１０１が取得した該動物のカルテ情報に追加する。例えば、解析結果取得部１０３が動物の検体の検査結果を取得した場合、カルテ情報入力部１０４は、カルテの「検査」に係る項目に対して、検査結果の情報を追加し得る。 The medical record information input unit 104 has a function of adding information related to the analysis result of the animal sample to the medical record information of the animal. Specifically, the chart information input unit 104 adds the information related to the analysis result of the animal sample acquired by the analysis result acquisition unit 103 to the chart information of the animal acquired by the chart information acquisition unit 101. For example, when the analysis result acquisition unit 103 acquires the test result of the animal sample, the medical record information input unit 104 can add the test result information to the item related to the “test” of the medical record.
　カルテＤＢ１０５は、動物病院において登録されている診察対象の動物のカルテ情報を記憶するデータベースである。かかるカルテ情報は、例えば、図４および図５に示したような、動物に関する情報（例えば、動物の名前、動物種、年齢、動物の飼主等）と、動物の過去の現病歴に係る情報とを含みうる。なお、カルテ情報は、現病歴に係る情報の他に、既往歴、身体所見、診断、検査、処置／投薬、処方、入院および手術の少なくともいずれかに係る情報を含んでいてもよい。 The medical record DB 105 is a database that stores medical record information of animals to be examined registered at a veterinary hospital. Such medical record information includes, for example, information on animals (for example, animal name, animal species, age, animal owner, etc.) and information on the past current medical history of animals, as shown in FIGS. 4 and 5. Can include. In addition to the information related to the current medical history, the medical record information may include information related to at least one of medical history, physical findings, diagnosis, examination, treatment / medication, prescription, hospitalization, and surgery.
　図４は、本実施形態に係る第三者機関端末２０のソフトウェア構成例を示す図である。第三者機関端末２０は、検体情報取得部２０１および解析情報送信部２０２を備える。検体情報取得部２０１および解析情報送信部２０２は、第三者機関端末２０に備えられる不図示の制御部がストレージに記憶されているプログラムをメモリに読み出して実行することにより実現され得る。 FIG. 4 is a diagram showing a software configuration example of the third-party institution terminal 20 according to the present embodiment. The third-party institution terminal 20 includes a sample information acquisition unit 201 and an analysis information transmission unit 202. The sample information acquisition unit 201 and the analysis information transmission unit 202 can be realized by a control unit (not shown) provided in the third-party institution terminal 20 reading a program stored in the storage into a memory and executing the program.
　検体情報取得部２０１は、動物病院から取得した検体に関する情報を取得する機能を有する。検体に関する情報とは、例えば、検体の採取元である動物、検体の採取日、検体番号、検体の採取位置、検体の種類、および該動物が受診した病院等に関する情報である。かかる検体に関する情報は、例えば、送付された検体に付随する情報を、第三者機関端末２０等を介して入力して得られる情報であったり、病院端末３０から送信される情報等であってもよい。 The sample information acquisition unit 201 has a function of acquiring information on a sample acquired from a veterinary hospital. The information about the sample is, for example, information about the animal from which the sample was collected, the date when the sample was collected, the sample number, the position where the sample was collected, the type of the sample, the hospital where the animal visited, and the like. The information regarding the sample is, for example, information obtained by inputting information accompanying the sent sample via a third-party institution terminal 20 or the like, information transmitted from the hospital terminal 30, or the like. May be good.
　さらに、検体情報取得部２０１は、検体の解析結果に係る情報を取得し得る。検体の解析は、第三者機関において実施され得る。かかる解析により得られる解析結果に係る情報は、例えば、第三者機関端末２０等を介して入力して得られる情報であったり、解析装置から直接的に得られる解析情報であってもよい。解析結果に係る情報は、例えば、解析装置（検査装置）により得られる検査結果であったり、該検査結果を元に第三者機関のスタッフ（例えば医療従事者）が診断して得られる診断結果であってもよい。かかる情報には、病理画像に係る情報等も含まれ得る。 Further, the sample information acquisition unit 201 can acquire information related to the analysis result of the sample. Analysis of the sample can be performed by a third party. The information related to the analysis result obtained by such analysis may be, for example, information obtained by inputting via a third-party institution terminal 20 or the like, or analysis information directly obtained from an analysis device. The information related to the analysis result is, for example, the test result obtained by the analysis device (test device), or the diagnosis result obtained by the staff of a third party organization (for example, a medical worker) based on the test result. It may be. Such information may include information related to pathological images and the like.
　解析情報送信部２０２は、検体の解析結果に係る情報を、動物のカルテ情報が格納されているカルテＤＢ１０８を管理するサーバ１０に送信する機能を有する。かかる解析結果に係る情報は、サーバ１０の解析結果取得部１０３により取得され得る。 The analysis information transmission unit 202 has a function of transmitting information related to the analysis result of the sample to the server 10 that manages the medical record DB 108 in which the medical record information of the animal is stored. The information related to the analysis result can be acquired by the analysis result acquisition unit 103 of the server 10.
　図５は、本実施形態に係る電子カルテ管理システム１における電子カルテ管理方法の流れに係るフローチャート図である。以下、電子カルテ管理システム１による動物の検体の検査と検査結果のカルテへの反映の例について説明する。 FIG. 5 is a flowchart showing the flow of the electronic medical record management method in the electronic medical record management system 1 according to the present embodiment. Hereinafter, an example of testing an animal sample by the electronic medical record management system 1 and reflecting the test result in the medical record will be described.
　まず、サーバ１０が、解析対象である検体に対応する動物のカルテ情報をカルテＤＢ１０５から取得する（ステップＳ１０１）。ここでは、診察の結果、動物から検体を採取して検体の検査を行うことを想定している。 First, the server 10 acquires the medical record information of the animal corresponding to the sample to be analyzed from the medical record DB 105 (step S101). Here, it is assumed that as a result of the medical examination, a sample is collected from the animal and the sample is inspected.
　図６は、本実施形態に係るカルテ情報画面の表示の一例を示す図である。図６に示すように、カルテ情報画面１０００には、患者である動物に係る情報を表示する動物情報表示領域１０１０、カルテの画面を項目ごとに切り替えるための項目ボタン１０２０および各項目におけるカルテ情報を示すカルテ情報表示領域１０３０が含まれている。ここで、カルテ情報表示領域１０３０は、「検査」に関する情報を表示している。 FIG. 6 is a diagram showing an example of the display of the medical record information screen according to the present embodiment. As shown in FIG. 6, the medical record information screen 1000 includes an animal information display area 1010 for displaying information related to an animal as a patient, an item button 1020 for switching the medical record screen for each item, and medical record information for each item. The chart information display area 1030 shown is included. Here, the medical record information display area 1030 displays information related to "inspection".
　カルテ情報表示領域１０３０には、検体に関する情報テキスト１０３１、検体画像表示領域１０３２、検査を担当したスタッフ／機関に関するフォーム１０３３および検査結果を記載するためのフォーム１０３４が含まれている。この段階においては検査前であるから、検体の採取日と検体番号に関する情報のみが情報テキスト１０３１に入力されている。なお、かかる検体に関する情報として、検体の採取位置等の情報が含まれていてもよい。 The chart information display area 1030 includes an information text 1031 regarding the sample, a sample image display area 1032, a form 1033 regarding the staff / institution in charge of the test, and a form 1034 for describing the test result. Since it is before the test at this stage, only the information regarding the sample collection date and the sample number is input to the information text 1031. In addition, information such as a sample collection position may be included as the information regarding such a sample.
　次に、検体（または検体に関する情報、例えば検体を撮像した場合には検体の画像情報）が検査機関（第三者機関）に送付される（ステップＳ１０３）。その際に、検体に関する情報が第三者機関端末２０の検体情報取得部２０１により取得され得る。そして、検査機関が検体を解析する（検査する）（ステップＳ１０５）。 Next, the sample (or information about the sample, for example, image information of the sample when the sample is imaged) is sent to the inspection institution (third-party institution) (step S103). At that time, information about the sample can be acquired by the sample information acquisition unit 201 of the third-party institution terminal 20. Then, the testing institution analyzes (tests) the sample (step S105).
　次に、検査機関による検体の解析が完了すると、検査機関のスタッフが解析結果を第三者機関端末２０に入力する（ステップＳＳ１０７）。その際、例えば、動物病院が使用する電子カルテ管理システムにより管理されるカルテと連動する所定のフォームに、解析結果が入力されてもよい。 Next, when the analysis of the sample by the testing institution is completed, the staff of the testing institution inputs the analysis result to the third-party institution terminal 20 (step SS107). At that time, for example, the analysis result may be input to a predetermined form linked with the medical record managed by the electronic medical record management system used by the veterinary hospital.
　図７は、本実施形態に係る解析結果入力画面の一例を示す図である。図７に示すように、第三者機関端末２０の画面２５には、解析結果入力画面２０００が表示されている。解析結果入力画面２０００は、検体に関する情報を表示する検体情報表示領域２０１０、検体画像入力領域２０２０および検査情報入力領域２０３０が含まれている。 FIG. 7 is a diagram showing an example of an analysis result input screen according to the present embodiment. As shown in FIG. 7, the analysis result input screen 2000 is displayed on the screen 25 of the third-party institution terminal 20. The analysis result input screen 2000 includes a sample information display area 2010, a sample image input area 2020, and a test information input area 2030 for displaying information about the sample.
　検体情報表示領域２０１０には、例えば、検査日、検体提供者である患者（動物）の情報、検体採取日、検体番号等が表示され得る。また、検体画像入力領域２０２０には、検体画像を入力するためのフォーム２０２１が設けられ得る。例えば、検査機関のスタッフＲ２は、検体を撮像して得られた画像を、かかるフォームに貼り付けることができる。フォーム２０２１の数は特に限定されず、適宜調整することが可能である。また、貼り付けられた画像について、アノテーションやコメント等を適宜付すこともできる。 In the sample information display area 2010, for example, a test date, information on a patient (animal) who is a sample provider, a sample collection date, a sample number, and the like can be displayed. Further, the sample image input area 2020 may be provided with a form 2021 for inputting a sample image. For example, the staff R2 of the inspection institution can attach the image obtained by imaging the sample to the form. The number of forms 2021 is not particularly limited and can be adjusted as appropriate. In addition, annotations, comments, and the like can be appropriately added to the pasted image.
　検査情報入力領域２０３０には、担当医／検査機関入力フォーム２０３１と、検査結果／診断入力フォーム２０３２が設けられ得る。例えば、検査機関のスタッフＲ２は、自身の名前および検査機関の名称を担当医／検査機関入力フォーム２０３１に入力することができる。また、スタッフＲ２は、検査の結果や診断の内容を、検査結果／診断入力フォーム２０３２に入力することができる。なお、検査情報入力領域２０３０に設けられる入力フォームは、かかる例に限定されず、適宜設けられ得る。 The examination information input area 2030 may be provided with an in-charge doctor / examination institution input form 2031 and an examination result / diagnosis input form 2032. For example, the staff R2 of the inspection institution can enter his / her name and the name of the inspection institution in the doctor / inspection institution input form 2031. In addition, the staff R2 can input the test result and the content of the diagnosis into the test result / diagnosis input form 2032. The input form provided in the inspection information input area 2030 is not limited to such an example, and may be provided as appropriate.
　解析結果の入力が完了すると、スタッフＲ２は、第三者機関端末２０を介して、入力された解析情報（解析結果に係る情報）をサーバ１０に送信する（スタッフＳ１０９）。図８は、本実施形態に係る解析結果入力画面の他の例を示す図である。図８に示す例は、図７に示した解析結果入力画面２０００への解析情報の入力が完了した場合の画面例である。具体的には、図８に示すように、検体画像入力領域２０２０には、動物の病理診断を行うための撮像された細胞等の検体の画像が貼り付けられている。また、検査情報入力領域２０３０には、検査／診断を担当したスタッフの名前と、検体の解析により得られた所見等の情報が入力されている。 When the input of the analysis result is completed, the staff R2 transmits the input analysis information (information related to the analysis result) to the server 10 via the third party organization terminal 20 (staff S109). FIG. 8 is a diagram showing another example of the analysis result input screen according to the present embodiment. The example shown in FIG. 8 is a screen example when the input of the analysis information to the analysis result input screen 2000 shown in FIG. 7 is completed. Specifically, as shown in FIG. 8, an image of a sample such as an imaged cell for performing pathological diagnosis of an animal is attached to the sample image input area 2020. Further, in the test information input area 2030, information such as the name of the staff in charge of the test / diagnosis and the findings obtained by the analysis of the sample is input.
　かかる入力画面への解析情報の入力が完了すると、スタッフＲ２は不図示の送信ボタン等に対する入力を行うことで、かかる入力画面に入力された解析情報がサーバ１０に送信され得る。 When the input of the analysis information on the input screen is completed, the staff R2 can input the analysis information input on the input screen to the server 10 by inputting to the transmission button or the like (not shown).
　解析情報をサーバ１０の解析結果取得部１０３が取得すると、カルテ情報入力部１０４は、対応する動物のカルテ情報に解析情報を入力する（ステップＳ０１１１）。図９は、本実施形態に係るカルテ情報画面の表示の他の例を示す図である。図９に示すように、カルテ情報画面１０００には、図６に示したカルテ情報表示領域１０３０の「検査」に関する項目について、検体画像表示領域１０３２、検査を担当したスタッフ／機関に関するフォーム１０３３および検査結果を記載するためのフォーム１０３４に、それぞれ、第三者機関のスタッフＲ２が第三者機関端末２０を介して入力した検体画像や担当医、検査結果に関する情報が反映されている。図９に示す検体画像表示領域１０３２、検査を担当して担当医に関するフォーム１０３３および検査結果を記載するためのフォーム１０３４と、検体画像を入力するためのフォーム２０２１、担当医／検査機関入力フォーム２０３１とおよび検査結果／診断入力フォーム２０３２とがそれぞれ対応している。そのため、検査機関のスタッフＲ２が第三者機関端末２０に表示されているフォームに、それぞれ対応する情報を入力するだけで、自動的にカルテ情報表示領域１０３０の対応する項目に該情報が反映される。 When the analysis result acquisition unit 103 of the server 10 acquires the analysis information, the chart information input unit 104 inputs the analysis information into the chart information of the corresponding animal (step S0111). FIG. 9 is a diagram showing another example of displaying the medical record information screen according to the present embodiment. As shown in FIG. 9, on the medical record information screen 1000, regarding the items related to “inspection” in the medical record information display area 1030 shown in FIG. 6, the sample image display area 1032, the form 1033 regarding the staff / institution in charge of the examination, and the examination The form 1034 for describing the results reflects the sample image, the doctor in charge, and the information on the test result input by the staff R2 of the third-party organization via the terminal 20 of the third-party organization, respectively. Specimen image display area 1032 shown in FIG. 9, form 1033 for the doctor in charge of the examination and form 1034 for describing the examination result, form 2021 for inputting the sample image, and form 2031 for the doctor / laboratory input. And the test result / diagnostic input form 2032 correspond to each other. Therefore, the staff R2 of the inspection institution simply inputs the corresponding information in the form displayed on the third party institution terminal 20, and the information is automatically reflected in the corresponding item in the medical record information display area 1030. NS.
　以上説明したように、本実施形態に係る電子カルテ管理システム１によれば、第三者機関端末２０に入力された検体の解析結果に関する情報を取得するだけで、自動的に、検体提供者である動物のカルテ画面に、解析結果の内容が自動的に反映される。かかるシステムであれば、解析結果がそのまま動物病院の電子カルテに反映されるので、動物病院として、容易に解析結果を得ることができる。また、外部機関に検査を委託することに伴うリードタイムの増加を抑えることができる。 As described above, according to the electronic medical record management system 1 according to the present embodiment, the sample provider automatically obtains the information regarding the analysis result of the sample input to the third-party institution terminal 20. The content of the analysis result is automatically reflected on the medical record screen of a certain animal. With such a system, the analysis result is directly reflected in the electronic medical record of the veterinary hospital, so that the veterinary hospital can easily obtain the analysis result. In addition, it is possible to suppress an increase in lead time due to outsourcing inspection to an external organization.
　また、本実施形態に係る電子カルテ管理システム１によれば、検体の画像を動物病院側で取得し、かかる画像を第三者機関に送信することも可能である。これにより、検体画像から評価できる内容については、検体を送付することなく解析を行うことができる。よって、送付等に伴う手続の煩雑さを低減することができ、さらにリードタイムを短くすることもできる。また、かかる画像がリアルタイムで配信される動画像であれば、その場で解析結果を動物病院と第三者機関との間で共有することもできる。 Further, according to the electronic medical record management system 1 according to the present embodiment, it is also possible for the veterinary hospital to acquire an image of the sample and transmit the image to a third party organization. As a result, the content that can be evaluated from the sample image can be analyzed without sending the sample. Therefore, it is possible to reduce the complexity of the procedure associated with sending and the like, and it is also possible to shorten the lead time. Further, if the image is a moving image delivered in real time, the analysis result can be shared between the veterinary hospital and a third-party organization on the spot.
　以上、添付図面を参照しながら本開示の好適な実施形態について詳細に説明したが、本開示の技術的範囲はかかる例に限定されない。本開示の技術分野における通常の知識を有する者であれば、特許請求の範囲に記載された技術的思想の範疇内において、各種の変更例または修正例に想到し得ることは明らかであり、これらについても、当然に本開示の技術的範囲に属するものと了解される。 Although the preferred embodiments of the present disclosure have been described in detail with reference to the accompanying drawings, the technical scope of the present disclosure is not limited to such examples. It is clear that a person having ordinary knowledge in the technical field of the present disclosure can come up with various modifications or modifications within the scope of the technical ideas described in the claims. Of course, it is understood that the above also belongs to the technical scope of the present disclosure.
　本明細書において説明した装置は、単独の装置として実現されてもよく、一部または全部がネットワークで接続された複数の装置（例えばクラウドサーバ）等により実現されてもよい。例えば、サーバ１０の制御部１１およびストレージ１３は、互いにネットワークで接続された異なるサーバにより実現されてもよい。 The device described in the present specification may be realized as a single device, or may be realized by a plurality of devices (for example, a cloud server) in which some or all of them are connected by a network. For example, the control unit 11 and the storage 13 of the server 10 may be realized by different servers connected to each other by a network.
　本明細書において説明した装置による一連の処理は、ソフトウェア、ハードウェア、及びソフトウェアとハードウェアとの組合せのいずれを用いて実現されてもよい。本実施形態に係るサーバ１０の各機能を実現するためのコンピュータプログラムを作製し、ＰＣ等に実装することが可能である。また、このようなコンピュータプログラムが格納された、コンピュータで読み取り可能な記録媒体も提供することができる。記録媒体は、例えば、磁気ディスク、光ディスク、光磁気ディスク、フラッシュメモリ等である。また、上記のコンピュータプログラムは、記録媒体を用いずに、例えばネットワークを介して配信されてもよい。 The series of processes by the apparatus described in the present specification may be realized by using any of software, hardware, and a combination of software and hardware. It is possible to create a computer program for realizing each function of the server 10 according to the present embodiment and implement it on a PC or the like. It is also possible to provide a computer-readable recording medium in which such a computer program is stored. The recording medium is, for example, a magnetic disk, an optical disk, a magneto-optical disk, a flash memory, or the like. Further, the above-mentioned computer program may be distributed via, for example, a network without using a recording medium.
　また、本明細書においてフローチャート図を用いて説明した処理は、必ずしも図示された順序で実行されなくてもよい。いくつかの処理ステップは、並列的に実行されてもよい。また、追加的な処理ステップが採用されてもよく、一部の処理ステップが省略されてもよい。 Further, the processes described in the present specification using the flowchart diagram do not necessarily have to be executed in the order shown in the drawings. Some processing steps may be performed in parallel. Further, additional processing steps may be adopted, and some processing steps may be omitted.
　また、本明細書に記載された効果は、あくまで説明的または例示的なものであって限定的ではない。つまり、本開示に係る技術は、上記の効果とともに、または上記の効果に代えて、本明細書の記載から当業者には明らかな他の効果を奏しうる。 Further, the effects described in the present specification are merely explanatory or exemplary and are not limited. That is, the techniques according to the present disclosure may exhibit other effects apparent to those skilled in the art from the description herein, in addition to or in place of the above effects.
　なお、以下のような構成も本開示の技術的範囲に属する。
　（項目１）
　電子カルテの管理の方法であって、
　検体の解析を行う第三者機関の端末が、
　　動物の検体の解析により得られる前記検体の解析結果に関する情報を取得することと、
　　前記検体の解析結果に係る情報を、前記動物のカルテ情報が格納されているカルテデータベースを管理するサーバに送信することと、
　を含み、
　前記カルテデータベースを管理するサーバが、
　　送信された前記動物の前記検体の解析結果に係る情報を、前記動物のカルテ情報に追加すること
　を含む、方法。
　（項目２）
　項目１に記載の方法であって、
　前記検体の解析結果は、前記動物の検体を前記第三者機関において解析することにより得られる、
　方法。
　（項目３）
　項目１に記載の方法であって、
　前記動物の検体の画像が前記第三者機関の端末に送信され、
　前記検体の解析結果は、前記第三者機関において前記検体の画像について解析することにより得られる、
　方法。
　（項目４）
　項目３に記載の方法であって、
　前記画像は動画像である、
　方法。
　（項目５）
　項目４に記載の方法であって、
　前記動画像は、前記検体を撮像して前記第三者機関の端末にリアルタイムで配信される動画像である、
　方法。
　（項目６）
　項目１～５のいずれか１項に記載の方法であって、
　前記検体の解析結果に係る情報は、前記第三者機関の端末に表示される所定のフォームへの入力により生成され、
　前記サーバが、前記動物の前記検体の解析結果に係る情報を、前記所定のフォームに対応する前記動物のカルテ情報のフォームに追加する、
　方法。
　（項目７）
　項目１～６のいずれか１項に記載の方法であって、
　前記解析結果は、前記検体を検査して得られる検査結果を含む、
　方法。
　（項目８）
　項目１～７のいずれか１項に記載の方法であって、
　前記解析結果は、前記検体について診断して得られる診断結果を含む、
　方法。
　（項目９）
　カルテデータベースを管理するサーバと、第三者機関の端末と、
　を備え、
　第三者機関の端末は、
　　動物の検体に係る情報を取得する検体情報取得部と、
　　前記検体の解析により得られる前記検体の解析結果に関する情報を取得し、前記検体の解析結果に係る情報を、前記動物のカルテ情報が格納されているカルテデータベースを管理するサーバに送信する解析情報送信部と、
　を有し、
　前記サーバは、
　　送信された前記動物の前記検体の解析結果に係る情報を、前記動物のカルテ情報に追加するカルテ情報入力部と
　を有する、電子カルテ管理システム。 The following configurations also belong to the technical scope of the present disclosure.
(Item 1)
It ’s a method of managing electronic medical records.
The terminal of a third-party organization that analyzes the sample
Obtaining information on the analysis results of the sample obtained by analyzing the animal sample, and
Sending the information related to the analysis result of the sample to the server that manages the medical record database in which the medical record information of the animal is stored, and
Including
The server that manages the medical record database
A method comprising adding information relating to the transmitted analysis result of the sample of the animal to the medical record information of the animal.
(Item 2)
The method described in item 1.
The analysis result of the sample is obtained by analyzing the animal sample at the third party organization.
Method.
(Item 3)
The method described in item 1.
The image of the animal sample is transmitted to the terminal of the third party organization,
The analysis result of the sample can be obtained by analyzing the image of the sample at the third party organization.
Method.
(Item 4)
The method described in item 3
The image is a moving image,
Method.
(Item 5)
The method according to item 4.
The moving image is a moving image obtained by imaging the sample and delivering it to the terminal of the third party organization in real time.
Method.
(Item 6)
The method according to any one of items 1 to 5.
Information related to the analysis result of the sample is generated by inputting to a predetermined form displayed on the terminal of the third party organization.
The server adds information related to the analysis result of the sample of the animal to the form of the medical record information of the animal corresponding to the predetermined form.
Method.
(Item 7)
The method according to any one of items 1 to 6.
The analysis result includes a test result obtained by testing the sample.
Method.
(Item 8)
The method according to any one of items 1 to 7.
The analysis result includes a diagnostic result obtained by diagnosing the sample.
Method.
(Item 9)
A server that manages the medical record database, a terminal of a third-party organization,
With
The terminal of the third party organization
The sample information acquisition unit that acquires information related to animal samples,
Analysis information transmission that acquires information on the analysis result of the sample obtained by the analysis of the sample and transmits the information related to the analysis result of the sample to a server that manages a chart database in which the chart information of the animal is stored. Department and
Have,
The server
An electronic medical record management system having a medical record information input unit that adds information related to the transmitted analysis result of the sample of the animal to the medical record information of the animal.
　１　　　　電子カルテ管理システム
　１０　　　サーバ
　２０　　　第三者機関端末
　３０　　　病院端末
　１０３　　解析結果取得部
　１０４　　カルテ情報入力部
　１０５　　カルテＤＢ
　２０１　　検体情報取得部
　２０２　　解析情報送信部 1 Electronic medical record management system 10 Server 20 Third-party institution terminal 30 Hospital terminal 103 Analysis result acquisition unit 104 Medical record information input unit 105 Medical record DB
201 Specimen information acquisition unit 202 Analysis information transmission unit

Claims (9)

  1. 　電子カルテの管理の方法であって、
    　検体の解析を行う第三者機関の端末が、
    　　動物の検体の解析により得られる前記検体の解析結果に関する情報を取得することと、
    　　前記検体の解析結果に係る情報を、前記動物のカルテ情報が格納されているカルテデータベースを管理するサーバに送信することと、
    　を含み、
    　前記カルテデータベースを管理するサーバが、
    　　送信された前記動物の前記検体の解析結果に係る情報を、前記動物のカルテ情報に追加すること
    　を含む、方法。     It ’s a method of managing electronic medical records.
    The terminal of a third-party organization that analyzes the sample
    Obtaining information on the analysis results of the sample obtained by analyzing the animal sample, and
    Sending the information related to the analysis result of the sample to the server that manages the medical record database in which the medical record information of the animal is stored, and
    Including
    The server that manages the medical record database
    A method comprising adding information relating to the transmitted analysis result of the sample of the animal to the medical record information of the animal.
  2. 　請求項１に記載の方法であって、
    　前記検体の解析結果は、前記動物の検体を前記第三者機関において解析することにより得られる、
    　方法。     The method according to claim 1.
    The analysis result of the sample is obtained by analyzing the animal sample at the third party organization.
    Method.
  3. 　請求項１に記載の方法であって、
    　前記動物の検体の画像が前記第三者機関の端末に送信され、
    　前記検体の解析結果は、前記第三者機関において前記検体の画像について解析することにより得られる、
    　方法。     The method according to claim 1.
    The image of the animal sample is transmitted to the terminal of the third party organization,
    The analysis result of the sample can be obtained by analyzing the image of the sample at the third party organization.
    Method.
  4. 　請求項３に記載の方法であって、
    　前記画像は動画像である、
    　方法。     The method according to claim 3.
    The image is a moving image,
    Method.
  5. 　請求項４に記載の方法であって、
    　前記動画像は、前記検体を撮像して前記第三者機関の端末にリアルタイムで配信される動画像である、
    　方法。     The method according to claim 4.
    The moving image is a moving image obtained by imaging the sample and delivering it to the terminal of the third party organization in real time.
    Method.
  6. 　請求項１～５のいずれか１項に記載の方法であって、
    　前記検体の解析結果に係る情報は、前記第三者機関の端末に表示される所定のフォームへの入力により生成され、
    　前記サーバが、前記動物の前記検体の解析結果に係る情報を、前記所定のフォームに対応する前記動物のカルテ情報のフォームに追加する、
    　方法。     The method according to any one of claims 1 to 5.
    Information related to the analysis result of the sample is generated by inputting to a predetermined form displayed on the terminal of the third party organization.
    The server adds information related to the analysis result of the sample of the animal to the form of the medical record information of the animal corresponding to the predetermined form.
    Method.
  7. 　請求項１～６のいずれか１項に記載の方法であって、
    　前記解析結果は、前記検体を検査して得られる検査結果を含む、
    　方法。     The method according to any one of claims 1 to 6.
    The analysis result includes a test result obtained by testing the sample.
    Method.
  8. 　請求項１～７のいずれか１項に記載の方法であって、
    　前記解析結果は、前記検体について診断して得られる診断結果を含む、
    　方法。     The method according to any one of claims 1 to 7.
    The analysis result includes a diagnostic result obtained by diagnosing the sample.
    Method.
  9. 　カルテデータベースを管理するサーバと、第三者機関の端末と、
    　を備え、
    　第三者機関の端末は、
    　　動物の検体に係る情報を取得する検体情報取得部と、
    　　前記検体の解析により得られる前記検体の解析結果に関する情報を取得し、前記検体の解析結果に係る情報を、前記動物のカルテ情報が格納されているカルテデータベースを管理するサーバに送信する解析情報送信部と、
    　を有し、
    　前記サーバは、
    　　送信された前記動物の前記検体の解析結果に係る情報を、前記動物のカルテ情報に追加するカルテ情報入力部と
    　を有する、電子カルテ管理システム。

          A server that manages the medical record database, a terminal of a third-party organization,
    With
    The terminal of the third party organization
    The sample information acquisition unit that acquires information related to animal samples,
    Analysis information transmission that acquires information on the analysis result of the sample obtained by the analysis of the sample and transmits the information related to the analysis result of the sample to a server that manages a chart database in which the chart information of the animal is stored. Department and
    Have,
    The server
    An electronic medical record management system having a medical record information input unit that adds information related to the transmitted analysis result of the sample of the animal to the medical record information of the animal.
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