WO2021199273A1 - 電子カルテシステム - Google Patents

電子カルテシステム Download PDF

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Publication number
WO2021199273A1
WO2021199273A1 PCT/JP2020/014797 JP2020014797W WO2021199273A1 WO 2021199273 A1 WO2021199273 A1 WO 2021199273A1 JP 2020014797 W JP2020014797 W JP 2020014797W WO 2021199273 A1 WO2021199273 A1 WO 2021199273A1
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WO
WIPO (PCT)
Prior art keywords
medical record
information
item
electronic medical
treatment
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/JP2020/014797
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English (en)
French (fr)
Japanese (ja)
Inventor
岡崎　純
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Peco Inc
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Peco Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Peco Inc filed Critical Peco Inc
Priority to PCT/JP2020/014797 priority Critical patent/WO2021199273A1/ja
Priority to JP2021533759A priority patent/JP6994801B1/ja
Publication of WO2021199273A1 publication Critical patent/WO2021199273A1/ja
Priority to JP2021198405A priority patent/JP2022022333A/ja
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; 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
    • G06Q50/22—Social work or social welfare, e.g. community support activities or counselling 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
    • G16H10/60—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
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A40/00—Adaptation technologies in agriculture, forestry, livestock or agroalimentary production
    • Y02A40/70—Adaptation technologies in agriculture, forestry, livestock or agroalimentary production in livestock or poultry

Definitions

  • This disclosure relates to an electronic medical record system.
  • Patent Document 1 Electronic medical records for animals are used (see Patent Document 1).
  • Patent Document 1 assumes an electronic medical record for medical examination, but a separate medical record is created when hospitalization or surgery is performed.
  • This disclosure was made in view of this background, and an object of the present disclosure is to provide a technique capable of efficiently managing medical records for animals.
  • the main invention of the present invention for solving the above problems is an electronic medical record system that manages animals in a veterinary hospital, and medical record information storage that stores medical record information for each response including medical examination, hospitalization, and surgery related to the animal. It is characterized by including a unit and a medical record item display unit that reads and displays an item from the medical record information about the second correspondence, which is different from the first correspondence, when performing the first correspondence. do.
  • the electronic medical record system of the present embodiment is intended to electronically manage medical records of animals in a veterinary hospital.
  • medical record information is created at the time of medical treatment.
  • the medical record information includes information on the tests, treatments, prescriptions, etc. that the animal received at the time of medical examination.
  • the electronic medical record system of the present embodiment manages this medical record information in a database of a computer.
  • different medical records are created separately from the medical records created at the time of examination at the time of admission or surgery.
  • the electronic medical record system of the present embodiment enables a veterinary hospital worker to scan a plurality of types of medical record information in a cross-sectional manner. This enables the medical staff to determine the care policy of the animal patient in advance by referring to a plurality of types of medical records.
  • FIG. 1 is a diagram showing a configuration example of an electronic medical record system 1 according to the first embodiment of the present disclosure.
  • the electronic medical record system 1 of the present embodiment includes a veterinary hospital management server 10 (hereinafter, referred to as a server 10).
  • the server 10 is communicably connected to the user terminals 20 (20a, 20b, 20c, ...) Via the network NW.
  • NW veterinary hospital management server
  • 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 a computer that manages medical records of animal patients.
  • the 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 a veterinary hospital 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 user terminal 20 is, for example, a terminal owned or rented by a medical worker R1 working in a veterinary hospital.
  • the user terminal 20 can be operated by the medical worker R1.
  • the user terminal 20 can be a mobile phone, a smartphone, a tablet computer, a personal computer, or the like.
  • 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 display control unit 101, an input means control unit 102, a medical record information update unit 103, and a medical record DB 104.
  • the medical record display control unit 101, the input means control unit 102, and the medical record information update unit 103 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 104 can be realized as a part of the storage area provided by the memory 12 and the storage 13.
  • the medical record DB 104 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 DB 104 is a database for managing medical record information of animals who go to or are admitted to a veterinary hospital.
  • FIG. 4 is a diagram showing an example of the medical record DB 104 according to the present embodiment.
  • the medical record information may include medical examination medical record information, hospitalization medical record information, and surgical medical record information. Medical record information is created for animals that have visited the animal hospital even once, hospitalization chart information is created for animals admitted to the animal hospital, and surgical chart information is created for animals that have undergone surgery. Therefore, inpatient medical record information and surgical medical record information are not necessarily created for all animals. All the medical record information is managed in association with the animal ID for each animal, for example, and the medical record information for each animal is managed for each consultation date or hospitalization period.
  • the hospitalization chart information at the time of admission may include the same information as the consultation chart information at the time of consultation, for example, information on eating and drinking, urination, excretion, images and / or videos of animals in the hospital, at the time of admission.
  • the consultation chart information at the time of consultation for example, information on eating and drinking, urination, excretion, images and / or videos of animals in the hospital, at the time of admission.
  • the surgical chart information at the time of surgery can include information common to the medical chart information at the time of consultation, but the surgical chart information further includes, for example, the content of the surgery received, the date and time of the surgery, and the medication at the time of surgery. Information such as drugs taken can be included.
  • the medical record information the range that can be shared with users such as animal owners (for example, limited to medical record information related to hospitalization and hospitalization) is set according to a setting request from the user terminal 20 operated by the medical staff. can do.
  • the items included in the medical record information include animal information, interview information, physical findings, medical history, examination information, diagnostic information, treatment / medication information, prescription information, memos, image information, and the like.
  • Animal information includes animal species information applicable to the animal patient.
  • animal species information include dogs, foxes, tanukis, phenecks, cats, hamsters, guinea pigs, honeybees, scorpions, taiwan squirrels, prairie dogs, momonga, rabbits, monkeys, mini pigs, ferret, scanks, donkeys, horses (miniature horses, farabella).
  • Interview information is subjective information (chief complaint) obtained from the owner. For example, “I don't eat much rice”, “I have scratches on my legs”, “I'm getting fat”, “I'm not feeling well”, “I have a runny nose”, etc. It is an observed symptom.
  • Questionnaire information may be obtained from the owner using a questionnaire or a medical inquiry terminal when visiting a veterinary hospital, or it may be obtained by having the owner enter it in advance using a mobile terminal or the like owned by the owner. May be good. Interviews are also conducted at the time of admission and surgery, and the interview information may be included in the hospitalization chart information and the surgery chart information.
  • Physical findings are physical information that can be examined by a veterinarian or the like at a veterinary hospital or the like and can be expressed by objective numerical values. For example, “weight”, “body temperature”, “heart rate”, “respiratory rate” and the like.
  • Medical history is subjective information heard by veterinarians and others.
  • the medical history is often the same as the above-mentioned interview information, but it also includes items that are difficult for the owner to actually confirm, such as "red throat”.
  • the information that "hematuria is occurring” is obtained from the interview information, the current medical history that "bleeding from the anus” may be heard when examined by a veterinarian or the like.
  • the test information includes at least the contents of the tests that the animal patient has received in the past.
  • the test information can include tests that have been performed in the past visits, hospitalizations, or operations, tests that have been performed in the examinations, and the like.
  • the reaction to the test (information on the acceptability / permissibility of the test itself, such as whether or not it was disliked) may be associated and stored.
  • the diagnostic information includes at least the history of diagnoses received by the animal patient in the past.
  • the diagnostic information can include information such as specific disease names and injuries that have occurred in the past. Diagnostic information may include information about diagnoses suspected in previous visits, hospitalizations or surgery.
  • the treatment / medication information includes information regarding the treatment or medication that the animal patient has received in the past.
  • the treatment / dosing information may be associated with and stored in response to the treatment or dosing (information regarding the acceptability / tolerance of the treatment or dosing itself, such as whether or not the patient disliked it or whether it affected the physical condition).
  • the treatment includes, for example, anal gland treatment, nail cutting treatment, sole treatment, ear treatment, hair removal, ophthalmic treatment, dental treatment, Elizabeth collar / abdominal band, acupuncture and moxibustion treatment, indwelling, stool removal, thread removal, disinfection, oxygen.
  • Treatment emetic treatment, emergency resuscitation, drainage, forced feeding, washing, exclusion, massage, microchip, trimming, catheter, rehabilitation, surgery, anesthesia, hospitalization, injection, blood transfusion, infusion, examination, radiotherapy, various docks, Nursing care, hygiene treatment, shampoo, punishment, supplements, snacks, contraception, neutering, flea mite extermination, mad dog disease medicine, vaccines, foods, internal medicine, ear drops, nasal drops, eye drops, external medicine (ointment / cream), external use Drugs (disinfectants / sprays), topical drugs, filaria prevention, etc. can be exemplified, but not limited to this.
  • Prescription information includes drugs, etc. prescribed by the animal patient in the past.
  • the user's mobile terminal contains information on the acceptability / tolerance of the treatment or the medication itself, such as whether or not the drug prescribed at home could be taken, whether or not it was disliked, and whether or not it affected the physical condition. It may be acquired and added via.
  • the memo is text data input by the doctor in charge of medical examination, hospitalization or surgery, the nurse in charge, the office work in charge, etc.
  • the image information is an image of an animal patient.
  • the image information may be a still image or a moving image.
  • FIG. 5 is a diagram illustrating the operation of the electronic medical record system of the present embodiment.
  • FIG. 6 is a diagram showing an example of the screen 201 displayed on the user terminal 20.
  • the server 10 transmits screen information for displaying the screen 201 to the user terminal 20, and the screen 201 is displayed on the user terminal 20.
  • Screen 201 includes patient information 2001.
  • the patient information 2001 can be animal information included in the medical record information, but the patient information may be managed separately from the medical record information.
  • a medical record selection button 2002 for designating the type of medical record, an inpatient medical record selection button 2003, and a surgical medical record selection button 2004 are displayed.
  • the buttons 2002 to 2004 can be toggle buttons, and a plurality of buttons can be selected.
  • the designation of the type of medical record can be accepted by the buttons 2002 to 2004 (S103).
  • a medical record item selection tag 2002 and an item detail selection tag 2003 are arranged on the screen 201, and the medical record item (and its details) to be displayed by the selection tags 2002 and 2003 can be selected (S105). It is not necessary to select the item and the item details.
  • the user terminal 20 notifies the server 10, and the server 10 displays the medical record information corresponding to the designated animal patient.
  • the designated item is extracted from the designated type of medical record information and transmitted to the user terminal 20, and the user terminal 20 displays the item received from the server 10 on the screen 201 (S107).
  • the user terminal 20 can display a list of dates 2007 and details 2008 of medical record items corresponding to the selected dates 2007 on the screen 201.
  • 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.
  • the present disclosure also includes the following configurations.
  • a medical record information storage unit that stores medical record information for each response including medical examination, hospitalization, and surgery related to the animal.
  • a medical record item display unit that reads and displays an item from the medical record information about the second medical record, which is different from the first medical record, when the first medical record is performed.
  • An electronic medical record system characterized by being equipped with.
  • [Item 2] The electronic medical record system according to item 1.
  • the medical record item display unit extracts the same item from the medical record information for different correspondences and displays it in a list.
  • the item includes at least one of testing, treatment and prescribing.
  • the medical record item display unit displays the list price and the billed amount related to the item.
  • Electronic medical record system 10 Server 20 User terminal 101 Medical record display control unit 102 Input means control unit 103 Medical record information update unit 104 Medical record DB

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PCT/JP2020/014797 2020-03-31 2020-03-31 電子カルテシステム Ceased WO2021199273A1 (ja)

Priority Applications (3)

Application Number Priority Date Filing Date Title
PCT/JP2020/014797 WO2021199273A1 (ja) 2020-03-31 2020-03-31 電子カルテシステム
JP2021533759A JP6994801B1 (ja) 2020-03-31 2020-03-31 電子カルテシステム、方法、プログラム
JP2021198405A JP2022022333A (ja) 2020-03-31 2021-12-07 電子カルテシステム

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP7173652B1 (ja) * 2022-02-24 2022-11-16 株式会社Peco 獣医療支援システム、獣医療支援方法及びプログラム

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2015069578A (ja) * 2013-09-30 2015-04-13 富士通株式会社 患畜用電子カルテ装置における処理方法、処理プログラムおよび患畜用電子カルテ装置
JP2019133587A (ja) * 2018-02-02 2019-08-08 ｅＸＴＥＭ Ｓｏｆｔｗａｒｅ Ｊａｐａｎ株式会社 複数のユーザにアクセスされるデータを処理する情報管理システム、情報管理方法、およびプログラム

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2015069578A (ja) * 2013-09-30 2015-04-13 富士通株式会社 患畜用電子カルテ装置における処理方法、処理プログラムおよび患畜用電子カルテ装置
JP2019133587A (ja) * 2018-02-02 2019-08-08 ｅＸＴＥＭ Ｓｏｆｔｗａｒｅ Ｊａｐａｎ株式会社 複数のユーザにアクセスされるデータを処理する情報管理システム、情報管理方法、およびプログラム

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP7173652B1 (ja) * 2022-02-24 2022-11-16 株式会社Peco 獣医療支援システム、獣医療支援方法及びプログラム
WO2023162111A1 (ja) * 2022-02-24 2023-08-31 株式会社Peco 獣医療支援システム、獣医療支援方法及びプログラム

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JPWO2021199273A1 (https=) 2021-10-07
JP2022022333A (ja) 2022-02-03

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