JP4471596B2 - Patient information database management system - Google Patents

Description

[0001]
BACKGROUND OF THE INVENTION
The present invention manages, on a computer, patient information such as interview contents, medical records, medication records, etc. regarding patient medical history, medication history, constitution and current symptoms in medical institutions or pharmacies, etc. Thus, the present invention relates to a patient information database management system for use in a medical treatment plan or the like.
[0002]
[Prior art]
In recent years, medical institutions and pharmacies have created patient information databases consisting of electronic medical records and electronic drug histories, etc., in which patients' medical records and drug histories are entered into computers. In addition, it manages patient information such as constitution and lifestyle habits, and manages office procedures such as reservations and payments.
[0003]
Also, for patients who visit medical institutions and pharmacies for the first time, in addition to the current symptoms, treatment, such as constitution, preference, past medical history and medication history, severe history of relatives, etc. A questionnaire sheet on which questions regarding important information are printed at the time of medication is handed over, and an agent such as the patient himself or her family fills out the questionnaire sheet by hand and answers it. In the medical institution or pharmacy, the person in charge inputs the contents of the questionnaire form into a computer, creates a patient database and uses it as a reference material, and stores the original as a file.
[0004]
[Problems to be solved by the invention]
However, in the conventional electronic medical record and electronic medicine history book, it is not possible to create a database unless it is entered according to a certain format, and handwritten documents can be re-entered using a keyboard, etc. Had to be converted to a string.
[0005]
Therefore, for example, when the person in charge of medical institutions or pharmacies inputs the information entered on the questionnaire form into the computer, there may be an error in the input content due to misreading or input error, etc., confirming the safety of medication In doing so, there was a possibility that trouble would occur due to a lack of critical information check. In addition, if it is necessary to check the original written by the patient, the questionnaire sheet must be found and viewed from the file, and only viewed at the pharmacy store or medical institution where the questionnaire sheet is stored. If the patient visits a pharmacy at a different store or a different medical institution, he had to re-enter the same information on the questionnaire.
[0006]
In addition, since the electronic medical record and electronic medicine history book have a frame for each content to be filled in, when searching for the content recorded in the past by doctors and pharmacists, for example, allergies are correctly entered in the allergy column. In some cases, it could not be found. Alternatively, the means of searching for information required by doctors, pharmacists, etc. is based on character strings and frames, and necessary information is leaked due to differences in registered words and frames, and is unnecessary. In some cases, it takes time and effort to find necessary information from many search results including information.
[0007]
Further, even if a figure or a handwritten document is read by an image scanner and stored as image data, its use is limited to browsing, and information on the image data cannot be searched.
[0008]
[Means for Solving the Problems]
Therefore, the present invention provides a storage device in which a patient information database in which electronic medical records and electronic medicine records are recorded is stored in a terminal device including a display device, an input device, and an information processing device; It has been connected to a reading device for electronic as image data, handwritten documents, through the terminal documents photos and diagrams as image data in the vertical and horizontal direction coordinate is set read by the reader the accumulated in the patient information database, the image data obtained by said accumulation, said display by device in the display through the terminal, the coordinate position and the image area of the portion of the image data from these image data as well as specify the relationship between the data, and set as a search item registered in advance in the storage device in the partial data of image data in the specified area Performed by the input device to write the partition specified by predetermined symbol previously registered part of the data as one of data of the image data and the symbols on the patient information database, symbols the patient information by the input device some of the data of the image data in the specified area is input to each designated symbol for patients the specified stored in the patient information database is searched by said information processing apparatus together with said display device The system is displayed as a part of the image data designated by the symbol .
[0009]
If a user such as a doctor or pharmacist selects necessary information from information recorded as an electronic medical record or electronic medicine history book and writes a predetermined symbol in that area, the information in that area is converted into image data. Even so, you can search. Therefore, handwritten characters, drawings or photographs written on the questionnaire sheet written by the patient himself can be browsed and tabulated as search results.
[0010]
If a storage device for storing the patient information database is provided in a server installed in an external organization and can be connected to the storage device from the terminal via the Internet, a plurality of medical institutions and pharmacies The patient information database can be shared between them.
[0011]
DETAILED DESCRIPTION OF THE INVENTION
Embodiments of the present invention will be described with reference to the drawings.
[0012]
FIG. 1 shows an example of a hardware configuration for implementing the present invention.
[0013]
A terminal 2 installed in a medical institution or a pharmacy is a personal computer provided with a storage device and an information processing device, and includes an input device 3 such as a keyboard 31, a mouse 32, or a pen input device 33, and a display device 4. It has been. In addition to the reading device 5 such as an image scanner, the terminal device 2 is connected to a printing device 6 and an IC card reading / writing device 7 as required.
[0014]
In the storage device of the terminal 2, basic information including the patient's name, contact information, insurance card number, etc., patient's past medical history, constitution, preference, living environment, etc. A patient information database composed of an electronic medical record consisting of test results and an electronic medicine history book consisting of allergy history and history of medicines is stored.
[0015]
The procedure for using the present invention by the hardware shown in FIG. 1 will be described below.
[0016]
In medical institutions or pharmacies, for patients who have visited for the first time, the patient's own medical history, constitution of allergies, history of side effects due to drugs, drug history showing drugs currently in use, life style such as work contents and family structure, Handing out questionnaire sheets with questions such as liquor and smoking preferences, history of severe illness of relatives, etc. If the patient himself or the patient is difficult to fill in himself, an agent such as an attendant will Fill out the questionnaire form by hand. The questionnaire sheet can be filled in with a normal writing instrument such as a ballpoint pen, pencil, or sign pen.
[0017]
When the patient or his / her representative finishes filling out the questionnaire form, he / she receives the questionnaire form at the reception of the medical institution or pharmacy, reads the contents of the questionnaire form as image data by the reading device 5, and stores it in the terminal 2. Display image data.
[0018]
The person in charge of inputting patient information checks whether the image data of the questionnaire sheet displayed on the display screen 4 of the terminal 2 can be read correctly according to the original form of the questionnaire sheet. When it is confirmed that all information entered on the questionnaire form has been correctly digitized, the file name is attached to the image data, and the patient's name, date of birth, gender, contact information, type of insurance card The information is stored in a storage device together with basic information including a password for accessing the patient information database, and an area for storing the patient information in the patient information database.
[0019]
The procedure for the doctor or pharmacist to use the patient information database is as shown in FIG. 2. First, using the terminal 2, for example, his / her IC card is inserted into the IC card read / write device 7 and his / her password is entered by the input device. User authentication is performed using the method of entering. In the terminal 2, user authentication is performed by comparing the authentication means registered in advance with the input contents, and if it matches the registered one, the process can proceed to the next step. If the registered authentication information is not verified, the authentication information is input again or the operation is terminated. The authentication means may be performed by only one of reading an IC card or inputting a password. In addition to reading an IC card as described above, a method of inputting a password with the keyboard 31, for example, voice, fingerprint, If a means that cannot be impersonated by another person, such as an iris, is used together, the person can be more reliably authenticated and the security of the patient information database can be ensured.
[0020]
When the user is authenticated, the doctor or pharmacist calls information on a predetermined patient from the patient information database, and causes the display device 4 to display patient information such as image data obtained by reading an inquiry sheet. A doctor or a pharmacist can write a symbol on the displayed information in addition to inputting an electronic medical record and an electronic medicine history list by using various input devices 3 provided in the terminal 2. Writing is normally permitted only to doctors and pharmacists, but medical personnel such as nurses and clinical technologists are also possible as necessary, and limited to those registered as users in any occupation Is done. If a doctor or pharmacist writes a medical record or medical history book by hand, or if there are photographs or charts such as clinical test results, they are read by the reading device 5 as in the case of the questionnaire sheet. Image data can be stored in the patient information database.
[0021]
The procedure for writing to the image data is as shown in FIG. 3, and the symbol used is a color marker, a box surrounded by a line, or a predetermined symbol, etc. For example, by designating the area of the portion where the matters requiring special attention during the examination or medication are indicated by symbols, the display device 4 displays the color in a conspicuous manner at a glance. The area specified by the symbol can be searched as it is.
[0022]
That is, the image data read by the reading device 5 has coordinates set in the vertical and horizontal directions, and the user selects the input device 3 such as the mouse 32 from the image data displayed on the display device 4. When an area is specified by enclosing an arbitrary portion with a rectangle, a part of image data displayed inside the rectangle can be cut out from the relationship between the coordinate position indicated by the rectangle and the image data. Then, the shape of the marker representing the rectangle, the shape of the line, the color, etc. are displayed by registering that the user indicates the type and the item name, for example, “red marker” indicates the item “allergy”. The shape and color type, the item name, and a part of the image data cut out by the rectangle are associated with each other and stored as one data.
[0023]
In this way, the user is particularly interested in treatment and medication, such as information on allergies, information on other disease names currently affected, or information on the living environment such as when working at high places. For example, as shown in FIG. 4, an area in which a matter requiring attention is written is displayed with markers of different colors, or is displayed so as to be surrounded by different line types. “*” Or the like is displayed, and the original image data is written. The colors and types of these markers, boxes, symbols, etc., and the items to which they are attached are not limited to the example in FIG. 4, so that they can be easily distinguished on the display device 4 according to the importance and the type of contents. It is possible to use combinations of symbols of various colors and forms.
[0024]
Once the symbols are written and recorded in the patient information database, the user can perform a search for each written symbol. That is, for example, specifies the type of patient names and symbols, with respect to the patient, the image data that has been cut away, which is stored with symbol is searched, for example, as shown in FIG. 5, an area specified part by symbols, It is displayed as image data cut out from the original image data. Furthermore, it is also possible to link to the original image data by selecting and clicking any one of the image data displayed as a list as a search result.
[0025]
As described above, since part of the image data is cut out and stored as it is, data other than character strings such as information, drawings, and photographs handwritten by the patient or a doctor can be searched and confirmed as they are. .
[0026]
In addition, when browsing the patient information database in which the symbol is written and registered, it is possible to browse in a state where the already written symbol is displayed. For example, when another doctor or pharmacist newly writes, It is also possible to display the original patient information in which no symbol is written. In other words, the user who performs writing may overwrite the previously written screen, or a different user may set a different symbol to display a screen without writing, and newly write.
[0027]
Further, when a user performs browsing or writing, it is preferable that the user name, date and time, contents thereof, and the like are recorded as a history in the patient information database.
[0028]
In this way, users such as doctors and pharmacists can search for image data other than character strings, so that all important information related to the patient can be quickly and easily viewed during medical examinations and dispensing. Accurate checks can be used for safe medical treatment and medication. It is also easy to search for and sum up predetermined items from all patient information recorded in the patient information database.
[0029]
FIG. 6 shows an example of a different hardware configuration for carrying out the present invention. A storage device and an information processing device in which a patient information database is stored in a server 10 installed in an organization that manages and manages patient information. A terminal 2 provided with a communication device installed in a medical institution or pharmacy is connected to the server 10 via the Internet and uses a patient information database. The contents of the patient information database can be displayed on a browser by searching the contents of the patient information database via the Internet for a user permitted to connect to the server 10.
[0030]
Also in this case, the method of use is the same as in the above embodiment, and the operation of saving in the storage device in the hardware shown in FIG. 1 is performed in the server 10 via the Internet in the hardware environment shown in FIG. To the storage device. In this case, the patient information database can be shared among a plurality of medical institutions and pharmacies.
[0031]
Furthermore, in this case, it is possible to connect to the server 10 via the Internet using a personal computer 8 installed in an emergency transport vehicle such as an ambulance or a mobile communication device 9 such as a mobile phone. By using a patient information database, a user such as an emergency medical technician can be used to perform a safe treatment even in the event of an emergency in which an inquiry such as a medical history or allergy cannot be made to the person himself / herself.
[0032]
【The invention's effect】
According to the present invention, a medical questionnaire written by the patient or his / her representative or a medical chart character or figure handwritten by a doctor or pharmacist is digitized as image data as it is to search a part of the image data. Therefore, it is possible to save the trouble of re-inputting characters and to search for information required by the user regardless of the type of data. Therefore, it is possible to prevent medical accidents and troubles caused by missing important information.
[0033]
If a network such as the Internet is used, it is possible to use the patient information database using a terminal even in a remote place.
[Brief description of the drawings]
FIG. 1 is a schematic diagram showing a hardware configuration for implementing the present invention.
FIG. 2 is a flowchart showing an example of an implementation procedure of the present invention.
FIG. 3 is a flowchart showing a procedure for specifying an area according to the present invention.
FIG. 4 is a front view of a display device showing an example of use of the present invention.
FIG. 5 is a front view of a display device showing an example of a search result according to the present invention.
FIG. 6 is a schematic diagram showing another example of a hardware configuration for implementing the present invention.
[Explanation of symbols]
2 terminal, 3 input device, 4 display device, 5 reading device, 31 keyboard, 32 mouse, 33 pen input device

Claims (2)

A terminal equipped with a display device, an input device and an information processing device, a storage device in which a patient information database storing electronic medical records and electronic medicine records is stored, and electronically reading color documents as color image data It has been connected to the reader that, handwritten documents, documents photos and diagrams on the patient information database via the terminal as image data in the vertical and horizontal direction coordinate is set read by the reader The accumulated image data is displayed on the display device via the terminal , and a part of the image data area is selected from the relationship between the coordinate position and the image data. as well as specify, in a predetermined symbol set as search items registered in advance in the storage device in the partial data of image data in the specified area Previously registered part of the data of the image data and the symbols on the patient information database by writing area designated by the input device as one data Te, enter the patient information along with the symbol by the input device some of the data of the image data in the specified area for each designated symbol for patients the specified stored in the patient information database Te is searched by the information processing apparatus, said symbol on said display device A patient information database management system, characterized in that it is displayed as a part of the image data designated by the region . The patient information database management system according to claim 1 , wherein the date and time when the image data of the patient information database is displayed on a display device and the contents are recorded as a history in the patient information database.

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