JP5349950B2 - Electronic medical record management server and electronic medical record management system - Google Patents

Description

  The present invention relates to an electronic medical record management server that integrates and manages an electronic medical record in which a doctor's examination contents of a patient are described, and an electronic medical record management system including the server.

  2. Description of the Related Art Conventionally, there has been proposed an electronic medical record system that accumulates and manages electronic medical records obtained by digitizing medical charts that are created and updated during medical examinations and medical examinations (for example, Patent Document 1-2).

JP 2008-021015 A JP 2008-328678 A

  However, in the conventional electronic medical chart system, the electronic medical chart is managed in a specific range such as for each hospital. Therefore, when performing an examination or examination in another hospital outside the specified range, another type of electronic medical chart is used. As a result, there is a problem that electronic medical records cannot be integrated and managed for patients receiving medical examinations at multiple hospitals.

  In addition, since allergen information is important, special attention should be paid so that it is not overlooked or misrecognized when an electronic medical record is presented. There was no problem.

  The present invention solves the above-described problems, and even when electronic medical records are individually managed by a plurality of hospitals or the like, the electronic medical records can be integrated and managed, and further, the electronic medical records relate to allergens. The purpose is to control so that information can be posted as easily as possible.

  The electronic medical record management server of the present invention is an electronic medical record management server that integrates and manages an electronic medical record in which a doctor's medical examination contents are described, and has a system ID that can uniquely identify a patient to be examined. Allergen information includes electronic medical record acquisition means for acquiring electronic medical records created in a plurality of different formats including the contents of examination of the presented patient via a communication network, and items of electronic medical record information in the acquired electronic medical records. Integrated information generating means for generating integrated electronic medical record information in which system IDs presented to electronic medical record information adjusted to a plurality of items including registered allergen registration items are associated, and integrated electronic medical record integrated information The integrated information storage means stored in the storage database and the electronic medical record viewing request presenting the system ID are communicated to the communication network. Browsing request receiving means for receiving via a network; integrated information searching means for searching for electronic medical chart integrated information associated with the received system ID with reference to the integrated information storage database; and searching by the integrated information searching means The pictogram specifying means for specifying the pictogram indicating the allergen indicated by the allergen information registered in the allergen registration item included in the electronic medical record information included in the electronic medical chart integrated information, and the integrated information searching means Electronic medical record information providing means for transmitting the electronic medical record integrated information and the pictogram specified by the pictogram specifying means to the terminal device of the browsing request source.

  By configuring as described above, even if the electronic medical records are individually managed by a plurality of hospitals, etc., the electronic medical records can be integrated and managed, and further information on allergens can be stored in the electronic medical records. It becomes possible to publish as easily as possible.

  It includes pictogram information storage means for storing pictogram information in which various allergens and pictograms indicating the corresponding allergens are associated, and the pictogram specifying means specifies the pictograms indicating the allergens with reference to the pictogram information. It may be configured.

  The pictogram information includes information in which different pictograms are associated with different types of special information included in the electronic medical record information for the same allergen, and the pictogram specifying means refers to the pictogram information to indicate allergens. When there are a plurality of pictograms, the pictogram associated with the type of the special information may be specified.

  The special information is, for example, information such as the patient's sex, the patient's age, and the patient's address area.

  The integrated information generation means is configured to perform item adjustment by assigning items of electronic medical record information in the received electronic medical record to corresponding items among predetermined items for integrated electronic medical record information. May be.

  In addition to the allergen registration items, the electronic medical record integrated information includes the medical record number, the patient's name, the patient ID used in the hospital, the patient's gender and age, the doctor in charge, the date of examination, and the contents of the examination. Corresponding specific items and other non-specific items are provided, and the integrated information generating means is an item of information entered at the time of examination such as examination results and doctor's comments among the items of electronic medical record information May be configured to be assigned to the item of examination content.

  The integrated information generation unit may be configured to assign items not corresponding to the specific item among items of the electronic medical record information to the non-specific item.

  The electronic medical record management system according to the present invention is an electronic medical record management system including an electronic medical record management server that integrates and manages an electronic medical record in which a doctor's examination contents are described. An electronic medical chart acquisition means for acquiring electronic medical charts respectively created in a plurality of different formats including the contents of the medical examination of the patient presented with a system ID capable of uniquely identifying the patient to be examined; The electronic medical chart integrated information is generated by associating the system ID presented to the electronic medical chart information in which the electronic medical chart information items in the acquired electronic medical chart are adjusted to a plurality of items including allergen registration items in which allergen information is registered. Integrated information generation means and integration for storing the generated electronic medical chart integrated information in the integrated information storage database Information storage means, browsing request receiving means for receiving a browsing request for an electronic medical record presenting a system ID via a communication network, and integration of an electronic medical chart associated with the received system ID with reference to the integrated information storage database A pictogram indicating allergens indicated by allergen information registered in allergen registration items included in the electronic medical record information included in the electronic medical record information included in the electronic medical record integrated information searched by the integrated information searching means An electronic medical record information providing means for transmitting the electronic medical chart integrated information searched by the integrated information searching means and the pictogram specified by the pictogram specifying means to the terminal device of the browsing request source. It is characterized by including.

  According to the present invention, even when electronic medical records are individually managed by a plurality of hospitals, etc., the electronic medical records can be integrated and information on allergens can be posted on the electronic medical records as easily as possible. Will be able to.

Hereinafter, an embodiment of the present invention will be described with reference to the drawings.
FIG. 1 is a block diagram showing an example of the configuration of an electronic medical record management system 100 according to an embodiment of the present invention. As shown in FIG. 1, the electronic medical chart management system 100 includes an electronic medical chart management server 10, a plurality of hospital servers 20A and 20B, and patient terminals 31 to 3N (N = 1, 2,...). The electronic medical record management server 10, hospital servers 20A and 20B, and patient terminals 31 to 3N are each connected to a communication network 40 such as the Internet, for example.

  The electronic medical record management server 10 is configured by an information processing apparatus such as a WWW server. Each of the hospital servers 20A and 20B is configured by an information processing device such as a workstation server. Each of the patient terminals 31 to 3N is a terminal device managed by a patient, and is configured by an information processing device such as a personal computer or a mobile communication terminal. Although two hospital servers 20A and 20B are disclosed in FIG. 1, any number of hospital servers may be provided. The patient terminals 31 to 3N may be virtual devices such as a dedicated folder managed on a specific server device instead of a fixed device.

  The electronic medical record management server 10 is a server managed by a system administrator of the electronic medical record management system 100, for example, and has a function of integrating and managing electronic medical records managed separately by each hospital.

  The electronic medical record management server 10 includes an electronic medical record integrated DB 11 in which electronic medical record integrated information obtained by integrating electronic medical records is stored, and a pictogram DB 12 in which pictogram information indicating a pictogram is stored. The electronic medical record integration DB 11 and the pictogram DB 12 may be inside or outside the electronic medical record management server 10, respectively.

  The hospital server 20A is a server managed by a system administrator of the hospital A, and doctor terminals 22A and 23A used by doctors belonging to the hospital A are connected by a communication network such as a LAN. The doctor terminals 22A and 23A are information processing apparatuses such as personal computers used by doctors in an examination room, for example.

  The hospital server 20A includes an electronic medical record DB 21A in which electronic medical records created and updated at the hospital A are stored. The electronic medical record DB 21A may be inside or outside the hospital server 20A.

  The hospital server 20B is a server managed by a system administrator of the hospital B, and doctor terminals 22B and 23B used by doctors belonging to the hospital B are connected by a communication network such as a LAN. The doctor terminals 22B and 23B are information processing devices such as personal computers used by doctors in an examination room, for example.

  The hospital server 20B includes an electronic medical record DB 21B in which electronic medical records created and updated at the hospital B are stored. The electronic medical record DB 21B may be inside or outside the hospital server 20B.

  In this example, it is assumed that the electronic medical record created / updated at the hospital A is of a different format from the electronic medical record created / updated at the hospital B. Electronic medical records generally include the patient's name, patient's age, patient's gender, patient ID assigned at the hospital (hereinafter referred to as “patient HID”), doctor in charge, examination date, examination contents (examination results) Information such as diagnosis results, doctor's comments, name and amount of prescription drugs, etc.). It is assumed that the electronic medical chart used in the hospital A and the electronic medical chart used in the hospital B include the above information (electronic medical chart information).

  FIG. 2 is an explanatory diagram illustrating an example of electronic medical record information included in the electronic medical record used in the hospital A. The electronic medical chart information shown in FIG. 2 is stored in the electronic medical chart DB 21A provided in the hospital server 20A. As shown in FIG. 2, the electronic medical chart information included in the electronic medical chart used in Hospital A includes medical chart number, patient name, HID, patient age, and patient gender, doctor in charge, examination date, patient allergen. This is information in which diagnosis results and the like are associated with each other.

  FIG. 3 is an explanatory diagram illustrating an example of electronic medical record information included in the electronic medical record used in the hospital B. The electronic medical chart information shown in FIG. 3 is stored in the electronic medical chart DB 21B provided in the hospital server 20B. As shown in FIG. 3, the electronic medical record information included in the electronic medical record used in Hospital B includes the medical record number, the patient's name, HID, the patient's age, and the patient's gender, the doctor in charge, the examination date, and the patient's allergen. , Information associated with a doctor's comment or the like.

  Here, the pictogram information will be described. FIG. 4 is an explanatory diagram showing an example of pictogram information stored in the pictogram DB 12. For example, as shown in FIG. 4, the pictogram information is information in which, for each allergen, an allergen ID that can uniquely identify the allergen is associated with pictogram information (for example, image data) indicating the pictogram. When multiple pictograms are prepared for the same allergen, special information (area information in this example) indicating the characteristics of the pictogram indicated by the pictogram information is associated with each pictogram information indicating the allergen. Has been. In the example shown in FIG. 4, a pictogram of a crab A (for example, a crab) for a patient living in the Hokkaido area and a pictogram of a crab B (for example, a blue crab) for a patient living outside the Hokkaido area are prepared.

Next, the operation of the electronic medical record management system 100 of this example will be described.
FIG. 5 is a flowchart showing an example of electronic medical record integrated information registration processing in the electronic medical record management system 100 of this example. Here, a case will be described as an example in which electronic medical chart integrated information based on an electronic medical chart created and updated by the doctor D using the doctor terminal 22A when the patient X is examined at the hospital A is registered.

  In the electronic medical chart integrated information registration process, first, the doctor terminal 22A displays an initial screen as shown in FIG. On the initial screen, doctor D gives the doctor ID and password (password given by hospital A, which is commonly used by doctors, departments such as surgery and internal medicine, or hospital A). Specify and press the login button to make a login request.

  Upon receiving the login request, the doctor terminal 22A presents the designated doctor ID and password, and requests the hospital server 20A to acquire electronic medical record information (step S101).

  Upon receiving an electronic medical record information acquisition request, the hospital server 20A performs an authentication process based on the presented doctor ID and password (step S102), and if authenticated, transmits the patient list of the hospital A to the doctor terminal 22A. (Step S103). The patient list is registered in a DB (not shown) provided in the hospital server 20A.

  When the patient list is received, the doctor terminal 22A displays the patient list of the hospital A on the display device that the doctor terminal 22A has as shown in FIG. 7 (step S104). Next, the doctor terminal 22A accepts selection of the patient X to be examined in the patient list by operation of the input device (keyboard operation, mouse operation, etc.) of the doctor D (step S105), and the HID of the patient X is received by the hospital server 20A. Transmit (step S106). In addition, when the patient X is the first visit, the fact is notified to the hospital server 20A.

  When receiving the HID of the patient X selected from the patient list, the hospital server 20A reads out the electronic medical record information of the patient X from the electronic medical record DB 21A and transmits it to the doctor terminal 22A (step S107). In addition, when the notification that the patient X is the first visit is received, the hospital server 20A automatically assigns the HID of the patient X, for example, and transmits the assigned HID to the doctor terminal 22A.

  Upon receipt of the electronic medical record information of the patient X, the doctor terminal 22A displays the electronic medical record input screen of the patient X on which the received electronic medical record information can be browsed on the display device provided therein (step S108).

  FIG. 8 is an explanatory diagram illustrating an example of an electronic medical record input screen. On the electronic medical record input screen, as shown in FIG. 8, a display area 701 for displaying the doctor in charge and the patient name, and a history browsing button 702 that is pressed to browse past electronic medical records of the corresponding patient X, An input area 703 for inputting a patient's symptom, a period during which the symptom develops, a frequency, a cause, etc., an input area 704 for inputting a symptom occurrence location in the patient X, and information input to the input area 704 A plurality of icons 705 selected for printing, a print icon 706 selected when the electronic medical record input screen is printed, a completion icon 707 selected when information input work on the electronic medical record input screen is completed, An SID input area 708 for inputting an ID (system ID: hereinafter referred to as “SID”) that can uniquely identify a patient in the system is provided. Although not shown in FIG. 8, the electronic medical record input screen is also provided with an input area for inputting the allergen of the corresponding patient X.

  For example, it is assumed that the SID is given to the patient X in advance by the system administrator of the system 100. The SID may be any ID that can identify an individual in the system 100. For example, the SID is an insurance card number written on an insurance card or a national number uniquely assigned to a Japanese citizen. May be.

  For example, the doctor D operates the doctor terminal 22 </ b> A while examining the patient X in the hospital room and inputs diagnosis information such as a medical condition and a diagnosis result in the input areas 703 and 704. Further, the doctor D inputs the allergen of the patient X in the corresponding input area as necessary. When the examination is completed, for example, the SID is heard from the patient X and input to the SID input area 708, and the completion icon 707 is selected.

  The doctor terminal 22A accepts the input of the examination information and SID by the operation of the input device of the doctor D (step S109). When the doctor terminal 22A recognizes the selection of the completion icon 707, the electronic medical record information including the accepted examination information and the SID of the patient X Is transmitted to the hospital server 20A (step S110).

  Upon receipt of the electronic medical record information, the hospital server 20A transmits the received electronic medical record information to the electronic medical record management server 10 and registers the received electronic medical record information in the electronic medical record DB 21A (step S111).

  When the electronic medical record information is received from the hospital server 20A, the electronic medical record management server 10 creates electronic medical record integrated information in which the items of the received electronic medical record information are adjusted (step S112), and the electronic medical record integrated information is integrated with the electronic medical record integrated information. For example, registration is performed in the DB 11 in time series (for example, in order of registration date and time) (step S113).

  In step S112, the electronic medical record management server 10 sorts the information of each item of the received electronic medical record information into the corresponding item of each item provided for the electronic medical record integrated information. ”To integrate. Then, the electronic medical record information in which the items are integrated is associated with the presented SID and the registration date and time (for example, the date and time when the electronic medical record information is received or the date and time registered in the DB 11) to generate electronic medical record integrated information. To do.

  FIG. 9 is an explanatory diagram showing an example of electronic medical record integration information stored in the electronic medical record integration DB 11. As shown in FIG. 9, the electronic medical record integrated information is information in which SID, registration date and time, and electronic medical record information are associated with each other.

  As described above, the electronic medical record integrated information in which the format of the electronic medical record information of the electronic medical record created at the time of the examination received by the patient X is converted into the integrated format is generated and stored in the electronic medical record integrated DB 11.

  As described above, the electronic medical record integrated information is created by converting the electronic medical record information format of each patient's electronic medical record, which was created when each hospital A and B was examined, into an integrated format. The integrated electronic medical record information is sequentially stored in the electronic medical record integration DB 11 in time series, for example.

  FIG. 10 is a flowchart illustrating an example of electronic medical record provision processing in the electronic medical record management system 100 of the present example. Here, for each patient terminal 31 used by a user (patient X: whether or not he / she is still in the hospital) who has received medical examinations at a plurality of hospitals, An example will be described in which an electronic medical record created in each is provided.

  In the electronic medical record provision process, first, the patient terminal 31 provides an SID input screen for accessing the electronic medical record browsing site established by the electronic medical record management server 10 in accordance with the operation of the patient X and inputting the SID. A request is made (step S201).

  In response to the request, the electronic medical record management server 10 transmits an SID input screen to the patient terminal 31 via the communication network 40 (step S202).

  The patient terminal 31 displays the SID input screen received from the electronic medical record management server 10 on its own display device, accepts input of its own SID from the user (step S203), and accepts the received SID as the electronic medical record management server 10 Is transmitted via the communication network 40 (step S204).

  When receiving the SID, the electronic medical record management server 10 searches the electronic medical record integrated information associated with the received SID with reference to the electronic medical record integrated DB 11 (step S205), and is included in the searched electronic medical record integrated information. The allergen is identified with reference to the allergen information in the electronic medical record information, and the pictogram corresponding to the allergen indicated by the identified allergen information is identified with reference to the pictogram information (step S206). Then, the electronic medical record management server 10 is an electronic medical record browsing screen capable of browsing the electronic medical record information included in the searched electronic medical record integrated information, and includes the display area of the pictogram specified in step S206. A screen is generated, and the generated electronic medical chart browsing screen is transmitted to the patient terminal 31 (step S207).

  Then, the patient terminal 31 displays the electronic medical chart browsing screen received from the electronic medical chart management server 10 on the display device provided therein (step S208). On the electronic medical chart browsing screen, all of the electronic medical chart information created and updated when the patient X has been examined in the past is displayed regardless of the hospital where the medical examination was received. Specifically, the electronic medical chart browsing screen includes an electronic medical chart information display area 1001 for displaying electronic medical chart information related to the examination of the patient X (Ichiro Tanaka), for example, as shown in FIG. In this example, in the electronic medical record information display area 1001, the doctor in charge, the date of the medical examination, the medical examination information (examination result, input information at the time of medical examination), and the medical examination at the hospital B are obtained. Of the electronic medical record information received, the doctor in charge, the date of the examination, the examination information (doctor's comment, information entered at the examination), and a pictogram 1002 indicating the allergen are displayed. In the example shown in FIG. 11, a pictogram of the allergen “crab A” is shown.

  As described above, by searching for electronic medical records that are integrated and managed, the electronic medical records of the same patient separately created in a plurality of hospitals are searched, and the process of providing to the user who is the patient is executed. The Since the electronic medical record is provided in this way, it becomes possible for the user who is a patient to collectively browse his / her own electronic medical records created separately at a plurality of hospitals.

  In the above example, the electronic medical charts created at each hospital when the patient X is examined with respect to the patient terminal 31 used by a user (patient X) who has been examined at a plurality of hospitals. It was designed to be provided, but in the same way as above (see FIGS. 10 and 11), when a user (patient X) who had received a medical examination at another hospital is undergoing a medical examination, a medical examination is performed. An electronic medical chart created in each hospital including other hospitals may be provided at the time when the patient X has received a past medical examination for the doctor terminal 22A used by the doctor D. In this case, the doctor D may hear and input the SID from the patient X.

  As described above, a system ID that can uniquely identify a patient who has been diagnosed is presented by the electronic medical record management server 10 that integrates and manages an electronic medical record that describes the contents of a patient's examination by a doctor. The electronic medical record created in a plurality of different formats including the examination contents of the patient is acquired via the communication network 40, and the items of the electronic medical record information in the acquired electronic medical record include allergen registration items in which allergen information is registered The electronic medical record integrated information in which the system ID presented in the electronic medical record information adjusted to a plurality of items is associated is generated, the generated electronic medical record integrated information is stored in the integrated information storage database (electronic medical record integrated DB 11), and the system ID The electronic medical record viewing request presenting the information is received via the communication network 40, and the integrated information storage data is received. Allergens registered in the allergen registration items included in the electronic medical record information included in the electronic medical record information included in the searched electronic medical chart integrated information by searching the electronic medical chart integrated information associated with the received system ID with reference to the base Since the pictogram indicating the allergen indicated by the information is specified and the searched electronic medical chart integrated information and the specified pictogram are transmitted to the terminal device of the browsing request source, each electronic medical chart is separately provided by a plurality of hospitals, etc. Even if managed, the electronic medical records can be integrated and information on allergens can be posted on the electronic medical records as easily as possible.

  That is, since it is possible to manage separately in different formats and integrate the electronic medical records, for example, the range in which the electronic medical records are managed in a common format (for example, the same hospital, the same hospital of the same hospital) Departments, partner hospitals, etc.) outside electronic medical records can be integrated and managed. In addition, since the identified pictogram can be presented to the terminal device that is the browsing request source, information on allergens can be posted on the electronic medical record as easily as possible.

  In the embodiment described above, the electronic medical record management server 10 includes a pictogram DB 12 that stores pictogram information in which various allergens and pictograms indicating the corresponding allergens are associated, and refers to the pictogram information. Since the pictogram indicating the allergen is specified, the pictogram indicating the allergen can be easily specified.

  Further, in the above-described embodiment, the pictogram information includes information in which different pictograms are associated with the same allergen for each type of special information included in the electronic medical record information, and the electronic medical record management server 10 includes the pictogram information. With reference to, when there are multiple pictograms showing allergens, the pictogram associated with the type of special information is specified, so it is possible to present an appropriate pictogram according to the characteristics of the patient etc. It becomes possible. In the above-described embodiment, area information (for example, a patient's address area) is taken as an example of special information. However, any information can be used as long as it indicates information such as patient characteristics that can be identified from electronic medical record information. For example, other information such as the sex of the patient and the age of the patient may be used.

  In the embodiment described above, the electronic medical record management server 10 is connected to the doctor terminal 22A used by the doctor for creating or updating the electronic medical record, and manages the electronic medical record 20A of the corresponding hospital. Since the electronic medical record is obtained from the communication network 40, the electronic medical record can be easily obtained. Note that the electronic medical record may be acquired directly from the doctor terminal 22A via the communication network 40 without going through the hospital server 20A.

  In the above-described embodiment, the electronic medical record management server 10 assigns the items of the electronic medical record information in the received electronic medical record to the corresponding items among the items for the integrated electronic medical record information. Since the configuration is such that the items are adjusted in the item, the items can be adjusted easily and quickly.

  In the above-described embodiment, as shown in FIG. 9, the items for the electronic medical chart integrated information include the chart number, the patient's name, the patient ID used in the hospital, the patient's gender and age, and the person in charge. It is assumed that specific items corresponding to the doctor, the date of the examination, and the contents of the examination, and other non-specific items corresponding to the examination, are provided, and the electronic medical record management server 10 includes the examination result and the doctor's information among the items of the electronic medical record information. Since the items of information entered in the examination such as comments are assigned to the items of the examination contents, it is possible to reliably manage the information input by the doctor with the same items.

  In the above-described embodiment, the electronic medical record management server 10 assigns items not corresponding to specific items among items of the electronic medical record information to non-specific items, so all items of the electronic medical record information Can be assigned without omission.

  In the above-described embodiment, the electronic medical record management server 10 accepts an electronic medical chart viewing request that presents the system ID via the communication network 40, and refers to and accepts the integrated information storage database (electronic medical chart integrated DB 11). The electronic medical chart integrated information associated with the system ID is searched, and the electronic medical chart information included in the searched electronic medical chart integrated information is transmitted to the terminal device (patient terminal, doctor terminal) of the browsing request source. Therefore, it is possible to provide all the electronic medical records created and updated at the time of examination at a plurality of hospitals managing electronic medical records in different formats.

  If the requesting terminal device is a patient terminal, the patient will obtain integrated electronic medical record information even if the patient has been examined at multiple hospitals that manage electronic medical records in different formats. Can be viewed. Therefore, even if the hospital or doctor who receives the medical examination is changed, the integrated electronic medical record information can be acquired and browsed.

  In addition, when the browsing request source terminal device is a doctor terminal, even if the doctor is a patient who has received a medical examination in another hospital that manages electronic medical records in a different format, The acquired electronic medical record information can be acquired and browsed. Therefore, when examining a patient who has received medical examinations at a plurality of hospitals, the burden of the medical examination can be reduced, and the past medical examination results can be referred to. Even if the doctor himself / herself moves, the integrated electronic medical record information about the patient who is continuously consulting from the hospital where he / she was enrolled can be obtained and viewed. become.

  In the above-described embodiment, the pictogram is displayed and displayed on the electronic medical record. However, when the food and drink are sold using the system 100, the allergen included in the food or drink is used. These pictograms may be displayed on the food or beverage or food packaging.

  Although not particularly mentioned in the above-described embodiment, each processing described above is executed by a processing entity such as the electronic medical record management server 10 in accordance with a computer program stored in a storage medium included in the processing subject. It is.

  According to the present invention, when electronic medical records are separately managed by a plurality of hospitals, etc., the electronic medical records can be integrated and managed, and useful for posting information on allergens on the electronic medical records as easily as possible. It is.

It is a block diagram which shows the example of a structure of the electronic medical chart management system which concerns on one embodiment of this invention. It is explanatory drawing which shows the example of the electronic medical chart information managed in the hospital A. It is explanatory drawing which shows the example of the electronic medical chart information managed in the hospital B. It is explanatory drawing which shows the example of pictogram information. It is a flowchart which shows the example of an electronic medical chart integrated information registration process. It is explanatory drawing which shows the example of an initial screen. It is explanatory drawing which shows the example of a patient list display screen. It is explanatory drawing which shows the example of an electronic medical record input screen. It is explanatory drawing which shows the example of electronic medical chart integrated information. It is a flowchart which shows the example of an electronic medical record provision process. It is explanatory drawing which shows the example of the display screen on which electronic medical chart information is integratedly displayed.

Explanation of symbols

10 Electronic medical record management server 11 Electronic medical record integrated DB
12 Pictogram DB
20A, 20B Hospital server 21A, 21B Electronic medical record DB
22A, 22B Doctor terminal 31 to 3N Patient terminal 40 Communication network 100 Electronic medical record management system

Claims (10)

An electronic medical record management server that integrates and manages an electronic medical record in which a doctor's examination details are described,
An electronic medical chart acquisition means for acquiring electronic medical charts respectively created in a plurality of different formats including the contents of the patient's medical examination in which a system ID capable of uniquely identifying the patient to be examined is presented;
Integration that generates electronic medical record integrated information that associates system IDs presented to electronic medical record information in which electronic medical record information items in the acquired electronic medical record are adjusted to a plurality of items including allergen registration items in which allergen information is registered Information generating means;
Integrated information storage means for storing the generated electronic medical record integrated information in the integrated information storage database;
A browsing request receiving means for receiving a browsing request for an electronic medical record presenting a system ID via a communication network;
Integrated information search means for referring to the integrated information storage database and searching for electronic medical record integrated information associated with the received system ID;
Pictogram information storage means for storing pictogram information in which various allergens and pictograms indicating the corresponding allergens are associated;
Referring to the pictogram information, the pictogram indicating the allergen indicated by the allergen information registered in the allergen registration item included in the electronic medical record information included in the electronic medical record integrated information searched by the integrated information search means is specified. Pictogram identification means to
Look including the electronic medical record information providing means for sending and pictograms identified by the retrieved electronic medical record integration information and the pictogram specific means by said integrated information retrieval means to the browsing request source terminal device,
The pictogram information includes information in which different pictograms are associated with different types of special information included in the electronic medical record information for the same allergen,
The pictogram specifying unit refers to the pictogram information, and when there are a plurality of pictograms indicating allergens, the pictogram specifying server specifies a pictogram associated with the type of the special information. . The special information, the electronic medical record management server according to claim 1, wherein the information of the patient's sex, age of the patient, such as patient address regional. The integrated information generating means, according to claim 1 carried out the items adjusted by going to the affected item among items of the electronic medical record integration information is predetermined items of the electronic medical record information in the received electronic medical record or The electronic medical record management server according to claim 2 . In addition to the allergen registration items, the electronic medical record integrated information includes the medical record number, the patient's name, the patient ID used in the hospital, the patient's gender and age, the doctor in charge, the date of examination, and the contents of the examination There are corresponding specific items and other non-specific items,
The electronic medical record management server according to claim 3, wherein the integrated information generation unit assigns items of information entered during a medical examination such as a medical examination result and a doctor's comment among the items of the electronic medical chart information to a medical examination content item. 5. The electronic medical record management server according to claim 4, wherein the integrated information generation unit assigns an item not corresponding to the specific item among items of the electronic medical record information to the non-specific item. An electronic medical record management system comprising an electronic medical record management server that integrates and manages an electronic medical record in which a doctor's medical examination details are described,
The electronic medical record management server
An electronic medical chart acquisition means for acquiring electronic medical charts respectively created in a plurality of different formats including the contents of the patient's medical examination in which a system ID capable of uniquely identifying the patient to be examined is presented;
Integration that generates electronic medical record integrated information that associates system IDs presented to electronic medical record information in which electronic medical record information items in the acquired electronic medical record are adjusted to a plurality of items including allergen registration items in which allergen information is registered Information generating means;
Integrated information storage means for storing the generated electronic medical record integrated information in the integrated information storage database;
A browsing request receiving means for receiving a browsing request for an electronic medical record presenting a system ID via a communication network;
Integrated information search means for referring to the integrated information storage database and searching for electronic medical record integrated information associated with the received system ID;
Pictogram information storage means for storing pictogram information in which various allergens and pictograms indicating the corresponding allergens are associated;
Referring to the pictogram information, the pictogram indicating the allergen indicated by the allergen information registered in the allergen registration item included in the electronic medical record information included in the electronic medical record integrated information searched by the integrated information search means is specified. Pictogram identification means to
Look including the electronic medical record information providing means for sending and pictograms identified by the retrieved electronic medical record integration information and the pictogram specific means by said integrated information retrieval means to the browsing request source terminal device,
The pictogram information includes information in which different pictograms are associated with different types of special information included in the electronic medical record information for the same allergen,
The pictogram specifying unit refers to the pictogram information, and when there are a plurality of pictograms indicating allergens, the pictogram specifying system specifies a pictogram associated with the type of the special information. . The electronic medical chart management system according to claim 6 , wherein the special information is information such as a patient's sex, a patient's age, and a patient's address area. The integrated information generating means, according to claim 6 or performing items adjusted by going to the affected item among items of the electronic medical record integration information is predetermined items of the electronic medical record information in the received electronic medical record The electronic medical record management system according to claim 7 . In addition to the allergen registration items, the electronic medical record integrated information includes the medical record number, the patient's name, the patient ID used in the hospital, the patient's gender and age, the doctor in charge, the date of examination, and the contents of the examination There are corresponding specific items and other non-specific items,
The electronic medical record management system according to claim 8, wherein the integrated information generation unit assigns items of information entered during a medical examination such as a medical examination result and a doctor's comment among the items of the electronic medical chart information to a medical examination content item. The electronic medical record management system according to claim 9, wherein the integrated information generation unit assigns items not corresponding to the specific item among items of the electronic medical record information to the non-specific item.

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