JP5929416B2 - Electronic medical record system and medical information display method - Google Patents

Description

  The present invention relates to an electronic medical record system and a medical information display method.

  In many medical institutions, medical personnel such as doctors, nurses, and pharmacists use electronic medical record systems to create slips for each order such as prescriptions and tests, and share and manage medical information. For example, a doctor creates a slip for instructing prescriptions and examinations, and a medical record article that records a patient's medical progress. The nurse creates a voucher for an examination appointment or a reexamination appointment. Moreover, the nurse responds according to the instruction slip for the inpatient prepared by the doctor. The pharmacist dispenses according to the prescription order from the doctor. Each medical worker creates or refers to medical information using a device such as a personal computer or tablet terminal that can be connected to the electronic medical record system, and performs work based on the medical information required for each occupation.

  The medical information stored by the electronic medical record system includes not only frequently used information such as prescription instructions but also less frequently used information such as letters of introduction and consent forms. All medical information is listed on the device screen. May be displayed. In such a case, the medical worker searches for necessary medical information from the list and performs the work.

JP 2001-22864 A JP 2000-200309 A

  However, for example, when the medical information is managed with high granularity, or when treatment is performed over a long period of time, the amount of stored medical information may be enormous. As a result, the burden of searching for information necessary for doctors to be treated increases, doctors cannot concentrate on medical care, and accurate diagnosis for patients may be hindered.

  In particular, in clinics outside the hospital, such as home visits and home-visit nursing, when doctors and nurses use a mobile terminal such as a mobile phone to refer to medical information, the size of the mobile terminal screen is smaller than that of a personal computer. The amount of information that can be displayed at one time is limited. For this reason, doctors and nurses use a mobile terminal to search for information necessary for medical treatment at a visiting site, and it takes time to display the information on the screen, so it is not possible to concentrate on medical treatment.

  Accordingly, an object of the present invention is to provide an electronic medical record system and a medical information display method capable of displaying necessary medical information on a portable terminal based on occupation type information and position information of a medical worker.

The first aspect of the electronic medical record system is
Wirelessly connected to the network, detecting the location information, displaying the selected patient's medical information, user information having occupation information for each user, medical record information having medical records for each patient, and Storage means for storing medical chart display priority information for defining contents to be displayed as the medical information in the medical chart information according to the job type information and the position classification of the mobile terminal, and generating medical information to be displayed on the mobile terminal And a server connected to the mobile terminal via a network, the mobile terminal sends user identification information of a user of the mobile terminal and position information of the mobile terminal. And the control means transmits the user information, the job type information of the user corresponding to the received user identification information, the position classification corresponding to the received position information, and the card. Based on the display priority information, the medical record of the selected patient included in the medical chart information is edited to generate medical information, the medical information is transmitted to the mobile terminal, and the mobile terminal receives the received Display medical information.

  According to the first aspect of the electronic medical record system, the user can refer to medical information that is necessary or has high priority depending on the job type from the portable terminal.

It is a figure which shows the structure of the electronic medical chart system in this Embodiment. It is a figure which shows the structure of the portable terminal in a mobile of this Embodiment. It is a figure which shows the structure of the server in this Embodiment. It is a figure which shows an example of the user information and address information in this Embodiment. It is a figure which shows an example of the reservation information and patient information in this Embodiment. It is a figure which shows an example of the chart information in this Embodiment. It is a figure which shows an example of the chart priority display information in this Embodiment. It is a figure which shows the operation procedure of the portable terminal in this Embodiment. It is a figure which shows the example of the operation screen displayed on the portable terminal in this Embodiment. It is a figure which shows an example of the medical treatment information displayed on the portable terminal in this Embodiment. It is a figure which shows the user authentication processing flow in this Embodiment. It is a figure which shows the outline | summary of the medical treatment information display processing flow in this Embodiment. It is a figure which shows the detail of the medical treatment information display processing flow in this Embodiment.

  Embodiments of the present invention will be described below with reference to the drawings.

[Electronic medical chart system]
FIG. 1 is a diagram showing a configuration of an electronic medical chart system according to the present embodiment. The electronic medical chart system 10 has a server 11 for storing medical chart information including medical records of each patient and a client 13 such as a personal computer in the hospital. The server 11 is connected to the client 13 via a hospital network 12 such as a LAN or wireless communication.

  The medical record information includes not only various order slips such as prescriptions and examinations, but also medical record articles that record the patient's medical history, as well as all information used in the work of medical professionals, such as letters of introduction, consent forms, and radiographs. It is. Each medical worker such as a doctor, nurse, pharmacist, laboratory technician, office worker, etc. operates the client 13 to connect to the server 11 and works while referring to the information required according to the job type from the medical record information. I do.

  However, medical professionals can use the client 13 to refer to medical chart information only within the hospital, and doctors, nurses, and care managers are not allowed to work outside the hospital, such as home visits, home visit nursing, and home care. It is necessary to carry around with paper media. In addition, the medical staff can refer to the medical chart information only in the place where the client 13 is installed even in the hospital.

  Therefore, the electronic medical chart system 10 further includes portable terminals 14 and 16 that can be connected to the server 11 from both inside and outside the hospital so that medical staff can easily refer to the medical chart information from anywhere. The portable terminals 14 and 16 are portable information communication terminals such as smartphones, PDAs, and tablet PCs.

  A portable terminal 14 indicating that it is in a hospital is connected to the server 11 via the hospital network 12. The in-hospital network 12 connecting the portable terminal 14 and the server 11 may be encrypted wireless LAN communication in order to protect data transmitted and received with the server 11.

  A mobile terminal 16 indicating that it is outside the hospital connects to the server 11 via the mobile phone network 15. The mobile terminal 16 may connect to the server 11 by using the mobile phone network 14 and establishing a secure network using a VPN (Virtual Private Network) method or the like.

  The display screens of the mobile terminals 14 and 16 are usually very small compared to the client 13. For this reason, the amount of information that can be displayed on the display screens of the mobile terminals 14 and 16 at a time is limited, and it is difficult to display various types of information in the chart information with the same configuration as the client 13. Furthermore, as described above, among the various types of information included in the chart information, the information used by the medical staff in the work differs depending on the job type or the priority thereof. For this reason, it is desirable that only necessary information according to the job type or only high priority information can be displayed on the mobile terminal.

  In addition, the required information may differ between work outside the hospital and work inside the hospital. For example, outside the hospital, it is required to be able to immediately refer to medical record information such as instructions and prescriptions to the visited patient from the portable terminal 16 so that the medical staff can concentrate on medical treatment at the visited site. On the other hand, in a hospital, a medical worker can select any patient such as an outpatient or an inpatient from not only the client 13 but also the mobile terminal 14 and refer to the chart information of the selected patient. Is required.

  Therefore, in the present embodiment, a medical information display program, which will be described later, edits information necessary for the user's business from the medical record information based on the job type of the user of the mobile terminal and the position information of the mobile terminal. Display information on mobile devices.

[Configuration of mobile terminal]
FIG. 2 is a diagram illustrating a configuration of a mobile terminal in the mobile phone according to the present embodiment. 2 includes a ROM 20, a CPU 21, a RAM 22, a position detecting unit 23, a wireless communication unit 24, a display unit 25, and a bus 26. The portable terminal 14 has the same configuration as that in FIG.

  The position detecting means 23 receives a signal from a GPS (Global Positioning System) satellite. The wireless communication means 24 is a circuit group for performing transmission / reception of data by a wireless system such as a cellular phone network or a wireless LAN. The display means 25 has an LCD and a touch panel, displays an operation screen and various messages, and accepts operations from the user.

  The ROM 20 includes a communication control program 201 for connecting to the server 11 via the in-hospital network 12 or the cellular phone network 15, a positioning program 202 for calculating position information based on a signal received by the position detecting means 23, and medical information to be described later. Various programs such as the acquisition program 203 and data necessary for executing the program are stored.

  The CPU 21 executes various programs stored in the ROM 20 and controls each device in the mobile terminal 16. For example, the CPU 21 executes the medical information acquisition program 203 to realize the functions of the reserved patient information request unit 204, the reserved patient list receiving unit 205, the medical information request unit 206, and the medical information receiving unit 207.

  The reserved patient information request means 204 requests the server 11 for the list of reserved patients or the medical information of the visited patient in response to an operation by the user of the mobile terminal 16. The reserved patient list receiving means 205 receives the reserved patient list transmitted from the server 11 and displays it on the display means 25. The medical information request unit 206 requests the server 11 for the medical information of the patient selected from the reserved patient list. The medical information receiving unit 207 receives the medical information of the selected patient transmitted from the server 11 and displays it on the display unit 25.

  The RAM 22 stores various programs loaded from the ROM 20 by the CPU 21 and temporary data.

[Server configuration]
FIG. 3 is a diagram showing a configuration of the server in the present embodiment. The server 11 in FIG. 3 includes a ROM 30, a CPU 31, a RAM 32, an interface 33 connected to the hospital network 12 and the mobile phone network 15, an external storage unit 34, and a bus 35.

  The ROM 30 stores various programs such as a communication control program 301 for communicating with the mobile terminals 14 and 16, an authentication program 302 described later, and a medical information display program 303, and data necessary for executing the programs.

  The CPU 31 executes various programs stored in the ROM 30 and controls each device of the server 11. For example, the CPU 31 executes the authentication program 302 and performs user authentication based on the user ID (user identification information) and password transmitted from the mobile terminals 14 and 16. Further, the CPU 31 executes the medical information display program 303 to realize the functions of the portable terminal information receiving unit 304, the reserved patient information generating unit 305, and the medical information transmitting unit 306.

  The portable terminal information receiving unit 304 receives the user ID input to the portable terminals 14 and 16 and the position information of the portable terminals 14 and 16 together with the request signal transmitted by the reserved patient information request unit 204 of the portable terminal. . The reserved patient information generation unit 305 transmits a reserved patient list to the mobile terminals 14 and 16 based on the received position information, or selects a patient closest to the received position information. Then, the medical information transmission unit 306 generates the medical information of the selected patient and transmits it to the mobile terminals 14 and 16.

  The RAM 32 stores various programs loaded from the ROM 30 by the CPU 31 and temporary data.

  The external storage means 34 stores user information 307, address information 308, reservation information 309, patient information 310, chart information 311, chart display priority information 312 and other data necessary for executing the authentication program 302 and medical information display program 303. Remember.

  Here, FIGS. 4 to 7 are diagrams showing examples of information 308 to 312 stored in the external storage unit 34. FIG. FIG. 4 is a diagram showing an example of user information and address information in the present embodiment. FIG. 5 is a diagram showing an example of reservation information and patient information in the present embodiment. FIG. 6 is a diagram showing an example of medical chart information in the present embodiment. FIG. 7 is a diagram showing an example of chart priority display information in the present embodiment.

  The user information 307 in FIG. 4A includes a password for each user ID assigned to each user and the job type of the user. The user ID and password are used in authentication processing when connecting to the server from the mobile terminals 14 and 16. In the present embodiment, the occupation type represents the duties of users such as doctors, nurses, pharmacists, and care managers. The address information 308 in FIG. 4B has an address corresponding to the latitude and longitude.

  The reservation information 309 in FIG. 5A is a list of reserved patients for each user ID. The reservation information has a reservation date and time, a reservation time, and a patient ID assigned to each patient for each user ID. The patient information 310 in FIG. 5 (2) has the name and address of the patient for each patient ID.

  The medical chart information 311 in FIG. 6 is all medical records of each patient. Specifically, the medical record information 311 includes an item type that is a description item of each information type and an item content that is the description content for the information type indicating the type of electronic medical record such as a prescription order or a medical record article. Have every.

  The chart priority display information 312 in FIG. 7 defines information to be displayed as medical information on the portable terminals 14 and 16 and the priority of the information among the chart information 311. Specifically, the chart priority display information 312 has an information type display priority and an item type display priority for each job category corresponding to the user ID and for each position category corresponding to the position information. The location category is a category indicating that the medical terminals 14 and 16 are either in the hospital or outside the hospital based on the location information of the mobile terminals 14 and 16. The numbers in the “information type priority” column and the “item type priority” column of the chart priority display information 312 represent display priorities. The priority numbers are prioritized in ascending order, but the item type with the priority “0” is not displayed. That is, the item type with the priority “1” has the highest priority and is displayed at the highest level in the corresponding information type.

  For example, line numbers 01 to 09 in FIG. 7 represent the priority of information displayed as medical information on the mobile terminal 14 when the doctor is in the hospital. Thereby, on the display means 25 of the portable terminal 14, the information types are arranged and displayed from the top in the order of medical record article, prescription order, specimen test order, instruction order, and revisit reservation order. The item type and item content are displayed under the corresponding information type.

  Specifically, item types and item contents are displayed in the order of the main complaint and findings under the medical record article, and in the order of medicine and usage under the prescription order. The inspection content is displayed under the sample inspection order, and the instruction content is displayed under the instruction order. On the other hand, the prescription order taking start date, the appointment date of the reexamination appointment, and the doctor in charge of the appointment appointment are not displayed with the item type priority “0”. That is, the medical information is displayed according to the prescribed contents of the chart priority display information 312. Therefore, the user can display the desired medical treatment information on the portable terminals 14 and 16 in the desired arrangement order by setting the priority in the chart priority display information 312.

  Furthermore, the chart priority display information 312 defines the item type modification method for each job type and each position category. In FIG. 7, an item type whose “modification method” column is “none” indicates that the item type is displayed with a predetermined character size. On the other hand, an item type in which the “modification method” column is “italic” indicates that characters are displayed in italic and displayed on the mobile terminal. For example, line number 04 in FIG. 7 indicates that when a doctor displays medical information on portable terminal 14 in a hospital, the characters in the usage column of the prescription order are italicized. The modification method is not limited to italics, but may be changed to bold or a change in character color / size.

[Operation procedure of mobile terminal]
FIG. 8 is a diagram showing an operation procedure of the portable terminal in the present embodiment. FIG. 9 is a diagram illustrating an example of an operation screen displayed on the mobile terminal according to the present embodiment.

  FIG. 9A shows a login screen 401 for connecting to the server from the mobile terminals 14 and 16. The users of the portable terminals 14 and 16 enter their user ID and password in the user ID column 402 and password column 403, respectively, and press the login button 404 displayed at the bottom of the screen (S10). As a result, the user ID and password are transmitted to the server 11, and user authentication processing by the authentication program 302 is performed.

  FIG. 9B shows a main menu 405 displayed on the display means 25 of the portable terminals 14 and 16 as a result of completion of the user authentication process without causing an error. The main menu 405 includes search methods such as a reserved patient search 406 for searching for a patient who has made a medical appointment for a user, a ward-specific search 407 for searching a patient for each ward, and a kana search 408 for searching by patient name. Is displayed. In this embodiment, the user selects the reserved patient search 406 from the main menu 405 in order to refer to the medical information of the reserved patient on the mobile terminals 14 and 16 (S11).

  Here, when the user selects the reserved patient search 406, the screen transition destination is switched according to the position information of the mobile terminals 14 and 16 (S12). When the user operates the portable terminal 14 in the hospital, the screen changes from FIG. 9 (2) to FIG. 9 (3) (S13). When the user operates the portable terminal 16 outside the hospital and selects the reserved patient search 406 from the main menu 406 in FIG. 9B, as will be described later, for example, medical information of the nearest reserved patient, for example, Transition to the medical information 503 in FIG. 10 (3) (S15).

  Returning to FIG. 9, FIG. 9 (3) is an example of the reserved patient list 409 displayed on the portable terminal as a result of the user in the hospital selecting the reserved patient search 406 in the main menu 405. The reserved patient list 409 includes a reservation time on the day to which the user operates the portable terminal 14, the reservation person, and a medical situation at the time of operating the portable terminal 14. Thereby, the user can grasp | ascertain the patient who has reserved to himself on the day when the portable terminal 14 was operated. Then, the user selects a patient whose medical information is to be confirmed from the patients displayed in the reserved patient list 409 (S13).

  FIG. 10 is a diagram illustrating an example of medical information displayed on the mobile terminal according to the present embodiment. FIG. 10 shows, as an example, medical information generated from medical chart information whose creation date is February 24, 2012.

  In the present embodiment, as will be described later, the server 11 uses the medical information display program 303 to edit medical record information in order of date and generate medical information. The mobile terminals 14 and 16 receive the medical information from the server 11 and first display the latest medical information as shown in FIG. The user can display the medical information on the second most recent date by sliding the finger on the display means 25 to scroll the screen of the display means 25. Furthermore, the user can display medical information on a desired date by repeating this sliding operation.

  FIG. 10 (1) shows medical information 501 displayed on the mobile terminal 14 when a user other than a doctor, for example, a nurse selects a patient C from the reserved patient list 409 in FIG. 9 (3) (S14). . In the medical information 501, the information types are displayed in the order of medical record article, specimen test order, prescription order, reexamination reservation order, and instruction order. Although this is not shown in FIG. 7, the information type display priority is defined in the chart display priority information 312 in the above order when the occupation type is an occupation other than the doctor and the position classification is in the hospital. Because. Similarly, the item types displayed under each information type are also displayed in accordance with the chart display priority information 312.

  FIG. 10 (2) shows medical information 502 displayed on the mobile terminal 14 when the doctor selects the patient C from the reserved patient list 409 of FIG. 9 (3) (S14). The medical information 502 is displayed in the order of medical record article, prescription order, sample examination order, instruction order, and reexamination appointment order based on the row numbers 01 to 09 of the chart display priority information 312 in FIG. That is, the display order is different from the medical information 501 in FIG.

  In the medical information 502, prescription order drugs and usage letters are modified to bold. This is because the “modification” columns of the row numbers 03 and 04 of the chart display priority information 312 in FIG.

  Furthermore, in the medical information 502, the start date of taking the prescription order is not displayed. This is because the item type display priority is defined as “0” in line number 05 of the chart display priority information 312 in FIG. Similarly, the reservation date of the reexamination reservation order and the doctor in charge are not displayed by the row numbers 08 and 09 of the chart display priority information 312 in FIG.

  FIG. 10 (3) shows medical information 503 displayed on the portable terminal 16 when the nurse selects the reserved patient search 406 from the main menu 405 of FIG. 9 (2) outside the hospital (S15). This is because the medical care information display program, which will be described later, selects the reserved patient F that is closest to the position information of the mobile terminal and generates medical information of the reserved patient F.

  In the medical information 503, the information type is displayed in the order of instruction order, prescription order, medical record article, sample examination order, and reexamination appointment based on the line numbers 12 to 20 of the chart display priority information 312 in FIG. In addition, based on line number 15 of the chart display priority information 312 in FIG. The appointment date and doctor in charge of the reexamination appointment order are not displayed because the item type display priority is defined as “0” in the chart display priority information 312 and line numbers 19 and 20.

  As described above, in the present embodiment, when the user selects the reserved patient search from the main menu after the login screen, the screen transition destination is switched based on the position classification corresponding to the position information. When the position classification is in the hospital, the reserved patient list is displayed on the portable terminal, and the user can select any patient from the reserved patient list and display the medical information.

  On the other hand, when the position classification is in the hospital, the medical information of the patient closest to the position information of the mobile terminal is displayed. Then, regardless of whether the position category is in the hospital or outside the hospital, the medical information is displayed based on the priority of the information type and item type defined for each occupation type and each position category in the chart display priority information.

  As a result, in the hospital, the user can arbitrarily select a patient who has made a reservation for himself / herself, and can confirm necessary or high-priority medical information according to his / her job type. In addition, outside the hospital, for example, with respect to a patient to be visited, a user can check medical information that is necessary or has high priority according to his / her job type with a simple operation.

[User authentication processing]
FIG. 11 is a diagram showing a user authentication processing flow in the present embodiment.

  In order to connect to the server 11 from the mobile terminals 14 and 16, the user inputs his / her user ID and password in the user ID column 402 and password column 403 of the login screen 401 in FIG. The login button 404 is pressed (S21). As a result, the user ID and password input by the user are transmitted from the mobile terminals 14 and 16 to the server 11.

  The CPU 31 of the server 11 executes the authentication program 302 and starts user authentication processing. Based on the received user ID, the CPU 31 of the server 11 acquires a password included in the user information 307 (S22), and collates the received password with the password of the user information 307 (S23).

  If the passwords do not match, the CPU 31 of the server 11 transmits an error message to the mobile terminals 14 and 16. The mobile terminals 14 and 16 that have received the error message display an error screen indicating that the passwords do not match (S24), and display the login screen 401 again after a predetermined time has elapsed.

  If the passwords match, the CPU 31 of the server 11 transmits an authentication completion message to the mobile terminals 14 and 16. Then, the mobile terminals 14 and 16 that have received the authentication completion message display the main menu 405 in FIG. 9B (S25). Thereafter, the user can select an arbitrary search method from the search methods 406 to 408 displayed on the main menu 405 and refer to the medical information of a desired patient.

  As described above, the electronic medical record system 10 limits the users who can refer to the medical treatment information from the mobile terminals 14 and 16 to the users having the user ID and password in the user information 307. .

[Medical information display processing]
FIG. 12 is a diagram showing an outline of the medical information display processing flow in the present embodiment. FIG. 13 is a diagram showing details of a medical treatment information display processing flow in the present embodiment. The medical information display processing flow will be described below with reference to two embodiments with reference to FIGS.

  In the first embodiment, the user refers to the medical information from the portable terminal 14 in the hospital. Specifically, a doctor whose user ID is AAAA (hereinafter referred to as a doctor AAAA) operates the mobile terminal 14 on March 1, 2012, searches for a reserved patient, and refers to the medical information of the patient C. It shall be.

  In the second embodiment, the user refers to the medical information from the portable terminal 16 outside the hospital. Specifically, a nurse whose user ID is BBBB (hereinafter referred to as nurse BBBB) operates the mobile terminal 16 at the visited patient C's home on March 1, 2012, and searches for a reserved patient. And refer to the medical information of patient C.

[First Embodiment (User refers to medical information from portable terminal 14 in hospital)]
When the doctor AAAA selects the reserved patient search 406 in the main menu 405 of FIG. 9 (2), the CPU 21 of the mobile terminal 14 executes the medical information acquisition program 203 and requests reserved patient information (S30). Specifically, the CPU 21 of the portable terminal 14 calculates the position information of the portable terminal 14 based on the signal received by the position detecting means 23 in response to the selection of the reserved patient search 406 by the doctor AAAA (S30- 1). Then, the CPU 21 of the mobile terminal 14 transmits the location information of the mobile terminal 14 and the user ID “AAAA” input in step S21 of the user authentication process to the server 11 together with a request signal for requesting reservation patient information ( S30-2).

  When the server 11 receives the position information and the user ID “AAAA” (S31), the CPU 31 of the server 11 executes the medical information display program 303 to generate a position classification based on the received position information, and the mobile terminal 14 Is in the hospital or outside the hospital (S32).

  Specifically, the CPU 31 of the server 11 acquires an address corresponding to the latitude / longitude from the address information 308 of FIG. 4 (2) based on the latitude / longitude of the mobile terminal included in the received position information (S32-). 1). When the acquired address matches the address of the hospital, the CPU 31 of the server 11 generates the position category “inside the hospital”. When the acquired address does not match the address of the hospital, the CPU 31 of the server 11 The position classification “outside the hospital” is generated (S32-2). If the location classification is in the hospital, the CPU 31 of the server 11 starts a reserved patient list transmission process (S33). On the other hand, when the position classification is outside the hospital, the CPU 31 of the server 11 starts the selection process of the reserved patient closest to the received position information (S36). In the first embodiment, the doctor AAAA operates the portable terminal 14 in the hospital, so that the position division is in the hospital.

  When the position classification is in the hospital, the CPU 31 of the server 11 determines the patient ID of the reserved patient of the doctor AAAA on the day (March 1, 2012) on which the mobile terminal 14 is operated based on the user ID “AAAA”. And the reservation time are acquired from the reservation information 309 in FIG. 5 (1), and the patient name corresponding to the patient ID is acquired from the patient information 310 in FIG. 5 (2) (S33-1). That is, the CPU 31 of the server 11 acquires the patient ID and the reservation time such as the row numbers 01, 03, and 05 from the reservation information 309 in FIG. 5 (1), and the row number from the patient information 310 in FIG. 5 (2). Obtain patient names such as 01-03.

  And CPU31 of the server 11 produces | generates the reservation patient list which arranged patient ID and patient name in order of reservation time, and transmits to the portable terminal 14 (S33-2).

  When the portable terminal 14 receives the reserved patient list from the server 11, the CPU 21 of the portable terminal 14 displays the reserved patient list on the display means 25, for example, as shown in FIG. 9 (3), and selects the patient from the doctor AAAA. Prompt (S34). In the present embodiment, the doctor AAAA selects the patient C from the reserved patient list 409 in FIG.

  Then, the CPU 21 of the portable terminal 14 transmits the patient ID “00003” of the selected patient C to the server 11 and requests the medical information of the patient C (S35).

  When receiving the patient ID “00003” from the mobile terminal 14, the CPU 31 of the server 11 generates medical information corresponding to the received patient ID “00003” (S37). First, the CPU 31 of the server 11 acquires the occupation type “doctor” corresponding to the user ID “AAAA” received in step S31 from the user information 307 of FIG. 4A (S37-1). Further, the CPU 31 of the server 11 acquires the received medical record of the patient ID “00003”, that is, the data of the row numbers 01 to 11 from the medical record information 311 of FIG. 6 (S37-2).

  Next, the CPU 31 of the server 11 edits the medical record of the patient C acquired in step S37-2 (S37-3). The CPU 31 of the server 11 is based on the occupation type “doctor” acquired in step S37-1, the position classification “in-hospital” generated in step S32-2, and the information type and item type of the medical record acquired in step S37-2. Thus, from the chart display priority information 312 in FIG. 7, the information type to be displayed as medical information, its priority, the item type, its priority, and the modification method are acquired. Then, the CPU 31 of the server 11 edits the medical records acquired in step S37-2 in chronological order according to the priority and modification method defined in the chart display priority information 312 of FIG. Thereby, the medical information of the patient C is generated.

  After completion of step S37-3, the CPU 31 of the server 11 transmits the medical information of the patient C to the portable terminal 14 (S37-4). Then, as shown in FIG. 10B, the CPU 21 of the mobile terminal 14 first displays the latest medical information on the received medical information on the display means 25 (S38).

  As described above, when the user operates the portable terminal 14 in the hospital and performs a reserved patient search, the server 11 displays a list of reserved patients based on the position classification “in the hospital” corresponding to the position information of the portable terminal 14. It is generated and transmitted to the mobile terminal 14. Then, when the user selects a reserved patient from the list of reserved patients displayed on the mobile terminal 14, the server 11 causes the job type of the user, the position classification “in-hospital” of the mobile terminal 14, and the chart display priority information. 3, the medical record of the selected patient included in the medical chart information 311 is edited to generate medical information. The portable terminal 14 displays the selected patient's medical information received from the server 11.

  As a result, the user in the hospital needs or has high priority according to his / her job type based on his / her job type and the location information of the mobile terminal 14 for the patient who has made a reservation for himself / herself. Medical information can be referred to.

[Second Embodiment (User refers to medical information from portable terminal 16 outside hospital)]
When the nurse BBBB selects the reserved patient search 406 in the main menu 405 of FIG. 9 (2), the CPU 21 of the portable terminal 16 executes the medical information acquisition program 203 and requests reserved patient information (S30). That is, as in the first embodiment, the CPU 21 of the portable terminal 16 calculates the position information and then sends the position information and the user ID “BBBB” together with the request signal for requesting the reserved patient information to the server 11. (S30-1, S30-2).

  As in the first embodiment, the CPU 31 of the server 11 generates and determines a position segment based on the position information received in S31 (S32). In the second embodiment, the position classification “out of hospital” is generated.

  When the position classification is “outside the hospital”, the CPU 31 of the server 11 selects the patient closest to the position information of the mobile terminal 16 among the reserved patients of the nurse BBBB (S36).

  Specifically, first, the CPU 31 of the server 11 is based on the received user ID “BBBB”, and the patient who is a reserved patient of the doctor BBBB on the day when the mobile terminal 16 is operated (March 1, 2012). The ID is acquired from the reservation information 309 in FIG. 5A (S36-1). That is, the CPU 31 of the server 11 acquires the patient IDs “20001”, “20002”, and the like of the row numbers 02 and 04 from the reservation information 309 in FIG.

  Next, the CPU 31 of the server 11 selects a patient to be displayed on the mobile terminal 16 from the patient ID acquired in step S36-1 (S36-2). When selecting a patient, the CPU 31 of the server 11 acquires the address of the reserved patient from the patient information based on the patient ID, and further converts the address of the reserved patient into latitude and longitude based on the address information 308. Then, the CPU 31 of the server 11 compares the latitude and longitude of each reserved patient with the latitude and longitude of the position information of the mobile terminal 16. As a result of the comparison, the CPU 31 of the server 11 selects the nearest reserved patient among the reserved patients within a predetermined distance from the position information of the mobile terminal 16 as the patient whose medical information is displayed on the mobile terminal 16. In the second embodiment, since the nurse BBBB operates the portable terminal 16 at the patient F's home, the patient F is selected.

  Here, in step S36-2, when there is no reserved patient within a predetermined distance from the position information of the portable terminal 16, the CPU 31 of the server 11 executes the process of step S33-1 to execute the first embodiment. Similar to the form, a reserved patient list is generated and transmitted to the portable terminal 16. Thereby, nurse BBBB can select patient F from the reserved patient list displayed on portable terminal 16 (S35).

  When the patient F is selected in step S36-2 or step S35, the CPU 31 of the server 11 generates medical information of the patient F and transmits it to the portable terminal 16 as in the first embodiment (S37). ). Then, as shown in FIG. 10 (3), the CPU 21 of the portable terminal 16 first displays the latest medical information on the received medical information on the display means 25 (S38).

  As described above, when the user operates the mobile terminal 16 outside the hospital to perform a reserved patient search, the server 11 stores the mobile terminal 16 in the mobile terminal 16 based on the location classification “outside the hospital” corresponding to the location information of the mobile terminal 16. Initiate selection of appointment patient with address closest. Then, the server 11 edits the medical record of the selected patient based on the job type of the user, the position classification “out of hospital” of the mobile terminal, and the chart display priority information 312 to generate medical information. The portable terminal 14 displays the selected patient's medical information received from the server 11.

  As a result, a user outside the hospital refers to medical information that is necessary or has high priority according to his / her job type based on his / her job type and the location information of the mobile terminal 16 for the patient to be visited. can do.

  The above embodiment is summarized as follows.

(Appendix 1)
A mobile terminal that wirelessly connects to the network, detects location information, and displays medical information of the selected patient;
User information having job type information for each user, medical record information having medical records for each patient, and contents to be displayed as the medical information among the medical record information according to the job type information and the position classification of the portable terminal A storage unit that stores medical chart display priority information to be defined; a control unit that generates medical information to be displayed on the mobile terminal; and a server that is connected to the mobile terminal via a network.
The mobile terminal transmits user identification information of the user of the mobile terminal and position information of the mobile terminal to the server,
The control means, based on the user information, user occupation information corresponding to the received user identification information, a position classification corresponding to the received position information, and the chart display priority information. Edit the medical record of the selected patient in the information to generate medical information, send the medical information to the mobile terminal,
The portable terminal is an electronic medical record system that displays the received medical information.

(Appendix 2)
In Appendix 1,
The position classification is an electronic medical record system that is either inside or outside the hospital.

(Appendix 3)
In Appendix 2,
Further, the storage means stores patient information having an address for each patient and reservation information having patient identification information of a patient who has made a reservation for medical care for each user,
The control means, based on the received user identification information, the received location information, the patient information, and the reservation information, when the location category corresponding to the received location information is outside the hospital, An electronic medical record system for selecting a patient closest to the received position information from among patients who have made a medical appointment with a user corresponding to the user identification information.

(Appendix 4)
In Appendix 3,
If the patient who has made a medical appointment with the user corresponding to the received user identification information is not within a predetermined distance from the received location information and the server cannot select a patient,
The control means transmits, to the portable terminal, a list of patients who have made a medical appointment for a user corresponding to the received user identification information based on the received user identification information and the reservation information. And
The portable terminal is an electronic medical chart system that displays a received list to prompt selection and transmits patient identification information of a selected patient to the server.

(Appendix 5)
In Appendix 2,
Furthermore, the storage means stores reservation information having patient identification information for each user who has made a medical appointment,
When the location classification corresponding to the received location information is in a hospital, the control means, based on the received user identification information and the reservation information, a user corresponding to the received user identification information Sends a list of patients who have scheduled medical treatment to the mobile device,
The portable terminal is an electronic medical chart system that displays a received list to prompt selection and transmits patient identification information of a selected patient to the server.

(Appendix 6)
In Supplementary Note 1, the control means generates medical information by editing the medical records of the selected patient in order of date,
The portable terminal is an electronic medical chart system that displays received medical information in order of date.

(Appendix 7)
A server connected via a network to a mobile terminal that detects position information and displays medical information of a selected patient,
User information having job type information for each user, medical record information having medical records for each patient, and contents to be displayed as the medical information among the medical record information according to the job type information and the position classification of the portable terminal Storage means for storing prescribed chart display priority information;
Control means for generating medical information to be displayed on the portable terminal,
The control means, based on the user information, user occupation information corresponding to the received user identification information, a position classification corresponding to the received position information, and the chart display priority information. A server that edits a medical record of a selected patient included in information to generate medical information, transmits the medical information to the mobile terminal, and causes the mobile terminal to display the medical information.

(Appendix 8)
Connected via a network to a mobile terminal that detects position information and displays medical information of the selected patient, user information having job type information for each user, medical chart information having medical records for each patient, and the medical chart Storage means for storing medical chart display priority information for defining the contents to be displayed as the medical information among the information according to the job type information and the position classification of the mobile terminal, and control for generating medical information to be displayed on the mobile terminal In a medical information display method of an electronic medical record system having a server having means,
A terminal information transmitting step in which the mobile terminal transmits user identification information and position information of the mobile terminal to the server;
Based on the user information, the job type information of the user corresponding to the received user identification information, the position classification corresponding to the received position information, and the chart display priority information, the control means. A medical information transmitting step of generating medical information by editing a medical record of a selected patient included in the information, and transmitting the medical information to the mobile terminal;
A medical information display method in which the portable terminal includes a medical information display step of displaying received medical information.

(Appendix 9)
Connected via a network to a mobile terminal that detects position information and displays medical information of the selected patient, user information having job type information for each user, medical chart information having medical records for each patient, and the medical chart A computer-readable computer that causes a server having storage means for storing medical chart display priority information that defines contents to be displayed as the medical information in accordance with the job type information and the position classification of the mobile terminal. A program
A terminal information receiving step in which the server receives user identification information and position information of the mobile terminal from the mobile terminal;
Based on the user information, the job type information of the user corresponding to the received user identification information, the position classification corresponding to the received position information, and the chart display priority information, the server A program comprising: a medical information transmission step of editing medical records of selected patients included in the medical information to generate medical information, transmitting the medical information to the mobile terminal, and displaying the medical information on the mobile terminal.

201: Communication control program 202: Positioning program 203: Medical treatment information acquisition program 204: Reservation patient information request means 205: Reservation patient list reception means 206: Medical treatment information request means 207: Medical treatment information reception means 301: Communication control program 302: Authentication program 303: Medical treatment information display program 304: Portable terminal information receiving means 305: Reservation patient information generation means 306: Medical treatment information transmission means 307: User information 308: Address information 309: Reservation information 310: Patient information 311: Medical record information 312: Medical record Display priority information

Claims (7)

A mobile terminal that wirelessly connects to the network, detects location information, and displays medical information of the selected patient;
User information having job type information for each user, medical record information having medical record for each patient, and contents and display order to be displayed as the medical information among the medical record information, the job type information and the position classification of the mobile terminal Storage means for storing medical chart display priority information that is different in display order according to the job type information or the position classification, and control means for generating medical information to be displayed on the mobile terminal, A server connected to the mobile terminal via a network,
The mobile terminal transmits user identification information of the user of the mobile terminal and position information of the mobile terminal to the server,
The control means, based on the user information, user occupation information corresponding to the received user identification information, a position classification corresponding to the received position information, and the chart display priority information. Selecting the content of the medical record of the selected patient having the information , editing the display order of the content of the selected medical record, generating the medical information, and transmitting the medical information to the mobile terminal,
The portable terminal is an electronic medical record system that displays the received medical information. In claim 1,
The position classification is an electronic medical record system that is either inside or outside the hospital. In claim 2,
Further, the storage means stores patient information having an address for each patient and reservation information having patient identification information of a patient who has made a reservation for medical care for each user,
The control means, based on the received user identification information, the received location information, the patient information, and the reservation information, when the location category corresponding to the received location information is outside the hospital, An electronic medical record system for selecting a patient closest to the received position information from among patients who have made a medical appointment with a user corresponding to the user identification information. In claim 2,
Furthermore, the storage means stores reservation information having patient identification information for each user who has made a medical appointment,
When the location classification corresponding to the received location information is in a hospital, the control means, based on the received user identification information and the reservation information, a user corresponding to the received user identification information Sends a list of patients who have scheduled medical treatment to the mobile device,
The portable terminal is an electronic medical chart system that displays a received list to prompt selection and transmits patient identification information of a selected patient to the server. A server connected via a network to a mobile terminal that detects position information and displays medical information of a selected patient,
User information having job type information for each user, medical record information having medical record for each patient, and contents and display order to be displayed as the medical information among the medical record information, the job type information and the position classification of the mobile terminal Storage means for storing medical chart display priority information that is defined in accordance with the job type information or the display order is different depending on the position classification ;
Control means for generating medical information to be displayed on the portable terminal,
The control means, based on the user information, user occupation information corresponding to the received user identification information, a position classification corresponding to the received position information, and the chart display priority information. Selecting the contents of the medical record of the selected patient included in the information, editing the display order of the contents of the selected medical record, generating medical information, transmitting the medical information to the mobile terminal, and the mobile terminal A server that displays the medical information on a computer. Connected via a network to a mobile terminal that detects position information and displays medical information of the selected patient, user information having job type information for each user, medical chart information having medical records for each patient, and the medical chart Of the information, the contents to be displayed as the medical information and the display order are defined according to the job type information and the position classification of the mobile terminal, and the chart display priority information whose display order differs according to the job type information or the position classification In a medical information display method of an electronic medical chart system having a server having a storage means for storing information and a control means for generating medical information to be displayed on the portable terminal,
A terminal information transmitting step in which the mobile terminal transmits user identification information and position information of the mobile terminal to the server;
Based on the user information, the job type information of the user corresponding to the received user identification information, the position classification corresponding to the received position information, and the chart display priority information, the control means. The medical information transmission step of selecting the content of the medical record of the selected patient included in the information, generating the medical information by editing the display order of the content of the selected medical record, and transmitting the medical information to the portable terminal When,
A medical information display method in which the portable terminal includes a medical information display step of displaying received medical information. Connected via a network to a mobile terminal that detects position information and displays medical information of the selected patient, user information having job type information for each user, medical chart information having medical records for each patient, and the medical chart Of the information, the contents to be displayed as the medical information and the display order are defined according to the job type information and the position classification of the mobile terminal, and the chart display priority information whose display order differs according to the job type information or the position classification A computer-readable program for causing a server having storage means to execute medical information display processing,
A terminal information receiving step in which the server receives user identification information and position information of the mobile terminal from the mobile terminal;
Based on the user information, the job type information of the user corresponding to the received user identification information, the position classification corresponding to the received position information, and the chart display priority information, the server Selects the contents of the medical record of the selected patient, edits the display order of the contents of the selected medical record, generates medical information, transmits the medical information to the mobile terminal, and transmits the medical information to the mobile terminal. A program having a medical information transmission step of displaying the medical information.

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