JP6132422B2 - Old electronic medical record data activation system for computer with new electronic medical record system program - Google Patents

Description

In the present invention, the data of both the old electronic medical record system of the old electronic medical record system and the new electronic medical record system of the new electronic medical record system can be viewed on a computer with a new electronic medical record system program , and diagnosis, management and registration of medical examination data are integrated. The present invention relates to an old electronic medical record data activation system for a computer with a new electronic medical record system program that can be performed.

In recent years, electronic medical records operated and created by computers have been approved by law. Electronic medical record systems using computers are gradually becoming widespread, and at present, electronic medical records operated by the computers have been adopted in about 20% of medical institutions.
The number of medical institutions is said to be about 100,000 in Japan, and 20% of the number is about 20,000 medical institutions, and electronic medical records are used in these 20,000 medical institutions. It becomes calculation.

However, the rapid technological advancement related to the electronic medical record system has resulted in an increase in users (medical institutions) who are not satisfied with the electronic medical record system currently used.
Here, a problem occurred when considering replacement of a computer with an electronic medical record system program. In other words, each manufacturer that develops and provides a so-called electronic medical record system program has its own electronic medical record system program, and the electronic medical record data of these manufacturers is not compatible at all. is there.

In other words, in particular, it can be said that there are considerable hurdles for replacement of a computer with an old electronic medical record system program from a different manufacturer with a computer with a new electronic medical record system program.
Therefore, if a medical institution changes the manufacturer and introduces a computer with a new electronic medical record system program, the past electronic medical record data cannot be transferred. There are many cases where data migration work is performed.

  In addition, even if a computer with a new electronic medical record system program from the same manufacturer is introduced, the above-mentioned data migration work may not be requested due to cost problems. A computer with the old electronic medical record system program is placed next to the computer. For the past examination contents in each patient, the old electronic medical record is referred to by the computer with the old electronic medical chart system program, and the new electronic medical record for the patient's new medical examination. It is supposed to be performed by a computer with a system program.

  Also, when referring to past medical examination history, etc., when starting the computer with the old electronic medical record system program placed next to it and referencing that history, and leaving the data in the history on the new electronic medical record system side Therefore, the work of writing and adding the data to the new electronic chart side had to be done.

In this way, until now, unless a computer with a new electronic medical chart system program from the same manufacturer that developed the old electronic medical chart system program was introduced and data migration was performed, the computer with the old and new electronic medical chart system program In a situation where we had to adopt a method of examining two of them side by side, we had to say that it was extremely troublesome and laborious.

JP 2003-122849 A

Thus, the present invention was devised to solve the above-described conventional problems, and without introducing a computer with a new electronic medical chart system program of the same manufacturer as the manufacturer that developed the old electronic medical chart system program, In addition, if data migration work is not performed even if it is installed, the old and new electronic medical record systems can be used without adopting the method of examining two computers with new and old electronic medical record system programs side by side. In the new electronic medical chart system, the past medical examination history can be referred to on the computer side of the new electronic medical chart system, and the necessary items of the patient can be easily copied and pasted from the old electronic medical chart into the patient's new electronic medical chart. of new electronic medical record system program containing computer operations, such as it can be performed It is an object to provide an electronic medical record data activation system.

An old electronic medical record data activation system for a computer with a new electronic medical record system program according to the present invention is as follows:
A new electronic medical record system program that does not start the old electronic medical record data created on a computer with the old electronic medical record system program is used, and the new electronic medical record data is introduced without converting it into new electronic medical record data It is an old electronic medical record data activation system for computers with electronic medical record system programs , and it is possible to display old and new electronic medical records of patients only with computers with new electronic medical record system programs without starting two computers with new and old electronic medical record system programs side by side. System,
Means for converting the old electronic medical record data in which at least the patient ID and the examination date are stored in the computer including the old electronic medical record system program into PDF data and storing the data;
Reading and sorting means for reading and sorting the saved PDF data at least for each patient ID;
The sorted data is sorted at least for each patient ID, PDF data converted from the old electronic medical record data is converted into image data, and patient numbers and patient names are converted from the PDF data converted from the old electronic medical record data. Sorting conversion means to convert examination date, medical record contents into text data, extract and tag information, file information,
Recording means for transferring and recording the old electronic medical record data classified and converted into the image data and text data and a starter program for starting the old electronic medical record data,
A computer with a new electronic medical record system program to which the recording device can be connected;
Have
The computer with the new electronic medical record system program is:
An activation means for activating the old electronic medical record data in the connected recording device;
Display means for displaying the data of the old electronic medical record on the display unit of the computer with the new electronic medical record system program by the activated start program,
The character information of the displayed old electronic medical record data of the patient has a copy means that can be copied onto the new electronic medical record data newly created for the same patient by a computer with a new electronic medical record system program ,
In the computer with the new electronic medical record system program, the old electronic medical record data sorted and converted into image data and text data can be activated, and the old and new electronic medical records can be viewed and examined on the display unit of the computer with the new electronic medical record system program.
It is characterized by
Or
The manufacturer of the old electronic medical record system program and the new electronic medical record system program is the same manufacturer.
It is characterized by this.

According to the old electronic medical record data starting system of the computer with the new electronic medical record system program of the present invention,
If a medical institution does not introduce a computer with a new electronic medical record system program from the same manufacturer that developed the old electronic medical record system program, and if it does not perform data migration work, it will introduce a computer with the old and new electronic medical record system program. It is possible to use the old and new electronic medical chart systems without adopting the method of diagnosing two patients side by side, and the past medical history etc. can be referred to on the computer side of the new electronic medical chart system for the patient to be examined. As for the necessary items, there is an excellent effect that operations such as easy copying from the old electronic medical chart can be performed in the new electronic medical chart of the patient.

It is schematic structure explanatory drawing (1) of this invention. It is schematic structure explanatory drawing (2) of this invention. It is explanatory drawing of the specific example which sorts and converts old electronic medical chart data. It is explanatory drawing (1) explaining the flow from the writing of old electronic medical chart data to the data storage to a 2nd recording device. It is explanatory drawing (2) explaining the flow from writing of old electronic medical chart data to data storage to a 2nd recording device. It is explanatory drawing (3) explaining the flow from writing of old electronic medical chart data to the data storage to a 2nd recording device. It is explanatory drawing (4) explaining the flow from writing of old electronic medical chart data to data storage to a 2nd recording device. It is explanatory drawing (5) explaining the flow from writing of old electronic medical chart data to the data storage to a 2nd recording device. It is explanatory drawing (1) explaining the transfer procedure from old electronic medical chart data. It is explanatory drawing (2) explaining the transfer procedure from old electronic medical chart data.

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

FIG. 1 is a schematic diagram illustrating the configuration of the embodiment.
In FIG. 1, reference numeral 1 denotes a computer with an old electronic medical record system program. The computer 1 with an old electronic medical record system program includes a control unit 2 composed of a CPU, a storage unit 3 composed of a hard disk, and a liquid crystal display. And at least an input unit 5 including a keyboard and a mouse.

Here, in the computer 1 with the old electronic medical record system program, a large amount of the old electronic medical record described after the examination of the patient by the doctor is stored and stored in the storage unit 3 in the computer 1.
However, technological innovation in the electronic medical record field is rapid, and new electronic medical record system program- containing computers with new functions and improved usability are born one after another.

Therefore, a medical institution will consider switching to the computer 6 with the new electronic medical record system program, but the problem is the handling of the old electronic medical record data produced in large quantities by the computer 1 with the old electronic medical record system program. It is.
Since the old electronic medical record system program that generated such old electronic medical record data is originally not compatible with the new electronic medical record system program, the old electronic medical record system program cannot be started on a computer containing the new electronic medical record system program as already stated. It is.

Therefore, in the present embodiment, the old electronic medical record data can be activated on the computer 6 with the new electronic medical record system program by simple means, and the new and old electronic medical records can be browsed on the display unit 4 of the computer 6 with the new electronic medical record system program. A medical examination can be performed, and after that, a part (for example, a character part) considered to be necessary in the old electronic medical record data is designated and can be incorporated into the new electronic medical record data .

Here, reference numeral 7 denotes a first recording device constituted by a hard disk or the like, and the first recording device 7 can be carried.
The first recording device 7 is connected to the computer 1 with the old electronic medical record system program by a connecting member such as a USB cable.

After the connection, the first recording device 7 is recognized by the computer 1 with the old electronic medical record system program, and is stored in the storage unit 3 of the computer 1 with the old electronic medical record system program by operating the computer 1 with the old electronic medical record system program. A large amount of old electronic medical record data is transferred into the first recording device 7.

As for the transfer method, the transfer is performed using a general printing function of the computer 1 with the old electronic medical record system program, for example, a “PDF printing” function.
As a result, a large amount of old electronic medical record data 16 converted into PDF is transferred at random in the first recording device 7, that is, in a form in which a large amount of old electronic medical record data relating to each type of patient is mixed. . Although the “PDF printing” function is used, it is not ejected to the printer, but is taken out as PDF data. That is, it is an operation to convert image data into a PDF file instead of printing on paper.

Here, the types of old electronic medical record data to be transferred include, for example, “No. 1 paper”, “No. 2 paper”, “Summary”, and the like.
“No. 1” describes the name, date of birth, address, insurance information (insurer number, insured symbol / number, etc.) of the insured person. In addition, chief complaints, symptoms, etc. are described.

  “No. 2 paper” describes what is called a medical chart, which contains the contents of medical examinations and medical treatments such as descriptions of insurance terms, examination records, guidance guidelines, clinical findings, etc. Described.

Next, the first recording device 7 storing the transferred old electronic medical record data 16 is connected to the data organizing device 8.
After the first recording device 7 is connected to the data organizing device 8, in the data organizing device 8, the PDF data stored in the first recording device 7 at random is the patient ID such as the patient's name or “1”. The format type such as “No. 2” or “No. 2” is read by the reading / sorting means 9 so as to be used as the keyword for sorting, and is then automatically sorted by the sorting conversion means 11 for each patient or each document. Converted.

  Here, an explanation will be given of an example of the operation of reading PDF data and automatic sorting by the reading / sorting means 9 and the sorting / converting means 11. First, as shown in FIG. 3, the reading / sorting means 9 Patient information such as patient name or document name is acquired from the specified line. The acquired patient information includes patient number, document format type, name, visit date, and the like.

Then, for example, the acquired patient ID and visit date are assigned and assigned as tag information and file information as folder names or file names, and a plurality of folders or files are generated.
The generated plurality of folders or files are sorted by the sorting conversion means 11 as data for each patient (PDF data and image data such as JPEG data), and the data is converted.

  Further, referring to FIGS. 9 and 10, when the PDF data converted from the old electronic medical record data into PDF is taken into the second recording apparatus 10, the reading data distribution means 9 and the classification conversion means 11 can convert the PDF data. The file is analyzed, and for example, the patient number, patient name, examination date, medical chart contents, etc. are converted into text data and extracted. These are used as tag information, file information, and the like.

Further, the original PDF data itself is converted into, for example, a JPG image format at the time of capture. The image data is used, for example, for displaying image data when displaying thumbnails.
In addition, the patient number extracted at the time of taking in the data is stored in a unique format, and the medical record contents in the PDF data are also extracted in a unique document format. As described above, these are used as tag information or file information.

  That is, as can be understood from FIG. 10, the patient data and the like are first extracted from the PDF data converted from the old electronic medical record data, and stored and filed in a unique management format.

Next, the PDF data is converted into JPG data, and the image data of the JPG can be viewed as the display image of the old electronic medical record.
Also, the chart contents are read from the contents of the PDF data, converted into text, and stored again in a unique format, and these are used as tag information such as “fuzzy search”, for example.

Then, the sorted and data-converted data is transferred from the data organizing device 8 to the second recording device 10 constituted by, for example, a hard disk.
Here, the second recording apparatus 10 is composed of a small and portable member, and can display a list of the image data and the like together with the data converted and sorted data (PDF data and JPEG data, for example) as so-called thumbnails. The image management software 15 or the like is installed and saved.

  Then, the image software 15 is started by the image management display means 12 described later, and the image data and the like are displayed as a list display with so-called thumbnails.

Here, the thumbnail of the image will be described. Originally, the original image and the like are confirmed as they are in the confirmation of the page and the confirmation of the image. However, if there are too many images or pages, or if they are too large, they may exceed the coverage of the screen or publication.
In that case, by displaying thumbnails instead of thumbnails as an alternative, it is effective in confirming pages and confirming the contents of images, and can improve the viewing speed.

In general, there are mainly two methods for creating thumbnails.
In the reduced display method of the original image, a reduced image is not prepared. Therefore, it takes time to display the thumbnail, but conversely, when displaying the original size image, it is not necessary to download a new file.

Next, in the original image reduction processing method, a reduced image is prepared in advance, and it takes some time to create. The time until the thumbnail is displayed is short, but the total download amount until the original size image is displayed (because it becomes thumbnail + original) is considered to increase on the contrary.
In this embodiment, any of the above thumbnail creation methods may be adopted.

  The second recording apparatus 10 to which the various data has been transferred and recorded is connected to a computer 6 with a new electronic medical record system program. The connection can be easily made with a USB cable or the like. After the connection, the second recording device 10 is recognized by the computer 6 with the new electronic medical record system program.

  That is, the computer 6 with the new electronic medical record system program has the cooperation recognition means 13 for recognizing and cooperating with the external connection device. By clicking the “cooperation button” displayed on the display unit 4, it is possible to recognize the second recording device 10 in cooperation with the second recording device 10.

  The image display software 15 installed in the second recording device 10 side is activated by the image management display means 12 from the computer 6 side with the new electronic medical record system program, so that the image display software 15 in the second recording device 10 is activated. In operation, various data can be viewed on the display unit 4 of the computer 6 with the new electronic medical record system program.

That is, when the image management display unit 12 is activated, a specific electronic medical record searched for with a desired search keyword, for example, “patient name” from the old electronic medical record data stored in the second recording device 10 is displayed for each visit date. A thumbnail will be displayed.
In the displayed old electronic medical record, information (mainly character information) that should be kept on the new electronic medical record side is copied and pasted, and the information such as the character information is transferred to the new electronic medical record side. The configuration allows easy migration.

Here, a series of flow from extraction of the old electronic medical record data to storage in the second recording apparatus 10 in the present invention will be described with reference to the drawings.

  As shown in FIG. 4, on the medical institution side where the computer 6 with a new electronic medical record system program is introduced, all electronic medical record data is written, and all the written data is copied to the first recording device 7.

Next, the first recording device 7 having all data copied is connected to the data organizing device 8 (see FIG. 5).
Thereafter, all the data stored in the first recording device 7 is transferred to the data organizing device 8 and backup data is taken in the backup recording device 14.

It is assumed that all data in the first recording device 7 is deleted after the backup data is taken.
Data conversion is performed by the data organizing device 8 to which the data has been transferred. Then, after the data conversion processing work is completed, the data is transferred to the second recording device 10.

  The backup data stored in the backup recording device 14 is encrypted and stored in a safe, and the write-out data copied to the data organizing device 8 is erased. The erasure record of the data is described in the management ledger, and the encrypted backup recording apparatus 14 stored in the safe erases the contents after one year when the contents become full. The erased record is described in the management ledger (see FIG. 6).

  Next, the second recording device 10 is sent to the corresponding medical institution. At this time, the data is encrypted. In addition, various security measures are taken to ensure safety (see Figs. 7 and 8).

Therefore, according to the present invention, even if the computer 6 with the new electronic medical chart system program fails, the old electronic medical chart data or the like is not installed in the computer. After that, the work can be started simply by replacing the second recording device 10 such as an external HDD.
As described above, since the data in the second recording device 10 can be referred to by the computer 6 with the new electronic medical record system program, the PDF data can be secondarily used (copy pasted).

  Further, when a plurality of computers 6 with new electronic medical record data system programs are used, for example, for information, accounting, and diagnosis, a plurality of second recording devices 10 are prepared. For example, even if one of them breaks down, the old electronic medical record data in the second recording device 10 can be referred to by the computer 6 with another new electronic medical record data system program.

  In other words, if the second recording device 10 is connected to another computer 6 containing a new electronic medical record data system program, it can be used in the same manner, and it can be said that this system also functions as a so-called backup function.

And by performing electronic authentication on backup data of old electronic medical records and data after PDF printing, the data after authentication becomes the original, so the computer with the old electronic medical record system program, that is, the server does not have to exist as the original become.

DESCRIPTION OF SYMBOLS 1 Computer with old electronic medical record system program 2 Control part 3 Memory | storage part 4 Display part 5 Input part 6 Computer with new electronic medical record system program 7 1st recording apparatus 8 Data arrangement | positioning apparatus 9 Reading distribution means 10 2nd recording apparatus 11 Sorting conversion means 12 Image management display means 13 Cooperation recognition means 14 Backup recording device 15 Image display software 16 Old electronic medical record data

Claims (2)

A new electronic medical record system program that does not start the old electronic medical record data created on a computer with the old electronic medical record system program is used, and the new electronic medical record data is introduced without converting it into new electronic medical record data It is an old electronic medical record data activation system for computers with electronic medical record system programs, and it is possible to display old and new electronic medical records of patients only with computers with new electronic medical record system programs without starting two computers with new and old electronic medical record system programs side by side. System,
Means for converting the old electronic medical record data in which at least the patient ID and the examination date are stored in the computer including the old electronic medical record system program into PDF data and storing the data;
Reading and sorting means for reading and sorting the saved PDF data at least for each patient ID;
The sorted data is sorted at least for each patient ID, PDF data converted from the old electronic medical record data is converted into image data, and patient numbers and patient names are converted from the PDF data converted from the old electronic medical record data. Sorting conversion means to convert examination date, medical record contents into text data, extract and tag information, file information,
Recording means for transferring and recording the old electronic medical record data classified and converted into the image data and text data and a starter program for starting the old electronic medical record data,
A computer with a new electronic medical record system program to which the recording device can be connected;
Have
The computer with the new electronic medical record system program is:
An activation means for activating the old electronic medical record data in the connected recording device;
Display means for displaying the data of the old electronic medical record on the display unit of the computer with the new electronic medical record system program by the activated start program,
The character information of the displayed old electronic medical record data of the patient has a copy means that can be copied onto the new electronic medical record data newly created for the same patient by a computer with a new electronic medical record system program,
In the computer with the new electronic medical record system program, the old electronic medical record data sorted and converted into image data and text data can be activated, and the old and new electronic medical records can be viewed and examined on the display unit of the computer with the new electronic medical record system program.
A new electronic medical record data activation system for a computer with a new electronic medical record system program.
The manufacturer of the old electronic medical record system program and the new electronic medical record system program is the same manufacturer.
The old electronic medical record data activation system for a computer with a new electronic medical record system program according to claim 1 .

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