JP6418677B2 - Medical information support system, medical information support method, and medical information support program - Google Patents

Description

  The present invention relates to a medical information support system that supports information management of clinical test results.

  In the medical field, management of patients and medical information by an electronic medical record system is generally performed. Many of such electronic chart systems that are widely spread are developed with the main axis in calculation of medical fees and the necessary functions in each specialized field are often insufficient. For example, inpatients may regularly undergo clinical examinations (hereinafter referred to as examinations), but it is a burden for the medical staff to check without missing the examination results. In other words, even for patients whose test results are somewhat stable, it is required to check each test carefully and securely considering the possibility of sudden changes, and oversight is not allowed. .

  In light of the current situation, there is a strong demand for the development of a technique that reliably and appropriately manages medical information from the viewpoint of preventing medical errors and the like, and that greatly reduces the burden on medical personnel. With respect to the above problems, for example, techniques disclosed in Patent Documents 1 to 4 are disclosed.

  When the operator activates the patient list screen unit 122, the life map screen unit 123, and the medical record screen unit 124, the technique shown in Patent Literature 1 indicates whether the corresponding data in the electronic medical record data unit 101 is unread or read. Whether or not the patient data is unread, the result marks 202, 302, and 402 are flashed and displayed, and the patient is selected and the chart screen portion is displayed. When the patient data is not yet read when starting 124, the life map screen 123 is automatically started.

  When the technique shown in Patent Document 2 detects a medical result for a medical request described in the electronic medical chart 51 (that is, medical information that requires confirmation from the operator), a sticky note with information related to the medical result as display content The display 56 is displayed at the screen position A (53a) corresponding to the description part 52 of the medical request on the electronic medical chart 51, and the part other than the display 56 in the electronic medical chart 51 is transparent or translucent. Covering with the layer (operation prohibition mask) 55 and invalidating the operation input to the operation prohibition mask 55 (for example, discarding the input content), the next to the electronic medical record 51 other than the confirmation operation for the display content of the display body 56 Input of operations related to medical practice is prohibited.

  The technique shown in Patent Document 3 is an automatic diagnosis system that diagnoses a patient's disease using a computer, and a plurality of symptoms 321 that appear in the patient, and a plurality of possible symptoms based on the symptoms 321 Data storage unit storing a symptom-disease database in which a disease 322 is associated and stored, and a clinical test database in which clinical test items 331 associated with the disease 322 in the symptom-disease database are stored 31, the symptom 321 provided by the user is read from the symptom-disease database, and based on the disease 322 associated with the read symptom 321, the clinical test item 313 related to the disease 322 is read The diagnostic result by the diagnostic means is displayed.

  In the technique shown in Patent Document 4, the signal obtained from the detectors 2, 3, and 4 attached to the patient 1 is processed by the signal detection unit 5 and the signal processing unit 6, and the alarm detection unit 7 , 8 and 9, the alarm detectors 7, 8, and 9 generate respective alarms indicating the respective signals when the biological signals are severely abnormal or mildly abnormal. When the alarm generation unit 30 receives those signals from any of the alarm detection units, the alarm generation unit 30 performs a visual alarm and an acoustic alarm according to the signal, and the medical staff presses the button SW1 for a minor abnormality. And the button SW2 can be operated to attenuate or cancel the level of the acoustic alarm.

JP 2006-268458 A JP 2010-061228 A JP 2001-331581 A JP 2000-201900 A

  The technique shown in Patent Document 1 is to display unread data in the presence / absence of examination results and new arrival results by blinking when displaying a patient list, but a medical worker is busy with daily work and has a lot of data. Unreading may become normal, and it is not sufficient for risk management when it remains unread for a long time.

  Moreover, the technique shown in Patent Document 2 prohibits the input of an operation related to the next medical practice in the state where the confirmation operation is not input with respect to the display content. The content of the medical practice can be confirmed with certainty, but the content of the previous medical practice may be left unattended until the next medical practice, and the content of the previous medical practice remains unconfirmed for a long time. Risk will arise.

  The techniques shown in Patent Documents 3 and 4 are techniques for performing automatic diagnosis and abnormality notification by monitoring the patient's condition, and can eliminate the possibility that important information such as test results will remain unconfirmed for a long time as described above. It is not a thing.

  According to the present invention, according to the elapsed time from the collection date / time of the test sample or the score creation date / time to the current date / time, unconfirmed test result information is displayed in a warning in a different manner, thereby prompting confirmation of the test result and Provide a medical information support system that can reduce the burden.

  The medical information support system according to the present invention includes an examination information storage unit that stores examination information related to an examination, an examination result extraction unit that extracts unconfirmed examination result information in which the examination result is unconfirmed from the examination information, With respect to the extracted unconfirmed test result information, an elapsed time calculating means for calculating the elapsed time from the collection date / time or the score creation date / time of the test specimen to the current date and time, and the unconfirmed test result information according to the calculated elapsed time Display control means for displaying a warning in a different manner.

  As described above, in the medical information support system according to the present invention, the unconfirmed test result information in which the result of the test is unconfirmed is extracted, and regarding the extracted unconfirmed test result information, the test sample collection date or score creation date and time The elapsed time from the current date and time is calculated, and according to the calculated elapsed time, a warning is displayed in a different manner for each unconfirmed inspection result information, so if the unconfirmed inspection result is unconfirmed for a long time A warning is issued, and confirmation of the medical staff can be promoted, and the warning can be appropriately given based on the factors over time of the test result while surely preventing the test result from being overlooked.

  The medical information support system according to the present invention is based on the seriousness determination rule storage means for storing the first rule information for determining the seriousness of the disease, the unconfirmed test result information and the first rule information, And a severity determination means for determining the severity of the disease, and the display control means displays a warning in a different manner depending on the determined severity.

  As described above, in the medical information support system according to the present invention, the severity of the disease is determined based on the rule information for determining the severity of the disease, and varies depending on the determined severity. Since the warning display is performed in the mode, it is possible to prompt prompt confirmation of the test result according to the severity.

  The medical information support system according to the present invention includes a priority determination rule storage unit that stores second rule information for determining diagnosis priority based on the elapsed time and the severity, and the elapsed time and the severity. And priority determination means for determining the diagnosis priority based on the second rule information, and the display control means displays a warning in a different manner depending on the determined diagnosis priority. Is what you do.

  As described above, in the medical information support system according to the present invention, the diagnosis priority is determined based on the rule information for determining the diagnosis priority based on the elapsed time and the severity after the examination, and the diagnosis is performed. Since warning display is performed in a different manner depending on the priority, information having a high diagnosis priority that requires urgent information is displayed as a warning, and prompt confirmation can be urged to the medical staff.

  The medical information support system according to the present invention includes, for the unconfirmed test result information determined to have an abnormality, an abnormality estimation means for estimating a disease name and / or a specialized department related to the abnormality, the estimated disease name and / or Or a main disease name related calculation means for calculating the relevance between the specialized department and the main disease name, and the display control means displays one or more information of the disease name, the specialized department, and the relevance It is.

  As described above, in the medical information support system according to the present invention, for the unconfirmed test result information determined to have an abnormality, the disease name and / or specialized department related to the abnormality is estimated, and the estimated disease name and / or Calculates the relationship between the specialized department and the main disease name, and displays one or more information of the disease name, specialized department, and association, so that hidden abnormalities due to the test results can be detected at an early stage. The necessity of diagnosis by a specialist other than the attending physician who examines the name of the disease can be determined, and it is possible to provide a more complete medical service.

  The medical information support system according to the present invention includes a confirmation target person extracting unit that extracts a confirmation target person suitable for confirming the unconfirmed test result information, and the display control unit displays the extracted confirmation target person. Each unconfirmed inspection result information is displayed in association with each other.

  As described above, in the medical information support system according to the present invention, the confirmation target person suitable for confirming the unconfirmed test result information is extracted, and the extracted confirmation target person is displayed in association with each unconfirmed test result information. Therefore, it is possible to extract an appropriate person to be confirmed according to the patient's state estimated from the test result and perform a medical practice, thereby providing an enhanced medical service.

  The medical information support system according to the present invention includes information notifying means for notifying the extracted person to be confirmed of information that the unconfirmed test result information exists.

  As described above, in the medical information support system according to the present invention, the extracted confirmation subject is notified directly of the information that the unconfirmed test result information exists, for example, is directly involved in the test other than the attending physician. Even if there is no specialist, it is possible to know that there is a patient suitable for the diagnosis, and it is possible to provide a full medical service.

  The medical information support system according to the present invention includes a test result update unit that updates the state of the referenced unconfirmed test result information to a confirmed state when the unconfirmed test result information is referred to.

  As described above, in the medical information support system according to the present invention, when the unconfirmed test result information is referred to, the state of the referenced unconfirmed test result information is updated to the confirmed state. There is an effect that it is possible to appropriately manage the presence or absence.

  The medical information support system according to the present invention inputs and stores the identification information of the operator who operated the reference of the unconfirmed test result information when the state of the unconfirmed test result information is updated to the confirmed state. Confirmation history storage means is provided.

  As described above, in the medical information support system according to the present invention, when the state of the unconfirmed test result information is updated to the confirmed state, the identification information of the operator who operated the reference to the unconfirmed test result information is input. Therefore, storing the test result confirmation history in association with the person who has confirmed the test result, it is possible to manage the test result with an accurate management system.

  The medical information support system according to the present invention includes identification information input means for reading and inputting the identification information from an IC card in which the identification information of the operator is stored.

  Thus, in the medical information support system according to the present invention, since the identification information is read out and input from the IC card storing the operator's identification information, the operator's identification information can be easily obtained simply by holding the IC card. Can be input, and the burden on the operator can be reduced.

1 is a system configuration diagram of a medical information support system according to a first embodiment. It is a hardware block diagram of the medical information management apparatus which concerns on 1st Embodiment. It is a functional block diagram which shows the structure of the medical information assistance system which concerns on 1st Embodiment. It is a figure which shows an example of the display result displayed on a display. It is a figure which shows an example of the process in the case of determining a seriousness degree. It is a flowchart which shows operation | movement of the medical information assistance system which concerns on 1st Embodiment. It is a functional block diagram which shows the structure of the medical information assistance system which concerns on 2nd Embodiment. It is a figure which shows an example of the display result displayed on a display. It is a flowchart which shows operation | movement of the medical information assistance system which concerns on 2nd Embodiment. It is a functional block diagram which shows the structure of the medical information assistance system which concerns on 3rd Embodiment. It is a figure which shows an example of the screen in the case of confirming a test result. It is a flowchart which shows operation | movement of the medical information assistance system which concerns on 3rd Embodiment.

  Embodiments of the present invention will be described below. Also, the same reference numerals are given to the same elements throughout the present embodiment.

(First embodiment of the present invention)
A medical information support system according to the present embodiment will be described with reference to FIGS. FIG. 1 is a system configuration diagram of a medical information support system according to the present embodiment. The medical information support system 1 displays a medical information management device 10 that mainly performs management and processing of medical information, and displays information and processing results stored in the medical information support device 10, and includes operations performed by medical personnel. Are connected to each other through a wired or wireless telecommunication line so that information can be transmitted and received between them. The user terminal 2 is arranged, for example, for each specialized department or for each floor. The medical staff performs the medical practice of each patient while confirming the information displayed on the user terminal 2.

  FIG. 2 is a hardware configuration diagram of the medical information management apparatus according to the present embodiment. The medical information management apparatus 10 includes a CPU 11, a RAM 12, a ROM 13, a hard disk (HD) 14, a communication I / F 15, and an input / output I / F 16. The ROM 13 and the HD 14 store an operating system, programs, various information, and the like, and the programs are read into the RAM 12 as necessary and executed by the CPU 11.

  The communication I / F 15 is an interface for performing communication between apparatuses. The input / output I / F 16 is an interface for receiving input from an input device such as a touch panel, a keyboard, and a mouse, and outputting data to a printer, a screen, and the like. The input / output I / F 16 can be connected to a drive corresponding to a removable disk such as a magneto-optical disk, a floppy disk (registered trademark), a CD-R, a DVD-R, or the like as necessary. Each processing unit is connected via a bus and exchanges information. The hardware configuration is merely an example, and can be changed as necessary.

  FIG. 3 is a functional block diagram showing the configuration of the medical information support system according to this embodiment. The medical information support system 1 includes a storage unit 20 that stores information on electronic medical records, information on examinations, and the like, a processing unit 30 that performs various processes, and an input / output unit 40 that displays and inputs information. For example, the medical information management apparatus 10 has the functions of the storage unit 20 and the processing unit 30, and the user terminal 2 has the function of the input / output unit 40, and each processing unit performs processing by exchanging information. Is executed. Note that the electronic medical record information and the information related to the examination may be managed by separate devices (for example, an electronic medical record management apparatus, an examination management apparatus, etc.) and connected to the medical information management apparatus 10 via a network. Good.

  The processing unit 30 confirms the inspection result to anyone based on the information in the electronic medical record database 21 managed by the electronic medical record system and the inspection database 22 used in the inspection management apparatus that manages the information for inspection. An unconfirmed data extraction unit 31 that extracts unconfirmed data from the test database 22, an elapsed time calculation unit 32 that calculates an elapsed time from the date and time of collection of the test specimen of the extracted unconfirmed data or the score creation date and time, Based on the severity determination rule database 23 in which the information on the test result and the rule information for determining the severity from the test result are stored, the weight for determining the severity of the disease of the extracted unconfirmed data The severity determination unit 33 and the rule information for determining the priority of medical treatment from the elapsed time information and the severity information are stored. Priority calculation unit 34 for determining the priority of medical treatment based on elapsed time information and severity information using the degree determination rule database 24, and display control for displaying the result processed by each processing unit on the display 41 together with a warning Part 35.

  The unconfirmed data extraction unit 31 extracts data whose contents have not been confirmed even though the inspection is performed and the result is registered, and the extracted data is the elapsed time calculated by the elapsed time calculation unit 32 It is displayed on the display 41 together with time information. That is, since the inspection results are always in an unconfirmed state at first, all the inspection results are displayed on the display 41 once. FIG. 4A shows an example of display on the display 41. FIG. 4A is a diagram illustrating an example of a display result displayed on the display. Here, the information of one patient is displayed in one line, and the elapsed time from the time when the examination was performed to the current date and time (from the unread examination / score date) is displayed. A warning is displayed according to the length of the elapsed time. Depending on the elapsed time, the warning display is, for example, three black lamp displays with a high warning level if it is 10 hours or longer, two black lamp displays with a medium warning level if it is 5 to 10 hours, and 3-5 If it is time, one black lamp is displayed with a low warning level, and if it is less than 3 hours, no warning is displayed. By performing such warning display, the medical staff is forced to intuitively check the unconfirmed data, and it is possible to prevent an error such as overlooking the test result.

  The seriousness determination unit 33 determines the seriousness of the test result based on the rule information stored in the seriousness determination rule database 23. A specific example of determining the severity will be described with reference to FIG. FIG. 5 is a diagram illustrating an example of processing in the case of determining the severity. As shown in FIG. 5 (A), the rule information for determining the severity is a predicate item in which column numbers 1 to n can be set in the predicate item of each fact consisting of the subject and the predicate, and the subject content applies. Specify by column number. For each identified column number, the number is counted and the maximum number of column numbers is selected. Then, the predicate of the column number finally selected in the evaluation matrix is specified as the evaluation result. A specific example is shown in FIG. In FIG. 5B, SPO2 corresponds to column number 3, respiratory rate is column number 3, heart rate is column number 4, and consciousness level is column number 4 based on the test result values (dots in FIG. 5B). (Corresponding to the background), the number of selections is totaled, and column number 3 and column number 4 become two each. In the case of the same number, if the setting with the larger column number is given priority, “emergency treatment response / warning occurrence” corresponding to column number 4 is specified in the evaluation matrix, and this becomes the severity.

  Based on the rule information stored in the priority determination rule database 24, the priority calculation unit 34 calculates the medical treatment priority from the obtained severity and elapsed time. The calculated priority may be displayed in a form that is reflected in the warning display, or may be displayed with a priority item provided separately. FIG. 4B shows an example of warning display according to priority. In the case of FIG. 4B, the rule of warning display according to the elapsed time is the same as that of FIG. 4A, but the rule of warning display according to the severity is added. That is, for example, the patient in the first row has an unconfirmed elapsed time of 2 hours, which is very short, but since the severity is very high, two black lamps are displayed with a medium warning level. Similarly, the patient in the fourth row should be a moderate warning when viewed only for the elapsed time, but since the severity is very high, three black lamps are displayed with a high warning level. Furthermore, since the elapsed time and the severity of the patient in the seventh row are very high, the display is three black lamps and blinking. In this way, by displaying warnings according to priorities that consider not only the elapsed time but also the severity, it is possible to manage stricter unconfirmed information and respond quickly to medical practices.

  For the determination of severity and priority, for example, the magnitude of change from the previous day can be used as a parameter. Patients who have been hospitalized for a long time often have small and stable daily changes regardless of whether the test results are good or bad. For such patients, the caregiver's attention may be distracted and important test value changes may be overlooked. In order to avoid such a risk, when the change in the test value is equal to or greater than a predetermined threshold compared to the previous day, the severity or priority may be determined to be high.

  In addition, patients with stable and poor test results may be judged to have a lower severity according to their continuation status. In this case, when the change from the previous day exceeds a predetermined threshold, The severity is determined to be high immediately. In other words, patients with stable and poor test results set a lower priority for daily life even if the severity is somewhat high, but if sudden changes occur, immediate priority can be raised and emergency response is possible Like that.

  Furthermore, when there is an item whose change value from the previous day exceeds the threshold, the item may be displayed on the display screen as shown in FIG.

  Next, the operation of the medical information support system according to this embodiment will be described. FIG. 6 is a flowchart showing the operation of the medical information support system according to this embodiment. First, the unconfirmed data extraction unit 31 extracts the inspection result information in which the inspection result is in an unconfirmed state (S1), and the elapsed time calculation unit 32 extracts the test sample collection date or score for the extracted inspection result information. The elapsed time from the creation date to the current date is calculated (S2). The severity determination unit 33 determines the severity by applying the rule information for determining the severity to the test result information (S3), and the priority calculation unit 34 calculates the elapsed time and the weight. Based on the severity, the medical treatment priority is calculated (S4). The display control unit 35 displays a warning according to the calculated priority (S5) and ends the process.

  As described above, according to the medical information support system according to the present embodiment, a warning is given when an unconfirmed test result is in an unconfirmed state for a long time, and the confirmation of the medical staff can be promoted. A warning can be appropriately given based on a temporal element of the inspection result while reliably preventing an oversight. In addition, based on the rule information for determining the severity of the disease, the severity of the disease is determined, and a warning is displayed in a different manner depending on the determined severity. Can promptly confirm the test results.

(Second embodiment of the present invention)
The medical information support system according to this embodiment will be described with reference to FIGS. In addition, in this embodiment, the description which overlaps with said 1st Embodiment is abbreviate | omitted.

  FIG. 7 is a functional block diagram showing the configuration of the medical information support system according to this embodiment. 3 is different from the case of FIG. 3 in the first embodiment by applying diagnostic criterion information serving as a diagnostic criterion stored in the disease name diagnostic database 25 to the extracted unconfirmed test result information. And / or disease name / specialty estimator 36 for estimating diagnosis of a specialized department and main disease name related to determine whether the estimated disease name and / or specialized department is the same as or related to the currently diagnosed main disease name The person to be confirmed suitable for confirming the disease name / specialty department from the estimated disease name / specialty department (for example, a doctor who is familiar with the estimated disease name registered in advance, And a confirmation target person extracting unit 38 for extracting medical personnel and the like.

  The severity determination rule database 23, the priority determination rule database 24, the severity determination unit 33, and the priority calculation unit 34 shown in FIG. 3 are not shown in FIG. 7, but are the same as in FIG. These components may be provided.

  The disease name / specialty estimator 36 can use a generally known medical care system using artificial intelligence. In addition, for example, information used as a basis for diagnosis based on guidelines published by each group or the like is stored in the disease name diagnosis database 25, and knowledge used in daily medical care such as expert consensus by doctors is stored. Estimate disease name / specialty based on these diagnostic criteria.

  The main disease name relevance calculating unit 37 calculates the relevance between the estimated disease name / specialized department and the currently diagnosed main disease name. For example, if the estimated disease name / specialty department is the same as the main disease name or the same specialty department as the main disease name, it is related to the main disease name and is different from the main disease name or main disease name If a disease name / specialty is estimated, it is not related to the main disease name.

  The confirmation target person extraction unit 38 extracts a confirmation target person suitable for having the test result confirmed for the estimated disease name / specialty department. At this time, if there is a relationship with the main disease name, the person corresponding to the primary doctor is extracted as the person to be confirmed, and if other disease names or specialized departments are estimated, the appropriateness according to the disease name registered in advance The person to be confirmed is extracted.

  The calculation result in each processing unit is displayed on the display 41 by the display control unit 35. FIG. 8 shows an example of the display result. In FIG. 8, the items of FIG. 4 in the first embodiment are displayed, and the estimated disease name / specialty department, main disease name relevance, and items of the person to be confirmed are displayed. In the item of estimated disease name / specialty department, the name of the estimated disease name / specialty department estimated by the disease name / specialty estimation unit 36 based on the test result is displayed. When there are a plurality of disease names / specialties estimated based on the test results, it is desirable to display all of them. In the main disease name related item, whether or not the estimated disease name / specialty department is related to the main disease name is displayed, and if “not related”, there is a hidden disease other than the main disease name. Suggests the possibility. In the item of the subject of confirmation, the subject of confirmation suitable for confirming the estimated disease name / specialty department is displayed, and if it is related to the name of the main disease, the main doctor who diagnosed the name of the main disease is subject to confirmation. Become a person. When there is no relation with the main disease name, according to the estimated disease name / specialty department, a pre-registered medical worker (for example, an otolaryngologist, cardiac surgeon, physical therapy as shown in FIG. 8) Are extracted and displayed.

  In addition, you may make it abbreviate | omit display of the item of a presumed disease name / specialized department and a check subject. In other words, if too much information is displayed, it will be cumbersome for medical staff to confirm, so only the presence or absence of relevance to the name of the main disease should be displayed, and detailed confirmation should be encouraged for items that are not relevant It may be.

  Next, the operation of the medical information support system according to this embodiment will be described. FIG. 9 is a flowchart showing the operation of the medical information support system according to this embodiment. First, the unconfirmed data extraction unit 31 extracts test result information in which the test result is in an unconfirmed state (S11), and for the extracted test result information, the elapsed time calculation unit 32 performs the collection date or score of the test sample. The elapsed time from the creation date to the current date is calculated (S12). The disease name / specialty estimation unit 36 estimates the disease name / specialty by applying the diagnostic criteria stored in the disease name diagnosis database 25 to the extracted unconfirmed test result information (S13). The main disease name relevance calculation unit 37 calculates the relationship between the estimated disease name / specialty and the main disease name (S14), and the confirmation subject extraction unit 38 confirms the content of the estimated disease name / specialty A confirmation target person registered in advance suitable for the above is extracted (S15). The display control unit 35 displays the result of each processing unit on the display 41 as necessary (S16), and ends the process.

  In FIG. 9, the processes in steps S3 and S4 in FIG. 6 in the first embodiment are not described. However, these processes are performed after step S12 in FIG. 9 and before step S16. Also good. In that case, the severity and priority are the rank and number of estimated disease names other than the main disease name, and low relevance to the main disease name. May be determined in consideration of the

  In addition, regardless of the display / non-display of the confirmation target person, the confirmation target person may be directly notified that there is an inspection result that is extracted as the confirmation target person and desired to be confirmed. By doing so, it becomes possible to examine detailed test results by medical personnel in specialized departments other than the attending physician.

  As described above, according to the medical information support system according to the present embodiment, the disease name and / or specialized department is estimated based on the test result information, and the relationship between the estimated disease name and / or specialized department and the main disease name is obtained. Calculates and displays any one or more information of disease name, specialized department and relationship, so that hidden abnormalities due to test results can be detected early, and by specialists other than the attending physician who examines the name of the main disease It is possible to determine the necessity of diagnosis, and it is possible to provide more enhanced medical services.

  Moreover, in order to extract the confirmation target person suitable for confirming the test result information and display the extracted confirmation target person in association with each test result information, according to the patient state estimated from the test result It is possible to extract an appropriate person to be confirmed and perform a medical practice, and to provide a full medical service.

  Furthermore, in order to notify the extracted person to be confirmed that there is unconfirmed test result information, for example, even a specialist who is not directly involved in the examination other than the attending physician diagnoses himself / herself This makes it possible to know that there is a suitable patient, and to provide a full medical service.

(Third embodiment of the present invention)
A medical information support system according to the present embodiment will be described with reference to FIGS. In addition, in this embodiment, the description which overlaps with each said embodiment is abbreviate | omitted.

  FIG. 10 is a functional block diagram showing the configuration of the medical information support system according to this embodiment. The difference from the case of FIG. 3 in the first embodiment is that when an operation of confirming unconfirmed test result information (displaying details) is performed on the user terminal 2, the operator who performed the operation is identified. An identification information input operation unit 42 that inputs information and transmits it to the medical information management apparatus 10 and a history information storage processing unit 39 that stores the received identification information as confirmation history information in the confirmation history database 26 are provided.

  The disease name diagnosis database 25, the disease name / specialty estimation unit 36, the main disease name relevance calculation unit 37, and the confirmation subject extraction unit 38 shown in FIG. 7 are not shown in FIG. Similarly, these components may be provided.

  The identification information input operation unit 42 recognizes that the confirmation operation of the unconfirmed test result information has been performed, inputs the operator identification information according to a predetermined operation, and transmits it to the medical information management apparatus 10. FIG. 11 is a diagram illustrating an example of a screen for confirming an inspection result. The information displayed in FIG. 11 corresponds to the information of one record (one patient) in the list shown in FIG. 4, FIG. 8, etc., and the test result of the record selected in the list in FIG. Details are displayed. After confirming the inspection result, the operator presses a “Close” button to end the confirmation. The operator's identification information is input at the timing when the “close” button is pressed.

  The first method for inputting identification information is to log in the user with the operator's ID and password when starting the program, and manage the medical information using the currently logged-in user information as identification information when the “Close” button is pressed. It is transmitted to the device 10. In this case, when the program is started and logged in by another medical worker, information of the logged-in person is input as identification information.

  Therefore, the second method is to display a message screen for inputting identification information when the “Close” button is pressed, and the operator inputs his / her ID and presses the “OK” button. The ID is input as identification information. In this case, even when the person who starts the program and logs in is different from the operator, the operator's ID is accurately input as the identification information. However, it is very troublesome to enter the ID every time the inspection result is confirmed.

  Therefore, the third method displays a message screen indicating that the user holds his / her ID card over the card reader at the timing when the “Close” button is pressed, and the ID card that is always carried by the medical staff according to the message is displayed. By holding it over a card reader connected to the user terminal 2, the operator's ID card information is input as identification information. By doing so, it is possible to input identification information by simply holding the ID card while saving the trouble of typing the ID. The input identification information is transmitted to the medical information management apparatus 10 and stored as a confirmation history.

  Next, the operation of the medical information support system according to this embodiment will be described. FIG. 12 is a flowchart showing the operation of the medical information support system according to this embodiment. First, a patient to be confirmed is selected from the patient list as shown in FIG. 4 or FIG. 8, and a detailed screen is displayed on the display 41 (S21). When the operator confirms the displayed contents, the “close” button on the display screen is pressed by the operator (S22). The identification information input operation unit 42 recognizes the operation in which the “close” button is pressed, and inputs the identification information by any one of the three methods listed above (S23). When the history information storage processing unit 39 receives the identification information transmitted from the identification information input operation unit 42, the status of the unconfirmed inspection information stored in the inspection database 22 displayed on the details screen has been confirmed. (S24). Further, the history information storage processing unit 39 writes the received identification information in the confirmation history database 26 (S25). When the processes of step S4 and step S5 are normally completed, the display control unit 35 ends the detail screen and returns to the list screen shown in FIG. 4 or FIG. 8 (S26). At this time, the data updated with the confirmed status is not displayed on the list screen shown in FIG. 4 or FIG.

  As described above, according to the medical information support system according to the present embodiment, when the unconfirmed test result information is referred to, the test result is updated to update the state of the referenced unconfirmed test result information to the confirmed state. The presence or absence of confirmation can be managed appropriately.

  In addition, when the status of unconfirmed inspection result information is updated to a confirmed state, the identification information of the operator who operated the reference of the unconfirmed inspection result information is input and stored, so the confirmation history of the inspection result is confirmed. The test results can be managed with an accurate management system by storing them in association with the person who performed

  Furthermore, since the identification information is read out and input from the IC card in which the operator's identification information is stored, the operator's identification information can be easily input by simply holding the IC card, reducing the burden on the operator. can do.

DESCRIPTION OF SYMBOLS 1 Medical information support system 2 User terminal 10 Medical information management apparatus 11 CPU
12 RAM
13 ROM
14 HD
15 Communication I / F
16 Input / output I / F
DESCRIPTION OF SYMBOLS 20 Storage part 21 Electronic medical record database 22 Examination database 23 Severity determination rule database 24 Priority determination rule database 25 Disease name diagnosis database 26 Confirmation history database 30 Processing part 31 Unconfirmed data extraction part 32 Elapsed time calculation part 33 Severity determination Unit 34 priority calculation unit 35 display control unit 36 disease name / specialty estimation unit 37 main disease name relevance calculation unit 38 verification target person extraction unit 39 history information storage processing unit 40 input / output unit 41 display 42 identification information input operation unit

Claims (10)

Inspection information storage means for storing inspection information relating to the inspection;
Inspection result extraction means for extracting unconfirmed inspection result information in which the result of the inspection is in an unconfirmed state from the inspection information;
With respect to the extracted unconfirmed test result information, an elapsed time calculating means for calculating an elapsed time from the collection date / time of the test specimen or the score creation date / time to the current date / time,
About the unconfirmed test result information determined to have an abnormality, an abnormality estimation means for estimating a disease name and / or specialized department related to the abnormality,
A main disease name-related calculation means for calculating a relationship between the estimated disease name and / or specialized department and the main disease name;
Display control means for displaying a warning in a different manner for each unconfirmed test result information according to the calculated elapsed time, and displaying any one or more information of the disease name, the specialized department, and the association A medical information support system characterized by comprising: The medical information support system according to claim 1,
Severity determination rule storage means for storing first rule information for determining the severity of disease;
Severity determination means for determining the severity of the disease based on the unconfirmed test result information and the first rule information,
The medical information support system, wherein the display control means displays a warning in a different manner depending on the determined severity. The medical information support system according to claim 2,
Priority determination rule storage means for storing second rule information for determining diagnosis priority based on the elapsed time and the severity;
Priority determining means for determining the diagnosis priority based on the elapsed time and the severity, and the second rule information,
The medical information support system, wherein the display control means displays a warning in a different manner depending on the determined diagnosis priority. The medical information support system according to any one of claims 1 to 3,
A verification target person extracting means for extracting a verification target person suitable for checking the unconfirmed test result information,
The medical information support system, wherein the display control means displays the extracted person to be confirmed in association with each unconfirmed test result information . The medical information support system according to claim 4,
A medical information support system comprising information notifying means for notifying the extracted person to be confirmed that the unconfirmed test result information exists . The medical information support system according to any one of claims 1 to 5,
A medical information support system comprising test result update means for updating the state of the referenced unconfirmed test result information to a confirmed state when the unconfirmed test result information is referenced . The medical information support system according to claim 6,
When the state of the unconfirmed inspection result information is updated to a confirmed state, a confirmation history storage unit is provided for inputting and storing the identification information of the operator who has operated the reference of the unconfirmed inspection result information. Medical information support system. The medical information support system according to claim 7,
A medical information support system comprising identification information input means for reading and inputting the identification information from an IC card storing the identification information of the operator . Computer
An inspection result extraction step for extracting unconfirmed inspection result information in which the result of the inspection is unconfirmed from inspection information storage means for storing inspection information relating to the inspection;
With respect to the extracted unconfirmed test result information, an elapsed time calculating step for calculating an elapsed time from the collection date / time of the test specimen or the score creation date / time to the current date / time,
About the unconfirmed test result information determined to have an abnormality, an abnormality estimation step for estimating a disease name and / or specialized department related to the abnormality,
A main disease name-related calculation step of calculating a relationship between the estimated disease name and / or specialized department and the main disease name;
A display control step of displaying a warning in a different manner for each unconfirmed test result information according to the calculated elapsed time, and displaying any one or more information of the disease name, the specialized department, and the association And performing a medical information support method. Examination information storage means to store test information regarding inspection,
Test result extraction means the result of the inspection from the inspection information is extracted unconfirmed test result information is unverified,
With respect to the extracted unconfirmed test result information, an elapsed time calculating means for calculating an elapsed time from the collection date / time of the test specimen or the score creation date / time to the current date / time,
About the unconfirmed test result information determined to have an abnormality, an abnormality estimation means for estimating a disease name and / or specialized department related to the abnormality,
A main disease name-related calculation means for calculating the estimated relationship between the disease name and / or the specialized department and the main disease name,
Display control means for displaying a warning in a different manner for each unconfirmed test result information according to the calculated elapsed time, and displaying any one or more information of the disease name, the specialized department, and the association Medical information support program characterized by having a computer function as

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