JP6448921B2 - Electronic medical record real pseudo storage device - Google Patents

Description

  The present invention relates to an electronic medical record real pseudo storage device.

  Objects such as small bones, stones, and gallstones removed from the patient's body did not become medical samples, and in most cases were discarded. Also, when using a paper chart, when treating a patient with a small bone in the throat, the actual small bone taken out from the throat was attached to the paper chart and stored. Small bones affixed to a paper chart will eventually dry and shrink, and the original shape when removed from the throat cannot be retained. Even if you record visual information such as shape and color at the time of collection and hardness information by touching it with a hand on a paper chart, it is rough information and you can not imagine what you have collected. .

  On the other hand, in the electronic medical record adopted by each medical institution today, the shape and color information regarding the small bones taken out by the doctor can be roughly recorded, but the details necessary for reproduction are fine. Such information (for example, information on hardness) is not recorded.

  Therefore, the electronic medical record could not reproduce objects such as small bones, stones, and gallstones taken out from the patient's body.

Japanese Patent Application Laid-Open No. 2002-2105040

  Conventionally, there has been no apparatus that reproduces an object such as a small bone, a calculus, or a gallstone extracted from a patient's body.

  Therefore, the problem to be solved by the present invention is to provide an electronic medical record real pseudo storage device that can electronically store and reproduce an object to be measured such as small bones and gallstones taken out from a patient's body. And

In order to achieve the above object, the electronic medical record real pseudo storage device of the embodiment includes a body part model of a subject, a healing model, a healing process, an artificial object used for the subject, and a body part extracted from the subject. and an object measurement apparatus for measuring the object which is one of the object, of at least the shape of the measured object measured by the object measuring apparatus, the hardness, the shape information regarding the color, by giving evidence ID It has a shape DB for reproducibly storing, and an electronic medical record DB for storing an electronic medical record in which medical data and the evidence ID are linked.

  According to the embodiment, it is possible to digitize and store the object to be measured even in the electronic medical chart, and when it is desired to know the shape, hardness, etc., it can be easily reproduced in a pseudo manner.

The block diagram which shows the structure at the time of registration of the to-be-measured object by the electronic medical record real pseudo storage device concerning an embodiment. The figure which shows the example of the scan of the small bone which concerns on embodiment. The figure which shows the other example of the shape scanner which concerns on embodiment. The flowchart which shows the registration process of the to-be-measured object by the electronic medical record real pseudo storage device concerning an embodiment. The figure which shows an example of the measurement result of the to-be-measured object stored in shape DB of the server computer which concerns on embodiment. The figure shown about reproduction | regeneration of the to-be-measured object stored in shape DB of the server computer which concerns on embodiment. The flowchart which shows the reproduction | regeneration processing of the to-be-measured object by an electronic medical record real pseudo storage device.

  Hereinafter, embodiments of the present invention will be described with reference to the drawings.

  FIG. 1 is a block diagram showing a configuration at the time of registration of an object to be measured by the electronic medical record real pseudo storage device according to the present embodiment.

  The electronic medical record real simulated storage device 10 stores electronically measured objects such as small bones in medical records. When digitizing an object to be measured, information intended for pseudo-reproduction after the fact is measured and stored.

  The electronic medical record real pseudo storage device 10 includes at least an electronic medical record database (hereinafter simply referred to as an electronic medical record DB) 20, a server computer 40 having a shape database (hereinafter simply referred to as a shape DB) 30, and the like, and an electronic medical record terminal device 50, an object measuring device 60, and the like. In addition to this, the server computer 40 has a DB or the like for recording personal information such as the patient's address, name, telephone number, medical history, allergy information, etc., which is omitted because it is not directly related to the present invention.

  The electronic medical record DB 20 stores past and current medical data such as record information and image information related to diagnosis, treatment, hospitalization, and medication of a large number of patients as electronic medical records, and is searched and viewed from the electronic medical record terminal device 50. be able to. Further, doctors and nurses can register information such as patient examination, treatment, hospitalization, and medication using the electronic medical record terminal device 50 as needed. Furthermore, the evidence ID is registered in the electronic medical record DB 20 of the embodiment as a link with the shape DB 30. The evidence ID may be an original management ID, a patient ID of an electronic medical record, or a shape ID mixed with a patient ID.

  The object measuring device 60 measures the shape and hardness of the object to be measured and outputs the measurement result to the server computer 40. The server computer 40 registers the shape information of the measurement result in the shape DB 30. At the time of registration in the shape DB 30, the object measuring device 60 assigns the evidence ID as association information with the electronic medical record and outputs it to the server computer 40. The evidence ID is also transmitted from the object measurement device 60 to the electronic medical record terminal device 50, and is input as electronic registration information of the object to be measured on the electronic medical record together with the medical data.

  As a result, the electronic medical record terminal device 50 stores the medical record in the electronic medical record DB 20 of the server computer 40 by recording, for example, evidence ID for reading medical data regarding the treatment of small bones and digitized data of small bones.

  Further, the electronic medical record terminal device 50 adds key information of medical data related to small bone treatment to the evidence ID as the association information between the electronic medical record DB 20 and the shape DB 30 and registers the evidence ID in the shape DB 30 of the server computer 40. As a result, the server computer 40 can manage by adding key information of medical data to the evidence ID of the shape DB 30.

  Next, an example of measurement / detection of an object to be measured in the object measuring apparatus 60 will be described. Note that the object measuring device 60 may be a device that counts the objects measured by a plurality of measuring devices.

  As visual measurement, a still image and / or moving image photographed using a 3D camera (such as a twin-lens CCD) and scale information (calculated from the focal length and angle in terms of dot scale) are recorded. FIG. 2 shows an example of a small bone scan. Using a two-dimensional scanner or a three-dimensional scanner, information is obtained by moving in the X-axis and Y-axis directions in steps of 1 mm from the base point of the measuring instrument. FIG. 3 is a diagram illustrating another example of the shape scanner. An orientation sensor is added to a large number of hydraulic actuators (or electromagnetic type) arranged in a grid, and the object to be measured is pressed onto the hydraulic actuators, and information on the shape and hardness is collected from the displacement and transformation. To do. At this time, it is preferable to obtain 3D data by acquiring information on the shape and hardness from a plurality of surfaces (for example, six surfaces) of the object to be measured. As a result, visual information to be recorded includes shape (three-dimensional), color, size, time-dependent information (motion), and the like.

  As olfactory measurement, a measurement result value measured using a gas chromatograph / mass spectrometer or the like is recorded. For example, the olfactory information to be recorded is a substance (component) and strength (concentration).

  As a taste measurement, a measurement result value measured using a taste sensor or the like is recorded. For example, the taste information to be recorded is a substance (component) and strength (concentration).

  As tactile measurement, measurement result value measured using a hardness meter, measurement result value measured using a surface roughness meter, measurement result value measured using a water retention meter, measured using a density meter or a weight meter Record the measurement result value and the measurement result value measured using a thermometer. For example, the haptic information to be recorded is hardness, humidity, friction coefficient, density, weight, and temperature.

  As the auditory measurement, the measurement result value measured by using voice data or a percussion measuring instrument is recorded. For example, the auditory information to be recorded is voice (wavelength, intensity, time).

  The date / time data records time information from the radio clock. For example, the date / time information to be recorded is the data acquisition date / time.

  The location data records location information by GPS. For example, the location information to be recorded includes coordinates (latitude and longitude altitude), an address, and a name.

  Based on the above measurement results, the shape database 30 of the server computer 40 includes visual information, olfaction, taste, touch, hearing, date / time, location information, and incidental information such as evidence ID and key information of medical data. Are stored electronically.

  FIG. 4 is a flowchart showing the registration process of the measurement object by the electronic medical record real pseudo storage device 10. Hereinafter, the process for registering the object to be measured will be described with reference to FIG.

  First, shape information such as the shape, color, and hardness of the object to be measured is measured using the object measuring device 60 (S100).

  Next, the object measuring device 60 assigns an evidence ID to the measured shape information and transmits it to the server computer 40, and the server computer 40 registers the shape information in the shape DB 30 (S110).

  FIG. 5 shows an example of the measurement result of the measurement object stored in the shape DB 30 of the server computer 40. In the evidence management table 30a of FIG. 5, patient ID, evidence ID, medical data key, pitch, measurement method, registration date / time, registrant ID, valid flag, update date / time, and the like are recorded.

  Further, in the evidence detail table 30b of FIG. 5, the X coordinate, the Y coordinate, the Z coordinate, the hardness, the color and the like indicating the size of the object to be measured are recorded as detailed information of the evidence ID of 30a. It has become. When recording the hardness information, the shape may be displayed on the screen, and the hardness information may be registered and registered using the position information in a grid pattern.

  Further, in the parameter table 30c of FIG. 5, the hardness measurement method, name, and conversion factor are recorded as detailed information of the measurement method 30a.

  Next, the evidence ID used to register the shape information is transmitted from the object measuring device 60 to the electronic medical record terminal device 50 (S120).

  Next, the electronic medical record terminal device 50 registers the electronic medical record in which the medical data created in accordance with the medical care and the registered evidence ID are recorded in the electronic medical record DB 20 of the server computer 40 (S130).

  Finally, as the association between the electronic medical record DB 20 and the shape DB 30, the association information having the key information of the medical data and the evidence ID is transmitted to the server computer 40, and the server computer 40 adds the medical key information to the corresponding shape information in the shape DB 30. (S140).

  Next, with reference to the configuration diagram of FIG. 6 and the flowchart of FIG. In FIG. 6, a 3D printer 70 is newly connected to the configuration of FIG. The object measuring device 60 is omitted from FIG.

  When the doctor or nurse performs an operation of reading the electronic medical record of the patient from the electronic medical record DB 20 using the electronic medical record terminal device 50, the electronic medical record of the patient is read from the electronic medical record DB 20 of the server computer 40, Displayed and output on the chart terminal device 50. At this time, if the read electronic medical record includes information on the object to be measured registered in the shape DB 30, the evidence ID of the association information for reading the information is also read at the same time and displayed on the electronic medical record terminal device 50. It is output (S200).

  When the doctor or nurse wants to confirm the shape of the object to be measured registered in the shape DB 30 by looking at the electronic medical record displayed on the electronic medical record terminal device 50, the association information (evidence ID) on the read electronic medical record. Click. The association information (evidence ID and medical data key information) is transmitted to the server computer 40. The server computer 40 reads the digitized shape information of the object to be measured from the shape DB 30 based on the association information (evidence ID and corresponding medical data key information) on the electronic medical record, and the 3D printer 70 and / or the electronic It outputs to the chart terminal device 50 (S210).

  Next, the electronic medical record terminal device 50 transmits the evidence ID of the association information to the 3D printer 70 (S220).

  In the 3D printer 70, the object to be measured is obtained from the shape information obtained from the shape DB 30 by a method of reproducing using a material according to the hardness or a reproducing method of blending the recycled material according to the hardness. Pseudo reproduction is performed (S230).

  Here, playback is performed using the 3D printer 70, but the present invention is not limited to this. For example, reproduction may be performed using a 3D monitor or a laser follower. Further, playback may be performed by connecting a playback device corresponding to the shape information. Here, it is assumed that the object to be measured is pseudo-reproduced based on the access from the electronic medical record terminal device 50. However, the shape information may be directly read from the shape DB 30 and reproduced by a 3D printer. The shape information read from the shape DB 30 may be transmitted to the 3D printer 70 via the electronic medical record terminal device 50.

  For example, when regenerating the sense of smell, an odor sample may be prepared in advance and a similar one may be taken out from the sample. However, it limits the regeneration of harmful items. In addition, when reproducing the taste, a taste sample may be prepared in advance, a taste sample may be prepared in advance, and similar samples may be output from the sample. However, it limits the regeneration of harmful items. In addition, when the tactile sensation is reproduced, the same tactile sensation may be obtained by controlling the movement amount and hydraulic pressure of the actuators arranged in a grid, in addition to the reproduction by considering the hardness with a 3D printer. In auditory reproduction, sound data or a hitting sound from a speaker may be reproduced. Furthermore, in the reproduction of the date / location, the date and location data may be displayed, printed, and read out.

  As described above, according to the electronic medical record actual pseudo storage device of the embodiment, it is possible to store the measured object in the electronic medical record, and it is possible to easily perform pseudo reproduction when it is desired to know the hardness.

  The present invention is not limited to small bones, stones, gallstones, and the like, and any material can be used as long as it is stored electronically and stored and reproduced in a simulated manner, such as a record of human growth. For example, internal body models such as the spine, healing models of skin lacerations, fracture healing processes, healing of swelling (internal bleeding, due to pregnancy, etc.) and stiff shoulders, shape storage such as artificial breasts and artificial limbs Can be applied.

  Further, a standard deterioration model may be created in advance, and data may be processed and reproduced according to the model. For example, a bone sample will turn yellow after a month. Therefore, the standard model may be reproduced according to a density value determined in yellow every year by calibration.

  Although several embodiments of the present invention have been described, these embodiments are presented by way of example and are not intended to limit the scope of the invention. These novel embodiments can be implemented in various other forms, and various omissions, replacements, changes, and combinations can be made without departing from the scope of the invention. These embodiments and modifications thereof are included in the scope and gist of the invention, and are included in the invention described in the claims and the equivalents thereof.

DESCRIPTION OF SYMBOLS 10 ... Electronic medical record real pseudo storage device, 20 ... Electronic medical record DB, 30 ... Shape DB, 40 ... Server computer, 50 ... Electronic medical record terminal device, 60 ... Object measuring device, 70 ... 3D printer

Claims (3)

An object measurement device that measures an object to be measured that is one of a body part model, a healing model, a healing process, an artificial object used for the subject, and an object other than the body part extracted from the subject. When,
A shape DB that stores shape information related to at least the shape, hardness, and color of the object measured by the object measuring device in a reproducible manner by giving an evidence ID;
An electronic medical record DB for storing an electronic medical record in which medical data and the evidence ID are linked;
An electronic medical record real pseudo storage device characterized by comprising: An object measured by an object measuring device, including: a body part model of a subject, a healing model, a healing process, an artificial object used for the subject, and an object other than the body part extracted from the subject A shape DB that stores shape information relating to at least the shape, hardness, and color of the object to be measured, which is either one or more, and is reproducibly stored with an evidence ID,
An electronic medical record DB for storing an electronic medical record in which medical data and the evidence ID are linked;
A 3D printer that reproduces the shape, hardness, and color from the shape information read out from the shape DB by the evidence ID and reproduces the object to be measured;
An electronic medical record real pseudo storage device characterized by comprising: Shape information regarding at least the shape, hardness, and color of any of the body part model, healing model, healing process, artifact used for the subject, and objects other than the body part extracted from the subject. , A shape DB to which an evidence ID is assigned and reproducibly stored;
An electronic medical record DB for storing an electronic medical record in which medical data and the evidence ID are linked;
An output unit for outputting the shape information read from the shape DB by the evidence ID to a 3D printer;
An electronic medical record real pseudo storage device characterized by comprising: