JP2002092184A - Method and system for managing medical information and recording medium with its control program recorded - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a system for management of medical information where plural medical institutions can share and utilize medical information of the same patient. SOLUTION: Medical information register processing is performed in a medical institution terminal 61 on the registering side (S1). First medical examination and treatment history information transmission processing is carried out in the terminal 61 (S2). First medical examination and treatment history information reception processing is performed in a management center 71 (S3). Medical examination and treatment history information reference request signal transmission processing is carried out in a medical institution terminal 81 on the reference side (S4). A second medical examination treatment history information transmission processing is carried in the terminal 71 (S5). Second medical examination and treatment history information reception processing is performed in the terminal 81 (S6). Medical information reference request signal transmission processing is carried out in the terminal 81 (S7). Medical information transmission processing is carried out in the terminal 61 (S8). Medical information reception processing is carried out in the terminal 81 (S9).

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical information management system, and more particularly to a medical information management system and a medical information management system suitable for use when a plurality of medical institutions share and utilize the same patient's medical information. The present invention relates to a management method and a recording medium on which a control program is recorded.

[0002]

2. Description of the Related Art A medical information management system is installed in a medical institution of a medium size or larger, and medical information such as medical instruction information and test result information for a patient is stored.

Conventionally, this kind of medical information management system is, for example, as shown in FIG. 3, a medical office system 1, an examination system 2, a medicine system 3, a feeding system 4, a nursing system 5, an image system 6, and an operation system 7. , A communication computer 8, and an ordering system server 9, which are connected via a premises communication line (that is, a local area network) NL of a medical institution.

[0004] In the medical office system 1, the administrative processing of the medical institution where the medical office system 1 is installed is performed.
In the test system 2, various tests are performed on the patient. In the drug system 3, a pharmacist assists in dispensing a therapeutic drug, and in the meal service system 4, assists in feeding a patient. The nursing system 5 performs nursing assistance for the patient, and the image system 6 creates an image used in medical care for the patient. In the operation system 7, auxiliary operations for operation on the patient are performed. The communication computer 8 transmits and receives various medical information between the medical office system 1, the examination system 2, the medicine system 3, the feeding system 4, the nursing system 5, the image system 6, and the operation system 7 and the ordering system server 9. Done. The ordering system server 9 has a database 9a.
The medical care information transmitted from the communication computer 8 is stored in the storage unit.

[0005] However, since the medical information of the patient at this medical institution is stored only in the database 9a, when this patient is consulted at another medical institution, the medical information stored in the database 9a is referred to. Never. As a result, examinations for this patient are performed in duplicate at each medical institution, which may increase waste of medical expenses, waiting time for patients, and burden of expenses.

As a countermeasure, there has been proposed a medical information management system in which medical information of the same patient at a plurality of medical institutions is centrally managed by a center server and distributed via a communication line to the medical institution requesting the medical information. ing. Conventionally, as this type of medical information management system, there has been one described in, for example, Japanese Patent Application Laid-Open No. H11-45304 (hereinafter referred to as a document).

FIG. 4 is a schematic configuration diagram showing an electrical configuration of the medical care information management system described in the above-mentioned document. As shown in FIG. 1, the medical information management system includes a plurality of medical institution systems 10,.
0, a user system 30, and a medical support service organization system 40, which are connected via a wide area network 50. Medical institution system 10
Clinic terminal 11, authentication input device 12, encryption device 13,
A user-side data storage device 14 and an intrusion prevention device 15 are provided. The inspection institution system 20 includes the inspection institution terminal 2
1, an encryption device 22 and a data transmission device 23. The user system 30 is a patient / general user terminal 3
1, an authentication input device 32 and an encryption device 33. The medical support service organization system 40 includes an intrusion prevention device 41, an authentication device 42, an encryption device 43, an application device 44, a stored data use control device 45, a time reception device 46, a centralized data storage device 47, and a data encryption device 4.
8 and a data transmission device 49.

In this medical information management system, the medical information created by the medical institution systems 10,...
Is transmitted to the medical support service organization system 40 via the Internet and is centrally managed. Therefore, necessary medical information can be mutually used between the medical institution systems 10,..., 10 and the inspection institution system 20 which are independent from each other. Thereby, for example, medical support using the wide area network 50 is performed for various medical institutions including private hospitals and small hospitals.

[0009]

However, the medical information management system shown in FIG. 4 has the following problems. That is, the medical information created by the medical institution systems 10,..., 10 and the inspection institution system 20 is taken in the medical support service institution system 40 at a predetermined time at night, for example. There was a case where a large time lag occurred when referring to the medical treatment information. For this reason, there has been a problem that even if the medical information is corrected or deleted in a certain medical institution system 10, it may not be reflected in the medical information referred to in another medical institution system 10.

[0010] The present invention has been made in view of the above circumstances, and even if correction or deletion of medical information occurs, the medical information management system is immediately reflected in the medical information referred to by each medical institution. It is an object of the present invention to provide a medical information management method and a recording medium on which a control program is recorded.

[0011]

Means for Solving the Problems To solve the above problems, the invention according to claim 1 relates to a medical care information management system, wherein medical care information indicating a result of treating a patient is input and registered for each patient. In addition, the medical history information indicating the registration destination and creation time of the medical information is transmitted to a communication line for each patient, and when a medical information reference request signal is received through the communication line, the registered medical information is transmitted. A plurality of registered medical institution terminals for sending out the medical information of the patient corresponding to the medical information reference request signal to the communication line, and receiving the medical history information via the communication line for each patient; And when receiving the medical history information reference request signal via the communication line, the medical treatment of the patient corresponding to the medical history information reference request signal of the stored medical history information. A management center terminal that sends information to the communication line, and the medical history information reference request signal is transmitted to the management center terminal via the communication line for each patient, and the medical history sent from the management center terminal. Receiving information via the communication line for each patient,
Based on the received medical history information, transmits the medical information reference request signal via the communication line to the registered medical institution terminal in which the medical information of the corresponding patient among the registered medical institution terminals is registered. And a plurality of reference medical institution terminals for receiving, via the communication line, medical information of the patient corresponding to the medical information reference request signal from the registered medical institution terminal.

According to a second aspect of the present invention, there is provided the medical information management system according to the first aspect, wherein the communication line is the Internet.

According to a third aspect of the present invention, there is provided the medical information management system according to the first or second aspect, wherein the medical information is encrypted when transmitted to the communication line, and the terminal of the reference medical institution is transmitted. Is decrypted when received.

According to a fourth aspect of the present invention, there is provided the medical information management system according to the first, second or third aspect, wherein the medical history information is encrypted when transmitted to the communication line, and the management center is encrypted. It is characterized in that it is decoded when received by the terminal.

[0015] The invention according to claim 5 is the invention according to claims 1, 2, and 3.
Or the medical information management system according to 4, wherein the reference medical institution terminal specifies a language for expressing the medical information with respect to the registration side medical institution terminal, and the registration side medical institution terminal includes the reference side The medical information is translated and transmitted to the communication line based on the designation of the medical institution terminal.

[0016] The invention according to claim 6 is the invention according to claims 1 and 2,
According to the medical information management system described in 3, 4, or 5, the reference medical institution terminal is provided with a patient authentication device for obtaining permission to refer to the medical information from a corresponding patient.

[0017] The invention according to claim 7 is based on claims 1 and 2,
According to the medical information management system described in 3, 4, 5 or 6,
The reference medical institution terminal is characterized in that it has an operator authentication device for authenticating the operator in addition to an ID number and password confirmation function for authenticating the operator.

[0018] The invention according to claim 8 relates to the medical information management system according to claim 7, wherein the operator authentication device is constituted by a fingerprint authentication device for authenticating the fingerprint of the operator. Features.

The ninth aspect of the present invention is the first aspect of the present invention.
The medical information management system according to 3, 4, 5, 6, 7, or 8, wherein the reference medical institution terminal stops operating when the operation by the operator is not performed for a predetermined time or more. And

According to a tenth aspect of the present invention, there is provided a medical information management method, wherein a plurality of medical institutions share medical information of the same patient, and wherein a plurality of registered medical institution terminals, A management center terminal and a plurality of reference side medical institution terminals are provided on a communication line, and medical information indicating a result of treating the patient is input by the registration side medical institution terminal and medical information registered for each patient. Registration processing and first medical history information transmission in which the registered medical institution terminal transmits medical history information indicating the registration destination and creation time of the medical information to the management center terminal via the communication line for each patient. A first medical history information receiving process in which the management center terminal receives the medical history information via the communication line and stores the medical history information for each patient; A medical treatment history information reference request signal transmission process of transmitting a reference request signal to the management center terminal via the communication line for each patient, and the management center terminal transmits the reference request signal from the reference side medical institution terminal via the communication line. When receiving the medical history information reference request signal, the reference medical institution terminal of the medical history information of the patient corresponding to the medical history information reference request signal among the stored medical history information via the communication line. A second medical history information transmitting process for transmitting to the reference medical institution terminal a second medical history information receiving process for receiving the medical history information for each of the patients via the communication line; A medical institution terminal receives the medical treatment history information via the communication line,
Based on the medical history information, medical information that transmits a medical information reference request signal via the communication line to a registered medical institution terminal in which medical information of a corresponding patient among the registered medical institution terminals is registered. A reference request signal transmission process, and when the registered medical institution terminal receives the medical information reference request signal from the reference medical institution terminal via the communication line, the medical treatment of the registered medical information is A medical information transmission process of transmitting medical information of a patient corresponding to an information reference request signal to the reference medical institution terminal via the communication line, and wherein the reference medical institution terminal receives the medical information from the registration medical institution terminal. Medical information receiving processing for receiving medical information of a patient corresponding to the reference request signal via the communication line.

An eleventh aspect of the present invention relates to the medical information management method according to the tenth aspect, wherein the communication line is the Internet.

According to a twelfth aspect of the present invention, there is provided the medical information management method according to the tenth or eleventh aspect, wherein the first and second medical information are managed.
In the medical history information transmitting process, the medical history information is encrypted when transmitted, and in the first and second medical history information receiving processes, the medical history information is
It is characterized in that it is decoded when received.

The invention according to claim 13 is the invention according to claims 10 and 1
According to the medical information management method according to 1 or 12, in the medical information transmitting process, the medical information is encrypted when transmitted, and in the medical information receiving process, when the medical information is received, It is characterized by being decoded.

The invention according to claim 14 is the invention according to claims 10 and 1
According to the medical information management method described in 1, 12, or 13, in the medical information reference request signal transmission process, the reference medical institution terminal specifies a language in which the medical information is expressed to the registered medical institution terminal. In the medical information transmission process, the registered medical institution terminal translates the medical information based on the designation of the reference medical institution terminal and transmits the translated medical information to the communication line.

The invention according to claim 15 is the invention according to claims 10 and 1
According to the medical information management method described in 1, 12, 13, or 14, in the medical information reference request signal transmission processing, the reference medical institution terminal uses a patient authentication device to permit the patient to refer to the medical information from a corresponding patient. It is characterized by obtaining.

[0026] The invention of claim 16 is the invention of claims 10 and 1
According to the medical information management method described in 1, 12, 13, 14, or 15, the medical history information reference request signal transmission processing,
In the medical history information receiving process, the medical information reference request signal transmitting process, and the medical information receiving process, the reference side medical institution terminal checks the ID number and password for authenticating the operator, and authenticates the operator. The apparatus is characterized in that the operator is authenticated using a device.

According to a seventeenth aspect of the present invention, there is provided the medical information management method according to the sixteenth aspect, wherein the operator authentication device is constituted by a fingerprint authentication device for authenticating a fingerprint of the operator. Features.

The invention according to claim 18 is the invention according to claims 10 and 1
According to the medical information management method described in 1, 12, 13, 14, 15, 16 or 17, the reference medical institution terminal is configured to perform the operation when the operation by the operator is not performed for a predetermined time or more.
The operation is stopped.

According to a nineteenth aspect of the present invention, there is provided a computer-readable recording medium having a computer.
A control program for realizing the function of the medical care information management system described in 7, 8, or 9 is recorded.

According to a twentieth aspect of the present invention, there is provided a recording medium, and the computer is provided with the tenth, eleventh, twelfth, thirteenth, and thirteenth aspects.
A control program for executing the medical information management method described in 4, 15, 16, 17 or 18 is recorded.

[0031]

Embodiments of the present invention will be described below with reference to the drawings. FIG. 1 is a configuration diagram illustrating an example of a medical information management system according to an embodiment of the present invention. The medical information management system of this embodiment includes a plurality of registered medical institution systems 60,.
0, a management center system 70, and a plurality of reference medical institution systems 80,..., 80, which are connected via a communication line (for example, the Internet) NW. The registration-side medical institution system 60 includes a registration-side medical institution terminal 61, a communication control computer 62, an IC card reader 63, a storage device 64, a printer 65, and a network security check device 66.

The registration side medical institution terminal 61 is an information processing device such as a personal computer, for example.
It has a recording medium (for example, a read-only memory, hereinafter referred to as a "ROM") 61b on which a control program for operating the CPU 61a is recorded. The registered medical institution terminal 61
Based on the operation of the person in charge (for example, a doctor in charge), medical information indicating the result of treating the patient is input and registered for each patient, and the registration destination of the medical information (that is, the registered medical institution terminal 61) And the medical history information indicating the creation time is transmitted to the Internet NW for each patient. When receiving the medical information reference request signal via the Internet NW, the registered medical institution terminal 61 transmits the medical information of the patient corresponding to the medical information reference request signal among the registered medical information to the Internet NW. To send to. Further, the registered medical institution terminal 61 translates the medical care information as necessary and sends it to the Internet NW.

The communication control computer 62 encrypts the medical treatment information and the medical treatment history information and sends them to the Internet NW. The IC card reader 63 is for obtaining permission to register medical information from the patient by reading the information on the IC card of the patient. The storage device 64 is composed of, for example, a hard disk device, and stores medical information and medical history information. The printer 65 prints medical information and medical history information as needed. The network security check device 66 specifies the source based on the source information included in the medical information reference request signal,
It is determined whether the medical care information reference request signal can be received.

The management center system 70 includes a management center terminal 71, a communication control computer 72, an IC card reader 73, a storage device 74, a printer 75, a network security check device 76, a medical information management computer 77, and a security check device 78. Have. The management center terminal 71 is, for example, an information processing device such as a personal computer, and controls the CPU 71a and the CPU 7 that control the entire management center terminal 71.
1a in which a control program for operating 1a is recorded.
It has OM71b. The management center terminal 71 receives the medical treatment history information from the registered medical institution terminal 61 via the Internet NW and stores the information for each patient. When the management center terminal 71 receives the medical history information reference request signal via the Internet NW, the management center terminal 71 converts the medical history information of the patient corresponding to the medical history information reference request signal among the stored medical history information. Send to Internet NW.

The communication control computer 72 decrypts the encrypted medical history information when receiving it, and encrypts the medical history information when sending the medical history information to the Internet NW. The IC card reader 73 reads the information of the IC card of the operator, and operates the management center terminal 7.
This is for checking the operator in charge who is permitted to operate No. 1. The storage device 74 is composed of, for example, a hard disk device and stores medical history information. The printer 75 prints medical history information as needed. Network security check device 76
Specifies each transmission source based on the medical history information and the source information included in the medical history information reference request signal,
It is determined whether the medical history information and the medical history information reference request signal can be received. The medical care information management computer 77 accumulates medical care history information in the storage device 74 based on a command from the management center terminal 71. Security check device 78
Is for checking an operator who is allowed to operate the management center terminal 71 by authenticating a fingerprint of the operator, for example, by a fingerprint authentication device.

The reference medical institution system 80 includes a reference medical institution terminal 81, a communication control computer 82, an IC card reader 83, a storage device 84, a printer 85, a network security check device 86, and a security check device 87. I have. The reference medical institution terminal 81 is, for example, an information processing device such as a personal computer, and has a CPU 81a for controlling the entire management center terminal 81 and a ROM 81b in which a control program for operating the CPU 81a is recorded.
The reference-side medical institution terminal 81 transmits a medical history information reference request signal to the management center terminal 71 via the Internet NW for each patient, and transmits the medical history information transmitted from the management center terminal 71 via the Internet NW for each patient. To receive. The reference medical institution terminal 81 then registers the registered medical institution terminal 60,.
A medical information reference request signal is transmitted via the Internet NW to the registration side medical institution terminal 61 of the registration side medical institution terminal 60 in which the medical information of the corresponding patient among the 60 is registered. The medical information of the patient corresponding to the medical information reference request signal is received via the Internet NW. Further, the reference-side medical institution terminal 81 causes the registered-side medical institution terminal 61 to specify and translate a language expressing medical care information. Also, the reference medical institution terminal 81
When the operation by the operator is not performed for a certain period of time or more, the operation stops.

The communication control computer 82 decrypts the encrypted medical information and medical history information when receiving them. The IC card reader 83 obtains permission from the patient to refer to the medical information by reading the information on the patient's IC card. The IC card reader 83 constitutes a patient authentication device. Storage device 8
Numeral 4 includes a hard disk device, for example, and stores medical information and medical history information. The printer 85
The medical care information and the medical history information are printed as needed. The network security check device 86 specifies each transmission source based on the transmission source information included in the medical treatment information and the medical treatment history information, and determines whether the medical treatment information and the medical treatment history information can be received. Security check device 87
Is composed of, for example, a fingerprint authentication device. In addition to the function of confirming the ID number and password of the operator in the reference medical institution terminal 81, the fingerprint of the operator is authenticated, so that the reference medical institution terminal 81 This is for checking the operator in charge who is allowed to operate. The security check device 87 constitutes an operation person authentication device.

FIG. 2 is a flowchart for explaining a medical information management method in the medical information management system of FIG. With reference to this figure, the processing contents of the medical information management method in the medical information management system of FIG. 1 will be described. The medical information representing the result of the doctor in charge treating the patient is input to the registration-side medical institution terminal 61 and registered for each patient (step S1, medical information registration processing). At this time, the medical care information is stored in the storage device 64. In addition, the medical care history information indicating the registration destination of the medical information (that is, the registered medical institution terminal 61) and the time of creation is transmitted from the registered medical institution terminal 61 to the management center terminal 71 via the Internet NW for each patient.
(Step S2, first medical history information transmission processing). In this case, the medical treatment history information is encrypted by the communication control computer 62 when transmitted.

The medical care history information is received by the management center terminal 71 via the Internet NW, and is stored in the storage device 74 via the medical care information management computer 77 for each patient (step S3, first medical care history information reception) processing).
In this case, the network security check device 76
In, the transmission source is specified based on the transmission source information included in the medical treatment history information, and it is determined whether or not the medical treatment history information can be received. The medical history information is decrypted by the communication control computer 72 when it is received. Further, the management center terminal 71 is operated by the operator who has been checked by the IC card reader 73 and the security check device 78.

On the other hand, when the medical information of a certain patient is required in a certain reference medical institution system 80, the reference medical institution terminal 81 checks the ID number and the password of the operator and performs a security check. The operator is authenticated by the device 87 and the IC card reader 83
To obtain permission to refer to the medical information from the corresponding patient. Then, a medical history information reference request signal is transmitted from the reference medical institution terminal 81 to the management center terminal 71 via the Internet NW for each patient (step S4, medical history information reference request signal transmission processing). The medical history information reference request signal is sent to the management center terminal 71 via the Internet NW.
The medical history information of the patient corresponding to the medical history information reference request signal among the medical history information stored in the management center terminal 71 is transmitted to the reference medical institution terminal 81 via the Internet NW. (Step S
5. Second medical history information transmission process). In this case, the medical treatment history information is transmitted to the communication control computer 72 when transmitted.
Encrypted.

The medical history information is received by the reference medical institution terminal 81 via the Internet NW for each patient (step S6, second medical history information receiving process). The medical history information is decrypted by the communication control computer 82 when it is received. In the reference side medical institution terminal 81, based on the received medical treatment history information, the registered side medical institution terminal 60,
, 60, the registered medical institution terminal 60 in which the medical information of the corresponding patient is registered is searched, and a medical information reference request signal is transmitted to the registered medical institution terminal 60 via the Internet NW ( Step S7, medical information reference request signal transmission processing). In this case, the medical information reference request signal includes information designating a language (for example, Japanese, English, German, etc.) for expressing medical information to the registered medical institution terminal 60.

The medical information reference request signal is received by the registered medical institution terminal 61 via the Internet NW and corresponds to the medical information reference request signal of the medical information registered in the registered medical institution terminal 61. The medical information of the patient is transmitted to the reference medical institution terminal 81 via the Internet NW (step S8, medical information transmission processing). In this case, when the medical information is transmitted, it is translated based on the designation of the reference medical institution terminal 81 and encrypted by the communication control computer 62. This medical information is received by the reference medical institution terminal 81 via the Internet NW (step S9, medical information receiving processing). In this case, the medical care information is decrypted by the communication control computer 82.

The reference medical institution terminal 81 displays the received medical information. This medical information includes, for example, monochrome still image data such as radiographs and CT imaging results, color moving image data such as echocardiograms, waveform data such as electrocardiograms and brain waves, and color still image data such as endoscopic photographs and cytology. , Such as numerical data such as test results, graph data such as test result transitions, and character data such as findings and medical information. When displaying, the appropriate viewer is automatically selected according to the format of the information. Therefore, the operator does not need to perform a special operation on the reference medical institution terminal 81. The medical care information is printed by the printer 85 as needed. The reference medical institution terminal 81
If the operation is not performed for a certain period of time,
Operation stops.

As described above, in this embodiment, the management center terminal 71 stores the medical history information indicating the registration destination and the creation time of the medical information. , 80 are immediately reflected in the medical information referred to by the reference medical institution systems 80,..., 80. Furthermore, in addition to the function of confirming the ID number and password of the operator in the reference medical institution terminal 81, the fingerprint of the operator is authenticated by the security check device 87. Strict confirmation of the person is performed. Further, since the medical information is transmitted after being encrypted, the risk of falsification and eavesdropping of the medical information is prevented, and security management is performed smoothly. Further, since the medical care information is referred to by the reference medical institution systems 80,..., 80, even if the same patient is consulted at a different medical institution, waiting time and duplicate examinations are omitted, and medical expenses are greatly reduced. Be reduced. In addition, the registered medical institution terminal 61 translates the medical information and sends it to the Internet NW based on the designation of the reference medical institution terminal 81, so that, for example, a specialist such as a medical institution in a remote island or a developing country can When the reference medical institution systems 80,..., 80 are installed in a medical institution with insufficient testing devices, it becomes possible for specialists at other medical institutions to support diagnosis and exchange information. Also, the reference medical institution terminal 8
1 is that when the operation by the operator is not performed for a certain period of time or more, the operation is stopped, so that the security management of the medical care information is smoothly performed. In addition, since the IC card readers 63 and 83 obtain permission to register medical information from patients, personal information of patients is strictly protected.

Although the embodiment of the present invention has been described in detail with reference to the drawings, the specific configuration is not limited to this embodiment, and there are design changes within the scope of the present invention. Is also included in the present invention. For example, the security check devices 78 and 87 are devices that can authenticate the operator, such as a device for authenticating the operator's palm print, fundus retinal blood vessel image, iris pattern, and face image, in addition to the fingerprint authentication device. Any device may be used. The registered medical institution terminal 61, the management center terminal 71, and the reference medical institution terminal 81 are not limited to personal computers, but may be information terminals specially manufactured.

[0046]

As described above, according to the configuration of the present invention, the management center terminal stores the medical history information indicating the registration destination and the creation time of the medical information. Even if the medical information is corrected or deleted at the terminal, the medical information can be immediately reflected in the medical information referenced by the referring medical institution terminal. Furthermore, since the medical care information is referred to by a plurality of reference medical institution terminals, even if the same patient is consulted at a different medical institution, waiting time and duplicate examinations can be omitted, and medical costs can be significantly reduced. Furthermore, since the medical treatment information and the medical treatment history information are transmitted after being encrypted, the risk of falsification and eavesdropping of the medical treatment information and the medical treatment history information can be prevented, and security management can be performed smoothly. Moreover,
The registered medical institution terminal translates the medical information based on the designation of the reference medical institution terminal and sends it out to the communication line.Therefore, there are insufficient specialists and test equipment such as medical institutions in remote islands and developing countries. When a reference medical institution terminal is installed in a medical institution, it becomes possible for specialists at other medical institutions to assist diagnosis and exchange information. Further, since the patient authentication device obtains permission to register medical information from the patient, the patient's personal information can be strictly protected. Further, in addition to the function of confirming the ID number and password of the operator at the reference medical institution terminal, the operator is authenticated by an operator authentication device such as a fingerprint authentication device. Strict confirmation of the person in charge can be performed. Further, the operation of the reference medical institution terminal is stopped when the operation by the operator is not performed for a certain period of time or more, so that the security of the medical care information can be managed smoothly.

[Brief description of the drawings]

FIG. 1 is a configuration diagram of a medical care information management system according to an embodiment of the present invention.

FIG. 2 is a flowchart for explaining a medical information management method in the medical information management system of FIG. 1;

FIG. 3 is a configuration diagram of a conventional medical information management system.

FIG. 4 is a configuration diagram of a medical care information management system described in a document.

[Explanation of symbols]

60 Registered Medical Institution System 61 Registered Medical Institution Terminal 61a, 71a, 81a CPU (Central Processing Unit) 61b, 71b, 81b ROM (Recording Medium) 62, 72, 82 Communication Control Computer 63, 73, 83 IC Card Reader 64, 74, 84 Storage device 65, 75, 85 Printer 66, 76, 86 Network security check device 70 Management center system 71 Management center terminal 77 Medical information management computer 78, 87 Security check device 80 Reference side medical institution system 81 Reference side Medical institution terminal NW Internet (communication line) S1 Medical information registration processing S2 First medical history information transmitting processing S3 First medical history information receiving processing S4 Medical history information reference request signal transmitting processing S5 Second medical history information transmitting processing S6 Second medical history information receiving process S7 Medical information reference request signal transmitting process S8 Medical information transmitting process S9 Medical information receiving process

Claims (20)

[Claims] A medical information indicating a result of treating a patient is input and registered for each patient, and medical history information indicating a registration destination and a creation time of the medical information is transmitted to a communication line for each patient. When receiving a medical information reference request signal via the communication line, a plurality of registrations for sending out the patient's medical information corresponding to the medical information reference request signal among the registered medical information to the communication line. Side medical institution terminal, the medical treatment history information is received via the communication line and stored for each patient, and when the medical treatment history information reference request signal is received via the communication line, the stored medical history information is stored. A management center terminal for sending the medical history information of the patient corresponding to the medical history information reference request signal of the medical history information to the communication line; and transmitting the medical history information reference request signal to each of the patients. Transmitting to the management center terminal via the communication line, receiving the medical history information sent from the management center terminal via the communication line for each patient, based on the received medical history information, The medical information reference request signal is transmitted via the communication line to the registered medical institution terminal in which the medical information of the corresponding patient among the registered medical institution terminals is registered, and the registered medical institution terminal transmits the medical information reference request signal to the registered medical institution terminal. A medical information management system, comprising: a plurality of reference medical institution terminals for receiving medical information of a patient corresponding to a medical information reference request signal via the communication line. 2. The medical information management system according to claim 1, wherein the communication line is the Internet. 3. The medical information is encrypted when transmitted to the communication line, and decrypted when received by the reference medical institution terminal. Medical information management system described. 4. The medical treatment history information is encrypted when transmitted to the communication line, and decrypted when received at the management center terminal. 3. The medical information management system according to 3. 5. The reference medical institution terminal specifies a language for expressing the medical care information for the registration side medical institution terminal, and the registration side medical institution terminal specifies the reference side medical institution terminal. 5. The medical information management system according to claim 1, wherein the medical information is translated and transmitted to the communication line based on the medical information. 6. The terminal according to claim 1, wherein the reference medical institution terminal includes a patient authentication device for obtaining permission to refer to medical information from a corresponding patient.
The medical information management system according to 2, 3, 4, or 5. 7. The reference medical institution terminal further comprises an operator authentication device for authenticating the operator in addition to an ID number and password confirmation function for authenticating the operator. 7. The medical information management system according to claim 1, 2, 3, 4, 5, or 6. 8. The medical care information management system according to claim 7, wherein said operator authentication device comprises a fingerprint authentication device for authenticating a fingerprint of said operator. 9. The terminal according to claim 1, wherein the operation of the reference medical institution terminal is stopped when the operation by the operator is not performed for a predetermined time or more.
The medical information management system according to 3, 4, 5, 6, 7, or 8. 10. A medical information management method in which a plurality of medical institutions share medical information of the same patient, wherein the plurality of registered medical institution terminals, the management center terminal, and the plurality of reference medical institution terminals are provided. Provided on a communication line, a medical information registration process in which the registration side medical institution terminal inputs medical information indicating a result of medical treatment of the patient and registers the information for each patient; A first medical history information transmission process of transmitting medical history information indicating a registration destination and a creation time of information to the management center terminal via the communication line for each patient; and the management center terminal transmits the medical history information to the management center terminal. A first medical history information receiving process of receiving via the communication line and storing for each patient; and the reference medical institution terminal receives a medical history information reference request signal for each patient via the communication line. A medical history information reference request signal transmission process for transmitting to the management center terminal, and when the management center terminal receives the medical history information reference request signal from the reference side medical institution terminal via the communication line, the medical history information reference request signal is stored. A second medical history information transmission process of transmitting the medical history information of the patient corresponding to the medical history information reference request signal of the medical history information to the reference medical institution terminal via the communication line; A second medical history information receiving process in which the reference medical institution terminal receives the medical history information for each of the patients via the communication line, and wherein the reference medical institution terminal performs the medical history through the communication line. The medical information is received, and based on the medical history information, the medical information is sent to the registered medical institution terminal in which the medical information of the corresponding patient among the registered medical institution terminals is registered. A medical information reference request signal transmission process of transmitting a medical request reference signal via the communication line, and the registered medical institution terminal receives the medical information reference request signal from the reference medical institution terminal via the communication line. A medical information transmitting process for transmitting medical information of a patient corresponding to the medical information reference request signal of the registered medical information to the reference medical institution terminal via the communication line; A medical information management method, wherein the medical institution terminal performs a medical information receiving process of receiving, via the communication line, medical information of a patient corresponding to the medical information reference request signal from the registered medical institution terminal. 11. The medical information management method according to claim 10, wherein the communication line is the Internet. 12. In the first and second medical history information transmission processes, the medical history information is encrypted when transmitted, and in the first and second medical history information receiving processes, 12. The medical information management method according to claim 10, wherein the history information is decrypted when received. 13. The medical information transmitting process, wherein the medical information is encrypted when transmitted, and in the medical information receiving process, the medical information is decrypted when received. Claim 1
The medical care information management method described in 0, 11, or 12. 14. The medical information reference request signal transmitting process, wherein the reference medical institution terminal specifies a language for expressing the medical information to the registered medical institution terminal, and in the medical information transmitting process, 14. The medical care information according to claim 10, wherein the registered medical institution terminal translates the medical care information and transmits the translated medical care information to the communication line based on the designation of the reference medical institution terminal. Management method. 15. The medical information reference request signal transmission process, wherein the reference medical institution terminal obtains permission to refer to medical information from a corresponding patient by using a patient authentication device. 11, 12, 13 or 14
The described medical information management method. 16. In the medical history information reference request signal transmission processing, the second medical history information reception processing, the medical information reference request signal transmission processing, and the medical information reception processing, the reference side medical institution terminal sets an operator in charge. 16. The medical care information according to claim 10, wherein the operator is authenticated using an operator authentication device in addition to the confirmation of the ID number and the password for authentication. Management method. 17. The medical care information management method according to claim 16, wherein said operator authentication device comprises a fingerprint authentication device for authenticating a fingerprint of said operator. 18. The operation of the reference medical institution terminal is stopped when the operation by the operator is not performed for a predetermined time or more.
The medical information management method according to 1, 12, 13, 14, 15, 16, or 17. 19. The computer according to claim 1, 2, 3,
A recording medium on which a control program for realizing the function of the medical care information management system described in 4, 5, 6, 7, 8 or 9 is recorded. 20. The computer according to claim 10, 11, 1,
A recording medium on which a control program for executing the medical information management method according to 2, 13, 14, 15, 16, 17, or 18 is recorded.