JP2003263495A - Medical information management system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To facilitate a nurse taking record during an operation and facilitate a physician making a report after the operation. <P>SOLUTION: An instrument information input means is comprised of mobile apparatuses such as portable terminals and is equipped with a bar code reader, etc., possible for information inputting directly in an operation room to be able to read the bar code information of labels, etc., pasted on the instruments. The nurse can easily input the instrument information, etc., in real-time during the operation using the instrument information inputting means. The inputted instrument information, etc., are memorized together with the operating time. The physician can make a report using these information after the operation. <P>COPYRIGHT: (C)2003,JPO

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 that supports management of medical information handled in medical facilities such as hospitals and clinics, and particularly processes various medical information generated during surgery in real time. It relates to a medical information management system that can

[0002]

2. Description of the Related Art In intervention surgery, intraoperative recording is important. Currently, doctors perform procedures during surgery, so they create reports while watching videos such as VTR after surgery. On the other hand, the nurse manually writes the procedure record during the operation. Especially for instruments such as stents, catheters, injection needles, etc.
The labels of these tools are peeled off and attached to recording paper, etc., and accounting information is created based on the labels after surgery. The technician has recorded the fluoroscopic conditions.

[0003]

[Problems to be Solved by the Invention]
Despite the fact that the contents recorded by the nurse during surgery can be used as they are without the need for the doctor to perform them after the surgery, the current situation is that all the records are kept by the doctor after the surgery. It was a hassle. In addition, the instruments to be used may be replaced or added on the spot according to the patient's condition and the situation during the operation.While these instruments must be recorded accurately during the operation, the order of use etc. Was very difficult to record accurately and without error.

The present invention has been made in view of the above points, and it is an object of the present invention to provide a medical information management system which enables a nurse to easily record an operation.

Another object of the present invention is to provide a medical information management system which enables a doctor to easily create a report after surgery.

[0006]

A medical information management system according to a first aspect of the present invention is an instrument information input unit configured to input information regarding an instrument used for surgery during the surgery, and the instrument information input. Instrument information storage means for storing information about the instrument input by the means together with time information when the instrument was used. The instrument information input means is composed of a mobile device such as a mobile terminal and is capable of directly inputting information in the operating room, and is provided with a bar code reader or the like capable of reading bar code information such as a label attached to the instrument is doing. A nurse can easily input instrument information and the like in real time during an operation using this instrument information input means. Further, since the input instrument information and the like are stored together with the time when the instrument is used, the report can be easily created by using it when a doctor creates a report after the operation. The time information may be the time when the information about the instrument is input from the instrument information input means, or the time of the procedure actually performed by the doctor using the instrument.

The medical information management system according to claim 2 is
In Claim 1, it provided with the cost information acquisition means which acquires the said equipment cost information based on the information regarding the said equipment input by the said equipment information input means. This is because the information of the instrument used for the surgery is sequentially input from the instrument information input means, and the instrument cost information is acquired using the information. The appliance cost information acquired in this way is used as accounting data when creating a receipt.

The medical information management system according to claim 3 is
In claim 2, the cost information acquisition means searches the database means that stores the equipment cost information for the equipment corresponding to the equipment. This is a concrete example of how the Kotos information acquisition means acquires instrument cost information, and searches the database based on the information of the instrument used for surgery to obtain the instrument cost information. It is something that is done.

The medical information management system according to claim 4 is
In Claim 1, when the information regarding the said instrument input by the said instrument information input means is the number information peculiarly given to the said instrument, the instrument name information acquisition means which acquires the said instrument name information based on the said number information. And means for transmitting the appliance name information to the appliance information input means and displaying it on a display screen. There is a case where the information about the appliance input by the appliance information input means is only numerical information such as barcode data. this is,
The appliance name information is acquired based on the number information, and the acquired appliance name is displayed on the display screen of the appliance information input means. By displaying the instrument name, it is possible to easily confirm whether or not the instrument is the instrument as instructed by the doctor.

The medical information management system according to claim 5 is
In Claim 2, when the information regarding the said instrument input by the said instrument information input means is the number information uniquely given to the said instrument, the said instrument name information, instrument cost information, etc. based on the said number information. Device characteristic information acquisition means for acquiring information on the characteristics of the device, and information storage means for storing the device name information as a treatment record file and separately storing the device cost information as an accounting data file. There is a case where the information about the appliance input by the appliance information input means is only numerical information such as barcode data. This is to obtain instrument characteristic information such as instrument name information and instrument cost information based on the number information, instrument name information in the obtained instrument characteristic information as a treatment record file, and instrument cost information as an accounting data file. It is designed to be stored separately. The instrument name information recorded in the treatment record file is used when creating a report, and the instrument cost information recorded in the accounting data file is used when creating a receipt.

The medical information management system according to claim 6 is
Information input means configured to be able to input information about an instrument used for surgery and information about a procedure during the surgery, and the instrument inputs information about the instrument and information about the procedure input by the information input means. The information storage means stores the time information used and the time information when the procedure is performed. This is so that the instrument information can be input together with the instrument information by using the instrument information input means. A nurse can easily input instrument information, procedure information, etc. in real time during surgery using this instrument information input means, and the entered instrument information and procedure information can be used when the instrument is used or when it is used. Because it is remembered with the time when the procedure was performed,
When the doctor creates a report after the operation, it is possible to facilitate the report creation by using the instrument information and the procedure information. In the case of a procedure using an instrument, either instrument information or procedure information may be recorded. Also, the time required for the procedure using the device may be recorded together.

The medical information management system according to claim 7 is
In Claim 6, it is provided with the report preparation means comprised so that a report could be created based on the information memorize | stored in the said information storage means. Since the information storage means stores the instrument information and the procedure information together with the time information, the doctor can easily create a report by using the report creation means by using the information.

[0013]

BEST MODE FOR CARRYING OUT THE INVENTION Preferred embodiments of a medical information management system according to the present invention will be described below with reference to the accompanying drawings. FIG. 1 is a diagram showing an outline of the overall configuration of a medical information management system of the present invention. This medical information management system is composed of devices connected to a high-speed network built in one hospital.

In FIG. 1, the medical information management system includes a medical image generator 10, a measuring device 11, a portable terminal 12, a control system 13 and a hospital information system (HIS: Hospi).
tal Information System) 1
4. Radiology information system (RIS: Radiolog)
ical Information System) 1
5, a medical affairs computer system (rececon) 16, a report system 17 and the like are connected to each other through a high speed network 19 and configured.

The medical image generator 10 is for photographing and displaying a biometric image (medical image) of a patient.
It is composed of a CT device, an RI device, an MR device, and the like, and sends a captured biological image to the control system 13. Measuring device 1
1 acquires biometric information such as the blood pressure and pulse of the patient and transmits it to the control system 13. The control system 13 uses the medical image captured by the medical image generating apparatus 10 and the measuring apparatus 1.
The biometric information acquired in 1 is digitized and stored. The control system 13 has an information distributor inside, and stores the information transmitted from the mobile terminal 12 in the hospital information system 14 and the medical affairs computer system (rececon).
16 and so on. The control system 13 records the date and time of the examination, the patient ID, the name, and the sex of the patient who has been imaged symmetrically when recording the digitized medical image and biometric information.
Patient information such as date of birth and age, and various types of information such as the type of medical image generating device and the part that was imaged are simultaneously recorded as management attributes.

The hospital information system 14 uses the names of all patients,
Information such as personal information such as sex and age, medical history, examination order information (medical appointment information, for example, chest X-ray photography) is managed. The radiology department information system 15 manages information such as personal information such as a patient's name, sex, and age in the radiation department, medical history, and examination order information. The medical affairs computer system 16 automatically issues a receipt (medical treatment remuneration statement) based on the data (medical treatment data) about the medical treatment performed by the doctor, creates various statistical data, Management of the amount used. The report system 17 includes an image observing device for observing and diagnosing a medical image, and a report terminal configured to directly generate a report while visually observing a displayed medical image. The report system 17 stores the report created by the report terminal in the report database. The high speed network 19 is a high speed local area network (LAN) configured by using an optical fiber or the like for the transmission line. Other than this, electronic devices such as a printer and a database for accumulating medical images and biometric information are connected via a high-speed network 19, but they are not shown here.

The portable terminal 12 is directly operated by a nurse and is a notebook personal computer (PC) or PDA.
(Personal Digital Assistant
nts) etc. and is equipped with a barcode reader for reading the information of the barcode printed on the label attached to the instrument such as stent, catheter, injection needle, etc. . In the figure,
The case where the mobile terminal 12 is communicatively connected to the radiology information system 15 is shown, but actually, the mobile terminal 12 is connected to the radiology information system 15 via a communication interface (not shown) installed in the operating room. Between the mobile terminal 12 and the radiology information system 15, Bluetooth is currently in the spotlight as a new wireless communication system.
It is connected via an interface corresponding to a short-range wireless communication system called "tooth". Therefore, the mobile terminal 12 and the radiology information system 15 are equipped with an interface compatible with this short-range wireless communication system. Therefore, the nurse reads the barcode of the instrument with the barcode reader of the mobile terminal 12 when the instrument is used during the operation. Then, the read information is instantly transmitted to the information distributor 1 via the radiology information system 15.
8 is sent.

Next, the operation of the medical information management system of FIG. 1 will be described. First, the nurse operates the mobile terminal 12 having an interface compatible with the short-distance wireless communication system and clicks the access point detection button on the screen. Then, a search for an access point in the vicinity, that is, an interface corresponding to the short-range wireless communication system is started by the short-range wireless communication system. Then, as a nearby access point, the radiology department information system 15
Interface is detected. When a nearby access point is detected, the interfaces point to to each other in a master-slave relationship called a piconet.
Establish a Point connection. Radiology Information System 1
5 to the mobile terminal 12 between the Point to Point
When the t connection is established, the radiology department information system 15 on the master side issues an ID and password request for security authentication to the mobile terminal 12 on the slave side. As a result, a window requesting the ID and password is displayed on the screen of the mobile terminal 12.

The nurse inputs the ID and password in the predetermined places on this window and clicks the send button. When the radiation department information system 15 receives the ID and password,
Personal authentication is performed based on this, and the security level of the person is determined based on the personal security database. The radiology information system 15 limits the access right of the mobile terminal 12 according to the received security level, and issues a connection permission to the device connected to the high speed network 19. When this connection permission is issued, the mobile terminal 1
2 can access the radiology department information system 15 via the short-range wireless communication system. Also,
The mobile device 23 can also access other devices connected to the high-speed network 19 via the radiology information system 15.

On the other hand, the doctor performs intervention surgery while observing the monitor of the circulatory system X-ray system. Since the flow of the procedure at this time is predetermined, the doctor performs the procedure according to this procedure. First, a tube called a guide wire or a catheter is passed through a blood vessel of a patient under fluoroscopy, and treatment is performed at the tip of the tube. In the process of advancing this treatment, the doctor will select the device to use according to the situation,
The nurse needs to record the record in real time. Therefore, the nurse prepares a guide wire, a catheter, a syringe, etc. instructed by the doctor. At that time
The label attached to the wrapping paper of the device is read by using the bar code reader of the mobile terminal 12, and the information regarding the device used on the spot is input. In FIG. 2A, a guide wire, catheter, and balloon pressure input screen is displayed, and the read information is displayed on this screen. There are various methods other than this for the input using the mobile terminal 12. For example, there is a method in which the devices are classified by device name, and the number of the device used from among them is directly input using a keyboard or a touch panel. In addition, the nurse inputs information about the device and operates the page feed button shown in FIG. 2 (A) to display the procedure record page as shown in FIG. Enter the procedure record. In FIG. 2B, patient name and patient I
The time and the content of the procedure are displayed below the columns of D, ward, and doctor's name. Based on this procedure record, the actual procedure flow can be displayed in a timing chart after surgery, and the doctor can easily create a report based on this timing chart.

As described above, the nurse operates the portable terminal 12 to input the information about the device to be used, so that the medical information management system of this embodiment performs the device to be used input process. FIG. 3 is a flow chart diagram showing an example of a used instrument input process performed by the medical information management system.
FIG. 4 is a diagram showing a concept of processing of the medical information management system. The details of the used instrument input process performed by the medical information management system will be described with reference to the flow chat of FIG. 3 and the conceptual diagram of FIG.

First, the nurse operates the mobile terminal 12,
When the input screen for information on the used appliance as shown in FIG. 2A is displayed, the used appliance input process of FIG. 3 starts accordingly. First, in step S31, it is determined whether or not there is input from the mobile terminal 12, and if there is input (yes), the process proceeds to the next step S32. In step S32, it is determined whether or not the input information is the instrument number, and if it is the instrument number (yes), the process proceeds to step S33, and if not (no), step S3.
Go to 4. When the information input from the mobile terminal 12 is the instrument number as shown in the screen 41 of FIG. 4, the instrument number is transmitted to the control system 13 by the short-range wireless communication system. In the figure, a case is shown in which "1111" is transmitted as the instrument number.

In step S33, the control system 13
Extracts the information of the corresponding instrument number from the database 131 based on the instrument number. The database 131 stores the equipment name corresponding to the equipment number and information about the cost of the equipment. In the figure, the instrument number “11
11 "corresponding to the equipment name" AAA "and its cost" 5 "
0 ”is extracted. In step S34, when the appliance name and the cost are extracted, the control system 13 transmits the appliance name “AAA” to the mobile terminal 12. On the mobile terminal 12, as shown in the screen 42, the name of the device “AA
"A" will be displayed. On the other hand, as a result of the determination in step S32, it is determined that the information input from the mobile terminal 12 is not the instrument number, so here, the input information is recorded as character information. That is, it is treated as if the device name was input from the mobile terminal 12,
The device number and cost corresponding to the device name are extracted from the database 131, and similarly transmitted to the mobile terminal 12, and the device number is displayed.

When the input processing of the used equipment is completed,
The information distributor in the control system 13 records the instrument name (character information) input from the mobile terminal 12 or the instrument name extracted from the database 131 in the treatment recording file 43 in time series. At this time, the information distributor records the usage time as well as the device name. In the above description, the recording of the instrument to be used has been described, but in the treatment recording file 43, the procedure content and the procedure time shown in the lower part of FIG. 2B are sequentially recorded. Therefore, by referring to this treatment record file 43 after surgery, the doctor can know at a glance what treatment was performed, and can refer to the treatment record file 43 after surgery to easily create a report. . Further, the information distributor records the cost of the appliance name extracted from the database 131 in the accounting data file 44. The medical computer system 16 uses the accounting data file 44.
Based on the above, a receipt (medical treatment remuneration statement) can be automatically issued. Since the examination number and the patient ID are recorded as header information in the treatment record file 43 and the accounting data file 44, it is possible to search for a necessary file based on this header information.

[0025]

According to the medical information management system of the present invention, there is an effect that a nurse can easily record during an operation. There is also an effect that the doctor can easily create a report after the operation.

[Brief description of drawings]

FIG. 1 is a diagram showing an outline of an overall configuration of a medical information management system of the present invention.

FIG. 2 is a diagram showing an example of a display screen of a mobile terminal.

FIG. 3 is a flow chart diagram showing an example of a tool input process performed by the medical information management system.

FIG. 4 is a diagram showing a concept of processing of a medical information management system.

[Explanation of symbols]

10 ... Medical image generating device, 11 ... Measuring device, 12 ... Mobile terminal, 13 ... Control system, 14 ... Hospital information system,
15 ... Radiology information system, 16 ... Medical computer system, 17 ... Report system, 19 ... High speed network, 43 ... Treatment record file, 44 ... Accounting data file is high speed

Claims (7)

[Claims] 1. An instrument information input unit configured to input information on an instrument used for surgery during the surgery, and the instrument information input unit input the information on the instrument by the instrument. And a device information storage means for storing together with time information. 2. The medical information management system according to claim 1, further comprising cost information acquisition means for acquiring the instrument cost information based on the information on the instrument input by the instrument information input means. 3. The medical information management system according to claim 2, wherein the cost information acquisition unit retrieves a database unit that stores information regarding the condition of the device corresponding to the device. 4. The device according to claim 1, wherein when the information about the appliance input by the appliance information input means is number information uniquely assigned to the appliance, the appliance name information is acquired based on the number information. A medical information management system comprising: instrument name information acquisition means; and means for transmitting the instrument name information to the instrument information input means and displaying it on a display screen. 5. The device name information and the device cost according to claim 2, wherein the device information input by the device information input means is number information uniquely assigned to the device. Device characteristic information acquisition means for acquiring information on the characteristics of the device such as information, and information storage means for storing the device name information as a treatment record file and separately storing the device cost information as an accounting data file. A medical information management system characterized by that. 6. Information input means configured to be able to input information regarding an instrument used for surgery and information regarding a procedure, and information regarding the instrument and the procedure input by the information input means. A medical information management system comprising: information storage means for storing information together with time information when the instrument is used and time information when the procedure is performed. 7. The medical information management system according to claim 6, further comprising a report creating unit configured to create a report based on the information stored in the information storage unit.