JP2005353008A - Hospital information system, in-hospital information processing device, in-hospital information delivery method, and program - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a mechanism for providing various services by extracting required information while preventing the information which is not desired to be opened to outside of the hospital from being leaked. <P>SOLUTION: A manager is made to input and set mask information indicating nonpermission in provision of information relating to the information which cannot be opened to outside, and only information indicating permission in provision of the information by the mask information is to be extracted to an external server 3 which is located outside the hospital from an in-hospital server 1. Each of service applications 2-1 to 2-n to have been produced for every service provides a service after reading and utilizing the individually needed information from among pieces of in-hospital information extracted by the external server 3. Thereby the information such as personal information of patients etc. which is not desired to be opened to outside of the hospital, can be prevented from being leaked to outside. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

  The present invention relates to a system for managing electronic data handled in a hospital, and more particularly to a method of transferring data when electronic data is transferred outside the hospital.

  In the medical field as well, with the development of network technology and information processing technology, a system has been devised to convert information used in hospital facilities such as information on various medical practices and accounting information into electronic data and exchange it via a network. Has been put into practical use.

  For example, in Patent Document 1, a regional information server provided for each region is connected to a general household or a terminal provided in a medical facility in that region, and a general information server that exchanges information with each regional information server. A system for exchanging medical information and the like through a network such as the Internet is shown.

  In hospitals, various data on patients and their medical practices have been provided in hospitals via network from testing devices and terminal devices with the development of medical information linkage systems such as HIS (Hospital Information System). It is stored and managed in the hospital server.

  Various information stored and managed in the server in this hospital can be used not only in the hospital but also secondary to the outside of the hospital, but in this case as a way of transferring data to the outside of the hospital The raw data stored in the hospital server as a database is copied to the server outside the hospital as it is, or the service application outside the hospital directly acquires only the data items for secondary use from the hospital server The method of using it is taken.

FIG. 15 is an explanatory diagram of a conventional method of transferring data to the outside of a hospital.
FIG. 6A shows a case where each service application 102 that provides a service using data stored in the hospital server 101 individually reads data from an external server, and FIG. Indicates a case where the external server collectively collects data stored in the hospital server.

  In the case of FIG. 5A, the service applications 102-1 to 102-n individually access the in-hospital server 101 via the network and read out necessary data for the in-hospital server 101.

  In the case of FIG. 5B, the external server 103 sucks all the data stored in the hospital server 101 via the network, and each service application 102-1 to 102-n Necessary data is read out from secondary and used secondary.

FIG. 16 is a flowchart showing the data transfer process shown in FIG.
FIG. 15A shows the processing in the case of FIG. 15A. When the processing in FIG. 15 is started, first, in step S101, information related to the examination is transmitted from each device in the hospital to the hospital server 101. To do. In step S102, the in-hospital server 101 registers and stores this information in the internal database.

  In this state, each service application 102 that secondarily uses the data in the hospital server 101 accesses the hospital server 101 via the network and acquires only necessary information from the hospital server 101 (step S103) (step S103). S104). This information is utilized to realize the service (step S105).

  FIG. 16B shows the processing in the case of FIG. 15B, and when the processing in FIG. 16B is started, as in the case of FIG. In step S112, the in-hospital server 101 registers and stores this information in the internal database as in-hospital information.

  In this state, the external server 103 accesses the in-hospital server 101 via the network as step S113, and sucks and acquires all the in-hospital information stored and stored in the in-hospital server 101 as a database.

Next, each service application 102 that secondary uses the data in the hospital server 101 accesses the external server 103 via the network as step S113, and acquires only the necessary hospital information from the external server 103 (step S114). . This information is utilized to realize the service (step S115).
JP 2002-207822 (FIG. 1, paragraphs [0010] to [0014])

  As described above, when the in-hospital information is used outside the hospital, conventionally, the information collected by the in-hospital server 101 is directly acquired and used by the service application 102 using this information, or the external server 103 is used by the in-hospital server 101. The service application 102 uses only the necessary information from the external server 103.

  However, in the former method, the necessary information is accessed on-demand from the out-of-hospital information processing apparatus to the in-hospital information processing apparatus.On the other hand, the necessary information can be acquired and processed for each service application. Since the number of accesses to the in-hospital information processing apparatus increases, there is a problem that the load on the security and in-hospital server increases. In the latter method, all the information in the in-hospital information processing device is sucked up, so the out-of-hospital information processing device also picks up information that the hospital does not want to go out of the hospital or information that should not be out of the hospital due to laws / regulations. There's a problem. Furthermore, since all the information in the in-hospital information processing apparatus is sucked up, there is a problem that the amount of data transfer increases, and a large load is applied to the out-of-hospital information processing apparatus and the in-hospital information processing apparatus.

  In the former case, when it is necessary to create a plurality of service applications, it is necessary to provide a mechanism for acquiring information from the hospital information processing apparatus in each service application and hospital information processing apparatus. There is also a problem that it takes a lot of time and effort to expand the entire system including the apparatus, the out-of-hospital information processing apparatus, and the service application.

An object of the present invention is to provide a hospital information system having a mechanism for efficiently retrieving necessary information from a hospital server and providing each service.
In addition, hospital information that has a system to provide each service by sucking up necessary information while preventing leakage of information that you do not want to go out of the hospital, such as personal information from the hospital server, or information that should not be taken out of the hospital by law / discipline The problem is to provide a system.

  Further, it is an object of the present invention to provide a highly scalable hospital information system capable of minimizing changes even when the number of services increases and the number of service applications that provide the services increases.

  The hospital information system according to the present invention is premised on the provision of an in-hospital server for accumulating and managing in-hospital information handled in the hospital and an external server provided outside the hospital for reading data from the in-hospital server.

The in-hospital server includes in-hospital information storage means, mask information setting means, and publicly available information generation means in order to solve the above problems.
The in-hospital information storage means stores and accumulates in-hospital information collected from the hospital.

The mask information setting unit sets mask information indicating whether or not to permit provision to the outside of the hospital with respect to the in-hospital information stored in the in-hospital information storage unit.
Based on the mask information, the publicly available information generating unit generates publicly available information in a state in which the external server can read only what is permitted to be provided outside the hospital.

The external server includes a publicly available information reading unit and a publicly available information storage unit.
The publicly available information reading means reads the publicly available information from the hospital server.

The publicly available information storage means stores publicly available information read from the in-hospital server.
With this configuration, the external server reads publicly available information that does not include in-hospital information that is not permitted to be provided outside the hospital. Therefore, in-hospital information that is not permitted to be provided outside the hospital is not read out by the external server.

  The information processing apparatus further includes an information processing apparatus that accesses the external server, wherein the information processing apparatus selects necessary information from information in the publishable information stored in the publishable information storage unit, and selects the selected information. It is also possible to employ a configuration that includes one or a plurality of service application means provided for each of the services that perform services using information.

With this configuration, service is provided by the service application means.
Furthermore, the external server may be configured to further include means for sending authentication information to the hospital server and obtaining authentication permission.

With this configuration, the information stored in the hospital server can be accessed from the outside only when it is permitted by the authentication process.
In addition, the present invention relates to an in-hospital server that stores and manages in-hospital information handled in the hospital, a program executed by the in-hospital server, and an in-hospital server that stores and manages in-hospital information to the outside of the hospital. The scope of delivery includes in-hospital information delivery methods.

According to the present invention, in-hospital information can be efficiently acquired from outside the hospital.
Also, only in-hospital information that has been permitted to be provided to the outside by mask information is read to the outside so that information that should not be taken out of the hospital and information that should not be taken out of the hospital by law / discipline are prevented from leaking. I can do it.

  Furthermore, even when services using in-hospital information are newly increased and the number of service applications for realizing the services is increased, it is possible to easily cope with existing ones with a minimum change.

An embodiment according to the present invention will be described below with reference to the drawings.
FIG. 1 is a diagram showing a method of delivering hospital information to the outside by the hospital information system in the present embodiment.

  In the present embodiment, the privacy of the patient is collected from various information collected and stored in the hospital server 1 from each department and reception in the hospital via the hospital LAN installed in the hospital. Information indicating permission of information provision based on this mask information by allowing the administrator to set and input mask information that instructs disapproval of information provision for information that cannot be taken out of the hospital, such as such information And the external server 3 outside the hospital via the public network such as the Internet sucks up only the information. The service applications 2-1 to 2-n generated for each service read out necessary information from the in-hospital information stored in the external server 3 and permitted to be provided outside the hospital. To provide services.

  Thereby, it is possible to prevent information that is not desired to be taken out of the hospital, such as patient personal information, from leaking outside. Further, each service application 2-1 to 2-n reads necessary information from the external server 2 instead of the hospital server, so that the data transfer rate is less restricted. Furthermore, when it is necessary to create a new external service application 2, the data that is not taken out of the hospital in advance is extracted from the data in the hospital server 1 to the external server 3, and the data is used for secondary use. The service application 2 to be used can eliminate redundancy and have expandability.

  In this specification, the term “in-hospital server” is a computer that stores and manages information handled in the entire hospital facility, a server that is provided for each department and department in the hospital, etc. A comprehensive server for collecting, storing and managing data is used.

FIG. 2 is a schematic diagram showing an overall configuration of a portion laid in the hospital of the hospital information system in the present embodiment.
The hospital information system 10 has a configuration in which a plurality of terminals (terminals 12, 14, 16) are connected by a LAN 13.

  Among these, the terminal 12 is a terminal used when it is going to refer to the data stored in the hospital information system 10. In the same figure, portions 15, 17, and 19 surrounded by dotted lines indicate department systems arranged in each department in the hospital, and terminals 14 and 16 indicate terminals belonging to each department. ing. For example, in the medical department 15, when an examination using an endoscope is performed, the terminal 14 is used for creating an examination report in which a captured image of the endoscope is displayed or a doctor's findings are input. It is a terminal. The medical department 17 is also provided with a terminal 16 for displaying an image obtained in the examination or inputting an observation to create an examination report. The terminals 14 and 16 may be medical devices connected to a network.

  The electronic medical record system 18 is arranged, for example, at the reception of a hospital, schedules which patient receives a medical examination of which medical department, and stores information on patients who receive medical care at terminals of the respective medical departments 15, 17, and 19. This is a transmission system.

FIG. 3 is a diagram illustrating a configuration of a system provided in the medical department. This figure corresponds to the clinical department 15 part of FIG.
In FIG. 2, an inspection apparatus terminal 22, a report input / output terminal 24, a data transmission / reception terminal 28, and a printer 29 are connected to a LAN 23, which is a part of the LAN 13 of FIG. ing.

  The inspection device terminal 22 is an information processing terminal that processes acquired data such as control of inspection tools and inspection results. In the figure, an endoscopic inspection apparatus 21 is shown as an example of an inspection tool handled by the inspection apparatus terminal 22, and image data of an image captured by the endoscopic inspection apparatus 21 is taken into the inspection apparatus terminal 22. It is. The inspection device terminal 22 also performs processing such as specifying the type of the endoscopic inspection device 21.

  The report input / output terminal 24 is a terminal for a doctor who has performed an examination to input findings and create a report. The report created on the report input / output terminal 24 is sent to the hospital server 25 and the DVD control terminal 27. A report created by the report input / output terminal 24 can be printed by a printer 29b connected thereto.

  The in-hospital server 25 includes patient information such as the patient's name and age, examination information such as a report describing the image data and findings obtained as a result of the examination, and device information such as the type and usage time of the examination tool used for the examination. Data such as user information, which is information related to hospital staff such as doctors and nurses, is classified and stored in a database. These information collected via the LAN 23 is stored in the hospital as a database. The These are printed using the printer 29a based on an instruction from the user. The DVD control terminal 27 stores the image data obtained by the inspection on the DVD mounted on the DVD changer 26, and reads the image data stored on the DVD.

  The data transmission / reception terminal 28 is a terminal for receiving data related to a patient from the electronic medical chart system 18 and accessing data of other medical departments. The printer 29 is generally used to print data received by the data transmission / reception terminal 28 and to print data for other general purposes.

FIG. 4 is a diagram showing the configuration of the hospital server 25 shown in FIG.
The in-hospital server 25 may use an ordinary general-purpose computer, but its configuration is as shown in FIG.

In the configuration shown in the figure, a data control unit 36 realized by a CPU or the like performs data processing based on a program in the data storage unit, and stores data in the data storage unit 35 as necessary, or from the data storage unit 35. The processing described later is realized by reading. The data input unit 32 is connected to a pointing device such as a mouse and an input device such as a keyboard for a user to input instructions. The doctor inputs information such as findings by operating the input device. The data display unit 34 is connected to the PC monitor, and sends data for displaying an information setting input screen (to be described later) on the PC monitor. Network I
/ F31 is an interface for exchanging data with other devices via the in-hospital LAN. A printer is connected to the printer I / F 33, and hospital information and the like stored in the external server are printed out.

FIG. 5 is a diagram showing an outline of the overall configuration of the hospital information system and the information flow in the present embodiment.
This figure shows that the service center that manages the equipment used for examinations using the in-hospital information handled by the hospital picks up in-hospital information consisting of text data, image data, etc. from the hospital, and uses this in-hospital information. As an example, the maintenance of inspection tools and services such as billing are performed.

  Each device 43-1 to 43-m (corresponding to the endoscope inspection device 21 and the inspection device terminal 22 in FIG. 3) connected to the in-hospital LAN 41 which is a network in the hospital 40 and its terminals, Various information generated in one or a plurality of terminal devices 42 (corresponding to the terminals 12, 14, 16 in FIG. 2) is transferred to the in-hospital server 45 via the in-hospital LAN 41 (corresponding to the LAN 13 in FIG. 2) as shown in the route R1. (Corresponding to the in-hospital server 25 in FIG. 3), and storing / accumulating in the in-hospital server 45.

  When there is a request for reading data stored in the hospital server 45 from the external server 55 in the external facility 50 such as a service center outside the hospital facility 40 from the route R2 or R3, Only the information that the side has permitted to provide to the outside is taken up and stored in the external server 55 by the route R4 (or R5) which is the reverse route of the route R2 (or R3).

  Information stored in the external server 55 is acquired by each service application 56-1 to 56-n via the in-house LAN 51 as indicated by the route R6 in response to a request from a service application used in each service. Secondary use.

  Of the information flow shown in the figure, the route R2 (and R4) exchanges information via the Internet network 61. In the route R2, the external server 55 in the external facility 50 and the hospital facility 40 The in-hospital server 45 is connected to the network 61 via a VPN (Virtual Private Network) 44 (VPN 53) and a firewall 47 (fire wall 52) to improve the security of data communication. The route R3 (and R5) exchanges information via a network 62 using a public line such as a telephone line. The external server 55 in the external facility 50 and the hospital server 45 in the hospital facility 40 are: The dial-up router 46 (dial-up router 54) is used to connect the two via the network 62.

  In FIG. 5, the external facility 50 that is a service center is connected to one hospital facility 40, but the external facility 50 is connected to a plurality of hospital facilities 40 via networks 61 and 62. It is good also as a structure which sucks in-hospital information from these some hospital facilities 40, and provides a service. In this case, by targeting a plurality of hospitals, it is possible to provide a wider service using in-hospital information collected from a plurality of hospitals.

  The service applications 56-1 to 56-n are provided in the same external facility 50 as the external server 55, but part or all of these service applications 56-1 to 56-n It may be configured in a facility different from the external facility 50 in which the external server 55 is installed, and necessary hospital information is read from the external server 55 via a dedicated line or networks 61 and 62.

  In such a system configuration, for example, in the case of endoscopic examination, the endoscopic examination apparatus performing the endoscopic examination receives information from the endoscopic examination apparatus terminal 43 on device usage information and examination information. The information based on the examination result, the photographed image information, etc. are transmitted to the in-hospital server, and when the endoscope is washed after the examination, the information related to the washing process is sent from the endoscope washing apparatus to the in-hospital server.

  The in-hospital server 45 includes the number of endoscopy rooms, the number of endoscopy apparatuses, the number of endoscopes, the endoscope cleaning, in addition to information on patients and examinations transmitted from each device 43 and terminal as needed. Information on equipment such as the number of devices is also recorded and managed as in-hospital information, and the in-hospital server administrator is allowed to provide information outside the hospital by mask information setting processing described later. The mask information indicating whether or not to perform the input is input, and only the information permitted to be provided to the outside by the mask information is sucked into the external server 55.

In the external facility, the service application 56 implements the service using the information collected by the external server 55.
As this service, for example, among the information stored in the external server 55, the number of endoscopy, the examination time, the number of doctors and nurses, the number of examination rooms, the number of scopes, the number of endoscope washing machines For this reason, this hospital demands how many scopes and endoscope washing machines can be used for efficient inspection, advice on efficient use of equipment, and when establishing a new hospital or facility Consultation service for consulting on installation and introduction of equipment related to endoscopy at the time of introduction, number of endoscopy, use of special functions of endoscopic equipment, number of times of use of scope, etc. Equipment leases, billing services, etc. can be considered.

Next, the flow of various information in the hospital information system according to the present embodiment will be described more specifically with an example of the flow of various information generated by endoscopy.
FIG. 6 is a diagram showing a flow of processing in the hospital at the time of endoscopy and main in-hospital information generated at that time.

  In the figure, when a patient visits the hospital as step S1 and the reception process is performed at the reception of the medical department receiving treatment as step S2, the patient information received from the terminal by the hospital staff at the reception or the patient received from the HIS Information is stored in the hospital server of the department.

  Next, in step S3, when the patient receives body temperature and pulse measurements as a pretreatment for endoscopy, these implementation records and vital sign data as the measurement results are input from the terminal and stored in the hospital server. Is done.

  In starting the endoscopy, in the preparation (step S4), information specifying an inspection tool such as an endoscopic device to be used is input from the terminal. At the time of inspection (step S5), the image data of the captured endoscopic image, information on the equipment used, and the implementation record of the equipment used are sent to the hospital server from the inspection device terminal to which each equipment is connected, The hospital server records and stores these data in a database.

  Endoscopy is completed (step S6), while the patient is resting in the recovery room (step S7), body temperature and pulse are measured, and these results are input from the terminal as vital sign data. , Sent to the hospital server.

  When the endoscopic examination is completed, the doctor in charge creates an examination report in step S8. In creating this report, finding data, annotation data for the endoscopic image taken in the examination, and diagnostic data are input from the terminal and sent to the hospital server. Thereafter, the test result is explained to the patient in step S9.

  An instrument such as an endoscope used in the endoscopic examination as step S10 is stored in the place determined as step S11 after being cleaned by the endoscope cleaning device. The cleaning cycle log and cleaning history data are sent to the hospital server.

  The in-hospital information shown in FIG. 6 is sent to the in-hospital server at any time via the in-hospital LAN. The in-hospital server stores and manages the in-hospital information in a database. The in-hospital information is input by the administrator of the in-hospital server as mask information indicating whether or not to permit the provision to the outside of the hospital, and only the information permitted to be provided to the outside by the mask information is input to the external server. To suck.

FIG. 7 is a flowchart showing the operation process of the hospital server during the mask information setting process.
With this process, setting is made as to whether or not to permit disclosure of the in-hospital information stored in the in-hospital server to the outside.

In the figure, in step S21, the administrator of the hospital server logs in to the hospital server from the hospital server or from a terminal connected to the hospital server via the hospital LAN.
Next, in step S22, the administrator of the hospital server inputs the authentication password, performs authentication processing with reference to the authentication information by the input password, and if the authentication permission is not given, the subsequent processing is stopped.

If authentication is permitted in the authentication process of step S22, the hospital server then activates a mask information setting application as step S23.
This mask information setting application performs a mask information setting process for setting whether to permit external provision of information recorded and stored in the hospital server. On the hospital server, the mask information setting application is started in step S23. In step S24, the mask information setting application thus displayed displays a mask information setting screen in which items of the in-hospital information held by the in-hospital server are displayed on the screen of the terminal logged into the in-hospital server in step S21. In step S25, the in-hospital server administrator is prompted to select an item of information that is not permitted to be provided from the screen displayed in step S24.

FIG. 8 is a diagram showing an example of the mask information setting screen displayed in step S24.
In the screen example of FIG. 6, the administrator of the in-hospital server operates the pointing device or the like to select the tab 71 from the screen and selects “patient information”, “examination information”, “apparatus information”, and “user information”. Check the radio button 72 for the information item that you want to make private from the detailed information items in the tab 71 that you have selected next, and select the item (the item indicated by ● in the figure is selected) Then, after pressing the “Register” button 74 to record the contents of the selection instruction, the “Close” 73 is pressed to complete the mask information setting instruction. The classification of “patient information”, “examination information”, “apparatus information”, and “user information” for the in-hospital information database in the in-hospital server is an example. An appropriate classification method can be used depending on how the data structure is defined in the database.

  When the administrator of the in-hospital server selects and inputs all the information items to be kept private from the mask information setting screen as shown in FIG. 8, and presses the “Register” button 74 from the screen (step S26, Yes) In step S27, the in-hospital server stores and manages private in-hospital information item data indicating the item selected and input in step S25 as mask information.

  Next, in step S28, the in-hospital server generates and executes a definition statement using an SQL code for creating publicly available in-hospital information view based on the non-open in-hospital information item data stored in step S27, and can make the in-hospital information available. After creating the view, in step S30, the mask information setting screen is closed and the process is terminated.

FIG. 9 is a diagram showing an example of in-hospital information stored in the in-hospital server that is a source for creating a view in step S28.
The figure shows an act .. in which information on patient information is stored. patient_table is shown as an example. The patient_table has information items classified as patient information as columns, and the column name of the information item, the Japanese name, and the subsequent rows of characters and numeric data corresponding to the column with characters and numeric values. (Not shown) is stored. In this example, the in-hospital data collected in the in-hospital server is made into a database, and the act.corresponding to the “patient information”, “examination information”, “apparatus information”, and “user information” described above. patient_table, act. study_table, act. equipment_table, and act. It is stored as user_table. These table configurations are merely examples, and an appropriate configuration may be taken depending on the type of information collected and stored and the method of defining the data configuration in the database.

FIG. 10 is a diagram illustrating an example of a definition sentence using an SQL code for creating the publicly available in-hospital information view generated in step S29.
The definition sentence in FIG. 6 defines the generation of a view for “patient information”, “examination information”, and “apparatus information” by an SQL command. Among the patient_table columns, the values of PatientID (patient ID), PatientName (patient name), Age (age),... that the non-public hospital information item data stored in step S27 in FIG. A table in which “-----” is replaced with “Reft. As the “patient_table”, “inspection information” and “apparatus information” are not disclosed in the in-hospital in-hospital information item data. study_table and act. The equipment_table is directly changed to ref. study_table and ref. As an equipment_table, it is defined that a view is generated.

  By executing the definition statement by SQL shown in FIG. 10, a view replaced with “-----” is generated for the item designated as non-public, and the external server displays this view. Can be prevented from leaking to the outside information that is not permitted to be released.

FIG. 11 is a flowchart showing processing executed in the external server when information is downloaded from the hospital server.
When the process is started in the figure, first, in step S41, a staff of a facility such as a service center starts a publicly available in-hospital information acquisition application on an external server. This publicly available in-hospital information acquisition application downloads information from each hospital using a network.

  This openable in-hospital information acquisition application displays a selection screen as step S42, and makes the staff of a facility such as a service center select a hospital from which information is to be acquired (No at step S43).

FIG. 12 is a diagram showing an example of a hospital selection screen displayed at this time.
In the screen example shown in the figure, tabs 81 of “A-ko”, “Sa-to”, “Na-ho”, and “Ma-on” are displayed on the screen by operating the pointing device and the like to sort hospital names in order. Next, the target hospital name is selected from the hospital names shown in the selected tab 81 by checking the radio button 82 (the part indicated by ● in the figure indicates the selected item). Thereafter, after the contents of the selection instruction by pressing the “connect” button 84 are recorded, the selection instruction by the operator is registered by pressing the “close” 83, and the process moves to the next network connection process to the hospital.

  When the staff of a facility such as a service center selects a hospital from the screen shown in FIG. 12 and presses the “Connect” button 84 (Yes in step S43), the selected one or more are selected as step S44. 5 is connected to the hospital facility via the network 61 or 62 shown in FIG. 5, and the staff is made to input the authentication password for obtaining the authentication permission to the hospital selected in step S42, and is sent to the hospital server of the corresponding hospital. To perform the authentication process. When the authentication permission is obtained from the hospital server, in step S45, the external server accesses the publicly available hospital information View generated by the hospital server in step S28 of FIG. 7, which is stored in the hospital server of the hospital.

  Next, in step S46, the external server causes the staff to designate and input the period of in-hospital information that is desired to be extracted from the in-hospital server. In step S47, the publicly available in-hospital information corresponding to the designated and input period is downloaded, stored and managed, and when connected via the network 62, the network line is disconnected and the process is terminated. .

FIG. 13 is a diagram illustrating an example of publicly available in-hospital information that the external server sucks up from the hospital in step S47.
Of the publicly available in-hospital information that the external server sucked up from the in-hospital server, the same figure (a) shows in-hospital facility information indicating information about the endoscopic equipment in the hospital. The upper scope, the lower scope, the video processor, The types and numbers of treatment tools, vital sign monitors and endoscope systems used in the mirror are stored. FIG. 5B shows examination information indicating information about an endoscopic examination performed at a hospital. The name of the patient who conducted the examination, the date of visit, the examination start time, the examination type, the scope name used and its ID, The number of endoscopic images taken, the name of the examining doctor, the name of the nurse, the name of the treatment instrument used and the number thereof, the name of the medicine used and the number thereof are stored. The figure (c) is equipment information which is information about the maintenance of the endoscopic equipment in the hospital. The target equipment name, the date of purchase of the equipment, the unit price, the number of times of use, the date of failure, the repair company, the warranty period, The use permission and repair application date are stored. The figure (d) is the information about the washing machine of the endoscope, the scope name and its ID of the scope washed by the washing machine, the name and ID of the person executing the washing process, the washing start time, and the time when the washing process is executed. Various setting information of the washing apparatus is stored. Figure (e) shows in-hospital resource information, which is information about the endoscopy staff and equipment in the hospital, the number of endoscopists, nurses and cleaning personnel, the number of examinations per day, and vitals. The total number of monitors, scopes and video processors is stored.

  If the information shown in FIG. 13 is associated with the above-mentioned classification of in-hospital information, the in-hospital equipment information shown in FIG. 13A, the equipment information shown in FIG. The information about the washing machine corresponds to the device information, the inspection information shown in FIG. 5B corresponds to the inspection information, and the in-hospital resource information shown in FIG.

  In the example of FIG. 13, since the patient name in the examination information is set as non-public in the hospital server, in FIG. 13B, the item portion is “-----”. The patient name is not read out to the external server.

  The publicly available in-hospital information sucked up by the external server from the hospital may be stored in the external server as raw data, and each service application may process this raw data. It is good also as a structure which processes to and each service application reads the data.

  FIG. 14 is a flowchart showing processing by each service application. This service application is executed on the information processing apparatus connected to the external server 55 via the terminal 56 connected to the in-house LAN 51 in the external facility 50 of FIG.

When the process shown in FIG. 6 is started, first, in step S51, the terminal in which each service application is operating accesses an external server via an in-house LAN or the like.
Next, in step S52, the service application running on the terminal causes the user to input an authentication password for obtaining authentication permission to the external server, and sends the authentication password to the external server to perform authentication processing.

  If authentication permission is obtained from the external server in step S52, the service application displays a selection screen on the terminal and causes the user to select a facility for information processing in step S53.

  Next, the service application reads the publicly available in-hospital information recorded and managed in the external server, and in step S55, selects necessary data for executing the service from the openable in-hospital information and extracts necessary data. In step S56, various processes are executed using the data. In step S57, the processing result is output, and the process is terminated.

As described above, in the hospital information system according to the present embodiment, it is possible to realize a mechanism for efficiently retrieving in-hospital information from outside the hospital and providing each service.
In addition, only in-hospital information that is permitted to be provided to the outside among the in-hospital information handled in the hospital is read out to the outside, so that it is possible to prevent leakage of information such as personal information that is not desired to be sent to the outside.

  Furthermore, even when services using in-hospital information are newly increased and the number of service applications for realizing the services is increased, it is possible to easily cope with existing ones with a minimum change.

  In the hospital information system according to the present embodiment, information is exchanged between a hospital facility and an external facility such as a service center via a network. However, the information may be transferred using a portable storage medium such as a DVD. .

  In-hospital information collected in the hospital server in the hospital is stored in a database and is stored and managed. This database is not only based on SQL, but also based on a database system constructed by another data manipulation language. There may be.

It is a figure which shows the method of the delivery of the in-hospital information to the exterior by the hospital information system in this embodiment. It is the schematic which shows the whole structure of the part laid in the hospital of the hospital information system in this embodiment. It is a figure which shows the structure of the system provided in a medical department. It is a figure which shows the structure of the hospital server. It is a figure which shows the outline of the whole structure of the hospital information system in this embodiment, and the flow of information. It is a figure which shows the processing flow in the hospital at the time of an endoscopy, and the main in-hospital information produced at that time. It is a flowchart which shows the operation | movement process of the hospital server at the time of a mask information setting process. It is a figure which shows the example of a mask information setting screen. It is a figure which shows the example of the hospital information memorize | stored in the hospital server. It is a figure which shows the example of the definition sentence by a SQL code for creating publicly available hospital information View. It is a flowchart which shows the process performed in an external server when performing the siphoning of information from the in-hospital server of a hospital. It is a figure which shows the example of a selection screen of a hospital. It is a figure which shows the example of the openable in-hospital information which the external server sucked up from the hospital. It is a flowchart which shows the process by a service application. It is explanatory drawing of the method of the delivery of the data outside the conventional hospital. It is a flowchart which shows the process of the delivery of the conventional data.

Explanation of symbols

1, 25, 45, 103 Hospital server 2, 56, 102 Service application 3, 55, 103 External server 10 Hospital information system 12, 14, 16, 42 Terminal device 13, 23, 41 Hospital LAN
15, 17 Medical Department 18 Electronic Medical Record System 21 Endoscope Inspection Equipment 22 Inspection Equipment Terminal 24 Report Input / Output Terminal 26 DVD Changer 27 DVD Control Terminal 28 Data Transmission / Reception Terminal 29 Printer 31 Network I / F
32 Data input section 33 Printer I / F
34 Data display section 35 Data storage section 36 Data control section 40 Hospital facility 43 Equipment 44, 53 VPN
46, 54 Dial-up router 47, 52 Firewall 50 External facility 51 Internal LAN

Claims (9)

A hospital information system comprising an in-hospital information processing apparatus that stores and manages in-hospital information handled in a hospital, and an out-of-hospital information processing apparatus that is provided outside the hospital and reads data from the in-hospital information processing apparatus,
The in-hospital information processing device
In-hospital information storage means for storing and accumulating in-hospital information collected from the hospital;
Mask information setting means for setting mask information indicating whether or not to allow provision to the outside of the hospital for in-hospital information stored in the in-hospital information storage means;
Based on the mask information, publishable information generating means for generating publishable information in which the out-of-hospital information processing apparatus can read only the ones permitted to be provided outside the hospital;
With
The out-of-hospital information processing device
Publicly available information reading means for reading the publicly available information from the in-hospital information processing device;
Publicly available information storage means for storing publicly available information read from the in-hospital information processing device;
A hospital information system characterized by comprising: An information processing terminal for accessing the out-of-hospital information processing apparatus;
The information processing terminal is provided for each service that selects necessary information from the information in the publishable information stored in the publishable information storage means and performs a service using the selected information. The hospital information system according to claim 1, further comprising one or more service application means. The out-of-hospital information processing device
The hospital information system according to claim 1 or 2, further comprising means for sending authentication information to the in-hospital information processing apparatus and obtaining authentication permission. The out-of-hospital information processing apparatus further comprises network connection means for connecting to the hospital via a network,
The hospital information system according to any one of claims 1 to 3, wherein the publicly available information reading unit reads the publicly available information from the in-hospital information processing apparatus via the network. In the in-hospital information processing device that stores and manages in-hospital information handled in the hospital,
In-hospital information storage means for storing and accumulating in-hospital information collected from the hospital;
Mask information setting means for setting mask information indicating whether or not to allow provision to the outside of the hospital for in-hospital information stored in the in-hospital information storage means;
Based on the mask information, publishable information generating means for generating publishable information in which the out-of-hospital information processing device can read only what is permitted to be provided outside the hospital;
An in-hospital information processing apparatus comprising: The mask setting means indicates to the user the types of in-hospital information items stored in the storage means, and determines whether or not to allow the user to provide each of the in-hospital information items to the outside of the hospital. A user instruction input means for inputting a selection instruction;
The in-hospital information processing apparatus according to claim 5, wherein the mask setting unit sets the mask information based on the selection instruction.   The hospital information system according to claim 5 or 6, characterized in that authentication information is input by a user and authentication processing is performed using the authentication information. It is a method for delivering in-hospital information that passes the in-hospital information from the in-hospital information processing device that stores and manages the in-hospital information handled in the hospital to the outside of the hospital,
For the in-hospital information collected from the hospital and stored in the in-hospital information processing apparatus, set mask information indicating whether to allow the provision to the outside of the hospital,
A method for delivering in-hospital information, characterized in that, based on the mask information, publicly available information is generated in which only the information permitted to be provided outside the hospital can be read by the out-of-hospital information processing apparatus. A program executed in a hospital information processing device that stores and manages hospital information handled in a hospital,
A function of setting mask information indicating whether or not to permit provision to the outside of the hospital, with respect to the in-hospital information collected from the hospital and accumulated in the in-hospital information processing device;
Based on the mask information, a function to generate publicly available information in which the out-of-hospital information processing device can read only what is permitted to be provided outside the hospital;
A program that realizes

Images