Patient information sharing system, patient information sharing method, patient information sharing program, and management doctor terminal device

Abstract

To provide a patient information sharing system, a patient information sharing method, a patient information sharing program, and a management doctor terminal device that support the cooperation between multiple types of occupation and between doctors related to a patient.SOLUTION: A patient information sharing system transmits and receives information on a patient via a communication network to share the information on the patient between users including a plurality of observers who observe the patient, and comprises: a patient information management device that manages the information on the patient; a management doctor terminal device having a setting unit that sets input items for the information on the patient; and an observer terminal device having an input unit that receives input of the information on the patient. The setting unit of the management doctor terminal device has a stationary template setting function to inhibit a change of input items in the observer terminal device that can access information on a specific patient.SELECTED DRAWING: Figure 1

Description

[Technical field]

[0001] The present invention relates to a patient information sharing system, a patient information sharing method, a patient information sharing program, and a managing doctor terminal device. [Background technology]

[0002] In recent years, policies for regional medical care plans have been formulated as a measure to establish a sustainable social security system. Regional medical care plans are an effort to estimate the number of hospital beds required for each medical function based on future population projections, promote functional differentiation and cooperation of regional medical care, and realize an efficient medical care delivery system. In regional medical care plans, each medical institution will choose one of four medical functions: highly acute, acute, recovery, and chronic, and patients will not remain in one hospital, but will be transferred to the most appropriate hospital depending on their treatment progress and symptoms.

[0003] On the other hand, it is expected that the number of elderly people who need both medical care and nursing care will increase by 2025, when the baby boomer generation will be 75 years or older. In order to enable people who need nursing care to live independent daily lives in the areas they are familiar with as much as possible, it is urgent to establish a comprehensive community care system that comprehensively ensures medical care, nursing care, prevention, housing, and lifestyle support, and it is hoped that cooperation between home medical care and nursing care will be promoted.

[0004] Regarding home medical care, information sharing systems between medical professionals and caregivers and systems that utilize social networks have made it possible for those in charge of home medical care and nursing care to share information (for example, Patent Document 1). Patent Document 1 discloses that the patient's attending physician works with a care group (doctors, nurses, physical therapists, helpers, family members, etc.) to share care information and provide medical care to the patient under his / her care.

[0005] Community medical initiatives and community-based integrated care are expected to become the twin pillars of the social security system of the future. From the perspective of community medical initiatives and home medical care, it would be desirable to further expand collaboration among multiple professions, such as doctors, nurses, pharmacists, care managers, physiotherapists, and helpers who are involved with patients, as well as collaboration between doctors who are specialized according to medical function.

[0006] As an example of a system used by multiple parties, Patent Document 2 discloses an information processing system that analyzes information collected from multiple information providers. Patent Document 2 describes that when electronic medical records are analyzed using the information processing system, doctors at each hospital input the patient's medical examination information in a common format common to all hospitals. [Prior art documents] [Patent documents]

[0007] [Patent Document 1] JP 2017-073013 A [Patent Document 2] JP 2018-028886 A Summary of the Invention [Problem to be solved by the invention]

[0008] The present invention aims to provide a patient information sharing system, a patient information sharing method, a patient information sharing program, and a managing doctor terminal device that support collaboration between multiple professions and doctors involved with patients. [Means for solving the problem]

[0009] The patient information sharing system according to the present invention is a patient information sharing system that transmits and receives information about a patient between users including a plurality of observers who observe a patient via a communication network, and shares the information about the patient, A patient information management device for managing information regarding patients; A management doctor terminal device having a setting unit for setting input items of information about a patient; an observer terminal device having an input unit that accepts input of information about a patient according to input items set in the managing doctor terminal device; The setting unit of the managing doctor terminal device has a fixed template setting function that makes it impossible to change input items on the observer terminal device that can access information on a specific patient, The managing doctor terminal device and the observer terminal device each have an output section that outputs inputted information about the patient.

[0010] The input items are set for each patient, It is preferable that the setting section of the managing physician terminal device sets common input items for multiple patients. The setting section of the managing doctor terminal device preferably has an optional setting function for optional setting of input items in the observer terminal device that can access information on patients other than the specific patient. The setting section of the managing doctor terminal device preferably has a mandatory setting function for assigning mandatory input conditions for each input item for input at the observer terminal device that can access information on a specific patient. It is preferable that the patient information management device transmits a notification to users registered in the system prompting them to input information about the patient after a predetermined period has elapsed from a reference date set in the setting section of the managing physician terminal device. It is preferable that the patient information management device transmits a plurality of notifications, which are preset in a setting section of the managing physician terminal device, each after a predetermined period of time has elapsed. It is preferable that the setting section of the managing physician terminal device sets input items of information about the patient that are prompted to be input for each notification that is set. It is preferable that the output section of the managing physician terminal device outputs, for each patient, information about the patient input at each predetermined time period together with information about the input date. The patient information is preferably any combination of diagnosis, prescribed medications, assessments and patient status. It is preferable that the output section of the managing physician terminal device outputs and displays the inputted information about the patient in a manner that arranges common items by diagnosis, by prescribed drug, or by the passage of a specified period of time. It is preferable that the users include any two or more of highly acute care hospitals, acute care hospitals, convalescent care hospitals, and chronic care hospitals. The managing physician terminal device is a terminal of one of the following hospitals: a highly acute care hospital, an acute care hospital, a recovery care hospital, or a chronic care hospital, and it is preferable that a hospital other than the managing physician terminal device is set as an observer terminal device. It is preferable that the diagnosis is the name of a disease related to fracture, and that the patient information sharing system, the patient information sharing method, the patient information sharing program, and the managing physician terminal device aim to prevent secondary fractures. It is preferable that the notification prompting the input of information about the patient is sent at predetermined intervals from the reference date.

[0011] A patient information sharing method according to the present invention is a patient information sharing method for transmitting and receiving information about a patient between users including a plurality of observers who observe a patient via a communication network, and sharing the information about the patient, comprising: The patient information management device receives fixed template information, which is set in a setting unit of the management doctor terminal device and fixes input items of information about the patient to be input in the observer terminal device related to the common patient, from the management doctor terminal device via a communication network; The patient information storage unit of the patient information management device stores fixed template information, The patient information management device transmits the fixed template information to the observer terminal device via the communication network, Fixed template information is input item information for information about a patient that is set only in the managing physician terminal device, and is input item information that cannot be changed in the observer terminal device that can access information about a specific patient.

[0012] A patient information sharing program according to the present invention is a patient information sharing program for transmitting and receiving information about a patient between users including a plurality of observers who observe a patient via a communication network, and for sharing the information about the patient, comprising: A step in which the patient information management device receives fixed template information, which is set in a setting unit of the management doctor terminal device and fixes input items of information about the patient to be input in the observer terminal device related to the common patient, from the management doctor terminal device via a communication network; A step in which a patient information storage unit of a patient information management device stores fixed template information; The patient information management device transmits the fixed template information to the observer terminal device via a communication network; Fixed template information is input item information for information about a patient that is set only in the managing physician terminal device, and is input item information that cannot be changed in the observer terminal device that can access information about a specific patient.

[0013] The managing doctor terminal device according to the present invention is a managing doctor terminal device that transmits and receives information about a patient to and from a patient information management device via a communication network, A setting unit for setting input items of information about a patient; an input unit for receiving input of information regarding a patient; an output unit that outputs the input information about the patient, The setting section has a template setting function that disables changes to input items in an observer terminal device that can access information about a specific patient. Effect of the Invention

[0014] The patient information sharing system, patient information sharing method, patient information sharing program, and managing physician terminal device disclosed in this specification can further support collaboration between multiple professions and physicians involved with patients. [Brief description of the drawings]

[0015] [Figure 1] 1 is a conceptual diagram of a patient information sharing system according to an embodiment of the present invention. [Diagram 2] 1 is a configuration diagram of a patient information sharing system according to an embodiment of the present invention. [Diagram 3] A figure showing an example of an input screen for patient information created on a managing physician terminal device in an embodiment of the present invention. [Figure 4] A figure showing an example of an input screen for patient information created on a managing physician terminal device in an embodiment of the present invention. [Diagram 5] 13 is a flowchart for explaining the operational procedure for setting a fixed template on a managing physician terminal device in a patient information sharing program according to an embodiment of the present invention. [Figure 6] 13 is a flowchart for explaining the operational procedure for notification settings at a managing physician terminal device in a patient information sharing program according to an embodiment of the present invention. [Figure 7] 11 is a flowchart for explaining an operation procedure for setting a fixed template in a patient information management device in a patient information sharing program according to an embodiment of the present invention. [Figure 8] 11 is a flowchart for explaining an operational procedure for setting notifications in a patient information management device in a patient information sharing program according to an embodiment of the present invention. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0016] The patient information sharing system, the patient information sharing method, the patient information sharing program, and the managing doctor terminal device according to the present invention will be described below with reference to the drawings. However, it should be noted that the technical scope of the present invention is not limited to the embodiments, but extends to the inventions described in the claims and their equivalents.

[0017] Fig. 1 shows a conceptual diagram of a patient information sharing system according to an embodiment of the present invention. In the patient information sharing system 1000, a plurality of observers work together to provide care for one patient P. In the example shown in Fig. 1, care is provided for the patient P by a primary doctor (e.g., an acute care hospital) 102, a doctor at a convalescent care hospital 103, a caregiver 104, and a care manager 105. However, the present invention is not limited to this example, and care for the patient P may also be provided by other medical professionals such as a visiting nurse, a pharmacist, or a family doctor.

[0018] The patient information sharing system 1000 aims to provide prompt and accurate care for the patient P by having multiple observers (102 to 105) upload information 106 about the patient P to a server and sharing the uploaded information among the multiple observers (102 to 105). Here, the observers (102 to 105) are set by person in charge information about multiple persons in charge of multiple patients including the patient P. FIG. 1 shows an example in which the system is introduced and managed by a medical association office or a local government, etc. as the administrator 101 for system introduction and management purposes, but the attending doctor may also serve as the administrator. When the administrator is set in the medical association office or a local government, etc. for system introduction and management purposes, the administrator initially set in the medical association office or the local government, etc., from the viewpoint of usability, can set the attending doctor as the administrator by granting administrator authority to the attending doctor (or the hospital where the attending doctor works) who is to use the patient information sharing system.

[0019] FIG. 2 shows a configuration diagram of a patient information sharing system 1000 according to an embodiment of the present invention. The patient information sharing system 1000 includes a patient information management device 200 for managing information about a patient, a plurality of observer terminal devices (500, 501...) of a plurality of observers (102-105) who observe a patient P, a managing doctor terminal device 400 of an administrator 101, and a communication network 300 for communication between them, and is connected via the communication network 300. The administrator 101 and each of the plurality of observers (102-105) shown in FIG. 1 can upload information using the managing doctor terminal device 400 or the observer terminals (500, 501...). Although only a portion of the plurality of observer terminal devices (500, 501...) is shown in FIG. 2, each of the plurality of observers (102-105) has an observer terminal device. The patient information management device 200 is a server device, and manages information uploaded from the managing doctor terminal device 400 and a plurality of observer terminal devices (500, 501, . . . ).

[0020] The patient information management device 200 has a control unit 201, a patient information storage unit 202, and a communication interface (I / F) 203, which are connected to each other via an internal bus 204.

[0021] The control unit 201 includes a CPU. The control unit 201 controls the patient information management device 200 by executing a patient information sharing program stored in the patient information storage unit 202.

[0022] The patient information storage unit 202 stores patient information that is related to a patient and is shared among the attending physician and multiple observers who observe the patient. The patient information storage unit 202 stores a patient information sharing program for controlling the patient information management device 200. The patient information storage unit 202 can be a storage device such as a RAM or a ROM, or a storage device such as an optical disk.

[0023] The communication I / F 203 is connected to a managing physician terminal device 400 and multiple observer terminal devices (500, 501, ...) via a communication network 300, and exchanges information including patient information and contact book messages (hereinafter simply referred to as "messages").

[0024] The managing physician terminal device is a terminal with administrator authority, and is a terminal of a hospital such as an advanced acute care hospital, an acute care hospital, a convalescent care hospital, or a chronic care hospital, or a terminal of an administrator of a medical association secretariat or a local government, etc. In the present invention, it is advantageous from the viewpoint of usability for the attending physician if a hospital such as an advanced acute care hospital, an acute care hospital, a convalescent care hospital, or a chronic care hospital is set in the managing physician terminal device and used, but a medical association secretariat or a local government, etc. with administrator authority may set the attending physician (or the hospital where the attending physician works) who is to use the patient information sharing system of the present invention as the administrator and allow it to be used. Of course, the medical association secretariat or the local government, etc. may be used as it is set as the administrator.

[0025] When multiple doctors are involved with one patient P, the terminals other than the doctor with administrator authority (or the hospital where the doctor works) are set as one of the observer terminal devices. In an intermediate situation, when the patient P's doctor is changed, for example, from a convalescent hospital to a chronic care hospital, the terminal of the chronic care hospital can be set as the managing doctor terminal device by granting administrator authority to the chronic care hospital in accordance with the change of doctor.

[0026] The managing doctor terminal device 400 has a control unit 400a, a communication interface (I / F) 400b, a memory unit 400c, a setting unit 400d, an input unit 400e, and an output unit 400f, which are connected to each other by an internal bus 400g. The managing doctor terminal device 400 can be a personal computer, a smartphone, a tablet terminal, or the like.

[0027] The control unit 400a includes a CPU. The control unit 400a controls the managing doctor terminal device 400 by executing a program for the managing doctor terminal device stored in the storage unit 400c.

[0028] The communication I / F 400b is connected to the patient information management device 200 and the observer terminals (500, 501, . . . ) via the communication network 300, and exchanges information including patient information and messages.

[0029] The storage unit 400c stores a program for the managing doctor terminal device for controlling the managing doctor terminal device 400. The storage unit 400c may be a storage device such as a RAM or a ROM, or a storage device such as an optical disk.

[0030] The setting unit 400d of the managing doctor terminal device can set input items to be input as the patient information 106 in common to all observer terminal devices related to the patient P. Items that can be set by the setting unit 400d of the managing doctor terminal device include not only items that are prepared in advance as defaults in the system, but also items newly created by the managing doctor terminal device. The setting unit 400d of the managing doctor terminal device has a template setting function that fixes the input items of the patient information. The fixed template setting function is a function that makes it impossible to change the input items, such as editing or deleting, in the managing doctor terminal device 400 and other observer terminal devices (500, 501, . . .) linked with a specific patient P. Here, editing means swapping the input items, changing the item names, changing the contents of the options, etc. When the fixed template setting is performed, the fixed template setting part of the patient information 106 cannot be changed in the managing doctor terminal device 400 and the observer terminal devices (500, 501, . . .), and the items can be unified with the items set in the setting unit 400d of the managing doctor terminal. In addition, the fixed template setting is not a mandatory common format that requires input, but a loose fixation that does not allow input items to be changed, so it is possible to avoid a situation where information sharing between observers related to the patient is delayed unless input is completed for all input items.

[0031] 3 shows an example of an input screen for information about a patient in the managing doctor terminal device 400 in the patient information sharing system 1000 according to an embodiment of the present invention. Here, items A, B, C, etc. are shown as a schematic, but by setting the input items in the setting section 400d of the managing doctor terminal device and setting a fixed template, the input items can be fixed in the observer terminal devices (500, 501, ...) of all observers involved in patient P. Note that this function only fixes the input items, so additional input of input items is possible in the managing doctor terminal device 400 and the observer terminal devices (500, 501, ...).

[0032] By setting such fixed templates for input items, the manager 101 (102 when the attending physician also serves as the manager) can grasp the information required for the follow-up observation of the patient P from the observers (102 to 105) related to the patient P without any changes or delay. This aspect is particularly useful when the patient is transferred to another hospital or discharged to receive home medical care due to the progress of treatment or symptoms. For example, when the patient P is treated for a fracture, if the patient P is elderly and has a proximal femur fracture in particular, osteoporosis may be latent as the underlying cause. If osteoporosis is the cause, there are many cases where a secondary fracture occurs, in which the same part is fractured again or a different part is fractured within one year of the fracture treatment, and the effect of preventing secondary fractures can be expected by cooperation between acute care hospitals that perform fracture surgery, convalescent care hospitals that perform rehabilitation, etc., and chronic care hospitals that perform follow-up observation through outpatient care. In April 2022, medical fees were revised, and a "secondary fracture prevention continuous management fee" for patients with proximal femoral fractures, as well as an "emergency reduction and fixation surcharge" and an "emergency insertion surcharge" were newly established. For example, evaluation and treatment are performed at an acute care hospital, and the evaluation and treatment are continued at a convalescent hospital or a chronic care hospital, which is a medical procedure for which a management fee can be calculated. Therefore, medical procedures such as treatment and evaluation performed in cooperation with multiple medical institutions for secondary fracture prevention must be properly recorded. The setting unit 400d of the management doctor terminal device can be used to set input items as information about the patient for all observer terminal devices (500, 501, ...) related to patient P, making it easy to record the treatment contents and evaluation. In this example, the cooperation of appropriate medical institutions is encouraged for patient P, which results in the effect of preventing secondary fractures.

[0033] The setting unit 400d of the managing doctor terminal device can also apply the fixed template setting set for a certain patient P to a plurality of other patients. In the example of the input screen of the managing doctor terminal device 400 shown in FIG. 3, the input items for the recovery period when the left femur is fractured are set as the "pattern" as "recovery period", and the input items are set in common to the observer for the patient in the recovery period when the left femur is fractured. With this function, for a patient P' who has the same or similar symptoms as a certain patient P and is receiving the same treatment, input items common to the existing settings for the patient P can be easily set, and the difference in the contents of the item settings for each patient can be suppressed. In the example of FIG. 3, when setting the fixed template for a certain patient P, the pattern of the input items is named "recovery period" and registered, and when setting the fixed template for another patient P', the setting can be easily set by selecting "recovery period" from the pattern.

[0034] The setting section of the managing doctor terminal device has an arbitrary setting function that, even if a fixed template setting is set for a specific patient, does not fix the input items for the observer terminal device that can access information about the patient for patients other than the specific patient, but sets them arbitrarily. This makes it possible to respond appropriately to a patient group for which a common fixed template setting is possible and a patient group for which free individual setting is preferable, when there are multiple patients managed by the managing doctor terminal device.

[0035] The information on the patient as the input items in the managing doctor terminal device 400 and the observer terminal devices (500, 501, . . . ) is, for example, a diagnosis, a prescribed drug, an evaluation, and a patient condition, and can be any combination of these at the discretion of the attending doctor. The evaluation is an evaluation that the attending doctor judges necessary for the condition of each patient, for example, for a patient diagnosed with a proximal femoral fracture, for example, a bone density evaluation by DXA, an evaluation of the presence or absence of a vertebral fracture by a simple thoracic and lumbar X-ray, a blood test, a vital test such as blood pressure, a fall risk evaluation, a cognitive function evaluation, a sarcopenia evaluation, and a locomotive syndrome evaluation. In the treatment of a patient who is transferred to another hospital or switched to home medical care due to symptoms, it is meaningful for the attending doctor to set evaluation items at the transferred hospital so that necessary evaluations can be continued. The patient condition is a sensory evaluation by the patient himself, for example, health condition, sleep situation, activity, diet, shortness of breath, fatigue, edema, and bowel movements.

[0036] The setting unit 400d of the managing doctor terminal device can set a reference date such as a diagnosis date, so that a notification prompting input of information about a patient is sent from the patient information management device 200 to a user such as an observer registered in the system after a predetermined period has elapsed from the set reference date. FIG. 4 shows an example of an input screen for information 106 about a patient in the managing doctor terminal device 400 in the patient information sharing system 1000 according to an embodiment of the present invention. The sending date of the notification prompting input can be automatically calculated from the reference date, and can be set after a predetermined period has elapsed, such as one month after the reference date, or multiple times, such as one month intervals, when the treatment and evaluation lasts for a long period such as one year. Secondary fracture prevention requires regular evaluation for at least one year after fracture treatment, and is particularly useful. Instead of setting a reference date, the notification sending date may be set as a specific date.

[0037] The setting unit 400d of the managing doctor terminal device can also set input items of information about the patient that are prompted to be input for each notification that is set.

[0038] When the fixed template setting of the input items is performed in the setting unit 400d of the managing doctor terminal device, the fixed template information, which is input item information fixed in the observer terminal device that can access information on a specific patient, is stored in the storage unit 400c and transmitted to the patient information management device 200 via the communication network 300. These processes can be realized by software or firmware in the CPU constituting the control unit 400a.

[0039] The managing doctor terminal device 400 has an input unit 400e that accepts input of information about a patient, and the input unit 400e can be an input device such as a touch panel, a mouse, a touch pad, or a keyboard. By using the input unit 400e, it is possible to input information about a patient, including additional patient information and messages, from the managing doctor terminal device 400 in addition to inputting into fixed input items.

[0040] The managing doctor terminal device 400 has an output unit 400f that outputs the inputted information about the patient. The output includes display, and the display can be performed using a liquid crystal display device, an organic EL display device, or the like. The output unit 400f can display a screen for inputting the information about the patient, or display the information transmitted from the patient information management device 200. In addition to display, the output unit also includes output to input / output file media such as a hard disk, a floppy disk, a USB memory, or paper, etc.

[0041] The output unit 400f of the managing doctor terminal device can output the information about the patient input every predetermined period together with the information about the input date for each patient. The output unit 400f of the managing doctor terminal device can output the information about the patient P input every predetermined period in a common item. For multiple patients, the information about the patient can be output in a common item for each diagnosis or prescription drug. In this case, if the patient information is input by setting a fixed template, the items can be output as common items without difference in the settings. In addition, it is possible to have a mandatory setting function that gives a condition that is mandatory for input to each input item. For example, in the system, a mandatory setting button can be provided near the side of the input item, etc., so that it can be set appropriately. With such a mandatory setting function, it is possible to prevent a situation where a blank space is generated due to omission of information that is required to be input at a minimum.

[0042] The observer terminal device 500 has a control unit 500a, a communication interface (I / F) 500b, a storage unit 500c, an input unit 500e, and an output unit 500f, which are connected to each other via an internal bus 500g. A personal computer, a smartphone, a tablet terminal, or the like can be used as the observer terminal device 500. The other observer terminals 501 have a similar configuration.

[0043] The input unit 500e of the observer terminal device accepts input of information about the patient according to the input items set in the managing doctor terminal device 400. At this time, it is also possible to display and input input items other than those set in the fixed template in the managing doctor terminal device 400.

[0044] The observer terminal devices (500, 501, . . .) do not have a setting unit for setting input items.

[0045] The other components of the observer terminal devices (500, 501, . . .) are similar to those of the managing doctor terminal device 400, and therefore detailed description thereof will be omitted.

[0046] The communication network 300 may connect the patient information management device 200, the managing doctor terminal device 400, and the multiple observer terminals (500, 501, . . . ) by wired communication or wireless communication.

[0047] Next, a patient information sharing method and a patient information sharing program in the patient information sharing system will be described. The patient information sharing program causes a managing doctor terminal device 400 having administrator authority, observer terminal devices (500, 501, ...) that can be viewed by each of a plurality of observers, and a computer (CPU in the control unit 201) that controls the patient information sharing device 200 connected via a communication network 300 to execute information transmission / reception processing and recording processing, including notification settings that prompt input of fixed template information and information about a patient.

[0048] First, the patient information storage unit 202 of the patient information management device stores patient information that is related to a patient and is shared among a plurality of observers who observe the patient.

[0049] The basic information about the patient to be initially recorded may include the patient's identification information (ID), sex, blood type, medical history, name of the attending physician, date of birth, address, telephone number, emergency contact information, willingness to donate organs, and information about allergies. However, these are merely examples, and other information may be included as the basic information. When registering new basic information in the patient information storage unit 202 of the patient information management device, or when modifying information included in the basic information, registration or modification can be performed via a communication network from the managing doctor terminal device 400 or an observer terminal device 500 that has registration and editing authority.

[0050] Next, a description will be given of fixed template settings for input items of patient information and notification settings for prompting input of patient information in the patient information sharing system and the patient information sharing program.

[0051] First, the program for the managing doctor terminal of the managing doctor terminal device 400 for setting the fixed template and the input notification can be set only in the managing doctor terminal device 400. FIG. 5 shows a flowchart for explaining the operation procedure of the fixed template setting in the managing doctor terminal device 400 in the patient information sharing program. When the setting unit 400d of the managing doctor terminal device 400 sets a fixed template for the input items of the information on the patient (S101), the setting unit 400d stores the setting as fixed template information in the storage unit 400c (S102) and transmits the setting to the patient information management device 200 via the communication network 300 (S103). S102 and S103 may be performed simultaneously.

[0052] FIG. 6 shows a flow chart for explaining the operation procedure of input notification setting in the managing doctor terminal device 400 in the patient information sharing program. In the input section 400e of the managing doctor terminal device, a notification setting screen is opened to prompt input of information about the patient, and a reference date or a specified date is input (S201). When a reference date is input, a "repetition" setting is possible, and a setting is made after a predetermined period of time has elapsed, such as one month after the reference date, or a predetermined interval or number of times, such as one month intervals. By confirming the input contents in the input section 400e, notification setting is made in the setting section 400d (S202). When notification setting is made, it is stored in the storage section 400c as notification setting information (S203), and is transmitted to the patient information management device 200 via the communication network 300 (S204). S203 and S204 may be performed simultaneously.

[0053] Next, the setting of reflecting the information on the patient fixed as the input items set in the managing doctor terminal device 400 in the patient information management device 200 and the observer terminal devices (500, 501, ...) will be described. FIG. 7 shows a flowchart for explaining the operation procedure of the fixed template setting in the patient information sharing program. When the patient information management device 200 receives the fixed template information from the managing doctor terminal device 400 via the communication network 300 (S301), the fixed template information is stored in the patient information storage unit 202 of the patient information management device (S302), and is transmitted to the observer terminals (500, 501, ...) of the observers related to the patient P via the communication network 300 (S303). S302 and S303 may be performed simultaneously. These processes can be realized by software or firmware in the CPU constituting the control unit 201 of the patient information management device.

[0054] Next, the observer terminal devices (500, 501, ...) receive the fixed template information from the patient information management device 200 via the communication network 300, and store it in the memory unit 500c of the observer terminal devices. When input is made to the input items in the input unit 500e based on the fixed template information and registered, it is stored in the memory unit 500c and transmitted to the patient information management device 200 via the communication network 300. These processes can be realized by software or firmware in the CPU constituting the control unit 500a of the observer terminal device.

[0055] Thereafter, when the patient information management device 200 receives fixed template information from the observer terminal devices (500, 501, ...) via the communication network 300 (S304), the fixed template information is stored in the patient information storage unit 202 of the patient information management device (S305) and transmitted to the managing doctor terminal device 400 via the communication network 300 (S306). S305 and S306 may be performed simultaneously. These processes can be realized by software or firmware in the CPU constituting the control unit 201 of the patient information management device.

[0056] As for the notification set in the managing doctor terminal device 400, FIG. 8 shows a flowchart for explaining the operation procedure of setting and notification in the patient information sharing device 200 in the patient information sharing program. When the patient information management device 200 receives notification setting information from the managing doctor terminal device 400 via the communication network 300 (S401), it stores it in the patient information storage unit 202 of the patient information management device (S402). When the day set in the managing doctor terminal device 400 arrives, the patient information management device 200 transmits a notification to the registered user's email address via the communication network 300 at a predetermined time set in the patient information sharing system (S403) to prompt input. Here, the user is all people related to the patient P, including the attending physician and observer. The time of notification is appropriately set in advance on the system side, and the notification is transmitted at the predetermined time on the set day. It is more convenient if the notification includes a URL that can move to the input screen.

[0057] Next, in the observer terminal device (500, 501, ...), when information about the patient is entered into the input unit 500e of the observer terminal device from an input screen in which input is prompted by a notification from the patient information management device 200 via the communication network 300, the patient information is stored in the memory unit 500c and transmitted to the patient information management device 200 via the communication network 300.

[0058] Thereafter, when the patient information management device 200 receives information about the patient from the observer terminal devices (500, 501, ...) via the communication network 300 (S404), the information is stored in the patient information storage unit 202 of the patient information management device (S405) and transmitted to the managing doctor terminal device 400 via the communication network 300 (S406). S405 and S406 may be performed simultaneously. These processes can be realized by software or firmware in the CPU constituting the control unit 201 of the patient information management device. The patient information management device 200 can also be set to periodically transmit notifications until the input of the notified patient information is confirmed.

[0059] The managing doctor terminal device 400 and the observer terminal devices (500, 501, . . . ) can also select information to be output as appropriate from within the range of information stored in the patient information storage unit 202 of the patient information managing device.

[0060] As described above, the patient information sharing system, patient information sharing method, patient information sharing program, and management physician terminal device disclosed in this specification can support collaboration between multiple professions and physicians involved with patients. [Explanation of symbols]

[0061] 101 Administrator 102 Attending physician 103 Convalescent Hospital Doctor 104 Caregiver 105 Care Manager 106 Information about Patient P 200 Patient information management device 201 Control section 202 Patient information storage unit 203 Communication Interface (I / F) 204 Internal Bus 300 Communication Network 400 Management doctor terminal device 500, 501 Observer terminal device 1000 Patient Information Sharing System

Claims

1. A patient information sharing system for transmitting and receiving information about a patient between users including a plurality of observers who observe a patient via a communication network, the system comprising: A patient information management device for managing information regarding patients; A management doctor terminal device having a setting unit for setting input items of information regarding a patient; an observer terminal device having an input unit that accepts input of information about a patient according to input items set in the managing doctor terminal device; The setting unit of the managing doctor terminal device has a fixed template setting function that makes it impossible to change input items on the observer terminal device that can access information on a specific patient, A patient information sharing system, in which the managing doctor terminal device and the observer terminal device each have an output section that outputs inputted information about the patient.

2. The input items are set for each patient, 2. The patient information sharing system according to claim 1, wherein the setting unit of the managing physician terminal device sets common input items for a plurality of patients.

3. 2. The patient information sharing system according to claim 1, wherein the setting section of the managing doctor terminal device has an optional setting function for optional setting of input items in the observer terminal device that can access information on patients other than the specific patient.

4. 2. The patient information sharing system according to claim 1, wherein the setting section of the managing doctor terminal device has a mandatory setting function for assigning mandatory input conditions for each input item for input at an observer terminal device that can access information about a specific patient.

5. The patient information sharing system of claim 1, wherein the patient information management device sends a notification to a user registered in the system prompting the user to input information about the patient after a predetermined period has elapsed from a reference date set in the setting section of the managing physician terminal device.

6. 2. The patient information sharing system according to claim 1, wherein the patient information management device transmits a plurality of notifications, each of which is preset in a setting section of the managing physician terminal device, after a predetermined period of time has elapsed.

7. 2. The patient information sharing system according to claim 1, wherein the setting unit of the managing doctor terminal device sets input items of information about the patient that are prompted to be input for each notification that is set.

8. 2. The patient information sharing system according to claim 1, wherein the output unit of the managing physician terminal device outputs, for each patient, the information about the patient input every predetermined period of time together with information about the input date.

9. The patient information sharing system of claim 1 , wherein the information about the patient is any combination of a diagnosis, a prescribed medication, an evaluation, and a patient condition.

10. The patient information sharing system of claim 1, wherein the output section of the managing physician terminal device outputs the inputted information about the patient in a manner that displays common items by diagnosis, prescribed drug, or after a specified period of time has elapsed.

11. The patient information sharing system according to any one of claims 1 to 10, wherein users include any two or more of highly acute care hospitals, acute care hospitals, convalescent care hospitals, and chronic care hospitals.

12. The patient information sharing system described in claim 11, wherein the managing physician terminal device is a terminal of one of a highly acute care hospital, an acute care hospital, a recovery hospital, or a chronic care hospital, and a hospital set other than the managing physician terminal device is set as an observer terminal device.

13. 13. The patient information sharing system according to claim 12, wherein the diagnosis is a disease name related to a fracture and the purpose is to prevent a secondary fracture.

14. 8. The patient information sharing system according to claim 5, wherein a notification prompting input of information about a patient is sent at predetermined intervals from a reference date.

15. A patient information sharing method for transmitting and receiving information about a patient between users including a plurality of observers who observe a patient via a communication network, and sharing the information about the patient, comprising: The patient information management device receives fixed template information, which is set in a setting unit of the management doctor terminal device and fixes input items of information about the patient to be input in the observer terminal device related to the common patient, from the management doctor terminal device via a communication network; The patient information storage unit of the patient information management device stores fixed template information, The patient information management device transmits the fixed template information to the observer terminal device via the communication network, A patient information sharing method in which fixed template information is input item information for information about a patient that is set only on a managing physician terminal device, and the input item cannot be changed on an observer terminal device that can access information about a specific patient.

16. A patient information sharing program for transmitting and receiving information about a patient between users including a plurality of observers who observe a patient via a communication network, the program comprising: A step in which the patient information management device receives fixed template information, which is set in a setting unit of the management doctor terminal device and fixes input items of information about the patient to be input in the observer terminal device related to the common patient, from the management doctor terminal device via a communication network; A step in which a patient information storage unit of a patient information management device stores fixed template information; The patient information management device transmits the fixed template information to the observer terminal device via a communication network; A patient information sharing program in which fixed template information is input item information for information about a patient that is set only on a managing physician terminal device, and which does not allow the input items to be changed on an observer terminal device that has access to information about a specific patient.

17. A management doctor terminal device that transmits and receives information about a patient to and from a patient information management device via a communication network, A setting unit for setting input items of information about a patient; an input unit for receiving input of information regarding a patient; an output unit that outputs the input information about the patient, The setting unit is a managing doctor terminal device having a template setting function that makes it impossible to change input items on an observer terminal device that can access information about a specific patient.

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