WO2001069510A1 - Medical information managing system - Google Patents

Abstract

A medical information managing system for conducting medical treatment for a patient without any medical malpractice in a medical institution such as a hospital. The system manages the medical treatment by use of a database by imparting a radio ID chip having an individual ID to each of the patient's registration card, the administrated medicine, the chart, and medical treatment content.

Description

 Specification

Medical Information Management System Technical Field

 The present invention relates to a medical information management system for performing medical treatment such as medical treatments such as surgery and medication in hospitals and clinics without error in medical treatment contents for patients. . Background art

 2. Description of the Related Art Conventionally, as an example of preventing an error between a patient and a medical treatment, a personal identification device for self-transfusion as disclosed in Japanese Patent Application Laid-Open No. Hei 8-71118 has been disclosed. Further, for example, a management means relating to storage and entry / exit of storage and retrieval of a hurute as disclosed in Japanese Patent Application Laid-Open No. Hei 7-24709 is disclosed. Further, a medical information management system as disclosed in Japanese Patent Application Laid-Open No. 11-143790 is disclosed. ·

 In Japanese Unexamined Patent Publication No. Hei 8 — 7114, in the case of blood collection and blood transfusion, a patient creates a patient's data using biometric data (biological information) such as fingerprints. A label corresponding to the physician data, for example, a bar code is issued. Attach the same two labels issued to each of the blood collection bag and the medical chart. Then, by confirming that the barcode label matches, the blood bag and the patient are associated with each other using the barcode label, thereby preventing an error during self-transfusion. In this system, the number of tasks such as issuing barcode labels during blood collection and attaching labels is increased. '

Japanese Unexamined Patent Publication No. Hei 7-247009 discloses that a processing device and an indicator lamp are provided on a power lute. Infrared communication is performed between the medical record storage rack and the medical record, and when a specified record is found, the relevant medical record is displayed and illuminated, making it easy to search for the medical record. A system is disclosed. This system does not disclose the correspondence between medical devices other than medical charts and patients. In Japanese Patent Application Laid-Open No. 11-143790, a magnetic tape corresponding to the data of an insurance card is created and attached to a consultation ticket based on the data described in the insurance card, and the patient is returned. When the patient is hospitalized, the information is read using a magnetic tape to link the personal information about the patient with the medical record and image data, and the data is integrated using a personal computer and LAN. A management system has been proposed. This management system provides an ID to the patient, and discloses a system that updates the new medical data for the personal data read by doctors and laboratory technicians. However, it only discloses the use of medical records and examination result files as a single palace and the efficiency of medical affairs-there is no mention of improving the safety of medical practice.

 In recent years, in medical practice, wrong medications are given or patients undergoing different operations at the same time are mixed up, so that not only the original treatment is not received, but the symptoms are also worsened by incorrect treatment. There are even things that happen. Such errors are often confirmed by the visual confirmation of the doctors and nurses involved in the medical treatment, since the correspondence between the patient and the planned medical treatment is often confirmed. It occurs when it is difficult to completely prevent an error even if the error is not recognized due to belief or busyness, even when the response to the medical procedure is wrong. Things.

An object of the present invention is to easily prevent such errors as described above. Another object is to reduce visual confirmation work at medical sites. ' DISCLOSURE OF THE INVENTION In order to achieve the above object, according to the present invention, a medical examination ticket for identifying a patient, each leaf of a medical record on which a diagnosis or medical treatment result is provided by a doctor, and a prescription containing a prescription of a medicine are provided. Each leaf is provided with a radio ID chip having a unique ID for each, and a database managed in a state where the unique ID is classified for each ID unique to the patient. It provides a medical information management system. Brief description of the drawings ''

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

 FIG. 2 is an overview diagram showing the configuration of one embodiment of a consultation ticket to which the present invention is applied.

 FIG. 3 is an overview diagram showing a configuration of one embodiment of a medical chart to which the present invention is applied. , '.

 FIG. 4 is a data structure diagram showing a configuration in one embodiment of a patient database to which the present invention is applied.

 FIG. 5 is a diagram showing a system configuration in an embodiment of an information management system at a reception of a hospital to which the present invention is applied.

 FIG. 6 is a diagram showing a system configuration in an embodiment of an information management system in an examination room of a hospital to which the present invention is applied.

 FIG. 7 is a diagram showing a system configuration in an embodiment of an information management system in a medical chart storage of a hospital to which the present invention is applied.

FIG. 8 is a diagram showing a system configuration in an embodiment of an information management system in a medicine storage of a hospital to which the present invention is applied. FIG. 9 is a diagram showing a system configuration in an embodiment of an information management system in a medical treatment room of a hospital to which the present invention is applied.

 FIG. 10 is a conceptual diagram showing an embodiment in which a drip medicine to which the present invention is applied is suspended.

 FIG. 11 is a configuration diagram showing a configuration of one embodiment of a wireless ID chip used in the present invention.

 FIG. 12 is a configuration diagram showing the configuration of another embodiment of the wireless ID chip used in the present invention.

 FIG. 13 is a block diagram showing one embodiment of a circuit configuration of an interrogator that communicates with the wireless ID chip used in the present invention.

 FIG. 14 is a block diagram showing one embodiment of the circuit configuration of the wireless ID chip used in the present invention.

 FIG. 15 is a configuration diagram showing one embodiment of a data carrier using an optical element used in the present invention.

 FIG. 16 is a configuration diagram showing one embodiment of a data carrier using a nonvolatile semiconductor memory used in the present invention.

 FIG. 17 is a cross-sectional view for explaining another embodiment of the data carrier used in the present invention. FIG. 18 is a sectional view for explaining still another embodiment of the data carrier used in the present invention.

FIG. 19 is a cross-sectional view for explaining an embodiment of a data transfer section between a data carrier of a non-contact type and an interrogator used in the present invention. FIG. 20 is a cross-sectional view for explaining an embodiment of a data carrier of a contact type used in the present invention and a data transfer section for quality and inquiry. FIG. 21 is a conceptual diagram for explaining another embodiment of the data transfer section between the contact type data carrier and the interrogator used in the present invention. FIG. 22 is a 'conceptual diagram' showing a configuration of an embodiment in which a surgical tool is checked when performing a surgery in a treatment room to which the present invention is applied.

 FIG. 23 is a conceptual diagram showing an example of an information flow from the wireless ID chip used in the present invention to the overall management device. BEST MODE FOR CARRYING OUT THE INVENTION

 One embodiment of the medical information management system according to the present invention will be described with reference to FIG. 1 to FIG. '

FIG. 1 is a configuration diagram showing an overall configuration of a medical information management system according to an embodiment of the present invention. In the medical information management system according to the present embodiment, the reception 1, the examination room 2, the pharmacy 3, the medical record storage 4, the medicine storage 5, the medical treatment room 6, and the database 7. They are connected to each other by the in-hospital information network 8 via the devices 10a to 10g, and can input or output various types of information. The overall management device 100 manages the entire in-hospital information network. The in-hospital information network according to the present invention is not limited to being applied only to a single medical institution, but it is also possible to interconnect the in-hospital networks provided by individual medical institutions. That is, by providing a communication device or a communication interface device for connecting to another hospital network, it becomes possible to refer to databases provided in other medical institutions. For example, information on the stock of pharmaceuticals at other medical institutions, information on medical records and prescriptions (here, "information" is described, but if the present invention is applied, the location of prescriptions or the medical device M In addition, even if the person who is unfamiliar with the trip has a medical examination ticket and a treatment form, the identity of the person can be determined based on the presence or absence of medical history. Social security numbers that are uniquely assigned in one country, such as certificate numbers It is also possible to carry a consultation ticket to which the present invention is applied. ) Can be searched. As an effect, even when the same patient 9 consults another medical institution for medical treatment, he / she can refer to the same database, so he / she was consulted at another medical institution. It is possible to refer to the past medical history, the medical history, or the medical condition of the patient 9.

 On the other hand, as will be described in detail later, since the information managed by the management device is only the ID number, even if the information is stolen by a third party from the network, the personal information of the patient is not enough. Since it does not include the information described in the medical records and medical records, the management by the ID number as in the present invention is effective from the viewpoint of protecting privacy and improving security. .

 On the other hand, in order to predict and avoid harmful side effects due to double administration or a combination of multiple drugs, such as drugs, it is necessary to determine what drugs were administered to the patient by other medical institutions. Sometimes you may want to cite the wrong medication history. Or you may want to search for information such as whether a scarce drug is available at any other medical institution. In order to be able to cope with such a case, it is advisable to give an ID number to the drug as an example as follows.

 The ID number is divided into multiple data columns, the first column is a specific ID number indicating a drug, the second column is a genuine ID number indicating the type or name of the drug, and the third column is a drug container 5 5 Any medical institution can search for the type and quantity of the drug from other medical institution databases using only the ID number.

Furthermore, if a configuration is made so that the database can be referred to by associating the individual ID of the patient, the date and time information indicating the date and time of administration of the drug, and the drug ID, when the drug is administered to the patient This is effective because it is possible to search for information on whether or not it has been done. When the patient 9 visits the hospital for the first time, the reception of the patient 9 is accepted at the reception 1 and a consultation ticket 11 is issued. The consultation ticket 11 has at least a radio ID chip 12 a (wireless data carrier called RFID) and has a built-in identification number (ID number) for identifying the patient 9.

 In the examination room 2, the patient 9 is examined by the doctor 13. The results of the examination will be entered in the medical record 15 by the physician. When a chart is issued, for example, a reader is provided on a shelf with the chart, and the chart is extracted from the shelf.When the chart is extracted from the shelf, the chart ID written on the radio ID chip 12b provided on the chart 15 is 'It is read by a reading device (not shown) and transmitted from the communication device 100 b to the overall management device 100 via the in-hospital information network 8. At the time of transmission of this medical record ID, at least the reader that is the source of the identification information for identifying who took out the medical record 15 (in this case, the identification information of the examined doctor 13) And the identification information of the patient and the identification information of the reader.

 Then, the overall management device 100 registers the medical record ID in the database file of the patient based on the identification information of the patient with respect to the database 7. When the prescription 16 'is issued by the doctor 13 similarly to the case where the medical record 15 is issued, the ID of the prescription 16 is read and read by the reading device (not shown). The ID of the prescription 16 is transmitted from the communication device 10b to the overall management device 100 via the in-hospital information network 8.

-0 o ·

At the time of transmitting the prescription ID, identification information for identifying who issued the prescription 16 from at least the reader that is the sender (in this case, the identification information of the examined doctor 13) ), The identification information of the patient, and the identification information of the reader. On the other hand, the overall management device 10.0 for the database 7 performs a medical examination based on the identification information of the medical examinee. Register the prescription ID in the user's database file.

 As will be described later, when the doctor 13 creates the prescription 16, at least the name of the necessary drug is electronically input. Therefore, when the prescription ID is registered in the database file of the patient, the name of the medicine described in the prescription is also registered. This drug name may be coded and registered, and it is sufficient if the relevance to the ID attached to the drug container can be confirmed in the drug D II described below. ·.

 At the pharmacy 3, the pharmacist dispenses the medicine based on the prescription '16 prepared by the doctor 13 and hands it to the patient 9.

 The medical chart storage 4 stores medical records 15 of the patients 9. When the patient 9 returns to the hospital and receives a medical examination, information identifying the medical record 15 is taken out of the medical record storage 4 to retrieve the medical record 15 of the department that he / she wishes to receive at the time of the patient 9 reception. Is transmitted to The removed medical record 15 is sent to the examination room 2 or the treatment room 6 where the doctor 13 in charge examines.

 The medicine storage 5 stores medicines, and sends prescribed medicines to the pharmacy 3 and the prescribed treatment room 6 based on, for example, a prescription .16. In the present embodiment, the treatment room 6 is assumed to be a place where a medical treatment such as a medical treatment such as a medical treatment such as a medical treatment such as a drip infusion, a radiographic photographing, or the like is performed.

Here, as shown in FIG. 2 and FIG. 3, the medical examination ticket 11, the medical record 15 or the prescription 16 is a radio ID chip 12 which is a data carrier having unique identification information. Since b to 12c are provided and their unique identification information is associated with the patient 9, 'one-to-one correspondence with the patient 9 can be performed. In other words, the unique ID number of the patient listed on the wireless ID chip 1.2a included in the consultation ticket 11 'held by the patient 9 and the medical device number 15 and the prescription 16 The built-in wireless ID chip 12b or 12c is written in the database '7 unique to the patient. Then, in order to identify the medicine prescribed by the doctor's instruction, the identification information corresponding to the medicine is registered in a database file unique to the patient. The medicine is stored in a medicine container equipped with a wireless ID chip in which unique identification information (ID) is written in a readable manner. The medicine type and the medicine container are assigned to the identification information corresponding to the medicine and the medicine container. The registered unique ID number is registered in the drug database. At the time of medical treatment, each identification information (ID number) written in the database 7 is correlated and confirmed, so that the medical examination ticket 11 and the medical record 15 of the patient 9 and the prescription 16. Data collation can be performed for medicines, medical treatments, etc. Therefore, at the time of medical treatment or medication for the patient 9, it is possible to easily confirm the content of the patient 9 and the medical treatment or the type and amount of medicine to be administered.

 In this way, the wireless ID chip used here can be used to correctly collate medicines and medical treatment contents using the identification information (ID number) described in the database 7 and prevent tampering and collation errors. It is desirable to have specifications that cannot be rewritten. The provision of unique identification information can be realized by forming a storage element so as to hold a predetermined number of bits by devising a semiconductor process. In addition, it is desirable that the wireless ID chip used in the present embodiment be formed small and thin enough to be stuck or embedded in a paper sheet.

Here, in order to ensure that the medical examination ticket 11 of the patient 9 and the medical records 15, prescriptions 16, medicines, medical treatments, and other data are always collated, unique ID numbers with different ID numbers are used. It is desirable. If multiple identical ID numbers exist, even if the wrong patient is mistakenly recognized as the same person or the wrong medication or medical treatment is performed, the error can be reliably determined. This is contrary to the purpose of the present invention. Consider the number of digits of the ID number necessary for all ID numbers to have different unique numbers. For example, the world is expected to receive some kind of medical treatment with a population of 100 billion (10 to the 10th power). Considering that they are interconnected, it is desirable that all information such as patients and medical records have unique IDs.

 Furthermore, considering that the ID information according to the present invention is used across generations, it is not an exaggeration to expect that the ID for personal identification alone will be 100 billion people. If each medical record, prescription, and drug associated with a medical procedure for these people is given a unique number, then an ID number of between 1 trillion and 10 trillion or more is required. Medical practices are also performed by veterinarians, and can extend the reach of medical practices to domestic animals. Considering from such a viewpoint, an ID number of 10 12 to 13 or more is required. This is 2 to the power of 40 to 44 or higher, and the ID number is represented by binary digital information.If it is indicated, 32 bits are not enough, and 64 bits or more are not enough. It turns out that the number of digits is necessary. An example of the configuration of the wireless ID chip will be described later with reference to FIGS. 11 to 18.

 Next, an example of the contents of the patient database 7 will be described with reference to FIG. The patient database 7 is created for each of the patients 9, and at least one consultation ticket ID 70 corresponds to one patient. A database file may be provided so as to be identifiable at D 70, or may be provided based on identification information different from the consultation ticket ID 70.

Corresponding to the consultation ticket ID 70, personal information 71 of the patient, such as an address, a name, or biometric data, is associated. Biomet When the resource information is, for example, image information and the amount of information is large, only the ID corresponding to the acquired biometric data is stored in the database 7, and the image information is stored by the ID. It may be stored in another database that is associated with and searchable. In addition, since one patient may receive multiple departments, for example, department A 72 (internal medicine) and department B 7 '7 (surgery), data for multiple departments is organized in a tree structure. A database file may be configured so as to have it. For each clinical department data 72 and data 77, the ID 73 of the medical record (medical record) that describes the date and time of medical treatment and the contents of medical treatment is described. Here, the wireless ID chip 1 2 b is so small and thin that it can be attached to or incorporated into each paper chart leaf. An individual ID can be described for each leaf chart.

 Here, the medical record 15 may be recorded by hand by the doctor 13, or the medical record 15 may be electronically recorded and printed by the printer. In the case of, the medical record paper shall be provided with a wireless ID chip 12b in which a unique ID number is recorded in advance. Then, when the electronic medical chart is issued, the ID number recorded on the wireless ID chip 12b provided on the chart sheet is read, and the ID number is recorded in the database 7 of the patient. Thus, each leaf of the printed medical record 15 can be associated with the patient 9.

Similarly, an ID can be assigned to each leaf of the prescription 16 issued by the doctor 13, so that when and which prescription 16 was given to the patient 9 The ID 74 can be recorded in the database 7, and furthermore, for example, a radiographic image or a medical examination image data using an MRI device (nuclear magnetic resonance diagnostic device). Wireless ID chips with unique IDs for each The consultation ticket ID 70 of the clinician 9 and each test result ID 75 can be stored in association with each other. In this case, the identification information for identifying the patient (or the identification information for identifying the database 7 of the patient) and the test results ■ The test result ID of the wireless ID chip attached to the fruit If the examinee is not present when inputting the test results when the test results are reflected in the examinee's database 7 in order to associate the test results with the examinee's Based on the medical record, the database 7 of the patient is specified, and the test result ID 75 is associated with the database.

 Specifically, the person who reflects the test results in the database of the medical examinee reads the medical record ID from the medical record of the medical examinee (the examinee) with a reader, and reads the medical record database. Is specified and the test result ID 75 assigned to the test result is associated (the test result ID 75 is registered in the database 7 of the patient). If the inspection result is electronic data, register the file address of the data file. ·

 In addition, the date and time and contents of the medical treatment schedule 76 for the patient 9 such as surgery and medication can be described. Such medical treatment schedules 76 can be updated sequentially at the discretion of the physician, new medical treatments may be added, and the completion of the scheduled medical treatments. The status information for the prescription ID 74 will be deleted from the medical treatment schedule 76 by adding a medical chart with the result added and adding a medical chart ID 73, or by completing the medication. It will be updated.

Here, since the database 7 is mainly configured to record the ID of the medical record and the prescription, there is an advantage that the amount of information is small. In addition, even if the medical records and prescriptions are written by hand on paper sheets, the medical records and prescriptions are written because each paper sheet has a wireless ID chip that records ΪD. Can be managed individually by ID. On the other hand, in database 7, which is composed of raw D, it is not possible to visually check the contents described in the prescription, even if the information in database 7 is displayed. Corresponding to the recorded IDs, the image data 78 and the text (text) data 79 of the medical records and prescriptions are stored as digital data in another database 700, and each ID is matched. Depending on the needs of doctors and nurses, image data 78 or characters can be selected by selecting each ID displayed on a computer display or other display means or a character string associated with each ID. (Text) Data 79 can be displayed.

 Next, a detailed system of each part such as reception will be described with reference to FIGS. 5 to 10.

 First, the reception system will be described with reference to FIG. First, the patient 9 applies for a consultation at the reception 1. At the reception 1, the patient 9 presents personal information such as the address, name 27, health insurance card 26, and the like, and the personal information of the patient 9 is read by a reading device 2 such as 0CR (optical reader). Or an operator (not shown) inputs by means of a keypad or the like. The reader 22 may further have a function of reading biological information (so-called biometrics data 28) such as a fingerprint and an iris pattern of the patient 9. The operator can confirm those data displayed by the display device 23.

Based on the personal information entered, the consultation ticket issuing machine 24 issues a consultation ticket 11 that stores IΕ »70 in the wireless ID chip 12 and the patient The information related to the above is transmitted from the communication device 100a to the overall management device 100 via the in-hospital information network 8. The overall management device 100 stores the database file of the patient related to the ID provided in the consultation ticket. If it is not provided in the database 7, or if the transmitted data is the first consultation and there is a request to create a new database file, a new database file is created in the database 7.

 If visit 9 of the patient 9 is not the first visit but a return visit, and if you have already brought the consultation ticket 1 15, you do not need to issue a new consultation ticket 1 1. Read the ID 70 of the consultation ticket recorded on the wireless ID chip 12 a built into the consultation ticket 11 brought by the patient 9 by the consultation ticket reader 25, and read the in-hospital information from the communication device 10 a. The information is transmitted to the overall management apparatus 100 0 via the network 8.

 0 The overall management device 100 reads information corresponding to the patient 9 from the database 7 and receives a medical examination ticket 11 from the reception device 1 to the management device 14 at the reception 1. Notify whether the information on the desired department is registered in the database file of the patient 9.

 The management device 14 of the reception 1 performs processing to determine the department to be consulted at the discretion of the doctor if the data 5 on the department desired by the patient 9 is not registered in the database 7. On hold. If the patient 9 wishes for the management device 14 of the reception 1, if the data on the department to be treated is registered in the database 7, the order of the consultation depends on the order and priority of the application time for the re-examination. And add them in the waiting order of the patients. If the patient 9 returns to the hospital, 0 means that the medical record 15 has already been created, so the management device 50 at the reception 1 has corresponded to the medical ticket ID 4 of the consultation ticket 4 Instructions to be sent to the consultation room 2 of the department that will receive the medical record 15 with the medical record ID 73 will be given. :

 Next, details of the examination room 2 will be described with reference to FIG. In Examination Room 2

Patient 9 has a consultation ticket 1 1 and a nurse, for example,

'Read the consultation ticket ID 70 provided in 1 with the reader 31 It is transmitted from the communication device 100b to the overall management device 100 via the in-hospital information network 8. When the patient 9 is revisited, the medical record 15 of the patient 9 has already been sent from the medical record storage 4 to the examination room 2. In the medical record 15 sent to the examination room 2, the ID of the added wireless ID chip 12b is read and transmitted to the overall management device 100 via the communication device 10b and the network 8. .

 The overall management device 100 compares the ID of the wireless ID chip 12a described in the examination # 11 of the patient 9 similarly read based on the contents of the database 7, and examines the comparison result. The display on the display device of the room 2 allows the doctor 13 to confirm whether or not the medical record 15 corresponds to the patient 9. The display device of the examination room 2 displays a warning by turning on or blinking a red lamp when the ID of the consultation ticket 11 and the ID of the medical record 15 are different from the contents of the database 7, for example. It may be performed, or a character ellipse may be displayed.

'Physicians 1 and 3 add the contents of the examination and medical treatment to the medical record 15 or add them to the new medical record 15 n. When the doctor 13 adds a new medical record 15 n, the wireless ID chip 1 2 bn provided with a unique ID attached to the medical record 15 n Read by 2. The ID of the added chart 15 is transmitted from the communication device 10b to the overall management device 100 via the in-hospital information network 8. The ID of the consultation ticket 11 of the patient 9 and the identification information unique to the reader 32 are transmitted together with the ID of the additional medical record 15 n transmitted.

 The overall management device 100 accesses the database file of the patient 9 based on the transmitted ID of the patient 9 and the ID of the patient 9 to which the reading device 3 2 belongs. Add 7 3 newly.

The physician 13 is responsible for prescribing the drug to the patient 9 as necessary. The sticker 16 should be issued by the printer 33 with the name of the drug to be prescribed and the prescription procedure (for example, three times a day, taking it after eating). The prescription 16 also has a wireless ID chip 12c having an ID unique to each paper, and the unique ID of the prescription 16 is transmitted from the communication device 10b to the in-hospital information net. It is transmitted to the overall management apparatus 100 via the work 8. The ID of the consultation ticket 11 of the patient 9 and the identification information unique to the printer 3 3 ′ are transmitted together with the transmitted ID of the additional prescription 16. The prescription ID 74 is added to the patient's database file in the same way as the ID of the clerk 15 is added. For example, the printing device 33 may be provided with a reading means 34 for the wireless ID chip 12c, or the reading device 31 or the reading device when the doctor 13 performs the prescription 16 by handwriting. The unique ID of the prescription 16 may be read using 3 2.

 When the doctor 13 inputs the name of the medicine or the amount of the prescription of the medicine using an input device such as a personal computer, and the prescription 16 is output from the output device 33 such as a printer, the doctor 13 The contents of the prescription are input and transmitted together with the prescription ID 74 from the communication device 10 b to the overall management device 100 via the in-hospital information network 8. The ID 74 of the transmitted prescription 16 is registered in the database 7, and the contents of the prescription corresponding to the prescription ID are input to the database 700. In this case, the contents of the prescription by the doctor 13 can be associated with the prescription. ID 7.4. Further, in this embodiment, the reader 31 for reading the ID of the consultation ticket, the reader 32 for reading the ID of the medical record, and the reader 34 for reading the ID of the prescription are arranged separately, but these are the same reader. Obviously, it can be achieved.

Alternatively, instead of the prescription 16, a medical treatment schedule sheet that describes the contents of the planned medical treatment, such as medication and surgery, is issued, and the ID recorded on the wireless ID chip provided in the medical treatment schedule sheet is used. From communication device 10b The information is transmitted to the overall management device 100 together with the ID of the consultation ticket 11 of the patient 9 via the hospital information network 8, and the overall management device 100 is used as the medical treatment schedule ID 74. Register in Patient 9's database file. In this way, it is possible to manage, for example, medical treatment schedule sheets in which the schedules of medications and operations are entered by using IDs. .

Next, the configuration of the medical chart storage 4 will be described with reference to FIG. The medical chart,, storage 4 is provided with a storage shelf 20 in which a medical record 15 in which medical records of a plurality of patients 9 are described is stored. When the medical record 15 is transferred from the examination room 2 or the treatment room 6 for medical treatment and stored in the storage shelf 20, the ID chip provided in the medical record 15 by the reader 41 is used. The ID number of 1 2 b is read and managed by the management device 40. The management device 40 sends the read identification information (ID) of the medical record 15 to the hospital information network 8 through the communication device 100d, and the information is transmitted to the overall management device 100. The overall management device 100 updates the status information of the read medical record 15. That is, the data in the database file is updated to a status indicating that the medical record 15 is stored in the medical record storage 4. When the medical record 15 is taken out of the storage shelf 20 and transferred to the examination room 2 or the treatment room 6 for medical treatment for the purpose of consultation of the patient 9 or consultation or treatment of the patient 9 in hospital. In response to the instruction from the body management device 100, the ID of the medical record 15 corresponding to the consultation ticket ID of the patient 9 is transmitted from the database 7 to the hospital information network 8, and the communication device 100 It is sent to the management device 40 through d. Based on the transmitted ID information of the medical record 15, the management device 40 checks using the locally-provided medical record DB 43 to find the target medical record 15 on the storage shelf 20. Such information is displayed on a display device (not shown) as information that can be recognized by a worker working in the medical chart storage 4 as to whether it is a rute. Based on the displayed content, The trader removes the corresponding medical record 15 from the storage shelf 20.

 The picked-up chart 15 reads the ID number of the ID chip 12b added to the chart 15 by the reader 41 and reads the chart transmitted earlier.

The management device 40 compares the consultation ticket ID 70 of the patient 9 transmitted with the ID information 15 and the medical record ID 73, and determines whether the retrieved medical record 15 is the requested medical record. The operator confirms whether or not it is on a display device (not shown). When confirmed, the worker sends the medical record 15 to the examination room 2 or the treatment room 6 as necessary. Here, an example in which an ID chip 12b with a medical record ID 73 is provided for each medical record 15—sheet is disclosed, but one ID chip 1 2 for a file bound for each patient. Alternatively, an identification means such as a bar code may be provided. ,

 'Next, the medicine storage 5 will be described with reference to FIG. In the medicine storage 5, a medicine container 55 containing a medicine prescribed in a storage shelf 21 is stored. Each chemical container 55 is provided with a bar code or ID chip 12 d indicating the type of chemical.

 The correspondence between the type of drug and the ΊD number unique to each drug container 55 is stored in the drug database 144. '

Here, the drug database 144 is updated by, for example, the following procedure. First, a pharmaceutical company or a drug sales company newly delivers the medicines stored in the medicine festival vessels 55, and the medicines are carried into the staple storage 5. At this time, the operator inputs to the management device 50 that the medicine is to be newly loaded into the medicine storage 5 by an input means (not shown). Next, the reading device 51 reads the ID code given to the bar code or ID chip 12d provided in each medicine container 55 to indicate the type of the medicine, and the I number is read by the management device. Send to 5 0. The management device 50 stores the read ID number in the drug database 144 as a new ID number. And the handlers store the chemicals in their designated storage shelves. Alternatively, when the drug database is provided in the database 7, the read ID number is transmitted from the hospital information network 8 to the overall management device 100 via the communication device 100e. The overall control device 100 stores the bar code or the ID number of the ID chip 12 d provided in each of the chemical containers 55 into the data file 7. Add to Alternatively, since a different ID number is assigned to all drugs, it is detected that the ID number is different from the drugs already registered and stored in the storage shelf 21 of the drug storage 5, and the automatic It may be a method of detecting that a new drug has been brought in.

 Next, the procedure for taking out the medicine from the medicine storage 5. to the pharmacy 3 or the treatment room 6 will be described.

 According to the contents described in the prescription 16 issued by the doctor 13, the prescribed amount from the prescribed medicine container 55 through the in-hospital information network 8 via the communication device 10 e. Only the pharmacy 3 or the treatment room 6 is instructed to the management device 50 to leave the warehouse. According to the instructions, the handler removes the corresponding chemical container 55 from the storage shelf 21. The bar code or the ID chip 12 d attached to the medicine container 55 taken out by the reader 51 is read. '

 The management device 50 transmits the prescription ID read by the reading device 51 to the overall management device 100. The overall management apparatus 100 specifies the database file of the medical doctor to be prescribed based on the ID of the processed prescription 16 transmitted. Then, drug information related to the ID of the transmitted prescription 16 is obtained.

When the medicine database is provided in the database 7, the overall management device 100 uses the medicine database from the acquired medicine information, The management device 50 compares whether the ID of the medicine container 55 transmitted with the ID of the prescription 16 is related to the acquired medicine information. The overall management device 100 transmits the comparison result to the management device 50 of the medicine storage 5, and the management device 50 displays the result on a display device (not shown).

 When the medicine database is provided so as to be directly accessible from the management apparatus 500, the medicine information acquired by the overall management apparatus 100 is transmitted to the management apparatus 50 by the overall management apparatus 100. The management device 50 searches the medicine database based on the acquired and acquired drug information and the ID of the medicine container 55, and determines whether or not the medicine container 55 contains the medicine related to the acquired medicine information. judge. Then, the determination result is displayed on a display device (not shown). When the medicine in the taken-out medicine container 5 is confirmed, the handler sends the prescribed amount to the pharmacy 3 or the prescribed treatment room 6.

 Here, the ID information corresponding to the medicine container 5 5 taken out from the medicine storage 5 is deleted from the medicine database 144. '

 Here, the ID of the medicine container 55 can be read as a different D even if the medicine of the same type is stored in a different medicine container 55. In such a case, even if a plurality of drugs of the same type are handled at the same time, the management device can also manage the quantity of the drugs.

 Needless to say, the medicine storage 5 does not have to be a separate room, and a reading device and a reading device for reading ID information are provided in the storage shelf 21. If connected to a network, As described above, the medicine can be checked.

Next, the configuration of the treatment room 6 will be described with reference to FIG. Here, it is assumed that in the treatment room 6, medication such as infusion or the like, examination such as taking a lentogen photograph or a blood test, or medical treatment such as surgery is performed. here, As an example, a case where an infusion is performed on the patient 9 will be described.

′ As described above, the medicine is taken out of the medicine storage 5 based on the prescribed medicine container 55 and the prescription 16 based on the diagnosis of the doctor 13, and sent to the treatment room 6. 'Simultaneously, from the in-hospital information network 8 via the communication device 10 f 5, the consultation ticket ID 70 of the patient 9 who is to undergo predetermined medical treatment in the treatment room 6 is obtained. Then, the ID of the medicine container 55 to be infused and the ID of the prescription or the ID of the medical treatment schedule are transmitted to the management device 144 and stored. The reader 6 4 reads the ID chip 12 a provided on the consultation ticket 11 of the patient 9, transmits the ID chip 12 a from the hospital information network 8, and stores it in the management device 10 1 4 5 Check with the consultation ticket ID 70 of 9 and confirm whether the patient 9 in the treatment room 6 is a patient who receives the scheduled medical treatment, and display means 63 or another display means not shown For example, if the medical examination ticket ID, the medical treatment schedule slip ID, and the prescribed drug I 15 D correspond correctly, it will be displayed that they are correct, and if there is any error, Can alert doctors or nurses, for example, by displaying an alarm in red. Here, the radio ID chip of the present invention each other with respect to each ampoule 5 ^5;. To has a different Interview two click numbers to have, even shall apply the same kind of chemicals chemical container Even when the amount differs or the number of medicine containers differs, the collation result can be confirmed and displayed as being incorrect, so that an error can be easily found.

Furthermore, it checks with the prescription ID 74 or the medical treatment schedule ID 76 to confirm whether the medical treatment scheduled for the patient 9 is performed. Here, a plurality of patients may simultaneously receive necessary medical treatment in one treatment room. In such a case, the It is necessary to confirm the treatment of medical treatments, medicines, and medical records. For this purpose, each medical care location, such as a bed or chair for consultation or treatment that puts the patient to sleep, is provided with a management device 144 that is unique to each medical care location, and management that specifies the unique management device 144 Device ID, medical treatment schedule ID, medicine ID, medical record ID, etc. are simultaneously sent to the management device based on the medical treatment schedule, and the ID information and the correspondence between the management device 144 and the patient ID It is advisable to confirm that all are correct.

 As an example, the medicine container 55 to be infused is provided with an ID chip 12 d indicating the type, amount or concentration of the medicine container 55 in a hook portion 55 a provided in a drip bag. Shall be. At the end of the rack 6 that suspends the medicine container 5 5 for instillation, an ID chip 1 2 is provided with an interrogator 6 2 for reading the ID of 2 d. By suspending the IC chip 1, power is supplied to the ID chip 12 d and signals are transmitted and received, and the ID of the medicine can be read by the reader 6.0.

 The read ID of the medicine container 55 read is compared with the ID of the medicine container 55 to be infused, which is transmitted from the hospital information network 8, and if the ID matches, the display device 6 determines that the medicine is correct. The patient 9 is infused with a drip, not shown in Fig.3. ,

 On the other hand, if the ID of the medicine container 5 5 read from the ID chip 1 2 d is different from the expected one and is not the correct medicine, the wrong medicine is displayed on the display means 63 and the medical treatment is performed. Make sure doctors and nurses are aware of mistakes. As an example of the display means, if the ID of the correct medicine container 55 is detected, the green light is turned on, and if the ID of the medicine container 55 is incorrect, the red light is turned on or blinking. It is desirable to have them call attention.

Fig. 10 shows the hanging of the hook 55 a and the drug container 55 provided on the drip bag. The lower part of the rack 61 shows the tip of the rack, and the tip of the hook part 55a has an ID chip containing a drug-specific ID number indicating the type and amount of the drug container 55. An interrogator 62 is provided at the tip 'of the rack 61. The interrogator 6 2 is connected to the reader 60, and the ID chip 12 d and the interrogator 6 are attached by hanging the hook 55 a of the medicine container 55 to be drip over the tip of the rack 61. Since the two are almost in contact with each other, the ID of the medicine container 55 can be read from the reader 60 via the interrogator 62.

 In this way, it is assumed that the ID of a medicine can be read simply by hanging the medicine container 55 to be infused on the rack 61 and confirming whether the medicine container 55 is the correct medicine to be administered. In particular, since it is possible to confirm whether or not the patient 9 is also a patient who is scheduled for medical treatment by using the consultation ticket ID, 70, the patient 9 receives the medicine as instructed by the doctor 13. It can be administered to the clinician 9 and has the effect that the correspondence between the clinician 9 and the medicine container 55 is not mistaken. ,,,

 Furthermore, even when the medical record 15 of the patient 9 is carried into the treatment room 6, even if the medical record ID 15b stored in the ID chip 12b attached to the medical record 15 is read, the reading device '6 7 and compare it with the consultation ticket ID 70 embedded in the ID chip 12 a attached to the consultation ticket 11 held by the patient 9, and the patient 9 and the medical record 15 can be identified. Can be confirmed without error.

Alternatively, when taking an image such as a Lentogen photograph or MRI in the treatment room 6 or performing a test such as a blood test, the image of the photographed film or the like is inspected every one leaf of 80 or An ID chip 12e storing an ID number corresponding to each bundle is provided, and the ID number is passed through a reading device 67, a communication device 10f, and a hospital information network 8. And stored in the database 7. Alternatively, a lentogen photograph or the like can be taken on a film provided with an ID chip 12 e in which a unique ID is recorded in advance, and the photograph D can be added to the database 7 of the patient 9. .

 In this way, by constructing a database 7 corresponding to each of the patients 9, the medical records 15, the test results 80, and the medicine containers 55 for the patients 9 can be definitely determined. Since it is possible to confirm that they are compatible with each other, there is no case where data and processing are confused, and the patient 9 can always receive correct medical treatment. ,-When the scheduled medical treatment is completed, the information of prescription or treatment is given to the prescription ID 74 or the scheduled medical treatment ID 76 through the in-hospital network 8 in the hospital. By inputting and distinguishing, you can confirm that it has been prescribed or treated.

 Here, if a wireless ID chip is embedded in a paper sheet or card such as a medical certificate 11, a medical record 15, or a prescription 16 ′, the position of the wireless ID chip can be easily viewed by the patient or doctor. It is desirable that a mark indicating the position of the wireless ID chip be provided on the surface of the sheet or card so that it can be confirmed. By making it easy to visually confirm the position of the wireless ID chip, it becomes easy to position the interrogator that reads the ID number recorded on the wireless ID chip and the paper sheet or card. The effect is that In addition, it is assumed that the data is recorded in the database 7.However, a storage medium that can be recorded on the consultation ticket 11 is provided, and the information described in the database 7 is recorded on the storage medium, and It may be a form that is brought with you.

Here, in the medical information management system according to the present invention, since the information to be stored in the storage medium for managing the medical information is only the ID number, the amount of information can be reduced. Medical consultation ticket 1 1 It is possible to store many ID numbers. When brought to a medical institution, information can be obtained from the relevant database via the network, so that all medical information on the patient can be searched.

 In this way, by having the contents of the consultation, medical treatment, and medication owned by the patient 9 himself, even when he / she visits another medical institution, the past medical history of the patient 9 The ability to refer to the medication history also allows predicting and avoiding the adverse side effects of double administration or combinations of multiple drugs. In addition, when such a patient himself / herself carries information on the patient, it is necessary to confirm whether or not the person who brought the consultation ticket is himself / herself. In that case, read the information recorded in the database or on the storage medium built into the consultation ticket, and match it with the address and biometric information of the person who brought the consultation ticket to determine whether or not the person is the principal. Can be confirmed.

Here, it is assumed that the ID number corresponding to the patient 9 is stored by the ID chip 12a embedded in the consultation ticket 11, but the patient is subjected to anesthesia when performing surgery, for example. In order to avoid situations such as when the clinician 9 is unconscious or does not carry the consultation ticket 11 due to 'change of clothes', another ID number corresponding to the ID number of the consultation ticket 11 Card or label with a built-in ID chip that stores the ID and attached the card or label to the patient's wrist or ankle using a string, or applied adhesive on one side It is desirable that the ID chip be built into a sheet-shaped (sticker-shaped) paper or cloth, and that the paper or cloth be stuck to the skin to make it always portable. In particular, when the patient 9 is in the hospital, it is desirable to carry the same card or label at all times during the hospitalization. For the same purpose, a wireless ID chip may be incorporated in a ring or a bracelet, and the ring or the bracelet may be configured so that the patient 9 can put it on a finger or an arm.

 Alternatively, a wireless ID chip may be directly adhered to the surface of the nails of the patient's hands and feet with an adhesive. In addition, it is apparent that the same effect as that of the present invention can be obtained by using a method that allows the patient 9 to always carry the wireless ID chip. In the above system, the wireless ID chip was used as the data carrier for storing the ID number. However, as another data carrier, ROM (lead 'only' memory) , PROM (programmable 'read' only memory), EPR〇M (erasable 'programmable' read 'only' memory) that can be written only once, EEPR 0 M (electrical) Non-volatile semiconductor memory such as laser programmable 'programmable' read only memory and FRAM (flash random access memory) can be used.

 Next, a wireless ID chip used in the above system will be described. FIG. 11 shows an overview of one embodiment of the wireless ID chip. It is composed of an integrated circuit 90 formed on a silicon substrate and a single-chip antenna 91 formed insulated from the integrated circuit 90. The external dimensions are 2 mm x 2 mm or less, and the thickness is 0.5 mm or less. Note that those having a size of 0.3 mm X 0.3 mm or less are preferable in terms of cost. The on-chip antenna 91 receives power and signals by electromagnetic coupling, and operates to output the ID number stored in the memory of the integrated circuit 90 from the on-chip antenna 91.

FIG. 12 shows another embodiment of the ^ -line ID chip. It is composed of an integrated circuit 92 formed on a silicon substrate, antenna terminals 93 and 94 of the integrated circuit 90, and external antennas 95 connected to antenna terminals 93 and 94. The external antenna 95 receives power and signals by electromagnetic coupling, and outputs the ID number stored in the memory of the integrated circuit 92 from the external antenna. Operate. Since the external antenna 95 can be formed large, the distance for signal transmission and reception can be extended.

 FIG. 13 shows an embodiment of the circuit configuration of the interrogator. The interrogator supplies power to the wireless ID chip and transmits and receives signals by electromagnetic coupling. A control unit 96 that controls the interrogator, a modulation unit 97 that modulates the signal, an antenna 98 that transmits and receives radio waves, a demodulation unit 99 that demodulates the signal, and an interface that exchanges the skeleton with the outside 8 9 The control section 96 sends a radio ID chip control signal to the modulation section 97, modulates the signal at the carrier frequency in the modulation section 97, and outputs it as an electromagnetic wave from the antenna 98. In addition, the antenna number modulated by the carrier frequency from the radio ID chip is received by the antenna, demodulated by the demodulation section, and output from the control section to the outside via the interface. Works as follows. :

 FIG. 14 shows an embodiment of the circuit configuration of the wireless ID chip. It comprises an antenna 40 for receiving and transmitting radio waves, a tuning capacitor 41, a demodulation unit 42, a control unit 43, a memory 44, a modulation unit 45, and a power supply unit 46. Antenna 40 and tuning capacitor 41 receive carrier frequency. In the power supply section 46, a power supply for operating this circuit is generated from the carrier frequency. The demodulation unit 42 demodulates the carrier frequency and outputs a wireless ID chip control signal to the control unit 43. The control unit 43 reads out the ID number stored in the memory 44 and outputs it to the modulation unit 45. The modulating section 45 operates so as to modulate at the carrier frequency and output as an electromagnetic wave from the antenna 40.

 As the memory 44, a ROM type for creating an ID number in a manufacturing process, a PROM type for writing an ID number after fabrication, a non-volatile RAM for recording and holding data, and a combination thereof can be used. The ROM type has the effect that a cost-effective product can be obtained.

Next, another embodiment of the data carrier will be described. Fig. 15 uses optical elements What

 2 8

An example of the data carrier is shown below. It comprises a decoder carrier 200, an integrated circuit 201 constituting the data carrier 200, an optical communication element 202, and an optical transmission element 203. When the receiving element 202 receives the transmission command signal, the integrated circuit 201 operates so as to output the ID number from the optical transmitting element 203.

 ADVANTAGE OF THE INVENTION According to this invention, data transmission / reception is possible only by converting a digital signal into an optical signal, and it is effective in cost reduction. Since signals can be transmitted and received without contact, there is an effect that mounting efficiency is improved.

The first 6 figure composed _c nonvolatile memory 5 6 and the signal line 5 7 a illustrating an over embodiment of a data carrier § using a nonvolatile memory, the power line 5 7 b. The signal line 57a is composed of a data signal line and a read / write control signal line. The non-volatile memory 56 operates to output the ID number to the signal line '57a when a read signal is input from the signal line 57a. 'If the data carrier shown in Fig. 16 is used in the present invention, the signal of the non-volatile memory is transferred through the contact portion of the signal line, which is effective in reducing the cost ₍ furthermore, the radio wave Since there is no malfunction of medical equipment or influence on test data, it can be used without restriction even in hospitals.

FIG. 1 shows another embodiment of the wireless ID chip. Resin such as paper or plastic, base 107 such as glass epoxy, and wireless ID chip 10 '8 embedded or embedded in base' 107, and on the surface of base 107 It is composed of the antenna 109 created, a lead terminal 110 for supplying a signal to the antenna 109, and a cover 111 covering the base 107 and the antenna 109. The radio ID chip 108 is supplied with a signal from a lead terminal 110 and is electromagnetically coupled by an antenna 109 to operate. The antenna 109 corresponds to the antenna 98 in FIG. The wireless ID chip uses a thin silicon substrate wireless ID chip of 0.5 mm or less. According to the present embodiment, the interrogator and the radio ID chip are electromagnetically tightly coupled, so that there is no loss of magnetic field, the efficiency is improved, and the radiated power of the interrogator can be reduced. This has the effect of turning into electricity. Also, since the distance is constant, it is effective in improving reliability. In addition, since it is not an RFID tag that can perform long-distance communication using radio waves, it is possible to eliminate the malfunction of medical equipment in hospitals and the effect on test data due to radio waves. There is an effect that can be used without limitation.

 FIG. 18 shows another embodiment of the wireless ID chip. Substrates 1 and 2 such as paper and resin such as plastic, glass epoxy and other substrates; antennas 1 and 3 formed on the surface of the substrates 1 and 1; and lead terminals 1 for supplying signals to the antennas 1 and 3 1 4, a cover 1 1 7 for applying a force to the base 1 1 2 and the antenna 1 1 3, a wireless D chip bonded to the surface of the antenna 1 1 3 with an adhesive 1 1 5, and a wireless ID chip 1 It is composed of resin 1 18 that covers 16. The wireless ID chip 118 is supplied with a signal from a lead terminal 114 and is electromagnetically coupled by an antenna 113 to operate. Antenna 1 13 corresponds to antenna 98 in FIG.

 According to the present embodiment, since the interrogator and the radio ID chip are electromagnetically tightly coupled, the efficiency is improved without loss of the magnetic field, and the radiated power of the interrogator can be reduced. Effective for low power. Also, since the distance is constant, it is effective in improving reliability. Also, there is an effect that a wireless ID chip having a relatively large chip size can be used.

FIG. 19 shows an embodiment of the configuration of the data transfer section between the data carrier and the interrogator of the non-contact type. For example, a consultation ticket 11, a base 81 attached to the consultation ticket 11 1 with a radio ID chip as a data carrier, an insertion guide 8 2 attached to the recording device side, an interrogator 8 3, It is composed of an entrance support 84. The base 81 is inserted along the insertion guide 82 and the question is asked. ,

 3 0

The data carrier is positioned at the position of the machine 83. According to the present invention, since the base can be positioned by the introduction guide, the distance between the base and the interrogator can be made constant, and there is an effect of improving the reliability of reading and writing data.

 FIG. 20 shows an embodiment of the configuration of the data transfer section of the data carrier of the contact type. For example, a medical card 11, a base body 85 with a wireless ID chip, which is a data carrier attached to the medical card 11, and a recording device that comes into contact with the signal and power lines of the data carrier Contact springs 86a and 86b and an inlet support 87. The base body 85 is inserted along the contact springs 86a and 86b. Data is exchanged between the signal lines and power lines of the data carrier and the contact springs 86a and 86b. According to the present embodiment, there is an effect that the base is positioned by the contact spring, and data can be read and written by the signal line and the power line.

 FIG. 21 shows an embodiment of another configuration of the data transfer section between the data carrier and the interrogator. In the medical record 15, a marking C is provided at the position where the wireless ID chip 12 b is embedded or affixed. The interrogator 1991 has a hand-held writing instrument shape, and its tip is configured to correspond to, for example, an antenna 98 of the interrogator as shown in FIG. The operator presses the tip of the writing instrument-shaped interrogator 19 1 against the marking part C shown on the medical record 15 to obtain the unique ID number built into the radio D chip 12 b. Read by interrogator 19 9.

Fig. 22 shows another embodiment of the present invention in which the radio ID chip is provided in a surgical tool or the like, and the surgical tool is checked in the treatment room 6 when the surgical tool is operated. FIG. Surgical tools such as tweezers 12 1, scalpel 1 2 2, and forceps 1 2 3 have radio IDs with unique ID numbers. D chips 124, 125, 126 are provided. The surgical instrument holder 120 is provided with, for example, antennas 105 arranged in a line, and is configured such that a reading device 104 can read out a unique ID number provided in the surgical instrument. Surgical tools have different and unique; [D numbers, so even if multiple identical tools are placed in the surgical tool holder, 120 Can be individually identified

 The ID number read by the reading device 104 is managed by the management device 101, and the display device 102 displays the ID number itself or the type of the surgical tool associated with each ID number. Or a name or the like can be displayed. The input device 103 is connected to the management device 101, and an input is made by, for example, a nurse. The management device 101 is connected to the in-hospital information network 8, so that information read by the reader 104 can be exchanged with other devices via the network. . ,

 First, all the surgical tools used for the scheduled procedure are arranged in the surgical tool holder 120. Next, the radio ID chip 12 4 attached to the antenna 10 5 and each of the surgical tools 12 1 to 12 3 is operated by the nurse pressing the confirmation button using the input device 10 3. The ID numbers stored in all of the ^ wireless ID chips are read by sequentially combining with ~ 1 26. That is, it is possible to obtain a list of all the surgical tools put in the surgical tool container 120. The ID number of the surgical tool is registered in a database file provided in the database 7 of the subject who undergoes the surgery, in association with information on the surgery. ,.

After the scheduled operation is completed, the surgical tools are collected, and the surgical tools are again put into the surgical tool holder 120. Then, again input device by nurse 1 0 3 Obtain a list of all the surgical tools that have been collected, according to confirmation instructions from At that time, compare the ID numbers of all surgical tools that were registered before surgery with the ID numbers of all surgical tools registered in the database of the subject. If it is found, it is confirmed that all surgical tools have been collected.

 This comparison processing may be performed by the overall management apparatus 100 or may be performed by the management apparatuses 100 and 1. When the operation is performed by the overall management device 100, when the post-operative confirmation instruction request is requested from the input device 103, the management device 101 obtains the ID obtained from the surgical tool on the surgical tool holder 120. It is sent to the overall management device 100. Then, the overall management device 100 transmits the comparison processing result to the management device 100 ′ 1, and the management device 101 displays the result on the display device 102. When the comparison process is performed by the management device 101, information similar to the contents registered in the subject's database file is stored in the management device 101, and a request for a confirmation instruction after the operation is received. When requested by the input device 103, the management device 101 performs a comparison process with the ID obtained from the surgical tool on the surgical tool holder 120: the result is displayed on the display device. If the ID numbers do not match, it is clear that there are surgical tools that have not been recovered, and the surgical tool database differs from the database of the subject in which the surgical tool ID numbers are registered. By confirming the ID number that did not match, and displaying the type and name of the surgical tool on the display device 102, it is possible to immediately detect the leakage of the surgical tool.

FIG. 23 is a diagram illustrating an example of a data flow when performing information communication between the wireless ID chip 12 and the management device 14 described above. First, an electromagnetic wave of a predetermined frequency is transmitted from the interrogator or the reader 25 having a built-in interrogator to the wireless ID chip 12 to excite the wireless ID chip 12. If the wireless ID chip is at a predetermined position on the interrogator, the wireless ID chip Step 12 returns a response signal to the electromagnetic wave to interrogator 25. When the interrogator 25 receives the reply from the wireless ID chip 12, the interrogator 25 inquires about the ID number. In response, the wireless ID chip 12 sends out the assigned ID number and the interrogator 25 receives it. The interrogator 25 sends the received ID, the individual ID of the patient (or the ID of the consultation ticket), and the ID of the interrogator 25 to the management device # 4. Up to this point, the management device 14 can acquire and manage information as to which ID number was read by which interrogator (reader). For example, if this exchange is for the treatment of medicine in the medicine storage 5, and if the read ID is the prescribed medicine ID, the medicine ID is the individual ID of the patient (or the ID of the consultation ticket). ) And sent to the management device 14.

Further, the management device 14 gives the management device ID and sends the information to the overall management device 100. The overall management device 100 checks whether the acquired ID is an ID already registered in the database file 7 ₍ by checking the contents of the personal DB based on the individual ID of the patient, If it is determined that the new ID has not been registered, the acquired ID is newly registered in the database 7, and the registration result is sent to the display unit to be displayed. You can check ...

On the other hand, the content of the personal DB based on the individual ID of the patient is checked, and if it is confirmed that the ID is already registered, the obtained ID is searched, that is, the registered ID is already registered. By sending the contents to the display and displaying them, the operator can visually check the registered results. As described above, according to the present embodiment, a wireless ID chip recording a unique ID is provided as a small and thin data carrier that can be added to each sheet. Add these IDs to the database as needed, in addition to medical consultation tickets, patients, medical records, prescriptions, drugs, and test results. By registering and managing time-related information, it is possible to constantly check and confirm the patient, the medical doctor, the prescription, the drug, the medical treatment, and the test result. This has the effect of preventing erroneous drug administration during medical treatment such as surgery, and the possibility of mixing up patients, thereby improving the reliability of medical work.

In addition, before and after surgery, it is easy to check whether the surgical tools prepared in advance match the surgical tools collected after the operation, so that surgical tools can also be collected. It can be reliably prevented a record, effect force ^s Mel that.

 ADVANTAGE OF THE INVENTION According to the present invention, the result of a medical examination at a hospital, the prescribed medicine, or the content of a medical treatment can be easily stored in a database, and its search and comparison can be easily performed. .

Claims

The scope of the claims

1. At least a consultation ticket that identifies the patient, each leaf of the physician with a doctor's diagnosis or result of the treatment, and each leaf of the prescription with the prescription of the medicine. 'A reading device that holds a wireless ID chip having a unique ID and reads the ID from the wireless ID chip. A medical information management system including an information management device that manages the read unique ID in accordance with a database classified for each unique ID of a patient;

 2. At least when the chart is newly issued, the information management device associates the unique ID of each sheet of the chart read by the reader with the ID of the patient to be treated. The medical information management system according to claim 1, which is added to the database.

 3. At least at the time of issuing the prescription, the information management device associates a unique ID provided for each sheet of the prescription paper read by the reading device with a corresponding patient ID. 2. The medical information management system according to claim 1, wherein the medical information management system is added to the database.

 4. Each medicine container is equipped with a wireless ID chip having a unique medicine ID, and the information management device performs a medical treatment for administering medicine to a patient.

'To determine whether the medicine ID is correct for the prescription described in the ID of the chart or the ID of the prescription by comparing with the chart ID or prescription ID recorded in the database, 2. The medical information management system according to claim 1, wherein the display unit displays whether or not the result is correct.

5. When the administration of the medicine described in the prescription to the patient is completed, the prescription ID is distinguished in the database as having been administered. The medical information management system described in the section.

6. The medicine is a drip medicine, and a hook portion of the drip medicine is provided with a wireless ID tag having a medicine D unique to the drip medicine, and a mounting arm for suspending the drip medicine is provided with a wireless ID tag. An interrogator that can read the medicine ID recorded in the RFID tag is attached to the mounting arm, and the wireless ID tag comes into contact with or comes into contact with the wireless ID tag. 5. The medical information management system according to claim 4, wherein the medicine ID is read.

 7. During the period in which the prescribed medical treatment is performed, each individual patient is equipped with a wireless ID chip that stores a unique patient ID corresponding to the above-mentioned patient one-to-one. When performing medical treatment for a skin clinician, a medical treatment schedule ID including a medical record ID provided in a medical record describing the medical treatment content or a prescription ID provided in a prescription or a medical treatment scheduled content is provided. 2. The medical information management system according to claim 1, wherein the medical information management system is compared with a patient ID. '

 8. The wireless ID chip, which records the ID that corresponds one-to-one with the patient, is made by inserting an adhesive into a sheet-like substrate coated on one side, and attached to the patient. 2. The medical information management system according to claim 1, wherein the medical information management system can be attached. '

 9. The wireless ID chip that records the ID corresponding to the patient in a one-to-one relationship is embedded in a ring-shaped or wrist-shaped medium, and can be attached to the patient. The medical information management system according to claim 1, wherein the medical information management system comprises:

 10. The medical information management system according to any one of claims 1 to 9, wherein the wireless ID chip is non-rewritable, and has only an I'D number reading function. .

1 1. A medical device equipped with a semiconductor chip capable of transmitting unique identification information, Reads the identification information in response to the semiconductor-chip and a portable identification device equipped with a semiconductor chip capable of transmitting unique identification information.Reader and collates the read identification information A medical information management system consisting of a display that displays the results of the treatment

 12. An identification information collating device for receiving identification information read from the reader and collating the identification information read from the medical device based on the identification information read from the identification device. The medical information management system according to item 11 above.

 13. The medical information management system according to claim 11, wherein the display device displays a result of matching the medical device with the identification device.

 14. A medical device comprising a semiconductor chip capable of transmitting unique identification information, wherein the identification information is read out in response to the semiconductor chip and collated with other identification information. '

 15. The medical device according to claim 14, wherein the medical device is a sheet made of paper, and the semiconductor device is mounted on the medical device. No

 16. The medical device according to claim 14, wherein the medical device is a container containing a medicine, and the semiconductor chip is mounted so as to be readable from the outside.

 17. The medical device is a container that contains a medicine, and when the medical device is used while being held, the semiconductor chip is mounted near a portion to be held. 14. The medical device according to item 4.

 18. The medical device is a surgical instrument, and the identification information is read out before the operation and registered in the database of the subject, and is read out again after the operation and registered again in the database of the subject. The medical device according to claim 14, wherein the medical device is matched with the identification information.

1 9. Information management that is connected to the network and performs processing based on identification information The device is connected to a database managed by an identification code for each patient and is transmitted via the network based on the identification information corresponding to the patient transmitted via the network. Identification information collation for recognizing the relevance of the identification information read from a medical device provided with a semiconductor chip capable of transmitting unique identification information to the identification information registered in the database of the patient in the database Information management device of a medical information management system equipped with a device. '

 20. In an information management device that is connected to the network and performs processing based on the identification information, it is connected to a database managed by an identification code for each patient, and transmitted via the network. The identification information read from the medical device provided with the semiconductor chip capable of transmitting the unique identification information transmitted through the network, based on the identification information corresponding to the patient, An information management device of a medical information management system including an identification information registering device for registering relevance in the patient database.