JPH0756947A - Case data base and its retrieval display method - Google Patents

Abstract

PURPOSE:To improve diagnosis precision and to contribute to consultation explanation for a patient. CONSTITUTION:This system is provided with a case data base and a retrieval system by which a data base holding the case history outline and consultation information on the patient existing in the past is retrieved with information showing the feature of the condition of the patient in the middle of consultation as a retrieval key and the case history outline and consultation information, which correspond to the condition of a disease, are extracted and they are displayed on a work station. The case data base consists of a data base for case retrieval 11, and various order files 12 and 13 for a prescription and inspection. The data base for case retrieval 11 holds plural pieces of retrieval information such as the name of the disease, a disease part, the condition of the disease as key information and holds a patient number, patient basic information and a consultation summary as data information.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION The present invention is applied directly to a hospital,
Alternatively, the present invention relates to a hospital information system including indirect registration, storage, storage, and processing of medical information, and further relates to a case database and a search and display method for effectively using the information to support medical care.

[0002]

2. Description of the Related Art Secondary use of order data is mentioned as one of the merits of an ordering type hospital information system. In particular, a case database that summarizes cases of existing patients has been expected to be useful for supporting daily medical care and applying to medical education. For example, the tenth
Japan Conference on Medical Informatics (641-642, 1990)
Proposes a basic concept for constructing a case database (Prior Art 1). Here, the main contents of the case database, purpose of use, operation method, etc. are described.

In addition, the 12th Medical Informatics Conference (71
1-714, 1992) describes a method for patient search by disease name. In this method, the doctor
Alternatively, when a plurality of disease names, hospitalizations, outpatient departments, medical departments, etc. are input, the system searches for patients corresponding to these and outputs the list on the screen (prior art 2).

Further, Japanese Patent Laid-Open No. 14180/1992 discloses a method similar to the present invention in which detailed information is searched after approximate information is previously obtained in a search database. Here, an intermediate table in which the definition information is organized according to the search purpose is generated, and when searching the registered definition information, instead of directly accessing the definition information, the intermediate table is accessed to speed up the search (conventional). Technology 3).

[0005]

In the above-mentioned prior art 1,
The basic concept of the case database construction method, usage method, and operation method is proposed.
There are no specific plans for search methods. In the prior art 2, the method of searching the patient name corresponding to each disease name is described in detail, but the subsequent search of medical information is not particularly mentioned. The prior art 3 is common to the present invention in that the summary information is searched and displayed by a certain search key in advance and then the detailed information is searched. However, the method of searching and displaying detailed information after obtaining the summary information is not particularly mentioned. Patient data in the medical information system includes prescriptions, tests, radiation, surgery, etc.
There is a wide variety, and it is not a simple task like searching the full text specification from a patent abstract, and doctors need to select and refer to only the necessary information.
Therefore, when displaying detailed information on medical treatment, a method capable of efficiently searching for such information is required.

An object of the present invention is to provide a data structure of a case database and a search method for efficiently searching and displaying past medical information accumulated in a hospital.

[0007]

[Means for Solving the Problems] The above-mentioned object is, in a hospital information system, a history of an actual patient in the past, with the information representing the characteristics of the medical condition of the patient being treated by a doctor as a key,
Achieved by providing a case database and a search method by which a database holding medical information and the like is searched, and a medical history summary and medical information corresponding to the medical condition are extracted and visually displayed on a workstation. . The case database is a search key for information indicating the characteristics of a medical condition such as a disease name, a diseased part, and a symptom, a patient number as data information,
It consists of a search database that holds basic information and medical treatment summary, and various order files that hold order information such as prescriptions and tests for each patient, and result information.

[0008] As a specific search procedure, after displaying a basic information list of the patient extracted by the search database on the screen, the medical care summary information of the patient selected from this is displayed. After displaying the medical care summary information, it is possible to further specify the medical care information item on the summary screen and display the detailed information.

[0009]

In the case database and search method according to the present invention, a doctor searches a database holding a history of medical history of existing patients, medical information, etc., using information representing the characteristics of the medical condition of the patient under medical treatment as a key. There is provided a case database and a search method capable of extracting a medical history summary, medical information and the like corresponding to the medical condition and displaying the information on a workstation. Specifically, using the disease name, disease site, symptom, etc. as search keys, search for rough information such as basic information of the actual patient in the past corresponding to these, medical treatment summary, and then specify and display detailed items. You can As a result, past cases corresponding to the medical condition of the patient under medical treatment can be efficiently searched.

The present invention provides a case database structure and a search method, which have not been mentioned in the prior art 1 described above, and a patient data search method after the patient name search, which has not been mentioned in the prior art 2. Are offered. Further, the prior art 3 is a known example that is the closest to the present invention in that detailed information is searched after obtaining rough information in advance, but an efficient method for searching detailed information is not particularly mentioned. The present invention is different from the prior art 3 in that it provides a method of displaying the medical care summary information and then designating detailed display items on the screen. In particular,
Specify the detailed display items by a method such as directly clicking the items such as prescription, examination, radiation, etc. displayed on the medical treatment summary screen, or clicking the button of the medical information items prepared on the screen in advance. Display detailed medical information stored in the order file. This allows the doctor to more efficiently retrieve necessary detailed information from the case database. Therefore, the medical care summary according to the present invention is not only an abstract of medical care information but also a search screen for effectively referring to detailed information.

According to the present invention, a doctor can proceed with medical treatment while efficiently referring to case data of a past existing patient having similar characteristics such as disease name and symptom of the patient currently undergoing medical treatment. The accuracy is expected to improve. Further, by presenting various kinds of medical information on the workstation, it is possible to contribute to the explanation of medical care to the patient.

[0012]

FIG. 3 shows the configuration of a hospital information system to which an embodiment of the present invention is applied. In the figure, 1 is a host computer or server, 2 is a database, 3 is a system relating to medical affairs and accounting, and is one subsystem of a hospital information system, 4 and 5 are clinical department subsystems representing several clinical departments, 6 Is an inspection subsystem that represents various types of inspection equipment or systems, 7 is a ward subsystem that represents an inpatient ward, 8 is a radiology subsystem that represents the functions of a radiology department, and 9 is centralized management information for the entire hospital. It is a centralized management system with a monitoring function for the entire hospital. Further, 10 is an information network (LAN) connecting the subsystems to each other, and 100 is a branch line LAN in the subsystems 4 to 8.

FIG. 4 shows the configuration within the medical department shown in FIG. Department server 40, department file 41, WS4 for doctors
2 etc. are connected by a branch line LAN 100. In the department file 41, various master files and order files of the department, and a case search database according to the present invention are stored. Further, the server 40 executes the ordering system through the in-house file 41 and the doctor WS 42. Next, FIG. 5 for explaining the operation in the medical department shows a rough process of medical treatment. First, the doctor activates the ordering system with his / her own patient ID through the WS 42. (Step 51 and Step 52). This opens the order file for the patient (step 5).
3). That is, various order files are searched from the department storage file 41 by the patient name, displayed on the WS, and the run state is set. In the order file, the medical record up to the previous time is described, and the doctor executes the medical care based on it.

In medical care, reference to the medical record and examination data so far, processing of such information, change of display method, etc. are executed on the WS. Further, the case database in the present invention is also referred to here. The doctor refers to the obtained information to issue a new order, enter a comment, a finding, make a reservation, and examine a medical treatment plan (step 54). This control is performed by the ordering system including the server (S) 40 and the WS 42.

The structure of the case database applied in the present invention and the procedure for searching the case database will be described in detail below with reference to FIGS. 1, 2, 6, and 7.

FIG. 1 shows the internal structure of the case database according to the present invention. The database is composed of a case search database 11 and various order files for prescription, examination, etc. (prescription order file 12, examination order file 13, etc.), and is arranged on a department file 41 on the server 40. The case search database 11 holds a plurality of search information such as a disease name, a diseased part, and a symptom as key information, and holds a patient number, patient basic information, and a medical care summary as data information. The key information is extracted by the doctor from the findings for each patient who has undergone medical treatment, such as disease name, disease site, and symptom, and entered as code information, or selected from the search key menu that is presented in advance. It has been entered. The medical care summary information is summary information of medical care progress such as prescription, examination, surgery, etc., and a summary at the time of discharge of an inpatient is typical.

Similar to the conventional ordering system, the various order files hold order history information such as prescriptions and tests of existing patients in the past, and have a patient number or a patient name as a search key. . When the doctor searches the case database as described above, first, the case search database 11 is searched using the disease name, disease site, symptom, etc. corresponding to the medical condition of the patient under medical treatment as a search key,
Get approximate information about past patients with similar medical conditions. After that, if necessary, various order files (12, 13, etc.) of those patients are searched by the patient number and the like, and more detailed information is displayed on the WS.

FIG. 2 is a flow chart showing the procedure for searching and displaying the case database according to the present invention. This procedure is executed in step 54 of FIG. 5, that is, in the case of performing medical treatment using the ordering system, when medical data of a past real patient having a similar case to the patient under medical treatment is retrieved. .

Step 21: First, a doctor inputs a plurality of pieces of search information such as a disease name, a diseased part, and a symptom, which represent characteristics of a medical condition of a patient under medical treatment. These pieces of search information are directly input by a doctor or selected from a search menu presented in advance.

Step 22: The system searches the case search database 41 based on the input search information, and displays a list of patient names and basic patient information of the corresponding patients).
An example of the output screen at this time is 61 in FIG.

Step 23: The doctor confirms the selected patient list on the screen, and then selects one from the patients displayed in the list.
Select a name.

Step 24: The system that received this
The medical care summary of the selected patient is extracted from the case search database 41 and displayed on the workstation 22. The medical treatment summary here is medical treatment summary information such as prescriptions and tests, which is represented by a summary at the time of discharge of inpatients,
Reference numeral 71 in FIG. 7 is an example of the output screen.

Step 25: After referring to the output screen 71, the doctor designates an item (for example, detailed contents of prescription) on the screen if there is medical information to be displayed in more detail.
The designation of the display item is a method of directly clicking the item being displayed as in 72 of FIG. 7, and “prescription details” and “examination details” prepared in advance in the screen 71 as in 73 to 76.
There is a method to specify by clicking the button such as.

Step 26: When the above items are selected, the system searches the order file (for example, prescription order file 12) of the corresponding patient by the patient number or the patient name, and the workstation 42 for the specified detailed information.
Display on top. After this, if there is another item to be further referred to, the process returns to step 25. If it is desired to refer to the case of another patient, the process returns to step 23.

In this way, the doctor can proceed with the medical treatment by referring to the cases of the past patients who have similar medical conditions to the patient under medical treatment one after another.

[0026]

According to the present invention, the doctor can proceed with the medical examination while referring to the case data of the actual patient in the past, which has similar characteristics such as the disease name and the symptom of the patient who is currently undergoing medical examination. Is expected to improve. In particular, since the medical care summary information is displayed in advance and the medical care information item to be referred to in more detail can be designated on the reference screen, it is possible to efficiently search and display the case data. In addition, by presenting various kinds of medical information on the workstation, it is possible to contribute to the explanation of medical care to the patient. Furthermore, it can also contribute to medical education at university hospitals and the like.

[Brief description of drawings]

FIG. 1 is an explanatory diagram showing an example of an internal structure of a case database according to the present invention.

FIG. 2 is a flowchart for referring to a case database in a medical department according to the present invention.

FIG. 3 is a block diagram of a hospital information system according to the present invention.

FIG. 4 is a block diagram showing a configuration example of a clinical department subsystem.

FIG. 5 is a flowchart showing the flow of a medical treatment process in a medical department.

FIG. 6 is an explanatory diagram showing an output list of patient basic information extracted as a result of searching the case database according to the present invention.

FIG. 7 is an explanatory diagram showing an output screen of a medical care summary of one patient extracted as a result of searching the case database according to the present invention, and a method of designating detailed medical care information on the same screen.

[Explanation of symbols]

11: case search database, 12: prescription order file, 13: examination order file.

─────────────────────────────────────────────────── ─── Continuation of the front page (51) Int.Cl. ⁶ Identification code Internal reference number FI technical display part 8125-5L G06F 15/62 330 G

Claims (9)

[Claims] 1. A unit of hospital management information such as patient information and the status and state of each subsystem group by connecting a medical treatment subsystem such as an outpatient department or a ward, an examination subsystem, and a radiology subsystem through a network. In a hospital-based information system based on management, a case database that holds a history of medical history of existing patients, medical information, etc., using information indicating the characteristics of the medical condition of the patient under medical treatment, such as disease name, disease site, and symptom, as search keys. A case database search and display method, characterized in that a past patient having a similar case to the patient under medical treatment is extracted by searching the above, and the medical history summary and medical care information are visually displayed on the terminal. 2. The case database according to claim 1 is composed of a case search database holding a plurality of search keys such as disease name, disease site, and symptom, various order files for each patient, and result files. Case database. 3. The case search database according to claim 2 holds a plurality of search keys such as disease name, disease site, and symptom,
A case database characterized by holding patient names, basic patient information, and medical care summary information as data information. 4. The search key according to claim 2, wherein the doctor extracts the characteristic features such as disease name, disease site, and symptom from the findings for each patient under medical treatment and inputs it as code information. A case database search and display method. 5. The retrieval key according to claim 2, extracts characteristic items such as a disease name, a diseased part, and a symptom of each patient being treated by a doctor, and selects from a menu presented in advance. A method of searching and displaying the case database that was entered by the user. 6. The case database according to claim 2, wherein a list of patient basic information extracted by the search database is displayed on the screen, and then medical care summary information of the patient selected from the list is displayed. Database search display method. 7. A case database search and display method, wherein the medical care summary information according to claim 3 is summary information of medical progress such as prescription, examination, and surgery. 8. The case database search and display method according to claim 7, wherein after displaying the medical care summary information, the medical care information item is further specified on the screen and detailed information is displayed. 9. The case database search and display method, wherein the detailed information according to claim 8 is various order information such as prescriptions and tests held in various order files, or result information such as test results.