JPH1166197A - Information providing method for electronic medical chart system and recording medium for the system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To enable a doctor to efficiently gather information by displaying retrieved medical treatment information by a means for display by medical treatment stages according to an inputted medical treatment stage. SOLUTION: A control process means 12 has a medical treatment stage input processing means 120, a processing means 121 for retrieval by medical treatment stages, and a processing means 122 for display by the medical treatment stages. The medical treatment stage input processing means 120 acquires a medical treatment state inputted by a user. Here, the medical treatment stage indicates stages of medical treatments done by a doctor for a patient from initial consultation to curing and are screening, discriminatory diagnosis, determinative diagnosis, passage observation, etc. Thus, the purpose of medical treatment is different among the respective stages, so the contents of information that the doctor requires vary. For the purpose, the processing means 121 for retrieval by the medical treatment stages performs retrieval from a data base for medical treatment information by the medical treatment stages according to the inputted medical treatment stage and extracts medical treatment information corresponding to the medical treatment stage.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical treatment support technology for an electronic medical record system, for example, to a technology for selecting and presenting medical information of a patient in accordance with a doctor's medical treatment stage.

[0002]

2. Description of the Related Art A conventional chart is a profile of a patient.
Medical information such as medical histories, medical examination findings, and test data is aggregated, and doctors are currently busy recording and organizing such data. Against this background, in an electronic medical record system that handles digitized medical information, input support for efficiently inputting the above data, diagnosis support for quickly performing accurate diagnosis using the above data, etc. There is a need for various medical care support.

As an example of this support method, for example,
There is -40283. The above conventional example assumes pen input on an input / output integrated tablet, and when a patient's chief complaint is selected, the corresponding detailed chart creation terms and phrases are displayed on the input screen, and the chart is selected by selecting those terms. create. In Japanese Patent Application Laid-Open No. 4-195465, when a patient's chief complaint is selected, inference is made using diagnostic knowledge, and the next possible diagnosis name and related information such as chief complaint, symptoms, and test items are displayed on an input screen. Create a chart by selecting them.
In addition, the main complaint of the patient is selected by a menu expression having a hierarchical structure, and the particles defined at each hierarchical level are automatically added to express the chief complaint in a natural sentence. In both cases, the input operation is simplified by having an input template according to the main complaint.

[0004]

In the above conventional example, in addition to assisting the input, there is an effect of preventing omission of diagnosis, omission of inquiry, and omission of examination by input items of the input template. However, since the related medical information obtained from the template is limited to items inferred from the chief complaint, a mistake was made in the chief complaint to be focused on or an abnormal finding was newly recognized, necessitating a new diagnosis. In such a case, there is a problem that the original template has insufficient information to be collected. However, it is not effective to collect all necessary information because it is necessary to collect and present a large amount of medical information.

Accordingly, an object of the present invention is to provide an electronic medical record system having a means for controlling the presentation of such a large amount of medical information in order to enable efficient information collection, and to provide support and quality of medical treatment by doctors. The goal is to improve.

[0006]

The object of the present invention is to provide a medical treatment stage input means for inputting a medical treatment stage of a doctor such as a definitive diagnosis or a follow-up, and a search process for each medical treatment stage for retrieving relevant medical information according to the medical treatment stage. Means, and display processing means for each medical treatment stage for displaying relevant medical information in accordance with the medical treatment stage, based on the medical treatment stage inputted by the medical treatment stage input means, and searched by the medical treatment stage-specific search processing means. The corresponding medical treatment information is displayed by the display processing means for each medical treatment stage, and further provided is a medical treatment stage judgment processing means for judging a medical treatment stage of a doctor, and the medical treatment stage input from the medical treatment stage determined by the medical treatment stage judgment processing means is provided. Means for determining a medical stage to be inputted by the means, and further, an attribute indicating medical information and at least one or more medical stages are indicated on a recording medium readable by the search processing means for each medical stage. It is achieved by storing the attribute.

[0007]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS A first embodiment is shown in FIGS.
This will be described below.

FIG. 1 is a system configuration diagram of the present embodiment. An input / output means 10, an input / output control means 11 for controlling input / output, a control processing means 12 for controlling information obtained from the input / output control means 11, It comprises a medical treatment information database 13 for each medical treatment stage. The control processing unit 12 includes a medical stage input processing unit 120, a medical stage-specific search processing unit 121, and a medical stage-specific display processing unit 122.

The medical stage input processing means 120 obtains the medical stage input by the user. Here, the medical treatment stage refers to the stage of medical treatment performed by a doctor from the initial consultation to the cure of the patient, and includes screening, differential diagnosis, definitive diagnosis, and follow-up. For example, screening is a stage in which a disease is initially screened, and definitive diagnosis is a stage in which a certain diagnosed disease is determined. As described above, in each medical treatment stage, the purpose of medical treatment is different, so that the content of information required by the doctor is also different. Thus, the medical stage-specific search processing means 121 searches the medical stage-specific medical information database 13 based on the input medical stage, and extracts the medical information corresponding to the medical stage.

FIG. 2 is a flowchart showing the processing steps in this embodiment. FIG. 3 shows a screen development example in the present embodiment, which has a medical treatment stage selection area 30 for narrowing medical information by stage and a medical information display area 31 for displaying the narrowed medical information.

Hereinafter, each processing step of FIG. 2 will be described.

<Step 200> Medical treatment stage selection area 3
The medical stage selected and input at 0 is acquired by the medical stage selection input processing means 120.

<Step 201> Medical care information display area 3
Medical information buffer for storing the contents to be displayed in 1.
Initialize memory.

<Step 202> Based on the medical stage obtained in step 200, the medical stage-specific search information processing unit 121 searches the medical stage-specific medical information database 13 and extracts the corresponding medical information.

<Step 203> The extracted medical information is added to the medical information buffer memory.

<Step 204> It is checked whether or not all the medical treatment stages selected and inputted have been searched. If not completed, step 202; if completed, next step 20
Step 5 is executed.

<Step 205> The contents of the medical treatment information buffer memory are displayed by the medical treatment stage display processing means 122.

FIG. 3 shows that, regarding the examination information related to "chronic hepatitis", "confirmed diagnosis, complication" is selected and input as the medical treatment stage (30 in the figure), and various examination information such as "GOT, GPT, etc." (31 in the figure).

In the above embodiment, when a doctor inputs a medical stage, only the medical information related to the medical stage is presented, so that efficient information collection can be performed.

A second embodiment will be described with reference to FIGS. FIG. 4 is a diagram showing a system configuration according to the present embodiment. In addition to the configuration shown in FIG.
It has a medical information database 41 and medical stage judgment knowledge 42. The medical stage judging means 40 automatically judges the medical stage using the medical stage judging knowledge 42 based on the medical information of the patient retrieved from the medical information database 41.
The determined medical stage is processed by the medical stage input processing means 120.

FIG. 5 is a flowchart showing the processing steps in this embodiment. FIG. 6 is a medical stage determination table used as the medical stage determination knowledge 42 in the present embodiment. The table includes items of a disease name 60, a medical treatment stage 61 until the disease is cured, and treatment information 62 to be performed in each stage.

Hereinafter, each processing step of FIG. 5 will be described.

<Step 500> In the medical treatment stage judgment processing means 40, medical information such as a disease name and a treatment history related to the disease is acquired from the medical information database 41.

<Step 501> Based on the acquired disease name and treatment history, the medical stage determination table shown in FIG. 6 is searched to acquire the current medical stage.

<Step 502> From the acquired medical stage, the search unit 121 for each medical stage, the display processing unit 1 for each medical stage
In step 22, the processing of steps 200 to 205 is performed, and the medical care information is automatically narrowed down and presented.

In the above embodiment, when the medical treatment stage is clearly defined, such as at the first consultation, the operation of inputting the medical treatment stage can be omitted. Further, since the medical treatment stage is automatically determined, it is possible to prevent omission of information collection when a doctor mistakes the medical treatment stage.

A third embodiment will be described with reference to FIG. FIG.
Is a data structure for extracting medical information from a medical stage in the medical information database 13 for each medical stage. In the database, the disease name 70 and the test item 71
The flag 72 corresponding to the medical treatment stage for each medical information such as
With. Therefore, for example, in the case of a patient with acute hepatitis, information GOT, GPT, and A / G for which the follow-up observation flag is true can be extracted as the information required in the medical treatment stage of “watch-over”. On the other hand, when narrowing down information from the medical treatment stage,
In order to prevent doctors from overlooking information, information presentation is often controlled from a plurality of medical treatment stages. Thus, in the present embodiment, by providing flags for a plurality of medical treatment stages, it is possible to extract information for a plurality of medical treatment stages. For example,
When extracting information to be used for both definitive diagnosis and follow-up,
Information GOT and GPT for which both flags are true are extracted. When extracting information to be handled by either the definitive diagnosis or the follow-up, GPT, GPT,
Extract A / G and LDH.

In the above embodiment, since each medical information has a flag corresponding to a plurality of medical stages, the medical information can be retrieved at high speed when extracting the medical information from the plurality of medical stages.

[0029]

The doctor can efficiently collect information by controlling the presentation of medical information according to the medical treatment stage. Also,
By adding a judgment function at the medical treatment stage, it is possible to prevent doctors from missing information. In addition, by having a data structure for rapidly extracting medical information from a plurality of medical treatment stages, operability when presenting information is improved. As described above, the efficiency and quality of medical treatment of a doctor can be improved.

[Brief description of the drawings]

FIG. 1 is a block diagram showing a system configuration according to an embodiment of the present invention.

FIG. 2 is a processing flowchart at the time of displaying medical information by inputting a medical stage in one embodiment of the present invention.

FIG. 3 is an explanatory diagram showing an example of an information display screen according to a medical stage input in one embodiment of the present invention.

FIG. 4 is a block diagram of a system configuration in consideration of a medical stage determination unit according to another embodiment of the present invention.

FIG. 5 is a processing flowchart when displaying medical information in the embodiment of FIG. 4;

FIG. 6 is an explanatory diagram showing an example of a medical care stage determination table.

FIG. 7 is an explanatory diagram showing an example of a data structure of a medical care information database for each medical care stage.

[Explanation of symbols]

DESCRIPTION OF SYMBOLS 10 ... input / output means, 11 ... input / output control means, 12 ... control processing means, 120 ... medical stage input processing means, 121 ... medical stage search processing means, 122 ... medical stage display processing means, 13 ... medical stage Medical treatment information database, 30 ... Medical stage selection area, 31 ... Medical information display area, 40 ...
Medical treatment stage judgment processing means, 41 ... medical treatment information database,
42 ... medical care stage judgment knowledge database, 60 ... disease name,
61 ... medical treatment stage, 62 ... treatment information, 70 ... disease name, 71
... test item, 72 ... medical stage flag.

Claims (3)

[Claims] In an information presentation method of an electronic medical record system, a medical treatment stage input means for inputting a medical treatment stage of a doctor, such as a definitive diagnosis or a follow-up, and a medical treatment stage for searching for relevant medical information according to the medical treatment stage. A search processing means, and a medical treatment stage-specific display processing means for displaying relevant medical information according to the medical treatment stage, based on the medical treatment stage input by the medical treatment stage input means, An information presentation system for an electronic medical record system, wherein the searched medical treatment information is displayed by the display processing means for each medical treatment stage. 2. The information presentation method of an electronic medical record system according to claim 1, further comprising: a medical treatment stage judging means for judging a medical treatment stage of a doctor, wherein said medical treatment stage judging by said medical treatment stage judging means is changed to said medical treatment stage. An information presentation method for an electronic medical record system, wherein a medical treatment stage input by an input means is determined. 3. A recording medium readable by a medical stage-specific search processing means according to claim 1, wherein an attribute indicating medical information and an attribute indicating at least one medical stage are stored. Recording medium.