JP2007058715A - Medical service support system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a medical service support system capable of acquiring target medical information highly in operation efficiency in a medical field and capable of plainly displaying service states in each service, operation, user, patient, etc. <P>SOLUTION: A user sends a request for referring to service information concerned with a target medical treatment to a medical service support server 7. The medical service support server 7 registers the reference request from the user in history information and provides the request service information to the user. On a display part 11 of a user's medical information supporting terminal 5, target service information is displayed as a subject in series, so that the user can visually and easily grasp the service information. It is also available for the medical service support server 7 to extract important words and phrases from words and phrases included in the service information and use the extracted words and phrases as a subject. Further it is also available for the medical service support server 7 to extract important words and phrases from the words and phrases included in the service information and display the extracted words and phrases in an emphasized state so that the user can easily recognize the words and phrases. <P>COPYRIGHT: (C)2007,JPO&INPIT

Description

  The present invention relates to a medical work support system that handles information related to an electronic medical record system, a nursing support system, a HIS (Hospital Information System), etc. connected to a network of a medical facility. Specifically, medical information such as medical records, nursing records, temperature plates, orders, etc. is stored in a database in association with business information, and the contents are added, modified, or searched for according to requests from medical professionals. It relates to a medical service support system.

  Conventionally, there is a system for registering medical information and business information related to the medical information in a database as an electronic medical record. In this case, although medical information is registered in the electronic medical record, information regarding the history of adding, correcting, or referring to the registrant, the registration date and time, or the contents of the electronic medical record is not included.

  Also, an operation record table linked to the medical information database, history recording means for recording the operation content and operation time executed in response to the operation input in the operation record table in association with the target screen or execution screen of the operation, There has been proposed a medical assistance device having history reproducing means for displaying an operation input history (see, for example, [Patent Document 1]). In this medical assistance device, the user can visually follow the order in which the medical information is input and the order in which the medical information is referred to in time series.

JP 2005-025361 A

  However, the medical assistance device shown in [Patent Document 1] turns the calendar while reproducing the operation history in order to obtain medical information desired by medical staff such as doctors and nurses from the medical information database. In this way, it is necessary to check all the contents one by one, and there is a problem that the work efficiency is poor.

  In addition, since the conventional system does not efficiently classify and manage the contents of medical information, it is difficult to quickly search for necessary medical information.

  The present invention has been made in view of such a problem, and the object of the present invention is to obtain the desired medical information at a medical site with high work efficiency, and to determine the business status such as business, operation, user, patient, etc. It is to provide a medical service support system that can be easily displayed in units.

  According to the present invention for achieving the above-described object, a server that manages business information related to medical work associated with medical information and at least one terminal device that inputs or acquires the work information are mutually connected via a network. A medical work support system connected so as to be able to send and receive work information, wherein the server holds the work information in association with title information, and the search condition that corresponds to the search condition transmitted from the terminal device Business information extraction means for extracting business information from the holding means, Title information display means for displaying a list of title information corresponding to the business information extracted by the business information extraction means on the terminal device, and the title information display means Display the business information corresponding to the title information selected and transmitted by the terminal device from the title information displayed by the terminal device. And a business information creation / update unit that creates or updates the business information based on input information transmitted from the terminal device and holds the business information in the holding unit. It is a business support system.

Medical information includes medical records, nursing records, temperature plates, orders, and the like composed of character data, image data, audio data, and the like at a medical site. The temperature plate is a graph showing the course of the patient's respiratory rate, pulse rate, body temperature, blood pressure, and the like.
The work information is information related to medical work, and includes a title (explained by title information), importance, user ID, patient ID, data type, date, location, etc., information about a patient, and the like. The business information is associated with the medical information. The importance level is a ranking given to the business information (for example, A, B, C, etc. are assigned in descending order of importance). The data type is a type of the business information (that is, medical information), such as medical records, nursing records, temperature plates, orders, and the like.

Search conditions include, for example, business type (medical record, nursing record, temperature plate, order, etc.), patient name, ward, history (reference, correction, addition, etc.), etc. In this system, the search conditions specified by the user Search and display business information.
The title information has an index role for searching the contents of the business information. In other words, when a business content is registered, a keyword related to the business content may be input as title information, or the system automatically extracts a character string as a keyword from a character string already registered as business information. Then, the title information may be created.
Input information is content input from a terminal device. For example, input related to new creation, reference, correction, deletion, etc. of business information.

  The server is an information processing apparatus such as a computer, and stores medical information, business information, and the like in a database. The server extracts and provides the business information according to the request from the terminal device.

  The terminal device is a personal computer, a workstation, or the like, and makes a request for extracting necessary information to the server under a search condition specified by a user who operates the terminal device. Further, the terminal device presents the extracted business information and the like to the user. The terminal device may be an information communication device such as a mobile phone having a display function, a PHS (Personal Handyphone System), or a PDA (Personal Digital Assistance).

  In the medical service support system according to the present invention, the server holds the business information in association with the title information. The terminal device transmits business information search conditions to the server. The server extracts business information corresponding to the search condition transmitted from the terminal device, and transmits a list of title information corresponding to the extracted business information to the terminal device. The terminal device displays a list of title information transmitted from the server, and transmits the title information selected from the title information to the server. The server transmits business information corresponding to the title information selected by the terminal device to the terminal device. The terminal device displays the business information transmitted from the server. Further, the server creates or updates business information based on the input information transmitted from the terminal device and holds it in the holding means.

Preferably, the holding unit further holds the business information in association with date / time information, and the title information display unit displays a list of the title information in time series based on the date / time information.
The date / time information is a treatment date / time of medical practice and a recording date / time of business information. By displaying a list of title information in time series based on the date / time information, the user can visually grasp the title information in time series.

  Preferably, the holding unit further holds keyword information, and the business information display unit highlights a portion of the keyword information when the business information includes the keyword information, or the business information When the keyword information is included in the input information transmitted from the terminal device, the creating / updating unit holds the keyword information in the holding unit as title information corresponding to the business information.

The keyword information is a keyword (for example, disease name, examination name, measurement value, drug name, etc.) registered in advance as an emphasized phrase or title phrase.
When the highlighted word is included in the contents of the job information, the job information display means highlights the highlighted word part. The highlighting is, for example, performing processing such as highlight display, underline addition, coloring display, blinking display, bold display, and the like on the corresponding word.
When the input information transmitted from the terminal device includes a title word / phrase, the business information creation / update means adopts the corresponding title word / phrase as title information corresponding to the business information.

  According to the medical service support system of the present invention, the business information is managed by the title information, so that the user can easily and efficiently acquire the desired medical information. In addition, since the business information is displayed on the terminal device in time series in association with the date and time information, the user can easily grasp the business information visually. Also, by highlighting the business contents that match the keyword information (emphasized words), it is possible to call attention to the user. In addition, since the business content that matches the keyword information (title phrase) is automatically extracted as the title, there is an effect of reducing the user's workload.

  According to the present invention, it is possible to provide a medical operation support system capable of acquiring target medical information efficiently at a medical site and displaying the business status in a unit of business, operation, user, patient, etc. in an easy-to-understand manner. Can do.

  Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings. FIG. 1 is a diagram showing a configuration of a medical service support system 1 according to the present embodiment. FIG. 1 shows a case where the medical service support system 1 is configured by a server and a client. The medical service support system 1 can also be configured by a single computer or the like without being separated into a server and a client.

(1. Configuration)
(1-1. Configuration of medical service support system 1)
In the medical service support system 1, a medical service support server 7 that manages medical information and business information and a medical service support terminal 5 used by a user (such as a medical worker) are connected via a network 3 or the like. In the present embodiment, a medical worker (doctor, nurse, pharmacist, etc.) who operates the medical service support terminal 5 of this system will be described as a “user”.

  The medical service support server 7 and the medical service support terminal 5 are computers and workstations installed in medical facilities. A plurality of medical service support terminals 5 may be prepared in a medical facility and connected to the medical service support server 7 via the network 3. The medical service support terminal 5 may be an information communication device or the like that can be carried and used by a medical worker such as a mobile phone having a display function, PHS, or PDA. Also. The medical service support terminal 5 is a hospital information board, a waiting display board, a bedside terminal in a ward or a hospital room, a nurse station, an electronic medical record terminal in the examination room, a reception terminal at a hospital reception desk, an accounting terminal, etc. The software can be used as a medical service support terminal 5 by installing software on a computer installed in any place.

FIG. 2 is a diagram illustrating the configuration of the computer 29.
The medical service support server 7 and the medical service support terminal 5 generally have the configuration of a computer 29 shown in FIG. The computer 29 includes a control unit 31 such as a CPU (Central Processing Unit), a media input / output unit 33 that reads and writes media such as a flexible disk and a CD-ROM, and a modem and a LAN board connected to a network. A communication unit 35 such as a keyboard, a mouse or a microphone, a printing unit 39 such as a printer, a display unit 41 such as a CRT or a liquid crystal display, a ROM (Read Only Memory) 45, a RAM (Random The storage unit 43 includes an access memory (47), a hard disk drive (HDD) 49, and the like, and each is connected by a system bus 51.

  The configurations of the medical service support server 7 and the medical service support terminal 5 shown in FIG. 1 substantially correspond to the configuration of the computer 29 shown in FIG. 2, but FIG. 1 does not display the configuration that is not used in the description of this system.

  The medical service support terminal 5 (see FIG. 1) includes an input unit 9 that accepts user operations, a display unit 11 such as a display, a notification unit 13 that presents information acquisition to the user, a data storage unit 15 that holds programs and data, It comprises a control unit 17 such as a CPU, a communication unit 19 connected to the network 3, and the like.

  The input unit 9 is a keyboard, a mouse, a button, a switch, a touch panel, a microphone, and the like, and accepts user operations. Note that the input unit 9 may input a user's utterance using voice input and voice recognition technology.

  The display unit 11 is a liquid crystal display device that displays operation information such as medical information, business information, history information, and menus and guidance for prompting the user to perform operations. The display unit 11 displays a waiting display board, an explanation screen for informed consent to the patient, an explanation and a contact screen for medical staff conferences such as doctors and nurses, medical information, business information, history information, menus and guidance. It has a function to display together with such information.

  The notification unit 13 functions as a function for notifying the user that information has been acquired from the medical service support server 7, an LED (Light Emitting Diode), a light flashing unit that flashes light emitted from the LED, and the medical service support terminal 5. At least one of a vibration function for vibrating the speaker, a speaker for outputting an alarm sound or synthesized sound, and a sound output unit.

  The data storage unit 15 includes a memory for storing data and an external storage device. The data storage unit 15 has a function of storing the information received by the communication unit 19 and passing the stored information to the control unit 17 based on a request from the control unit 17.

  The control unit 17 includes a general computer arithmetic device such as a CPU or a DSP (Digital Signal Processor). The control unit 17 transmits information input from the input unit 9 by the user to the medical service support server 7 via the communication unit 19, stores information transmitted from the medical service support server 7 in the data storage unit 15, and Information read from the storage unit 15 is displayed on the display unit 11.

  When connected to the network 3 by radio, the communication unit 19 includes an antenna, a transmission / reception signal modulation / demodulation device, a communication interface, and the like. When the communication unit 19 is connected to the network 3 by wire, the communication unit 19 includes a transmission / reception signal modulation / demodulation device, a communication interface, and the like.

  The medical service server 7 (see FIG. 1) includes a communication unit 21 connected to the network 3, a database 23 that stores medical information and business information, a control unit 25 such as a CPU, and the like.

  Although FIG. 1 shows a configuration in which the database 23 that holds medical information, business information, and the like belongs to the medical work support server 7, the medical work support server 7 can access data held in the database 23. For example, the database 23 may be arranged independently of the medical service support server 7.

  In FIG. 1, as software functions of the control unit 25, business information generation unit 27-1, business information acquisition unit 27-2, history information generation unit 27-3, history information acquisition unit 27-4, scale generation Means 27-5, user authentication means 27-6, medical information acquisition means 27-7, and time acquisition means 27-8 are shown.

The business information generation means 27-1 automatically extracts important medical information from medical information such as medical records, nursing records, temperature plates, orders, etc. and assigns emphasis tags, and further includes a title, importance, user ID, It is means for generating business information such as staff type, patient ID, data type, date, date and time.
The business information acquisition unit 27-2 is a unit that acquires business information registered in the database 23.
The history information generating unit 27-3 is a unit that generates operation history and display history such as login, logout, reference, new input, correction, addition, display screen, screen transition, and the like.
The history information acquisition unit 27-4 is a unit that acquires history information registered in the database 23.
The scale generation unit 27-5 is a unit that generates a time-series scale from the business information registered in the database 23, history information, and time information. Specifically, each business information to be displayed in a list is represented by the title, and the title is arranged at a corresponding position on the scale (time axis).
The user authentication means 27-6 identifies the user of this system by the user ID and the password received from the input unit 9 of the medical work support terminal device 5 and received via the network 3, and authenticates the user.
The medical information acquisition means 27-7 is a means for acquiring medical information registered in the database 23. The medical information is information generated at a medical site such as medical records, nursing records, temperature plates, orders, etc. composed of character data, image data, audio data, and the like.
The time acquisition unit 27-8 is a unit that adds an accurate time to business information and history information.

  The network 3 is assumed to be an in-hospital LAN network in a hospital. However, in addition to the in-hospital network, the Internet with established security may be used. Further, a public communication network such as a mobile phone system, a wireless communication network such as a wireless LAN system, or a wired communication network such as a dedicated line may be combined.

(1-2. Configuration of Database 23)
Next, the configuration of the database 23 of the medical service server 7 will be described with reference to FIG. FIG. 3 is a diagram showing the configuration of the database 23. 4 to 9 are diagrams showing the information registered in the database 23 and the contents of the table.

  The database 23 (see FIG. 3) includes patient information 100 (see FIG. 4), business information 200 (see FIG. 5), medical information 300 (see FIG. 5), history information 400 (see FIG. 6), correspondence information 500 (see FIG. 3). 7), an emphasized phrase table 600 (see FIG. 8), a title phrase table 700 (see FIG. 9), and the like.

  In the patient information 100, information related to the patient is registered. As shown in FIG. 4, for example, patient information 100 includes a patient information record number 101, a patient ID 103, a location 105 such as a patient's ward or floor, a charge ID 107 (the ID of a doctor or nurse in charge), and a medical staff in charge. In addition, the name, sex, address, e-mail address, age, blood type, etc. of the patient are registered. That is, the patient information 100 has one record for each patient.

  The business information 200 is information that stores contents associated with each medical business that occurs in the medical field. FIG. 5 shows an example of the contents of the business information 200. The business information 200 is assigned one business information record number 201 for each medical business. For each business information record number 201, a business type 203, an execution date and time 205, an importance 207, a title 209, medical information 300, and the like are stored.

  The business type 203 is an item used when the content of the medical business is classified by business category (for example, order, medical record, temperature plate, etc.) and the search condition in the business type 203 is designated. The execution date and time 205 is information regarding the date and time when the medical service was actually executed. The importance 207 is determined by, for example, a user (medical worker) determining the importance of the medical practice when recording the medical work (for example, specifying A, B, C,... In descending order of importance). This is registered information, and is an item used when a search condition is designated later with the importance 207 of the business information 200. The importance 207 may be automatically specified from the contents of the medical information 300 by the medical service support server 7.

  Note that the text or data that is the medical information 300 may be directly registered in the item of the medical information 300 shown in FIG. 5, or the medical information registered in other areas of the database 23 as shown in FIG. A reference destination such as an address linked to 300 may be registered. That is, as shown in FIG. 3, the medical information 300 may be registered in the database 23 independently of the business information 200.

  The medical information 300 is medical record information, nursing record information, temperature plate data, order information, and the like composed of character data, image data, audio data, and the like in the medical field. Therefore, the medical information 300 differs in data form (for example, character data, graph, image, etc.) depending on the business type 203.

  In the history information 400, a history of operations performed on the business information 200 by a user such as a medical worker is registered. As shown in FIG. 6, for example, the history information 400 includes a history information record number 401, an operator (recorder) 403 (name or ID, etc.) for identifying a user who has operated the business information 200, and the business information 200. Items such as the operation type 405, operation date / time 407 (recording date / time), and operation content 409 of the operation performed on are registered. The operation type 405 is a type of operation performed on the business information 200, and includes types such as “new input”, “change”, and “reference”, for example. The display screen history may be registered as the history information 400.

  By registering the history information 400, for example, the user can specify a period (specify the range of the operation date and time 407), search for a newly input business information 200, and display a list, or a specific operator 403. It is possible to search for an operation history for the business information 200 by.

  The correspondence information 500 is information that associates the patient information 100 (see FIG. 4), the work information 200 (see FIG. 5), and the history information 400 (see FIG. 6).

  The correspondence information 500-1 illustrated in FIG. 7 associates the patient information record number 101 with the business information record number 201. For example, different business information record numbers 201 “G01” and “G02” are associated with the patient information record number 101 “M01”. This indicates that a plurality of pieces of business information 200 are associated with the same patient.

  Further, the correspondence information 500-2 illustrated in FIG. 7 associates the business information record number 201 with the history information record number 401. For example, different history information record numbers 401 “R01”, “R02”, and “R03” are associated with the business information record number 201 “G01”. This is a plurality of history information 400 for the same business information 200 “order” (business information record number 201 “G01”), that is, this “order” is “new input” (history information record number 401 “R01”), This indicates that the operation of “change” (history information record number 401 “R02”) and “reference” (history information record number 401 “R03”) has been performed.

  In the emphasized word / phrase table 600 shown in FIG. 8, keywords relating to disease names, examination names, measurement values, drug names, doses / uses, conditions, and the like are registered in advance as important words / phrases. As will be described later, the medical service support server 7 extracts the registered important words / phrases from information input by the user from the medical service support terminal 5 and inserts an emphasis tag in the corresponding words / phrases. The emphasis tag insertion is processing for emphasizing a word by highlight display, underline display, coloring display, flashing display, or the like. In addition, phrases registered in the emphasized phrase table 600 can be added or changed as appropriate.

  In the title word / phrase table 700 shown in FIG. 9, keywords that are candidates for the title of the business information 200 are registered in advance as title words / phrases. For example, words such as disease names, examination names, measurement values, and conditions are registered as the title words. The medical work support server 7 extracts the words / phrases registered as the title words / phrases from the contents of the work information 200 input by the user from the medical work support terminal 5 and uses them as the title 209 (see FIG. 5) of the work information 200. be able to.

  The emphasized word / phrase table 600 and the title word / phrase table 700 are compared with the business information 200 input last time, and the newly added words (differences from the previous time) are automatically emphasized words or titles. You may make it register as a phrase.

  The control unit 25 of the medical service support server 7 and the control unit 17 of the medical service support terminal 5 store programs, various data, and the like for executing the medical service support system 1 of the present embodiment as the computer 29 shown in FIG. The data is loaded into the RAM 47 from the ROM 45 or the HDD 49 of the unit 43 and executed.

(2. Processing procedure)
Next, a processing procedure of the medical service support system 1 according to the present embodiment will be described.
The login procedure of the medical service support terminal 5 will be described with reference to FIGS. A procedure in which the user selects a menu from the medical service support terminal 5 and displays a medical record will be described with reference to FIGS. A procedure for the user to newly input a medical record from the medical service support terminal 5 will be described with reference to FIGS. In addition, a procedure for the user to change the contents of the medical record from the medical service support terminal 5 will be described with reference to FIG. FIGS. 19 and 20 show screen examples of the medical work support terminal 5 in which the user designates conditions and displays the work information 200 in various display forms.

(2-1. Login procedure)
The login process will be described with reference to FIGS.
FIG. 10 is a flowchart showing the login process.
FIG. 11 is a diagram showing a login screen 53.
The user presses, for example, a login button (not shown) arranged on the medical service support terminal device 5 to display the login screen 53 (see FIG. 11) on the display unit 11 of the medical service support terminal device 5 (step 1001). ). The login screen 53 shown in FIG. 11 has a user ID 55 input field for prompting the user to input, and a password 57 input field for user authentication.

  The user inputs the user ID 55 and the password 57 on the login screen 53 (see FIG. 11), and clicks the OK button 59 (step 1002).

  The control unit 17 of the medical work support terminal device 5 creates request information (login request) including the input user ID 55 and password 57, and the device ID for authenticating the medical work support terminal device 5 operated by the user. Step 1003). Next, the control unit 17 transmits the request information to the medical service support server 7 via the communication unit 19 (step 1004).

  The control unit 25 of the medical service support server 7 collates the user from the request information (information such as the user ID 55 and the password 57) (step 1005). If collation is not possible (NO in step 1006), the process returns to the step (step 1001) in which the user inputs login information again from the medical service support terminal 5.

  When the control unit 25 (user authentication unit 27-6) of the medical service support server 7 collates the user (YES in Step 1006), the control unit 25 transmits the collation result and the menu operation support information to the medical service support terminal device 5. (Step 1007). The menu operation support information is, for example, information that causes the menu screen 63 shown in FIG. 13 or the like to be displayed on the display unit 11 of the medical work support terminal device 5.

  Next, the control unit 25 (history information generating means 27-3) generates history information 400 relating to login (step 1008). Further, the control unit 25 (time acquisition means 27-8) adds the log-in time information (operation date / time 407) to the history information 400 (step 1009), and stores the history information 400 in the database 23 (step 1010). . That is, in the history information 400 shown in FIG. 6, a new history information record number 401 is automatically generated, and the user ID 55 (FIG. 11) of the user who logged in is registered in the item of the operator 403, and the operation type 405 is stored. "Login" is registered, and the operation date and time 407 is further registered.

  Returning to Step 1011, the control unit 17 of the medical work support terminal device 5 receives the collation result and the menu operation support information and stores them in the data storage unit 15 (Step 1011). The control unit 17 displays the collation result on the display unit 11 as “login completed” or the like, and notifies the user by the notification unit 13 (step 1012). The notification unit 13 is a function that notifies the user that information has been received, and is at least one of an LED, a vibration function, an alarm function, and the like.

  The user confirms that he / she has logged into the medical service support system 1 through the display unit 11 and the notification unit 13 of the medical service support terminal device 5 (step 1013). Next, the control unit 17 of the medical work support terminal device 5 displays the menu screen 63 shown in FIG. 13 on the display unit 11 (step 1014).

  The procedure for logging in the user to the medical service support system 1 has been described above. However, since the login operation is also stored as the history information 400, it is possible to extract a list of users who logged in for a predetermined period later, for example. is there. Accordingly, since access to the system is accurately managed, the effect of preventing unauthorized access or preventing information leakage is great.

(2-2. Menu selection procedure)
Next, a procedure in which the user selects the medical record 65-2 from the menu screen 63 (see FIG. 13) of the medical service support terminal 5 and displays the medical recording screen 67 will be described with reference to FIGS. FIG. 12 shows a flowchart for selecting the medical record 65-2 from the menu screen 63 and displaying the medical recording screen 67 on the medical work support terminal 5. FIG. 13 shows a menu screen 63 displayed on the display unit 11 of the medical service support terminal device 5. FIG. 14 shows a medical recording screen 67 displayed on the display unit 11 of the medical service support terminal device 5.

  After the user logs in, the control unit 17 of the medical work support terminal device 5 causes the display unit 11 to display the menu screen 63 (see FIG. 13) (step 2001). The menu screen 63 (see FIG. 13) includes a patient list 65-1, a medical record 65-2, a nursing record 65-3, a temperature plate 65-4, an order 65-5, other 65-6, a setting 65-7, and the like. Menu is displayed.

  The user selects the medical record 65-2 from the menu screen 63 and clicks the OK button 59 (step 2002). When the medical record 65-2 is selected from the menu screen 63, the control unit 17 of the medical service support terminal device 5 creates request information “refer to the medical recording surface 67” (step 2003). The request information includes information about the user (for example, user ID 55) and information such as a device ID for authenticating the medical service support terminal device 5 operated by the user.

  The control unit 17 transmits the request information to the medical service support server 7 (step 2004). The control unit 25 (history information generating unit 27-3) of the medical service support server 7 creates the history information 400 from the received request information (step 2005). Further, the control unit 25 (time acquisition unit 27-8) adds time information (operation date 407) related to the date and time when the request information is received to the history information 400 (step 2006) and stores it in the database 23 (step 2007).

  That is, in the history information 400 shown in FIG. 6, a new history information record number 401 is generated, and the user ID 55 of the user who made a reference request for the medical recording screen 67 is registered in the item of the operator 403, and the operation type 405 is registered. “Reference” is registered, and the operation date and time 407 is registered. Further, details of the operation content 409 (for example, medical record display conditions) may be registered.

  Next, the control unit 25 (business information acquisition unit 27-2, history information acquisition unit 27-4, medical information acquisition unit 27-7) receives a patient name and display conditions (period, item, etc.) from the user. ) (Not shown), the corresponding records of the medical information 300, the patient information 100, and the work information 200 in which the medical records corresponding to the specification are registered are acquired from the database 23 (step 2008). Note that the control unit 25 refers to the correspondence information 500 (correspondence between the patient information record number 101, the business information record number 201, and the history information record number 401) shown in FIG. 7 when reading data related to the medical record.

  Next, the control unit 25 (scale generation means 27-5) extracts the title 209 and the execution date / time 205 from the corresponding records of the business information 200 (see FIG. 5) related to the medical record. The control unit 25 (scale generation means 27-5) represents the business information 200 by the title 209 and creates a scale 69 that displays the title 209 in time series using the execution date and time 205 (step 2009). As will be described later, in the created scale 69, for example, as shown in FIG. 14, the corresponding title 209-1 and title 209-2 are arranged at a position corresponding to the implementation date 71, and the user visually executes the scale. Can easily grasp the work.

  Next, the control unit 25 transmits medical information 300, patient information 100, business information 200, history information 400, and a scale 69 to the medical service support terminal device 5 (step 2010).

  The control unit 17 of the medical service support terminal device 5 stores the medical information 300, the patient information 100, the business information 200, the history information 400, and the scale 69 in the data storage unit 15 (step 2011), and performs medical care based on the received data. The recording surface 67 (see FIG. 14) is displayed on the display unit 11. In addition, the control unit 17 notifies the user of reception via the notification unit 13 (step 2012). The user checks the medical recording screen 67 on the display unit 11 of the medical service support terminal device 5. Further, the notification by the notification unit 13 is received (step 2013).

  FIG. 14 shows an example of the medical recording screen 67 displayed on the display unit 11 of the medical service support terminal device 5. The medical recording screen 67 displays the patient information 100 in the database 23 based on the patient specified by the user (for example, the patient specified in the patient information 101-1), the period and classification specified in the condition 73, and the importance. 5 is a screen showing data related to medical records extracted from the business information 200 and the history information 400. The scale 69 is created in step 2009 of FIG. 12, and titles (titles 209-1 and 209-2) representing the business information 200 are displayed at the date and time positions corresponding to the execution date and time 71.

  The details of the title 209-1 “blood pressure increase / hypertensive agent” displayed in color are also displayed in color in the display area of the business information content 75 (corresponding to the business information content 75-1). Details are shown in the display 77 column. For example, when the user selects another title, for example, title 209-2, the title 209-2 and the business information content 75-2 are displayed in color, and the detailed content of the business information content 75-2 is displayed in the content display 77 area. Is displayed.

  The user designates and displays the patient list 65-1, the nursing record 65-3, the temperature plate 65-4, the order 65-5, and the like from the menu screen 63 shown in FIG. be able to. Even when the nursing record 65-3, temperature plate 65-4, order 65-5, etc. are designated, the medical work support system 1 extracts the title 209 and the execution date / time 205 from the work information 200 and sets the scale 69. It is created and displayed on the display unit 11 of the medical service support terminal device 5.

  As described above, when referring to the business information 200 or the like, the user can easily display target information by designating and inputting conditions from the medical work support terminal device 5. In addition, since the extracted business information 200 is represented by the title 209 and displayed on the scale 69 in correspondence with the implementation date 71, the user can easily grasp the implementation status of the business information 200 visually.

(2-3. New procedure for inputting medical records)
Next, referring to FIGS. 15 to 17, a procedure for the user to newly input a medical record from the medical recording screen 67 of the medical service support terminal device 5 will be described. FIG. 15 is a flowchart for inputting and confirming a new medical record from the medical recording screen 67. FIG. 16 shows a medical record recording screen 67 and a medical record input screen 83 pop-up displayed on the medical record screen 67. FIG. 17 shows a medical record confirmation screen 89 displayed as a confirmation screen after inputting a new medical record.

  The user selects the medical record 65-2 from the menu screen 63 after login (see FIG. 13), and displays the medical recording screen 67 shown in FIG. 14 on the display unit 11 of the medical work support terminal device 5 after inputting the display conditions. And

  When the user clicks the “new input” button 79 on the medical recording screen 67 (see FIG. 14) (step 3001), the control unit 17 of the medical work support terminal device 5 pops up the medical record input screen 83 on the display unit 11. (See step 3002, FIG. 16).

  The user inputs medical record information 300-1 from the medical record input screen 83 (step 3003). As shown in FIG. 16, the medical record information 300-1 includes, for example, a date and time 85-1, a place 85-2 (such as a ward and a room number), a staff 85-3 (such as a staff type and a person in charge), and a patient 85-4. (Patient name, etc.), importance 85-5, title 85-6, text 85-7, and the like.

  Note that the importance 85-5 and the title 85-6 may be automatically input by the control unit 25 of the medical service support server 7 without being input by the user. For example, if the word / phrase included in the text 85-7 matches the word / phrase registered in the title word / phrase table 700 (see FIG. 9), the control unit 25 of the medical service support server 7 automatically selects the word / phrase as the title. It may be specified as 85-6. In addition, the control unit 25 of the medical service support server 7 is automatically important depending on the number of times words included in the text 85-7 are detected in the emphasized word table 600 (see FIG. 8) or the title word table 700 (see FIG. 9). You may make it designate the degree 85-5.

  The user inputs the medical record information 300-1 from the medical record input screen 83 and clicks the “Register” button 87 (step 3004).

  The control unit 17 of the medical work support terminal device 5 creates request information indicating that the display of the medical record confirmation screen 89 for confirming registration in response to the input from the medical record input screen 83 is requested (step 3005). The request information includes information about the user (for example, user ID 55) and information such as a device ID for authenticating the medical service support terminal device 5 operated by the user.

  The control unit 17 transmits the request information and the input medical record information 300-1 to the medical service support server 7 (step 3006).

  The control unit 25 (history information generating unit 27-3) of the medical service support server 7 creates the history information 400 from the received request information (step 3007). Further, the control unit 25 (time acquisition unit 27-8) adds time information (operation date / time 407) related to the date and time when the request information is received to the history information 400 (step 3008) and stores it in the database 23 (step 3009). That is, in the history information 400 shown in FIG. 6, a new history information record number 401 is generated, and the user ID 55 of the user who has made a new input on the medical recording screen 67 is registered in the item of the operator 403, and as the operation type 405 “New input” and operation date 407 are registered. Further, details of the operation contents 409 (that is, contents of new input, etc.) may be registered.

  Next, the control unit 25 is registered in the emphasized word / phrase table 600 (see FIG. 8) from the contents of the text 85-7 of the medical record information 300-1 (or words / phrases inserted into a graph or the like). A word is extracted and an emphasis tag 91 is inserted into the word (step 3010). For example, from the text 85-7 (see FIG. 16), the words “good blood pressure” and “follow-up” registered in the emphasized word table 600 (see FIG. 8) are extracted, and as shown in FIG. An emphasis tag 91 (in this case, an underline is inserted) is inserted into the phrase. The emphasis tag 91 is inserted, for example, by performing underline display, bold display, italic display, highlight display, coloring display, flashing display, and the like on the corresponding word to distinguish it from other words.

  Further, although not described in the flowchart of FIG. 15, when the user does not input the title 85-6 on the medical record input screen 83 shown in FIG. 16, the control unit 25 reads the text of the medical record information 300-1. Extract words / phrases registered in the title word / phrase table 700 (see FIG. 9) from the contents of 85-7 (or words inserted into a graph or the like). ), The word / phrase may be automatically input as the title 85-6 (see FIG. 17).

  Although not described in the flowchart of FIG. 15, the control unit 25 extracts a word or phrase indicating a difference as an emphasized word or title word compared with the previously registered medical record, and a new emphasized word table 600 or the title word / phrase table 700 may be registered.

  The control unit 25 (history information acquisition unit 27-4, medical information acquisition unit 27-7) acquires medical record information 300-1 and history information 400, and the control unit 25 (business information generation unit 27-1) acquires the title. A new record of business information 200 (see FIG. 5) having items 209, importance 207, and medical information 300 (including information such as deletion / addition of medical record information 300-1) is created (step 3011). . The control unit 25 transmits the medical record information 300-1 (after insertion of the emphasis tag 91) and the work information 200 to the medical work support terminal 5 (step 3012).

  The control unit 17 of the medical service support terminal 5 stores the medical record information 300-1 and the business information 200 in the data storage unit 15 (step 3013), and displays the medical record confirmation screen 89 (see FIG. 17) on the display unit 11. Display. In addition, the control unit 17 notifies the user of the reception by the notification unit 13 (step 3014). The user confirms the medical record confirmation screen 89 on the display unit 11 of the medical service support terminal device 5. Further, the notification by the notification unit 13 is received (step 3015).

  As described above, when the user inputs the medical information 300 such as the medical record, when the user inputs the text 85-7 (see FIG. 16), the medical service support server 7 automatically extracts the emphasized phrase from the text 85-7. Then, the emphasis tag 91 is added (see FIG. 17), or a title word / phrase is automatically extracted from the text 85-7 to create a title 85-6 (see FIG. 17). Therefore, the user can easily visually recognize the important words / phrases of the medical information 300 by checking the medical record confirmation screen 89 (see FIG. 17). Further, since the appropriate title 85-6 is automatically generated without the user's input, there is an effect of reducing the user's work load.

(2-4. Procedure for changing medical record information 300-1)
Next, a procedure for the user to change the contents of the medical record from the medical record confirmation screen 89 (see FIG. 17) of the medical service support terminal device 5 will be described with reference to FIG.

  The control unit 17 of the medical information support terminal 5 displays the medical record confirmation screen 89 on the display unit 11 (see step 4001 and FIG. 17). The user confirms the contents of the automatically created title 85-6, and edits the contents of the title 85-6 on the medical record confirmation screen 89 when the title is changed to a more easily understood title (step 4002). Further, the user edits the contents of the medical record information 300-1 from the medical record confirmation screen 89 (step 4003). The editing of the contents of the medical record information 300-1 is important when changing or canceling the setting of a highlighted word (added with the emphasis tag 91), or by reconfirming the importance level 85-5. For example, the degree 85-5 is changed.

  When the work for changing the contents of the medical record ends, the user clicks the “Register” button 87 (see FIG. 17) on the medical record confirmation screen 89 (step 4004).

  The control unit 17 of the medical service support terminal device 5 creates request information regarding the change of the medical record confirmation screen 89 (step 4005). The request information includes information about the user (for example, user ID 55) and information such as a device ID for authenticating the medical service support terminal device 5 operated by the user.

  The control unit 17 transmits the request information, the changed medical record information 300-1, and the work information 200 (including title information) to the medical work support server 7 (step 4006).

  The control unit 25 (history information generating means 27-3) of the medical work support server 7 creates history information 400 from the received request information, medical record information 300-1, and work information 200 (step 4007). Further, the control unit 25 (time acquisition unit 27-8) adds time information (operation date 407) related to the date and time when the request information is received to the history information 400 (step 4008) and stores it in the database 23 (step 4009). That is, in the history information 400 shown in FIG. 6, a new history information record number 401 is generated, and the user ID 55 of the user who changed the medical record confirmation screen 89 is registered in the item of the operator 403, and the operation type 405 is registered. “Change” and operation date 407 are registered. Further, the details of the operation content 409 (that is, the content of the change) may be registered.

  Next, the control part 25 (time acquisition means 27-8) adds time information (implementation date and time 205) to the work information 200, and stores it in the database 23 together with the changed medical information 300-1 (step 4010). The control unit 25 transmits a registration end notification of the medical record information 300-1 after the change to the medical service support terminal 5 (step 4011).

  The control unit 17 of the medical service support terminal 5 stores the medical record information 300-1 and the business information 200 in the data storage unit 15 (step 4012), and displays the changed medical record confirmation screen 89 on the display unit 11. . Further, the control unit 17 notifies the user of the reception by the notification unit 13 (step 4013). The user confirms the changed medical record confirmation screen 89 on the display unit 11 of the medical service support terminal device 5. Further, the notification by the notification unit 13 is received (step 4014).

  As described above, the user can easily change the medical record information 300-1 from the medical record confirmation screen 89 (see FIG. 17). Since the change history is registered in the history information 400, the change history can be traced by selecting the operation type 405 “change” of the history information 400 (see FIG. 6) as a search condition later. .

(2-5. Business information display by condition setting)
FIGS. 19 and 20 are diagrams illustrating an example in which the user sets various conditions (conditions 94-1 and 94-2), and the contents of the work information 200 are displayed on the display unit 11 of the medical work support terminal 5. is there. It should be noted that the search condition can be further increased by pressing the condition addition button 93 in both FIGS.

  The condition 94-1 is the date (2005/05/10 to 2005/05/12), the patient is “Hitachi patient A”, and the importance is “all”. The medical service support terminal 5 displays business information 200 (business information 200 on “Hitachi patient A” in the designated period) that matches the search condition 94-1. The scale 69 displays the business type 203 (order, medical record, temperature plate, etc.) in time series, and the user can easily grasp the flow of the business information 200 visually.

  Condition 94-2 is date (2005/05/10), patient in ward 2F, and importance is “all”. On the medical work support terminal 5, work information 200 (work information 200 for all patients in the ward 2F) that matches the search condition 94-2 is displayed.

Thus, by specifying various conditions, the user can easily display the target business information 200 on the display unit 11 of the medical work support terminal 5. In particular, by displaying the business information 200 in time series using the scale 69, the user can easily visually grasp the temporal processing flow of the business information 200.
The scale can be displayed in business units, operation units, user units, patient units, etc., according to the search conditions designated by the user.

  In addition, in the display of the business information content 95 of FIGS. 19 and 20, some business information is collected using the “+” button and the “−” button, or expanded in reverse to display a tree and display a list. Can do. For example, in the display of the business information content 95 in FIG. 19, two “medical records” are collected, and two are expanded when the “+” button is clicked. The “temperature version” is a collection of six pieces of business information. When the “+” button is clicked, six pieces of information are expanded. The “nursing record” is a collection of two pieces of business information, and two are expanded when the “+” button is clicked. In addition, referring to the scale 69, the number of business contents collected can be understood.

(3. Effects, etc.)
As described above, in the present embodiment, each business information related to medical care is managed by title, so that the target business information can be easily retrieved and acquired.
Further, according to the present embodiment, when a user (medical worker, etc.) searches for business information, various conditions (for example, period, patient name, patient location, business type, history operation type, operator, etc.) ) To obtain the desired business information efficiently.

  In addition, when displaying the business information 200, important words can be distinguished and displayed (highlighted), so that the user (health care worker, etc.) is alerted to the important words and the occurrence of medical accidents is suppressed. Great effect.

  In addition, when business information is presented to a user (healthcare professional, etc.), the business information is represented by a title and displayed in a time series scale so that the user can easily grasp the business information visually. Can do. Further, the user can predict the work to be performed next by referring to the time series scale, and can expect the effect of improving the work efficiency.

  In the present embodiment, information related to the history of reference, new input, and change of business information is registered, so that the user can easily follow, for example, the history of operations. Therefore, there is an effect of improving the user's consciousness about work. In addition, since the log-in to this system is also registered as history information, the effect of preventing unauthorized access or preventing information leakage is great.

  In addition, the present embodiment has a function of extracting important words / phrases from the text of the business information input by the user as titles, and has a great effect of reducing the user's operation burden.

  The technical scope of the present invention is not limited to the embodiment described above. It will be apparent to those skilled in the art that various changes or modifications can be conceived within the scope of the technical idea disclosed in the present application, and these are naturally within the technical scope of the present invention. Understood.

The figure which shows the structure of the medical information assistance system 1 in this Embodiment. The figure which shows the structure of the computer 29 The figure which shows the structure of database 23 The figure which shows the patient information 100 The figure which shows the business information 200 The figure which shows the history information 400 The figure which shows the correspondence information 500 The figure which shows the emphasis phrase table 600 The figure which shows the title word table 700 Flow chart showing login procedure Diagram showing login screen 53 Flow chart showing the selection procedure from the menu The figure which shows the menu screen 63 The figure which shows the medical treatment recording surface 67 Flow chart showing new procedure for entering medical record The figure which shows the medical record input screen 83 The figure which shows the medical record confirmation screen 89 Flow chart showing the procedure for changing medical record information The figure which shows the work information display by condition 95-1 The figure which shows the business information display with condition 95-2

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 ......... Medical work support system 3 ......... Network 5 ......... Medical work support terminal 7 ......... Medical work support server 9, 37 ......... Input part 11 ......... Display part 13 ......... Notification part 15 Data storage unit 17, 25, 31 ... Control unit 19, 21, 35 ... Communication unit 23 ... Database 29 ... Computer 33 ... Media input / output unit 39 ... Printing unit 41 ......... Display unit 43 ......... Storage unit 45 ......... ROM
47 ......... RAM
49 ......... HDD
51 ……… System Bus 53 ……… Login Screen 55 ……… User ID
57 ……… Password 59 ……… OK button 61 ……… Cancel button 63 ……… Menu screen 67 ……… Medical recording screen 69 ……… Scale 71 ……… Performance date and time 73, 94-1, 94-2 ……… Conditions 75, 95, 97 ……… Business information content 77 ……… Content display 79 ……… New input button 81 ……… Add / Modify button 83 ……… Medical record input screen 87 ……… Register button 89 ……… Medical record confirmation screen 91 ………… Highlight tag 93 ……… Add condition button 100 ……… Patient information 101 ……… Patient information record number 103 ……… Patient ID
105 ……… Location (patient ward, floor)
107 ..... ID in charge
109 ……… Location (working affiliation of medical staff in charge)
200... Business information 201... Business information record number 203... Business type 205... Execution date and time 207... Importance 209. ......... History information record number 403 ......... Operator 405 ......... Operation type 407 ......... Operation date and time 409 ......... Operation content 500 ......... Corresponding information 600 ......... Highlight phrase table 700 ......... Title phrase table

Claims (3)

A medical work support in which a server that manages work information related to medical work associated with medical information and at least one terminal device that inputs or acquires the work information are connected to each other via a network so that the work information can be transmitted and received A system,
The server
Holding means for holding the business information in association with title information;
Business information extraction means for extracting the business information corresponding to the search condition transmitted from the terminal device from the holding means;
Title information display means for causing the terminal device to display a list of title information corresponding to the business information extracted by the business information extraction means;
Business information display means for displaying on the terminal device business information corresponding to the title information selected and transmitted by the terminal device from the title information displayed by the title information display means;
Business information creation / updating means for creating or updating the business information based on input information transmitted from the terminal device and holding the business information in the holding means;
A medical service support system characterized by comprising: The holding means further holds the business information in association with date information,
The medical title support system according to claim 1, wherein the title information display means displays a list of the title information in time series based on the date and time information. The holding means further holds keyword information,
The business information display means highlights a portion of the keyword information when the business information includes the keyword information, or
The business information creating / updating means, when the keyword information is included in the input information transmitted from the terminal device, holds the keyword information in the holding means as title information corresponding to the business information. The medical operation support system according to claim 1 or 2.

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