JP2000048109A - Medical care plan preparation supporting system and machine-readable medium having recorded program thereon - Google Patents

Abstract

PROBLEM TO BE SOLVED: To realize a medical care plan preparation supporting system for allowing a medical care plan preparer such as a doctor to easily and quickly prepare an appropriate medical care plan. SOLUTION: The medical care plan preparation supporting system 1 is provided with plural object files 21 respectively including medical care action data and setting procedure information, a processing part 4 for setting the execution periods of the plural medical care actions on a prescribed time axis according to the setting procedure information included in the plural object files 21 including those medical care action data, and a display device 5 for displaying the plural medical care action data by a prescribed format for arranging each medical care action in the order of the execution periods. A computer program for functioning a computer as the medical care plan preparation supporting system 1 is stored in a storage medium 8a, and read by a reading device 8.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention belongs to the technical field of a new medical plan creation support system for assisting a plan creator such as a doctor so that a medical plan can be appropriately created. The present invention also belongs to the technical field of a machine-readable medium storing a program for causing a computer to function as such a medical plan creation support system.

[0002]

2. Description of the Related Art Traditionally, in medical institutions such as hospitals and clinics, when a patient comes to the hospital with some kind of chief complaint (sign of illness) such as headache, nausea, tinnitus, abdominal pain, ambulance, etc. After being carried in by a physician, the physician will consult the patient and, following the diagnosis or findings of the physician, first make a medical plan for subsequent medical procedures such as examination, medical treatment, hospitalization, surgery, and drug administration. Stand in.
The medical plan such as the contents and schedule of examination / medication, the contents and schedule of surgery, the contents and schedule of post-operative treatment / examination, etc. for this patient is written in a dedicated sheet called "instruction table". .

[0003] Recently, for example, Patent No. 2706645 (JP-A-9-185) issued by the present applicant has been disclosed.
651), a table in which predetermined medical practice items are arranged for each date displayed on a computer screen, that is, a program called a so-called “care map” (registered trademark of the present applicant). On a medical plan table (hereinafter, simply referred to as a “care map”) displayed by being activated on a computer, such a medical plan is made in a manner to fill in each item in accordance with the diagnosis or finding of the physician. It is also possible. More specifically, a medical plan creator such as a physician sets medical items related to the patient as items on the vertical axis of the care map based on the diagnosis or findings of the physician, and belongs to each item. Set an appropriate period for performing medical treatment on the date on the horizontal axis,
A care map framework is created, and the medical action to be performed is input in the corresponding date and item boxes (hereinafter, referred to as “cells”). Then, after the planned medical action is performed, the actual data is replaced with the plan data,
It is left as fixed data in each cell of the care map. That is, this care map shows the actual data as well as the plan data.

[0004] In particular, according to the above-described care map, doctors, nurses, pharmacists, and other hospital-related personnel who execute the medical plan share the medical plan information, so that each terminal (or cell) of the care map at each terminal. It is possible to execute the medical plan while making a lean medical plan while inputting or changing the data relating to each item), so to speak, by making appropriate corrections through the linked play.

[0005]

However, according to the above-mentioned care map, in the field of medical treatment which has recently become complicated and sophisticated, a large number of medical acts and medical resources have a complicated relationship with each other. For example, dietary restrictions, drug administration,
Prerequisites for each medical practice such as detailed examination, diagnosis, surgery, rehabilitation, etc. (In other words, in order to perform one medical practice on a specific day or a specific time, what other medical activities should be performed based on the date and time? Unless a veteran physician or the like who fully understands the interrelationships such as when the medical plan must be performed is difficult to appropriately or promptly create the medical plan.

[0006] Further, for example, when a medical examination called a detailed examination is performed on a different day, or when a special detailed examination requiring extra days is performed, a specific item in the care map is scheduled. With changes, other items that must be performed after that particular item, such as surgery, for example, other items that must be performed before that particular item, such as other workups, such as dietary restrictions or drug administration The schedule for other items that must be performed immediately before or immediately after that item also needs to be changed.

That is, although it is easy for a veteran doctor or the like to input each item in the care map on the computer screen, he / she tries to change a part of a plan consisting of many items once determined. In such a case, there is a problem that it is very inconvenient because other related items must be re-entered. For example, if an emergency patient is accepted due to a traffic accident or if the doctor's inconvenience is lost, just change the schedule of one item, or just slightly change the content of medical practice such as the type of drug, This problem is very serious, since in reality there are many cases where changes are required for many other items.
Particularly in hospitals that handle a large number of patients with serious illness or urgency, veteran physicians and others may not be able to make such a plan quickly, which could lead to serious consequences for human life. However, it is necessary to spend a great deal of effort on the work of changing the plan itself, which eventually leads to a shortage of precious medical resources.

SUMMARY OF THE INVENTION The present invention has been made in view of the above-mentioned problems, and provides a medical plan creation support system and a computer for supporting a medical plan creator such as a doctor to easily and quickly create an appropriate medical plan. It is an object of the present invention to provide a machine-readable medium in which a program for functioning as such a medical plan creation support system is recorded.

[0009]

The medical plan creation support system according to claim 1 has the following features.
(I) medical action data indicating any of a plurality of types of medical actions set in advance, and (ii) at least a relative execution time for each of the plurality of medical actions forming a series of medical plans. A plurality of object file means each including setting procedure information of a plurality of medical procedures, and a plurality of medical procedure data indicating the plurality of designated medical procedures when a plurality of medical procedures forming the series of medical plans are designated. Processing means for setting at least a relative execution time of the specified plurality of medical actions on a predetermined time axis according to the setting procedure information included in each of a plurality of object file means; Display means for displaying a plurality of medical practice data each showing at least the plurality of medical practices for which the execution time is set in a predetermined format to be arranged; Characterized by comprising.

[0010] According to the medical plan creation support system of the first aspect, the plurality of object file means each include medical practice data and setting procedure information. When creating a medical plan, by a medical plan creator such as a doctor, for example, a plurality of medical actions making a series of medical plans by inputting via input means such as a keyboard and a mouse are designated one by one, Alternatively, a plurality of medical actions making a series of medical plans corresponding to disease names, patient attributes, and the like are specified at once by inputting through storage means such as a hard disk or a floppy disk. Then, at least a relative execution time of a plurality of designated medical practices on a predetermined time axis is set by a processing unit such as a CPU according to the setting procedure information included in each of the object file units. Here, at least the relative execution time setting is, for example,
The meaning includes both the case of setting a specific date of what month and the number of days and the case of setting how many days before or how many days later based on, for example, a hospitalization day or an operation day. When the execution time is set in this manner, for example, a plurality of medical actions each indicating at least the plurality of medical actions for which the execution time has been set in a predetermined format in which each medical action such as a plan table or a plan list is arranged in the order of the execution time. The action data is displayed.

As described above, a medical plan creator such as a doctor
By performing an operation for specifying a plurality of medical actions that constitute a series of medical plans without specifying the execution time, at least their relative execution times are automatically determined according to the setting procedure information included in each object file means. And the medical action data is displayed in a predetermined format based on the automatically set execution time. For this reason, even when a plurality or a large number of medical actions that are intricately related to each other make up a series of medical plans, a medical plan that appropriately defines the context and the temporal relationship between the multiple medical actions is created. Is done. Also, for a plurality of medical activities that make up a series of medical plans once created, for example, when a plurality of medical activities are newly designated by adding, changing, or deleting medical activities, the object file means may be used. The execution time of each medical practice is automatically set according to the included setting procedure information.

A medical plan creation support system according to a second aspect is the medical plan creation support system according to the first aspect, wherein the plurality of medical actions forming the series of medical plans are:
It is characterized by further comprising input means capable of designating a virtual patient having a specific disease or a medical practice scheduled to be performed in the future for a specific patient.

According to the medical plan creation support system of the second aspect, when creating a medical plan, a medical plan creator such as a physician designates a specific medical action as a plurality of medical actions forming a series of medical plans. A medical procedure to be performed in the future for a virtual patient having a disease or a specific patient is specified. Therefore, it is possible to create an optimal medical plan for a virtual patient having a specific disease or a specific patient.

A medical plan creation support system according to a third aspect of the present invention is the medical plan creation support system according to the second aspect, wherein the input means is configured to display the medical practice data in a state where the medical practice data is displayed in the predetermined format. At least one of the action and the execution time can be at least partially changed, and the processing means sets the execution time of each medical action after the change by the input means again according to the setting procedure information, and displays the display. The means displays the medical practice data indicating the changed medical practice in the predetermined format.

According to the third aspect of the present invention, in a state where the medical practice data is displayed in a predetermined format, at least one of the medical practice and the execution time is at least partially changed by the input means. Be changed. Then, the execution time of each medical action after the change by the input means is set again by the processing means according to the setting procedure information. Then, medical action data indicating each changed medical action is displayed in a predetermined format by the display means. Therefore, when making changes including additions and deletions to a plurality of medical actions that make up a series of medical plans once created, if only medical actions directly changed according to the setting procedure information included in the object file, In addition, the execution time of another medical practice that needs to be changed according to the change is automatically set again. Therefore, when a part of the medical plan is changed, the medical plan creator does not need to perform troublesome and time-consuming and troublesome work such as shifting the execution timing of each medical action once set.

A medical plan creation support system according to a fourth aspect of the present invention is the medical plan creation support system according to any one of the first to third aspects, wherein the processing means includes an execution time indicating the set execution time. Respectively generating data for the object file means, wherein the object file means stores the generated execution time data;
The display means may display the medical practice data in the predetermined format based on an execution time indicated by the stored execution time data instead of or in addition to the set execution time. I do.

According to the medical plan creation support system of the present invention, execution time data indicating the set execution time is generated and stored in the object file means by the processing means. Then, instead of or in addition to the execution time set by the processing means, the medical action data is displayed in a predetermined format by the display means based on the execution time indicated by the execution time data stored in the object file means. Therefore, once the execution time setting operation is performed, the medical action data can be displayed in a predetermined format by the display means based on the execution time data stored in the object file means as long as the medical plan is not changed. Also, when a change is made to the medical plan, the medical action data can be displayed in a predetermined format by the display means based on the execution time data once set by the previous setting operation and stored in the object file means. Further, it is possible to easily change the medical plan once created on this display screen.

A medical plan creation support system according to a fifth aspect is the medical plan creation support system according to the fourth aspect, wherein a plurality of medical action data indicating a plurality of medical actions making up the series of medical plans are provided. The apparatus further includes storage means for storing a data set as a set of object file means in association with a patient code assigned to each patient, wherein the input means corresponds to the patient code by designating the patient code. The display unit displays the medical practice data in the predetermined format based on the execution time data and the medical practice data included in the designated data set. I do.

According to the medical plan creation support system according to the fifth aspect, a data set including a plurality of object file units including a plurality of medical action data indicating a plurality of medical actions forming a series of medical plans is provided. Is stored in the storage means in association with the patient code assigned to each patient. Thereafter, the data set corresponding to the patient code is specified by specifying the patient code by the input means. Then, the medical action data is displayed in a predetermined format by the display unit based on the execution time data and the medical action data included in the data set specified in this manner. Therefore, once a medical plan is created for an arbitrary patient, that is, a plurality of medical actions are specified and the execution time is set, thereafter, the patient code assigned to the patient is specified. Thus, the medical plan of the patient can be recalled from the storage means and can be easily and quickly displayed. Therefore, it is possible to quickly perform the work of changing the medical plan.

A medical plan creation support system according to a sixth aspect is the medical plan creation support system according to any one of the first to fifth aspects, wherein the processing means replaces the medical action scheduled to be performed in the future. In addition, in addition, when a plurality of medical practice candidates scheduled to be performed in the future are specified, any one of them is alternatively specified according to the setting procedure information instead of or in addition to the execution time. At least a relative execution time candidate of a plurality of medical practice candidates is set,
The display means, based on the set execution time candidate, in the predetermined format, instead of or in addition to medical action data indicating each of the plurality of medical actions, a plurality of indicating each of the plurality of medical action candidates. The medical act data is displayed.

According to the medical plan creation support system of the present invention, a plurality of medical practice candidates that are to be performed alternatively in the future instead of or in addition to the medical practice scheduled to be performed in the future. Is specified. Then, in accordance with the setting procedure information, the processing means sets at least a relative execution time candidate of the plurality of medical practice candidates designated in place of or in addition to the execution time. Then, based on the set execution time candidate, in a predetermined format, instead of or in addition to the medical action data respectively indicating the plurality of medical actions, a plurality of medical action data respectively indicating the plurality of medical action candidates are displayed. Is displayed. Therefore, for example, in the early stages of a medical plan, such as before the diagnosis is confirmed, when there is a variety of medical actions that may be performed in the future depending on the disease, such as the disease or medical condition is unknown,
It is very useful when creating a medical plan.

According to a seventh aspect of the present invention, there is provided a medical plan creation support system, wherein (i) medical action data indicating one of a plurality of types of predetermined medical actions, and (ii) a series of medical action data. (Iii) setting procedure information for setting at least a relative execution time for each of the plurality of medical actions making up the medical plan, and (iii) at least a relative amount of each medical action indicated by the medical action data on a predetermined time axis A plurality of object file means each including execution time data indicating an actual execution time, and a predetermined format for arranging each medical practice in the order of the execution time based on the execution time indicated by the stored execution time data. Display means for displaying medical action data indicating each medical action for which execution time has been set; and displaying the medical action data in the predetermined format. In the state displayed by the above, the object file including the input means capable of at least partially changing at least one of the medical action and the execution time, and the medical action data indicating each medical action after the change by the input means Processing means for setting the execution time of each medical action after the change by the input means, according to the setting procedure information included in the means, wherein the display means displays the execution time set by the processing means. And displaying, in the predetermined format, the medical practice data indicating each of the medical practices after the change.

According to the medical plan creation support system of the present invention, the plurality of object file means store the medical practice data, the setting procedure information, and the medical practice data indicated by the medical practice data on a predetermined time axis. And at least execution time data indicating a relative execution time.
Then, based on the execution time indicated by the stored execution time data, the medical practice data is displayed by the display means in a predetermined format. Therefore, when a medical plan is created, first, a uniform medical plan prepared in advance corresponding to, for example, a disease name, a patient attribute, or the like can be displayed. In the state where the medical practice data is displayed in the predetermined format, at least one of the medical practice and the execution time is at least partially changed by the input unit. Then, the execution time of each medical practice after the change by the input means is set by the processing means such as the CPU according to the setting procedure information. Then, medical action data indicating each changed medical action is displayed in a predetermined format by the display means. Therefore, when a change including addition, deletion, etc. is made to a plurality of medical actions forming a uniform medical plan prepared in advance, execution of each medical action is performed according to the setting procedure information included in the object file. The time is set automatically. For this reason, the medical plan creator can make individual medical treatments for specific patients based on a uniform medical plan prepared in advance by disease name and patient attributes, for example. A plan can be created. In addition, since it is not necessary to perform laborious and time-consuming and troublesome work such as shifting the execution time of each displayed medical action one by one, it is possible to easily and quickly create an appropriate medical plan.

The medical plan creation support system according to claim 8 is the medical plan creation support system according to claim 7, wherein the input means includes a plurality of medical actions indicating a plurality of medical actions making up the series of medical plans. A data set including a plurality of object file units including data can be specified, and the display unit can convert a plurality of medical action data included in the specified data set into data specified by the input unit. The data is displayed in the predetermined format based on a plurality of pieces of execution time data included in the set.

According to the medical plan creation support system of the present invention, a data set including a plurality of object file means including a plurality of medical action data indicating a plurality of medical actions forming a series of medical plans is provided. , Specified by the input means. Then, the plurality of medical practice data included in the specified data set are displayed in a predetermined format by the display unit based on the plurality of execution time data included in the specified data set. Therefore,
For example, a uniform medical plan prepared in advance for each disease name, each patient attribute, and the like can be quickly displayed.

A medical plan creation support system according to a ninth aspect of the present invention is the medical plan creation support system according to the eighth aspect, wherein each of the plurality of types of diseases set in advance for the data set is used. Disease codes to be assigned are respectively assigned, and the input means can designate a data set corresponding to the disease code by designating the disease code.

According to the medical plan creation support system of the present invention, a disease code is assigned to each data set. Then, by specifying the disease code by the input means, a data set corresponding to the disease code is specified. Then, the plurality of medical action data included in the plurality of object file units forming the specified data set are displayed in a predetermined format by the display unit. Therefore, when creating a medical plan for one patient, first, a uniform medical plan corresponding to the disease (eg, myocardial infarction, pneumonia, stomach cancer, cerebral infarction, etc.) of this patient can be quickly displayed. Based on this, the planning work can be performed efficiently.

A medical plan creation support system according to a tenth aspect is the medical plan creation support system according to the eighth aspect, wherein the data set includes at least a plurality of types of preset patient attributes including a chief complaint. Patient attribute codes assigned to the individual patient attributes are assigned, and the input means can specify a data set corresponding to the patient attribute code by specifying the patient attribute code. I do.

According to the medical plan creation support system of the present invention, a patient attribute code is assigned to each data set. Then, by specifying the patient attribute code by the input means, a data set corresponding to the patient attribute code is specified. Then, the plurality of medical action data included in the plurality of object file units forming the specified data set are displayed in a predetermined format by the display unit. Therefore, when preparing a medical plan for one patient, first, a uniform medical plan corresponding to the patient's attributes (eg, gender, age, constitution, vital signs, etc., in addition to the chief complaint) is created. Since the information can be displayed quickly, the planning work can be efficiently performed based on the information.

The medical plan creation support system according to claim 11 is the medical plan creation support system according to claim 8, wherein a patient code assigned to each patient is assigned to the data set, The input means can specify a data set corresponding to the patient code by specifying the patient code.

[0031] According to the medical plan creation support system of the eleventh aspect, a patient code is assigned to each data set. Then, by specifying the patient code by the input means, a data set corresponding to the patient code is specified. Then, the plurality of medical action data included in the plurality of object file units forming the specified data set are displayed in a predetermined format by the display unit. Therefore, when a medical plan is created for one patient, first, a medical plan created in the past for this patient or a medical plan having a track record for similar patients can be quickly displayed. Based on this, planning work can be performed efficiently.

A medical plan creation support system according to a twelfth aspect is the medical plan creation support system according to any one of the seventh to eleventh aspects, wherein the object file means is replaced with or in addition to the execution time. Includes setting procedure information for setting at least a relative execution time candidate of a plurality of medical action candidates that are to be performed alternatively in the future, wherein the object file means includes:
Instead of or in addition to the execution time data, storing execution time candidate data indicating the execution time candidate, the display means, in the predetermined format, instead of medical action data indicating each of the plurality of medical actions or In addition, a plurality of medical practice data respectively indicating the plurality of medical practice candidates are displayed, and the input unit replaces the medical practice and the execution time in a state where the medical practice data is displayed in the predetermined format. Alternatively or additionally, the medical practice candidate and the execution time candidate can be changed, and the processing unit is included in the object file unit including the medical practice candidate data indicating each medical practice candidate after the change by the input unit. According to the setting procedure information, instead of or in addition to the execution time, the execution time of each medical practice candidate after the change by the input means Set the candidates, the display means,
According to another aspect of the present invention, in the predetermined format, medical action data indicating the changed medical action candidate is displayed instead of or in addition to the medical action data indicating each of the plurality of medical actions.

According to the medical plan creation support system of the twelfth aspect, the object file means stores execution time candidate data indicating execution time candidates instead of or in addition to the execution time data. Then, instead of or in addition to the medical practice data respectively indicating the plurality of medical practices, a plurality of medical practice data respectively indicating the plurality of medical practice candidates are displayed in a predetermined format by the display means. In the state where the medical practice data is displayed in the predetermined format, the input means changes the medical practice candidate and the execution time candidate instead of or in addition to the medical practice and the execution time. Then, according to the setting procedure information,
Instead of or in addition to the execution time, an execution time candidate of each medical practice candidate after the change by the input unit is set. And
The display means displays the medical practice data indicating the changed medical practice candidate in a predetermined format instead of or in addition to the medical practice data indicating the plurality of medical practices. Therefore, in the initial stage of a medical plan, for example, before the diagnosis is confirmed, the medical plan should be prepared when the disease or medical condition is unknown and there are various medical activities that may be performed in the future depending on the disease or the like. Very useful when creating.

The medical plan creation support system according to claim 13 is the medical plan creation support system according to any one of claims 4, 5, and 7 to 12, wherein the processing means is configured to execute the set execution time. Is generated for each of the object file means, and the object file means updates the stored content with the generated execution time data.

According to the medical plan creation support system according to the thirteenth aspect, the processing means generates execution time data for each of the object file means. Then, the contents stored in the object file means are updated with the generated execution time data. Therefore, the next time a medical plan is displayed, the latest medical plan can be displayed according to the stored contents of the object file.

A medical plan creation support system according to a fourteenth aspect is the medical plan creation support system according to any one of the third to seventh aspects, wherein the display means comprises:
The medical act data indicating the medical act whose execution time has changed among the plurality of medical acts after the change is displayed in a display form different from the medical act data indicating the medical act whose execution time is unchanged. .

According to the medical plan preparation support system of the present invention, when preparing a medical plan, a medical treatment whose execution time has changed due to a change operation by the input means among a plurality of post-change medical actions. The medical action data indicating the action is displayed by the display means in a display form different from the medical action data indicating the medical action whose execution time is unchanged. Here, the different display forms refer to displays having different colors, brightness, darkness, and the like. For example, a changed one is displayed in red letters, and an unchangeable one is displayed in black letters. Therefore,
The execution schedule is automatically set, and the medical plan creator can surely recognize and confirm the medical practice data indicating the medical practice whose execution timing has changed in accordance with the change operation by the input means on the display screen.

A medical plan creation support system according to a fifteenth aspect is the medical plan creation support system according to any one of the first to fourteenth aspects, wherein the input means is capable of changing the setting procedure information; The processing means sets the execution time according to the setting procedure information changed by the input means.

According to the medical plan creation support system of the present invention, when the setting procedure information included in each object file means is changed by the input means, according to the setting procedure information changed by the input means, The execution time is set by the processing means. Therefore, the medical plan creator can modify the setting procedure itself by the processing means according to his / her experience and preference. For example,
It is also possible to modify the timing of administering a particular drug after a particular operation.

A medical plan creation support system according to a sixteenth aspect is the medical plan creation support system according to any one of the first to fifteenth aspects, wherein the predetermined format includes at least a time unit indicating a date. It is characterized in that it is a format of a medical plan table taking the type of medical practice as the axis and taking the type of medical action as the other axis.

According to the medical plan preparation support system of the present invention, the medical practice data is a medical plan table in which at least a time unit indicating the date is taken on one axis and the type of medical practice is taken on the other axis. Is displayed by the display means in the format of. Here, at least the date means that the hour, minute, week, etc. may be included in addition to the date.
In addition, the kind of medical practice means, for example, records of doctors and nursing, treatment, injection, examination, consultation, evaluation, medication, meals, activity restriction, observation, rehabilitation, coordination, hospitalization and discharge, education of patient families, etc. I do. Therefore, it is possible to automatically set the execution time of each medical action on the medical plan table while displaying the same medical plan table as the above-described conventional care map according to the present invention.

The medical plan creation support system according to claim 17 is the medical plan creation support system according to any one of claims 1 to 15, wherein the predetermined format is a plurality of medical care systems for which the execution times are set. It is characterized in that it is a list format in which actions are arranged in the order of execution time regardless of the type of each medical action.

According to the medical plan creation support system of the seventeenth aspect, the medical practice data is a list format in which a plurality of medical practices whose execution timings are set are arranged in the order of execution timing regardless of the type of each medical practice. Is displayed by the display means. Therefore, it is also possible to automatically set the execution time of each medical action on the medical plan list while displaying the medical plan list.

A medical plan creation support system according to claim 18 is the medical plan creation support system according to claim 6 or 12, wherein the predetermined format is a plurality of medical practice candidates to be executed alternatively. Are displayed by the display means in a decision tree format in which the execution time candidates are arranged in order.

According to the medical plan creation support system of the present invention, the medical practice data is displayed in a decision tree format in which a plurality of medical practice candidates to be executed alternatively are arranged in the order of the execution time candidates. Displayed by means. Therefore, it is also possible to automatically set the execution time of each medical practice candidate on this decision tree while displaying a decision tree indicating that there are a plurality of candidates by branching.

The medical plan creation support system according to claim 19 is the medical plan creation support system according to any one of claims 1 to 18, wherein the setting procedure information corresponding to one medical practice data is other Include context definition data that defines at least the relative context of the time at which the medical action indicated by the one medical action data is performed based on the end or start of the medical action indicated by the medical action data It is characterized by.

According to the medical plan creation support system of the nineteenth aspect, the medical action data is indicated by one medical action data based on the end or start of the medical action indicated by the other medical action data in accordance with the context definition data. The execution time at which the medical practice is performed is set by the processing means.

A medical plan creation support system according to a twentieth aspect is the medical plan creation support system according to any one of the first to nineteenth aspects, wherein the setting procedure information corresponding to one medical practice data is another The present invention is characterized in that it includes time range definition data for respectively defining an executable time range of the medical action indicated by the one medical action data based on the end or start of the medical action indicated by the medical action data.

According to the medical plan preparation support system of the present invention, the medical action data is indicated by one medical action data based on the end or start of the medical action indicated by the other medical action data according to the time range definition data. The execution time at which the medical practice is performed is set by the processing means.

The medical plan creation support system according to claim 21 is the medical plan creation support system according to any one of claims 1 to 20, wherein the setting procedure information specifies the execution frequency of each medical practice. It is characterized by including execution frequency definition data.

According to the medical plan creation support system of the present invention, the execution time at which the medical action indicated by each medical action data is performed is set by the processing means in accordance with the execution frequency definition data.

A medical plan creation support system according to a twenty-second aspect is the medical plan creation support system according to any one of the first to twenty-first aspects, wherein each object file means includes a medical device included in each of the object file means. If the execution time of the action data is changed, the execution means further includes notification procedure information for notifying another object file means of the change notification data notifying the change of the execution time. When the time has been changed, the changed notification data is communicated to the other object file means, respectively, according to the notification procedure information, and the execution time is set again according to the setting procedure information included in the other object file means. It is characterized by doing.

According to the medical plan creation support system of the present invention, when the execution time of the medical practice data included in each object file is changed, the processing means converts the changed notification data in accordance with the notification procedure information. Each of the other object file means is notified. In response, the execution time is set again according to the setting procedure information included in the other object file means. Therefore, when the execution time of the medical practice according to one object file means is changed, the execution time of a plurality of medical practices forming a series of medical plans can be automatically and quickly reset together with the change. .

A medical plan creation support system according to a twenty-third aspect is the medical plan creation support system according to any one of the first to twenty-second aspects, wherein the input means comprises a plurality of medical actions scheduled to be performed in the future. Among them, at least one date at which at least one medical practice is scheduled to be performed can be specified, and the processing unit sets the plurality of execution times to at least a date unit based on the date specified by the input unit. It is characterized by being set by.

According to the medical plan preparation support system of the present invention, at least the date at which at least one medical practice is scheduled to be performed is designated by the input means.
Then, based on this date, the plurality of execution times are set by the processing means at least in units of date. That is, each execution time is set in absolute time units such as months and days, and the display on the display means is also performed in units of the date.

A medical plan creation support system according to a twenty-fourth aspect is the medical plan creation support system according to any one of the first to twenty-third aspects, wherein the set execution times are mutually contradictory or An alarm unit for issuing an alarm when an execution time that does not contradict each other cannot be set is further provided.

According to the medical plan creation support system according to the twenty-fourth aspect, when the execution time is set by the processing means, the set execution times are mutually inconsistent or the execution is not mutually inconsistent. If the time cannot be set, an alarm is issued by the alarm means. More specifically, the alarm message is displayed and output on the display screen of the display means, or the alarm message is output as voice by synthetic voice. Therefore, the medical plan creator can quickly recognize that a medical plan that cannot be actually executed is likely to be created by the automatic setting according to the setting procedure information.

A medical plan creation support system according to claim 25 is the medical plan creation support system according to any one of claims 1 to 24, wherein the medical plan creation support system is connected via a communication line. Wherein the plurality of object file units are provided in one unit, and the display unit is provided in the other unit.

According to the medical plan creation support system of the twenty-fifth aspect, the plurality of object file means provided in one unit and the display means provided in the other unit are wired, wireless, and dedicated lines. , A general line, a telephone line and the like. Therefore, one unit is used as a center device, a large-scale storage device provided in the one unit is provided with a plurality of object file units, and the other unit is used as a terminal device.
By adopting a configuration in which one or a plurality of the other units are provided, it becomes possible for a plurality of terminals to share the same data. The above-mentioned input means may be provided in the other unit similarly to the display means, and the processing means may be provided in either one of the units and the other unit.

According to a twenty-sixth aspect of the present invention, there is provided a machine readable medium having recorded thereon a program,
The computer is configured to determine at least a relative execution time for each of (i) medical action data indicating one of a plurality of preset medical actions and (ii) each of the plurality of medical actions forming a series of medical plans. A plurality of object file means each including setting procedure information for setting;
When a plurality of medical actions making up the series of medical plans are specified, according to the setting procedure information respectively included in a plurality of object file means including a plurality of medical action data indicating the specified plurality of medical actions, Processing means for setting at least a relative execution time of the plurality of designated medical actions on a predetermined time axis; and a plurality of at least the execution times set in a predetermined format for arranging each medical action in order of execution time. Display means for displaying a plurality of medical action data each indicating a medical action.

According to the machine-readable medium storing the program according to the twenty-sixth aspect, the computer can function as the medical plan creation support system according to the first aspect.

According to a twenty-seventh aspect of the present invention, there is provided a machine readable medium having recorded thereon a program,
The computer is configured to determine at least a relative execution time for each of (i) medical action data indicating one of a plurality of preset medical actions and (ii) each of the plurality of medical actions forming a series of medical plans. A plurality of object file means each including setting procedure information for setting and (iii) execution time data indicating at least a relative execution time of each medical action indicated by the medical action data on a predetermined time axis; Display means for displaying at least medical action data indicating each medical action for which the execution time has been set, in a predetermined format based on the execution time indicated by the stored execution time data, in which each medical action is arranged in the order of the execution time; and In a state where the medical practice data is displayed in the predetermined format, less of the medical practice and the execution time Input means for at least partially changing one of them, and changing by the input means according to the setting procedure information included in the object file means including the medical action data indicating each medical action after the change by the input means. Processing means for setting the execution time of each subsequent medical action, wherein the display means, in the predetermined format, based on the execution time set by the processing means, the medical action after the change The medical action data indicating the medical action data is displayed.

According to the medical plan creation support system of the twenty-seventh aspect, the computer can function as the medical plan creation support system of the seventh aspect according to the machine readable medium on which the program is recorded. Can be.

The operation and other advantages of the present invention will become more apparent from the embodiments explained below.

[0065]

Embodiments of the present invention will be described below with reference to the drawings.

(First Embodiment) FIG. 1 is a block diagram of a medical plan creation support system as a first embodiment of the present invention.

In FIG. 1, the medical plan creation support system 1 includes well-known personal computers, workstations, medium-sized computers,
It is composed of a computer such as a large computer, a mobile computer (portable information terminal), and an electronic organizer, and has a storage device 2, an input device 3, a processing unit 4, a display device 5, a printing device 6,
It comprises a communication unit 7 and a reading device 8.

The storage device 2 includes a hard disk device, an IC,
(Integrated Circuit) It is composed of a well-known random-accessible storage device such as a memory, a magnetic disk device, and a magneto-optical disk device.

The storage device 2 stores medical action data indicating one of a plurality of types of medical actions set in advance,
A plurality of object files 21 each including at least setting procedure information for setting a relative execution time for each of a plurality of medical actions forming a series of medical plans are logically constructed.

The input device 3 includes a keyboard, a numeric key switch, a mouse, a trackball, an input pen, an input tablet, and the like, and is configured to be able to designate an arbitrary position of an image displayed on the display device 5. In particular, the input device 3
A plurality of medical actions making up a series of medical plans can be specified, and other various data and commands can be input.

The processing unit 4 includes a CPU as an example of processing means.
(Central Processing Unit), and when a plurality of medical actions making up a series of medical plans are specified, a plurality of object files 21 including a plurality of medical action data indicating the specified plurality of medical actions. Are configured to set at least relative execution times of a plurality of designated medical actions on a predetermined time axis according to the setting procedure information included in each of the medical procedures.

The display device 5 is a CRT (Cathode Ray Tub).
e) A well-known display device such as a device or an LCD (liquid crystal display device). In particular, the input device 3 allows an arbitrary position on the screen to be designated. The display device 5 displays a plurality of medical action data indicating at least a plurality of medical actions for which the execution times are set, in a predetermined format in which the medical actions are arranged in the order of execution time.

The predetermined format for displaying such medical practice data is, for example, a format of a medical plan table in which at least a time unit indicating the date is taken on one axis and the type of medical practice is taken on the other axis. . Here, at least the date means that the hour, minute, week, etc. may be included in addition to the date. In addition, the kind of medical practice means, for example, records of doctors and nursing, treatment, injection, examination, consultation, evaluation, medication, meals, activity restriction, observation, rehabilitation, coordination, hospitalization and discharge, education of patient families, etc. I do. FIG. 2 shows an example of display in such a format.

In FIG. 2, the medical practice data is displayed on the display device 5 in the format of a medical plan table 10 in which the date is shown on the horizontal axis 12 and the type of medical practice is shown on the vertical axis 11. In this case, while displaying the medical plan table 10 similar to the above-described conventional care map according to the present embodiment,
The automatic setting of the execution time of each medical action on the medical plan table 10 can be performed by the processing unit 4 using the object file 21 as described later.

As shown in FIG. 3, the predetermined format for displaying the medical practice data is, as shown in FIG. 3, a plurality of medical acts whose execution timings are set, in the order of the execution timings regardless of the type of each medical practice (in the example of FIG. 3, Alternatively, the format of the list 110 may be a format in which the medical actions included in the category of each medical action on the same day are sorted in chronological order. In this case, while the medical plan list 110 is displayed, the automatic setting of the execution time of each medical action on the medical plan list 110 can be performed by the processing unit 4 using the object file 21 as described later. In the case of this format, a portion 11 of the medical plan list 110 corresponding to the date unit
2 may be displayed while changing the page for each screen, or may be displayed while scrolling up and down while indicating the break of the portion 112 by a dotted line or the like.

As described above, the format information and the display program for displaying the medical practice data in the format of FIG. 2 or FIG. 3 by the processing unit 4 and the display device 5 are stored in the computer stored in the recording medium 8a in advance. Included in the program.

Referring again to FIG. 1, the printing device 6 is a known printing device such as a laser beam printer or an ink jet printer, and may be a color or monochrome type. The printing device 6 prints medical practice data, for example, in the format shown in FIG. 2 or FIG.

The communication section 7 includes a modem for exchanging various files and data including the object file 21 with another computer or the like. The communication unit 7 includes, for example, other large-sized computers, personal computers, mobile computers (portable information terminals) via communication lines such as wired, wireless, dedicated lines, general lines, and telephone lines.
It is linked to an electronic organizer.

The reading device 8 comprises, for example, a CD-ROM drive, a DVD-ROM drive, an FD (floppy disk) drive, etc.
It reads a computer program recorded on a recording medium 8a such as OM and FD. The computer program thus read by the machine causes a computer, which is a hardware resource of the medical plan creation support system 1, to function as the medical plan creation support system. Note that part or all of the object file 21 constructed in the storage device 2 may be recorded on the recording medium 2a and read out as needed. In particular, an object file 21 used for a standard medical plan in a pre-stage used for an individual medical plan for a specific patient, and a standard object serving as a basis for modifying and changing later for an individual medical plan Since the file 21 can be created when the computer program is created and has high versatility, it is convenient later to store the file 21 in the recording medium 8a together with the computer program.

Next, a specific logical configuration of each object file 21 logically constructed in the storage device 2 will be described with reference to FIG.

As shown in FIG. 4, the object file 21 contains basic information 2 including the above-described medical practice data 211.
10 and setting procedure information 220.

First, the basic information 210 will be described.

In FIG. 4, the basic information 210 includes medical practice data 211 indicating one of a plurality of types of medical practice set in advance. Here, the “type of medical practice” means, for a large category, for example, records of physicians and nursing, treatment, injection, examination, consultation, evaluation, medication, diet, activity restriction, observation, rehabilitation, coordination, hospitalization and discharge Means the education of the patient's family,
It means more specific actions (what kind of injection, examination, medication, surgery, etc. are performed) in each category. Therefore, the medical practice data 211 of each object file 21 indicates, for example, each category and a specific behavior in each category using a predetermined classification code of a plurality of digits set in advance. As such a classification code, a publicly known classification code (for example, an IDC code, a medical remuneration score code, etc.) currently used worldwide or in Japan may be adopted, or a classification unique to the present invention. A code may be used. In short, if the medical practice is classified by a classification appropriate to the medical plan at the actual actual medical site, the problem of the present invention is achieved, and the classification method itself is arbitrary.

The basic information 210 includes medical practice data 211
In addition, to show short words and sentences to explain the details of the medical practice indicated by the medical practice data to the medical plan creator, and to explain to the patient about the medical practice indicated by the medical practice data 211 And text data 212 indicating a short word or sentence. Furthermore, when each object file 21 is used as a part of a medical plan for a specific patient or a virtual patient having a specific disease or condition, the basic information 210 indicates the ID number of the specific or virtual patient. Patient ID number data 213
And reference information data 214 related to the medical practice data related to each of the object files 21. The reference information data 214 is detailed medical data associated with the medical activity indicated by the medical activity data corresponding to each object file 21, and includes, for example, body temperature data measured every day, blood pressure data, and a predetermined component concentration in blood. Numerical data related to a predetermined medical practice, such as data.

Next, the setting procedure information 220 will be described. The setting procedure information 220 is information for setting at least a relative execution time for each of a plurality of medical actions forming a series of medical plans. Here, the “relative execution time” indicates the time at which each medical action is performed with respect to the time at which another medical action is performed. It indicates whether it is later, how many days or hours ago, how many days or hours later, how many days later, etc.

In FIG. 4, the setting procedure information 220 is based on the medical action data 210 included in the object file 21 based on the end or start of the medical action indicated by the medical action data 210 included in the other object file 21. Includes context definition data 221 that respectively defines at least the relative context of the indicated medical practice. For this reason, in the present embodiment,
In accordance with the context definition data 221, the execution time at which the medical action indicated by each medical action data 211 is performed is set by the processing unit 4 as needed.

The setting procedure information 220 is based on the end or start of the medical action indicated by the medical action data 211 included in the other object file 21 in addition to the context-related definition data 211 as described above. Includes time range definition data 222 that respectively defines a time range in which the medical action indicated by the medical action data 211 included in the medical action data can be executed. For this reason, in the present embodiment, the execution time at which the medical action indicated by each medical action data 211 is performed is set by the processing unit 4 as necessary according to the time range definition data 222. Furthermore, the setting procedure information 220 includes execution frequency definition data 223 that defines the execution frequency of each medical practice 211, in addition to the context definition data 221 and the time range definition data 222. For this reason, in the present embodiment, according to the execution frequency definition data 240, the execution time (for example, once every day, etc.) at which the medical action indicated by each medical action data 211 is performed is determined as necessary. It is set by the processing unit 4.

In FIG. 4, in the present embodiment, especially, the object file 21 includes the result information 230. The performance information 230 is obtained by storing the object file 21 indicating one medical practice in the medical plan into the performance-based medical practice data 211 after the one medical practice is actually executed.
This is to make it function as a performance data file containing. More specifically, the performance information 230 includes 1-bit performance status data 231 indicating whether the medical action corresponding to each of the object files 21 is based on the schedule or the performance, and when the medical practice is actually performed. Start time data 232 and end time data 233 indicating the start time and the end time, respectively;
1 includes description display number data 234 indicating the number of times that the explanation for the patient-specific explanation data included in No. 1 has been given to the patient.

In FIG. 4, in the present embodiment, especially, the object file 21 includes order information 240.
The order information 240 includes order data 241 for enabling the medical plan creation support system to be linked to a conventionally known ordering system as described later. If this order data 241 is described in each object file 21, an order such as examination reservation, hospitalization reservation, surgery reservation, etc. is linked to the medical practice indicated by the medical practice data 211 included in each object file 21. You can do it. Further, the order information 240 includes order performance data 242 indicating the fact that the order was actually placed.

Each of the plurality of object files 21 has a predetermined number of digits unique to each object file 21.
D number data 250 is assigned, and in FIG.
Can search for any object file 21 using the ID number data 250. If a new object file 21 is created, a new ID
The number data 250 is provided.

Each of the plurality of object files 21 is
Execution time data 260 is further included. The execution time data 260 specifies a medical practice that forms a series of medical plans,
Alternatively, when each execution time is set by the processing unit 4 according to the setting procedure information 220 as a result of a change to the medical plan, the processing unit 4 generates the execution time as data indicating the set execution time, and This is stored in the file 212. Therefore, in the case of the object file 21 which has not been involved in the setting of the execution time, the execution time data 260 does not exist or a predetermined default value is described. Conversely, once the execution time is set or reset, when displaying the medical action data using the object file 21, the execution time is determined by the execution time data 26.
0, and there is no need to repeat the same setting operation.

Next, referring to the object file 21 including various data as described above, creating a new file, and changing the content will be described with reference to FIGS. FIG.
Is an input screen 60 displayed on the display device 5 when referring to each object file 21, creating a new file, and changing the content.
Indicates 0. The text data, numerical data, codes, and the like displayed in the respective columns of the input screen 600 are, for example, obtained by executing a predetermined command in the medical plan table 10 shown in FIG. Basic information 21 included in the object file 21 corresponding to this medical practice
0, setting procedure information 220, performance information 230, and order information 240 (see FIG. 4).

In this embodiment, in particular, various data displayed in each column on the input screen 600 shown in FIG. 5 can be changed through the input device 3 (see FIG. 1), including new input and deletion. Is configured.

The medical practice indicated by each medical practice data 211 (see FIG. 4) which forms a part of the basic information 210 and is classified into a predetermined code is stored in advance in the storage device 2 for conversion of the code. The master file thus referred to is displayed in the “title” column 601 as text data indicating a word or a short sentence in FIG. In the “comment” column 602 on the right side, if each medical practice cannot be identified by the title alone, the content is described in more detail based on the text data 212 (see FIG. 4) forming a part of the basic information 210. And text data indicating a short sentence to be explained is displayed. “Category” column 60
3, the category of the medical practice is listed, and the category corresponding to the medical practice displayed in the “title” column 601 is highlighted.
In particular, in the “category” column 603, various medical acts prepared in a hierarchical manner can be designated by moving the cursor using the input device 3 or the like. And can be defined quickly. The “patient number” column 604 contains basic information when each of the object files 21 is used when a medical plan is actually created for a specific patient or a virtual patient having a specific disease. Based on the patient ID number data 213 (see FIG. 4) that forms part of the information 210,
The patient ID number of this specific or virtual patient is displayed.
Further, a column 605 of “explanation for patients” includes basic information 210.
Is displayed based on the text data 212 (see FIG. 4) which forms a part of the text data. “Reference information”
Column 606 contains detailed information that can be referred to when each of the object files 21 is used as a part of an actual medical plan based on the reference information data 214 (see FIG. 4) that forms a part of the basic information 210. The existence of the information is indicated by a title or an ID number.

Accordingly, a medical plan creator such as a doctor can easily use the columns 601 to 606 based on various data (see FIG. 4) included in the basic information 210 to easily obtain medical action data and patient ID numbers. Data, etc. can be referenced, newly input or changed, and corresponding text data can be easily referenced, newly created or changed.

In FIG. 5, a column “Schedule” 607 includes
Context definition data 221 forming the setting procedure information 220;
Time range definition data 222 and execution frequency definition data 22
3 (see FIG. 4) and the execution time data 260, the start time and start of the medical action indicated by the medical action data 211 included in the object file 21 (other related medical actions, start instructions, etc.). ,
The end (end) time, the trigger of the end (other related medical actions, the end instruction, etc.) and the elapsed time are displayed. The “activity during period” column 608 includes the context definition data 221 and the time range definition data 22 that constitute the setting procedure information 220.
2 and the execution frequency definition data 223 (see FIG. 4), whether the processing of setting the execution time by the processing unit 4 based on the setting procedure information 220 included in the object file 21 is performed immediately after the start of the medical practice, A black circle mark indicates whether the operation is performed at the time of closing, performed when a predetermined item is clicked on a display screen of a medical plan in a predetermined format described later, or performed periodically.

Therefore, the medical plan creator such as a doctor or the like prepares various data (FIG. 4) included in the setting procedure information 220.
), The context definition data 221 and the time range definition data 222
Also, the user can refer to the execution frequency definition data 223, and can newly create or change the data. Then, when the setting procedure information 220 included in each object file 21 is changed in this way, thereafter, according to the changed setting procedure information 220,
The execution time is set by the processing unit 4. For this reason, the medical plan creator can modify the setting procedure itself by the processing unit 4 according to his / her experience and preference. For example, it is possible to modify the timing of administering a specific drug after a specific operation.
When the execution time is set or reset, the latest execution time data 260 indicating the set or reset execution time is stored in the object file 21. Further, according to the latest execution time data 260, The start time and the end time of the medical practice on the input screen 600 are also updated.

In FIG. 5, a column 609 of “status result” shows status result data 231 forming a part of the result information 230.
Based on (see FIG. 4), it is indicated whether the medical practice corresponding to each of the object files 21 has already been executed. If the medical practice has already been performed, the start time (or date may be included) is displayed in the “start time” column 610 based on the start time data 232, and based on the end time data 233, The end time (or date may be included) is displayed in the “end time” column 611.

Therefore, in the medical plan using the object file 21, the medical plan creator such as a physician, when the medical activity indicated by the medical activity data included in the object file 21 is executed, is required to fill in each of the columns 609 to 609.
The result information can be easily input using 611, and such information can be easily referred to later.

[0100] A column 612 of "explanation display times" contains explanation display frequency data 234 (FIG.
), The number of times the explanation using the patient-specific explanation data included in the object file 21 has already been given to the patient.

Therefore, the medical plan creator, such as a doctor, enters the number of the explanation each time the explanation is given to the patient. Thus, the doctor can instantly understand whether the same medical practice has already been explained to the patient or whether it has been sufficiently explained. For this reason, it is convenient from the viewpoint of the informed concept, and is also useful as evidence indicating the fact that the discussion has been performed afterwards.

In the “order” column 613, based on the order data 241 forming a part of the order information 240,
Whether or not to place an order is displayed by a black circle mark, and items to be ordered when the order is placed are displayed. Further, in the column 614 of “Result of order”, based on the order result data 242, the name of the actually executed order, the date and time when each order was requested, the date and time when the order was executed, and the like are displayed.

Therefore, the medical plan creator such as a doctor can use the “order” column 613 to immediately send information to the terminal device of each department in the hospital and start work such as arranging medicine and accounting. It is possible to cause the medical plan creation support system to fulfill the function of the ordering system known in the related art that hastens it. Furthermore, by referring to the column 614 of “order results”, it can be easily confirmed whether or not each order has been successfully performed.

Referring to FIG. 5, basic information 210 and setting procedure information 2 included in object file 21 are described above.
Although the new input and the change on the input screen 600 such as 20 have been described, at least a part of the information is not limited to the input screen 600,
In the screen showing the medical plan in the format shown in FIG. 2, a new input and a change may be made possible. In the screen showing the medical plan in the format shown in FIG. 2 or FIG. Then, a new input and a change may be made. As described above, even when the basic information 210, the setting procedure information 220, and the like are newly input or changed except on the input screen 600, the stored content of the object file 21 is updated. The latest various data corresponding to the stored contents of the object file 21 are displayed.

Next, the operation for automatically setting the execution time and the operation for displaying a medical plan based on the result of the setting in the medical plan creation support system configured as described above will be described.

First, the operation for newly creating a medical plan constructed from various data included in the plurality of object files 21 will be described with reference to FIGS. FIG. 6 is a flowchart of this operation. FIG. 7 is a conceptual diagram when the medical plan table 10 of FIG. 2 is created and displayed using a plurality of object files 21, and FIG.
FIG. 4 is a conceptual diagram when a medical plan list 110 of FIG.

In FIG. 6, when a medical plan is first created, an input device 3 such as a keyboard or a mouse (see FIG.
(See FIG. 1), a plurality of medical actions making up a series of medical plans are specified one by one, or a storage device 2 such as a hard disk or a floppy disk or a reading device 8 (see FIG. 1). Through an input operation, a plurality of medical actions making up a series of medical plans corresponding to disease names, patient attributes, and the like are specified at a time (step S1). Then C
A plurality of object files 21 corresponding to a plurality of designated medical practices by the processing unit 4 (see FIG. 1) such as a PU.
a, 21b, 21c, 21d, 21e,...
(Step S2, see the upper side of FIGS. 7 and 8).

Then, the processing procedure 4 such as a CPU causes the setting procedure information 22 included in the object file 21 to be included.
0 (see FIG. 4), at least relative execution times of a plurality of designated medical practices on a predetermined time axis are set (step S3). Here, at least the setting of the relative execution time is, for example, how to set a specific date of what month and how many days and how many days before or how many days later, for example, based on the hospitalization day or the operation day etc. Is a meaning that includes both cases.

When the execution time is set in this manner, for example, each object file 21 is stored in the medical plan table 10 shown in FIG. 2 according to the type of the medical practice and the set execution time. Object files 21a, 2a and 2b arranged in association with the data filling each cell.
1b, 21c, 21d, 21e,... (Step S4, see the lower side of FIG. 7). Alternatively, when the execution time is set in this way, for example, each object file 21
Are object files 21a, 21b, 21c, 21d, 21e arranged in association with data filling each line in the medical plan list 110 shown in FIG. 3 according to the type of the medical practice and the set execution time. (Step S4, see the lower side of FIG. 8).

As described above, the medical plan creator such as a doctor
By performing an operation for designating a plurality of medical actions forming a series of medical plans without specifying the execution time, setting procedure information 220 included in each object file 21 (see FIG. 4)
, The at least relative execution time is automatically set, and the medical practice data 211 is displayed in a predetermined format as shown in FIG. 2 or FIG. 3 based on the automatically set execution time (step). S5). For this reason,
Even in the case where a plurality or a large number of medical actions that are intricately related to each other make up a series of medical plans, it is possible to easily and quickly create a medical plan in which the context and temporal relationship between the medical actions are appropriately defined. It can be created.

At this time, the medical plan creator is not required to have knowledge of the execution time, so that even an unskilled medical plan creator can easily and quickly create an appropriate medical plan. It is advantageous. In addition, for example, when a plurality of medical activities are newly specified by adding, changing, or deleting a medical activity to a plurality of medical activities forming a series of medical plans once created, the object file 21 is also stored in the object file 21. Setting procedure information 220 included
Accordingly, the execution time of each medical practice is set according to the above, so that the medical plan creator does not need to perform troublesome and time-consuming and troublesome work such as shifting the execution time of each medical practice, which is very advantageous.

Next, the processing unit 4 monitors whether or not an input operation for instructing a change in the displayed medical practice or execution time is performed in the input device 3, and if there is no input operation for instructing the change ( Step S6: N
O) Assuming that the medical plan currently displayed is confirmed by the medical plan creator, a plurality of object files 21 corresponding to the display contents at this stage are included in one data set as a patient code, a disease code or a patient attribute code. Is stored in the storage device 2 (step S7), and the process ends. On the other hand, if there is an input operation for instructing a change (step S6: YES), the processing unit 4 determines whether a medical action that has not been displayed so far is newly specified (step S8). If there is no new designation, that is, if only the execution time of the already displayed medical action is changed (step S
8: NO), returning to step S3 and setting procedure information 220
The execution time is reset by using (step S
3). On the other hand, if there is a new designation (step S8:
YES), the object file 21 corresponding to the newly designated medical practice is fetched from the storage device 2 (step S9), and the process returns to the setting step S3 to set the setting procedure information 2
20 is reset (step S
3).

As described above, when a medical plan is created, a plurality of medical actions constituting a series of medical plans include, for example, medical treatment for a virtual patient having a specific disease such as gastric cancer or angina. Action is specified. That is, in this case, a standard medical plan that is considered optimal for each disease can be created in advance. Alternatively, as a plurality of medical activities forming a series of medical plans, for example, a medical activity for a patient who has been actually diagnosed, such as blood loss, poor visual acuity, or high fever, is specified. That is, in this case, a standard medical plan that is considered optimal for each individual patient can be created in real time.

Next, the operation when changing the medical plan once prepared as a standard medical plan for each disease or individually for a specific patient as described above will be described with reference to FIGS.
0 will be described. Here, FIG. 9 is a flowchart showing the operation, and FIG. 10 is a conceptual diagram in a case where the plan is changed in a state where the medical plan table 10 of FIG. .

Referring to FIG. 9, when changing the medical plan, first, a set of data sets including a plurality of object files related to the medical plan once created is designated by inputting via the input means 3. (Step S1
1). This specification is performed by specifying, for example, a patient code, a disease code, a patient attribute code, and the like already assigned to each data set. Then, the medical plan is displayed on the display device 5 in a predetermined format as shown in FIG. 2 or FIG. 3 based on the plurality of medical practice data and the execution time data included in the specified data set (step S1).
2). In this example, the medical plan table 10 is displayed as shown in the upper part of FIG.

Next, it is determined whether or not an input operation for instructing a change in the displayed medical action or the execution time is performed on the input device 3 (for example, by inputting via the input device 3 such as a keyboard and a mouse). It is monitored by the processing unit 4 (step S13). If there is no input operation for instructing a change (step S13: NO), it is determined that the medical plan currently displayed has been confirmed by the medical plan creator, and a plurality of object files 21 corresponding to the display contents at this stage are stored. The two data sets are stored in the storage device 2 in association with the patient code, the disease code, or the patient attribute code (step S18), and the process ends.

On the other hand, if there is an input operation for instructing a change (step S13: YES), the process proceeds to step S14. In this example, as shown in the upper part of FIG. 10, it is assumed that the type and position of the medical practice in the medical plan table 10 are changed including addition and deletion. More specifically, as shown in FIG. 10, it is assumed that the execution time of the medical practice corresponding to the object file 21b has been changed from December 14 to December 15 (step S13: YES). In this case, the processing unit 4 further determines whether a medical practice that has not been displayed so far is newly designated (step S14). If there is no new designation, that is, if only the execution time of the medical action already displayed is changed (step S14: NO), step S16 is performed.
Proceed to. On the other hand, if there is a new designation (step S1
4: YES), the object file 21 corresponding to the newly designated medical practice is extracted from the storage device 2 (step S15), and then the process of step S16 is performed. In this example, as shown in FIG. 10, there is no new designation, and the execution time of the medical action corresponding to the object file 21b is changed (step S1).
4: NO).

In step S14, the processing section 4 such as a CPU
, A plurality of object files 2 after the change
According to the setting procedure information 220 (see FIG. 4) included in No. 1, at least relative execution times of a plurality of designated medical practices on a predetermined time axis are set (step S16). Then, the object files 21a, 21b, 21c,...
Are rearranged (step S17). Subsequently, the process returns to step S12, and each medical action data is displayed on the display device 5 in a predetermined format based on the execution time thus reset (step S12). That is, the medical plan table 10 as shown in the lower part of FIG.
Is displayed.

In resetting the execution time, in particular, not only when a new medical practice is additionally designated, but also the fact that the type or position of a specific medical practice has been changed, the setting procedure information 2
Since the setting procedure specified by 20 is affected (for example, the execution time of the changed medical practice is preferentially determined), a medical plan table 10 different from that before the change is displayed on the display device 5. (See the lower side of FIG. 10). More specifically, in this example, with the movement of the medical action corresponding to the object file 21b, the execution time of the medical action corresponding to the object files 21a and 21e is changed one day later. According to the setting procedure information 220 included in the object file 21a (in this case, the context definition data 221), the change of the execution time of the medical practice corresponding to the object file 21b (postponement) This means that the execution time of the medical action corresponding to the object file 21a that must be executed after the date has been changed (postponed) by one day. Similarly, according to the setting procedure information 220 included in the object file 21e (in this case, the context definition data 221), according to the change (postponement) of the execution time of the medical practice corresponding to the object file 21b, This means that the execution time of the medical action corresponding to the object file 21e that needs to be executed later is changed (postponed) by one day. On the other hand, the object file 21
For the medical actions corresponding to d and 21c, no change has been made in the execution time according to the setting procedure information 220 included therein.

Thus, the medical plan creator such as a doctor
For a plurality of medical practices that make up a series of medical plans once created, for example, when specifying a plurality of medical practices by adding, changing or deleting medical practices,
Setting procedure information 22 included in object file 21
Since the execution time of each medical action is automatically reset according to 0, there is no need for the medical plan creator to perform troublesome and time-consuming and troublesome work such as shifting the execution time of each medical action one by one. It is very advantageous.

In the present embodiment, in particular, when the execution time of another medical practice that forms a medical plan together is changed, it is efficiently determined whether or not the execution time of each medical practice is changed. In addition, when further changes are made, the changes are made quickly and reliably automatically. That is, each object file 21 is
When the execution time of the medical practice data 211 included in the file is changed, the processing unit further includes notification procedure information for notifying the other object file 21 of the change notification data notifying the change of the execution time. 4, when the execution time is changed, the change notification data is transmitted to each of the other object files 21 according to the notification procedure information, and the execution time is set again according to the setting procedure information included in the other object file 21. I do. With this configuration, the change notification data is notified to the other object files 21 according to the notification procedure information, and the execution time is set again according to the setting procedure information included in the other object files 21. When the execution time of a medical practice related to one object file 21 is changed, the execution time of a plurality of medical practices that make up a series of medical plans can be reset in a chain, automatically, and quickly with the change. Becomes

In the present embodiment, as shown in the lower part of FIG. 10, the display device 5 displays the medical action data indicating the medical action whose execution time has changed among the plurality of changed medical actions. The display is configured to be displayed in a display form different from medical practice data indicating a medical practice whose time is unchanged.
Here, the different display forms refer to displays having different colors, brightness, darkness, and the like. For example, changed ones (medical action data corresponding to the object files 21a and 21e in the figure) are indicated by red letters or high The display is performed in the luminance, and the invariable data (medical activity data corresponding to the object files 21d and 21c in the figure) are displayed in black characters or low luminance. Accordingly, the execution schedule is automatically set, and the medical plan creator reliably recognizes and confirms the medical practice data 211 indicating the medical practice whose execution timing has changed in accordance with the change operation by the input device 3 on the display screen. it can.

In this embodiment, in particular, when the execution time is set, the processing unit 4 generates execution time data indicating the set execution time for the corresponding object file 21, Reference numeral 21 is configured to store the generated execution time data. Then, in the subsequent work of making a medical plan, the display device is displayed based on the execution time indicated in the execution time data stored in each object file 21 instead of or in addition to the execution time set by the processing unit 4. 5, the medical practice data 211 is displayed in the medical plan table 10 of FIG. 2 or the medical plan list 110 shown in FIG. At this time, if the execution time data already exists in each of the object files 21, the storage content is updated with the execution time data indicating the newly set execution time. That is, the latest medical plan can be displayed based on the execution time data stored in each object file 21.

Therefore, if the operation of setting the execution time is performed once, the medical action data can be displayed on the display device 5 based on the execution time data stored in each object file 21 as long as the medical plan is not changed. So convenient. Further, even when the medical plan is changed as described above, the medical action data can be first displayed on the display device 5 based on the execution time data once set by the previous setting operation and stored in the object file 21. Thereafter, it is convenient to easily change the medical plan once created on this display screen.

From this point of view, in the present embodiment,
A data set including a plurality of object files 21 including a plurality of medical action data indicating a plurality of medical actions forming a series of medical plans is converted into a patient code (for example, a numerical code of a predetermined digit) assigned to each patient. And stored in the storage device 2. Alternatively, each dataset
The storage device 2 is associated with a disease code (for example, a numerical code of a predetermined digit) assigned to an individual disease among a plurality of preset diseases (for example, myocardial infarction, pneumonia, gastric cancer, cerebral infarction, etc.). Store. Alternatively, a patient attribute code (for example, a predetermined digit) assigned to each data set is assigned to an individual patient attribute among a plurality of preset types of patient attributes (for example, gender, age, constitution, chief complaint, etc.) including a chief complaint. In the storage device 2. After that, by specifying a patient code, a disease code, or a patient attribute code using the input device 3,
Preferably, a data set corresponding to the specified code is specified.

Thus, each data set is represented by a patient code,
Storage device 2 in association with a disease code or a patient attribute code
, The medical act data 211 and the execution time included in the data set corresponding to the specified patient code, disease code or patient attribute code only by specifying the patient code, the disease code or the patient attribute code. The medical plan can be easily displayed on the display device 5 without setting the execution time again based on the data. As a result, once a medical plan has been created for an arbitrary patient, the medical plan for the patient can be called up from the storage device 2 and displayed easily and quickly by designating the patient code. Can be performed. Further, once a medical plan has been created for an arbitrary disease, a medical plan for the disease can be called up from the storage device 2 and displayed easily and quickly by designating the disease code. It is possible to do. Furthermore, once a medical plan has been created for an arbitrary patient attribute, a medical plan for the patient attribute can be retrieved from the storage device 2 and displayed easily and quickly by designating a patient attribute code. Can be performed promptly.

As described above, each disease (disease code)
The standard medical plan according to the standard and the standard medical plan according to the patient attribute (patient attribute code) have high versatility as a source when creating a medical plan for a specific patient. For this reason,
A data set indicating a standard medical plan according to each main disease (disease code) and a standard medical plan according to main patient attributes (patient attribute code) is stored in advance in the recording medium 8a together with the computer program. In addition, the computer program may be configured to be loaded together with the computer program. Alternatively, a data set indicating a standard medical plan corresponding to almost all diseases (disease codes) and a standard medical plan corresponding to almost all patient attributes (patient attribute codes) is stored in a large-sized storage device in advance. In addition, from the computer having the large storage device and the communication device, each medical plan creation support system 1 transmits a data set corresponding to a desired disease code or patient attribute code via the communication unit 7 (see FIG. 1). You may comprise so that it may download.

In the first embodiment described above, the format shown in FIG. 2 and FIG.
However, it is also possible to select one of them or to switch between them instantaneously by inputting a command through the input device 3. In particular, it is convenient to switch to a screen showing the medical plan list 110 (see FIG. 3) of this date by executing a predetermined command in the medical plan table 10 of FIG. .

It is also possible to display the medical practice data in a predetermined format other than the formats exemplified in FIGS. 2 and 3. In the present invention, the format arranged in the “execution time order” is a part of an arbitrary spatial and temporal axis such as spatially vertical, horizontal, diagonal, front and back, or temporally back and forth. This means that all formats in which medical actions are arranged in order of execution time are widely included.

In the embodiment described above, as shown in FIG. 4, each object file 21 includes, in addition to the medical practice data 211 and the setting procedure information 220, the performance information 2
30, various kinds of information such as order information 240 and execution time data 260 are stored. However, if the medical action data 211 and the setting procedure information 220 are included at a minimum, a function of automatically setting the execution time of each medical action in units of the object file 21 can be exhibited.
1 may not be stored.

(Modification of Medical Plan Table) FIG. 11 shows another example of a table that can be output by the display device 5 and the printing device 6 in each of the above-described embodiments. In this case, the processing unit 4 is configured to set at least a part of the execution time data to a time including the date and the time, and the storage device 2 stores the execution time data indicating even the time. It is configured to store data. And, in each cell 20a of the medical plan table 20, each medical action is
They are arranged and output at each set time. With this configuration, for example, at the time of hospitalization, etc., where records and planned medical activities are large, each medical activity is arranged by time in each frame of the table. It is easy to see the situation and it is convenient.

FIG. 12 shows another example of a table that can be output by the display device 5 and the printing device 6 in the present embodiment. In this case, the processing unit 4 is configured to set at least a part of the execution time data to a time including the date and the time, and the storage device 2 stores the execution time data indicating even the time. It is configured to store data. Then, at least a part of the medical practice data of the medical plan table 30 is arranged and output every predetermined time instead of being arranged by date. More specifically, for example, a medical plan table 30 in which medical actions performed every six hours are grouped in one frame and arranged every six hours is output.
With such a configuration, for example, at the time of hospitalization where recording and medical actions to be planned are large, a schedule for each minute time can be planned and recorded. In addition to 6 hours, 1, 2, 3, 4,
It is preferable to use a unit of time that can easily be divided into 24 hours, such as 8 or 12 hours. However, it is possible to divide the time into any length of time, such as lengthening the day and shortening the night. If an image is output as a table 30 arranged in such a unit, it is convenient to easily see the state of the medical practice performed in one day.

FIG. 13 shows another example of a table that can be output by the display device 5 and the printing device 6 in the present embodiment. In this case, instead of arranging at least a part of the medical practice data by date, the medical practice data is output in a table format in which the medical practice data is arranged in a plurality of continuous days and arranged in the plurality of days. More specifically,
For example, a table 40 in which medical actions for each month are grouped in one frame 41 and arranged for each month is output. In addition to one month, it is preferable to use a simple period such as 3 days, 1 week, 1 year or 10 years, but shorten the unit period during hospitalization and increase the period during hospital visits. It is possible to divide into periods of any length. If the size of the cell is defined and summarized according to the number of medical actions in this way, it is convenient to easily see the state of the medical action over a long period of time.

FIG. 14 shows another example of a table that can be output by the display device 5 and the printing device 6 in the present embodiment. In this case, the medical practice data includes numerical data related to a predetermined medical practice recorded for a plurality of dates (for example, body temperature data measured every day, blood pressure data, data on the concentration of a predetermined component in blood, and the like). ) Is linked with reference information data 214 (see FIG. 4) indicating details. Then, the table 52 is displayed on a part of the screen 51 of the display device 5 and the numerical data is displayed on another part of the screen 51 as a graph having the date and the corresponding axis of the table 52. That is, as shown in FIG. 14, a table 52 is displayed at a lower portion of the display screen 51, and a line graph 53 and a B item (for example, , Blood pressure) is displayed using the date in Table 52 as a time axis. As described above, since the numerical data is shown in a graph in correspondence with the date in Table 52, the correspondence between the executed medical practice and the numerical data indicating the state of the patient's body, etc. can be visually recognized. , Very convenient. FIG.
When the numerical data is data measured several times a day as in the example shown in FIG. 4, the width of each frame of the table 52 representing one day is converted into 24 hours, and It is advantageous to draw a graph with a line as a time axis because the comparison between the time information and the table 52 can be easily understood. On the other hand, it goes without saying that a graph can be created even when numerical data does not exist for each day.

[0135] A modification of the medical plan table described above is as follows.
Not only can it be applied to the first embodiment, but also can be applied to other embodiments described below.

(Second Embodiment) A second embodiment of the present invention will be described with reference to FIGS.

In the first embodiment, it is assumed that a plurality of medical actions making up a series of medical plans are of mutually incompatible nature, and that a plurality of medical actions making up a medical plan are basically all performed. There is. In actual medical practice, it is not unusual for it to be difficult to confirm the diagnosis or to greatly change what to do next depending on the result after performing some treatment. Therefore, in the second embodiment, instead of or in addition to the medical practice scheduled to be performed in the future in the first embodiment, a plurality of medical practice candidates that may be alternatively performed in the future are selected. , To build a series of medical plans. Here, “alternatively executed” means that only one of them is actually executed.
Note that the hardware configuration of the second embodiment is the same as that of the first embodiment (see FIG. 1), and the logical configuration of the object file 21 is also the same (see FIG. 4).

In the second embodiment, the input device 3 or the like is used in place of or in addition to the medical practice scheduled to be performed in the first embodiment in the future. Are designated. Then, according to the setting procedure information 220, the processing unit 4 sets at least a relative execution time candidate of the plurality of medical action candidates designated in this manner instead of or in addition to the execution time. Then, based on the set execution time candidate, a plurality of medical action data 211 indicating the plurality of medical action candidates are displayed in a predetermined format instead of or in addition to the medical action data indicating each of the plurality of medical actions. Displayed by the device 5. Therefore, in the initial stage of a medical plan, for example, before the diagnosis is confirmed, the medical plan should be prepared when the disease or medical condition is unknown and there are various medical activities that may be performed in the future depending on the disease or the like. Very useful when creating.

In the second embodiment, the predetermined format for displaying medical practice data is, for example, as shown in FIG. 15, a plurality of medical practice candidates that are to be executed alternatively. The format of the decision tree 120 arranged in the order (in the example of FIG. 15, date order) may be used. In this case, the execution time of each medical practice candidate on the decision tree 120 can be automatically set while displaying the decision tree 120 indicating that there are a plurality of candidates by branching. As an actual display screen in this case, a desired portion may be displayed in an enlarged manner while scrolling left, right, up and down while displaying the decision tree 120 itself. Alternatively, as shown in FIG. 16, a portion 500a corresponding to each date of the list 110 shown in FIG. 3 is displayed on the display screen 500 of the display device, and the position on the reduced-decision tree 120 is displayed. The location master 500c indicating the location 500b may be displayed.

Next, the operation for automatically setting the execution time and the operation for displaying a medical plan based on the result of the setting in the medical plan creation support system of the second embodiment configured as described above will be described.

First, an operation for newly creating a medical plan constructed from various data included in the plurality of object files 21 will be described with reference to FIG.
FIG. 17 is a conceptual diagram in the case where the decision tree 120 of FIG. 15 is created and displayed using a plurality of object files 21.

In FIG. 17, when a medical plan is created, a series of medical plans are input by an input device 3 (see FIG. 1) such as a keyboard and a mouse by a medical plan creator such as a doctor. A plurality of medical practice candidates to be formed are designated one by one, or input in a storage device 2 such as a hard disk or a floppy disk or a reading device 8 (see FIG. 1) to correspond to a disease name, a patient attribute, or the like. A plurality of medical activities that make up a medical plan are designated at once.
Then, a plurality of object files 21a, 21b, 21c, 21d, and 21e corresponding to the plurality of designated medical practice candidates are processed by the processing unit 4 (see FIG. 1) such as a CPU.
Are retrieved from the storage device 2 (see the upper side of FIG. 17). Then, the processing unit 4 such as a CPU according to the setting procedure information 220 (see FIG. 4) included in each of the object files 21 at least relative execution time candidates of a plurality of designated medical practice candidates on a predetermined time axis. Is set. Then, when the execution time candidates are set in this way, for example, each object file 21 stores, in accordance with the type of the medical practice candidate and the set execution time candidate, each object file 21 in the decision tree 120 shown in FIG. Object files 21a, 21b, 21c, 21d arranged in association with the data filling the block,
21e,... (See the lower side of FIG. 17).

Next, the operation for changing the medical plan once prepared as a standard medical plan for each disease or individually for a specific patient as described above will be described with reference to FIG. FIG. 18 is a conceptual diagram in a case where a plan is changed in a state where the decision tree 120 of FIG. 15 is displayed using a plurality of object files 21.

In FIG. 18, when the medical plan is changed, the medical plan creator such as a doctor inputs the medical plan in the displayed decision tree 120 by inputting through the input device 3 such as a keyboard and a mouse. The type and position of the action candidate (see the upper part of FIG. 18) are changed including addition and deletion. More specifically, in this example, it is assumed that the execution time candidate of the medical practice candidate corresponding to the object file 21b is changed from July 4 to July 5. Then, the processing procedure 4 such as a CPU causes the setting procedure information 2 included in the plurality of changed object files 21 to be changed.
20 (see FIG. 4), at least relative execution times of a plurality of designated medical practice candidates on a predetermined time axis are set. At this time, not only when a new medical practice candidate is additionally specified, but also the fact that the type or position of the specific medical practice candidate is changed affects the setting procedure defined by the setting procedure information 220 (for example, Since the execution time of the changed medical practice is determined preferentially), a different decision tree 120 than before the change is added is displayed on the display device 5 (see the lower side of FIG. 18). More specifically, in this example, with the movement of the medical practice candidate corresponding to the object file 21b, the execution time of the medical practice candidate corresponding to the object files 21a and 21a 'is changed by several hours each. (Date unchanged). This is a change (postponement) according to the setting procedure information 220 included in the object files 21a and 21a '. On the other hand, regarding the medical practice candidates corresponding to the object files 21d and 21c, no change has been made to the execution time candidates according to the setting procedure information 220 included therein. The execution time of the object file 21e is changed (postponed) to the next day in accordance with the setting procedure information 220.

As described above, a medical plan creator such as a doctor
For example, when a plurality of medical practice candidates are newly specified by adding, changing, or deleting a medical practice candidate from a plurality of medical practice candidates that form a series of medical plans once created, the object file 21 may be used. The execution schedule candidates for each medical practice candidate are automatically set according to the setting procedure information 220 included in the medical procedure. Therefore, the time and effort required for the medical plan creator to shift the execution timing candidates for each medical practice candidate one by one, etc. This is very advantageous because there is no need to perform complicated work.

In the second embodiment, similarly to the first embodiment, execution time data indicating an execution time candidate set once may be stored in each object file 21. Alternatively, a data set including a plurality of object files 21 corresponding to a series of medical plans may be stored in the storage device 2 in association with a patient code, a disease code, and a patient attribute code. Also,
A configuration for displaying the changed medical practice in a different display format, a configuration for generating and storing execution time data, a configuration for updating the contents of the storage device 2 with the generated execution time data, and the like are also the first. It can be applied in the same manner as in the embodiment.

[0147] In each of the above-described embodiments, the input device 3 is one of a plurality of medical actions to be performed in the future.
It is possible to specify at least a date at which at least one medical action is scheduled to be performed, and the processing unit 4 sets a plurality of execution times at least on a date basis based on the date specified by the input device 3. Is preferred. in this case,
Each execution time is set in absolute time units such as months and days, and the display on the display device 5 is also performed in date units which are the absolute time units. In particular, for example, it is convenient that, during planning, only a date (absolute time) is given for a medical operation called “surgery”, which is an important item, and specific schedules for other items are automatically determined.

Further, in each embodiment, when a plurality of execution times set in accordance with the setting procedure information are mutually inconsistent or when it is impossible to set an execution time which is not mutually inconsistent, an alarm means for issuing an alarm is provided. It may be further provided. As the alarm means, an alarm message to the effect that "execution time cannot be set" is displayed on the screen of the display device 5, or an error message is sounded through a speaker built in the medical plan creation support system 1. You may comprise so that an alarm may be emitted. In this case, the medical plan creator can quickly recognize that a medical plan that cannot be actually executed is likely to be created by automatic setting according to the setting procedure information.

Further, the medical plan creation support system 1 in each embodiment includes a clock as an example of a counting means for counting days, and a display data generation processing unit 4.
a may be configured to generate display data based on the counted date such that a display or print portion corresponding to a date matching today is output in a different manner from other display or print portions. The output in a different method includes, for example, a method in which brightness, color, font, line type, density, knitting, and the like are differently displayed on an output image.

(Third Embodiment) A third embodiment of the present invention will be described with reference to FIG.

In FIG. 19, the medical plan creation support system according to the third embodiment includes a plurality of units connected via a communication line and a plurality of object files 21.
Is provided on the side of the center device 1a which is an example of one unit, and the input device 3, the processing unit 4, the display device 5 and the communication unit 7 are connected to the terminal device 1 which is an example of the other unit.
Each is provided on the b side. The center device 1a includes a large-sized computer, a host computer, a server, and the like, and has a large-scale storage device 2a that stores the object file 21. The terminal device 1b includes a personal computer, a workstation, a mobile computer (portable information terminal), an electronic organizer, and the like. For example, the plurality of object files 21 stored in the storage device 2a of the center device 1a and the input device 3, the processing unit 4, and the display device 5 provided in the terminal device 1b are wired, wireless, dedicated lines, They are connected via communication lines such as general lines and telephone lines. Therefore, the same data is shared by a plurality of terminal devices 1b by adopting a configuration in which a plurality of object files 21 are provided in a large-scale storage device 2a provided in the center device 1a and a plurality of terminal devices 1b are deployed. It is also possible. The processing unit 4 may be provided in either the center device 1a or the terminal device 1b. In this embodiment, a large number of object files 21 and data sets stored in the storage device 2a of the center device 1a can be shared by a plurality of terminal devices 1b. This is practically advantageous because a large-scale storage device for storing is unnecessary.

Finally, the function of the medical plan creation support system used in the above embodiment is conceptually shown in FIG.

As shown in FIG. 20, the function of the medical plan creation support system 1 is realized by the screen operation function 13, the display device 5, etc. realized by the display device 5, the input device 3, etc. shown in FIG. The display function 14 and the interface function 15 of each system realized by the communication unit 7, the processing unit 4, and the like are integrated. The screen operation function 13 integrates a new input function 13a, an addition / change input function 13b, and a deletion function 13c. In addition, the display function 14
Is a function 14a for displaying medical practice data in a predetermined format (see FIGS. 2, 3 and 15), a result display function 14b for displaying results using detailed medical data, and a graph using detailed medical data. The graph function 14c and the screen magnification change display function 14d for changing the screen magnification of the display device 5 are integrated.

Further, each system interface function 1
5 is various order function 15a, electronic chart function 15b
And the medical accounting system 15c.
Here, the various order functions 15a are, for example, a medicine device or the like configured to receive a medicine order or the like from a medical department and output a medicine list as an image, which is received from each system interface via a communication unit. Used. In the present embodiment, in particular, as described above, the order corresponding to each medical practice can be quickly issued based on the order information (see FIG. 4) included in each object file.

[0155] The electronic medical record function 15b is used in a medical treatment apparatus configured to be able to output an image of a medical record using various data transmitted and received from each system interface via a communication unit. The medical accounting system 15 is configured to perform medical accounting calculations using various data transmitted and received from each system interface via the communication unit, and to output a medical account book based on the calculation results. Used in accounting devices.

As described above, since the functions are integrated in a hierarchical structure, the medical plan creation support system 1 allows each function to be called efficiently and allows the functions to be organically combined and executed. is there.

As described in detail above, according to each embodiment of the present invention, a medical plan creation support system for assisting a medical plan creator such as a doctor to easily and quickly create an appropriate medical plan is provided. Is achieved.

[0158]

As described above in detail, according to the medical plan creation support system of the present invention, even when a plurality of or a plurality of medical actions intricately related to each other make up a series of medical plans, a plurality of medical actions can be performed. It is possible to easily and quickly create a medical plan in which the context and temporal relationship between medical practices are appropriately defined. At this time, the medical plan creator
Since knowledge about the execution time is not required, it is very advantageous that an unskilled medical plan creator can easily and quickly create an appropriate medical plan. In addition, for a plurality of medical activities that make up a series of medical plans once created, for example, when a plurality of medical activities are newly specified by adding, changing, or deleting a medical activity, etc. Since the execution time is automatically set, there is no need for the medical plan creator to perform a troublesome and time-consuming troublesome work such as shifting the execution time of each medical action one by one, which is very advantageous.

Further, according to the machine-readable medium storing the program of the present invention, a general-purpose or special-purpose computer can function as the above-mentioned medical plan creation support system of the present invention.

[Brief description of the drawings]

FIG. 1 is a block diagram illustrating a configuration of a medical plan creation support system according to a first embodiment of this invention.

FIG. 2 is a plan view showing an example of a table output as an image according to the first embodiment.

FIG. 3 is a plan view showing an example of a list output as an image according to the first embodiment.

FIG. 4 is a conceptual diagram illustrating a configuration of an object file constructed in a storage device according to the first embodiment.

FIG. 5 is a plan view showing an input screen when referring to an object file, newly inputting, changing, and the like in the first embodiment.

FIG. 6 is a flowchart showing an operation of creating and displaying the table of FIG. 2 or the list of FIG. 3 using a plurality of object files in the first embodiment.

FIG. 7 is a conceptual diagram of an operation of creating and displaying the table of FIG. 2 using a plurality of object files in the first embodiment.

FIG. 8 is a conceptual diagram of an operation of creating and displaying the list of FIG. 3 using a plurality of object files in the first embodiment.

FIG. 9 is a flowchart illustrating an operation of changing a plan using a plurality of object files in the first embodiment.

FIG. 10 is a conceptual diagram of an operation of changing a plan in a state where the table of FIG. 2 is displayed using a plurality of object files in the first embodiment.

FIG. 11 is a plan view showing another example of a table output as an image according to the first embodiment.

FIG. 12 is a plan view showing another example of a table output as an image according to the first embodiment.

FIG. 13 is a plan view illustrating another example of a table output as an image according to the first embodiment.

FIG. 14 is a plan view showing another example of the table output as an image according to the first embodiment.

FIG. 15 is a plan view illustrating an example of a decision tree output as an image according to the second embodiment of the present invention.

FIG. 16 is a plan view showing another example of a decision tree output as an image according to the second embodiment.

FIG. 17 is a conceptual diagram of an operation of creating and displaying the decision tree of FIG. 15 using a plurality of object files in the second embodiment.

FIG. 18 is a conceptual diagram of an operation of changing a plan in a state where the decision tree of FIG. 15 is displayed using a plurality of object files in the second embodiment.

FIG. 19 is a block diagram illustrating a configuration of a medical plan creation support system according to a third embodiment of this invention.

FIG. 20 is a conceptual diagram showing functions in the medical plan creation support system of the present invention.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 ... Medical plan creation support system 2 ... Storage device 3 ... Input device 4 ... Processing unit 5 ... Display device 6 ... Printing device 7 ... Communication unit 8 ... Reading device 10 ... Medical plan table 21 ... Object file 110 ... Medical plan list 120 ... Decision Tree 600 ... Input screen

Claims (27)

[Claims] 1. At least relative execution of (i) medical action data indicating one of a plurality of types of predetermined medical actions and (ii) each of the plurality of medical actions forming a series of medical plans A plurality of object file means each containing setting procedure information for setting a time, and a plurality of medical actions making up the series of medical plans, when a plurality of medical actions making up a series of medical plans are designated, showing a plurality of medical actions showing the designated plurality of medical actions. Processing means for setting at least a relative execution time of the specified plurality of medical actions on a predetermined time axis in accordance with the setting procedure information respectively included in a plurality of object file means including medical action data; In a predetermined format that arranges actions in the order of execution time,
Display means for displaying at least a plurality of medical action data respectively indicating a plurality of medical actions for which the execution times are set. 2. An input means capable of designating a virtual patient having a specific disease or a medical operation scheduled to be performed in the future for a specific patient as a plurality of medical operations forming the series of medical plans. The medical plan creation support system according to claim 1, wherein 3. The input means is capable of at least partially changing at least one of the medical practice and the execution time when the medical practice data is displayed in the predetermined format. According to the setting procedure information, the execution time of each medical practice after the change by the input unit is set again, and the display unit displays the medical practice data indicating the medical practice after the change in the predetermined format. The medical plan creation support system according to claim 2, wherein 4. The processing means generates execution time data indicating the set execution time for each of the object file means, and the object file means stores the generated execution time data, respectively. The display means may display the medical practice data in the predetermined format based on an execution time indicated by the stored execution time data instead of or in addition to the set execution time. The medical plan creation support system according to any one of claims 1 to 3. 5. A data set in which a plurality of object file means including a plurality of medical practice data indicating a plurality of medical practices making up the series of medical plans is associated with a patient code assigned to each patient. The input means can specify a data set corresponding to the patient code by specifying the patient code, and the display means is included in the specified data set. The medical plan creation support system according to claim 4, wherein the medical practice data is displayed in the predetermined format based on the execution time data and the medical practice data. 6. The processing unit according to claim 1, wherein, in place of or in addition to said medical practice scheduled to be performed in the future, when any one of a plurality of medical practice candidates scheduled to be performed in the future is specified, According to the setting procedure information, in place of or in addition to the execution time, at least a relative execution time candidate of the plurality of designated medical practice candidates is set, and the display means sets the execution time candidate to the set execution time candidate. And displaying, in the predetermined format, a plurality of medical practice data respectively indicating the plurality of medical practice candidates in place of or in addition to the medical practice data respectively representing the plurality of medical practice. The medical plan creation support system according to any one of 1 to 5. 7. At least relative execution of (i) medical action data indicating one of a plurality of preset medical actions and (ii) each of the plurality of medical actions forming a series of medical plans. A plurality of object file means each including setting procedure information for setting a time and (iii) execution time data indicating at least a relative execution time of each medical action indicated by the medical action data on a predetermined time axis A display for displaying at least medical action data indicating each medical action for which the execution time has been set, in a predetermined format based on the execution time indicated by the stored execution time data, in which each medical action is arranged in the order of the execution time. Means, in a state where the medical practice data is displayed in the predetermined format, at least one of the medical practice and the execution time. Input means capable of at least partially changing one of them, after the change by the input means according to the setting procedure information included in the object file means including the medical action data indicating each medical action after the change by the input means Processing means for setting the execution time of each of the medical actions, wherein the display means displays the changed medical actions in the predetermined format based on the execution time set by the processing means. A medical plan creation support system, wherein the medical action data is displayed. 8. The input means can designate a data set including a plurality of object file means including a plurality of medical action data indicating a plurality of medical actions forming the series of medical plans, and the display The means displays a plurality of medical practice data included in the data set specified by the input means in the predetermined format based on a plurality of execution time data included in the specified data set. The medical plan creation support system according to claim 7, wherein: 9. The data set is provided with a disease code assigned to each disease of a plurality of types of diseases set in advance, and the input means specifies the disease code. 9. The medical plan creation support system according to claim 8, wherein a data set corresponding to the disease code can be designated. 10. The data set is provided with a patient attribute code assigned to each patient attribute among a plurality of preset types of patient attributes including at least a chief complaint, wherein the input means comprises: 9. The medical plan creation support system according to claim 8, wherein a data set corresponding to the patient attribute code can be designated by designating the patient attribute code. 11. A patient code assigned to each patient is assigned to the data set, and the input means specifies the data set corresponding to the patient code by specifying the patient code. 9. The medical plan creation support system according to claim 8, wherein the system can be used. 12. The object file means sets at least a relative execution time candidate of a plurality of medical practice candidates scheduled to be performed in the future, alternatively or in addition to the execution time. The object file means stores execution time candidate data indicating the execution time candidate instead of or in addition to the execution time data, and the display means comprises: Instead of or in addition to the medical practice data respectively indicating a plurality of medical practices, displaying a plurality of medical practice data each indicating the plurality of medical practice candidates, the input means, the medical practice candidate data in the predetermined format In the displayed state, it is possible to change the medical practice candidate and the execution time candidate instead of or in addition to the medical practice and the execution time. According to the setting procedure information included in the object file means including the medical practice data indicating each medical practice candidate after the change by the input means,
Instead of or in addition to the execution time, setting the execution time candidate of each medical action candidate after the change by the input means, the display means, in the predetermined format, the medical action showing the plurality of medical actions respectively The medical plan creation support system according to any one of claims 7 to 11, wherein medical action data indicating the changed medical action candidate is displayed instead of or in addition to the data. 13. The processing means generates execution time data indicating the set execution time for the object file means, respectively, and the object file means stores the stored contents by the generated execution time data. The medical plan creation support system according to any one of claims 4, 5, and 7 to 12, wherein the system is updated. 14. The display means, wherein the medical action data indicating the medical action whose execution time has changed among the plurality of medical actions after the change is different from the medical action data indicating the medical action whose execution time is unchanged. The medical plan creation support system according to any one of claims 3 and 7 to 12, wherein the medical plan creation support system is displayed in a display form. 15. The apparatus according to claim 15, wherein said input means is capable of changing said setting procedure information, and said processing means sets said execution time according to the setting procedure information changed by said input means. The medical plan creation support system according to any one of 1 to 14. 16. The medical plan table according to claim 1, wherein the predetermined format has at least a time unit indicating a date on one axis and the type of the medical action on another axis. 16. The medical plan creation support system according to any one of items 1 to 15. 17. The method according to claim 1, wherein the predetermined format is a list format in which the plurality of medical actions for which the execution times are set are arranged in the order of the execution times regardless of the types of the medical actions. The medical plan creation support system according to any one of the above. 18. The decision tree according to claim 6, wherein the predetermined format is a format of a decision tree in which the plurality of medical action candidates to be executed alternatively are arranged in the order of execution time candidates. Medical plan creation support system. 19. The setting procedure information corresponding to one medical practice data, based on the end or start of the medical practice indicated by the other medical practice data, the line of the medical practice indicated by the one medical practice data The medical plan creation support system according to any one of claims 1 to 18, further comprising context definition data defining at least a relative context of a time to be performed. 20. The setting procedure information corresponding to one medical practice data, the execution of the medical practice indicated by the one medical practice data based on the end or start of the medical practice indicated by the other medical practice data 20. The medical plan creation support system according to any one of claims 1 to 19, wherein the system includes time range definition data that defines each possible time range. 21. The medical plan creation support system according to claim 1, wherein the setting procedure information includes execution frequency definition data for respectively defining an execution frequency of each medical practice. . 22. Each object file means, when the execution time of the medical practice data included in each object file means is changed, notifies the other object file means of the change of the execution time. Further comprising notification procedure information for notifying data, wherein the processing means, when the execution time is changed, notifies the changed notification data to the other object file means according to the notification procedure information, respectively. The medical plan creation support system according to any one of claims 1 to 21, wherein the execution time is set again according to the setting procedure information included in the other object file means. 23. The input means is capable of designating at least a date on which at least one medical action is scheduled to be performed among the plurality of medical actions scheduled to be performed in the future, The medical plan creation support system according to any one of claims 1 to 22, wherein the plurality of execution times are set at least on a date basis based on the date specified by (1). 24. An apparatus according to claim 24, further comprising an alarm unit for issuing an alarm when said plurality of execution times are mutually inconsistent or when it is impossible to set mutually inconsistent execution times. 24. The medical plan creation support system according to any one of 1 to 23. 25. The medical plan creation support system includes two units connected via a communication line, the plurality of object file units are provided in one unit, and the display unit is connected to the other unit. The medical plan creation support system according to any one of claims 1 to 24, wherein the system is provided in a unit. 26. A computer comprising: (i) medical action data indicating one of a plurality of types of predetermined medical actions; and (ii) at least a relative number of each of the plurality of medical actions forming a series of medical plans. A plurality of object file means each including setting procedure information for setting a specific execution time, and when a plurality of medical actions making up the series of medical plans are specified, the plurality of specified medical actions are Processing means for setting at least a relative execution time of the specified plurality of medical actions on a predetermined time axis according to the setting procedure information respectively included in a plurality of object file means including a plurality of medical action data shown; , In a predetermined format that arranges each medical practice in order of execution time,
Display means for displaying a plurality of medical action data each showing at least the plurality of medical actions for which the execution time has been set, wherein a machine-readable program recorded with a program for functioning as a medical plan creation support system is provided. Medium. 27. A computer, comprising: (i) medical action data indicating one of a plurality of types of predetermined medical actions; and (ii) at least a relative number of each of the plurality of medical actions forming a series of medical plans. And (iii) execution time data indicating at least a relative execution time of each medical action indicated by the medical action data on a predetermined time axis. Object file means, based on the execution time indicated by the stored execution time data, in a predetermined format in which each medical action is arranged in the order of execution time, at least medical action data indicating each medical action for which the execution time is set Display means for displaying the medical action and execution in a state where the medical action data is displayed in the predetermined format. Input means capable of at least partially changing at least one of the periods, and the input according to the setting procedure information included in the object file means including the medical action data indicating each medical action after the change by the input means. Processing means for setting the execution time of each medical practice after the change by the means, wherein the display means, in the predetermined format, based on the execution time set by the processing means, A machine-readable medium having recorded thereon a program for functioning as a medical plan creation support system, which displays the medical practice data indicating each medical practice.