JP2001101296A - Diagnosis and treatment supporting system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To realize a diagnosis and treatment supporting system which allows a medical employee to efficiently input and output instruction information for medical practice. SOLUTION: This system consists of a step in which a diagnosis and treatment plan setting means 100 selects a medical practice plan, a step in which a diagnosis and treatment plan retrieving means 110 refers to master tables 120 and 121 where medical practice about diagnosis and treatment plans is stored and displays instruction information for a plurality of dates and hours on the basis of the medical practice plan on a diagnosis and treatment plan order inputting and outputting means 101, and a step in which a diagnosis and treatment plan order processing means 111 collectively processes the instruction information for the plurality of dates and hours and stores it in patient databases 122 and 123. Thus, the efficiency of diagnosis and treatment operations is improved because the instruction practice of the medical employee is saved by collectively issuing the instruction information on the basis of the diagnosis and treatment plan.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical care support system for managing information such as medical doctor's and nurse's instructions and practice information for patients.

[0002]

2. Description of the Related Art With the rise of medical expenses, medical care in accordance with standard medical treatment plans such as critical paths has been focused on with the aim of improving the quality of medical care and saving time and medical resources. ing. In the critical path, a plan of medical care / care for a variety of occupations is represented two-dimensionally by time (horizontal axis) and items (vertical axis). The above items include all medical actions, including instruction information such as prescriptions and examinations by doctors and nurses. Therefore, in an electronic medical record system that centrally manages medical information of patients, it is important to cooperate with a standard medical treatment plan such as the critical path.

In the system described in Japanese Patent Application Laid-Open No. Hei 10-214302, each medical staff displays medical actions in a tabular form arranged according to their classification and date for the purpose of appropriately and efficiently setting up a medical treatment plan. . Specifically, each cell indicated by the date and the classification is selected, and new input, addition, change, and deletion of the content of the medical practice are performed. Also,
Not only plans, but also graphs of execution records and numerical data can be displayed.

[0004]

In the above-mentioned known example, the instruction information to other departments linked to the medical practice is issued individually for each medical practice of each cell. Therefore, when a lot of instruction information is generated in a ward or the like, the operation of inputting the instruction information for a doctor or a nurse becomes complicated.

[0005] An object of the present invention is to solve the above-mentioned problems of the prior art and to improve the quality and efficiency of medical care services of medical staff so that medical staff can efficiently input and output medical instruction information. An object of the present invention is to realize a medical care support system that can perform the medical treatment.

[0006]

The object of the present invention is to select a medical action plan in a medical care support system that manages instructions and execution information of medical actions for patients such as doctors and nurses. This is achieved by a step of searching for instruction information for a plurality of dates and times based on the information and a step of collectively processing the instruction information for the plurality of dates and times. It is also achieved by including a step of calculating the cost or income at the time of implementing the medical practice plan. The method further includes a step of setting an event date and time at which an event of the patient included in the medical action plan, such as an operation or an examination, occurs, and a step of calculating each date and time of the instruction information for the plurality of dates and times from the event date and time. Is achieved by Also,
The step of setting the event date and time is achieved by including a step of retrieving reservation information relating to a place such as an operating room or an examination room where the event occurs, and optimizing the event date and time. When changing the instruction information after a certain date and time among the instruction information for the plurality of dates and times, setting a change start date and time indicating the date and time of the instruction information to start the change; and This is achieved by providing a step of batch-changing the order for a plurality of dates and times. Further, when changing a single piece of instruction information among the pieces of instruction information for the plurality of dates and times, the method further comprises a step of selecting a single piece of instruction information to be changed, and the step of performing the change processing collectively includes: This is achieved by processing only the selected instruction information.

[0007]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS A first embodiment will be described.

FIG. 1 shows a configuration diagram of the system. The system includes input / output means 10 such as a display, a mouse, and a keyboard; control processing means 11 for performing system processing;
It comprises various masters and recording means 12 for storing medical information of patients. The input / output means 10 includes a medical treatment plan setting means 100 for selecting a medical treatment plan, and a medical treatment plan order input / output means 101 for inputting / outputting the retrieved order information. The control processing means 11 includes a medical care plan search means 110 for searching order information using a medical care plan as a key, and a medical care plan order processing means 111 for issuing and processing an order. Recording means 1
2 includes a medical treatment plan master table 120, an order set master table 121, a task-specific set content master table 122, a patient order table 123, and a patient task-specific order content table 124.

FIG. 2 shows an example of a screen of the medical treatment plan order input / output means 101 when a doctor designates a medical treatment plan and issues batches for order execution for a plurality of dates and times. First, in step 200, the medical treatment plan A is selected in the medical treatment plan setting means 100 displayed by the medical treatment plan order button 21 on the electronic medical record screen 20. In step 201, the medical care plan search means 110 searches the medical care plan master table 120 using the medical care plan ID as a key, and refers to the order set master table 121 and the business-specific set content master table 122 to obtain order contents for a plurality of dates. Is displayed on the medical treatment plan order input / output means 101. Step 202
Now, issue button 2 of medical treatment plan order input / output means 101
When 2 is selected, the medical treatment plan order processing means 111 stores the contents of each order for the plurality of dates in the patient order table 123 and the order contents table 124 for each patient operation.

FIGS. 3 and 4 show the data structure of each table in this embodiment. Medical treatment plan master table 12
0, the order set master table 121, and the business-specific set content master table 122
It is a plan database for processing by. The medical treatment plan master table 120 stores a medical treatment plan ID and a necessary order set. That is, it stores a business code indicating a work such as an examination or a prescription, and an order set ID managed for each work, and the scheduled date and time at which the order set is performed is a relative execution date and time from a main event such as an operation day or an inspection day. To store.
The order set master table 121 stores business codes, order set IDs, order set names, and order set creation information. The business specific set contents master table 122 stores order contents in different formats for each business. It is managed by the order set ID attached to each. On the other hand, the patient order table 123 and the order description table 124 for each patient task are patient databases registered by the medical treatment plan order processing means 111 when an order is issued.
The patient order table 123 stores a patient ID, a medical treatment plan ID, a business code, an order set ID, an order ID assigned to each business for each patient, a scheduled execution date and time, and the like. The patient task-specific order content table 124 is a table of a different format for each task, and stores the order content for the patient order ID. Through the above processing steps, the efficiency of medical treatment can be improved by reducing the number of orders for medical staff.

Next, a second embodiment will be described.

FIG. 5 is a block diagram of a system according to the second to sixth embodiments. The input / output means 10 has an event date and time setting means 5 for inputting the date and time of an event such as an operation date or an examination date.
2. It includes a change content setting means 53 for setting batch change content of a plurality of orders. The control processing means 11 includes an income / expense calculation processing means 50 for calculating the income or expense of the medical practice based on the accounting information, and an event date / time processing means 51 for optimizing the event date / time based on the reservation information. The recording means 12 includes a transaction information database 51 for managing various transaction information, and a reservation information database 54 for managing various reservation information. In the screen example of FIG. 6, the doctor specifies a medical treatment plan, and calculates and displays the corresponding income, expenses, and the sum of income and expenses. The items to be displayed may be the cost alone, the points and amounts paid by insurance, or the amounts paid by free medical care. First, in step 200,
In the medical treatment plan setting means 100 displayed by the medical treatment plan order button 21 on the electronic medical record screen 20, the medical treatment plan
Select A. In step 201, the medical care plan search means 110 searches the medical care plan master table 120 using the medical care plan ID as a key, and refers to the order set master table 121 and the business-specific set content master table 122 to obtain order contents for a plurality of dates. Is displayed on the medical treatment plan order input / output means 101. In step 600, the income / cost calculation processing means 50 causes the accounting information database 5
1 is searched, and the cost, income, and the total amount of the medical treatment plan A are displayed in the cost area 60, the income area 61, and the total area 62, respectively. On the other hand, the above processing is also performed in the change processing in the fifth and sixth embodiments, the cost is recalculated by the income / expense calculation processing means 50 according to the contents of the change, and the changed cost, income, and total are displayed. By the above processing steps, the doctor can formulate a medical treatment plan while comparing the amount of income and the amount of expense, which can be used for management support of the hospital.

A third embodiment will be described.

FIG. 7 shows a medical treatment plan order input / output means 1
01 shows a procedure for issuing a medical treatment plan order according to the date and time of an event of a patient. First, the above step 200
In step 700, in addition to the processing of step 202, the event date and time setting means 52 sets the date and time of an event such as an operation date and an examination date. In step 701,
The medical treatment plan master table 120 is searched using the medical treatment plan ID as a key, and the corresponding order set ID and relative execution date and time are extracted. Thereafter, the order execution date is calculated from the event date and time set in step 700 and the extracted relative date and time, and the order execution dates for a plurality of dates are automatically set and displayed on the medical treatment plan order input / output unit 101. With the above processing steps, the ordering operation is simplified because the medical staff does not have to specify the execution date for each order.

A fourth embodiment will be described.

In step 700, when an event date such as an examination date or an operation date is set, the event date / time processing means 53 searches the reservation information database 54 using the event date / time as a key. If the room is full, the date and time optimized by the event date and time processing means 53 is set to the event date and time setting means 52 if the room is vacant. This eliminates the need for a medical worker to make an appointment process, and improves the efficiency of medical treatment.

A fifth embodiment will be described. FIG. 8 shows processing steps when the medical treatment plan order processing means 111 collectively changes or cancels the order contents based on the medical treatment plan. FIG. 9 shows a procedure for changing the medical treatment plan order input / output means 101 in this embodiment. First, in step 800, the change button 90 of the medical treatment plan order input / output unit 101 is selected. In step 801, the change content setting unit 55 inputs the execution date of the order to start the change into the change start date and time 91 and the change date and time of the change start date and time or the information into the change content 92. In step 802, the medical treatment plan order processing means 111 stores the patient order table 123 in the patient ID or the medical treatment plan ID.
And retrieve data whose scheduled execution date and time is after the change start date and time. In step 803, the contents set in the change contents 92 are determined.
04 to 806, in the case of cancellation, step 807,
Execute 808. In step 804, a new scheduled date and time is calculated from the difference between the change start date and time and the modified date and time and the scheduled scheduled date and time acquired in step 802. In step 805, the order set name is searched from the order set master table 121 by the business code of the corresponding data and the order set ID, and displayed on the medical treatment plan order input / output means 101 together with the new scheduled execution date and time. In step 806, the medical treatment plan order processing means 111 changes the scheduled execution date and time calculated in step 604 for the data in the patient order table 123 together with the order date and time and the staff ID. On the other hand, in step 807, a strike-through line 93 is displayed on the corresponding data. In step 808, the medical treatment plan order processing means 111 causes the patient order table 12
Set the cancel flag to true for the data of No. 3,
Change with order date and time and staff ID. In step 809, it is determined whether or not all the patient order tables 123 have been searched. If not, the process returns to step 802. This simplifies the order operation because the medical staff does not need to change the execution date for each order.

A sixth embodiment will be described.

FIG. 10 shows the processing steps in the medical treatment order processing means 111 when changing or canceling the date of a part of the batch-issued order. FIG. 11 shows a change procedure in the medical treatment plan order input / output unit 101 in this embodiment. First, in step 1000, each order selection unit 110 of the medical treatment plan order input / output unit 101 is selected. In step 1001, the change button 90 of the medical treatment plan order input / output unit 101 is selected. Step 1002
Then, the medical care plan order processing means 111 searches the patient order table 123 using the patient ID and the selected order ID as a key, and acquires the scheduled execution date and time. Step 1003
Then, in the change content setting means 55, step 100 is executed.
The scheduled execution date and time acquired in step 2 is displayed as the change start date and time 91. In step 1004, information such as a change date and time or cancellation is input to the change content 92. Step 1005
Then, the contents set in the change contents 92 are determined, and steps 1006 and 1007 are executed when the date is changed, and steps 1008 and 1009 are executed when the date is canceled. Step 1006 is a step of inputting the changed order set name together with the date and time set in the change content 92 into the medical treatment plan order input / output unit 10.
1 is displayed. In step 1007, the medical treatment plan order processing means 111 changes the date and time set in the change contents 92 for the data of the patient order table 123 as the scheduled execution date and time together with the order date and time and the staff ID. On the other hand, in step 1008, the corresponding data is
3 is displayed. In step 1009, the medical care plan order processing means 111 sets the cancel flag to true for the data in the patient order table 123, and changes the data together with the order date and time and the staff ID. As a result, even for date change and cancellation processing of a single order, the order can be easily changed because the medical staff can easily change the order without editing the details of the order.

[0020]

According to the present invention, a doctor or the like selects a standard medical treatment plan,
By batch issuing orders related to the plan,
Labor saving of order operation improves medical treatment efficiency. In addition, by performing medical actions according to a standard medical treatment plan, unnecessary medicines and tests can be omitted, and the quality of medical care can be improved.
It also supports hospital management by calculating income or expenses according to each medical treatment plan.

[Brief description of the drawings]

FIG. 1 is a basic system configuration diagram of an embodiment of the present invention.

FIG. 2 is a conceptual diagram showing an operation flow of a medical treatment planning order.

FIG. 3 is a conceptual diagram showing a data structure of a plan database.

FIG. 4 is a conceptual diagram showing a data structure of a patient database.

FIG. 5 is a system configuration diagram of another embodiment of the present invention.

FIG. 6 is a conceptual diagram showing an operation flow for displaying income / cost of a medical treatment plan order according to the embodiment.

FIG. 7 is a conceptual diagram showing an operation flow of a medical treatment plan order by setting an event date and time according to still another embodiment.

FIG. 8 is a processing flowchart of batch change of a medical treatment plan order according to still another embodiment.

FIG. 9 is a conceptual diagram showing an operation flow of batch change of a medical treatment plan order according to the embodiment.

FIG. 10 is a processing flowchart of a partial change of a medical treatment plan order according to still another embodiment.

FIG. 11 is a conceptual diagram showing an operation flow for partially changing a medical treatment plan order in the embodiment.

[Explanation of symbols]

 10, input / output means 11, control processing means 12, recording means 100, medical plan setting means 101, medical plan order input / output means 110, medical plan search means 111, medical plan order processing means 120, medical plan master table 121: Order set master table 122: Business-specific set content master table 123: Patient order table 124: Patient business-specific order content table 20: Electronic medical record screen 21: Medical treatment plan order button 50: Income / cost calculation processing means 51 ..Accounting information database 52..event date and time setting means 53..event date and time processing means 54..reservation information database 55..change content setting means 90..change button 91..change start date and time 92..change contents 93. -Cancel line 110-The order selection unit.

 ──────────────────────────────────────────────────続 き Continuation of the front page (72) Inventor Gen Sasaki 1-280 Higashi Koigakubo, Kokubunji-shi, Tokyo F-term in Central Research Laboratory, Hitachi, Ltd. 5B049 BB41 CC14 CC31 DD01 EE05 EE31 FF03 FF04

Claims (6)

[Claims] 1. A medical care support system for managing instructions and execution information of medical actions for patients such as doctors and nurses, wherein a step of selecting a medical action plan and instruction information for a plurality of dates and times based on the medical action plan are provided. And a step of batch processing the instruction information for the plurality of dates and times. 2. The medical support system according to claim 1, further comprising a step of calculating a cost or an income at the time of implementing said medical practice plan. 3. The medical treatment support system according to claim 1, wherein the step of setting an event date and time at which a patient event included in the medical action plan, such as an operation or an examination, occurs; A medical care support system comprising a step of calculating each date and time from the event date and time. 4. The step of setting an event date and time according to claim 3, further comprising a step of searching for reservation information relating to a place such as an operating room or an examination room where the event occurs, and optimizing the event date and time. Support system. 5. The medical treatment support system according to claim 1, wherein when the instruction information of a plurality of date and time is changed after a certain date and time, the change indicating the date and time of the instruction information to start the change is performed. A medical care support system comprising: a step of setting a start date and time; and a step of collectively changing orders for a plurality of dates and times after the change start date and time. 6. The medical treatment support system according to claim 5, wherein when changing a single piece of instruction information from the plurality of pieces of instruction information for a plurality of dates and times, selecting the single piece of instruction information to be changed. A medical care support system that performs processing only on selected instruction information in the step of performing the change processing collectively.