JP2002024373A - Medical treatment fee clerical work device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To input individual treatments assumed at the time when the plan is made by the same operation as a familiar inputting operation of an electronic clinical chart. SOLUTION: This medical treatment fee clerical work device has an operation inputting means, a means for displaying a treatment input screen provided with a selected treatment display column for displaying a selected or inputted treatment name in a plan mode or a chart mode, a means for recording diagnosis and treatment information, and a means for recording respective treatment names displayed in the selected treatment display column as treatment names in the planning stage into a diagnosis and treatment information recording means when preservation is instructed in the plan mode on the treatment input picture.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical office apparatus having a function of inputting a treatment name in a treatment plan by the same operation as a treatment name in a medical chart. The present invention also relates to a medical office apparatus having a function of transferring a treatment name input as a treatment name of a treatment plan to a medical chart.

[0002]

2. Description of the Related Art When explaining a treatment plan to a patient, there is a demand that a treatment plan description (a document describing the treatment plan) be presented to assist the explanation. However, since a tool for efficiently creating a treatment plan description has not been provided, it has conventionally been necessary to create the treatment plan description using ordinary word processing software or the like.

[0003]

It is desired to input the name of each treatment described in the treatment plan description, that is, each treatment assumed at the time of planning by the same operation as the input operation of the electronic medical record which is familiar with the operation. There is a request. In addition, when the actual medical treatment is performed without greatly deviating from the initial treatment plan, there is a demand that the trouble of inputting the medical record should be reduced by transferring each treatment input at the planning stage to the medical record.
The present invention aims to meet these needs.

[0004]

According to a first aspect of the present invention, there is provided a treatment input device having an operation input means for inputting desired information and a selected treatment display field for displaying a selected or inputted treatment name. Screen control means for displaying the screen in the planning mode or the chart mode, medical information recording means for recording medical information, and when an operation input for instructing storage is performed in the treatment input screen under the planning mode Each treatment name displayed in the selected treatment display column is overwritten when the treatment name is already recorded, and newly recorded when the treatment name is not recorded, as the planned treatment name. When the operation input for recording and storing in the means is performed under the medical record mode on the treatment input screen, each treatment name displayed in the selected treatment display column is displayed when the treatment name is already recorded. Is overwritten and the action name is New For recording, a medical office apparatus characterized by comprising: a recording control means for recording the medical information recording means as a treatment name of each the treated, the. Different screen names may be given to the treatment input screen in the planning mode and the treatment input screen in the chart mode. For example, the treatment input screen in the plan mode may be called “treatment plan input screen”, and the treatment input screen in the chart mode may be called “medical record input screen”. Also,
The screen configuration of the treatment input screen in the planning mode and the screen configuration of the treatment input screen in the chart mode may be significantly different. One of the necessary requirements is to have a function of displaying a selected or inputted treatment name. Here, “selection” refers to selecting a desired treatment name from the candidate displays. Further, “input” refers to operation input of a desired treatment name, and naturally includes a case where correction is made. Another necessary requirement is that when a save is ordered in the planning mode, each treatment name displayed in the selected treatment display column is saved as a planned treatment name, and when a save is ordered in the chart mode, the selected treatment display column Is stored as the name of the treated treatment. Here, "being planned" means that the treatment is in the planning stage and has not yet been performed. “Treatment completed” means that the treatment has actually been performed after the planning stage. According to a second aspect of the present invention, in the first aspect, when displaying the treatment input screen in the planning mode, the screen control means displays the number designated by the operation input as the number of the consultation, and displays the number in the medical chart mode. The medical office device displays the date of consultation when displayed. Here, “the second visit” refers to the order of visits, such as the first visit (first visit), the second visit, the third visit, and so on. Claim 3
In the invention according to claim 2, when the treatment input screen is displayed in the medical chart mode, if the number of the consultation on the consultation date is specified, the consultation for the second consultation is performed. And a display information setting means for displaying a treatment name associated with the selected treatment display column in the selected treatment display column. Here, the “correspondence” of the “corresponding treatment name” may also be performed on the memory. If "correspondence" is also performed on the memory, "correspondence" on the memory is preferentially displayed. According to a fourth aspect of the present invention, in the third aspect, when the display in the medical chart mode is performed by switching from the display in the planning mode,
A medical office apparatus characterized in that the number of consultations is specified as the number specified at the time of display in the planning mode immediately before switching. This is the case where “association” is also performed on the memory. According to a fifth aspect of the present invention, in the third aspect, when the display in the medical chart mode is performed without passing through the planning mode, the display information setting means is the same as the first one in the medical examination day. If a treatment name is recorded in the medical treatment information recording means, the treatment name associated with the second consultation is read out and displayed in the selected treatment display field of the treatment input screen. Medical office equipment. The invention of claim 6 is
In any one of claims 3 to 5, the display information setting means records a treatment name at a designated consultation when the treatment input screen is displayed in the planning mode. In this case, the medical office apparatus is characterized in that a treatment name associated with the second consultation is read out from the medical treatment information recording means and displayed in a selected treatment display field of the treatment input screen. The invention of claim 7 is claim 1
6, the screen control means displays a treatment candidate display field for displaying a treatment name candidate on the treatment input screen, and furthermore, displays a treatment name group determined according to the name of the injury or disease, Each of the treatment names is stored, and the display information setting means acquires a treatment name group corresponding to the injury name of the patient to be processed from the injury treatment holding means, and displays the treatment candidate. The medical office device is displayed in a column. Thus, a desired treatment name can be selected from the candidate displays and displayed in the selected treatment display column. The invention according to claim 8 is the treatment name holding device according to any one of claims 1 to 7, wherein the treatment name is stored by associating a formal treatment name used by a medical worker with a conventional treatment name commonly used by ordinary people. If the operation input for instructing the printing of the treatment plan is performed in the treatment input screen in the planning mode, each treatment recorded in the medical information recording means as being planned for the patient to be processed. Print information for printing the name and each treatment name displayed in the selected treatment display column in the consultation column provided in the treatment plan, and the common treatment name in the second consultation column to which each treatment name belongs And a setting unit. As a result, the treatment name input as the formal treatment name can be output as the treatment plan for the treatment plan. According to a ninth aspect of the present invention, there is provided the medical device according to the eighth aspect, further comprising: a name of a illness which is stored by associating the name of a formal illness used by a medical worker with the name of a common illness commonly used by ordinary people. The information setting means is a medical office apparatus characterized in that the name of the illness of the patient to be processed is printed in the column of the name of illness in the treatment plan with the name of the commonly used illness. In this way, the name of the illness entered as the official name of the illness can be output for the treatment plan as the name of the commonly used illness. A tenth aspect of the present invention is the medical office equipment according to any one of the seventh to ninth aspects, wherein the injury treatment holding means stores a treatment name group in the order of treatment. . Thereby, candidates can be displayed in the order in which treatment is to be performed. According to an eleventh aspect of the present invention, in the medical office apparatus according to the tenth aspect, the injury treatment holding means stores a treatment name group in association with a medical examination to which each treatment name belongs. It is. As a result, candidates can be displayed for each consultation.

[0005]

DESCRIPTION OF THE PREFERRED EMBODIMENTS FIG. 1 is a block diagram showing the configuration of a medical office apparatus according to an embodiment, FIG. 2 is a flowchart showing processing on an injury / illness input screen, and FIG. 3 is a treatment plan input screen (= treatment in a planning mode). FIG. 4 is a flowchart showing processing on a medical record input screen (= medical record mode treatment input screen). FIG. 5 is an explanatory diagram illustrating an example of an injury / disease input screen, FIG. 6 is an explanatory diagram illustrating an example of a treatment plan input screen, FIG. 7 is an explanatory diagram illustrating an example of a medical record input screen, and FIG. It is explanatory drawing which shows the state which deleted the lower column. FIG. 9 is an explanatory view exemplifying a part of an injury / illustration name master file (= injury / illness name holding means).
The upper part of FIG. 0 is an explanatory view exemplifying a part of the treatment name master file (= treatment name holding means), and the lower part of FIG. 10 is an explanatory view exemplifying a part of the injury / treatment master file (= injury treatment holding means). FIG. 11 is an explanatory view exemplifying a part of the medical information record file. The upper part shows a case where the file is stored on the treatment plan input screen, and the lower part shows a case where it is stored on the medical record input screen. FIG. 12 is an explanatory diagram exemplifying a part of the medical care information recording file when saved on the screen of FIG. FIG. 13 is an explanatory view illustrating a treatment plan description.

[0006] A medical office apparatus according to an embodiment includes a control device,
A computer device including an input device including a keyboard and a mouse, and an auxiliary storage device including a display, a printer, a hard disk, and the like. The computer device performs processing according to an application program (not shown) stored in the auxiliary storage device. By executing the function, a function as a medical office device is realized. Since the hardware configuration of the computer device is publicly known, detailed description of each device is omitted. Hereinafter, the description will be made in accordance with the dental medical office equipment.

FIG. 9 shows an example of a part of the wound name master file. As shown in the figure, the medical record name master file includes a medical record level medical name (= an official medical name used by a medical worker such as a doctor) and a patient level medical name (= a common medical name used by ordinary people). It is recorded in association with the common disease name master code.

A part of the treatment name master file is exemplified in the upper part of FIG. As shown in the figure, the treatment name master file includes a medical record level treatment name (= a formal treatment name used by a medical professional such as a doctor) and a patient level treatment name (= a common treatment name commonly used by ordinary people). It is recorded in association with the common treatment master code.

FIG. 1 shows a part of the injury / treatment master file.
The example is shown in the lower part of FIG. As shown in the figure, the disease name / treatment name master file records the disease name master code and the treatment master code in association with each other. That is, the name of the injury and the treatment group determined according to the name of the injury and disease are recorded in association with each other. In addition, a visit order indicating the number of consultations (visit) at which the treatment should be performed and a treatment order indicating the order at which treatment should be performed at the consultation (visit) are recorded for each treatment. ing. In the illustrated example, this is a procedure to be executed at the time of the second consultation (at the time of hospital visit),
The fourth to seventh treatment groups to be executed are shown.

[0010] The medical care information record file records the name of the disease (the name of the current patient to be processed (= the target patient)) which is selected, entered, or corrected on the injury / illustration input screen, and The treatment name selected or entered or corrected on the treatment plan input screen corresponding to the name (described in the “therapy / treatment” column in the treatment plan input screen) and the visit order and the treatment order within the visit order are: When the save button in the treatment plan input screen is pressed, the information is recorded in association with the save button. In this case, the state is “planned”.

In the medical information record file, the treatment name selected, entered, or corrected on the medical record input screen (described in the “therapy / treatment” column in the medical record input screen) and the visit date (medical date) ) And the order of treatment within the medical treatment day are recorded in association with each other when the save button in the medical record input screen is pressed. In this case, the state is set to “processed”.

The processing on each screen will be described with reference to flowcharts. (1) Injury / illness input screen (FIG. 5): When a transition to the injuries / illnesses input screen is issued on any screen (menu screen or the like), the injuries / illnesses input screen is displayed (S01). Further, the name of the disease at the medical record level is read out from the disease name master file (FIG. 9) and is displayed as a candidate in the “List of wound candidates”, and other information (eg, the name of the target patient, etc.) is displayed ( S0
3). After that, the state is changed to a state for receiving an injury / illness input (S05).
In this reception status, in the "List of illness" on the illness input screen,
It is possible to select and transfer a desired injury name or site from the injury candidate list, or to perform an operation input from the input device, or to make an appropriate correction from the input device.

When the "OK" button in the screen is pressed (YES in S07), the information displayed in the "List of illnesses" in the illness input screen at that time is stored in the medical information record in association with the target patient. Recorded in the file (FIG. 11) (S0
9). When the “treatment plan button” on the screen is pressed (YES in S11), the screen transits to the treatment plan input screen (FIG. 6) (S13). When the “medical record button” in the screen is pressed (YES in S15), the screen transits to the medical record input screen (FIG. 7) (S17).

(2) Treatment plan input screen (FIG. 6): When a transition to the treatment plan input screen is instructed on any screen (eg, injury / illness input screen), the treatment plan input screen is displayed (S).
21). In step S23, designation of the visit plan to which the treatment plan is to be input (designation of the visit number) is awaited. The designation is performed by, for example, an input operation from the input device. In some cases, the designation may be made by saving the input of the treatment plan of a certain visit and then proceeding to the input of the treatment plan of the next visit.

When the next visit is designated, step S
Proceeding to 25, a treatment name corresponding to the name of the injury or illness of the target patient is displayed as a candidate for the designated visit. In this display, the treatment name (treatment master code) corresponding to the patient's injury / disease name (disease name master code) and the designated visit number (visit order) from the injury / treatment-master file (lower part of FIG. 10) is included in the visit order. The procedure is performed by reading out the procedure in the order of (1) and acquiring the procedure name (the chart level procedure name) corresponding to the procedure master code from the procedure name master file (upper row in FIG. 10). After that, the procedure enters the accepting state of the treatment name selection / input (S27). In this accepting state, a desired treatment name is selected from the treatment candidates and transcribed in the “therapy / treatment” column in the treatment plan input screen, or is input from the input device, or is appropriately corrected from the input device. Is possible.

When the "save button" on the screen is pressed (YES in S29), the information displayed in "therapy / treatment" on the treatment plan input screen at that point is the target patient, the name of the illness and the visit. The order is associated with the order of treatment, and the state is set to “planning”, and is recorded in the medical information record file (S31, see the upper part of FIG. 11). When the “medical record batch transfer button” on the screen is pressed (YES in S33), the screen transits to the medical record input screen (FIG. 6) (S35). When the “treatment plan creation button” in the screen is pressed (YE in S37)
S), the name of the target patient, the name of the illness, the treatment name in the order of each visit for the name of the illness, the order of the treatments, and the like are printed (S39). Thereby, the treatment plan description (see FIG. 13) is printed out.

(3) Medical record input screen (FIG. 7): When a transition to the medical record input screen is commanded on any screen (eg, treatment plan input screen), the medical record input screen is displayed ( S5
1). In step S51, the date of consultation is acquired and displayed.

In step S55, it is checked whether the immediately preceding screen is a treatment plan input screen. as a result,
When the screen immediately before is the treatment plan input screen (S55)
YES), information on the treatment plan input screen (information for display fields (eg, therapy / treatment fields) commonly present on both screens)
Are collectively transcribed (S57).

As a result of the check in step S55, if the immediately preceding screen is not the treatment plan input screen (NO in S55), the next visit (the visit of the date of consultation displayed in step S53) is displayed. The candidate of the treatment name of the same visit (consultation) is obtained and displayed in the treatment candidate column, and the information of the present visit is recorded in the medical treatment information record file (= treatment plan of this visit) Is already set), the information is displayed in the therapy / treatment column (S59). After that, the procedure enters the accepting state of the treatment name selection / input (S61). In this reception state, a desired treatment name is selected and transcribed from a treatment candidate in the “therapy / treatment” field in the medical record input screen, or is input from the input device, or is appropriately corrected from the input device. Is possible.

When the "save button" on the screen is pressed (YES in S63), the information displayed in "therapy / treatment" on the medical record input screen at that time is the target patient, the name of the illness and the visit. The order is associated with the order of treatment, and the state is set to “treated”, and is recorded in the medical information record file (S31, see the lower part of FIG. 11). When the “medical record creation button” on the screen is pressed (YES in S67), the name of the target patient, the name of the illness, the name of the treatment at the current visit for the name of the illness, the order of the treatments, and the like are set. (S69). As a result, the medical record (medical record) of this visit is printed out.

In the upper and lower parts of FIGS. 6 and 7 and FIG. 11, the therapy / treatment selected or inputted on the treatment plan input screen is directly transferred to the medical record input screen and corrected on the medical record input screen. The case is shown without saving. That is, since the descriptions in the therapy / treatment column (“re-examination” to “BT (paraffin)”) were saved without correction, FIG.
In the upper part, all the states are "planning", and in the lower part of FIG. 11, all the states are "treated".

On the other hand, FIGS. 8 and 12 show a case where the description in the therapy / treatment section is corrected on the medical record input screen.
When FIG. 7 is compared with FIG. 8, “BT (paraffin)” in the therapy / treatment column is deleted in FIG. This is a case where a treatment (treatment name master code “S0004”) of BT (paraffin) is not performed during actual medical treatment. When this deleted state is saved, as shown in FIG.
The status column of the treatment name master code “S0004 (= BT (paraffin))” remains “planned” without switching to “treated”. Note that the same result is obtained when the correction is made on the treatment plan input screen, this is transcribed to the medical record input screen, and stored as it is.

In the above example, the present invention has been described with reference to the dental medical office equipment, but the same configuration can be applied to a medical department in which the procedure of treatment is roughly determined according to the name of the disease. . Such medical departments include, for example, obstetrics and gynecology.

[0024]

According to the medical office apparatus of the first aspect, the operation input means, the screen control means for displaying the treatment input screen in the planning mode or the chart mode, the medical information recording means, and the operation input for instructing the storage are planned. When performed under the mode, each treatment name displayed in the selected treatment display column is recorded in the medical information recording means as the planned treatment name, and when the operation input for instructing storage is performed under the chart mode, Since the medical treatment information recording means is provided with a recording control means for recording each treatment name displayed in the selected treatment display column as a treated treatment name, each inputted treatment name can be recorded as a treatment plan treatment name. It can be recorded as an electronic medical record treatment name. In the medical office apparatus according to the second aspect, it is possible to know the number of the consultation in the case of the planning mode and the date of the consultation in the case of the chart mode. In the medical office apparatus according to claims 3 to 5, when the treatment input screen is displayed in the chart mode and the number of the consultation on which the consultation date is specified is specified, the medical consultation apparatus is associated with the consultation. Display information setting means for displaying the name of the treatment in the selected treatment display column,
A previously input treatment name can be used for an electronic medical record as a treatment name in a treatment plan, and the time and effort for inputting an electronic medical record can be greatly reduced. In the medical office apparatus according to claim 6, the display information setting means includes: when the treatment input screen is displayed in the plan mode and the treatment name is recorded in the designated consultation,
Since the treatment name associated with the second consultation is read out from the medical treatment information recording means and displayed in the selected treatment display column, if the treatment name already entered as the treatment name in the treatment plan is to be modified, the modification can be easily performed. Can be done. In the medical office apparatus according to claim 7, the screen control means displays a treatment candidate display field on the treatment input screen and stores a treatment name group determined according to the name of the injury and disease treatment holding means for each of the names of the disease and disease. The display information setting means obtains a treatment name group corresponding to the name of the target patient from the injury / treatment treatment holding means and displays it in the treatment candidate display column. You can easily select from the display column. The medical office apparatus according to claim 8, wherein a treatment name holding means for storing a formal treatment name in association with a conventional treatment name and an operation input for instructing printing of a treatment plan are performed in a planning mode Print information setting for printing each treatment name recorded in the medical information recording means as being planned and each treatment name displayed in the selected treatment display column in the column of the second consultation to which each treatment name belongs, with a common treatment name Therefore, the treatment name input as the formal treatment name can be printed on the treatment plan with the conventional treatment name. The medical office apparatus according to claim 9, further comprising a disease name holding unit that stores a formal disease name in association with a common injury name,
Since the print information setting means prints the name of the illness of the target patient in the column of the name of the illness in the treatment plan, the name of the illness entered in the official name can be printed in the treatment plan as the name of the illness. . In the medical office apparatus according to the tenth aspect, since the injury treatment holding means stores the treatment name group for each injury name in the order to be treated, candidates are displayed in the treatment candidate display column in the order of treatment. Therefore, a treatment name corresponding to the name of the injury or disease of the target patient can be selected in the treatment order from the treatment candidate display column. In the medical office apparatus according to the eleventh aspect, the injury treatment holding means stores the treatment name group for each injury name in association with the number of the consultation to which each treatment name should belong. It is performed every consultation. For this reason, the treatment name corresponding to the name of the injury or disease of the target patient, from the treatment candidate display column,
It can be selected for each consultation.

[Brief description of the drawings]

FIG. 1 is a block diagram showing a configuration of a medical office apparatus according to an embodiment.

FIG. 2 is a flowchart showing processing on a illness input screen.

FIG. 3 is a flowchart showing processing on a treatment plan input screen.

FIG. 4 is a flowchart showing processing on a medical record input screen.

FIG. 5 is an explanatory diagram exemplifying a wound / illness input screen;

FIG. 6 is an explanatory diagram illustrating a treatment plan input screen.

FIG. 7 is an explanatory diagram illustrating a medical record input screen.

FIG. 8 is an explanatory view showing a state in which a lowermost column of a therapy / treatment column is deleted in FIG. 7;

FIG. 9 is an explanatory view exemplifying a part of a wound name master file;

FIG. 10 is an explanatory diagram illustrating a part of a treatment name master file, and the lower part is an explanatory diagram illustrating a part of an injury / treatment master file.

FIG. 11 is an explanatory diagram exemplifying a part of a medical treatment information recording file.
The lower part shows a case where the information is saved on the medical record input screen.

FIG. 12 is an explanatory view exemplifying a part of a medical information record file when saved on the medical record input screen of FIG. 8;

FIG. 13 is an explanatory view exemplifying a treatment plan description.

Claims (11)

[Claims] 1. A screen for displaying, in a planning mode or a chart mode, a treatment input screen provided with operation input means for inputting desired information and a selected treatment display field for displaying a selected or inputted treatment name. Control means, medical information recording means for recording medical information, and when an operation input for instructing storage is performed under the planning mode on the treatment input screen, each of the medical treatment information displayed in the selected treatment display column is displayed. Overwrite the treatment name if the treatment name is already recorded,
If the treatment name is unrecorded, the treatment name is newly recorded in the medical information recording means as a planned treatment name, and if an operation input for instructing storage is performed under the chart mode, the selected treatment display field is displayed. In the medical information recording means, each treatment name displayed in the medical information recording means is overwritten if the treatment name is already recorded, and is newly recorded if the treatment name is not recorded, as a treated treatment name. A medical office device, comprising: control means; 2. The screen control means according to claim 1, wherein, when displaying the treatment input screen in the planning mode, the screen control means displays the number specified by the operation input as the number of the consultation, and displays the number in the medical chart mode. In this case, the date of consultation is displayed. 3. The medical device according to claim 2, wherein when the treatment input screen is displayed in the chart mode, if the number of the consultation on which the consultation date is to be specified is specified, Display information setting means for displaying a treatment name associated with a consultation in the selected treatment display column. 4. The display information setting means according to claim 3, wherein, when the display in the chart mode is performed by switching from the display in the planning mode, the display information setting means sets the number of the consultation to the plan immediately before the switching. A medical office device, which is specified as the number specified when displayed in the mode. 5. The display information setting means according to claim 3, wherein the display in the chart mode is performed on the same consultation as the consultation date when the display in the chart mode is performed without going through the planning mode. If a name is recorded, a treatment name associated with the second consultation is read from the medical information recording means and displayed in a selected treatment display field of the treatment input screen. Office equipment. 6. The method according to claim 3, wherein the display information setting means is configured to provide a treatment name to a designated consultation when the treatment input screen is displayed in a planning mode. Is recorded from the medical treatment information recording means and displayed in the selected treatment display field of the treatment input screen, when the medical treatment is performed. apparatus. 7. The treatment control device according to claim 1, wherein the screen control means displays a treatment candidate display field for displaying a treatment name candidate on the treatment input screen. And a display unit for storing the name of the treatment corresponding to the name of the patient to be processed. A medical office device obtained from a means and displayed in the treatment candidate display column. 8. The method according to claim 1, wherein
Further, a treatment name holding means for storing a formal treatment name used by a medical worker in association with a common treatment name commonly used by ordinary people, and an operation input for instructing printing of a treatment plan are planned on the treatment input screen. When performed in the mode, each treatment name recorded in the medical treatment information recording means as being planned for the patient to be processed and each treatment name displayed in the selected treatment display column are included in the treatment plan. And a print information setting unit that prints a customary treatment name in each of the consultation columns provided in the second consultation column to which each treatment name belongs. 9. The print information setting device according to claim 8, further comprising: a disease name holding unit that stores a formal disease name used by a medical worker in association with a common injury name commonly used by ordinary people. The medical office device is characterized in that the means prints the name of the illness of the patient to be processed in the column of the name of the illness in the treatment plan. 10. The medical office apparatus according to claim 7, wherein the injury treatment holding means stores a treatment name group in an order to be treated. 11. The medical office apparatus according to claim 10, wherein the injury treatment holding means stores a treatment name group in association with a medical examination to which each treatment name belongs.