JP2002024374A - System, device and method for integrally processing diagnosis and treatment information and recording medium - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a diagnosis and treatment integral processing technique by which data obtained by associating diagnosis and treatment action with a patient state are easily analyzed. SOLUTION: A data processor is provided with: a data retrieving means 11 for retrieving the state data of a single patient for a period to which the diagnosis and treatment days of diagnosis and treatment data belong from a state file 41 for each diagnosis and treatment of a diagnosis and treatment file 21 and also retrieving the hospitalization data of the same patient for a period to which the diagnosis and treatment days belong from a hospital file 31; a data integrating means 12 for generating integrated data by attaching the retrieved state data and the hospitalization data to the diagnosis and treatment data; and a data storing means 12 for storing the generated integrated data into the integration file 51 of a storage device 5.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a processing technique for integrating medical care data for generating information suitable for performing data analysis on a patient as a data warehouse in a medical institution such as a hospital.

[0002]

2. Description of the Related Art Conventionally, in various fields such as finance, distribution, and manufacturing, an information system that stores business data used for online business of a core system and refers to the data is used. In recent years, a data warehouse (DWH) has been widely used in information systems. The DWH stores and manages data extracted and processed from accumulated data on the assumption that the data is used effectively by the user.

[0003] Various DWHs have also been proposed in the medical field. An example of such a conventional technique is disclosed in Document 1: "Japanese Patent Laid-Open No. 4-176448". According to the technology disclosed in this document 1, data input by an on-line system in a hospital is accumulated and used as a case database.

Another example of such prior art is as follows.
Reference 2: It is disclosed in Japanese Patent Application Laid-Open No. 9-330372. According to the technique disclosed in this document 2, it is possible to accumulate and collect medical treatment data input by a plurality of systems, and to refer to medical treatment data for each patient.

[0005]

According to the technique disclosed in the above-mentioned related art, the technique is excellent in referring to medical treatments for each case and each patient.

Meanwhile, in verifying the effect of a medical treatment, it is useful to confirm a change in a patient's health condition or the like in the process of receiving the medical treatment. However,
In the conventional system, a system for managing medical care data for each patient and a system for managing data of a nursing degree indicating the state of an inpatient are separately constructed. For this reason, in the conventional system, it was difficult to analyze the data by linking the medical treatment and the state of the patient.

[0007] Among hospitalized patients, there are many patients who repeatedly enter and leave the hospital. For this reason, it is considered that data analysis should be performed for each hospitalization period in view of the actual situation of medical work. However, in the conventional system, the data of medical treatment is managed in units of months or years for the convenience of accounting work such as claiming insurance points. For this reason, in the conventional system, it was difficult to determine which hospitalization act was performed for a patient who has repeatedly been hospitalized and discharged.

The present invention has been made in view of the above circumstances, and a first object of the present invention is to provide a medical information integration processing technology that facilitates data analysis in which medical treatment is associated with a patient's condition. A second object of the present invention is to provide a medical information integration processing technology that facilitates data analysis for each hospitalization period.

[0009]

In order to achieve the first object, according to the medical information integration processing system according to the first aspect of the present invention, medical data showing medical contents for each medical day of a patient. Is registered, state data indicating the state of the patient's nursing contents, etc., and a state file in which state period data of the start date and end date of the period of the state are registered. And a storage device for storing the integrated file, wherein the data processing device includes, for each piece of medical data, a time period during which the medical treatment date of the medical data belongs. A data search means for searching the state file for the same patient's state data corresponding to the state period data, and a state data searched by the data search means. It is constituted and a data integration means for generating integrated data by adding the medical data.

In order to achieve the second object, according to the second aspect of the present invention, there is provided a hospitalization file in which the hospitalization period data of a patient's hospitalization date and discharge date is registered, and a data processing device. Reads the hospitalization file, generates integrated data, and retrieves, for each piece of medical data, hospitalization period data of the same hospitalization period to which the medical treatment date of the medical data belongs from the hospitalization file. Is configured to generate integrated data by adding the hospitalization period data retrieved by the data retrieval means to the medical treatment data.

[0011] In order to achieve the first object, according to the medical information integration processing apparatus of the third aspect of the present invention, the medical treatment data indicating the medical treatment contents for each medical treatment day of the patient is registered. The medical treatment data of the medical treatment file, the state data indicating the state of the patient's nursing contents and the like, and the state file in which the state period data of the start date and the end date of the state of the state are registered are respectively read. A data search unit that searches the state file for the same patient's state data corresponding to the state period data of the period to which the medical treatment date of the medical treatment data belongs; and the state data searched by the data search unit, by adding to the medical treatment data. It is configured to include data integration means for generating integrated data, and data storage means for storing the integrated data in an integrated file in a storage device.

According to the fourth aspect of the present invention, in order to achieve the second object, the data search means includes:
Read the hospitalization file in which the hospitalization period data of the patient's hospitalization date and discharge date are registered, and for each medical treatment data, search the hospitalization file for the same patient's hospitalization period data of the hospitalization period to which the medical treatment day of the medical treatment data belongs, The data integration means is configured to add the hospitalization period data searched by the data search means to the medical treatment data to generate integrated data.

[0013] In order to achieve the first object, according to the medical information integration processing method of the present invention, (a) medical data indicating the medical contents for each medical day of the patient is provided. Reading the medical treatment data of the registered medical treatment file, the state data indicating the state of the patient's nursing contents and the like, and the state file in which the state period data of the start date and the end date of the period of the state are registered, b) for each medical treatment data, a step of searching the state file for the same patient's state data corresponding to the state period data of the period to which the medical treatment day of the medical data belongs; and (c) converting the searched state data to the medical data. And (d) storing the integrated data generated by the data integration means in an integrated file in a storage device. That.

According to the sixth aspect of the present invention, in order to achieve the above-mentioned second object, in the step (a), the hospitalization file in which the hospitalization period data of the patient's hospitalization date and discharge date is registered. Is read, and in the step (b), for each piece of medical data, hospitalization period data of the same patient during the hospitalization period to which the medical treatment date of the medical data belongs is retrieved from the hospitalization file. In the step (c), the retrieved hospitalization period is retrieved. This is a method for generating integrated data by adding data to the medical care data.

As described above, according to the first, third and fifth aspects of the present invention, the integrated file is generated by combining the medical care data and the status data for each patient on each medical treatment day. Generate. As a result, it is possible to add to the analysis the relationship between the patient's condition that changes during the course of performing the medical care and other factors. This makes it possible to easily perform data analysis in which the medical practice and the state of the patient are associated with each other. That is, at the time of data analysis, analysis can be easily performed from the viewpoint of the state of the patient at the time of the medical care action occurrence (medical care day).

According to the second, fourth and sixth aspects of the present invention, an integrated file is constructed by generating integrated data by combining medical treatment data and hospitalization data for each patient on each medical treatment day. Generate integrated data. Thus, data analysis for each hospitalization period can be easily performed. That is, it is possible to perform analysis in units of one hospitalization period according to the actual situation of the hospital operation.

According to a seventh aspect of the present invention, there is provided a storage medium for achieving the first object.
The medical treatment data of the medical treatment file in which the medical treatment data indicating the medical treatment contents for each medical treatment day of the patient are registered, the state data indicating the state of the patient's nursing contents, etc., and the state period data of the start date and end date of the state period are included. A process of reading the registered status files, and (b) a process of searching the status file for status data of the same patient corresponding to the status period data of the period to which the medical treatment date belongs for each medical data, (C) executing, on the computer, a process of generating integrated data by adding the searched state data to the medical care data; and (d) storing the integrated data generated by the data integrating means in an integrated file of a storage device. The program to be used is recorded.

A program recorded on a recording medium according to claim 7 is read and executed by a computer to generate integrated data by combining medical data and status data for each patient on each medical treatment day. Thus, an integrated file can be generated. This makes it possible to easily perform data analysis in which the medical practice and the state of the patient are associated with each other.

In order to achieve the second object, according to the recording medium of the eighth aspect, in the processing (a), the hospitalization data in which the hospitalization period data of the patient's hospitalization date and discharge date are registered. A process of reading a file, a process of searching for the hospitalization period data of the same patient during the hospitalization period to which the medical treatment date of the medical data belongs in the hospitalization file for each medicalcare data in the step (b),
A program for causing a computer to execute a process of adding the searched hospitalization period data to the medical treatment data to generate integrated data is recorded.

A computer reads the program recorded on the recording medium according to claim 8 and executes the program to generate integrated data by combining medical treatment data and hospitalization data for each patient on each medical treatment day. Thus, an integrated file can be generated. This makes it possible to easily perform data analysis for each hospitalization period.

[0021]

DESCRIPTION OF THE PREFERRED EMBODIMENTS With reference to the accompanying drawings, embodiments of a medical information integrated processing system, a medical information integrated processing apparatus, a medical information integrated processing method and a recording medium according to the present invention will be described together. The medical information integration process in the following embodiment is executed by a computer controlled by a program. This program is provided, for example, by a recording medium. As the recording medium, for example, a magnetic disk, a semiconductor memory, or any other computer-readable medium can be used. Further, the program recorded on the recording medium can be directly mounted on a computer and read, or can be read by a computer via a communication line.

First, the configuration of the medical care information integration processing system according to the present embodiment will be described with reference to FIG. As shown in FIG. 1, the medical information integration processing system includes a data processing device 1 as a medical information integration processing device, a medical data input system 2, a medical office system 3, a nursing system 4, a storage device 5, , An input device 6, and an output device 7.

The medical care data input system 2 is a system for accumulating information on medical care for a patient, and includes a medical care file 21. As shown in FIG. 2, the medical treatment data 21 is registered with the medical treatment data indicating the contents of medical treatment for each medical treatment day of the patient. As the medical care data, the cost items such as medical care actions for each medical care day, the medical remuneration points, and the like are registered. In particular, if the patient is hospitalized,
Since the hospitalization fee is registered as an expense item, one or more data items are registered every day.

The medical office system 3 is a system for accumulating information on patient admission and discharge and includes an admission file 31. This hospitalization file 31 includes FIG.
As shown in the table, hospitalization period data of a patient's hospitalization date and discharge date is registered.

The nursing system 4 is a system for accumulating nursing system data representing the condition of an inpatient,
A status file 41 is provided. This state file 41
, State data indicating the state of the patient's nursing content and the like, and state period data of the start date and end date of the period of the state are registered. Here, the state of the patient is shown as being ranked as the level of nursing A to C as the level of nursing required by the patient.

Then, the data processing device 1 reads the medical treatment data of the medical treatment file 21, the status file 41 and the hospitalization file 31, and generates integrated data constituting the integrated file 51. The generated integrated data is stored in the storage device 5
Is stored in the integrated file 51.

Further, by inputting information (patient ID) for specifying a desired patient from the input device 6, information of the integrated file 51 relating to the patient can be output to the output device 7. The input means 6 and the output means 7 may be connected to the data processing device 1 via an on-line system in a hospital.

Next, the configuration of the data processing device 1 will be described. As shown in FIG. 1, the data device 1 includes a data search unit 11, a data integration unit 12, and a data storage unit 13.

The data search device 11 searches the state file 41 for state data corresponding to the state period data of the period to which the medical treatment day of the medical data belongs for each medical treatment data. Further, the data search device 11 searches the hospitalization file 31 for the hospitalization period data of the hospitalization period to which the medical treatment date of the medical care data belongs for each medical care data.

Further, the data integration means 12 integrates the state data and the hospitalization period data retrieved by the data retrieval means 11 into medical treatment data, and for each patient, the state data and the hospitalization period are added to the medical treatment data for each medical treatment day. Generate integrated data to which at least the date of admission is added.
Then, the data storage unit 13 stores the generated integrated data in the integrated file 51 of the storage device 5.

Next, referring to the flowchart of FIG.
An operation example of the data processing device 1 will be described. In the medical information integration process, first, the data processing apparatus 1 reads all the in-patient files 311 shown in FIG. 7 and the status file 411 shown in FIG. 8 (S1 in FIG. 5).

Next, the data processing device 1 reads one piece of medical data in the medical file 21 shown in FIG. Here, the medical care data in the first line in the medical care file 21 shown in FIG. 6 "Patient number: 0001, medical care day: 12-01, medical care information: prescription 300 points, examination 100 points, hospitalization fee 100 points ..."
Read.

Then, the data search means 11 retrieves the patient ID “patient number 001” and the medical treatment date “12
-01 (December 1) "as a key
The hospitalization date is searched from the 11 hospitalization period data (S in FIG. 5).
2).

Then, the data search means 11 searches the medical data “12” for the patient with the patient number “001”.
The hospitalization file 31 is searched for the hospitalization period data of the hospitalization period to which “-01” belongs. That is, the medical treatment day “12-0”
"1" retrieves hospitalization period data included in the period between the hospitalization date and the discharge date (S3 in FIG. 5). If there is no corresponding hospitalization period data ("No" in S3)
), The data processing device 1
Read the next medical data from.

Here, as shown in the hospitalization period data in the first line of the hospitalization file 311 in FIG.
1 is changed from the admission date “12-01” to the discharge date “12-01”.
-03 "for a period including the medical treatment day" 12-01 ". Therefore, here, the relevant hospitalization period data is searched (in the case of “Yes” in S3),
The data integration means 13 integrates the searched hospitalization period data into medical care data (S4 in FIG. 5). Here, the hospitalization date of the hospitalization period data is added to the medical treatment data. That is, the hospitalization date “12-01” is added to the medical care data.

Next, the data search means 11 outputs the patient ID
Using the “patient number: 001” and the medical treatment date “12-01” as keys, the nursing level is searched from the status file 311 (S5 in FIG. 5). Then, the data search unit 11 searches the state file 41 for state data corresponding to the state period data of the period to which the medical treatment day “12-01” belongs. That is, the state data that includes the medical treatment date “12-01” of the medical treatment data included in the period between the start date and the end date is searched (S6 in FIG. 5). Then, when there is no corresponding state data (in the case of “No” in S6), the data processing device 1 reads the next medical data from the medical file 21.

Here, as shown in the status data on the first line of the status file 411 in FIG. 8, the patient with the patient number “001” is changed from the start “12-01” to the end date “12-0”.
During the period including the medical treatment day “12-01” of “2”, the patient is receiving nursing at “nursing degree B”. Therefore, here, the relevant hospitalization period data is searched (in the case of “Yes” in S6), and the data integration unit 13 integrates the searched state data into the medical care data (S7 in FIG. 5).
Here, “nursing degree B” is added to the medical treatment data as state data.

Thus, the medical treatment file 21 shown in FIG.
The hospitalization date “12-01” of the hospitalization period data and the “nursing degree B” of the state data are integrated into the medical data of the first line. Then, as shown in the first line of the integrated file in FIG. 9, “patient number: 001, hospitalization date: 12-01, medical treatment date: 12-01, medical information: prescription 300 points, examination 100
, Nursing degree: nursing B "is generated. Subsequently, the data storage unit 13
Store this integrated data in the integrated file 51 of the storage device 5 (S8 in FIG. 5).

In the same manner, an integrated file is generated by searching all the medical data in the medical file 21 to generate integrated data. And
This integration process ends when the process is completed for all the medical data in the medical file 21.

In the above-described embodiment, an example in which the present invention is configured under specific conditions has been described. However, the present invention can be variously modified. For example, in the above-described embodiment, an example is described in which the state data is added after the hospitalization period data is added to the medical treatment data. However, in the present invention, the addition order of the hospitalization period data and the state data is not limited to this. .

In the above embodiment, the nursing degree is adopted as the state data. However, the present invention is not limited to this. For example, as the state data, in addition to the nursing level, the severity of the patient, the age at the time of consultation, the classification of hospitalization / outpatient, or the data of the consultation department may be adopted.

In the above-described embodiment, an example is described in which the medical care information input system 2 and the medical office system 3 are separately provided. In the present invention, for example, the medical care data in the medical office system is stored as a medical care file. Or an order entry system.

[0043]

As described above in detail, according to the present invention, an integrated file is generated by generating integrated data by combining medical treatment data and status data for each patient on each medical treatment day. I do. As a result, it is possible to add to the analysis the relationship between the patient's condition that changes during the course of performing the medical care and other factors. This makes it possible to easily perform data analysis in which the medical practice and the state of the patient are associated with each other.

Further, for each patient,
If the integrated file is generated by generating the integrated data by combining the medical care data and the hospitalization data, the data analysis can be easily performed for each hospitalization period.

[Brief description of the drawings]

FIG. 1 is a block diagram illustrating a configuration of a medical care information integration processing system according to an embodiment.

FIG. 2 is a diagram showing the contents of a medical treatment file.

FIG. 3 is a diagram showing the contents of a hospitalization file.

FIG. 4 is a diagram showing the contents of a status file.

FIG. 5 is a flowchart illustrating a medical information integration processing method according to the embodiment;

FIG. 6 is a diagram illustrating a specific example of the contents of a medical treatment file according to the embodiment;

FIG. 7 is a diagram illustrating a specific example of the contents of a hospitalization file according to the embodiment;

FIG. 8 is a diagram illustrating a specific example of the contents of a status file according to the embodiment;

FIG. 9 is a diagram illustrating a specific example of the contents of an integrated file according to the embodiment;

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 Data processing device 2 Medical data input system 3 Medical office system 4 Nursing system 5 Storage device 6 Input device 7 Output device 11 Data search means 12 Data integration means 13 Data storage means 21, 211 Medical treatment file 31, 311 Hospitalization file 41, 411 Status file 51, 100 Integrated file

Claims (8)

[Claims] 1. A medical care file in which medical care data indicating the medical care contents for each medical care day of a patient are registered, state data indicating a state of the patient's nursing contents, and a state period of a start date and an end date of the state of the state A status file in which data is registered, a data processing device that reads the medical data and the status file of the medical file, and generates integrated data configuring an integrated file; and a storage device that stores the integrated file. The data processing device includes, for each piece of medical data, data searching means for searching the state file for state data of the same patient corresponding to the state period data of the period to which the medical treatment day of the medical data belongs, and the data searching means Data integration means for adding integrated state data to the medical treatment data to generate integrated data. Medical information integration processing system. 2. The apparatus according to claim 1, further comprising an inpatient file in which data of an inpatient period of the patient on the admission date and on the discharge date are registered, wherein the data processing device reads the inpatient file and generates integrated data; For each of the medical treatment data, the hospitalization period data of the same patient during the hospitalization period to which the medical treatment day belongs is searched from the hospitalization file, and the data integration unit converts the hospitalization period data searched by the data search unit to the medical treatment data. The medical care information integrated processing system according to claim 1, wherein the integrated data is generated by adding the data. 3. Medical treatment data of a medical treatment file in which medical treatment data indicating medical treatment contents for each medical treatment day of a patient are registered, state data indicating a state of the patient's nursing contents, etc., and a start date and an end date of a period of the state. The state file in which the state period data is registered is read, and for each medical treatment data,
A data search unit that searches the state file for state data of the same patient corresponding to the state period data of the period to which the medical treatment day of the medical data belongs, and the state data searched by the data search unit.
An integrated medical information processing apparatus comprising: a data integrating unit that generates integrated data by adding to the medical data; and a data storage unit that stores the integrated data in an integrated file in a storage device. 4. The data retrieving means reads a hospitalization file in which hospitalization period data of a patient's hospitalization date and discharge date are registered, and, for each medical care data, the same patient of the same hospitalization period to which the medical care day of the medical care data belongs. The hospitalization period data is searched from the hospitalization file, and the data integration unit adds the hospitalization period data searched by the data search unit to the medical treatment data to generate integrated data. Medical information integration processing device. 5. (a) Medical data of a medical care file in which medical care data indicating the medical care contents for each medical care day of a patient are registered, state data indicating a state of the patient's nursing contents, and a start date of a period of the state. And reading a state file in which the state period data of the end date is registered. (B) For each medical treatment data, the state data of the same patient corresponding to the state period data of the period to which the medical treatment day of the medical treatment data belongs (C) adding the searched state data to the medical care data to generate integrated data; and (d) storing the integrated data generated by the data integration means in a storage device. Storing in an integrated file. 6. In the step (a), a hospitalization file in which hospitalization period data of a patient's hospitalization date and discharge day is registered is read, and in the step (b), the medical treatment date of the medical data is read for each medical treatment data. Searching for the hospitalization period data of the same patient having the same hospitalization period from the hospitalization file, and in the step (c), adding the searched hospitalization period data to the medical treatment data to generate integrated data. The medical information integration processing method according to claim 5. 7. (a) Medical data of a medical care file in which medical care data indicating the medical care contents for each medical care day of a patient are registered, state data indicating a state of the patient's nursing contents, and a start date of a period of the state. And (b) reading, for each piece of medical data, state data of the same patient corresponding to the state period data of the period to which the medical day of the medical data belongs. (C) processing of adding the searched state data to medical data to generate integrated data; and (d) integrating the integrated data generated by the data integration means with a storage device. A recording medium on which a program for causing a computer to execute a process of storing the file is recorded. 8. In the (a) processing, a processing of reading an inpatient file in which the inpatient period data of a patient's hospitalization date and discharge date is registered; and in the (b) step, for each piece of medical care data, A process of searching the hospitalization file for hospitalization period data of the same patient during the hospitalization period to which the medical treatment day belongs; and a process of adding the searched hospitalization period data to the medical treatment data to generate integrated data in the step (c). 8. A recording medium according to claim 7, wherein a program for causing a computer to execute the above is recorded.