JP2002288332A - Device for supporting diagnosis and treatment - Google Patents

Abstract

PROBLEM TO BE SOLVED: To improve service to a patient by presenting required time of each time when the patient is scheduled to come to hospital in a medial treatment plan sheet. SOLUTION: This diagnosis and treatment supporting device is provided with a function which has the standard value of required time for a procedure in each procedure, stores a medical treatment plan configured by respectively arranging one, two or more procedures in each hospital visiting schedule composed of a schedule of visiting hospital a prescribed member of times, respectively calculates the predicted value of the required time for each hospital visiting schedule in a selected medical treatment plan on the basis of the standard value of required time for one, two or more procedures arranged in each hospital visiting schedule (S45) and presents the predicted value in the medical treatment plan sheet.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical treatment support apparatus (computer) having a function of creating and outputting a treatment plan having presentation schedules and scheduled treatments (treatment plans) at each visit. Device).

[0002]

2. Description of the Related Art There is provided a service for preparing a treatment plan at the first consultation and presenting it to a patient. The treatment plan shows the schedule of visits from the next time onward and the treatment schedule at each visit. Thereby, the patient can grasp the outline of the visit schedule and can adjust his / her own schedule. There is known an apparatus which has a standard value of the time required for a treatment for each treatment and performs reservation management based on the standard value (Japanese Patent Laid-Open No.
-93409).

[0003]

There is a demand to improve patient service by presenting the required time at each scheduled visit to a treatment plan. The present invention aims to meet this need.

[0004]

A first aspect of the present invention is a medical treatment support apparatus for presenting the number of scheduled visits and a treatment schedule for each scheduled visit in a treatment plan, and predicting the required time of each scheduled visit. A medical treatment support apparatus comprising: predicted value calculating means for calculating a value based on a treatment schedule at each visit; and predicted value presenting means for presenting the calculated predicted value in a treatment plan. It is. Here, the treatment plan is not limited to the one printed in the format as shown in FIG. 6, but also includes the one displayed on the screen in the same format. The same applies hereinafter.

A second aspect of the present invention is a medical treatment support apparatus for presenting, in a treatment plan, a scheduled number of visits and a treatment schedule at each visit schedule, wherein each treatment has a standard value of the time required for the treatment. A time storage unit, a treatment plan storage unit configured to store a treatment plan constituted by a predetermined number of visit schedules, each treatment schedule including one or more treatments, and a treatment plan to select a desired treatment plan. And a prediction input for calculating the predicted value of the required time of each visit scheduled in the selected treatment plan based on the standard value of the required time of one or more treatments arranged in each scheduled visit A medical care support apparatus characterized by having a value calculating means and a predicted value presenting means for presenting a calculated predicted value in a treatment plan.
According to a third aspect of the present invention, in the second aspect, the treatment plan storage means stores a treatment plan in association with a disease name, and the selection input means stores the treatment plan in association with a patient's disease name. A medical care support apparatus having a function of reading out a plan name from the treatment plan storage means and displaying it in a selectable manner.

[0006]

Embodiments of the present invention will be described below with reference to the drawings. FIG. 1 is a block diagram illustrating a configuration of a medical care support apparatus according to an embodiment. 2 to 5 are examples of screens, FIG. 2 is a patient registration screen, FIG. 3 is a disease name registration screen,
FIG. 4 shows a medical care input screen, and FIG. 5 shows a treatment plan issue screen. FIG. 6 is an explanatory diagram illustrating a treatment plan.
7 and 8 show examples of the record data of the master file. FIG. 7A shows the record data of the treatment plan master file, FIG. 7B shows the record data of the disease name master file, and FIG. 8 shows the record of the treatment master file. The recording data is shown.
9 and 10 exemplify the association of the record data of any two master files of FIGS. 7 and 8, FIG. 9 shows the disease name—the record data of the treatment plan / related file, and FIG.
The record data of the treatment / related file is shown. Figure 1
1 to 13 show record items of a file in which data is recorded and an example of data. FIG. 11 shows data recorded in a patient-treatment / related information file. FIG. 12 shows data recorded in a patient registration information file. 13A shows data recorded in a patient-disease name-treatment plan / related information file, FIG.
(B) shows data recorded in the medical institution information file. FIG. 14 is a flowchart showing the processing on the medical care input screen, and FIG. 15 is a flowchart showing the procedure for issuing a treatment plan.

The medical treatment support apparatus shown in FIG. 1 has at least a dental electronic medical chart function and a treatment plan issuing function. The illustrated medical support apparatus has a CPU 11 that controls the entire apparatus,
R which stores procedures and the like necessary for processing in the CPU 11
OM 12, RAM 13 for storing calculation results in the device and external input data, input device 14 including a keyboard, a mouse, and the like, display device 15 for displaying calculation results and input contents, calculation results, A printing device 16 for printing the input contents, various application software (for example, software for realizing a treatment plan issuing function, software for realizing an electronic medical chart function, etc.), and various data necessary for the operation thereof (Example: Master file and related file data shown in FIGS. 7 to 10)
And input data (eg, FIG. 1)
1 to 13 and the like are recorded.

FIG. 7A shows a treatment plan master file.
As shown in FIG. 2, a dental treatment plan name is stored in association with a treatment plan number (ID). As illustrated in FIG. 7B, the disease name master file stores dental disease names in association with disease name numbers (ID). As illustrated in FIG. 8, the treatment master file stores a dental treatment name in association with a treatment number (ID), and also associates each treatment name with a required time (“required time” in the claims). Is stored.

FIG. 9 shows the disease name-treatment plan / related file.
As illustrated in FIG. 7, the disease name number in FIG.
And the treatment plan number are stored in association with each other. As illustrated in FIG. 10, the treatment plan-treatment / relationship file stores the treatment plan number of FIG. 7A and the treatment number of FIG. In addition, a “number of visits” that defines the number of visits to which the treatment should be performed is stored.

[0010] Patient-treatment / related information file (Fig. 11)
Stores information input from the therapy / treatment column in the medical care input screen (FIG. 4). That is, the patient code, the treatment number of the treatment performed on the patient, and the execution date are stored in association with each other. Information input from the patient registration screen (FIG. 2) is stored in the patient registration information file (FIG. 12). That is, for each patient, the patient's name, date of birth, gender, telephone number, first consultation date, insurer number, symbol, and number are stored. In the patient-disease-treatment plan / related information file (FIG. 13A), the disease name number of the disease name input from the disease name registration screen (FIG. 3) and the treatment plan selection field of the medical care input screen (FIG. 4) are displayed. The treatment plan number of the selected treatment plan is stored in association with the treatment plan number. Medical institution information file (Fig. 13
In (a)), for each medical institution, the name of the medical institution, the location, and the name of the doctor in charge are stored.

On the medical care input screen (FIG. 4), as described above, the selection of the treatment plan and the input of the treatment actually performed are performed. This procedure is shown in FIG. First, a medical care input screen is displayed (S01). Next, the date, patient name,
The patient code and disease name are displayed (S03). The date is
It is obtained from a built-in clock (not shown). The patient name and the patient code are obtained from the patient registration information file (FIG. 12). The disease name is obtained from the patient-disease name-treatment plan / related information file (FIG. 13A) by using the disease name master file (FIG. 7).
It is obtained following (b). Further, each treatment plan name associated with the disease name is read out from the disease name-treatment plan / related file by following the treatment plan master file, and is displayed as a selectable candidate (S03).

When one of the treatment plan names is selected from the candidates displayed as described above (YES in S05), the treatment name of each treatment associated with the treatment plan name is represented by treatment plan-treatment -Read from the related file by following the treatment master file and display it in a scrollable manner (S0
7). In this scroll display, initially, the first treatment among the treatments scheduled to be performed on the day is displayed at the first position. For example, in FIG. 4, the treatment plan name “live tooth 3/4 crown” of the treatment plan number “4” is selected, and each of the treatment numbers “1 to 17” associated with the treatment plan number “4” is selected. The first of the treatment
A state is shown in which treatments A to E are displayed with "treatment A" at the head of treatments at the visit (treatments with the number of visits of "1") at the top. At the time of the second visit, treatment F to treatment I are displayed with treatment F at the top.

Steps S09 to S15 are processing relating to input of a therapy / treatment column. For example, when a desired treatment name is selected from the scrollable display as described above by a mouse operation or the like and an add button is pressed (YE in S09).
S), the selected treatment name is entered in the therapy / treatment column (S)
11). When a desired treatment name is selected from the displayed treatment / treatment column by mouse operation and the delete button is pressed (YES in S13), the selected treatment name is deleted from the treatment / treatment column ( S15).

Steps S17 to S19 are processing for determining input information. That is, when the registration button is pressed (S
17 (YES at 17), the information currently displayed on the screen is recorded in each file (S19). For example, the treatment plan selected as described above is recorded in the patient-disease name-treatment plan / related information file. Further, the treatment performed on the day and input as described above is recorded in the patient-treatment / related information file in association with the date.

On the treatment plan issue screen (FIG. 5), a treatment plan (FIG. 6) is issued. In this treatment plan,
In the summary column of the treatment plan, the predicted value of the required time at each scheduled visit is described.

First, a treatment plan issuance screen is displayed (S31). Next, the patient name and the patient code of the patient whose disease name and treatment plan are already associated with each other are obtained as follows:
The patient registration information file is read out from the treatment plan / related information file and read as a selectable candidate (S3).
3).

When one of the patient names is selected from the candidates displayed as described above (YES in S41), the site, disease name, treatment plan name, and first consultation date associated with the patient name are displayed. Is read out and displayed using a patient-disease name-treatment plan / related information file or the like (S43). For example,
In FIG. 5, the patient name “Taro Yamada” is selected for the patient code “A0001”, and as a result, the part / disease name is “5
It is shown that the information “Pull of the number”, the treatment plan name is “3/4 crown of vital teeth”, and the date of first consultation is “October 15, 2000” is displayed.

Next, the required time of each treatment associated with the treatment plan (see S05, S07, S17, S19) paired with the selected patient's disease name ("standard value of required time" in the claims) Are read from the treatment master file, added at each visit, and displayed (S45).
The number of the visit to which each treatment in the treatment plan belongs can be known by referring to the treatment plan-treatment / related information file. For example, the patient “Taro Yamada (= treatment plan number“ 4 ”= treatment number“ 1-1 ”
7 ")", the required times of treatment numbers 1 to 5 (treatment A to treatment E) are added, and as a result, "5"
5 minutes "is displayed. In step S47, the "main medical treatment contents" column is cleared. This process is a process in consideration of a case where the selection of the patient is changed.

In steps S51 to S53, processing for displaying the information input in the "main medical treatment contents" column in the "main medical treatment contents" column is performed. The entry in the "main medical treatment contents" column may be performed by inputting a desired character string from a keyboard or the like, but a word describing the treatment at each visit in a manner that is easy for the patient to understand is prepared in advance. In advance, the phrase may be input. For example, a file storing the above words and phrases may be prepared in association with the treatment plan number and the number of visits, and the file may be read out from the file and displayed. In addition, this phrase may be configured to allow user input.

In steps S55 to S57, in response to the operation of pressing the issue button (YES in S55), each piece of information necessary for creating the treatment plan shown in FIG. The process of printing a letter (S57) is performed. Here, the information necessary for preparing the treatment plan includes, for example, the date, patient name, disease name, date of first consultation, medical institution information, and a brief description of the estimated time required for each visit and treatment. It is. The information calculated and displayed in step S45 is used as the predicted value of the required time at each visit. Also, as an overview of the treatment at each visit,
The character string input in step S47 is used.

When the end button is pressed (YE in S61)
S), terminates the treatment plan issuance screen (S63).

In the above example, the case where the treatment plan issuance screen is started from the initial menu of the present medical care support apparatus, that is, the case where the screen is started with the patient not selected, is described. , S47 is required. For example, a transition button to the treatment plan issuance screen is provided in the medical care input screen of FIG. 4, and the treatment plan issuance screen is displayed in response to the pressing operation of the transition button. The system may be configured to be activated. In this case, the processing of steps S41 to S43 is unnecessary because the patient has already been selected, and the processing of S47 is also unnecessary because there is no change in the patient. It should be noted that a transition button to the treatment plan issuance screen is provided on the initial menu screen and the screen after the patient is selected arbitrarily, and when the latter is activated, the steps S41 to S43 and S47 are skipped. The processing may be configured to perform the processing.

In the above example, the standard value of the required time determined for each treatment is added with reference to the treatment belonging to each visit, so that the predicted value of the required time at each visit is fixed. Although it is obtained and used, the standard value of the required time for each treatment and / or the predicted value of the required time for each visit calculated based on the standard value can be adjusted by the user's operation input. May be configured.

In the above-described example, the predicted values of the required time at each visit are obtained using the files configured as shown in FIGS. 8 to 10, but these file configurations are merely examples. In addition, the present invention is not limited to such a file configuration. 1 provided at each visit of the treatment plan
Alternatively, any configuration may be used as long as a predicted value of the required time at each visit can be obtained based on the required time associated with two or more treatments.

[0025]

According to the first aspect of the present invention, the predicted value of the required time of each visit is calculated based on the treatment schedule at each visit and presented in the treatment plan. And the time required for each visit can be grasped, and the schedule can be precisely adjusted. That is,
Patient services can be improved. According to the second aspect of the present invention, the medical treatment support apparatus has a standard value of the time required for the treatment for each treatment, and is constituted by a predetermined number of visit schedules, and one or more treatments are allocated to each visit schedule. The treatment plan is stored, and a predicted value of the required time of each visit in the selected treatment plan is allocated to each visit.
Alternatively, the effect of the invention of claim 1 is calculated for each treatment based on a standard value of the required time of two or more treatments and presented in the treatment plan. This can be achieved using the standard value of the required time. According to the third aspect of the present invention, a desired treatment plan is selected from the treatment plans corresponding to the disease names, and the predicted value of the required time at each visit is presented in the treatment plan as in the second aspect. Is possible, in addition to the effect of claim 2,
There is an effect that a treatment plan can be easily and appropriately selected.

[Brief description of the drawings]

FIG. 1 is a block diagram showing a configuration of a medical assistance device according to an embodiment.

FIG. 2 is an explanatory diagram illustrating a patient registration screen.

FIG. 3 is an explanatory diagram illustrating a disease name registration screen.

FIG. 4 is an explanatory diagram illustrating a medical care input screen.

FIG. 5 is an explanatory view illustrating a treatment plan issuance screen.

FIG. 6 is an explanatory view exemplifying a treatment plan.

FIG. 7A is an explanatory view exemplifying recorded data of a treatment plan master file, and FIG. 7B is an explanatory view exemplifying recorded data of a disease name master file.

FIG. 8 is an explanatory diagram exemplifying recording data of a treatment master file.

FIG. 9 is an explanatory view exemplifying recorded data of a disease name-treatment plan / related file.

FIG. 10 is an explanatory diagram exemplifying recorded data of a treatment plan-treatment / related file.

FIG. 11 is an explanatory view exemplifying data recorded in a patient-treatment / related information file.

FIG. 12 is an explanatory view exemplifying data recorded in a patient registration information file.

13A is an explanatory diagram illustrating data recorded in a patient-disease name-treatment plan / related information file, and FIG. 13B is an explanatory diagram illustrating data recorded in a medical institution information file.

FIG. 14 is a flowchart showing processing on a medical care input screen.

FIG. 15 is a flowchart showing a treatment plan issuing procedure.

[Explanation of symbols]

 17 Auxiliary storage device

 ──────────────────────────────────────────────────続 き Continued on the front page (72) Inventor Yachiyo Ito 2-5-5 Keihanhondori, Moriguchi-shi, Osaka Sanyo Electric Co., Ltd.

Claims (3)

[Claims] 1. A medical care support apparatus for presenting, in a treatment plan, a scheduled number of visits and a treatment schedule at each visit schedule, wherein a predicted value of the required time of each visit schedule is based on the treatment schedule at each visit schedule. A medical treatment support apparatus, comprising: predictive value calculating means for respectively calculating the calculated predicted values; and predicted value presenting means for presenting the calculated predicted values in the treatment plan. 2. A medical treatment support apparatus for presenting, in a treatment plan, a scheduled number of visits and a treatment schedule at each visit schedule, a treatment time storage means having a standard value of a required time of the treatment for each treatment, Consists of a predetermined number of visits, one for each visit
Or a treatment plan storage means for storing a treatment plan comprising two or more treatments; a selection input means for selecting a desired treatment plan; and a time required for each scheduled visit in the selected treatment plan. Predictive value calculating means for calculating the predicted value of each based on the standard value of the required time of one or more treatments arranged in each visit schedule, and predicting each of the calculated predicted values in the treatment plan A medical care support apparatus comprising: value presenting means; 3. The treatment plan according to claim 2, wherein the treatment plan storage means stores a treatment plan in association with a disease name, and the selection input means stores the treatment plan in association with a disease name of the patient. A medical support apparatus having a function of reading a name from the treatment plan storage means and displaying the name in a selectable manner.