JP2002329001A - Medical care support system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To translate a work journal of a dental hygienist into digitized information, have it synchronize with an electronic medical card and reduce workload for duplicated input operation between the two. SOLUTION: This medical care support system stores a course of medical treatment performed by the dental hygienist as the work journal corresponding to a job performed date and is constituted with a means to assign posting information about whether or not an outcome of performed course of the medical treatment is posted to the electronic card in each of record forms for the course of the medical treatment and the means to post the work journal to the card by obtaining the work journal in which date of the medical treatment as an object of the input is associated with the date of performed treatment and designated to be posted to the card.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a dental care support system. In particular, the present invention relates to a medical care support apparatus having a function of supporting the preparation of a work schedule and a work record of a dental hygienist, or a function of transferring the work record of a dental hygienist to a medical record.

[0002]

2. Description of the Related Art Electronic medical records that record dental medical information as electronic information in a medical record have been proposed and are being provided.
Nevertheless, the work schedule and work record of the dental hygienist are not converted to electronic information, and are still handwritten as illustrated in FIGS.

[0003]

The work of a dental hygienist is performed according to the instructions of a dentist. For this reason, many of the implementation results are described in medical records. Therefore, if the record information of the medical record is digitized and the work schedule and work record of the dental hygienist are also digitized so as to cooperate with each other, part of the input operation for recording on the electronic medical record will be possible. In addition, a part of the input operation for recording the work schedule and the work record of the dental hygienist can be shared, and the labor of the overlapping part can be reduced. An object of the present invention is to digitize the work schedule and work record of a dental hygienist, and to enable cooperation with an electronic medical record.

[0004]

The invention according to claim 1 is a medical treatment support apparatus having a function of creating a work schedule of a dental hygienist, wherein the contents of the medical treatment scheduled to be carried out on the scheduled visit date of the patient are provided by the patient. A treatment plan storage means for storing a treatment plan for each scheduled visit to the clinic; a qualification information storage means for having, for each treatment content, qualification information as to whether or not a dental hygienist has a qualification to implement the treatment contents; Schedule candidate storage means for extracting one or more medical treatment contents for which the hygienist is qualified from the treatment plan and storing them as the work schedule candidates corresponding to the respective scheduled visit visits, and the work schedule dates and dates to be input for the work schedule A schedule candidate display means for acquiring one or more business schedule candidates from the schedule candidate storage means and displaying the candidates on the business schedule input screen, respectively, 2 or more And business plan storage means for storing operational schedule candidates as respective business plans of the business date, a medical support device, characterized in that it comprises a.

[0005] A second aspect of the present invention is a medical treatment support device having a function of creating a business record of a dental hygienist, wherein one or more medical treatment contents to be performed by the dental hygienist correspond to a scheduled business day. A work schedule storage unit that additionally stores the work schedule, a record format storage unit that has a record format of the medical treatment content, and a work schedule date having the same work execution date as the work record input target is associated with the same work schedule date. An input area for acquiring one or more business schedules, providing input areas in accordance with one or more record formats for each medical treatment content of the one or more business schedules, and displaying them on a business record input screen, respectively. Display means, and a work record storage means for storing a medical treatment content execution result input from one or more input areas of the work record input screen as a work record on the work execution day. Is a medical support device to be. The recording format of the medical treatment content includes a case where one medical treatment content has one recording format and a case where one medical treatment content has two or more recording formats. According to a third aspect of the present invention, in the second aspect, there is further provided a fixed sentence storing means for associating a fixed sentence for a business record of a dental hygienist with a fixed sentence for a chart record, The medical treatment support device is characterized in that, when the result of the medical treatment is input using a fixed sentence, the fixed sentence information to that effect is stored together.

According to a fourth aspect of the present invention, there is provided a medical treatment support apparatus having a function of creating a dental chart, wherein one or more medical treatments performed by a dental hygienist are associated with a business operation date, respectively. Business record storage means for storing as a record, transfer information storage means having, for each of one or more record formats of medical treatment contents, transfer information as to whether or not to transfer the results of medical treatment to a medical record; Acquisition of one or more business records in which one or more business records are associated with the same business implementation date as the medical treatment date, and whose record format is to be transcribed to the medical record by the transcription information And a business record transcription means for transcribing each medical record to a medical record. Claim 5
The invention according to claim 4, further comprising a fixed phrase storage means having a fixed phrase for a business record of a dental hygienist and a fixed phrase for a chart record in association with each other, and When a fixed phrase is used in the business record to be transcribed, a fixed phrase for the chart record associated with the fixed phrase is acquired and transcribed to the medical record, is there. When a fixed phrase is used, there are a case where the fixed phrase is stored and a case where information for reading the fixed phrase (the code or ID of the fixed phrase) is stored. Any of them may be used.

[0007]

Embodiments of the present invention will be described below with reference to the drawings. FIG. 1 is a block diagram showing a configuration of a medical care support apparatus according to an embodiment, FIG. 2 is a flowchart showing a procedure for inputting a work schedule of a dental hygienist, and FIG. 4 is a flowchart showing a procedure for transferring data to a dental chart, FIG. 5 is an explanatory view exemplifying an input screen for a work schedule of a dental hygienist, and FIG.
Is an explanatory diagram exemplifying an input screen of a work record of a dental hygienist,
The upper part of FIG. 7 is an explanatory view exemplifying data of a treatment plan DB of a certain patient, the lower part is an explanatory view exemplifying a medical care master, the upper part of FIG. 8 is an explanatory view exemplifying a medical qualification master, and the lower part is a certain dentist. FIG. 9 is an explanatory view exemplifying data of a work schedule DB to be performed by a hygienist on a certain patient, and the upper part of FIG. 9 is an explanatory view exemplifying a dental hygienist work result input form master for associating a record format and transcription information with medical treatment contents. , The lower part is an explanatory diagram illustrating the data of a business record DB performed by a certain dental hygienist on a certain patient, the upper part of FIG. 10 is an explanatory diagram illustrating a typical sentence master, and the lower part is based on the business record of the dental hygienist. 11 is an explanatory diagram illustrating data transferred to a medical record (medical information DB), the upper part of FIG. 11 is an explanatory view illustrating a patient DB, and the lower part is an explanatory view illustrating an employee DB.

The medical treatment support apparatus shown in FIG. 1 stores a CPU 11 for controlling the entire apparatus, a ROM 12 for storing procedures and the like necessary for processing by the CPU 11, a calculation result in the apparatus, and external input data. RAM 13, an input device 14 including a keyboard, a mouse, and the like, a display device 15 for displaying calculation results and input contents, a printing device 16 for printing calculation results and input contents,
Necessary for various application software (eg, electronic chart function, software to realize dental hygienist's work schedule creation function, dental hygienist's work record creation function, transfer function of business record to electronic chart, etc.) and its operation It has an external storage device (such as a hard disk) 17 for storing various types of data (for example, various types of data shown in FIGS. 7 to 11) and recording the input data.

As shown in the lower part of FIG. 7, in the medical treatment master, names indicating medical treatment contents include a medical record name described in a medical record, a medical treatment plan name described in a medical treatment plan, and a business content of a dental hygienist. Are stored in association with each other as the dental hygienist work content names described in the above.

[0010] In the medical qualification master, as shown in the upper part of FIG. 8, qualifications capable of implementing medical treatment contents are stored in association with a medical record name which is a name indicating the medical treatment contents.

The dental hygienist work result input form master includes:
As shown in the upper part of FIG. 9, a format order, an item name, a format type, and a transcription are stored in association with a dental hygienist work content name, which is a name indicating medical care content. The format order is data that defines the recording order when the same dental hygienist work content name has two or more recording formats. The item name is the name of a subordinate concept obtained by subdividing the dental hygienist work content name. The format type is data that defines a format (business record format) for recording the execution content corresponding to the item name. Transcription is data that defines whether or not a business record is to be transcribed to a medical record.

As shown in the upper part of FIG. 10, the fixed form master includes texts representing the same contents, that is, texts (contents) described in the business record of the dental hygienist and texts (summary) described in the medical chart. Are stored in association with a fixed sentence ID (fixed sentence). The fixed phrase can be used when the format type of the business record is text (see brushing instruction 2 to 4 in the upper part of FIG. 9).

The patient DB (database) stores information such as name, gender, date of birth, address, telephone number, and insurance information for each patient, as shown in the upper part of FIG. As shown in the lower part of FIG. 11, information such as name, qualification, gender, date of birth, address, and telephone number is stored for each employee in the employee DB.

In the medical information DB, medical information described in the medical record is recorded so as to be categorized based on patients, medical treatment dates, and the like. In the treatment plan DB, medical treatment contents (medical treatment contents represented by treatment plan names) scheduled to be performed on the scheduled visit date of the patient are stored for each patient, for example, as shown in the upper part of FIG. They are stored in association with each other.

In the dental hygienist work schedule DB, the medical treatment contents (the medical treatment contents expressed by the dental hygienist work contents names) scheduled to be performed by the dental hygienist on the patient are stored for each dental hygienist and for each patient. For example, as shown in the lower part of FIG.

In the dental hygienist work record DB, as shown in the lower part of FIG. 9, the input order, the item names, and the input contents correspond to the dental hygienist work content name, which is the name indicating the medical treatment content. It is stored with it. The input order corresponds to the format order of the dental hygienist work result input form master, and the item names similarly correspond to the item names of the dental hygienist work result input form master. The input content is the content input according to the record format specified by the format type of the dental hygienist work result input format master, and is the actual content of the business record. When the format type is text, recording in a fixed form is possible. When recording using a fixed form, the value of the fixed form ID is recorded in the input content.

The procedure for inputting a business plan will be described with reference to the flowchart of FIG. First, a work schedule input screen is displayed (S01). FIG. 5 illustrates a work schedule input screen. In the work schedule input screen, a dental hygienist selection field for selecting a dental hygienist, a work schedule day input field for designating a target work schedule date, a patient for inputting a work schedule target patient A selection column is provided. The information selected / input from these selection / input fields is held in the memory (S11).

When the above information is obtained, step S
13 can be performed. That is, from the treatment plan (see the upper part of FIG. 7) of the patient whose work is to be scheduled, the medical treatment contents for which the dental hygienist has the qualification are extracted, and are stored in the memory as the work schedule candidates for the scheduled visit date corresponding to the medical treatment contents. It is held above (S13).

Next, from among the above-mentioned business schedule candidates, a business schedule candidate associated with a scheduled visit date on the same date as the scheduled business date is acquired, and a business schedule input screen is displayed. It is displayed as a work schedule candidate on the work schedule day (S15).

When the save button in the work schedule input screen is pressed (YES in S17), the work schedule candidate being displayed at that time is replaced with the patient being displayed at that time on the work display date being displayed at that time. The work schedule of the dental hygienist displayed at that time is recorded in the dental hygienist work schedule DB (see the lower part of FIG. 8) (S19).

The procedure for inputting a business record will be described with reference to the flowchart of FIG. First, a business record input screen is displayed (S21). FIG. 6 illustrates an example of a business record input screen. In step S23, the work schedule for the current patient associated with the same scheduled work date as the work execution date on which the work record is to be recorded is read out from the dental hygienist work schedule DB, and its record format (FIG. 9 is displayed in the business record input screen so as to have an input area that complies with the input area.

In step S31, input of data (the contents of the medical treatment performed by the dental hygienist) to each of the input areas displayed as described above is awaited, and the input data is held in the memory, and Displayed in the input area. Note that data that cannot be displayed in the input area is treated as “displayed data” as long as the data does not exceed the allowable amount of the input area. When the format of the medical treatment content is text and a fixed phrase is selected, information to that effect is also stored.

When the save button in the business record input screen is pressed (YES in S33), the data (the medical treatment performed by the dental hygienist) displayed in the input area at that time is stored in the dental hygienist business record DB. (See the lower part of FIG. 9) (S35). If a fixed phrase is displayed in the input area, information to that effect is also recorded.

Referring to the flowchart of FIG. 4, a procedure for copying a business record will be described. First, a chart input screen is displayed (S41), and a medical treatment day, which is a target day for the chart input, and the name of the current patient who is a target patient for the chart input are displayed in the chart input screen (S43).

In step S51, a work record associated with the same work day as the medical treatment date is acquired from the dental hygienist work record DB (see the lower part of FIG. 9). The posting item of the business record (see the upper part of FIG. 9) is “transfer”
If the answer is YES (YES in S53), the business record is stored in the memory as a "business record to be transferred to a medical chart" (S55). When a fixed phrase is used in the business record (YES in S57), the fixed phrase is replaced with the fixed phrase for describing the medical record with reference to the fixed phrase master (see the upper part of FIG. 10), and “transfer to the medical record”. It is held on the memory as a "business record to be performed" (S59).

Steps S51 to S51 are performed for all business records associated with the same business implementation date as the medical treatment date.
When the process of No. 59 is executed (YES in S61), the data held in the memory as the “business record to be transcribed to the medical record” is transcribed to the medical information of the patient on the medical treatment day (S63). .

In the above, the work schedule of the dental hygienist, the work record, and the cooperation between the work record and the medical record have been described.
The same process can be applied to medical qualifications other than dental hygienists. Further, the present invention is not limited to dentistry, and can be similarly applied to medical qualifications of other medical departments.

[0028]

According to the first aspect of the present invention, there is provided a means for storing a treatment plan, a means for having qualification information as to whether or not a dental hygienist has a qualification for implementing a medical treatment for each medical treatment, A means of extracting medical treatment contents for which a hygienist is qualified from the treatment plan and storing it as a work schedule candidate corresponding to the scheduled visit date, and acquiring a work schedule candidate with the same scheduled work date as the input target Means for displaying a candidate on the work schedule input screen, and means for storing the work schedule candidate determined on the work schedule input screen as the work plan of the work schedule day, so that the work plan of the dental hygienist can be It can be computerized.

According to the second aspect of the present invention, the contents of the medical treatment to be performed by the dental hygienist are stored as the business schedule in association with the scheduled business day, and a means having a recording format of the medical care content is provided. Means for acquiring a work schedule associated with the same work schedule date and having an input area according to the record format and displaying the work schedule on the business record input screen; Means for storing the result of the medical treatment performed as a work record on the work execution date, so that the work record of the dental hygienist can be digitized.

According to the fourth aspect of the present invention, the medical treatment performed by the dental hygienist is stored as a business record in association with the business execution date, and the transcription information as to whether or not the result of the medical treatment is transcribed to the medical record is stored. A means to have for each record format of medical treatment contents, and a business record that is associated with the same practice date as the medical treatment date to be input and that is supposed to be posted to the medical record, and is transcribed to the medical record Since the operation record transcription means is provided, the operation record of the dental hygienist and the electronic medical record can be linked to each other, and the trouble of the input operation which is duplicated between them can be reduced. According to the fifth aspect of the present invention, in the fourth aspect, there is provided a means for associating a standard sentence for the business record of the dental hygienist with a standard sentence for the record of the medical record in association with each other, and the business record transcription means is transcribed to the medical record. In the case where a fixed sentence is used in the business record to be performed, a fixed sentence for the chart record associated with the fixed sentence is obtained and transcribed to the medical record. Even if the term of the dental hygienist's business record and the term of the medical record are subtly different, there is an effect that both can be linked.

[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 a flowchart showing a procedure for inputting a work schedule of a dental hygienist.

FIG. 3 is a flowchart showing a procedure for inputting a work record of a dental hygienist.

FIG. 4 is a flowchart showing a procedure for transferring data to a dental chart.

FIG. 5 is an explanatory view exemplifying an input screen for a work schedule of a dental hygienist.

FIG. 6 is an explanatory view exemplifying an input screen of a work record of a dental hygienist.

FIG. 7 is an explanatory view exemplifying data of a treatment plan DB of a certain patient, and the lower part is an explanatory view exemplifying a medical care master.

FIG. 8 is an explanatory diagram exemplifying a medical qualification master, and the lower diagram is an explanatory diagram exemplifying data of a work schedule DB scheduled to be performed by a certain dental hygienist on a certain patient.

FIG. 9 is an explanatory diagram exemplifying a dental hygienist work result input form master for associating a record format and transcription information with medical treatment contents, and the lower part shows data of a business record DB executed by a certain dental hygienist on a certain patient. FIG.

FIG. 10 is an explanatory diagram exemplifying a fixed form master, and the lower part is a chart (medical information D) based on the work record of a dental hygienist.
Explanatory drawing which illustrates the data transferred to B).

FIG. 11 is an explanatory diagram illustrating an example of a patient DB, and the lower portion is an explanatory diagram illustrating an example of an employee DB.

FIG. 12 is an explanatory view showing an example of a work record of a conventional dental hygienist.

FIG. 13 is an explanatory diagram showing an example of a work record of a conventional dental hygienist.

[Explanation of symbols]

 17 Auxiliary storage device (hard disk, etc.)

 ──────────────────────────────────────────────────続 き Continued on the front page (72) Inventor Masatoshi Nogaki 2-5-5 Keihanhondori, Moriguchi-shi, Osaka F-term in SANYO Electric Co., Ltd. 4C052 AA06 LL02

Claims (5)

[Claims] 1. A medical treatment support apparatus for creating a work schedule for a dental hygienist, the medical treatment plan storing a medical treatment plan having a medical treatment scheduled to be performed on a scheduled visit date of a patient for each scheduled visit date of the patient. A storage means, a qualification information storage means having qualification information as to whether or not the dental hygienist has the qualification to perform the medical treatment for each medical treatment content, and a medical treatment content which the dental hygienist has the qualification to perform is extracted from the treatment plan. A schedule candidate storage means for storing as a business schedule candidate corresponding to the scheduled visit date, and obtaining a scheduled business day candidate having the same date as the scheduled business date of the scheduled business input target, and displaying the candidate on the scheduled business input screen. A medical care support device comprising: a schedule candidate display unit for displaying; and a business schedule storage unit for storing the business schedule candidate determined on the business schedule input screen as a business schedule on the business scheduled date. 2. A medical treatment support device for creating a business record of a dental hygienist, comprising: a business schedule storage means for storing the medical treatment to be performed by the dental hygienist as a business schedule in association with a business schedule date; A record format storage means having a record format of the medical treatment contents; and acquiring a business schedule in which the business execution date of the business record input target is associated with the same business schedule date, and recording the medical treatment contents of the business schedule. Input area display means for displaying on a business record input screen with an input area according to a format, and a business record storage for storing the results of medical treatment input from the input area of the business record input screen as a business record on the relevant business execution day Means, and a medical treatment support apparatus characterized by comprising: 3. The business record storage means according to claim 2, further comprising: a standard sentence storage means for associating a fixed sentence for a business record of a dental hygienist with a fixed sentence for a chart record. Is a medical care support apparatus, wherein, when a medical practice content execution result is input using a standard text, the standard text information to that effect is stored together. 4. A medical treatment support apparatus for creating a dental chart, comprising: a business record storage means for storing medical treatment contents performed by a dental hygienist as business records in association with business operation dates; A transfer information storage unit that has transfer information as to whether or not to transfer the results to a medical record for each medical treatment record format, and a business record in which a medical record date and a medical treatment date are associated with the same business execution date. A medical record support means for acquiring a business record whose record format is to be transcribed to a medical record by the transcription information and transcribing the medical record to the medical record. 5. The business record transcribing means according to claim 4, further comprising a standard sentence storage means for associating a standard sentence for a business record of a dental hygienist with a standard sentence for a chart record. Is characterized in that, when a fixed phrase is used in a business record to be transferred to a medical record, a fixed phrase for a chart record associated with the fixed phrase is acquired and transferred to the medical record. Medical treatment support device.