JP2003281275A - Medical care support device - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To allow a nurse or a clerk to input data as a substitute without displaying or capable of displaying information related to patient's privacy. <P>SOLUTION: A medical care support device is provided with an input means for inputting a set of information of the patient and a date receiving the medical examination, or information specifying an object of substitute input, a storage means retaining the inputted specified information as the set of a patient code and the examination date, a display means of displaying them into a summary screen so as to respond to the input operation specifying the display of the summary screen, obtain the set of the patient code and the examination date from the storage means, and select it by the input operation, and means displaying a substitute input screen having an input function of medical care information of the selected set of the patient code and the examination date. This device does not displays any information specifying the patient name on the summary screen and the substitute input screen. <P>COPYRIGHT: (C)2004,JPO

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a computer device (medical care support device) having a function of recording medical care information input from a screen having a medical care information input function in a predetermined storage means such as a medical care information database. .

[0002]

2. Description of the Related Art A computer device having a so-called electronic medical record function that digitizes and records medical information and operates it is operated by a nurse or a clerical worker who does not have approval authority, not a doctor who has approval authority to approve medical record contents. Is being done. For example, nurses, office workers, and the like input medical care information on behalf of a doctor, and then a doctor confirms the input contents and approves them.

[0003]

The medical information input screen for inputting medical information also displays the patient's personal information such as patient name and date of birth. Further, it is possible to refer to the patient's address, telephone number, etc. from the medical information input screen. For this reason, the personal information of the patient may be leaked to the outside by an office worker who inputs the medical care information on behalf of the patient. Also, even if it does not leak to the outside, for the patient,
It is not desirable for anyone other than a doctor to know your personal information.

It is an object of the present invention to provide a computer device (medical treatment support device) which enables a nurse, an office worker, or the like to perform proxy input without displaying or displaying information regarding patient privacy. .

[0005]

According to a first aspect of the present invention, there is provided a medical care support device for recording medical care information input from a screen having a medical care information input function in a predetermined medical care information storage means, which is a proxy input. Specified information input means for inputting a patient and consultation day group, which is information for specifying the target, specified information storage means for holding the specified information as a patient code and consultation day group, and display of a list screen In response to the operation input for instructing, the set of the patient code and the consultation date is displayed from the specified information storage means and is displayed on the list screen so that the list can be selected by the operation input, and the selected patient code, And an input screen control means for displaying a proxy input screen having a function of inputting medical information for a group of consultation days, wherein the list screen and the proxy input screen do not display information for specifying the patient name. When Is that medical support device.

The invention of claim 2 is a medical care support device for recording medical care information inputted from a screen having a medical care information input function in a predetermined medical care information storage means, and is information for designating an object of proxy input. Specified information input means for inputting a set of a patient, consultation date, and medical care information item, specified information storage means for holding the specified information entered as a set of patient code, consultation date, and medical care information item, and list screen Designated information display means for displaying a list screen so that a set of a patient code, a consultation date, and medical care information items can be obtained from the designated information storage means in response to an operation input for instructing the display, and selected by an operation input. An input screen control means for displaying a proxy input screen having a function of inputting medical information for a selected patient code, consultation date, and medical information item group; and the patient name on the list screen and the proxy input screen. Not display information that can identify fine medical care information item is a medical support device according to claim.

According to a third aspect of the present invention, in the first aspect, the designated information display means obtains from the designated information storage means a set of a patient code and a consultation date that are not associated with approval information. It is a medical treatment support device. Claim 4
In the invention of claim 1, in the case where the designated information display means is associated with the proxy input person in the set of the patient code and the consultation date, the proxy input person and the operation input person of the list screen display command. The medical support apparatus is characterized in that a set of the patient code and a consultation date is acquired on condition that and are matched.

According to a fifth aspect of the present invention, in the second aspect, the designated information display means obtains from the designated information storage means a set of a patient code, a medical examination date and a medical care information item not associated with approval information. The medical treatment support device is characterized in that According to a sixth aspect of the present invention, in the second aspect, the designated information display means is a list of the proxy input person when the proxy input person is associated with the set of the patient code, the consultation date, and the medical care information item. The medical care support apparatus is characterized in that a set of the patient code, the consultation date, and the medical care information item is acquired on condition that the operation input person of the screen display command matches.

[0009]

DESCRIPTION OF THE PREFERRED EMBODIMENTS FIG. 1 is a block diagram showing a configuration of a medical treatment support apparatus according to an embodiment, FIG. 2 is an explanatory view showing a proxy input management table, and FIG. 3 is a proxy input instruction screen (a) and proxy input start. 4 is an explanatory view exemplifying the substitute input screen (b) at time,
Is an explanatory diagram exemplifying a proxy input instruction patient list screen (a) and a proxy input screen (b) when modifying already input, FIG. 5 is a flowchart showing the process of the proxy input instruction screen, and FIG. 6 is a proxy input procedure. It is a flowchart shown.

As shown in FIG. 1, the present medical care support device is C
Computer device including control device 14 including PU, RAM, ROM, etc., input device 11 including pointing device such as keyboard and mouse, monitor 12, printing device 13, and storage device 15 such as hard disk Is. In the figure, a stand-alone computer device is shown, but the device of the present invention is configured as a network, and a device for issuing a proxy input instruction and a device for performing a proxy input are connected to another LAN. Of course, it may be configured as a device. Of course, the storage device 15 may also be configured as a device connected to the LAN.

On the hard disk 15, application software for realizing an electronic medical record function is installed, and a medical information database, a proxy input management table, etc. are recorded. The function of displaying only the minimum information necessary for proxy input without displaying the privacy information of the patient such as the patient name during proxy input is incorporated as a part of the electronic medical record function.

In the substitute input management table recorded on the hard disk 15, as shown in FIG. 2, the instruction item, the consultation date, the substitute instructor, the instruction date and time, the substitute input person, and the input are associated with the unique patient ID. The date and time, the approval date and time, the approver, the deletion date and time, and the deleter are held in association with each other.

The instruction item is an item of medical care information for which proxy input is instructed, and examples thereof include progress, prescription, and the like. Here, the progress and the like include, for example, a chief complaint / current medical history, basic medical information, information peculiar to the first medical examination, lifestyle information, findings, assessment and the like. In addition, for the prescription, for example, medication,
Injection, treatment, surgery, examination, diagnostic imaging, rehabilitation, etc. are included. The consultation date is not necessarily one day. For example, if two medical examinations are performed on the same day, each medical examination may be treated as one medical examination day. The substitute instructor is a login user when the substitute instruction is input. The instruction date and time is the current date and time when the substitute instruction was input. The substitute input person is a login person when the substitute input is performed.
The input date and time is the current date and time when the proxy input was performed. The approval date and time is the current date and time when the approval was input. The approver is the login user when the approval is input. The approval may be performed, for example, by displaying desired proxy input contents on the proxy input instruction screen, or may be configured by a normal chart screen. The date and time of deletion is
This is the current date and time when the deletion was performed. The deleter is the login user when the deletion is performed.

The processing on the proxy input instruction screen will be described with reference to the flowchart of FIG. Substitute input instruction screen (Fig. 3
In (a)), when the substitute input button is pressed (S
(YES at 01), whether an item is selected (S03),
Check whether the consultation date is selected (S05). If no item or consultation date is selected,
Pressing the substitute input button is ignored.

If an item is selected when the proxy input button is pressed (YES in S03) and a consultation date is selected (YES in S05), a new record is created in the proxy input management table. Information for identifying a patient (name of patient currently selected, etc.), consultation date, items of medical information, instruction date and time, and instructor are recorded in association with each other (S07). Note that FIG. 3A shows a state in which “elapsed status” is selected as the item and “2/2” is selected as the consultation date. By pressing the end button,
Exit the substitute input instruction screen.

The proxy input procedure will be described with reference to the flowchart of FIG. First, the proxy input instruction patient list screen is opened (S21). Next, from the proxy input management table, the patient ID / item / consultation date /
The proxy input instructor name / instruction date / time is acquired and displayed on the proxy input instructing patient list screen (see FIG. 4A) (S2).
3). However, even if it is not approved, the above information is acquired and displayed only when the proxy input person has already recorded the record and the proxy input person and the current login user are the same. This is in consideration of the case where the user wants to make a correction after the proxy input, and also in consideration of preventing unauthorized tampering by another person. . Note that FIG.
Although the consultation date in the information acquired from the proxy input management table is not displayed in (a), the confidentiality effect of privacy may be further enhanced by omitting the display of the consultation date in this way.

When any of the proxy input instruction patients is selected on the proxy input instruction patient list screen and the OK button is pressed (YES in S25 and YES in S27), the proxy input screen (FIG. 3 (a) ) Reference) is opened (S31). Figure 3
As shown in (a), there is no display of the patient name on the proxy input screen, and only the items for which proxy input is instructed can be entered. Also, there is no button or the like for referring to the personal information of the patient.

In step S33, a process of accepting data input from the medical care information input area in the proxy input screen is performed. When the end button is pressed (Y in S35)
ES), proxy input person (current login user), and proxy input date / time (current date / time) are recorded in the corresponding record of the proxy input management table (S37). Further, the medical care information input from the medical care information input area is recorded in the corresponding record (the record specified by the consultation date / patient code / medical care information item) in the medical care information database (S37). The proxy input is performed as described above.

FIG. 4 (b) is an example of a screen display when the content of the proxy input is selected by the previous proxy input person for correction. As shown in the figure, the data which has been input as a substitute is initially displayed.

[0020]

According to the first aspect of the present invention, input means for inputting a set of a patient and a consultation date, which is information for designating a target of proxy input, and a set of input designation information, which is a patient code and a consultation date. And a display means for displaying a list of patient codes and a consultation date from the storage means in response to an operation input for instructing the display of the list screen and displaying the list on the list screen so that the set can be selected by the operation input. , A means for displaying a proxy input screen having a function of inputting the selected patient code and medical information for a consultation date, and the list screen and proxy input screen do not display information that can specify the patient name Therefore, it is possible to provide a computer device (medical treatment support device) in which a clerical worker or the like can perform proxy input without displaying or displaying information regarding patient privacy.

According to a second aspect of the present invention, input means for inputting a set of a patient, a medical examination date, and medical care information items, which is information for designating an object of proxy input, and the designated information inputted is a patient code and a medical examination date. And storage means for holding as a set of medical care information items, and a set of a patient code, a consultation date, and medical care information items can be acquired from the storage means in response to an operation input for instructing the display of a list screen and selected by operation input. And a means for displaying a substitute input screen having a medical information input function for a combination of the selected patient code, consultation date, and medical information item as described above. The proxy input screen does not display the information that can specify the patient name and medical information item, so it does not display or display the information related to the privacy of the patient, and it is a computer that can be input by the office worker. It can provide data device (medical support device).

According to a third aspect of the present invention, in the first aspect, the designation information display means obtains a set of a patient code and a consultation date to which approval information is not associated from the designation information storage means. It is possible to omit the already-executed substitute input target, and it becomes easy to select the desired substitute input target from the list screen. According to a fourth aspect of the present invention, in the first aspect, when the designated inputting means is associated with the set of the patient code and the consultation date, the designated inputting person and the list screen display command are displayed. Since the set of the patient code and the consultation date is acquired on condition that the operation input person matches, the proxy input person can correct his / her proxy input content, and others can modify his / her proxy input content. It can also be prevented.

According to a fifth aspect of the present invention, in the second aspect, the designated information display means obtains from the designated information storage means a set of a patient code, a consultation date, and a medical care information item not associated with approval information. Therefore, the approved proxy input target can be omitted, and the work of selecting the desired proxy input target from the list screen becomes easy. The invention of claim 6 is the invention of claim 2.
In the above, when the proxy input person is associated with the set of the patient code, the consultation date, and the medical care information item, the designated information display means matches the proxy input person and the operation input person of the list screen display command. Since the set of the patient code, consultation date, and medical care information item is acquired on the condition that it is performed, the proxy input person can correct the proxy input content of himself / herself, and the proxy input content of himself / herself is modified by another person. Can also be prevented

[Brief description of drawings]

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

FIG. 2 is an explanatory diagram showing a proxy input management table.

FIG. 3 is an explanatory diagram illustrating a proxy input instruction screen (a) and a proxy input screen (b) at the start of proxy input.

FIG. 4 is an explanatory diagram exemplifying a proxy input instruction patient list screen (a) and a proxy input screen (b) at the time of correction of already input.

FIG. 5 is a flowchart showing processing of a proxy input instruction screen.

FIG. 6 is a flowchart showing a procedure of proxy input.

[Explanation of symbols]

12 monitors 14 Control device

Claims (6)

[Claims] 1. A medical care support device for recording medical care information input from a screen having a medical care information input function in a predetermined medical care information storage means, which is information for designating a target of proxy input and a medical examination date. The specified information input means for inputting the set of the patient, the specified information storage means for holding the entered specified information as the patient code and the consultation day, and the patient input in response to the operation input for instructing the display of the list screen. Acquire a set of code and consultation date from the specified information storage means,
Specified information display means to be displayed on the list screen so that they can be selected by operation input, and input screen control means to display a proxy input screen having a function of inputting medical information for the selected patient code and consultation date. The medical care support device, wherein information for identifying a patient name is not displayed on the list screen and the proxy input screen. 2. A medical care support device for recording medical care information input from a screen having a medical care information input function in a predetermined medical care information storage means, which is information for designating a target of proxy input and a medical examination date. And a designated information input means for inputting a set of medical care information items, a designated information storage means for holding the inputted designated information as a set of a patient code, a consultation date, and a medical care information item, and an instruction to display a list screen In response to the operation input, the set of the patient code, the consultation date, and the medical care information item is acquired from the specified information storage means, and the specified information display means is displayed on the list screen so as to be selected by the operation input, and the selected patient. And an input screen control means for displaying a proxy input screen having a function of inputting medical information for a combination of a code, a consultation date, and medical information items, and the list screen and the proxy input screen include patient name and medical information. Diagnosis supporting apparatus characterized by not displaying identifiable information eyes. 3. The medical treatment system according to claim 1, wherein the designated information display unit acquires a set of a patient code and a consultation date not associated with approval information from the designated information storage unit. Support device. 4. The specified information display means according to claim 1, wherein when the proxy input person is associated with the group of the patient code and the consultation date, the proxy input person and the list screen display command are instructed. A medical assistance device, characterized in that a set of the patient code and the consultation date is acquired on condition that the operation input person matches. 5. The specified information display means according to claim 2, wherein the specified information storage means acquires a set of a patient code, a consultation date, and medical care information items that are not associated with approval information. Characteristic medical support device. 6. The designation information display means according to claim 2, wherein when the proxy input person is associated with the set of the patient code, the consultation date, and the medical care information item, the designated information display means lists with the proxy input person. A medical treatment support device, which acquires a set of the patient code, a medical examination date, and medical care information items on the condition that the operation input person of the screen display command matches.