JP2004005565A - Medical planning and recording supporting system, and machine-readable medium having program recorded therein - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To easily refer to medical information to be referred according to each situation even if the medical information is tremendously large in volume in medical planning and recording supporting system in which the medical information for each patient is indicated by medical planning and recording sheets arranged by dates and types. <P>SOLUTION: This medical planning and recording supporting system 1 comprises a processing part 4 for creating first display data for displaying layer maps 10, which are the medical planning and recording sheets on only some types of medical practices in some periods, by using a plurality of first object files having medical practice data and execution period data and also creating a second display data for displaying life charts 101 having a plurality of layer marks 104 for identifying the layer maps 10. The processing part 4 takes out an object file 21 forming the layer map 10 corresponding to a layer bar 104 selected on the life charts 101 and creates first display data by using the medical practice data stored in the object file 21. <P>COPYRIGHT: (C)2004,JPO

Description

[0001]
BACKGROUND OF THE INVENTION
The present invention belongs to the technical field of a medical plan and record support system that supports a plan and a recorder such as a doctor so that a medical plan and record can be appropriately created. The present invention also belongs to the technical field of a machine-readable medium recording a program for causing a computer to function as such a medical planning and recording support system, and a carrier wave carrying such a program on a communication line or the like.
[0002]
[Prior art]
Traditionally, in medical facilities such as hospitals, clinics, etc., doctors examine patients and then follow the doctor's diagnosis or findings, and follow medical examinations such as examination, medical care, hospitalization arrangements, surgery, drug administration, etc. First of all, make a medical plan in your head. Then, the medical plan such as the contents and schedule of the examination / medication for the patient, the contents and schedule of the operation, the contents and schedule of the postoperative treatment / examination, etc. are written on a special sheet called “instruction table”. . In addition, as for recording medical practices performed based on the plan, electronic medical records using computers instead of traditional paper charts are becoming widespread.
[0003]
Recently, as disclosed in, for example, Japanese Patent No. 2706645 (Japanese Patent Laid-Open No. 9-185651) and Japanese Patent No. 2815346 (Japanese Patent Laid-Open No. 10-214302) patented by the present applicant, The medical plan record table that lists the medical practice data relating to the patient's medical plan by date and type, that is, the so-called “care map” (registered trademark of the present applicant) is started on the computer. Or on the medical plan record table generally called “Critical Path” (hereinafter referred to as “Care Map” as appropriate), in accordance with the diagnosis or findings of the doctor, It is also possible to set up and create medical records. More specifically, a medical plan such as a doctor and a recordr set medical items related to the patient to items that form the vertical axis of the care map based on the diagnosis or findings of the doctor, and Create a care map framework by setting the appropriate period for performing the medical practice to be the date on the horizontal axis, and further define the medical practice to be performed by the individual date enclosed in the corresponding date and item boxes. Input in an area (hereinafter referred to as “cell”). Then, after the planned medical practice is executed, actual data instead of the plan data is left or inputted as confirmed data in each cell of the care map. That is, the care map shows the actual data together with the plan data.
[0004]
According to the above-described care map, hospital staff such as doctors, nurses, and pharmacists who execute medical plans share actual data and plan data, and care is taken at each terminal while referring to necessary actual data as appropriate. Enter and change data related to each cell (or each item) on the map, for example, by making appropriate corrections through linked play, so that the medical plan is executed while making a medical plan without waste, and various performance data are unified. It is possible to accumulate.
[0005]
In particular, according to the study by the inventors of the present application, not only the same care map is used to handle the performance data for one patient, but also the same care map for many hospitalizations and many hospital visits. If you can handle a long period of 10 years with the same care map, or ultimately handle the lifetime of the patient with the same care map (when planning, the patient's past medical history, etc. Ideal for planning appropriate treatment for each patient. In this case, it is more ideal that the same care map can handle the actual data about the same patient not only in the same medical related facility such as the same hospital but also across multiple medical related facilities where the same patient took. is there.
[0006]
[Problems to be solved by the invention]
However, according to the above-described care map, medical information as electronic data to be input is diversified in the recent complicated and sophisticated medical field, and the data accumulated for the same care map is basically also. It has increased.
[0007]
In particular, as the period of one patient to be handled with the same care map as described above is lengthened, the data accumulated for the same care map becomes enormous. Alternatively, as the number of medical facilities for one patient to be handled in the same care map increases, the amount of data accumulated for the same care map becomes enormous.
[0008]
As a result, when actually trying to refer to the medical information of one patient on the above-described care map, each individual specific situation (for example, for patients with myocardial infarction) It is very difficult to find information on a specific disease or the like that a doctor or the like wants to refer to in a situation where a treatment plan is made. For example, medical information recorded at the time of fracture hospitalization, medical information on purulent surgery, gastric ulcer diagnosis information, vision test results, etc. It becomes difficult to find information on the care map. In addition, for example, when planning treatment for liver disease in middle-aged and elderly people, trying to find out what the first liver disease was on the care map, dozens of decades earlier records or Finding medical information about hundreds of hospital visits and hospitalizations is extremely difficult.
[0009]
As described above, it is difficult to achieve the basic purpose of the care map to efficiently refer to various types of medical information on the care map. As a result, there is a problem that it becomes difficult to handle medical information across a plurality of medical facilities for as long as possible for one patient as idealized by the present inventor with the same care map. .
[0010]
The present invention has been made in view of the above-described conventional problems, and in a medical plan and recording support system that displays medical information about each patient in a medical plan record table arranged by date and type, the medical information is A medical plan and record support system that can easily refer to medical information to be referred to according to individual circumstances even in an enormous amount and can handle medical information over a long period of time, and a computer like that It is an object of the present invention to provide a recording medium storing a program that can function as a simple system and a transmission wave.
[0011]
[Means for Solving the Problems]
In order to solve the above-described problem, the first medical planning and recording support system of the present invention executes medical treatment data indicating any one of a plurality of types of medical practices set in advance indicating the execution timing of each medical practice. A plurality of file means for storing in association with time data; and the medical action for making a medical plan record related to one patient based on the medical action data and the execution time data respectively stored in the plurality of file means First display data for displaying data as a medical plan record table in which only a part of all periods of the medical plan record is arranged by date and type is generated, and the medical plan record table is identified Table identification mark information is displayed as a patient-specific chronology arranged at positions corresponding to the partial period on the time axis indicating the entire period of the medical plan record. Display control means for generating display data; display means for displaying the medical plan record table based on the first display data; and displaying the patient-specific chronology based on the second display data; and the display means A selection means capable of selecting one of the displayed plurality of table identification mark information in a state in which the patient-specific chronology including the plurality of table identification mark information is displayed, The display control means takes out the file means for storing the medical practice data constituting the medical plan record table identified by the table identification mark information selected by the selection means, and stores the medical practice stored in the retrieved file means The first display data is generated using data.
[0012]
According to the first medical planning and recording support system of the present invention, the file means includes medical data including various data related to some medical activities such as medical data, doctor's records, vital signs, etc. as date or date. Stored in association with execution time data (data indicating a time point or a period) indicating execution time such as time. The medical plan record table is a table in which medical action data forming a medical plan record in the past and future for one patient is arranged not only for the whole period of the medical plan record but also for a part of the period and by date. For example, there are a table with the date on the horizontal axis and the type on the vertical axis, and a table with the date on the vertical axis and the type on the horizontal axis. Each of the plurality of medical plan record tables is identified by identification mark information. That is, each medical plan record table is individually provided with identification mark information.
[0013]
At the time of the operation, the display control means arranges the table identification mark information at a position corresponding to a part of the period related to each medical plan record table on the time axis indicating the whole period of the medical plan record related to one patient. Second display data to be displayed as a patient-specific chronology is generated, and the display means displays the patient-specific chronology based on the second display data. For example, a patient-specific chronology including a plurality of bar-shaped table identification mark information having a length corresponding to the above-mentioned partial period along a time axis with the date on the horizontal axis or the vertical axis, or such identification Instead of or in addition to the mark information, a patient-specific chronology including a plurality of point-like table identification mark information arranged at a position corresponding to the central time or the start or end time of the partial period is displayed.
[0014]
Thus, the desired table identification mark information is selected by the selection means in a state where the patient-specific chronology including the plurality of table identification mark information is displayed. Then, the display control means takes out the file means for storing the medical practice data constituting the medical plan record table identified by the selected table identification mark information, and generates the first display data using this. The display means displays the medical plan record table based on the first display data generated in this way. That is, based on the medical practice data and the execution time data respectively stored in the plurality of file means, the medical practice data related to one patient is arranged by date and by type for only the part of the period. The medical plan record table corresponding to the table identification mark information is displayed.
[0015]
As a result, even if there is a huge amount of medical practice data, it is possible to easily refer to a medical plan record table that includes medical practice data that you want to refer to according to individual circumstances, and to handle medical information for a long time in a unified manner. It becomes possible.
[0016]
In one aspect of the first medical plan and record support system of the present invention, the display control means displays the medical plan record table for only some of all types of the medical practice. One display data is generated, and the second display data is generated so that the table identification mark information is separately displayed for each of the types.
[0017]
According to this aspect, the medical plan record table is composed of a table in which the medical practice data related to one patient is arranged not for all types of medical plan records but for only some types by date and type. Each of the plurality of medical plan record tables is identified by identification mark information.
[0018]
Thus, the desired table identification mark information is selected by the selection means in a state where the patient-specific chronology including the plurality of table identification mark information is displayed. Then, the display control means takes out the file means for storing the medical practice data constituting the medical plan record table identified by the selected table identification mark information, and generates the first display data using this. The display means displays the medical plan record table based on the first display data generated in this way. That is, based on the medical practice data and the execution time data respectively stored in a plurality of file means, the medical practice data related to one patient is arranged for each of the above-mentioned types by date and type and is selected. The medical plan record table corresponding to the table identification mark information is displayed.
[0019]
As a result, even if there is a huge amount of medical practice data, it is possible to easily refer to a medical plan record table that includes medical practice data that you want to refer to according to individual circumstances, and to handle medical information for a long time in a unified manner. It becomes possible.
[0020]
In another aspect of the second medical planning and recording support system of the present invention, medical practice data indicating any one of a plurality of preset medical practices is used as execution timing data indicating the execution timing of each medical practice. A plurality of file means for storing each of them in association with each other, and the medical action data forming a medical plan record for one patient based on the medical action data and the execution time data respectively stored in the plurality of file means, Table identification mark information for generating first display data to be displayed as a medical plan record table arranged by date and type for only some types of all types of medical practice, and for identifying the medical plan record table Are displayed as a patient-specific chronology arranged in a position corresponding to a period related to the execution of the some kind of medical practice on the time axis indicating the entire period of the medical plan record Display control means for generating second display data for display, display means for displaying the medical plan record table based on the first display data, and displaying the patient-specific chronology based on the second display data; Selection means capable of selecting one of the displayed plurality of table identification mark information in a state in which the patient-specific chronology including the plurality of table identification mark information is displayed by the display means. The display control means takes out a file means for storing medical practice data constituting a medical plan record table identified by the table identification mark information selected by the selection means, and stores it in the retrieved file means The first display data is generated using the performed medical practice data.
[0021]
According to the second medical plan and recording support system of the present invention, the file means stores the medical practice data in association with the execution time data. The medical plan record table is a table in which medical action data related to a single patient is arranged by date and type for only some types, not all types of medical plan records. Each of the plurality of medical plan record tables is identified by identification mark information.
[0022]
At the time of the operation, the display control means displays the table identification mark information on the time axis indicating the entire period of the medical plan record related to one patient (period or all period). Second display data to be displayed as a patient-specific chronology arranged at a position corresponding to the period of the part), and the display means displays the patient-specific chronology based on the second display data. For example, for each patient including a plurality of bar-shaped table identification mark information having a length corresponding to a period related to the execution of some of the above-mentioned types of medical treatment along a time axis with the date on the horizontal axis or the vertical axis Instead of or in addition to the chronological table or such identification mark information, a point-like table arranged at a position corresponding to the central period or the start or end period of the period related to the execution of the above-mentioned some types of medical practice A patient-specific chronology including a plurality of identification mark information is displayed.
[0023]
Thus, the desired table identification mark information is selected by the selection means in a state where the patient-specific chronology including the plurality of table identification mark information is displayed. Then, the display control means takes out the file means for storing the medical practice data constituting the medical plan record table identified by the selected table identification mark information, and generates the first display data using this. The display means displays the medical plan record table based on the first display data generated in this way. That is, based on the medical practice data and the execution time data respectively stored in a plurality of file means, the medical practice data related to one patient is arranged for each of the above-mentioned types by date and type and is selected. The medical plan record table corresponding to the table identification mark information is displayed.
[0024]
As a result, even if there is a huge amount of medical practice data, it is possible to easily refer to a medical plan record table that includes medical practice data that you want to refer to according to individual circumstances, and to handle medical information for a long time in a unified manner. It becomes possible.
[0025]
In another aspect of the first or second medical planning and recording support system of the present invention, a part of the patient-specific chronology is enlargedly displayed in a state where the patient-specific chronology is displayed by the display means. The display control means further includes an enlarged display portion designation means that can be designated for the display, and the display control means enlarges and displays a part of the patient-specific chronology designated by the enlarged display portion designation means. 2 Display data is generated.
[0026]
According to this aspect, when a part of the patient-specific chronology displayed on the display unit is designated by the enlarged display unit designation unit such as a mouse or a keyboard, this portion is enlarged and displayed. Therefore, in particular, when the table identification mark information exists finely on the displayed patient chronology, or when many table identification mark information exists adjacent to each other, how is it displayed on the enlarged patient chronology? It is easy to visually recognize whether there is any table identification mark information (that is, what kind of medical plan record table exists).
[0027]
In another aspect of the first or second medical plan and recording support system of the present invention, the display control means displays the text information given to the table identification mark information in the patient-specific chronology table. The second display data is generated so as to be displayed at a position adjacent to the identification mark information.
[0028]
According to this aspect, for example, a medical plan record table title (such as a title for each medical facility called XX clinic, a title for each disease such as XX disease) or text information indicating a period input by a doctor or the like is supported. Is displayed at a position adjacent to the table identification mark information to be displayed, so what kind of table identification mark information exists on the displayed patient-specific chronology (that is, what kind of medical plan record table exists) ) Is easily visible.
[0029]
In another aspect of the first or second medical plan and recording support system of the present invention, the display means displays the patient-specific chronology including a plurality of the table identification mark information. Pop-up designating means for designating one of the plurality of table identification mark information for pop-up is further provided, and the display control means is assigned to the table identification mark information designated by the pop-up designating means. The second display data is generated so that detailed information is pop-up displayed at a position adjacent to the table identification mark information designated by the pop-up designation means in the patient-specific chronology.
[0030]
According to this aspect, when one of a plurality of table identification mark information displayed in the patient-specific chronology is designated for popup by a popup designation means such as a mouse or a keyboard, the designated table identification mark is displayed. Detailed information given to the information (automatically assigned or text input, comment text by doctors, text information indicating the period of the medical plan record table, etc.) is located at a position adjacent to this table identification mark information. Pop-up is displayed. Therefore, what kind of table identification mark information is present (that is, what medical plan record table is present) can be easily visually confirmed on the patient-specific chronology on which detailed information is displayed in a pop-up manner. In particular, the detailed information displayed in a pop-up may be displayed superimposed on other parts of the patient-specific chronology, so that detailed information such as text information having a larger amount of information is appropriately displayed on the patient-specific chronology. It can be displayed and is convenient.
[0031]
In another aspect of the first or second medical planning and recording support system of the present invention, the display control means has the bar-shaped table having a length corresponding to the partial period with respect to the time axis. The second display data is generated so as to display the identification mark information.
[0032]
According to this aspect, the start time and end period of each medical plan record table can be expressed as the start point and end point of the bar-shaped table identification mark on the patient-specific chronology, so that these can be instantly viewed and convenient. .
[0033]
In another aspect of the first or second medical plan and record support system of the present invention, the display control means is a predetermined type of medical practice data constituting a medical plan record table identified by the table identification mark information. The second display data is generated so as to display the point-like table identification mark information indicating the date related to the execution of the item on the time axis.
[0034]
According to this aspect, since the rough time of each medical plan record table can be expressed by the position of the point-like table identification mark on the patient-specific chronology, this can be instantaneously viewed and is convenient. For example, point-like table identification mark information may be placed at a position corresponding to a medically significant day such as an operation date or hospitalization date, and it corresponds to the start time or end time of each medical plan record table Point-shaped table identification mark information may be arranged at the position to be used.
[0035]
In this aspect, the display control means generates third display data for displaying a list of the point-like table identification mark information and text information assigned thereto, and the display means includes: The list may be displayed based on the third display data.
[0036]
By configuring in this way, it is easy to check on the list what kind of medical plan record table etc. each of the plurality of point-like table identification mark information displayed on the patient-specific chronology is related to. it can.
[0037]
In another aspect of the first or second medical planning and recording support system of the present invention, the display control means adds the age of the one patient as a scale along with the year to the time axis. 2 Display data is generated.
[0038]
According to this aspect, the display means displays a patient-specific chronology having a time axis in which the age of one patient is added as a scale along with the year, so on the patient-specific chronology, for example, It is possible to easily visually check what month and day of the medical plan record table exist, and what age the patient has the medical plan record table.
[0039]
In another aspect of the first or second medical planning and recording support system of the present invention, the display control means includes medical data related to a series of medical practices among the medical practice data in the patient chronology. The second display data is generated so as to further display bar-shaped medical data existence period mark information indicating the existing medical data existence period and having a length corresponding to the medical data existence period on the time axis.
[0040]
According to this aspect, the medical data is present on the time axis while indicating the medical data existence period in which there is medical data related to a series of medical activities (for example, medical activities in one hospital or for one disease). Bar-shaped medical data existence period mark information having a length corresponding to the period is displayed. Therefore, on the patient-specific chronology, it is possible to easily visually recognize when the patient is hospitalized and how much medical data exists about the patient. In addition, the text information given to the medical data existence period mark information is displayed at a position adjacent to such medical data existence period mark information, or the medical data existence period mark information is given. Detailed information may be displayed in a pop-up manner.
[0041]
In another aspect of the first or second medical planning and recording support system of the present invention, the medical plan and recording support system further includes date and time measuring means for measuring the current date and time, and the display control means is measured in the patient chronology. The second display data is generated so as to display a current date / time mark indicating the current date / time.
[0042]
According to this aspect, the current date / time mark (for example, a line-shaped mark orthogonal to the time axis or a point-shaped mark arranged on the time axis) indicating the current date / time measured by the date / time measuring means is displayed by patient year. Since it is displayed in the table, it is possible to instantly recognize where the current date and time is located in the patient-specific chronology.
[0043]
In another aspect of the first or second medical plan and recording support system of the present invention, the medical plan record system further comprises a date / time measuring unit for measuring a current date / time, and the display control unit is configured to measure the measurement in the medical plan record table. The first display data is generated so as to display a current date / time mark indicating the current date / time.
[0044]
According to this aspect, the current date / time mark (for example, a line-shaped mark orthogonal to the time axis or a point-shaped mark arranged on the time axis) indicating the current date / time measured by the date / time measuring means is recorded in the medical plan. Since it is displayed in the table, it is possible to instantly see where the current date and time is located in the medical plan record table.
[0045]
In another aspect of the first or second medical plan and record support system of the present invention, the medical plan record table further includes input means capable of inputting the medical practice data.
[0046]
According to this aspect, the medical practice data can be referred to and input on the medical plan record table, which is very convenient.
[0047]
In another aspect of the first or second medical plan and record support system of the present invention, the file means stores the medical action data and the execution time data, respectively, and corresponds in the medical plan record table. It comprises object file means for further storing procedure information for causing the display control means to generate the first display data so as to display the medical practice data in each column.
[0048]
According to this aspect, the medical plan record table can be displayed by so-called object orientation. The medical plan record table may be displayed by so-called agent orientation or the like.
[0049]
In another aspect of the first or second medical planning and recording support system of the present invention, the medical planning and recording support system includes two units connected via a communication line, and the plurality of file means are , Provided in one unit, and the display means is provided in the other unit.
[0050]
According to this aspect, the plurality of file means provided in one unit and the display means provided in the other unit are connected via a communication line such as a wired, wireless, dedicated line, general line, or telephone line. Tied. Therefore, one unit is used as a center device, a large-scale storage device provided in the one unit is provided with a plurality of file means, the other unit is used as a terminal device, and one or more of the other units are provided. By adopting such a configuration, the same data can be shared by a plurality of terminals. Note that the display control means may be provided in the other unit in the same manner as the display means.
[0051]
In order to solve the above problems, a machine-readable medium recording the program of the present invention records a program that causes a computer to function as the above-described medical planning and recording support system of the present invention (and various aspects thereof described above). A machine-readable medium.
[0052]
According to the machine-readable medium in which the program of the present invention is recorded, by reading and further executing the program, the computer is used as the medical plan and recording support system of the present invention described above (and the various aspects described above). Can function.
[0053]
In order to solve the above-mentioned problem, the carrier for carrying the program of the present invention is a carrier for carrying a program that causes a computer to function as the above-described medical planning and recording support system of the present invention (and various aspects thereof described above).
[0054]
According to the carrier wave carrying the program of the present invention, by receiving this carrier wave and further executing the program carried by this carrier, the computer is caused to execute the medical planning and recording support system of the present invention described above (further, the various types of the above described It can function as an aspect.
[0055]
Such an operation and other advantages of the present invention will become apparent from the embodiments described below.
[0056]
DETAILED DESCRIPTION OF THE INVENTION
Hereinafter, embodiments of the present invention will be described with reference to the drawings.
(First embodiment)
FIG. 1 is a block diagram of a medical planning and recording support system as a first embodiment of the present invention.
[0057]
In FIG. 1, the medical planning and recording support system 1 includes, as hardware resources, computers such as known personal computers, workstations, medium-sized computers, large computers, mobile computers (portable information terminals), electronic notebooks, The storage device 2 includes an input device 3, a processing unit 4, a display device 5, a printing device 6, a communication unit 7, a reading device 8, and a system clock 9.
[0058]
The storage device 2 includes a well-known storage device that can be accessed at random, such as a hard disk device, an IC (Integrated Circuit) memory, a magnetic disk device, a magneto-optical disk device, and an optical disk device.
[0059]
The storage device 2 stores a plurality of first object files that store medical action data indicating any one of a plurality of types of medical actions set in advance in association with execution time data indicating the execution time of each medical action. 21 is logically constructed.
[0060]
In addition to the medical practice data and the execution time data, the first object file 21 stores, in the processing unit 4 as described later, a medical plan concerning a part of the life of each patient and a part of the medical practice. Procedure information for generating first display data for displaying a layer map (see FIG. 2) as a recording table and second display data for displaying a life chart (see FIG. 3) as an example of a patient-specific chronology Is further stored. The storage device 2 further causes the processing unit 4 to refer to the current date and time of the system clock 9, calculate the current date and time position in the layer map, and display the current date and time mark in the layer map as described later. The second object file means 31 for logically constructing information and procedure information for calculating the current position in the lifetime chart and displaying the current mark in the lifetime chart is constructed. As described above, in the present embodiment, the first display data, the second display data, and the like are efficiently generated by object orientation using various procedure information stored in the first object file 21 and the second object file 31. it can.
[0061]
However, without using the first object file 21 or the second object file 31, such procedure information is stored in a program file provided separately from the medical practice data and the execution time data, and is appropriately stored. It may be configured to execute. In addition, the format information that defines the framework of the table in the first display data for displaying the layer map (see FIG. 2) is stored in the format information file separately from the first object file 21. The procedure information that determines whether to display each medical practice data in which cell that is appropriately read and surrounded by the framework may be stored in the first object file 21.
[0062]
The input device 3 includes a keyboard, a numeric keypad, a mouse, a trackball, an input pen, an input tablet, and the like. The input device 3 can input medical action data, execution time data, and various other data and commands, and further displays on the display device 5. An arbitrary position on the generated image (especially on the layer map and lifetime chart) can be specified.
[0063]
The processing unit 4 includes a CPU (Central Processing Unit) as an example of a display control unit.
[0064]
The processing unit 4 generates first display data for displaying a layer map (see FIG. 2) regarding one patient based on the medical practice data, the execution time data, and the procedure information stored in the first object file 21. In addition, according to the procedure information stored in the first object file 21, among a plurality of types of status display marks set in advance according to the relationship between the current date and time measured by the system clock 9 and the execution time of each medical practice Is selected, and first sub-display data for displaying the selected status display mark superimposed on or adjacent to the corresponding medical practice data in the layer map is generated. Then, according to the procedure information stored in the second object file 31, the current date and time in the layer map corresponding to the current date and time measured by the system clock 9 when the width of one day in the layer map is converted to 24 hours A position is calculated, and second sub display data for displaying a preset current date / time mark at the calculated current date / time position is generated.
[0065]
The processing unit 4 further includes a lifetime chart in which layer bars, which are examples of table identification mark information individually assigned to each layer map (see FIG. 2), are arranged at positions corresponding to a part of a period related to each layer map. Second display data for display as (see FIG. 3) is generated. In particular, the input device 3 also functions as an example of a selection unit. In a state where a lifetime chart including a plurality of layer bars is displayed on the display device 5, one of the displayed plurality of layer bars is input. When selected by the device 3, the processing unit 4 takes out the object file 21 storing the medical practice data constituting the layer map identified by the selected layer bar from the storage device 2, and extracts the extracted object file 21. First display data for displaying the layer map is generated using the medical practice data stored in. In addition, the processing unit 4 calculates the current position corresponding to the current date and time measured by the system clock 9 on the time axis in the lifetime chart according to the procedure information stored in the second object file 31, Second sub-display data for displaying a preset current mark at the calculated current position is generated.
[0066]
The display device 5 is a known display device such as a CRT (Cathode Ray Tube) device or an LCD (Liquid Crystal Display device), and based on the first display data generated by the processing unit 4, a layer map (see FIG. 2). And a lifetime chart (see FIG. 3) is displayed based on the second display data generated by the processing unit 4. In particular, an arbitrary position on the screen (that is, on the layer map and the lifetime chart) can be designated by the input device 3.
[0067]
The printing device 6 is a known printing device such as a laser beam printer or an ink jet printer, and may be a color or monochrome type. The printing device 6 is configured to be able to print an arbitrary screen (that is, a layer map, a lifetime chart, etc.) displayed on the display device 5 by inputting a predetermined printing command from the input device 3.
[0068]
The communication unit 7 includes, for example, a modem for exchanging various files and data including the first object file 21 with other computers. The communication unit 7 is connected to other large computers, personal computers, mobile computers (portable information terminals), electronic notebooks, etc. via communication lines such as wired, wireless, dedicated lines, general lines, and telephone lines. Yes.
[0069]
The reading device 8 includes, for example, a CD-ROM drive, a DVD-ROM drive, an FD (floppy (registered trademark) disk) drive, and the like, and is recorded on a recording medium 8a such as a CD-ROM, DVD-ROM, or FD. Read computer program. The computer program read by the machine in this way causes the computer, which is a hardware resource of the medical planning and recording support system 1, to function as the medical planning and recording support system. In addition, in place of or in addition to reading from the storage medium 8a, such a computer program is carried on a carrier wave transmitted from an external server device, thereby using the communication unit 7 via communication means such as the Internet. It may be configured to download.
[0070]
A part or all of the first object file 21 and the second object file 31 constructed in the storage device 2 may be recorded on the recording medium 2a and read as necessary. In particular, the first object file 21 used for the standard medical plan record in the previous stage used for the individual medical plan record for the specific patient, and the basis for the modification and modification for the individual medical plan record later. The standard first object file 21 can be created when the computer program is created, and is highly versatile. Therefore, it is convenient to store it in the recording medium 8a together with the computer program in advance.
[0071]
The system clock 9 has a calendar function, and always measures the current date and time regardless of whether the main power supply of the medical planning and recording support system 1 is turned on or off. When updating the date / time mark and the status display mark, the date / time measured by the system clock 9 is referred to. In place of such a system clock 9, a clock device outside the system that outputs a signal in a predetermined format indicating the current date and time at a constant cycle is referenced, and the processing unit 4 obtains the current date and time based on this signal. You may comprise as follows.
[0072]
Next, an example of a layer map displayed on the display device 5 based on the first display data generated by the processing unit 4 in the present embodiment is shown in FIG.
[0073]
As shown in FIG. 2, the medical practice data is displayed on the display device 5 in the format of a layer map 10 in which the date is plotted on the horizontal axis 12 and the type of medical practice is plotted on the vertical axis 11. In this case, when the layer map 10 is displayed according to the present embodiment, the status display mark 201 indicating the execution status of each medical practice is displayed, and the day width of the date column (horizontal axis 12) is converted to 24 hours. A current date / time mark 202 indicating the current date / time position is displayed. The status display mark 201 indicates the execution status of each medical practice data in which each status display mark is displayed as a text superimposed or adjacent to each other by its shape and color.
[0074]
In the present embodiment, the “plural types of medical practices” that are mainly displayed as text in the layer map 10 shown in FIG. 2 are classified by a hierarchical classification system consisting of major classifications and minor classifications belonging to the major classifications. It is a medical practice. For example, the major categories are “doctor and nursing records”, “treatment”, “injection”, “examination”, “consultation”, “evaluation”, “medication”, “meal”, “activity restriction”, “observation” ”,“ Rehabilitation ”,“ Coordination ”,“ Admission / Exit ”,“ Education of patient family ”,“ Observation / monitoring ”,“ Examination ”,“ Internal / external use ”,“ Treatment ”, etc. As sub-categories belonging to “examination”, “chest X-ray (photographing)”, “head MRI (photographing)”, “electrocardiogram (measurement)”, “body temperature (measurement)”, “blood test”, “urine” Inspection "etc.
[0075]
In the medical plan and record support system 1 according to the present embodiment, it is also possible to display a medical plan record table including all medical action data for all periods of one patient and all kinds of medical actions. Such a medical plan record table is referred to as a “lifetime map” in the present specification. This lifetime map can be actually displayed even within a limited screen of the display device 5 by using a scroll technique or the like (the display screen is similar to the layer map 10 shown in FIG. The horizontal axis 12 and the vertical axis 11 become longer each). However, in this application, such a “lifetime map” exists virtually, and a part of the lifetime map (that is, a part related to a part of a period or a part related to some kind of medical practice) is extracted and displayed. The layer map 10 may be described assuming that what is displayed on the device 5 corresponds to the layer map 10 shown in FIG.
[0076]
As shown in FIG. 2, the line that divides the types of medical practices in the layer map 10 is a line that divides for each major classification such as “examination” and “recording” as described above. In the case where there are a plurality of pieces of medical action data executed on the same day (that is, a plurality of minor classifications) belonging to the same major classification, these are arranged in the same cell 10a. In this way, the type of classification according to which type of classification is set on the vertical axis 11 of the layer map 10 may be fixed, and a plan such as a doctor and a record creator can specify a medical plan for each patient. A desired field may be set so that the matching layer map 10 is displayed.
[0077]
Further, in the present embodiment, “medical practice data” mainly displayed in text in the layer map 10 shown in FIG. 2 includes, for example, the medical plan and a situation (for example, a series of medical plans) planned by the recorder. Planned medical care that is in a situation where the plan is still under consideration in relation to other medical practices to be made, or in relation to other patients, and no action beyond input is performed for the medical practice. In a situation where an order related to an action has been issued (for example, an order for instructing drug distribution or specific examination reservation to a computer in another department such as a medicine department or an inspection department has already been issued via the order system) A medical practice that is in a situation where it is time for immediate implementation (for example, a planned implementation date is approaching today or tomorrow), a medical practice that has already been implemented, Medical practice in a situation (for example, a situation in which treatment is continuously performed with a ventilator, etc.), a situation in which the medicine is intermittently performed for a predetermined period (for example, six times a day for 3 days of drug administration continuously Medical action in a situation), a medical action in a situation where a plan collapsed (not executed), a situation to be executed as necessary (for example, when a seizure occurs or a specific vital sign exceeds a dangerous value) The plan data or the performance data indicating the medical practice in various execution situations, such as the medical practice in the situation to be executed.
[0078]
Such medical practice data is input one by one for each medical practice that forms a series of medical plans by the input device 3 such as a keyboard and a mouse, and the first object file 21 is newly registered or the contents are changed. However, it may be input via a screen for inputting medical practice data displayed in a window in a state where the layer map 10 is displayed by the display device 5, or the medical plan and recording system 1 may be input via the communication unit 7. It may be input from another system connected by a computer network. Alternatively, a series of medical plan records corresponding to a patient name (patient code), a disease name (disease code), a patient attribute (patient attribute code), etc. can be recorded by inputting via a reading device 8 such as a hard disk or a floppy disk. The medical practice data related to a plurality of medical practices may be designated at once.
[0079]
The “execution timing data” indicating the execution timing of each medical practice indicated by such medical practice data is, for example, once, multiple times, periodically, continuously, intermittently, at a specific time or period. This is data indicating each execution time of execution or the like (that is, an execution time based on the past, present or future based on performance or plan). Such execution time data can be directly input with a specific date and time using the input device 3 or the like, as in the above-described medical practice data input operation. As described later, according to the setting procedure information stored in the first object file 21, each execution time of a plurality of medical actions constituting a series of medical plans is determined using an appropriate reference date and between the plurality of medical actions. It is configured to automatically set in consideration of the relationship and register execution time data in the first object file 21.
[0080]
Next, with reference to FIG.3 and FIG.4, the lifetime chart which is an example of a patient-specific chronology is demonstrated. FIG. 3 is a plan view of a lifetime chart displayed on the screen of the display device 5, and FIG. 4 is a conceptual diagram showing the structure of the layer map in relation to the lifetime map.
[0081]
As shown in FIG. 3, the lifetime chart 101 displays a lifetime bar 102 that extends to the left and right on the screen that represents the lifetime of one patient as an example of a time axis (extends from the left side to the right side over time). ing. The lifetime bar 102 is provided with a scale 102a of the date (or date) and a scale 102b of the patient's age.
[0082]
The current mark 103 orthogonal to the lifetime bar 102 (extending up and down on the screen) crosses the position corresponding to the current date (current time) on the lifetime bar 102 based on the measurement result by the system clock 9 (see FIG. 1). Is displayed. Such a lifetime bar 102 moves relative to the right side as time passes, for example, in units of one hour, one day, one week, and one month.
[0083]
A plurality of layer bars 104 as an example of table identification mark information indicating the presence of the layer map 10 (see FIG. 2) is displayed with reference to the scale of the lifetime bar 102. That is, the layer bar 104 expresses the start time and end period of each corresponding layer map (see FIG. 2) as the start point (left end) and end point (right end) of the bar extending left and right on the lifetime chart 101. The plurality of layer bars 104 are arranged in different stages according to the type of the corresponding layer map 10. Further, adjacent to each layer bar 104, text information 105 briefly indicating the type of each layer map such as “clinic”, “hospital”, and “heart disease” is displayed.
[0084]
When the desired layer bar 104 is selected by the input device 3 as an example of the selection means in the state where the lifetime chart 101 including the plurality of layer bars 104 is displayed in this manner, the processing unit 4 selects the selected layer bar 104. The object file 21 storing the medical practice data constituting the layer map (see FIG. 2) identified by the layer bar 104 is taken out and used to generate the first display data. The display device 5 displays a layer map (see FIG. 2) based on the first display data generated in this way.
[0085]
More specifically, as illustrated in FIG. 4, each of the layer bars 104 (see FIG. 3) is a layer among all the object files (HC) 21 constituting the lifetime map 110 that virtually exists as described above. A pointer to the object file (HC) 21 constituting the layer map 121 (or 122) identified by each bar 104 is held. Therefore, when a desired one of the plurality of layer bars 104 is selected by the input device 3, a pointer to the selected layer bar 121 (or 122) is read out. Then, by extracting a plurality of object files (HC) 21 indicated by this pointer, the layer map 121 (or 122) is extracted from the lifetime map 110, and finally as shown in FIG. Display as a layer map for some periods and some types of medical practices. In FIG. 4, a layer map 121 is a layer map made up of medical practice data related to medical care in hospital A, for example, and a layer map 122 is a layer map made up of medical practice data related to medical care in hospital B, for example. It is.
[0086]
Furthermore, the display or non-display of the object file (HC) 21 belonging to each layer map 121 (or 122) can be arbitrarily specified. When one layer bar 104 is selected on the lifetime chart 101 ( The layer map 10 (see FIG. 2) may be displayed using all the object files (HC) 21 belonging to the corresponding layer map 121 (or 122) (see FIG. 4). Alternatively, the layer map 10 (see FIG. 2) may be displayed using a part of the object file (HC) 21 belonging to the corresponding layer map 121 (or 122) (see FIG. 4). Furthermore, it is possible to select two layer bars 104 on one lifetime chart 101. In this case, object files 21 (see FIG. 4) belonging to the corresponding layer maps 121 and 122 are AND conditions. You may display as the layer map 10 of the content merged, you may display as the layer map 10 of the content merged by OR condition, and you may display as the layer map 10 of the content merged by NOT condition.
[0087]
In FIG. 3 again, another example of the event mark 106 as the point-like table identification mark information is displayed on the basis of the scale of the lifetime bar 102. The event mark 106 is a time when “event information” indicating a special situation from a medical point of view, such as recording a physical change, symptom, comment, or the like that occurs in a patient, corresponds to the position of the event mark 106. Is present. Such event information may be automatically collected and registered. For example, important medical practices related to the operation date, surgical procedure, specific diseases, etc. are set to be automatically collected and registered in advance. Alternatively, event information may be registered manually by recording a matter of particular interest by a doctor or the like. For example, event information indicating a seizure date such as a symptom (first time, unit n (n: natural number) times, etc.), a first disease start date, a comment at a visit, and the like are registered.
[0088]
Such event information includes date, text information or code information indicating the event content, information indicating a layer map related to the event content, information indicating an object file related to the event content, event classification code, disease Various information such as text or code information to be displayed, text or code information to indicate a symptom, or medical record related information may be included.
[0089]
In this case, preferably, a list of event marks 106 and text information assigned thereto is displayed on the display device 5 separately from the lifetime chart 101 (for example, displayed in a window). Thereby, it is possible to collectively confirm on the list which layer map or the like each event mark 106 relates to.
[0090]
Similar to the case of the layer mark 104, such an event mark 106 may be configured to display the related layer map 10 (FIG. 2) by selecting the event mark 106 with the input device 3. For example, referring to date information in the event information related to the selected event mark 106, the layer map 10 relating to a period including this date (for example, centering on this date) may be displayed. Alternatively, the layer map 10 relating to the type of medical practice related to the disease classification information may be displayed with reference to the disease classification information or the like in the event information related to the selected event mark 106.
[0091]
Further, in the present embodiment, a medical data existence period bar 107 indicating a range (time) in which medical data relating to a series of medical practices exists is further displayed on the lifetime chart 101 with reference to the scale of the lifetime bar 102. Yes. The medical data existence period bar 107 is a bar-shaped mark having a length corresponding to a period in which medical data exists with the lifetime bar 102 as a time axis.
[0092]
In addition, in this embodiment, a hospital stay period bar 108 that displays the hospital stay period is displayed over the lifetime bar 102. The hospital stay period bar 107 is a bar-shaped mark having a length corresponding to the hospital stay period with the lifetime bar 102 as a time axis. In addition, a current map period indication bar 109 indicating the period covered by the current layer map 10 (see FIG. 2) is displayed. The current map period indication bar 109 is a bar-shaped mark having a length corresponding to the period of the layer map 10 relating to the period including the present, with the lifetime bar 102 as a time axis.
[0093]
In the present embodiment, with the lifetime chart 101 displayed as shown in FIG. 3, the layer bar 104, the event mark 106, the medical data existence period bar 107, the hospitalization period bar 108, the current map period indication bar 109, etc. When the display element is designated for pop-up by the input device 3 (for example, when an icon is matched with a mouse or the like), the detailed information given to the display element designated in this way is displayed as the designated display element. A pop-up is displayed at a position adjacent to (layer bar 104, event mark 106, etc.). The detailed information includes, for example, a comment sentence by a doctor or the like, which is automatically given or entered by text, and text information indicating a period of the layer map 10.
[0094]
Further, in the present embodiment, in a state where the lifetime chart 101 is displayed, the input device 3 designates a part of the lifetime chart 101 for enlargement display, whereby a part of the designated lifetime chart 101 is displayed. You may comprise so that it may expand and display.
[0095]
As described above, according to the first embodiment, the lifetime chart 101 including a plurality of layer bars 104 is displayed (see FIG. 3). In this state, when a desired layer bar 104 is selected, identification is thereby performed. Since the layer map 10 arranged by date and by type for only some periods and only some types of medical practices is displayed (see FIG. 2), even if there is a huge amount of medical practice data It is possible to easily refer to the layer map 10 including the medical practice data to be referred to according to the individual situation. In addition, long-term medical practice data can be handled centrally.
[0096]
In the embodiment described above, the layer map 10 is a medical plan record table in which only a part of periods and only a part of medical actions are arranged by date and type. It is good also as the medical plan record table which arranged according to the date and the type about only the medical action of the part type, or the medical plan arranged according to the date and the type for only a part of the medical action for all types of medical actions. It may be a record table. In any case, the above-described inconvenience of actually displaying the lifetime map on the screen of the display device 5 can be avoided.
[0097]
Next, a layer map generation method according to some types and some periods in the first embodiment will be described with reference to FIGS. FIG. 5 is a flowchart of the layer map generation method in the first embodiment, and FIG. 6 is a conceptual diagram of the layer map generation method in the first embodiment.
[0098]
In the first embodiment, a general-purpose or basic template (layer map portion) for each disease or the like is prepared, and this is merged with the lifetime map of the patient to generate a layer map regarding a specific disease (that is, The object file 21 constituting the desired layer map is specified).
[0099]
That is, in FIG. 5, first, a process of selecting a general or basic layer map portion (that is, a template for a specific application) to be applied to a desired layer map is performed (step S11). Thereafter, the selected layer map portion and the lifetime map 110 relating to the one patient are merged (step S12). As a result, the type and timing of the medical practice are determined, a layer map relating to the desired disease is generated (step S13), and the generated layer map is associated with the object file (HC) 21 (step S14). The generation of the layer map ends.
[0100]
For example, as shown in FIG. 6, when the layer map 132 for the heart disease A is generated, the object file (HC) 21 constituting the layer map 132 is added to the object file 21 belonging to the lifetime map 110 of the patient.
[0101]
In the first embodiment described above, the left side of the current mark 103 on the lifetime chart 101 shown in FIG. 3 is an area corresponding to the past, and corresponds to the layer bar 104, the event mark 106, etc. existing in this area. The layer map 10 to be composed mainly of performance data recorded in the past as medical practice data. On the other hand, on the lifetime chart 101, the right side of the current mark 103 is an area corresponding to the future, and the layer map 104 corresponding to the layer bar 104, the event mark 106, etc. existing in this area is medical treatment data. Consists mainly of plan data to be performed in the future. Therefore, in the same way as changing the display form on the left and right of the current date mark 202 on the layer map 10 described above (see FIG. 2), it is displayed even if the display form is changed on the right and left of the current mark 103 on the lifetime chart 101. (For example, the color may be changed or a different mark may be added).
[0102]
In addition, in the first embodiment, the layer map 10 corresponding to the layer bar 104, the event mark 106, etc. on the right side of the current mark 103 on the lifetime chart 101 shown in FIG. The layer map 10 related to preventive medicine to be performed in the future or the layer map 10 related to the health management plan or health promotion plan may be used. More specifically, the layer map 10 composed of medical practice data (plan data) including the contents of the next medical examination to be performed, the frequency of future medical examinations, lifestyle guidance in the future, etc. as the contents of the medical practice, It is preferable to generate as a future layer map. Furthermore, in this case, a knowledge base indicating the relationship between the patient attributes (for example, race, gender, age, blood type, family, etc.) and specific contents such as the health management plan is built in the storage device 2 or the like in advance. When generating the life chart 101 of each patient or the layer map 10 for the future, medical practice data (plan data) indicating a health management plan or the like corresponding to the attributes of each patient with reference to the knowledge base. It is further desirable to generate a layer map 10 and a lifetime chart 101 including). For example, a medical practice of performing a specific examination item by simply associating it with gender as an attribute (refer to a knowledge base in a table format in which one attribute item and one examination item correspond one-to-one) Data (plan data) may be included in the future layer map 10. Or, a medical practice of performing a specific examination item by associating with a plurality of attributes such as sex, age, family, etc. (refer to a knowledge base that associates a plurality of attribute items with one examination item according to a predetermined rule) Data (plan data) may be included in the future layer map 10.
[0103]
(Second Embodiment)
Next, a medical planning and recording support system according to a second embodiment of the present invention will be described with reference to FIGS. FIG. 7 is a flowchart of the layer generation method in the second embodiment, and FIG. 8 is a table showing the layer generation condition master in the second embodiment.
[0104]
The second embodiment differs from the first embodiment described above in the layer generation method, and the other configurations are the same as those in the first embodiment. Therefore, here, the layer generation method in the second embodiment will be described.
[0105]
In the second embodiment, when the object file 21 is newly created (or the contents are changed), according to information such as the facility, medical treatment, and medical record contents included in the medical practice data stored therein, A layer map is automatically generated (that is, an object file 21 constituting a desired layer map is automatically specified).
[0106]
That is, in FIG. 7, first, the state of the object file (HC) 21 for one patient is checked (step S21), and whether or not the object file (HC) 21 is newly created (or an existing object file (HC)). Whether or not a change has been made to 21) is monitored (step S22).
[0107]
When the object file (HC) 21 is newly created (step S22: YES), the condition master 130 as illustrated in FIG. 8 is referred to (step S23). For example, when the object file (HC) 21 is generated, if the condition that the medical department is internal medicine is satisfied with respect to the medical practice data included in the object file (HC) 21, the object file 21 belongs to the layer map related to internal medicine. Alternatively, for example, when the object file (HC) 21 is generated, if the condition that the facility is a clinic is satisfied for the medical practice data included in the object file (HC) 21, the object file 21 belongs to the layer map related to the clinic.
[0108]
Then, it is determined whether or not the layer map already exists for one patient (step S24). If the layer map does not exist (step S24: NO), the layer map is generated (step S25). ), The layer map is associated with the object file 21 (step S26).
[0109]
On the other hand, if the layer map already exists for one patient (step S24: YES), the layer map and the object file (HC) 21 are directly associated with each other (step S26). Then, a series of layer map generation processing ends.
[0110]
(3 embodiment)
Next, a medical planning and recording support system according to a third embodiment of the present invention will be described with reference to FIGS. FIG. 9 is a flowchart of the layer generation method in the third embodiment, and FIG. 10 is a conceptual diagram of the layer generation method in the third embodiment.
[0111]
The third embodiment differs from the first embodiment described above in the layer generation method, and the other configurations are the same as those in the first embodiment. Therefore, a layer generation method in the third embodiment will be described here.
[0112]
In the third embodiment, after the object file 21 is generated, an operator such as a doctor arbitrarily generates a layer so that the object file 21 can be organized, or the object file 21 related to the time of interest can be extracted. The layer and the object file 21 are associated with each other (that is, the object file 21 constituting the desired layer map is specified by external designation)
That is, in FIG. 9, first, the object file (HC) 21 is selected (step S31), and it is determined whether or not there is a layer map to be associated (step S32). If there is no layer map to be associated (step S32: none), a new layer map is created (step S33), and then the layer map is associated with the object file (HC) 21 (step S34).
[0113]
On the other hand, if there is a layer map to be associated (step S32: present), the layer map is directly associated with the object file (HC) 21 (step S34). Then, a series of layer map generation ends.
[0114]
For example, as shown in FIG. 10, an object file (HC) 21 is added to the first seizure layer map 141 or the second seizure layer map 142 by a doctor or the like from the object files 21 constituting the lifetime map 140. By associating, a layer map for the patient is constructed.
[0115]
(Fourth embodiment)
A fourth embodiment of the medical planning and recording support system of the present invention will be described with reference to FIGS. FIG. 11 is a conceptual diagram showing one operation of the medical planning and recording system of the fourth embodiment, and FIG. 12 is a conceptual diagram showing another operation of the medical planning and recording system of the fourth embodiment. .
[0116]
In the first to fourth embodiments described above, it may be difficult to divide the types of medical practice (in other words, assign each medical practice to one of the type fields of the layer map). That is, one medical practice may be classified into either a medical practice type A (layer map type field A) or a type B (layer map type field B). Furthermore, one medical action may be classified into the type A and included in the type A according to the type column constituting the layer map which is set by default or selected or modified by the medical plan and the writer. Or you may be classified into the kind A 'containing this kind A.
[0117]
Therefore, in the fourth embodiment, as shown in the upper part of FIG. 11, the first object files 21a, 21b, 21c, 21d,... Have multiple related information 301a, 301b, 301c, 301d,. Then, the first object files 21a, 21b, 21c, 21d,... Correspond to the corresponding classification data and the priority order included in each of the multiple related information 301 according to the type column existing in the layer map 10 shown in FIG. Referring to the data, find out which type column each object file itself corresponds to. For example, as shown in the upper part of FIG. 11, the multiple related information 301 a of the first object file 21 a is a type in which the first object file 21 a has the highest priority (first priority) and “internal use”. That should belong to the category “medicine” at the second priority (second priority), should belong to the type “treatment” at the third priority (third priority), and so on Has classification data and priority data. The multiple related information 301b of the second object file 21b indicates that the second object file 21b should belong to the type “injection” at the highest priority, and belong to the type “medicine” at the second priority. And corresponding classification data and priority data indicating... Which should belong to the type of “treatment”. The multiple related information 301c of the third object file 21c indicates that the third object file 21c should belong to the type of “fine inspection” with the highest priority, and belong to the type of “inspection” with the second priority. It has correspondence classification data and priority data indicating that it should belong to the type of “diagnosis” in order. The multiple related information 301d of the fourth object file 21d indicates that the fourth object file 21d should belong to the type of “periodic inspection” at the highest priority, and belong to the type of “inspection” at the second priority. It has correspondence classification data and priority data indicating... Which should belong to the type of “examination” in order.
[0118]
Therefore, when the layer map 10 shown in the lower left part of FIG. 11 is currently displayed, that is, the types “internal medicine”, “injection”, and “examination” exist in the type column of the layer map 10. In this case, the first object file 21a is associated with “internal clothing” according to the priority order data of the multiple related information 301a (the highest priority is given to “internal clothing”). In this case, the second object file 21b is associated with “injection” according to the priority order data of the multiple related information 301b (the highest priority is given to “injection”). In this case, the “precise inspection” given the highest priority by the multiple related information 301c of the third object file 21c does not exist in the type column of the layer map 10, while the third object file 21c has the multiple related information. Corresponding to “examination” according to the priority data of 301c (the second priority is given to “examination”). Further, in this case, the “periodic inspection” given the highest priority by the multiple related information 301c of the fourth object file 21d does not exist in the type field of the layer map 10, while the fourth object file 21d has the multiple related information. Corresponding to “examination” according to the priority data of information 301d (the second priority is given to “examination”).
[0119]
On the other hand, when the layer map 10 ′ shown in the lower right part of FIG. 11 is currently displayed, that is, the types “medicine”, “final inspection”, and “periodic inspection” are displayed in the type column of the layer map 10 ′. Is present, the first object file 21a is associated with “medicine” according to the priority order data of the multiple related information 301a. In this case, the second object file 21b is associated with “medicine” according to the priority order data of the multiple related information 301b. In this case, the third object file 21c is associated with “detailed inspection” according to the priority order data of the multiple related information 301c. Further, in this case, the fourth object file 21d is associated with “periodic inspection” according to the priority order data of the multiple related information 301d.
[0120]
As described above, according to the fourth embodiment, even when the type column existing in the layer map is not fixed and can be changed into various forms according to the medical plan of the doctor or the like and the recordr's preference. Based on the related information 301a, 301b, 301c, 301d,..., The first object files 21a, 21b, 21c, 21d,.
[0121]
In addition, if there is a first object file in which the type field to which each first object file itself belongs cannot be found, an error message indicating that may be output. Alternatively, the present embodiment automatically creates a layer map so as to create a space (that is, a new type field) for the first object file in the currently displayed layer map according to the multiple related information of the first object file. May be configured to perform the operation of reformatting.
[0122]
Furthermore, in the present embodiment, the type that is not associated with any first object file in the currently displayed layer map according to the multiple related information 301 (see FIG. 11) or the medical practice data of the first object file. It may be configured such that the operation of automatically reformatting the layer map is performed so as to thin out the column.
[0123]
That is, as shown in the upper part of FIG. 12, when there are empty rows in the layer map 10 (that is, the “injection” row and the “rehabilitation” row are empty rows, respectively), These lines may be thinned out by an automatic reformatting operation according to the first object file 21, and a layer map 10 ′ having no empty lines as shown in the lower part of FIG. 12 may be displayed. Therefore, the layer map 10 ′ can be efficiently viewed within a limited display area in the display device.
[0124]
Similarly, when an empty column exists in the layer map 10, the empty column is thinned out by the automatic reformatting operation according to the first object file 21, and as a result, a layer map having no empty column is obtained. May be displayed.
[0125]
(Fifth embodiment)
A fifth embodiment of the present invention will be described with reference to FIG.
[0126]
In FIG. 13, the medical planning and recording support system of the fifth embodiment includes a plurality of units connected via a communication line, and the plurality of first object files 21 is an example of one unit of the center apparatus 1a. The input device 3, the processing unit 4b, the display device 5, and the communication unit 7b are respectively provided on the terminal device 1b side which is an example of the other unit. The center device 1a includes a large computer, a host computer, a server, and the like, and includes a large-scale storage device 2a that stores the first object file 21. The terminal device 1b includes a personal computer, a workstation, a mobile computer (portable information terminal), an electronic notebook, and the like. For example, the plurality of first object files 21 stored in the storage device 2a of the center device 1a and the input device 3, the processing unit 4b, and the display device 5 provided in the terminal device 1b are wired, wireless, and dedicated They are connected via communication lines such as lines, general lines, and telephone lines. Accordingly, by adopting a configuration in which a plurality of first object files 21 are provided in a large-scale storage device 2a provided in the center device 1a and a plurality of terminal devices 1b are arranged, the same data is stored in the plurality of terminal devices 1b. It can also be shared. The processing unit 4 may be configured to be provided in either the center device 1a or the terminal device 1b like the processing units 4a and 4b. In this embodiment, a large number of first object files 21 and data sets stored in the storage device 2a of the center device 1a can be shared by a plurality of terminal devices 1b, and each terminal device 1b has a large number of first objects. Since a large-scale storage device for storing the file 21 is not required, it is advantageous in practice.
[0127]
Finally, FIG. 14 conceptually shows the functions of the medical planning and recording support system used in the above embodiment.
[0128]
As shown in FIG. 14, the functions of the medical planning and recording support system 1 are the screen operation function 13 realized by the display device 5, the input device 3 and the like shown in FIG. 1, the display function realized by the display device 5 and the like. 14, the interface function 15 of each system realized by the communication unit 7, the processing unit 4, and the like are integrated. The screen operation function 13 integrates a new input function 13a, an addition / change input function 13b, and a deletion function 13c. The display function 14 includes a function 14a for displaying medical practice data in a predetermined format (see FIGS. 2 and 3), a result display function 14b for displaying results using detailed medical data, and a graph using detailed medical data. The graph function 14c to be displayed and the screen magnification change display function 14d for changing the screen magnification of the display device 5 are integrated.
[0129]
Further, each system interface function 15 integrates various order functions 15a, an electronic medical record function 15b, and a medical accounting system 15c. Here, the various order functions 15a are received from each system interface via a communication unit, for example, a medicine device configured to receive a medicine order from a medical department and output a medicine list. Used. In the present embodiment, in particular, as described above, an order corresponding to each medical practice can be quickly issued based on the order information included in each object file.
[0130]
The electronic medical record function 15b is used in a medical device configured to be able to output a medical record using various data transmitted and received from each system interface via a communication unit. The medical accounting system 15 is configured to perform medical accounting calculations using various data transmitted and received from each system interface via the communication unit, and to output a medical accounting book based on the calculation results. Used in accounting equipment.
[0131]
As described above, since the functions are integrated in a hierarchical structure, it is convenient that the functions can be called up efficiently and the functions can be organically combined and executed by the medical planning and recording support system 1.
[0132]
As described above in detail, according to each embodiment of the present invention, even if there is a huge amount of medical information, it is possible to easily refer to medical information that is desired to be referred to according to individual circumstances. It becomes possible to handle it centrally.
[0133]
The present invention is not limited to the above-described embodiments, and can be appropriately changed without departing from the spirit or idea of the invention that can be read from the claims and the entire specification, and medical treatment involving such changes. Planning and recording support systems are also within the scope of the present invention.
[0134]
In particular, the medical care targeted by the medical plan and recording support system of the present invention described above includes not only hospital medical care but also nursing medical care, home medical care, care medical care, preventive medical care, health management plan, health promotion plan, etc. Needless to say.
[0135]
【The invention's effect】
As described above in detail, according to the medical planning and recording support system of the present invention, it straddles a medical practice that is performed intermittently over many years and exceeds the frame of medical facilities such as hospitals. With the use of a life chart, it is possible to easily obtain medical action data required for each specific situation on a layer map while making it possible to handle a huge amount of medical action data in a unified manner for each patient. Thus, an environment for efficiently utilizing the enormous amount of medical practice data can be obtained.
[0136]
Moreover, according to the machine-readable medium which recorded the program of this invention, or the carrier wave which carries a program, a general purpose or a special purpose computer can be functioned as the above-mentioned medical planning and recording assistance system of this invention.
[Brief description of the drawings]
FIG. 1 is a block diagram showing a configuration of a medical plan and recording support system according to a first embodiment of the present invention.
FIG. 2 is a plan view showing an example of a layer map output as an image according to the first embodiment.
FIG. 3 is a plan view showing an example of a lifetime chart displayed on the screen of the display device according to the first embodiment.
FIG. 4 is a conceptual diagram showing the structure of a layer map in the first embodiment.
FIG. 5 is a flowchart of a layer map generation method according to the first embodiment.
FIG. 6 is a conceptual diagram of a layer map generation method in the first embodiment.
FIG. 7 is a flowchart of a layer map generation method according to the second embodiment of the present invention.
FIG. 8 is a table showing a layer map generation condition master in the second embodiment;
FIG. 9 is a flowchart of a layer map generation method according to the third embodiment of the present invention.
FIG. 10 is a conceptual diagram of a layer map generation method in the third embodiment.
FIG. 11 is a conceptual diagram showing one operation of a medical planning and recording system according to a fourth embodiment of the present invention.
FIG. 12 is a conceptual diagram showing another operation of the medical planning and recording system of the fourth embodiment.
FIG. 13 is a block diagram showing a configuration of a medical planning and recording support system according to a fifth embodiment of the present invention.
FIG. 14 is a conceptual diagram showing functions in the medical planning and recording support system of the present invention.
[Explanation of symbols]
1 ... Medical plan and record support system
2. Storage device
3 ... Input device
4. Processing unit
5. Display device
6. Printing device
7 ... Communication Department
8. Reading device
9 ... System clock
10 ... Layer map
21 ... 1st object file
31 ... Second object file
101 ... Life chart (chronological table by patient)
102 ... Lifelong bar
103 ... Current mark
104 ... Layer bar
106 ... Event mark
107 ... Point medical data existence period bar
108 ... Admission period bar
109 ... Current map period indication bar
110 ... Lifelong map
121, 122, 132, 141, 142 ... layer map
130 ... Layer generation condition master
201 ... Status display mark
202 ... Current date and time mark

Claims (18)

A plurality of file means for storing medical action data indicating any of a plurality of types of medical actions set in advance in association with execution time data indicating the execution time of each medical action;
Based on the medical practice data and the execution time data respectively stored in the plurality of file means, the medical practice data forming a medical plan record for one patient is a part of the whole period of the medical plan record. First display data to be displayed as a medical plan record table arranged by date and type for only the period is generated, and the table identification mark information for identifying the medical plan record table is time indicating the entire period of the medical plan record Display control means for generating second display data to be displayed as a patient-specific chronology arranged at a position corresponding to the partial period on the axis;
Display means for displaying the medical plan record table based on the first display data, and displaying the patient-specific chronology based on the second display data;
Selecting means capable of selecting one of the displayed plurality of table identification mark information in a state in which the patient-specific chronology including the plurality of table identification mark information is displayed by the display unit; And
The display control means takes out a file means for storing medical practice data constituting a medical plan record table identified by the table identification mark information selected by the selection means, and stores the medical means stored in the taken-out file means A medical planning and recording support system, wherein the first display data is generated using action data. The display control means generates the first display data so as to display a medical plan record table for only some of all types of the medical practice, and displays the table identification mark information as the partial identification mark information. A medical planning and recording support system, wherein the second display data is generated so as to be displayed separately for each type. A plurality of file means for storing medical action data indicating any of a plurality of types of medical actions set in advance in association with execution time data indicating the execution time of each medical action;
Based on the medical practice data and the execution time data respectively stored in the plurality of file means, the medical practice data that forms a medical plan record for one patient is a part of all types of the medical practice Generating a first display data for display as a medical plan record table arranged by date and by type for only the table, and a time axis indicating table identification mark information for identifying the medical plan record table indicating the entire period of the medical plan record Display control means for generating second display data to be displayed as a patient-specific chronology arranged in a position corresponding to a period related to the execution of the above-mentioned some types of medical practice;
Display means for displaying the medical plan record table based on the first display data, and displaying the patient-specific chronology based on the second display data;
Selecting means capable of selecting one of the displayed plurality of table identification mark information in a state in which the patient-specific chronology including the plurality of table identification mark information is displayed by the display unit; And
The display control means takes out a file means for storing medical practice data constituting a medical plan record table identified by the table identification mark information selected by the selection means, and stores the medical means stored in the taken-out file means A medical planning and recording support system, wherein the first display data is generated using action data. In the state in which the patient-specific chronology is displayed by the display means, further comprising an enlarged display portion designating means capable of designating a part of the patient-specific chronology for enlarged display,
The said display control means produces | generates the said 2nd display data so that a part of the said patient-specific chronology designated by the said enlarged display part designation | designated means may be expanded and displayed. The medical planning and recording support system according to any one of the above. The display control means generates the second display data so as to display text information given to the table identification mark information at a position adjacent to the table identification mark information in the patient-specific chronology. The medical planning and recording support system according to any one of claims 1 to 4. Pop-up designation means for designating one of the displayed plurality of table identification mark information for pop-up in a state where the patient-specific chronology including the plurality of table identification mark information is displayed by the display means. In addition,
The display control means is a position adjacent to the table identification mark information designated by the pop-up designation means in the patient-specific chronology in the detailed information given to the table identification mark information designated by the pop-up designation means The medical planning and recording support system according to any one of claims 1 to 5, wherein the second display data is generated so as to be displayed in a pop-up manner. The display control unit generates the second display data so as to display the bar-shaped table identification mark information having a length corresponding to the partial period with respect to the time axis. The medical planning and recording support system according to any one of claims 1 to 6. The display control means is a point-like table identification mark that indicates on the time axis a date related to execution of a predetermined type of medical practice data constituting a medical plan record table identified by the table identification mark information The medical planning and recording support system according to any one of claims 1 to 7, wherein the second display data is generated so as to display information. The display control means generates third display data for displaying a list of the point-like table identification mark information and text information given thereto,
The medical planning and recording support system according to claim 8, wherein the display means displays the list based on the third display data. The said display control means produces | generates the said 2nd display data so that the age of the said 1 patient may be added as a scale with a time axis | shaft with respect to the said time axis. Medical planning and recording support system described in 1. The display control means indicates a medical data existence period in which medical data related to a series of medical care actions exists among the medical action data in the patient chronology and corresponds to the medical data existence period on the time axis. The medical plan and record according to any one of claims 1 to 10, wherein the second display data is generated so as to further display bar-shaped medical data existence period mark information having a predetermined length. Support system. It further comprises a date and time measuring means for measuring the current date and time,
The said display control means produces | generates the said 2nd display data so that the present date mark which shows the said measured present date may be displayed in the said patient-specific chronology, The any one of Claim 1 to 11 characterized by the above-mentioned. The medical planning and recording support system according to claim 1. It further comprises a date and time measuring means for measuring the current date and time,
The said display control means produces | generates the said 1st display data so that the present date date mark which shows the said measured present date may be displayed in the said medical plan record table. The medical planning and recording support system according to claim 1. The medical plan and recording support system according to any one of claims 1 to 13, further comprising input means capable of inputting the medical practice data on the medical plan record table. The file means stores the medical action data and the execution time data, respectively, and displays the medical action data in the corresponding fields in the medical plan record table, on the display control means. The medical planning and recording support system according to any one of claims 1 to 14, further comprising object file means for further storing procedure information for generating data. The medical planning and recording support system includes two units connected via a communication line,
The plurality of file means are provided in one unit,
16. The medical planning and recording support system according to claim 1, wherein the display unit is provided in the other unit. A machine-readable medium storing a program for causing a computer to function as the medical planning and recording support system according to any one of claims 1 to 16. A carrier that carries a program that causes a computer to function as the medical planning and recording support system according to any one of claims 1 to 16.

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