JP2004145428A - Support system for inputting progress of medical service - Google Patents

Support system for inputting progress of medical service Download PDF

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Publication number
JP2004145428A
JP2004145428A JP2002306733A JP2002306733A JP2004145428A JP 2004145428 A JP2004145428 A JP 2004145428A JP 2002306733 A JP2002306733 A JP 2002306733A JP 2002306733 A JP2002306733 A JP 2002306733A JP 2004145428 A JP2004145428 A JP 2004145428A
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JP
Japan
Prior art keywords
medical
patient
input
treatment
list
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
JP2002306733A
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Japanese (ja)
Inventor
Hideya Aragaki
新垣 英哉
Original Assignee
Olympus Corp
オリンパス株式会社
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Priority to JP2002306733A priority Critical patent/JP2004145428A/en
Publication of JP2004145428A publication Critical patent/JP2004145428A/en
Application status is Pending legal-status Critical

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Abstract

To provide a medical work progress input support system capable of quickly grasping the progress of medical work and rapidly inputting new input data.
For example, when an endoscope inspection system 16 of an endoscope inspection department 12 of a medical work progress input support system is taken as an example, a start-up initial screen 30 displays a date in a date display field 31 for changing the date. A triangular button 32, a job selection button in a job selection button group display area 35, a logout button 33, and a display such as a name of a logged-in person in a lower right end portion 34 are displayed. A simple image is displayed in a main screen display area 36. Only the main screen is displayed. When the pre-treatment input button is selected and input here, the display of the main screen 47 is switched to the display of the pre-treatment unstarted examination patient list 52. Since only the list of examination patients whose pretreatment has not been started is displayed, the pretreatment physician can immediately select a desired examination patient. With this selection, the data input screen for performing the pretreatment is displayed in an overlapping manner.
[Selection diagram] FIG.

Description

[0001]
TECHNICAL FIELD OF THE INVENTION
The present invention relates to a medical work progress input support system capable of quickly grasping the progress of medical work and quickly inputting new input data.
[0002]
[Prior art]
Conventionally, in large hospitals, etc., from patient visits to medical expenses accounting and the next appointment, processing has been performed quickly according to the progress of medical work, and the processed data is organized and There is a demand to be able to use it quickly for the processing of.
[0003]
Data relating to the progress of medical work has been stored in the form of medical records in the past, and a mechanical system for quickly searching for a desired medical record from hundreds or thousands of medical records has been put to practical use. In recent years, similar data is often stored in a computer together with accounting data in a database in parallel with the medical record.
[0004]
As one of them, medical image data is associated with the data acquired in each business process and stored in a computer etc. as a database, and necessary information at appropriate timing according to the flow of examination and treatment for patients There has been proposed a medical image filing system capable of handling (for example, see Patent Document 1).
[0005]
FIG. 9 shows such a conventional medical image filing system for, for example, endoscopy, which is displayed on a monitor of a computer connected to the system in order to monitor the progress of medical work for in-vivo examination with an endoscope. FIG. 7 is a diagram showing an example of a list display screen to be displayed.
[0006]
In general, a medical system for an in-vivo examination using an endoscope is composed of confirmation of arrival, preparation, execution, report creation, accounting, reservation, and the like, in the order of progress of medical services.
The above-mentioned arrival confirmation is a visit to a patient and its reception if it is an outpatient, and a visit to an endoscopic ward and its reception if it is a hospitalized patient. In this work, the reception time, the name, and the contents of the medical treatment to be treated are confirmed and recorded.
[0007]
The pre-treatment includes anesthesia, medication, laxative administration, and the like performed by a specialist or nurse before implementation, and the contents of each treatment and the name of the person in charge are recorded as data.
The implementation includes inspection and imaging performed by an expert using an endoscope. This may include surgery, treatment, etc., and is the task of performing and recording the performance. In the execution record, the names of articles such as medicines and equipment used for the inspection are input.
[0008]
The report is a report prepared by the attending physician to the attending physician, and includes the type of endoscope used, elapsed time, and results (observations of the situation of the patient and affected area obtained at the implementation stage). Is recorded as data together with the name of the person in charge of the endoscope.
[0009]
In addition, accounting is a task of an accounting window that calculates medical expenses from each record of pre-treatment and execution in a predetermined calculation method according to law and receives payment of the calculated medical expenses from a patient.
In the case of systematization, the calculation of medical expenses is automatically performed and printed out. In the operation of the accounting window, the processing is completed only by receiving the medical expenses from the patient in accordance with the printed content and passing the receipt stamped to the patient.
[0010]
The reservation confirmation is to confirm the next visit schedule (medical patient reservation) to the patient who has completed the payment of medical expenses and record the confirmed date and time as data. In general, when the diagnosis by the attending physician is completed after the examination is performed, the attending physician designates the patient with a reservation date and time.
[0011]
These records are recorded in the database of the medical system. Then, when the patient comes to receive the next examination of the endoscope (or surgery or treatment, the same applies hereinafter), as shown in FIG. 9, the computer of the reception terminal connected to the medical system of the endoscope is operated. A list screen of all medical patients of the endoscope is displayed on the monitor.
[0012]
In the example shown in FIG. 9, the reception main screen 1 includes a menu button group 2 at the top, a submenu button group 3 therebelow, and a function button group 4 at the bottom of the screen. In addition, the reception main screen 1 includes a combo box 5 for designating a date and an examination type, and an examination list window 6. Note that the above-described buttons are arranged in this manner on other display screens.
[0013]
Menu button group 2 is a group of buttons that can be used at all times and is used for switching display to another display screen. The group 3 of the submenu buttons becomes available depending on the progress of the examination, and can be used or restricted in accordance with the progress of the selected examination. The group 2 of the menu buttons and the group 3 of the submenu buttons are commonly used in each display screen.
[0014]
Function button group 4 is a button group that can be used only on the display screen shown in FIG. That is, the buttons displayed at the bottom are different for each display screen.
The examination list window 6 is a list display screen of medical patients reserved on the date selected by using the combo box 5, and in the example shown in FIG. Are, from the left, reservation time, arrival time, patient ID, patient name, gender, age, medical department, entrance / exit, examination item, comment, examination room, progress column (each of which is indicated by a plurality of blank squares at the end). Column).
[0015]
As described above, the examination list window 6 can display the patient information and the medical patient information received from the system, and also display the work progress status 7 of each medical patient. The progress status 7 is indicated by a check mark (v), and is displayed in accordance with the progress status of the inspection work, such as confirmation of patient arrival, completion of pretreatment, completion of imaging and execution confirmation, and completion of report creation. v) is being added.
[0016]
In the input of these data, for example, when the scheduled time of the examination is reached and the patient arrives, the row of the medical patient is selected from the list display of the examination list window 6 and the arrival confirmation button 4-1 is pressed. Then, the arrival time of the patient is automatically input, and the arrival of the patient is confirmed. When the input of the patient arrival confirmation is performed, a check mark (v) is displayed at the place of the patient arrival confirmation of the progress status 7 for the row of the medical patient. Necessary data is similarly input for other tasks, and a check mark (v) is displayed.
[0017]
In order to select, for example, a patient subject to be examined from this list screen, first, a person whose arrival has not been confirmed is excluded. Furthermore, those who have not undergone pretreatment are also excluded. Then, arrival is confirmed, and those who have not completed the treatment are found out of those who have completed the pre-treatment, and among them, those who arrived earlier or arrived at the current time in advance In this order, the procedure for the inspection is started. All the above-described determinations in the list are performed by confirming the display of the check mark (v). This is also true for other departments.
[0018]
It should be noted that each medical patient line can be displayed in different colors in parallel with or instead of displaying the above-mentioned check mark (v).
For example, the background of a medical patient row that has undergone an examination is displayed in light blue, the background of a temporary medical patient row is displayed in orange, the row of medical patients whose examination is stopped is displayed in red, and so on.
[0019]
In the example shown in FIG. 9, whether the above-mentioned processing end column is displayed with a check mark (v) attached thereto or displayed with a specific background color every time the processing ends, both can be easily visually recognized. Therefore, there is an advantage that the progress of the inspection work can be found only on the list display screen.
[0020]
[Patent Document 1]
JP-A-2002-73615 (abstract, paragraphs 0053 to 0063, FIGS. 3 and 5)
[0021]
[Problems to be solved by the invention]
However, as described above, each row is displayed with a check mark (v) in the processing end column depending on the work progress of the medical patient and the content of the treatment, or is displayed in different colors according to the type of work completed. Although all the medical patients are listed in the list display screen along with their work progress, it is easy to understand. We need to figure out the patient's progress.
[0022]
For example, as described above, when the examination performing section searches for a medical patient (patient) capable of performing the examination from the list display screen, first, the patient has not arrived at the examination section (not accepted). Since a test cannot be performed on a medical patient, find a line of the medical patient whose arrival has been confirmed. In addition, since examination cannot be performed on medical patients who have not undergone pre-treatment, it is necessary to search for and extract rows of medical patients whose pre-treatment has been completed on the list display screen. become. In addition, for example, in selecting a row of a medical patient who needs to input a report, the procedure similar to the above is sequentially performed to find a row of a patient who has undergone an examination.
[0023]
In this way, when checking the progress of work using the conventional medical image filing system for endoscopy, the progress of work is displayed in a list on a display screen, etc., when you want to perform a specific work In this case, it is necessary to find out a specific job corresponding to all the information displayed in the list, or to set a condition indicating the specific job, search for a specific job, and then find a specific job of interest.
[0024]
This work is more time-consuming than expected, and the work efficiency when selecting the corresponding patient (medical patient row) from the list display is very poor, making it easy for customers using such a system to use. It was a dissatisfaction that I could not always say.
[0025]
SUMMARY OF THE INVENTION In view of the above-described conventional circumstances, an object of the present invention is to display an optimal list in accordance with the flow of the endoscopy work, quickly select a work to be searched, and carry out the next work, The purpose of the present invention is to provide a medical work progress status input support system capable of rapidly inputting data.
[0026]
Means and Action for Solving the Problems
Hereinafter, the configuration of the medical work progress status input support system according to the present invention will be described. The medical work progress input support system of the present invention includes a recording unit that records a progress of completion of treatment or completion of treatment of a plurality of medical patients generated for each of a plurality of tasks in association with each of the tasks. Selection list display means for displaying each of the plurality of tasks in a selectable list, and the progress status of the medical patient in the selected task based on the task selection input from the list display by the selection list display means. An unstarted patient list display unit that reads from the record of the recording unit and displays a list of medical patients related to the medical patients who have not started treatment for the selected task.
[0027]
This makes it possible to quickly list only medical patients who have not yet started treatment for the desired job, and quickly select a desired medical patient who has not started treatment from the list of medical patients who have not started treatment. become able to.
Further, the medical service progress input support system includes a medical patient selecting unit for selecting a desired medical patient who has not started treatment from a list displayed by the unstarted patient list display unit, as described in claim 2, for example. Treatment progress information input means for inputting the progress of the treatment for the above-mentioned work for which the medical patient has not started treatment selected by the medical patient selection means, and the work of input completion based on the completion of the input by the treatment progress input means And a progress classifying means for classifying the medical patient relating to the above as a medical patient having completed the work relating to the completion of the input and recording the medical patient in the recording means.
[0028]
As a result, it becomes possible to quickly select a medical patient who wants to start treatment for a task for which no treatment has been started, perform the treatment for the task, and quickly input data of the result of the treatment for recording.
Further, the medical work progress input support system reads the progress of the medical patient who has completed the treatment of the selected work from the record of the recording means and selects the progress of the medical patient. A treated patient list display means for displaying a list of medical patients related to the medical patients who have been treated, a medical patient list display by the unstarted patient list display means, and a medical patient list by the treated patient list display means And a list display switching means for switching between display and display, wherein the medical patient selecting means selects a desired medical patient from the list displayed by the list display switching means, and inputs the treatment progress information. Means for inputting a new or additional progress status for the work related to the medical patient selected by the medical patient selection means, and The means classifies the medical patient involved in the task of completing the input as a medical patient who has completed the task related to the completion of the input based on the completion of the input of the progress status by the procedure progress input means, and causes the recording means to record the medical patient. It is configured as follows.
[0029]
Accordingly, it is possible to quickly perform the additional treatment of the medical treatment for the medical patient who has completed the treatment of the operation, and to quickly input the data of the additional treatment.
In addition, the medical work progress input support system may be configured such that the medical patients in the list displayed by the list display switching means are requested for each of the work not yet started or each of the work completed, for example, as set forth in claim 4. The display device further includes color display means for displaying the background of the display row or the display characters in different colors in accordance with the sort category.
[0030]
This makes it possible to easily visually determine the progress of other tasks in the list of unstarted or completed tasks, and to provide additional medical patients who have not yet started or tasks that have to be performed since the completion of the task. Can be quickly found without error.
[0031]
BEST MODE FOR CARRYING OUT THE INVENTION
Hereinafter, embodiments of the present invention will be described with reference to the drawings.
FIG. 1 is a diagram illustrating an overall configuration of a medical service progress input support system according to an embodiment. In the figure, the medical work progress input support system is connected to the in-hospital network 10 and includes a server device that cooperates with a system for all departments in the hospital. The storage device (not shown) stores images for all departments in the hospital. An electronic medical record system 11 that stores the progress status of a plurality of medical patients who have not started or has completed or is completed for each business described below for each business including each medical record and each department, and is connected to the in-hospital network 10 as well. The inspection system of the other departments 14 (14-1,..., 14-n) including the inspection system of the endoscopy department 12 and the inspection system of the pathology department 13 also connected to the in-hospital network 10. , And a number of in-hospital information terminals 15 (15-1,..., 15-m).
[0032]
Taking the above-mentioned endoscopy department 12 as an example (hereinafter, other departments are not particularly shown, but the internal system is the same), the endoscopy department 12 is provided with an endoscope model, A plurality of endoscopy systems 16 are connected to the in-hospital network 10 according to the content of the examination (or surgery or treatment, and so on).
[0033]
FIG. 2 is a diagram showing a configuration example of such an endoscope inspection system 16. As shown in the figure, the endoscopy system 16 first has a system network 17 connected to the above-mentioned hospital network 10. The system network 17 includes a server device 18, a report input / output terminal 19, An inspection device terminal 21, a data transmission / reception terminal 22, a printer 23, and a DVD control terminal 24 are connected to each other.
[0034]
The server device 18 is a server that controls the entire endoscopy system 16. On the one hand, the server device 18 sends and receives data to and from the electronic medical record system 11 of the hospital network 10 via the data sending and receiving terminal 22. Data is transmitted / received to / from each terminal via the network 17. A printer 25 is connected to the server device 18, and can print out desired data in a predetermined format.
[0035]
The inspection device terminal 21 is connected to the endoscope inspection device 26. On the other hand, the examination device terminal 21 communicates with the server device 18 based on an input instruction from the endoscopic examination doctor on the display screen, and displays a list of medical patients described below transmitted from the server device 18. The screen is displayed, and based on the list display screen, the result of data selection or data input performed by the doctor in charge of endoscopy or the nurse who received the instruction is transmitted to the server device 18.
[0036]
On the other hand, the inspection apparatus terminal 21 displays, in real time, an image when a doctor in charge of endoscopy performs an inspection of a medical patient (patient) by the endoscopy apparatus 26, and displays the captured inspection image. The inspection image is temporarily stored, and the stored inspection image is transmitted to the server device 18, and the inspection image that has been photographed is called from the server device 18 as necessary and displayed on the display screen.
[0037]
The report input / output terminal 19 is connected to a printer 27. The report input / output terminal 19 communicates with the server device 18 based on an input instruction on the display screen from a doctor in charge of endoscopy or a nurse who has received the instruction, and is transmitted from the server device 18. A list display screen of the medical patients is displayed, and the result of the data selection performed by the doctor in charge of the endoscopy or the nurse who received the instruction is transmitted to the server device 18 based on the list display screen.
[0038]
The report input / output terminal 19 displays a report input display screen on the display device based on the report input screen display data transmitted from the server device 18 based on the result of the data selection, and displays the report input display. The data input to the screen is transmitted to the server device 18.
[0039]
The data transmission / reception terminal 22 not only relays the communication between the system network 17 and the hospital network 10 but also has a display screen similar to the server device 18, the report input / output terminal 19, or the inspection device terminal 21. A list screen of medical patients called from the server device 18 of the system network 17 or the electronic medical record system 11 of the hospital network 10 can be displayed.
[0040]
The printer 23 is provided, for example, for receiving a print output instruction from the inspection device terminal 21 or the data transmission / reception terminal 22 to which no printer is connected, and performing printing.
The DVD control terminal 24 is connected to a DVD changer 28 to which a DVD as a recording medium is detachably mounted. The DVD control terminal 24 is used for storing images captured in the endoscopy system 16 and other various materials similar to those stored in the database of the electronic medical record system 11 of the hospital network 10. The DVD drive terminal device reads and writes the photographed image and other various data on the DVD mounted on the DVD changer 28.
[0041]
As a result, important data is stored twice in the in-hospital network 10 and in each department's system, and when reading recorded data and displaying it on the display device, only the in-hospital system network is required without passing through the in-hospital network 10. Data can be displayed quickly.
[0042]
In the medical service progress input support system in the in-hospital network 10 having the above-described configuration, the operation of the process will be described below by taking the endoscope inspection system 16 again as an example.
FIG. 3 is a flowchart showing a list of medical patients who have not yet started in each task, and a processing operation when data for performing a procedure is input by a doctor in charge (or a nurse who has received the instruction, hereinafter the same). is there.
[0043]
FIG. 4 is a diagram showing an example of a “startup initial display screen” for inputting data for performing a treatment for an unstarted treatment displayed on the display device of the server device 18 or another terminal in the above processing.
FIG. 5 is a diagram showing an example of a list display screen of medical patients whose pretreatment has not been started, which is displayed when, for example, “pretreatment input” is selected on the above-mentioned initial display screen.
[0044]
FIG. 6 shows “input of treatment status” displayed when a medical patient is selected in a row on which a desired patient name is displayed on the display screen for selecting a medical patient to be subjected to the pretreatment. FIG. 6 is a diagram showing an example of a display screen for performing the operation.
Note that this process is a process performed by a CPU (not shown) of the server device 18 of the endoscope inspection system 16, and the processing content or the processing result is displayed on a display screen as shown in FIGS. Is displayed on the display device of the server device 18 operated by the doctor in charge or another terminal (19, 21, or 22, the same applies hereinafter).
[0045]
Hereinafter, in the present example, a description will be given assuming that the examination apparatus terminal 21 is operated by the doctor in charge of performing the pretreatment. In addition, since this is a system of an examination department using an endoscope, a “medical patient” will be described as an “examined patient” in the following description.
In FIG. 3, the CPU of the server device 18 first displays a start screen (the initial startup display screen shown in FIG. 4) on the display device of the examination device terminal 21 based on the login operation to the system network 17 by the doctor in charge. (Step S1).
[0046]
As shown in FIG. 4, the start screen 30 displays today's date and day of the week in a date display column 31 at the top, and two triangular buttons 32 for moving the date up or down to the right. ing. At the bottom of the start screen 30, a logout button 33 is displayed at the left end, and the name of the person who has logged in is displayed in the user column 34 at the right end.
[0047]
The central display surface is divided into a task selection button group display area 35 on the left and a main screen display area 36 on the right. In the job selection button group display area 35, a job button including an appropriate image pattern and a job name following the appropriate image pattern for selecting a job is arranged in order from the top to the bottom, a patient reception button 37, a pre-treatment input button, and the like. 38, an execution input button 39, and a report input button 41, and finally an inspection status list button 42 is displayed.
[0048]
As described above, according to the present example, options suitable for the task to be performed are automatically displayed as a task selection button group, so that the task to be performed can be efficiently selected from these options. Will be able to do it.
Also, in the main screen display area 36 on the right side of the center display surface in the start screen 30, since this screen is an initial rising display screen, the entire surface is painted with an appropriate background color and nothing is displayed. Instead, the network name 43 displaying this display screen is displayed in the upper right corner.
[0049]
Next, the CPU of the server device 18 determines whether any one of the five business buttons displayed in the business selection button group display area 35 is selected and pressed. (Step S2).
At this point, when the doctor in charge presses down a business button of a desired business to be performed from among the business buttons displayed in the business selection button group display area 35, the CPU of the server device 18 Then, it is determined that any one of the business buttons has been selected and pressed (YES in S2). Then, the type of the pressed job button is further determined, and a list display screen of examination patients who have not performed the job of the determined type is displayed (step S4).
[0050]
As a result, a list display screen of the test patients whose work has not been started as shown in FIG. 5 is displayed. In this example, an example is shown in which the pretreatment input button is selected and pressed by the doctor in charge of pretreatment, and FIG. 5 shows “selection of test patient to perform pretreatment”. A list display screen of the test patients who have not started “pre-treatment work” is displayed.
[0051]
The pre-treatment unstarted examination patient list display screen 45 shown in FIG. 5 also has a date display field 31 in which today's date and day of the week are displayed at the top, similarly to the start screen 30 shown in FIG. Two triangular buttons 32 on the right are displayed, a logout button 33 is displayed on the lower left end, and the name of a logged-in user is displayed in a user column 34 on the right end. The pre-treatment input button 38 selected and pressed on the start screen 30 in the previous stage is displayed in a different color or density to indicate that it has been selected and pressed.
[0052]
Then, in the main screen display area 36 on the right side of the center display surface, the name of the main screen 47 is displayed as “untreated patient list” in the screen name area 48 on the top left of the main screen 47, On the other hand, an "update" button 49 is displayed, and an "to treated list" button 51 is displayed in the right end area.
[0053]
Inspection of an unstarted pre-treatment is performed on the entire lower surface of the main screen display area 36 above the uppermost row (in the example shown in the figure, 13 lines are displayed, and the entire display area is not necessarily used). A patient list 52 is displayed. At the top of the pretreatment unexecuted examination patient list 52, the items displayed in the list are, in order from left to right, arrival time, patient ID, patient name (examined patient), entrance / exit (admission / outpatient), and examination type. , Is displayed. Then, in the item column of the patient name, from the top to the bottom, a list of thirteen patients who have not started pretreatment from “Omori × I” to “△ hara × Ya” is displayed.
[0054]
As described above, according to the present example, it is possible to display only a list of medical patients who have not yet started treatment for a desired task, and quickly display a desired medical patient who has not started treatment from the list of medical patients who have not started treatment. Can be selected.
Next, the CPU of the server device 18 determines whether or not any of the rows is selected and input from the list display in which the 13 patient names are displayed (step S5).
[0055]
Here, from the 13 patients listed above by the attending physician, a line on which a desired patient name for which a treatment is to be performed is displayed (for example, the patient name on the third line is When the line of “□” is selected and input, the CPU of the server device 18 determines that the third line in the list display is selected and input (YES in S5). Then, the display of the third line that has been selected and input is highlighted (or displayed in a more prominent manner than other lines, such as by changing the display color).
[0056]
The CPU of the server device 18 further discriminates the examination patient (data record in the database) of the patient name “▽ 上 □ 也” on the third line, which is selected and inputted, by, for example, an ID code, and determines the discriminated patient. The examination patient record is read from the database, and the display screen of the input window for inputting the treatment content related to the job is displayed so as to overlap the list display (step S7).
[0057]
As shown in FIG. 6, the input window display screen 53 is displayed so as to overlap the unstarted examination patient list display screen 45 shown in FIG. In the input window display screen 53, “pre-treatment input” and the name of this display screen are displayed in the screen name area 54 at the upper left end, and a “return to list” button 55 is provided at the left end at the bottom. The name of the logged-in person is displayed in the displayed user column 56 at the right end.
[0058]
The central display area sandwiched between the uppermost and lowermost rows is provided with an information display area 57 from the top to the bottom with a slightly narrow width to the left. For example, the patient's ID code, name, date of birth, gender, hospitalization / Outpatient information, such as outpatient information, is displayed, followed by, for example, the medical treatment to be treated, the name of the doctor in charge, and the treatment date for those already treated, and detailed examination information. Is displayed.
[0059]
The display area on the right is a notice field 58 at the top, an icon display field 59 indicating whether a consent document has been passed or nursing explanation is required by a nurse below the notice field 58, and a right below the notice field 58. In the list display area 61 occupying more than half of the one display area, a large input window 62 is displayed at the center, and a “temporary save” button 63 and a “register” button 64 are arranged side by side in the lower right corner of the list display area 61. Is displayed.
[0060]
In the above-mentioned cautions column 58, for example, cautions such as contraindicated drugs, patient allergy information, and the like are displayed.
In the input window 62 of the list display area 61, before the patient can perform treatment on the third-row patient “▽ 上 □” selected on the unstarted examination patient list display screen 45 on the back side of the overlap display. The actions are listed. In the example shown in the figure, the input window 62 includes, from the right, a check box 65 indicating that the treatment has been completed, a medicine name column 66 indicating the name of the medicine used or available for the treatment, and the amount of the medicine to be used in the medicine treatment. , And a practitioner name field 68 indicating the doctor who performed the treatment.
[0061]
After the practitioner has performed the treatment, the practitioner enters a check mark in the treated check box 65. If the implementer is the same person displayed in the user column 56 logged in on this screen, the name of that person is automatically displayed in the implementer name column 68. In the case of a person different from the one displayed in the logged-in user field 56, the name of the person who actually performed the pre-treatment is input by a keyboard or displayed by pull-up (or pull-down). Select and enter from the nurse list menu.
[0062]
In addition, the amount of “13 cc” or “5 mg” displayed in the amount column 67 of the treatment display line in which no check mark is displayed in the treated check column 65 and the treatment is not started is the patient “▽ 上 □ 也” It indicates the amount that is determined by considering the weight, gender, age, etc. in advance, and whether or not to perform all or any of these pretreatments is determined by the pretreatment performing doctor. In making this determination, the patient information and the examination information in the information display area 57 are referred to, and further, the notes in the notes column 58 are referred to.
[0063]
After displaying the input window display screen 53 as described above, in the process of step S8 in FIG. 3, the CPU of the server device 18 first performs data input processing, and then presses the “register” button 64. If the “registration” button 64 has not been pressed (S8: NO), it is further determined whether the “return to list” button 55 has been pressed (step S11). If the "return" button 55 has not been pressed, the process returns to step S8, and the process waits for the "registration" button 64 to be pressed while performing data input processing.
[0064]
Accordingly, steps S8 and S11 are repeated unless the pre-treatment doctor presses the “register” button 64 on the input window display screen 53 shown in FIG. 6 (NO in S8), and the input shown in FIG. Data can be input to the application window 62.
[0065]
Then, as shown in FIG. 6, the pretreatment physician performs the treatment up to the third line from the top of the input window 62, determines that this is sufficient, and ends the data input up to the third line. If the “registration” button 64 is pressed later (S8: YES), the CPU of the server device 18 displays a display of the examination patient (patient name “▽ 上 □”) whose registration of the input data is completed. It is deleted from the unstarted examination patient list display screen 45 (step S9).
[0066]
Subsequently, the CPU of the server device 18 adds (transfers) the test patient, for which the registration of the input data has been completed, to the group of data for displaying the list in which the pretreatment has been performed (step S10).
In this processing, although not specifically illustrated, a flag (for example, “1”) indicating that the pretreatment has been completed is set in the pretreatment flag area of the examination patient record of the patient name “▽ 上 □”. . As a result, the examination patient record of the patient name “▽ 上 □ 也” is classified into the group of the pre-treatment completion in the database, and as described later, the group of the pre-treatment completion is displayed when the list of the pre-treatment completion is displayed. Listed as
[0067]
Subsequently to the above, the CPU of the server device 18 determines whether or not the “return to list” button 55 is pressed on the input window display screen 53 of FIG. 6 (step S11), and “returns to the list”. If the button 55 has not been pressed, the process returns to the step S8, and the steps S8 and S11 are repeated again. Therefore, if the pretreatment physician presses the “register” button 64, additional pretreatment is performed. If desired, execution of the additional pretreatment and data input of the execution result can be continued.
[0068]
Then, when it is finally determined that the pre-treatment for this patient “▽ 上 □ 也” is completed, the “registration” button 64 is pressed, and the “return to list” button 55 is pressed. When the CPU of the server device 18 determines YES in step S8 and further determines YES in step S11, the input window display screen 53 is deleted from the display screen (step S12), and the above-described steps are performed. The process returns to S5.
[0069]
As described above, the display screen 53 for the input window, which has been displayed in the overlapped state, disappears from the display screen, and the display of the list screen 45 for the list of unstarted examination patients is restored. Then, the processing of steps S5 to S12 described above is repeated.
[0070]
As a result, the patients to be subjected to the pretreatment for the patients who have visited (received) and have not started the pretreatment shown in FIG. 5 are selected, the pretreatment is sequentially performed, and the data of the completion of the execution is promptly input. You.
As described above, according to the present example, it is possible to select a medical patient who wants to start the implementation from the list of medical patients who have not started the operation and quickly execute the operation, and quickly input data of the execution result. become able to do.
[0071]
Note that, in the process of step S5 in FIG. 3, the logout button 33 is pressed down without the selection of the row of the desired test patient from the pretreatment unstarted test patient list 52 shown in FIG. 5 (S5: NO). In this case (step S6 is YES), the process is terminated. Further, in the process of the above-described step S2, the logout button 33 may be pressed from the job selection button group display area 35 shown in FIG. The process is terminated as it is in the step S3).
[0072]
By the way, after completion of the data input of the treatment execution, when it is desired to confirm how the data has been input again (refer to the data), the pre-treatment is additionally executed (that is, the data of the pre-treatment execution is additionally input). ) (Data re-editing) occurs as it is. In this example, in such a case, even if the test patient has been deleted from the unstarted test patient list display screen 45, a desired prefectural bond patient is easily searched for from the list display and the re-input of additional data is performed. It can be performed.
[0073]
FIG. 7 is a flowchart showing a processing operation in a case where a doctor in charge (or a nurse who has received the instruction, the same applies hereinafter) refers to data or re-edits data of a medical patient to which data for performing treatment has been input. . This process is a process inserted between steps S5 and S6 of the process in FIG.
[0074]
That is, when the determination in step S5 of FIG. 3 is NO, before the process proceeds to the determination of whether or not the logout button 33 has been pressed in step S6, the “to treated list” button 51 shown in FIG. It is determined whether or not has been pressed (step S5 ').
[0075]
Then, at this time, in the pre-treatment unstarted examination patient list 52 of FIG. 5, when the “to the treated list” button 51 in the upper right corner is pressed, the determination in the above step S5 ′ becomes YES, and FIG. Is started.
In this process, first, as shown in FIG. 7, a screen displaying a list of examination patients who have completed work is displayed (step S5'-1).
[0076]
FIG. 8 is a diagram showing an example of a work performed examination patient list display screen displayed on the display screen by the above processing. In the work-completed examination patient list display screen 70 shown in FIG. 5, the display of the main screen 47 in the main screen display area 36 changes as compared with the display screen of the unstarted examination patient list display screen 45 shown in FIG. And there is no change in the display of the other display areas. In FIG. 8, the same portions as those in FIG.
[0077]
In FIG. 8, the name of the main screen 47 is displayed as “treated patient list” in the leftmost screen name area 48 ′ of the main screen 47, and a “Go to untreated list” button is displayed in the right end display area. 71 is displayed. Then, the inspection that the pretreatment work has been performed is displayed on the entire lower surface of the uppermost stage of the main screen 47 (three rows are displayed in the example shown in the figure, and the display area of the entire surface is not necessarily used). A patient list 72 is displayed.
[0078]
At the top of the pre-treatment work completed test patient list 72, the list display items are arranged in order from left to right, arrival time, patient ID, patient name (test patient), entrance / outside (inpatient / outpatient), examination Type is displayed. And, in the item column of the patient name, "Omori x one", "Olympus Taro", and "@Ue tsuya" are displayed in a list from the top to the bottom of the three patients who have performed the pretreatment work. . At this stage, the pull-down menu display 73 shown in FIG. 8 has not been displayed yet.
[0079]
Here, the CPU of the server device 18 determines whether or not a display row of a desired examination patient is selected from the list display (step S5'-2). In this process, first, as shown in FIG. 8, for example, when the patient “▽ 上 □ 也” in the third row is selected, the row of this patient “▽ 上 □ 也” is displayed in reverse video or a color different from the others. At the same time, a pull-down menu display 73 is displayed. In the pull-down menu display 73, three items of "confirmation / change of pre-treatment contents", "confirmation of order details", and "cancel" are displayed from the top.
[0080]
Here, if "confirmation / change of the contents of pre-treatment" is selected, the display is inverted, and when the confirmation is made (selection input), a data input window relating to the job is displayed (step S5'-4). In this process, a display screen similar to that shown in FIG. 6 is displayed in the system of the endoscopy department.
[0081]
Note that, when “cancel” is selected and input in the selection input of the pull-down menu display 73, the selection of the patient “▽ 上 □ 也” on the third line is canceled, and the patient “患者 上” on the third line is canceled. The reverse display or the display of a color different from the others in the row of “□” is returned to the original display.
[0082]
When “order confirmation” is selected and input (here, “order” refers to a medical patient (or an examination patient)), a display screen similar to that shown in FIG. 6 is displayed. However, in this case, the user can only view and cannot input data. That is, only the input of the “return to list” button 55 is valid.
[0083]
As described above, after the “confirmation / change of the pre-treatment content” is selected and input, and the same display screen as that shown in FIG. 6 is displayed, the CPU of the server device 18 causes the doctor in charge of operating the display screen to operate. When the data is referred to (for example, when one of the icons in the icon display column 59 is pressed), the data requested to be referred to is displayed, and additional input to the input window 62 (re-editing) is performed. If there is, the input process (rewriting process of the medical patient record in the database) is performed, and it is monitored whether or not the "register" button 64 is pressed (step S5'-5).
[0084]
As a result, the pre-treatment physician does not press the “register” button 64 on the redisplayed input window display screen 53 shown in FIG. 6 (NO in S5′-5), and in step S5′-5. , Can be added to the input window 62 shown in FIG.
[0085]
In this manner, the data is re-edited, and finally, the data re-editing for this patient "▽ 上 □ 也" is completed, and the "registration" button 64 is pressed by the attending physician, and step S5'- If the determination is YES in step S5, the "return to list" button 55 is pressed, and if the determination in step S5'-6 is YES, the CPU of the server device 18 determines whether the input window The display screen 53 is deleted from the display screen (step S5'-7), and the process returns to step S5'-1.
[0086]
As described above, according to the present example, it is possible to quickly execute the additional operation for the medical patient who has completed the operation, and to quickly input the data of the additional operation.
As described above, the preparatory work in the system of the endoscopy department has been described with the display of the initial startup display screen 30 in FIG. 4 as a starting point. , Execution input, and report input, though not particularly shown, the processing proceeds in substantially the same processing procedure as described above. When the inspection status list is selected, a list display screen almost similar to that shown in FIG. 9 is displayed, which is slightly different from the above.
[0087]
In this example, although not particularly shown in the list display such as the pretreatment unstarted examination patient list 52 shown in FIG. 5 and the pretreatment work performed examination patient list 72 shown in FIG. By inputting an instruction in advance to the server device 18, the background of the display line or the display characters can be displayed in different colors according to the desired sorting division.
[0088]
As described above, according to this example, the progress of other tasks can be easily visually discriminated in the list of unstarted or completed tasks, and an unstarted medical patient or task to be performed is additionally executed. It will be possible to quickly and accurately find out the medical treatment that should be completed.
[0089]
【The invention's effect】
As described above, according to the present invention, by simply selecting a task to be performed from options automatically displayed for each task, only medical patients who have not yet started treatment for the task are displayed in a list. Since the data input screen for the desired medical patient is displayed, the medical work progress status input that can quickly execute the treatment that has not yet started treatment or the additional treatment to the treatment completion work and the data input of the execution result It is possible to provide a support system.
[Brief description of the drawings]
FIG. 1 is a diagram showing an overall configuration of a medical service progress input support system according to an embodiment.
FIG. 2 is a diagram showing an example of the configuration of an endoscope inspection system in the overall configuration of the medical service progress input support system in one embodiment.
FIG. 3 illustrates a processing operation performed when data for performing a treatment for a patient selected from unlisted medical patients listed in each task of the medical task progress input support system according to the embodiment is input. It is a flowchart shown.
FIG. 4 is a diagram showing an example of an initial startup display screen displayed on a display device of a server device or another terminal for inputting data for performing a treatment for an unstarted treatment in the endoscope system.
FIG. 5 is a diagram showing an example of a medical patient list display screen of patients who have not started pretreatment displayed when a pretreatment input is selected on a startup initial display screen.
FIG. 6 shows “input of treatment status” displayed when a medical patient is selected in a row on which a desired patient name is displayed on the display screen for selecting a medical patient to be subjected to the pretreatment. FIG. 6 is a diagram showing an example of a display screen for performing the operation.
FIG. 7 is a flowchart showing a processing operation when referring to data and re-editing the data of a medical patient to which data for performing the procedure has been input;
FIG. 8 is a diagram showing an example of a list display displayed on a display screen in a processing operation when data is referenced or data is re-edited.
FIG. 9 is a diagram showing an example of a list display screen displayed on a monitor of a computer connected to a conventional endoscopic examination medical image filing system in order to monitor the progress of medical work for in-vivo examination. is there.
[Explanation of symbols]
1 Reception main screen
2 Menu button group
Group of 3 submenu buttons
4 Function button group
5 Combo box
6 Inspection list window
7 Progress
10 Hospital Network
11 Electronic Medical Record System
12 Endoscopy Division
13 Pathology Division
14 (14-1, ..., 14-n) Other divisions
15 (15-1, ..., 15-m) In-hospital information terminal
16 Endoscopy system
17 System Network
18 Server device
19 Report input / output terminal
21 Terminal for inspection equipment
22 Data transmission / reception terminal
23 Printer
24 DVD control terminal
25 Printer
26 Endoscope inspection device
27 Printer
28 DVD Changer
30 Start screen
31 Date display field
32 triangle button
33 Logout button
34 User column
35 Job selection button group display area
36 Main screen display area
37 Patient Reception Button
38 Pre-treatment input button
39 Execution input button
41 Report input button
42 Inspection status list button
43 Network name
45 Pre-treatment unstarted examination patient list display screen
46 Inspection button
47 Main screen
48, 48 'screen name area
49 Update button
51 Click the button for the treated list
52 Pre-treatment unstarted examination patient list display
53 Display screen for input window
54 Screen name area
55 Back to List Button
56 User column
57 Information display area
58 Notes column
59 Other device call icon display field
61 List display area
62 Input window
63 Temporary save button
64 Registration button
65 Check column
66 Drug name column
67 quantity column
68 Performer name column

Claims (4)

  1. Recording means for recording the progress of completion of treatment or completion of treatment of a plurality of medical patients occurring for each of a plurality of tasks in association with each of the tasks,
    Selection list display means for displaying a list of each of the plurality of tasks so as to be selectable,
    The medical patient reading the progress status of the medical patient of the selected job from the record of the recording device based on the job selection input from the list display by the selection list display unit and not starting treatment of the selected job. Unstarted patient list display means for displaying a list of medical patients related to
    A medical work progress input support system characterized by having:
  2. Medical patient selecting means for selecting a medical patient who has not started a desired treatment from a list display by the unstarted patient list display means,
    Treatment progress information inputting means for inputting the progress of treatment for the task of not starting treatment of the medical patient selected by the medical patient selecting means,
    Progress classification means for classifying the medical patient involved in the work of the input completion as a medical patient having completed the work related to the input completion based on the completion of the input by the treatment progress input means and recording the medical patient in the recording means;
    The medical service progress input support system according to claim 1, further comprising:
  3. A treated patient list display for reading the progress status of the medical patient for which the treatment of the selected task has been completed from the record of the recording means and displaying a list of medical patients related to the treated medical patient of the selected task. Means,
    List display switching means for switching and displaying a list of medical patients by the unstarted patient list display means and a list of medical patients by the treated patient list display means,
    Further comprising
    The medical patient selecting means selects a desired medical patient from the list display switched and displayed by the list display switching means,
    The treatment progress information input means, for the task related to the medical patient selected by the medical patient selection means, input a new or additional progress status,
    The progress classifying means classifies the medical patient involved in the task of completing the input as a medical patient who has completed the task related to the input completion based on the completion of the input of the progress status by the treatment progress status input means, and records the medical patient. Let the means record,
    2. The medical work progress input support system according to claim 1, wherein:
  4. Color display means for displaying the medical patients of the list display by the list display switching means, for each of the tasks, for each unstarted or for each of the tasks, by color-coding the background or display characters of the display line according to a desired sorting division. The medical service progress status input support system according to claim 3, further comprising:
JP2002306733A 2002-10-22 2002-10-22 Support system for inputting progress of medical service Pending JP2004145428A (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2008282403A (en) * 2007-05-11 2008-11-20 Olympus Medical Systems Corp Medical information management device
JP2010092213A (en) * 2008-10-07 2010-04-22 A & T Corp Medical information processor, medical information processing method and medical information processing program
JP2016143205A (en) * 2015-01-30 2016-08-08 富士フイルム株式会社 Medical care support device, activation method and activation program of medical care support device, and medical care support system

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2008282403A (en) * 2007-05-11 2008-11-20 Olympus Medical Systems Corp Medical information management device
JP2010092213A (en) * 2008-10-07 2010-04-22 A & T Corp Medical information processor, medical information processing method and medical information processing program
JP2016143205A (en) * 2015-01-30 2016-08-08 富士フイルム株式会社 Medical care support device, activation method and activation program of medical care support device, and medical care support system

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