JP2004192485A - Method and system for preparing critical path - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To assist a doctor or a person in charge of medical service who should scheme and record medical service so as to properly scheme and record medical service easily and quickly. <P>SOLUTION: The system for creating critical paths is based on a database and inputted patient identification data. In the database, critical path treatment data groups classified by medical practice names, which contain patients' initial conditions, execution conditions, and events by classifications divided into common treatment itemized classifications and specific treatment itemized classifications are stored. Critical path treatment data groups congruent with medical practice data of a patient are selected from critical path treatment data groups classified by medical practice names are selected to generate a critical path treatment data group for the patient. Critical path treatment data for treatment in the first and following days of medical service for the patient, which includes execution conditions and events is generated on the basis of the initial condition of the specific patient, and critical path treatment data for treatment in the second and following days of medical service for the patient is generated on the basis of execution conditions and events. <P>COPYRIGHT: (C)2004,JPO&NCIPI

Description

[0001]
TECHNICAL FIELD OF THE INVENTION
The present invention relates to a critical path creation device and a creation method for medical practice.
[0002]
[Prior art]
Patent Literature 1 defines a plurality of medical items to be arranged on a sheet and a plurality of element data respectively defining an input format thereof, and a position where the data is pasted on each sheet. A plurality of sheet-specific data files including arrangement data are provided, a screen for element registration is displayed by the display processing means and the display means, and one sheet is designated or selected from the list display sheet by the editing means. Describes a medical template system that enables new registration, designates one element from a list display element or enables new registration in these elements, and enables editing of designated or newly registered data.
[0003]
Patent Literature 2 discloses using a plurality of first object files each including medical practice data, execution time data, and situation selection procedure means, a second object file including date / time position calculation means information, and a first object file. The main display data and the status display mark for displaying the medical plan table with the status display mark are generated, and the second sub display data for displaying the current date and time mark in the medical plan table using the second object file. A medical planning and recording support system including a processing unit that generates the data and a display device that displays the generated display data is described.
[0004]
Patent Literature 3 discloses a layer that is a medical plan record table for only a part of the period and only for some types of medical activities by using a plurality of first object files each containing medical practice data and execution time data. A processing unit that generates first display data for displaying a map and generates second display data for displaying a lifetime chart including a plurality of layer marks for identifying each layer map, wherein the processing unit includes a lifetime chart. A medical planning and recording support system for extracting an object file constituting a layer map corresponding to the layer bar selected above and generating first display data using the medical practice data stored therein is described. .
[0005]
[Patent Document 1]
JP 2001-118012 A
[Patent Document 2]
JP 2001-052073 A
[Patent Document 3]
JP 2002-123616 A
[Patent Document 4]
JP 2002-117143 A
[0006]
[Problems to be solved by the invention]
Conventionally, a critical path is designed based on the input of predetermined basic information by medical practice name, and a list of `` when and what to do '' from hospitalization to discharge by inputting patient information and hospitalization date etc. Because a treatment schedule was created in the form of a format, it was difficult to follow the patient's condition over time in the results over time, such as test results based on the treatment and the patient's condition. It was difficult to say that it was dissociated and was fully utilized.
Furthermore, there is inconsistency in terms used by doctors, nurses, and the like, and it has been difficult to centrally manage results such as patient status and test results based on treatment as history information.
[0007]
Conventional techniques are usually designed based on the knowledge and experience of doctors and the input of basic information for each predetermined medical practice name in order to create a critical path. Patient information, hospitalization date, etc. were entered, and only a treatment schedule was created from hospitalization to discharge.
Therefore, the conventional technology has the following problems.
The physician was troublesome to design the critical path either manually or by computer input.
[0008]
In addition, since the treatment schedule created based on the designed critical path is in the form of an entire list on printed paper or display, it cannot be accumulated by inputting information.
In addition, the created treatment schedule is only in the form of a static list of “when and what to do”.
Since the medical staff involved in the treatment also performs the treatment according to the prepared treatment schedule, it has been difficult to follow the patient's condition over time.
[0009]
Since it is usual that the treatment schedule is determined in advance also during the hospitalization period, it has been difficult to make a decision to shorten the hospitalization period. Since the history information of each patient over time cannot be shared in a unified manner, a doctor must consult each time.
In the course of medical care, the relationship between patients and physicians has changed significantly in recent years, and patients' own rights and claims have been incorporated into medical care, and they have become more actively involved in treatment. Newspapers report on current medical problems such as medical mistakes and management-related issues related to controlling medical expenses.
[0010]
Critical paths have been widely introduced in hospitals nationwide with the aim of improving the efficiency and standardization of medical care and improving the content of medical care. However, unlike the process management in the manufacturing industry, which was the basis for creating the critical path, there is disease and individuality, and in the process of standardization, inconsistencies (variance) with the critical path will occur. It is thought that if variance occurs, it will deviate from the plan planned on the critical path, and it will be useless even if it is introduced after all.However, it is only necessary to perform variance analysis and put it on the critical path from the beginning I thought it might be.
[0011]
The present invention makes it possible to easily refer to medical information to be referred to in response to a patient's individual situation even when the amount of medical information is enormous, in a situation where the amount of medical information is enormous, Medical care that can create (edit) the desired critical path by assisting the recording physician or healthcare professional (eg, nurses, rehabilitation staff) in creating an appropriate medical plan and records easily and quickly. It is an object of the present invention to provide an apparatus and a method for creating an action critical path.
The present invention further provides an apparatus for creating a critical path for a specific patient treatment, which can provide a new optimal treatment action every day based on a dynamic condition determination over time, such as "what condition and what to do". And a method.
[0012]
[Means for Solving the Problems]
The present invention relates to a common common treatment item as a treatment item that is performed in principle by a medical practice including a disease name, a treatment method for the disease, and a work item for the treatment method, regardless of the initial condition of the patient, and depends on the initial condition of the patient. Are classified into the specific treatment items as the treatment items to be performed, the initial conditions of the patient, and the execution conditions representing the task achievement status and the treatment means corresponding to the task achievement status, and the examination results and the treatment means corresponding to the examination results; and A database storing at least two (or a plurality of) critical path treatment data groups classified by medical condition name, which are classified based on a condition of the patient and an event representing a measure of the treatment corresponding to the patient condition; When initial conditions of a specific patient are input for the input specific patient identification data, at least two critical path treatment data groups A processing means for creating critical path treatment data for a specific patient treatment on and after the first day of treatment by using a group of critical path treatment data classified by medical practice name for the patient classified by the initial condition of the patient On the basis of the critical path treatment data for the treatment of the specific patient from the first day of the treatment, the execution condition and the event for the patient are displayed for each medical practice data for the specific patient identification data, for each common treatment item and each unique treatment item. And a method for creating a critical path having a screen display means for displaying the critical path.
[0013]
The present invention also depends on the common common treatment items as treatment items that the medical practice including the disease name, the treatment method for the disease, and the work items for the treatment method are performed in principle irrespective of the initial condition, and the initial condition of the patient. The implementation conditions and the test results that indicate the initial conditions of the patient, the task achievement status and the measure of the treatment corresponding to the task achievement status, and the treatment results and the treatment means that correspond to the test results A database storing a group of critical path treatment data grouped on the condition of an event representing a means of treatment corresponding to the state of the patient and the state of the patient, and when the initial condition of the specific patient is input for the input patient identification data, From the critical path treatment data group, use the critical path treatment data group for patients classified by the initial conditions of the patient. Creates critical path treatment data for a specific patient treatment on and after the first day of treatment, and inputs an execution condition or / and event specified from the medical practice treatment result data on and after the first day of treatment. Provided is a critical path creation device and method having processing means for creating critical path treatment data for specific patient treatment on and after the second day.
The critical path creation device and method described above have the following usefulness.
[0014]
1. Medical standardization
All patients are being treated in the same way.
In addition, treatment plans for patients, their families, physicians, nurses, rehabilitation staff, physiotherapists, pharmacists, occupational therapists, speech therapists, etc., have treatment plans, future treatment progress, results and goals. clarify.
2. Clarification of goal setting
Clearer outcomes result in clearer goals and less social hospitalization. Therefore, the hospitalization period is shortened, the occupancy rate per bed is increased, and hospitalization income is increased. (If the length of hospital stay is prolonged, the daily medical fee will be greatly reduced.)
3. The critical path this time is a daily one, so what we need to do tomorrow will be determined by today's achievements.
4. The database of medical treatment can be made into a huge database, and analysis can be used to analyze the rate-limiting step toward discharge, and EBM (Evidence Based Medicine: an evaluation based on scientific statistical analysis instead of a method based on experience, For example, low back pain is said to be good in the acute stage, but it is thought that it will exert a great power as a tool that moves as fast as possible based on empirical rules.
In connection with 5.1, medical errors are reduced due to monitoring by the public, and management becomes easier.
[0015]
BEST MODE FOR CARRYING OUT THE INVENTION
Hereinafter, embodiments of the present invention will be described with reference to the drawings.
FIG. 1 shows the overall configuration of an embodiment of the present invention. The numbers used in this figure indicate the following contents (hereinafter, the contents will be similarly shown for each figure).
DESCRIPTION OF SYMBOLS 1 ... CPU, 2 ... Knowledge database by medical practice name, 3 ... Basic data group by medical practice name, 4 ... Reference data group by treatment item, 5 ... Program processing means in CPU, 6 ... Classification by common treatment item, 7 ... specific treatment item classification, 8 ... treatment item association and selection means, 9 ... initial condition, 10 ... execution condition, 11 ... event, 12 ... critical path treatment database by medical practice name, 13 ... specific patient basic information, 14: Specific patient identification data, 15: Medical item data in medical practice name, 16: Initial condition of specific patient, 17: Critical path treatment data group, 18: Medical item data in medical practice name, inquiry by specific patient initial condition (Listening), 19: Critical path treatment data for specific patient treatment, 20: Critical path treatment database for specific patient treatment, 21 Viewing, 22 ... treatment, 23 ... screen 24 implementation conditions and events in a treatment result data, 26 ... execution condition representing the assignment achievement status, query by events that represent the state of the test results and patient.
[0016]
In a CPU 1, which is a computer processing device, a medical act name stored in the medical act name knowledge database 2 is a medical act data, in which a disease name, a treatment method, a work item name, and a medical act name in which a treatment item is stored are stored. The basic data group 3, the initial conditions classified for each treatment item, the task achievement status assumed for each initial condition, the execution condition representing the means of the treatment corresponding to the assumed task achievement status, the expected inspection result, and With reference to the treatment item-specific reference data group 4 in which events representing the means of treatment corresponding to the expected test result, the state of the expected patient, and the means of treatment corresponding to the expected patient state are stored, Disease name, medical treatment data for medical practice name associated with each medical practice name, treatment method for disease, work item for treatment method, Were classified means treatment for work items common and specific action items are classified are selected respectively. The treatment items are classified into a common treatment item classification 6 as a common medical practice, and a classification classified into a special treatment item classification 7 as another medical activity, and further, the initial condition 9 of the patient and achievement of the task. The condition is an execution condition 10 representing the means of the treatment corresponding to the situation and the achievement state of the task, the test result, the means of the treatment corresponding to the test result, and the event 11 representing the state of the patient and the means of the treatment corresponding to the state of the patient, The association and selection 8 are performed for each treatment item, and the initial condition of the patient, and the execution condition and the examination result representing the task achievement state and the treatment means corresponding to the task achievement state, and the treatment means corresponding to the examination result, Critical path treatment data by patient condition and event representing the means of treatment corresponding to the patient condition, ie, by classified medical practice name To create a. In this case, the initial condition of the patient, and the implementation condition indicating the task achievement status and the means of treatment corresponding to the task achievement status, the test result, the treatment method corresponding to the test result, and the patient condition of the patient condition A critical path treatment data group classified by medical action name is classified into two or more (two in the present embodiment, and the following two cases will be described) classified based on an event representing a means of a treatment to be performed. Created. These two critical treatment data groups are stored in the critical path treatment data group database 12 for each medical practice name. Thereby, it can be separately retrieved (referenced) from the database 12 described above. Further, by inputting the patient identification data 14 as the patient basic information 13, the medical item data 15 in the medical practice name, and the initial condition 16 of the specific patient from the terminal, the inquiry 18 based on the medical item data in the input medical practice name is performed. Then, a critical path treatment data group for each medical practice name of a specific patient is created from the critical path treatment database 12 for each medical practice name on the condition of the medical item data in the medical practice name. That is, when the initial condition 16 of the specific patient in the patient basic information 13 is input from the terminal, the critical path treatment database 12 for each medical practice name is used to obtain a patient treatment for the specific patient based on the initial condition, that is, the specific condition. Is selected. It is stored in the critical path treatment database 20 as an example. At the same time, one critical path treatment data 19 for specific patient treatment is output for the initial condition of the specific patient. In this way, the critical path treatment data 19 for the patient treatment after the first day of the treatment is output. Further, a display is performed on the screen 23 by a screen display device (not shown). In this case, the information may be displayed by a computer having a CPU.
[0017]
When all courses assume an ideal treatment, there are many factors that disrupt it. These can be considered as those that are known at the start of treatment, those that occur with the passage of time, and those that occur suddenly or accidentally.
Among the events are "fever, low white blood cells, low platelets, and low hemoglobin", which are mainly used in hematology. If fever is observed, perform blood culture and administer antibiotics. In the case of a decrease in leukocytes, administration of a granulocyte stimulant, and in the case of a decrease in platelets and a decrease in hemoglobin, blood transfusion is taken.
[0018]
`` Fracture type, neck fracture, presence or absence of symptomatic knee joint disease, presence or absence of dementia, direction of discharge ''
Fracture types include a stable type and an unstable type. The stable type allows walking from one week after surgery, and the unstable type allows walking from the fourth week. Patients with knee osteoarthritis begin to inject the knee every week and rehabilitate the knee joint early with the fracture. In addition, since many patients have O-legs, a sole plate is created. Patients with dementia are discharged from the hospital when they are in a wheelchair, shortening the length of hospital stay. The direction of discharge remains for patients who can return home. Patients who go to the facility apply for nursing care insurance early and search for the facility from the time of admission. Patients transferred to other hospitals, geriatric hospitals, and rehabilitation hospitals will also be contacted at the time of admission.
[0019]
If these are referred to as an initial condition, an execution condition, and an event, respectively, the treatment method can be determined by three requirements of the initial condition, the execution condition, and the event.
Implementation conditions and events occur over time after the start of treatment and can be handled simultaneously. Therefore, even if the terms are different, it is assumed that the execution condition and the condition including the elements of the event correspond to the “execution condition” + “event” here.
[0020]
Based on the condition 21, the treatment result data 24 (medical practice treatment result data) including the task achievement status, the examination result, and the event of the patient's state, which are input based on the visual recognition 21 and the treatment 22 of the doctor or medical staff, As for the inquiry 26 based on the task achievement status, the test result, and the treatment result data representing the patient's condition, the task achievement status stored in the critical treatment database for the specific patient treatment and the means of the treatment corresponding to the task achievement status are determined. From the critical path treatment data group 20 for the specific patient treatment classified by the conditions representing the execution condition, the examination result, the treatment means corresponding to the examination result, and the condition of the patient and the event representing the treatment means corresponding to the patient condition. , Condition of the task achievement status, test result, and patient condition (execution condition, event) By doing so, it is possible to add the specific treatment items and associate them with the execution conditions indicating the expected task achievement status and the means of treatment corresponding to the assumed task achievement status, the expected test results, and the expected test results. After the second day of treatment, which also includes an event representing the corresponding treatment means, the expected patient condition and the treatment method corresponding to the assumed patient condition, or does not include a new specific treatment item Critical path treatment data for patient treatment is created. Then, output and display on the screen are performed in the same manner as described above.
[0021]
As described above, the database of medical practice names (medical practice knowledge database 2) for medical practice including the disease name, the treatment method for the disease, and the work item for the treatment method, and the referenced database of medical practice names are referred to. The data is classified into a common common treatment item 6 as a treatment item to be performed in principle irrespective of the patient's initial condition and a specific treatment item as a treatment item influenced by the patient's initial condition. And an implementation condition 10 representing the task achievement status and a measure of the treatment corresponding to the task achievement status, an inspection result, an event of the treatment corresponding to the test result, and a state of the patient and an event representing the means of the treatment corresponding to the patient state The two critical path treatment data groups 69 classified based on the condition 11 are created, and a database (Critica by medical practice name) is created. Of the two critical path treatment data groups 69 stored in the path treatment database 12) and input with the specific patient identification data, the initial condition 16 of the specific patient is input for the patient classified by the initial condition of the patient. Processing means (program processing means 5) for creating critical path treatment data 19 for specific patient treatment after the first day of treatment using the critical path treatment data group 17 by medical practice name; Based on the critical path treatment data 19 for the specific patient treatment after the first day, the execution conditions and events for the patient are displayed on the screen for each medical practice data for the specific patient identification data 14, each common treatment item, and each unique treatment item. A critical path creation device and method having a screen display unit for displaying are configured.
[0022]
In addition, the database of the medical practice name by medical practice name including the disease name, the medical treatment method for the disease, and the work items for the medical treatment method, and the data of the referenced medical practice name by the medical practice name are in principle regardless of the initial condition of the patient. It is classified into a common common treatment item 6 as a treatment item to be performed and a specific treatment item 7 as an initial item that is influenced by the initial condition of the patient, and the initial condition 9 of the patient, and the task achievement status and the task achievement status The two critical conditions categorized under the execution condition 10 representing the means of treatment corresponding to the condition and the event 11 representing the test result and the means of treatment corresponding to the test result, the state of the patient, and the means of treatment corresponding to the state of the patient A pass treatment data group 69 is stored in the database, and the initial condition of the specific patient is determined based on the input specific patient identification data. When 16 is entered, from the two critical path treatment data groups 69, the medical path data is further classified into the medical item data according to the initial condition of the patient, that is, the critical path by the medical practice name for the patient that is selected and created by placing. Using the treatment data group 17 and the execution conditions and / or events specified from the critical path treatment data 19 for specific patient treatment and the medical treatment treatment result data after the first day of treatment, Processing means for creating critical path treatment data for specific patient treatment on and after the second day of treatment using the classified critical path treatment data group, and a critical path creation device and method are configured.
[0023]
FIG. 2 shows the knowledge database 2 by medical practice name.
30 medical treatment name, 31 disease name, 32 treatment method, 33 work item, 34 common treatment item, 35 specific treatment item, 36 common initial condition, 37 specific initial condition, 38 execution condition group 39, assumed task achievement status items; 40, means for treatment corresponding to assumed task achievement status; 41, events; 42, assumed test results; 43: treatments corresponding to expected test results Means, 44: Possible patient state, 45: Means of treatment corresponding to expected patient state, 2: Knowledge database by medical practice name, 2a: Basic data group by medical practice name, 2b: Treatment item Reference data group.
[0024]
In the medical act name basic data group 2a (corresponding to 3 in FIG. 1) in the medical act name knowledge database 2, a disease name 31 and a disease name 31 associated with the medical act name 30 based on the medical act name are included. The associated treatment method 32, the work item 33 associated with the treatment method 32 associated with the work item that classifies the treatment means in the treatment item-specific reference data group 2 b (corresponding to 4 in FIG. 1), the common treatment item 34 and the specific action item 35, the common initial condition 36 and the specific initial condition 37 associated with the common action item 34, the common initial condition and the specific initial condition associated with the specific initial item, and the assumed task achievement status 39 and Implementation condition 38 representing treatment means 40 corresponding to assumed task achievement status, assumed test result 42, and assumed test result The corresponding treatment means 43, the assumed patient state 44, and the event 41 representing the treatment means 45 corresponding to the assumed patient state are grouped into a data group or a single data to form a hierarchy. It is stored as it is.
[0025]
The nature and character of the common items, the nature and character of the specific items, the treatments to be performed on the patient in any situation (common treatment items), the treatments that need not be performed depending on the patient's situation, and conversely There is an action that must not be performed (specific action item).
The former is a treatment item to be performed irrespective of the routine work such as measurement of blood pressure and the initial condition of the patient, and the latter is a treatment item depending on whether or not to perform the treatment depending on the initial condition of the patient. Therefore, there are a plurality of unique treatment items for a common treatment item, and there are a plurality of unique initial items for a common initial condition.
[0026]
Reasons for dividing into common and specific treatment items
When considering the treatment schedule for a specific patient, the necessary treatments are considered, selected, and arranged, but when actually doing it, items that are entered mechanically without considering the patient's unique condition and patients That's why it is better to do this, it is necessary, this is unnecessary. Separating these in advance is efficient and leads to reducing mistakes.
[0027]
Specific examples of events
Hematology
Disease name: Acute nonlymphocytic leukemia
Treatment: induction therapy
Event: Appearance of stomatitis
Correspondence treatment: Special gargle water formulation
As soon as stomatitis appears during treatment, do not wait for the next day
Prescribe special gargle
[0028]
FIG. 3 shows a means for associating data by medical practice name.
30: Medical practice name, 51: Means for inquiring related items by medical practice name, 56: Means for inquiring related data by treatment item (corresponding to 8 in FIG. 1), 57: Treatment classifying means.
[0029]
By referring to the medical practice name-specific knowledge database 2, a medical practice name for a medical practice name, a disease name, a treatment method for the disease name, a work item name for the treatment method, and a medical treatment name for the work item are stored. In the basic data group 3, the user inputs or selects the medical practice name 30, inquires about medical practice data related to the medical practice name, and inquires 51 about medical practice name related items. Indicates the common initial conditions and specific initial conditions classified for each treatment item classified into common and specific treatment items, the expected task achievement status, and the means of treatment corresponding to the assumed task achievement status Conditions, expected test results and means of treatment corresponding to the expected test results, expected patient state 44 and expected patient In the treatment item-specific reference data group 4 in which an event representing the treatment means corresponding to the condition is stored, the inquiry 56 of the treatment item-related data is performed, and the common treatment item 6 and the unique , A common initial condition 36 and a specific initial condition 37 classified for each of the treatment items, an expected achievement state 39, and a treatment means 40 corresponding to the assumed achievement state. Implementation condition 38, expected test result 42 for event 41, and treatment means 43 corresponding to the expected test result, expected patient state 44, and treatment means 45 corresponding to the expected patient state Are selected in association with each other, and a critical path treatment data group is created for each medical practice name. It is treated and stored in the database 12.
[0030]
FIG. 4 shows a means for creating a critical path treatment data group for patient treatment.
70: basic patient information, 71: specific patient identification data, 72: medical item data in medical practice name, 73: initial condition of specific patient, 74: inquiry by medical item data in medical practice name, 75: initial condition of patient inquiry.
[0031]
The specific patient identification data 71 as the basic patient information 70, the medical item data 72 in the medical practice name, and the initial condition 73 of the specific patient are respectively input from the terminal, and the inquiry 74 using the medical item data in the input medical practice name is performed. From a group of critical path treatment data by medical practice name stored in the critical path treatment database by medical practice name 12, a group of critical path treatment data by medical practice name of the patient under the condition of medical item data in the medical practice name 69, and for the inquiry 75 based on the input initial condition of the patient, one critical path treatment data group 17 is finally determined on condition that all of them match in the initial condition of the patient. Stored in the critical path treatment database 20 according to the initial condition of a specific patient And outputs the critical path treatment data 19 for a particular patient treatment of the first day after the treatment, also performs a display on the screen 23.
[0032]
FIG. 5 shows a means for creating a critical path treatment data group for patient treatment based on treatment result data.
94: task achievement status, 95: patient condition, 96: test result, 97: inquiry by treatment result data, 103: inquiry when treatment items are added, 103a: treatment item addition, 105: patient treatment Critical path action data.
[0033]
Based on the visual recognition 21, the treatment 22 of the doctor or the medical staff, the execution condition, the execution condition as the task achievement status 94 of the event treatment result data 24, the patient's state 95, and the test result 96 are input to the CPU. On the condition of the treatment result data, a query 97 based on the treatment result data indicating the task achievement status, the test result, and the patient's condition, the critical path for the patient treatment of the specific patient stored in the critical path treatment database 20 From the treatment data group, by inputting, as conditions, the task achievement status, the test result, and the patient's state, which are the treatment result data, a special treatment item is added and a related assumption is made when a treatment item addition 103a occurs. Execution conditions indicating the task achievement status to be performed and the treatment means corresponding to the assumed task achievement status, the expected test results and the treatment means corresponding to the expected test results, the assumed patient condition and the expected Or new specific treatment, including an event that represents a means of treatment corresponding to the patient's condition To create a critical path treatment data 105 of the treatment the second day later for patient treatment, including eye. Further, output and display on the screen 23 are performed.
[0034]
FIG. 6 shows a critical path treatment data group for each medical practice name.
69: Critical path treatment data group by medical practice name.
In the critical path treatment data group 69 by medical practice name stored in the critical path treatment database 12 by medical practice name, the disease name 31 which is the medical item data in the medical practice name 30, the treatment method 32 for the disease name, A work item name 33 for the treatment method, a common treatment item 34 for the work item, and a specific treatment item 35 are data groups or a basic data group for each medical practice name in which they are organized into one and form a hierarchy and stored. It is assumed that the common initial condition 36, the specific initial condition 37, and the initial condition of the patient classified by the common treatment item as the common medical action and the specific medical treatment item as the other medical action for the treatment item. Of the task achievement status 39 and the means 40 of the treatment corresponding to the assumed task achievement status Conditions and is stored. Also, an event representing the expected test result 42 and the means 43 of the treatment corresponding to the expected test result, the expected patient state 44 and the event of the treatment 45 corresponding to the expected patient state is configured as a condition. The data group or the standard data group part for each treatment item, which are organized and formed as a single layer and form a hierarchy, are grouped into a single data group or a single data and form a hierarchy. It is stored as such, or is stored as a data group in which at least one or more systematized and hierarchical layers are formed for each medical practice name.
[0035]
FIG. 7 shows a critical path treatment data group for patient treatment of a specific patient.
111: critical path treatment data group for patient treatment of a specific patient.
In the critical path treatment data group 111 for patient treatment of a specific patient stored in the critical path treatment database 20, a disease name in medical practice, a treatment method for the disease name, a work item name for the treatment method, and a treatment item for the work item Are classified into a common treatment item as a common medical practice and a specific treatment item in other medical practices. The initial condition 73 of the specific patient, the task achievement status assumed for each initial condition and the execution condition 38 representing the means of treatment corresponding to the assumed task achievement status, the expected test result and the expected test result From the critical path treatment data group for each medical practice name created under the condition of the corresponding treatment means, the assumed patient condition and the event 41 representing the treatment means corresponding to the assumed patient condition, the specific patient identification is performed. By inputting the data 71, the medical item data 72 in the medical practice name, and the initial condition 73 of the specific patient, a critical path treatment data group for each medical practice name of the patient, which is conditional on the medical item data in the medical practice name, is selected. Further, from the group of critical path treatment data for each medical practice name of the patient, patient identification data conditioned on the initial condition of the patient 71, a medical item data 72 in medical practice name, the initial conditions 73 patients, disease name 30, a therapeutic method 32 to the disease name, work item 33 for the treatment methods have been stored for medical practice. Regarding the treatment items for the work items, a common treatment item 34 as a common medical practice, a specific treatment item 35 in another medical practice, and a common initial condition 36 and a specific initial condition 37 as a patient's initial condition for each treatment item And an execution condition 38 representing an assumed task achievement state 39 and a measure 40 corresponding to the assumed task achievement state, an assumed test result 42 and a measure 43 corresponding to the assumed test result The event 41 representing the assumed patient state 44 and the means 45 of the treatment corresponding to the assumed patient state is a data group as a critical path for the patient treatment of the specific patient, or they are organized into one and the hierarchy is structured. It is formed and stored.
[0036]
FIG. 8 shows critical path treatment data for patient treatment after the first day of treatment for a specific patient.
In the critical path treatment data for patient treatment after the first day of treatment of the specific patient, the disease name in medical practice, the treatment method for the disease name, the work item name for the treatment method, the treatment item for the work item, Classified into a common treatment item as a common medical practice and a specific treatment item in other medical practices, and the initial conditions 36 and 37 of the specific patient, and the task achievement status and expected task achievement assumed for each initial condition An execution condition representing the treatment means 40 corresponding to the situation 39 is stored. In addition, an expected test result 42 and a means 43 of the treatment corresponding to the expected test result, an expected patient state 44 and an event 41 representing the means 45 of the treatment corresponding to the expected patient state are conditions. From the created critical path treatment data group 69 for each medical practice name, by inputting the patient identification data 31, the medical item data in the medical practice name, and the initial conditions 36 and 37 of the specific patient, the medical item data in the medical practice name is input. A critical path treatment data group 69 for each medical action name of the patient as a condition is created. Further, from the critical path treatment data group 69 for each medical practice name of the patient, patient identification data 71 under the initial conditions 36, 37 of the specific patient, medical item data in the medical practice name, initial conditions 36, 37 of the patient, , The medical treatment, the disease name, the treatment method for the disease name, the work item for the treatment method, the treatment item for the work item, the common treatment item as a common medical practice, and the treatment items specific to other medical practices, Common initial conditions and specific initial conditions as patient initial conditions for each item, as well as the expected task achievement status and the execution conditions representing the means of treatment corresponding to the expected task achievement status, the expected test results and the expected Displays the procedure for treatment corresponding to the test result, the expected patient condition, and the procedure for treatment corresponding to the expected patient condition. It is created as the critical path treatment data group for patient treatment of a particular patient that contains the event. Based on the critical path treatment data group 111 for patient treatment of a specific patient, patient identification data 71 of a specific patient, a common treatment item 34 as a common medical practice, and a unique treatment item 35 in another medical practice, and the treatment The common initial condition 36 and the specific initial condition 37 for each item, the assumed task achievement status 39 and the execution condition representing the means 40 of the treatment corresponding to the assumed task achievement status, the assumed inspection result 42 and the assumed An event representing the treatment means 43 corresponding to the test result, the assumed patient state 44 and the treatment means 45 corresponding to the assumed patient state is a data group or a single data group, which forms a hierarchy. It is stored as follows.
[0037]
FIG. 9 shows critical path treatment data for patient treatment after the second day of treatment for a specific patient.
150: critical path treatment data for patient treatment after the second day of treatment of the specific patient; 163: assumed task achievement status; 164: treatment means corresponding to the assumed task achievement status; 166: assumed Examination result, 167: Means of treatment corresponding to expected test result, 168: Means of treatment corresponding to expected patient condition, 169: Means of treatment corresponding to expected patient condition.
[0038]
In the critical path treatment data 150 for patient treatment after the second day of treatment of the specific patient, the disease name in medical practice, the treatment method for the disease name, the work item name for the treatment method, and the treatment item for the work item , Classified into common treatment item classifications as common medical activities, and classifications classified into specific treatment item classifications in other medical activities, with initial conditions of the patient, and expected task achievement status and assumed Implementation conditions representing the means of treatment corresponding to the task achievement status, the expected test results and the means of treatment corresponding to the expected test results, the assumed patient condition and the treatment of the expected patient condition From the critical path treatment data group for each medical practice name created on the condition of the event representing the means, Medical item data that, by the input of the initial conditions of the patient, medical practice by Name Critical Path treatment data group of said patient subject to a medical item data in the medical practice name is created. Further, from the critical path treatment data group for each medical practice name of the patient, patient identification data on the condition of the initial condition of the patient, medical item data in the medical practice name, initial condition of the patient, disease name for medical practice, disease Regarding the treatment method for the name, the work item for the treatment method, and the treatment item for the work item, the common treatment item as a common medical practice, the unique treatment item in other medical practices, and the initial condition of the patient for each treatment item Corresponds to common initial conditions and specific initial conditions, as well as implementation conditions that indicate the task achievement status expected for each initial condition and the means of treatment corresponding to the expected task achievement status, the expected inspection results, and the expected inspection results Includes events that indicate the type of treatment that was performed, the expected patient condition, and the treatment method that corresponds to the expected patient condition. That is created as the critical path treatment data group for patient treatment of certain patients. Based on the critical path treatment data group for the patient treatment of a specific patient, the execution condition, which is the task achievement status input based on the visual recognition, the treatment by the doctor or medical staff, and the test result, the event, which is the patient's condition, On the condition of the treatment result data including the task achievement status, the test result, and the inquiry by the treatment result data representing the state of the patient, the patient treatment of the specific patient stored in the critical path treatment database for the patient treatment From the critical path treatment data group, the specific patient identification data 31 and the addition of the common treatment item 34 and the treatment item occurred under the condition of the task achievement status, the test result, and the state of the patient, which are the treatment result data. And the associated expected task achievement status 163 and Implementation conditions representing the means of treatment 164 corresponding to the task achievement status to be set, the expected test result 166, the means of treatment 167 corresponding to the expected test result, the expected patient state 168, and the expected patient An event representing the means of treatment 169 corresponding to the state of is stored as a data group or a group of them organized into one to form a hierarchy.
[0039]
FIG. 10 shows an input screen for the treatment result status of a specific patient based on the treatment performed by the doctor or medical staff.
180: input screen for the treatment result status of the specific patient; 181, patient name; 182, patient ID; 183, item indicating the test result for the specific patient; 184, item indicating the condition of the patient for the specific patient; 185, for the specific patient Item indicating the task achievement status, 186... Query means based on the treatment result data of the specific patient input based on the treatment, 187... Query based on the input task achievement status, 188... Query based on the input patient status, 189. Inquiry based on the input test result, 191 ... Judgment of addition or non-addition of treatment items to the inquiry to the inquiry, 192 ... Output of critical path treatment data after the nth day of treatment for the specific patient, 195 ... Check mark input box.
[0040]
In the input screen 180 for the treatment result status of the specific patient based on the visual recognition, the treatment of the doctor or the medical staff, the patient name 181 and the patient ID 182 for confirming the specific patient, and the condition of the specific patient are determined in advance for the specific patient. An item 183 indicating the test result for the selected specific patient, an item 184 indicating the patient's state for the specific patient, an item 185 indicating the task achievement status for the specific patient, and the status and confirmation items included in each item are displayed. . As a treatment result based on the visual recognition, the treatment by the doctor or the medical staff, the status and the confirmation item in the item representing the test result for the specific patient are checked in the check mark input box 195, and the state of the patient for the specific patient is checked. Check the status and confirmation items in the items to be displayed in the check mark input box, and further input the status and confirmation items in the check mark input box in the items indicating the task achievement status for the specific patient based on the treatment. The inquiry means 187 based on the input task achievement status as the execution condition, the inquiry 189 based on the input test result input as the event, and the input patient's Identify query 188 by status To the critical path treatment data group for patient treatment of a specific patient stored in the critical path treatment database for patient treatment, and determine the presence or absence of additional treatment items based on the input task achievement status, test results, and patient status 191, and outputs 192 critical patient treatment data for the patient treatment on and after the n-th day of the treatment of the specific patient, including the additional status of the treatment item. The path treatment data is displayed on the screen 23.
[0041]
FIG. 11 shows association and selection means for each medical practice name for creating a critical path treatment data group for each medical practice name.
201: selection means associated with a medical practice name; 207: selection means associated with each treatment item.
[0042]
The medical practice name 50 is selected from the medical practice name 30 in the medical practice name basic data group 55 with reference to the medical practice name-specific knowledge database 52, and the medical practice name selected by the selecting means 201 associated with the medical practice name is referred to. Selecting the disease name 31 associated with the disease name, the treatment method 32 associated with the disease name, and the work item name 33 associated with the treatment method, and selecting the treatment means associated with the work item in the treatment item-specific reference data group Are selected by the selection means 207 associated with each treatment item, and the common initial condition 36 and the specific initial condition 37 classified for each treatment item are selected. The task achievement status 39, the execution conditions representing the means 40 of the treatment corresponding to the assumed task achievement, the expected test result 42 and the Is the the means 43 of the treatment corresponding to the inspection result, it selects an event 41 which represents a means 45 of the treatment corresponding to the condition of the patient being state 44 and assumptions of the patient contemplated.
[0043]
FIG. 12 shows an item selecting means associated with a medical practice name.
221... Means for inquiring related items.
An inquiry 221 of a related item is performed by selecting the medical practice name 30, and referring to the medical practice name-specific basic data group 55 stored in the medical practice name-specific knowledge database 52, a disease name 31 associated with the medical practice name, A treatment method 32 associated with the disease name and a work item name 33 associated with the treatment method are selected.
[0044]
FIG. 13 shows means for selecting an association item for each treatment item.
230: inquiry means of treatment means, 231: common treatment item, 232: unique treatment item, 233: inquiry means of initial condition, 234: common initial condition, 235 ... specific initial condition, 236: execution condition, inquiry means of event, 239 ... Assumed task achievement status, 241 ... Assumed test result, 242 ... Assumed patient state, 243 ... Inquiry means of assumed treatment means, 245 ... Action corresponding to assumed task achievement status Means of treatment, 246: Means of treatment corresponding to the expected test result, 247 ... Means of treatment corresponding to the expected state of the patient.
In FIG. 13, by referring to a treatment item reference data group stored in the medical practice name-based knowledge database 52 by a treatment means inquiry 230 in association with the selected work item name, a common treatment in which treatment means are classified The item 231 and the specific treatment item 232 are associated and selected, and the common initial condition 234 and the specific initial condition 235 are associated and selected by the initial condition inquiry 233 for each treatment item, and are assumed by the execution condition and event inquiry 236. Task achievement status 239, expected test result 241, expected patient state 242 and corresponding treatment means 245, treatment means 246 corresponding to the expected test result, and corresponding expected patient state The selected means of treatment 247 is associated and selected.
[0045]
FIG. 14 shows medical item data in medical practice names as basic patient information for creating a critical path treatment data group for patient treatment of a specific patient, and critical path treatment data for each medical practice name under the initial condition of the patient. 4 shows a means for selecting a group.
The patient identification data 71, which is the basic patient information 70, the medical item data 72 in the medical practice name, and the initial condition 73 of the patient are respectively input. With reference to the medical item data in the medical practice name of the medical practice name group by medical practice name stored in the critical path treatment database 12 of the medical practice name and each treatment item in which the treatment in the medical practice is classified, the medical practice name is referred to. Selecting a critical path treatment data group for each medical practice name that matches the medical item data in the above, and further inputting from the critical path treatment data group for each medical practice name selected by the inquiry using the medical item data in the medical practice name, By query 254 with the initial conditions of the patient Refer to the initial condition for each treatment item in the critical path treatment data group by the selected medical practice name and the associated execution conditions and events, and refer to the critical path treatment data group by medical practice name that matches the initial condition of the patient Is selected, and a critical path treatment data group for patient treatment of a specific patient who satisfies the conditions by the two inquiries is created by the selection 260 according to the medical item data in the medical practice name and the initial condition of the patient. You.
[0046]
FIG. 15 shows the selection means conditioned on the medical item data in the medical practice name and the initial condition of the patient.
The input 280 of the patient identification data and the input 281 of the medical item data in the medical operation name are performed. At this time, the inquiry 282 based on the medical item data is input by the medical operation name stored in the critical path treatment database 12 by the medical operation name. The user selects 283 the critical path treatment data group by medical act name that matches the medical item data in the medical act name item data group 52 with reference to the critical path treatment data group 69 of By performing an inquiry 285 based on the initial condition of the patient to the matching data on the critical path treatment data group 69 for each medical practice name, the critical path treatment data group for each medical practice name that matches the initial condition of the patient is obtained. A selection 286 is made.
[0047]
FIG. 16 shows a means for creating critical path treatment data for patient treatment on and after the second day of treatment of a specific patient based on treatment result data based on treatment by a doctor, a doctor or a medical staff.
The task achievement status 94, the test result 95, and the patient's state 96, which are the result data based on the visual recognition 21 and the treatment 22, are input from the screen 23 by the treatment result data input means 24 and stored in the critical path treatment database 20 for the specific patient treatment. In the critical path treatment data group 111 for patient treatment of a specific patient, an inquiry 297 based on the input task achievement status, an inquiry 298 based on the input test result, and an inquiry 299 based on the input patient status are performed. Critical path treatment data for patient treatment for the second and subsequent treatments of a specific patient including the addition of treatment items by the treatment item addition judgment 322 for the inquiry status is created, and the task achievement status as the treatment result data , Test results, patient condition and their inquiry status and specific patient treatment Stores the medical practice by Name knowledge database 52 as new case data in response due to the critical path treatment data group for patient treatment of a particular patient stored in the critical path treatment database 20 in the content analyzing state.
[0048]
FIG. 17 shows the relationship between critical path treatment data for patient treatment of a specific patient and the passage of time.
330: Critical path treatment data for patient treatment after the first day of treatment of the specific patient, 331, 332: Critical path treatment data for patient treatment for each treatment of the specific patient, 331a, 332a: Increase / decrease based on treatment results , Including treatment items, implementation conditions, and events.
[0049]
The vertical axis represents the means of treatment, the horizontal axis represents the passage of time, and indicates the critical path treatment data 330 for the patient treatment after the first day of treatment for the specific patient before the treatment, For the first treatment, specific treatments including common treatment items based on treatment results, input of treatment result status for a specific patient based on treatment by a doctor or medical staff, and inquiry results based on treatment result data, and addition by inquiry Items, execution conditions, and events 331a indicate critical path treatment data 331 for patient treatment on and after the second day of treatment of the specific patient. For the second treatment, as in the first treatment, visual observation, a doctor or medical staff Of the treatment result status of a specific patient based on the treatment of the patient and sharing based on the treatment result A specific action items, including added by action items and the query, showing exemplary conditions, the event 332a as critical path treatment data 331 for the treatment of a patient treatment day 3 onwards of the particular patient.
[0050]
FIG. 18 shows an example of treatment items constituting a critical path of the state of the specific patient up to the second day of the operation and the state up to the second day of the operation when the outcome (the sitting position can be maintained) is achieved on the first day of the operation. Show.
400: treatment items constituting a critical path of the state of the specific patient up to the second day of the operation; 402: determination of the outcome situation on the first day of the operation; 402a: inquiry by the task achievement state; 403: critical for the patient treatment of the specific patient Path treatment data group, 404... Treatment items constituting a critical path on the second day after the operation of the specific patient when the outcome (the sitting position can be maintained) is achieved on the first day of the operation.
[0051]
As a disease name, a femoral neck fracture, an artificial head replacement as a treatment method for a femoral neck fracture, an activity as a work item name for the artificial head replacement, A critical path 400 of a state up to the second day of the operation of a specific patient is created under the independence & (without dementia | with dementia (with activity)) and execution conditions as initial conditions and specific initial conditions for transposition exchange, Critical path treatment for patient treatment, and inquiries 402a assuming that an outcome (possible to hold a sitting position) is achieved on the first day of surgery based on the treatment result of a specific patient based on visual recognition, treatment by a doctor or medical staff, and 402 Perform to the critical path treatment data group 403 for patient treatment of the specific patient stored in the database The bed on the floor of the treatment item disappeared because it was set in advance on the second day after the operation, and the outcome (can maintain the sitting position) was also achieved for the other movement position change of the treatment item, and disappeared. On the second day after surgery, bed rest and common treatment items were added as treatment items, and the outcome (since the sitting position could be maintained) was achieved. (Retainable) is achieved as a treatment item 404 constituting a critical path on the second day after the operation of the specific patient.
[0052]
FIG. 19 shows an example of the treatment items constituting the critical path up to the third day of the operation when the outcome (the sitting position can be maintained) is achieved on the second day of the operation of the specific patient.
402b: Outcome status judgment on the second day of operation, 402c: Inquiry based on task achievement status, 403c: Critical path treatment data group for patient treatment of a specific patient, 404c: Outcome (can maintain a sitting position) achieved on the second day of operation Treatment items constituting a critical path on the second day after the operation of the specific patient in the case where the operation is performed, 404d... On the third day after the operation of the specific patient when the outcome (the sitting position can be maintained) is achieved on the second day of the operation Action items that make up the critical path.
[0053]
As a disease name, a femoral neck fracture, an artificial head replacement as a treatment method for a femoral neck fracture, an activity as a work item name for the artificial head replacement, When the outcome (possible to maintain a sitting position) is achieved on the second day of the operation under the independence & (without dementia | with dementia (active)) as the initial condition and the specific initial condition for transposition exchange An inquiry 402c of 402b is made to the critical path treatment data group 403 for patient treatment of the specific patient stored in the critical path treatment database for patient treatment. Identify if the outcome (can be seated) is achieved on the second day of surgery, which was lost because it was set A critical path was created on the second postoperative day of the patient, and on the third postoperative day, the bed rest on the treatment item on the second postoperative day disappeared on the third postoperative day. The second day of operation, in which the outcome (the sitting position can be maintained) was achieved, and the outcome (the sitting position could be maintained) was achieved by the inquiry, and the Bed end sitting position was added as a treatment item because of the achievement of the outcome (the sitting position can be maintained). A treatment item 404d that constitutes a critical path on the third day after the operation of the specific patient when the outcome (the sitting position can be maintained) is achieved in the eye is created.
[0054]
FIG. 20 shows the state of the specific patient up to the second day of the operation, the state up to the second day of the operation when the outcome (the sitting position can be held) on the first day of the operation, and the outcome (the holding of the sitting position) on the second day of the operation. The treatment schedule shows the condition up to the third day of the operation when “can be achieved” is achieved.
410a: schedule indicating the state up to the second day of the operation; 410b: schedule indicating the state up to the second day of the operation when the outcome (since the sitting position can be maintained) on the first day of the operation; 410c: second day of the operation Up to the third day of the operation when the outcome (the sitting position can be held) is achieved, 411a, 411b, 411c... Treatment items, 412a, 412b, 412c... Progress).
[0055]
As a disease name, a femoral neck fracture, an artificial head replacement as a treatment method for a femoral neck fracture, an activity as a work item name for the artificial head replacement, In the initial condition and the independence & (without dementia | dementia present (active)) and execution conditions as specific initial conditions for transposition change, the treatment item 411a and the contents of the execution conditions that expand and contract are shown on the horizontal axis 412a. The status of the specific patient up to the second day of the operation is shown as a schedule 410a representing the status of the second patient on the second day of the operation. Inquiry when outcome (capable of sitting) is achieved. The result of performing the critical path treatment data group for the patient treatment of the specific patient stored in the base is represented by the treatment item 411b and the contents of the expanding and contracting execution conditions on the horizontal axis 412b, and the outcome on the first day of the operation ( An item 413a is assumed to be a case where the patient can be in a sitting position, and a schedule 410b indicating a state until the second day of the operation when the outcome (a sitting position can be achieved) is achieved on the first day of the operation of the specific patient. Shown as In addition, a critical path treatment database for patient treatment is used to make an inquiry assuming that an outcome (a sitting position can be maintained) is achieved on the second day of surgery based on the treatment result of a specific patient based on visual recognition, treatment by a doctor or medical staff. Of the critical path treatment data group for the patient treatment of the specific patient stored in the table, the treatment item 411c and the contents of the respective expanding and contracting execution conditions are plotted on the abscissa, and the outcome (sitting position) on the second day of the operation. 413b, which represents the case where the patient has been able to maintain the position (ie, the patient can be held), and a schedule 410c representing the state up to the third day of the operation when the outcome (the sitting position can be maintained) is achieved on the second day of the operation for the specific patient. Show.
[0056]
FIG. 21 shows the correspondence between the critical path treatment data group for each medical practice name and the patient input information.
420: Critical path treatment data group by medical practice name, 421: Medical item data by medical practice name, 422: Classification and association means of treatment means, 423: Common treatment item, 424, 427 ... Association means, 425, 428 ... Initial condition group, 426: Specific treatment item, 429: Patient input data, 430: Medical item data by medical practice name, 431: Patient status.
[0057]
Orthopedic surgery as the medical practice name, femoral neck fracture as a disease name, artificial head replacement as a treatment method for femoral neck fracture, medical item data 421 indicating medical activity as a work item for an artificial head replacement, and activity The common treatment items 423 such as bed resting on the floor, bed rest, and other body position exchange based on the classification and association means 422 of the treatment means, and the common initial conditions, independence & (Initial condition group 425 in common treatment items including specific initial conditions such as (without dementia | with dementia (with activity)), quasi-bedless / with dementia (without activity), prohibition of adduction and internal rotation, semi-assistance Classification is made by specific treatment items 426 such as position change, automatic position change, etc., and associating means 427 in the specific treatment items. In the critical path treatment data group by medical practice name including the initial condition group 428 in the specific treatment item including the specific initial condition such as common initial condition, independence & (without dementia | dementia (active), quasi-bedridden) Patient identification data which is input data 429 of patient basic information, and orthopedic surgery of medical practice name which is medical item data 430 by medical practice name, femoral neck fracture as a disease name, and artificial head replacement as a treatment method for femoral neck fracture Inquiry to the corresponding medical item data by medical act name in the critical path treatment data group by medical act name by activity as a work item for surgery and artificial head replacement, and as an independent ADL before injury showing the condition of the patient & (Can use public transportation facilities), other, with or without dementia, other, with or without knee pain, no, other, with The corresponding common treatment in the critical path treatment data group according to the medical practice name according to the medical practice name, such as whether or not the patient is used, whether not used, other, both sides, one side, both sides, one side, other, stable as fracture stability, etc. An inquiry is made to the common and unique initial condition group in the item and the common and unique initial condition group in the unique treatment item.
[0058]
FIG. 22 shows the association and storage means in the means for creating a knowledge base by medical practice name, the critical path by medical practice name and the critical path treatment data group for patient treatment of a specific patient, and the reference and selection means for the created association data. Show the relationship.
440: means for creating a knowledge database by medical practice name; 441: means for creating a critical path treatment data group for each medical practice name; 442: means for creating a critical path treatment data group for patient treatment; 443: patient identification data input means 444: input means of medical item data by medical practice name 445: input means of initial condition of patient 446: classification means by medical item name 447, 448 ... treatment item, 449, 450 ... initial condition, 451 ... execution Condition, 452: event, 453: association storage means, 454: association reading means, 455 ... selection means, 456 ... input and selection, association classification means.
[0059]
The medical action name-based knowledge database creating means 440 and the medical action name-based critical path treatment data group creating means 441 are provided by the medical action name classifying means 446, respectively, for the common treatment item 447 and the specific treatment item 448. The common initial condition classification 449 and the specific initial condition classification 450 are further performed for each treatment item, and the execution condition and the event are stored 453 in association with them by inputting and selecting means, respectively. Based on the input of the patient identification data 443 which is the creation means 442 of the critical path treatment data group, the medical treatment name created as described above under the condition that the medical item name-specific medical item data 444 and the patient initial condition 445 are input. Queries to another critical path treatment data group, and matches medical treatment by medical practice name Eye data 444, reads 454 further associated with the initial condition 445 of the patient, and a reference associated treatment data, make a selection 455 of associated treatment data.
[0060]
FIG. 23 shows the structure of a critical path treatment data group for each medical practice name.
30a: Medical practice name, 31a: Disease name, 32a: Treatment method, 33a: Work item, 34a: Common treatment item, 35a: Specific treatment item, 36a: Common initial condition, 37a: Specific initial condition, 38a: Implementation condition group 39a: Expected task achievement status item, 40a: Means of treatment corresponding to expected task achievement status, 41a: Event group, 42a: Expected inspection result, 43a: Treatment corresponding to expected inspection result Means, 44a: assumed patient state; 45a: means of treatment corresponding to the assumed patient state; 46a: critical path treatment data by medical practice name.
[0061]
In the critical path treatment data group 46a by medical practice name, referring to the knowledge database by medical practice name, based on the medical practice name 30a, the disease name 31a, the treatment method 32a for the disease name, the work item 33a for the treatment method, and the work item A common initial condition 36a and a specific initial condition 37a classified into a classification classified into common treatment items 34a as a common medical practice and a classification classified into a special treatment item 35a classified as another medical practice as a common medical practice; An execution condition 38a representing the expected task achievement state 39a and the means 40a of the treatment corresponding to the assumed task achievement state, the expected inspection result 42a and the means 43a of the treatment corresponding to the expected inspection result; Represents a patient state 44a to be performed and a treatment hand 45a corresponding to the assumed patient state. Includes a vent 41a or their data groups, they are stored consists in forming organized hierarchically into one.
[0062]
FIG. 24 shows the structure of a critical path treatment data group for patient treatment of a specific patient.
27: Patient identification data, 28: Medical item data in medical practice name, 29: Initial condition of patient, 30b: Medical practice name, 31b: Disease name, 32b: Treatment method, 33b: Work item, 34b: Common treatment item, 35b: Specific treatment item, 36b: Common initial condition, 37b: Specific initial condition, 38b: Implementation condition group, 39b: Expected task achievement status item, 40b: Means of treatment corresponding to assumed task achievement status, 41b ... event group, 42b ... expected test result, 43b ... means of treatment corresponding to expected test result, 44b ... condition of expected patient, 45b ... means of treatment corresponding to expected patient condition, 46b Critical path treatment data for patient treatment of a specific patient.
[0063]
In the critical path treatment data group 46b for patient treatment of a specific patient, referring to the medical practice name-specific knowledge database, based on the medical practice name, a disease name, a treatment method for the disease name, a work item for the treatment method, and a treatment for the work item Common initial conditions and specific initial conditions classified as a common medical practice into a classification by common treatment item as a common medical practice, and a classification classified into a special treatment item classification as another medical practice, and expected task achievement Implementation conditions representing the means of treatment corresponding to the situation and the expected task achievement situation, the expected test results and the means of treatment corresponding to the expected test results, the expected patient condition and the expected patient Based on the critical path treatment data group by medical practice name including the event indicating the means of treatment corresponding to the condition, The patient identification data 27, the medical item data 28 by medical practice name, and the initial condition 29 of the patient are input from the terminal, and the critical path by medical service name is provided on condition of the medical item data in the input medical activity name. From the treatment data group to create a critical path treatment data group by medical practice name for a specific patient, and further from the critical path treatment data group by medical treatment name of the patient with the condition of the initial condition of the input patient, The medical treatment name 30b, the disease name 31b for the medical treatment name for the medical treatment name, the treatment method 32b for the disease name, the work item 33b for the treatment method, and the treatment item for the work item are common treatment items 34b as a common medical practice. Classified into separate classifications and classified into separate treatment items 35b as other medical practices. Corresponding to the initial condition and the specific initial condition, the assumed task achievement state 39b, the execution condition 38b representing the means 40b of the treatment corresponding to the assumed task achievement state, the assumed inspection result 42b, and the assumed inspection result These include means 43b of the treated procedure, an expected patient state 44b, and an event 41b representing a hand 45b of the procedure corresponding to the assumed patient state. It is formed and stored.
[0064]
FIG. 25 shows the structure of critical path treatment data for patient treatment after the first day of treatment.
27d: patient identification data, 34d: common treatment item, 35d: specific treatment item, 36d: common initial condition, 37d: specific treatment item, 39d: expected task achievement status, 40d: expected task achievement status Means of treatment, 42d: expected task achievement status, 43d: means of treatment corresponding to expected task achievement status, 44d: expected task achievement status, 45d: action of expected task achievement status Means, 46b: Critical path treatment data for patient treatment after the first day of treatment.
[0065]
In the critical path treatment data 46b for the patient treatment of the specific patient, the knowledge database by medical practice name is referred to, based on the medical practice name, the disease name, the treatment method for the disease name, the work item for the treatment method, and the treatment item for the work item Common initial conditions and specific initial conditions classified as means classified into common treatment items as a common medical practice and classified as specific medical treatment items as other medical activities, and expected task achievement status And the implementation conditions representing the means of treatment corresponding to the expected task achievement status, the expected test results, the means of treatment corresponding to the expected test results, the expected patient condition and the expected patient condition Patient basic information based on the critical path treatment data group by medical practice name including the event representing the means of treatment corresponding to The patient identification data, the medical item data by medical practice name, the initial condition of the patient are input from the terminal, and the medical item data in the input medical medical name are used as conditions, from the critical path treatment data group by medical medical name. Create a critical path treatment data group by medical practice name for a specific patient, furthermore, from the critical path treatment data group by medical practice name of the patient, the medical practice name and For the medical practice name for the medical practice name, the disease name for the medical practice name, the treatment method for the disease name, the work item for the treatment method, the treatment item for the work item, are classified as common medical practice by common treatment item classification, and other medical practice. Common initial conditions and specific initial conditions classified into classifications classified as specific treatment item classifications as well as assumed problems Implementation conditions representing the means of treatment corresponding to the actual situation and the expected achievement of the task, the expected test results, the means of the treatment corresponding to the expected test results, the expected patient condition and the expected patient Based on the critical path treatment data group for patient treatment of a specific patient including an event representing a treatment hand corresponding to the state of the patient, the patient is identified in the output critical path treatment data for patient treatment on and after the first day of treatment. Data 27d, common treatment item 34d, unique treatment item 35d, common initial condition 36d and unique initial condition 37d for each treatment item, and expected task achievement status 39d and means of treatment corresponding to the assumed task achievement status Implementation condition 38d representing 40d, assumed inspection result 42d, and means 4 of treatment corresponding to the assumed inspection result d, which includes an expected patient state 44d and an event 41d representing a means 45d of treatment corresponding to the assumed patient state. Is stored.
[0066]
FIG. 26 shows the structure of critical path treatment data for patient treatment after the second day of treatment.
27a: Patient identification data, 34c: Common treatment item, 35c: Specific treatment item, 38c: Execution condition, 39c: Expected task achievement status, 40c: Means of treatment corresponding to the expected task achievement status, 41c: Event , 42c: expected task achievement state; 43c: means of treatment corresponding to assumed task achievement state; 44c: assumed task achievement state; 45c: means of treatment corresponding to assumed task achievement state; 46c ... Critical path treatment data for patient treatment after the second day of treatment.
[0067]
In the critical path treatment data 46c for the patient treatment of the specific patient, the knowledge database by medical practice name is referred to, based on the medical practice name, the disease name, the treatment method for the disease name, the work item for the treatment method, and the treatment item for the work item Common initial conditions and specific initial conditions classified as means classified into common treatment items as a common medical practice and classified as specific medical treatment items as other medical activities, and expected task achievement status And the implementation conditions representing the means of treatment corresponding to the expected task achievement status, the expected test results, the means of treatment corresponding to the expected test results, the expected patient condition and the expected patient condition Patient basic information based on the critical path treatment data group by medical practice name that includes the event representing the treatment means corresponding to The patient identification data, the medical item data by medical practice name, the initial condition of the patient are input from the terminal, and the medical item data in the input medical medical name are used as conditions, from the critical path treatment data group by medical medical name. Create a critical path treatment data group by medical practice name for a specific patient, furthermore, from the critical path treatment data group by medical practice name of the patient, the medical practice name and For the medical practice name for the medical practice name, the disease name for the medical practice name, the treatment method for the disease name, the work item for the treatment method, the treatment item for the work item, are classified as common medical practice by common treatment item classification, and other medical practice. The common initial conditions and the specific initial conditions classified into the classification classified into the specific treatment item classification as Implementation conditions representing the means of treatment corresponding to the achievement status and the expected task achievement status, the expected test results and the means of treatment corresponding to the expected test results, the expected patient condition and the expected patient Based on the critical path treatment data group for the patient treatment of the specific patient including the event representing the hand of the treatment corresponding to the state of the condition, the critical path treatment data for the patient treatment after the first day of the treatment is output and visually recognized. The task achievement status, the test result, and the patient's condition are subject to treatment condition data including the task achievement status, the test result, and the patient's condition, which are events based on the task achievement status input based on the treatment of the doctor or medical staff. The specific patient stored in the critical path treatment database for the patient treatment is inquired by the treatment result data representing From the critical path treatment data group for the patient treatment, the patient on the second and subsequent days of the treatment, which includes the treatment achievement status, the test result, and the condition of the patient, which are the treatment result data, and includes the addition of treatment items Implementation conditions representing the patient identification data 27a, the common treatment item 34c, and the specific treatment item 35c in the critical path treatment data for treatment, the assumed task achievement status 39c, and the treatment means 40c corresponding to the assumed task achievement status. 38c, an expected test result 42c and a treatment means 43c corresponding to the expected test result, an expected patient state 44c, and an event 41c representing the treatment means 45c corresponding to the expected patient state. They are stored as a data group or as a systematic form of them into a hierarchy.
[0068]
FIG. 27 shows an overall flowchart.
340a: Input of medical practice name, 340: Reference means of knowledge database by medical practice name, 341: Selection of disease name, treatment method, work item, treatment item in association with medical practice name, 342: Classification by treatment item, 342a ... Selection of execution conditions and events for each common and specific initial condition in association with each treatment item 343 ... Creation of critical path treatment data group by medical practice name 343a ... Store in critical path treatment database by medical practice name 344: input of patient identification data, 345: input of medical item data in medical practice name, 346 ... input of initial condition of patient, 346a: inquiry by medical item data, 347 ... medical action name matching medical item data Inquiry to the critical path treatment data group of the patient based on the initial condition of the patient, 349 ... Critical path processing for patient treatment Creation of data group, 350 ... Output of critical path treatment data for patient treatment after the first day of treatment, 352 ... Screen display, 353 ... Visual recognition, 354 ... Treatment, 355 ... Input of examination result, 356 ... Patient state Input, 357: input of task achievement status, 359: inquiry by treatment result data, 360: additional judgment of treatment items, 361: output of critical path treatment data for patient treatment after the second day of treatment, 362 ... addition 362a... Stored in a critical path treatment database for patient treatment.
[0069]
By inputting the medical practice name 340a, the medical activity name-specific knowledge database 340 is referred to, and in association with the medical practice name, the disease name, the treatment method for the disease name, the work item for the treatment method, and the selection of the treatment item for the work item 341 are selected. A critical path treatment data group for each medical practice name is created 343 by selecting an execution condition and an event for each common and specific initial condition 342a in association with each treatment item by the treatment item classification 342, and the critical path for each medical practice name Stored in the treatment database 343a, input 344 of patient identification data, input 345 of treatment item data in medical practice name, input 346 of the initial condition of the patient, and inquire 346a based on the input medical item data, Stored in the critical path treatment database by name A critical path treatment data group for each medical practice name that matches the medical item data is created from the critical path treatment data group for each medical practice name, and further, the critical path treatment data group for each medical practice name that matches the medical item data is created. An inquiry 347 is made to the critical path treatment data group based on the initial conditions of the patient, a critical path treatment data group for patient treatment is created 349, and an output 350 of the critical path treatment data for patient treatment after the first day of treatment is performed. Then, a screen display 352 is performed.
[0070]
Further, an inquiry 359 based on the treatment result data for the patient treatment is performed by the visual recognition 353, the input 355 of the examination result which is the result based on the treatment 354 of the doctor or the medical staff, the input 356 of the patient state, and the input 357 of the task achievement status. In the critical path treatment database 362a, an inquiry 362 based on the treatment item to be added is performed by a treatment item adding process 360 according to the inquiry situation, and the output 361 of the critical path treatment data for the patient treatment after the second day of the treatment is performed. A screen display 352 is performed.
[0071]
FIG. 28 shows the overall configuration.
370, 378: Storage device, 371, 379: Central processing unit, 372, 380: Display device, 373, 381: Input device, 374, 382: Printer, 375: Communication device, 376: Network, 377: External communication device .
[0072]
The storage devices 370 and 378, the central processing units (CPU) 371 and 379, the display devices 372 and 380, the input devices 373 and 381, the printers 374 and 382, the communication device 375, the communication network 376, and the external communication device 377 are shown.
Hereinafter, a target example, a method example, and a result example will be described.
[0073]
About the target example:
Of the 38 patients with femoral neck fractures and trochanteric fractures aged 60 years or older who underwent surgical treatment for two years from October 1998 to September 2000, 32 patients using critical path (for reasons other than variance initially, Except for 6 cases that could not be used).
[0074]
For example method:
The critical path consists of 13 items: rest, examination / measurement, vital signs, treatment (infusion / intravenous), treatment, diet, rehabilitation, activity, excretion, cleanliness, educational guidance, outcomes, and variance. The doctors, nurses, and rehabilitation staff check the items in series.
The variance generated every week was extracted using the variance code. The outcome was that the patient could be discharged in the fifth week of hospitalization for four weeks. Based on this, a path with variance set as the initial condition was created, and 18 cases where the critical path was not used among the cervical fractures and trochanteric fractures from March 1977 to September 2000 were added to 50 cases. The frequency of use of the fitted critical path was examined.
[0075]
For example results:
At the beginning of the first week or two, it was a variance that rehabilitation did not proceed as expected and did not move, as was given to the instruction action due to dementia. When it was necessary to walk for three to four weeks, problems such as knee pain and discharge due to movement became a major variance. Based on this, fracture type (trochanteric fracture (stable type, unstable type), cervical fracture (population head (with or without cement), open reduction internal fixation, conservative), symptomatic knee joint disease , Dementia status, discharge direction (home, geriatrics, other hospitals, geriatric hospitals, rehabilitation hospitals), activity before injury (outside the house, inside the house, wheelchair level, on bed) and interactively using a computer Critical path can now be issued. The number of critical paths produced was 320 for femoral neck fractures and 160 for trochanteric fractures, for a total of 480. In fact, applying this to 50 cases since 1997, 25 (5%) critical paths were used. The variances that can be considered in advance are variously related to each item listed on the critical path. In the case of osteoarthritis of the knee, all elderly patients are affected, but are more likely to become symptomatic with the bed. In that case, injections are performed once a week, and rehabilitation programs are also conducted mainly on knee joint physical therapy and strength training. In addition, it is necessary to post the creation of soles on the critical path at an early stage, and all staff members need to recognize it. However, it is difficult to recreate a critical path for each case, and it is impossible to create 480 different paths. Therefore, the initial condition that can correspond to the five items of variance studied in the basic path, that is, the contents can be poured as described above. This is because the algorithm of existence / absence appears on the computer screen, and if a corresponding item is checked, one critical path is printed for each patient. For example, if you check the screen for the presence or absence of osteoarthritis of the knee, the items of rehabilitation include items of heat retention, physical treatment, and strength training, the order of the bracelet is entered in the item of load time, and the hyaluronic acid weekly is entered in the item of injection. A path that contains the item of the time is created and comes out.
[0076]
Furthermore, the medical practice schedule based on the conventional static critical path could not be solved,
・ Provision of medical actions without errors based on task achievement conditions given for each procedure.
・ Reduction of hospitalization period based on provision of optimal treatment.
-It is possible to make an appropriate decision on a treatment action with the passage of time by converting the know-how of a conventional doctor into data.
-Management and operation of test results, patient status, and results such as task achievement in treatment can be performed as patient history data.
-By analyzing the result data for each patient based on the actual treatment action, it can be adapted to new patients as recommendation data.
[0077]
【The invention's effect】
Therefore, since the critical paths have been described or printed on paper, it is necessary to create each critical path individually in order to create an optimal medical plan corresponding to the individual initial conditions of the patient. Needs to be manually rewritten and created, and it is possible to create and prepare at most two or three types, but it corresponds to each case that has various conditions for various categories for one disease It was virtually impossible to create and use tens or hundreds of critical paths. For this reason, for patients with different conditions, individuality is ignored to some extent and forcibly applied to the existing fixed critical path to proceed with the medical plan, or the progress does not proceed according to the critical path Eventually, the critical path would have to be abandoned, failing to provide a useful medical plan for the patient, and forcing the critical path to be a less useful system for medical personnel.
[0078]
According to the system invented this time, the computer automatically designs medical contents and schedules based on a pre-programmed calculation method in accordance with the initial conditions obtained and input from each patient, thereby providing m kinds of initial conditions. Is set so that it can be selected from n types of conditions, it is possible to deal with n types of m cases, and to provide an optimal medical plan that meets all possible initial conditions. It is created and used as a critical path. As a result, a medical plan most suitable for all patients is created as a critical path, and medical treatment proceeds as planned, which is a system that is beneficial to patients and useful to medical personnel.
[0079]
In the past, the critical path was written or printed on paper, so if the progress did not proceed as planned in the medical treatment of individual patients, the path from that point onward would have to be dealt with correspondingly. In order to create an appropriate medical plan, it is necessary to manually rewrite and recreate the subsequent critical path, or it is possible to provide options for a few types of unscheduled situations in advance. However, it was virtually impossible to provide innumerable options for each case following a wide variety of courses. For this reason, even for cases that do not progress as planned, ignore the individuality and forcibly apply to the existing fixed critical path and proceed with the medical plan, or because the progress does not proceed according to the critical path Eventually, the critical path would have to be abandoned, failing to provide a useful medical plan for the patient, and forcing the critical path to be a less useful system for medical personnel.
[0080]
The system invented this time is programmed in advance according to the input / non-implementation of the medical intervention, the achievement status of the task, the outcome status, and the patient's condition data according to the progress from each individual patient. Computers based on the calculation method automatically determine or change the medical content and schedule for the critical path originally designed, and the optimal subsequent ex post medical plan that matches all supposed courses. Is automatically created and used as a critical path. As a result, a medical plan most suitable for the course of all patients is created as a critical path, and medical treatment proceeds as planned, which is a system that is beneficial to patients and useful to medical personnel.
[0081]
In the past, there existed or proposed systems for creating and / or operating critical paths on computers or personal computers, but these require medical personnel to manually determine or enter medical content and schedules. If the medical contents and schedule are different for cases with different conditions, the medical staff will manually input what kind of medical contents and schedule to a computer or personal computer. Therefore, it is practically impossible to prepare a variety of conditions in advance, or it is extremely difficult to prepare any time.
[0082]
In addition, even if a critical path is operated on a computer or a personal computer, the system up to now shows the schedule of medical practice, manual / automatic input of implementation / non-implementation, or progress and achievement of tasks The situation or outcome or patient data may be manually or automatically entered and / or displayed, thereby automatically or automatically changing the medical content or schedule after the next day or the next day. It simply shows the plan as originally designed by the medical practitioner himself. Based on the implementation / non-implementation, progress, task achievement status, outcomes and patient data of the medical practice, the medical contents after and after the next day, Even if the schedule needs to be changed, the clinician manually enters the plan to be changed later, or Is left without response, rather than beneficial to the patient, it was poor usefulness also for medical staff.
[0083]
The present invention applies a computer capability of automatically presenting a result based on a programmed calculation method when a condition is input, and if a calculation method corresponding to some conditions is programmed in advance, a variety of various methods can be used. The optimal critical path is designed according to the initial conditions of each patient in the combination, and after the medical treatment using the critical path is started, the progress of the patient, the implementation / non-implementation of medical contents, and issues According to the achievement status, outcomes and patient data, the plan for the next day and later is automatically determined or modified, and the optimal medical plan is created and operated as a critical path. It is a system that is beneficial to patients and useful to healthcare professionals.
[0084]
According to the present invention, in a situation where the amount of medical information is enormous, even if the amount of medical information is enormous, it is possible to easily refer to the medical information that the patient wants to refer to in response to the individual situation of the patient. An apparatus for creating a critical path for medical practice capable of creating (editing) a desired critical path by assisting a physician or medical staff performing planning and recording to easily and quickly create an appropriate medical plan and record. And a method are provided.
Furthermore, according to the present invention, an apparatus for creating a patient-specific critical path that can newly provide an optimum treatment action every day based on a determination based on a dynamic condition for each elapse of time, under what conditions and what to do. And a method are provided.
[Brief description of the drawings]
FIG. 1 is an overall block diagram of the present invention.
FIG. 2 is a diagram showing a medical practice name-specific knowledge database.
FIG. 3 is a diagram showing a means for associating data by medical practice name.
FIG. 4 is a diagram showing a unit for creating a critical path treatment data group for patient treatment.
FIG. 5 is a diagram showing a means for creating critical path treatment data for patient treatment based on treatment result data.
FIG. 6 is a view showing a group of critical path treatment data for each medical practice name.
FIG. 7 is a diagram showing a critical path treatment data group for patient treatment of a specific patient.
FIG. 8 is a view showing critical path treatment data for patient treatment after the first day of treatment of a specific patient.
FIG. 9 is a diagram showing critical path treatment data for patient treatment on and after the second day of treatment for a specific patient.
FIG. 10 is a diagram showing an input screen of a treatment result status of a specific patient based on a visual recognition, a treatment by a doctor or a medical staff.
FIG. 11 is a diagram showing association and selection means for each medical practice name to create a critical path treatment data group for each medical practice name.
FIG. 12 is a view showing an item selecting means associated with a medical practice name.
FIG. 13 is a view showing means for selecting an association item for each treatment item.
FIG. 14: Critical path treatment for each medical practice name on the condition of medical item data and medical initial conditions of the medical practice name which is basic patient information for creating a critical path treatment data group for patient treatment of a specific patient. The figure which shows the selection means of a data group.
FIG. 15 is a diagram showing a selection unit that uses medical item data in a medical practice name and initial conditions of a patient as conditions.
FIG. 16 is a diagram showing a means for creating critical path treatment data for patient treatment on and after the second day of treatment of a specific patient based on treatment result data based on a treatment performed by a physician or a medical staff.
FIG. 17 is a diagram showing the relationship between critical path treatment data for patient treatment of a specific patient and the passage of time.
FIG. 18 shows the treatment items constituting a critical path of the state of the specific patient up to the second day of the operation and the state up to the second day of the operation when the outcome (the sitting position can be maintained) is achieved on the first day of the operation. FIG.
FIG. 19 is a diagram showing treatment items constituting a critical path in a state up to the third day of surgery when an outcome (a sitting position can be maintained) is achieved on the second day of surgery for a specific patient.
FIG. 20 shows the state of the specific patient up to the second day of the operation and the state up to the second day of the operation when the outcome (the sitting position can be maintained) on the first day of the operation and the outcome (the sitting position) on the second day of the operation FIG. 9 is a diagram showing a treatment schedule showing the state up to the third day of the operation in the case where (can be achieved) is achieved.
FIG. 21 is a diagram showing a correspondence relationship between a group of critical path treatment data for each medical practice name and patient input information.
FIG. 22 is an association and storage unit in a creation unit of a medical practice name-based knowledge database, a critical path by medical practice name, and a critical path treatment data group for patient treatment of a specific patient, and a reference and selection unit for the created association data. FIG.
FIG. 23 is a view showing a structure of a critical path treatment data group for each medical practice name.
FIG. 24 is a view showing the structure of a critical path treatment data group for patient treatment of a specific patient.
FIG. 25 is a view showing the structure of critical path treatment data for patient treatment after the first day of treatment.
FIG. 26 is a view showing the structure of critical path treatment data for patient treatment on and after the second day of treatment.
FIG. 27 is a diagram showing an overall flowchart.
FIG. 28 is a diagram showing an entire configuration.
[Explanation of symbols]
DESCRIPTION OF SYMBOLS 1 ... CPU, 2 ... Medical act name knowledge database, 6 ... Common treatment item classifying means, 7 ... Special treatment item classifying means, 8 ... Treatment item association and selection means, 9 ... Initial condition, 10 ... Execution condition, 11 ... event, 12 ... critical path treatment database by medical practice name, 13 ... patient basic information, 14 ... specific patient identification data, 15 ... medical item data in medical practice, 16 ... initial condition of patient, 17 ... specific patient Critical path treatment data group, 18: Inquiring means based on medical item data and patient initial conditions, 19: Critical path treatment data for specific patient treatment, 20: Critical path treatment database for specific patient treatment, 21: Visual recognition, 22 ... Treatment, 23 ... Screen, 24 ... Treatment result data, 26 ... Execution condition, inquiry means by event

Claims (14)

Medical treatments including disease name, treatment method for the disease, and work items for the treatment method depend on the common common treatment items as treatment items that are generally performed regardless of the patient's initial conditions, and treatment items that are affected by the patient's initial conditions The initial condition of the patient, the implementation conditions indicating the task achievement status and the means of treatment corresponding to the task achievement status, the examination results, the treatment means corresponding to the examination results, and the condition of the patient. A database storing at least two groups of critical path treatment data classified based on an event representing a means of treatment corresponding to a condition of a patient, and an initial condition of a specific patient being input for the input specific patient identification data From at least two critical path treatment data groups, patient treatment criteria classified by patient initial conditions Use Karupasu treatment data group, includes a processing unit that creates a critical path treatment data for a specific patient treatment in the first day after treatment,
Based on the critical path treatment data for the specific patient treatment after the first day of treatment, the execution conditions and events for the patient are displayed on the screen for each medical action data for the specific patient identification data, for each common treatment item, and for each unique treatment item. A critical path creation device comprising a screen display means for displaying. Medical treatments including disease names, treatment methods for diseases, and work items for treatment methods are common treatment items that are generally performed regardless of initial conditions, and treatment items that are affected by patient initial conditions. Classified into specific treatment items, the initial conditions of the patient, the implementation conditions indicating the task achievement status and the means of treatment corresponding to the task achievement status, the examination results, the treatment means corresponding to the examination results, the patient condition and the patient condition A database storing a critical path treatment data group classified based on an event representing a means of treatment corresponding to a state, and a critical path treatment data group when initial conditions of a specific patient are input for input patient identification data. From the treatment procedure using the critical path treatment data set for patient treatment classified by the patient's initial conditions. When the critical path treatment data for the specific patient treatment after the day is created, and the execution condition or / and event specified from the medical practice treatment result data after the first day of treatment are input, the execution condition and the event A critical path creation device comprising processing means for creating critical path treatment data for a specific patient treatment on and after the second day of treatment using a classified critical path treatment data group. In claim 2, the common treatment item and the specific treatment item are set on the vertical axis, the execution condition is set on the horizontal axis, and the contents of the execution condition are set horizontally based on the critical path treatment data for the specific patient treatment after the second day of the treatment. A critical path creation device comprising screen display means for displaying a line on a screen in an axial direction. In Claim 3, critical path treatment data for patient treatment on the second and subsequent days of treatment is displayed on the same screen instead of or in parallel with critical path treatment data for patient treatment on the first and subsequent days of treatment. A critical path creation device, characterized in that: The database of medical practice name by medical practice name including the disease name, treatment method for the disease, and the work items for the treatment method, and the data of the referenced medical practice name database, the treatment to be performed in principle regardless of the initial condition of the patient Classified into common common treatment items as items and specific treatment items as treatment items depending on the patient's initial conditions, the patient's initial conditions, and the task achievement status and the means of treatment corresponding to the task achievement status And generating at least two critical path treatment data groups categorized by an execution condition representing the condition, an examination result and a treatment means corresponding to the examination result, and a condition of the patient and an event representing the treatment means corresponding to the patient condition. The initial conditions of a specific patient are stored in the database and input for the specific patient identification data. From at least two critical path treatment data groups, create critical path treatment data for a specific patient treatment after the first day of treatment using the critical path treatment data group for patient treatment classified by the initial conditions of the patient Processing means,
Based on the critical path treatment data for the specific patient treatment after the first day of treatment, the execution conditions and events for the patient are displayed on the screen for each medical action data for the specific patient identification data, for each common treatment item, and for each unique treatment item. A critical path creation device comprising a screen display means for displaying. The database of medical practice names by medical practice including disease name, treatment method for the disease, and work items for the treatment method, and the data of the referenced medical practice database by medical practice name are treatment items implemented in principle regardless of the initial condition of the patient. Are classified into a common common treatment item as a common treatment item and a unique treatment item as an initial item that is influenced by the patient's initial condition, and the patient's initial condition and the task achievement status and the means of treatment corresponding to the task achievement status are defined. At least two critical path treatment data groups classified by the conditions representing the execution conditions to be represented, the test results and the treatment means corresponding to the test results, and the event indicating the patient condition and the treatment measure corresponding to the patient condition are stored in the database. When the initial conditions of a specific patient are stored for the input specific patient identification data, From at least two critical path treatment data groups, using a critical path treatment data group for patient treatment classified according to the initial condition of the patient, critical path treatment data for a specific patient treatment after the first day of treatment and Using the critical path treatment data group classified by the execution condition and the event, on the condition of the execution condition and / or the event specified from the medical practice treatment result data, the critical treatment for the specific patient treatment after the second day of the treatment is performed. Processing means for creating path treatment data. Medical treatment including disease name, treatment method for the disease, and work items for the treatment method is a treatment item that is performed in principle regardless of the patient's initial condition. Classification of the specific treatment items as items, the initial conditions of the patient, the execution conditions indicating the task achievement status and the treatment means corresponding to the task achievement status, the test results, the treatment means corresponding to the test results, and the patient status And at least two classified critical path treatment data groups conditioned on an event representing a means of treatment corresponding to the condition of the patient are stored in the database, and the initial condition of the specific patient is specified for the input specific patient identification data. Is input, the patient treatment classified by the initial condition of the patient from at least two critical path treatment data groups Critical path treatment data of the critical path treatment for a particular patient therapeutic treatment Day 1 onwards using data group is created by the processing means,
Based on the critical path treatment data for the specific patient treatment after the first day of treatment, the execution conditions and events for the patient are displayed on the screen for each medical action data for the specific patient identification data, for each common treatment item, and for each unique treatment item. A critical path creation method characterized by being displayed. Medical treatment including disease name, treatment method for the disease, and work items for the treatment method depends on the common common treatment items as treatment items to be performed in principle regardless of the initial condition of the patient, and the treatment depending on the initial condition of the patient Classification of the specific treatment items as items, the initial conditions of the patient, the execution conditions indicating the task achievement status and the treatment means corresponding to the task achievement status, the examination results, the treatment means corresponding to the examination results, and the patient's condition And a critical path treatment data group categorized on the basis of an event representing a treatment means corresponding to the patient state is stored in the database, and the initial condition of the specific patient is input for the input specific patient identification data. And a patient treatment criterion classified by the patient's initial condition from at least two critical path treatment data groups. The critical path treatment data for the specific patient treatment after the first day of the treatment is created using the LUPAS treatment data group, and the execution condition or / and the event specified from the medical practice treatment result data are input. And using the critical path treatment data group classified by the execution condition and the event, critical path treatment data for a specific patient treatment after the second day of the treatment is created by the processing means of the computer. Critical path creation method. In claim 8, based on the critical path treatment data for the treatment of a specific patient after the second day of treatment, the common treatment item and the specific treatment item are set on the vertical axis, the execution condition is set on the horizontal axis, and the contents of the execution condition are set horizontally. A method for creating a critical path, wherein a line is displayed on a screen in an axial direction. 10. The critical screen treatment data for a specific patient treatment on the second and subsequent days of treatment is displayed on the same screen in place of or in parallel with the critical path treatment data for patient treatment on the first and subsequent treatment days. Critical path creation method characterized by performing. A medical practice including a disease name, a treatment method for the disease, and a work item for the treatment method is input to construct a database by medical practice name, and the referenced data of the medical practice name database is the initial data of the patient as a treatment item. Regardless of the condition, it is classified into a common common treatment item as a treatment item to be performed in principle and a specific treatment item as a treatment item depending on the initial condition of the patient, and the initial condition of the patient and the achievement status of the task At least two conditions categorized by an execution condition representing a means of treatment corresponding to the task situation, an examination result, a means of treatment corresponding to the test result, and an event representing a condition of the patient and a means of treatment corresponding to the patient's condition. A critical path treatment data group is created, stored in the database, and the specific patient When the initial condition is input, the specific patient treatment after the first day of the treatment is performed using the critical path treatment data group for the patient treatment classified by the initial condition of the patient among the at least two critical path treatment data groups. Critical path treatment data is created by computer processing means,
Based on the critical path treatment data for specific patient treatment after the first day of treatment, the execution conditions and events of the specific patient are displayed on the screen for each of the medical action data for the patient identification data, common treatment items and specific treatment items Critical path creation method characterized by being performed. A medical practice including a disease name, a treatment method for the disease, and a work item for the treatment method is input to construct a database by medical practice name, and the referenced data of the medical practice name database is the initial data of the patient as a treatment item. Classified into common common treatment items as treatment items to be performed in principle regardless of conditions, and special treatment items as treatment items that are affected by the patient's initial conditions. Critical path treatment data categorized by the execution condition representing the treatment means corresponding to the situation, the examination result, the treatment means corresponding to the examination result, and the condition of the patient and the event representing the treatment means corresponding to the patient condition Groups are created, stored in the database, and the specific patient initial conditions are entered for the specific patient identification data entered. Then, the critical path for the specific patient treatment after the first day of the treatment using the critical path treatment data group for the patient treatment classified by the initial condition of the patient among the at least two critical path treatment data groups When the treatment data is created and the execution condition or / and the event specified from the medical practice treatment result data are input, the second day of the treatment is performed using the critical path treatment data group classified by the execution condition and the event. A critical path creation method, wherein critical path treatment data for a specific patient treatment after the eye is created by processing means of a computer. In claim 12, based on the critical path treatment data for the treatment of the specific patient after the second day of treatment, the common treatment item and the specific treatment item are set on the vertical axis, and the execution condition is set on the horizontal axis. A method for creating a critical path, wherein a line is displayed on a screen in a horizontal axis direction. 14. The database according to claim 12, wherein the database includes critical path treatment data for a specific patient treatment on and after the first day of treatment and a specific patient treatment for and after the first day of treatment that are created based on the initial condition of the particular patient. Critical path treatment data for specific patient treatment on and after the second day of treatment based on the execution conditions and events specified from the treatment result data based on the critical path treatment are stored in the critical path treatment data group as a set. Characteristic critical path creation method.

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