JP2004272825A - Device for supporting medical treatment - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To easily generate the summary of a medical treatment record by reading through periods with change and periods without change concerning data of a medical treatment item. <P>SOLUTION: A medical treatment supporting device includes: a means for extracting medical treatment information within a designated period from a database at every medical treatment item, so as to array them in order of a consultation day; a means for determining whether both of two adjacent pieces of medical treatment information in the arrayal in order of the consultation day are processed to have no difference or have a difference, based on comparison with a prescribed threshold held in the medical treatment item to which the two kinds of medical treatment information belong, and also determining the two kinds of information by comparison; a means for dividing medical treatment information of the medical treatment item at each no-difference period which has continuous no-difference medical treatment information in the arrayal in order of the consultation day; and a means for displaying medical treatment information of the medical treatment item, based on the division. <P>COPYRIGHT: (C)2004,JPO&NCIPI

Description

[0001]
TECHNICAL FIELD OF THE INVENTION
The present invention relates to a medical treatment support apparatus, which is a computer device having an electronic medical record function for recording / reproducing medical information in a predetermined database in association with a medical treatment item and a medical examination date and reproducing the medical information from the predetermined database.
[0002]
[Prior art]
When a patient is transferred to another medical institution or undergoes a test at another medical institution or laboratory, the current medical institution creates a referral letter.
In addition to the medical history and the current medical history, it is necessary to describe notable test results or summaries of chief complaints and findings in this referral letter with reference to the medical record.
Conventionally, a doctor manually creates the above-mentioned letter of introduction by referring to a medical record.
[0003]
[Problems to be solved by the invention]
When medical records are stored over a relatively long period, finding remarkable test results from a wide variety of test results is based on the fact that the threshold of normal / abnormal values differs for each test, and the timing of appearance of abnormal values However, it is not easy because each test differs depending on the test, and the content of the test performed differs every consultation day. The same is true of chief complaints and findings, and it is not easy to find out the period during which similar chief complaints and findings have continued and when the chief complaints and findings have changed. For this reason, the work of creating a referral letter with reference to the medical record requires a great deal of time.
SUMMARY OF THE INVENTION An object of the present invention is to make it possible to easily create summaries of remarkable test results or chief complaints or findings by making it easy to find out from medical records.
[0004]
[Means for Solving the Problems]
The present invention is configured as in the following [1] to [8].
[1] Configuration 1:
A medical care support apparatus having an electronic medical record function for recording / reproducing medical information in a predetermined database in association with medical care items and medical care dates,
Extraction arrangement means for extracting medical information within the designated period from the database for each medical item and arranging them in the order of consultation date,
For two pieces of medical information adjacent to each other in the order of the consultation date, whether the two pieces of medical information are processed as no difference or different are compared with a predetermined threshold value of a medical item to which the two pieces of medical information belong. Or a difference presence / absence determining means, which is determined based on
Period division means for dividing the medical information of the medical treatment item for each non-difference period in which the medical information with no difference in the arrangement of the consultation date order,
Division display means for displaying medical information of the medical item based on the classification,
A medical care support apparatus comprising:
In this configuration, the medical treatment information arranged in the order of the consultation date is displayed in a manner divided for each non-difference period (a period in which there is no noticeable change). Thus, the boundaries of the no-difference period represent the time when significant changes occurred.
“The difference / no difference is determined based on a comparison with a predetermined threshold value of a medical item to which two pieces of medical information belong” means, for example, data of an examination item (medical item) having two pieces of medical information. If both of them exceed the upper limit of the test item (medical treatment item), both of them have in common that the test results deviate from the normal range to the higher side. Are not different. "
The display includes not only the display on the display but also the display on paper. That is, it includes the case of print output. The same applies to each of the following configurations except for a pop-up display that can be performed only on the display.
[0005]
[2] Configuration 2:
In the configuration of the above [1],
The classification display means displays a consultation date at which the non-difference period starts as a non-difference period start date of the medical information,
A medical treatment support device characterized by the following.
For example, if the non-difference period is a period in which “headache” continues, it is indicated as “headache from MM / Y” (see FIG. 1A).
[0006]
[3] Configuration 3:
In the configuration of the above [2],
The medical information further includes a state classification unit that classifies the extracted medical information into a normal state or an abnormal state by comparing the extracted medical information with a predetermined threshold value of a medical item to which the medical information belongs,
The classification display means displays together the classification result by the state classification means with respect to the start date of the non-difference period of the medical information for which no difference / presence has been determined based on comparison with a predetermined threshold value by the difference presence / absence determination means. Do
A medical treatment support device characterized by the following.
For example, if two pieces of medical information are data of a certain test item (medical item) ○ and both are less than the upper limit of the test item (medical item) ○, both are classified into normal values. This is a device that displays, for example, "the inspection item OO is a normal value from MM / Y" (see FIG. 1A).
[0007]
[4] Configuration 4:
A medical care support apparatus having an electronic medical record function for recording / reproducing medical information in a predetermined database in association with medical care items and medical care dates,
Extraction arrangement means for extracting medical information within the designated period from the database for each medical item and arranging them in the order of consultation date,
A state classification unit that classifies the extracted medical information into a normal state or an abnormal state by comparing the extracted medical information with a predetermined threshold value of a medical item to which the medical information belongs,
State-specific counting means for counting medical information classified into a normal state and / or an abnormal state for each state;
A counting result display means for displaying the counting result by explicitly indicating the state and a type of a threshold on which the state is based,
A medical care support apparatus comprising:
For example, if certain medical information extracted from within a designated period is data of a certain test item (medical item) XX and exceeds the upper limit value of the test item (medical item) XX, Is classified as abnormal upper limit value of the examination item XX.
This classification is performed for each piece of medical information (medical information of various medical items (examination items)) extracted from within the designated period.
Further, thereby, the medical information belonging to the same medical item and classified into the same state is counted, and the state and the type of the threshold are clearly displayed.
For example, there is a device that counts the number of pieces of medical information classified as abnormal upper limit values of test items (medical items) XX and displays the result as "the upper limit abnormalities of test items XX are XX times" (FIG. 1). (B)).
[0008]
[5] Configuration 5:
In the configuration of the above [4],
When any of the displayed counting results is designated by a user's operation input, the counting result display means pops up each piece of medical information used for counting the counting results together with a corresponding consultation date. ,
A medical treatment support device characterized by the following.
For example, if the pointer is positioned on the display of “Three upper limit abnormalities of inspection item XX” by mouse operation or the like, “X month X day, inspection result of inspection item XX”, “X month X” This is a device that displays such as "day / inspection item xx inspection result xxxx" or "* month * day / inspection item xx inspection result ***" (see FIG. 2 (a)).
[0009]
[6] Configuration 6:
In the configuration of the above [4],
A display unit for displaying a medical chart No. 2 paper screen, which is a screen for displaying medical information on the medical examination day in an area divided for each medical examination day,
The counting result display means, when any medical information is specified by a user's operation input on the medical chart No. 2 paper screen, displays the counting result for each state of the specified medical information in the state and the state. Pop-up display along with the counting period, explicitly indicating the type of threshold based on
A medical treatment support device characterized by the following.
For example, if certain medical information extracted from within a designated period is data of a certain test item (medical item) XX and exceeds the upper limit value of the test item (medical item) XX, Is classified as abnormal upper limit value of the examination item XX.
This classification is performed for each piece of medical information (medical information of various medical items (examination items)) extracted from within the designated period.
Further, thereby, medical information belonging to the same medical item and classified into the same state is counted.
When any medical information is specified by the user's operation input on the medical chart No. 2 paper screen, a normal state and / or a normal state based on a result of comparison with a predetermined threshold value of a medical item to which the specified medical information belongs is included. The counting result for each abnormal state is displayed in a pop-up with the type of the state and the threshold and the counting period (the period in which the extraction is specified) specified.
For example, on the medical chart No. 2 screen, when the pointer is positioned on the medical information belonging to the examination item (medical item) XX by mouse operation or the like, the upper limit value of the examined item (medical item) XX is classified as abnormal. This is a device that counts the number of medical treatment information that has been performed and displays a pop-up display such as "the upper limit abnormality of the test item xx is xx times in xx month x day x month x day" (see FIG. 2B) ).
[0010]
[7] Configuration:
In the configuration of the above [2] or [3],
When any one of the displayed start dates of the non-difference period is designated by a user's operation input, the division display means displays the medical treatment information of the consultation day in an area divided for each consultation day. Pop up a number screen to display medical information on the start date of the non-difference period,
A medical treatment support device characterized by the following.
For example, when the pointer is positioned on the display "Headache from MM / DD" by mouse operation or the like, the medical chart No.2 screen including MM / DD (the medical chart No.2 screen after MM / DD) pops up. This is a display device (see FIG. 3).
[0011]
[8] Configuration 8:
In the configuration of the above [4],
The counting result display means displays, when any one of the displayed counting results is designated by a user's operation input, medical information on the consultation day in an area divided for each consultation day. Pop-up screen to display medical information on each consultation day used for counting of the counting result,
A medical treatment support device characterized by the following.
For example, when the pointer is positioned at “three upper limit abnormalities of inspection item XX” by mouse operation or the like, a pop-up screen of the medical chart No. 2 paper is displayed, and “three upper limit abnormalities of inspection item XX three times” This is a device for displaying medical information of “○ / month / day”, “× / month / day”, and “* / month / day”, which are the consultation days corresponding to “.” (See FIG. 4).
[0012]
BEST MODE FOR CARRYING OUT THE INVENTION
Hereinafter, embodiments of the present invention will be described with reference to the drawings.
1 to 4 are explanatory diagrams illustrating screens displayed on the display device 11 (see FIG. 5) of the medical care support apparatus according to the embodiment. FIG. 5 is a block diagram illustrating a configuration of the medical care support apparatus according to the embodiment. is there. FIG. 6A is an explanatory diagram showing a configuration example of a progress etc. table constituting the medical care information database of FIG. 5, and FIG. 6B extracts records of a search period designated by a user operation input from the progress etc. table. FIG. 8 is an explanatory diagram showing a state in which medical treatment items are collectively arranged and arranged in order of consultation date. FIG. 7A illustrates a table (abnormal / normal state & difference presence / absence recording table) in which “state item” and “difference item” for recording are provided in each table for each medical treatment item in FIG. 6B. FIG. 7B is an explanatory diagram showing a configuration example of the abnormal value table.
[0013]
As shown in FIG. 5, the medical care support apparatus according to the embodiment holds a display device 11 including a CRT or a liquid crystal monitor, an input device including a keyboard and a mouse, a medical information database, and various application software. The computer device includes a hard disk 13, a RAM 14, and a control device 10 that controls each of these devices, executes each procedure described below, and implements an electronic medical chart function.
[0014]
The hard disk 13 executes the following procedures (procedures for recording data in “status items” and “difference items” of the abnormal / normal status & difference presence / absence recording table, and procedures for displaying the screens of FIGS. 1 to 4). Application software for realizing the electronic medical chart function is installed. The hard disk 13 holds a medical information database. This medical treatment information database includes a patient table having bibliographic information of a patient, a medical treatment information table having medical treatment information, and the like. Hereinafter, a description will be given using a progress table (see FIG. 6A) which is an example of the medical care information table. In the medical treatment information table, not only medical items such as progress but also medical items such as prescriptions are stored as medical items, but the description thereof is omitted.
[0015]
Record of status / difference:
The process of recording the status (normal / abnormal / lower limit abnormal / upper limit abnormal) and the presence / absence of a difference will be described with reference to the flowcharts of FIGS.
The user specifies a period (search period) for which an abstract is to be created by an operation input (S01). For example, a period from April 1 to June 30 is designated as in the examples shown in FIGS. It is assumed that the patient whose summary is to be created has already been specified.
[0016]
When the search period is specified, the “medical treatment item name (and item code), content (value), consultation date” of each record within the specified search period is acquired from a predetermined database (S03). Here, it is acquired from the progress table (table constituting the medical care information database; see FIG. 6A). In the progress etc. table, it is assumed that one progress etc. (medical care information (contents (value))) is recorded in one record.
Further, the total number n of records within the designated search period is obtained (S03). In the example of the progress table for the period from April 1 to June 30 shown in FIG. 6A, n = 24.
Further, the number of records for each medical care item within the designated search period is obtained (S03). In the example of the table showing the progress of the period from April 1 to June 30 shown in FIG. 6A, urine of item code 01 = 6, chief complaint of item code 51 = 6, biochemical examination of item code 21 Sodium = 6, biochemical test potassium of item code 22 = 6.
[0017]
Next, the records acquired in step S03 are grouped for each medical treatment item, and are arranged in the order of consultation date in each record (S05; see FIG. 6B). Further, in the table after the reconstitution and the arrangement of the order of the consultation date, which is reconstituted for each treatment item and arranged in the order of the consultation date, the "state" for recording the state of normal / abnormal / upper limit abnormal / lower limit abnormal Item "and" difference item "for recording the presence / absence of a difference compared with the immediately preceding consultation date, and stored in the memory as an abnormal / normal state & difference presence / absence recording table (see FIG. 7A). To be configured.
[0018]
Next, each variable used in the processing after step S11 is initialized (S07). That is, a state in which the “previous item name” indicating the medical treatment item name of the previous record, the “previous content (value)” indicating the medical treatment information (data) of the previous record, and the medical treatment information (data) of the previous record are determined. The “previous state” indicating (normal / abnormal / upper limit abnormal / lower limit abnormal) is initialized, and the initial value 1 is set to i (S07). i is a variable indicating the record to be processed this time, and takes a value of 1 to n (the total number of records in the search period) in order.
[0019]
In step S11, the medical item name of the i-th record is substituted for "current item name" indicating the medical item name of the record to be processed this time. Further, the medical information (data) of the i-th record is substituted for “current contents (value)” indicating the medical information (data) of the record to be processed this time.
[0020]
Next, the process proceeds to step S13, and it is checked whether or not the current item name (the medical treatment item name of the i-th record) substituted in step S11 exists in the abnormal value table (FIG. 7B). That is, it is checked whether the current item name is a medical treatment item name in which an abnormal value and an abnormal type are registered in the abnormal value table.
This is because (1) in the case of a medical treatment item registered in the abnormal value table, the state is determined by comparing with the registered abnormal value, and the determined state is compared with the state of the immediately preceding consultation day. The comparison is performed to determine whether there is a difference from the immediately preceding consultation date. On the other hand, in the case of (2) the medical treatment item not registered in the abnormal value table, the medical treatment information (data; Value)) is compared with the medical information (data; previous contents (value)) of the immediately preceding consultation date to determine whether there is a difference from the immediately preceding consultation date. The medical treatment item of the former (1) is, for example, a medical treatment item having an upper limit value and / or a lower limit value defining a normal range, such as a biochemical test, or a normal / abnormal condition, such as a urine test. Can be listed. Further, as the latter (2) medical treatment items, there can be mentioned, for example, medical treatment items that cannot be described in numerical form or are extremely difficult, such as chief complaints and findings.
[0021]
If not in outlier table:
In step S13, if the current medical item name is a medical item name not registered in the abnormal value table (No in S13), the previous content (value) is compared with the current content (value) (S15). . As a result, if they match (YES in S15), it means that the content (value) has not changed since the previous consultation date, so the difference item (see FIG. 7A) of the current record is “absent”. Is recorded (S19). On the other hand, if the previous content (value) does not match the current content (value) in step S15 (NO in S15), it means that the content (value) has changed since the previous consultation date. “Yes” is recorded in the difference item (see FIG. 7A) (S17).
For example, the content (value) of the record on April 2 of the medical care item “Chief complaint 1” is “headache +”, and the content (value) of the record on April 16 of the medical care item “Chief complaint 1” is also “headache”. + ". In this case, since they match, "None" is recorded in the difference item of the record on April 16 of the medical treatment item "Chief complaint 1".
[0022]
Thereafter, the "previous item name" is set to "current item name", the "previous content (value)" is set to "current content (value)", and the variable i is incremented (S91). As a condition that i has not reached n (YES in S93), the process returns to step S11, and the above processing is repeated.
[0023]
Outlier table / match:
On the other hand, in step S13, if the current medical item name is a medical item name registered in the abnormal value table (Yes in S13), the abnormal value and abnormal type of the current medical item name are stored in the abnormal value table ( 7 (b)) (S21), it is checked whether the abnormality type is "match / lower limit / upper limit" (S31).
[0024]
As a result, when the abnormality type of the current medical item name is “match” (match at S31), the medical information (contents (value)) of the current record is replaced with the abnormal information of the medical item name of the current record. The value is compared with the value (S33), and if they match (YES in S33), “abnormal” is recorded in the status item (see FIG. 7A) of the current record (S35). If they do not match (NO in S33), “normal” is recorded in the status item of the current record (see FIG. 7A) (S37).
[0025]
Next, the state (abnormal / normal) recorded in the state item of the current record in step S35 or S37 is set as the current state (S39), and the set current state is compared with the previous state. (S41). As a result, if they match (YES in S41), since the state of the medical treatment item has not changed since the previous consultation date, the difference item of the current record (see FIG. 7A) "None" is recorded (S45). On the other hand, if the previous state and the current state do not match in step S41 (NO in S41), it means that the state of the medical treatment item has changed since the previous consultation date, and thus the difference item (FIG. 7 (a)) is recorded (S43).
[0026]
For example, the state of the record on April 2 of the medical treatment item name “urine” is “abnormal”. In the record on April 16, which is the next consultation day, the content (value) of the medical treatment item name "urine" is "+", which matches the abnormal value in the abnormal value table (YES in S33). ), The state becomes “abnormal” (S35). Therefore, regarding the medical treatment item name “urine”, the state “abnormal” on April 2 matches the state “abnormality” on April 16 (YES in S41), whereby the medical item name “urine” 4 “None” is recorded in the difference item of the record on the 16th month.
[0027]
Thereafter, the current state is set to the "previous state" (S47). However, if it is the last record of the medical treatment item (if the medical treatment item name is "urine", it is the record of June 16), the "previous state" is initialized. Further, the "current content (value)" is set to the "previous content (value)", the variable i is incremented (S91), and as a condition that i has not reached n (YES in S93), Returning to step S11, the above processing is repeated.
[0028]
Abnormal value table / lower limit:
In step S31, when the abnormality type of the current medical care item name is not “match”, the process proceeds to step S51, and it is determined whether the abnormality type is “lower limit value / upper limit value”. As a result, if the abnormality type is the lower limit (lower limit in S51), the medical information (contents (value)) of the current record is compared with the lower limit of the medical item name of the current record (S53). If the current medical information (content (value)) is equal to or less than the lower limit (YES in S53), “lower limit abnormal” is recorded in the status item (see FIG. 7A) of the current record (see FIG. 7A). S55). If the current medical information (content (value)) is larger than the lower limit (NO in S53), “normal” is recorded in the status item (see FIG. 7A) of the current record (S57). .
[0029]
Next, the state (lower limit abnormal / normal) recorded in the state item of the current record in step S55 or S57 is set as the “current state” (S59), and the set “current state” is set. , And "previous state" (S61). As a result, if they match (YES in S61), since the state of the medical treatment item has not changed since the previous consultation date, the difference item of the current record (see FIG. 7A) "None" is recorded (S65). If the previous state and the current state do not match (NO in S61), since the state of the medical treatment item has changed since the previous consultation date, the difference item of the current record (FIG. 7A) "See") is recorded (S63).
[0030]
For example, the state of the record on April 16 of the medical treatment item name “biochemical test sodium” is “normal”. In the record on May 2 which is the next consultation day, the content (value) of the medical treatment item name “biochemical test sodium” is “134”, which is a value lower than the lower limit value 137 of the abnormal value table. (YES in S53), the state becomes “lower limit abnormality” (S55). Therefore, regarding the medical treatment item name “biochemical test sodium”, the state “normal” on April 16 and the state “lower limit abnormal” on May 2 do not match (NO in S61), and the biochemical test sodium "Yes" is recorded in the difference item of the record on May 2 in (S63).
[0031]
Thereafter, the current state is set to the "previous state" (S67). However, if it is the last record of the medical treatment item (if the medical treatment item name is “biochemical test sodium”, it is the record of June 16), the “previous state” is initialized. Further, the "current content (value)" is set to the "previous content (value)", the variable i is incremented (S91), and as a condition that i has not reached n (YES in S93), Returning to step S11, the above processing is repeated.
[0032]
Abnormal value table / upper limit:
In step S51, if the abnormality type of the medical item name of the current record is the upper limit value (the upper limit value in S51), the medical information (contents (value)) of the current record is stored in the medical item of the current record. If the current medical information (contents (value)) is equal to or greater than the upper limit value (YES in S73), the status item of the current record (see FIG. 7A) ) Is recorded as “abnormal upper limit value” (S75). If the medical information (content (value)) of the current record is smaller than the upper limit of the current medical item name (NO in S73), the status item of the current record (see FIG. 7A) Is recorded as "normal" (S77).
[0033]
Next, the state (upper limit abnormal / normal) recorded in the state item of the current record in the above step S75 or S77 is set as the “current state” (S79), and the set “current state” is set as A comparison is made with the "previous state" (S81). As a result, if they match (YES in S81), since the state has not changed since the previous consultation date, “none” is set in the difference item (see FIG. 7A) of the current record. Recording is performed (S85). If the “previous state” and the “current state” do not match (NO in S81), it means that the state of the medical treatment item has changed from the previous consultation date, and therefore, the difference item (FIG. 7 (a)) is recorded as “Yes” (S83).
[0034]
After that, the “current state” is set to the “previous state” (S87). However, if it is the last record of the medical treatment item, the “previous state” is initialized. Further, the "current content (value)" is set to the "previous content (value)", the variable i is incremented (S91), and as a condition that i has not reached n (YES in S93), Returning to step S11, the above processing is repeated.
[0035]
As a result of the above processing, when i reaches n, that is, when the processing has been completed for all the records within the designated period (NO in S93), the processing is ended.
In this way, recording in the status item and the difference item is performed.
[0036]
Display procedure:
A procedure for displaying a summary screen using the states recorded as described above (normal / abnormal / lower limit abnormal / upper limit abnormal) and whether or not there is a difference will be described. It should be noted that which of the following displays is determined by the settings of the medical care support apparatus.
[0037]
When displaying the start date, a record whose difference item is “Yes” is extracted from the abnormal / normal state & difference presence / absence table (see FIG. 7A), and the consultation date is displayed as the start date. For example, in the medical treatment item name “biochemical test sodium”, since the difference item of the record on May 2 is “Yes”, the consultation date “May 2” of this record is adopted as the start date, Chemical test sodium: lower limit abnormal from May 2 "(see FIG. 1 (a) and the like). Note that “lower limit error” indicates the data “lower limit error” of the status item of the record.
[0038]
In the case of displaying the number of times of a certain state (normal / abnormal / lower limit abnormal / upper limit abnormal) for a certain medical treatment item, an abnormal / normal state & difference presence / absence table (FIG. 7A) ), The number of states of the medical treatment item is counted and displayed. For example, when displaying the number of times of the “lower limit abnormality” of the medical treatment item name “biochemical test sodium”, as shown in FIG. 7A, May 2, May 16, June 2, Therefore, the count value "3" is used and displayed as "biochemical test sodium: lower limit abnormality three times" (see FIG. 1 (b)).
[0039]
When the display of the number of times of a certain state (normal / abnormal / lower limit abnormal / upper limit abnormal) related to a certain medical care item is designated by a mouse operation or the like, the details of the number are displayed in a popup. In this case, the data of each record constituting the number of times is read out from the progress table (FIG. 6A) using the abnormal / normal state & difference presence / absence recording table (FIG. 7A) and displayed. For example, when the display of the number of times of “abnormal lower limit value” of the medical treatment item name “biochemical test sodium” is designated by a mouse operation or the like with the pointer by the mouse operation or the like, the three times is displayed. The data (check date, contents (value)) of the record of the lower limit abnormality of the above is read out and displayed as "May 2 134 mEq / l, May 16 132 mEq / l, June 2 134 mWq / l" (See FIG. 2A).
[0040]
On the medical record No. 2 screen that displays medical information on a daily basis, when certain medical information is designated by a pointer using a mouse or the like, pop-up points to note (abnormalities) within the search period are displayed. In the case of display, the number of abnormal states to be noted in the search period of the medical item to which the medical information belongs is counted from the abnormal / normal state & difference presence / absence table (see FIG. 7A), and this is calculated. indicate. For example, when the medical information “biochemical test sodium 146 mEq / l” is designated by a pointer by a mouse operation or the like, the number of abnormalities of the medical treatment item “biochemical test sodium” (the number of upper limit abnormalities / lower limit abnormalities; However, in the example of FIG. 7A, there is no upper limit abnormality, so only the lower limit abnormality frequency is counted) and displayed as “May 2 to June 2: Lower limit abnormality 3 times” ( (See FIG. 2B).
[0041]
When the display of a certain state (normal / abnormal / lower limit abnormal / upper limit abnormal) related to a certain medical treatment item is designated by a pointer by a mouse operation or the like, each consultation day at which the abnormality occurred When the medical information (all medical information) is displayed in a pop-up, all medical information on each consultation day on which the abnormality has occurred is displayed using the abnormal / normal state / difference record table (FIG. 7A). , Etc., are read from the table (FIG. 6A) and displayed. For example, when the display of “lower limit abnormal” of the medical treatment item name “biochemical test sodium” “biochemical test sodium: lower limit abnormal from May 2” is designated by a mouse operation or the like with a pointer, Pop-up the medical chart No. 2 screen, read out the medical information (contents (value) of each medical care item on each medical check day) on each medical examination day in which the lower limit abnormality occurred, and display it on the medical chart No. 2 paper screen ( (See FIG. 3).
[0042]
When the display of the number of times of a certain state (normal state / abnormal state / lower limit value abnormality / upper limit value abnormality) relating to a certain medical treatment item is designated by a mouse operation or the like, each consultation in which the abnormality has occurred When the medical information of the day (all medical information) is displayed as a pop-up, all the medical information of each consultation day, which is displayed as the number of times that the abnormality has occurred, is stored in the abnormal / normal state & difference presence / absence record table (FIG. 7). Using (a)), the information is read out from the progress table (FIG. 6A) and displayed. For example, if the number of times "Biochemical test sodium: lower limit abnormal 3 times" of the medical item name "Biochemical test sodium" is designated by a mouse pointer or the like, the chart No. 2 Pop-up a paper screen to read out the medical information (contents (values) of each medical treatment item on each medical examination day) of each of the three medical examination days where the lower limit abnormality occurred, and display it on the above-mentioned medical chart No. 2 paper screen (See FIG. 4).
[0043]
As described above, the summary display, the state & number of times display, the pop-up display of the number of consultation days constituting the number of times, the pop-up display of abnormalities related to medical information, the pop-up display of detailed medical information on each consultation day within the abnormal period, the abnormalities Pop-up display of detailed medical information on the consultation day corresponding to the number of times.
[0044]
【The invention's effect】
The configuration of the above [1] relates to an extraction arrangement means for extracting medical information within a designated period from a database for each medical item and arranging the medical information in order of the date of medical examination, and two adjacent medical information in an array of an order of medical examination date. It is determined whether to treat the two pieces of medical information as a difference or a difference based on a comparison with a predetermined threshold value of a medical item to which the two pieces of medical information belong, or Means for determining the presence or absence of a difference, which is determined by comparing the medical information of the medical treatment item with each other in a non-difference period in which the medical information with no difference is consecutive in the order of the consultation date; and Since there is a classification display means for displaying the medical information of the medical item, the period of no change and the time of the change can be listed for the data of the same medical item, and these can be easily found. Therefore, it is possible to easily find out notable test results, chief complaints, findings, and the like from the medical record and easily create a summary thereof.
In the configuration of the above [2], for example, if the non-difference period is a period during which “headache” continues, it can be displayed as “headache from MM / DD”. Therefore, more specifically, the remarkable test results, the chief complaint, the findings, and the like can be easily known from the medical record, and the summary can be easily created.
In the configuration of [3], for example, two pieces of medical information are data of a certain test item (medical item) ○, and both of them are less than the upper limit of the test item (medical item) ○. In this case, both of them can be classified as normal values and displayed as "the inspection item OO is a normal value from MM / Y". Therefore, more specifically, the remarkable test results, the chief complaint, the findings, and the like can be easily known from the medical record, and the summary can be easily created.
[0045]
The configuration of the above [4] is that the medical information within the designated period is extracted from the database for each medical item and is arranged in order of the date of medical examination, and the medical item to which the extracted medical information belongs is the medical item to which the medical information belongs. A state classification unit that classifies the medical information classified into a normal state and / or an abnormal state with respect to each state, and a state-by-state counting unit that counts the medical information classified into a normal state and / or an abnormal state. Since there is provided a counting result display means for clearly displaying the state and the type of the threshold on which the state is based, the number of times of the same state can be easily known. For this reason, the frequency of a noticeable test result or chief complaint or finding can be easily known from the medical record, and a summary thereof can be easily created.
In the configuration of the above [5], for example, when the pointer is positioned on the display of “three abnormalities of the upper limit of the inspection item XX” by mouse operation or the like, the inspection result of the inspection item XX ○ ”,“ × month × day, inspection result of inspection item xxx ”,“ * month * day, inspection result of inspection item XX ”, and so on. For this reason, it is possible to know details such as a noticeable test result or a chief complaint or a finding, and it is possible to easily create an accurate summary thereof.
In the configuration of the above [6], for example, when the pointer is positioned on the medical information belonging to the test item (medical item) XX by a mouse operation or the like on the chart 2 paper screen, the test item (medical item) The number of medical information classified as XX upper limit abnormalities is counted, and a pop-up display such as "X upper limit abnormalities of test item XX XX times in XX month x day x month x day" can be displayed. it can. For this reason, it is possible to know the outline and characteristics of desired medical information within a certain period.
In the configuration of the above [7], for example, when the pointer is positioned on the display “Headache from ○ month ○ day” by mouse operation or the like, the chart No. 2 paper screen including 月 month 日 day (after 月 month 日 day) Pop-up display of the medical chart No. 2 screen). Therefore, it is possible to know notable test results or other medical information on the consultation day, which is the background of the chief complaint, and it is possible to easily create an accurate summary by using this.
In the configuration of [8], for example, when the pointer is positioned at “three upper limit abnormalities of inspection item XX” by mouse operation or the like, the medical chart No. 2 screen is displayed in a pop-up and “test item OO” is displayed. It is possible to display the medical treatment information of "○ month ○ day", "× month x day", and "* month * day" which are the consultation days corresponding to "the upper limit abnormality of ○ is three times". Therefore, it is possible to know notable test results or other medical information on the consultation day, which is the background of the chief complaint, and it is possible to easily create an accurate summary by using this.
[Brief description of the drawings]
FIG. 1 is an explanatory diagram illustrating a summary display screen of a medical assistance device according to an embodiment; (A) is a basic summary display screen, and (b) is a summary display screen to which the number of abnormalities is added.
FIG. 2A is an explanatory diagram illustrating an example of a summary display screen in which the number of abnormalities is added to the summary display screen of the medical care support apparatus according to the embodiment, and FIG. Explanatory drawing (b) which illustrates the situation which performed.
FIG. 3 is an explanatory diagram exemplifying a summary display screen of the medical assistance device according to the embodiment; This shows a state in which a popup is displayed during the abnormal period.
FIG. 4 is an explanatory diagram exemplifying a summary display screen of the medical assistance device according to the embodiment; This shows a state in which a pop-up is displayed for the number of abnormalities.
FIG. 5 is a block diagram showing a configuration of a medical care support apparatus according to the embodiment.
FIG. 6A is an explanatory diagram illustrating a configuration example of a progress etc. table configuring a medical care information database, and records of a search period designated by a user's operation input are extracted from the progress etc. table and collected for each medical care item. Explanatory drawing (b) which shows a state arranged in order of consultation date.
7A is an explanatory diagram illustrating an abnormal / normal state & difference presence / absence recording table, and FIG. 7B is an explanatory diagram illustrating a configuration example of an abnormal value table.
FIG. 8 is a part of a flowchart showing a procedure for recording data in “status item” and “difference item” of the abnormal / normal status & difference presence / absence recording table of FIG. 7;
FIG. 9 is a part of a flowchart showing a procedure for recording data in “status item” and “difference item” in the abnormal / normal status & difference presence / absence recording table of FIG. 7;
FIG. 10 is a part of a flowchart showing a procedure for recording data in “status item” and “difference item” of the abnormal / normal status & difference presence / absence recording table of FIG. 7;
FIG. 11 is the remaining part of the flowchart showing the procedure for recording data in “status item” and “difference item” in the abnormal / normal status & difference presence / absence recording table of FIG. 7;
[Explanation of symbols]
10 Control device
11 Display device
12 Input device
13 Hard disk
14 RAM

Claims (8)

A medical care support apparatus having an electronic medical record function for recording / reproducing medical information in a predetermined database in association with medical care items and medical care dates,
Extraction arrangement means for extracting medical information within the designated period from the database for each medical item and arranging them in the order of consultation date,
For two pieces of medical information adjacent to each other in the order of the consultation date, whether the two pieces of medical information are processed as no difference or different are compared with a predetermined threshold value of a medical item to which the two pieces of medical information belong. Or a difference presence / absence determining means, which is determined based on
Period division means for dividing the medical information of the medical treatment item for each non-difference period in which the medical information with no difference in the arrangement of the consultation date order,
Division display means for displaying medical information of the medical item based on the classification,
A medical care support apparatus comprising: In claim 1,
The classification display means displays a consultation date at which the non-difference period starts as a non-difference period start date of the medical information,
A medical treatment support device characterized by the following. In claim 2,
The medical information further includes a state classification unit that classifies the extracted medical information into a normal state or an abnormal state by comparing the extracted medical information with a predetermined threshold value of a medical item to which the medical information belongs,
The classification display means displays together the classification result by the state classification means with respect to the start date of the non-difference period of the medical information for which no difference / presence has been determined based on comparison with a predetermined threshold value by the difference presence / absence determination means. Do
A medical treatment support device characterized by the following. A medical care support apparatus having an electronic medical record function for recording / reproducing medical information in a predetermined database in association with medical care items and medical care dates,
Extraction arrangement means for extracting medical information within the designated period from the database for each medical item and arranging them in the order of consultation date,
A state classification unit that classifies the extracted medical information into a normal state or an abnormal state by comparing the extracted medical information with a predetermined threshold value of a medical item to which the medical information belongs,
State-specific counting means for counting medical information classified into a normal state and / or an abnormal state for each state;
A counting result display means for displaying the counting result by explicitly indicating the state and a type of a threshold on which the state is based,
A medical care support apparatus comprising: In claim 4,
When any of the displayed counting results is designated by a user's operation input, the counting result display means pops up each piece of medical information used for counting the counting results together with a corresponding consultation date. ,
A medical treatment support device characterized by the following. In claim 4,
A display unit for displaying a medical chart No. 2 paper screen, which is a screen for displaying medical information on the medical examination day in an area divided for each medical examination day,
The counting result display means, when any medical information is specified by a user's operation input on the medical chart No. 2 paper screen, displays the counting result for each state of the specified medical information in the state and the state. Pop-up display along with the counting period, explicitly indicating the type of threshold based on
A medical treatment support device characterized by the following. In claim 2 or claim 3,
When any one of the displayed start dates of the non-difference period is designated by a user's operation input, the division display means displays the medical treatment information of the consultation day in an area divided for each consultation day. Pop up a number screen to display medical information on the start date of the non-difference period,
A medical treatment support device characterized by the following. In claim 4,
The counting result display means displays, when any one of the displayed counting results is designated by a user's operation input, medical information on the consultation day in an area divided for each consultation day. Pop-up screen to display medical information on each consultation day used for counting of the counting result,
A medical treatment support device characterized by the following.

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