JP2006031281A - Medical set order database and construction system thereof - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a database for individual concrete set orders of medication, clinical examination and the like, and a system for constructing the database. <P>SOLUTION: This system comprises a server device S having order files F<SB>1</SB>to F<SB>n</SB>recording concrete order contents by medical treatment items and medical chart files C of individual patients. A doctor operates a terminal machine T to form a series of set orders while referring to the medical chart files C of the server device S, and registers it to a set order file Q of the server device S. The doctor forms set orders by medical treatment items suitable to a specified symptom while referring to the order files F<SB>1</SB>to F<SB>n</SB>and registers them to the set order file Q. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

TECHNICAL FIELD OF THE INVENTION

  The present invention relates to a database of a series of specific medical actions to be performed on individual patients, that is, a medical set order, and a system for constructing the database.

  In general, a plurality of specific instructions (hereinafter referred to as orders) such as various examinations and medications are usually given to a single patient. In this case, for example, in the case of a general hospital, the doctor in charge must give a specific individual order to each department for all medical actions to be performed on the patient.

  In the conventional computer system, the order database accumulates specific orders by type such as clinical examination, radiological examination, medication, and infusion, and medical treatment items. For this reason, for example, in the case of a clinical test, a doctor who uses a terminal machine, for example, searches a database, and after launching a clinical test screen, selects items several times for each layer such as medical treatment items for a specific clinical test. Repeatedly, the final order item is reached, the final specific order of the target is selected, the order is written, and a complicated operation of execution transmission is required. Similar operations are required for other orders such as radiological examinations. In clinical practice, orders generally cover multiple medical treatment items such as clinical examinations and radiological examinations, and the operation is extremely complicated. However, it is still easy to make mistakes and leaks. Also, it takes a long time to operate.

  On the other hand, as for the order of the paper chart, the doctor selects the necessary order instantaneously from his / her memory based on his / her own knowledge and experience and writes it in the paper chart. At this time, the type of order and the number of medical treatment items are hardly bothered.

  Therefore, in the electronic medical record, in order to eliminate the complexity and slowness of operation, the last order is classified according to disease, department, etc. A method of performing orders at once (hereinafter referred to as set order) is used. However, set orders have the fateful nature of being uniform.

  The set order may be registered for each type of medical procedure such as clinical examination or radiological examination, or may be registered as a set across multiple types of medical procedures. In the former case, in order to arrive at the target set, a selection operation for each layer remains to some extent. In the latter case, the operation of selection for each hierarchy is eliminated, but the order contents are extremely uniform, and an optimal order cannot be made for each case. In order to deal with this problem, it is necessary to create many types of sets, or to edit sets, combine sets, or add final orders for each case. In the former case, the number of sets becomes enormous, and it takes time to search for the set. In the latter case, the same complexity and time as in the case where the set order is not used are required.

  SUMMARY OF THE INVENTION An object of the present invention is to provide a medical set order database and a system for creating the database that eliminate the above-described complicated operation.

  In order to solve the above problems, in the present invention, medical treatment items and corresponding orders are grouped according to medical purposes and recorded in a storage medium.

  The database construction system of the present invention comprises a server device having a file in which medical treatment items and corresponding orders are recorded and a patient chart file, and a terminal device capable of transferring data to and from the server device. A configuration in which a series of medical treatment items adapted to a case are grouped according to a medical purpose and registered in a set order file of the server device while referring to a file and a medical record file in which the medical treatment items and corresponding orders are recorded Was adopted.

  The files in which the medical treatment items and the corresponding orders are recorded include at least an injection / infusion file, a medication file, a clinical examination file, a radiation file, and a surgical file.

  According to the present invention, as described above, since a specific individual treatment order integrated with a medical treatment item and grouped is registered in the database, the medical treatment item is selected by designating the group at the terminal. As a result, a plurality of orders to be applied to the patient can be acquired at a time, and a plurality of orders suitable for the patient can be instructed very efficiently.

Embodiments of the present invention will be described below with reference to the accompanying drawings. FIG. 1 shows an example of hardware used in the system of the present invention. As shown in the figure, a server device S that centrally manages data and terminals T ₁ ... Tn such as personal computers operated by medical personnel such as doctors are connected by a network N such as a public line communication network. Data can be exchanged in both directions.

Based on FIG. 2, a more detailed relationship between the file and the hardware will be described. As shown in the figure, the server device S is divided into an injection / infusion file F ₁ , a medication file F ₂ , a clinical examination file F ₃ , a radiological examination file F ₄ , an operation file F _5, etc. classified by type and medical treatment item. An order file F that is classified and covers the medical treatment items (headings of items to be dealt with according to individual symptoms and diseases) and individual specific orders corresponding to the medical treatment items in advance is provided. Software capable of retrieving these files by key, for example, symptoms, is installed in the central processing unit CPU ₁ . The order file F can include a surgical file, a rehabilitation file, a meal file, and the like.

  The server device S further includes a patient chart file C and a set order file Q. The set order file Q is a file created by a method to be described later, and can be searched by a specific key. The medical record file C records the medical history, treatment history, set order, etc. for each patient.

On the other hand, the terminal T is provided with a display D, a printer P, a keyboard K, a pointer M such as a touch panel and a mouse, and the central processing unit CPU ₂ communicates with the server device S according to the operation of the keyboard K and the pointer M. On the other hand, the server device S can be operated by issuing a command such as search and writing of the file F, file Q, and file C, and the result is output to the display D and the printer P. It is possible to instruct other terminals to transmit the order data.

Next, an example of a method for constructing a set order database will be described. As shown in FIG. 3, the physician first in step S _1, by operating the terminal device T, based on their experience knowledge, such as its type to determine a series of medical procedures items required for the inspection of a particular disease ( For example, all examination and medical treatment items are extracted from the order file F. Since the specific order corresponding to the medical treatment item is recorded in the order file F (radiological examination file F ₃ and clinical examination file F ₄ ) as described above, it is possible to test for a specific disease by such an operation. A set of medical treatment items and the contents of a specific order corresponding to each medical treatment item are obtained. For the entire contents, is registered in the set order file Q with the group name of a step S _2, for example, "inspection of ○○○ disease". Therefore, a series of set orders necessary for the inspection is registered in the file Q. This group name can be given freely. In addition to the disease name and case, for example, the name of a medical department or the name of a doctor, for example, “examination” or “medicine” may be added to the name, for example. Furthermore, a doctor name or the like may be used as a group name. In this way, the group name should describe the medical purpose name for which the order is placed. Therefore, in the case of a doctor name, an order peculiar to the doctor is a medical purpose. Similarly, as shown in steps S ₃ and S ₄ , for example, a series of medical treatment items for a specific case is taken out from the patient medical record file C, and this medical treatment item is extracted from the order file F together with the order, or from the medical record. It can be taken out and registered in the set order file Q with a group name.

  The file Q as described above can be recorded on a magnetic storage medium or an optical storage medium.

When the set order file Q is completed in this way, as shown in FIGS. 4 and 5, the doctor operates the terminal to select the order group name from the order group list and An acquisition command is issued (step 10). Therefore, from the server device S, medical treatment items as shown in the figure are sent to the terminal T and displayed as shown in FIG. If the physician selects one or more medical action items from the display list in step S _11, the server device S sends the contents of a specific set of orders extracted from a set order file Q to the terminal T (step S ₁₂₎ . When the order set is confirmed, the terminal device T instructs the server device S, and the server device S distributes a specific order to each department in charge of the hospital (step S ₁₃ ). In addition, when the medical treatment item is composed of a single order, the order itself may be displayed.

  As described above, on the terminal T side, it is extremely easy to obtain a medical treatment item in the normal case, and to simply issue a command to the server apparatus S to distribute an order corresponding to the medical treatment item. The order can be completed with simple operations.

The block diagram which shows an example of the hardware used for the construction system of the set order database of this invention Block diagram showing the files provided in the construction system Flow chart showing an example of how to build a set order file Flow chart showing an example of how to use a set order file The figure which shows the example of a display of the content of a medical treatment item

Explanation of symbols

C chart file D display F, F ₁ ... Fn order file K keyboard M pointer N network P printer Q set order file S server devices S _{1 to} S ₄ , S _{10 to} S ₁₃ processing steps T, T _1. Tn terminal CPU ₁ , CPU ₂ central processing unit

Claims (3)

  A database of medical set orders in which medical treatment items and corresponding orders are grouped according to medical purposes and recorded in a storage medium.   It comprises a server device having a medical treatment item and a file in which the corresponding order is recorded and a patient chart file, and a terminal capable of transferring data to and from the server device. The terminal corresponds to the medical treatment item and the medical treatment item. A set of medical treatment items adapted to the case is created with reference to the file in which the order is recorded and the medical record file, the medical treatment items and the corresponding order are grouped according to medical purposes, and the set order of the server device A medical set order database construction system consisting of registering in a file.   The medical set order database construction system according to claim 1, wherein the file in which the medical treatment item and the corresponding order are recorded includes at least an injection / infusion file, a medication file, a clinical examination file, a radiation file, and an operation file.

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