JP2009122961A - Medical care support system and medical care support program - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To retrieve the group of patients who have the same disease, patients who have gotten the same treatment and patients who have received the same prescription. <P>SOLUTION: This medical care support system includes: a medical care database in which the medical care data of each patient are stored for each item; a retrieval condition input means for designating retrieval object items and retrieval conditions for the items; a retrieval means for retrieving the medical care data having the data of the items matched with retrieval conditions about the designated items from the medical care database; and a group registration means for registering a plurality of items as one item group in a batch. The retrieval condition input means designates the item group as a retrieval object, and when the item group is designated as the retrieval object, the retrieval means retrieves the medical care data having the data of the items matched with the retrieval conditions from the medical care database about each of the items included in the item group, and performs OR of the medical care data. <P>COPYRIGHT: (C)2009,JPO&INPIT

Description

  The present invention relates to a medical assistance device, and more particularly to a device that can easily perform patient search under various conditions.

  2. Description of the Related Art Medical office computers that register medical treatment data such as treatments and medications received by a patient in a medical institution for each patient and calculate medical expenses based on the data are widely used. In addition, a medical support device that inputs data that has been conventionally described in a paper chart, such as a performed medical treatment, a doctor's findings, and a patient's chief complaint, and manages them as a medical record, a so-called electronic medical chart is becoming widespread. And in such an apparatus, in order to call and display a patient's medical data, a patient is searched first (for example, refer patent document 1).

At that time, as a search condition, the patient number for identifying the patient, the name in kanji notation, the reading of the name (phonetic), gender, date of birth, home phone number, visit date, etc. could be specified. . The patient's name, gender, date of birth, telephone number, patient number, etc. are registered when the patient first visits the medical institution, and are rarely changed thereafter. It is registered in the database as a set of data.
JP 2002-183298 A

  In an electronic medical record system used by doctors as a medical record, rather than searching for a specific single patient, search for patients with the same disease, i.e., patients with the same disease name data, or patients who have performed the same procedure. In some cases, it may be more convenient to be able to search for a group of patients who have prescribed the same drug, and such a requirement is strong.

  The present invention relates to a search screen for designating an item to be searched and a search condition for the item in a medical support system including a medical database that stores medical data for each patient by item, an input unit, and a display unit. A search condition input means for displaying on the display means, a search means for searching medical data having the data of the item that matches the search condition for the item specified by the search condition input means, and a plurality of items A group registration unit that collectively registers as one item group, wherein the search condition input unit specifies an item group as a search target, and the search unit is configured when an item group is specified as a search target. , Each of the items included in the item group has a diagnosis that has the data of the item that matches the search condition. Retrieves the data from the clinical database, they by logical sum, is to solve the above problems.

  According to the present invention, since a plurality of items can be registered together in one item group, it is possible to specify one item at a time without individually specifying each item individually, which greatly saves labor. Medical data can be easily retrieved. Also, since the search conditions specified on the screen can be saved as a search condition set, the search conditions can be easily called up next time and the search can be started immediately.

  FIG. 1 is a block diagram illustrating a configuration of a medical assistance system (electronic medical chart system) according to an embodiment. The system is installed in a doctor's office or the like, and a medical support terminal device 10 that is mainly operated by a doctor and a server device 20 that manages various databases such as patient medical data are connected by a communication network 19 such as a hospital LAN. It is connected. In the figure, only one medical assistance terminal device 10 is provided, but a plurality of medical assistance terminal devices can be actually connected.

  The medical assistance terminal device 10 includes a control device 11 constituted by a microprocessor, a main storage device 12 constituted by a semiconductor memory, an auxiliary storage device 13 constituted by a hard disk device, a display device 14 such as an LCD, a keyboard 16, The computer includes an input device composed of a mouse 15. In addition to the OS (operating system), the auxiliary storage device 13 has a function of registering patient medical data, that is, medical chart data in the database using an input device or a display device 14, and corresponding data from the database according to specified conditions. A medical assistance program having a function of searching for is stored. Then, the control device 11 reads out and executes the program stored in the auxiliary storage device 13, and exhibits various functions as a medical assistance system.

  The server device 20 stores a patient database 21 that stores information related to the patient such as the patient's name, address, patient number, and insurance to be used, and a medical database that stores medical data as patient chart data by patient and by medical date. 22 and a medical history database 23 that stores medical history data for each patient. The medical database 22 stores medical data for each item such as “main complaint history”, “findings”, and “body temperature”. In addition to these items, there are items related to basic medical information, items related to information specific to the first visit, items related to lifestyle habits, and the like, which can be searched by specifying the items. The data stored in each database is linked by the patient number. Since the patient number may include characters other than numbers, it may be called a patient code.

  Next, the operation of the embodiment will be described. FIG. 4 is a display example of the search screen 40 displayed on the display device 14. The left side of the screen is a search condition designation area and the right side is a search result display area. In the embodiment apparatus, an item to be searched is first specified as a search condition, and a search start button 43 is designated by inputting a condition content for the item, for example, a character string or a numerical value.

  As shown in FIG. 5, when the condition is specified, the item column 41 is clicked on with a mouse to pull down the item. Therefore, a desired item is selected, and the condition content is input to the right content column 42 with a keyboard or the like. A plurality of items can be specified, and an AND operation is performed between the items. The user can edit the classification and name of items to be displayed in a pull-down display, the data type, and whether or not to list.

  Search results are displayed on the right side of the screen for each patient. The displayed data includes items specified as search targets and their data arranged in the order of the specified items. That is, only the data related to the designated item is displayed among the searched patient medical data. Therefore, the user can quickly read the information he wants.

  In the example of FIG. 4, the main complaint history, body temperature, test result, and findings are specified as search target items on the left side of the screen. The main complaint history is “pain”, the test result is “within reference value”, In the findings, the condition of “cold” is entered in the content column 42. However, the specification of conditions for body temperature is omitted. As a result of the search, here, data of two patients are displayed on the right side of the screen. Each patient's display data includes the patient number, name, age, and gender for identifying the patient, displayed on the first line, and the main complaint history, body temperature, test results, Data read from the medical database 22 relating to the findings items are displayed in this order together with the item names.

  As shown in FIG. 2, when a search is instructed, the control device 11 searches the medical database 22 for each item specified as a search target, and searches for medical data having data that matches the specified condition content. (Step S1). For example, in the case of the item “main complaint history”, the data of the item is searched for whether or not the character string “pain” is included, and the medical data having the main complaint history data including the character string is searched. This is repeated for all designated items (step S2; No). And the patient who satisfy | fills conditions satisfy | fill with all the items is searched. That is, the logical product (AND) of the results retrieved in steps S1 and S2 is performed (step S3). Since medical data is stored in the medical database 22 for each patient number, patient information such as the patient's name can be obtained by referring to the patient database 21 based on the patient number.

  When searching, the operation is performed as shown in FIG. 3 depending on whether or not the condition content of the item is specified. That is, if the condition is specified (step S11; Yes), the medical database 22 is searched for items that match the condition as usual (step S12). For an item for which no condition is specified (step S11; No), it is not excluded from the search target, but it is determined whether data is stored in the item, and if any data is stored, that is, If any medical data is input, the search is performed whatever the data is (step S13). That is, when the condition is not specified, the search is handled in the same manner as when the wild card is specified. However, patients whose data do not store any data are not searched.

  The control device 11 creates search result display data based on the retrieved patient data (step S4). The display data is created by arranging data such as a name for identifying a patient for each patient as a heading, and vertically arranging each item with the name of the item to be searched and the data as a pair. The order of the items is the order specified in the search condition specification area. In this way, a summary of the patient's medical data is created using the data related to the designated item. In the embodiment, this is called summary data, but the summary data may include other items. In short, since the items to be searched are data that the user pays attention to, at least they can be easily glanced.

  The created display data is displayed in the search result display area on the right side of the screen, divided into rectangles for each patient and arranged in accordance with the designated display order (step S5). The display order can be specified by the user from the pull-down menu 47. In the embodiment, the order of patient numbers, the order of Kana names, the order of ages, and the order of the last visit date can be specified. When the display order is changed by the pull-down menu 47, the control device 11 switches and displays the search results in accordance with the designated display order.

  In addition, the size of the display frame for one patient can be arbitrarily set. When the user drags the lower frame 44 of the display frame of any patient to change the size, the display frames of the other patients are similarly changed in size and the display is updated. Since the result of this change is saved, the next search result is displayed in that size.

  Incidentally, in the embodiment, several items can be registered together as an item group. FIG. 6 shows an item group registration screen 60 displayed on the screen of the display device 14 by the control device 11 in response to an item group registration instruction. Here, the name 61 of the item group to be registered is “finding group”, and the data type 62 is character type. Then, the items to be grouped are selected and input with the mouse from the list 65 on the right side of the screen. In the example shown in the figure, three findings in the lower right of the list 65 displayed by selecting “findings” of classification 64, various head findings, abdominal findings, and foot findings are selected, and these are displayed in the target label name column 63. It is displayed. Then, by instructing the OK button 66, these three items are collectively registered as one group with the item name “finding group”. The item group name 61 can be freely input and set from the keyboard.

  This item group can also be specified as a search target in the same way as a normal item. For example, it is assumed that the above-mentioned “finding group” is specified on the search screen of FIG. 3 and “swelling” is input as the condition content. The control device 11 searches the medical care database 22 and finds the same “swelling” data specified for each of the three items of various findings such as head findings, abdominal findings, and foot findings registered in this “finding group”. In this case, it is searched whether the character string of “swelling” is included, and if there is at least one item including the character string, the medical data is searched. That is, a plurality of items included in the item group are searched with the same condition contents, and the results are logically summed and output. In this way, it is possible to save time by specifying one item group instead of selecting and instructing three items one by one when specifying search conditions.

  Items entered as search conditions and condition contents can be stored as a set of search conditions. When the name of the search condition set is input from the keyboard 16 to the template field 45 of the search screen and the setting button 46 is instructed, the control device 11 responds to the items and the condition contents input on the search screen 40. The search condition set having the specified name is stored in the auxiliary storage device 13. The name of the saved search condition set is displayed in a pull-down menu in the template field 45. When the user selects a desired search condition set from the user, the control device 11 reads out the items and condition contents registered in the search condition set, and expands and displays them in a predetermined column. As a result, the search can be started immediately.

It is a block diagram which shows the structure of a medical assistance system. It is a flowchart which shows operation | movement of an Example system. It is a flowchart which shows operation | movement of an Example system. It is a display example of the search screen of the embodiment system. It is a display example of the search screen of the embodiment system. It is an example of a display of the item group registration screen of an Example system.

Explanation of symbols

DESCRIPTION OF SYMBOLS 10 Medical assistance terminal device 11 Control apparatus 14 Display apparatus 19 Communication network 20 Server apparatus 21 Patient database 22 Medical treatment database

Claims (4)

In a medical care support system comprising a medical care database storing medical data for each patient by item, an input means, and a display means, the display means displays a search screen for designating items to be searched and search conditions for the items. The search condition input means to be displayed on the display, the search means for searching the medical data having the data of the item that matches the search condition for the item specified by the search condition input means, and a plurality of items all together. Group registration means for registering as an item group, wherein the search condition input means designates an item group as a search target, and when the item group is specified as a search target, the search means For each item included in the medical data having the data of the item that matches the search condition Retrieved from care database, medical assistance system in which they are logical OR. The medical support system according to claim 1, wherein when a plurality of items are specified by the search condition input unit, the search unit ANDs and outputs a search result for each item. The search condition input means is configured to store items specified on the search screen and search conditions as a search condition set, read out the stored search condition set, and expand and display the search condition set on the search screen. The medical assistance system of Claim 1 or Claim 2. A medical care support program for use in a medical care support system comprising a medical care database storing each patient's medical data by item, an input means, and a display means. Search condition input means for displaying a search screen for designating on the display means, and search means for searching medical data having the data of the item that matches the search condition for the item specified by the search condition input means from the medical care database , Function as group registration means for registering a plurality of items as a single item group, further, means for specifying the search condition input means as an item group, and the search means as an item group When is specified, search conditions for each item in the item group Find the medical data having the corresponding data of the item from the clinical database, where the diagnostic support program for causing a search result for each item included in item group means for ORing as.