JP2013152632A - Medical information support system and triage determination device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medical information support system and a triage determination device that can perform appropriate triage determination according to conditions of a patient.SOLUTION: A medical information support system comprises: a medical record database 11 for registering clinical history data or the like of each patient obtained by medical care; a disease information database 12 for associating a disease name contained in the clinical history data, an examination item having a normal value different from a reference value in a disease state of the disease name and the normal value of the examination item with each other and registering them; and an input section 21 to which patient identification information for identifying the patient is input. The medical information support system retrieves a current disease name of the patient identified by the patient identification information input to the input section 21 from the medical record database 11 and retrieves the examination item and the normal value associated with the retrieved current disease name from the disease information database 12. Further, the medical information support system determines whether or not a measurement value obtained by measurement of the retrieved examination item is normal on the basis of the retrieved normal value.

Description

  Embodiments described herein relate generally to a medical information support system and a triage determination device that evaluate a patient's symptoms.

  There is a known triage system that uses triage determination that evaluates patient symptoms according to a certain standard and determines the priority of treatment in a disaster or emergency medical field. In this triage system, a determination is made based on measured values of test items such as body temperature, heart rate, blood pressure, etc. for evaluating a patient's symptoms.

JP 2009-157519 A

  However, when a patient suffering from a disease is evaluated using a reference value, there is a problem that an erroneous determination is made depending on the disease.

  Embodiments have been made to solve the above-described problems, and an object thereof is to provide a medical information support system and a triage determination device that can evaluate a patient's symptoms according to a state.

  To achieve the above object, the medical information support system according to the embodiment associates a patient's disease name, a test item whose normal value is different from the reference value in the disease state of this disease name, and a normal value of this test item. The disease information database to be registered, the input unit for inputting the patient identification information for identifying the patient, and the examination item related to the current disease name of the patient identified by the patient identification information input by the input unit And a determination unit that determines whether or not the measurement value obtained by the measurement is normal based on the normal value related to the current disease name.

The block diagram which shows the structure of the medical information assistance system which concerns on embodiment. The flowchart which shows operation | movement of the medical information assistance system which concerns on embodiment. The figure which shows each data and information transmitted / received between each apparatus of the medical information assistance system which concerns on embodiment. The figure which shows an example of the medical history data registered into the medical chart database which concerns on embodiment. The figure which shows an example of the disease information registered into the disease information database which concerns on embodiment.

  Hereinafter, embodiments will be described with reference to the drawings.

  FIG. 1 is a diagram illustrating a configuration of a medical information support system according to the embodiment. The medical information support system 100 includes a medical information management apparatus 10 in which medical information such as medical history data indicating a patient's disease name, state, progress, and findings obtained through medical treatment by a doctor is registered. Also, input of patient identification information for identifying the patient and patient identification information of the patient ID, input of test items such as heart rate, blood pressure, body temperature, etc. that require measurement to evaluate the patient's symptoms, and evaluation of the patient's symptoms Terminal device 20 capable of inputting patient status obtained by observation of walking, breathing, circulatory state, consciousness level, and the like.

  Further, the medical information support system 100 obtains measurement values such as heart rate data, blood pressure data, and body temperature data by measuring test items that evaluate patient symptoms based on medical information registered in the medical information management apparatus 10. The measuring device 30 is provided. Moreover, the triage determination apparatus 40 which performs a triage determination process based on triage information, such as a measured value of a test item obtained by the measurement apparatus 30 and a patient state, is provided.

  The medical information support system 100 is connected between the medical information management device 10, the terminal device 20, the measurement device 30, and the triage determination device 40, for example, in a LAN inside a medical facility using wireless or outside the medical facility. Each data and information is transmitted / received via a network 50 such as the Internet.

  Note that any two devices or three devices of the terminal device 20, the measurement device 30, and the triage determination device 40 may be integrated and implemented as a triage determination device.

  The medical information management apparatus 10 includes a medical record database 11 that is arranged in a medical facility and registers medical history data of each patient obtained through medical care, examination data obtained through examination, and the like. In addition, the current disease name included in the medical history data of each patient registered in the medical record database 11 and the test item whose normal value in the disease state of this disease name is different from, for example, the reference value of a healthy person, the standard of this test item A disease information database 12 for registering values and normal values in association with each other is provided.

  Note that the medical information management apparatus 10 may be arranged outside the medical facility, and medical history data obtained by medical treatment at each medical facility may be registered. Moreover, you may implement so that the medical history data obtained by a patient's medical examination may be registered into the medical chart database 11. FIG.

  The medical information management device 10 includes a search unit, searches the medical record database 11 for the current disease name of the patient identified by the patient identification information transmitted from the terminal device 20, and the examination items related to the searched current disease name. The normal value is retrieved from the disease information database 12. Then, the disease information including the searched current disease name, examination item, and normal value is returned to the terminal device 20 to which the patient identification information is input.

  The terminal device 20 is, for example, a portable information terminal that is portablely carried by a medical worker who evaluates a patient's symptoms, and includes patient identification information of the patient, an inspection item returned from the medical information management device 10, and other than this inspection item The input unit 21 is used to input measurement information that requires measurement, instruction information for instructing the timing of the measurement, patient status, and the like. In addition, the normal value returned from the medical information management unit 10 indicates whether or not the measurement value obtained from the measuring device 30 by the measurement of the timing instructed of the examination item returned from the medical information management device 10 is normal. The determination part 22 which determines based on is provided.

  Further, the terminal device 20 uses the patient identification information and patient state input by the input unit 21, disease information returned from the medical information management device 10, measured values of each test item obtained from the measuring device 30, and the determination unit 22. An input screen for inputting the determined determination result, the patient state, and the display unit 23 for displaying the priority order of patients returned from the triage determination device 40 are provided.

  Then, the terminal device 20 transmits the patient identification information input by the input unit 21 to the medical information management device 10. In addition, the measurement information returned from the medical information management apparatus 10 and the measurement of the inspection items necessary as the triage information input from the input unit 21 and the instruction information instructing the timing of the measurement are transmitted to the measurement apparatus 30. Further, the triage information obtained in response to the input from the input unit 21 is transmitted to the triage determination device 40.

  The measuring device 30 includes a measuring unit 31 having a pulse oximeter, a sphygmomanometer, a thermometer, and the like attached to a patient to be evaluated for symptoms. Then, based on the instruction information transmitted from the terminal device 20, the measurement is performed at each time when each measurement item is instructed while the measurement unit 31 is attached to the patient. The measured value obtained for each measured timing is returned to the terminal device 20 at the obtained timing.

  Based on the triage information transmitted from the terminal device 20, the triage determination device 40 sorts patients into, for example, a top priority treatment group, a non-emergency treatment group, a light treatment group, or the like, and determines treatment priority. A processing unit 41 that performs triage determination processing is included. Then, the triage determination result is transmitted to the terminal device 20.

  Hereinafter, an example of the operation of the medical information support system 100 will be described with reference to FIGS. 1 to 5.

  FIG. 2 is a flowchart showing the operation of the medical information support system 100. FIG. 3 is a diagram showing data and information transmitted / received between the devices of the medical information support system 100.

  After the measurement unit 31 of the measurement device 30 is attached to the patients A and B whose symptoms are evaluated by the medical staff, the patient identification information A1 and B1 of the patients A and B is input from the input unit 21 of the terminal device 20. Then, the medical information support system 100 starts operation (step S1 in FIG. 2).

  The terminal device 20 transmits the patient identification information A1 and B1 input by the input unit 21 to the medical information management device 10. The medical information management device 10 searches the medical record database 11 for the current disease names of the patients A and B identified by the patient identification information A1 and B1 transmitted from the terminal device 20, and examines items related to the searched current disease names. And the normal value is searched from the disease information database 12 (step S2 in FIG. 2).

  FIG. 4 is a diagram showing an example of medical history data registered in the medical record database 11. In the medical record database 11, medical history data 111, 112, etc. obtained by medical treatment of patients A, B, etc. are registered. The medical history data 111 includes “AD” which is the patient name of the patient A, “2011/4/1” which is the most recent visit date to the medical facility, and “diabetic nephropathy” which is the name of the disease currently being treated. Etc. Further, the medical history data 112 is “BE” which is the patient name of the patient B, “2011/4/2” which is the most recent visit date to the medical facility, and the current disease name which is diagnosed on this visit date “ It consists of “paroxysmal supraventricular tachycardia” and the like.

  In this way, by inputting the patient identification information A1 and B1 from the input unit 21, the current disease name included in the medical history data 111 and 112 of the patients A and B can be searched from the medical record database 11.

  FIG. 5 is a diagram showing an example of disease information registered in the disease information database 12. In the disease information database 12, disease information 121, disease information 122, and the like are registered. The disease information 121 includes “diabetic nephropathy” which is the current disease name of the patient A, “blood pressure” which is the test item A2 whose normal value is different from the reference value in the disease state of this disease name, and this test item. For example, the reference value of A2 is “less than 130/85 mmHg” and the normal value of the examination item A2 in the disease state of the current disease name of the patient A is “less than 130/80 mmHg”.

  In addition, the disease information 122 includes “sickness supraventricular tachycardia” which is the current disease name of the patient B, and “heart rate” which is a test item B2 whose normal value is different from the reference value in the disease state of the disease name ”, For example,“ 50 to 100 bpm ”which is the reference value of the test item B2, and“ less than 160 bpm ”which is the normal value of the test item B2 in the disease state of the current disease name of the patient B.

  Here, based on the current disease name of the patient A searched from the medical record database 11, “blood pressure” and “130/80 mmHg or more” related to the current disease name are searched. Further, based on the current disease name of the patient B retrieved from the medical record database 11, “heart rate” and “160 bpm or more” related to the current disease name are retrieved. Then, the retrieved disease information 121, 122 is returned to the terminal device 20.

  Thus, by inputting the patient identification information A1 and B1 from the input unit 21, the disease information 121 and 122 related to the current disease names of the patients A and B can be searched from the disease information database 12.

  The terminal device 20 measures the test item A2 returned from the medical information management device 10 and the test item A3 that requires measurement other than the test item A2 input from the input unit 21, and the timing of this measurement. The instruction information to be instructed is transmitted to the measuring apparatus 30 attached to the patient A. Moreover, the instruction | indication which instruct | indicates the measurement of the test item B3 which requires measurement other than the test item B2 input from the test item B2 and the input part 21 of the patient B returned from the medical information management apparatus 10, and the timing of this measurement The information is transmitted to the measuring device 30 attached to the patient B.

  The measuring device 30 attached to the patient A measures each of the test items A2 and A3 at the timing instructed based on the instruction information transmitted from the terminal device 20, and the measuring device 30 attached to the patient B Then, the test items B2 and B3 are measured at the timing instructed based on the instruction information transmitted from the terminal device 20 (step S3 in FIG. 2).

  And each measuring device 30 returns to the terminal device 20 at the timing which acquired each measured value obtained by the measurement of each test item A2, A3, B2, B3. The determination unit 22 of the terminal device 20 performs each reply from the measuring device 30 attached to each patient A, B based on normal values included in the disease information 121, 122 returned from the medical information management device 10. Then, it is determined whether or not the measurement values of the inspection items A2 and B2 are normal (step S4 in FIG. 2).

  Here, when the measured value of the test item A2 in the patient A is, for example, 128/84 mmHg, the measured value of the systolic blood pressure is larger than the normal value of less than 80 mmHg, and therefore the blood pressure of the patient A is determined to be abnormal. To do. If the determination is based on a reference value of less than 130/85 mmHg, it is determined to be normal because the measured value of diastolic blood pressure is less than 130 mmHg and the measured value of systolic blood pressure is less than 85 mmHg.

  In addition, when the measurement value of the examination item B2 in the patient B is, for example, 110 bpm, it is less than 160 bpm which is a normal value, and therefore, it is determined that it is normal without requiring urgency. When the measurement value is determined based on the reference value of 50 to 100 bpm, it is determined that the measurement value is abnormal because the measurement value is larger than the reference value.

  As described above, based on the disease information 121 and 122 searched in response to the input of the patient identification information A1 and B1 from the input unit 21, the test items A2 and B2 related to the current disease names of the patients A and B are measured. It can be determined whether the measured value obtained is normal.

  The terminal device 20 includes the determination results of the examination items A2 and B2 determined by the determination unit 22, the measurement values of the inspection items A3 and B3, and the patient states of the patients A and B input by the input unit 21. The triage information is transmitted to the triage determination device 40.

  The triage determination device 40 performs a triage determination process based on the triage information of each of the patients A and B transmitted from the terminal device 20, and returns priority order information as a determination result to the terminal device 20 (FIG. 2). Step S5).

  Thus, triage determination can be performed using the determination results of inspection items A2 and B2 determined based on normal values.

  The display unit 23 of the terminal device 20 displays the priority order of the patients A and B returned from the triage determination device 40 (step S6 in FIG. 2).

  When the medical staff inputs the end of evaluation of the patients A and B from the input unit 21 of the terminal device 20, the medical information support system 100 ends the operation (step S7 in FIG. 2).

  According to the embodiment described above, by inputting the patient identification information A1 and B1 from the input unit 21, the current disease names of the patients A and B are searched from the medical record database 11, and further the current of the searched patients A and B are searched. Disease information 121 and 122 related to the disease name can be searched from the disease information database 12. And based on the searched disease information 121,122, it can be determined whether the measurement value obtained by the measurement of test item A2, B2 is normal, and triage determination can be performed using the determination result. . Thereby, each patient's A and B symptom can be appropriately evaluated according to a state.

  Although several embodiments of the present invention have been described, these embodiments are presented by way of example and are not intended to limit the scope of the invention. These embodiments can be implemented in various other forms, and various omissions, replacements, and changes can be made without departing from the scope of the invention. These embodiments and modifications thereof are included in the scope and gist of the invention, and are included in the invention described in the claims and the equivalents thereof.

DESCRIPTION OF SYMBOLS 10 Medical information management apparatus 11 Medical record database 12 Disease information database 20 Terminal apparatus 21 Input part 22 Determination part 23 Display part 30 Measurement apparatus 31 Measurement part 40 Triage determination apparatus 41 Processing part 50 Network 100 Medical information support system

Claims (6)

A patient's disease name, a test item whose normal value is different from the reference value in the disease state of this disease name, and a disease information database for registering the normal value of this test item in association with each other;
An input unit for inputting patient identification information for identifying the patient;
Based on the normal value related to the current disease name, whether or not the measurement value obtained by the measurement of the test item related to the current disease name of the patient identified by the patient identification information is normal A medical information support system comprising: a determination unit that performs the operation. Having a medical record database for registering medical history data obtained by medical treatment of the patient;
The medical information support system according to claim 1, wherein the current disease name of the patient identified by the patient identification information is a disease name included in the medical history data registered in the medical record database.   The medical information support system according to claim 1, further comprising a measurement unit that measures the examination item attached to the patient identified by the patient identification information. A patient condition for evaluating a symptom of a patient identified by the patient identification information is input from the input unit,
Treatment of a patient identified by the patient identification information based on a determination result determined by the determination unit and a patient state for evaluating a patient condition identified by the patient identification information input from the input unit The medical information support system according to any one of claims 1 to 3, further comprising a processing unit that determines a priority order. A database for registering medical information obtained from patient care;
An input unit for inputting patient identification information for identifying the patient and a patient condition for evaluating a symptom of the patient identified by the patient identification information;
A search unit for searching medical information of a patient identified by the patient identification information from the database;
Based on the patient status and the medical information, a processing unit that determines the priority of treatment of the patient identified by the patient identification information;
A medical information support system comprising: a display unit that displays the priority information. An input unit for inputting patient identification information for identifying a patient and a patient state for evaluating a symptom of the patient identified by the patient identification information;
Based on the medical information and the patient state of the patient identified by the patient identification information retrieved from the database in which the medical information obtained by the patient's medical care is registered, the patient identified by the patient identification information A processing unit for determining treatment priorities;
And a display unit for displaying the priority information.

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