JP2720941B2 - Instruction input method of load inspection in medical care support system - Google Patents

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical treatment support system for giving a load test instruction to a patient and various other instructions in a medical institution such as a hospital.

[0002] All information related to patient diagnosis and medical treatment in hospitals is described in medical records, but in recent years, medical treatment support systems using computers have been frequently used instead of conventional handwriting.

[0003] Particularly in large-scale hospitals, the amount of information to be processed is enormous, and the use of a medical support system is indispensable. A database for medical care support has been constructed based on information input at the department.

In order to realize early detection and early treatment of a patient's disease using such a database, a medical care support system capable of responding to various demands such as simple operation, easy-to-view screen, and quick response is desired. I have. In particular, in the medical care support system, since the doctor operates the keyboard while performing a medical examination, it is necessary to pay special attention to the operability and the visibility of the screen.

[0005]

2. Description of the Related Art Conventionally, in a medical institution, a load test (load test) for judging the function of an organ by using a biological response when a certain stimulus is given as an index has been performed.

In the load test, it is necessary to specify an item to be tested (test item), a time for performing a test or sampling for each test item (load time), and a type of stimulus (load). Loads include administration of various drugs, exercise or sleep. Conventionally, an instruction sheet (request slip) FRM is used to instruct a load inspection.

FIG. 9 is a diagram showing an instruction sheet FRM conventionally used for instructing a load inspection. On the instruction sheet FRM, frames for instructing test items EIT such as blood sugar and urine sugar, load time ETM, load LRD such as various drugs, and patient numbers PN and clinical department DEP are printed. Have been.

When a doctor instructs a load test, a necessary frame of the instruction sheet FRM is checked using a writing instrument, and is read by an optical reader or the like, and is input to the system.

[0009]

Therefore, conventionally, it is necessary to write and read the instruction sheet FRM. Particularly, since there are many places to check the load time ETM, it takes much time to write. Was required.

In addition, the inspection item EI in the load inspection
Since there are many types of T, load time ETM, and load LRD, all of them cannot be displayed on the page of the instruction sheet FRM. For example, the loading time ETM may be indicated every 5 minutes, and the amount of the same drug in the load LRD differs depending on the patient.

Therefore, the instruction sheet FRM displays only the main ones of them, and when an instruction is given for an item that is not displayed, an exceptional process is to be entered on another appropriate sheet. Then, the operator inputs it into the system from a keyboard or the like.

As described above, in the prior art, since exceptional processing often occurs, the efficiency of instruction input is low. For this reason, there has been a case where a load test instruction is issued using the paper itself without inputting to the system from the keyboard, that is, without using the medical care support system.

As one method for solving this problem, it is conceivable to display the items to be printed on the instruction sheet on a screen as it is and to input necessary items on the screen. However, even in that case, the inspection item EIT,
There is a problem of how to display many items such as the load time ETM and the load LRD with as few screens as possible, make input operation as easy as possible, and eliminate exception processing. .

An object of the present invention is to provide an instruction input method capable of easily inputting an instruction in a load inspection in view of the above-mentioned problem.

[0015]

According to a first aspect of the present invention, there is provided a method for solving the above-mentioned problems, as shown in FIG.
In the medical assistance system 1 configured to allow input and display for instructing a patient to perform a load test, a test item EIT and a load time pattern ETP corresponding to each load LRD in the load test are stored in a file L.
FL is registered in advance, and when a load test is instructed,
The load LRD is designated, the inspection item EIT and the load time pattern ETP corresponding to the designated load LRD are read out from the file LFL and displayed on the screen 34, and the inspection item EIT and the load are read based on the displayed screen 34. The time pattern ETP is input.

In the method according to the second aspect of the present invention, the inspection item EIT and the load time pattern ETP corresponding to each load LRD in the load inspection are registered in the file LFL in advance, and when the load inspection is instructed, a plurality of items are registered. The load LRD is selected and input on the load selection screen WD2 displaying the load LRD of the selected load LR.
Inspection item EIT and load time pattern ET corresponding to D
P is retrieved from the file LFL, the retrieved inspection item EIT and load time pattern ETP are displayed on the load inspection instruction screen 34, and the inspection item EIT and load time pattern ETP are selected and input on the load inspection instruction screen 34. .

In the method according to the third aspect of the present invention, the load time pattern ETP is displayed on the load inspection instruction screen.
Are displayed by a symbol SEL indicating selection and a symbol NON indicating non-selection at each time, and the correction is performed by exchanging the respective symbols.

According to a fourth aspect of the present invention, the load selection screen WD2 is displayed as a window on the load inspection instruction screen 34. The medical treatment support system 1 according to the fifth aspect of the present invention provides each load LRD in the load inspection.
Inspection item EIT and load time pattern ETP corresponding to
When the file LFL in which the load is registered and the load LRD are specified, the inspection item E corresponding to the specified load LRD
The IT and load time pattern ETP are stored in the file LFL.
, A means for displaying the retrieved inspection item EIT and the load time pattern ETP on the load inspection instruction screen 34, and an inspection item E on the load inspection instruction screen 34.
Means for selecting and inputting the IT and the load time pattern ETP.

[0019]

When the load inspection is instructed, the load LRD must first be set.
Is specified, and the inspection item EIT and the load time pattern ETP corresponding to the specified load LRD are stored in the file LFL.
Is displayed on the load inspection instruction screen 34 by the search from the.

On the load inspection instruction screen 34, necessary items are selected from the displayed inspection items EIT and load time pattern ETP, and corrected and input as necessary. In order to instruct the load LRD, for example, a load selection screen WD2 displaying a plurality of loads LRD is displayed in a window, and one or a plurality of loads LRD are selected and input from the window.

[0021]

FIG. 8 is a block diagram showing an example of the configuration of a medical care support system 1 according to the present invention.

The medical care support system 1 includes a host computer 3 installed in the center, a large number of terminal devices 4 and 4 operated by a doctor or a nurse, an accounting unit, an examination unit, a pharmacy,
Terminal devices 5 and 5 dedicated to medical departments, etc.
….

In the host computer 3, a medical database is constructed by data input from each of the terminal devices 4 and 5, and the data is transferred to the terminal devices 4 and 5 as necessary and displayed on a screen or Printed.

FIG. 7 is a block diagram showing an example of the configuration of the terminal device 4. The terminal device 4 includes a processing unit 11, a display surface 12,
a, a keyboard 13, a mouse 14,
It comprises an external memory 15 such as a hard disk device, and a magnetic card reader (not shown).

The processing section 11 is provided with a memory 21 used as a work area or the like. The processing unit 11
Based on the input from the keyboard 13 or the mouse 14,
Also, based on the data stored in the external memory 15 or the data transferred from the host computer 3, the display unit 12
To perform a display necessary for the operation, and an instruction input process as described later.

Various screens, which will be described later, are displayed on the display surface 12a of the display unit 12 based on the operation of the keyboard 13 and the like. The display surface 12a has a keyboard 1
The functions assigned to the three specific keys are displayed.

The keyboard 13 has various functions such as "cursor movement", "end", "execute", "selection end", and "registration".
Keys to which functions such as are assigned are included. Also, instead of these keys, it is possible to input with the mouse 14.

Various files such as a load inspection screen file LFL for instructing a load inspection are created in the external memory 15. FIG. 6 is a diagram showing an example of the configuration of the load inspection screen file LFL.

The load inspection screen file LFL includes an inspection item EIT that can be inspected by a combination of each of the load medicines (loads) LRD and a plurality of load medicines LRDs, which will be described later, and the respective standard items. The load time pattern ETP is registered in advance.

FIG. 1 is a flowchart showing a process of inputting an instruction for a load test in the medical care support system 1, and FIGS. 2 to 5 are views showing various screens 31 to 34 and windows WD1 and 2 displayed on the display surface 12a. . The operation of the medical assistance system 1 will be described with reference to these drawings.

When the terminal device 4 is started up, the display surface 12a
Displays a job selection screen 31 as shown in FIG. On the work selection screen 31, a user ID and a password are input from the keyboard 13, whereby a security check is performed. Then, select a task from the menu. In selecting a task, for example, the “cursor move” key is operated to match the cursor CU with the task to be selected, and the “execute” key is pressed.

The business TSK includes an “order entry” for giving various instructions to the patient, a word processor,
This includes printing cards and forms, updating information, and so on. Here, when "order entry" is selected, a patient selection screen 32 as shown in FIG. 2B is displayed.

On the patient selection screen 32, the patients CAS who are hospitalized are displayed by room or by doctor in charge.
A patient CAS to which an instruction is to be given is selected from among them (# 1
1). When the patient CAS is selected, an instruction selection screen 33 as shown in FIG. 2C is displayed.

On the instruction selection screen 33, the patient CAS
The various orders DER indicating the type of the instruction content for are displayed, and the order DER to be instructed is designated from among them.
One or more are selected (# 12).

Here, when "load inspection" is selected by operating the keyboard 13, a load inspection instruction screen 34 as shown in FIGS. 3 to 5 is displayed. First, as shown in FIG. 3, an inspection date / time window WD1 for specifying a date / time (inspection date / time EDY) to start a load inspection is displayed on the load inspection instruction screen 34. Inspection date window WD
In 1, the default value of the examination date and time EDY is
6:00 am on the next day of the day when the terminal device 4 is operated is displayed. This is corrected as needed, and when the "execute" key is pressed, the examination date EDY is input (# 13).

Then, as shown in FIG. 4, a load selection window WD2 for selecting an LRD such as a load medicine, which is the load content, is displayed on the load inspection instruction screen 34. In the load selection window WD2, various load medicines such as LRD, reference load SLQ for each load medicine such as LRD, administration method HWT, and patient weight WG
T or the like is displayed.

In the load selection window WD2, the cursor CU is moved and the "execute" key is pressed to select the LRD such as a load drug (# 14). It is possible to select a plurality of LRDs, such as loading drugs. In FIG.
A state is shown in which LRDs such as four loading drugs such as “TRH”, “LH-RH”, “CRF”, and “GRF” are selected.

The reference load SLQ and the method of administration HWT are modified as needed for the selected LRD such as the loaded drug. By pressing the "selection end" key, the displayed content is input. In addition, what is displayed as the amount per unit weight in the reference load amount SLQ is multiplied by the weight WGT to automatically calculate the required amount.

When the selection input of the LRD such as the loading medicine is completed,
The load inspection screen file LFL is searched based on the input load medicine etc. LRD (# 15), and the inspection item EIT and the load time pattern ETP corresponding to the input load medicine etc. LRD are read out, as shown in FIG. Thus, they are displayed on the load inspection instruction screen 34 (# 16).

That is, in FIG. 5, on the load inspection instruction screen 34, the selected load medicine and the like LRD, the inspection item EIT corresponding thereto, and the load time pattern ETP are displayed. Inspection items EIT include "PRL" and "TSH"
“LH” and “FSH” are displayed. The load time pattern ETP includes “previous”, “15”, “30”, and “60”.
At each time (the unit is minutes), a circle indicating a selected SEL and a triangle indicating a non-selected NON are displayed.

On the load inspection instruction screen 34, an inspection item EIT to be inspected for the patient CAS is selected from the displayed inspection items EIT using the cursor CU. A plurality of inspection items EIT can be selected. Then, for the selected inspection item EIT, the load time pattern ETP is corrected and input as necessary (# 1).
7).

In correcting the load time pattern ETP, the cursor is moved to a position to be changed, and a circle key and a triangle mark are switched by pressing a change key there. Thus, the selected SEL and the non-selected NON can be designated for each time. When it is desired to select a time that is not displayed in the load time pattern ETP, the time can be input from the keyboard 13 or copied from another load time pattern including such a time pattern. .

On the load inspection instruction screen 34 shown in FIG. 5, after the selection or correction is completed, the displayed contents are input by pressing the "selection end" key. Thereafter, a request information input window (not shown) is displayed, and a comment or the like can be input there. Then, by further pressing the "selection end" key, the screen returns to the instruction selection screen 33 shown in FIG. 2C, and the instruction input for the load inspection is completed.

It is also possible to re-enter the same content as the entered content by changing only the examination date and time EDY. The load inspection designation information thus input is transferred to the host computer 3. The host computer 3 processes the transferred information in accordance with the respective contents, re-transmits the processed information to the terminal devices 4 and 5 of the other predetermined departments, and displays or prints them on the display surface 12a thereof to generate a slip or the like. Issue Thus, a load test instruction is issued to the patient CAS.

As described above, the load inspection screen file L
By using the FL, the load drug etc. LRD is designated in the load selection window WD2 displayed earlier, and the corresponding inspection item EIT and load time pattern ET are specified.
Since only P is displayed on the load inspection instruction screen 34 and the necessary inspection items EIT and load time pattern ETP are selected from the P, the items displayed on the load inspection instruction screen 34 are narrowed down and reduced. The number of screens is reduced to make it easier to see, and necessary items can be selected very easily and quickly from a small number of options.

By the way, as the load time pattern ETP, various patterns can be considered every minute for three hours, so that the types (the number of patterns) are enormous and all of them and the inspection items EIT are included. When the combination is displayed, an extremely large number of screens is required without being able to be displayed on one screen. Therefore, when these are displayed on the screen in order and the necessary inspection item EIT and load time pattern ETP are selected from among them, it takes a lot of time to find the target inspection item EIT and load time pattern ETP. It takes time and effort, and requires a large capacity for its storage.

In the above-described embodiment, since the load time pattern ETP displayed on the load inspection instruction screen 34 can be input by modifying it as necessary, the load time pattern ETP is required for each time in the conventional instruction sheet FRM. It is very easy to input instructions without having to check the appropriate parts.

In the above-described embodiment, the load drug etc. are displayed in the load selection window WD2 which is easy to display and easy to see.
Since the RD is selected and input, it is easy to specify the LRD such as the loading drug. In addition, since the correction can be performed by exchanging the circle and the triangle, the correction of the load time pattern ETP is easy.

The load time pattern ETP shown in FIG.
In, neither a circle nor a triangle is displayed at a time that cannot be specified. Also, a load selection window WD shown in FIG.
In 2, the multiplier for the reference load SLQ may be displayed beside the reference load SLQ so that the multiplier can be modified.

In the above embodiment, the load inspection screen file LFL has been described as being created in the external memory 15. However, the file created by the host computer 3 may be transferred to the external memory 15 or the memory 21.

In the above-described embodiment, the LR such as the loading drug is used.
D, inspection item EIT, contents of load time pattern ETP,
The configuration of the screen displayed on the display surface 12a, the display content, display items, display colors, the processing content in the processing unit 11, the processing order, and the configurations of the host computer 3, the terminal devices 4, 5, and the like are the gist of the present invention. In addition to the above, various modifications can be made.

[0052]

According to the present invention, it is possible to easily input an instruction in a load inspection. According to the second aspect of the present invention, it is easy to specify the load LRD.

According to the third aspect of the present invention, it is easy to correct the load time pattern ETP. According to the invention of claim 4, the display of the load selection screen WD2 is easy and easy to see.

[Brief description of the drawings]

FIG. 1 is a flowchart showing a load inspection instruction input process in a medical assistance system according to the present invention.

FIG. 2 is a diagram showing a screen displayed on a display surface.

FIG. 3 is a diagram showing a load inspection instruction screen and an inspection date window displayed on a display surface.

FIG. 4 is a diagram showing a load inspection instruction screen and a load selection window displayed on a display surface.

FIG. 5 is a diagram showing a load inspection instruction screen displayed on a display surface.

FIG. 6 is a diagram illustrating an example of a configuration of a load inspection screen file.

FIG. 7 is a block diagram illustrating an example of a configuration of a terminal device according to the present invention.

FIG. 8 is a block diagram illustrating an example of a configuration of a medical care support system according to the present invention.

FIG. 9 is a diagram showing an instruction sheet conventionally used for instructing a load inspection.

[Explanation of symbols]

 1 medical care support system 34 load inspection instruction screen (screen) LRD load medicine etc. (load) EIT inspection item ETP load time pattern LFL load inspection screen file (file) WD2 load object selection window (load object selection screen) SEL Circle (sign) indicating NON triangle (sign) indicating non-selection

Claims (5)

(57) [Claims] An examination item (EIT) corresponding to each load (LRD) in said load examination is provided in a medical support system (1) configured to be capable of inputting and displaying a load examination instruction for a patient. ) And load time pattern (ET
P) is registered in a file (LFL) in advance, and when a load inspection instruction is given, a load (LRD) is specified, and an inspection item (EI) corresponding to the specified load (LRD) is specified.
T) and the load time pattern (ETP) are read from the file (LFL) and displayed on the screen (34), and the inspection item (EIT) is displayed based on the displayed screen (34).
And a load time pattern (ETP). 2. A medical care support system (1) configured to allow input and display for instructing a patient to perform a load test, wherein a test item (EIT) corresponding to each load (LRD) in the load test is provided. ) And load time pattern (ET
P) is registered in the file (LFL) in advance, and a load selection screen (WRD) displaying a plurality of loads (LRDs) in response to a load inspection instruction.
In D2), the load (LRD) is selected and input, and the inspection item (EI) corresponding to the selected load (LRD) is selected.
T) and load time pattern (ETP) are searched from the file (LFL), and the searched inspection item (EIT) and load time pattern (ETP) are searched for on the load test instruction screen (3).
4), and the inspection item (EI) is displayed on the load inspection instruction screen (34).
T) and a load time pattern (ETP) are selected and input, and a method for inputting an instruction for a load test in a medical assistance system is provided. 3. In the load inspection instruction screen (34),
The said load time pattern (ETP) is displayed by the symbol (SEL) which shows the selection completed and the symbol (NON) which shows no selection with respect to each time, Correction is performed by exchanging each symbol. An instruction input method of a load test in the medical support system described in the above. 4. The method for inputting a load inspection instruction in a medical assistance system according to claim 2, wherein the load selection screen (WD2) is displayed as a window on the load inspection instruction screen (34). 5. A medical care support system (1) configured to allow input and display for instructing a patient to perform a load test, wherein a test item corresponding to each load (LRD) in the load test is provided. (EIT) and load time pattern (ET
P) and the file (LFL) in which the load (LRD) is specified, the inspection item (EIT) and the load time pattern (ETP) corresponding to the specified load (LRD) are stored in the file (LFL). ), A search item (EIT) and a load time pattern (E)
TP) on the load inspection instruction screen (34), and an inspection item (EI) on the load inspection instruction screen (34).
T) and means for selecting and inputting a load time pattern (ETP).