JP3825663B2 - Medical support device - Google Patents

Description

[0001]
BACKGROUND OF THE INVENTION
The present invention relates to a medical assistance device having a function of recording and reproducing medical information and a function of displaying a screen for inputting medical information such as a patient's progress. In particular, the present invention relates to an apparatus that reduces the labor of operation input for displaying an information input field for an item to be input (item such as progress) on an input screen such as progress.
[0002]
[Prior art]
2. Description of the Related Art There is provided a medical assistance device having a function of recording and reproducing medical information and a function of displaying a screen for inputting medical information such as patient progress.
On the input screen for progress, etc., the classification name is displayed in a selectable manner so that the input field of items (items such as progress) that are considered necessary for the current patient to be input can be displayed by a simple input operation. The classification name is a name given to each item group formed by appropriately classifying input items relating to progress and the like. In other words, when the operator inputs the progress or the like, there are items that are indispensable and items that are not necessarily in light of the patient's condition and the like. For this reason, the classification name is displayed so as to be selectable so that only the input field of the items that are indispensable or desirable can be displayed by a simple input operation. When the operator selects any desired category name, first, an item set name associated with the category name is displayed. When a desired item set is selected from among them, each item belonging to the item set is displayed. An input field is displayed. It should be noted that the hierarchical structure can be configured with two layers instead of three layers. For example, when an item name is directly associated with a category name and any category name is selected, an input field for each item belonging to the selected category name is displayed, or It is also possible to display an item set name that can be selected, and when any item set is selected, an input field for each item belonging to the item set can be displayed.
[0003]
[Problems to be solved by the invention]
Classification and item set selection on the input screen such as progress are performed in consideration of the patient's condition. In other words, if the patient's condition is good, it is not necessary to input too many items, but if the patient's condition worsens, in addition to the normal items (eg body temperature, pulse, etc.) There are cases where it is necessary to check blood pressure and the like.
The state of the patient can be known by doctors and nurses by looking at the patient, but it can also be estimated from nursing observation information that records the patient's daily observations. There is a case.
[0004]
The present invention focuses on the above-described circumstances, estimates the patient's state based on nursing observation information, and items estimated to correspond to the patient's state on the input screen such as progress based on the estimated state By displaying the information input field (items such as progress), the object is to save time and effort for selecting a classification and item set.
[0005]
[Means for Solving the Problems]
The invention of claim 1 has a function of recording and reproducing medical information in a medical information database stored in a storage device and a function of displaying a screen for inputting medical information such as a patient's progress on a display device. a medical care support apparatus, and holds the keyword level correspondence data associating a predetermined observation keyword state level, and a level itemsets correspondence data associating the set of items of course like each state level in the storage device a first storage means are, said the set name of each item sets, a second storage unit that holds the item name of the item in a storage device with each itemset, matches any of the observation keywords the word that the phrase extraction means for extracting from the medical information stored in the medical information database based on the patient's observations, the state record corresponding to the phrase and the extracted From the keyword / level correspondence data of the first storage means, and when the read state level is one, the one state level is determined as the patient state level, and the read state level is 2 or more In this case, level determination means for determining one state level selected according to a predetermined method as a patient state level, and an item set corresponding to the determined state level is stored in the level / item set correspondence data of the first storage means. is read from the input of the course or the like of the item name obtaining means for obtaining an item name of the item with item sets read the from the second storage means, said display device an input field of the acquired item name information And a display control means for displaying on a screen.
A set name of an item set to which each item name belongs may be displayed together with each item name and an input column for information on each item name.
[0006]
According to a second aspect of the present invention, in the first aspect, the predetermined method to be followed when the level determination means reads from the keyword level corresponding data in the first storage means is 2 or more. A medical assistance device characterized in that a display prompting selection by input is displayed on the display device, and a state level selected by an operation input in response to the display is determined as a patient state level .
The invention of claim 2 is a method for determining any one state level in accordance with a selection operation input when two or more state levels are associated, and any one state level is determined according to a predetermined rule. It is also possible to adopt a method of automatically determining the state, or a method of displaying any one state level as a recommended level and displaying another state level in a selectable manner. It is also possible to appropriately mix and employ these two or more methods.
According to a third aspect of the present invention, in the first or second aspect of the present invention, the second storage means is a non-level item set that is an item set other than the level item set that is associated with the state level. The set name and the item name of the item of the non-level item set are held together with the set name of the level item set and the item name of the level item set, and the display control means The set name of the set and the set name of the levelless item set are acquired from the second storage unit and displayed on the input screen such as the progress of the display device so as to be selectable. level section of said first storage means the item set corresponding to the state level determined by said level determining means when the set name of the chromatic level itemset is selected in the input screen The if set read from the corresponding data to get the item name of the item with item sets read the from the second storage unit, set name No level itemset is selected in the input screen of the elapsed such acquires item name with the free level items set selected from the second storage unit, it is medical support device according to claim.
That is, instead of the item name information input column initially displayed according to the patient's state level, the items of the item set (item set not necessarily associated with the state level) selected by the operator's operation input This is a device that can display a name information input field.
In the above, a two-layer structure consisting of an item set and an item belonging to the item set is illustrated, but a configuration is provided in which a category for controlling the item set is provided, and a procedure of selecting an operation of the category and selecting an operation of the item is taken. Naturally, this is also possible, and claim 3 naturally also includes such a configuration.
[0007]
DETAILED DESCRIPTION OF THE INVENTION
Embodiments of the present invention will be described below with reference to the drawings.
FIG. 1 is a block diagram illustrating a configuration of a medical assistance device according to an embodiment, and FIG. 2 is an explanatory diagram illustrating an input screen for progress and the like. FIG. 3 is a part of an explanatory diagram that systematically shows the association between the progress classification master, the progress set data, and the progress data, and FIG. 4 is the remaining part. The left column in FIG. 5 is an explanatory diagram showing the configuration of the progress classification master table, the upper right column is an explanatory diagram showing the configuration of the head portion of the progress etc. set data table, and the lower right column is the configuration of the head portion of the progress data table. FIG. 6 is an explanatory diagram showing the configuration of the patient status portion of the progress data table, and the right column is an explanatory diagram showing the configuration of the patient status portion of the progress data table. The left column of FIG. 7 is an explanatory diagram showing the configuration of the nursing observation keyword data table, and the right column is an explanatory diagram showing the configuration of the keyword conversion table. FIG. 8 is an explanatory diagram showing a procedure for determining which item set of the patient state set is used from the state level.
[0008]
The medical assistance device shown in FIG. 1 includes a control device 11, an input device 12 including a keyboard and a mouse, a display device 13 such as a CRT or a liquid crystal monitor, a printing device 14 such as a laser printer, and a ROM 15. And a RAM 16, a clock IC 17 that measures the current date and time, and an auxiliary storage device (hard disk) 18. In the illustrated example, the medical assistance device is shown as a single device, but the medical assistance device of the present invention may be configured on a LAN. For example, a medical information database (a database in which various medical information such as nursing observation information, progress information, prescription information, etc. is recorded), progress classification master table, progress set data table, progress data table, etc. The server on the LAN may have a nursing observation keyword data table, a keyword conversion table, or the like.
[0009]
The auxiliary storage device 18 stores an electronic medical record application. By reading and executing this electronic medical record application by the file recording / reproduction control of the control device 11, the electronic medical record function of the present medical assistance device is realized. Here, with the electronic medical record function, for example, various medical information acquired based on medical care (main complaints, findings, current medical history, test results, prescriptions (medicine, treatment, injection / infusion, test)) are electronically recorded. Also, it is a function for reading out the recorded medical information as appropriate, processing it as appropriate, displaying it, or outputting it to a printer, etc. Further, this medical assistance device is part of this electronic medical chart function. It has a function to set the input screen for progress, etc. and a function to store and extract nursing observation information.
[0010]
The function for setting the input screen for progress, etc. is a function for setting the input screen for progress, etc. shown in FIG. 2, and each data (item name) in the classification column and each data (item in the set data name column) are displayed on the input screen. This is a function for setting each data (item name and its information input field) in the input field such as set name) and progress. For example, it is a function for displaying and setting the item name acquired in accordance with the patient's condition and its information input column.
[0011]
The nursing observation information accumulation / extraction function is a function that accumulates patient information (nursing observation information) input by medical staff such as doctors and nurses and extracts phrases that match the nursing observation keywords. . Furthermore, it is desirable that the number of extractions within a recent predetermined period is counted for each keyword and stored in association with a patient.
In addition to the above-described functions, this medical assistance device may be configured to have, for example, a receipt (medical remuneration statement) creation function.
[0012]
The auxiliary storage device 18 also stores a medical information database. In this medical care information database, various medical treatment information based on medical care of doctors is recorded as electronic data, and in this medical care support apparatus, medical observation such as doctors and nurses observe and record patients. The information is also recorded in the medical information database together with the medical information based on the observation at the time of medical treatment by the doctor (see the above-mentioned nursing observation information accumulation and extraction function).
[0013]
Further, in addition to the medical information, the auxiliary storage device 18 includes a progress classification master table that stores classification names such as progress, and a progress data set data table that stores names of sets of items such as progress. , Progress data table that stores names of items such as progress, nursing observation keyword data table used to extract keywords from patient observation records by medical staff such as doctors and nurses, patient extracted keywords At least a keyword conversion table or the like used for association with each state level is recorded.
[0014]
As shown in the left column of FIG. 5, the above-described progress classification master table stores a classification name in association with a unique progress classification ID (progress classification identification information). The classification name is a name given to each item group formed by appropriately classifying input items relating to progress etc. so that the operator can select necessary input items collectively. That is, when the operator inputs the progress of a certain patient, there are items that must be input and items that do not necessarily have to be input in light of the patient's condition. For this reason, screen display of items that do not necessarily have to be input is omitted, and only the input fields for items that are required or desirable are displayed, thereby improving the visibility of the required items and preventing forgetting to input them. It is what I did. By using this classification name, the operator can select only necessary or desirable input items in a lump without displaying a complicated item selection operation and display their information input fields. .
[0015]
As shown in the left column of FIG. 5, the medical data set (basic), the medical data set (cold), the chief complaint / current medical history, basic medical information, information specific to the first visit, lifestyle information, findings, etc. And a classification name “patient state set” is also stored. This “patient status set” is a set of items that are estimated to be input in light of the current status (normal / care required (some risk) / danger) of the patient as seen from the nursing observation record. It is to be able to provide. In other words, the category name “patient status set” includes three item sets of normal, care required (somewhat dangerous), and dangerous, and these three item sets are based on keywords extracted from nursing observation records. The item sets are respectively associated with the determined patient state levels, and appropriate items belong to each item set.
[0016]
For example, “normal set” is an item set associated with state level 1 which is a relatively good state, and items of “body temperature” and “pulse” belong to the “normal set”. The “Needing Care (Slightly Dangerous) Set” is an item set associated with the state level 2 which is a slightly dangerous state, and the “Needing Care (Slightly Dangerous) Set” is referred to as “body temperature” and “pulse”. In addition to the items, items such as “urine measurement” and “blood pressure” belong. The “danger set” is an item set associated with state level 3 which is a very dangerous state. The “danger set” includes “body temperature”, “pulse”, “urine measurement”, and “blood pressure”. In addition to the items, the items “electrocardiogram” and “oxygen breathing” further belong. These item sets and items belonging to each item set are examples, and the type and number of item sets and items belonging to each item set may be changed or added as appropriate in light of the actual situation of medical care. Good.
[0017]
On the other hand, as shown in the upper right column of FIG. 5 and the left column of FIG. 6, the above-described progress etc. set data table is associated with a unique progress set ID and displayed in the order of display on the progress etc. input screen (the same classification name). “Display order” that defines the display order in the item set name associated with the “display order”, “input data” that is the set name of the item set, and “progress classification ID” for cooperation with the progress master table Each item is stored.
[0018]
Further, as shown in the lower right column of FIG. 5 and the right column of FIG. 6, the progress data table is associated with a unique progress ID and the like in the progress input screen (in FIG. 2). Each item of “progress item” which is an item name displayed in the right half) and “progress set ID” for cooperation with the progress data set data table is stored.
[0019]
The above three tables (progress etc. classification master table, progress etc. set data table, progress etc. data table) are displayed on the progress etc. input screen shown in FIG. 2 (classification, set data name, progress etc. input) Display).
[0020]
That is, when the operator activates the progress input screen (see FIG. 2) to input the patient's progress, the classification name of the classification master table is read and displayed as shown in the upper left corner of FIG. Is done. When the operator selects a desired category name from among them, the data set name (item set name) belonging to the selected category name is displayed in the display column immediately to the right of the category name display column. When the operator further selects a desired data set name (item set name) from the data set name (item set name), the item name included in the data set name (item set name) and its information input field Is displayed in the input area such as the progress in the right half of FIG. The operator can input desired information by inputting information such as progress in this information input field.
[0021]
In the apparatus according to the embodiment of the present invention, nursing observation information is accumulated with respect to the current input target patient, and the state of the patient is determined based on a keyword extracted from the accumulated nursing observation information. If possible or already determined, the data set name (item set name) corresponding to the determined or already determined patient condition is initially displayed. For example, as shown by hatched lines in FIGS. 3 to 6, when the patient's condition can be determined as “Needing Care” or has already been determined, the “Enter Progress” column in the right column in FIG. In the field, “Body temperature”, “Pulse”, “Urine measurement”, and “Blood pressure”, which are items of “Need care set”, and their information input fields are initially displayed. The initial display can be switched to a desired item set by inputting a classification name and / or data set name (item set name). This makes it possible to adjust the initial displayed patient state appropriately when it is different from the doctor's view or when it is desired to input other items.
[0022]
The determination of the patient's condition is performed based on nursing observation information recorded by medical staff such as doctors and nurses, and from the nursing observation information within the latest predetermined period, in the nursing observation keyword data table in the left column of FIG. Data corresponding to the extracted phrase is extracted, the patient's state level is determined based on the count value, and the progress set ID corresponding to the state level is obtained from the keyword conversion table (right column in FIG. 7). This is done by adopting a set. As shown in FIG. 8, when keywords are extracted over two or more levels, for example, the most appropriate level may be determined by a weighted average or the like. Alternatively, it may be displayed that two or more levels are extracted, and the operator may select a desired level (item set). At that time, the most appropriate level obtained by the above weighted average or the like may be displayed as the recommended level.
[0023]
As described above, the function of determining the patient state level based on the nursing observation information and initially displaying the item of the patient state set corresponding to the determined state and the information input field on the progress input screen is realized. The
[0024]
【The invention's effect】
According to the first aspect of the present invention, the storage device holds keyword / level correspondence data that associates a predetermined observation keyword with a state level and level / item set correspondence data that associates each state level with a set of items such as progress . 1 of a storage means, second storage means for holding the item name of the item in a storage device the having a set name and each item set for each item set, the word that matches the one of the observation keywords , reading means for extracting from the medical information stored in the medical information database based on the patient's observations, the state level corresponding to phrase the extracted keywords level corresponding data in the first storage means When the read state level is one, the one state level is determined as the patient state level, and the read state level is 2 or more. Level determining means and, level itemsets corresponding item set corresponding to the state level with the determined first storage means for determining one of the states level selected in accordance with a predetermined method as the state level of the patient in the case of Read from the data, and obtain the item name of the item of the read item set from the second storage means , and input field for information of the obtained item name on an input screen such as the progress of the display device Display control means for displaying, so that the patient's state is estimated based on the medical information (nursing observation information) based on the patient's observation result, and the patient's state is displayed on the input screen such as progress based on the estimated state Then, it is possible to initially display an information input column for estimated items (items such as progress).
[0025]
According to a second aspect of the present invention, in the first aspect, the predetermined method to be followed when the level determination means reads from the keyword level corresponding data in the first storage means is 2 or more. Since the display prompting selection by input is displayed on the display device and the state level selected by the operation input responding to the display is determined as the patient state level , the operation is performed even when the level cannot be determined uniquely. A person can select an appropriate level.
According to a third aspect of the present invention, in the first or second aspect, the second storage means holds the set name of the non-level item set and the item name together with the set name of the leveled item set and the item name. The display control means acquires the set name of the level item set and the set name of the non-level item set from the second storage means and displays them on the input screen such as the progress of the display device so that the item name can be selected. The acquisition means selects the item set corresponding to the state level determined by the level determination means when the set name of the level item set is selected on the input screen of progress, etc. The level / item set correspondence data of the first storage means read after obtaining the item name of the item with item sets read the second storage means, when the set name of the non-level field sets in the input screen of the course or the like is selected were the selected free To get the item name with the bell itemset from the second storage means, it is possible to appropriately switch the item name displayed on the input screen of the course, etc. and that information input column operation selection.
[Brief description of the drawings]
FIG. 1 is a block diagram illustrating a configuration of a medical assistance device according to an embodiment.
FIG. 2 is an explanatory diagram illustrating an input screen for progress and the like.
FIG. 3 is a part of an explanatory diagram that systematically shows an association between a progress classification master, progress set data, and progress data.
FIG. 4 is a remainder of an explanatory diagram that systematically shows an association between a progress classification master, progress set data, and progress data.
FIG. 5 is an explanatory diagram (left column) showing the configuration of the progress etc. classification master table, an explanatory diagram (upper right column) showing the configuration of the head portion of the progress etc. set data table, and the configuration of the head portion of the progress data table. Explanatory drawing (lower right column).
FIG. 6 is an explanatory diagram (left column) showing the configuration of the patient status portion of the progress data table, and an explanatory diagram (right column) showing the configuration of the patient status portion of the progress data table.
FIG. 7 is an explanatory diagram (left column) showing a configuration of a nursing observation keyword data table and an explanatory diagram (right column) showing a configuration of a keyword conversion table.
FIG. 8 is an explanatory diagram showing an example of a procedure for determining from the state level which data set of the patient state set is used.
[Explanation of symbols]
11 Control device 12 Input device 13 Display device 14 Printing device 15 ROM
16 RAM
17 Clock IC
18 Auxiliary storage device (hard disk)

Claims (3)

A medical assistance device having a function of recording and reproducing medical information in a medical information database stored in a storage device and a function of displaying a screen for inputting medical information such as a patient's progress on a display device ,
First storage means for holding in the storage device keyword / level correspondence data that associates predetermined observation keywords with state levels, and level / item set correspondence data that associates each state level with a set of items such as progress,
Wherein a set name for each item set, a second storage unit that holds the item name of the item in a storage device with each itemset,
A phrase extractor for extracting a word that matches any of the observation keyword, from medical information stored in the medical information database based on the patient's observations,
A state level corresponding to the extracted word / phrase is read from the keyword / level corresponding data in the first storage means, and when the read state level is one, the one state level is determined as a patient state level, Level determination means for determining, as a patient state level, one state level selected according to a predetermined method when the read state level is 2 or more ;
An item set that reads out the item set corresponding to the determined state level from the level / item set correspondence data of the first storage unit, and acquires the item name of the item of the read item set from the second storage unit Name acquisition means;
Display control means for displaying an input field for information of the acquired item name on an input screen such as progress of the display device ;
A medical assistance device characterized by comprising: In claim 1,
The predetermined method according to the case where the level determination unit reads the state level read from the keyword level correspondence data of the first storage unit is 2 or more displays a display prompting selection by an operation input on the display device , A method of determining a state level selected by an operation input in response to the display as a patient state level .
A medical assistance device characterized by that. In claim 1 or claim 2,
The second storage means includes a set name of a non-level item set, which is an item set other than a level item set associated with the state level, and an item name of an item included in the non-level item set. It is held together with the set name of the level item set and the item name that the level item set has,
The display control means acquires the set name of the level item set and the set name of the non-level item set from the second storage means and displays the set name on the input screen such as the progress of the display device in a selectable manner,
When the set name of the level item set is selected on the input screen such as the progress, the item name acquisition unit stores the item set corresponding to the state level determined by the level determination unit as the first storage unit. The item name of the item included in the read item set is obtained from the second storage means, and the set name of the non-level item set is selected on the input screen such as the progress. acquires item name with the free level itemsets is the selected from the second storage means when,
A medical assistance device characterized by that.

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