JP4007820B2 - Qualifier input method in disease name management device - Google Patents

Description

[0001]
BACKGROUND OF THE INVENTION
The present invention relates to a method for inputting a modifier in a disease name management apparatus.
[0002]
[Prior art]
Register medical treatment data such as treatments and medications performed on patients at medical institutions for each patient, and enter medical records based on the medical office calculators, medical treatments performed, medical treatments performed, medical records, etc. A medical data management system managed as a so-called electronic medical record is becoming widespread.
[0003]
The medical institution creates a medical remuneration statement (hereinafter referred to as “receipt”) for the medical expenses, and bills the insurance institution for the remainder excluding the self-payment borne by the patient. When issuing a receipt, the medical office computer records the name of the patient's disease in the receipt along with the medical practice performed. In addition, since the electronic medical record is also managed by replacing the conventional paper medical record with electronic information, the name of the patient's injury or illness is an indispensable item. Therefore, in these devices, medical practices such as examinations, treatments, injections, prescriptions, etc. performed by doctors on patients were input and stored as patient medical data, and these medical practices were caused. The name of injury is also entered and managed.
[0004]
Input of medical data occurs every time a medical examination is performed, and in addition, in order to prevent the patient from waiting in the window process, it is necessary to input a large amount of data at high speed. Therefore, since it is necessary to input medical data in a large amount and at a high speed as described above, it is common to input it with a code. For this purpose, there is provided a medical code master that registers the name, insurance score, and input code for each medical practice. And as for the disease name, the long disease name is not stored as it is, but is stored as a code in the same manner as the medical data. Therefore, a disease name code master in which a disease name and its code are registered is provided. Since the input of the injury / illness name does not occur so frequently, the input of the medical data and the input of the injury / illness name are performed on different input screens.
[0005]
On the disease name input screen, modifiers such as prefixes and suffixes to be added to the disease name can also be input. As modifiers, there are a prefix added before the disease name, a suffix added after the disease name, and a modifier indicating the region and direction. These modifiers are also stored in the patient's disease name database together with the disease name. These modifiers are also registered in the disease name code master.
[0006]
The modifier to be given to the disease name is also entered by searching from the disease name code master on the disease name input screen. FIG. 7 is an example of a conventional disease name input screen. On the same screen, when inputting a disease name, the contents of the disease name code master are displayed in a list according to a predetermined classification, and selected and input from there. The modifiers are also displayed in a list on the right side by instructing the “modifier” and its lower “prefix” in the classification column on the left side of the screen, so that the user can select a desired modifier. .
[0007]
[Problems to be solved by the invention]
However, if the classification of disease names and modifiers is made finer, the directory hierarchy will be deepened, and conversely, the trouble of inputting will increase. Therefore, there is a demand for a disease name management apparatus that can easily input modifiers.
[0008]
[Means for Solving the Problems]
The present invention includes a disease name code master that registers disease names and modifiers attached to the disease names and their codes, a disease name database that stores patient disease names as the disease name codes, and disease names and modifiers registered in the disease name code master. In a disease name management device comprising disease name input means for displaying a window for allowing a user to select and input a list according to a predetermined classification, and disease name registration means for storing the input disease name in the disease name database, The disease name input means includes a category selection column for selecting a predetermined category in the window, a list display column for selecting a disease name or a modifier relating to the selected category, and a disease name column for displaying the selected disease name and modifier, respectively. And a modifier field, and a list of modifiers is displayed immediately below the input field in response to the modifier field being pointed by the cursor. The will be selected directly, the disease name registration means stores the disease name database associated code of the selected modifier code of disease name, the disease name management device, a label representing the name of the modifier field The disease name input means displays a label read from the setting file in the vicinity of the modifier column, and can edit the label according to the indication of the label with a cursor. And the contents are stored in the setting file in response to the user editing and setting the label, thereby solving the above problem.
[0009]
【Example】
FIG. 1 is a block diagram showing a configuration of an electronic medical record apparatus 10 which is an embodiment of a disease name management apparatus. Reference numeral 11 denotes a control device constituted by a CPU, which reads out and executes programs and databases stored in the auxiliary storage device 16 and exhibits various functions as an electronic medical record. Reference numeral 12 denotes a display device composed of a CRT, 13 denotes an input device composed of a keyboard or a mouse device, 14 denotes a main storage device composed of a semiconductor memory, and 15 denotes a printing device. Reference numeral 16 denotes an auxiliary storage device composed of a hard disk device or the like, and stores the following program files and database files. That is, reference numeral 17 denotes a medical data input program, which is a program that accepts input of data related to a medical practice performed by a doctor on a patient and registers it in a medical database. Reference numeral 18 denotes a disease name input program, which is a program for accepting input of patient name data and registering it in the disease name database 20. Reference numeral 19 denotes a medical database, which stores medical data for each patient in a consultation unit. Reference numeral 20 denotes a disease name database, which stores patient injury and disease name data together with data such as a start date and an outcome date. Reference numeral 50 denotes a medical code master, which registers data such as the name and insurance points, together with the medical code, regarding medical practices that can be handled by the apparatus 10. The medical care database 19 stores this medical care code. Reference numeral 30 denotes a disease name code master, which registers names, classifications, and other data along with disease name codes for wound names that can be handled by the apparatus 10. The disease name database 20 stores this disease name code. Reference numeral 60 denotes a setting file which stores system operating conditions, screen display settings, and the like.
[0010]
FIG. 2 shows the record structure of the disease name database 20. This is to memorize the names of injuries and illnesses that have occurred in the medical institution since the patient first visited the hospital. Here, the receipt disease name code at the head of the record is a disease name code representing a wound disease name described in the receipt. The diagnosed disease name code is a disease name code that is specifically input when the doctor wants to assign a name of injury or illness that is different from the name of the received disease. Usually, the diagnosis disease name code includes the same code as the receipt disease name code. The start date is the date on which medical treatment for the disease name was started, the outcome and outcome date are the reason and date of termination or interruption of treatment, the next is the distinction between inpatient treatment or outpatient treatment, and the main disease name category is It is a classification of whether the disease name is the main disease name or not. The modifier code A to the modifier code D are supplementary explanations about the site and direction of the disease and are also input using codes registered in the disease name code master 30.
[0011]
When the doctor assigns a disease name different from the wound name prepared as standard in the disease name code master 30 to the diagnosis disease name text, since the code does not exist, the disease name is directly input as a character string, and the character string, that is, the text is stored. It is what. In addition, the comment text stores a comment made by the doctor for the disease name in the form of text, and the modifier text is a standard for one of the modifier codes A to D described above. When a doctor adds a modifier that is not provided in the code, the text is stored. In the embodiment, each of these texts is stored up to 25 characters.
[0012]
FIG. 3 shows the record structure of the disease name code master 30. This is a subset extracted from the full set of all wound disease name codes according to the specialty and request of the medical institution, and the one created and installed in advance by the manufacturer is stored in the user. This is because the processing speed is faster than searching a full database. Here, the receipt disease name code at the head of the record is a 6-digit code that can be used by the user when inputting the disease name, and the standard disease name code is a standard code in a full set of disease name masters. The name is the name of the wound or illness written in kanji, and the reading is Kyomi Yomi. The standard classification represents the classification of the name of the disease.
[0013]
Next, the operation of inputting the name of injury / illness in the embodiment will be described. When the user instructs the start of disease name input, the control device 11 reads out and executes the disease name input program 18 from the auxiliary storage device 16 and displays the wound name input window 40 shown in FIG. This is for entering the name of the patient's injury or illness. Since the disease names are sorted and displayed in a list in the order of the Japanese syllabary, a row including a desired disease name reading is first selected. Then, a list of disease names classified in the row is displayed in the right column 41. The figure shows a state where “Ta line” is selected. Therefore, the user scrolls the list to search for a disease name, places the mouse cursor on the desired disease name, and double-clicks. Thereby, the disease name is displayed in the column of the diagnosis disease name 42 and the receipt disease name 43 in the input injury name column below. At this time, the same disease name selected above is displayed in the diagnosis wound name 42 and the receipt disease name 43.
[0014]
Then, this disease name is displayed in the patient history column 45 on the lower side of the window by instructing the registration button on the lower right with the cursor. Thereafter, if the OK button is indicated, the contents of the patient history column 45 are registered in the patient's disease name database 20. At that time, the control device 11 determines the contents of the newly input disease name from the start date on the right side of the window to the comment 46 and the four modifiers from the prefix to the suffix, that is, the contents shown in FIG. Are registered in the disease name database 20 together. As shown in FIG. 2, the disease name registered in the disease name database 20 is not the disease name displayed on the screen itself, for example, “first color blindness”, but a 6-digit received disease name code read from the disease name code master 30. . Usually, the same code is registered in the receipt disease name code and the diagnosis disease name code of the disease name database 20 shown in FIG.
[0015]
Here, the comment 46 registered in the database together with the disease name code can be input free text on the window in the embodiment. When the cursor is moved to the comment input field 46 of the window 40 and a character string is directly input, the control device 11 registers in the disease name database 20 as described above. In the embodiment, up to 25 characters can be input and registered in the database.
[0016]
In the embodiment, the diagnosis and injury name 42 can be directly input by free text instead of the code. Therefore, the user designates the edit mark 44 at the right end of the diagnosis / sickness name column 42. In response to this, the control device 11 displays a cursor for inputting characters in the same field 42 and allows the input of text. The control device 11 registers the input character string in the disease name database 20 as the diagnosis disease name text shown in FIG. In that case, a special code indicating text input is registered in the diagnosis disease name code. Even in this case, since the original code input is alive for the name of the disease, the standard disease name is described in the receipt.
[0017]
In the embodiment, the prefix, part, direction, and suffix modifiers on the right side of the window can be selected and input on the spot by a pull-down menu. Specifically, as shown in FIG. 5, if the cursor is pointed to the pull-down button 47 at the right end of each input field, a list of candidate words is displayed in a pull-down display.
[0018]
The labels 48 such as prefixes and parts of the modifiers can be freely changed by the user. Therefore, by pointing the cursor to the label 48 portion, the label can be edited on the spot as shown in FIG. For example, the user can also set all four labels as “parts”. Since this setting is recorded in the setting file 60 by the control device 11, it will be reflected in the next window display. Further, the display in the classification display column on the left side of the window shown in FIG. 7 is also displayed by reflecting the label set by the subordinate contents of “modifier”.
[0019]
Thus, in the embodiment, the modifier added to the disease name can be selected and input on the spot by the pull-down menu. Also, the label of the modifier can be edited and set freely by the user.
[0020]
【The invention's effect】
According to the present invention, the modifier to be added to the disease name can be selected and input on the spot by using a pull-down menu, so that it is not necessary to display the list following the hierarchy as in the case of selecting the disease name. Also, the label of the modifier can be freely changed by the user , and the label is also displayed as a headline when displaying the classification of the modifier, so that it can be specialized for the medical institution or doctor who is the user. The display can be customized to suit the display, improving usability.
[Brief description of the drawings]
FIG. 1 is a block diagram illustrating a configuration of an embodiment.
FIG. 2 is a diagram showing a record configuration of a disease name database according to an embodiment.
FIG. 3 is a diagram showing a record configuration of a disease name code master according to an embodiment.
FIG. 4 is a diagram showing a display example of a sickness name input window in the embodiment.
FIG. 5 is a diagram showing a display example of a sickness name input window in the embodiment.
FIG. 6 is a diagram showing a display example of a sickness name input window in the embodiment.
FIG. 7 is a diagram showing a display example of a conventional sickness name input window.
[Explanation of symbols]
DESCRIPTION OF SYMBOLS 10 Electronic medical record apparatus 11 Control apparatus 12 Display apparatus 13 Input apparatus 14 Main storage apparatus 15 Printing apparatus 16 Auxiliary storage apparatus 17 Medical treatment input program 18 Disease name input program 19 Medical treatment database 20 Disease name database 30 Disease name code master 50 Medical treatment code master 60 Setting file 40 Sick name input window

Claims (2)

Disease name code master in which disease names and modifiers attached to the disease names and their codes are registered, disease name database storing patient disease names in the disease name codes, and disease names and modifiers registered in the disease name code master in a predetermined classification In a disease name management device comprising disease name input means for displaying a window for allowing a user to select and input a list in accordance with the disease name registration means for storing the inputted disease name in the disease name database,
The disease name input means includes a category selection column for selecting a predetermined category in the window, a list display column for selecting a disease name or a modifier for the selected category, and a disease name for displaying the selected disease name and modifier. Field and modifier field,
A list of modifiers is displayed directly below the input field in accordance with the cursor being instructed by the cursor, so that the user can select directly,
The disease name registration means stores the selected modifier code in the disease name database in association with the disease name code ,
The disease name management device further includes a setting file for storing a label representing the name of the modifier column,
The disease name input means displays the label read from the setting file in the vicinity of the modifier column, displays the label in an editable manner in response to the label being pointed by the cursor, and the user displays the label. Depending on what has been edited and set, the contents are stored in the setting file.
A method for inputting a modifier in a disease name management apparatus , characterized by storing the term. 2. The disease name management apparatus according to claim 1, wherein the disease name input unit displays the label stored in the setting file as a headline when displaying a category related to a modifier in the category selection field. How to enter modifiers in.

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