JP5085488B2 - Medical support device - Google Patents

Description

  The present invention relates to a medical assistance device or medical office processing device that records information related to medical treatment of a patient, and more particularly to an input device and an input method for drug prescription data.

  2. Description of the Related Art Medical assistance devices that record medical practice performed on patients in medical institutions, so-called electronic medical record devices, are becoming popular. In addition, medical office processing devices that calculate medical expenses based on medical treatment performed on patients and output the results as medical fee remuneration statements (receipt) have become widespread. In these apparatuses, when inputting and recording drug prescription data, the name, quantity and number of drugs, and usage and classification information are recorded together. The usage “instructs” when to use the medicine three times a day after every meal, before going to bed, during fever, etc. Also, the category indicates how the medicine is used. "Internal use" for taking medicine, "Internal use" used as needed for headaches, "External use" such as a coating for trauma, and "Self-injection". Etc.

And when entering the drug name and usage, display a list of pre-registered drugs and usages on the screen and select from them, or directly enter the drug code and usage code specific to each drug and usage. Was typing from the keyboard. For example, in Patent Document 1, it is described that a medicine code is first input, and then a medicine and usage are designated and input by inputting a usage code.
JP 2005-32062 A

  Since there are many types of usages, the user must remember many codes in order to enter using the usage codes assigned to each. On the other hand, in the method of displaying a list of usages and selecting from them, when a usage master in which all usage codes are registered is displayed in a list, it takes time and effort to search for a desired usage from among a large number. In addition, it is a burden on the user in any case because it is necessary to select the usage with attention to the division because it is confused regardless of the division such as internal use and external use.

  The present invention is a medical assistance device that includes an input means, a display means, and a storage means, and inputs and registers patient medical information in a medical institution, and holds patient medical information and is stored in the storage means A medical information file, a drug master file stored at least in the storage means and storing at least a drug name, an insurance score, and a specific drug code, a usage instruction content, and a specific usage code are stored and stored. A usage master file stored in the means, a usage file classified by classification that stores the usage code by category, and a drug list display control that displays a list of drugs on the display means according to a predetermined classification Means, a drug selection input means for selecting and inputting a drug from the drug list, and in response to a drug selection input by the selection input means, Prescription drug display control means for displaying and displaying on the display means at least the name and classification of the drug selected with reference to the drug master file as one of the prescription drugs, and the state where the name and classification of the prescription drug are displayed The usage list display control means for reading the usage code corresponding to the category of the prescription drug by referring to the category-specific usage file and displaying the list on the display means in response to the instruction of the usage input from the input means in FIG. Usage selection input means for selectively inputting a usage from the displayed usage list, and usage display control means for displaying and outputting the usage selected by the usage selection input means to the display means as the usage of the prescription drug And medical information registration for storing and controlling the displayed medicine, classification, and usage data in the medical information file in response to the registration instruction from the input means. A stage provided is intended to solve the above problems.

  According to the medical care support apparatus of the present invention, only the usages corresponding to the selected medicine category are displayed in a list, so that the amount is much smaller than when searching for a desired usage code among all usage codes. You will be able to choose from. This can also be expected to reduce usage error. In addition, basically, only the usage codes for the category are displayed in a list, so that the user can select the usage code without paying attention to the difference in the category.

  FIG. 1 shows the configuration of a medical assistance device according to an embodiment of the present invention. In the figure, 1 is a control device having a CPU and a memory, 2 is a file device composed of auxiliary storage means such as a hard disk device, and 3 is an input device as data input means composed of a pointing device such as a keyboard and a mouse. Is a display device as an information display means constituted by an LCD or the like, and 5 is a printing device as a printing means constituted by an LBP or the like.

  The control device 1 has a function of receiving input from the input device 3, a function of controlling display on the display device 4, a function of controlling print output by the printing device 5, a function of controlling file input / output of the file device 2, and a device. It has a function to control the whole. The keyboard and pointing device function as selection input means in the following description.

  The medical assistance device can use a general computer such as a personal computer as basic hardware. A program (not shown) having functions specific to the apparatus is installed in the file device 2 in advance, and the control apparatus 1 introduces and executes the program, so that functions specific to the apparatus can be achieved. Demonstrate.

  The file device 2 stores a medicine master file, a usage master file, a setting file, and a folder attribute file. The file device 2 has a directory structure having a hierarchical structure similar to a general personal computer, and has various files and directories necessary for operation, but the description thereof is omitted here.

  As shown in FIG. 2, the medicine master file includes a “medicine code” unique to each medicine, a “name (kanji)” representing the medicine in kana-kanji characters, a “phonetic” for search, and a “measurement unit”. And “insurance points” and “classification” per unit amount. In the following description, individual drug data may be referred to as a drug code.

  As shown in FIG. 3, the usage master file relates a “usage code” unique to each usage and “instructions” in which usage is recorded in text when using a medicine such as “after dinner / before going to bed”. It is a file to attach. In the following description, individual usage data may be referred to as a usage code.

  As shown in FIG. 4, the folder attribute file is a file that associates a folder name including information for specifying a folder with classification information that is an attribute assigned to the folder.

  The setting file is a file that records various setting information related to the operation of the medical assistance device, and also records whether to associate with the other when setting the usage or category in the input of the medicine.

  Next, the operation of the present apparatus will be described with reference to the screen display examples of FIGS.

  In this apparatus, in the initial state, all usage codes are registered in advance in the usage master file regardless of the category. Therefore, the medical institution that is the user extracts the usage code used in the medical institution and stores it in a folder divided into the respective categories.

  Therefore, first, as shown in FIG. 10, a folder for storing the usage code is created under the directory for the user. In this example, four folders are created in association with the categories of “internal use”, “free use”, “external use”, and “self-injection”, and the names of these folders are “internal use”, “overuse”, “external use”, And “self-injection” (indicated by reference numeral 91 in the figure). The folder name can be given in any way, but here it is given the same name as the category for easy understanding.

  Then, in order to set the attribute of the created folder, the user right-clicks the folder with the mouse. In response to this, the control device 1 displays a menu for specifying the usage category for the folder. This is shown in FIG. When the user designates one of the four categories of “internal use”, “free use”, “external use”, and “self-injection” displayed in the menu with a mouse click, the control device 1 displays the folder name of the folder. Are registered in the folder attribute file. The user similarly designates and registers the category attribute for the self-injection folder from the out-of-place clothes. At this time, since the category attribute of the folder can be set regardless of the name given to the folder, it is also optional to set the same category attribute for a plurality of folders.

  Next, the user activates a master editing job in order to store a usage code that matches the category attribute of the created folder in the folder. FIG. 5 is a display example of a master edit screen displayed and output on the display device 4 by the control device 1. On the left side of the screen, the user selects the required usage code from the usage codes displayed in a predetermined category, and copies it from the folder specified on the right side of the screen, that is, the internal folder created earlier to one of the self-injection folders. . In this device, the usage codes prepared in advance in the usage master file are stored in separate folders according to the readings of the “instructions”. And select the desired usage code and copy it. In the example shown in the figure, the four usage codes registered in the folder in the row are copied to the previously created messenger folder.

  The usage codes required in this way are stored together in a folder having each category attribute for each category. Thereby, for example, when the internal use folder is opened, only the usage codes corresponding to the internal use category are displayed in a list and can be selected. Therefore, compared to selecting a usage code from a usage master that includes all usage codes, a much smaller amount of usage codes, such as just the usage code for internal use or just the usage code for use, will be displayed in a list. .

  Next, an actual usage example for inputting and registering a medicine prescribed to a patient will be described. The procedure for inputting a drug prescription in this device is to first select a drug code and then select a usage code. At this time, control is performed according to the setting contents of association between usage and category registered in the setting file. The movement of the device 1 is different.

  FIG. 6 is a user setting screen for performing various settings of the apparatus, which is displayed on the display apparatus 4 by the control apparatus 1. Here, “association between usage and category” can be set. Here, when “category → usage” is designated, the folder of usage codes to be displayed in a list is determined according to the category assigned to the medicine code. When “usage → category” is designated, all the usage codes are read from the usage master and displayed in a list regardless of the category of the medicine code. And the control part records the setting content of this setting screen in a setting file.

  Here, the operation when “category → usage” is set will be described with reference to the prescription input screen illustrated in FIG. The user first selects a drug code on the prescription input screen. In the example shown in the figure, “PL granule” is selected and input, and a category of internal use is given to this medicine and is displayed in the category input field 72. Here, when the user clicks the usage input field 71 in the lower right of the screen to input the usage, the control unit sets the association between the usage and the category as “category → usage”. Try to list only the corresponding usage codes. Therefore, the folder attribute file is referred to search for a folder with the internal attribute classification attribute. Since this is the case for the internal use folder in this example, the usage code is read from the internal use folder and displayed in a list below the usage input field as shown in the figure.

  Only the usage codes for the internal use classification are stored in advance in the internal use folder by the user. Accordingly, only the usage codes for internal use are displayed in a list with respect to the drug code “PL granule” of the internal use category. The list may need to be scrolled due to the limitation of the screen size, but it can be selected from a much smaller amount than when selecting from all usage codes regardless of the category. In addition, since the usage codes for the sections other than the internal use are basically not mixed, the user may select the usage code without worrying about the difference in the sections.

  Then, in response to the user pressing the OK button to instruct registration, the control device 1 reads the PL granule drug code, the usage code, the classification information, the quantity / count information, and the screen displayed. The insurance score information is registered in the patient's medical information file.

  Next, the operation when the association between the usage and the category is set to “Usage → Division” in the setting file will be described with reference to FIGS. The user first selects a drug code on the prescription input screen. In the example shown in the figure, “Solantal Tablets” is selected and input, and since this medicine is given a category of internal use, the control unit displays “internal use” in the category input field 72. When the user clicks on the usage input field 71 at the lower right of the screen to input the usage, the setting of the usage and category association is “Usage → Category”, so that the control unit is independent of the inputted medicine category. Try to list all usage codes.

  Therefore, the control unit reads the usage code from the usage master file and displays it in a list below the usage input field 71. The user searches for and selects and inputs a desired usage code by scrolling the list. Here, the usage code of “taken when headache” is selected. In response to this, the control unit displays the selected usage of “taken at headache” in the usage input field 71 and displays the category of the usage code in the category input field 72. In other words, in this case, the original classification “internal use” of the solantal tablet is changed to “unused”, which is the usage code classification for headache use (see FIG. 9). Then, in response to the user's registration instruction, the control device 1 obtains the patient's medical information, the drug code of the solantal tablet, the usage code, the classification information, that is, the information, the quantity / number of times information, and the insurance score information. Register to a file. Thus, the mode that preferentially uses the category of the usage code and adopts it as the category of the drug or prescription is the case where the setting of the association between the usage and the category is “Usage → Category”.

  In the above-described embodiment, the usage code prepared in the usage master file in advance has been described as being stored separately in the “A”, “C”, “S”, “...” folders according to the reading of the “instruction”. It is not always necessary to manage individual usage codes by dividing directories on the file system. In the usage master file, for example, classification folder information may be added to each usage code record, and the folder may be recorded and referred to.

  In the above example, the user stores the usage codes in a folder corresponding to the division in advance, but as described above, it is not always necessary to manage the usage codes by dividing the directory on the file system. In the usage master file, add, for example, division folder information to each usage code record, and the information about whether it belongs to the folder of “internal use”, “not used”, “external use”, or “self-injection” described above. It may be recorded. In that case, it is not necessary to record the classification folder information in all the usage codes, and it is sufficient to set and record only the usage codes required in the medical institution. When the setting of the association between the usage and the category is “category → usage”, the control device 1 reads the usage code corresponding to the category of the medicine instead of reading from the corresponding folder as in the above-described embodiment. The usage codes having the corresponding category folder information may be read directly from the usage master file and displayed in a list. In that case, the control device 1 may control the display of the directory tree virtually as if the folder was opened and read as viewed from the user.

It is a block diagram which shows the structure of the medical treatment assistance apparatus of embodiment. It is a figure which shows the record structure of the chemical | medical agent master file of embodiment. It is a figure which shows the record structure of the usage master file of embodiment. It is a figure which shows the record structure of the folder attribute file of embodiment. It is a figure which shows the example of a display of the master edit screen of embodiment. It is a figure which shows the example of a display of the user setting screen of embodiment. It is a figure which shows the example of a display of prescription etc. input screens of embodiment. It is a figure which shows the example of a display of prescription etc. input screens of embodiment. It is a figure which shows the example of a display of prescription etc. input screens of embodiment. It is a figure which shows the example of a display of the master edit screen of embodiment. It is a figure which shows the example of a display of the master edit screen of embodiment.

Explanation of symbols

1 control device 2 file device 3 input device 4 display device

Claims (1)

A medical assistance device comprising an input means, a display means, and a storage means for inputting and registering patient medical information in a medical institution,
A medical information file that stores medical information of a patient and is stored in the storage means, a medicine master file that stores at least the name, insurance score, unique drug code, and classification of the medicine and is stored in the storage means; A usage master file that retains at least a usage instruction content and a specific usage code and is stored in the storage unit, and a usage code that is a part of the usage code stored in the usage master file. The usage folder stored in the storage means, the category attribute assigned to the usage folder, together with the information specifying the folder, the folder attribute file stored in the storage means, and the medicine according to a predetermined classification Drug list display control means for displaying a list on the display means, and drug selection for selecting and inputting a drug from the drug list One of the prescription drugs, the input means, the drug name and classification data selected at least with reference to the drug master file according to the drug selection input by the selection input means, and the usage input field The prescription medicine display control means for displaying and outputting the same display screen as the medicine list on the display means, and the input field of usage is instructed from the input means in a state where the name and classification data of the prescription medicine are displayed. In response, a usage code is read from a usage folder in the same category as the category of the selected and displayed medicine with reference to the folder attribute file, and a usage of the same category as that of the drug in the vicinity of the usage input field in the display means Usage list display control means for displaying only a list, usage selection input means for selectively inputting a usage from the displayed usage list, and usage selection input A usage display control means for displaying the usage selected by the stage as a usage of the prescription drug in a usage input field in the display means, and a classification from the displayed medicine according to the registration instruction from the input means And medical information registration means for storing and controlling usage data in the medical information file.