JPH01109467A - System for processing nutrition instruction - Google Patents

System for processing nutrition instruction

Info

Publication number
JPH01109467A
JPH01109467A JP62267735A JP26773587A JPH01109467A JP H01109467 A JPH01109467 A JP H01109467A JP 62267735 A JP62267735 A JP 62267735A JP 26773587 A JP26773587 A JP 26773587A JP H01109467 A JPH01109467 A JP H01109467A
Authority
JP
Japan
Prior art keywords
patient
data
menu
instruction
guidance
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
JP62267735A
Other languages
Japanese (ja)
Inventor
Toyoyuki Itaya
板谷 豊之
Hiroaki Buntou
豊東 浩昭
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
NEC Corp
NEC Solution Innovators Ltd
Original Assignee
NEC Corp
NEC Solution Innovators Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by NEC Corp, NEC Solution Innovators Ltd filed Critical NEC Corp
Priority to JP62267735A priority Critical patent/JPH01109467A/en
Publication of JPH01109467A publication Critical patent/JPH01109467A/en
Pending legal-status Critical Current

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  • Management, Administration, Business Operations System, And Electronic Commerce (AREA)
  • Medical Treatment And Welfare Office Work (AREA)

Abstract

PURPOSE:To decrease a time which is needed for the instructing material preparation of a dietitian by storing the instruction of a doctor and the peculiar data of a patient to the memory of a computer, selecting a menu sample to be prepared in advance, adding correction to this sample and executing the instruction of meal contents. CONSTITUTION:Patient information and check data are received from the doctor and the condition of the patient, who executes a medical examination by interview, is received from a person in charge of nutrition instruction and stored to a patient data file 12A. The menu sample, which is most approximated, is selected out of a menu table 12C to be prepared in advance by the patient information. Then, correcting quantity, which is computed according to a nutrition value table 12B, is added to this sample and the menu table of the patient is obtained. A graphic chart, etc., to be outputted from a computer 11 together with past or preceding meal data and the check data to show a physical condition are outputted from a printer 13 and the patient is instructed. Thus, since the computation, etc., which is executed by a manual work conventionally, is executed by the computer, the time of the nutrition instruction can be shortened and the number of the patients to be instructed in a unit time can be increased.

Description

【発明の詳細な説明】 〔産業上の利用分野〕 本発明は栄養指導方式に関し、特に短時間で能率よく指
導できる栄養指導方式に関する。
DETAILED DESCRIPTION OF THE INVENTION [Industrial Field of Application] The present invention relates to a nutritional guidance method, and particularly to a nutritional guidance method that can efficiently provide guidance in a short period of time.

〔従来の技術〕[Conventional technology]

従来、この種の栄養指導方式は、医師の指示・患者情報
については伝票で整理し、必要な食事の内容も過去の経
験などによって指導しており、栄養計算などは手計算で
行うと共に、書類または口頭による指示のみを基準とし
て実施していた。
Traditionally, this type of nutritional guidance method has consisted of organizing the doctor's instructions and patient information in slips, and providing guidance on the content of necessary meals based on past experience.Nutritional calculations have been done by hand and also based on documents. Or, it was carried out based only on verbal instructions.

また、患者に対してはあらかじめ食事のサンプルを作っ
ておき、これを基準として医師の指示に合わせて手計算
で栄養価と熱量を計算し説明に供していた。さらに、栄
養指導に基づいて作成されたデータについても伝票また
は帳票のまま保存されることが多く、患者に対する比較
説明のときにも数多くの伝票または帳票を並べる必要が
あった。
In addition, food samples were prepared in advance for patients, and the nutritional value and calorific value were calculated manually based on the samples as per the doctor's instructions and provided to the patients. Furthermore, data created based on nutritional guidance is often stored in the form of slips or forms, and it is necessary to arrange a large number of slips or forms when giving comparative explanations to patients.

そのため、上述の作業のうち部分的にコンピュータを利
用しているもの(例えば栄養価の計算や患者の基本的な
情報収集など)はあるが、それぞれ独立の様式となって
いることが多かった。
As a result, while some of the above-mentioned tasks involve the use of computers (for example, calculating nutritional values and collecting basic patient information), each task was often performed independently.

〔発明が解決しようとする問題点〕[Problem that the invention seeks to solve]

本発明が解決しようとする従来の技術の問題点は、栄養
指導を実施するに当って手計算による結果に基づいて栄
養価を確認し、伝票や帳票を作成し、患者には口頭また
はメモで指導を行っているのマ、患者−人当りの指導に
要する時間が長くなり−日に指導できる患者数の増加が
極めて難しいという点にある。
The problems of the conventional technology that the present invention aims to solve are that when implementing nutritional guidance, nutritional values are confirmed based on manually calculated results, slips and forms are created, and patients are given oral or memo information. The problem with training is that it takes a long time to train each patient, making it extremely difficult to increase the number of patients that can be trained in a day.

本発明の目的は、上述した従来の欠点を解決し、医師の
指示と患者固有のデータとをコンピュータのメモリへ格
納すると共にあらかじめ用意された献立サンプルを選び
、これに修正を加えることにより食事内容の指示を行い
、合わせてこれらの内容を記憶するようにした栄養指導
処理方式を提供するものである。
The object of the present invention is to solve the above-mentioned conventional drawbacks, and to store the doctor's instructions and patient-specific data in the memory of a computer, select a pre-prepared menu sample, and make modifications to the meal plan. The present invention provides a nutritional guidance processing method that provides instructions and stores these contents.

〔問題点を解決するための手段〕[Means for solving problems]

本発明の栄養指導処理方式は、患者に食事の内容を指導
する栄養指導方式において、患者固有のデータと医師の
指示とを含む患者情報を格納する患者データ入力手段と
、前記患者情報に基づきあらかじめ用意された献立サン
プルのうち前記指示に関連する少なくとも1個の献立を
選び、前記指示に従った修正を加えた食事の指示を行い
、その内容を記憶する栄養指導手段とを備えて構成さh
る。
The nutritional guidance processing method of the present invention includes a patient data input means for storing patient information including patient-specific data and doctor's instructions, and a patient data input means for storing patient information including patient-specific data and doctor's instructions, and Nutrition guidance means for selecting at least one menu related to the instructions from the prepared menu samples, instructing the meal with modifications made in accordance with the instructions, and storing the contents.
Ru.

〔実施例〕〔Example〕

次に、本発明について実施例を示す図面を参照して説明
する。
Next, the present invention will be described with reference to drawings showing embodiments.

第1図は本発明の一実施例の構成を示す流れ図、第2図
は本発明の一実施例を適用したノ1−ドウエアのブロッ
ク図、第3図(a)〜(d)は本発明の一実施例の表示
の一例を示す説明−図である。
FIG. 1 is a flowchart showing the configuration of an embodiment of the present invention, FIG. 2 is a block diagram of a software to which an embodiment of the present invention is applied, and FIGS. 3(a) to 3(d) are FIG. 2 is an explanatory diagram showing an example of a display according to an embodiment of the present invention.

まず本発明の一実施例の構成について説明する。First, the configuration of an embodiment of the present invention will be described.

第1図を見るに本実施例の栄養指導処理方式は、患者デ
ータ入力手段1と、栄養指導手段2とを備えており、ま
た、第2図を見るに上述の構成例を適用するハードウェ
アの一例は、主メモリIIAを伴った中央処理装置11
と、外部メモリ12と、プリンタ13と、端末14とを
備えデータバス100で結ばれている。
As shown in FIG. 1, the nutritional guidance processing method of this embodiment includes a patient data input means 1 and a nutritional guidance means 2, and as shown in FIG. 2, hardware to which the above-mentioned configuration example is applied. An example is a central processing unit 11 with main memory IIA.
, an external memory 12 , a printer 13 , and a terminal 14 , which are connected by a data bus 100 .

まず本発明の詳細な説明する。First, the present invention will be explained in detail.

本発明においては、第一に医師から患者情報とこれに相
前後して入手する検査データとを受領して記憶させると
共に、第二に栄養指導担当から問診した患者の状況を記
憶させる。第三に、上述の患者情報とによりあらかじめ
用意された献立表の中から最も近似していると思われる
ものを送出し、これに、栄養価テーブルに従って計算さ
れた修正量を加えて患者の献立表とする。第四に、過去
または直前の食事データ並びに身体状況を示す検査デー
タと共にコンピュータから表示された図表などをプリン
タから出力させて患者を指導する。かようにして従来は
手作業で行っていた計算などをコンビエータが行うこと
により、栄養指導の時間の短縮ができ単位時間に指導さ
れる患者数の増加が可能となる。
In the present invention, firstly, patient information and test data obtained in succession are received and stored from the doctor, and secondly, the patient's situation interviewed by the nutritional guidance staff is stored. Third, the patient's menu is created by sending out the one that is considered to be the most similar from among the menu tables prepared in advance based on the patient information mentioned above, and adding correction amounts calculated according to the nutritional value table to this. Table. Fourth, the printer instructs the patient by outputting graphs and the like displayed from the computer along with past or previous meal data and test data showing the physical condition. By allowing the combiator to perform calculations that were conventionally done manually, the time required for nutritional guidance can be shortened and the number of patients receiving guidance per unit time can be increased.

次に栄養指導で出力される表示例について説明する。第
3図(a)〜(d)は本実施例の表示の一例を示す説明
図となっている。
Next, an example of a display output for nutritional guidance will be explained. FIGS. 3(a) to 3(d) are explanatory diagrams showing an example of the display of this embodiment.

第3図(a)は、食事の熱量・栄養価について通常の人
と食事療法を必要とする人との比較表であって、患者に
理解を求めて実行上の注意を数字で示すものであり、標
準の人に対する増減が各要素ごとに示されている。第3
図(b)は栄養指導によって得られた献立表について、
食事の熱量・栄養価を示したものであり、献立表と食事
要素量(食事の熱量・栄養価のデータを言う)とを対比
して理解を深めさせるものである。
Figure 3 (a) is a table comparing the calorific value and nutritional value of meals between normal people and people who require dietary therapy, and is intended to provide numerical advice for patients' understanding. Yes, and the increase or decrease relative to the standard person is shown for each element. Third
Figure (b) shows the menu table obtained through nutritional guidance.
It shows the calorific value and nutritional value of a meal, and helps you deepen your understanding by comparing the menu table with the amount of dietary elements (data on the caloric value and nutritional value of the meal).

第3図(c)は格納されている検査データのうち食事指
導をされた(食事療法)前と後の状況を並記したもので
ある(GOP−GTPは肝炎などの病状を見る指標とな
る血液中の酵素トランスアミナーゼの検査)。この図か
らは、例えば3箇月の食事療法の成果がよい方向に向っ
ていることが分かるので、患者に対して食事療法を今後
も続けるよう説明するときのよい資料となる。第3図(
d)は、食事療法中に患者が摂取した食事から熱量と栄
養価を算出し、その価が例えば、第3図(a)で指導さ
れた患者の食事の基準に比べどのような点で考慮する必
要があるかを一見して分るようにしたものである。また
、この図は第3図(a)の内容を通常の人と患者とに対
しての比較表にも使用できるという特徴がある。
Figure 3 (c) shows the stored test data before and after dietary guidance (diet therapy) (GOP-GTP is an indicator of medical conditions such as hepatitis). Test for the enzyme transaminase in the blood). This diagram shows that, for example, the results of the three-month diet therapy are trending in a good direction, so it is a good resource when explaining to the patient that they should continue the diet therapy. Figure 3 (
d) calculates the calorific value and nutritional value from the meals that the patient ingested during the diet therapy, and considers how the values compare with the patient's dietary standards as instructed in Figure 3 (a), for example. This allows you to see at a glance what you need to do. Furthermore, this figure has the feature that the contents of FIG. 3(a) can be used as a comparison table for normal people and patients.

なお、以上のような図表を豊富に使用して端末14のデ
イスプレィで視認させると共に、プリンタ13よりプリ
ントアウトさせて患者に渡して指導する資料とすること
もできる。しかも、これらはあらかじめ格納さhている
データあるいは患者情報などを編集・計算したデータを
、端末14の指示でプリンタ13から出力するので、資
料作成に要する時間は少なく栄養士が栄養指導に専任で
きる。
It should be noted that the above charts can be used in abundance and viewed on the display of the terminal 14, and can also be printed out from the printer 13 and given to the patient as materials for guidance. Moreover, since pre-stored data or edited/calculated data such as patient information is outputted from the printer 13 in response to instructions from the terminal 14, the time required for creating materials is reduced and the dietitian can concentrate on nutritional guidance.

次に第1〜2図を参照して本実施例の作動について説明
する。
Next, the operation of this embodiment will be explained with reference to FIGS. 1 and 2.

まず、患者の外来または入院に伴って食事療法の必要な
場合は、担当の医師から担当の栄養士に対して患者名を
指定して栄養指導の依頼が出る(ステップ■)。
First, if a patient requires dietary therapy due to outpatient or hospitalization, the doctor in charge requests the nutritionist in charge to provide nutritional guidance by specifying the patient's name (step ■).

そこで患者データ入力手段lでは、栄養指導の依頼が出
ると、医師または検査部門から患者の検査データを栄養
士が受領する。このデータは一般に患者番号・患者氏名
・病名・栄養指導の基準を含み端末14から入力させて
、外部メモリ2の患者データファイル12Aに格納され
る(ステップ■)。なお、このデータ入力は、特に栄養
士が行う必要はなく、補助者あるいは事務員でも充分で
きるものである。
Therefore, in the patient data input means 1, when a request for nutritional guidance is made, the dietitian receives the patient's test data from the doctor or the testing department. This data generally includes a patient number, patient name, disease name, and criteria for nutritional guidance, and is inputted from the terminal 14 and stored in the patient data file 12A of the external memory 2 (step 2). It should be noted that this data entry does not need to be performed by a dietitian, and can be completed by an assistant or an office worker.

次に栄養士は患者への問診を行い、現在の食事のデータ
と身体状況ならびに現在の食事のデータを聴取し、その
内容はステップ■と同様に患者データファイル12Aへ
格納され(ステップ■)、患者データ入力手段1の作動
を終了する。なお検査データなどについては、検査部門
でデータが発生したときに直接データバス100を通し
て患者データファイル12Aに格納できるようにしてお
くと、経過時間に対する新らしいデータを特に入力する
ことなく作業が続けられる。また、ステップ■に属する
データも同様な方法で受領してもよく、このうち栄養指
導を直ちに要するものは要件のみをプリンタ13から出
力させてもよい、かようにしてデータが入力した後は、
続いて栄養指導手段2の作動となる。まず、すでに入力
されたデータを基にして必要な食事要素量を算出し、あ
らかじめ献立サンプルテーブル12Cに格納されている
献立サンプルから、適当なものを幾つか取出して、栄養
価算出テーブル12Bと上述の必要な食事要求量とを参
照しつつ献立内容を修正する。
Next, the dietitian interviews the patient and listens to the current dietary data, physical condition, and current dietary data, and the contents are stored in the patient data file 12A as in step ■ (step ■). The operation of the data input means 1 is ended. Regarding test data, etc., if data is generated in the testing department, it can be directly stored in the patient data file 12A via the data bus 100, so that work can be continued without particularly inputting new data regarding elapsed time. . Further, the data belonging to step (3) may also be received in a similar manner, and for those that require immediate nutritional guidance, only the requirements may be output from the printer 13. After the data is input in this way,
Next, the nutrition guidance means 2 is activated. First, the necessary amounts of dietary elements are calculated based on the data that has already been input, and some appropriate menu samples are taken out from the menu samples stored in advance in the menu sample table 12C, and the nutritional value calculation table 12B and the above-mentioned menu samples are taken out. Modify the menu while referring to the required dietary requirements.

そして、献立表と例えば第3図(b)に示すような食事
要素量とを出力し、栄養士が患者に説明する(ステップ
■)、このとき第3図(a)に示すような普通の健康な
人を標準とし、患者の場合にどのような相違があるか説
明をすることもできる。さらに栄養指導を過去または直
前の食事のデータと指導内容との比較をして、第3図(
c)〜(d)などのような図表を作成し、身体状況と共
に患者に対して初指導の場合には従来の食事との比較を
、再指導の場合には前回指導のときと比較をして、例え
ば第3図(c)のような図表によって栄養士が指導する
(ステップ■)、かようにして栄養指導手段2の作動を
終了する。さらにステップ■の結果、医師の診断により
栄養指導が必要であればさらステ、プ■に戻り栄養指導
を続けると共に、医師の診断で栄養指導が不要になった
ときはその患者に対する本システムの作動が完了する(
ステップ■)。
Then, the dietitian outputs the menu table and the amounts of dietary elements as shown in FIG. 3(b), and explains it to the patient (step ■). You can also use someone as the standard and explain the differences in the patient's case. Furthermore, we compared nutrition guidance with past or previous meal data and the content of the guidance, as shown in Figure 3 (
Create charts such as c) to (d), and compare the patient's physical condition with the conventional diet if this is the first time to give guidance, or with the previous guidance if it is re-instruction. Then, the nutritionist provides guidance using a diagram as shown in FIG. 3(c), for example (step 2), thus completing the operation of the nutritional guidance means 2. Furthermore, as a result of step ■, if nutritional guidance is necessary based on the doctor's diagnosis, return to step ■ and continue nutritional guidance, and if the doctor's diagnosis indicates that nutritional guidance is no longer necessary, this system will stop operating for that patient. Complete (
Step ■).

なお本システムでは、外部メモリに栄養士の予定ファイ
ルを設けておけば、医師の求めに応じてまたは栄養士自
身も、データバース100に接続されている端末を通じ
て直接に予約することも可能である。
In addition, in this system, if a nutritionist's schedule file is provided in the external memory, it is possible for the nutritionist to make a reservation directly at the request of a doctor or by the nutritionist himself/herself through a terminal connected to the dataverse 100.

〔発明の効果〕〔Effect of the invention〕

以上詳細に説明したように本発明の栄養指導処理方式は
、患者データファイルと栄養価算出デープルと献立サン
プルテーブルとを外部メモリに収容するようにしたので
、栄養士が手作業で行っていた栄養指導データを患者に
説明しやすい形態で出力させることができ、栄養士の指
導資料作成などに要する時間が減少し、取扱う患者数が
増加するという効果がある。
As explained in detail above, the nutritional guidance processing method of the present invention stores the patient data file, nutritional value calculation table, and menu sample table in an external memory, so that nutritional guidance that was previously performed manually by a dietician is improved. Data can be output in a format that is easy to explain to patients, reducing the time required for dietitians to create guidance materials, and increasing the number of patients handled.

【図面の簡単な説明】[Brief explanation of the drawing]

第1図は本発明の一実施例の構成を示す流れ図、第2図
は本発明の一実施例を適用したハードウェアのブロック
図、第3図(a)〜(d)は本発明の−実施例の表示の
一例を示す説明図。 1・・・・・・患者データ入力手段、2・・・・・・栄
養指導手段。 代理人 弁理士  内 原   音 第1図 第2図 第3図@) 第3図〔O 第3図(d)
FIG. 1 is a flowchart showing the configuration of an embodiment of the present invention, FIG. 2 is a block diagram of hardware to which an embodiment of the present invention is applied, and FIGS. 3(a) to 3(d) are - FIG. 2 is an explanatory diagram showing an example of a display according to the embodiment. 1... Patient data input means, 2... Nutrition guidance means. Agent Patent Attorney Oto Uchihara Figure 1 Figure 2 Figure 3 @) Figure 3 [O Figure 3 (d)

Claims (1)

【特許請求の範囲】[Claims] 患者に食事の内容を指導する栄養指導方式において、患
者固有のデータと医師の指示とを含む患者情報を格納す
る患者データ入力手段と、前記患者情報に基づきあらか
じめ用意された献立サンプルのうち前記指示に関連する
少なくとも1個の献立を選び前記指示に従った修正を加
えた食事の指示を行い、その内容を記憶する栄養指導手
段とを備えてなることを特徴とする栄養指導処理方式。
In a nutritional guidance method for instructing a patient on the contents of a meal, a patient data input means for storing patient information including patient-specific data and a doctor's instructions; A nutritional guidance processing method comprising: a nutritional guidance means for selecting at least one menu related to the above, instructing a modified meal according to the instructions, and storing the contents.
JP62267735A 1987-10-22 1987-10-22 System for processing nutrition instruction Pending JPH01109467A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP62267735A JPH01109467A (en) 1987-10-22 1987-10-22 System for processing nutrition instruction

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP62267735A JPH01109467A (en) 1987-10-22 1987-10-22 System for processing nutrition instruction

Publications (1)

Publication Number Publication Date
JPH01109467A true JPH01109467A (en) 1989-04-26

Family

ID=17448846

Family Applications (1)

Application Number Title Priority Date Filing Date
JP62267735A Pending JPH01109467A (en) 1987-10-22 1987-10-22 System for processing nutrition instruction

Country Status (1)

Country Link
JP (1) JPH01109467A (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH07296088A (en) * 1994-04-22 1995-11-10 Akio Sano System for counseling epidemic prevention

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH07296088A (en) * 1994-04-22 1995-11-10 Akio Sano System for counseling epidemic prevention

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