JPH0676005A - Method and system for checking name of disease of patient - Google Patents

Abstract

PURPOSE:To easily check the name of disease of a patient and to easily generate data for check with respect to the patient disease name check method in the examination and treatment support system used in a medical service like a hospital. CONSTITUTION:Character strings expressing names of disease or parts of them corresponding to respective examination and treatment contents are registered in a disease name check master 42, and a character string corresponding to examination and treatment contents of the patient who is subjected to examination and treatment is retrieved from the disease name check master 42, and it is checked whether the character string retrieved from the disease name check master 42 exists in character strings of names of disease of the patient or not.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a method for checking a patient's disease name in a medical treatment support system used in a medical institution such as a hospital.

Although information relating to diagnosis and medical treatment of patients in hospitals is described in a medical chart, in recent years, a medical treatment support system using a computer has come to be often used instead of the conventional handwriting.

Particularly in a large-scale hospital, the amount of information to be processed is enormous, and the use of a medical care support system is indispensable. Therefore, information input by a system such as a medical accounting or clinical examination or a terminal, and each medical treatment. A database for medical support is constructed based on information entered in the department.

In order to realize early detection and early treatment of patient's illness using such a database, it is possible to meet various demands such as simple operation, easy-to-see screen, and quick response, and to speed up paperwork. A medical treatment support system that can be achieved is desired.

[0005]

2. Description of the Related Art When medical treatment is carried out in a hospital or the like, a receipt (medical treatment fee statement) is issued. In the receipt,
The content of medical treatment for patients such as medication, injection, examination, and X-ray and the corresponding disease name are described.

[0006] Since insurance payments are made from the insurance fund based on the description contents of the receipt, if the omission of the information on the receipt is not made, a valid medical fee cannot be obtained.

[0007] For example, if the patient's disease name is not filled in, it means that some or all of the medical care contents corresponding to the disease name are over-medical, and the corresponding payment is not made. . Therefore, it is important to write the name of the disease on the receipt.

Generally, since the patient's disease name becomes clear in the course of medical treatment by a doctor, the timing of determining the disease name varies, and there may be multiple disease names for one patient. Due to these circumstances, or due to mere clerical errors, the patient's disease name may be omitted from the receipt.

[0009] Conventionally, a clerical worker performs a visual check so that the name of the disease is not overwritten on the receipt.

[0010]

However, it is not easy for the clerical staff to check the omission of the disease name from the medical care contents entered in the receipt. Further, although it is only necessary for the doctor to directly check the receipt, such work may burden the doctor and interfere with the original medical care work.

Therefore, in order to check the omission of the name of the disease, for example, the name of the disease in which each medicine is used for all medicines is registered in a file in advance as code data, and the medicines described in the receipt are stored in the medicine. It is conceivable that the system will check whether any related disease name is entered in the receipt.

However, even if the same type of illness is used, the name of the illness may differ depending on the hospital. It is extremely difficult to wash out (extract) all the illnesses corresponding to each drug. Data (file)
It is not practical because it takes a lot of time and effort to create. Moreover, there are many medicines that are generally used for many disease names, and it is meaningless to check such common medicines.

In view of the above problems, the present invention provides a method and a system for checking a patient's disease name, by which the patient's disease name can be easily checked and data for checking can be easily created. The purpose is to do.

[0014]

In order to solve the above-mentioned problems, the method according to the invention of claim 1 provides various medical care contents RD with respect to various medical care contents RD as shown in FIGS. 1 to 6. Character string R representing the corresponding disease name or part of the disease name
SK is registered in the disease name check file 42, and for the patient CAS who has been treated, the character string RSK corresponding to the medical care content RD of the patient CAS is searched from the disease name check file 42, and the SK of the patient CAS Disease name SK
It is checked whether or not the character string RSK retrieved from the disease name check file 42 is included in the character string.

In the method according to the second aspect of the present invention, various disease names SK are registered in advance in the disease name file 44, and the disease name corresponding to the character string RSK is selected from the disease names SK registered in the disease name file 44. SK and disease name SK of the patient CAS are selected.

In the method according to the third aspect of the present invention, the medical care content RD is the drug RDm given to the patient CAS. In the system according to the invention of claim 4, a disease name check file 42 in which a character string RSK representing a disease name or a part of a disease name corresponding to the medical care content RD is registered, the medical care content RD instructed to the patient CAS, and A medical care order file 41 storing a check flag CHF indicating whether or not the medical care content RD is registered in the disease name check file 42.
The patient disease name file 43 storing the disease name SK of each patient CAS, and the medical care content RD registered in the disease name check file 42 of the medical care content RD stored in the medical care order file 41, Any character string R registered corresponding to the medical care content RD
SK is the patient C stored in the patient disease name file 43.
Means 3 for checking whether or not it is in the character string of the disease name SK of AS.

The system according to the invention of claim 5 is configured to have a means for preparing a medical treatment remuneration statement based on the patient disease name file 43 and the medical treatment order file 41.

[0018]

[Function] Regarding the patient CAS who received medical treatment, the patient C
The character string RSK corresponding to the medical care content RD of AS is searched from the disease name check file 42. It is checked whether or not the retrieved character string RSK is in the character string of the disease name SK of the patient CAS.

When there are a plurality of character strings retrieved for one medical care content RD, any one of those character strings R is searched.
It is checked whether the SK is in the disease name SK. If the result of the check is that there is no character string RSK, for example, a message to that effect is displayed on the screen.
K is input.

[0020]

DESCRIPTION OF THE PREFERRED EMBODIMENTS FIG. 1 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, 4 operated by a doctor or a nurse, an accounting department, an inspection department, a pharmacy,
Terminal devices 5 and 5 dedicated to medical departments, etc.
It consists of ...

A medical database 40 including a medical order master 41, a disease name check master 42, a patient disease name database 43, and a disease name master 44 is constructed in the host computer 3 by the data input from the terminal devices 4 and 5. The data or file is transferred to the terminals 4 and 5 as necessary, and the contents thereof are displayed on the screen or printed.

FIG. 2 is a block diagram showing an example of the configuration of the terminal device 4. The terminal device 4 includes a processing unit 11 and a display surface 12.
a display section 12 having a, a keyboard 13, a mouse 14,
It is composed of an external memory 15 such as a hard disk device and a magnetic card reader (not shown).

The processing unit 11 is provided with a memory 21 used as a work area or the like. The processing unit 11 is
Based on the input from the keyboard 13 or the mouse 14,
In addition, based on the data stored in the external memory 15 or the data transferred from the host computer 3, the display unit 12
Processing for displaying necessary information, processing for instructing a medical order for a patient, processing for outputting a receipt, processing for checking a patient's disease name, and other various processing. Note that these functions may differ depending on the terminal devices 4 and 5.

On the display surface 12a of the display unit 12, a screen for inputting a medical care order for a patient, a screen for displaying a message of a check result, and various other screens are displayed based on the operation of the keyboard 13 or the like. . Further, the display surface 12a displays the function assigned to a specific key of the keyboard 13.

The keyboard 13 includes keys to which various functions such as "cursor movement", "input", "end" and "execute" are assigned. It is also possible to input with the mouse 14 instead of these keys.

Various files or tables are created in the external memory 15 based on various data transferred from the medical database 40 of the host computer 3.
FIG. 3 is a diagram showing a part of the contents of the medical care order master 41.

The medical care order master 41 stores the medical care contents RD instructed to the patient CAS. The medical care content RD includes types such as medicine (prescription), inspection, and meal. For each medical care content RD, a check classification (check flag) CHF indicating whether or not it is registered in the disease name check master 42 is stored.

In FIG. 3, patient CA of "Taro Osaka"
A check flag CHF indicates that S is instructed to prescribe “Eski OO” and “Arina OO” and that “Eski OO” is registered in the disease name check master 42. There is.

FIG. 4 is a diagram showing a part of the contents of the disease name check master 42. In the disease name check master 42, a character string representing a disease name or a part of the disease name corresponding to the medical care content RD is registered as a related disease name RSK. The character strings registered here are the disease name SK and 1 registered in the disease name master 44.
There is no need for a one-to-one correspondence.

For example, for "lung cancer", "stomach cancer", "large intestine cancer", "liver cancer", etc., it is not necessary to register the disease name SK as it is, and "cancer" common to them is necessary.
Alternatively, “cancer”, “cancer”, etc. may be registered. In this example, the medicine name RDm is shown as the medical care content RD, and “cancer”, “cancer”, “cancer”, and “tumor” are indicated for “Esuki”.
The character string of is registered.

FIG. 5 is a diagram showing a part of the contents of the patient disease name database 43. In the patient disease name database 43,
The disease name SK and its date DTE for each patient CAS are registered. In this example, patient CA of "Taro Osaka"
About S, disease name S of "acute gastritis""constipation""stomachcancer"
K is registered.

FIG. 6 is a diagram showing a part of the contents of the disease name master 44. The disease name master 44 is a registration of all disease names SK used in the medical care support system 1.
From the disease names SK registered in the disease name master 44, the character string registered as the related disease name RSK of the disease name check master 42 and the disease name SK registered in the patient disease name database 43 are selected.

Next, the disease name check process will be described with reference to the flowchart. FIG. 7 is a flowchart showing the disease name check process. First, medical care order master 4
Of the medical care contents RD stored in 1, the check flag C
For the medical care content RD whose HF is “1”, the character string of the related disease name RSK is searched from the disease name check master 42 (# 11).

In this example, the character strings of "cancer", "cancer", "cancer", and "tumor" for "Eski" are searched. Then, it is checked whether or not any of the searched character strings is in the character string of the disease name SK of the patient CAS stored in the patient disease name database 43 (# 12).

In this example, since there is a retrieved "cancer" character string in "stomach cancer" which is the current disease name SK for the patient CAS (Yes in # 13), the check result is "OK." It will be. If there is no character string (No in # 13), it means that the disease name SK of the patient CAS is leaked, and a message for prompting the input of the disease name SK is displayed on the display surface 12a (# 14).

Therefore, when such a message is displayed, the drug name RDm given to the patient CAS is displayed.
By checking the disease name SK again and inputting the necessary disease name SK in the case of omission of the disease name SK,
It is possible to accurately input all disease names SK corresponding to the medical care content RD for the patient CAS. Therefore, the accurate disease name SK is printed on the receipt.

According to the above-described embodiment, the disease name of the patient CAS can be easily checked. Moreover, the character string of the related disease name RSK of the disease name check master 42 does not need to correspond to the disease name SK registered in the disease name master 44 on a one-to-one basis, and a large number of disease names SK can be represented by a simple character string. Therefore, it is not necessary to extract all disease names SK corresponding to the drug name RDm, and the disease name check master 42 can be easily created.

Therefore, it is possible to check the disease name SK, which was difficult to realize in the past, with a small amount of work, and it is possible to substantially improve the checking effect. Moreover, the general medicine name RDm (medical care content RD), for which the check effect is not so expected, is not registered in the disease name check master 42 and is not checked by the check flag CHF, so that the disease name check master 42 is created. Further simplification and reduction of check time can be achieved.

As a result, in the case of a special drug such as the above-mentioned anti-cancer drug, the price is high, and if the overdose is not paid due to the omission of the disease name SK, the management is put under pressure. However, the risk can be efficiently reduced. Also, its side effects are quite strong, so
Checking is also preferable from a medical point of view.

In the above-described embodiment, it is not always necessary to refer to the disease name master 44 when registering the related disease name RSK. For example, “leukemia” may be registered as the related disease name RSK of “Eski ◯◯”. Medical treatment content RD
As an example, the case of the drug name RDm has been described as an example, but inspections, meals, and the like may be checked.
The disease name check process can be executed by the host computer 3 or the respective terminal devices 4, 5.

In the above-described embodiment, the structure of the medical database 40, the medical order master 41, the disease name check master 42, the patient disease name database 43, the content or structure of the disease name master 44, the processing contents in the processing unit 11, the processing order, and the host. The configurations of the computer 3 and the terminal devices 4 and 5 can be variously modified other than those described above in accordance with the gist of the present invention.

[0043]

According to the present invention, the disease name of a patient can be easily checked, and the data for checking can be easily created.

According to the invention of claim 2, it is easy to select a disease name or a character string. According to the invention of claim 3, an expensive drug is prevented from being over-medicated due to omission of the name of the disease, and it also serves as a trigger to recheck a drug having a strong side effect.

According to the invention of claim 5, an accurate medical treatment fee statement is prepared based on the checked contents.

[Brief description of drawings]

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

FIG. 2 is a block diagram showing an example of a configuration of a terminal device.

FIG. 3 is a diagram showing a part of the contents of a medical order master.

FIG. 4 is a diagram showing a part of the contents of a disease name check master.

FIG. 5 is a diagram showing a part of the contents of a patient disease name database.

FIG. 6 is a diagram showing a part of the contents of a disease name master.

FIG. 7 is a flowchart showing a disease name check process.

[Explanation of symbols]

 1 Medical Support System 3 Host Computer (Means to Check) 4,5 Terminal Device (Means to Check) 41 Medical Order Master (Medical Order File) 42 Disease Name Check Master (Medical Name Check File) 43 Patient Disease Name Database (Patient Disease Name File) 44 Disease Name Master (disease name master) RD medical treatment contents RDm drug name (medicine) RSK related disease name (character string) CAS patient CHF check flag

Claims (5)

[Claims] 1. With respect to various medical treatment contents (RD), a disease name check file (42) is provided with a character string (RSK) representing a disease name or a part of the disease name corresponding to each medical treatment content (RD).
For the patient (CAS) who has undergone medical treatment, search for the character string (RSK) corresponding to the medical care content (RD) of the patient (CAS) from the disease name check file (42). It is checked whether or not there is a character string (RSK) retrieved from the disease name check file (42) in the character string of the disease name (SK) of the patient (CAS). How to check the disease name. 2. The check method according to claim 1, wherein various disease names (SK) are registered in advance in a disease name file (44), and the disease names (SK) are registered in the disease name file (44). , Disease name (SK) corresponding to the character string (RSK)
And a method for checking a patient's disease name, which comprises selecting the patient's (CAS) disease name (SK). 3. The method for checking a disease name of a patient according to claim 1, wherein the medical care content (RD) is a drug (RDm) given to the patient (CAS). 4. A disease name check file (42) in which a character string (RSK) representing a disease name or a part of the disease name corresponding to the medical care content (RD) is registered, and the medical care content instructed to the patient (CAS). (RD),
And a medical care order file (41) storing a check flag (CHF) indicating whether or not the medical care content (RD) is registered in the disease name check file (42), and a disease name (for each patient (CAS) ( About the patient disease name file (43) storing the SK) and the medical care contents (RD) registered in the disease name check file (42) of the medical care contents (RD) stored in the medical care order file (41) , Any one of the character strings (R
SK) is included in the character string of the disease name (SK) of the patient (CAS) stored in the patient disease name file (43), and a means (3) for checking whether or not Characteristic patient name check system. 5. The check system (1) according to claim 4, further comprising means for preparing a medical treatment fee statement based on the patient disease name file (43) and the medical treatment order file (41). A system for checking the patient's disease name.