KR100390128B1 - System for aiding to make medical care schedule, and program storage device readable by the system - Google Patents

Abstract

The present invention discloses a system (1) that supports the preparation of a medical plan. The system includes (i) medical action data indicating any one of a plurality of preset medical actions, and (ii) setting sequence information for setting at least a relative execution time for a plurality of medical actions forming a series of medical plans. It includes a plurality of object files 21 to be included. The system also provides a predetermined time according to the setting order information included in the plurality of object files each including a plurality of medical action data indicating a plurality of designated medical actions when a plurality of medical actions constituting a series of medical plans are designated. And a processing device 4 for setting at least relative execution timings of the specified plurality of medical activities on the axis. The system also includes a display device for displaying a plurality of medical action data, each representing a plurality of medical actions at least in which the execution time is set by the processing device, in such a predetermined format for arranging medical actions in an order of execution time respectively. do.

Description

MEDICAL CARE SCHEDULE, AND PROGRAM STORAGE DEVICE READABLE BY THE SYSTEM}

The present invention is directed to a new system for assisting or guiding a medical care person, such as a doctor, nurse, pharmacist, health care worker, etc. to create a medical plan. The invention also relates to a computer readable program storage device for causing a computer to function as the support system.

Typically, when a patient comes to the hospital as an outpatient or is taken by an ambulance with cardinal symptom (eg, major symptom of the stage) such as headache, nausea or vomiting, tinnitus, abdominal pain, etc. The surgeon then makes an observation or examination of this patient. The doctor then writes in his mind a medical plan for testing, medical services, hospitalization, surgery, and medication administration. In addition, a medical plan or plan for a patient, such as, for example, the plan and content of an examination and drug treatment, a surgical plan and content, a postoperative treatment or consultation plan and content, etc., is referred to as an "instruction table". Such a plan can be prepared by recording on a dedicated sheet.

Recently, as described in Japanese Patent No. 2706645 (Japanese Patent Application Laid-open No. 9-185651), which also corresponds to US Patent Application No. 08 / 746,175, filed by the applicant of the present application, various kinds of medical treatments are described. Such a medical plan may be created on a table displayed on a computer screen in a form arranged in a first row for a kind of medical activity and in a second row at a position perpendicular to the first row for each date. That is, on the medical plan table displayed by executing a program called "care map" (registered trademark in Japan, and this type of medical planner is sometimes referred to simply as "care map" in some cases). The medical plan can be prepared by filling each item in the care map according to the doctor's diagnosis or findings. More specifically, a medical planner such as a doctor sets a medical item related to the patient as an item constituting the longitudinal axis (first row) of the table, and also sets an appropriate time period during which the medical action belonging to each setting item is executed. Create a frame of the care map by setting it to be assigned to a date constituting the second row). In addition, the medical planner inputs the medical action to be executed in each frame of the corresponding date and item in the care map (hereinafter, each frame of the table is sometimes referred to as a "cell"). Next, the performance or result data remains as confirmation data in each cell of the care map instead of the plan data after the planned medical action is executed. In other words, the plan data is displayed together with the performance or result record data in the care map.

In particular, data related to each cell (or each item) in the care map at each terminal is shared by the hospital personnel such as doctors, nurses, pharmacists, and the like who actually execute the care planning according to the care map described above. You can work with each other, such as entering and modifying the plan, to create or execute a medical plan with little loss, while appropriately adjusting or modifying the medical plan.

However, according to the Care Map described above, especially in the field of today's complex medical care, many medical activities and / or multiple medical resources are interrelated in a complex way, thus limiting meals, medical care, overhaul, diagnosis, surgery, rehabilitation. interrelationships between medical practices such as rehabilitation (ie what kind of medical practice must be performed on a particular date or at a specific time to perform a medical action at a specific date or time) It is difficult to draw up the medical plan properly or quickly unless you are a veteran or seasoned professional who knows the interrelationship of

In addition, when one medical act date, such as a medical examination, is changed or additional special medical treatments requiring extra time are executed, the planned date is changed for a specific item in the care map. The date for other items to be executed later, the dates for other items to be executed before this particular item, such as other special care, the date for other items to be executed immediately before or after this particular item, such as meal restrictions or medication administration, should also be changed. .

That is, it is easy for a veteran doctor or a seasoned specialist to enter each item in a care map on a computer screen, but when changing a part of a medical plan consisting of a plurality of items determined once, other items related to the part to be changed. There is also a problem that is very inconvenient because it must be re-entered. For example, if an emergency patient comes in due to a traffic accident or does not fit the doctor's plan, a number of other items must also be changed by changing the date for one item or only a minor change in the content of the medical activity, such as the type of drug. This problem is very important because there are many cases. In particular, in hospitals that handle a large number of critically ill or urgent patients, life-threatening events can occur if these tasks or tasks of creating a medical plan are not executed quickly. Thus, since a veteran doctor or a seasoned specialist has to spend a lot of time and effort on the task or task of changing the medical plan itself, there is a shortage of valuable medical resources correspondingly.

Accordingly, it is an object of the present invention to provide a medical plan preparation support system and a computer that can assist or guide a medical planner such as a doctor, nurse, etc. to easily and quickly create an appropriate medical plan to function as a medical plan preparation support system. It is to provide a program storage device.

1 is a block diagram showing the configuration of a medical plan preparation support system according to a first embodiment of the present invention.

2 is a plan view showing an example of a table outputted from an image according to the first embodiment.

FIG. 3 is a plan view showing an example of a list outputted by the first embodiment. FIG.

4 is a conceptual diagram showing the configuration of an object file constructed in a storage device in the first embodiment;

FIG. 5 is a plan view showing an input screen in the case where a target file is referred to, a new input or a change is made in the first embodiment;

FIG. 6 is a flowchart showing an operation of creating and displaying a table of FIG. 2 or a list of FIG. 3 using a plurality of object files in the first embodiment; FIG.

FIG. 7 is a conceptual diagram of an operation of creating and displaying the table of FIG. 2 using a plurality of object files in the first embodiment; FIG.

FIG. 8 is a conceptual diagram of an operation of creating and displaying a list of FIG. 3 using a plurality of object files in the first embodiment; FIG.

Fig. 9 is a flowchart showing an operation of changing a plan using a plurality of object files in the first embodiment.

FIG. 10 is a conceptual diagram of an operation of changing a plan while the table of FIG. 2 is displayed using a plurality of object files in the first embodiment; FIG.

11 is a plan view showing another example of a table outputted in the first embodiment.

12 is a plan view showing another example of a table outputted from an image according to the first embodiment.

Fig. 13 is a plan view showing another example of a table outputted in the first embodiment.

14 is a plan view illustrating another example of a table outputted in the first embodiment.

Fig. 15 is a plan view showing an example of a decision tree outputted by the second embodiment of the present invention.

Fig. 16 is a plan view showing another example of the decision tree outputted in the second embodiment.

FIG. 17 is a conceptual diagram of an operation of creating and displaying the decision tree of FIG. 15 using a plurality of object files in the second embodiment; FIG.

18 is a conceptual diagram of an operation of changing a plan while the decision tree of FIG. 15 is displayed using a plurality of object files in the second embodiment;

Fig. 19 is a block diagram showing the construction of a medical plan preparation support system according to a third embodiment of the present invention.

Fig. 20 is a conceptual diagram showing the principle of operation of the medical plan preparation support system of the fourth embodiment of the present invention.

21 is another conceptual diagram showing the operating principle of the fourth embodiment;

Figure 22 illustrates the functionality of the medical navigation system of the embodiments.

In the following, the term "object file" is not a term defined according to the type of data (for example, an object file generated in the process of making a source program an executable program), but simply an object or an object. Means that the file is about. In the present invention, the "purpose file" is a file consisting of data including medical behavior data and setting order information. In addition, the data recorded in the "purpose file" may be any type of data (for example, numerical data, character data or symbol data) as long as it can be recognized by the computer. It can be achieved by a supporting first system. The first system is configured to set at least a relative execution time for (i) medical behavior data representing any one of a plurality of preset medical practices and (ii) a plurality of medical activities constituting a series of medical plans. A plurality of object files each containing order information; When a plurality of medical activities constituting a series of medical plans are designated, they are arranged on a predetermined time axis in accordance with setting order information included in each of a plurality of object files including a plurality of medical activity data representing a plurality of designated medical activities. A processing device for setting at least a relative execution time of the designated plurality of medical activities; And a display device for displaying a plurality of medical action data each representing a plurality of medical actions at least in which the execution time is set by the processing apparatus in such a predetermined format in which the medical actions are arranged in the order of execution time respectively.

According to the first system, each object file includes medical behavior data and setting sequence information. When creating a medical plan, the medical activities that make up a series of medical plans are designated one by one by an input device such as a keyboard, mouse, etc. by a medical planner, such as a doctor, or a memory, such as a hard disk, floppy disk, or the like. By the input operation through the device, it is designated at one time in correspondence to the disease name, patient attributes, and the like. Thereafter, at least a relative execution time for the designated medical action is set on the predetermined time axis in accordance with the setting order information contained in each of the plurality of object files by a processing device such as a CPU (central processing unit) or the like. Here, "at least relative time of execution" refers to the relative date after a few days or days after the specific or absolute date at which the relevant medical practice is carried out, for example X year, Y month, Z day or hospitalization date, surgery, etc. Can mean. When the execution timing is set in this manner, the plurality of medical behavior data respectively representing the medical behaviors are displayed in this predetermined format in which the medical behaviors are each arranged in the execution timing order such as the schedule list, the plan list, and the like.

In this way, when a medical planner such as a doctor executes an operation for specifying a plurality of medical activities constituting a series of medical plans without specifying the execution time, at least the relative execution time is in accordance with the setting order information contained in the object file, respectively. It is set automatically, and the medical care data is displayed in a predetermined format based on these execution times set automatically. Therefore, even when a plurality or multiple medical activities complicated by each other constitute a series of medical plans, the medical plan can be easily and quickly provided that the front and back relationship and the time-base relation between the plurality or multiple medical activities are appropriately defined. Can be written. Therefore, it is very convenient because the medical planner does not require knowledge of the timing of execution, since an inexperienced medical planner can easily and quickly create an appropriate medical plan. When a plurality of medical actions are newly designated by adding, changing, and / or deleting medical actions for a plurality of medical actions that constitute a series of medical plans, the execution time of each medical action is set order information contained in the object file. Is set automatically. Thus, it is also very convenient because the medical planner does not have to perform these cumbersome and time-consuming operations of shifting the execution time of the individual medical actions one by one.

In one feature of the first system, the system adds an input device that specifies a virtual patient with a particular disease or a future medical action for a particular patient as a plurality of medical actions that constitute a series of medical plans. It includes.

According to this system, when creating a medical plan, a plurality of medical activities that constitute a series of medical plans by a medical planner, such as a doctor, are to be performed in the future for a virtual patient or a specific patient having a specific disease. Is specified. Thus, it is possible to create an optimal medical plan for a particular patient or a virtual patient with a particular disease.

In this system, the input device is suitable for at least partially changing the medical action and / or execution time while the medical action data is displayed in a predetermined format by the display device, and the processing device is configured in the setting order. The execution time of each medical action after the change by the input device is reset according to the information, and the display device displays medical action data indicating each medical action after the change in the predetermined format.

According to this system, while medical care data is displayed in a predetermined format, the medical care and / or execution time is at least partially changed by the input device. Thereafter, the processing apparatus resets the execution time of each medical act after the change by the input apparatus in accordance with the setting order information. In addition, the medical device displays medical action data indicating each medical action after the change in a predetermined format. Therefore, in the case of making a change to a plurality of medical actions constituting a series of medical plans, the necessity of changing not only the medical action directly changed according to the setting procedure information included in the object file, but also the execution time corresponding to the change. The timing of the execution of other medical activities that are present is automatically reset. As a result, the medical planner does not have to perform the hassle and time-consuming task of changing the execution time of each set medical care once a part of the medical plan is changed.

In another aspect of the first system, the processing apparatus generates, respectively, execution time data indicating the set execution time for the object file, the object file stores the generated execution time data, respectively, and the display device replaces the set execution time or In addition to the execution time, the medical care data is displayed in a predetermined format based on the execution time indicated by the stored execution time data.

According to this system, execution time data indicating execution time set by the processing apparatus is respectively generated and stored for the object file. In addition, the medical care data is displayed in a predetermined format by the display device based on the execution time indicated by the execution time data stored in the object file instead of or in addition to the execution time set by the processing device. Therefore, once the execution time setting operation is performed, the medical care data can be displayed in a predetermined format by the display device based on the execution time data stored in the object file unless there is a change in the medical plan. In addition, even when a change is added to the medical plan, the medical care data can be displayed in a predetermined format by the display device based on the execution time data stored once by the previous setting operation and stored in the object file. In addition, it is also easy to add a change to the medical plan created once on this display screen.

In this aspect, the system stores a data set comprising a plurality of object files including a plurality of medical file data representing a plurality of medical behaviors constituting a series of medical plans, correlated with a patient code assigned to each patient. Further comprising a storage device, wherein the input device is suitable for designating a data set corresponding to the patient code by designating the patient code, wherein the display device is predetermined based on execution time data and medical behavior data included in the designated data set. Display medical behavior data in a format.

According to this system, a data set including a plurality of object files including a plurality of medical action data representing a plurality of medical actions constituting a series of medical plans is stored in the storage device in correspondence with the patient code. Then, by specifying the patient code by the input device, a data set corresponding to the patient code is specified. In addition, the medical care data is displayed in a predetermined format by the display device based on the execution time data and the medical care data included in the designated data set. Thus, once a medical plan has been created for a given patient, that is, a plurality of medical actions and the timing of its execution, the patient's medical plan is then stored by specifying a patient code assigned to that patient. It can be called from and displayed simply and quickly. Therefore, the operation | work which changes a medical plan can also be performed quickly.

According to another feature of the first system, the processing apparatus is executed in accordance with the setting order information when a plurality of medical action candidates that can be performed in the future instead of or in addition to the future medical action are designated. Instead, or in addition to the execution time, at least relative execution time candidates of the specified plurality of medical action candidates are set, and the display device replaces the medical action data each representing a plurality of medical actions in a predetermined format based on the set execution time candidate. Alternatively, in addition to the medical care data, a plurality of medical care data representing a plurality of medical care candidates is displayed.

According to this system, a plurality of candidates for future medical activities are optionally designated instead of or in addition to future medical activities. Thereafter, the processing apparatus sets at least a relative execution time candidate of the plurality of medical action candidates specified in this manner instead of or in addition to the execution time in accordance with the setting order information. In addition, the display apparatus displays a plurality of medical activity data each representing a plurality of medical activity candidates instead of or in addition to the medical activity data each representing a plurality of medical activities in a predetermined format based on the set execution time candidate. Thus, for example, in the initial stage of the medical plan, such as before the diagnosis is confirmed, when the medical plan is created, for example, when a disease or a disease state is unknown and there are various medical activities that may be performed in the future. Very convenient to

The object of the present invention can also be achieved by a second system that assists in the medical planning. The second system sets at least relative execution time for each of the (i) medical behavior data representing any one of a plurality of preset medical behaviors and (ii) a plurality of medical behaviors constituting a series of medical plans. A plurality of object files, each of which includes setting sequence information to be executed and (iii) execution time data indicating at least a relative execution time of each medical action represented by the medical action data on a predetermined time axis; A display device for displaying medical activity data indicating each medical activity at least in which execution time is set in a predetermined format in which each medical action is arranged in execution time order based on the execution time indicated by the stored execution time data; An input device capable of at least partially changing a medical action and / or execution time in a state where medical action data is displayed in a predetermined format by the display device; And a processing device for setting the execution time of each medical action after the change by the input device according to the setting sequence information included in the object file including the medical action data indicating the medical action after the change by the input device. The apparatus displays medical behavior data indicating each medical behavior after the change to a predetermined format based on the execution timing set by the processing apparatus.

According to the second system, the plurality of object files each include medical action data, setting sequence information, and execution time data indicating at least relative execution time of each medical action represented by the medical action data on a predetermined time axis. . In addition, based on the execution time indicated by the stored execution time data, the medical care data is displayed by the display device in a predetermined format. Therefore, when preparing a medical plan, first, a standard or institutional medical plan prepared in advance in response to, for example, a disease name or a patient attribute can be displayed. As described above, in the state where the medical care data is displayed in a predetermined format, the medical care and the execution time are at least partially changed by the input device. Thereafter, the execution time of each medical action after the change is set by the processing device such as the CPU in accordance with the setting procedure information. In addition, the medical device displays medical action data indicating each medical action after the change in a predetermined format. Therefore, when a change including addition, deletion, etc. is made to a plurality of medical acts constituting a standard or institutional medical plan prepared in advance, execution time for each medical act according to the setting procedure information included in the object file. Is set automatically. This makes it possible for a medical planner to create an individual medical plan for a particular patient by, for example, making some changes based on a standard medical plan prepared for each disease name and patient attribute in advance. In addition, it is possible to easily and quickly create an appropriate medical plan since there is no need for troublesome and time-consuming work such as shifting the execution time of each displayed medical action one by one.

In an aspect of the second system, the input device is suitable for designating a data set including a plurality of object files including a plurality of medical activity data representing a plurality of medical activities constituting a series of medical plans, wherein the display device is The plurality of medical care data included in the designated data set is displayed in a predetermined format based on the plurality of execution timing data included in the data set designated by the input device.

According to this system, a data set including a plurality of object files including a plurality of medical action data representing a plurality of medical actions constituting a series of medical plans is designated by the input device. Thereafter, the plurality of medical care data contained in the designated data set is displayed by the display device in a predetermined format based on the plurality of execution timing data included in the designated data set. Thus, for example, a standard or institutional medical plan prepared in advance by disease name, patient attribute, or the like can be quickly displayed.

With this feature, a disease code assigned to each disease among a plurality of types of diseases preset for the data set is respectively given, and the input device is suitable for specifying a data set corresponding to the disease code by specifying the disease code. Do.

According to this feature, a disease code is assigned to each data set. Further, by designating this disease code by the input device, a data set corresponding to this disease code is specified. Thereafter, the plurality of medical care data contained in the plurality of object files constituting the designated data set are displayed by the display device in a predetermined format. Therefore, if you create a medical plan for one patient, you can first quickly display a standard or institutional medical plan that corresponds to the patient's disease (eg myocardial infarction, hepatitis, stomach cancer, cerebral infarction, etc.). Based on this, plan preparation work can be performed efficiently.

Alternatively to this feature, a patient attribute code assigned to each patient attribute of a plurality of preset patient attributes including at least a major symptom is assigned to the data set, respectively, and the input device assigns the patient disease code to the patient. It is suitable for specifying a data set corresponding to an attribute code.

According to this system, patient attribute codes are assigned to data sets, respectively. In addition, by specifying the patient attribute code by the input device, a data set corresponding to the patient attribute code is specified. Thereafter, the plurality of medical care data contained in the plurality of object files constituting the designated data set are displayed by the display device in a predetermined format. Therefore, when creating a medical plan for a patient, first establish a standard or institutional medical plan that corresponds to the patient's patient attributes (e.g., gender, age, constitution, vital signs, etc., in addition to the primary signs). Because they can be displayed quickly, you can use this as your basis for efficient planning.

Alternatively to this feature, alternatively, a patient code assigned to each patient is assigned to the data set, and the input device is suitable for specifying a data set corresponding to the patient code by specifying a patient code.

According to this system, each patient code is assigned to a data set. In addition, by specifying the patient code by the input device, a data set corresponding to the patient code is specified. Thereafter, the plurality of medical care data contained in the plurality of object files constituting the designated data set are displayed by the display device in a predetermined format. Therefore, when creating a medical plan for one patient, it is possible to quickly display a medical plan that has previously been made for a patient or a medical plan that has been performed on a similar patient. I can do it.

In another aspect of the second system, the object file includes setting order information for setting at least relative execution time candidates of the plurality of medical action candidates, which may be separately or in the future instead of or in addition to the execution time, The file stores execution time candidate data representing execution time candidates instead of or in addition to the execution time data, and the display device replaces or executes the medical activity data each representing a plurality of medical actions in a predetermined format. In addition to the data, a plurality of medical action data respectively representing a plurality of medical action candidates are displayed, and the input device displays the medical action data in a predetermined format, instead of the medical action and the execution time, or the medical action and the execution time. In addition to candidates for medical action and when The processing apparatus is suitable for changing the beam, and the processing apparatus is added instead of or at the execution time in accordance with the setting order information included in the object file including medical activity candidate data indicating each medical activity candidate after the change by the input device. By setting an execution time candidate of each medical action candidate after the change by the input device, and the display device replaces or adds to the medical action data each representing a plurality of medical actions in a predetermined format, and then the medical action candidate after the change. Display the medical activity data indicating a.

According to this system, execution time candidate data representing execution time candidates is stored in the destination file instead of or in addition to the execution time data. In addition, a plurality of medical action data each representing a plurality of medical action candidates is displayed in a predetermined format by the display device instead of or in addition to the medical action data indicating each of the plurality of medical actions. As described above, in the state where the medical behavior data is displayed in a predetermined format, the medical behavior candidate and the execution timing candidate are changed by the input device instead of or in addition to the medical behavior and the execution timing. Thereafter, the processing apparatus sets the execution timing candidates of the respective medical action candidates after the change by the input apparatus instead of or in addition to the execution timing in accordance with the setting order information. In addition, the display device displays, in addition to or instead of the medical action data indicating the plurality of medical actions, the medical action data indicating the candidate for the medical action after the change in a predetermined format. Thus, for example, in the initial stage of the medical plan, such as before the diagnosis is confirmed, when the medical plan is created, for example, when a disease or a disease state is unknown and there are various medical activities that may be performed in the future. Very convenient to

As another feature of the second system, the processing apparatus generates execution time data representing the set execution time for the object file, respectively, and the object file updates the stored contents by the generated execution time data.

According to this system, execution timing data are generated for the object file, respectively, by the processing apparatus. In addition, the stored contents of the object file are updated by the generated execution time data. Therefore, the next time the medical plan is displayed, the latest one can be displayed with respect to the contents of the object file.

In another aspect of the second system, the display device displays the medical behavior data indicating the medical behavior whose execution timing has changed among the plurality of medical acts after the change in a display manner different from the medical behavior data indicating the medical behavior whose execution timing has not changed. .

According to this system, the medical behavior data indicating the medical behavior whose execution timing has changed is displayed by the display device in a different display form from the medical behavior data indicating the medical behavior whose execution timing has not changed. Alternatively, a predetermined mark indicating "change in execution time" may be attached to the medical behavior data displayed on the screen. Here, " different display forms " means displays having different colors, brightness, density, and the like. For example, a change is indicated by a red letter, and a change is indicated by a black letter. Therefore, the execution time is automatically set, and the medical plan creator can reliably recognize and confirm on the display screen the medical action data indicating the medical action whose execution time is changed in accordance with the change operation by the input device.

As another feature of the first or second system, the input device can change the setting order information, and the processing device sets the execution time in accordance with the setting order information changed by the input device.

According to this system, when the setting order information included in each object file is changed by the input device, the execution time is set by the processing device according to the setting order information changed by the input device. Therefore, the medical planner can modify the setting sequence itself by the processing apparatus according to their experience or preference. For example, modifications may be made to the timing of administering a particular agent after a particular surgery.

In another aspect of the first or second system, the predetermined format is a medical planner with at least one unit of time representing the date and at the same time the type of medical activity on another axis.

According to this system, the medical care data is displayed by the display device in the format of a medical planner having at least one time unit representing a date as one axis and the kind of medical care as another axis. Here, the term "at least a date" may include hours, minutes, weeks, etc. in addition to the date. In addition, the "type of medical care" includes, for example, a doctor or nurse record, treatment, injection, examination, attendance, evaluation, medication, meal, activity restriction, observation, rehabilitation, coordination, hospital discharge, and patient. It means family education. Therefore, as shown by the present invention, a medical schedule similar to the conventional "care map" mentioned above can be automatically set when the execution of each medical act on the medical schedule is performed.

In another aspect of the first or second system, the predetermined format is a list in which a plurality of medical actions at which execution times are set are arranged in execution time order regardless of the type of each medical action.

According to this system, the medical care data is displayed by the display device in the form of a list in which a plurality of medical care in which the execution time is set is arranged in the order of execution time without depending on the type of each medical action. Therefore, it is possible to automatically set the execution time of each medical act on the medical plan list while displaying the medical plan list.

With the aforementioned features of the first or second system, the predetermined format is stored and displayed in the format of a decision tree in which a plurality of medical action candidates that can be selectively executed are arranged in the execution time candidate order.

According to this system, the medical care data is displayed by the display device in the format of a decision tree in which a plurality of medical care candidates which are to be selectively executed are arranged in the execution time candidate order. Therefore, it is possible to automatically set the execution time of each medical action candidate on the decision tree while displaying a decision tree indicating the presence of a plurality of candidates.

In another aspect of the first or second system, the setting order information corresponding to one medical action data may include a medical action indicated by one medical action data on the basis of the termination or initiation of the medical action indicated by the other medical action data. And front and rear relationship prescribed data which respectively define at least a relative front and rear relationship of the time to be performed.

According to this system, the execution time at which the medical act represented by one medical act data is performed on the basis of the end or the start of the medical act represented by the other medical act data according to the context relation data is set by the processing apparatus.

In another aspect of the first or second system, the setting order information corresponding to one medical action data may include a medical action indicated by one medical action data on the basis of the termination or initiation of the medical action indicated by the other medical action data. It includes time range specification data, each defining an executable time range.

According to this system, the processing time is set by the processing apparatus in which the medical act represented by one medical act data is performed on the basis of the end or the start of the medical act represented by another medical act data according to the time range definition data.

In another aspect of the first or second system, the setting order information includes execution frequency definition data that respectively defines the execution frequency of each medical action.

According to this system, the execution time at which the medical treatment represented by each medical treatment data is performed in accordance with the execution frequency definition data is set by the processing apparatus.

As another feature of the first or second system, each object file includes change intimation data informing the other object file of a change in the execution time when the medical action data included in each object file is changed. and additionally the delivery order information for transmitting the data), and when the execution time is changed, the processing device transmits the change delivery data to the other object files in accordance with the delivery order information, and is included in the other object files. Reset the execution time according to the information.

According to this system, when the execution time of the medical care data contained in each object file is changed, the change master data is delivered to the other object files according to the order of delivery information by the processing apparatus, respectively. Upon receiving this, the execution timing is reset according to the setting order information included in the other object file. Therefore, when the execution time of the medical act related to one object file is changed, it can also be reset automatically and quickly also about the execution timing of the some medical act which comprises a series of medical plans with this.

In another aspect of the first or second system, the input device is suitable for specifying at least a date for which at least one medical action of the plurality of future medical actions is to be performed, wherein the processing device is a date designated by the input device. A plurality of execution times are set at least in units of days based on.

According to this system at least a date at which at least one medical action is to be performed by the input device is specified. Thereafter, based on this date, a plurality of execution timings are set at least in units of days by the processing apparatus. That is, each execution time is set in absolute time units, such as X year, Y month, and Z day, and the display in the display device is also performed in this date unit.

Another feature of the first or second system is further provided with an alarm device for generating an alarm when a plurality of set execution times are inconsistent with each other or when execution times that do not contradict each other cannot be set.

According to this system, when the execution time is set by the processing device, when the set execution times are inconsistent with each other or when the execution time that does not contradict each other cannot be set, an alarm is generated by the alarm device. More specifically, an alarm message is output on the display screen of the display device, and the alarm message is output by the synthesized voice. Therefore, the medical planner can quickly recognize the fact that a medical plan is created which is not actually executable by the automatic setting according to the setting order information.

As another feature of the first or second system, the system includes two units connected via a communication line, the plurality of object files are provided in one unit, and the display device is provided in the other unit.

According to this system, the plurality of object files provided in one unit and the display device provided in the other unit are connected via communication lines such as wired, wireless, dedicated line, general line, and telephone line. Therefore, a configuration in which a plurality of object files are provided in a large-scale storage device installed in one unit as one unit as a central unit, and one or more other units as another terminal unit as a terminal device is adopted. A plurality of terminal devices can simultaneously share data. In addition, the input device may be provided in another unit (that is, the terminal device) similarly to the display device. The processing apparatus may be provided in one unit or in another unit.

In another aspect of the first or second system, the predetermined format is a medical planner with at least one unit of time representing a date and a kind of medical activity on another axis, each object file being different from each object file. It includes multiple correlation information that indicates multiple correlations between the individual types or types of axes and indicates the priority of the multiple correlations, and the processing device according to the multi-correlation information, each type and purpose set on the other axis in the displayed medical planner. Correlate files.

According to this system, when the medical care data is displayed in the format of the medical schedule, the object file is correlated with each type of the displayed medical schedule according to the multiple correlation information included in each object file. Thus, each object file is associated with an appropriate axis of the table such that medical behavior data contained within each object file can be displayed on the appropriate axis of the table. Even if the most appropriate kind of medical practice is not in the table above, the object file may be related to a satisfactory axis according to the priority number in the multi-correlation information so that the medical behavior data can be displayed in the medical planner.

In another aspect of the first or second system, the predetermined format is a medical planner with at least one time unit representing a date as the other axis and a type of medical practice on another axis, and the processing device is corresponding within the displayed medical planner. Remove each type or types without an object file from the other axis.

According to this system, medical behavior data is displayed in the format of a medical schedule, and each kind or types on another axis without a corresponding object file is removed (removed) from the displayed medical schedule. Thus, since there are no nonblank rows (e.g., no horizontal rows or lines) in the table, it is relatively easy to see the important or meaningful portions of the table in a screen having a limited size in the display device.

In another aspect of the first or second system, the predetermined format is a medical planner with at least one time unit representing a date as one axis and a type of medical practice on another axis, wherein the processing unit is configured as indicated above on one axis. Remove dates or dates that do not have a corresponding object file in the planner.

According to this system, when the medical care data is displayed in the format of the medical schedule, the time unit of one axis is removed (removed) from the displayed medical schedule without the corresponding object file. Thus, since there are no non empty rows (e.g. no vertical rows or columns) in the table, it is relatively easy to see important or meaningful parts of the table in a screen with a limited size on the display device. have.

An object of the present invention is directed to a first program storage device readable by a medical plan preparation support system that tangibly implements a program consisting of instructions executable by a system performing a method for supporting medical plan creation. A system can be achieved, wherein the system establishes at least relative execution timing for each of a plurality of medical activities constituting a series of medical plans, and (ii) medical behavior data representing one of a plurality of preset medical activities. It includes a plurality of object files each containing setting sequence information for the purpose. This method process is based on a predetermined time axis in accordance with the setting order information contained in a plurality of object files each including a plurality of medical action data representing a plurality of designated medical actions when a plurality of medical actions constituting a series of medical plans are designated. Setting at least relative execution times of the plurality of designated medical activities in the phase; And displaying a plurality of pieces of medical activity data each representing a plurality of medical acts, each of which has been set in the setting step, in a predetermined format in which each medical act is arranged in order of execution timing.

According to the first program storage device of the present invention, such as a CD-ROM, a ROM, a DVD, a floppy disk, or the like, the first system of the present invention may be implemented to read and execute a program composed of instructions.

The object of the present invention can be achieved by a second program storage device readable by a medical plan preparation support system that tangibly implements a program consisting of instructions executable by a system performing a method process for supporting medical plan creation. The system has a setting sequence for setting at least a relative execution time for each of a plurality of medical activities constituting a series of medical plans, and (ii) medical activity data representing one of a plurality of preset medical activities. And a plurality of object files each containing information, and (iii) execution time data indicating at least a relative execution time of each medical action represented by the medical action data on the predetermined time axis.

The method process includes displaying a plurality of medical activity data each representing a plurality of medical activities each having at least an execution time set in a predetermined format in which each medical action is arranged in an execution time order based on the execution time indicated by the stored execution time data. ; At least partially changing a medical action and / or execution time while the medical action data is displayed in a predetermined format; Setting execution time of each medical action after the change according to the setting sequence information included in the object file including medical action data indicating the medical action data after the change; And displaying medical behavior data indicating each medical behavior after the change to a predetermined format based on the execution time set by the setting step.

According to the second program storage device of the present invention, such as a CD-ROM, a ROM, a DVD, a floppy disk, or the like, the second system of the present invention may be implemented to read and execute a program composed of instructions.

These and other benefits of the present invention will become apparent from the following detailed description of the preferred embodiments of the present invention when briefly referred to the accompanying drawings.

EMBODIMENT OF THE INVENTION Hereinafter, the Example of this invention is described based on drawing.

(I) First embodiment

1 is a block diagram of a medical plan preparation support system as a first embodiment of the present invention.

In FIG. 1, the medical plan preparation support system 1 is a hardware resource such as a personal computer, a workstation, a medium computer, a large computer, a portable computer (portable information terminal), an electronic notebook, a storage device 2, It comprises an input device 3, a processing device 4, a display device 5, a printer 6, a communication device 7, and a reading device 8.

The storage device 2 is composed of a well-known and accessible random storage device such as a hard disk device, an IC (integrated circuit) memory, a magnetic disk device, a magneto-optical disk device, and the like.

The storage device 2 includes medical action data indicating one of a plurality of types of medical actions set in advance, and setting sequence information for setting at least a relative execution time for each of the plurality of medical actions forming a series of medical plans. A plurality of object files 21 are logically constructed.

The input device 3 is a keyboard, a turnkey switch, a mouse, a trackball, an input pen, an input tablet, or the like, and can specify any position of an image displayed on the display device 5. In particular, the input device 3 is configured to be able to designate a plurality of medical actions constituting a series of medical plans and to input various other data or commands.

The processing apparatus 4 is comprised of a CPU (central processing apparatus) as an example of a processing apparatus, and includes a plurality of medical act data indicating a plurality of designated medical acts when a plurality of medical acts constituting a series of medical plans are designated. It is configured to set at least a relative execution time of a plurality of designated medical acts on a predetermined time axis in accordance with the setting order information included in each of the plurality of object files 21 to be described.

The display apparatus 5 is a well-known display apparatus, such as a CRT (cathode ray tube) apparatus and an LCD (liquid crystal display apparatus), and is especially comprised by the input apparatus 3 so that arbitrary positions on a screen can be specified. The display device 5 displays a plurality of medical action data each representing a plurality of medical actions at least in which execution time is set in a predetermined format in which each medical action is arranged in order of execution time.

Such a predetermined format for displaying medical care data is, for example, a format of a medical planner that has at least one time unit representing a date as one axis and a type of medical care as the other axis (for example, the United States). Care map as described in patent application 08 / 746,175). Here, "at least a date" means that it may include hours, minutes, weeks, etc. in addition to the date. In addition, the "type of medical care" means, for example, the record, the treatment, the injection, the examination of the doctor or the nurse, the examination, the evaluation, the medication, the meal, the practice, the monitoring, the treatment, the activity limitation, the observation, the rehabilitation, the coordination, the mouth Discharge, education of the patient's family, etc. An example of the display by such a format is shown in FIG.

In Fig. 2, the medical care data is displayed on the display device 5 in the format of the medical schedule 10 with the horizontal axis 12 as the date and the vertical axis 11 as the type of the medical care. In this case, as in the conventional "care map" described above, the medical schedule 10 is displayed by the present embodiment while the automatic setting of the execution time of each medical action on the medical schedule 10 is performed to the processing apparatus 4. By using the object file 21 as described below.

As shown in FIG. 3, the predetermined format for displaying medical action data is based on the execution time sequence (in the example of FIG. 3, each medical treatment on the same date) without performing a plurality of medical actions for which the execution time is set according to the type of each medical action. The format of the list 110 may be arranged in order of time for the medical acts included in the kind of the acts. In this case, the automatic setting of the execution time of each medical action on the medical plan list 110 will be described later by the processing apparatus 4 using the object file 21 while displaying the medical plan list 110. Do it together. In this format, the portion 112 corresponding to the unit of the date of the medical plan list 110 is displayed on each page for each page, or the division line of the portion 112 is indicated by a dotted line or the like. You may scroll up and down.

Further, as described above, the format information and the display program for displaying the medical behavior data by the processing apparatus 4 and the display apparatus 5 in the format of FIG. 2 or FIG. 3 are previously stored in the recording medium 8a. Included in the program.

1, the printer 6 is well-known printers, such as a laser beam printer and an inkjet printer, and may be a color or monochrome form. The printer 6 prints the medical behavior data in the format shown in FIG. 2 or 3, for example.

The communication device 7 includes a modem for exchanging various files and data including the object file 21 with another computer and the like. The communication device 7 is connected to other large computers, personal computers, portable computers (portable information terminals), electronic notebooks and the like through communication lines such as wired, wireless, private lines, general lines, and telephone lines, for example.

The reading device 8 is made of, for example, a CD-ROM drive, a DVD-ROM drive, an FD (floppy or flexible disk) drive, or the like, and is provided in a recording medium 8a such as a CD-ROM, DVD-ROM, FD, or the like. Read the recorded computer program. The computer program thus read causes a computer, which is a hardware resource of the medical plan preparation support system 1, to function as the medical plan preparation support system. A part or all of the object file 21 constructed in the storage device 2 may be recorded on the recording medium 8a and read as necessary. In particular, the object file 21 used for the standard medical plan or the standard object file 21 on which the modification is later made for the individual medical plan, relating to the previous steps used in the individual medical plan for a particular patient. Can be created at the time of creating a computer program, and since the versatility is high, it is also convenient to store in advance in the recording medium 8a together with the computer program.

Next, a specific logical configuration of each object file 21 logically constructed in the storage device 2 will be described with reference to FIG. 4.

As shown in FIG. 4, the object file 21 includes basic information 210 and setting order information 220 including the above-described medical care data 211.

First, the basic information 210 will be described.

In FIG. 4, the basic information 210 includes medical behavior data 211 indicating one of a plurality of types of medical practices preset. Here, the term "type of medical care" refers to a large category, for example, records, treatments, injections, tests, visits, assessments, medications, meals, practice, monitoring, treatment, activity restrictions, and observations by doctors or nurses. , Rehabilitation, coordination, hospitalization, education of the patient's family, etc., and also means more specific actions (such as injection, examination, medication, surgery, etc.) in each classification. Therefore, the medical care data 211 of each object file 21 shows, for example, each classification and the specific behavior in each classification using the predetermined classification code set previously. As such a classification code, a known classification code (for example, an IDC code, a medical care score score code, etc.) which is currently used globally or domestically may be adopted, or a classification code of the present invention may be used. What is important is that the task of the present invention is achieved by classifying medical activities in a degree of classification that corresponds to the actual medical plan at the current medical site, and the classification method itself is arbitrary.

The basic information 210 represents short words or sentences for explaining to the medical planner the details of the medical behavior represented by the medical behavior data in addition to the medical behavior data 211, and further includes the medical activity data 211. Text data 212 representing a short word or sentence for explaining to the patient the medical behavior represented by the patient. Basic information 210 indicates that if each object file 21 is used as part of a medical plan for a particular patient or a fictitious patient with a particular disease or symptom, (i) the patient representing the ID number of the particular or fictitious patient. ID number data 213 and (ii) reference information data 214 relating to the medical care data for each object file 21. The reference information data 214 is detailed medical action data accompanying the medical action indicated by the medical action data corresponding to each object file 21. For example, numerical data related to a predetermined medical activity such as body temperature data, blood pressure data, and predetermined component concentration data measured every day.

Next, the setting procedure information 220 is demonstrated. The setting order information 220 is information for setting at least a relative execution time for each of the plurality of medical activities constituting the series of medical plans. Here, the "relative execution time" refers to the time of performing each medical action with respect to the time of performing another medical action. For example, it indicates whether one medical action is to be performed before or after the time of performing another medical action, or several days or hours, or several days or days, or at the frequency of each medical action.

In FIG. 4, the setting order information 220 is a medical act included in the object file 21 based on the termination or start of the medical act represented by the medical act data 210 included in the other object file 21. The execution time at which the medical action represented by each medical action data 211 is performed in accordance with the context relation data 221 respectively defining at least a relative back and forth relationship of the time at which the medical action indicated by the data 210 is performed. It is set as needed by the processing apparatus 4.

The setting order information 220 is based on the end of the medical action indicated by the medical action data 211 included in the other object file 21 in addition to the front and rear relationship definition data 211 and the corresponding object file ( Time range definition data 222 which respectively defines an executable time range of the medical action represented by the medical action data 211 included in 21). For this reason, in this embodiment, the execution time at which the medical treatment represented by each medical treatment data 211 is executed is set by the processing apparatus 4 according to this time range definition data 222. In addition, the setting order information 220 includes execution frequency regulation data 223 for defining the frequency of execution of each medical activity 211 in addition to such front and rear relationship regulation data 221 and time range regulation data 222. Include. For this reason, in the present embodiment, the execution time (for example, how many days once, etc.) when the medical action indicated by each medical action data 211 is performed in accordance with this execution frequency regulation data 240 is processed as necessary. It is set by the device 4.

In Fig. 4, in the present embodiment, in particular, the object file 21 includes the performance information 230. This performance information 230 allows the object file 21 representing a medical activity in one of the medical plans to function as a performance data file including medical performance data 211 based on the performance after the actual medical activity is executed. It is for. More specifically, the performance information 230 includes one-bit performance status data 231 indicating whether the medical activity corresponding to each object file 21 is a scheduled base or a performance base, and the start time and Using the start time data 232 and the end time data 233 respectively indicating the end time, and the patient description data included in the object file 21, the description display count data 234 indicating the number of times the patient was explained. Include.

In Fig. 4, in the present embodiment, in particular, the object file 21 includes order information 240. As shown in Figs. The order information 240 includes order data 241 for enabling linkage with a conventionally known ordering system as described below. If the order data 241 is described in each of the object files 21, the examination reservation, hospitalization reservation, surgery reservation, etc. will be linked to the medical behavior indicated by the medical care data 211 included in each object file 21. You can place an order. In addition, the order information 240 includes order performance data 242 indicating the fact that the order was actually performed.

Each of the plurality of object files 21 is provided with ID number data 250 having a predetermined number of rows unique to each object file 21. In FIG. 1, the processing apparatus 4 is randomly set by the ID number data 250. The object file 21 can be searched. In addition, when a new object file 21 is created, the new ID number data 250 is assigned.

Each of the plurality of object files 21 further includes execution time data 260. The execution time data 260 is designated by a medical action constituting a series of medical plans, or is set by the processing apparatus 4 according to the setting order information 220 as a result of a change in the medical plan. In this case, the execution timing data 260 is generated by the processing apparatus 4 as data representing the set execution timing and stored in the corresponding object file 212. Therefore, the object file which is not yet related to the setting of the execution timing In the case of (21), the execution timing data 260 does not exist or a predetermined default value is stored as the execution timing data. On the contrary, once the execution timing is set or reset, the medical act using the object file 21 is performed. In the case of displaying data, the execution timing is preferably followed by the execution timing data 260, and it is not necessary to repeat the same setting operation.

Next, reference to the object file 21 including various data as described above, new creation, and content change will be described with reference to FIG. 5 along with FIG. FIG. 5 shows an input screen 600 displayed on the display device 5 in the case of reference, new creation and content change of each object file 21. Text data, numerical data, codes, and the like displayed in the respective fields of the input screen 600 are designated by specifying a specific medical action as a cursor in the medical plan table 10 shown in FIG. 2, for example. On the basis of the basic information 210, the setting procedure information 220, the performance information 230, and the order information 240 (refer to FIG. 4) which includes the object file 21 corresponding to this medical act by the execution of. Is created.

In the present embodiment, in particular, various types of data displayed in each column in the input screen 600 shown in FIG. 5 are configured to be changed, including new input and deletion, via the input device 3 (see FIG. 1).

The medical action indicated by each of the medical action data 211 (see Fig. 4) which constitutes a part of the basic information 210 and is classified into a predetermined code is, for example, the storage device 2 for conversion of this code. The master file stored in advance is referenced, and is displayed in the column 601 of "Title" as text data representing a short word or sentence in FIG. In the column 602 of the "Explanation" on the right side, the contents are based on the text data 212 constituting a part of the basic information 210 (see FIG. 4) when the medical activity cannot be identified only by the title. Text data representing a short word or sentence that describes the in more detail is displayed. In the "classification" column 603, the classification of the medical acts is listed up, and the classification corresponding to the medical acts displayed in the "title" column 601 is highlighted. In particular, in the column "603" of the "classification", it is possible to designate various medical acts prepared hierarchically by moving the cursor using the input device 3 or the like, and quickly execute any medical acts for each object file 21. Can be defined. In the column 604 of the “patient number”, if the respective purpose file 21 is used when actually creating a medical plan for a specific patient or a hypothetical patient having a specific disease, basic information 210 Patient ID numbers of specific or fictitious patients are displayed based on the patient ID number data 213 (see FIG. 4) constituting a part of. In addition, the column 605 of the "patient explanation" includes words or sentences that easily explain the contents to the patient based on the text data 212 constituting a part of the basic information 210 (see FIG. 4). The text data that is displayed is displayed. In the column 606 of "Reference information", each of the corresponding object files 21 is used as part of the actual medical plan based on the reference information data 214 (see FIG. 4) constituting a part of the basic information 210. The presence of detailed information that can be referred to when indicated is indicated by title or ID number or the like.

Therefore, medical planners, such as a doctor, can simply use medical field data 601-606 based on the various data (refer FIG. 4) contained in these basic information 210, and can easily perform medical care data, patient ID number data, etc. Can be referred to, newly entered or changed, and text data corresponding thereto can be easily referred to, created or changed.

In Fig. 5, the column 607 of the "Plan" includes not only the execution time data 260 but also the front and rear relationship definition data 221 constituting the setting sequence information 220, the time range definition data 222, and the execution frequency definition. Based on the data 223 (see FIG. 4), the start time and start time of the medical activity represented by the medical activity data 211 included in the corresponding object file 21 (other related medical activities, the start instruction, etc.). , End time, time of termination (other related medical practices, termination instructions, etc.) and elapsed time are displayed. The column 608 of the "Activity in Period" field is based on the context relation data 221, the time range regulation data 222, and the execution frequency regulation data 223 (see Fig. 4) that constitute the setting order information 220. The predetermined time to be executed immediately after the start of the medical treatment or at the end of the medical treatment is carried out by the processing apparatus 4 based on the setting procedure information 220 included in the object file 21. It is indicated by the black circle mark whether it is carried out at the time of clicking a predetermined item on the display screen of the format of the medical plan in a format, or periodically.

Therefore, a medical planner such as a doctor simply uses front and back relationship definition data 221, using the fields 607 and 608 based on various data (see Fig. 4) included in these setting order information 220. The time range definition data 222 and the execution frequency definition data 223 can be referred to, newly created, and changed. In addition, when the setting order information 220 contained in each object file 21 is changed in this way, the execution time is set by the processing apparatus 4 according to the setting order information 220 after a change after that. For this reason, the medical planner can make corrections according to their own experiences and / or preferences with respect to the setting sequence itself by the processing apparatus 4. For example, modifications may be made to the timing of administering a particular drug after a particular surgery. In addition, when the execution timing is set or reset, the latest execution timing data 260 representing the set or reset execution timing is stored in the object file 21. In addition, in accordance with the latest execution time data 260, the start time and end time of the medical action on the input screen 600 are also updated.

In FIG. 5, the column 609 of the "status results" corresponds to the corresponding medical object files 21 based on the situation performance data 231 (see FIG. 4) constituting a part of the results information 230. It indicates whether the action has already been executed. If the medical activity has already been executed, the start time (which may include a date) is displayed in the column "610 of the" start time "based on the start time data 232, and based on the end time data 233 In the "End time" column 611, the end time (which may include a date) is displayed.

Therefore, the medical planner, such as a doctor, uses the fields 609 to 611 in the medical plan using the object file 21 when the medical act represented by the medical act data contained in the object file 21 is executed. It is possible to simply input the performance information, so that the information can be easily retrieved later.

In the column 612 of the " description of display times ", patient description data included in the object file 21 is used based on the description display number data 234 included in the object file 21 (see Fig. 4). The number of times already described for the patient appears.

Therefore, a medical planner, such as a doctor, has already described the same medical behavior to the patient simply by referring to the column 612 of the "number of explanation display" after inputting the number of times that the patient has explained the patient. It can be quickly understood whether it has been explained or fully explained. As such, embodiments of the present invention are convenient from the point of view of an informed concept, and also as evidence of the facts about the discussion of whether or not they have been described afterwards.

In the "Order" column 613, it is indicated by a black circle mark whether or not to place an order based on the order data 241 constituting a part of the order information 240, and in the case of performing the order. The item to order is displayed. In addition, in the "order performance" column 614, the name of the order actually executed based on the order performance data 242, the date and time when each order was requested, the date and time when the order was executed, and the like are displayed.

Therefore, a medical planner, such as a doctor, uses this "order" column 613 to quickly send information to terminal units in each department in the hospital, and hastened to start work such as arranging medicine and accounting. It is possible to impose the function of the medical plan preparation support system. Further, referring to the "Order Performance" column 614, it is possible to simply confirm whether or not each order is surely performed.

Although new inputs and changes on the input screen 600 such as the basic information 210 and the setting order information 220 included in the object file 21 have been described with reference to FIG. 5, at least some of these informations have been described. The information is not limited to the input screen 600 but may be newly entered and changed on the screen showing the medical plan in the format shown in FIG. 2 or 3. In the screen showing the medical plan of the format shown in FIG. 2 or FIG. 3, a menu screen for inputting and changing, etc. may be separately displayed for new input and change. As described above, even when the basic information 210, the setting procedure information 220, and the like are newly input or changed on a screen other than the input screen 600, the contents of the object file 21 are updated. Thereafter, when the input screen 600 is displayed, the latest various data according to the stored contents of the updated object file 21 may be displayed.

Next, the automatic setting operation | movement of execution time in the medical plan preparation support system comprised as mentioned above, and the display operation of the medical plan based on the setting result are demonstrated.

First, an operation in the case of newly creating a medical plan constructed from various data included in the plurality of object files 21 will be described with reference to Figs. 6 to 8. Here, Fig. 6 is a flowchart of this operation. to be. 7 is a conceptual diagram at the time of creating and displaying the medical schedule 10 of FIG. 2 using the some objective file 21. Moreover, FIG. FIG. 8 is a conceptual diagram when the medical plan list 110 of FIG. 3 is created and displayed using the plurality of object files 21.

In FIG. 6, first of all, when a medical plan is created, a plurality of medical actions that constitute a series of medical plans by an input operation through an input device 3 (see FIG. 1) such as a keyboard and a mouse are performed. It is designated one by one or at a time by an input operation via a storage device 2 such as a hard disk, a floppy disk or the like (see Fig. 1) (step S1). Thereafter, the plurality of object files 21a, 21b, 21c, 21d, 21e, ... corresponding to the plurality of specified medical actions are read from the storage device 2 by the processing device 4 (see FIG. 1). (See step S2, upper side in Figs. 7 and 8).

Thereafter, at least relative execution time of a plurality of designated medical actions on a predetermined time axis in accordance with the setting order information 220 (see FIG. 4) included in the object file 21 by the processing device 4, respectively. Is set (step S3). Here, at least the setting of the relative execution time is, for example, when setting a specific date, for example, how many years, how many days, and for example, how many days before or after the hospitalization date, surgery date, etc. are set. It is meant to include both.

When the execution time is set in this way, for example, each object file 21 is stored in the data filling each cell in the medical plan table 10 shown in Fig. 2 according to the type of the medical action and the set execution time. Correspondingly arranged object files 21a, 21b, 21c, 21d, 21e, ... (step S4, see lower part of FIG. 7). Alternatively, when the execution time is set in this way, for example, each object file 21 may display each line in the medical plan list 110 shown in FIG. 3 described above according to the type of the medical action and the execution time. The object files 21a, 21b, 21c, 21d, 21e, ... are arranged in correspondence with the data to be filled (step S4, see below in FIG. 8).

As described above, when a medical planner such as a doctor performs an operation for designation of a plurality of medical activities constituting a series of medical plans without designation of execution time, setting procedure information 220 included in each object file 21 ( According to FIG. 4, at least a relative execution time of them is automatically set, and the medical care data 211 is displayed in the predetermined format shown in FIG. 2 or 3 based on the automatically executed execution time (step S5). . As a result, even when a plurality or a plurality of medical activities which are complicatedly related to each other constitute a series of medical plans, it is possible to easily and quickly create a medical plan in which the front and back relationships and the timely relations between the plurality of medical activities are properly defined.

In this case, since the medical planner does not require knowledge of the timing of execution, it is very convenient because a veteran or inexperienced medical planner can easily and quickly prepare an appropriate medical plan. In addition, for the plurality of medical activities constituting a series of medical plans that have been created once, for example, when a plurality of medical activities are newly designated by adding, changing, or deleting the medical activities, they are included in the object file 21. Since the execution time of each medical act is set according to the setting order information 220, it is very advantageous because the medical plan creator does not need to perform the troublesome and time-consuming work of moving each execution time of each medical act.

Next, the processing apparatus 4 monitors whether or not an input operation for instructing a change in the displayed medical act and / or execution time is performed in the input apparatus 3 (step S6). If there is no input operation instructing the change (NO in step 6), the currently displayed medical planner is confirmed by the medical planner, and a plurality of object files 21 corresponding to the display contents at this step are generated. Correlated with the patient code, disease code and / or patient attribute code as one data set, and stored in the storage device 2 (step S7). The processing then ends. On the other hand, if there is an input operation for instructing a change (YES in step S6), it is determined in the processing apparatus 4 whether or not the medical action that has not been displayed so far is newly designated (step S8). In addition, if there is no new designation, that is, only the execution time of the already displayed medical act is changed (NO at step S8), the process returns to step S3 to reset the execution time using the setting procedure information 220. (Step S3). On the other hand, when there is a new designation (YES in step S8), the object file 21 corresponding to the newly designated medical act is read out from the storage device 2 (step S9), and the process returns to the setting step S3. . Thereafter, the execution time is reset using the setting procedure information 200 (step S3).

As described above, when a medical plan is prepared, as a plurality of medical actions constituting a series of medical plans, for example, medical actions for a virtual patient having a specific disease such as stomach cancer and angina pectoris are designated. That is, in this case, a standard or institutional medical plan that is optimally considered for each disease can be prepared in advance. Alternatively, as a plurality of medical acts that constitute a series of medical plans, medical acts for patients who have been actually diagnosed, such as, for example, hemorrhage, decreased vision, high fever, etc., are designated. In this case, a standard or institutional medical plan can be created in real time that is optimally considered for individual patients.

Next, with reference to Figs. 9 and 10, the operation in the case of changing the medical plan written once as a standard medical plan for each disease or individually for a specific patient as described above will be described. Here, FIG. 9 is a flowchart showing the operation, and FIG. 10 is a conceptual diagram when the plan is changed while the medical plan table 10 of FIG. 2 is displayed using the plurality of object files 21.

In Fig. 9, when changing the medical plan, first, a data set composed of a plurality of object files 21 related to the medical plan created once is designated by the input through the input device 3 (step S11). ). This designation is made, for example, by designation of a patient code, a disease code, a patient attribute code, or the like already assigned to each data set. Further, the medical plan is displayed on the display device 5 in the predetermined format shown in FIG. 2 or 3 based on the plurality of medical care data and execution time data included in this designated data set (step S12). In this example, it is assumed that the medical schedule 10 is displayed as shown in the upper side of FIG.

Next, whether or not an input operation for instructing a change in the displayed medical action and / or execution time is performed in the input device 3 (for example, by an input through the input device 3 such as a keyboard or a mouse). Is monitored by the processing apparatus 4 (step S13). If there is no input operation for instructing the change (NO in step S13), the currently displayed medical plan is confirmed by the medical plan creator, and the plurality of object files 21 corresponding to the display contents in this step are checked. ) Is correlated with the patient code, the disease code and / or the patient attribute code as one data set and stored in the storage device 2 (step S18), and the processing ends.

On the other hand, if there is an input operation for instructing a change (YES in step S13), the processing in step S14 proceeds. In this example, as shown in the upper side of FIG. 10, it is assumed that the type and location of medical activities in the medical schedule 10 are changed, including additions and deletions. More specifically, as shown in FIG. 10, it is assumed that the execution time of the medical act corresponding to the object file 21b is changed from December 14 to December 15 (when "Yes" in step S13). In this case, it is further determined in the processing apparatus 4 whether or not the medical acts not displayed so far are newly designated (step S14). Further, if there is no new designation, that is, only the execution time of the already displayed medical act is changed (NO at step S14), the flow proceeds to step S16. On the other hand, if there is a new designation (YES in step S14), the process of step S16 is performed after the object file 21 corresponding to the newly designated medical act is read from the storage device 2 (step S15). All. In this example, as shown in Fig. 10, the execution time of the medical action corresponding to the object file 21b is changed without new designation (if NO in step S14).

In step S16, at least the relative execution time of the plurality of medical actions designated on the predetermined time axis is set in accordance with the setting order information 220 (see FIG. 4) included in the plurality of object files 21 after the change by the processing device 4. It is set (step S16). In addition, the object files 21a, 21b, 21c, ... are rearranged in this order of execution timing reset in this manner (step S17). Subsequently, the process returns to step S12 and each medical care data is displayed on the display device 5 in a predetermined format based on the execution time thus reset (step S12). That is, the medical schedule 10 as shown in the lower side of FIG. 10 whose execution time is updated is displayed.

In the case of resetting the execution time, in particular, the fact that the type or location of a specific medical action is changed as well as a new medical action is additionally specified also affects the setting order defined by the setting order information 220 (for example, Preferentially determining when medical practice is to be carried out). Therefore, the medical schedule 10 which is different from before the change is displayed on the display apparatus 5 (refer to the lower part of FIG. 10). More specifically, in this example, the execution time of the medical action corresponding to the object files 21a and 21e is delayed by one with the movement of the medical action corresponding to the object file 21b. This is in accordance with the setting order information 220 (in this case, the context relation data 221 in this example) included in the object file 21a for the change (definition) of the execution time of the medical act corresponding to the object file 21b. This is also because the execution time of the medical act corresponding to the object file 21a which must be executed later is changed by one day (of course). Similarly, in accordance with the setting order information 220 included in the object file 21e (in this example, the front-rear relation rule data 221), the change of the execution time of the medical action corresponding to the object file 21b (detail) This is because the execution time of the medical act corresponding to the object file 21e that must be executed later also changes by this (day). On the other hand, the medical actions corresponding to the object files 21d and 21c are not changed at the execution time in accordance with the setting order information 220 included in each of them.

In this way, a medical planner, such as a doctor, may also designate a plurality of medical acts newly, for example, by adding, changing, or deleting the medical acts for a plurality of medical acts that constitute a series of medical plans. Since the execution time of each medical action is automatically reset according to the setting order information 220 included in the object file 21, it is cumbersome and time-consuming, such as that the medical planner moves the execution time of each medical action one by one. It is very advantageous because there is no need to work.

In the present embodiment, in particular, when the execution time of other medical activities constituting the medical plan together with one medical activity is changed, it is effectively judged whether the execution timing of each medical activity is changed, and when it is changed, It is configured to make changes quickly and reliably and automatically. That is, each of the object files 21 includes change mastery data for notifying change of the execution time of the other object files 21 when the execution time of the medical care data 211 included in each object file 21 is changed. It further includes procurement order information for transmission. When the execution time is changed, the processing device 4 resets the execution time in accordance with the setting order information included in the other object file 21 while transferring the changed communication data to the other object file 21 in accordance with the delivery sequence information. do. In such a configuration, the execution time is reset in accordance with the setting order information included in the other object file 21 in response to the change order data being received in each of the other object files 21 in accordance with the delivery order information. Therefore, when the execution timing of the medical acts related to only one object file 21 is changed, the execution timings of the plurality of medical acts constituting a series of medical plans are also serially and automatically reset quickly.

In addition, in the present embodiment, the display device 5 displays medical behavior data indicating a medical behavior whose execution timing is changed among the plurality of medical acts after the change, and a display form different from medical behavior data indicating medical behavior in which the execution timing is not changed. It is configured to be displayed as. Here, the "different display form" refers to displays having different colors, brightness, density, and the like. For example, the changed one (medical behavior data corresponding to the object files 21a and 21e in Fig. 10, respectively) is displayed in red letters or high brightness and is not changed (corresponding to the object files 21d and 21c in Fig. 10). Medical activity data) is displayed in black letters or low brightness. Therefore, the execution time is automatically set, and the medical plan creator can reliably recognize on the display screen the medical activity data 211 indicating the medical action whose execution time has changed with the change operation by the input device 3. . Alternatively or additionally, a predetermined mark indicating "change of execution time" may be attached to the medical behavior data displayed on the screen.

In the present embodiment, in particular, when the execution time is set, the processing device 4 generates execution time data representing the set execution time for each corresponding object file 21. Each object file 21 is configured to store generated execution timing data. In addition, the operation | movement which prepares a medical plan after that is based on the execution time represented by execution time data stored in each object file 21 instead of or in addition to the execution time set by the processing apparatus 4, The display apparatus 5 The medical care data 211 is displayed in the format of the medical plan table 10 of FIG. 2 or the medical plan list 110 shown in FIG. At this time, when the execution time data already exists in each of the object files 21, the stored contents are updated by the execution time data indicating the newly set execution time. That is, the latest medical plan can be displayed based on execution time data stored in each object file 21.

Therefore, once the operation of setting the execution time is performed, the medical activity data can be displayed by the display device 5 as it is based on the execution time data stored in each object file 21 as long as there is no change in the medical plan. Do. In addition, even when the medical plan is changed as described above, the medical care data can be first displayed by the display device 5 based on the execution time data stored in the object file 21 once set by the previous setting operation. After that, it is also convenient to change the medical plan once created on this display screen.

From this point of view, and also in this embodiment, a patient who can be assigned to each patient a data set of a plurality of object files 21 including a plurality of medical action data representing a plurality of medical actions constituting a series of medical plans. The code (for example, a numerical code of a predetermined row) is correlated and stored in the storage device 2. Alternatively, each data set may be assigned a disease code (e.g., a predetermined number of rows) that can be assigned to each of a plurality of preset diseases (e.g., myocardial infarction, hepatitis, stomach cancer, cerebral infarction, etc.). Code), and store it in the storage device 2. Alternatively, each dataset may be assigned a patient attribute code that may be assigned to each patient attribute of a plurality of preset patient attributes (e.g., gender, age, constitution, as well as the primary symptom). For example, they are stored in the storage device 2 in correlation with a numerical code of a predetermined row. In addition, it is then preferable to designate a data set corresponding to the designated code by designating the patient code, disease code or patient attribute code by the input device 3.

In this way, each data set is correlated with a patient code, a disease code, or a patient attribute code and stored in the storage device 2, so that simply specifying a patient code, a disease code, or a patient attribute code causes the specified patient code, disease code, or the like. On the basis of the medical action data 211 included in the data set corresponding to the patient attribute code and the execution time data, the display 5 can simply display the medical plan without setting the reexecution time. As a result, once a medical plan has been created for an arbitrary patient, the medical plan for the patient can be called up from the storage device 2 afterwards by the designation of a patient code, and then simply and quickly displayed. Change work can also be performed quickly. In addition, once a medical plan has been created for any disease, the medical code for the disease can be called up from the storage device 2 simply and quickly by the designation of a disease code, and then the change can be made. Work can also be performed quickly. In addition, once a medical plan has been created for any patient attribute, the designation of the patient attribute code can then be called up from the storage device 2 to display the medical plan for that patient attribute simply and quickly. The change work can also be promptly performed.

In addition, as described above, the standard medical plan for each disease (disease code) or the standard medical plan for patient attributes (patient attribution code) is highly versatile as a basis for preparing a medical plan of a specific patient. For this reason, a data set representing a standard medical plan for each major disease (disease code) or a standard medical plan for major patient attributes (patient property code) is stored in advance in a recording medium 8a together with a computer program. The computer program may be configured to be loaded together when the computer program is loaded. Alternatively, a large number of datasets representing standard medical plans for almost all diseases (disease codes) and / or standard medical plans for almost all patient attributes (patient property codes) may be pre-stored in large storage. In addition, each medical plan preparation support system 1 downloads a data set for the desired disease code or patient code through the communication device 7 (see Fig. 1) from a computer having this large memory device and a communication device. You may comprise so that.

In the first embodiment described above, although the table of FIG. 2 and the list of FIG. 3 are employed as a predetermined format for displaying a medical plan, it is also possible to select one of them or to switch them quickly by command input through the input device 3. It is possible. In particular, it is convenient to put in the medical schedule 10 of FIG. 2 and to switch to the screen which shows the medical plan list 110 (refer FIG. 3) of this date by execution of the predetermined command by a cursor to a specific date.

It is of course also possible to display the medical care data in a predetermined format other than the format illustrated in FIGS. 2 and 3. In the present invention, the format arranged in the order of execution timing is the execution timing sequence even if it is a part of any axis spatially or temporally, such as spatially longitudinal, transverse, inclined, front and rear, or temporally back and forth. In other words, the medical practice encompasses a wide array of formats.

In the above-described embodiment, as shown in FIG. 4, each of the object files 21 includes the performance information 230, the order information 240, and the execution time data 260 in addition to the medical care data 211 and the setting order information 220. And various kinds of information. However, as long as the object file 21 stores at least the medical care data 211 and the setting order information 220, the function of automatically setting the execution time of each medical care in the unit of the object file 21 can be exerted. The information for removing both of them may be configured not to be stored in the object file 21.

(II) Variation of medical schedule

11 shows another example of a table that can be output by the display device 5 and the printer 6. In this case, the processing device 4 is configured to set a time including at least part of the time of execution data as well as a time, and the storage device 2 is configured to store the execution time of data indicating up to that time. Further, among the cells 20a of the medical plan table 20, each medical act is arranged and output at a set time. With such a configuration, for example, when the medical treatment for each record or plan is hospitalized, each medical treatment is arranged for each time in each cell (frame) of the table, so that the state of the medical treatment performed in one day is easy to see and convenient.

12 shows another example of a table that can be output by the display device 5 and the printer 6. In this case, the processing device 4 is configured to set a time including at least part of the time of execution data as well as a time, and the storage device 2 is configured to store the execution time of data indicating up to that time. In addition, the medical care data of at least a part of the medical schedule 30 is arranged and output every predetermined time instead of being arranged every day. More specifically, for example, a medical schedule 30 is arranged every six hours by collecting the medical activities in one frame every six hours. If comprised in this way, a plan for every minute time can be planned and recorded, for example, when a record or a plan-specific medical act is hospitalized. In addition to 6 hours, it is recommended to use a unit that is easy to distinguish 24 hours such as 1, 2, 3, 4, 8 or 12 hours, but it can be divided into any length of time such as lengthening the day and shortening the night. . When the image is output as the table 30 arranged for each such unit, it is convenient to see the state of medical practice performed in one day.

13 shows another example of a table that can be output by the display device 5 and the printer 6. In this case, instead of arranging at least some of the medical care data on a date basis, a table 40 in which medical care data is collected and arranged in successive plural days is output. More specifically, the medical plan table 40 arranged every month by collecting the medical activities in one frame 41 is output every month. In addition to 1 month, it is recommended to use a period that is easy to divide, such as 3 days, 1 week, 1 year, or 10 years, but in any length of time, such as shortening the period of the unit during the hospitalization period and lengthening the period during the hospitalization period. It is possible to distinguish. As such, by defining the size of the cell with respect to the amount of medical care, it is easy to see the state of medical care for a long time.

14 shows another example of a table that can be output by the display device 5 and the printer 6. In this case, the medical behavior data indicates details such as numerical data (for example, body temperature data, blood pressure data, predetermined component concentration data in the blood, etc.) related to the predetermined medical behavior recorded for a plurality of dates. Reference information data 214 (see FIG. 4) is correlated. In addition, a table 52 is displayed on a part of the screen 51 of the display device 5, and numerical data is displayed on the other part of the screen 51 as a graph having axes corresponding to the arrangement of the dates of the table 52. do. That is, as shown in Fig. 14, a table 52 is displayed at the bottom of the display screen 51, and a polygonal line indicating numerical data for item A (e.g., body temperature) is displayed at the top margin. A broken line graph 54 showing numerical data for the graph 53 and the B item (for example, blood pressure) is displayed with the date in the table 52 as the time axis. Thus, since the numerical data is shown as a graph corresponding to the date in the table 52, it is very convenient to visually see the relationship between the performed medical acts and the numerical data representing the state of the patient. As shown in the example of FIG. 14, when the numerical data is data measured several times a day, the upper line of the table 52 is converted into 24 hours by converting the width of each frame of the table 52 representing the day into 24 hours. Drawing the graph as the time axis makes it easier to understand the contrast between the time information and the table 52. On the other hand, even when the numerical data does not exist for each date, it is possible to draw a broken line graph by using existing data or inserting existing data.

The modification of the medical schedule described above can be applied not only to the first embodiment but also to other embodiments described below.

(III) Second Embodiment

A second embodiment of the present invention will be described with reference to Figs. 15-18.

In the first embodiment, there is a premise that a plurality of medical acts constituting a series of medical plans are incompatible with each other, and a plurality of medical acts constituting a medical plan are basically performed. In the actual medical field, it is often difficult to confirm the diagnosis or to change the next thing about the result after the treatment of either. Therefore, in the second embodiment, a series of medical plans are constructed from a plurality of medical action candidates that may be selectively executed in the future instead of or in addition to the future medical actions in the first embodiment. Here, "selectively execute" means that only one of them is actually executed. The hardware configuration in the second embodiment is the same as that in the first embodiment (see FIG. 1), and the same in the logical configuration of the object file 21 (see FIG. 4).

In the second embodiment, the input device 3 or the like designates a plurality of candidates for the future medical activities, which are selectively performed in the future instead of or in addition to the future medical activities for the first embodiment. Thereafter, the processing apparatus 4 sets at least relative execution time candidates of the plurality of medical action candidates specified in this manner instead of or in addition to the execution time in accordance with the setting order information 220. In addition, a plurality of medical action data 211 each representing a plurality of medical action candidates is displayed on the display device 5 instead of or in addition to the medical action data each representing a plurality of medical actions in a predetermined format based on the set execution time candidate. Is indicated by. Therefore, for example, when preparing a medical plan, for example, when a disease or a disease state is unknown at an early stage of the medical plan, such as before a diagnosis is confirmed, and there are various medical activities that may be performed in the future. It is convenient.

In the second embodiment, the predetermined format for displaying the medical care data is, for example, a plurality of medical care candidates to be selectively executed as shown in FIG. 15 in order of execution candidates (in order of date in the example of FIG. 15). The format of the decision tree 120 to arrange may be sufficient. In this case, the decision tree 120 showing the reason for the plurality of candidates as a node (branch) is displayed while automatically setting the execution time of each medical action candidate on the decision tree 120. In this case, as the actual display screen, the desired portion may be enlarged and displayed while scrolling the decision tree 120 itself from side to side. Alternatively, as shown in FIG. 16, a portion 500a corresponding to each date of the list 110 shown in FIG. 3 is displayed on the display screen 500 of the display device 4 to be reduced and displayed. A location master 500c indicating the location 500b on the decision tree 120 may be displayed.

Next, the automatic setting operation | movement of execution time in the medical plan preparation support system of 2nd Example comprised as mentioned above, and the display operation of the medical plan based on the setting result are demonstrated.

First, an operation in the case of newly creating a medical plan constructed from various data included in the plurality of object files 21 will be described with reference to FIG. 17. Here, FIG. 17 is a conceptual diagram in the case of creating and displaying the decision tree 120 of FIG. 15 using the some object file 21. FIG.

In FIG. 17, in the case of creating a medical plan, a plurality of candidates for medical acts constituting a series of medical plans are formed one by one through input through an input device 3 (see FIG. 1) such as a keyboard and a mouse, for example. A plurality of medical actions that constitute a series of medical plans are designated at one time by input through a storage device 2 or a reading device 8 (see FIG. 1) such as a hard disk, a floppy disk, or the like. Thereafter, the plurality of object files 21a, 21b, 21c, 21d, 21e, ... corresponding to the plurality of medical action candidates specified by the processing device 4 (see FIG. 1) are read out from the storage device 2. (See above in FIG. 17). Thereafter, at least relative execution time candidates of a plurality of designated medical action candidates on a predetermined time axis according to the setting order information 220 (see FIG. 4) included in the object file 21 by the processing device 4, respectively. Is set. Further, when the execution time candidate is set in this manner, for example, each object file 21 fills each block in the decision tree 120 shown in FIG. 15 according to the type of the medical action candidate and the set execution time candidate. Correspond to the object files 21a, 21b, 21c, 21d, 21e, ... arranged in correspondence with each other (see below in FIG. 17).

Next, with reference to Fig. 18, the operation in the case of changing the medical plan written once as a standard medical plan for each disease or individually for a specific patient as described above will be described. Here, FIG. 18 is a conceptual diagram in the case of changing a plan in the state in which the decision tree 120 of FIG. 15 is displayed using the some objective file 21. FIG.

In Fig. 18, in the case of changing the medical plan, the medical action candidate in the decision tree 120 displayed by the medical plan creator such as a doctor or the like through an input through the input device 3 such as a keyboard or a mouse, for example. The type or position (see above in Fig. 18) is changed, including additions and deletions. More specifically, in this example, it is assumed that the execution time candidate of the medical act candidate corresponding to the object file 21b is changed from July 4 to July 5. Thereafter, at least relative to the specified medical action candidates on the predetermined time axis in accordance with the setting order information 220 (see FIG. 4) included in the plurality of object files 21 after the change by the processing device 4. The execution time is set. In this case, the fact that the type or position of the specific medical behavior candidate has changed as well as the case where a new medical behavior candidate is additionally designated also affects the setting sequence defined by the setting procedure information 220 (for example, the changed medical The decision tree 120 is displayed on the display device 5 before the change is made (see the lower side in FIG. 18). More specifically, in this example, the execution time of the medical action candidates corresponding to the object files 21a and 21a 'is changed after several hours with the movement of the medical action candidates corresponding to the object file 21b (date) Does not change). This is because the execution timing is changed (provided) according to the setting order information 220 included in the object files 21a and 21a '. On the other hand, for the medical action candidates corresponding to the object files 21d and 21c, no change is made to the execution time candidates, accompanied by the setting order information 220 included therein. Also, the execution time of the object file 21e is changed to a different date in accordance with the setting order information 220.

As described above, when a medical plan author such as a doctor newly designates a plurality of medical action candidates by adding, changing or deleting a medical action candidate, for example, to a plurality of medical action candidates constituting a series of medical plans created once. For example, since the execution time candidate of each medical action candidate is automatically reset according to the setting order information 220 included in the object file 21, the medical plan creator moves one execution time candidate of each medical action candidate, and so on. It is very advantageous because it does not need to be troublesome and time consuming.

Also in the second embodiment, as in the case of the first embodiment, the execution time data indicating the execution time candidate once set may be stored in each of the object files 21. In addition, a data set consisting of a plurality of object files 21 corresponding to a series of medical plans may be stored in the storage device 2 in correlation with a patient code, a disease code, and / or a patient attribute code. In addition, a configuration for displaying the changed medical behavior in a display format different from that in the table, a configuration for generating and storing execution timing data, or a configuration in which the contents of the storage device 2 are changed by the generated execution timing data are also provided. The same applies to the case of the first embodiment.

In each of the embodiments described above, the input device 3 is capable of designating at least a date at which at least one medical action is to be performed from among a plurality of medical actions to be performed in the future, and the processing device 4 is the input device 3. It is preferable to set a plurality of execution times at least in units of days based on the date specified by. In this case, each execution time is set by absolute time units, such as X year, Y month, Z day, etc., and the display in the display apparatus 5 is also performed by the date unit which is this absolute time unit. In particular, it is convenient to specify a date (i.e., absolute time) for, for example, a medical operation called "surgery" which is an important item in the plan, so that a specific schedule for other items is automatically determined.

Further, in each embodiment, an alarm device for generating an alarm may be further provided when a plurality of execution times set according to the setting order information are inconsistent with each other, or when execution times that do not contradict each other cannot be set. The alarm device is configured to display an alarm message for the reason of "unable to set execution time" on the screen of the display device 5, or to generate a voice alarm indicating an alarm message through a speaker built in the medical plan creation support system 1; It may be configured to generate. In this case, the medical planner can quickly recognize the reason for the medical plan which is not actually executable by the automatic setting according to the setting order information.

In addition, the medical plan preparation support system 1 in each embodiment is provided with the timer or counter which counts a date inside, and the image related to the date which matches "today" based on the said counted date. The display data may be generated so that the output portion is displayed in a different manner from other image output portions. Here, the display and / or printing in different ways is a method of displaying brightness, color, typeface, type of line, density, halftone dot meshing, etc. differently on an output screen or printed sheet, for example. . Alternatively or additionally, a predetermined mark indicating "today" may be attached to the corresponding date field.

(IV) Third Embodiment

A third embodiment of the present invention will be described with reference to FIG.

In Fig. 19, the medical plan preparation support system of the third embodiment includes a plurality of units connected via transmission lines. The plurality of object files 21 are provided on the side of the central unit 1a which is an example of one unit, and the input device 3, the processing device 4, the display device 5, and the communication device 7 are on the other side. It is provided on the terminal unit 1b side, which is an example of the unit of. The central unit 1a is composed of a large computer, a host computer, a server, and the like, and has a large storage device 2a for storing the object file 21. The terminal unit 1b is composed of a personal computer, a workstation, a portable computer (portable information terminal), an electronic notebook, and the like. In addition, for example, (i) a plurality of object files 21 stored in the storage device 2a of the central unit 1a, and (ii) the input device 3 and the processing device provided in the terminal unit 1b ( 4) and the display device 5 are connected via a communication line such as a wired line, a wireless line, a dedicated line, a general line, or a telephone line. Therefore, the same data is stored in the plurality of terminal units 1b by adopting a configuration in which a plurality of object files 21 are stored in the large-size storage device 2a provided in the central unit 1a, and a plurality of terminal units 1b are provided. It is also possible to share. The processing apparatus 4 may be provided in any one of the central unit 1a and the terminal unit 1b. In this embodiment, the plurality of object files 21 or data sets stored in the storage device 2a of the central unit 1a can be shared by the plurality of terminal units 1b. This is advantageous in terms of cost since only a large storage device is needed for storing the object file 21 of.

(V) Fourth Embodiment

A fourth embodiment of the present invention will be described with reference to FIG.

In the above-described third embodiment, it is sometimes difficult to classify the type of medical practice. That is, one medical activity may be classified into one of A type and B type. In addition, a medical activity may be classified as an A category, and A 'includes or is included in an A category depending on the type constituting a medical schedule set as a basis or selected or modified by a medical planner. Can be classified into categories.

Thus, in the fourth embodiment, as shown in the upper side of Fig. 20, the object files 21a, 21b, 21c, 21d, ... each have multiple correlation information 301a, 301b, 301c, 301d, .... Accordingly, according to the type in the medical plan table 10 shown in FIG. 2, the type corresponding to the object file itself is referred to by referring to the type data and priority order data in each of the multi-correlation information 301. Able to know. For example, as shown in the upper side of FIG. 20, the multi-correlation information 301a of the object file 21a is in the " internal medicine " type in which the object file 301a has the highest priority (priority number 1). Belonging to the "dose" category with a second priority (priority number 2), belonging to the "treatment" category with a third priority (priority number 3), etc. Order data is provided. The multi-correlation information 301b of the object file 21b belongs to the "injection" type with the highest priority, the object file 301b belongs to the "dosage" type with the second priority, and the third priority. Corresponding type data and priority order data indicating that they belong to the " treatment " The multi-correlation information 301c of the object file 21c belongs to the kind of "examined inspection" with the highest priority, the object file 301c has a second priority, and belongs to the third priority. Corresponding type data and priority order data indicating that they belong to the " doctor " type having a ranking and the like. The multi-correlation information 301d of the object file 21d belongs to the "routine check" kind of which the object file 301d has the highest priority, belongs to the "check" kind having the second priority, and the third priority. Corresponding type data and priority order data indicating that they belong to a " measurement " type having a ranking, and the like.

Accordingly, when the medical planner 10a shown in the lower left of FIG. 20 is currently displayed, that is, when there are types of "oral medicine", "injection", and "test" in the kind column of the medical planner 10a, The object file 21a is correlated with the type of "over-the-counter" according to the priority order data of the multi-correlation information 301a (indicating that the highest priority is given to the "over-the-counter"). In this case, the object file 21b is correlated with the type of "scanning" according to the priority order data of the multi-correlation information 301b (indicating that the highest priority is given to "scanning"). In this case, the object file 21c is correlated with the "check" type according to the priority order data (which indicates that the second priority is given to "check") of the multi-correlation information 301c, and the multi-correlation information 301c. Are not shown in the table 10a. Also, in this case, the object file 21d is correlated with the "check" type according to the priority order data (which indicates that the second priority is given to "check") of the multi-correlation information 301d, and the multi-correlation information ( The type of "routine check" given the highest priority by 301d) is not displayed in the table 10a.

On the other hand, when the medical schedule 10b shown in the lower right of FIG. 20 is currently displayed, that is, when there are types of "dosing", "examination" and "routine test" in the kind column of the medical schedule 10a, the object file 21a is correlated with the "dosing" type according to the priority order data of the multiple correlation information 301a. In this case, the object file 21b is correlated with the "dosing" type according to the priority order data of the multi correlation information 301b. In this case, the object file 21c is correlated with the type of "fine inspection" in accordance with the priority order data of the multiple correlation information 301c. Also in this case, the object file 21d is correlated with the type of " routine check " according to the priority order data of the multiple correlation information 301d.

As described above, according to the fourth embodiment, even when the types shown in the table are not fixed and changed in various ways for the medical planners such as doctors, the respective object files 21a, 21b, 21c, 21d, ... are multiplexed. Based on the correlation information 301a, 301b, 301c, 301d, ..., it can be correlated to an appropriate kind.

In addition, when there is any object file whose kind is not known, an error message indicating this fact may be output. Alternatively, the present embodiment is constructed in such a manner that an operation of automatically reforming the table to create a space (ie a new kind column) for the corresponding object file in the currently displayed table can be executed according to the multi-correlation information of the object file. Can be.

In addition, the present embodiment also provides a method for automatically reconstructing a table to remove or subtract a row of a type not correlated with any object file in the presently displayed table. 20) or medical practice data 211 (see FIG. 4).

That is, as shown above in Fig. 21, when there are empty rows in the table 10 (i.e., the rows corresponding to "injection" and the rows corresponding to "regeneration" are empty), After the rows have been removed by the automatic reconstruction operation according to the object file 21, a medical schedule 10 ′ without empty rows is displayed as shown at the bottom of FIG. 21. Therefore, the table 10 'can be viewed efficiently within the limited time of the display device.

Similarly, if there is an empty column in the table 10, the empty column may be removed by an automatic reforming operation according to the object file 21 to display a medical plan table without empty columns.

(VI) the function of the system

Finally, the function of the medical plan preparation support system used in the above embodiment is conceptually shown in FIG.

As shown in FIG. 22, the function of the medical planning navigation system 1 includes a "screen manipulation" function 13 implemented by the display device 5, the input device 3, and the like shown in FIG. 1; A "display" function 14 implemented by the display device 5 or the like; And the " interface of each system " function 15 implemented by the communication device 7, the processing device 4 and the like. The "screen operation" function 13 is an integration of the "new input" function 13a, the "add / change input" function 13b and the "delete" function 13c. In addition, the "display" function 14 displays a result using the "table display" function 14a, which displays the medical behavior data in a predetermined format (see FIGS. 2, 3 and 15), and the detailed medical behavior data. "Display result" function 14b, "graph display" function 14c for displaying a graph using detailed medical behavior data, and "change screen magnification" function 14d for changing the screen magnification of the display device 5 To integrate.

In addition, the "each system interface" function 15 includes a "various orders" function 15a for transferring orders between respective navigation units, and an "electronic care chart" function 15b used as an operation unit in medical examination. And the "pseudo-accounting" function 15c used as an operating unit for accounting. Here, the various order functions 15a are used in a pharmaceutical terminal unit or the like configured to receive a medicine order or the like from a medical department, for example, and to output an image of a medicine list received from each system interface through a communication device. . In particular, in the present embodiment, as described above, it is possible to quickly generate an order corresponding to each medical act based on the order information (see FIG. 4) included in each object file.

The electronic treatment chart function 15b is used as a treatment terminal unit configured to be able to output an image of a treatment chart using various data received through a communication device from each system interface. In addition, the doctor accounting function 15 performs a doctor accounting operation using various data received from each system interface via a communication device, and at the same time, the accounting terminal unit configured to be able to output an image of the medical accounting unit based on the result of the calculation. Used as

In this way, since the functions are integrated into the measurement structure, it is convenient because the medical plan preparation support system 1 can efficiently call each function and perform the organic combination of the functions.

As described in detail above, according to each embodiment of the present invention, a medical plan preparation support system is implemented to assist a medical planner such as a doctor to easily and quickly create an appropriate medical plan.

The present invention can be embodied in other specific forms without departing from the spirit or basic features of the invention. Accordingly, the present embodiments are to be considered for the purpose of illustrating the scope of the invention as indicated by the appended claims rather than by the foregoing description and all modifications within the scope and equivalents of the claims intended to be included therein. It is not intended to be limiting.

As described in detail above, according to the medical plan preparation support system of the present invention, even when a plurality or multiple medical activities complicated by each other constitute a series of medical plans, there is no front-back relationship or a timed relationship between the plurality of medical activities. It is possible to easily and quickly create an appropriately defined medical plan. In this case, since the medical planner is not required to know the timing of the execution, it is very advantageous because an inexpensive medical planner can easily and quickly prepare an appropriate medical plan. In addition, even when a plurality of medical acts constituting a series of medical plans, which have been created once, for example, a plurality of medical acts are newly designated by adding, changing, or deleting the medical acts, the execution time of each medical act is automatically performed. Since it is set to, it is very advantageous because the medical planner does not have to make troublesome and time-consuming preparation such as collecting each execution time of each medical act one by one.

Moreover, according to the machine-readable medium which recorded the program of this invention, a general purpose or dedicated computer can function as the medical plan preparation support system of this invention as mentioned above.

Claims (30)

a) (i) medical activity data indicating one of a plurality of preset medical actions and (ii) setting sequence information for setting at least a relative execution time for the plurality of medical actions forming a series of medical plans; A plurality of object files each comprising: b) when a plurality of medical acts constituting a series of medical plans are designated, a predetermined time is determined according to the setting sequence information contained in the plurality of object files each including a plurality of medical act data representing a plurality of designated medical acts; A processing device for setting at least a relative time of performing said specified plurality of medical actions on an axis, and c) a display device for displaying a plurality of medical action data each representing a plurality of medical actions for which the execution time is set, in a predetermined format in which each medical action is arranged in the order of the execution time; Medical plan creation support system comprising a. The method of claim 1, A medical plan preparation support system, further comprising an input device specifying a plurality of medical activities constituting a series of medical plans as a virtual patient having a specific disease or a future medical activity to be performed for a specific patient. The method of claim 2, The input device is suitable for at least partially changing the medical action and / or the execution time in a state where the medical action data is displayed in a predetermined format by the display device, The processing device resets the execution time of each medical action after the change by the input device according to the setting order information, The display device displays medical behavior data indicating each medical behavior after the change in the predetermined format. Medical Plan Creation Support System. The method of claim 1, The processing device generates performance time data representing the set performance time for the object file, respectively, The object file stores the generated execution time data, respectively, The display device displays the medical activity data in a predetermined format in addition to the set execution time or based on the execution time indicated by the stored execution time data instead of the execution time. Medical Plan Creation Support System. The method of claim 4, wherein And further comprising a storage device for correlating and storing a data set comprising a plurality of object files, the plurality of object files including a plurality of medical activity data representing a plurality of medical activities constituting a series of medical plans, with a patient code assigned to each patient. and, The input device is suitable for designating the data set corresponding to the patient code by designating a patient code, The display device displays the medical behavior data in a predetermined format based on the performance timing data and the medical behavior data included in a designated data set. Medical Plan Creation Support System. The method of claim 1, In addition to or in place of future medical practice, if multiple medical action candidates are designated, where one of the plurality of medical action candidates may be performed disjunctively in the future, The processing apparatus sets, according to the setting order information, at least relative execution time candidates of the specified plurality of medical action candidates in addition to or instead of the execution time, The display device may include a plurality of medical activity data each representing a plurality of medical activity candidates in addition to or in place of the plurality of medical activity data in a predetermined format based on a set execution time candidate. To display Medical Plan Creation Support System. a) (i) medical behavior data representing one of a plurality of predetermined medical practices, (ii) setting sequence information for establishing at least a relative time of execution for a plurality of medical activities that constitute a series of medical plans, and (iii) performance time data indicating at least a relative performance time of each medical action represented by the medical activity data on a predetermined time axis; A plurality of object files each comprising: b) an indication for displaying a plurality of medical activity data each representing a plurality of medical activities for which at least the performing time is set, in a predetermined format in which medical actions are arranged in the order of performing time based on the performance time indicated by the stored performance time data; Device, c) an input device for at least partially changing the medical practice or performance time in a state in which medical behavior data is displayed in a predetermined format by the display apparatus, and d) a processing device for setting the execution time of each medical action after the change by the input device according to the setting sequence information contained in the object file including the medical action data indicating the medical action after the change by the input device; Including, Displaying, by the display device, the medical behavior data indicating each medical behavior after the change to a predetermined format based on the execution time set by the processing apparatus. Medical Plan Creation Support System. The method of claim 7, wherein The input device is suitable for designating a data set including a plurality of object files including a plurality of medical action data representing a plurality of medical actions constituting a series of medical plans, The display device is configured to display a plurality of medical care data included in the designated data set in a predetermined format based on the plurality of execution time data included in the designated data set. Medical Plan Creation Support System. The method of claim 8, Support for creating a medical plan suitable for designating a data set corresponding to the disease code by assigning a disease code assigned to an individual disease among a plurality of preset types of diseases, respectively, to the data set, and assigning the disease code by the input device. system. The method of claim 8, Patient attribute codes assigned to individual patient attributes among a plurality of preset patient attributes including at least cardinal symptoms are respectively assigned to the data set, and the input device assigns a patient disease code. A medical plan creation support system suitable for specifying a data set corresponding to the patient attribute code. The method of claim 8, A patient code assigned to an individual patient, respectively, assigned to the data set, wherein the input device is adapted to specify a data set corresponding to the patient code by designating a patient code. The method of claim 7, wherein The object file includes setting sequence information for setting at least a relative performance time candidate for a plurality of medical action candidates instead of or in addition to the performance time; One of the plurality of medical action candidates may be performed separately in the future, The object file stores performance time candidate data indicating performance time candidates instead of or in addition to the performance time data, The display device displays, in a predetermined format, a plurality of medical activity data each representing a plurality of medical activity candidates instead of or in addition to the medical activity data representing a plurality of medical activities, respectively. The input device may change the medical action candidate and the execution time candidate instead of the medical action and the execution time or in addition to the medical action and the execution time in a state in which medical action data is displayed in a predetermined format by the display device. The processing device may be configured by the input device instead of or in addition to the execution time according to the setting order information included in the object file including medical action data indicating the medical action candidates after the change by the input device. Set performance time candidate of each medical action candidate after change, The display device is configured to display, in a predetermined format, medical behavior data representing each candidate medical behavior after modification in place of or in addition to the medical behavior data representing each medical behavior. Medical Plan Creation Support System. The method of claim 7, wherein And a processing time data for each of the target files, wherein the processing device generates performance time data indicating the set performance time, and the target file updates its storage contents according to the generated performance time data. The method of claim 7, wherein And a medical plan creation support system for displaying, by the display device, a medical behavior data indicating a medical behavior whose performance timing has changed among the plurality of medical behaviors after the change in a display manner different from the medical behavior data indicating a medical behavior whose performance timing has not changed. The method of claim 1, And the input device can change setting order information, and the processing device sets the execution time in accordance with the setting order information changed by the input device. The method of claim 1, And the predetermined format is a medical plan table in which at least a time unit representing a date is set on one axis and a type of medical activity is set on another axis. The method of claim 1, And the predetermined format is a list in which a plurality of medical actions for which execution time is set are arranged in order of execution time irrespective of the type of medical action. The method of claim 6, And a predetermined format is a decision tree in which a plurality of medical action candidates that can be performed separately are arranged in the order of execution time candidates. The method of claim 1, The setting order information corresponding to one medical action data indicates at least a relative back and forth relationship of the execution time when the medical action represented by the one medical action data is performed based on the termination or the start of the medical action indicated by the other medical action data. A medical plan creation support system that includes pre- and post-relational rule data that each prescribes. The method of claim 1, The setting order information corresponding to one medical act data is a time range provision for defining a time range during which the medical act represented by the one medical act data is performed based on the start or end of the medical act represented by another medical act data. Medical planning creation support system that includes data. The method of claim 1, And the setting order information includes execution frequency definition data defining an execution frequency of each medical activity. The method of claim 1, Each of the object files may be trained to transmit change-intimation data informing the processor of a change in the execution time of another object file when the execution time of the medical activity data included in each object file is changed. Include additional order information, When the execution time is changed, the processing apparatus transmits the change delivery data to another object file according to the delivery order information, and resets the execution time according to the setting order information included in the other object file. Medical Plan Creation Support System. The method of claim 1, The input device is suitable for designating at least a date at which at least one medical action of the plurality of medical actions to be performed is scheduled to be performed, and the processing device is configured to perform the plurality of execution times in at least date units based on the specified date. Medical plan creation support system to set up. The method of claim 1, And a warning device for generating an alarm when the plurality of set execution times are inconsistent with each other or when a set execution time inconsistent with each other cannot be set. The method of claim 1, Includes two units connected via a communication line, The plurality of object files are provided in one of the two units, and the display device is provided in the other of the two units. Medical Plan Creation Support System. The method of claim 1, The predetermined format is a medical plan table in which at least a time unit representing a date is set on one axis, and types of medical activities are set on different axes, Each object file represents multiple correlations between each object file and each kind or types set on different axes, and includes multiple correlation information indicating a priority order of the multiple correlations. The processing device correlates the object file with each type set to another axis in the displayed medical schedule according to the multi-correlation information. Medical Plan Creation Support System. The method of claim 1, The predetermined format is a medical plan table in which at least a time unit representing a date is set on one axis and a type of medical activity is set on another axis, The processing device removes from the other axis a type or types for which there is no object file corresponding in the displayed medical schedule. Medical Plan Creation Support System. The method of claim 1, The predetermined format is a medical plan table in which at least a time unit representing a date is set on one axis and a type of medical activity is set on another axis, The processing device removes from one axis a date or dates for which there is no corresponding object file in the displayed medical schedule. Medical Plan Creation Support System. A method of supporting a medical plan preparation, comprising: a program storage device readable by a medical plan preparation support system, which stores a program consisting of instructions that can be performed by a system that performs a process; The medical plan preparation support system is configured to set at least a relative execution time for (i) medical action data indicating one of a plurality of preset medical actions and (ii) a plurality of medical actions constituting a series of medical plans. Includes a plurality of object files each including setting order information, The method process is a) When a plurality of medical activities constituting a series of medical plans are designated, a predetermined time axis is set according to the setting sequence information included in each of the plurality of object files including a plurality of medical activity data representing a plurality of designated medical activities. Establishing at least a relative time of performance of the plurality of medical acts specified on the table; and b) displaying a plurality of pieces of medical activity data, each representing a plurality of medical acts, the at least one of which is set by the setting process, in a predetermined format, each arranged in the order of the time of performing the medical acts; Program memory. A method of supporting a medical plan preparation, comprising: a program storage device readable by a medical plan preparation support system, which stores a program composed of instructions that can be performed by a system that performs a process; The medical plan preparation support system includes: (i) medical behavior data indicating one of a plurality of preset medical behaviors, and (ii) at least a relative execution time for a plurality of medical activities constituting a series of medical plans. A plurality of object files each including setting order information, and (iii) performance time data indicating at least a relative performance time of each medical action represented by the medical care data on a predetermined time axis, The method process is a) displaying a plurality of medical action data each representing a plurality of medical actions at least in which the execution time is set in a predetermined format in which medical actions are arranged in order of execution time based on the execution time indicated by the set execution time data; b) at least partially changing the medical action or time of performance while the medical action data is displayed in a predetermined format, c) setting the execution time of each medical action after the change in accordance with the setting sequence information contained in the object file including the medical action data indicating each medical action after the change; and d) displaying the medical behavior data representing each medical behavior after the change to a predetermined format based on the execution time set in the setting step; Program storage device.