KR101729143B1 - System for managing medical process - Google Patents

Abstract

The present invention relates to a system for managing a medical process. The system for managing a medical process according to an embodiment of the present invention includes: a medical process module configured to store and manage a medical process set in accordance with characteristics of a hospital and diseases by a manager; a procedure approving module configured to determine whether performance of a next procedure on the medical process is approved; a right setting module configured to perform right setting and right change for one or more medical persons; an EMR managing module configured to manage EMR data received from the medical persons; a system managing module configured to transfer data received from the manager to each module, wherein the procedure approving module makes setting such that a specific necessary procedure is performed after a specific step of a medical process according to a request of the manager when the specific necessary procedure is required in a disease, and restrains the system from proceeding to a next step when the necessary procedure is not performed, and the right setting module sets a range of the medical persons having a right to proceed to a next step without performing the necessary procedure. According to the present invention, the manager may set the medical process in the hospital suitably for an actual state of the hospital. Because of this, it is not required to modify a program to set a sequence of medical processes in accordance with a situation of each hospital, so that the system may be utilized to accord with the corresponding hospital as the manager changes setting based on one program.

Description

[0001] SYSTEM FOR MANAGING MEDICAL PROCESS [0002]

BACKGROUND OF THE INVENTION 1. Field of the Invention [0002] The present invention relates to a medical process management system, and more particularly, to a management system for smoothly managing a process performed during a patient treatment or treatment in a hospital.

Recently, electronic systems have been introduced into hospitals and become electronic. Electronic medical records (EMR) are used for electronic medical records, and various systems such as OCS and PACS are used in hospitals.

However, there is a problem that each system used in the hospital in Korea is not appropriately linked due to being manufactured individually. In particular, EMR and document processing for insurance processing should be processed according to the medical process that is performed sequentially in the hospital. However, as each system is implemented individually, a system that is efficiently processed according to the medical process is not applied It is a fact that I can not.

In addition, there has been an inconvenience to modify the system as a whole in order to change the setting as the situation of the hospital is changed after implementing the system corresponding to the situation of each hospital. Therefore, there is a need for a system in which necessary elements in a hospital are created as individual modules, and an administrator can easily change the settings of each module.

Korean Patent Laid-Open Publication No. 10-2015-0073569 (entitled: Integrated system and method for hospital medical system, system and method for utilizing utilization service of integrated system of hospital medical system, publication date: July 1, 2015)

The present invention provides a medical process management system that efficiently manages data in a hospital by setting a necessary process or a medical record processing time required in the hospital based on the order of the medical process in the hospital.

The present invention also provides a medical process management system that does not require a separate maintenance process when the hospital system is upgraded, by individually managing the medical process, the time of performing essential procedures, and the setting of the required procedures.

In addition, the present invention provides a medical process management system that enables a manager to easily set a medical process of a specific hospital, a time of performing a required procedure, and a mandatory procedure based on a user interface provided to a client.

A medical process management system according to an embodiment of the present invention includes a medical process module for storing and managing a medical process set according to a hospital characteristic and a disease by an administrator; A procedure approval module for determining whether to permit proceeding of the next procedure on the medical process; A permission setting module for performing permission setting and permission change for one or more medical persons; An EMR management module for managing EMR data received from a medical person; And a system management module for transferring data received from the manager to each module, wherein the procedure acceptance module is configured to, if a certain essential procedure is required, And if the essential procedure is not performed, the system-based proceeding to the next procedure is restricted. The authority setting module may be configured to set the authority to be authorized to proceed to the next step without performing the essential procedure Is set in the range.

The authority setting module may determine whether the authority is granted according to the job of the medical person. When the job of the medical person is changed, the authority setting module automatically changes the authority setting.

In addition, the system management module may separately store an exception patient to which the essential procedure has been passed by the authority setting module, and designate a processing time of the essential procedure for the exception patient.

In addition, the authority setting module may set different ranges of medical personnel to which the authority is given, depending on the type of essential procedure.

The system management module also provides a medical process setting interface to an administrator client and requests the medical process module to set a medical process of a specific disease according to the setting information received from the manager client, One or more steps required for a specific disease, and one or more steps to be included in a specific medical process according to an operation of an administrator, and the order of execution of each step are specified.

In addition, the medical process setting interface may be configured to present a necessary procedure conforming to a specific disease, to designate a specific time point of the medical process for a specific disease as an arrangement time of the essential procedure according to an operation of a manager, May transmit the arrangement time point received from the manager client to the procedure approval module and request a setting.

And an EMR template management module for storing a template for each item constituting the EMR recording sheet, wherein the system management module provides the template for each item stored in the EMR template management module to the manager client, And an EMR recording sheet setting is performed according to a template modification or a new creation request for a specific EMR recording sheet received from the client.

According to the present invention as described above, the following various effects are obtained.

First, the administrator can set the in-hospital medical process to suit the hospital situation. With this, it is not necessary to modify the program in order to set the order of the medical process according to the situation of each hospital, and the administrator can change the setting based on one program so that it can be used in accordance with the hospital.

Second, appropriate medical process can be created and provided according to the disease, and a medical process can be created and provided according to the structure of the hospital according to the structure of the hospital. Also, by providing the medical process according to the disease of each patient to the client of the patient, it is possible to make the patient understand the procedure of the medical treatment.

Third, it is possible to prevent the omission of necessary procedures (for example, processing of essential documents) by arranging essential procedure execution periods on the medical process process. In addition, when exception handling is performed in accordance with the authorization of an emergency room worker or the like, it is possible to prevent the essential procedure from being omitted due to individual management of the exceptioned patient. Through this, it is possible to prevent the patient from having difficulty in processing by confirming a paper missing after discharge or returning home.

fourth. Medical process setting, essential procedure timing setting, and authority setting of the medical person are created as individual modules, and the entire system can be adjusted by changing each setting, so that it is not necessary to modify the whole system to change each setting. In addition, since the administrator can input the UI operation on the client and change the setting of each module, it is not necessary to modify each module to change the setting, which is efficient.

1 is a configuration diagram of a medical process management system according to an embodiment of the present invention.

Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the accompanying drawings. BRIEF DESCRIPTION OF THE DRAWINGS The advantages and features of the present invention, and the manner of achieving them, will be apparent from and elucidated with reference to the embodiments described hereinafter in conjunction with the accompanying drawings. The present invention may, however, be embodied in many different forms and should not be construed as limited to the embodiments set forth herein. Rather, these embodiments are provided so that this disclosure will be thorough and complete, and will fully convey the scope of the invention to those skilled in the art. To fully disclose the scope of the invention to those skilled in the art, and the invention is only defined by the scope of the claims. Like reference numerals refer to like elements throughout the specification.

Unless defined otherwise, all terms (including technical and scientific terms) used herein may be used in a sense commonly understood by one of ordinary skill in the art to which this invention belongs. Also, commonly used predefined terms are not ideally or excessively interpreted unless explicitly defined otherwise.

The terminology used herein is for the purpose of illustrating embodiments and is not intended to be limiting of the present invention. In the present specification, the singular form includes plural forms unless otherwise specified in the specification. The terms " comprises "and / or" comprising "used in the specification do not exclude the presence or addition of one or more other elements in addition to the stated element.

In the present specification, the medical process refers to a process of an operation to be performed in a hospital for a patient in an outpatient clinic in the hospital, a hospitalization, or an emergency patient. For example, a medical process may include an act of accepting, conducting an examination (e.g., medical imaging) that should proceed within a hospital, treating or storing one or more medical services, .

In this specification, the performing actions refer to the respective actions constituting the medical process. The performing action may include a medical act performed by the medical staff (i.e., a medical examination based on medical expert knowledge, an examination, prescription, medication, and the like) Such as reception, storage, medical records management, insurance screening, etc.).

In this specification, a medical person means an employee involved in a medical process in a hospital. In other words, in the present specification, the medical person refers to a medical staff working in a hospital (that is, a doctor, a dentist, a nurse, a doctor, a midwife) (Such as clinical pathologists, radiologists, physical therapists, occupational therapists, dental technicians, dental hygienists, etc.), medical records, general staff (eg, And a person who performs tasks involved in a medical process performed in a hospital such as a hospital or the like.

In this specification, an administrator refers to an employee in a hospital who performs setting of a medical process in a hospital, setting a time for performing a required procedure, or setting a right for passing essential procedures among the medical staff. If the personnel performing the setting of each item are different, the manager may correspond to a plurality of employees.

The essential procedure in this specification refers to a specific procedure that must be performed essentially in a hospital. The required procedure may be a specific act to be performed by the healthcare provider in the hospital (for example, a mandatory test that must be conducted prior to performing a particular operation or treatment), or a specific document (for example, , Consent to surgery, discharge summary, etc.).

Hereinafter, referring to the drawings, a medical process management system 10 according to one embodiment of the present invention will be described in detail.

Referring to FIG. 1, a medical process management system 10 according to an embodiment of the present invention includes a system management module 100; A medical process module 200; A procedure approval module 300; An authority setting module 400; An EMR management module 500; And the EMR template management module 600.

The system management module 100 transfers data received from the administrator client 20 to each module or transmits data to another client. In one embodiment, the system management module 100 receives data input from the administrator client 20 and delivers the data to each module. For example, as will be described later, the system management module 100 may transmit the type and sequence of medical processes received from the administrator client 20 to the medical process module 200. [ Also, for example, as will be described later, the system management module 100 can transfer the rights setting information received from the administrator client 20 to the rights setting module 400. [

Also, in another embodiment, the system management module 100 may transmit user interface information to be displayed on the screen of the administrator client 20. That is, the system management module 100 can provide an interface (for example, a medical process setting interface) for inputting the type and sequence of the performing actions in the medical care process for each disease, the time of performing essential procedures, have. For example, when the system management module 100 receives a request for setting a medical process for a specific disease from an administrator, the system management module 100 generates a list of necessary procedures (for example, medical care actions) And the administrator client 20 can provide the selection and order setting of the medical procedure in a drag and drop manner from the administrator Can be performed.

In addition, for example, the system management module 100 may provide a mandatory procedure list to provide the requisite procedures to be placed between the steps of the medical process, on one side of the UI of the administrator client 20. [ The system management module 100 can select necessary procedures matching the type of disease corresponding to the medical process set by the administrator and provide them as a list of essential procedures on the UI (i.e., the medical process setting interface) of the administrator client 20 have. The administrator client 20 is specified as a point in time at which the mandatory procedure is placed at a specific time point of the medical process for a specific disease according to an operation of an administrator, and the system management module 100 receives And transmits the setting time point to the procedure approval module 300 to request the setting.

Further, for example, the medical process system 10 is not required to add a necessary procedure not included in the medical process, but to perform a specific performing action (for example, a medical action) included in the medical process, May be applied. That is, although the procedure may not be sequentially performed according to a set medical process but may be performed in a fluid manner depending on a situation, a specific performing operation in the medical process may be designated as an essential procedure that must be performed in order. For example, in the case of an operation that should proceed after anesthesia, it is necessary to perform an examination of the possibility of anesthetic arousal in the medical process, and the examination may be designated as an essential procedure that must be performed.

In this case, the administrator can designate a specific execution operation as a mandatory procedure in the medical process displayed on the UI on the administrator client 20, and the system management module 100 receives the execution execution information set as a mandatory procedure from the administrator client 20 To the procedure approval module 300 so as to set the corresponding execution procedure as a mandatory procedure.

Further, in another embodiment, the system management module 100 may provide a medical process that the patient must proceed through wireless communication to the patient client. Patients can, in turn, identify the medical procedures that they need to perform within the hospital, based on the medical process they provide. The system management module 100 provides the place information for proceeding with each performing action (for example, a medical action) together with the medical process sequence conforming to the patient, so as to allow the patient to smoothly proceed the procedure in the hospital You can give.

Further, in another embodiment, the system management module 100 may receive data input from an employee client in each performance action in the medical process. For example, if the employee is a medical person, the system management module 100 may transmit the medical record data (i.e., EMR data) input from the medical person to the EMR management module 500. At this time, the system management module 100 can match and store EMR data with each medical care action, and can store EMR data in the order of medical process.

The medical process module 200 performs a function of managing a medical process set by an administrator. That is, the medical process module 200 may store a medical process that is set to match the hospital from the administrator. The medical process set by the administrator and stored in the medical process module 200 can serve as a reference for managing data of the entire system. That is, the data processed in the hospital such as the EMR data and the insurance process-related data can be managed based on the medical process set in the medical process module 200.

In one embodiment, the medical process module 200 may set and store processes differently depending on the disease from the administrator. For example, the medical process module 200 may select a medical procedure necessary for the disease from the manager, because the medical examination process module 200 may be different from a medical examination or a medical examination (for example, And the order of execution of each medical procedure can be set.

Further, in another embodiment, the medical process module 200 can set the medical process according to the hospital characteristic from the manager. The hospital characteristics may include a placement relationship of each place in the hospital, and the like. For example, based on the location of the in-hospital laboratory, the clinic, etc., it may be possible to establish an efficient copper medical process for hospital operation.

The medical process module 200 may receive the medical process setting information received from the client of the administrator from the system management module 100 and store the information. The administrator can input the medical process setting information through the medical process setting interface operation provided from the system management module 100 to the administrator client 20. [

In addition, the medical process module 200 can receive the medical process example information that has been generated and set it as a medical process in the hospital. For example, in a new hospital (hereinafter referred to as a new hospital), there may not be an established medical process in the hospital. Accordingly, the medical process management system 10 can receive and store disease-specific medical processes generated in other hospitals, and can provide them for use by the manager of the new hospital. That is, the medical process management system 10 can extract and recommend to the new hospital manager the medical processes of other hospitals that are similar in size or characteristics (e.g., hospital departments, specialized fields, etc.) to the new hospitals. If the recommended medical process is selected by the administrator of the new hospital, the medical process module 200 may receive and set the selected medical process information.

The procedure approval module 300 determines whether or not to permit the proceeding of the next procedure on the medical process. That is, if the medical care process includes a plurality of performing actions, the procedure acceptance module 300 may determine whether or not to allow the user to proceed to the next performing action.

In one embodiment, the procedure approval module 300 may place a certain required procedure between execution actions to be performed in order, and may set a restriction on the system so as not to proceed to the next procedure without performing the essential procedure. That is, the procedure approval module 300 sets the essential procedure to be performed after a specific step of the medical process according to the request of the manager, if the required essential procedure is a disease, and if not, You can limit it to not fall. This can prevent missing essential procedures necessary for a particular disease or medical behavior. For example, in the case of a disease corresponding to the exemption system for calculating partial deductibles, the medical staff need to prepare the documents for processing according to the exemption system, so that the procedure approval module 300, After the medical staff has entered the documents related to the calculation of the exemption, it is possible to proceed to the next step.

In addition, the procedure approval module 300 can perform a function of designating a specific execution activity in the medical process as a mandatory procedure and setting a restriction so as not to proceed to the next procedure without performing the corresponding procedure, as described above. For example, a specific test to be performed prior to surgery may be performed as a mandatory procedure. Through this, it is possible to present a guideline to novice medical staff or medical staff who have not worked for a long time in the hospital, thereby reducing the occurrence of medical accidents and improving the quality of medical service.

The procedure approval module 300 may be operated independently of the medical process module 200. That is, the essential procedure execution time can be changed by changing the execution time stored in the procedure approval module 300 irrespective of the medical process on the medical process module 200. Accordingly, since the time of performing essential procedures is included in the medical process, it is possible to eliminate the inconvenience of correcting the entire performance process when the essential procedure execution time is changed.

In addition, the procedure approval module 300 can set whether each recording sheet in the EMR recording sheet management module 500 or a specific item in a specific recording sheet is required to be listed, as described later. That is, the procedure approval module 300 may prevent a medical person (particularly a doctor, a dentist, a doctor, a nurse) from proceeding to the next procedure in the system unless a specific EMR recording sheet is created (for example, You may not be able to proceed to the next medical practice or you may be restricted from passing on the next medical practice to another healthcare provider.)

In addition, the procedure approval module 300 can set whether or not the entire EMR recording sheet is required to be prepared for each item constituting the recording sheet, As shown in FIG. For example, in the case of a night shift duty, a physician who is not a specialist in the department may be able to accurately describe the diagnosis in the EMR record book if he / she treats the emergency patient. Therefore, in this case, the diagnosis item, which is a specific item in the medical record, can be excluded from the essential items.

At this time, the procedure approval module 300 can designate the time when the corresponding EMR recording sheet or a specific item should be created when the EMR recording sheet or the specific item is passed without creating the item. For example, if a worker completes a medical process after preparing a recording sheet excluding a medical name, the procedure approval module 300 sets a point of time when the completion of the recording sheet is completed, , And ask the specialist in the department concerned to fill out the form.

The authority setting module 400 may perform the authority setting and the authority change for one or more medical persons. The authority may mean that it can pass through the necessary procedures that are placed on the medical process. That is, the authority setting module 400 may set a medical person who is allowed to proceed to the next step, or may set a medical person who can pass the essential procedure, in order to fulfill essential procedures by the procedure approval module 300.

In one embodiment, the authorization setting module 400 may determine whether mandatory procedure fulfillment is required by the procedure approval module 300 according to the job of the medical care provider. For example, when the medical person has a job related to an emergency situation (for example, a medical person or a worker working in the emergency room), it is difficult to carry out the essential procedure in an emergency, You can grant permissions.

 Also, the authority setting module 400 can automatically change the authority setting when the job of the medical person is changed. For example, if a particular health care provider is designated as a working person, the health care provider may be authorized to pass certain essential procedures placed between medical processes, and may be deprived of such authority at the time of the medical service.

Also, the authority setting module 400 may set different permission setting ranges according to the type of required procedures. If the required procedure is the processing of a specific document, the authority to pass the required procedure can be broadened and the scope of authority can be narrowed if the required procedure is essential for the patient's care or treatment.

In addition, the authority setting module 400 can set different conditions (i.e., pass conditions) that can be passed by essential procedures for each state of the patient. The passing condition may be a specific disease or a condition level of the patient judged by the medical staff.

The EMR management module 500 manages the EMR data received from the medical care provider. That is, the EMR management module 500 may store the EMR data input from the medical person in the course of performing the medical procedure.

The EMR template management module 600 is a module for storing and managing templates generated for each item constituting the EMR recording sheet. If each recording sheet is individually generated by coding, it is inconvenient to add an item to be recorded in the recording sheet or to modify the code for the entire recording sheet when a new recording sheet format is required. Therefore, the EMR template management module 600 can generate a template for an item that can be included in each recording sheet, easily add it to a specific recording sheet, or create a new recording sheet form. That is, the system management module 100 provides the template for each item stored in the EMR template management module 600 to the administrator client 20, and for the specific EMR recording sheet received from the administrator client 20 An EMR recording sheet setting can be performed according to a template modification or a new creation request.

For example, when a specific item should be added to an existing EMR recording sheet, the manager client 20 displays the items provided from the EMR template management module 600 in the medical process management system 10, Can be selected to request addition to the existing existing map. For example, in the recording sheet setting page provided on the administrator client 20, the administrator can easily modify the recording sheet format by dragging and dropping a specific item to a specific ordering position of the recording sheet. The medical process management system 10 receives the recording paper change request received from the administrator client 20 (that is, a request to add a specific item on the recording paper), and stores a template source code (Source code) It can be added to the source code to carry out correction of the recording paper. Thereafter, the EMR management module 500 may store the modified recording sheet in the form of a recording sheet to be prepared by a clinician in the hospital.

Thereby, it is not necessary to modify the system source code (source code) to modify the form of the EMR recording sheet or to create a new one, and the manager (i.e., user) can directly edit the EMR recording sheet, Adoption can be reduced.

In addition, the system management module 100 may separately store an exception patient that has passed the essential procedure by the authority setting module 400. [ The exception patient list that has passed the required procedures should be managed separately, and the failure to perform the necessary procedures can prevent the problems that may occur. For example, in the case where the medical process is performed without receiving the documents according to the special calculation system, the system management module 100 may manage the patient separately so that the patient can be processed without missing the document before discharge or return home .

In addition, the system management module 100 can designate the processing time of the essential procedure for the exception patient. That is, the system management module 100 has a priority for performing the essential procedures, and if the required procedures designated at a specific time are passed by the authority granted to the medical personnel, the system management module 100 performs the necessary procedures at the next ranking To be designated for the patient.

According to the present invention as described above, the following various effects are obtained.

First, the administrator can set the in-hospital medical process to suit the hospital situation. With this, it is not necessary to modify the program in order to set the order of the medical process according to the situation of each hospital, and the administrator can change the setting based on one program so that it can be used in accordance with the hospital.

Second, appropriate medical process can be created and provided according to the disease, and a medical process can be created and provided according to the structure of the hospital according to the structure of the hospital. Also, by providing the medical process according to the disease of each patient to the client of the patient, it is possible to make the patient understand the procedure of the medical treatment.

Third, it is possible to prevent the omission of necessary procedures (for example, processing of essential documents) by arranging essential procedure execution periods on the medical process process. In addition, when exception handling is performed in accordance with the authorization of an emergency room worker or the like, it is possible to prevent the essential procedure from being omitted due to individual management of the exceptioned patient. Through this, it is possible to prevent the patient from having difficulty in processing by confirming a paper missing after discharge or returning home.

Fourth, since it is possible to control the whole system by changing the setting of each process, it is not necessary to modify the entire system to change each setting. In addition, since the administrator can input the UI operation on the client and change the setting of each module, it is not necessary to modify each module to change the setting, which is efficient.

While the present invention has been described in connection with what is presently considered to be practical exemplary embodiments, it is to be understood that the invention is not limited to the disclosed embodiments, but, on the contrary, You will understand. It is therefore to be understood that the above-described embodiments are illustrative in all aspects and not restrictive.

10: Medical Process System 20: Administrator Client
100: system management module 200: user input
300: procedure approval module 400: permission setting module
500: EMR management module 600: EMR template management module

Claims (7)

A system for managing a process performed during a patient care in a hospital,
A medical process module for storing and managing a medical process set according to a hospital characteristic and a disease by an administrator;
A procedure approval module for determining whether to permit proceeding of the next procedure on the medical process;
A permission setting module for performing permission setting and permission change for one or more medical persons;
An EMR management module for managing EMR data received from a medical person;
An EMR template management module for storing a template for each item constituting the EMR recording sheet; And
And a system management module for transmitting data received from the manager to each module,
The procedure approval module comprises:
The system may be configured to perform the essential procedures after a specific performing action of the medical process according to a request of an administrator in the case of a disease requiring a specific essential procedure,
Setting an essential entry item in the EMR recording sheet so as not to proceed to the next step unless the essential entry item is recorded,
The rights setting module includes:
And the scope of the medical personnel to which the passable authority is given without establishing the essential items included in the EMR recording sheet,
The system management module includes:
Providing the medical process setting interface and the EMR recording setting interface to the manager client,
Requesting the medical process module to set a medical process of a specific disease according to the setting information received from the manager client,
And transmits the arrangement time of the essential procedure received from the manager client to the procedure approval module,
Providing the EMR template management module with the item-specific template to the EMR recording location setting interface of the manager client, and providing the template corresponding to the description item specified by the manager client to the EMR recording location setting interface by the EMR To request additional records,
When the medical process example information already generated and stored by the administrator is selected, requests to apply the selected medical process instance information to the medical process module,
Wherein the medical process setting interface comprises:
Suggesting one or more performing actions necessary for a particular disease,
One or more performing actions to be included in a specific medical process according to an operation of an administrator, and a sequence of performing each of the performing actions,
The essential procedure conforming to a specific disease is presented and a specific time point of the medical process for a specific disease is designated as the time point of the essential procedure according to the manipulation of the manager,
And sets an input of the essential entry and an input timing when proceeding to the next procedure without recording the essential entry. The method according to claim 1,
The rights setting module includes:
Wherein the granting of the right is determined according to the job of the medical person,
And the authorization setting is automatically changed when the job of the medical person is changed. 3. The method of claim 2,
The system management module includes:
An exception patient to which the essential procedure has been passed by the authority setting module is separately stored,
And designates the processing time of the essential procedure for the exception patient. The method according to claim 1,
The rights setting module includes:
And sets the scope of the authorized medical person differently according to the type of the essential procedure. The method according to claim 1,
The hospital characteristics include a placement relationship of each place in the hospital,
Characterized in that the medical process module is configured to set a copper medical process meeting the arrangement relation from an administrator,
The system management module includes:
A medical process management system that provides a medical process via wireless communication to a patient client. The method according to claim 1,
The medical process module comprising:
According to the request of the manager, the medical process for each disease applied to another hospital is received and applied.
Wherein the disease-specific medical process is used in another hospital having a similar hospital size or hospital characteristics. delete

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