KR102041783B1 - Method for providing management services of clinical record in physiotherapy patient - Google Patents

Abstract

The present invention provides a method for providing a physical therapy patient record management service. The present invention provides a physical therapy patient record management service providing method for providing a patient management service using a terminal, the method comprising: performing administrator authentication according to whether input information input through the terminal matches previously stored authentication information; step; A second step of, when the administrator authentication is completed from the first step, loading work list information previously stored in the terminal with respect to the corresponding manager, sorting according to time series, and generating new work list information according to the manager input; A third step of generating subjective information and objective information regarding the work list information or the new work list information according to an administrator input from the second step; And a fourth step of generating evaluation information and treatment plan information based on the subjective information and objective information from the third step. And a fifth step of collecting the subjective information, the objective information, the evaluation information, and the treatment plan information from the fourth step to generate report information processed in the form of an image. From the second to fifth steps, Search for semantic information about text in a selection area set by the administrator for the subjective information, objective information, evaluation information, and treatment plan information based on the term dictionary data previously stored in the terminal; The semantic information is secondarily searched based on a portal server connected through the second server, and the first semantic information and the second semantic information searched according to the search are classified and arranged in a color contrasting to each other, And a sixth step of displaying in the form of a text box, wherein the sixth step comprises: a plurality of mothers attached to the patient's body through a network; Obtain physical motion information about the trajectory and acceleration according to the body movement of the patient from the sensor, generate a virtual body model based on the acquired physical motion information, and visualize the motion of the body model corresponding to the trajectory and acceleration Outputting and determining the risk of the patient according to whether the values for the trajectory and the acceleration satisfy a reference value.

Description

METHOOD FOR PROVIDING MANAGEMENT SERVICES OF CLINICAL RECORD IN PHYSIOTHERAPY PATIENT}

The present invention relates to a method of providing a physical therapy patient record management service.

In general, as a health care worker who protects the health of the people, physical therapists are experts in providing health care, so it is only natural to record all the information provided to the patient, but in most cases this cannot be realized.

In the United States, clinicians keep daily records of what physical therapists have done to patients, and the creation of clinical records in the form of SOAP notes has been adopted throughout the United States.

And most of the physical therapy departments in the United States provide students with a link between the records of SOAP notes and case reports.

The physiotherapeutic clinical record, or soap note, is a record of the management and treatment of all aspects of the physiotherapist and patient's disease, and should be accurate and concise enough to prove all the facts and results. .

These soft notes are used as a way to record what most US physical therapists do to patients every day.

Here, SOAP refers to an acronym for the meaning of each paragraph for patient management. In SOAP, the word 'S' is an acronym for 'Subjective' and is classified subjectively of the patient in the relationship between the therapist and the patient. It means everything is included, 'O' is an acronym for 'objective' and contains all objective information, and 'A' is an acronym for 'assessment', which is the first problem in the relationship between 'S' and 'O'. The long-term and short-term goals are presented, and 'P' is an acronym for 'plan' and means that all information included in the planning is included.

Accordingly, the soap note takes the form of a plan for the physical therapist to establish a treatment plan based on information according to the meaning of the words forming the soap.

However, most of the soap notes are often made by handwriting, which makes the writing inconvenient. In particular, students may be vulnerable to clinical medical terms, which makes it difficult to smoothly write the soap notes.

1. Korean Patent Publication No. 2009-0111618 (2009.10.27.)

The present invention for solving such a problem is to facilitate the smooth writing of soap notes conveniently and easily by using a terminal, and to improve the portability, as well as to search the clinical medical terms used to create soap notes The objective is to provide a method for providing physical therapy patient record management services to improve the efficiency and accuracy of note taking.

The object of the present invention is not limited to those mentioned above, and other objects not mentioned will be clearly understood by those skilled in the art from the following description.

According to an embodiment of the present invention for achieving the above object, in the physical therapy patient record management service providing method for providing a patient management service using a terminal, the input information input through the terminal is matched with pre-stored authentication information A first step of performing administrator authentication according to whether or not; When the administrator authentication is completed from the first step, a second step of loading work list information previously stored in the terminal with respect to the corresponding manager, sorting them according to time series, and generating new work list information according to the manager input; A third step of generating subjective information and objective information regarding the work list information or the new work list information according to an administrator input from the second step; And a fourth step of generating evaluation information and treatment plan information based on the subjective information and objective information from the third step. And a fifth step of collecting the subjective information, the objective information, the evaluation information, and the treatment plan information from the fourth step to generate report information processed in the form of an image. From the second to fifth steps, Search for semantic information about text in a selection area set by the administrator for the subjective information, objective information, evaluation information, and treatment plan information based on the term dictionary data previously stored in the terminal; The semantic information is secondarily searched based on a portal server connected through the second server, and the first semantic information and the second semantic information searched according to the search are classified and arranged in a color contrasting to each other, And a sixth step of displaying in the form of a text box, wherein the sixth step comprises: a plurality of mothers attached to the patient's body through a network; Obtain physical motion information about the trajectory and acceleration according to the body movement of the patient from the sensor, generate a virtual body model based on the acquired physical motion information, and visualize the motion of the body model corresponding to the trajectory and acceleration Outputting and determining the risk of the patient according to whether the values for the trajectory and the acceleration satisfy a reference value.

In addition, the sixth step may be performed to log in to the e-mail account of the administrator through the network according to the input of the administrator from the fifth step, and to transmit the report information to the recipient e-mail account in association with the e-mail account. It can provide a physical therapy patient record management service providing method characterized in that it is provided, including the seven steps.

According to the present invention, it is possible to use the terminal to conveniently and easily create the smooth notes, improve the portability, as well as enable the search of clinical medical terms used to create the soap notes, the efficiency of writing soap notes And has the effect of improving accuracy.

The effects of the present invention are not limited to those mentioned above, and other effects not mentioned will be clearly understood by those skilled in the art from the following description.

1 is a flow chart of a physical therapy patient record management service providing method according to an embodiment of the present invention,
Figure 2 is an exemplary view showing an example of an application executed in the terminal using the method of providing a physical therapy patient record management service of the present invention.

Objects and effects of the present invention, and technical configurations for achieving them will be apparent with reference to the embodiments described later in detail in conjunction with the accompanying drawings. In describing the present invention, when it is determined that a detailed description of a known function or configuration may unnecessarily flow the gist of the present invention, the detailed description thereof will be omitted. The terms to be described later are terms defined in consideration of structures, roles, functions, and the like in the present invention, which may vary according to intentions or customs of users and operators.

However, the present invention is not limited to the embodiments disclosed below but may be implemented in various forms. The present embodiments are merely provided to complete the disclosure of the present invention, and to fully inform the scope of the invention to those skilled in the art, and the present invention is described only in the claims. It is only defined by the scope of the claims. Therefore, the definition should be made based on the contents throughout the specification.

Throughout the specification, when a part is said to "include" or "include" a component, it means that it can further include other components, except to exclude other components unless otherwise stated. . In addition, the terms "... unit", "... unit" or "... module" described in the specification means a unit for processing at least one function or operation, which is hardware or software or hardware and It can be implemented in a combination of software.

In an embodiment of the present invention, each component, functional block, or means may be composed of one or more subcomponents, and the electrical, electronic, and mechanical functions performed by each component are electronic circuits and integrated circuits. , ASIC (Application Specific Integrated Circuit) may be implemented as a variety of known elements or mechanical elements, each may be implemented separately or two or more may be integrated into one.

Hereinafter, a method of providing a physical therapy patient record management service according to an embodiment of the present invention will be described in detail with reference to the accompanying drawings.

1 is a flowchart of a method for providing a physical therapy patient record management service according to an embodiment of the present invention, and FIG. 2 is an exemplary view showing an example of an application executed in a terminal using the method for providing a physical therapy patient record management service according to the present invention. .

1 and 2, the method for providing a physical therapy patient record management service according to an embodiment of the present invention enables the smooth writing of soap notes conveniently and easily using a terminal, and improves portability. In the patient method of providing a patient care service using a terminal to enable searching of clinical medical terms used to create soap notes to improve efficiency and accuracy of soap notes, the first step (S10) to the first The sixth step (S60) is to proceed.

Wherein the terminal is preferably a smart phone configured to perform a series of steps of the method of providing a physical therapy patient record management service of the present invention, but collects data such as desktop computer, notebook computer, smart phone, PDA, mobile phone, game machine It may be replaced by any calculation means that can be read, processed, processed, stored and displayed.

Such a terminal may be a device having a function capable of executing software written in decodable code and displaying and delivering the same to a user.

If necessary, the software may be stored on its own or read with data from the outside.

In addition, the terminal in the embodiment of the present invention includes not only data processing functions as described above, but also functions such as input, output, and storage. For this purpose, a CPU, a main board, a graphics card, a hard disk, and a sound of general computer devices are included. Cards, speakers, keyboards, mice, monitors, USBs, communication modems, as well as external components such as CPUs, motherboards, graphics chips, memory chips, sound engines, speakers, touch pads, USBs, etc. It may be configured to include a communication terminal capable of implementing communication, such as a connection terminal, a communication antenna, 3G, LTE, LTE-A, WiFi, Bluetooth.

These various elements may be singly or two or more together, or a portion of the various elements may be combined to implement one or more functions, and represented by one or more blocks in the drawings or the description in the embodiments of the present invention. Alternatively, the parts may mean that various elements included in the terminal as described above are alone or two or more together, or parts of various elements are combined to represent one or more functions.

In addition, in the embodiment of the present invention, the terminal may have a communication function, in order to implement the communication function, wired Internet, wireless Internet, infrared communication, Bluetooth, WCDMA, Wibro, WiFi, LTE, LTE-A, wired and wireless telephone network, etc. Network means.

In other words, the network may be a wired or wireless Internet, or may be a core network integrated with a wired public network, a wireless mobile communication network, or a portable Internet, or the like. A global open computer network architecture that provides Transfer Protocol, Telnet, File Transfer Protocol (FTP), Domain Name System (DNS), Simple Mail Transfer Protocol (SMTP), and the like.

The first step (S10) is a step of performing the administrator authentication according to whether the input information input through the terminal matches the pre-stored authentication information.

For example, the authentication information may be information about a predetermined ID and PW using the terminal from the administrator, and may perform a login function depending on whether input information input by the administrator through the terminal matches the authentication information. Can be provided.

The second step (S20), when the administrator authentication is completed from the first step (S10), load the work list information previously stored in the terminal with respect to the manager, sorted according to the time series, new job according to the administrator input This step generates list information.

Here, the work list information may be information regarding a list of soft notes input from an administrator using an interface of the terminal and pre-stored in a storage module of the terminal.

The third step S30 is a step of generating subjective information and objective information regarding the work list information or the new work list information according to the administrator input from the second step S20.

Here, the subjective information refers to all matters that are subjectively classified for the patient in relation to the manager (therapist), for example, if the patient is an inpatient, the expert (specialist therapist) based on the information recorded in the clinical record chart. May be information about the patient's past surgery, past condition or disease, present condition or disease, results of the test, recent surgery status, etc. The patient's name, age, sex, medical history, lifestyle or family situation This may include information related to the patient's own mental state or attitude, his goals, his / her allegations, the response to treatment, the patient's own position or current condition.

In addition, the objective information may be information about a test performed by a manager and a patient's objective observation record. For example, physical information related to a patient's body in need of treatment may include a patient's posture, arm / Information about the condition of the legs, sensory tests, cognitive functions, and daily living behaviors.

The fourth step S40 is a step of generating evaluation information and treatment plan information based on the subjective information and objective information from the third step S30.

Here, the evaluation information may be information about a plan or a goal set by the manager according to the priority of treatment by collecting the subjective / objective information.

The treatment plan information may be information about a prescription according to a treatment plan corresponding to the patient using the terminal.

Accordingly, the subjective / objective information can be easily input by the administrator using the terminal so as to conform to the shape of the soap note according to the steps of the first step S10 to the fourth step S40. Based on the evaluation information and treatment Since the planning information can be confirmed and set quickly, the management efficiency of the patient can be improved through the creation of the virtual soap notes.

In the fifth step S50, the subject information, the objective information, the evaluation information, and the treatment plan information are collected from the fourth step S40 to generate report information processed in an image form. Therefore, by merging each piece of information and processing it into report information in the form of images, it is convenient to check each piece of information corresponding to the soap note as a single report form, and it is difficult to modify or damage the original. Can be improved.

The sixth step (S60) is a step for improving the efficiency and accuracy of the soap note writing by enabling the search of clinical medical terms used to create the soap note, the second step (S20) to the fifth step (S50) ), Based on the term dictionary data previously stored in the terminal, the semantic information about the text in the selection area set by the administrator for the subjective information, the objective information, the evaluation information, the treatment plan information is first searched; The semantic information is secondarily searched based on a portal server connected through a network, and the first semantic information and the second semantic information searched according to the search are classified and arranged in a color contrasting with each other. This step displays the text box in the area.

Therefore, it is possible to compare and refer to the primary and secondary semantic information distinguished and displayed in contrasting colors, and thus, it is possible to generate more accurate virtual soap note report information using the terminal.

In addition, the sixth step (S60) is obtained from the plurality of motion sensors attached to the patient's body through the network to obtain the body movement information on the trajectory and acceleration according to the body movement of the patient, based on the obtained body movement information Generating a virtual body model, outputting a motion of the body model corresponding to the trajectory and the acceleration, and determining the risk of the patient according to whether the values for the trajectory and the acceleration satisfy a reference value. It can be made, including.

For example, the sixth step (S60), the motion sensor is attached to each joint or a specific part of the patient's body and the information measuring the trajectory and acceleration according to the movement of the patient's body and the terminal through the network The terminal device may be configured to be linked to interlock, and the terminal device generates a virtual body model based on the information obtained from the motion sensor, and outputs the movement of the virtual body model through the terminal. When the values for the trajectory and the acceleration are satisfied or not satisfied with the reference value, the risk of the patient's treatment or the priority of the patient's urgent treatment is determined and displayed in the form of voice or image to the manager through the terminal. It may be provided to.

In addition, the sixth step (S60), to log in to the administrator's email account over the network according to the administrator input from the fifth step (S50), the report information linked to the email account recipient email Since the seventh step (S70) to be transmitted to the account is provided, it is possible to quickly and conveniently share the report information in the form of soft notes and the created soft notes using a single terminal.

In this case, the email account may be an email account or a cloud server account registered to a portal server previously registered by an administrator through a terminal.

In the above-described method for providing a physical therapy patient record management service according to an embodiment of the present invention, a program (or an application) is executed in combination with a terminal which is hardware to execute the first step S10 to the seventh step s70. It can be implemented in the storage medium.

Combinations of each block in the accompanying block diagrams and each step in the flowcharts in the description of the present invention may be performed by computer program instructions. These computer program instructions may be mounted on a processor of a general purpose computer, special purpose computer, or other programmable data processing equipment such that instructions executed through the processor of the computer or other programmable data processing equipment may not be included in each block or flowchart of the block diagram. It will create means for performing the functions described in each step. These computer program instructions may be stored in a computer usable or computer readable memory that can be directed to a computer or other programmable data processing equipment to implement functionality in a particular manner, and thus the computer usable or computer readable memory. It is also possible for the instructions stored in to produce an article of manufacture containing instruction means for performing the functions described in each block or flowchart of each step of the block diagram. Computer program instructions may also be mounted on a computer or other programmable data processing equipment, such that a series of operating steps may be performed on the computer or other programmable data processing equipment to create a computer-implemented process to create a computer or other programmable data. Instructions that perform processing equipment may also provide steps for performing the functions described in each block of the block diagram and in each step of the flowchart.

In addition, each block or step in the description of the present invention may represent a portion of a module, segment or code including one or more executable instructions for executing a specified logical function (s). For example, the two blocks or steps shown in succession may in fact be executed substantially concurrently, or the blocks or steps may sometimes be performed in the reverse order, depending on the functionality involved.

The present invention configured as described above enables the smooth writing of soap notes conveniently and easily by using a terminal, and improves portability, and enables searching of clinical medical terms used to create soap notes. The invention has the effect of improving the accuracy.

As mentioned above, although embodiment of this invention was described, those of ordinary skill in this technical field could see it by addition, a change, deletion, or addition of a component within the range which does not deviate from this invention described in a claim. Various modifications and variations may be made to the invention, which are also intended to be included within the scope of the invention.

Claims (2)

In the patient method for providing a patient care service using a terminal,
A first step of performing administrator authentication according to whether input information input through the terminal matches previously stored authentication information;
When the administrator authentication is completed from the first step, a second step of loading work list information previously stored in the terminal with respect to the corresponding manager, sorting them according to time series, and generating new work list information according to the manager input;
A third step of generating subjective information and objective information regarding the work list information or the new work list information according to an administrator input from the second step; And
A fourth step of generating evaluation information and treatment plan information based on the subjective information and objective information from the third step;
A fifth step of generating the report information processed from the fourth step by collecting the subjective information, the objective information, the evaluation information and the treatment plan information in the form of an image; And
Regarding the text in the selection area set by the administrator for the subjective information, the objective information, the evaluation information, and the treatment plan information based on the term dictionary data previously stored in the terminal from the second to fifth steps. Search the semantic information firstly, search the semantic information secondly based on the portal server connected through the network, and distinguish the primary semantic information and the second semantic information searched according to the search by colors that contrast with each other. Aligning and displaying the text box in an area adjacent to the selection area;
The sixth step may be obtained from the plurality of motion sensors attached to the patient's body through the network to obtain physical motion information on the trajectory and acceleration according to the body movement of the patient, and based on the obtained body motion information , Output the motion of the body model corresponding to the trajectory and the acceleration as an image, determine the risk of the patient according to whether the values for the trajectory and the acceleration satisfy a reference value, and prioritize according to the risk. And determining and transmitting the result to the administrator in the form of voice or image through the terminal.
According to claim 1,
In the sixth step, the seventh step of logging in to the administrator's email account through the network according to the administrator input from the fifth step, and linked to the email account to transmit the report information to the recipient email account; Physical therapy patient record management service providing method characterized in that it is provided.

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