WO2004107242A2 - Systeme d'information pour hopital - Google Patents

Systeme d'information pour hopital Download PDF

Info

Publication number
WO2004107242A2
WO2004107242A2 PCT/IB2004/050797 IB2004050797W WO2004107242A2 WO 2004107242 A2 WO2004107242 A2 WO 2004107242A2 IB 2004050797 W IB2004050797 W IB 2004050797W WO 2004107242 A2 WO2004107242 A2 WO 2004107242A2
Authority
WO
WIPO (PCT)
Prior art keywords
indication
sheet
medicine
flow sheet
information
Prior art date
Application number
PCT/IB2004/050797
Other languages
English (en)
Other versions
WO2004107242A3 (fr
Inventor
Nakao Konishi
Kunio Suganuma
Original Assignee
Koninklijke Philips Electronics N.V.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Koninklijke Philips Electronics N.V. filed Critical Koninklijke Philips Electronics N.V.
Priority to EP04735307A priority Critical patent/EP1634212A2/fr
Priority to JP2006530895A priority patent/JP2007501983A/ja
Priority to US10/558,340 priority patent/US20060253299A1/en
Publication of WO2004107242A2 publication Critical patent/WO2004107242A2/fr
Publication of WO2004107242A3 publication Critical patent/WO2004107242A3/fr

Links

Classifications

    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients

Definitions

  • the present invention relates to a hospital information system, in particular, to a hospital information system, which is able to correspond with changes of medical treatments corresponding to the condition of a disease of patients.
  • an information system is used in hospitals.
  • This information system is a system for supporting overall operations in a hospital such as first visit reception, inpatient reception, outpatient consultation, ward management, medical matters section, pharmacy section, material section and inspection section.
  • functions supporting inpatient operations are divided into clinical functions and management functions, operation support functions concerning medicines such as injections and transfusions out of clinical operations required for a computer system vary a great among acute stages such as ICU/NICU or between wards for seriously ill patients and general wards.
  • a necessary amount of medicine used on a daily basis is ordered from a pharmacy section in specified units such as bottles or ampoules.
  • the order is also accompanied by clinical indications from a doctor to nurses such as composition of medicines used (concentration, used amount, etc.), administration rate (ml/h, ⁇ g/ kg/ in) per unit time, route, regions and other precautions, etc.
  • a hospital information system of the present invention it is possible to link between certificated indication contents and implementation result on a flow sheet (a sheet displaying time-varying vital signs, Intake/Output, observations, and measures) by linking doctor's indications between an indication sheet and a flow sheet, which is mainly used by nurses.
  • a flow sheet a sheet displaying time-varying vital signs, Intake/Output, observations, and measures
  • the indication sheet is linked with the flow sheet, the flow sheet is updated with information on the indication sheet in real time, and inversely the indication sheet is updated with information on the flow sheet in real time.
  • This makes it possible to correctly transmit necessary information on the indication sheet to the nurses who are working mainly by observing the flow sheet. In this way, it is possible to implement a hospital information system which is able to speedily correspond with changes of medical treatments corresponding to the condition of a disease of patients.
  • the hospital information system of the present invention it is also possible to input the time-varying used amount on the flow sheet after nurses receive the indication, as well as the indication by the doctor. It is also possible to transmit the medical amount billed on the basis of administration amounts to the medical matters section system automatically, by calculating the unit price or the medical amount billed on the basis of the used amount for both shot-based medicines and persistent medicines.
  • the hospital information system of the present invention comprises display means for electronic displaying an indication sheet displayed at least an indication content of a doctor and a flow sheet displayed at least time-varying vital sign, time-varying ob- servation and time-varying treatment on a screen, information registration means for managing information displayed on the indication sheet and information displayed on the flow sheet and controlling means for updating the flow sheet with information inputted on the indication sheet and for updating the indication sheet with information inputted on the flow sheet.
  • the doctor preferably provides an indication on the indication sheet, a nurse receives the indication and/or implements the indication on the flow sheet.
  • unit price calculating means for calculating a unit price on the basis of an amount of a used medicine after the nurse's implementing the indication.
  • the hospital information system of the present invention it is preferable to further comprise medical amount billed calculating means for calculating a medical amount billed of a medicine on the basis of the amount of a used medicine or the unit price.
  • an indication of requesting an article included in the indication is preferably transmitted to the other system corresponding to the input of the indication by the doctor.
  • the indication sheet is linked with the flow sheet, and therefore the flow sheet is updated with the indication by the doctor in real time.
  • the information on the indication sheet reflected in the flow sheet is basically information necessary for the nurses to observe on the flow sheet. For example, when a administration rate is changed, the flow sheet is updated with a new administration rate. This allows the latest indication content to be transmitted to the nurses correctly.
  • such a construction allows requested articles including medicine to be changed speedily. Furthermore, since the flow sheet can be updated with changes in the indication by the doctor in real time, it is possible to adopt a procedure for billing the medicine actually used after implementation and thereby prevent useless billing.
  • a new indication or a change of the indication inputted by the doctor on the indication sheet is preferably displayed on the flow sheet.
  • order information received from the other system is preferably taken in and displayed on the indication sheet and/or the flow sheet.
  • Fig.l is a view showing a diagrammatic construction of a hospital information system according to an embodiment of the present invention
  • Fig.2 is a view showing an indication sheet used in a hospital information system according to an embodiment of the present invention
  • Fig.3 is a view showing a flow sheet used in a hospital information system according to an embodiment of the present invention
  • Fig.4 is a block diagram showing a diagrammatic construction of a hospital information system managing center in a hospital information system according to an embodiment of the present invention
  • Fig.5 is a block diagram showing a diagrammatic construction of PCs in a hospital information system according to an embodiment of the present invention
  • Fig.6 is a view showing a construction of an indication sheet used in a hospital information system according to an embodiment of the present invention
  • Fig.7 is a view showing an indication sheet used in a hospital information system according to an embodiment of the present invention
  • Fig.8 is a view showing an indication sheet used in a hospital information system according to an embodiment of the present invention
  • Fig.14 is a flow chart illustrating a procedure until an indication is received in a hospital information system according to an embodiment of the present invention.
  • Fig.15 is a flow chart illustrating a procedure after an indication is received until the indication is implemented in a hospital information system according to an embodiment of the present invention.
  • FIG.l is a view showing a diagrammatic construction of a hospital information system according to an embodiment of the present invention.
  • This hospital information system is mainly constructed of a hospital information system managing center 11 and PCs 12 connected to this managing center. Furthermore, this hospital information system managing center 11 is also connected to another system 13 such as ordering system, accounting system as required.
  • an indication sheet 21 shown in Fig.2 which is mainly used by a doctor and a flow sheet 31 shown in Fig.3 mainly used by nurses are displayed on a screen to receive indications by a certificated doctor or certificated nurses and inputted medical practices implemented.
  • the information inputted on any one of screens is reflected on other screens.
  • a transfusion input screen 21a is displayed on the same screen.
  • the doctor inputs a medicine name, administration amount, administration rate, administration time (start and administration period), administration count and region of administration.
  • the indication sheet 21 displays the name of the doctor who provided the indication in the indication issuer field and the medicine name, administration amount and administration rate are displayed in the item of transfusion.
  • the name of the doctor who provided the indication, administration amount and administration rate are reflected in the flow sheet 31.
  • a certificated nurse receives an indication on the indication sheet 21 and makes an entry
  • the name of the nurse who has received the indication is displayed in the indication reception field of the indication sheet 21.
  • the indication reception refers to the response by the nurse indicating that the nurse has confirmed the indication content, and so indications not responded by the nurse are not reflected in the flow sheet.
  • the certificated nurses makes an entry in the flow sheet 31 indicating that the administration has been completed. For example, when the nurse clicks on a administration mark in the flow sheet 31 reflected from the indication sheet 21, an input screen 31a is displayed on the same screen and the nurse clicks on the end button. This causes the information of administration completion to be reflected in the indication sheet 21. Then, the name of the nurse who dosed (implemented) is displayed in the field of the implementer of the indication sheet 21.
  • the hospital information system managing center 11 has a construction as shown in Fig.4.
  • Fig.4 is a block diagram showing a diagrammatic construction of a hospital information system managing center in a hospital information system according to an embodiment of the present invention.
  • the hospital information system managing center 11 is provided with a user information database (DB) 41 which stores information on an indication issuer who provides an indication, an indication receiver who receives the indication, a system user such as an implementer who implements medical practices, for example, a doctor or nurse, a medicine database (DB) 42 which stores information on a medicine administered to a patient or a medicine used for treatment of the patient and a patient database (DB) 43 which stores information on the patient.
  • DB user information database
  • DB medicine database
  • DB patient database
  • DB patient database
  • the hospital information system managing center 11 includes a matching section
  • a medicine distinguishing section 45 which distinguishes a medicine to be used as a shot medicine from a medicine to be used as a persistent medicine
  • an implementation certificating section 46 which certificates whether an indicated medicine can be administered to the patient or not
  • an information registration section 48 which registers information on an indication sheet or flow sheet displayed on a screen
  • a medical amount billed calculating section 49 which calculates medical amount billed corresponding to the indicated medicine
  • a bottle number calculating section 50 which calculates the indicated medicine in bottle number units
  • a data receiving and transmitting section 51 which receives and transmits data from/to each PC 12 and a controlling section 47 which controls the entire system.
  • the PC 12 has a construction shown in Fig.5.
  • Fig.5 is a block diagram showing a diagrammatic construction of PCs in the hospital information system according to this embodiment of the invention.
  • the PC 12 mainly includes an operating section 61 which performs various inputs to the system, a display controlling section 62 which controls information acquired from the hospital information system managing center
  • Fig.6 is a view showing a construction of an indication sheet used in the hospital information system according to this embodiment of the invention.
  • the indication sheet includes an indication content area 71 which displays an indication content by a doctor, a bottle managing area 72 which displays, issuance of a medicine, mixer, implementer and signature (input for confirmation), a scheduled indication time area 73 which displays a medicine start time or replacement time in a graph and a specific indication content area 74 which displays a specific indication content.
  • the layout of these areas 71 to 74 is not limited to that shown in Fig.6 but can be modified in various ways.
  • the display content can also be modified in various ways.
  • the registration in the information registration section 48 refers to managing/ storing information to be displayed on the indication sheet and flow sheet.
  • the information can be updated as appropriate and the update results are reflected in the indication sheet and flow sheet.
  • the indication includes necessary clinical indications such as a administration method, for actually administering the medicine to the patient, manipulation, rate, concentration.
  • Fig.7 is a view showing an indication sheet used in the hospital information system according to this embodiment of the invention.
  • the indication content input screen (Fig.2) is displayed and the doctor inputs an indication to the input screen.
  • This indication includes clinical indications such as the name, a administration method, manipulation, rate, concentration of the medicine actually administered to the patient.
  • the name, etc., of the doctor who provides the indication is also input. This causes the input name to be displayed in an indication issuer field 86a of the bottle managing area of the indication sheet.
  • the indication content by the doctor is sent to a medicine ordering system.
  • a medicine ordering system This assumes mixing at a central pharmacy section at an indicated time or extraction from medicines in storage in the section at an indefinite time or in emergency.
  • This allows an issuance order (article request) to be made electronically according to a medication indication for a transfer of the medicine.
  • issuance is carried out based on the issuance order, if the issuance area of the bottle managing area of the indication sheet is clicked, an input screen is displayed and the name of the person who issued the medicine is entered. This causes the name inputted to a signature field 86c for issuance of the bottle managing area of the indication sheet to be displayed.
  • the administration method and administration time in this indication, etc. are marked in the scheduled indication time area of the indication sheet.
  • a medicine to be administered to the patient is a transfusion which is a persistent medicine (administered slowly for several hours)
  • the start time and administration period are indicated and a scheduled implementation period 84 is shown by a line.
  • the medicine to be administered to the patient is an injection which is a shot-based medicine (administered at a certain time or for a short period of time)
  • the start time is indicated and implementation times 85a (short period) and 85b (one shot) are indicated with marks.
  • the order information issued from the system is taken in through the data receiving and transmitting section 51 and this order information is transferred to the PC 12 and reflected in the indication sheet on the display 63.
  • a message button 83 is displayed and when the message button 83 is clicked, a screen for taking in the information is displayed.
  • the information is updated in the information registration section and displayed on the indication sheet as required. This makes it possible to recognize the order information from the system on the indication sheet.
  • this indication sheet it is possible to reflect the order information such as prescription, nourishment, milk, and meal (including scheduled implementation time and other indications related to implementation) issued in the hospital information system. That is, when the order information is updated at the information registration section 48, the information is developed onto the indication sheet from the data receiving and transmitting section 64 of the PC 12 through the data receiving and transmitting section 51. This allows clinical indications to be added to the indication sheet. Furthermore, it is also possible to input a specific indication content 91 in the indication sheet as shown in Fig.8. For example, a doctor call (informed to the doctor when the condition of the patient becomes XX) and precautions, etc., are input. This makes it possible to grasp detailed indication contents from the indication sheet.
  • a doctor call informed to the doctor when the condition of the patient becomes XX
  • precautions, etc. are input. This makes it possible to grasp detailed indication contents from the indication sheet.
  • This ordering system provides an indication on the indication sheet, then implements an order and performs implementation input in the flow sheet. Then, the order is created in a reactive fashion and a medicine is requested. For this reason, it is possible to change the indication content until the implementation input is performed on the flow sheet. Therefore, it is possible to avoid an already ordered medicine from being returned due to a change to the indication.
  • this function can correspond with change or suspension indications which frequently occur in an acute stage or serious stage such as ICU NICU.
  • the flow sheet is updated with an indication change by the doctor in real time. This can speed up the change of an order of a medicine. Furthermore, the ability to update the flow sheet with an indication change by the doctor in real time makes it possible to adopt a procedure for billing for the medicine actually used after the implementation and prevent useless billing.
  • Indication preset function This function provides presets of an indication content such as a basic medicine, auxiliary medicine and route beforehand and selecting a preset on the indication sheet can improve the efficiency of indications such as basic medicine, auxiliary medicine and route, etc.
  • the preset patterns of a basic medicine, auxiliary medicine and route, etc. are stored in the medicine database 42. Then, selecting a pattern from the indication sheet on the PC 12 allows pattern information to be transferred from the medicine database 42 and displayed on the indication sheet. Furthermore, selecting a pattern causes the timing of administration according to the pattern to be displayed on the flow sheet from the start time using marks, etc.
  • Fig.10 illustrates the preset function of the hospital information system according to this embodiment of the invention.
  • the system is set so as to be able to select three patterns, but the number of patterns is not limited to this and the system may also be set so as to be able to select two or four or more patterns.
  • the screen shown in Fig.10 appears and shows a scheduled start time, route, use/disuse of a filter, IN display name and a pattern selection button 101. Furthermore, a medicine display field 102 is provided below the pattern selection button 101, which shows a medicine and administration amount for each pattern.
  • This information is stored in the medicine database 42.
  • pattern A only a shot of a physiological salt solution is administered, according to pattern B shots of a physiological salt solution and sodium chloride are administered and according to pattern C shots of a physiological salt solution and glucose are administered. The doctor selects a desired pattern from these patterns by clicking on the pattern selection button 101.
  • auxiliary medicine auxiliary medicine
  • a administration rate or administration order e.g., pattern A ⁇ pattern B ⁇ pattern C.
  • the administration count is calculated automatically.
  • a formula for calculating the administration count from the administration rate is also stored in the medicine database 42.
  • a search field appears.
  • a setting is made so that it is only when, for example, three letters are input in the medicine name search field that the medicine name is displayed. This prevents indication errors.
  • Fig.11 is a view showing a flow sheet in the hospital information system according to this embodiment of the invention.
  • This flow sheet mainly includes a vital sign graph area 111 showing a variation in a vital sign value, a monitor value area 112 showing monitor values of various parameters, a work list area 113 showing a schedule of medical practices to be carried out, an IN area 114 showing medicines to be administered to the patient and an OUT area 115 showing an amount of urine, amount of hemorrhage or amount of drain, etc.
  • These display items and their layout are not limited to those in Fig.l 1 and can be modified in various ways.
  • monitored vital sign values are plotted. This makes it possible to visually recognize a time variation of the vital sign value. Furthermore, the monitor value is displayed in the monitor value area 112.
  • the work list area 113 shows a medical practice 113a to be applied to the patient, for example, a shot medicine, prescription (medicines for internal use/for external application) based on the indication by the doctor on the indication sheet and inspection scheduled at the own section, etc.
  • Clicking on the medicine name scheduled to be implemented in the work list shows an implementation input screen. Inputting the implementation time and the actual administration amount on the implementation input screen and confirming them causes the name of the medicine and a administration amount 114a to be displayed in the administration time cell in the shot field of the IN area 114, for example.
  • the IN area 114 shows the medicine name indicated as a persistent medicine and clicking on an arbitrary time cell of the medicine name allows the administration amount at the relevant time to be inputted.
  • the work list has the function of displaying and inputting the implementation of an indication at a scheduled implementation time.
  • the indication information from the doctor is an indication having scheduled implementation time information (shot-based medicine, regular inspection, regular treatment, etc.)
  • a scheduled implementation time is input on the indication input screen when an indication is issued on the indication sheet.
  • indication information is displayed (work list display) at the scheduled implementation time on the flow sheet.
  • the nurse implements the indication according to the work list. Then, the nurse starts an implementation input screen from the indication information displayed and records the implementation. The result is recorded as already having been implemented on the indication sheet again.
  • Clicking on the scheduled implementation name in the OUT area 115 shows an implementation input screen. Inputting the time of implementation and actual amount on the implementation input screen and confirming them shows amounts, etc., at the implementation time cell of the OUT area 115. On the flow sheet, it is possible to output an inspection order for a specimen such as blood and gas and display information on the time-varying inspection result of the issued inspection order.
  • an indication change button 116 blinks. Then, clicking on this indication change button 116 changes the screen to an indication sheet and the above described indication reception is performed on the indication sheet. It is also possible to display a screen change button on the screen and click on the button to change the screen from the flow sheet to the indication sheet.
  • the amount of each medicine requested is calculated from the total administration amount of the medicine from the start to the end.
  • the information on the total administration amount is sent from the PC 12 to the bottle number calculating section 50 of the hospital information system managing center 11.
  • the bottle number calculating section 50 calculates a unit price (bottle number) such as ampoules and bottles from the used amount. For this calculation, a preset calculation formula stored in the memory 50a is used. This calculation formula is established taking into account the case of a so-called divided order where the content of one bottle is divided into a plurality of portions and used a portion at a time. The information on the unit price obtained in this way is sent to the medical amount billed calculating section 49.
  • a unit price such as ampoules and bottles from the used amount.
  • a preset calculation formula stored in the memory 50a is used. This calculation formula is established taking into account the case of a so-called divided order where the content of one bottle is divided into a plurality of portions and used a portion at a time.
  • the information on the unit price obtained in this way is sent to the medical amount billed calculating section 49.
  • the medical amount billed calculating section 49 calculates a medical amount billed from the unit price. For this calculation, for example, a fee table stored in the memory 49a is used. Furthermore, depending on the hospital, accounting may be closed at a certain time to be resumed on the next day. In such a case, it is therefore desirable to calculate using a preset calculation formula to prevent omissions in billing or overcharge.
  • the information on the medical amount billed obtained in this way is sent to the medical matters section system and pharmacy section system and used as information for medical accounting processing and replenishment of ICU medicines.
  • Fig.13 is a view showing a flow sheet in the hospital information system according to this embodiment of the invention.
  • Fig.13 shows a case where the condition is expressed using the type of letters shown in the flow sheet. For example, ordinary letters show that the implementation has already been performed and black letters show that the implementation has not been performed yet. This allows the nurses who see the flow sheet to know at a glance whether the indication has been implemented or not.
  • a gray cancel line indicates a suspension indication. In this way, by leaving the display before the indication change, it is possible to check the change history of an indication. It is preferable not to make a distinction by the color of letters but by the font of letters so that it is possible to express with more emphasis whether the indication has been implemented or not or the degree of importance.
  • Fig.14 is a flow chart illustrating a procedure until an indication is received in the hospital information system according to this embodiment of the invention.
  • Fig.15 is a flow chart illustrating a procedure after an indication is received until the indication is implemented in the hospital information system according to this embodiment of the invention.
  • the information is registered in the information registration section 48. Furthermore, when this information is registered, a control signal is sent to the PC 12 and a message indicating a change of the indication is displayed on the flow sheet (ST107).
  • the medicine name whose indication has been received is displayed on the flow sheet (ST201).
  • the medicine name is displayed in the IN input field (EN area) (ST202) and when the medicine is a shot-based medicine, the medicine name is displayed in the work list (ST204).
  • EN area IN input field
  • ST204 the medicine name is displayed in the work list (ST204).
  • a distinction as to whether a medicine is a persistent medicine or shot-based medicine is made based on whether the indication is provided through an input of a persistent medicine or through an input of a shot-based medicine. For medicines used in a plurality of modes of use (persistent, shot-based, etc.), this distinction is actually made by the medicine distinguishing section 45 browsing the medicine database 42 about the medicine inputted.
  • both the persistent and shot-based medicines use a common medicine master (corresponding to the above described category).
  • a common medicine master corresponding to the above described category.
  • indication information e.g., administration rate for persistent medicines and scheduled administration time for shot- based medicines
  • the nurse When the nurse carries out implementation by observing the flow sheet, the nurse certificates the patient and medicine using barcodes (ST203).
  • the implementation certificating section 46 of the hospital information system managing center 11 performs certification between the information read by the barcode reader and the information stored in the patient database 43 and determines whether the medicine can be administered to the patient or not (ST206). Then, if the two pieces of information do not match, an error message is displayed (ST207).
  • This information on the implementation time and used amount is updated in the information registration section 48 and the information is reflected in the indication sheet. That is, the implementation time is displayed in the implementation time field of the indication sheet and the implementer's name is displayed in the implementer field 86c (ST209). In this way, the nurse inputs the used amount every predetermined time on the flow sheet (ST210).
  • This information on the implementation time and used amount is updated in the information registration section 48 and the information is reflected in the indication sheet. That is, the implementation time is displayed in the implementation time field of the indication sheet and the implementer's name is displayed in the implementer field 86c (ST217).
  • the information on the used amount of the medicine from the start to end is sent to the bottle number calculating section 50 and the unit price is calculated there (ST218). Then, the information on the unit price is sent to the medical amount billed calculating section 49 and the medical amount billed is calculated there. The used amount and medical amount billed are sent to the medical accounting system, etc., (ST219).
  • the indication sheet is linked with the flow sheet, the information on the indication sheet is reflected in the flow sheet in real time, and inversely the information on the flow sheet is reflected in the indication sheet in real time.
  • the information inputted to the flow sheet is processed electronically, which eliminates the need for the counting operation which used to be performed after implementation and it is thereby possible to improve the efficiency of operations.
  • a used amount (actual administration amount) in the flow sheet and calculate the number of medicines to be used and medical amount billed which become basic data for medical accounting based on this implementation record. This reduces the amount of counting processing which used to be complicated. This makes the processing electronic and can thereby prevent mix-ups between slips, etc.
  • the present invention is not limited to the above described embodiment, but can be implemented modified in various ways.
  • the name of a medicine, full name, numerical values, display items in the above described embodiment are just some examples and the present invention is not limited to these and can be implemented modified in various ways.
  • the layout of the display screen is also an example and the present invention can be implemented modified in various ways.
  • the hospital information system of the present invention is constructed by hardware, but the hospital information system of the present invention may also be constructed by software.
  • any construction may be acceptable if it can at least implement the function of displaying the indication sheet and flow sheet by linking them, the inputting person matching function, implementation certification function, medical amount billed calculation function and bottle number calculation function.
  • these programs in a computer- readable storage medium, record the program stored in this storage medium in a RAM of a computer and run the system according to the program. En such a case, operations and effects similar to those described in the above embodiment can be achieved, too.
  • the hospital information system of the present invention includes all modes as far as the function of displaying the indication sheet and flow sheet by linking them, the inputting person matching function, implementation certification function, medical amount billed calculation function and bottle number calculation function are at least implemented.
  • the hospital information system of the present invention includes display means for electronic displaying an indication sheet displayed at least an indication content of a doctor and a flow sheet displayed at least time-varying vital sign, time-varying observation and time-varying treatment on a screen, information registration means for managing information displayed on the indication sheet and information displayed on the flow sheet and controlling means for updating the flow sheet with information inputted on the indication sheet and for updating the indication sheet with information inputted on the flow sheet, it is possible to link between certificated indication contents and implementation result on a flow sheet (a sheet displaying time-varying vital signs, Intake/Output, observations and measures) by linking a doctor's indications between the indication sheet and the flow sheet which is mainly used by nurses. This makes it possible to correctly transmit necessary information to nurses.
  • the present invention is applicable to a hospital information system used in acute stages such as ICU/NICU and wards for seriously ill patients, etc.

Abstract

Ce système d'information pour hôpital permet d'établir un lien entre des prescriptions médicales données par un médecin qualifié et le résultat de leur exécution sur un diagramme (un document présentant les signes vitaux variant dans le temps, les admissions/sorties, les observations, et les mesures) en corrélant les prescriptions médicales entre une ordonnance et un diagramme, lequel est utilisé principalement par le personnel soignant. Ledit système permet également de consigner sur le diagramme la dose utilisée, variant dans le temps, après réception des prescriptions par le personnel soignant, ainsi que les prescriptions médicales. Le système permet d'autre part de transmettre automatiquement à d'autres systèmes la dose médicale facturée sur la base des doses administrées, en calculant le prix unitaire ou la dose médicale facturée sur la base de la dose utilisée.
PCT/IB2004/050797 2003-05-28 2004-05-28 Systeme d'information pour hopital WO2004107242A2 (fr)

Priority Applications (3)

Application Number Priority Date Filing Date Title
EP04735307A EP1634212A2 (fr) 2003-05-28 2004-05-28 Systeme d'information pour hopital
JP2006530895A JP2007501983A (ja) 2003-05-28 2004-05-28 病院情報システム
US10/558,340 US20060253299A1 (en) 2003-05-28 2004-05-28 Hospital information system

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
IBPCT/IB03/02050 2003-05-28
IB0302050 2003-05-28

Publications (2)

Publication Number Publication Date
WO2004107242A2 true WO2004107242A2 (fr) 2004-12-09
WO2004107242A3 WO2004107242A3 (fr) 2005-06-16

Family

ID=33485262

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IB2004/050797 WO2004107242A2 (fr) 2003-05-28 2004-05-28 Systeme d'information pour hopital

Country Status (3)

Country Link
EP (1) EP1634212A2 (fr)
JP (1) JP2007501983A (fr)
WO (1) WO2004107242A2 (fr)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2007200030A (ja) * 2006-01-26 2007-08-09 Olympus Medical Systems Corp 医療情報管理装置
NL1031666C2 (nl) * 2005-04-27 2008-02-20 Gen Electric Op symptomen gebaseerde klantprotocollen.

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2013020398A (ja) * 2011-07-11 2013-01-31 Beeplus Systems Co Ltd 予防接種予約システム
WO2014021114A1 (fr) * 2012-07-30 2014-02-06 ソニー株式会社 Dispositif, procédé, et programme de traitement d'information
GB201514319D0 (en) 2015-08-12 2015-09-23 Atlantic Inertial Systems Ltd Accelerometers

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5077666A (en) * 1988-11-07 1991-12-31 Emtek Health Care Systems, Inc. Medical information system with automatic updating of task list in response to charting interventions on task list window into an associated form
WO1999010830A1 (fr) * 1997-08-22 1999-03-04 Deka Products Limited Partnership Systeme de soins automatise
WO2001088828A2 (fr) * 2000-05-18 2001-11-22 Alaris Medical Systems, Inc. Ssteme reparti de gestion d'equipements medicaux et d'administration de medicaments a distance
US20020044059A1 (en) * 2000-05-05 2002-04-18 Reeder Ryan A. Patient point of care computer system

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5077666A (en) * 1988-11-07 1991-12-31 Emtek Health Care Systems, Inc. Medical information system with automatic updating of task list in response to charting interventions on task list window into an associated form
WO1999010830A1 (fr) * 1997-08-22 1999-03-04 Deka Products Limited Partnership Systeme de soins automatise
US20020044059A1 (en) * 2000-05-05 2002-04-18 Reeder Ryan A. Patient point of care computer system
WO2001088828A2 (fr) * 2000-05-18 2001-11-22 Alaris Medical Systems, Inc. Ssteme reparti de gestion d'equipements medicaux et d'administration de medicaments a distance

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
NL1031666C2 (nl) * 2005-04-27 2008-02-20 Gen Electric Op symptomen gebaseerde klantprotocollen.
JP2007200030A (ja) * 2006-01-26 2007-08-09 Olympus Medical Systems Corp 医療情報管理装置

Also Published As

Publication number Publication date
EP1634212A2 (fr) 2006-03-15
JP2007501983A (ja) 2007-02-01
WO2004107242A3 (fr) 2005-06-16

Similar Documents

Publication Publication Date Title
US6988075B1 (en) Patient-controlled medical information system and method
US4839806A (en) Computerized dispensing of medication
US9251310B2 (en) Therapy management system and method for peritoneal dialysis
CA2616511C (fr) Gestion de l'administration de doses de medicaments et de leur inventaire
US20050033603A1 (en) Hospital information system
US20070290030A1 (en) Updating supply inventory data to reflect the use of a medical supply item for a patient
US20090259493A1 (en) Mobile health book
KR101122501B1 (ko) 조제제어시스템
US20080010089A1 (en) Medical care administration system and method
CA2470027A1 (fr) Systemes et methodes de gestion
JP2003225305A (ja) 点滴システム及び点滴装置の使用方法
JP2002117144A (ja) 薬剤等投与管理システム
JP2003030323A (ja) 看護支援システム
US10922651B2 (en) Systems and methods for improving medical order entry for high volume situations
US7690558B2 (en) Utilizing scanned supply information and a patient task list to document care
KR20020010293A (ko) 토탈 헬스케어 시스템 및 방법
US20060253299A1 (en) Hospital information system
WO2004107242A2 (fr) Systeme d'information pour hopital
JPH08263562A (ja) 診療支援システム
KR20000037445A (ko) 컴퓨터 네트워크를 이용한 의약 조제 방법
JP2003016182A (ja) 看護支援システムおよび看護支援プログラム
US20070290029A1 (en) Updating financial records to reflect the use of supply items for a patient
JP2004164196A (ja) 電子カルテシステム
JPS63261461A (ja) 個人デ−タ処理における家族関連デ−タの処理方式
EP1426889A1 (fr) Appareil de gestion de requetes d'examen

Legal Events

Date Code Title Description
AK Designated states

Kind code of ref document: A2

Designated state(s): AE AG AL AM AT AU AZ BA BB BG BR BW BY BZ CA CH CN CO CR CU CZ DE DK DM DZ EC EE EG ES FI GB GD GE GH GM HR HU ID IL IN IS JP KE KG KP KR KZ LC LK LR LS LT LU LV MA MD MG MK MN MW MX MZ NA NI NO NZ OM PG PH PL PT RO RU SC SD SE SG SK SL SY TJ TM TN TR TT TZ UA UG US UZ VC VN YU ZA ZM ZW

AL Designated countries for regional patents

Kind code of ref document: A2

Designated state(s): BW GH GM KE LS MW MZ NA SD SL SZ TZ UG ZM ZW AM AZ BY KG KZ MD RU TJ TM AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HU IE IT LU MC NL PL PT RO SE SI SK TR BF BJ CF CG CI CM GA GN GQ GW ML MR NE SN TD TG

121 Ep: the epo has been informed by wipo that ep was designated in this application
WWE Wipo information: entry into national phase

Ref document number: 2004735307

Country of ref document: EP

WWE Wipo information: entry into national phase

Ref document number: 2006530895

Country of ref document: JP

WWE Wipo information: entry into national phase

Ref document number: 2006253299

Country of ref document: US

Ref document number: 10558340

Country of ref document: US

WWP Wipo information: published in national office

Ref document number: 2004735307

Country of ref document: EP

WWW Wipo information: withdrawn in national office

Ref document number: 2004735307

Country of ref document: EP

WWP Wipo information: published in national office

Ref document number: 10558340

Country of ref document: US