JP2001117975A - Medical examination support system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To permit an operation entry for approval and the permission of window ending processing with a single operation entry. SOLUTION: This medical examination support system has an input means for approving a desired medical examination information unit while storing approver information corresponding to each of medical examination information units for every patient and every consultation data/time and correspondently storing approval presence/absence information, a means for setting (S07) the medical examination information unit to the presence of approval when an input person has the approval authority of the relevant medical examination information unit under selection at present (YES in S05) corresponding to approval entry (YES in S03), and means (S11) for outputting information for permitting the execution of window ending processing of the relevant medical examination information unit when it is set to the presence of approval.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical treatment support apparatus that treats medical information associated with a patient and medical treatment date and time as a unit of medical information. In other words, the present invention relates to a medical treatment support apparatus that uses medical information of each patient on each medical treatment day as a medical information unit.

[0002]

2. Description of the Related Art (1) There is provided a medical care support system which digitizes and records medical information, and performs a window closing process in units of medical information associated with a patient and medical date and time. Here, the medical information is, for example, subjective information (medical history, etc.) spoken by the patient, objective information (findings, etc.) examined by a doctor,
Doctor's judgment (injury and disease name), doctor's action (treatment, medication, etc.)
Etc. In addition, the window end process refers to a process for calculating a billing amount or the like based on the medical information on the day and performing a payment, a process for performing medication after the payment, and the like. (2) Digitize and record the information of the accepted visit patients,
A medical care support system that displays a list of visiting patients on a display based on the information is provided. (3) There is provided a medical care support system that reads out medical information of an arbitrary patient that has been digitized and recorded, and displays a medical chart on a display based on the information.

[0003]

In the system of the above (1), which performs a window closing process based on the medical information, the doctor in charge approves the medical information unit input by the terminal device in the examination room,
The approved medical information unit is read by the terminal device at the window, and window closing processing is performed. In this system, when the input unit of the medical information unit is the assistant of the doctor in charge, that is, when the input person and the doctor in charge are different persons, the input of the approval operation by the doctor in charge may be delayed. There were problems such as the contents of the medical information unit of approval being corrected, the incorrect medical information unit being approved, and the window termination processing being delayed. Also,
In this system, apart from the approval operation input for the doctor in charge to approve the medical information unit, an operation input for enabling the window of the approved medical information unit to be processed at the window is required,
It took time and effort for operation. For this reason, it is desired to shorten the period until the doctor in charge approves the recorded medical information unit. Further, it is desired that the operation input for approval and the permission of the window end processing can be performed by a single operation input. Displaying a list of visiting patients on the display (2)
In the system, the patient's visit status (waiting for examination / during examination /
(Pending / consulted) is also displayed to make it easier for the doctor to select the patient to be examined next. In the system of the above (3), which displays the medical information that has been digitized and recorded, it is desired to prompt the attending physician to input an approval operation by clearly indicating whether or not each medical information unit has been approved.

The present invention shortens the period until the doctor in charge approves the recorded medical information unit, and enables the operation input for approval and the permission of the window termination processing to be performed by a single operation input. The purpose of this is to display the patient's visit status (waiting for examination / consulting / suspended / consulted) together with the patient list display, and to clarify the approval / disapproval of each medical information unit displayed in the chart. .

[0005]

A first aspect of the present invention is a medical support system for performing a window closing process for each medical information unit associated with a patient and a medical date and time, the approver having an authority to approve medical information. The medical information storage means for storing information and approval / non-approval information indicating the presence / absence of approval in association with each medical information unit, an approval input means for approving the medical information unit, and an input from the approval input means are detected. And an approval information managing means for setting whether or not the input user has the approval authority of the currently selected medical information unit, and setting the approval / non-authorization information of the medical information unit to "approved", And an end information output unit that outputs end information enabling execution of a window end process of the medical information unit when the approval is set. According to a second aspect of the present invention, in the first aspect, a doctor terminal device having an approval input unit and an end information output unit is connected to a window terminal device for performing a window end process by a network. The output unit is a medical care support system that outputs end information to a network. According to a third aspect of the present invention, in the first or second aspect, the end information is information permitting medication and / or calculation of a medical fee based on the medical information of the medical information unit. It is a support system. According to a fourth aspect of the present invention, there is provided a medical care support system having a function of storing medical information for each medical information unit associated with a patient and medical date and time, and a function of displaying a list of visiting patients on a display. And a medical treatment information unit associated with the accepted patient and the date of reception, and approver information having the authority to approve the medical information and approval / non-approval information indicating the presence / absence of approval are added to each medical treatment. Medical information storage means for storing in association with the information unit, medical record display input means for instructing that the medical information of the selected patient should be opened and the medical chart screen to be displayed, and inputting and recording information from the medical chart screen Information input means for performing an operation, an approval input means for approving a medical information unit, and when an input from the approval input means is detected, the input person is selected for the currently selected medical information unit. Checks whether the user has the approval authority of the medical information unit, and sets the approval information in the medical information unit to “approved”. The visit status of the patient who opened the medical information unit is set during the examination, the visit status of the patient whose information is recorded in the medical information unit of the day is set to hold, and the medical information unit of the day is set to approved. Visit state storage means for setting the visit state of the patient who has been diagnosed, and visit state display means for displaying the visit state of each patient stored in the visit state storage means along with the list display. It is a medical care support system. The invention according to claim 5 is a medical care support system that stores medical information for each medical information unit associated with a patient and a medical care date and time. Medical information storage means for storing information in association with each medical information unit; medical record display input means for instructing that medical information of the selected patient should be opened and a medical chart screen to be displayed; and display of the medical chart screen. A medical record support system comprising: reading out medical information of a commanded patient, classifying the information into medical information units, and displaying a setting state of approval / non-approval information for each medical information unit. It is.

[0006]

FIG. 1 is a block diagram showing a network configuration of a medical care support system according to an embodiment. As shown in the figure, the present system is installed in a doctor terminal device installed in each consulting room, an assistant terminal device installed in each consulting room, a counter terminal device installed at a window, a server, and a pharmacy. A pharmacy terminal device, an inspection room terminal device installed in an inspection room, a printer (not shown), and the like are connected by a LAN (local area network). Note that the doctor terminal device and the assistant terminal device in the same examination room may be shared. In other words, a configuration may be used in which a doctor and an assistant (a person who inputs medical information from a terminal device, a nurse, etc.) of the doctor use the same terminal device.

The server records files such as a patient information file, a medical information file, a user information file, and a visit state file. Each terminal device reads / writes these files as needed. In addition,
Although files other than those described above are naturally recorded on the server, they are omitted in the description of the present invention and are omitted.

FIG. 2 shows the format of the patient information file. As shown in the figure, the identification number and name of each patient who has used (or is currently using) the medical institution are recorded in the patient information file.

FIG. 3 shows the format of the medical information file. As shown in the figure, the medical information file records medical information for each medical day for each patient. The medical information included in the information of one medical treatment for each patient and each medical treatment day is the medical information unit of the claim, and further includes approver information indicating a person who has the approval authority for the medical information unit and a person having the approval authority Flag indicating whether or not the approval has been performed (approval presence / absence information of the claim), approval date and time information indicating the approval date and time when approval has been performed, and input user information indicating the person who has input the medical information unit In addition, recording date and time information indicating the date and time when the medical information unit is recorded is recorded in association with the medical information unit. Approver information is
The information is recorded when the person who inputs the medical information unit inputs the doctor in charge who has performed the medical treatment. In the input person information, a person who logs in for inputting medical care information is recorded.

FIG. 4 shows the format of the user information file.
Shown in As shown in the figure, the user information file contains the identification number, name, and occupation (doctor / nurse / person) of a person who works at the medical institution and who may use any terminal device. The input authority and the approval authority are recorded together with the laboratory technician / clerk. The input authority may be configured to record only the presence or absence, or may be configured to record the presence or absence of the input authority for each terminal device type. In this system, only the doctor has the approval authority.For example, the information input from the pharmacy terminal device is determined by the type of the terminal device such that the head of the pharmacy has the approval authority. Is also possible.

FIG. 5 shows the format of the visit status file. As shown in the figure, the visit status file includes the identification number of the patient who visited on the day, the current visit status (waiting for examination / consulting / suspended / consulted), reception time, visit classification (first consultation / re-consultation), comment ( For example, a column for recording an introducer is provided. The data of the visit state file is reset at the end of the consultation day.

Hereinafter, processing executed by an arbitrary terminal device (doctor terminal device or assistant terminal device) will be described. [1] On / Off of approval flag: First, a procedure for approving a medical information unit (medical information on an arbitrary medical day) selected for an arbitrary patient according to FIG. 9 and with reference to FIGS. 6 and 8. Will be described.

When the end button is pressed by clicking a pointing device such as a mouse (hereinafter referred to as a "mouse") on the chart screen of FIG. 8, the screen is changed to an approval screen of FIG. 6 (S01). When the "approve and end button" is pressed by clicking the mouse or the like on this approval screen (Y in S03)
ES), whether or not the pressed person has the approval authority, in other words, the person who has logged in for the current operation input (= specified by inputting a password at the time of login) is shifted to the approval screen It is checked whether or not the same person (doctor in charge) is recorded in association with the medical care information unit selected on the previous chart screen (FIG. 8) as an approver (S0).
5).

As a result, if they do not match (S0
5), an error message such as "cannot be approved due to lack of approval authority" is displayed on the display of the terminal device (S13).

On the other hand, if they match (Y in S05)
ES), the approval flag associated with the medical information unit selected on the medical chart screen (FIG. 8) before the transition to the approval screen is turned on, and the current date and time are obtained from the internal clock and set as the approval date and time. It is recorded (S07). Furthermore, it is checked whether or not the processing in step S07 has been performed normally. If the processing has been performed normally (YES in S09), it is determined that the approval flag associated with the medical information unit has been turned on. Information (end information of the claim) is output to the network (S11). As a result, in the counter terminal device, it is possible to perform a settlement process based on the medical care information included in the medical care information unit. Further, the visit state information of the visit state file is set to “consulted”. Step S07
If the processing of (1) is not performed normally (N in S09)
O), an error message to that effect is displayed on the display of the terminal device (S15). In a configuration in which the doctor terminal device and the counter terminal device are not connected via a network, the doctor terminal device replaces the configuration in which the information indicating that the approval flag is turned on is output to the network. The information that the approval flag has been turned on and the medical information (information necessary for settlement processing at the window) held by the medical information unit are output to a recording medium such as a floppy disk or a magneto-optical disk, for example. You may comprise so that it may read with a personal computer.

[2] Display of a list of visiting patients: Next, FIG.
7 and 8, a procedure for displaying a list of visited patients together with the visit status of each patient will be described.

[0017] When the window terminal device accepts a visiting patient, a record of the patient visiting state information of the patient (for one person) is added to the visiting state file (Fig. 5). At this point, the initial state “waiting for examination” is set as the visit state of the patient. When an operation input indicating that a visit patient list screen should be displayed is performed from any terminal device, information of each patient recorded in the visit state file is read out, and the visit patient information is displayed on the display of the terminal device. It is displayed as a list screen (see FIG. 7). The patient's visit status read from the visit status file is displayed in the status column of each patient on the visit patient list screen. For example, in the case of the newly added patient, "wait for consultation" is displayed (S23).

When a desired patient is selected on the visiting patient list screen and the “open chart” button is pressed by clicking a mouse or the like, a medical information file is opened and the medical information of the selected patient is opened. Is read out and displayed on the chart screen (see FIG. 8) (YES in S25). Also,
When the medical chart screen is displayed, the visit state of the selected patient is set to “during consultation”. Therefore, if there is a terminal device that displays the visiting patient list screen at this time, the visiting state of the selected patient is displayed as "consulting" on the display of the terminal device (S27).

When the medical care information and the doctor in charge of the medical examination are input on the medical chart screen (FIG. 8) and the "end" button is pressed by clicking the mouse or the like (YES in S29), the screen transits to the approval screen as described above. I do. Also, at this timing, the visit state of the patient is set to "hold" (S31). Therefore, if there is a terminal device that displays the visiting patient list screen at this point, the visiting state of the patient is displayed as “pending” on the display of the terminal device (S3).
1). It should be noted that an input from the chart screen can be made only by a person who has an input right in the user information file.
In addition, the input of the doctor in charge is a selection candidate displayed by pressing the “designate doctor in charge” button on the screen with a mouse or the like (the name of the person whose occupation is doctor in the user information file). Is displayed). From the above-mentioned suspension state, the process proceeds to step S35 via step S29 described above. If the chart screen is displayed again (YES in S33), the above-described step S2 is performed.
Return to 7.

In step S35, it is checked whether the approval flag associated with the medical information unit of the patient on that day is turned on. As described above, when the approval flag associated with the medical information unit of the patient on that day is turned on (YES in S35), the visit state of the patient is set to "consulted". Therefore, if there is a terminal device that displays the visit patient list screen at this point,
On the display of the terminal device, the visit state of the patient is displayed as "consulted" (S37). When the visit state is set to “consulted”, payment at the counter terminal device and medication at the pharmacy become possible.

[3] Approved / non-approved display on the chart screen:
Next, referring to FIG. 11 and referring to FIG. 6 and FIG. 8, each medical information unit (medical information on each medical day) on the medical chart screen of an arbitrary patient is displayed together with whether or not it has been approved. The procedure will be described.

When an operation input for selecting an arbitrary patient and instructing display of a medical chart screen is performed at an arbitrary terminal device, the processing of steps S43 to S53 is performed by the number of medical information units of the selected patient. A loop is made (S41). That is, after opening the medical information file and reading the medical information of the selected patient, one medical information (one medical information unit) is reproduced (S43), and the display data is created.
It is checked whether or not the approval flag associated with the medical information unit is turned on (S47). If the approval flag is turned on (YES in S47), the background color is set to white (S47).
49) If it is not turned on (NO in S47), the background color is set to yellow (S51), and the medical information of each medical information unit is recorded in each display area (S53). The loop is repeated for the number of medical information units of the patient.

When the background color of each medical information unit is determined in this way, the data recorded in the display area is displayed (S5).
5). That is, as illustrated in FIG. 8, the background color of the approved medical information unit is white, and the background color of the unapproved medical information unit (the medical information unit of 1999.09.08 in FIG. 8) is yellow. Each is displayed.

[0024]

According to the first aspect of the present invention, the approver information and approval / non-approval information are stored in association with each medical information unit for each patient and each medical date and time, and an input means for approving the medical information unit. Means for setting the medical information unit to be approved if the input person has the approval authority of the currently selected medical information unit in response to the approval input; Since there is provided a means for outputting information enabling the window end processing, the operation input for approval and the permission of the window end processing can be performed by a single operation input. In addition, since the window termination process is permitted only when the approval is set, the doctor in charge having the approval authority can be prompted for the approval, and the period from the input to the approval can be shortened. According to a fourth aspect of the present invention, an input means for inputting a reception of a patient, a medical information unit associated with the received patient and the reception date are added, and the approver information and approval / non-approval information are added for each patient and the date and time of the medical treatment. Storage means for storing each medical information unit in association with each medical information unit, input means for displaying a medical chart screen of the selected patient, input means for inputting information from the medical chart screen, and approving the medical information unit Means for setting the medical information unit to be approved if the input person has the approval authority of the currently selected medical information unit in response to the approval input; and Set the patient waiting for examination, set the visit status of the patient who opened the medical information unit of the day during examination, set the visit status of the patient whose information was recorded in the medical information unit of the day to hold, Since there are storage means for setting the visit state of the patient whose information unit is set to “approved” to “examined” and means for displaying the visit state of each patient together with the visit patient list display on the display, the visit state of the patient (Wait for examination / under examination / pending / examined) can be displayed together with the patient list display. The invention according to claim 5, wherein approver information and approval / non-approval information are stored in association with each medical information unit for each patient and each medical care date and time, and input means for displaying a chart screen of the selected patient;
Means for reading out the medical information of the patient for whom the display of the medical record screen is instructed, classifying the medical information information into units, and explicitly displaying the setting state of the approval / non-approval information for each medical information unit; Whether or not the medical information unit is approved can be specified.

[Brief description of the drawings]

FIG. 1 is a block diagram illustrating a system configuration according to an embodiment.

FIG. 2 is a format diagram of a patient information file.

FIG. 3 is a format diagram of a medical care information file.

FIG. 4 is a format diagram of a user information file.

FIG. 5 is a format diagram of a visit state file.

FIG. 6 is an explanatory diagram illustrating an approval screen.

FIG. 7 is an explanatory view exemplifying a visiting patient list screen.

FIG. 8 is an explanatory diagram illustrating a chart screen.

FIG. 9 is a flowchart illustrating a procedure for turning on an approval flag for a certain medical information unit of a certain patient.

FIG. 10 is a flowchart illustrating a procedure for switching the display of the visit state on the visit patient list screen in accordance with the procedure of a certain patient.

FIG. 11 is a flowchart showing a procedure for explicitly displaying whether or not each medical information unit has been approved in accordance with a certain patient procedure.

Continued on the front page (72) Inventor Takashi Murayama 2-5-5 Keihanhondori, Moriguchi-shi, Osaka Sanyo Electric Co., Ltd. F-term (reference) 5B049 AA01 AA02 AA05 BB42 DD01 EE05 FF03 GG04

Claims (5)

[Claims] 1. A medical care support system for performing a window closing process for each medical information unit associated with a patient and a medical care date and time, comprising: approver information having an authority to approve medical information and approval / non-approval information indicating whether or not approval has been given. Medical information storage means for storing the medical information information in association with each medical information unit, an approval input means for approving the medical information unit, and when an input from the approval input means is detected, the input person is selected for the medical care currently selected. An authorization information management unit that checks whether or not the user has the approval authority for the information unit and, if so, sets the approval / disapproval information of the medical information unit to “approved”. A medical care support system, comprising: end information output means for outputting end information enabling execution of a unit window end process. 2. A doctor terminal device provided with an approval input means and an end information output means, and a counter terminal apparatus for performing a window end process are connected by a network. Is a medical care support system, which outputs end information to a network. 3. The medical treatment system according to claim 1, wherein the end information is information for permitting medication and / or calculation of a medical fee based on the medical information of the medical information unit. Support system. 4. A medical care support system having a function of storing medical information for each medical information unit associated with a patient and a medical treatment date and time, and a function of displaying a list of visiting patients on a display, wherein the system accepts patients. A reception input unit for inputting, and a medical information unit associated with a received patient and a reception date are added, and approver information having an authority to approve the medical information and approval / non-approval information indicating whether or not the medical information is approved are added to each medical information. Medical information storage means for storing the medical information of the selected patient in association with the unit; medical record display input means for instructing that the medical information of the selected patient should be displayed and displaying the medical chart screen; and inputting and recording information from the medical chart screen Input means for approving the medical information unit, and when an input from the approval input means is detected, the input person is selected for the currently selected medical information unit. Investigate whether or not the patient has the approval authority of the order, and if so, the approval information management means to set the approval presence / absence information of the medical information unit to “approved”, and set the accepted patient visit status to “waiting for medical examination”. Set the visit status of the patient who opened the medical information unit of the patient during the examination, set the visit status of the patient whose information was recorded in the medical information unit of the day to hold, and set the medical information unit of the day to approved Set the visit status of the diagnosed patient to consulted,
A medical care support system comprising: a visit state storage unit; and a visit state display unit that displays a visit state of each patient stored in the visit state storage unit along with the list display. 5. A medical care support system that stores medical information for each medical information unit associated with a patient and medical date and time, wherein approver information having an authorization authority for the medical information and approval / non-approval information indicating the presence / absence of approval are provided. Medical information storage means for storing the medical information in association with each medical information unit; medical record display input means for instructing that the medical information of the selected patient should be opened to display the medical chart screen; A medical chart screen display means for reading out the medical information of the patient, classifying the medical information information into units, and clearly displaying the setting state of the approval / disapproval information for each medical information unit.