JP2010003107A - Instruction management system and instruction management program - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a technology capable of managing a plurality of comprehensive instructions without contradiction. <P>SOLUTION: When a new comprehensive instruction is inputted, the other existing instruction in a relationship where the contents of instructions at the same levels as a concrete level are in contradiction is detected from a storage section 14 based on a contradiction identification rule table 17c for the content of a more concrete instruction developed according to a development rule table 17b for the content of the new instruction, the calculated priorities are compared according to a priority definition table 17a for each of the other instruction and the new instruction. When the calculated priority for the new instruction is higher than the priority calculated for the other instruction, the content of the other instruction is updated by the content of the newly received instruction. <P>COPYRIGHT: (C)2010,JPO&INPIT

Description

  The present invention relates to an instruction management system and an instruction management program.

  In inpatient nursing settings, doctors usually give comprehensive instructions on the duration and frequency of continuous care items such as medication, testing, meals, activity restrictions, etc. Do the amount, frequency (three times a day, etc.), dosing method, dosing start date, duration). Even in the nursing plan, a comprehensive nursing policy such as cleanliness and bathing is decided once every three days. However, one nurse or one nursing team is required to divide those comprehensive instructions and comprehensive nursing policies into individual medical practice units to be implemented at a specific date and manage the list. . This is because when a single nurse cares for multiple patients, it is essential to deal with the date / time / patient / nursing behavior. This is because it is necessary to share the correspondence of date and time, patient, and nursing action.

Conventionally, inventions related to management of various plans have been proposed.
For example, an invention of a schedule management device that adjusts a schedule in consideration of the priority of the importance of a conference at the time of conference setting has been proposed (see Patent Document 1).
For example, an invention of a schedule adjustment method has been proposed in which priority is set for both a predetermined schedule and a new schedule, and the schedule is overwritten with a higher priority (see Patent Document 2).
For example, when the target value of each development item is changed or detailed (for example, when the cost, performance, schedule, etc. as development progresses is detailed), the consistency evaluation with the overall target value is performed. An invention of a development support system is proposed (see Patent Document 3).
For example, medical item confirmation support that efficiently creates and displays nursing plans and implementation statuses to improve the correspondence between the implementation items and implementation results of nursing plans, the approach time, and the listability of all patients in charge of nurses An invention such as a system has been proposed (see Patent Document 4).
For example, an invention of an electronic medical record pharmacotherapy instruction execution system that performs processing related to schedule development of drug administration has been proposed (see Patent Document 5).

JP-A 63-262754 Japanese Patent Application Laid-Open No. 07-021096 JP-A-08-106494 JP 2005-353086 A JP 2006-155068 A

  An object of the present invention is to propose a technique capable of managing a plurality of comprehensive instructions without contradiction.

  The first aspect of the present invention is a first receiving means for receiving input of information indicating the contents of comprehensive instructions, a first storage means for storing information indicating the contents of comprehensive instructions already received, The second storage means for storing the rule information for expanding the information indicating the contents of the comprehensive instruction into the information indicating the contents of the more specific instruction, and the contents of the instruction in a mutually contradictory relationship The third storage means for storing the contradiction specifying information, the fourth storage means for storing the priority information for calculating the priority of the content of the instruction, and the priority information of the fourth storage means Based on the contradiction specifying information in the third storage unit and the calculation unit that calculates the priority of the content of the instruction, the second content of the instruction newly received by the first reception unit Deployed based on the rule information of the storage means Detecting means for detecting the contents of other instructions stored in the first storage means in a relationship in which the contents of instructions at the same level and the contents of instructions at the same level contradict each other with respect to the contents of the more specific instructions; Comparison means for comparing the priority calculated by the calculation means for each of the newly received instruction contents in a contradictory relationship with the contents of the other instructions detected by the detection means; As a result of the comparison by the comparison means, when the priority calculated for the content of the newly received instruction is higher than the priority calculated for the content of the other instruction, the content of the other instruction is An instruction management system comprising: an updating unit that updates the contents of the newly accepted instruction.

  According to a second aspect of the present invention, in the first aspect of the present invention, as a result of the comparison by the comparison means, the priority calculated for the content of the newly accepted instruction is calculated for the content of the other instruction. A first display means for displaying warning information when the priority is the same or lower is provided.

  According to a third aspect of the present invention, in the first or second aspect of the present invention, the first storage means associates the contents of instructions before and after expansion when the contents of a certain instruction are expanded by the expansion means. Based on the information stored in the first storage means and the second reception means for receiving from the user a request to manually rewrite the contents of the instruction that has already been deployed. A second display means for displaying the content of the instruction of one higher level for the content of the instruction corresponding to the request received by the means, and one for the content of the instruction displayed by the second display means. A third accepting means for accepting a rewrite input for the content of the instruction from the user, and a writing for matters included in the content of the instruction one level below the content of the instruction displayed by the second display means It is determined that the content of the instruction after rewriting can be expanded from the content of the instruction one level higher than the content of the instruction before rewriting and has a higher priority than before rewriting. And a rewriting control means for replacing the content of the instruction before rewriting with the content of the instruction after rewriting.

  According to a fourth aspect of the present invention, in the third aspect of the present invention, when the determination condition in the rewrite control means is not satisfied, the second display means is one more than the contents of the instruction of the one higher level. The contents of the higher level instruction are displayed, and the third receiving means and the rewrite control means perform processing on the contents of the displayed instruction.

  According to a fifth aspect of the present invention, a first receiving function for receiving input of information indicating the contents of comprehensive instructions and a first storage for storing information indicating the contents of comprehensive instructions already received in a computer A first access function for accessing the means, and a second storage means for storing rule information for expanding information indicating the contents of the comprehensive instruction into information indicating the contents of the more specific instruction. The second access function, the third access function for accessing the third storage means for storing the contradiction specifying information for specifying the content of the instruction in a mutually contradictory relationship, and the priority of the instruction content are calculated. A fourth access function for accessing a fourth storage means for storing priority information for performing, and a calculation function for calculating the priority of the content of the instruction based on the priority information of the fourth storage means; The first Based on the contradiction specifying information of the storage means, the contents of the instruction newly received by the first receiving means with respect to the more specific instruction contents developed based on the rule information of the second storage means A detection function for detecting the contents of other instructions stored in the first storage means in which the contents of instructions at the same level as the specific level contradict each other, and the other detected by the detection function A comparison function that compares the priority calculated by the calculation function for each of the newly received instruction contents that are in an inconsistent relationship with the content of the instruction, and a result of comparison by the comparison function, When it is determined that the priority calculated for the content of the newly accepted instruction is higher than the priority calculated for the content of the other instruction, the other instruction Content is an instruction management program for realizing the update function, the updating the contents of the newly accepted instruction.

  According to the instruction management system according to the first aspect of the present invention, a plurality of comprehensive instructions can be managed without contradiction.

  According to the instruction management system according to the second aspect of the present invention, the user can grasp the warning content about the newly input comprehensive instruction.

  According to the instruction management system according to the third aspect of the present invention, the contents of a specific instruction developed from a comprehensive instruction can be manually rewritten without contradiction.

  According to the instruction management system according to the fourth aspect of the present invention, a specific instruction developed a plurality of times from a comprehensive instruction can be rewritten without contradiction.

  According to the instruction management program according to the fifth aspect of the present invention, a plurality of comprehensive instructions can be managed without contradiction.

An embodiment of the present invention will be described with reference to the drawings.
FIG. 1 shows, as an example of the present invention, a comprehensive medical practice instruction / nursing policy (hereinafter referred to as a comprehensive instruction) for individual patients, and more specific instruction contents (for example, specific medical practice implementation). The functional block diagram of the instruction | indication management system which expands and sets to an item and its implementation date (henceforth an implementation item) is illustrated.

The instruction management system of this example includes a display unit 11, an input unit 12, an editing unit 13, a storage unit 14, a display control unit 15, a search unit 16, and a control unit 17.
In the instruction management system of this example, an operation terminal for a doctor for a doctor to input a comprehensive instruction, and an operation for a nurse for a nurse to expand from a comprehensive instruction to a specific instruction or to rewrite manually. A display unit 11 and an input unit 12 are configured by terminals and the like, and a storage unit 14, a display control unit 15, a search unit 16, and a control unit 17 are configured by a server device provided to be able to communicate with these operation terminals. In addition, this structure is only an example, For example, each function part of a server apparatus can also be distributed and comprised in several apparatuses.

  The input unit 12 receives various information related to an instruction for medical practice and a nursing policy for an individual patient from a doctor or a nurse. For example, an input of information indicating the contents of a comprehensive instruction by a doctor is accepted. For example, a request for development of a comprehensive instruction by a nurse is accepted. For example, a rewrite input of an action item by a nurse is accepted.

  The storage unit 14 stores information indicating the contents of the comprehensive instructions that have already been received. Further, when a comprehensive instruction is expanded to an implementation item due to an expansion request, the contents before and after the expansion are stored in association with each other. That is, the correspondence relationship between the comprehensive instruction and each action item developed from the comprehensive instruction is stored. In this example, the instructions are managed in two levels: a comprehensive instruction that is an instruction at a higher level (upper concept) and an action item that is an instruction at a lower level (lower concept). One or more levels may be provided, and the instructions may be managed by dividing them into multiple levels (three levels or more).

  The editing unit 13 edits the information stored in the storage unit 14 based on the information received by the input unit 12. For example, information indicating the contents of the comprehensive instruction received by the input unit 12 is stored in the storage unit 14. For example, the comprehensive instruction is expanded into an execution item based on the expansion request for the comprehensive instruction received by the input unit 12, and the expanded execution item is stored in the storage unit 14 in association with the comprehensive instruction. Let For example, based on the rewrite input of the execution item received by the input unit 12, the corresponding execution item stored in the storage unit 14 is rewritten.

  The search unit 16 searches the storage unit 14 for a comprehensive instruction of a processing target (editing target, display target, etc.) and an execution item associated with the comprehensive instruction (expanded from the comprehensive instruction). And supplied to the editing unit 13 and the display control unit 15.

  The display control unit 15 formats the comprehensive instruction of the display target period and the information on the action items stored in the storage unit 14 into a tabular nursing plan table (see, for example, FIG. 3), and displays the display unit 11 (for doctors). Display on the operation terminal and the operation terminal for nurses).

  The control unit 17 includes a priority definition table 17a in which priority information for calculating the priority of instruction contents such as a comprehensive instruction and an execution item is set, and rule information for expanding the comprehensive instruction into an execution item. The set expansion rule table 17b and the contradiction specification rule table 17c in which the contradiction specification information for specifying the contents of the instructions in contradictory relations are set, and based on the information set in these The operation of each of the functional units 13 to 17 is controlled.

The processing by the instruction management system of this example will be specifically described with reference to the drawings.
FIG. 2 shows an example of instructions used in the instruction management system of this example.
The instruction sheet (a) is an instruction sheet issued by a doctor at 20:30 on the 16th, and the patient is given a new drug “Constan” 3 times a day for “2 days” from the “night” on the 16th. An instruction for dosing and an instruction to discontinue dosing for “2 days” of the currently administered drug A are given. (B) The instruction is another example of the instruction issued at 20:30 on the 16th, and is different from the instruction (a) in that the suspension of the administration of agent A is indefinite. Yes. The instruction sheet (c) is an instruction sheet issued by the same doctor at 10:30 on the 17th of the following day, and changes in the dosing interval from “night” on the 18th to “2 days” (from 3 times a day to “night” "Only"). The instruction sheet (d) is another example of an instruction sheet issued at 10:30 on the 17th, and an extension of the dosing period (2 days from the 18th) is instructed. The instruction sheet (e) is an instruction sheet issued at 10:30 on the 13th, and an instruction is given for bathing once a week after the 17th.
In this example, a template of an electronic instruction form provided with an instruction input field is prepared in advance, and a general instruction is input from a doctor by accepting input to the input field by a doctor operation terminal. For example, it is possible to scan and read an instruction sheet on a paper medium provided with a check box for instructions, analyze the image, and accept a comprehensive instruction, or accept a comprehensive instruction input by various methods. Can do.

FIG. 3 illustrates a nursing plan table displayed on the display unit 11 in the instruction management system of this example.
Each item of reference numerals 21 and 22 indicates that the comprehensive instruction has been expanded into implementation items. The item of the code | symbol 23 has shown that it is only a comprehensive instruction | indication (no expansion | deployment). In addition, “-” in the items of reference numerals 21 and 22 explicitly indicates that nothing is performed.
According to the figure, the 50 mg dosage of Agent A is performed from June 16 to 19 with a frequency designation of “morning”, “noon”, and “night”, and until June 16 “noon” After “night” on the 16th, meal designation of “regular meal” is performed, and it can be seen that there is a comprehensive instruction that one bathing is performed from June 17 to June 20.

The case where the comprehensive instruction shown in the preceding stage of the instruction sheet (a) in FIG. 2 is made in the state of the nursing plan table will be described.
The previous instruction in the instruction sheet (a) is “Constant 0.4 mg × 3 for two days from the night of June 16”. As shown in the initial data of FIG. In addition, initial data such as “person in charge: doctor”, “drug: constant 0.4 mg”, “frequency: × 3”, “start: night on June 12”, “period: 2 days”, “method: internal use” Converted. When inputting a comprehensive instruction by a doctor, an doctor selects an extensible markup language (XML) tag so that the doctor selects a part before “:” as an item and assigns the input to the item to the part before “:”. You may make it provide.

In the example of FIG. 4, the contents of the comprehensive instruction shown in the initial data are changed to data 1 which is more specific instruction contents in accordance with the rules 1-1 to 1-5 set in the expansion rule table 7b. Is deployed.
Specifically, according to Rule 1-2, the comprehensive content “frequency: × 3” is expanded to more specific “frequency:“ − ”,“ morning ”,“ daytime ”,“ night ”. According to Rule 1-3, the contents of comprehensive “start: night on June 12” and “period: 2 days” are changed to more specific “period: start 16 days“ night ”and end 18 days“ day ”. Is deployed. Further, the content of the instruction shown in the data 1 is expanded to data 2 which is a more specific content of the instruction in accordance with the rule 2-2 set in the expansion rule table 7b. In this example, specific instructions in the units of “morning”, “daytime”, “night”, and “late night” in which one day is divided into four, such as “Constant 0.4 mg: 16 days:“ night ”” It is expanded into action items indicating the contents of various instructions.
That is, in this example, the data is expanded from the initial data of the upper level (upper concept) to the data 1 of the intermediate level (intermediate concept) and further expanded to the data 2 of the lower level (lower concept).
Data 3 is another example of expansion from the initial data, and is expanded in accordance with the rules 2-1 set in the expansion rule table 7b.
In this example, the above expansion processing is performed by the expansion processing unit of the control unit 17.

In the instruction management system of this example, the newly received comprehensive instruction is temporarily expanded into action items as described above, and the contents of the instructions are inconsistent at the action item level based on the contradiction identification rule table 17c. The presence or absence of some other (existing) instruction is checked with reference to the storage unit 14 to detect another instruction having an inconsistent relationship. As an example of the contradictory relationship, for example, when a new instruction cancels an existing instruction, the content of the instruction to be compared is a dosing instruction for the same medicine in the same period (for example, a change in the amount of the medicine) In some cases, the content of the instruction to be compared is an instruction to administer the same drug in another period, but the total dosage of the drug exceeds a reference amount within a predetermined period.
In this example, the detection processing unit of the control unit 17 performs the above detection processing.

When other instructions that are inconsistent with the newly received comprehensive instruction are detected, the priority is calculated according to the priority definition table 17a illustrated in FIG. 5 for the contents of each instruction.
The table in FIG. 5A shows an example in which priorities are assigned according to the time expression level. Specifically, the priority is “10” in the case of “day designation”, the priority is “20” in the case of “morning, noon, night, midnight”, and “time / time numerical value designation (10:00, 12:00, etc.)”. Priority: 30 is assigned in the case, and "Time value designation (10:00, 30 minutes, etc.)" is assigned priority: 40, and the higher the priority is assigned as the time expression becomes more detailed. Yes. In this case, since each item of reference numeral 31 in the example of the nursing plan table of FIG. 6 is “hour / minute numerical designation”, the priority is 40, and each item of reference numeral 32 is “morning, noon, night, midnight”. Therefore, the priority is 20 and each item of reference numeral 33 is “day designation”, so the priority is 10. That is, each item of reference numerals 31 to 33 is an instruction of the same content as the internal use of “agent A 50 mg”, but the item of reference numeral 31 has higher priority than the item of reference numeral 32, and the item of reference numeral 32 is more The priority is higher than the item of reference numeral 33. The blank items in the nursing plan table have a priority of 0.

The table of FIG. 5B shows an example in which priorities are assigned according to the level of constraint condition expression. Specifically, priority is 1 for "by", priority is 2 for "ni", priority is 2 for "every <interval>", and within "within" In the case of “<Limited interval>”, a priority level of 3 is assigned, and a higher priority level is assigned as the time constraint content becomes more detailed.
The table of FIG. 5C illustrates the priority calculated based on the setting contents of (a) and (b). For example, in the case of “by 10 days”, the priority of “designated date” is given. Degree: 10 and "By" priority: Total value of 1: 11 is calculated as the priority, and when "every 4 hours", priority of "time / time numerical designation" is 30 and "every" The priority value of “ii”: 2 and the total value: 32 are calculated as the priority.

The table in FIG. 5D shows an example in which priorities are assigned depending on whether the instruction content is start or end. Specifically, a priority of 100 is assigned for “start”, and a priority of 200 is assigned for “stop”, and a higher priority is assigned to stop than to start.
The table of FIG. 5E shows an example in which priorities are assigned according to the instructor. Specifically, priority “1000” is assigned to “doctor”, and priority “500” is assigned to “nurse”, and doctors are assigned higher priority than nurses.
In this example, as shown in each table of FIG. 5, the priority is assigned in the order of who is the instructor, which is the start or end instruction, and what is the granularity of the temporal expression. Therefore, for example, an instruction with a coarse granularity of temporal expression by a doctor has a higher priority than an instruction with a detailed granularity of temporal expression by a nurse. In addition, the numerical value of the priority of each table is an example to the last, and should just be determined suitably based on the view shown above.

  Here, the priority of the comprehensive instruction “Constant 0.4 mg × 3 June 16 night from the night of June 16” in the instruction sheet (a) of FIG. 2 is the priority of “day designation”: 10 and “start designation” The priority of “100” and the priority of “instructor: doctor”: 1000 are summed to 1110. On the other hand, since nothing is set in the area corresponding to the comprehensive instruction in the nursing plan table of FIG. 3 and the previous priority of the area is 0, the priority of the above comprehensive instruction: Since 1110 is higher, this comprehensive instruction is additionally stored in the storage unit 14 and reflected in the nursing plan table.

FIG. 7 illustrates the nursing plan table after the above-described comprehensive instruction is reflected, and it can be seen that the contents of the instruction are reflected in each item of reference numeral 42.
In this state, for each item (general instruction) indicated by reference numeral 42, for example, when a nurse makes a request for expansion to an implementation item, the item is expanded as illustrated in the nursing plan table of FIG. In the figure, the granularity of temporal expression is detailed in units of “morning”, “daytime”, and “night”. This conversion is performed according to the expansion rule table 7b, and is applied and expanded as long as there are expansion rules applicable to the target area. The priority after development is 1120, which is the sum of the priority of “morning, noon, night”: 20 and the priority of “start designation”: 100 and the priority of “instructor: doctor”: 1000. The priority before deployment is higher than 1110.
In this example, the calculation processing unit of the control unit 17 performs the above priority calculation processing.

Next, a case will be described in which the comprehensive instruction “A drug stop 6 days from the night of June 16” in the instruction sheet (a) of FIG. 2 is newly accepted in the state of the nursing plan table of FIG.
The new comprehensive instructions are expanded into action items that are more specific instruction contents by the procedure as described above, and other (existing) instructions that are in conflict with the instruction contents at the action item level. Is detected. In this example, the item in the code | symbol 41 in FIG. 8 is detected as having a contradiction.
The priorities of the detected existing instruction contents (items in reference numeral 41) are: “morning, noon, night” priority: 20 and “start designation” priority: 100 and “instructor: doctor” priority Degree: 1000 is summed up to 1120, and the priority of the new comprehensive instruction is “priority of“ day designation ”: 10 and priority of“ designation of cancellation ”: 200 and priority of“ instructor: doctor ” : 1000 is totaled to 1210, and the priority of the new comprehensive instruction is higher. In this case, the corresponding existing instruction content in the storage unit 14 is replaced with the new comprehensive instruction by the editing unit 13. Updated by As a result, the item denoted by reference numeral 41 in FIG. 8 changes as indicated by reference numeral 44 in FIG.
When other instructions that are inconsistent with the new comprehensive instruction are detected, the priority of the new comprehensive instruction (calculated without deployment) is the priority of the other instruction (expanded). If it is equal to or lower than (calculated for the instruction after deployment), the new comprehensive instruction is discarded, and the existing instruction content is not updated to the new comprehensive instruction. In this case, in the instruction management system of this example, a warning message is displayed on the display unit 11 to notify the user to that effect, and prompt the user to take a subsequent action.
In this example, the comparison processing unit of the control unit 17 performs the process of comparing the priorities.

FIG. 10 shows the relationship between comprehensive instructions and action items.
The instruction at the highest level in the figure is a comprehensive instruction a1 with the instruction content “Constan × 3 16 days from the night of two days. The instructions are a comprehensive instruction b1 having an instruction content of “constant × 3 16 days from the night of 16th” and a comprehensive instruction b2 having an instruction content of “stop medication of xx medicine until there is another instruction”. The instruction at the lower level of the comprehensive instruction b1 is, for example, the action item c1 with the addition of “Constant 16th night” as the instruction content, and the instruction at the lower level of the comprehensive instruction b2 is, for example, “xx medicine 19 This is an action item c5 in which deletion of “day and night” is designated.
That is, the comprehensive instruction is subdivided into items with a high degree of detail, but it may be a comprehensive instruction. In contrast, the action items cannot be further subdivided.

Next, manual rewriting of instruction contents will be described.
For example, in the nursing plan table of FIG. 11 (a), when the instruction (implementation item) of “A drug 50 mg” on the 17th “night” is selected and a manual rewrite request is made, As shown, the contents of the higher-level instruction (general instruction) of the instruction are displayed on the display unit 11 and the user is prompted to rewrite the entire upper-level range. The comprehensive instruction corresponding to the selected implementation item is specified based on the correspondence information stored in the storage unit 14.
The rewriting of the action item requires rewriting input for all of the upper level instruction range, and the contents of the instruction after rewriting can be expanded from the contents of the instruction one level higher than the contents of the instruction before rewriting. It is necessary to satisfy the condition that the priority is higher than before rewriting, and only when the determination condition is satisfied, the content of the instruction before rewriting in the storage unit 14 is changed to the instruction after rewriting by the editing unit 13. Replaced with content.
In this example, the determination processing unit of the control unit 17 performs the processing such as the above rewriting determination.

For example, when there is an input for rewriting the content of the nursing plan table in FIG. 12A as shown in FIG. 12B, the content of the instruction after rewriting is one level higher than the content of the instruction before rewriting. Although it can be developed from the contents of the instruction, the temporal expression of the instruction is changed from “morning, noon, night” to “day designation”, so the granularity is coarser, so the priority is lower than before rewriting and judgment Since the condition is not satisfied, rewriting is not performed. In the case where the instructions are managed in three or more levels in the storage unit 14, the contents of one more upper level instruction are further displayed on the display unit 11, and all the upper level ranges are displayed. The user may be prompted for rewrite input and the subsequent processing may be performed.
On the other hand, when there is an input for rewriting the content of the nursing plan table in FIG. 12A as shown in FIG. 12C, the content of the instruction after rewriting is one level higher than the content of the instruction before rewriting. It can be developed from the content of the instruction, and the time expression of the instruction changes from “morning, noon, night” to “specify hour and minute numerical value”, so the granularity is detailed, so the priority is higher than before rewriting Since the determination condition is satisfied, rewriting is performed.

  In the instruction management system of this example, the first to third receiving means according to the present invention are configured by the input unit 12, and the first and second display units according to the present invention are configured by the display unit 11, and the present invention. The first storage unit according to the present invention is configured by the storage unit 14, the second storage unit according to the present invention is configured by the expansion rule table 17b, and the third storage unit according to the present invention is configured by the contradiction specifying rule table 17c. The fourth storage unit according to the present invention is configured by the priority definition table 17a, the calculation unit according to the present invention is configured by the calculation processing unit of the control unit 17, and the detection unit according to the present invention is configured by the control unit 17. The detection processing unit is configured, the comparison unit according to the present invention is configured by the comparison processing unit of the control unit 17, the update unit according to the present invention is configured by the editing unit 13, and the rewrite control unit according to the present invention is configured by the control unit 17. The judgment processing unit .

FIG. 13 shows the main hardware configuration of the server device in the instruction management system of this example.
The server device of this example includes a CPU 51 that performs various arithmetic processes, a RAM 52 that serves as a work area for the CPU 51, a ROM 53 that stores basic control programs, and an HDD 54 that stores programs and various data for realizing the functions of the present invention. An input / output I / F 55 that is an interface with devices such as a display screen for displaying and outputting information to the user, a mouse and a keyboard that accepts input of information from the user, and an interface for communicating with other devices It is configured by a computer having hardware resources such as a certain communication I / F 56.
The program according to the present invention is read from the HDD 54, loaded into the RAM 52, and executed by the CPU 51, whereby each functional unit according to the present invention is realized by a computer.

Note that the program according to the present invention is provided to the practitioner of the present invention, for example, in a format in which an external storage medium such as a CD-ROM storing the program is distributed or distributed via a network.
Each functional unit according to the present invention is not limited to a mode realized by a software configuration as in the present example, and may be configured by a dedicated hardware module.

It is a functional block diagram of the instruction management system concerning an example of the present invention. It is a figure which shows the example of the instruction | indication based on an example of this invention. It is a figure which shows the example of the nursing plan table which concerns on an example of this invention. It is a figure which shows the example of expansion | deployment to the implementation item from the comprehensive instruction | indication concerning an example of this invention. It is a figure which shows the example of the priority definition table | surface which concerns on an example of this invention. It is a figure explaining the priority which concerns on an example of this invention. It is a figure which shows the example of the nursing plan table which concerns on an example of this invention. It is a figure which shows the example of the nursing plan table which concerns on an example of this invention. It is a figure which shows the example of the nursing plan table which concerns on an example of this invention. It is a figure which shows the example of the relationship between the comprehensive instruction | indication based on an example of this invention, and an implementation item. It is a figure regarding the manual rewriting of the instruction | indication content based on an example of this invention. It is a figure regarding the manual rewriting of the instruction | indication content based on an example of this invention. It is a hardware block diagram of the computer which concerns on an example of this invention.

Explanation of symbols

  11: Display unit, 12: Input unit, 13: Editing unit, 14: Storage unit, 15: Display control unit, 16: Search unit, 17: Control unit, 17a: Priority definition table, 17b: Expansion rule table, 17c : Conflict specific rule table

Claims (5)

First receiving means for receiving input of information indicating the contents of a comprehensive instruction;
First storage means for storing information indicating the contents of comprehensive instructions already accepted;
Second storage means for storing rule information for expanding the information indicating the contents of the comprehensive instruction into information indicating the contents of the more specific instruction;
Third storage means for storing contradiction specifying information for specifying the contents of instructions in contradictory relations;
Fourth storage means for storing priority information for calculating the priority of the content of the instruction;
Calculation means for calculating the priority of the content of the instruction based on the priority information of the fourth storage means;
Based on the contradiction specifying information of the third storage means, the contents of the instruction newly received by the first reception means are more specific instructions developed based on the rule information of the second storage means. Detecting means for detecting the contents of the other instructions stored in the first storage means, which are in a relationship in which the contents of the instructions at the same level as the specific level are inconsistent with the contents;
Comparison means for comparing the priority calculated by the calculation means for each of the newly received instruction contents in a contradictory relationship with the contents of the other instructions detected by the detection means;
As a result of the comparison by the comparison means, when the priority calculated for the content of the newly received instruction is higher than the priority calculated for the content of the other instruction, the content of the other instruction is Updating means for updating the contents of the newly accepted instruction;
An instruction management system characterized by comprising: As a result of the comparison by the comparison means, warning information is displayed when the priority calculated for the content of the newly received instruction is the same or lower than the priority calculated for the content of the other instruction. First display means;
The instruction management system according to claim 1, further comprising: The first storage means stores the instruction contents before and after the expansion in association with each other when the contents of a certain instruction are expanded by the expansion means.
Second accepting means for accepting from the user a request to manually rewrite the contents of the instruction already deployed;
Second display means for displaying the content of one higher level instruction for the content of the instruction corresponding to the request received by the second receiving means based on the information stored in the first storage means; ,
Third accepting means for accepting a rewrite input from the user with respect to the content of the instruction at one lower level with respect to the content of the instruction displayed by the second display means;
The instruction content displayed by the second display means is a case where there is a rewrite input for an item included in the content of the instruction one level below, and the content of the instruction after rewriting is the content of the instruction before rewriting Rewriting control means for replacing the content of the instruction before rewriting with the content of the instruction after rewriting when it is determined that the instruction can be expanded from the content of the instruction one level higher than that before rewriting, and ,
The instruction management system according to claim 1 or 2, further comprising: When the determination condition in the rewrite control means is not satisfied,
The second display means displays the content of the instruction one level higher than the content of the one higher level instruction,
The third reception unit and the rewrite control unit perform processing on the content of the displayed instruction.
The instruction management system according to claim 3. On the computer,
A first reception function for receiving input of information indicating the contents of a comprehensive instruction;
A first access function for accessing first storage means for storing information indicating the contents of a comprehensive instruction already accepted;
A second access function for accessing second storage means for storing rule information for expanding information indicating the contents of a comprehensive instruction into information indicating the contents of a more specific instruction;
A third access function for accessing third storage means for storing contradiction specifying information for specifying the contents of instructions in contradictory relations;
A fourth access function for accessing fourth storage means for storing priority information for calculating the priority of the content of the instruction;
A calculation function for calculating the priority of the content of the instruction based on the priority information of the fourth storage means;
Based on the contradiction specifying information of the third storage means, the contents of the instruction newly received by the first reception means are more specific instructions developed based on the rule information of the second storage means. A detection function for detecting the contents of other instructions stored in the first storage means in which the contents of instructions at the same level as the specific level are inconsistent with the contents;
A comparison function for comparing the priority calculated by the calculation function for each of the newly received instruction contents in a conflicting relationship with the other instruction contents detected by the detection function;
As a result of comparison by the comparison function, when it is determined that the priority calculated for the content of the newly received instruction is higher than the priority calculated for the content of the other instruction, the other An update function for updating the content of the instruction with the content of the newly received instruction;
Instruction management program to realize

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