JP2659466B2 - Order information input method in medical treatment support system - Google Patents

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical care support system for giving various instructions to a patient in a medical institution such as a hospital.

[0002] All information related to patient diagnosis and medical treatment in hospitals is described in medical records, but in recent years, medical treatment support systems using computers have been frequently used instead of conventional handwriting.

[0003] Particularly in large-scale hospitals, the amount of information to be processed is enormous, and the use of a medical support system is indispensable. A database for medical care support has been constructed based on information input at the department.

In order to realize early detection and early treatment of a patient's disease using such a database, a medical care support system capable of responding to various demands such as simple operation, easy-to-view screen, and quick response is desired. I have.

[0005]

2. Description of the Related Art Conventionally, a medical care support system has been capable of setting order information (medical care information) indicating the contents of various orders indicating types of instruction contents to a patient such as prescriptions and various tests. It is possible to give an instruction to the patient through a screen or a printed material based on the order information set for the specified order.

In the conventional medical care support system, when order information is instructed to a patient, a doctor or a nurse performs the following operation.

That is, first, one patient is selected (designated) on a patient selection screen 90a as shown in FIG.
Next, on the instruction selection screen 90b as shown in FIG. 6B, an order to be instructed for the selected patient is selected (a plurality of orders can be selected).

When an order is designated, an order information input screen 90c for inputting the contents of the order (here, "prescription") is displayed. In the order information input screen 90c, as shown in FIG. The order information of the indicated content is input from a keyboard or the like.

In some cases, two or more types of orders are designated on the instruction selection screen 90b. In that case,
The order input screen 90c is sequentially displayed for the designated orders, and the order information is input.

As described above, in the conventional medical care support system, one or more orders are designated for one patient, order information DIF is input for the designated order, and this operation is repeated. To give various necessary instructions to the patient.

[0011]

However, there are cases where it is desired to give an instruction on the same order to a large number of patients.

In such a case, in the conventional medical care support system, every time one patient is specified on the patient selection screen 90a, the same order must be specified on the next instruction selection screen 90b. However, the operation is troublesome and inputting the order information requires much time and effort.

The present invention has been made in view of the above-described problem, and has been made in view of the above-mentioned circumstances. Therefore, when a doctor or the like wants to give an instruction on the same order to a plurality of patients, order information can be easily input in a short time. The purpose is.

[0014]

According to a first aspect of the present invention, there is provided a method for solving the above-mentioned problems, as shown in FIG. 2 to FIG. It is possible to set the order information DIF indicating the contents of each instruction for the DER.
In the medical assistance system 1 in which instructions are given to the patient CAS based on the order information DIF set in the ER, a patient designation screen 32 for designating the patient CAS, and an order for inputting the order information DIF The information input screen 36 and the same order DER are displayed alternately.
, Order information DIF for multiple patient CAS
Are sequentially input.

The method according to the second aspect of the present invention relates to a patient CAS.
Designation screen 32 for designating order DER, order designation screen 33 for designating order DER, and order information DI
And an order information input screen 36 for inputting an F. The order DE designated on the order designation screen 33
It is possible to specify a lock mode for fixing R. In the lock mode, for the fixed order DER,
The order information DIF for a plurality of patient CASs is sequentially input on the patient designation screen 32 and the order information input screen 36.

A medical support system according to a third aspect of the present invention includes a patient specifying screen 32 for specifying a patient CAS;
An order designation screen 33 for designating one or more order DERs out of a plurality of order DERs indicating the type of instruction content for the patient CAS, and order information DIF as instruction content for the order DER are input. Order information input screen 36 for the designated order D
In the medical care support system 1 in which an instruction is given to the patient CAS based on the order information DIF set in the ER, a lock mode designation for designating a lock mode for fixing the order DER designated on the order designation screen 33 It has means 13a and lock mode releasing means 13b for releasing the lock mode, and is configured to display an order information input screen 36 following the patient designation screen 32 in the lock mode.

[0017]

The patient CAS is designated on the patient selection screen 32, and the order information DIF is displayed on the order information setting screen.
, And repeating this, a plurality of patients C
The order information DIF is input to the AS.

Since the order DER specified on the instruction selection screen 33 is fixed by designating the lock mode, the order information DIF for the order DER fixed in this way is input.

In the lock mode, the patient selection screen 3
2 and the order information input screen 36 are continuously displayed, for example, and the order information DIF for a large number of patients CAS is sequentially input.

[0020]

FIG. 5 is a block diagram showing an example of the configuration of a medical care support system 1 according to the present invention.

The medical care support system 1 is dedicated to a centrally installed host computer 3, a large number of terminal devices 4, 4,... Operated by doctors or nurses, accounting departments, examination departments, pharmacies, medical departments, and the like. Are composed of terminal devices 5, 5,.

In the host computer 3, a medical database is constructed by data input from each of the terminal devices 4 and 5, and the data is transferred to the terminal devices 4 and 5 as necessary and displayed on a screen. Printed.

FIG. 4 is a block diagram showing an example of the configuration of the terminal device 4.

The terminal device 4 includes a processing unit 11, a display unit 12 having a screen 12a, a keyboard 13, a mouse 14, an external memory 15 such as a hard disk device, and a magnetic card reader (not shown).

The processing section 11 is provided with a memory 21 used as a work area or the like. The processing unit 11
Based on the input from the keyboard 13 or the mouse 14,
Also, based on the data stored in the external memory 15 or the data transferred from the host computer 3, the display unit 12
To perform a display necessary for the above, and an input process as described later.

Various screens, which will be described later, are displayed on the display unit 12 based on operations of the keyboard 13 and the like. The screen 12a displays functions assigned to specific keys on the keyboard 13.

The keyboard 13 has keys to which various functions such as "cursor movement", "end", "execution" and "transfer" are assigned, and "lock" and "unlock".
Key 13a, 13b to which the function of FIG. In addition, it is also possible to execute with the mouse 14 instead of these keys.

Various files are created in the external memory 15. For example, a process control file in which process information for controlling the entire process in the terminal device 4 is written, a contact file in which information to be taken over between a plurality of processes is written, and information for storing information on a multi-order set described later. A multi-order set master file, work file, etc. are created.

FIGS. 2 to 3 are views showing various screens displayed on the display unit 12. FIG. The operation of the medical assistance system 1 will be described with reference to these drawings.

When the terminal device 4 is started up, a business selection screen 31 as shown in FIG. 2A is displayed on the screen 12a.

In the job selection screen 31, the user ID
And a password from the keyboard 13 or the like, whereby a security check is performed. Thereafter, a task is selected from the menu displayed on the screen 12a. In selecting a task, for example, the "cursor move" key is operated to match the cursor to the task to be selected, and the "execute" key is pressed.

The business TSK includes an “order entry” for giving an instruction to the patient, a “multi-order set” for registering and modifying a multi-order set, and, although not shown, printing of a card or form, Update of information.

When "order entry" is selected here,
A patient selection screen 32 as shown in FIG. 2B is displayed.

On the patient selection screen 32, the patients CAS who are hospitalized are displayed for each room, and the patient CAS for which an instruction is to be given is selected from among them. Patient CAS
Is selected, an instruction selection screen 3 as shown in FIG.
3 is displayed.

On the instruction selection screen 33, the patient CAS
The various orders DER indicating the type of the instruction content for are displayed, and the order DER to be instructed is designated from among them.
Select one or two or more.

Here, since "prescription" is selected as the order DER, an order information setting screen 36 for "prescription" is displayed as shown in FIG. 3D. In the order information setting screen 36, as the order information DIF, for example, as shown in the figure, a medicine name, a quantity, a dosage method, and the like are input.

In the instruction selection screen 33, a plurality of orders D
When the ER is designated, the order information setting screen 36 for the designated order DER is sequentially displayed.

When the input of the order information DIF is completed on the order information setting screen 36 and the "end" key is pressed, the order shown in FIG.
As shown in (e), the instruction selection screen 33 is displayed again.

Here, if there is any omission in designation of the order DER, additional designation is performed again. When an order DER is additionally specified, an order information setting screen 36 for the order DER is displayed.

When it is not necessary to specify the addition of the order DER, when the "end" key is pressed, an instruction confirmation screen 37 is displayed as shown in FIG.

The instruction confirmation screen 37 is for reconfirming important instructions that require confirmation by a doctor. Important instructions are the order DER for "prescription" and "inspection"
It is an instruction about.

That is, when these order DERs are designated, an instruction confirmation screen 37 is displayed here, and it is reconfirmed that these order DERs have been designated and that the contents of the order information DIF are correct. .

After confirming on the instruction confirmation screen 37, pressing the "Transfer" key causes the specified information, that is, patient CAS, order DER, and order information DIF to be displayed.
Is transferred to the host computer 3.

The host computer 3 processes the transferred information in accordance with the respective contents, and retransmits the processed information to the terminal devices 4 and 5 of another predetermined department. by this,
An instruction is given to the patient CAS.

After pressing the "Transfer" key on the instruction confirmation screen 37, the patient selection screen 32 is displayed again, and an instruction for the next patient CAS is performed by the same operation as described above as necessary.

For instructions other than important instructions,
When the order information setting screen 36 shown in FIG. 3D is completed, data transfer to the host computer 3 is performed.

The above is the operation and processing in the normal mode for instructing the patient CAS. Next, the operation and processing in the lock mode and the jump mode will be described.

The lock mode is used when it is desired to give an instruction for the same order DER to a large number of patients CAS. The instruction selection screen 3 shown in FIG.
"Lock" after specifying the order DER in 3
Pressing the key switches to the lock mode.

When the lock mode is specified, the order DER specified on the instruction selection screen 33 is fixed. Then, the instruction selection screen 33 after the patient selection screen 32 is omitted, and the order information setting screen 36 is displayed subsequent to the patient selection screen 32.

That is, in the lock mode, the instruction selection screen 33 for specifying the same order DER is not displayed, and the patient CAS is specified on the patient selection screen 32 for the first specified order DER. Then, the order information DIF for the patient CAS is input on the order information setting screen 36.

Therefore, the operation is simplified and the operation time is shortened by the omission of the instruction selection screen 33.

To release the lock mode, by pressing the "unlock" key on the patient selection screen 32, the order DER fixed up to that point is cleared, and the instruction selection screen 33 is displayed from the next time. .

For the jump mode, if the confirmation at the time of input is sufficient, the instruction selection screen 33 displayed again after the order information setting screen 36 or the instruction selection screen 33 and the instruction confirmation screen 37 are omitted to simplify the operation. This is for planning.

The specification and cancellation of the jump mode are performed by displaying a mode selection screen in a window on the work selection screen 31 or the like and specifying a predetermined jump pattern there.

That is, in the window screen, pattern 1 for sequentially displaying all the screens described above, pattern 2 for omitting the instruction selection screen 33 for reconfirmation, instruction selection screen 33 for reconfirmation and instruction confirmation screen 37 By selecting one of the patterns 3 omitting the above, the screen development based on each pattern is executed thereafter.

For example, in the case of the jump mode by the pattern 3, the order information setting screen 36 shown in FIG.
Is completed, a patient selection screen 32 is displayed next.

Therefore, when the lock mode described above is designated in the jump mode of the pattern 3, the patient selection screen 32 and the order information setting screen 36 are alternately displayed, and the patient CAS is designated and designated for the fixed order DER. Order Information DIF for Patient CAS
Can be performed most efficiently and quickly.

This is equivalent to writing instructions for a large number of patients CAS one after another in one type of slip, for example, a slip for “prescription”.

Next, the above-described input processing of the order information DIF will be described with reference to the flowchart shown in FIG.

In FIG. 1, first, a patient selection screen 32 is displayed. Here, a patient CAS is specified (step # 11).

Next, when the mode is not the lock mode (No in step # 12), the instruction selection screen 33 is displayed, and the order DER is specified (step # 13).

Since the lock mode is not specified at the first time, the order DER is always specified. 2
If the lock mode is designated after the first time (yes in step # 12), step # 14 is jumped.

The order information setting screen 36 is displayed, and the order information DIF is input (step # 14).

If the mode is not the jump mode (No in step # 15), an instruction selection screen 33 is displayed, and if there is an order DER, the order is specified (step # 1).
6, 17).

The instruction confirmation screen 37 is displayed, and the contents of the instruction are confirmed (step # 18).
Repeat from 1 onwards.

In the case of pattern 2 in the jump mode, steps # 16 and 17 are jumped, and in the case of pattern 3, step # 18 is further jumped (step # 1).
9).

Next, the processing in the lock mode in the processing section 11 will be briefly described.

When the order DER is selected on the instruction selection screen 33, the selected order DER is written in the process control file. That is, what is selected on the instruction selection screen 33 is written in the process control file.

At this time, if the "lock" key is pressed, the contents of the process control file are copied to the work file, and the lock file is written in the communication file.

When the order information DIF is input on the order information setting screen 36 and the screen changes to the patient selection screen 32 again, the contents of the process control file are cleared.

The patient CAS is selected on the patient selection screen 32. At this time, the contents of the communication file are referred to. At the time of the lock mode, the contents of the work file are copied to the process control file. As a result, the order DER fixed when the lock mode is designated is inherited.

In the patient selection screen 32, "unlock"
Pressing the key clears the contents of the contact file (being in lock mode).

According to the embodiment described above, a large number of patients CAS
When it is desired to give an instruction on the same order DER, the lock mode is designated so that the previously designated order DER is fixed, and the display of the instruction selection screen 33 thereafter is omitted.

Therefore, it is not necessary to repeatedly designate the same order DER, and the designation of the patient CAS and the input of the order information DIF for it can be performed efficiently and quickly.

Further, by specifying the jump mode, the additional specification of the order DER and the confirmation of the instruction can be omitted. By using the jump mode and the lock mode together, the input of the order information DIF can be performed very efficiently. The instructions can be given to a large number of patients CAS quickly and accurately.

In the above-described embodiment, the keys “lock” and “unlock”
Although 3a and 13b are assigned, these keys may be any keys or the same key. In addition, mouse 14
Alternatively, a lock mode may be designated.

In the above embodiment, the contents of the order DER or the order information DIF, the configuration of the screen displayed on the display unit 12, the display contents, the display items, the display colors, the processing contents in the processing unit 11, the processing order, and The configurations of the host computer 3 and the terminal devices 4 and 5 can be variously changed in addition to those described above.

[0078]

According to the present invention, when a doctor or the like wants to give an instruction on the same order DER to a plurality of patients CAS, the order information DIF can be easily and quickly input.

According to the third aspect of the present invention, a large number of patients CA
If it is desired to give an instruction for the same order DER to S, the lock mode is designated; otherwise, for example, if multiple instructions are given for one patient CAS, the lock mode is released. Thus, the order information DIF can be input efficiently, and a medical care support system with a wide range of use can be provided.

[Brief description of the drawings]

FIG. 1 is a flowchart showing an input process of order information according to the present invention.

FIG. 2 is a diagram showing a screen displayed on a display unit.

FIG. 3 is a diagram showing a screen displayed on a display unit.

FIG. 4 is a block diagram illustrating an example of a configuration of a terminal device according to the present invention.

FIG. 5 is a block diagram showing an example of a configuration of a medical care support system according to the present invention.

FIG. 6 is a diagram showing a screen displayed conventionally.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 Medical care support system 13a Lock key (lock mode designation means) 13b Unlock key (lock mode release means) 32 Patient selection screen (patient designation screen) 33 Instruction selection screen (order designation screen) 36 Order information setting screen (order information input) Screen) CAS Patient DER Order DIF Order Information

Claims (3)

(57) [Claims] 1. It is possible to set order information (DIF) indicating each instruction content for a plurality of orders (DER) indicating the type of instruction content for a patient (CAS),
Patient designation for designating a patient (CAS) in a medical support system (1) in which instructions are given to a patient (CAS) based on order information (DIF) set in a designated order (DER) Screen (32);
An order information input screen (36) for inputting order information (DIF) is alternately displayed, and the same order (DE) is displayed.
(R) An order information input method in a medical care support system, which sequentially inputs order information (DIF) for a plurality of patients (CAS). 2. It is possible to set order information (DIF) indicating each instruction content for a plurality of orders (DER) indicating the type of instruction content for a patient (CAS).
Patient designation for designating a patient (CAS) in a medical support system (1) in which instructions are given to a patient (CAS) based on order information (DIF) set in a designated order (DER) Screen (32);
Order specification screen (3) for specifying order (DER)
3) and an order information input screen (36) for inputting order information (DIF).
It is possible to specify a lock mode for fixing the order (DER) specified in 3). In the lock mode, the patient specification screen (32) and the order information input screen (36) for the fixed order (DER) By
An order information input method in a medical care support system, which sequentially inputs order information (DIF) for a plurality of patients (CAS). 3. A patient designation screen (32) for designating a patient (CAS), and one or two or more orders (DER) out of a plurality of orders (DER) indicating types of instruction contents for the patient (CAS). (DER), and an order information input screen (36) for inputting order information (DIF), which is the instruction content for the order (DER). Order (DE
In the medical care support system (1) in which instructions are given to the patient (CAS) based on the order information (DIF) set in (R), the order (DER) designated on the order designation screen (33) is fixed. Lock mode designating means (13a) for designating a lock mode to be performed
And a lock mode canceling means (13b) for canceling the lock mode. In the lock mode, an order information input screen (36) is displayed following the patient designation screen (32). A medical care support system characterized by the following.