JP3542576B2 - Medical information system and computer program - Google Patents

Description

[0001]
TECHNICAL FIELD OF THE INVENTION
The present invention belongs to the technical field of a medical information system that supports a planner such as a doctor or a writer so that a medical plan or a medical record can be appropriately created. The invention also belongs to the technical field of computer programs for causing a computer to function as such a medical information system.
[0002]
[Prior art]
Traditionally, in medical facilities such as hospitals and clinics, doctors examine patients, and then follow medical examinations, medical treatment, hospitalization arrangements, surgery, drug administration, etc. according to the diagnosis or findings of the doctor. Make your medical plan first. Then, the medical plan such as the contents and schedule of the examination / medication for the patient, the contents and schedule of the operation, the contents and the schedule of the postoperative treatment / examination, etc. are written in a dedicated sheet called an “instruction table”. . As for records of medical actions performed based on a plan, electronic medical records using computers instead of traditional paper medical records are becoming widespread.
[0003]
Recently, for example, as disclosed in Japanese Patent Publication Nos. 2706645 (Japanese Patent Application Laid-Open No. 9-185661) and 2815346 (Japanese Patent Application Laid-Open No. 10-214302) issued by the present applicant, A medical plan record table in which medical practice data forming a medical plan record for a patient is arranged by date and type, that is, a program called a so-called "care map" (registered trademark of the present applicant) is displayed on a computer. Or on a medical plan record table generally referred to as a “critical path” (hereinafter referred to as a “care map” as appropriate) in accordance with the diagnosis or finding of the physician concerned, in the manner of filling in each item. It is also possible to stand or create medical records. More specifically, a medical plan such as a physician and a writer set medical items related to the patient on the vertical axis of the care map based on the diagnosis or findings of the physician, and set each item on each item. The appropriate period for performing the medical practice to which it belongs is set as the date on the horizontal axis, and a framework of the care map is created. An input is made in an area (hereinafter, referred to as a “cell”). Then, after the planned medical action is performed, actual data is left or input as fixed data in each cell of the care map instead of the plan data. That is, the care map shows the actual data as well as the plan data.
[0004]
According to the above-mentioned care map, doctors, nurses, pharmacists, and other hospital personnel who execute the medical plan share the result data and the plan data, and refer to the necessary result data as needed. The data relating to each cell (or each item) of the map is input or changed, so-called, by making appropriate modifications through cooperative play, the medical plan is executed while creating a lean medical plan, and various results data are unified. It is possible to temporarily store.
[0005]
[Problems to be solved by the invention]
However, according to the above-mentioned care map, in the medical field where the complexity has been advanced recently, the medical information as the electronic data to be input is diversified, and the data accumulated for the same care map is basically different. It has increased.
[0006]
In particular, as the medical care data for one patient to be handled by the same care map increases as described above, the amount of data accumulated for the same care map increases. In order to enhance the utility value of the care map, for example, it is convenient to adopt a configuration in which a plurality of medical practice candidates are displayed in each cell and a desired one is selected during planning. The amount of action data increases. Alternatively, it is convenient to leave medical activity data indicating medical activities that have been candidates but not performed in the record, which is convenient for reference of the treatment history, but also the amount of medical activity data to be displayed in the cell. Increases. Further, a continuation instruction (for example, “one week continuous administration of drug D” or the like) indicating that the medical practice is continuously performed over a plurality of dates is indicated on the care map, and a plurality of cells are arranged along the plurality of dates. It is convenient to display band-shaped marks that extend across the cell, but again, a limited area in the cell is occupied by the band-shaped marks, and especially when a plurality of band-shaped marks are displayed in the same cell, the Could be occupied.
[0007]
As described above, if the medical practice data handled on the care map is complicated and sophisticated in order to enhance the use value of the care map, the amount of the data generally increases, and the care map actually displayed on a personal computer screen or the like is not displayed on the care map. However, there is a problem that medical practice data is difficult to see for doctors, nurses, and the like, resulting in poor usability.
[0008]
SUMMARY OF THE INVENTION The present invention has been made in view of the above-described conventional problems. In a medical information system that displays medical information on each patient in a medical action table arranged by date and type, a medical service that can be handled on the medical action table It is an object to provide a medical information system and a computer program capable of causing a computer to function as such a system, which makes it possible to easily display the medical action table while making the action data complicated and sophisticated. I do.
[0009]
In order to solve the above-mentioned problem, the second medical information system of the present invention indicates any one of a plurality of types of medical actions on a preset small classification and sets a group on a large classification larger than the small classification. A plurality of first file means for storing individual medical practice data including separable data in association with execution time data indicating the execution time of each medical practice, respectively; A second file unit for storing group medical activity data indicating the major classification in association with a class belonging to the classification, and based on the individual medical activity data and the execution time data respectively stored in the plurality of first file units. And displaying the individual medical practice data forming a series of medical plans and records for one patient in a medical practice table format arranged by date and type. For at least a part of the individual medical practice data, first display data for displaying group medical practice data indicating a large classification to which the at least some individual medical practice data belongs instead of the individual medical practice data is generated. Display control means, display means for displaying the individual medical action data and the group medical action data in the format of the medical action table based on the first display data, and display on the medical action table displayed by the display means And input means capable of designating the group medical practice data. The display control means, when the group medical practice data is designated by the input means, classifies the designated group medical practice data. A plurality of individual medical practice data belonging to the medical practice table or in place of or in addition to the medical practice table Generating second display data for displaying in a format, wherein the display unit is configured to, based on the second display data, generate a plurality of individual medical practice data belonging to a large classification of the designated group medical practice data in the predetermined manner; Display in format,The display control means, corresponding to a period from the execution time of the earlier execution time to the execution time of the later execution time, among the plurality of individual medical action data belonging to the large classification of the group medical action data, Generating third display data for displaying a band-shaped mark extending along the line with the group medical practice data on the medical practice table together with or as a part of the group medical practice data, wherein the display means comprises: 3. Displaying the band-shaped mark on the medical practice table based on the display data.
[0010]
Of the present inventionFirstAccording to the medical information system, the first file unit associates individual medical practice data indicating one of a plurality of types of medical practice on the sub-class with execution time data indicating the execution time of each medical practice. Store each. The individual medical practice data includes data that can be grouped on a large classification. Here, the “individual medical practice data” in the present invention is, for example, a medical practice in a situation only planned by the medical plan and the writer, and a medical practice in a situation in which an order related to the planned medical practice has been issued. Actions, medical actions that have reached the time to be urgently performed, medical actions that have already been performed, medical actions that are to be performed continuously, medical actions that are to be performed intermittently for a predetermined period, plans This is data indicating a medical practice in various execution states, such as a medical practice in a situation where it has been collapsed (unexecuted), a medical practice in a situation where it should be performed as necessary. On the other hand, the “execution time data” in the present invention is data indicating execution times such as once, plural times, periodically, continuously, intermittently, and as necessary, at a specific time or period. Further, as such execution time data, the time when the medical practice in various execution states is actually executed (execution time based on the results), the time when the medical action is scheduled to be executed (scheduled or plan-based execution time), and the like. And data indicating any time point or period in the past, present, or future.
[0011]
On the other hand, the second file means stores group medical practice data indicating the major classification in association with the individual medical practice data belonging to the same major category. Here, the “group medical practice data” in the present invention is a medical practice in various situations as described above, which is preset such that, for example, a predetermined category is the same or a predetermined property or attribute is the same. This is data indicating the same major classification. For example, when the individual medical practice data indicates “antibiotic A administration”, “administration of antibiotic B”, and “administration of antibiotic C”, the group medical practice data indicates “antibiotics” indicating a major classification to which these medical practices belong. Agent administration ”. For example, when the individual medical practice data indicates “X-ray photography”, “MRI photography”, and “CT scan”, the group medical practice data indicates “image photography” indicating a major classification to which these medical practices belong. Therefore, this group medical practice data is also related to both the past performance data and the future plan data, and the execution time is also specified according to each medical practice data belonging to the large classification indicated by this. Various types such as one time, a plurality of times, periodic, continuous, intermittent, and execution as needed at a time or a period are conceivable. Then, if they belong to the same large classification, not only on the same day, but also on a fixed period such as an adjacent period or an adjacent period (for example, a period shorter than the entire period of the medical practice table, such as 3 days, 1 week, 2 weeks, etc.) It is possible to arbitrarily or automatically bundle individual medical practice data pertaining to the group as group medical practice data.
[0012]
Based on the medical practice data and the execution time data stored in the first file means, the display control means makes a series of medical plans / records for one patient (that is, at least one of a medical plan and a medical record). The first display data for displaying the medical practice data forming the medical practice data in the format of the medical practice table arranged by date and type is generated, and the medical plan record table or the medical plan record table including both of them is generated. Is displayed by the display means. Here, the small classifications (for example, “administration of antibiotics A”, “administration of antibiotics B”, “administration of antibiotics C”, etc.) that define the type of medical practice in the present invention are the major categories related to group medical practice data. A line that is smaller than (for example, “administration of antibiotics”) but separates the type of medical practice in the medical practice table may be drawn for each small category, may be drawn for each major category, and The classification may be subtracted for each table classification (for example, “drug administration”) different from the classification or larger than the major classification. In the medical practice table, if there are a plurality of individual medical practice data related to a plurality of medical practices performed on the same day, the plurality of data belonging to the same table classification are included in the same cell. Array. At this time, the arrangement order is arbitrary, but it is easier to see the entire arrangement in the cells corresponding to the same table classification that extends over a plurality of dates. The “cell” in the present invention refers to an individual area surrounded by a line that separates the date and a line that separates the type in the medical practice table, as in the case of the above-described conventional technology.
[0013]
In particular, the display control means may display group medical practice data indicating a large classification to which the at least some individual medical practice data belongs, instead of the individual medical practice data for at least some of the individual medical practice data. First display data is generated and displayed in the medical practice table by the display means. Therefore, for example, in the case of planned individual medical practice data that has not been executed yet, for example, even if there are a large number of medical practices belonging to the same large category as options on the same day or for a certain period of time, these By treating the data as data, it is possible to effectively prevent the medical action table displayed on a limited display screen from becoming too dense due to the presence of the individual medical action data and becoming difficult to see with human eyes. Furthermore, for a plurality of individual medical practice data in the same cell or neighboring cell, after selecting one to execute any of them, the selection is made by the presence of the non-selected individual medical practice data in the same cell or neighboring cell. This makes it possible to avoid making the individual medical practice data difficult to see, and it is very convenient in practice since misunderstandings and mistakes can be hardly caused especially by the presence of the individual medical practice that is not displayed and selected in a crowded manner. In addition, as for the individual medical practice data in the record that has already been performed, as in the case of the above-mentioned planning, the case where the medical practice was selectively executed from a plurality of options or the case where many medical practices belonging to the same If a large number of individual medical practice data exist in the same cell or adjacent cells in the medical practice table, such as when they are performed on the same day or for a fixed period of time, these individual medical practice data are also used as group medical practice data. By bundling, it is possible to effectively prevent the medical action table displayed on a limited display screen from becoming difficult to see.
[0014]
Then, when the group medical practice data is designated by the input means on the medical practice table displayed by the display means in this way, the display control means then divides the designated group medical practice data into a large classification. Generating second display data for displaying a plurality of individual medical practice data to which the data belongs in a predetermined format. As a result, a plurality of individual medical practice data belonging to the large group of the designated group medical practice data can be displayed on the medical practice table or in place of or in addition to the medical practice table by the display means (for example, pop-up display or window display). It is displayed in a predetermined format (by display).
In addition, according to the first medical information system of the present invention, when a plurality of individual medical practice data belonging to the same major category are designated by the input means on the medical practice table, the second file means Newly store group medical practice data indicating the major classification to which the medical practice data belongs. Further, group medical practice data is displayed on the medical practice table instead of the individual medical practice data. That is, a plurality of individual medical practice data can be arbitrarily bundled into group medical practice data in accordance with the designation operation on the input means, which is practically convenient.
[0015]
As a result, the medical action table which is easy to see, is easy to use, and functions as a medical plan table or a medical record table, which is highly flexible, is stored in the first file means and the second file means. It can be realized based on action data.
[0016]
In addition, in comparison with the case where the type columns constituting the medical practice table are uniformly bundled (that is, bundled over the entire period of the medical practice table), generally, various medical activities performed for a specific disease are relatively relatively difficult. In view of the peculiarity of medical practice related to treatment or the like that is easy to concentrate on the same day for a short period or on the same day, the information overcrowded area on the medical practice table as in the present invention is bundled and displayed as the same group medical practice data, It is very advantageous to bundle and treat individual medical practice data.
[0017]
Of the present inventionFirstIn one aspect of the medical information system, the input unit clicks a predetermined type of icon displayed adjacent to or superimposed on the group medical practice data on the medical practice table on which the group medical practice data is displayed. By doing so, the group medical practice data can be specified.
[0018]
According to this aspect, by clicking a predetermined type of icon (for example, a “+” mark) displayed adjacent to or superimposed on the group medical practice data on the medical practice table by the input means, the group medical practice data is displayed. Data can be specified, and the corresponding individual medical practice data can be displayed in a predetermined format.
[0019]
Of the present inventionFirstIn another aspect of the medical information system, the display control unit is configured to execute, from among a plurality of individual medical practice data belonging to the large classification of the group medical practice data, an execution time of an earlier execution time to an execution time of a later execution time. Generating third display data for displaying a band-shaped mark extending along the row of the date column with the group medical practice data or as a part of the group medical practice data in accordance with a time period. The display means displays the band-shaped mark on the medical practice table based on the third display data.
[0020]
According to this aspect, of the plurality of individual medical practice data belonging to the large classification of the group medical practice data, corresponding to a period from the execution time of the earlier execution time to the execution time of the later execution time, A strip mark extending along the line is displayed on the medical practice table. Therefore, it is convenient because it is possible to intuitively understand on the medical practice table over which period the group medical practice data includes the individual medical practice data.
[0021]
In addition, a continuation instruction (for example, “consecutive administration of drug D for one week” or the like) for continuously performing a medical practice over a certain period is also displayed on the medical practice table with a band-shaped mark extending along the date column. However, it is desirable to change the thickness, pattern, color, and the like of the band-shaped mark in this case so as to be visually distinguishable from the group medical practice data.
[0022]
Other of the first medical information system of the present inventionIn the aspect, the input unit may be configured so that the group medical practice data can be designated by clicking the band-shaped mark.
[0023]
With this configuration, the individual medical practice data can be viewed by clicking the belt-like mark while understanding the period of time that the group medical practice data includes the individual medical practice data by the belt-like mark. It is easy to understand the correspondence of each data on the medical practice table.
[0026]
Other of the first medical information system of the present inventionIn the aspect, the apparatus further comprises data generation means for generating group medical action data indicating a large classification to which the plurality of individual medical action data specified by the input means belongs, and wherein the second file means is provided by the data generating means. The generated group medical practice data is stored, and the display control unit generates the first display data so as to display the group medical practice data generated by the data generating unit on the medical practice table. You may comprise.
[0027]
With this configuration, when the grouping of a plurality of individual medical practice data is designated by the input unit, the corresponding group medical practice data is generated by the data generation unit. Then, the group medical practice data generated in this way is stored in the second file means, and is used for generating the first display data.
[0028]
Of the present inventionFirstIn another aspect of the medical information system, the medical information table displayed on the display means further includes data generation means for generating group medical action data indicating a large category to which a plurality of individual medical action data belonging to the same large category belongs. The second file means stores the group medical action data generated by the data generating means, and the display control means stores the group medical action data generated by the data generating means in the medical action table. The first display data is generated so as to be displayed above.
[0029]
According to this aspect, the external instruction of the grouping by the operator at the time of new input of individual medical practice data on the medical practice table or when the density of individual medical practice data displayed on the medical practice table is seen Occasionally, the data teacher means generates group medical practice data indicating a major category to which a plurality of individual medical practice data belonging to the same major category belongs on the medical practice table. Then, the generated grouped medical practice data is stored in the two file means and used to generate the first display data. As a result, a plurality of individual medical practice data belonging to the same large category are bundled as data by the second file means, and are also bundled as one group medical practice data on the medical practice table.
[0030]
In this aspect, when new individual medical practice data belonging to the same large classification as the individual medical practice data already stored in the first file means is newly input, the data generating means corresponds to the group medical practice data corresponding thereto. It may be configured to generate data.
[0031]
With this configuration, when individual medical practice data is newly input, if there is individual medical practice data belonging to the same large classification, the individual medical practice data is appropriately bundled on the medical practice table by the group medical practice data and stored. The first file unit is also appropriately bundled by the second file unit.
[0032]
Of the present inventionFirstIn another aspect of the medical information system, the first file means generates at least one of the first and second display data in the display control means in addition to the individual medical practice data and the execution time data. Consisting of a first object file storing procedure information for causing.
According to this aspect, not only the individual medical practice data and the execution time data but also the procedure information is extracted from the first object file, and the display control means generates the first display data and the second display data according to the procedure information. You. Therefore, the first display data and the second display data can be efficiently generated by object orientation using the first object file.
[0033]
Of the present inventionFirstIn another aspect of the medical information system, the second file means causes the display control means to generate at least one of the first and second display data in addition to the group medical practice data. It consists of a second object file that stores information.
[0034]
According to this aspect, not only the group medical practice data but also the procedure information is extracted from the second object file, and the display control means generates the first display data and the second display data according to the procedure information. Therefore, the first display data and the second display data can be efficiently generated by object orientation using the second object file.
[0035]
Of the present inventionFirstIn another aspect of the medical information system, the second file means includes a plurality of first file means for respectively storing individual medical action data belonging to a large classification indicated by the group medical action data, from a second object file storing the first file means. Become.
[0036]
According to this aspect, since the plurality of first file means for storing the plurality of individual medical practice data belonging to the same large classification are stored in a bundle of the second object file, these individual medical practice data are treated in a unified manner. The first display data and the second display data can be efficiently generated by object orientation using the second object file. In this case, the first file means stored in the second object file may be composed of a first object file storing procedure information for causing the display control means to generate the first display data and the second display data. .
[0037]
Of the present inventionFirstIn another aspect of the medical information system, the input unit is configured to be able to select one of a plurality of individual medical activities belonging to the same large classification displayed when the group medical activity data is designated. .
[0038]
According to this aspect, when a plurality of individual medical actions belonging to the same large classification are displayed when the group medical action data is designated, one of them is selected by the input means. For example, by selecting one of "antibiotic A administration", "antibiotic B administration" and "antibiotic C administration" which belong to the broad category of "antibiotic administration" in the plan, It becomes possible to record.
[0039]
Of the present inventionFirstIn another aspect of the medical information system, the display control means is configured to display a plurality of individual medical practice data belonging to a large classification indicated by the group medical practice data, based on actual data and scheduled data. Is generated such that at least one of the first and second display data changes.
[0040]
According to this aspect, the display mode of the group medical practice data and the individual medical practice data is different depending on whether the plurality of individual medical practice data belonging to the large classification indicated by the group medical practice data is related to the actual data or the scheduled data. (For example, the color, pattern, shape, brightness, etc. of the group medical action data or individual medical action data displayed as text or icons change), so that the actual data and the scheduled data are displayed on the medical action table. Easy distinction.
[0041]
Of the present inventionFirstIn another aspect of the medical information system, the display control unit may display a different type of status display mark adjacent to the group medical practice data or the individual medical practice data depending on whether the medical practice has already been performed. At least one of the first and second display data is generated so as to be displayed in an overlapping manner.
[0042]
According to this aspect, different types of status display marks are displayed, for example, adjacent to or superimposed on group medical action data or individual medical action data displayed in text or icons, depending on whether the medical action has already been performed. Since it is displayed, it is possible to easily distinguish the actual data and the scheduled data on the medical practice table.
[0043]
Of the present inventionFirstIn another aspect of the medical information system, the displayed group medical activity data can be copied and moved on the displayed medical activity table.
[0044]
According to this aspect, since the group medical practice data displayed on the medical practice table can be copied and moved, the existing group medical practice data can be reused when changing the plan or creating the plan, which is convenient. It is. In particular, in the case where a configuration in which the second file means is stored by bundling a plurality of first file means is adopted, individual medical practice data indicating medical practices belonging to the same large category can be collectively copied and the like, which is convenient. is there.
[0045]
Of the present inventionFirstIn another aspect of the medical information system, the display control means includes, as a part of the second display data, a display for displaying the annotation data thereof adjacent to or superimposed on the displayed group medical practice data. Generate data.
[0046]
According to this aspect, for example, the annotation data (for example, short comment text data in text) is displayed adjacent to or superimposed on the group medical action data displayed as text or icon, so that each group medical action data is displayed. The existence of individual medical practice data belonging to the large classification indicated by can be clarified by appropriate annotation data. Such annotation data may be displayed, for example, by pop-up or window display, or may be displayed constantly.
[0047]
Of the present inventionFirstIn another aspect of the medical information system, the display control means includes, as a part of the first display data, a display for displaying the annotation data thereof adjacent to or superimposed on the displayed individual medical practice data. Generate data.
[0048]
According to this aspect, the annotation data (for example, short comment text data in text) is displayed adjacent to or superimposed on, for example, the individual medical practice data displayed as a text or an icon. Can be clarified by appropriate annotation data. Such annotation data may be displayed, for example, by pop-up or window display, or may be displayed constantly.
[0049]
Of the present inventionFirstIn another aspect of the medical information system, the display control unit generates the first display data such that a type column in the medical action table that does not correspond to the individual medical action data is thinned out from the medical action table. I do.
[0050]
According to this aspect, when there is a type column in the medical practice table that does not correspond to the individual medical practice data, if it is displayed as it is, empty cells are arranged horizontally (or vertically) corresponding to the type column. However, the first display data is generated by the display control means so as to thin out this type column from the medical practice table. Therefore, it is possible to prevent a situation in which the entire medical practice table becomes small on display and becomes difficult to see due to the arrangement of empty cells.
[0051]
Of the present inventionFirstIn another aspect of the medical information system, the display control unit generates the first display data so as to thin out the date column in the medical action table that does not correspond to the execution time data from the medical action table. I do.
[0052]
According to this aspect, when there is a date column in the medical practice table that does not correspond to the execution time data, if displayed as it is, empty cells are arranged vertically (or horizontally) corresponding to the date column. However, the first display data is generated by the display control means so as to thin out the date column from the medical practice table. Therefore, it is possible to prevent a situation in which the entire medical practice table becomes small on display and becomes difficult to see due to the arrangement of empty cells.
[0053]
Of the present inventionFirstIn another aspect of the medical information system, the medical information system includes two units connected via a communication line, wherein the first and second file units are provided in one unit, The means are provided in the other unit.
[0054]
According to this aspect, the plurality of first file means and the second file means provided in one unit and the display means provided in the other unit are wired, wireless, dedicated lines, general lines, and telephone lines. And so on. Therefore, one unit is used as a center device, a large-scale storage device provided in the one unit is provided with a plurality of first file means and a plurality of second file means, and the other unit is used as a terminal device and the other unit is used as a terminal device. By employing one or more units, the same data can be shared by a plurality of terminals. The above-mentioned display control means may be provided in the other unit as in the case of the display means.
[0055]
Of the present inventionFirstIn another aspect of the medical information system, the input unit is configured to be able to specify desired individual medical practice data on a medical practice table displayed on the display unit, and the display control unit includes the input unit. Generates fourth display data for displaying the detailed medical information related to the individual medical action data designated by the above in place of or overlapping with the medical action table, and wherein the display unit is configured to generate the fourth display data based on the fourth display data. The detailed medical information is displayed instead of or superimposed on the medical practice table.
[0056]
According to this aspect, by designating the individual medical practice data displayed on the medical practice table by the input means, the detailed medical information related to the designated individual medical practice data (for example, the medical practice “measurement” The actual measured body temperature data, blood pressure data, data on the concentration of a predetermined component in the blood, and the actually photographed image data associated with the medical practice called "X-ray photography" Since the information is displayed, the relationship between the medical practice table and such detailed medical information is clear and convenient.
[0057]
In order to solve the above-mentioned problem, the second medical information system of the present invention indicates any one of a plurality of types of medical actions on a preset small classification and sets a group on a large classification larger than the small classification. A plurality of first file means for storing individual medical practice data including separable data in association with execution time data indicating the execution time of each medical practice, respectively; A second file unit for storing group medical activity data indicating the major classification in association with a class belonging to the classification, and based on the individual medical activity data and the execution time data respectively stored in the plurality of first file units. And displaying the individual medical practice data forming a series of medical plans and records for one patient in a medical practice table format arranged by date and type. For at least a part of the individual medical practice data, first display data for displaying group medical practice data indicating a large classification to which the at least some individual medical practice data belongs instead of the individual medical practice data is generated. Display control means, display means for displaying the individual medical action data and the group medical action data in the format of the medical action table based on the first display data, and display on the medical action table displayed by the display means In addition to being able to specify the group medical practice data in, the input means that can further specify a plurality of individual medical practice data belonging to the same large classification on the medical practice table displayed on the display means, The display control means, when the group medical action data is specified by the input means, displays the specified group medical action data. A plurality of individual medical action data belonging to a large classification of data, the second display data for displaying in a predetermined format on or in place of or in addition to the medical action table, the display means, Displaying, on the basis of the second display data, a plurality of individual medical practice data belonging to the designated large group of medical practice data in the predetermined format, the display control means comprising: A band-like mark extending along the date column corresponding to a period from the execution time of the earlier execution time to the execution time of the later execution time among the plurality of individual medical action data belonging to the classification is displayed as the group medical action data. Generating third display data for display on the medical practice table with data or as part of the group medical practice data, The display means displays the band mark on the medical practice table based on the third display data, and the display control means replaces the plurality of individual medical practice data designated by the input means, The third display data is generated so as to display, on the medical practice table, a band mark corresponding to group medical practice data indicating a large classification to which a plurality of individual medical practice data designated by the input unit belongs.
According to the second medical information system of the present invention, the same benefits as those of the above-described first medical information system of the present invention can be enjoyed. In the second medical information system of the present invention, in particular, among a plurality of individual medical practice data belonging to the large classification of group medical practice data, the plurality of individual medical practice data correspond to a period from an execution time of an earlier execution time to an execution time of a later execution time. Then, a strip mark extending along the date column is displayed on the medical practice table. Therefore, it is convenient because it is possible to intuitively understand on the medical practice table over which period the group medical practice data includes the individual medical practice data.
In addition, according to the second medical information system of the present invention, when a plurality of individual medical practice data belonging to the same large category are designated by the input means on the medical practice table, the large size of the individual medical practice data A band-shaped mark corresponding to the group medical practice data indicating the classification is displayed on the medical practice table. That is, a plurality of individual medical practice data can be arbitrarily displayed as a band-shaped mark corresponding to the group medical practice data in accordance with the designation operation on the input means, which is practically convenient.
In addition, a continuation instruction (for example, “consecutive administration of drug D for one week” or the like) for continuously performing a medical practice over a certain period is also displayed on the medical practice table with a band-shaped mark extending along the date column. However, it is desirable to change the thickness, pattern, color, and the like of the band-shaped mark in this case so as to be visually distinguishable from the group medical practice data.
As a result, the medical action table which is easy to see and is easy to use and which functions as a flexible medical plan table or medical record table is stored in the first file means and the second file means. It can be realized based on medical practice data and group medical practice data.
Incidentally, in response to the various aspects of the first medical information system of the present invention described above, the second medical information system of the present invention can also adopt various aspects.
In order to solve the above-mentioned problems, a computer program of the present invention executes a computer according to the present invention described above.First or secondIt functions as a medical information system (further, its various aspects described above). More specifically, the computer functions as various components such as a first file unit, a second file unit, a display control unit, a display unit, and an input unit.
[0058]
According to the computer program of the present invention, if the computer program is read and executed from a recording medium such as a CD-ROM, a DVD-ROM, or a hard disk storing the computer program, or the computer program is If the program is executed after being downloaded to the computer via the communication means, the above-described present inventionThe first or secondMedical information systemAt least one ofCan be realized relatively easily.
[0059]
The operation and other advantages of the present invention will become more apparent from the embodiments explained below.
[0060]
BEST MODE FOR CARRYING OUT THE INVENTION
Hereinafter, embodiments of the present invention will be described with reference to the drawings.
[0061]
(1st Embodiment)
FIG. 1 is a block diagram of a medical planning and recording support system as an example of a medical information system as a first embodiment of the present invention.
[0062]
In FIG. 1, the medical planning and record support system 1 includes, as hardware resources, known personal computers, workstations, medium-sized computers, large-sized computers, mobile computers (portable information terminals), computers such as electronic organizers, It comprises a storage device 2, an input device 3, a processing unit 4, a display device 5, a printing device 6, a communication unit 7, a reading device 8, and a system clock 9.
[0063]
The storage device 2 includes a well-known random access storage device such as a hard disk device, an IC (Integrated Circuit) memory, a magnetic disk device, a magneto-optical disk device, and an optical disk device.
[0064]
The storage device 2 stores individual medical practice data indicating one of a plurality of types of medical practice on a preset small classification in association with execution time data indicating the execution time of each medical practice. The first object file 21 is logically constructed. Note that the individual medical practice data includes data that can be grouped on a large classification larger than the small classification.
[0065]
The storage device 2 is further logically constructed with a second object file 31 indicating any one of the plurality of large categories and storing the group medical action data. The second object file 31 is associated with a plurality of first object files 21 or includes a plurality of first object files.
[0066]
The first object file 21 stores one procedure information for displaying and outputting a medical plan and a record table according to the individual medical practice data and the like, in addition to the individual medical practice data and the execution time data. On the other hand, the second object file 31 stores, in addition to the group medical practice data, other procedure information for displaying and outputting a medical plan and a record table according to the group medical practice data and the like. As described above, in the present embodiment, display data can be efficiently generated in an object-oriented manner by using various kinds of procedure information stored in the first object file 21 and the second object file 31.
[0067]
However, without using the first object file 21 or the second object file 31, such procedure information is stored in a program file provided separately from individual medical practice data, execution time data, or group medical practice data. In advance, this may be configured to be executed appropriately. In addition, the format information for defining the framework of the medical plan and the record table in the display data for displaying the medical plan and the record table is a format information file separately from the first object file 21 or the second object file 31. The procedure information for determining which individual medical action data or group medical action data is to be displayed in which cell surrounded by the framework is stored in the first object file 21 or the second object file 31. May be stored.
[0068]
The input device 3 includes a keyboard, a numeric key switch, a mouse, a trackball, an input pen, an input tablet, a voice input device, and the like, and inputs individual medical practice data, execution time data, group medical practice data, various other data and commands. It is possible to specify any position of the image displayed on the display device 5.
[0069]
The processing unit 4 includes a CPU (Central Processing Unit) as an example of a display control unit. The processing unit 4 is a medical plan in which individual medical practice data forming a series of medical plans for one patient based on the individual medical practice data and the execution time data stored in the first object file 21 are arranged by date and by type. While displaying in the format of the table, for at least some of the individual medical practice data, instead of the individual medical practice data, display data for displaying the group medical practice data indicating the large classification to which the individual medical practice data belongs It is configured to be able to generate.
[0070]
The display device 5 is a well-known display device such as a CRT (Cathode Ray Tube) device, an LCD (liquid crystal display device), and a projector, and based on the display data generated by the processing unit 4, individual medical practice data and group medical care data. Display action data in the format of a medical planner. In particular, the input device 3 is configured so that an arbitrary position on the screen can be designated.
[0071]
The printing device 6 is a known printing device such as a laser beam printer or an ink jet printer, and may be a color or monochrome type. The printing device 6 is configured to be able to print an arbitrary screen (that is, a medical plan and a record table) displayed on the display device 5 by inputting a predetermined print command from the input device 3.
[0072]
The communication unit 7 includes, for example, a modem for exchanging various files and data including the first object file 21 and the second object file 31 with another computer or the like. The communication unit 7 is connected to another large computer, a personal computer, a mobile computer (portable information terminal), an electronic organizer, and the like via a communication line such as a wired, wireless, dedicated line, a general line, and a telephone line. I have.
[0073]
The reading device 8 includes, for example, a CD drive, a DVD drive, an FD (flexible disk) drive, and reads a computer program recorded on a recording medium 8a such as a CD-ROM, a DVD-ROM, or an FD. The computer program thus read by the machine causes a computer, which is a hardware resource of the medical planning and recording support system 1, to function as the medical planning and recording support system. Note that a part or all of the first object file 21 and the second object file 31 constructed in the storage device 2 may be recorded on the recording medium 2a and read out as needed. In particular, the first object file 21 or the second object rail 31 used in a standard medical plan in a previous stage used in an individual medical plan for a specific patient, and modified and changed later for an individual medical plan and record The standard first object file 21 and the second object file 31 which are the basis for the processing can be created at the time of creating the computer program and have high versatility. Therefore, the standard object file 21 and the second object file 31 are stored in advance in the recording medium 8a together with the computer program. It is convenient later.
[0074]
The system clock 9 has a calendar function, always measures the current date and time regardless of whether the main power of the medical planning and recording support system 1 is turned on or off, and the processing unit 4 appropriately measures the system clock 9. Refer to the date and time. The processing unit 4 obtains the current date and time based on this signal by referring to a clock device outside the system that outputs a signal of a predetermined format indicating the current date and time at a fixed cycle instead of the system clock 9. You may comprise so that it may be.
[0075]
Next, in the present embodiment, an example of a medical plan and a record table displayed by the display device 5 based on the display data generated by the processing unit 4 is shown in FIG.
[0076]
As shown in FIG. 2, the individual medical practice data is displayed on the display device 5 in the format of a medical plan and record table 10 in which the date is shown on the horizontal axis 12 and the type of medical practice is shown on the vertical axis 11. .
[0077]
In the present embodiment, the line that separates the type of medical practice in the medical plan and record table 10 shown in FIG. 2 is for a table classification larger than the large classification corresponding to the group medical practice data stored in the second object file 31. It is drawn for each classification. However, such a line may be drawn for each small classification corresponding to the individual medical practice data stored in the first object file 21. Alternatively, it may be subtracted for each major classification corresponding to the group medical practice data. For example, as classifications for table division, “doctor and nursing record”, “treatment”, “injection”, “examination”, “consultation”, “evaluation”, “medication”, “meal”, “activity restriction”, There are “observation”, “rehabilitation”, “coordination”, “admission / discharge”, “education of patient family”, “observation / monitoring”, “examination”, “internal / external use”, “treatment” and the like. For example, as a major classification belonging to the "examination" of the table classification, there is "imaging", and as minor classifications belonging to this major classification, "chest X-ray (photographing)", "head MRI (photograph) Photographing) "and" Head CT scan ".
[0078]
As shown in FIG. 2, in the medical plan and record table 10, among a plurality of (ie, a plurality of small classifications) individual medical practice data executed on the same day, a plurality of individual medical action data belonging to the same table classification are included. If present, they are arranged in the same cell 10a. In this way, what kind of table classification is set on the vertical axis 11 of the medical plan and record table 10 may be fixed, or a plan and record creator such as a physician may determine whether each patient A desired column may be set so that a medical plan and a record table 10 corresponding to each medical plan are displayed.
[0079]
In the present embodiment, the “individual medical practice data” mainly displayed in text in the medical plan and record table 10 shown in FIG. 2 is, for example, a situation (for example, a series of Medical practices that are still under consideration in relation to other medical practices that make up the medical plan or in relation to other patients and have not performed any actions beyond the input for the medical practices) Situation in which an order relating to a planned medical practice has been issued (for example, an order has already been issued to instruct a computer of another department such as a pharmacy department or an examination department via the order system to instruct drug distribution or reservation of a specific test). Medical practice in a situation that is urgently needed to be implemented (for example, a situation in which the planned implementation time is approaching today or tomorrow), a medical practice that has already been performed, Medical practice in a situation where it is performed intermittently (for example, a situation where treatment is continuously performed with a ventilator, etc.), or a situation where it is performed intermittently for a predetermined period (for example, administration of a drug six times a day for three days) A medical practice in a situation that continues to be performed), a medical practice that has ended in a planned collapse (unexecuted), or a situation that should be performed as necessary (for example, when a seizure occurs or a specific vital sign exceeds a dangerous value) This is data indicating a medical practice in various execution situations, such as a medical practice in a situation where special processing should be performed.
[0080]
Such individual medical practice data is input one by one for each medical practice that forms a series of medical plans and records by the input device 3 such as a keyboard and a mouse, and the first object file 21 is newly registered or the content is stored. Although it may be changed, the medical plan and record system may be input via a screen for inputting individual medical practice data displayed in a window while the medical plan and record table 10 is displayed on the display device 5. 1 may be input from another system connected via a communication network to a computer network. Alternatively, a series of data corresponding to a patient name (patient code), a disease name (disease code), a patient attribute (patient attribute code), or the like is input by input through a reading device 8 such as a hard disk or a floppy (registered trademark) disk. Individual medical practice data relating to a plurality of medical practices that make up a medical plan and record may be specified all at once.
[0081]
The “execution time data” indicating the execution time of each medical action indicated by such individual medical action data is, for example, once, a plurality of times, periodic, continuous, intermittent, at a specific time or period. It is data indicating each execution time of execution and the like as needed (that is, the execution time of the past, present, or future based on the result or the plan). As for the execution time data, a specific date and time can be directly input using the input device 3 or the like, similarly to the input operation of the individual medical practice data described above, but in the present embodiment, it goes one step further. According to the setting procedure information stored in the first object file 21 as described later, each execution time of a plurality of medical actions making a series of medical plans is determined using an appropriate reference date and between the plurality of medical actions. The configuration is such that the execution time data is registered in the first object file 21 by automatically setting it in consideration of the mutual relationship.
[0082]
In FIG. 2, when each medical practice such as use of a ventilator is continuously performed over a predetermined period, a thin line-shaped line extending right and left along the date column corresponding to the predetermined period. Is displayed. The “predetermined period” in this case is indicated by the execution time data, and can be registered for each first object file 21. In addition, when the medical practice is performed intermittently during a predetermined period (for example, when drug administration is performed six times a day for three consecutive days), the predetermined period is set to a thin line-shaped status display mark 201h. In addition to the above, the executed timing and the scheduled execution timing which are executed intermittently may be indicated by dot marks corresponding to each execution time point on the thin line-shaped status display mark 201h.
[0083]
Further, in the medical plan and record table 10, a thin bar-shaped current date and time mark 202 extending vertically is displayed at a position corresponding to the current time on the horizontal axis obtained by converting the arrangement of the dates into 24 hours for each day. ing. The display data for displaying the current date and time mark 202 is generated as sub-display data by the processing unit 4 based on the time measured by the system clock 9 and is superimposed and displayed on the medical plan and record table 10 by superimposition. . The current date and time mark 202 is a vertically extending line-shaped mark that moves to the right in the drawing in units of seconds, minutes or hours according to the accuracy and frequency of the measurement date and time as time passes.
[0084]
In the present embodiment, in particular, for some individual medical practice data, group medical practice data indicating a major classification to which the data belongs is displayed in the medical plan and record table 10 instead. More specifically, regarding individual medical practice data relating to medical practice performed over a plurality of dates (for example, administration of antibiotic A, administration of antibiotic B, administration of antibiotic C, etc.), a plurality of dates in the table Are bundled and displayed as thick band-shaped group medical practice data 301 extending across the. In addition, individual medical practice data relating to medical practices (for example, X-ray imaging, MRI imaging, CT scan, etc.) performed on the same day are bundled as island-shaped group medical activity data 311 in the same cell in the table. Is displayed.
[0085]
Therefore, for example, even in the case of planned individual medical practice data that has not been executed yet and a plurality of options exist on the same day or for a certain period, by treating these as a group medical practice data 301 or 311, The medical plan and record table 10 can be effectively prevented from becoming too crowded and difficult to see due to the presence of a plurality of individual medical practice data. Furthermore, for a plurality of individual medical practice data in the same cell or neighboring cells, these are treated as a group medical practice data 301 or 311 and are not selected after being selected to be executed. Also, it is possible to prevent the selected individual medical practice data from being difficult to see due to the presence of the individual medical practice data in the same cell or a neighboring cell. As a result, it is possible to effectively prevent a doctor, a nurse, or the like from executing an individual medical action not selected by misunderstanding or mistake. Similarly, with regard to the individual medical practice data in the record that has already been performed, similarly, when the medical practice is selectively performed from a plurality of options, or when many medical practices belonging to the same large category are actually performed on the same day or for a certain period of time, By treating these as a group medical action data 301 or 311 when they are performed in a bundle, it is possible to effectively prevent the medical action table from becoming difficult to see.
[0086]
Here, a configuration in which individual medical practice data displayed in each cell 10a of the medical plan and record table 10 shown in FIG. 2 is bundled and displayed as group medical practice data 301 or 311 is referred to FIG. 3 to FIG. And will be described in detail. 3, 5, and 7, the upper part is an enlarged view of a part of the medical plan and record table 10 shown in FIG. 2 where the group medical practice data is displayed, and the lower part is a medical treatment. It is a figure which expands and shows the part which displayed the some medical action data corresponding to group medical action data on the plan and record table 10 in a predetermined format. FIGS. 4, 6 and 8 show the structures of the first object file 21 and the second object file 31 for displaying the images shown in FIGS. 3, 5 and 7, respectively, corresponding to the medical plan and record table 10. It is a conceptual diagram which is attached and logically shown.
[0087]
As shown in the upper part of FIG. 3, display data is generated by the processing unit 4 on the basis of the group medical practice data 301 indicating “antibiotic administration” stored in the second object file 31 shown in FIG. In accordance with the displayed data, group medical practice data 301 indicating “antibiotic administration” is displayed as text information over three cells in the medical plan and record table 10. A “+” button 302 is displayed in proximity to the group medical practice data 301. When the “+” button 302 is clicked by a mouse operation or the like on the input device 3, the processing unit 4 causes the first object file 31 associated with the second object file 31 shown in FIG. The display data is regenerated by the processing unit 4 based on the individual medical practice data indicating “administration of antibiotic A”, “administration of antibiotic B” and “administration of antibiotic C” stored in the object files 21a, 21b and 21c, respectively. In response to the regenerated display data, individual medical practice data 402a, 402b and 402c indicating "administration of antibiotics A", "administration of antibiotics B" and "administration of antibiotics C" are displayed as text information. A window is displayed on the plan and record table 10. In particular, in the lower part of FIG. 3, a small table 401 arranged by date concerning only antibiotic administration is displayed in a window, and three individual medical practice data 401a for three days are displayed in each cell. , 401b and 401c are displayed with check boxes. Whether or not this check box is checked indicates whether the medical action selected as the plan data is shown or the medical action actually executed is shown as the performance data.
[0088]
Alternatively, as shown in the upper part of FIG. 5, display data is generated by the processing unit 4 based on the group medical practice data 301 indicating “antibiotic administration” stored in the second object file 31 shown in FIG. In accordance with the generated display data, the group medical practice data 301 indicating “antibiotic administration” is displayed as text information over three cells in the medical plan and record table 10. A “+” button 302 is displayed in proximity to the group medical practice data 301. When the “+” button 302 is clicked by a mouse operation or the like on the input device 3, the processing unit 4 causes the first object file 31 associated with the second object file 31 shown in FIG. Displayed by the processing unit 4 on the basis of individual medical practice data indicating “administration of antibiotic A”, “administration of antibiotic B” and “administration of antibiotic C” stored in the object files 21a ′, 21b ′ and 21c ′, respectively. The data is regenerated, and in accordance with the regenerated display data, individual medical practice data 402a ′ indicating “administration of antibiotic A”, “administration of antibiotic B” and “administration of antibiotic C” as text information, respectively. 402 b ′ and 402 c ′ are displayed in a window on the medical plan and record table 10. In particular, in the lower part of FIG. 5, a small table 401 arranged by date concerning only antibiotic administration is displayed in a window, and each cell has three individual medical activities related to different one day. Data 401a ', 401b' and 401c 'are displayed. Although there is no check box here, only one individual medical practice data corresponds to each day, so which medical practice is executed or performed is clear on the display.
[0089]
Alternatively, as shown in the upper part of FIG. 7, display data is generated by the processing unit 4 based on the group medical practice data 311 indicating “image radiography” stored in the second object file 31 shown in FIG. In accordance with the generated display data, group medical practice data 311 indicating “image photography” as text information is displayed in one cell in the medical plan and record table 10. A “+” button 312 is displayed in proximity to the group medical practice data 311. When the "+" button 312 is clicked by a mouse operation or the like on the input device 3, the processing unit 4 causes the first object file 31 shown in FIG. 8 to correspond to the first object file 31 shown in FIG. A processing unit based on individual medical practice data indicating “X-ray imaging (chest)”, “MRI imaging (chest)”, and “CT scan (chest)” stored in the object files 21a ″, 21b ″ and 21c ″, respectively. 4, the display data is regenerated, and according to the regenerated display data, "X-ray imaging (chest)", "MRI imaging (chest)" and "CT scan (chest)" are respectively shown as text information. The individual medical practice data 412a, 412b, and 412c are displayed in a window 411 with a check box on the medical plan and record table 10. The presence or absence of checking of Kkubokkusu, or indicate medical care action which has been selected as the plan data or indicate medical care action which is actually executed as the actual data is shown.
[0090]
In FIG. 3, FIG. 5, and FIG. 7, the individual medical practice data bundled in the group medical practice data 301 is called by clicking the “+” button 302. A configuration may be adopted in which the individual medical practice data bundled in the group medical practice data 301 is called by clicking the displayed part of the group medical practice data 301 or 311 without displaying the data.
[0091]
Next, a specific logical configuration of each first object file 21 logically constructed in the storage device 2 will be described with reference to FIG.
[0092]
As shown in FIG. 9, the first object file 21 includes basic information 210 including the individual medical practice data 211 and setting procedure information 220.
[0093]
First, the basic information 210 will be described.
[0094]
In FIG. 9, basic information 210 includes individual medical practice data 211 indicating one of a plurality of types of medical practice set in advance. The individual medical practice data 211 of each first object file 21 may be, for example, the above-described classification for table division, major classification, and minor classification (normally, medical treatment which is displayed as text in the medical plan and record table 10 as individual medical practice data). The classification that matches the name of the act as it is) is indicated using a predetermined classification code of a plurality of digits set in advance. As such a classification code, a well-known classification code (for example, an IDC code, a medical remuneration score code, etc.) currently used worldwide or in Japan may be adopted, or a classification unique to the present invention. A code may be used. In short, if the medical practice is classified by a classification appropriate to the medical plan and record at the actual actual medical site, the object of the present invention is achieved, and the classification method itself is arbitrary. However, instead of entrusting such correspondence between the classes to the code of the individual medical practice data 211, each first object file stores a code or text data indicating the major classification or table classification to which it belongs. May be configured.
[0095]
The basic information 210 includes, in addition to the individual medical practice data 211, short words and sentences for explaining the details of the medical practice indicated by the individual medical practice data to the medical plan and the writer, It includes text data 212 indicating short words and sentences for explaining to the patient the medical action indicated by 211. Furthermore, when each of the first object files 21 is used as a part of a medical plan for a specific patient or a virtual patient having a specific disease or condition, the basic information 210 includes the ID number of the specific or virtual patient. 213, and reference information data 214 related to the individual medical practice data related to each of the first object files 21. The reference information data 214 is detailed medical data associated with the medical activity indicated by the individual medical activity data corresponding to each first object file 21, and includes, for example, body temperature data, blood pressure data, and blood Numerical data related to a predetermined medical practice, such as predetermined component concentration data.
[0096]
Next, the setting procedure information 220 will be described. The setting procedure information 220 is information for setting at least a relative execution time for each of a plurality of medical actions forming a series of medical plans. Here, the “relative execution time” indicates the time at which each medical action is performed with respect to the time at which another medical action is performed, and more specifically, for example, is it before the time at which the other medical action is performed? It indicates whether it is later, how many days or hours ago, how many days or hours later, how many days later, etc.
[0097]
In FIG. 9, the setting procedure information 220 is based on the end or start of the medical action indicated by the individual medical action data 210 included in the other first object file 21, based on the individual medical action included in the first object file 21. Includes context definition data 221 that respectively defines at least the relative context of the time at which the medical action indicated by the data 210 is performed. For this reason, in the present embodiment, the execution time at which the medical action indicated by each individual medical action data 211 is performed is set by the processing unit 4 as needed according to the context definition data 221.
[0098]
The setting procedure information 220 is based on the end or start of the medical action indicated by the individual medical action data 211 included in the other first object file 21 in addition to the context definition data 211. It includes time range definition data 222 that respectively defines a time range in which the medical action indicated by the individual medical action data 211 included in the file 21 can be executed. Therefore, in the present embodiment, the execution time at which the medical action indicated by each individual medical action data 211 is performed is set by the processing unit 4 as necessary according to the time range definition data 222. Further, the setting procedure information 220 includes, in addition to the context definition data 221 and the time range definition data 222, execution frequency definition data 223 for respectively defining the execution frequency of each medical practice 211. For this reason, in the present embodiment, according to the execution frequency definition data 240, the execution time at which the medical action indicated by each individual medical action data 211 is performed (e.g. Is set by the processing unit 4.
[0099]
In FIG. 9, in the present embodiment, in particular, the first object file 21 includes the result information 230. The performance information 230 includes a first object file 21 indicating one medical practice in the medical plan and the record table, and a performance including the individual medical practice data 211 based on the performance after the one medical practice is actually executed. It is intended to function as a data file. More specifically, the performance information 230 includes 1-bit performance status data 231 indicating whether the medical action corresponding to each of the first object files 21 is on a scheduled basis or on a performance basis. In this case, the start time data 232 and the end time data 233 indicating the start time and the end time, respectively, and the explanation display indicating the number of times the explanation with the patient-oriented explanation data included in the first object file 21 has already been given to the patient. And frequency data 234.
[0100]
In FIG. 9, in the present embodiment, in particular, the first object file 21 includes order information 240. The order information 240 includes order data 241 for linking the medical plan and record support system with a conventionally known ordering system, as described later. If this order data 241 is described in each first object file 21, examination reservation, hospitalization reservation, and surgery can be performed in conjunction with the medical practice indicated by the individual medical practice data 211 included in each first object file 21. Orders such as reservations can be made. Further, the order information 240 includes actual order data 242 indicating the fact that the order was actually placed.
[0101]
Each of the plurality of first object files 21 is provided with ID number data 250 having a predetermined number of digits unique to each first object file 21. In FIG. 21 can be searched. Further, when a new first object file 21 is created, new ID number data 250 is added.
[0102]
Each of the plurality of first object files 21 further includes execution time data 260. The execution time data 260 is used when a medical practice forming a series of medical plans is specified or when each execution time is set by the processing unit 4 according to the setting procedure information 220 as a result of a change made to the medical plan. The data is generated by the processing unit 4 as data indicating the set execution time, and is stored in the first object file 212. Therefore, in the case of the first object file 21 which has not yet been concerned with the setting of the execution time, the execution time data 260 does not exist or a predetermined default value is described. Conversely, once the execution time is set or reset, when displaying the individual medical practice data using the first object file 21, the execution time is determined according to the execution time data 260. Often, it is not necessary to repeat the same setting operation.
[0103]
The first object file 21 further stores procedural information for displaying the individual medical practice data 211 on the medical plan and record table 10 in the processing unit 4 as described above, in addition to these data. I have.
[0104]
Next, a specific logical configuration of each second object file 31 logically constructed in the storage device 2 will be described with reference to FIG.
[0105]
As shown in FIG. 10, the second object file 31 includes basic information 501 including the group medical practice data 301 or 311 described above. In the group medical practice data 301 or 311, for example, the above-mentioned large classification is indicated using a predetermined classification code of a plurality of digits set in advance. As such a classification code, a well-known classification code (for example, an IDC code, a medical remuneration score code, etc.) currently used worldwide or in Japan may be adopted, or a classification unique to the present invention. A code may be used. In short, if the medical practice is classified by a classification appropriate to the medical plan and record at the actual actual medical site, the object of the present invention is achieved, and the classification method itself is arbitrary.
[0106]
In FIG. 10, particularly in the present embodiment, the second object file 31 stores a plurality of small classification codes 502 belonging to a large classification indicated by the group medical practice data 301 or 311 included in the basic information 501, and further stores The plurality of first object IDs 503 of the plurality of first object files 21 handled in a bundle by the second object file 31 are stored. In addition, the time from the earliest execution to the last execution of the individual medical action data indicated by the plurality of first object files 21 handled and bundled by the second object file 31 is described. The execution time data 504 shown is stored.
[0107]
In the present embodiment, in particular, the second object file 31 is a status display indicating the status of the plurality of individual medical care data indicated by the plurality of first object files 21 handled and bundled by the second object file 31. The status display mark data for indicating the mark is stored. This data is based on a combination of execution status data of a plurality of individual medical practice data indicated by a plurality of first object files 21 which are handled by being bundled by the second object file 31. , Executed, during execution, before execution, etc.).
[0108]
For example, as shown in FIG. 11A, as the status display mark, the color and brightness of the area in the band-shaped mark 11 displayed corresponding to the group medical practice data 301 shown in FIG. 2, FIG. 3 or FIG. The pattern or the like may be changed according to the progress of the execution of each medical action indicated by the bundled individual medical action data. Alternatively, as shown in FIG. 11B, a status display mark is displayed at a predetermined position in the band-shaped mark 11 displayed corresponding to the group medical practice data 301 shown in FIG. 2, FIG. 3 or FIG. ☆ The number of marks may be changed according to the progress of the execution of each medical action indicated by the bundled individual medical action data, and the color, brightness, pattern, etc. of the entire band-shaped mark when it is finally completed May be changed. Alternatively, as shown in FIG. 11C, the time axis in the band-shaped mark 11 displayed corresponding to the group medical practice data 301 shown in FIG. 2, FIG. 3 or FIG. At the position corresponding to each individual medical practice data, a status mark that shows the initial letter of the medical practice indicated by each individual medical practice data, etc., and blinks the next one to be executed among these It may be a mark.
[0109]
As described above, various status display marks can be displayed in association with each group medical practice data 301 or 311 according to the status display mark data 505.
[0110]
In FIG. 10, the second object file 31 further stores procedural information indicating a procedure for handling a plurality of first object files 21 in a bundle according to designation on the display device 5.
[0111]
In FIG. 10, for the plurality of first object files 21 belonging to the same large classification bundled by the second object files 31, their object file IDs are stored. However, the second object files 31 are stored in the storage device 2. It is also possible to store the plurality of first object files 21 themselves as files in the second object file 31 for the plurality of first object files 21 belonging to the same large classification. With this configuration, copy, cut, paste, and the like can be further easily performed in units of the second object file 31.
[0112]
As described above, the format information and the display program for displaying the individual medical practice data in the format of FIG. 2 by the processing unit 4 and the display device 5 are stored in the computer program stored in advance in the recording medium 8a shown in FIG. include. The medical plan and record system 1 uses the format of FIG. 2 in accordance with the format information and the display program and the procedure information stored in the first object file 21 and the second object file 31 described in detail below. 10 is displayed.
[0113]
The display mode of the group medical practice data 301 or 311 changes depending on whether the individual medical practice data included in the group medical practice data 301 or 311 is related to actual data or scheduled data (for example, text display or The color, pattern, shape, brightness, etc. of the group medical action data and the individual medical action data indicated by the icons may be changed. This makes it possible to easily distinguish between the actual data and the scheduled data on the medical plan and record table 10.
[0114]
Also, the annotation data (for example, short comment text data in text) may be displayed adjacent to or superimposed on the displayed group medical practice data, or may be displayed on the displayed individual medical practice data. The annotation data may be displayed adjacently or superimposed. Is displayed, the existence of individual medical practice data belonging to the large classification indicated by each group medical practice data can be clarified by appropriate annotation data. Such annotation data may be displayed, for example, by pop-up or window display, or may be displayed constantly.
[0115]
Next, referring to the flowchart of FIG. 12, by specifying the group medical practice data 301 or 311 on the medical plan and the record table 10 being displayed, a plurality of individual medical practice data bundled by the group medical practice data 301 or 311 can be obtained. The operation at the time of displaying as shown in each lower part of FIG. 3, FIG. 5, or FIG. 7 will be described.
[0116]
In FIG. 12, first, when the display function of the medical plan and record table 10 in the medical plan and record system 1 is activated, one patient code related to the medical plan and record table 10 to be displayed is designated by the input device 3. You. As a screen for calling the medical plan and record table 10 for a specific patient in this way, various call screens such as a patient list list and an electronic medical record for the patient can be considered. Then, the first object file 21 is loaded into the processing unit 4 and the second object file 31 is also loaded into the processing unit 4 for each of a plurality of medical actions making up a series of medical plans corresponding to the designated patient code. (Step S10).
[0117]
Next, based on the individual medical practice data 211 and the execution time data 260 (see FIG. 9) stored in the first object file 21, the format information defines the date column, the medical practice type column, and the framework thereof. Display data for displaying the individual medical practice data 211 is generated by the processing unit 4 in each cell 10a of the medical plan and record table 10 (step S11). At this time, based on the group medical practice data and the execution time data (see FIG. 10) stored in the second object file 31, the group medical practice data indicating the large classification to which the plurality of individual medical data belong is converted into these individual medical practice data. Instead of the action data, the processing unit 4 also generates display data for displaying in each cell 10a of the medical plan and record table 10 or across a plurality of cells 10a.
[0118]
Then, based on the display data thus generated, the display device 5 includes a medical plan including the individual medical practice data and the group medical practice data as shown in the upper part of FIG. 2 or FIG. 3, FIG. 5 or FIG. And a record table 10 are displayed (step S12).
[0119]
Next, on the medical plan and record table 10 displayed in this way, it is monitored whether or not any group medical practice data is designated by the input means 3 (step S13).
[0120]
Here, unless the group medical practice data is specified (step S13: NO), the display of the medical plan and the record table 10 in step S12 is continued.
[0121]
When the group medical practice data is specified in step S13 (step S13: YES), for example, when the “+” button 302 or 312 is clicked as shown in the upper part of FIG. 3, FIG. 5, or FIG. A plurality of individual medical practice data corresponding to the group medical practice data specified is specified, the first object file 21 storing the data is referred to, and display data based on the plurality of individual medical practice data is generated (step). S14). Then, it is displayed in a predetermined format by the display device 5 as shown in the lower part of FIG. 3, FIG. 5, or FIG. 7 (step S15).
[0122]
Subsequently, as long as there is no command input for terminating the display output within the group relating to the specific group medical practice data (step S16: NO), the display in the predetermined format in step S15 is continued.
[0123]
If there is a command input to end the display output in the group in step S16 (step S16: YES), and if there is no command input to end the display output of the table itself (step S17: NO), the process returns to step S12. Returning, a series of processing is repeatedly performed. If there is a command input to end the display output in the group in step S16 (step S16: YES), if there is a command input to end the display output of the table itself (step S17: YES), Is completed.
[0124]
Next, referring to the flowchart of FIG. 13, in a state where the medical plan and the record table 10 are displayed, by specifying individual medical practice data belonging to the same large classification on the medical plan and record table 10, they are displayed on a table or a file. An operation to be bundled and handled as group medical practice data will be described. In the flowchart of FIG. 13, the same processes as those in the flowchart of FIG. 12 are denoted by the same step numbers, and the description thereof will be omitted as appropriate.
[0125]
In FIG. 13, first, as in the case of FIG. 12, when the display function of the medical plan and record table 10 in the medical plan and record system 1 is activated, the first object file 21 is loaded into the processing unit 4 and the second The object file 31 is also taken into the processing unit 4 (step S10), and display data for displaying individual medical practice data and group medical practice data is generated by the processing unit 4 in each cell 10a of the medical plan and record table 10. The medical plan and record table 10 as shown in FIG. 2 including the individual medical practice data and the group medical practice data is displayed on the display device 5 (step S12) (step S12).
[0126]
Next, on the medical plan and record table 10 displayed in this way, it is monitored whether or not a plurality of individual medical practice data belonging to the same large classification is designated for grouping by the input means 3 (step S23). ). Such a designation may be performed for a plurality of individual medical practice data arranged in the same cell 10a, or for a plurality of individual medical practice data arranged in the plurality of cells 10a. Alternatively, it may be performed on a plurality of individual medical practice data arranged in mutually different cells 10a.
[0127]
Here, unless there is a designation for grouping a plurality of individual medical practice data (step S23: NO), the display of the medical plan and the record table 10 in step S12 is continued.
[0128]
If there is a designation for grouping a plurality of individual medical practice data in step S23 (step S23: YES), the group medical practice data indicating the major classification to which the medical practice indicated by the specified plurality of individual medical practice data belongs is processed. It is newly generated by the unit 4. Further, based on the newly generated group medical practice data, the display data generated by the processing unit 4 is updated, and the medical plan and record table 10 displayed on the display device 5 display the new group medical practice data. Updated to include the form. On the other hand, the second object file is also updated with the newly generated group medical practice data (step S24).
[0129]
Thereafter, if there is no command input for terminating the display output of the table itself (step S17: NO), the process returns to step S12, and a series of processes is repeated. Then, if there is a command input to end the display output of the table itself (step S17: YES), a series of processing ends.
[0130]
In step S23, when a plurality of individual medical practice data that do not belong to the same large classification are designated for grouping, for example, an error message such as "These cannot be grouped!" You may comprise so that it may output a sound.
[0131]
Next, referring to the flowchart of FIG. 14, in response to the input of new individual medical practice data, this is bundled together with individual medical practice data belonging to the same large classification into group medical practice data and handled on a table or a file. Will be described. In the flowchart of FIG. 14, the same processes as those in the flowchart of FIG. 12 are denoted by the same step numbers, and the description thereof will be omitted as appropriate.
[0132]
In FIG. 14, first, as in the case of FIG. 12, when the display function of the medical plan and record table 10 in the medical plan and record system 1 is activated, the first object file 21 is loaded into the processing unit 4 and The object file 31 is also taken into the processing unit 4 (step S10), and display data for displaying individual medical practice data and group medical practice data is generated by the processing unit 4 in each cell 10a of the medical plan and record table 10. The medical plan and record table 10 as shown in FIG. 2 including the individual medical practice data and the group medical practice data is displayed on the display device 5 (step S12) (step S12).
[0133]
Next, on the medical plan and record table 10 displayed in this way or before starting such display, it is determined whether or not individual medical practice data relating to the patient is newly input to the medical plan and record system 1. Is determined (step S33).
[0134]
Here, if there is no new input (step S33: NO), the display of the medical plan and the record table 10 in step S12 is continued.
[0135]
On the other hand, if there is a new input in step S33 (step S33: YES), it is determined whether or not the input is a grouping target (step S34). Here, for example, there is already group medical practice data that is in the same cell as the newly input individual medical practice data or straddles the same cell, and that indicates the major classification to which the newly input individual medical practice data belongs. It is determined whether or not. Alternatively, it is determined whether there is another existing individual medical practice data belonging to the same general classification as the newly input individual medical practice data in the same cell as the newly input individual medical practice data or in an adjacent cell. judge.
[0136]
If the newly input medical practice data is a grouping target (step S34: YES), the grouping is performed. That is, for example, group medical action data that is in the same cell as the newly input individual medical practice data or straddles the same cell, and indicates a major classification to which the newly input individual medical practice data belongs, The obtained individual medical practice data is associated. Alternatively, another existing individual medical practice data belonging to the same large classification that is in the same cell as the newly input individual medical practice data or in an adjacent cell and one of the newly entered individual medical practice data are bundled. Generate group medical practice data.
[0137]
Subsequently, the display data generated by the processing unit 4 is updated based on the group medical activity data that bundles the newly input individual medical activity data or the newly generated group medical activity data, and is displayed on the display device 5. The updated medical plan and record table 10 is updated to include the new group medical practice data. On the other hand, the second object file is also updated with the group medical practice data that bundles the newly input individual medical practice data or the newly generated group medical practice data (step S36).
[0138]
On the other hand, if it is determined in step S34 that the newly input medical practice data is not a grouping target (step S34: NO), the process proceeds to step S36 without performing grouping and according to the newly input individual medical practice data. The display output and the first object file 21 are updated.
[0139]
Thereafter, if there is no command input for terminating the display output of the table itself (step S17: NO), the process returns to step S12, and a series of processes is repeated. Then, if there is a command input to end the display output of the table itself (step S17: YES), a series of processing ends.
[0140]
Next, the operation of thinning out empty rows or columns while the medical plan and record table 10 is displayed will be described with reference to FIG.
[0141]
As shown in the upper part of FIG. 15, when there are empty rows in the medical plan and record table 10 (that is, the “injection” row and the “rehabilitation” row are each empty rows), Empty rows are thinned out by an automatic reformatting operation in accordance with the procedure information stored in the first object file 21, and as shown in the lower part of FIG. It may be displayed. Therefore, the medical plan and the record table 10 'can be efficiently viewed within the limited display area of the display device.
[0142]
Similarly, if an empty column exists in the medical plan and record table 10, the empty column is thinned out by the automatic reformatting operation according to the procedure information stored in the first object file 21, and as a result, the empty column is empty. A medical plan and record table without the column of may be displayed.
[0143]
As shown in FIG.
In the embodiment described above, on the medical plan and record table 10 displayed on the display device 5, desired individual medical practice data can be specified for detailed medical information display by the input device 3, and the specified individual medical action data can be specified. Detailed medical information related to medical practice data (for example, actually measured body temperature data, blood pressure data, predetermined component concentration data in blood, or “X-ray photography” linked to a medical practice called “measurement”) The medical plan and the record table 10 may be displayed in place of or overlapping with the medical plan and the record table 10.
[0144]
(2nd Embodiment)
A second embodiment of the present invention will be described with reference to FIG.
[0145]
In FIG. 16, the medical planning and recording support system of the second embodiment includes a plurality of units connected via a communication line, and the plurality of first object files 21 are a center device 1a which is an example of one unit. The input device 3, the processing unit 4b, the display device 5, and the communication unit 7b are provided on the terminal device 1b side, which is an example of the other unit. The center device 1a includes a large-sized computer, a host computer, a server, and the like, and has a large-scale storage device 2a that stores the first object file 21. The terminal device 1b includes a personal computer, a workstation, a mobile computer (portable information terminal), an electronic organizer, and the like. For example, the plurality of first object files 21 stored in the storage device 2a of the center device 1a and the input device 3, the processing unit 4b, and the display device 5 provided in the terminal device 1b are wired, wireless, and dedicated. They are connected via communication lines such as lines, general lines, and telephone lines. Therefore, by adopting a configuration in which a plurality of first object files 21 are provided in a large-scale storage device 2a provided in the center device 1a and a plurality of terminal devices 1b are provided, the same data can be stored in a plurality of terminal devices 1b. It can also be shared. The processing unit 4 may be provided in either the center device 1a or the terminal device 1b, like the processing units 4a and 4b. In this embodiment, a large number of first object files 21 and data sets stored in the storage device 2a of the center device 1a can be shared by a plurality of terminal devices 1b. This is practically advantageous because a large-scale storage device for storing the file 21 is not required.
[0146]
Finally, the functions of the medical planning and recording support system used in the above embodiment are conceptually shown in FIG.
[0147]
As shown in FIG. 17, the functions of the medical planning and recording support system 1 are the screen operation function 13 realized by the display device 5, the input device 3 and the like shown in FIG. 1, the display function realized by the display device 5 and the like. 14 and the interface function 15 of each system realized by the communication unit 7, the processing unit 4, and the like. The screen operation function 13 integrates a new input function 13a, an addition / change input function 13b, and a deletion function 13c. The display function 14 includes a function 14a for displaying individual medical practice data in a predetermined format (see FIG. 2 and the like), a result display function 14b for displaying results using detailed medical data, and a graph using detailed medical data. And a screen magnification change display function 14d for changing the screen magnification of the display device 5.
[0148]
Further, each system interface function 15 integrates various order functions 15a, an electronic medical record function 15b, and a medical accounting system 15c. Here, the various order functions 15a are, for example, a medicine device configured to receive a medicine order or the like from a medical department and output a medicine list as an image, which is received from each system interface via a communication unit. Used. In this embodiment, in particular, as described above, the order corresponding to each medical practice can be quickly issued based on the order information (see FIG. 9) included in each object file.
[0149]
The electronic medical record function 15b is used in a medical treatment apparatus configured to output a medical record as an image using various data transmitted and received from each system interface via a communication unit. The medical accounting system 15 is configured to perform medical accounting calculations using various data transmitted and received from each system interface via the communication unit, and to output a medical account book based on the calculation results. Used in accounting devices.
[0150]
As described above, since the functions are integrated in a hierarchical structure, each function can be efficiently called by the medical planning and recording support system 1 and the functions can be organically combined and executed.
[0151]
The present invention is not limited to the above-described embodiments, and can be appropriately modified without departing from the gist or idea of the invention which can be read from the claims and the entire specification, and medical treatment involving such changes is possible. Information systems and computer programs are also included in the technical scope of the present invention. Needless to say, the medical treatment targeted by the medical information system of the present invention includes not only hospital medical treatment but also nursing medical treatment and home medical treatment.
[0152]
【The invention's effect】
As described in detail above, according to the medical information system of the present invention, an individualized medical practice data that can be handled on the medical practice table for each patient is complicated and sophisticated, and a system that is easy to view and can be displayed and has excellent usability. Is achieved.
[0153]
Further, according to the computer program of the present invention, a general-purpose or special-purpose computer can function as the above-described medical information system of the present invention.
[Brief description of the drawings]
FIG. 1 is a block diagram showing the configuration of a medical planning and recording support system according to a first embodiment of the present invention.
FIG. 2 is a plan view showing an example of a medical plan and a record table output as images according to the first embodiment.
FIG. 3 is a conceptual diagram showing a state in which a plurality of medical practice data corresponding to group medical practice data is displayed in a predetermined format on the medical plan and record table of FIG. 2;
FIG. 4 is a conceptual diagram logically showing structures of first and second object files for performing the display of FIG. 3 in association with a medical plan and a record table.
FIG. 5 is another conceptual diagram showing a state in which a plurality of medical practice data corresponding to group medical practice data is displayed in a predetermined format on the medical plan and record table of FIG. 2;
6 is a conceptual diagram logically showing the structure of first and second object files for performing the display of FIG. 5 in association with a medical plan and a record table.
FIG. 7 is another conceptual diagram showing a state in which a plurality of medical practice data corresponding to group medical practice data is displayed in a predetermined format on the medical plan and record table of FIG. 2;
8 is a conceptual diagram logically showing the structure of first and second object files for performing the display of FIG. 7 in association with a medical plan and a record table.
FIG. 9 is a conceptual diagram illustrating a configuration of a first object file constructed in a storage device according to the first embodiment.
FIG. 10 is a conceptual diagram illustrating a configuration of a second object file constructed in a storage device according to the first embodiment.
FIG. 11 is a conceptual diagram showing various specific examples of changing the display mode of group medical practice data in the first embodiment.
FIG. 12 is a flowchart illustrating an example of an operation when specifying group medical practice data and displaying a plurality of individual medical practice data bundled with the group medical practice data in the first embodiment.
FIG. 13 is a flowchart showing an example of an operation when specifying individual medical practice data and bundling it into group medical practice data in the first embodiment.
FIG. 14 is a flowchart illustrating an example of an operation when binding individual medical practice data to group medical practice data in the first embodiment when the individual medical practice data is newly input;
FIG. 15 is a conceptual diagram showing an operation of thinning out empty lines in a medical plan and a record table in the first embodiment.
FIG. 16 is a block diagram showing a configuration of a medical planning and recording support system according to a second embodiment of the present invention.
FIG. 17 is a conceptual diagram showing functions in the medical planning and recording support system of the present invention.
[Explanation of symbols]
1. Medical plan and record support system
2. Storage device
3. Input device
4 Processing unit
5 Display device
6 ... Printing device
7 Communication unit
8 ... Reading device
9 ... System clock
10. Medical plan and record table
21: First object file
31 second object file
202: Current date and time mark

Claims (22)

Individual medical practice data that includes any of a plurality of types of medical practice on a preset small category and that can be grouped on a large category that is larger than the small category is subjected to execution of each medical practice. A plurality of first file means for respectively storing in association with execution time data indicating
A second file means for storing group medical practice data indicating the major classification in association with data belonging to the same major classification among the plurality of individual medical practice data;
Based on the individual medical practice data and the execution time data respectively stored in the plurality of first file means, the individual medical practice data forming a series of medical plans and records for one patient is classified by date and by type. While displaying in the format of the arranged medical practice table, for at least some individual medical practice data, instead of the individual medical practice data, group medical practice data indicating a major classification to which the at least some individual medical practice data belongs Display control means for generating first display data for displaying;
Display means for displaying the individual medical practice data and the group medical practice data in the format of the medical practice table based on the first display data;
The group medical practice data can be designated on the medical practice table displayed by the display means, and a plurality of individual medical practice data belonging to the same large classification can be further designated on the medical practice table displayed on the display means. With possible input means,
The display control unit, when the group medical practice data is specified by the input unit, a plurality of individual medical practice data belonging to a large classification of the specified group medical practice data, on the medical practice table or the Generating second display data for displaying in a predetermined format instead of or in addition to the medical practice table;
The display means, based on the second display data, displays a plurality of individual medical practice data belonging to a large classification of the specified group medical practice data in the predetermined format,
The second file unit newly stores group medical practice data indicating a large classification to which the plurality of individual medical practice data specified by the input unit belongs,
The display control means, instead of the plurality of individual medical action data specified by the input means, group medical action data indicating a large classification to which the plurality of individual medical action data specified by the input means belongs, A medical information system, wherein the first display data is generated so as to be displayed on a table. The input means clicks a predetermined type of icon displayed adjacent to or superimposed on the group medical practice data on the medical practice table on which the group medical practice data is displayed, so that the group medical practice is displayed. The medical information system according to claim 1, wherein data can be specified. The display control means, the date column corresponding to the period from the execution time of the earlier execution time to the execution time of the later execution time among the plurality of individual medical care data belonging to the large classification of the group medical care data, Generating third display data for displaying, on the medical practice table, a band-shaped mark extending along with the group medical practice data together with or as a part of the group medical practice data;
The medical information system according to claim 1, wherein the display unit displays the band-shaped mark on the medical practice table based on the third display data. The medical information system according to claim 3, wherein the input unit is capable of designating the group medical practice data by clicking the band-shaped mark. Further comprising a data generating means for generating group medical practice data indicating a large classification to which a plurality of individual medical practice data specified by the input means belongs,
The second file means stores the group medical practice data generated by the data generating means,
The medical information according to claim 1 , wherein the display control unit generates the first display data so as to display the group medical action data generated by the data generation unit on the medical action table. system. The medical action table displayed on the display means, further comprising a data generating means for generating group medical action data indicating a large classification to which a plurality of individual medical action data belonging to the same large classification belongs,
The second file means stores the group medical practice data generated by the data generating means,
Wherein the display control unit, any one of claims 1 to 5, characterized in that to generate the first display data to display the generated group medical care data has been on the medical action table by the data generating means The medical information system according to claim 1. The data generating means, when new individual medical action data belonging to the same large category as the individual medical action data already stored in the first file means, newly generates group medical action data corresponding thereto. 7. The medical information system according to claim 6 , wherein: The first file unit stores a procedure information for causing the display control unit to generate at least one of the first and second display data, in addition to the individual medical practice data and the execution time data. The medical information system according to any one of claims 1 to 7 , comprising one object file. The second file means includes, in addition to the group medical practice data, a second object file storing procedural information for causing the display control means to generate at least one of the first and second display data. The medical information system according to any one of claims 1 to 8 , wherein: 2. The method according to claim 1, wherein the second file unit includes a second object file that stores a plurality of first file units that respectively store individual medical activity data belonging to a large classification indicated by the group medical activity data. 10. The medical information system according to any one of 1 to 9 . The input means is configured to be able to select one of a plurality of individual medical actions belonging to the same large category displayed when the group medical action data is designated. 1 0 medical information system according to any one of. The display control means is configured to change the display mode between a plurality of individual medical practice data belonging to a large classification indicated by the group medical practice data and a case related to actual data according to the first and the second data. The medical information system according to any one of claims 1 to 11, wherein at least one of the second display data is generated. The display control unit is configured to display a status display mark of a different type depending on whether the medical practice has already been performed, adjacent to or overlapped with the group medical practice data or the individual medical practice data. medical information system according to any one of claims 1 1 2, wherein generating at least one of the first and second display data. Group medical care data said appears, medical information system according to any one of claims 1 to 1 3, characterized in that on the medical practice table the displayed a copy and movable. The display control means may generate, as a part of the second display data, display data for displaying the annotation data adjacent to or overlapping the displayed group medical practice data. medical information system according to any one of claims 1 1 4. The display control means may generate, as a part of the first display data, display data for displaying the annotation data adjacent to or superimposed on the displayed individual medical practice data. medical information system according to any one of claims 1 1 5. The said display control means produces | generates the said 1st display data so that it may thin out from the said medical practice table about the type column in the said medical practice table which does not correspond to the said individual medical practice data. The medical information system according to any one of items 1 to 16 . The said display control means produces | generates the said 1st display data so that it may thin out from the said medical practice table about the date column in the said medical practice table which does not correspond to the said execution time data. 18. The medical information system according to any one of items 1 to 17 . The medical information system includes two units connected via a communication line,
The first and second file means are provided in one unit,
The medical information system according to any one of claims 1 to 18 , wherein the display unit is provided in the other unit. The input unit is configured to be able to specify desired individual medical practice data on the medical practice table displayed on the display unit,
The display control means generates fourth display data for displaying the detailed medical information related to the individual medical care data specified by the input means instead of or overlapping with the medical care table,
The display means, the fourth on the basis of the display data, medical according to any one of claims 1 to 19, the detailed medical information and displaying of or overlaid instead of the medical practice Table Information system. Individual medical practice data that includes any of a plurality of types of medical practice on a preset small category and that can be grouped on a large category that is larger than the small category is subjected to execution of each medical practice. A plurality of first file means for respectively storing in association with execution time data indicating
  A second file means for storing group medical practice data indicating the major classification in association with data belonging to the same major classification among the plurality of individual medical practice data;
  Based on the individual medical practice data and the execution time data respectively stored in the plurality of first file means, the individual medical practice data forming a series of medical plans and records for one patient is classified by date and by type. While displaying in the format of the arranged medical practice table, for at least some individual medical practice data, instead of the individual medical practice data, group medical practice data indicating a major classification to which the at least some individual medical practice data belongs Display control means for generating first display data for displaying;
  Display means for displaying the individual medical practice data and the group medical practice data in the format of the medical practice table based on the first display data;
  The group medical practice data can be designated on the medical practice table displayed by the display means, and a plurality of individual medical practice data belonging to the same large classification can be further designated on the medical practice table displayed on the display means. Possible input means and
  With
  The display control unit, when the group medical practice data is specified by the input unit, a plurality of individual medical practice data belonging to a large classification of the specified group medical practice data, on the medical practice table or the Generating second display data for displaying in a predetermined format instead of or in addition to the medical practice table;
  The display means, based on the second display data, displays a plurality of individual medical practice data belonging to a large classification of the specified group medical practice data in the predetermined format,
  The display control means, the date field corresponding to the period from the execution time of the earlier execution time to the execution time of the later execution time among the plurality of individual medical care data belonging to the large classification of the group medical care data, Generating third display data for displaying, on the medical practice table, a band-shaped mark extending along with the group medical practice data together with or as a part of the group medical practice data;
  The display means displays the strip mark on the medical practice table based on the third display data. To display,
  The display control means may include, instead of the plurality of individual medical action data specified by the input means, a band corresponding to group medical action data indicating a large classification to which the plurality of individual medical action data specified by the input means belongs. A medical information system, wherein the third display data is generated so that a mark is displayed on the medical practice table. A computer program that causes a computer to function as the medical information system according to any one of claims 1 to 21.

Images