JP2004118664A - Medical treatment planning device - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a medical examination plan making device capable of making a medical examination plan suitable for actual conditions. <P>SOLUTION: This medical examination plan making device is provided with a standard medical examination plan obtaining part 510 for obtaining a standard medical examination plan where standard medical examination contents and schedules are decided for each disease and a classified patient medical examination plan making part 520 for making a medical examination plan for each patient by setting the schedule of the standard medical examination plan for each patient based on a constraint condition where the medically permitted limit of schedule correction is decided for each medical examination action. <P>COPYRIGHT: (C)2004,JPO

Description

[0001]
TECHNICAL FIELD OF THE INVENTION
The present invention relates to a medical treatment plan formulation device that formulates a medical treatment plan that determines the contents and schedule of medical treatment to be performed on a patient.
[0002]
[Prior art]
2. Description of the Related Art Conventionally, medical institutions that treat patients often formulate medical treatment plans that determine the contents and schedules of medical treatments to be performed on patients and perform actual medical treatment based on the medical treatment plans.
[0003]
However, medical treatment contents and schedules are different for each physician depending on the experience, judgment, intuition, and the like of each physician, so that different medical treatment plans are formulated for each physician. Such variations in the medical treatment plan for each physician can be a factor that hinders the efficiency of medical treatment and can sometimes cause medical errors. We are promoting the homogenization and efficiency of medical services by formulating medical treatment plans for each patient based on the clinical path, which is a standardized medical treatment plan.
[0004]
Conventionally, as a technique for creating such a medical treatment plan, for example, with respect to patients who receive a plurality of types of radiation treatment, each of the treatment dates and times of each radiation treatment do not overlap and the number of times of daily treatment is equal, 2. Description of the Related Art A radiation treatment scheduling system for automatically drafting a treatment schedule for each radiation has been proposed. (For example, refer to Patent Document 1).
[0005]
Also disclosed is a computer storage medium storing a critical path automatic creation program for automatically creating a medical schedule from the admission to discharge of a patient. (For example, see Patent Document 2).
[0006]
[Patent Document 1]
JP-A-2000-222507 (pages 1-7)
[Patent Document 2]
JP-A-2002-140435 (pages 1-8)
[0007]
[Problems to be solved by the invention]
However, the actual medical treatment schedule often does not match the treatment schedule or the clinical pass schedule that has been planned in advance. For example, even if a medical institution schedules a 10-day schedule for a cecal clinical path, in fact, during that 10-day hospital closing day, the schedule of medical staff such as doctors and technicians, etc. It is often necessary to adjust the schedule according to the availability of hospital rooms, examination equipment, medical equipment, and the like.
[0008]
However, unlike the general schedule adjustment, in the case of a medical treatment schedule, a △△ test is required x days before XX surgery, or a △△ test cannot be performed x days after XX test There are usually medical constraints such as these, and meticulous scheduling is required to meet all of these constraints.
[0009]
However, it is extremely cumbersome and inefficient to manually adjust the schedule to meet these various constraints, and insufficient adjustment may lead to medical errors. There is a problem.
[0010]
The present invention has been made in view of the above circumstances, and has as its object to provide a medical treatment plan formulation device capable of formulating a medical treatment plan that matches the actual situation.
[0011]
[Means for Solving the Problems]
The medical treatment planning device of the present invention that achieves the above object,
In a medical treatment plan formulation device that formulates a medical treatment plan that sets the medical treatment contents and schedule to be performed on the patient,
A standard medical treatment plan acquisition unit that acquires a standard medical treatment plan that defines standard medical treatment contents and schedules for each disease,
A patient-specific medical treatment plan development unit that formulates a medical treatment plan for each patient by setting the schedule of the standard medical treatment plan for each patient based on the constraints that define the range in which the schedule modification is medically acceptable for each medical practice And characterized in that:
[0012]
According to the medical treatment plan formulation apparatus of the present invention, a standard medical treatment plan is determined in advance for each disease, and the standard medical treatment schedule is set based on the constraints that define the medical tolerance for each medical treatment. Is set for each patient, so that a medical treatment plan based on the actual situation can be formulated.
[0013]
Here, the patient-specific medical treatment plan formulation unit may formulate a medical treatment plan that also includes information on medical treatment costs.
[0014]
When the medical treatment planning apparatus of the present invention is configured in this way, medical expenses are accurately calculated based on the medical treatment plan formulated for each patient, so that favorable information for both patients and medical institutions can be obtained.
[0015]
In addition, the medical treatment plan formulation apparatus acquires a medical treatment plan common to a plurality of medical institutions, and based on the common medical treatment plan, formulates the standard medical treatment plan for the medical institution that will treat the patient. It may be provided with a separate standard medical treatment plan formulation unit.
[0016]
When the medical treatment planning apparatus of the present invention is configured in this manner, a standard medical treatment plan for each medical institution is formulated for each medical institution, so that a medical treatment plan for each patient can be efficiently formulated. .
[0017]
BEST MODE FOR CARRYING OUT THE INVENTION
Hereinafter, embodiments of the present invention will be described.
[0018]
FIG. 1 is a schematic diagram of a computer system in which an embodiment of the medical care planning apparatus of the present invention is operated.
[0019]
FIG. 1 shows an embodiment of a medical treatment planning apparatus according to the present invention, in which a computer 100 that operates as a server machine and a computer as a client machine that performs various processes related to the medical treatment planning by the computer 100 The figure shows a client-server system including 300, 310, and 320 and a communication line 190 that connects these computers to each other.
[0020]
Among these computers, the computer 100 forms an embodiment of the medical treatment plan formulation apparatus of the present invention, and includes a hospital including an electronic medical record system or a medical affairs system in a medical institution where the medical care plan creation apparatus is installed. An information system is formed.
[0021]
The computers 300, 310, and 320 have a function as a terminal of the medical treatment planning device of the present embodiment and a function as a terminal of the hospital information system.
[0022]
The computer 100 on which the medical treatment planning apparatus of the present embodiment is formed includes a computer main body 101, a display device 102 for displaying image information output from the computer main body 101, and an instruction for transmitting instructions from an operator to the computer main body 101. A keyboard 103 and a mouse 104 are provided. The computer main body 101 is provided with a CD-ROM insertion slot 101a.
[0023]
A CD-ROM 400, which is a medical plan formulation program storage medium storing a medical plan formulation program for forming the medical plan formulation apparatus of the present invention on a computer, is inserted into the CD-ROM insertion slot 101a. By installing the formulating program in the computer main body 101, the medical care plan formulating device of the present embodiment is formed on the computer 100.
[0024]
Similarly, the computer 300, 310, 320 having a function as a terminal of the medical treatment planning device and the hospital information system of the present embodiment is also provided with the computer main bodies 301, 311, 321, the display devices 302, 312, 322, and the keyboard 303. , 313, 323 and mice 304, 314, 324 and the like.
[0025]
FIG. 2 is a schematic configuration diagram showing one embodiment of the medical care plan formulation device of the present invention.
[0026]
As shown in FIG. 2, the medical treatment plan formulation device 500 is for formulating a medical treatment plan in which the contents and schedule of medical treatment to be performed on a patient are determined. And a formulating unit 520.
[0027]
The standard medical treatment plan acquisition unit 510 acquires a standard medical treatment plan that defines standard medical treatment contents and schedules for each disease. The patient-specific medical treatment plan formulation unit 520 determines that the schedule modification is medically acceptable. Is set on a patient-by-patient basis on the basis of the standard medical treatment schedule based on the constraint conditions defined for each medical practice, thereby formulating a medical treatment plan for each patient.
[0028]
In the present embodiment, the patient-specific medical treatment plan formulation unit 520 is configured to formulate a medical treatment plan that also includes information on medical treatment costs.
[0029]
In addition, the medical treatment plan formulation device 500 of the present embodiment acquires a medical treatment plan common to a plurality of medical institutions, and based on the common medical treatment plan, creates the standard medical treatment plan for a medical institution that will treat the patient. It is configured to include a standardized medical treatment plan formulation section 530 for each medical institution to be formulated.
[0030]
Next, the operation of the medical care plan formulation device of the present embodiment will be described.
[0031]
FIG. 3 is an overall view of a hospital information system including the medical treatment plan formulation device of the present embodiment.
[0032]
FIG. 3 shows the entire hospital information system installed in a medical institution. That is, this hospital information system includes programs such as a work management schedule system, a medical affairs system, a device operation management system, and an electronic medical record system, in addition to the medical treatment plan formulation program 800 of the present embodiment, and a path constraint condition setting master 801. Each master includes a hospital operation master 802, an employee master 803, an employee schedule master 804, a score master 805, a device operation schedule master 806, and a medical institution-specific clinical path 808.
[0033]
In the hospital information system of this medical institution, a medical treatment planning device 500 (see FIG. 2) of the present embodiment is formed by the medical treatment planning program 800, and a standard medical treatment plan for each medical institution in the medical treatment planning device 500 is provided. The defining unit 530 acquires the standard clinical path 807, that is, a medical treatment plan common to a plurality of medical institutions according to the present invention.
[0034]
This standard clinical path 807 is created by, for example, a specialized organization of a nationwide organization composed of medical professionals of each medical department and distributed to medical institutions that desire to acquire the medical path. Based on the acquired standard clinical path 807, a medical institution-specific clinical path 808 (see FIG. 4), that is, a medical institution-specific standard medical treatment plan according to the present invention is formulated. The medical institution-specific clinical path 808 is formulated by the medical institution-specific standard medical care plan formulation unit 530 (see FIG. 2).
[0035]
FIG. 4 is a diagram showing a file structure of a medical institution-specific clinical path used in the medical care plan formulation apparatus of the present embodiment.
[0036]
The medical institution-specific clinical path 808 is determined for each disease name. For example, a medical institution-specific clinical path 808 shown in FIG. 4 is a clinical path for a disease name: “AAAA” in a certain medical institution, and is “day before operation”, “day before operation”, “day of operation”, “operation day”. "Meal", "Examination / treatment", "Treatment", "Injection / oral administration", "Action", "Explanation / Guidance", "Variance (evaluation)", "Insurance points" Is stored.
[0037]
The “insurance points” column stores the insurance points for each day of “two days before operation”, “day before operation”, “day of operation”, and “one day after operation”. The data of “insurance points (10,700)” in the bottom row / leftmost column indicates that the total insurance points for the above four days is 10,700 points.
[0038]
FIG. 5 is a diagram illustrating a file structure of a path constraint condition setting master used in the medical care plan formulation device of the present embodiment.
[0039]
The path constraint condition setting master 801 stores constraint conditions that define a medically acceptable range of schedule modification for each medical practice. As shown in FIG. 5, a disease name 801a, a treatment 801b, a constraint Each item of the condition 801c is provided. For example, with respect to the treatment of disease name: "ureter stone": "surgery", a constraint condition of "surgery the next day of the A examination" is defined.
[0040]
FIG. 6 is a diagram showing a file structure of a hospital operation master used in the medical care planning apparatus of the present embodiment.
[0041]
As shown in FIG. 6, the hospital operation master 802 stores the operation schedule of the medical institution in a calendar format. The mark ○ indicates the hospital opening date, and the mark × indicates a holiday.
[0042]
FIG. 7 is a diagram showing a file structure of an employee master used in the medical care planning apparatus of the present embodiment.
[0043]
As shown in FIG. 7, the employee master 803 stores items such as the employee name 803a, occupation type 803b, subject 803c, and specialty 803d of the employee of the medical institution. For example, it is stored that the employee name 803a is “Taro Tokyo”, the occupation 803b is “doctor”, the subject 803c is “surgery”, and the specialty 803d is “cancer”.
[0044]
FIG. 8 is a diagram showing a file structure of an employee schedule master used in the medical care plan formulation device of the present embodiment.
[0045]
As shown in FIG. 8, in the employee schedule master 804, the work schedule of the employee of the medical institution is stored in the morning and in the afternoon by a circle when there is a plan and a cross when it is absent.
[0046]
FIG. 9 is a diagram showing a file structure of a score master used in the medical care planning apparatus of the present embodiment.
[0047]
As shown in FIG. 9, the score master 805 stores insurance points for each inspection item for each type of insurance. For example, when the insurance type is “company insurance”, the insurance score for the test item “X-ray” is “100”, the insurance score for the test item “blood test” is “350”, and the insurance score for the test item “antibiotics” is For example, “500” is stored.
[0048]
FIG. 10 is a diagram showing a file structure of a device operation schedule master used in the medical care plan formulation device of the present embodiment.
[0049]
As shown in FIG. 10, the device operation schedule master 806 includes each device of the medical institution, that is, “MRI”, “ECG 1”, “ECG 2”, “ECG 3”, etc. The operation schedule for each time zone is stored.
[0050]
Next, the operation of the medical care plan formulation device of the present embodiment will be described.
[0051]
FIG. 11 is a flowchart showing the flow of the operation of the entire medical care planning apparatus of the present embodiment.
[0052]
First, as shown in FIG. 11, the standard clinical path 807 (see FIG. 3) is obtained by the standard medical plan obtaining unit 510 provided in the medical plan formulating apparatus 500 (see FIG. 2) (step S01). . In the medical institution that has acquired the standard clinical path 807, the medical institution-specific standard medical treatment plan development unit 530 (see FIG. 2) based on the standard clinical path 807 and the medical institution-specific clinical path 808 based on the standard clinical path 807. (See FIG. 4) is performed (step S02).
[0053]
In this embodiment, as a first step, a medical treatment plan common to a plurality of medical institutions is acquired, and a standard medical treatment plan is formulated for each medical institution based on the common medical treatment plan. An example in which a medical plan for each patient is formulated in two stages of setting the schedule of the standard medical treatment plan for each patient based on the constraint conditions determined for each patient, but a medical plan for each patient is always necessarily performed in two stages. It is not necessary to formulate a medical treatment plan for each patient using, for example, a standard medical treatment plan that has been formulated at the medical institution, unless various medical conditions at the medical institution are changed.
[0054]
FIG. 12 is a flowchart illustrating the flow of the operation of the standard medical care plan acquisition unit according to the present embodiment.
[0055]
First, the medical institution-specific standard medical care plan formulation section 530 (see FIG. 2) determines whether to review the acquired standard clinical path or to review the medical institution-specific clinical path that has been formulated for the medical institution. (Step S11), and if not, the process ends. If it is any of the above, the process proceeds to step S12, referring to the device operation schedule master 806 (see FIG. 10), based on the medical device possession status at the medical institution, the standard clinical path, or the medical institution-specific clinical path. Is corrected to formulate a clinical path for each medical institution (step S12).
[0056]
Next, referring to the employee master 803 (see FIG. 7), the medical institution-specific clinical path determined in step S12 is corrected based on the number of medical staff and the skills of the medical institution in the medical institution (step S12). S13).
[0057]
Next, the medical institution-specific clinical path corrected in step S13 is further corrected based on the constraint condition that defines a medically acceptable range for each medical treatment content (step S14). As the constraint conditions here, the constraint conditions set in the path constraint condition setting master 801 may be used. However, at this stage, since the modification is not performed according to the actual date, the path constraint condition setting master 801 is not used. It is preferable to separately prepare a medical institution-specific restriction condition that defines only the medical treatment restriction condition in the medical institution among the restriction conditions set in the above.
[0058]
In this way, a medical institution-specific clinical path 808 is created for the medical institution as shown in FIG.
[0059]
Next, in step S03 of the flowchart shown in FIG. 11, the patient-specific clinical path planning unit 520 (see FIG. 2) formulates a patient-specific clinical path 809. That is, based on the constraint conditions (path constraint condition setting master 801 (see FIG. 5)) that define the range in which the schedule modification is medically permitted for each medical practice, the standard medical care plan developing unit for each medical institution described above formulates the range. By setting the schedule of the medical institution-specific clinical path 808 (see FIG. 4) for each patient, a patient-specific medical treatment plan, that is, a patient-specific clinical path 809 (see FIGS. 2 and 14) is formulated (step S03). .
[0060]
Details of the clinical path 809 for each patient will be described later.
[0061]
FIG. 13 is a flowchart showing the flow of the operation of the patient-specific medical treatment plan formulation unit in the present embodiment.
[0062]
First, the patient-specific medical treatment plan formulating unit 510 (see FIG. 2) performs a medical treatment schedule for the patient based on the medical institution-specific clinical path formulated by the medical institution standard medical treatment plan formulating unit (see FIG. 12). Is set, a draft of a clinical path for each patient is created (step S21).
[0063]
FIG. 14 is a diagram illustrating an example of a draft of a clinical path for each patient according to the present embodiment.
[0064]
The draft 809 of the clinical path for each patient is based on the path constraint condition setting master 801 (see FIG. 5), and sets the medical treatment schedule for the patient in the date column of the clinical path 808 for each medical institution (see FIG. 4). Formulated by
[0065]
That is, as shown in FIG. 14, similarly to the medical institution-specific clinical path 808, “meal” and “examination” in “two days before operation”, “day before operation”, “day of operation”, “one day after operation” and the like are performed. Data such as “treatment”, “treatment”, “injection / oral administration”, “behavior”, “explanation / guidance”, “variance (evaluation)”, “insurance score”, and the like are stored. The actual medical treatment date is entered. In other words, on “two days before surgery” on September 1, 2002, on “day before surgery” on September 2, 2002, on “day of surgery” on September 3, 2002, and on “one day after surgery”. Is entered on September 4, 2002.
[0066]
Next, in step S22, for each medical treatment content, it is determined whether the medical treatment content satisfies the constraint conditions stored in the path constraint condition setting master 801 (see FIG. 5).
[0067]
If the result of determination in step S22 is that all medical treatment contents satisfy the constraint conditions, the flow proceeds to step S23.
[0068]
As a result of the determination in step S22, when there is a medical treatment content that does not satisfy the constraint condition, the process proceeds to step S28, and a medical practice adjustment process is performed.
[0069]
In step S23, by referring to the hospital operation master 802 (see FIG. 6), it is determined whether or not any of the set schedules falls on a holiday of the medical institution.
[0070]
If the result of determination in step S23 is that there is no holiday, the process proceeds to step S24.
[0071]
If the result of determination in step S23 is that there is a holiday, the process proceeds to step S29, and a schedule adjustment process is performed.
[0072]
In step S24, by referring to the device operation schedule master 806 (see FIG. 10), it is determined whether the required device can be used on the set schedule.
[0073]
If the result of determination in step S24 is that it can be used, control proceeds to step S25.
[0074]
If the result of determination in step S24 is that it is not usable, the process proceeds to step S29, where a schedule adjustment process is performed.
[0075]
In step S25, by referring to the employee master 803 (see FIG. 7) and the employee schedule master 804 (see FIG. 8), the schedule of a person (such as a laboratory technician) who can operate the above-mentioned device is set to the set date. It is determined whether or not it is empty.
[0076]
If the result of determination in step S25 is that the schedule is vacant, the flow proceeds to step S26.
[0077]
If the result of determination in step S25 is that the schedule is not vacant, processing proceeds to step S29, where a schedule adjustment process is performed.
[0078]
In step S26, by referring to the employee master 803 (see FIG. 7) and the employee schedule master 804 (see FIG. 8), the schedule of the medical staff specified in the draft of the above-mentioned clinical path for each patient is set as described above. It is determined whether or not the day is empty.
[0079]
If the result of determination in step S26 is that the schedule is vacant, the flow proceeds to step S27.
[0080]
If the result of determination in step S26 is that the schedule is not vacant, processing proceeds to step S29, where a schedule adjustment process is performed.
[0081]
In step S27, the medical treatment cost of the patient is calculated based on the information on the clinical path determined through the above process and the score master 805, and the preparation of the clinical path for each patient is completed. This medical treatment cost is obtained by adding the amount of self-payment to the number of insurance points.
[0082]
In step S28, a medical practice adjustment process is performed for the medical treatment contents that do not satisfy the constraint conditions. For example, deletion of duplicate examinations and adjustment of the degree of behavior restriction are performed. When the medical action adjustment process is completed, the process proceeds to step S29, where a schedule adjustment process is performed.
[0083]
In step S29, a schedule adjustment process described below is performed.
[0084]
FIG. 15 is a diagram illustrating a result of the schedule adjustment processing of the clinical path for each patient according to the present embodiment.
[0085]
As shown in FIG. 15, the patient-specific clinical path 810 is obtained by replacing the patient-specific clinical path 809 shown in FIG. 14 with a path constraint setting master 801 (see FIG. 5), a hospital operation master 802 (see FIG. 6), and an employee. The schedule was obtained based on the staff master 803 (see FIG. 7), the employee schedule master 804 (see FIG. 8), the score master 805 (see FIG. 9), and the equipment operation schedule master 806 (see FIG. 10). Things.
[0086]
That is, the date of the “surgery day” was changed from the original date of September 3, 2002 to September 4, 2002, and the medical treatment content of the original “two days before surgery” (September 1, 2002) Is changed to be performed “three days before the operation”, and the dates “the day before the operation”, “the day of the operation”, and “one day after the operation” are moved down by one day each.
[0087]
Then, between “three days before the operation” (September 1, 2002) and “day before the operation” (September 3, 2002), the same medical treatment contents as the original one on September 1, 2002 “before the operation” Day "(September 2, 2002) has been inserted.
[0088]
In this way, for example, when the operation date is delayed by several days, a schedule of “waiting for operation” corresponding to the delayed several days is added. In this way, the medical treatment contents of an appropriate day several days before the operation day are copied and set as the medical treatment contents "waiting for the operation".
[0089]
In this manner, a clinical path for each patient, that is, a medical treatment plan for each patient according to the present invention is formulated. The clinical path for each patient is presented to the patient or his / her family from the attending physician or the like, and medical treatment is started after obtaining the consent of the patient or his / her family.
[0090]
Next, an embodiment of the medical treatment plan formulation program of the present invention will be described.
[0091]
FIG. 16 is a schematic configuration diagram of a medical treatment plan formulation program which is an embodiment of the medical care plan formulation device of the present invention.
[0092]
The medical treatment plan formulation program 800 is a program for operating a computer as a medical treatment planning device that formulates a medical treatment plan in which the contents and schedules of medical treatments to be performed on a patient are set. As shown in FIG. It has a plan acquisition unit 810 and a medical treatment plan formulation unit 820 for each patient.
[0093]
The standard medical treatment plan acquisition unit 810 acquires a standard medical treatment plan that defines standard medical treatment contents and schedules for each disease. The patient-specific medical treatment plan formulation unit 820 determines that the schedule modification is medically acceptable. The standard medical treatment schedule is set for each patient based on the constraint conditions defined for each medical care action, thereby formulating a medical treatment plan for each patient.
[0094]
The standard medical plan obtaining unit 810 and the patient-specific medical plan formulating unit 820 have the same configuration and the same configuration as the standard medical plan obtaining unit 510 and the patient-specific medical plan developing unit 520 in the medical plan developing device 500 shown in FIG. Since it has the function and effect, detailed description is omitted.
[0095]
FIG. 17 is a schematic configuration diagram of a medical treatment plan formulation program storage medium which is an embodiment of the medical care plan formulation device of the present invention.
[0096]
This medical treatment plan formulation program storage medium 900 is a storage medium that stores a medical treatment plan formulation program 910 that causes a computer to operate as a medical care plan formulation device that formulates a medical care plan that defines the contents of medical treatment scheduled and the schedule for patients. As shown in FIG. 17, the medical treatment plan formulation program 910 has a standard medical treatment plan acquisition unit 920 and a patient-specific medical treatment plan formulation unit 930.
[0097]
The standard medical treatment plan obtaining unit 910 obtains a standard medical treatment plan in which standard medical treatment contents and schedules are determined for each disease. The standard medical treatment schedule is set for each patient based on the constraint conditions defined for each medical care action, thereby formulating a medical treatment plan for each patient.
[0098]
The standard medical plan obtaining unit 910 and the patient-specific medical plan creating unit 920 have the same configuration and the same configuration as the standard medical plan obtaining unit 510 and the patient-specific medical plan creating unit 520 in the medical plan developing device 500 shown in FIG. Since it has the function and effect, detailed description is omitted.
[0099]
Hereinafter, various aspects of the present invention will be additionally described.
[0100]
(Supplementary Note 1) In a medical treatment plan formulation device that formulates a medical treatment plan that determines the medical treatment contents and schedule to be performed on a patient,
A standard medical treatment plan acquisition unit that acquires a standard medical treatment plan that defines standard medical treatment contents and schedules for each disease,
A patient-specific medical treatment plan development unit that formulates a medical treatment plan for each patient by setting the schedule of the standard medical treatment plan for each patient based on the constraints that define the range in which the schedule modification is medically acceptable for each medical practice. And a medical treatment planning device.
[0101]
(Supplementary Note 2) The medical treatment plan formulation device according to Supplementary Note 1, wherein the patient-specific medical treatment plan formulation unit formulates a medical treatment plan including information on medical treatment costs.
[0102]
(Supplementary Note 3) A standard medical treatment plan for each medical institution that acquires a common medical treatment plan for a plurality of medical institutions and formulates the standard medical treatment plan for a medical institution that will treat the patient based on the common medical treatment plan The medical treatment plan formulation device according to claim 1, wherein the medical treatment plan formulation device comprises:
[0103]
(Supplementary Note 4) In a medical treatment plan formulation program that operates a computer as a medical care plan formulation device that formulates a medical treatment plan that defines the contents and schedule of medical treatment to be performed on a patient,
A standard medical treatment plan acquisition unit that acquires a standard medical treatment plan that defines standard medical treatment contents and schedules for each disease,
A patient-specific medical treatment plan development unit that formulates a medical treatment plan for each patient by setting the schedule of the standard medical treatment plan for each patient based on the constraints that define the range in which the schedule modification is medically acceptable for each medical practice. A medical treatment plan formulation program characterized by having:
[0104]
(Supplementary Note 5) In a medical treatment plan formulation program storage medium storing a medical treatment plan formulation program that causes a computer to operate as a medical care plan formulation device that formulates a medical care plan in which the contents and schedule of a medical treatment to be performed on a patient are determined,
The medical treatment planning program,
A standard medical treatment plan acquisition unit that acquires a standard medical treatment plan that defines standard medical treatment contents and schedules for each disease,
A patient-specific medical treatment plan development unit that formulates a medical treatment plan for each patient by setting the schedule of the standard medical treatment plan for each patient based on the constraints that define the range in which the schedule modification is medically acceptable for each medical practice. And a medical treatment planning program storage medium characterized by having:
[0105]
【The invention's effect】
As described above, according to the medical treatment plan formulation apparatus of the present invention, the standard medical treatment schedule is set for each patient based on the constraints that determine the medically acceptable range of the schedule modification for each medical care action. By doing so, a medical treatment plan for each patient is formulated, so that a medical treatment plan suited to the actual situation can be formulated. For example, the patient can know an accurate hospitalization schedule in advance. In addition, the medical institution can grasp the operating status of the medical staff, the inspection equipment, the medical equipment, and the like in advance, so that efficient management can be performed.
[0106]
Further, when the patient-specific medical treatment plan formulation unit of the medical treatment plan formulation device of the present invention is to formulate a medical treatment plan that also includes information on medical treatment costs, the medical treatment costs can be accurately calculated based on the medical treatment plan formulated for each patient. Therefore, for example, the patient can accurately grasp the hospitalization cost and the like in advance. In addition, the medical institution can grasp the medical treatment income in advance, so that efficient management can be performed.
[0107]
In addition, the medical treatment plan formulation device of the present invention acquires a medical treatment plan common to a plurality of medical institutions, and, based on the common medical treatment plan, formulates a standard medical treatment plan for the medical institution based on the common medical treatment plan. In the case where the medical institution is provided, a standard medical treatment plan for each medical institution is formulated, so that a medical treatment plan for each patient can be efficiently formulated.
[Brief description of the drawings]
FIG. 1 is a schematic diagram of a computer system in which an embodiment of a medical treatment plan formulation apparatus of the present invention is operated.
FIG. 2 is a schematic configuration diagram illustrating an embodiment of a medical treatment planning device of the present invention.
FIG. 3 is an overall view of a hospital information system including a medical treatment plan formulation device of the present embodiment.
FIG. 4 is a diagram showing a file structure of a clinical institution-specific clinical path used in the medical care plan formulation apparatus of the embodiment.
FIG. 5 is a diagram showing a file structure of a path constraint condition setting master used in the medical care planning apparatus of the embodiment.
FIG. 6 is a diagram showing a file structure of a hospital operation master used in the medical care planning apparatus of the embodiment.
FIG. 7 is a diagram showing a file structure of an employee master used in the medical care planning apparatus of the embodiment.
FIG. 8 is a diagram showing a file structure of an employee schedule master used in the medical care plan formulation device of the present embodiment.
FIG. 9 is a diagram showing a file structure of a score master used in the medical care planning apparatus of the embodiment.
FIG. 10 is a diagram showing a file structure of a device operation schedule master used in the medical treatment plan formulation device of the present embodiment.
FIG. 11 is a flowchart showing a flow of operation of the entire medical care planning apparatus of the embodiment.
FIG. 12 is a flowchart illustrating a flow of an operation of a standard medical treatment plan acquisition unit according to the present embodiment.
FIG. 13 is a flowchart showing an operation flow of a patient-specific medical treatment plan formulation unit in the embodiment.
FIG. 14 is a diagram showing an example of a draft of a clinical path for each patient according to the present embodiment.
FIG. 15 is a diagram showing an example of schedule adjustment of a clinical pass for each patient according to the present embodiment.
FIG. 16 is a schematic configuration diagram of a medical treatment plan formulation program which is an embodiment of the medical care plan formulation device of the present invention.
FIG. 17 is a schematic configuration diagram of a medical treatment plan formulation program storage medium which is an embodiment of the medical care plan formulation device of the present invention.
[Explanation of symbols]
100, 300, 310, 320 Computer
101,301,311,321 Computer body
101a CD-ROM slot
102, 302, 312, 322 display device
103, 303, 313, 223 Keyboard
104, 304, 314, 324 mice
190 communication line
400 CD-ROM
500 Medical treatment planning device
510 Standard medical treatment plan acquisition unit
520 Patient-specific medical treatment plan formulation department
530 Standardized Medical Treatment Plan Formulation Department by Medical Institution
800 Medical treatment plan formulation program
801 Path constraint setting master
801a Disease name
801b treatment
801c constraints
802 Hospital operation master
803 Employee master
803a Employee name
803b
803c subjects
803d specialty
804 Employee schedule master
805 points master
806 Device operation schedule master
807 Standard Clinical Path
808 Clinical Path by Medical Institution
809 Clinical Path by Patient
809a Date
810 Standard medical treatment plan acquisition section
820 Patient-specific medical treatment plan formulation department
900 Medical treatment planning program storage medium
910 Standard medical treatment plan acquisition section
920 Patient-specific medical treatment plan formulation department

Claims (3)

In a medical treatment plan formulation device that formulates a medical treatment plan that sets the medical treatment contents and schedule to be performed on the patient,
A standard medical treatment plan acquisition unit that acquires a standard medical treatment plan that defines standard medical treatment contents and schedules for each disease,
A patient-specific medical treatment plan development unit that formulates a medical treatment plan for each patient by setting the schedule of the standard medical treatment plan for each patient based on the constraints that define the range in which the schedule modification is medically acceptable for each medical practice. And a medical treatment planning device. 2. The medical treatment plan formulation device according to claim 1, wherein the patient-specific medical treatment plan formulation unit formulates a medical care plan including information on medical treatment costs. A standard medical treatment plan formulating unit for each medical institution that obtains a common medical treatment plan for a plurality of medical institutions and, based on the common medical treatment plan, formulates the standard medical treatment plan for a medical institution scheduled to treat the patient. The medical treatment plan formulation device according to claim 1, wherein:

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