Abstract
In an intensive care unit, since a patient’s condition changes every moment, treatment-directions need to be changed rapidly according to it. The hospital information system which exists from before is an order entry system. Although it excelled in the goods claim and the medical-affairs claim, it was inadequate for precise medical-examination directions. On the other hand, creation of a thermometry table is a subject of department information system, and cooperation with an order-entry system was inadequate. The medical directions by the doctor and the directions receptacle by the nurse are required in order to achieve treatment procedure. Adequate goods supply and expense need are also important in the unit. The system for managing a medical treatment was defined as Clinical Management System (CMS). It managed directions, a directions receptacle, enforcement, and clinical record. The system for supporting CMS was defined as Hospital Administrating System (HAS). It managed the goods claim and the medical-affairs accounts claim. CMS creates claim information from clinical record after implementation according to directions and HAS arranges claim information to goods claim information and medical-affairs accounts claim information. In this system, a detailed directions change in intensive care unit was attained by managing medical directions and a claim order separately. Moreover, the stable goods supply and medical-affairs accounts claim was attained.
