JP2000293594A - Electronic medical record system with date labeling function - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide an electronic medical record system enabling a doctor to observe the past and current states of a certain patient on a screen as the whole image and observe the whole details started from one picture. SOLUTION: The electronic medical record system for preparing and storing many medical records as electronic data is provided with a date label display means for displaying date labels 11 related to respective medical record sheets and formed in order to access a corresponding medical record sheet prepared on a date specified by a user and display the accessed sheet in the order of dates on either one of the right and left sides of a display screen for displaying the medical record sheets. Since the date label display means displays date labels on both the right and left sides of the display screen in the order of dates, it is preferable to display the date labels of dates before the date of a medical record sheet displayed at present on one side of the screen and display date labels of dates after the date of the medical record sheet opened at present on the other side.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

[0001] 1. Field of the Invention [0002] The present invention relates to an electronic medical record system in which medical records at medical institutions are created and stored electronically using a computer.

[0002]

2. Description of the Related Art Conventionally, there has been proposed an electronic medical record system for electronically creating and storing medical records. However, these systems are often in the form of a ledger, such as a resident register, and only record some aspects of the patient. It is very difficult to properly record all the conditions of the disease. This is because it has not broken out of existing database-like input conventions,
This is because computer software has been developed for counting. However, there is now a strong demand for developing computer systems that record the entire life of an individual.
Although there is a proposal of an electronic medical record system based on the idea that writing is free as in a word processor, since this is not a time concept and has no data relation, it is not possible to grasp the full picture of an individual's medical condition by computer processing. In reality, medical records exist for each type of hospitalization or outpatient department, for each department, and for each hospital, but this makes it incomplete to grasp the individual's pathological condition. Heretofore, no proposal has been made for a system that allows an individual's medical condition to be summarized and viewed on a single system regardless of whether the condition is hospitalization or outpatient, department, or hospital.

[0003]

Various electronic medical record systems that have been proposed in the past have sufficiently responded to a doctor's request to list all the medical histories and medical records of a single patient in chronological order. Absent. In other words, in the conventional electronic medical record system, a physician can list on a single screen an overall image of the state of a past patient's temporal changes over time, or record a detailed record as it is recorded for each medical treatment day, which is a unit of medical care. Can not see. This is because the conventional electronic medical record system does not allow a doctor to freely attach a figure, a photograph, or the like, unlike a conventional medical record using a paper medium. Since free writing is not possible, various medical departments make their own medical records, and overcoming this will make it possible to unify the medical records of each department.

The present invention has been made in view of such problems of the prior art, and enables a doctor to quickly grasp all the occurrences of a certain patient from the past to the present without omission. On the other hand, it is an object of the present invention to provide an electronic medical record system that allows the user to see details of articles on a certain medical treatment day. Further, the present invention provides an electronic medical record system that allows a doctor to freely attach figures, photographs, etc. on a sheet with a date with the same operability as a conventional paper-based medical record. Aim. It is another object of the present invention to provide an electronic medical record system which can collect medical records scattered separately by hospitalization / outpatient, by department, and by hospital at present.

[0005]

SUMMARY OF THE INVENTION An electronic medical record system according to the present invention for solving the above-mentioned problems has various items to be described, and a large number of medical records are electronically created and stored collectively. In the electronic medical record system, a date label for calling and displaying a medical record sheet created on a date designated by a user on at least one of right and left sides of a display screen for displaying a medical record sheet, Date label display means for displaying date labels associated with the recording sheets in chronological order.

Further, in the electronic medical record system according to the present invention, the date label display means displays the date labels on both the right end and the left end of the display screen in chronological order. Date labels for dates earlier than the date are displayed on one side of the screen, and date labels for dates later than the date on the currently open medical record sheet are displayed on the other side of the screen. Is good.

[0007] In the electronic medical record system according to the present invention, the date label displayed by the date label display means may have a different color, shape, or mark depending on whether the medical record sheet is for an inpatient or a medical record sheet for an outpatient. (mark)
It is preferable to provide in-patient / outpatient identification means for identifying whether the medical record sheet associated with the date label is for an in-patient or an out-patient by displaying the date label. .

Further, in the electronic medical record system according to the present invention, the date label displayed by the date label display means has different colors for different medical departments such as surgery, internal medicine, obstetrics and gynecology, and the like.
A medical department identification means for adding a shape or a mark so that it is possible to identify which medical department the medical record sheet associated with the date label is displayed from, based on the display of the date label. Is good.

Further, in the electronic medical record system according to the present invention, the date label displayed by the date label display means may include a patient in his / her own hospital (patient who is in his / her own medical institution) or a patient in another hospital (other medical institution). By adding a different color, shape, or mark (patient) depending on whether the institution has received the measure and has the contents transferred, the medical record sheet associated with the date label is automatically displayed from the display of the date label. It is preferable to provide an in-hospital / other-hospital identification means that can identify whether it belongs to a patient in a hospital or a patient in another hospital.

Further, in the electronic medical record system according to the present invention, when the date label display means cannot display all of the date labels on the side of the screen due to the large number of date labels, the date in the date label is old. Things should be displayed so that they are displayed after the new one.

Further, the electronic medical record system according to the present invention displays a band-shaped time-series display section in which the distinction of each month can be recognized in a time-series manner above the display screen displaying the medical record sheet. When the outpatient consultation date, inpatient consultation date, examination / examination date, medication / injection date, etc., are indicated in the time-series display section by a predetermined mark at the corresponding position in each month. Series display means.

Further, in the electronic medical record system according to the present invention, a character data section, a graphic data section, and an image data section associated with position data arbitrarily designated by a user are stored on the medical record sheet. By pasting the data into a file, all types of data can be entered in the same way as a conventional paper chart, and the generated data, its recording position, and the date and time of occurrence (the same as the date on the date label) are stored together and easily. It is preferable to provide a unit that can also perform extraction.

[0013]

DESCRIPTION OF THE PREFERRED EMBODIMENTS Hereinafter, an electronic medical record system according to an embodiment of the present invention will be described. The electronic medical record according to the present embodiment is composed of an individual “medical record sheet having a date label” created each time an individual patient is treated, and a “cover” portion of a group of these medical record sheets for each patient. Be composed.

FIG. 1 shows an example of a screen for displaying a "cover" portion of an electronic medical record according to an embodiment of the present invention. In FIG. 1, reference numeral 1 denotes an ID display unit for displaying a patient's face photograph, ID, name, address, and the like. Reference numeral 2 denotes a final information display unit for inputting and displaying the latest information such as the patient's history, the number of deliveries, blood type, blood pressure, syphilis reaction, final internal examination, and final NST based on the latest test. These can be set as required by the user. Reference numeral 3 denotes a reservation / instruction unit for inputting / displaying a scheduled next visit date of a patient, examination reservation contents at that time, instructions to a nurse, and the like. Reference numeral 4 denotes a diagnosis display unit for inputting and displaying an outline of the main progress of the diagnosis of the patient so far. Reference numeral 5 denotes a history and important matter display unit for inputting and displaying the history and important matters of the patient so far. Thereby, the outline of the patient can be known.

FIG. 2 shows an example of a screen displaying a "medical record sheet with date label" at a certain date and time of a certain patient in the electronic medical record of the present embodiment. FIG.
In the figure, reference numeral 6 denotes a pregnant woman examination display section for inputting and displaying the result of the pregnant woman examination on that day. Reference numeral 7 denotes a hearing display unit for inputting and displaying the contents of hearing of a complaint from the patient (main complaint and present illness). Reference numeral 8 denotes a prescription display unit for inputting / displaying a doctor's prescription in characters, reference numeral 9 denotes an ultrasonic imaging unit for inputting / displaying photographing data obtained by ultrasonically photographing a pregnant woman's stomach, and reference numeral 10 denotes a graphic input of a doctor's consultation result. A graphic display unit for displaying. The type, number, display position, and display size of these data are arbitrary, and the user can arbitrarily lay out the data on the screen.

As described above, in the present embodiment, the doctor who is the user replaces the position data indicating an arbitrary position in the medical record sheet displayed on the screen with the character data, image data, and graphic data created by the user. Can be associated with That is, when the user creates character data such as a prescription on a new medical record sheet, the user can associate the position data with the character data. Similarly, when the user pastes an ultrasonic photograph or an X-ray photograph on a new medical record sheet, the user can associate the position data with image data such as the photograph. Further, when the user pastes a graphic for illustrating the affected part of the patient on the medical record sheet for new creation, the position data can be associated with the graphic data. Therefore, the user
It is possible to freely write (paste) data such as characters, images, figures, and the like at desired positions in the medical treatment recording sheet with the same feeling (operability) as a conventional medical chart of a paper medium.

In the present embodiment, each medical record sheet constituting the electronic medical record is associated with a date label (11 in FIGS. 1 and 2) displayed in the vertical direction on the left and right sides of the screen. Has been recorded. This date label 11
Are displayed in chronological order on both left and right ends of the screen displaying the medical record sheet or cover. The doctor, the user,
By arbitrarily selecting / designating (selecting and clicking) any of these date labels, the medical record sheet of the date corresponding to the date label can be immediately called up on the screen. When the medical record sheet of a certain date is called on the screen, the color of the date label corresponding thereto is inverted, so that the user can easily know the date of the medical record sheet on the current screen. In the example of the screen shown in FIG. 1, the date labels are displayed on the right end of the figure in order of date. Further, the user selects and clicks on the label “Today” at the upper left corner of FIG. 1 to display a blank new sheet for creation, and newly creates a medical record sheet on the day of the examination day. be able to. In addition, the user can return to the “cover” screen of the patient's electronic medical record by clicking the label “diagnosis” in the upper left corner of FIG.

In the example of FIG. 2, date labels are displayed in order of date on both the right and left ends of the screen. This figure 2
In the example, the date label of a date (older date) earlier than the date of the medical record sheet (currently displayed on the screen) that is currently open (displayed on the screen) is displayed at the left end of the screen, and the currently open medical record sheet is displayed. Date later than (newer date)
Is displayed at the right end of the screen.

FIG. 3 is an enlarged view showing a date label according to the present embodiment. In the present embodiment, the date label can additionally display information on each medical record sheet. First, in this embodiment, a predetermined mark (mark) is added to the right end of the date label in the drawing, so that it is possible to identify which medical department the medical record sheet belongs to. That is, in FIG. 3, the one having the square mark 12 at the right end of the date label 11 indicates surgery, and the one having the round mark 13 at the right end of the date label 11 indicates internal medicine. Therefore, the user can understand the medical department on that date only by looking at the marks 12 and 13 at the right end of the date label 11.

In this embodiment, the date label 11 on the outpatient's medical record sheet and the date label 11 on the inpatient's medical record sheet are displayed in different colors. In the example of FIG. 3, “01/15”, “01/1”
Three date labels 11 of 6 ″ and “10/17” (see reference numeral 14 in FIG. 3) are colored yellow, for example, so that in the present embodiment, it is only necessary to look at the colors of the date labels. , It can be determined whether it belongs to an outpatient or an inpatient.

Also, in this embodiment, whether the patient is in his / her own hospital (patient at his / her own medical institution) or a patient at another hospital (patient whose measures have been taken at another medical institution and whose contents have been transferred) Thus, the shape of the medical record sheet is changed. In the case of a patient in his / her own hospital, the label has a normal rectangular shape as shown in FIG. 3, but in the case of a patient in another hospital, two notches 15 are formed at the right end as shown in FIG. It has a date label in the shape of a letter. Thus, the user can determine whether the patient is in the own hospital or a patient in another hospital only by looking at the shape of the right end of the date label.

Further, in the present embodiment, the date label 11
If all of them cannot be displayed on the left and right sides of the screen due to the large number of items, only the relatively new date will be displayed in the foreground, and the relatively old date will be displayed behind it. ing. That is, as shown in FIG.
Comparison of series such as "08/15", "08/16", "09/26", etc. The date label 11 of the new date is displayed on the front (displayed on the front row), but the top date column (display on the front of the screen) Date column = front column) cannot be represented by the date label 11a as shown by reference numeral 11a in FIG.
Is superimposed (displayed in the back row). Whenever a new sheet is created, the oldest date column (front row) displayed will be moved to the back row. The user can determine that there is a date with an older date than the one displayed on the front by seeing the overlapped display. The medical record sheet corresponding to the old date label 11a can be called and displayed on the screen.

Next, in this embodiment, as shown in FIGS. 1 and 2, a time-series slide bar 2 extending in the lateral direction above a cover or an individual medical record sheet constituting an electronic medical record.
1 is displayed. FIG. 5 is an enlarged view of the time-series slide bar 21. As shown in FIG. 5, the time-series slide bar 21 includes a year and month display section 22 for displaying an upper year and a month, and a lower mark display section 23. The mark display unit 23 is composed of a total of five layers, for example, 23a, 23b, 23c, 23d, and 23e in the vertical direction in the figure. Each layer can input a visit date, an examination date, an injection date, and the like with a predetermined mark. In the example of FIG. 5, a square mark 24 indicating the day of the urine test is displayed on the layer 23a in the year / month display section 22.
Is displayed at the corresponding position. In the layer 23b, a circle mark 25 indicating the date on which the radiograph was taken is displayed at a corresponding position on the year / month display unit 22. Also,
In the layer 23c, a triangular mark 2 indicating the date when the electrocardiogram was taken
6 is displayed at a corresponding position on the year and month display section 22.
Note that the layers 23d and 23e are not used in this example for the time being. In the present embodiment, each of the layers 23a to 23e
Is used by the user to indicate what is used.

In this embodiment, the time-series slide bar 21 can be slid arbitrarily in the horizontal direction by clicking and dragging with the mouse (in this case, the date display unit 22 and the mark display unit 23 Slide together). Therefore, the user refers to the time-series slide bar 21 while sliding the bar,
Over the years, the patient's major medical status (frequency of visits, test flow, etc.) from the first consultation to recent times,
You can easily find out at a glance.

As described above, according to the present embodiment, the flow of long-term medical care for several years can be easily grasped by the time-series slide bar 21 and the medical care of an arbitrary date can be displayed by the date label. A record sheet can be quickly taken out and displayed, realizing an electronic medical record system that improves the ease and preservation of searches based on the date of past medical records while maintaining the operability of conventional medical record charts. can do.

In the present embodiment, the date label 11 is color-coded in order to identify whether the medical record sheet is for an inpatient or an outpatient with the date label 11, but the present invention is not limited to this. The present invention is not limited to this, and the same identification can be performed by displaying a predetermined mark (mark) on the date label or changing the shape of the date label. Further, in the present embodiment, a predetermined mark (mark) is displayed on the date label 11 in order to determine a medical department on the medical record sheet. However, the present invention is not limited to this. The same determination can be made by changing the shape of the date label for each department, or changing the color of the date label for each department. Further, in the present embodiment, the shape of the date label is changed in order to determine whether the medical record sheet is for a patient in the own hospital or a patient in another hospital, but the present invention is not limited to this. Instead, the same determination can be made by, for example, changing the color of the date label or adding a predetermined mark (mark) to the date label depending on whether the patient is in the hospital or another hospital.

[0027]

As described above, according to the present invention, since each medical record sheet is stored in association with a date label, a doctor who is a user can select a number of date labels by simply selecting the date label. Out of the medical record sheets, the medical record sheet of the consultation date desired can be easily and quickly called and displayed.

In the present invention, when displaying the date label, the date label of a date (old date) earlier than the date of the currently displayed medical record sheet is displayed on one side (for example, the left end) of the screen. By displaying the date label on the other side (for example, the right end) of the screen that is displayed and that is later than the date of the currently open medical record sheet (new date), the user can display the currently displayed medical record sheet. The selection and designation of the medical record sheet before the record sheet and the medical record sheet after the record sheet can be performed more easily.

Further, according to the present invention, different colors, shapes, or marks are added to the date label depending on whether the medical record sheet is for an inpatient or an outpatient. From the display of the date label, it is possible to easily determine whether the medical record sheet associated therewith is for an inpatient or an outpatient.

In the present invention, a different color, shape, or mark is added to the date label for each medical department such as surgery, internal medicine, obstetrics and gynecology, so that the user can add the date label to the date label. From the display, it is possible to easily determine which medical department the medical record sheet associated with this corresponds to.

According to the present invention, a different color, shape, or mark is added to the date label depending on whether the medical record sheet is for a patient in the home hospital or a patient in another hospital. From the display of the date label, it becomes possible to easily determine whether the medical record sheet associated with the date label relates to a patient in the own hospital or a patient in another hospital.

According to the present invention, when all of the date labels cannot be displayed on the side of the screen due to the large number of date labels, an old date in the date label is superimposed on a new date. Since the display is performed, even when the number of the medical record sheets is extremely large, the operability for the user to take out the medical record sheet on the desired date can be ensured.

Further, according to the present invention, a band-shaped time-series slide bar at the top of the display screen displays the date of outpatient consultation up to now, the examination /
The date of the medical examination, the date of infusion of the drug solution, etc. are indicated by predetermined marks at the corresponding positions of each month, so users can simply slide this time series slide bar, A list of the medical treatment processes can be easily grasped.

Further, according to the present invention, a character data portion such as a prescription, a graphic data portion indicating an affected part, and an image data portion such as an ultrasonic photograph can be arbitrarily provided on the medical record sheet by the user. In the medical record sheet in association with the position data indicating the position designated in the above, the doctor who is the user, with the same operability as the conventional paper-based medical chart, the medical record sheet Various data can be freely written in a desired place.

As described above, according to the present invention, a medical sheet that can be freely recorded by a user is used, and it has been conventionally scattered due to different formats that are scattered by outpatients / inpatients, by departments, by hospitals. It becomes possible to unify different medical records into one system. Therefore, since the personal information can be unified, the merit in medical treatment is immeasurable. In addition, the user can quickly grasp the difference between the consultation date and time and the consultation place by using the label.

[Brief description of the drawings]

FIG. 1 is a diagram showing an example of a screen displaying a cover of an electronic medical record according to an embodiment of the present invention.

FIG. 2 is a diagram showing an example of a screen displaying individual medical record sheets of the electronic medical record according to the embodiment.

FIG. 3 is a diagram illustrating a date label according to the embodiment.

FIG. 4 is a diagram illustrating another example of a date label according to the present embodiment.

FIG. 5 is a diagram showing a time-series slide bar according to the embodiment.

[Explanation of symbols]

 11, 11a Date label 12, 13 mark (mark) 15 Notch 21 time series slide bar 22 year and month display section 23 mark display section 23a to 23e layer 24, 25, 26 mark (mark)

Claims (8)

[Claims] Claims: 1. An electronic medical record system for electronically creating and storing a large number of medical records with a wide variety of items to be described, and at least one of a left and right display screen for displaying a medical record sheet. On the side, is a date label for calling and displaying the medical record sheet created on the date specified by the user, the date label associated with each medical record sheet, date label display means for displaying in order of date, An electronic medical record system comprising: 2. The medical device according to claim 1, wherein the date label display means displays date labels on both the right end and the left end of the display screen in chronological order. The date label of the date is displayed on one side of the screen, and the date label after the date of the currently open medical record sheet is displayed on the other side of the screen. An electronic medical record system characterized in that records can be known at a glance. 3. The color or shape according to claim 1 or 2, wherein the date label displayed by the date label display means differs depending on whether the medical record sheet is for an inpatient or a medical record sheet for an outpatient. An inpatient / outpatient identification means for adding a mark to identify whether the medical record sheet associated with the date label is for an inpatient or an outpatient from the display of the date label. Electronic medical record system characterized by the following. 4. The date label displayed by the date label display unit according to claim 1, 2, or 3, wherein a different color, shape, or mark is provided for each medical department such as surgery, internal medicine, obstetrics and gynecology. An electronic medical record system comprising: a medical department identification unit configured to identify which medical department the medical record sheet associated with the date label is displayed from by displaying the date label. . 5. The date label displayed by the date label display unit according to claim 1, 2, 3, or 4, further comprising:
Or, by adding a mark, from the display of the date label, it is possible to identify whether the medical record sheet associated therewith relates to a patient in the own hospital or a patient in another hospital. An electronic medical record system comprising: identification means. 6. The date label display unit according to claim 1, wherein the date label display means increases a date label as a result of an increase in the number of medical treatment days, and cannot display all date labels on the side of the screen. An electronic medical record system characterized in that an old date in a label is displayed after being superimposed on a new date so that a user can recognize all medical treatment days. 7. The system according to claim 1, further comprising a display screen on which a medical record sheet is displayed, wherein the distinction of each month can be recognized in a time-series manner and the screen can be slid right and left on the screen. The band-shaped time-series slide bar is displayed, and in this time-series slide bar, the date of outpatient or hospital consultation, the date of examination or screening, the date of medication or injection, etc.
An electronic medical record system, comprising: a time-series display unit indicated by a predetermined mark at a position corresponding to each month. 8. The medical record sheet according to claim 1, further comprising a user arbitrarily adding various character data, graphic data, and image data to the medical record sheet. An electronic medical record system, comprising: a pasting means for pasting, wherein the position data of the various character data section, graphic data section, and image data section are also stored.