JP2011150395A - Graph display system for medical data, graph display device and display program - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a graph display system for medical data, allowing visual representation of a normal value range to a specific examination result even when superposing and displaying a plurality of line graphs. <P>SOLUTION: A server computer 50 includes: a first DB 60 sequentially managing at least examination results; a second DB 70 sequentially managing an administration history of medicine; and a third DB 80 managing normal value ranges of examination items. A client terminal 30 sets a plurality of examination items and a display period desired to be graph-displayed, and makes a request to the server computer 50, and displays a plurality of examination result graphs acquired from the first DB 60 in a first display format. The client terminal 30 displays a medicine dosage graph acquired from the second DB 70 in a second display format. The client terminal 30 emphatically displays one of the plurality of examination result graphs when mouseovering on the one of the examination result graphs, acquires information of the normal value range of the examination item corresponding to the mouseovered examination result from the third DB 80, and displays it on the examination result graph. <P>COPYRIGHT: (C)2011,JPO&INPIT

Description

  The present invention relates to a medical data graph display system, a graph display device, and a display program.

  In medical institutions such as hospitals and clinics, a graph showing the drug dosage (drug history) indicating the amount of drug administered to the patient and the test results (test history) indicating the patient's symptoms in time series (For example, a thermal table) is performed. For example, by displaying the test results in a line graph and displaying the drug dose in a stepped graph, the correlation between various test results and the drug dose can be visually confirmed. You can judge whether the content was appropriate.

  However, when a plurality of line graphs of inspection result values are displayed in an overlapping manner, it may be difficult to see the transition of the graph to be noticed. In addition, it is easy to indicate the range of normal values for the inspection result value of one line graph. However, when multiple line graphs are displayed in an overlapping manner, the normal value range for a specific inspection result is visually displayed. There was a problem that could not be expressed.

  For example, in Japanese Patent No. 3408216 (Patent Document 1), a standard value indicating a reference normal value range is stored for each inspection item, and when the inspection data is displayed in a graph, a predetermined interval is provided on the vertical axis of the graph. Set the upper reference value and lower reference value, and assume the vertical axis scale so that the upper and lower limits of the standard value of the inspection items to be displayed on the graph match the upper and lower reference values. Draw on the graph, and at that time, for the inspection item that has only the lower limit and no upper limit, the lower limit value is multiplied by a predetermined number as the upper limit value, and the upper limit is matched with the upper reference value on the vertical axis. A method of displaying has been invented.

  Japanese Patent Laid-Open No. 2003-162580 (Patent Document 2) invented a graph display system in which a normal value database is provided and an arbitrary scale can be set as an inspection axis based on a normal value (reference value). Yes.

Japanese Patent No. 3408216 JP 2003-162580 A

  However, the techniques of Patent Document 1 and Patent Document 2 allow the upper and lower reference values to be arbitrarily set, and display the graph in accordance with the set scale, and display a plurality of line graphs in an overlapping manner. The normal value range for a specific test result cannot be visually represented.

  The present invention has been made in order to solve the above-described problem, and even when a plurality of graphs are displayed in an overlapping manner, the normal value range for a specific test result can be visually expressed. An object is to provide a graph display system, a graph display device, and a display program.

  In order to achieve the above object, a medical data graph display system according to the present invention is a medical data graph display system in which a client terminal and a server computer are connected, and the server computer displays at least test results in time series. And a second database for managing a normal value range of inspection items, and the client terminal sets a plurality of inspection items and a display period to be displayed in a graph and requests the server computer, A plurality of inspection result graphs corresponding to the plurality of inspection items acquired from the first database of the server computer are displayed, and the inspection result graph is highlighted when one of the plurality of inspection result graphs is moused over. , Normal value range information of the inspection item corresponding to the highlighted inspection result graph The request to the server computer, and displaying the overlapped the test result graph the normal value range of information acquired from the second database on the server computer to have the highlighted.

  The graph display device of the present invention also includes medical data for acquiring graph display information from a server computer including at least a first database for managing examination results in time series and a second database for managing normal value ranges of examination items. A graph display device that sets a plurality of examination items to be displayed in a graph and a display period and requests the server computer to perform a plurality of examinations corresponding to the plurality of examination items acquired from the first database of the server computer. A result graph is displayed, and when one of the plurality of test result graphs is over the mouse, the test result graph is highlighted, and information on the normal value range of the test item corresponding to the highlighted test result graph is displayed on the server. Requesting the computer to obtain the primary data obtained from the third database of the server computer. And displaying overlapping the test results graph information value range as described above highlighted.

  The display program of the present invention is a medical program for acquiring and displaying graph display information from a server computer including at least a first database for managing examination results in time series and a second database for managing normal value ranges of examination items. A data display program, which sets a plurality of inspection items and display periods to be displayed in a graph and requests the server computer to correspond to the plurality of inspection items acquired from the first database of the server computer. An inspection result graph is displayed. When one of the plurality of inspection result graphs is over the mouse, the inspection result graph is highlighted, and information on the normal value range of the inspection item corresponding to the highlighted inspection result graph is displayed. Request to the server computer and obtain from the third database of the server computer And displaying overlapping the test results graph the a normal value range of the information mentioned above highlighted.

  According to the present invention, when a plurality of graphs are displayed in an overlapping manner, the normal value range for a specific test result can be visually expressed, which can be used for various treatments.

The block diagram which shows the structure of the graph display system (hospital information display system) in which the graph display apparatus which concerns on this embodiment is used. The figure which shows the detailed structure of the server computer and client terminal of the graph display system which concerns on this embodiment. The flowchart which shows the graph display operation | movement of the server computer and client terminal of the graph display system which concerns on this embodiment. An example of the graph display setting screen of the client terminal which concerns on this embodiment. An example of the graph display of a test history and a medicine history in the client terminal which concerns on this embodiment. The flowchart which shows the operation | movement at the time of mouse-over of the server computer and client terminal of the graph display system which concerns on this embodiment. An example of a graph display when a mouse is moved over a specific graph in the client terminal according to the present embodiment. The figure which shows the example of a display of the other test | inspection graph which concerns on this embodiment. The figure which shows the example of a display of the normal value range when ALB is instruct | indicated in the test | inspection graph display of FIG.

  Hereinafter, embodiments of the present invention will be described with reference to the drawings.

(Example)
FIG. 1 is a block diagram showing a configuration of a graph display system (hospital information system) in which a graph display device according to an embodiment of the present invention is used. The graph display system 100 according to this embodiment includes a plurality of doctor client terminals 10 connected to a network LAN, a plurality of nurse client terminals 20, and a server computer 50 having various databases DB. The graph display device of the present invention is applied to the doctor client terminal 10 and the nurse client terminal 20.

  As the database DB provided in the server computer 50, here, a DB 60 for managing test results in time series, a DB 70 for managing drug administration history in time series, a DB 80 for managing normal value ranges of test items, and a chart information management DB 90 are provided. Show. The server computer 50 is further provided with a database relating to medical accounting, a database relating to medicine, a database relating to work of doctors / nurses, etc., but these are omitted because they are not directly managed with the present invention.

  In addition, although a local area network LAN is shown as a network, other connections may be, for example, an Internet connection or a dedicated line. In addition, other terminals such as medical accounting terminals and pharmaceutical terminals are connected as client terminals, which are also omitted.

  FIG. 2 is a diagram showing a detailed configuration of the server computer 50 and the client terminal 30 according to the present embodiment. The client terminal 30 in FIG. 2 may be the doctor client terminal 10 or the nurse client terminal 20. In FIG. 2, the network LAN is omitted. In addition, it is assumed that data communication is performed between the server computer 50 and the client terminal 30 by a known network technology.

  An input device 32 such as a keyboard and a mouse and a display device 35 such as an LCD are connected to the client terminal 30. In addition, a graph display control unit 33 (hereinafter simply referred to as a graph display control unit) for the examination history and the drug history is provided inside, and in the graph display control unit 33, an execution content request unit 33a, An implementation content receiver 33b is provided. These devices can also be achieved by a CPU and a control program (not shown).

  On the other hand, in addition to the above-described database DB, the server computer 50 is provided with a reference function section 55 (hereinafter simply referred to as a reference function section) for examination history and drug history. This apparatus can also be achieved by a CPU and a control program (not shown).

  FIG. 3 is a flowchart showing the graph display operation of the server computer 50 and the client terminal 30 according to the present embodiment. Here, FIG. 3A shows the operation of the server computer 50, and FIG. 3B shows the operation of the client terminal 30. FIG. 4 shows an example of a graph display setting screen of the client terminal 30 according to the present embodiment. FIG. 5 shows an example of a graph display of examination history and medication history in the client terminal 30 according to the present embodiment.

  Next, the operation of the graph display system will be described with reference to FIGS. Here, it is assumed that the server computer 50 reads out the chart information from the chart information management DB 90, creates information for managing the examination results in time series for each patient, and registers the information in the DB 60. In addition, it is assumed that the server computer 50 creates information for managing the medication administration history in time series and registers the information in the DB 70. These pieces of information may be created by the server computer 50 accessing the chart information management DB 90 periodically or by accessing the chart information management DB 90 in response to a user's instruction input from the client terminal 30. Also good. It is assumed that normal value ranges of various inspection items are registered in advance in the DB 80 that manages the normal value ranges of inspection items. In addition, the normal value range of the inspection item shall be updated as needed with the revision of the inspection standard value.

  First, the graph display setting screen shown in FIG. 4 is displayed on the display device 35 by the graph display control unit 33 of the client terminal 30. The user uses the mouse of the input device 32 to set “inspection display item (a)” and “display period (b)” to be displayed in a graph from the graph display setting screen. In the display example of FIG. 4, “weight” and “blood pressure” are set as examination display items. Further, 2009/11/10 to 2009/11/14 are set as the display period. The information set on the graph display setting screen of the display device 35 is transmitted from the execution content request unit 33a of the graph display control unit 33 to the reference function unit 55 of the server computer 50 (step S200 in FIG. 3).

  Thereby, the reference function unit 55 of the server computer 50 receives “inspection display item (a)” and “display period (b)” from the execution content request unit 33a of the client terminal 30 (step S100 in FIG. 3). .

  Next, the reference function unit 55 of the server computer 50 displays the inspection result information (calendar information of the inspection history information) corresponding to “inspection display item (a)” and “display period (b)” in time series. Extracted from the DB 60 to be managed (step S110 in FIG. 3).

  Next, the reference function unit 55 of the server computer 50 displays the drug administration information (calendar information of the drug history information) corresponding to the “test display item (a)” and “display period (b)” as the drug administration history. Extracted from the DB 70 managed in time series (step S120 in FIG. 3).

  Then, the reference function unit 55 of the server computer 50 transmits the extracted test result information (calendar information of the test history information) and drug dosage information (calendar information of the drug history information) to the client terminal 30 (FIG. 3). Step S130). In the client terminal 30, the execution content receiving unit 33 b of the graph display control unit 33 receives this.

  The graph display control unit 33 of the client terminal 30 displays the inspection result on the display device 35 in, for example, a line graph (first display format) based on the inspection result information (calendar information of the inspection history information) from the server computer 50. . In FIG. 5, a line graph 500 of “body temperature” from 2009/11/10 to 2009/11/14 is displayed.

  Similarly, the graph display control unit 33 of the client terminal 30 displays the drug dosage on the display device 35 based on the drug dosage information (calendar information of the drug history information) from the server computer 50, for example, in a stepped graph (first graph). 2 display format) (step S210 in FIG. 3). In FIG. 5, a staircase graph 510 of “Kakkonyu” from 2009/11/10 to 2009/11/14, a staircase graph 520 of “Reslin Tablet 25 mg”, and a staircase graph 530 of “Gaster Tablet 10 mg” are displayed. is doing.

  In this way, the client terminal 30 displays the test result and the drug dose according to the contents set from the graph display setting screen, that is, the “test display item (a)” and “display period (b)” to be displayed as a graph. The test results of the server computer 50 can be acquired from the DB 60 that manages the time series in time series and the DB 70 that manages the medication administration history in time series, and can be displayed on the display device 35.

  In the display example of FIG. 5, the inspection result displays a line graph with a scale 300 on the left side. The line graph of the inspection result is expressed using the entire table area. When displaying a plurality of graphs, a plurality of line graphs are displayed in an overlapping manner. The scale of the drug dose is not displayed, and the height width 400 of about one scale of the test result is displayed from the upper part of the graph. When displaying a plurality of graphs, graph display areas 410 and 420 for one scale are further used in the downward direction.

  FIG. 6 is a flowchart showing operations of the server computer 50 and the client terminal 30 according to this embodiment when the mouse is over. Here, FIG. 6A shows the operation of the server computer 50, and FIG. 6B shows the operation of the client terminal 30. FIG. 7 shows an example of a graph display when the mouse is moved over a specific graph in the client terminal 30 according to the present embodiment. FIG. 7 shows a display example of a graph in which a plurality of inspection results are displayed by the same process. Here, a graph of “weight” and “blood pressure” (maximum blood pressure and minimum blood pressure) is displayed.

  In the present embodiment, when the user places the mouse cursor (arrow 600) on a specific line graph using the mouse of the input device 32 in a state where a plurality of line graphs of inspection results are displayed (mouse over). Change all the line graphs except the one with the mouse cursor to light color. As a result, it is possible to highlight only the line graph to be noticed.

  In FIG. 6, it is assumed that a plurality of line graphs shown in FIG. 7 are displayed on the display device 35 of the client terminal 30. When the user operates the mouse and places the mouse cursor (arrow 600) on a specific line graph (blood pressure line graph in FIG. 7) (Yse in step S250 in FIG. 6), the graph display control unit 33 Judge that. And the graph display control part 33 stops the display of a medicine dosage, and changes all the line graphs other than the line graph to which the mouse cursor was applied to the light color. As a result, it is possible to emphasize the line graph to be noticed. As this highlighting, a method of changing the saturation or brightness while maintaining the same color may be used. Then, the graph display control unit 33 requests the normal value range information of the test item of the line graph (in this case, blood pressure) over the mouse to the server computer 50 via the execution content request unit 33a (step S260 in FIG. 6). ).

  In response to this request, the reference function unit 55 of the server computer 50 extracts information on the normal value range of the inspection item corresponding to the line graph over the mouse from the DB 80 that manages the normal value range of the inspection item (FIG. 6). Step S150). Then, the extracted normal value range information is transmitted to the client terminal 30 (step S160 in FIG. 6).

  The graph display control unit 33 received via the execution content receiving unit 33b of the client terminal 30 displays the normal value range information from the server computer 50 in a graph on the display device 35 together with the line graph over which the mouse is over (see FIG. 6). Step S270).

  In the display example of FIG. 7, when the mouse is moved over the blood pressure graph (which can be either the highest blood pressure or the lowest blood pressure graph), a line graph (weight) other than the mouse over is displayed in a light color. ing. Further, the normal value range information received from the server computer 50 is displayed in a background color. A white background portion 700 surrounded by the background indicates a range of normal values.

  FIG. 8 is a diagram illustrating a display example of an inspection graph according to the present embodiment. FIG. 9 is a diagram showing a display example of the normal value range when ALB is designated in the inspection graph of FIG.

  In the inspection graph of FIG. 8, the result value transition from 6th October 2009 to 8th December 2009 regarding six biochemical tests of ALB, TP, LAP, GPT, ALP, and GOT is displayed. . Then, when the inspection graph is displayed, when the mouse cursor (arrow 600) of FIG. 9 is placed on an arbitrary position on the ALB line graph, the graph display control unit 33 displays the inspection graphs other than the ALB. Is controlled so that the ALB inspection graph is highlighted. In addition, the normal value range 700 of the ALB test acquired from the DB 80 that manages the normal value range of the test item is displayed. Furthermore, the scale of the graph is also displayed by highlighting only the ALB scale. As a result, not only the ALB test result can be seen carefully, but also the normal value range of ALB can be confirmed simultaneously. Therefore, it is possible to concentrate and firmly grasp the patient test results.

  In FIG. 9, in order to highlight the ALB scale, a shaded and bold character is used. However, the present invention is not limited to this. For example, other inspection items (GOT, ALP, TP, LAP, GPT) The scale characters may be displayed lightly. Further, the ALB scale may be highlighted with color characters, and other inspection items may be displayed with black characters.

  As described above, according to the present embodiment, the examination result and the medicine dose during the designated period can be displayed at the same time, so that the state of treatment is easily understood. In addition, even when multiple line graphs showing test results are displayed in an overlapping manner, only the graph of a specific test result is highlighted and the normal value range corresponding to the test item of the graph is visually displayed. Can be displayed. Therefore, it can be used for various treatments.

  The present invention is not limited to the above-described embodiment, and can be appropriately changed in design without departing from the gist of the present invention.

DESCRIPTION OF SYMBOLS 10, 20, 30 ... Client terminal 32 ... Input device 33 ... Examination history and medicine history graph display control unit 33a ... Execution content request unit 33b ... Execution content reception unit 35 ... Display device 50 ... Server computer 55 ... Examination history and medicine History reference function unit 60 ... DB for managing test results in time series
70 ... DB that manages the administration history of drugs in chronological order
80 ... DB that manages the normal value range of inspection items
90. Medical record information management DB

Claims (6)

A medical data graph display system in which a client terminal and a server computer are connected,
The server computer includes at least a first database for managing inspection results in time series, and a second database for managing a normal value range of inspection items,
The client terminal is
Requesting the server computer to set a plurality of inspection items and a display period to be displayed in a graph, displaying a plurality of inspection result graphs corresponding to the plurality of inspection items acquired from the first database of the server computer, and When one of a plurality of test result graphs is moused over, the test result graph is highlighted, and the server computer is requested for information on the normal value range of the test item corresponding to the highlighted test result graph, and the server A medical data graph display system, wherein the normal value range information acquired from the second database of the computer and the highlighted test result graph are displayed in an overlapping manner.   The client terminal simultaneously displays a plurality of scales corresponding to the plurality of test result graphs, and highlights only the scale corresponding to the test result graphs when one of the plurality of test result graphs is moused over. The medical data graph display system according to claim 1. A medical data graph display device for acquiring graph display information from a server computer comprising at least a first database for managing test results in time series and a second database for managing a normal value range of test items,
Requesting the server computer to set a plurality of inspection items and a display period to be displayed in a graph, displaying a plurality of inspection result graphs corresponding to the plurality of inspection items acquired from the first database of the server computer, and When one of a plurality of test result graphs is moused over, the test result graph is highlighted, and the server computer is requested for information on the normal value range of the test item corresponding to the highlighted test result graph, and the server A graph display device, wherein the normal value range information acquired from the second database of the computer and the highlighted test result graph are displayed in an overlapping manner.   A plurality of scales corresponding to the plurality of test result graphs are displayed simultaneously, and only one of the scales corresponding to the test result graph is highlighted when one of the plurality of test result graphs is moused over. Item 4. The graph display device according to Item 3. A medical data display program for obtaining and displaying graph display information from a server computer comprising at least a first database for managing test results in time series and a second database for managing a normal value range of test items,
Requesting the server computer to set a plurality of examination items and a display period to be displayed in a graph,
Displaying a plurality of inspection result graphs corresponding to the plurality of inspection items acquired from the first database of the server computer;
Highlighting one of the plurality of test result graphs when the mouse is over the test result graph;
Request the server computer for information on the normal value range of the inspection item corresponding to the highlighted inspection result graph,
A display program for displaying the normal value range information acquired from the second database of the server computer and the highlighted examination result graph in an overlapping manner. A medical data display program for obtaining and displaying graph display information from a server computer comprising at least a first database for managing test results in time series and a second database for managing a normal value range of test items,
Requesting the server computer to set a plurality of examination items and a display period to be displayed in a graph,
Simultaneously displaying a plurality of inspection results corresponding to the plurality of inspection items acquired from the first database of the server computer and a plurality of scales corresponding to the plurality of inspection result graphs;
Highlighting one of the plurality of test result graphs when the mouse is over the test result graph;
Request the server computer for information on the normal value range of the inspection item corresponding to the highlighted inspection result graph,
A display program for displaying the normal value range acquired from the second database of the server computer and the highlighted test result graph in a superimposed manner and displaying a scale corresponding to the test result graph in a highlighted manner .

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