JP4819964B2 - Medical examination support equipment - Google Patents

Description

  The present invention relates to a medical examination support apparatus that supports a medical examination work in a hospital, and relates to a medical examination work support apparatus that supports a medical examination work as an electronic medical record that can display and record various information related to a medical examination, for example.

  Even today, many hospitals use paper charts to record information related to daily medical examinations. However, there are various problems with paper charts, and the need for improvement has been recognized. For example, in busy business, characters written on a paper chart tend to be messy and often cannot be read by others. In addition, the criteria for whether or not various information should be entered are often left to the individual's judgment, and there are cases where only the memory of the doctor can be relied upon without recording the information essential for management. In addition, it requires space for storage, must be carried to the site for each examination, treatment, and surgery, and it is difficult to use medical record information for medical research and research purposes. and so on.

  In order to solve such a problem of the paper chart, various proposals for digitizing the paper chart have been made conventionally, and there is an example of an electronic chart system put into practical use for actual business use.

JP 07-334586 A

  By the way, there is a wide variety of information to be written in the medical chart, and not only letters written with a pen but also a photo of the inspection result, a piece of contact paper, and the like are pasted. If such a chart is simply digitized and displayed on a display, a very large number of windows are created on the screen, making it difficult to see the contents. Further, when the hierarchical structure of the menu becomes deeper, operations such as clicking until obtaining necessary information are increased, so that work efficiency is lowered and operation becomes difficult to master.

  Actually, the conventional electronic medical record cannot properly browse the necessary information in the necessary scene, so the operations such as clicking and scrolling are very troublesome, and the menu and usage are complicated and difficult to master. Many problems have been pointed out from the field.

  For example, the work of performing this examination while referring to the results of previous and previous examinations and prescriptions / instructions of the same patient is generally performed in the examination work. In the case of a conventional paper chart, the contents of the charts on a plurality of examination days are compared and referred to by turning over the corresponding pages while holding a finger between the sheets.

  On the other hand, in the conventional general electronic medical chart, information is arranged in the window for each examination date as in the case of the paper medical chart. Must be selected and displayed on the front, the entire page is switched every examination day, and the screen is scrolled up, down, left and right. As a result, such an operation is more troublesome than the conventional paper chart, which is a cause of a decrease in work efficiency when an electronic chart is adopted.

  The present invention has been made in view of such circumstances, and an object of the present invention is to provide an examination work support apparatus that can easily compare and refer to examination work information on a plurality of examination dates.

The examination work support device according to the present invention stores at least patient identification data and examination work data including examination result data indicating the result of examination performed for the patient examination in association with the examination date. A database unit; a display unit that displays a screen according to an input display signal; an instruction input unit that generates an instruction signal according to a predetermined instruction input operation by a user; and the patient identification data. When the instruction signal for instructing the display unit to display a screen related to the examination work data is generated in the instruction input unit, the examination work data associated with the one patient identification data is stored in the database unit. A first processing unit acquired from the memory, a memory that stores the examination work data acquired by the first processing unit, and the first processing unit. It reads the resulting at least 1 examination of days the examination business data was from the memory, and a second processing unit configured to generate the display signal to display the contents of the read examination business data on the screen.
The examination work data includes a type code indicating the type of examination of each examination result data, and the memory stores related examination type data including a plurality of the type codes related to a plurality of related examination types. .
The second processing unit, when the instruction signal that instructs to display the inspection result data for a plurality of times by designating one inspection result data being displayed on the screen is generated in the instruction input unit, When the related inspection type data including the type code associated with one inspection result data is searched in the memory, and the related inspection type data is acquired from the memory as a result of the search, the acquired related inspection For each of a plurality of types corresponding to a plurality of type codes included in the type data, if a series of K test result data exists, it is read from the memory, and K for one or more types of the read types is read out. The display signal for displaying the contents of the test result data of the batch (K is a natural number greater than 1) in order of the examination date is generated. .

  Preferably, the related examination type data includes priority order information in a plurality of type codes included in the related examination type data, and the second processing unit includes a plurality of types included in the related examination type data. When the contents of examination result data of a plurality of types corresponding to codes are arranged on the screen in order of examination date, the contents of a group of the examination result data associated with the same classification code are examined in a predetermined direction on the screen. The display signal that is arranged in order of date and displays the contents of the plurality of types of the examination result data included in the same examination work data in a direction perpendicular to the predetermined direction in an order corresponding to the priority information. Is generated.

  Preferably, the examination work data includes findings data relating to a doctor's examination findings, and the memory stores a disease name code indicating a disease name in the findings data and the related examination type data in association with each other, The second processing unit, when the instruction signal that instructs to display the inspection result data for a plurality of times by designating one inspection result data being displayed on the screen is generated in the instruction input unit, The related examination type that is associated with the disease name code of the finding data included in the same examination work data as the one examination result data and includes the type code associated with the one examination result data Data is retrieved in the memory.

  Preferably, the examination work data includes findings data relating to a doctor's examination findings, and the memory stores a disease name code indicating a disease name in the findings data and the related examination type data in association with each other, The second processing unit reads the examination work data for at least one time from the memory and displays the contents of the plurality of examination result data included in the examination work data on the screen. The related examination type data associated with the disease name code included in the finding data is read from the memory, the priority information in a plurality of type codes included in the read related examination type data, and the plurality of examinations Based on the type code respectively associated with the result data, the plurality of inspection result data That determines the order according to the order the determined, to generate the display signal to be displayed side by side the contents of each test result data on a predetermined arrangement pattern of the screen.

  Preferably, the database unit stores the patient identification data and the related examination type data in association with each other, and the first processing unit stores the examination work data associated with one patient identification data in the database. When acquiring from the unit, the related examination type data associated with the one patient identification data is acquired from the database unit and stored in the memory.

  Preferably, the database unit stores user identification data and the related examination type data in association with each other, and the first processing unit is operated by a user of the one user identification data. When the instruction signal indicating this is generated in the instruction input unit, the related examination type data associated with the user identification data instructed in the instruction signal is acquired from the database unit and stored in the memory To do.

  Preferably, the examination work data includes the related examination type data, and the second processing unit designates one examination result data being displayed on the screen and displays the examination result data for a plurality of times. When the instruction signal instructing is generated in the instruction input unit, the related examination type data included in the same examination work data as the one examination result data is obtained from the memory, and the obtained related examination is obtained. For each of a plurality of types corresponding to a plurality of type codes included in the type data, if a series of K test result data exists, it is read from the memory, and K for one or more types of the read types is read out. The said display signal which arrange | positions and displays the content of the test result data of a batch in order of an examination date is produced | generated.

  Preferably, the instruction input unit generates the instruction signal indicating a contact position or a proximity position when an object contacts or approaches the surface of the screen of the display unit, and the second processing unit includes the screen The instruction input unit generates the instruction signal indicating that the object has contacted or approached L times (L represents an arbitrary natural number) within a predetermined time in the display area of one inspection result data being displayed in the instruction input unit. In this case, the display signal for enlarging or reducing the content of the one inspection result data on the screen is generated.

  Preferably, the memory stores the magnification data for setting the magnification for enlargement or reduction and the type code in association with each other, and the second processing unit enlarges or reduces the content of the one inspection result data. In this case, the magnification data associated with the type code of the one inspection result data is acquired from the memory, and is enlarged or reduced at a magnification according to the magnification data.

  Preferably, the second processing unit indicates that the object has touched or approached L times (L represents an arbitrary natural number) within a predetermined time in the enlarged or reduced display area of the inspection result data. When the instruction signal is generated in the instruction input unit, the display signal for further expanding or reducing the contents of the inspection result data on the screen is generated.

  Preferably, when the content of the inspection result data on the screen is enlarged or reduced according to the instruction signal, the second processing unit displays a display size that exceeds a predetermined upper limit value or lower than a predetermined lower limit value. In this case, the display signal is generated so that the display size of the inspection result data becomes the upper limit value or the lower limit value.

  Preferably, the memory stores information on the upper limit value and / or information on the lower limit value and the type code in association with each other, and the second processing unit sets the display size of the inspection result data to the upper limit When expanding to a value, it expands to an upper limit value corresponding to the information about the upper limit value stored in the memory in association with the type code indicating the test type of the test result data, and / or When the display size is reduced to the lower limit value, the display size is reduced to the lower limit value corresponding to the information regarding the lower limit value stored in the memory in association with the type code indicating the test type of the test result data.

  Preferably, the examination work data includes examination data including at least one of the examination result data, finding data relating to findings of a doctor's examination, and prescription data relating to a medicine prescribed to a patient (hereinafter referred to as examination data, finding data and prescription). The instruction input unit indicates the contact position or the proximity position when an object contacts or approaches the surface of the screen of the display unit. The instruction signal indicating that the contact position has slid in a direction inclined at an angle within a predetermined range with respect to a horizontal direction within the display area of the individual data on the screen is generated by the second processing unit. When generated in the instruction input unit, the contact position is included in the slide display area at a magnification corresponding to the length from the start point to the end point of the slide. Wherein generating the display signals for enlarging or reducing the contents of individual data.

  Preferably, when the content of the individual data on the screen is enlarged or reduced in accordance with the instruction signal and the display size exceeds a predetermined upper limit value or falls below a predetermined lower limit value, the second processing unit Generates the display signal so that the display size of the individual data becomes the upper limit value or the lower limit value.

  According to the present invention, it is possible to easily compare and refer to information on examination work on a plurality of examination dates on the screen.

It is a figure which shows an example of the display screen of the digitized medical chart which a doctor utilizes in the examination work support device which concerns on embodiment of this invention. It is a figure which shows an example of the whole structure of the examination work assistance apparatus which concerns on this embodiment. It is a figure which shows an example of a structure of a server apparatus. It is a figure for demonstrating the data structure regarding the display setting of each doctor's medical chart screen memorize | stored in the staff database part. It is a figure for demonstrating the structure of the display setting data applied when a specific doctor looks at a medical chart. It is a figure for demonstrating the structure of test | inspection display setting data. It is a figure for demonstrating the structure of related test | inspection classification data. It is a figure for demonstrating the structure of magnification setting data. It is a figure for demonstrating the structure of the display setting data applied when a specific doctor looks at the chart of a specific patient. It is a figure for demonstrating the structure of the examination work data memorize | stored in a patient database part. It is a figure for demonstrating the structure of test | inspection data. It is a figure for demonstrating the structure of the display setting data applied when viewing the medical chart of the specific patient on a specific medical examination day. It is a figure which shows an example of a structure of a terminal device. It is a flowchart for demonstrating the process in the case of displaying a medical chart screen in the examination work support device which concerns on this embodiment. It is a flowchart for demonstrating the process which forms a medical chart screen. It is the 1st figure for demonstrating the variation of the layout of a medical chart screen. It is the 2nd figure for demonstrating the variation of the layout of a medical chart screen. It is a 1st figure for demonstrating the example of customization of the display area of an individual data. It is a 2nd figure for demonstrating the example of customization of the display area of an individual data. It is a flowchart for demonstrating the process which determines the size of the display area of each individual data. It is a figure for demonstrating the display format of the text data in the display area of an individual data, and image data. It is a flowchart for demonstrating the process which adjusts the display area of an individual data automatically. It is a figure which shows the example of a display of a medical chart screen when not performing automatic adjustment of a display area. It is a figure which shows the example of a display of the medical chart screen in the case of performing automatic adjustment of a display area. It is a figure which shows the example in the case of providing a scroll bar in the display area | region of test | inspection data. It is the flowchart which added the process which adjusts the display area | region of examination work data automatically to the flowchart of FIG. It is a flowchart for demonstrating the process which determines the display size of examination work data. It is a figure which shows the example of a display of a medical chart screen in the case of performing automatic adjustment of the display size of examination work data. It is a flowchart for demonstrating the process of the 2nd modification which determines the width | variety in the 1st direction of the display area | region of the examination work data. It is a 1st flowchart for demonstrating the process of the 3rd modification which determines the width | variety in the 1st direction of the display area | region of the examination work data. It is a 2nd flowchart for demonstrating the process of the 3rd modification which determines the width | variety in the 1st direction of the display area | region of examination work data. It is a flowchart for demonstrating the process of the 4th modification which determines the size of the display area of each individual data. It is a 1st flowchart for demonstrating the process of the 4th modification which determines the image size of each separate data. It is a 2nd flowchart for demonstrating the process of the 4th modification which determines the image size of each separate data. It is a figure which shows the example of a display of a medical chart screen in the case of reducing an image automatically according to the size of the display area of individual data. It is a figure which shows the example of a display of a medical chart screen in the case of enlarging an image automatically according to the size of the display area of individual data. It is a flowchart for demonstrating the process which determines the arrangement | sequence of the test result displayed on a screen. It is a flowchart for demonstrating the process which shifts the medical chart displayed on a screen by an examination day unit. It is a 1st figure which shows an example of operation in the case of shifting by the medical examination date unit displayed on a screen. It is a 2nd figure which shows an example of operation in the case of shifting by the medical examination date unit displayed on the screen. It is a flowchart for demonstrating the process which expands or reduces the content of individual data. It is a 1st figure which shows an example of operation in the case of enlarging or reducing the content of individual data. It is a 2nd figure which shows an example of operation in the case of enlarging or reducing the content of individual data. It is a 3rd figure which shows an example of operation in the case of enlarging or reducing the content of individual data. It is a 4th figure which shows an example of operation in the case of enlarging or reducing the content of individual data. It is a flowchart for demonstrating the process which expands or reduces the image of a test result. It is a 1st figure which shows an example of operation in the case of expanding or reducing a test result. It is a 2nd figure which shows an example of operation in the case of expanding or reducing a test result. It is a 3rd figure which shows an example of operation in the case of expanding or reducing a test result. It is a flowchart for demonstrating the process which displays a test result in time series. It is a 1st figure which shows the example of a display of a screen in case a test result is displayed in time series. It is a 2nd figure which shows the example of a display of a screen in case a test result is displayed in time series.

  FIG. 1 is a diagram showing an example of an electronic chart display screen used by a doctor in the examination work support apparatus according to the embodiment of the present invention. In the examination work support apparatus according to the present embodiment, as shown in FIG. 1, charts of a plurality of examination days of the same patient are arranged in order of date and displayed on the screen.

In FIG. 1, “A1”, “A1-1”, and “A1-2” each indicate a display area of a medical chart related to one medical examination. The area A1 shows the current (latest) chart, the area A1-1 shows the previous (one time before) chart, and the area A1-2 shows the previous (two times before) chart. A series of three-day charts including the latest chart are displayed side by side.
And in the display area (A1, A1-1, A1-2) of each chart, there are areas (A11, A11-1, A11-2) where information related to examination results are displayed and information related to doctor's examination findings. There are provided areas (A12, A12-1, A12-2) to be displayed and areas (A13, A13-1, A13-2) in which information on prescription drug information and doctor instructions is displayed.
In addition, on the upper side of the chart display area, there is provided a display area A2 that extends horizontally for displaying unique information about the patient (patient ID, name, age, sex, address, contraindications, allergies, etc.). Yes.
Further, on the right side of the area A2, there is provided an area A3 in which buttons for changing to other information screens (such as an operation history screen, a prescription history screen, and a related contact screen) are arranged. .
In this way, a series of multiple examination date charts including the latest chart are displayed at a time in order of date, so operations such as clicking and scrolling are performed like a paper chart or a conventional electronic chart that mimics this. It is possible to grasp the progress of the patient's condition at a glance without performing it.

  The diagnostic work support apparatus according to the present embodiment that displays the above chart screen will be described in detail with reference to the drawings.

FIG. 2 is a diagram illustrating an example of the overall configuration of the examination work support apparatus according to the present embodiment.
The examination work support apparatus shown in FIG. 2 includes a server apparatus 1 and a plurality of terminal apparatuses 2 connected to the server apparatus 1 via a communication network 3.

[Server device 1]
The server device 1 is a device that manages data commonly used / referenced by each terminal device 2 in the examination work support device, and includes a staff database unit 11 and a patient database unit 12.
The staff database unit 11 and the patient database unit 12 are an embodiment of the database unit in the present invention. In this specification, the staff database unit 11 and the patient database unit 12 may be collectively referred to as “database unit”.

FIG. 3 is a diagram illustrating an example of the configuration of the server device 1.
3 includes a processing unit 101, a communication unit 102, a display unit 103, an instruction input unit 104, a storage unit 105, and a work memory 106.

  The communication unit 102 is a circuit for performing communication with the terminal device 2 via the communication network 3. For example, signal processing and control for performing communication conforming to a predetermined standard such as Ethernet (registered trademark), wired or It modulates / demodulates signals transmitted wirelessly, encodes / decodes data, processes packets, adjusts transmission / reception timing, and the like.

  The display unit 103 displays a screen corresponding to the display signal input from the processing unit 101. For example, the display unit 103 includes a display device such as a liquid crystal display, an EL panel display, or a CRT, and a graphic controller that processes an image signal supplied to the display device.

  The instruction input unit 104 is an apparatus for inputting a user instruction, and generates an instruction signal corresponding to a predetermined instruction input operation. For example, a keyboard, a mouse, operation buttons, a keypad, a touch panel sensor, and the like are included.

  The storage unit 105 stores a low-level program (such as BIOS) used for initialization and control of the processing unit 101 and peripheral hardware (102 to 104), a file operating system, an application program, and the like. At the same time, data used in these programs is stored. For the storage unit 205, for example, a non-volatile memory such as a hard disk or a flash memory, an optical disk such as a DVD, a magneto-optical disk such as an MO, a magnetic tape, a programmable ROM, a mask ROM, or the like is used.

  The storage unit 105 is used as a storage area for the staff database unit 11 and the patient database unit 12, respectively.

  The working memory 106 is a relatively high-speed memory that is temporarily accessed by the processor of the processing unit 101 to store programs and data, and includes a semiconductor memory such as a dynamic RAM and a static RAM.

  The processing unit 101 controls the overall operation of the server device 1. That is, a program stored in the storage unit 105 or the work memory 106 includes communication with the terminal device 2 in the communication unit 102, display of a screen on the display unit 103, input of an instruction from a user in the instruction input unit 104, and the like. Control based on. For example, the processing unit 101 includes a processor (CPU) that performs processing based on a program, a bus for exchanging data with peripheral hardware (102 to 106), a bus control circuit (bus bridge circuit), a cache memory, and the like. .

The processing unit 101 includes a staff database processing unit 111 that executes processing related to the staff database unit 11 and a patient database processing unit 112 that executes processing related to the patient database unit 12 as functional blocks.
The staff database processing unit 111 stores various data related to staff in the storage unit 105 in a predetermined data structure, and when a request from the terminal device 2 for requesting access to staff data is received by the communication unit 102, Data search, read, write, rearrangement, etc. are executed upon request.
Similarly, the patient database processing unit 112 stores various data related to a patient in the storage unit 105 in a predetermined data structure, and a request from the terminal device 2 for requesting access to patient data is received by the communication unit 102. Then, processing such as search in response to this request is executed.

FIG. 4 is a diagram for explaining a data structure related to display setting of each doctor's medical chart screen stored in the staff database unit 11.
The staff database unit 11 stores various information related to hospital staff including doctors. As part of the staff database section 11, display setting data 61 (first display setting data) and display setting data related to the setting of the chart screen display are displayed. 62 (second display setting data) is stored. The display setting data 61 is associated with the doctor identification data 41, and the display setting data 62 is associated with the doctor identification data 41 and the patient identification data 42.
The display setting data 61 is applied uniformly regardless of the patient when a specific doctor corresponding to the doctor identification data 41 views the medical chart. On the other hand, the display setting data 62 is applied when a specific doctor corresponding to the doctor identification data 41 views the chart of a specific patient corresponding to the patient identification data 42.
The staff database unit 11 may store the staff identification data and the display setting data 61 and 62 in association with the staff other than the doctor by the data structure as shown in FIG.

FIG. 5 is a diagram for explaining the structure of the display setting data 61 applied when a specific doctor views a medical chart.
The common display setting data 61 includes area size setting data 601, layout setting data 602, screen operation setting data 603, inspection display setting data 604, magnification setting data 605, and general setting data 606.

  The area size setting data 601 sets the size of the display area of each data on the screen. In other words, the area size setting data 601 is a display area for each of the examination results (A11), examination findings (A12), and prescriptions / instructions (A13) included in the display area (A1) of one chart (one examination day). And the width (or width ratio) of the chart display area on each examination date on the screen. The area size setting data 601 sets the size of an image or sentence in each display area of the chart.

  The layout setting data 602 sets the direction (vertical direction or horizontal direction) in which multiple charts are arranged in the screen, the arrangement order (how to arrange the examination dates), and the number N of past charts to be displayed together with the latest chart. . In addition, the layout setting data 602 sets an arrangement pattern (FIG. 21) of data in each display area (A11, A12, A13) of one chart.

  The screen operation setting data 603 is the number of days M (the number of medical charts) to be shifted by one operation in the later-described processing (FIGS. 30 to 32) for shifting the medical chart of the past examination date back and forth by a slide operation of a pen or the like. Set. Further, the screen operation setting data 603 sets the number of clicks L for instructing the execution of the processing in the later-described processing (FIGS. 38 to 41) for enlarging or reducing the inspection result image by a click operation of a pen or the like.

  The examination display setting data 604 includes setting information for displaying a plurality of examination results of a plurality of examination types in the display area (A11) for one time (FIGS. 24 to 26) and a plurality of examinations in a time series display mode to be described later. It includes setting information for displaying the inspection results of the types side by side (FIG. 44).

FIG. 6 is a diagram for explaining the structure of the inspection display setting data 604.
The examination display setting data 604 includes time series display setting data 621 and single display setting data 622 as shown in FIG.

The time-series display setting data 621 designates another inspection type in which the time-series inspection result should be displayed along with the time-series inspection result when the time-series inspection result is displayed for one inspection type in the time-series display mode. To do. For example, when a time-series inspection result is displayed for “examination type A”, “examination type B” and “examination type C” that are highly related to this “examination type A” are designated.
The time-series display setting data 621 specifies a group of highly relevant examination types by using, for example, related examination type data 611 having a structure shown in FIG. The related examination type data 611 includes a plurality of examination type codes 71 representing examination types, and a priority is assigned to each examination type code 71. The priority order is referred to when determining the order in which time-series inspection results are displayed side by side for a plurality of inspection types.

For example, as shown in FIG. 6, the time-series display setting data 621 includes related examination type data 611 associated with the disease name code 72 and related examination type data 611 not associated with the disease name code (unknown disease name).
The disease name code 72 indicates a disease name diagnosed by a doctor and is included in the finding data 54 (FIG. 10) of the examination work data 52 described later.
The related examination type data 611 associated with the disease name code 72 designates an examination type group highly related to the disease name. Further, the related examination type data 611 with indefinite disease name designates a highly relevant examination type group irrespective of the disease name.

  The single display setting data 622 is used to display a plurality of types of examination results in the display area (A11) when the examination result is displayed for one examination in the display area (A11) for one examination date (single display mode or normal mode). Set the order of arrangement. Similarly to the time-series display setting data 621, the single display setting data 622 also includes related examination type data 611 associated with the disease name code 72 and related examination type data 611 with an indefinite disease name.

  The magnification setting data 605 sets the magnification to be enlarged or reduced by one operation in the later-described processing (FIGS. 38 to 41) for enlarging or reducing the image of the inspection result by a click operation of a pen or the like according to the inspection type. To do. In addition, when an image such as an inspection result in a medical record is enlarged or reduced, an upper limit value and a lower limit value of the display size are set according to the inspection type. The magnification setting data 605 includes magnification data 613 associated with the examination type code 71, for example, as shown in FIG. The magnification data 613 includes a magnification for enlarging or reducing the image by a single operation, and an upper limit value and a lower limit value for the display size of the image.

The general setting data 606 includes general setting information regarding screen display.
For example, the general setting data 61 is used to validate or invalidate a plurality of display setting data related to the display of the chart screen, and when there are a plurality of display setting data to be validated, refer to them in any priority order. Information about whether to do it. In this embodiment, display setting data 61 (FIG. 5) applied when a specific doctor views a medical record, or display setting data 62 (FIG. 5) applied when a specific doctor views a specific patient's medical chart. In addition to 9), as will be described later, there is display setting data 63 (FIG. 12) that is applied when viewing the chart of a specific patient on a specific examination date. The general setting data 606 is referred to when determining display setting data to be used for processing from these display setting data.

FIG. 9 is a diagram for explaining the structure of the display setting data 62 applied when a specific doctor views a specific patient's chart.
In the example of FIG. 9, the display setting data 62 includes area size setting data 601, layout setting data 602, screen operation setting data 603, inspection display setting data 604, and magnification setting data 605. These setting data are the same as the data of the same code shown in FIG.

FIG. 10 is a diagram for explaining the structure of the examination work data stored in the patient database unit 12.
The patient database unit 12 stores various information related to the patient, and stores, as a part thereof, examination work data 52 related to the patient's examination work. The examination work data 52 is associated with the identification data 42 of the patient who has undergone the examination and the examination date 51.
For example, as shown in FIG. 10, the examination work data 52 includes identification data 41 of a doctor in charge of examination, examination data 53 concerning examination results, finding data 54 concerning doctor's examination findings, medicine prescribed by the doctor and doctor Prescription data 55 relating to the instruction of the patient and display setting data 63 (third display setting data) relating to the display setting of the chart screen.
In this specification, the inspection data 53, the finding data 54, and the prescription data 55 may be collectively referred to as “individual data”. Further, the contents of one examination work data 52 corresponding to one chart (one examination date) may be simply written as “karte”.

FIG. 11 is a diagram for explaining the data structure of the inspection data 53.
The examination data 53 includes examination result data 532 performed on the patient. The inspection result data 532 is, for example, data such as characters and images, and is associated with the inspection type code 71 and the accompanying information 531. The examination type code 71 indicates the type of examination performed on the patient. The incidental information 531 includes incidental information such as an inspection date, identification data indicating a person in charge of the inspection, and communication items described by the person in charge.

  The display setting data 63 is associated with the patient identification data 41 and the examination date 51, and is applied when viewing a chart of a specific patient on a specific examination date. For example, as shown in FIG. 12, the display setting data 63 includes setting data (region size setting data 601, layout setting data 602, magnification setting data 605) similar to the same reference numerals in FIG. 5, and inspection display setting data 604A. And window state recording data 607.

  The examination display setting data 604A includes related examination type data 611 with indefinite disease name referred to in the time series display mode and related examination type data 611 with indefinite disease name referred to in the single display mode (normal mode). The related examination type data 611 in the time series display mode records the settings applied when the mode is shifted to the time series display mode by clicking the examination result on an arbitrary examination date in the single display mode (FIG. 43). The related examination type data 611 in the single display mode records settings applied to the display area (A11) for a specific examination date in the single display mode.

  The window state record data 607 records the window state of the image of the inspection result enlarged or reduced by a pen click operation (FIGS. 39 to 41) described later. When this display setting is enabled, for example, when a log-off is performed in a state where an inspection image of a certain chart is enlarged and then this log is displayed again, the window state recorded in the window state recording data 607 is displayed. Based on the information, the enlarged state of the inspection image before logoff is restored.

[Terminal device 2]
FIG. 13 is a diagram illustrating an example of the configuration of the terminal device 2.
A terminal device 2 illustrated in FIG. 13 includes a processing unit 201, a communication unit 202, a display unit 203, an instruction input unit 204, a storage unit 205, and a work memory 206.
The display unit 203 is an embodiment of the display unit in the present invention.
The instruction input unit 204 is an embodiment of the instruction input unit in the present invention.

  The communication unit 202 is a circuit for communicating with the server device 1 via the communication network 3, and has the same configuration as the communication unit 102 described above, for example.

  The display unit 203 is a device that displays a screen corresponding to a display signal input from the processing unit 201, and has the same configuration as the display unit 103 described above, for example.

  The instruction input unit 204 is a device for inputting a user instruction, and has the same configuration as the instruction input unit 104 described above, for example.

  The storage unit 205 stores a low-level program (such as BIOS) used for initialization and control of the processing unit 201 and peripheral hardware (202 to 204), a file operating system, an application program, and the like. At the same time, data used in these programs is stored. The storage unit 205 has the same configuration as the storage unit 105 described above, for example.

  The work memory 206 is a relatively high-speed memory that is temporarily accessed by the processor of the processing unit 201 to store programs and data, and has the same configuration as the work memory 106 described above, for example.

  The processing unit 201 is a circuit that controls the overall operation of the terminal device 2, and controls peripheral hardware (202 to 204) and data processing based on programs stored in the storage unit 205 and the work memory 206. . For example, the processing unit 201 has the same configuration as the processing unit 101 described above, for example.

The processing unit 201 includes a database request processing unit 211 and a display processing unit 212 as functional blocks.
The database request processing unit 211 is an embodiment of the first processing unit in the present invention.
The display processing unit 212 is an embodiment of the second processing unit in the present invention.

The database request processing unit 211 accesses the staff member database unit 11 and the patient database unit 12 of the server device 1 in accordance with a user instruction input in the instruction input unit 204, and performs data search, reading, writing, and the like. Do. The database request processing unit 211 temporarily stores data read from the staff database unit 11 or the patient database unit 12 in one or both of the work memory 206 and the storage unit 205.
The display processing unit 112 generates a display signal of the display unit 203 using data read from the staff database unit 11 or the patient database unit 12 in accordance with a user instruction input in the instruction input unit 204, A screen such as a medical record is formed.

  Here, the operation of the examination work support apparatus according to the present embodiment having the above-described configuration will be described.

FIG. 14 is a flowchart for explaining processing when a medical chart screen is displayed in the examination work support apparatus according to the present embodiment.
When opening a patient's electronic medical record, the doctor first performs an operation for logging in to the server device 1 using the instruction input unit 204 of the terminal device 2. When processing unit 201 inputs an instruction signal corresponding to this operation, processing unit 201 performs a process of logging in to server device 1 (step ST100). At this time, the processing unit 201 inputs a doctor's ID (doctor identification data 41) from the instruction input unit 204, and stores the storage unit 205 or work memory 206 (hereinafter, these may be collectively referred to as “memory”). To store.

  When logging in to the server device 1, the database request processing unit 211 transmits the doctor identification data 41 stored in the memory to the staff database unit 11 of the server device 1, and the display setting data 61 associated with the doctor identification data 41. Is read from the staff database unit 11 (step ST105).

  The display processing unit 212 refers to the general setting data 606 of the display setting data 61 acquired from the staff database unit 11, and which of the display setting data 61 to 63 is used for the display processing of the chart screen, or which is used Information regarding whether to use in such a priority order is acquired, and display setting data necessary for displaying the medical chart screen is specified.

In addition, after logging in, the display processing unit 212 displays a screen for requesting input of information (for example, patient identification data 42) for specifying a patient on the display unit 203. When prompted by this screen and information specifying a patient is input to the instruction input unit 204 (step ST110), the database request processing unit 211, based on the input information, information specific to the patient (name, age) , Sex, etc.) and examination work data 52 are requested from the patient database unit 12, and the data acquired in response to the request is stored in the memory.
At this time, the database request processing unit 211 acquires necessary display setting data (62, 63) specified based on the general setting data 606 of the display setting data 61 from the patient database unit 12 (step ST115).

  Note that the examination work data 52 acquired from the patient database unit 12 may acquire all data about the corresponding patient or may be limited to a part. By storing more examination work data 52 in the memory, the delay associated with the reading process from the patient database unit 12 can be reduced, so that the display process in the display unit 203 can be speeded up. However, when the memory capacity is limited, for example, an upper limit may be set for the number of days of consultation to be acquired, and the examination work data 52 including the latest examination work data 52 and less than the upper limit days may be obtained. Good. Further, when the display setting data 62 is invalidated in the general setting data 606, the display setting data 62 may be excluded when obtaining the examination work data 52.

When the display processing unit 212 acquires necessary data from the patient database unit 12, the display processing unit 212 displays a medical chart screen as shown in FIG. 1 on the display unit 203 based on the acquired data.
In other words, the display processing unit 212 determines from the examination work data 52 stored in the memory the examination work data 52 of the latest examination date and a series of N times (in the example of FIG. 1, two days) of the examination work data 52 older than this. , And the contents of the read examination work data 52 are arranged in the order of the examination date in the horizontal direction or the vertical direction of the screen of the display unit 203.

The display processing unit 212 also displays the contents of the individual data (examination data 53, finding data 54, prescription data 55) included in the examination work data 52 on one examination day in the direction in which the contents of the examination work data 52 are arranged. They are arranged in a direction perpendicular to the (first direction) (second direction), and the arrangement order is unified and displayed in a common order on all examination dates.
For example, as shown in FIG. 1, when the contents of the examination work data 52 (the contents of one day's chart) are arranged side by side in the horizontal direction, the display processing unit 212 displays the examination data 53 and the findings included in each examination work data 52. The screen is configured so that the contents of the data 54 and the prescription data 55 are arranged in the vertical direction and the arrangement order is arranged in a common order on all examination dates.
As a result, as shown in FIG. 1, the same type of individual data (examination / findings / prescription) on each examination day is arranged in a row in the horizontal direction on the screen. Therefore, it is possible to easily grasp at a glance the temporal transition of highly relevant medical chart information without an operation such as clicking or scrolling.

  When the chart screen is displayed on the display unit 203, the display processing unit 212 waits for input of an instruction signal generated by the user's instruction input operation in the instruction input unit 204 (step ST125). When the instruction signal is input, the display processing unit 212 executes a process for updating the chart screen and a data recording process to the database unit (11, 12) in accordance with the instruction signal (step ST130). A standby state is entered (step ST125). When the signal for instructing logoff is generated, the display processing unit 212 executes a predetermined logoff process and ends the operation (step ST135).

  Next, the process for forming the chart screen (step ST120) will be described in more detail with reference to FIG.

When forming a medical chart screen, the display processing unit 212 refers to the area size setting data 601 and layout setting data 602 related to the screen configuration, displays the contents of the examination work data 52 in the order of the examination dates, and displays the arrangement direction and order. The number of the examination work data 52 to be determined and the size of the display area of each individual data in the display area of the examination work data 52 are determined (step ST200).
In this case, the display processing unit 212 selects any one of the display setting data 61 to 63 according to the contents defined in the general setting data 606 (FIG. 5), and the area size setting data 601 and layout of the selected display setting data. Refer to the setting data 602.

FIGS. 16 and 17 are diagrams for explaining variations of the layout of the medical chart screen according to the layout setting data 602. FIG.
In the example of FIG. 1, the contents (chart) of new examination work data 52 are displayed in order from the right side. However, in the example of FIG. 16A, the new chart is displayed in order from the left side.
Further, in the example of FIG. 1, the charts are displayed side by side in the horizontal direction, but in the example of FIG. 16B, the charts are displayed side by side in the vertical direction.
On the other hand, in the example of FIG. 17, the number of charts displayed on one screen is one less than the example of FIG. 1 (for 3 days). In the examples of FIGS. 17A and 17B, two medical charts are arranged in the horizontal direction, and in FIG. 17C, they are arranged in the vertical direction. In the example of FIG. 17A, new charts are arranged in order from the right side, and in the example of FIG. 17B, new charts are arranged in order from the left side.

18 and 19 are diagrams for explaining an example of customization of the display area of individual data.
In the example of FIG. 1, the display areas of the inspection data 53, the observation data 54, and the prescription data 55 are substantially the same size, but in the example of FIG. 18, the size of the display area of the inspection data 53 is the largest. Therefore, the size of the display area of the observation data 54 is the smallest.
On the other hand, in the example of FIGS. 1 and 18, the ratio of the display area of each individual data in the chart is the same in all charts. On the other hand, in the example of FIG. 19, the ratio of the display area of each individual data differs for each chart. When different from chart to chart as shown in FIG. 19, the layout setting data 602 included in the display setting data 63 (FIGS. 10 and 12) in the examination work data 52 is referred to.
If automatic adjustment of the size of the display area is enabled in the general setting data 606, the width in the first direction and the width in the second direction of the display area are changed in step ST305 described later.

Returning to FIG.
When the display setting related to the chart configuration of the chart is determined (step ST200), the processing unit 201 determines the size of the display area occupied by each individual data in the display setting (step ST205).
That is, the display processing unit 212 displays the content (image, sentence) of the individual data on the screen in a predetermined size based on the data amount included in the individual data (examination data 53, finding data 54, prescription data 55). The width in the second direction of the area necessary for this (in the example of FIG. 1, the width in the vertical direction) is calculated. Specifically, the display processing unit 212 acquires information on the number of images to be displayed on the screen and information on the number of characters of each of one or more sentences to be displayed on the screen from the individual data, and based on the acquired information, The width of the individual data in the second direction is calculated. And the display process part 212 will calculate the width | variety of the 2nd direction of each individual data which belongs to the said 1 examination work data 52, if the width of the 2nd direction is calculated about each individual data which belongs to the 1 examination work data 52, Set according to the calculated width.
For example, the display processing unit 212 sets the width in the second direction (for example, the standard width set in the region size setting data 601) assigned in advance to each piece of individual data belonging to one examination work data 52, and the one examination work data. And the width in the second direction calculated for each individual data belonging to. As a result of the comparison, when there is individual data whose calculated width is larger than the pre-assigned width (the pre-assigned width is narrower than the width necessary for display), the display processing unit 212 displays the second direction of the display area of the individual data. Is expanded to a width calculated from a previously assigned width, and the width in the second direction of the display area of at least one other individual data belonging to the same examination work data as the individual data is offset by the enlarged portion Reduce as you can.

  Hereinafter, the process of determining the display area size (ST205) will be described in detail.

FIG. 20 is a flowchart for explaining the process (step ST205) for determining the size of the display area of each individual data.
The display processing unit 212 selects the examination work data 52 to be displayed on the screen from the examination work data 52 stored in the memory, counts the number of images included in the individual data, and includes it in the individual data. The number of characters in one or more sentences to be counted is counted. Based on the counted number of images and the number of characters in the sentence, the display processing unit 212 stores the contents of the individual data (images and sentences) in a predetermined size on the screen of the display unit 203. The width in two directions is calculated (step ST305).

The display processing unit 212 arranges images and sentences in a certain format within the display area of the individual data. That is, the display processing unit 212 determines an arrangement pattern, an image size, a character font size, a character interval, a paragraph interval, and the like when an image or sentence is arranged in an area.
Therefore, when the number of images included in the individual data and the number of characters in the sentence are determined, the size of the display area of the individual data is determined according to a certain correspondence required by the certain arrangement format. The display processing unit 212 calculates the size of the display area from the number of images and the number of characters in the sentence included in the individual data using this fixed correspondence.

FIG. 21 is a diagram showing an example of the display format of text data and image data in the display area of individual data.
In the example of FIG. 21, text data TX1, TX2,... And image data IMG1, IMG2,. The text data TX1, TX2,... Are arranged in order from the inner upper end to the lower side of the display area A11. The image data IMG1, IMG2,... Have the same size, and are arranged in order from the upper left corner in the horizontal direction in a matrix pattern.
If such a display format is defined, the number of lines of the sentence is calculated from the number of characters included in the sentence of the text data, so that the width in the second direction of the rectangular area necessary for displaying the sentence is thereby calculated. (Width in the vertical direction in the example of FIG. 21) is calculated. The width in the second direction of the rectangular area A4 necessary for displaying all the sentences is calculated by calculating and combining the widths in the second direction of the rectangular areas for all the sentences.
For the image, the number of columns and rows of the matrix pattern is determined according to the number of images, and the rectangular area A5 necessary for displaying the entire image is determined by the number of rows and the width in the second direction of the image. The width in the second direction is calculated.
By combining the minimum sizes of the rectangular areas A4 and A5, the minimum size of the display area A11 for the inspection data is calculated.

  When the width in the second direction of the display area of each individual data is calculated as described above, the display processing unit 212 sets the standard width and step in the second direction set by the area size setting data 601 for each individual data. The width calculated in ST305 is compared, and individual data in which the calculated width in the second direction is larger than the standard width is specified (step ST310). The individual data specified here is in a state where not all the contents can be displayed in the display area with the display setting as it is.

  When the individual data having the calculated width in the second direction larger than the preset standard width is specified, the display processing unit 212 displays each individual data in the display area of the examination work data 52 including the specified individual data. The width of the display area in the second direction is automatically adjusted (ST330). When there is no individual data whose calculated width in the second direction is larger than the standard width, or when automatic adjustment of the display area is disabled in the general setting data 606, the display processing unit 212 performs automatic adjustment (ST330). Without moving to step ST210 (FIG. 15).

  When automatically adjusting the display area of the individual data, the display processing unit 212 expands the width of the display area of the individual data specified in step ST310 from the calculated width, and belongs to the same examination work data 52 as the individual data. The display area of at least one of the individual data is reduced so that the enlargement is offset.

FIG. 22 is a flowchart for explaining the process of automatically adjusting the display area of individual data (step ST330).
First, the display processing unit 212 calculates the width in the second direction of an area necessary for displaying the contents of each examination work data 52 displayed on the screen in a predetermined size (step ST400). That is, the display processing unit 212 adds the width in the second direction of the individual data calculated in step ST305 for each examination work data 52 displayed on the screen, thereby obtaining the width of the area necessary for displaying the examination work data 52 Is calculated.

  When the width of the display area of each examination work data 52 is calculated, the display processing unit 212, for each examination work data 52, the setting value of the width in the second direction of the display area of the examination work data and the width calculated in step ST400 And the examination work data 52 having the calculated width in the second direction larger than the set value is specified (step ST405). The examination work data 52 specified here is in a state where not all contents can be displayed within a predetermined range with the display setting as it is.

  Therefore, the display processing unit 212 adjusts the size of the display area of the individual data for the other examination work data 52 (the examination work data 52 that can display all the contents on the screen) except for the examination work data 52 specified in step ST405. Steps ST420 to ST430 are performed.

Step ST420:
The display processing unit 212 calculates a difference (a remainder width in the second direction) between the width in the second direction of the examination work data 52 calculated in step 400 and a predetermined setting value for the width in the second direction. Step ST425:
The display processing unit 212 distributes the remaining width in the second direction calculated in step ST420 to the display areas (“examination”, “findings”, “prescription / instruction”) of each individual data. For example, the display processing unit 212 may divide the remainder width calculated in step ST420 into three equal parts and distribute them to three individual data display areas. Alternatively, the display processing unit 212 sets the distribution of the individual data specified in step ST310 (FIG. 20) to the display area to zero, and sets the remaining width (for example, evenly) to the display areas of the other individual data. It may be distributed. In the latter case, an error between the standard width in the second direction when the automatic adjustment is not performed and the width in the second direction when the automatic adjustment is performed is small, so that a change in layout due to the automatic adjustment can be reduced. . Step ST430:
The display processing unit 212 performs the second direction of the display area of each individual data according to the sum of the width of the individual data calculated in step ST305 (FIG. 20) in the second direction of the display area and the width allocated in step ST425. Determine the width at.

  Note that the examination work data 52 identified in step ST405 cannot display all the contents even if the size of the display area of the individual data is adjusted, and thus the processes of steps ST420 to ST430 described above are not performed (step ST415). .

FIG. 23 is a diagram illustrating a display example of a medical chart screen when automatic adjustment of the display area is not performed.
In the example of FIG. 23, the layout shown in FIG. 1 is in the default state. In this default state, the sentence (text) rectangular area A4 and the image rectangular area (A5) are contained in the inspection data display area A11.
On the other hand, FIG. 24 is a diagram showing a display example of a medical chart screen when the display area is automatically adjusted.
In the example of FIG. 24, since there are many images of the inspection result and the entire inspection data display area A11 in the default state cannot be entered, the display area A11 of the inspection data 53 is enlarged. Accordingly, the display areas A12 and A13 of the finding data 54 and the prescription data 55 are reduced.

On the other hand, FIG. 25 is a diagram illustrating an example in which a scroll bar is provided in the display area of inspection data.
In the example of FIG. 25, the number of inspection result images is larger than in the case of FIG. 24, and the image is displayed even if the other display areas (A12, A13) are reduced to the minimum size (step ST305: FIG. 20) required for display. It does not fit in the area A11. In such a case, for example, the display processing unit 212 adds a scroll bar B1 to the area A5 (or area A11) as shown in FIG. 26 so that an image protruding from the screen can be viewed by operating the scroll bar B1. ing.

  Next, some modified examples related to the process of determining the display area size (ST205) will be described.

(First modification)
In the example of FIG. 25, it is determined in step ST415 (FIG. 22) that the calculated value of the width in the second direction of the display area of the examination work data 52 is larger than the set value, and the automatic adjustment processing in steps ST420 to ST430 is not executed. It corresponds to. That is, since the width of the display area of the examination work data 52 in the second direction is smaller than the amount of data included in the examination work data 52, the entire contents of the examination work data 52 are displayed unless a scroll bar or the like is provided. I can't. In such a case, a scroll bar or the like is not provided by enlarging the width in the first direction (the width in the horizontal direction in the example of FIG. 25) of the display area of the examination work data 52 (display area of one chart). However, there is a possibility that the contents of each individual data included in the examination work data 52 can be displayed.
Therefore, in the first modification, a process of automatically adjusting the width in the first direction of the display area of the examination work data 52 is further executed.

FIG. 26 is a flowchart in which processing (steps ST320 and ST325) for automatically adjusting the display area of the examination work data 52 is added to the flowchart of FIG.
In this case, the display processing unit 212 executes a process (steps ST320 and ST325) for automatically adjusting the display area of the examination work data 52 before executing the display area size determination process (step ST330) of the individual data.

  In step ST320, the display processing unit 212 determines whether to automatically adjust the display area of the examination work data 52. That is, the display processing unit 212 refers to the setting contents of the general setting data 606 and determines whether or not automatic adjustment of the examination work data 52 is enabled in the setting contents. If automatic adjustment is enabled in the general setting data 606, the display processing unit 212 determines the display area of each examination work data 52 in the next step ST325. If automatic adjustment is disabled, the display processing unit 212 performs step ST325 without performing step ST325. Move on to ST330.

  In step ST325, the display processing unit 212 determines the width in the first direction of the display area of each examination work data 52 displayed on the screen according to the amount of data included in each examination work data 52 (in the horizontal direction in the example of FIG. 25). Width). For example, according to the number of images included in each examination work data, the number of characters of each of one or more sentences, the display processing unit 212 may provide each examination so that a larger display area is provided as the quantity increases. The width in the first direction of the display area of the business data 52 is set.

FIG. 27 is a flowchart for explaining the process (step ST325: FIG. 26) of the first modification for determining the width in the first direction of the display area of the examination work data 52.
First, the display processing unit 212 calculates the minimum size of the display area of each examination work data 52 displayed on the screen (step ST600). That is, the display processing unit 212 adds the display area of the individual data calculated in step ST305 for each examination work data 52, so that the contents of the examination work data 52 are displayed in a predetermined size. The width in two directions is calculated.

When the minimum size of the display area of each examination work data 52 is calculated, the display processing unit 212 next displays the display area of each examination work data 52 according to the width in the second direction calculated for each examination work data. The width in the first direction is determined (step ST605).
For example, when the widths in the second direction calculated for the three examination work data 52 are “R1”, “R2”, and “R3”, respectively, the display processing unit 212 adds “R1: R2” to the three examination work data 52. : R3 ”ratio to set the width in the first direction. That is, the display processing unit 212 apportions the width in the first direction to be assigned to each examination work data according to the calculation result of the width in the second direction. As a result, the examination work data 52 having a large display content has a wider width in the first direction, and the examination work data 52 having a smaller display content has a narrow width in the first direction.

  If the width in the first direction of the display area of each examination work data 52 is determined, then the display processing unit 212 is included in each examination work data 52 under the condition having the width in the decided first direction. The width in the second direction of the area necessary for displaying each individual data is calculated again (step ST640). This calculation method is the same as in step ST305 (FIG. 20). Further, the display processing unit 212 compares the standard width in the second direction set by the region size setting data 601 with the width calculated in step ST640 for each individual data, and calculates based on the comparison result. Individual data whose width in the second direction is larger than the standard width is specified again (step ST645).

  As described above, after adjusting the size of the display area of each examination work data 52, the display processing unit 212 determines the size of the display area of each individual data by the process of Step ST330 already described (FIGS. 20 and 22). To do.

FIG. 28 is a diagram showing a display example of a medical chart screen when the width in the first direction of the display area of the examination work data 52 is automatically adjusted.
In the example of FIG. 25 described above, the scroll bar B1 is provided because an image cannot be displayed in the inspection data display area A11. On the other hand, in FIG. 28, the latest chart area A1 at the right end is expanded as compared with the other chart areas (A1-1, A1-2), and all images are displayed in the area A11. It is adjusted so that. As a result, the scroll bar B1 is unnecessary.
In this way, the examination work can be made more efficient by configuring the chart so that the contents can be confirmed without performing additional operations such as a scroll bar as much as possible.

(Second modification)
In the first modification described above, as shown in the flowchart of FIG. 27, the width in the second direction of the display area of each examination work data 52 is calculated (step ST600), and the calculated width in the second direction is calculated. Accordingly, the width in the first direction is determined (for example, according to the calculated width ratio) (step ST605). In this method, since it is not confirmed whether or not the entire contents of the examination work data can be displayed within the determined width in the first direction, it may be necessary to provide a scroll bar or the like in some cases. Therefore, in the second modification, the width in the first direction of the area necessary for displaying the contents of each examination work data 52 in a predetermined size on the screen is calculated, and each examination is performed according to the calculation result. The width of the display area of the business data 52 in the first direction is determined.

That is, in the second modification, the display processing unit 212 performs the examination work data 52 based on the data amount of each individual data of the examination work data 52 (the number of images, the number of characters of one or more sentences, etc.). The width in the first direction of the area necessary for displaying the contents of the image on the screen in a predetermined size is calculated.
Specifically, the display processing unit 212 sets the width of each individual data belonging to the examination work data in the second direction under the condition that the display area of the examination work data 52 has a predetermined width (minimum width) in the first direction. If the sum exceeds the set value of the width in the second direction of the display area of the examination work data 52, the width in the first direction of the display area of the examination work data 52 is set to a predetermined width. The process for obtaining the total value is repeated while gradually expanding from (minimum width). Then, the display processing unit 212 sets the width in the first direction of the examination work data 52 when the total value is lower than the set value of the width in the second direction to the first necessary for displaying the examination work data 52. Get as direction width.
When the display processing unit 212 acquires the width in the first direction necessary for displaying each examination work data 52 as described above, the display processing unit 212 obtains the width in the first direction of the display area to be assigned to each examination work data 52. It is set according to the width in the first direction.

FIG. 29 is a flowchart for explaining the process (step ST325: FIG. 26) of the second modification for determining the width in the first direction of the display area of the examination work data 52.
The flowchart shown in FIG. 29 is obtained by replacing steps ST600 to ST605 in the flowchart shown in FIG. 27 with steps ST610 to ST622 described below.

  First, the display processing unit 212 selects one of the examination work data 52 to be displayed on the screen (step ST610), and displays the contents of the examination work data 52 in an area necessary for displaying the contents of the examination work data 52 in a predetermined size. The width in two directions is calculated (step ST612). This process is the same as step ST600 (FIG. 27) already described. However, in this case, the display processing unit 212 displays each individual data included in the examination work data 52 on the assumption that the width of the display area of the examination work data 52 in the first direction is a predetermined minimum width. The width in the second direction of the area is calculated and added to calculate the width of the display area of the examination work data 52 in the second direction.

  Next, display processing section 212 determines whether or not the width in the second direction calculated in step ST612 exceeds a predetermined set value (step ST614). When the calculated width exceeds the set value (when the contents of the examination work data 52 cannot be displayed on the screen), the display processing unit 212 sets the width in the first direction of the display area of the examination work data 52 to the above-described width. The second area of the area necessary for displaying the contents of the examination work data 52 in a predetermined size is assumed to be expanded by a predetermined increment from the minimum width (step ST616) and having the expanded width in the first direction. The width in the direction is calculated again (step ST618). Then, the display processing unit 212 returns to step ST614 and determines whether or not the calculated width in the second direction exceeds the set value. The display processing unit 212 increases the width in the first direction of the display area of the examination work data 52 by a predetermined increment until the width in the second direction calculated in step ST618 exceeds the set value.

  When the width in the second direction calculated for the examination work data 52 falls below the set value, the display processing unit 212 uses the width in the first direction as the condition for calculating the width in the second direction as the examination work data 52. Is obtained as the width in the first direction necessary for display (step ST620). The display processing unit 212 performs the processing of steps ST612 to ST620 for all the examination work data 52 displayed on the screen, and acquires the width in the first direction necessary for displaying each examination work data 52.

When the width in the first direction is obtained for all the examination work data 52 to be displayed on the screen, the display processing unit 212 determines the first of the examination work data 52 in accordance with the obtained width in the first direction for each examination work data 52. A width in one direction is set (step ST630).
For example, similarly to the case of step ST605 in FIG. 27, the display processing unit 212 sets the width in the first direction of each examination work data 52 according to the ratio of the width in the first direction acquired for each examination work data 52. It may be set.
Or the display process part 212 may set the width | variety of the 1st direction of each examination work data 52 by the method similar to the case of step ST420-ST430 in FIG. That is, the display processing unit 212 calculates the difference between the total value of the width in the first direction acquired for each examination work data 52 and the set value of the width in the first direction of all the examination work data 52 as the remainder in the first direction. Calculate as width. The display processing unit 212 allocates the calculated remainder width to each examination work data 52, and determines the width in the first direction according to the sum of the allocated width and the width acquired in step ST620. As a method of allocating the surplus width, for example, it may be equally distributed to all the examination work data 52. Alternatively, the distribution is set to zero for the examination work data 52 in which the width in the first direction acquired in step ST620 exceeds the standard width in the first direction set in the region size setting data 601, and other examination work data You may make it distribute the remainder width | variety with respect to 52 (for example, equally). In the latter case, since the error between the standard width in the first direction when automatic adjustment is not performed and the width in the first direction when automatic adjustment is performed is small, a change in layout due to automatic adjustment can be reduced. .

  When the display processing unit 212 determines the width of the display area of each examination work data 52 in the first direction, it is necessary to display each individual data included in each examination work data 52 as in the case of FIG. The width in the second direction is calculated again (step ST640), and individual data whose calculated second direction width is larger than the standard width is specified again (step ST645).

(Third Modification)
In the second modification, the width in the first direction of the area necessary for displaying the contents of all the examination work data 52 displayed on the screen in a predetermined size is calculated. When the total value of the calculated widths becomes larger than the setting value of the width in the first direction of the entire examination work data 52, the contents of the entire examination work data 52 are displayed on the screen regardless of how the width in the first direction is adjusted. Cannot be displayed. Therefore, in the third modified example, by reducing the size of the image in the examination work data 52, the contents of all the examination work data 52 are displayed on the screen.

  That is, in the third modification, the display processing unit 212 adds the calculation result of the width in the first direction necessary for displaying each examination work data 52 to the width of the whole examination work data 52 in the first direction. When the set value is exceeded, the process for obtaining the total value of the widths in the first direction is repeated while gradually reducing the size of the image included in each examination work data 52. Then, the display processing unit 212 calculates the width in the first direction of the display area of each examination work data 52 when the total value of the widths in the first direction is lower than the set value of the width in the first direction. Is obtained as the width in the first direction necessary for the display of. The display processing unit 212 sets the width in the first direction of the display area of each examination work data 52 displayed on the screen according to the width in the first direction acquired for each examination work data 52.

FIGS. 30 and 31 are flowcharts for explaining the process of the third modified example (step ST325: FIG. 26) for determining the width in the first direction of the display area of the examination work data 52.
The flowcharts shown in FIGS. 30 and 31 are obtained by adding steps ST623 to ST628 between steps ST622 and ST630 in the flowchart shown in FIG.

  When the display processing unit 212 obtains the width in the first direction of the area necessary for displaying each examination work data 52 by the processes in steps ST610 to ST622, the display processing unit 212 adds the obtained widths in the first direction (step ST623). It is determined whether or not the total value exceeds the set value of the width in the first direction of all examination work data 52 (step ST624). When the total value exceeds the set value, if the automatic adjustment of the image size is valid in the general setting data 606 (step ST625), the display processing unit 212 reduces the size of the image displayed on the screen by a predetermined ratio ( Step ST626). In this case, all images included in all examination work data 52 may be uniformly reduced, or only a part of images (for example, only images included in specific individual data such as examination result data) may be reduced. Good.

  Next, the display processing unit 212 determines whether or not the size of the reduced image is larger than a predetermined lower limit (step ST627), and if larger than the lower limit, the process returns to step ST610. The display processing unit 212 executes the processes of steps ST610 to ST622 again under the condition that the image is reduced, and acquires the width in the first direction of the area necessary for displaying each examination work data 52. If the total value of the widths in the first direction acquired again still exceeds the set value, the display processing unit 212 reduces the image size again by a predetermined ratio (step ST626), and after step ST610. Perform the process. The display processing unit 212 reduces the image size step by step by a predetermined ratio until the sum of the widths in the first direction falls below the set value. When the total value of the widths in the first direction falls below the set value, the display processing unit 212 performs the processes of steps ST630 to ST645 as in FIG.

  On the other hand, when the size of the image reduced in step ST626 becomes smaller than the predetermined lower limit (step ST627), the display processing unit 212 returns the image size to the state before reduction, and proceeds to the processing of steps ST630 to ST645. To do. As a result, it is possible to prevent the image size from being significantly reduced.

  The lower limit value of the image size is included in the magnification data 605 (FIG. 8), for example, and is associated with the examination type code 71. When the image included in the inspection result data 532 is reduced, the display processing unit 212 acquires a lower limit value associated with the same inspection type code 71 as the inspection result data 532 from the magnification data 605, and the image is obtained from the lower limit value. Do not shrink. This makes it possible to appropriately set the lower limit value of the image size according to the type of inspection.

(Fourth modification)
In the method of determining the display area size described above, when the contents cannot be displayed in the standard size display area, the entire contents of the individual data can be obtained by enlarging the width in the first direction or the width in the second direction. To be displayed. On the other hand, in the fourth modification, it is possible to display the entire contents of the individual data by reducing the size of the image or the like while the size of the display area of the individual data is fixed. Become. In the fourth modification, the image size can be enlarged when there is a margin in the display area.

FIG. 32 is a flowchart for explaining the process (step ST205) of the fourth modified example for determining the size of the display area of each individual data. The flowchart shown in FIG. 32 is obtained by adding processing (steps ST335 and ST340) relating to automatic image size adjustment to the flowchart shown in FIG.
When the automatic adjustment of the size of the individual data is set to the invalid state in the general setting data 606 (step ST315), the display processing unit 212 determines whether the automatic adjustment of the image size is set to the valid state in the general setting data 606. Confirmation is made (step ST335), and if it is valid, the process of step ST340 for determining the image size of each individual data is executed.

In step ST340, the display processing unit 212 displays the entire content of individual data (individual data specified in step ST310) whose width calculation result in the second direction is larger than the standard width in the standard width display area. In addition, the display size of the image included in the individual data is reduced from a predetermined size (standard size set in the area size setting data 601). For example, the display processing unit 212 repeatedly performs a process of calculating the width in the second direction of the area necessary for displaying the individual data while gradually reducing the display size of the image included in the individual data. The image size is reduced until the calculation result of the direction width reaches the maximum width that does not exceed the standard width.
However, if the size of the image included in the individual data is reduced so that the entire content of the individual data is displayed in the standard width display area, the display processing unit 212 reduces the display size of the reduced image to a predetermined lower limit. When the value is smaller than the value, the display size of the image included in the individual data is reduced to the lower limit value. In this case, the display processing unit 212 enlarges the width of the display area of the individual data in the second direction so that the entire content of the individual data including the image reduced to the lower limit value is displayed. The width in the second direction of the display area of at least one other individual data belonging to the same examination work data as the individual data is reduced so as to cancel out the enlargement.

Further, the display processing unit 212 performs a process of enlarging the image size of individual data (other individual data excluding the individual data specified in step ST310) whose width calculation result in the second direction is larger than the standard width. Do. In other words, the display processing unit 212 repeats the process of calculating the width in the second direction of the area necessary for displaying the individual data while gradually increasing the display size of the image included in the individual data. The display size of the image is increased until the calculation result of the direction width reaches the maximum width that does not exceed the standard width.
However, if the display processing unit 212 enlarges the display size of the image until the calculation result of the width in the second direction reaches the maximum width that does not exceed the standard width, the display size of the image after the enlargement becomes a predetermined upper limit value. In the case of exceeding, the image of the individual data is enlarged to the upper limit value.

FIGS. 33 and 34 are flowcharts for explaining the process (step ST340) of the fourth modified example for determining the image size of each individual data.
The display processing unit 212 confirms whether image size reduction or enlargement is set in the general setting data 606 (step ST700).
When the general setting data 606 is set to reduce the image size, the display processing unit 212 displays the entire contents of the individual data specified in step ST310 (FIG. 32) in the display area having the standard width. In this manner, the size of the image included in the individual data is reduced (step ST705). Specifically, the display processing unit 212 repeats the process of calculating the width in the second direction of the area necessary for displaying the individual data while gradually reducing the display size of the image included in the individual data. The image size is reduced until the calculation result of the width in the second direction reaches the maximum width that does not exceed the standard width.

  When the image size is reduced, the display processing unit 212 determines whether the reduced image is below a predetermined lower limit (step ST710). If the value is below the lower limit value, the display processing unit 212 confirms whether or not the general setting data 606 is specified to limit the lower limit of the image size (step ST715), and is specified to limit the lower limit size. In this case, the image size is set to the lower limit value (step ST720).

  When the image size is limited to the lower limit value in step ST720, the entire content of the individual data cannot be displayed on the screen. Therefore, the display processing unit 212 confirms whether or not the automatic adjustment of the size of the display area is set in the general setting data 606 when limiting the lower limit value of the image size (step ST725), and the automatic adjustment is performed. If set, the processes of steps ST730 to ST740 are executed. The processing of steps ST730 to ST740 is the same as steps ST320 to ST330 in FIG. As a result, the size (width in the first direction, width in the second direction) of each individual data is adjusted so that the content of each individual data is displayed with the image size set to the lower limit. The

  On the other hand, when the general setting data 606 is set to enlarge the image size, the display processing unit 212 displays an image included in other individual data other than the individual data specified in step ST310 (FIG. 32). Enlarge (step ST750). Specifically, the display processing unit 212 repeats the process of calculating the width in the second direction of the area necessary for displaying the individual data while gradually increasing the display size of the image included in the individual data. The image size is enlarged until the calculation result of the width in the second direction reaches the maximum width not exceeding the standard width. Thereby, it is possible to automatically enlarge the image of each individual data without changing the size of the display area of each individual data.

  When the image size is enlarged, the display processing unit 212 determines whether the enlarged image exceeds a predetermined upper limit value (step ST755). If the upper limit value is exceeded, the display processing unit 212 confirms whether the upper limit of the image size is specified in the general setting data 606 (step ST760), and is specified to limit the upper limit size. In this case, the image size is set to the upper limit value (step ST765).

  Note that the lower limit value and the upper limit value of the image size described above are associated with the examination type code in the magnification setting data 605 shown in FIG. 8, for example. When the image included in the inspection result data 532 is reduced or enlarged, the display processing unit 212 acquires the lower limit value or the upper limit value associated with the same inspection type code 71 as the inspection result data 532 from the magnification data 605, The image is not reduced or enlarged from the lower limit value or the upper limit value. As a result, for example, for the inspection that needs to increase the image size to some extent in order to grasp the inspection result, the lower limit value is set to a larger value, and the display size range of the image size is appropriately set according to the inspection type. It becomes possible to set.

FIG. 35 is a diagram showing a display example of a medical chart screen when an image is automatically reduced in accordance with the size of the display area of individual data. In the example of FIG. 35, the size of the inspection result image is reduced in a state in which the size of the inspection data display area A11 (the width in the first direction and the width in the second direction) is maintained at a standard size.
On the other hand, FIG. 36 is a diagram showing a display example of a medical chart screen when an image is automatically enlarged in accordance with the size of the display area of individual data. In the example of FIG. 35, the size of the inspection result image is enlarged in a state where the size of the inspection data display area A11 is maintained at the standard size.
This completes the description of the process for determining the display area size (ST205).

Returning to FIG.
After determining the size of the display area of the individual data as described above, the display processing unit 212 next determines the arrangement of the inspection results in the display area (step ST210).
Here, the inspection result array refers to, for example, an array of images (IMG1, IMG2,...) Or a sentence (TXT1, TXT2,...) In a matrix pattern shown in FIG. The display processing unit 212 determines this arrangement based on the related examination type data 611 (FIG. 7) described above.

The related examination type data 611 (FIG. 7) is included in the examination display setting data (604, 604A) as described above. There are the following three types of inspection display setting data (604, 604A).
<1> Data Associated with Doctor Identification Data 41 This examination display setting data 604 (FIG. 6) is included in the display setting data 61 (FIG. 5).
<2> Data Associated with Physician Identification Data 41 and Patient Identification Data 42 This examination display setting data 604 (FIG. 6) is included in the display setting data 62 (FIG. 9).
<3> Data Associated with Patient Identification Data 42 and Examination Date 51 The examination display setting data 604A (FIG. 12) is included in the display setting data 63 (FIG. 12).

  Which of the three display setting data (61 to 63) is to be validated (prioritized) has already been determined based on the general setting data 606 in step ST105 (FIG. 14). The display processing unit 212 acquires the related examination type data 611 from the examination display setting data (604, 604A) included in this effective (high priority) display setting data, and uses the obtained related examination type data 611 as the acquired related examination type data 611. The sequence of test results is determined with reference to

FIG. 37 is a flowchart for explaining the sequence determination process (step ST210) of the inspection result.
The display processing unit 212 executes the processes of steps ST500 to ST520 for all the examination work data 52 displayed on the screen.

First, the display processing unit 212 determines whether or not to select the related examination type data 611 according to the disease name code 72 (step ST505).
Since the display setting data 61 and 62 are invalid, the examination display setting data 604 (FIG. 6) cannot be referred to (when the related examination type data 611 associated with the disease name code 72 cannot be read), or the disease name code 72 When the selection operation of the related examination type data 611 according to the setting is invalidated in the general setting data 606, the display processing unit 212 does not use the disease name code 72 for the selection of the related examination type data 611. In this case, the display processing unit 212 acquires related examination type data 611 with an indefinite disease name (step ST515).

  On the other hand, when the related examination type code 611 included in the examination display setting data 604 (FIG. 6) of the display setting data 61 and 62 is used, the selection operation of the related examination type data 611 according to the disease name code 72 is generally performed. When the setting data 606 is validated, the display processing unit 212 selects the related examination type data 611 according to the disease name code 72. In this case, the display processing unit 212 acquires a disease name code from the finding data 54 of the examination work data 52 (step ST505). Then, the display processing unit 212 acquires the related examination type data 611 associated with the acquired disease name code 72 from the examination display setting data 604 (FIG. 6) (step ST510). In this case, the display processing unit 212 acquires the related examination type data 611 from the single display setting data 622.

When the related examination type data 611 is acquired in step ST510 or ST515, the display processing unit 212 includes priority order information (FIG. 7) assigned to the plurality of examination type codes 71 included in the acquired related examination type data 611, and The order of each inspection result data 532 included in the inspection data 53 is determined based on the inspection type code 71 associated with the inspection result data 532 (FIG. 11). For example, the display processing unit 212 associates the inspection result data 532 with the priority information based on the inspection type code 71. The display processing unit 212 orders the inspection result data 532 by sorting the inspection result data 532 according to the priority information.
Then, the display processing unit 212 arranges the contents of the inspection result data 532 in order on the predetermined arrangement pattern (FIG. 21) of the search results according to the determined ordering of the inspection result data 532, and each inspection result data 532. Is determined (step ST520).

Returning again to FIG.
When the size of each display area is determined as described above (step ST205) and the arrangement of the inspection results in the display area is determined (step ST210), the display processing unit 212 next determines the medical chart according to the determined contents. A display signal for forming a screen is generated and input to the display unit 203 (step ST215).

Note that the display processing unit 212 adds a scroll bar, a page turning button, or the like for a display area where the content of the individual data cannot be displayed as a result of the above-described size determination process. To be seen by a predetermined operation.
The process for forming the medical chart screen (FIG. 15) has been described above.

  Next, various processes that can flexibly change the display state of the screen according to the operation of the user (doctor) (page turning, enlargement / reduction of contents of individual data, enlargement / reduction of image, inspection result Time series display) will be described.

  First, a process (page turning process) for shifting the chart display in units of the examination date will be described.

In the present embodiment, as shown in FIG. 1, a plurality of charts are displayed in advance on the screen, so that when the number of charts is relatively small, a special operation such as scrolling the screen is unnecessary. However, when it is necessary to view more charts, the user operates the instruction input unit 204 so that a desired chart appears on the screen.
When an instruction signal instructing to change the chart displayed on the screen of the display unit 203 is generated in the instruction input unit 204, the display processing unit 212 fixes the display of the latest chart and then displays the screen. Update a series of N charts displayed in. That is, the display processing unit 212 replaces N charts other than the latest chart with N charts shifted M times before or after this, and arranges the replaced charts in order of the examination date on the screen of the display unit 203. indicate. The number M of charts to be shifted by one operation is set based on the screen operation setting data 603.
It is desirable that the above-described page turning instruction can be input with the simplest possible operation. Therefore, in this embodiment, for example, a touch panel sensor is used for the instruction input unit 204. When an object such as a pen or a finger contacts or approaches the surface of the screen of the display unit 203, the instruction input unit 204 generates a sensor signal indicating the contact position or proximity position.

Hereinafter, the page turning process will be described in detail with reference to the flowchart of FIG.
When the instruction input unit 204 generates the sensor signal described above in the instruction input waiting state (step ST125, FIG. 14), the display processing unit 212 turns the page based on the change in the contact position or the proximity position indicated by the sensor signal. It is determined whether or not an instruction is input.
For example, the display processing unit 212 slides the contact position or proximity position (instructed position) of the pen or the like indicated by the sensor signal of the instruction input unit 204 beyond the boundary of the chart display area, and the sliding direction is inclined obliquely. If it is not (that is, horizontal or vertical), the slide direction is along the chart arrangement direction, and the slide time is within a certain time, it is determined that an instruction is input to execute the page turning process. (Steps ST800 to ST815).

Whether or not the indicated position has slid beyond the boundary of the chart display area is determined based on, for example, the start point and end point of the slide. That is, if the display processing unit 212 has a slide start point in one display area of the adjacent charts and a slide end point in the other display area, the display position is assumed to have moved beyond the boundaries of the chart display areas. judge.
Since exceeding the boundary of the chart display area is a page turning process instruction condition, it is possible to prevent a normal slide operation in the chart display area from being determined as an instruction for the page turning process.

The determination of whether or not the slide direction is oblique is performed based on, for example, the coordinates of the slide start position and end position.
For example, the display processing unit 212 uses the horizontal direction when the angle between the vector having the start position of the slide as the start point and the end position as the end point is smaller than a predetermined value with respect to the horizontal direction (direction perpendicular to the chart boundary). Judge as a slide to. The display processing unit 212 determines that the vector slides in the vertical direction when the angle formed by the vector with respect to the vertical direction (the direction parallel to the chart boundary line) is smaller than a predetermined value. Judge as a slide in the direction.
Alternatively, the display processing unit 212 may determine that the display unit 212 has slid in the horizontal direction when the deviation between the start point and the end point in the vertical direction (the direction parallel to the boundary line of the chart) is shorter than a predetermined value.

Further, whether or not the slide direction is along the chart arrangement direction is determined based on the chart arrangement direction information included in the layout setting data 602. In other words, the display processing unit 212 sets the chart arrangement in the horizontal direction in the layout setting data 602 and the determination result of the slide direction is in the horizontal direction or the arrangement of the chart in the layout setting data 602. Is set in the vertical direction and the determination result of the slide direction is the vertical direction, it is determined that the slide direction is along the chart arrangement direction.
Whether or not the slide time is within a certain time is determined by, for example, measuring the time from the start to the end of contact or proximity to the screen, and whether or not the measurement result has reached a predetermined time This is done by determining whether or not.

If it is determined in steps ST800 to ST815 that a page turning process instruction has been input, the display processing unit 212 determines whether to shift the medical examination date of the chart to be displayed before or after (step ST820).
The direction for shifting the medical examination date is determined based on the arrangement order information of the medical charts included in the layout setting data 602. For example, the display processing unit 212 performs contact based on the slide direction (up, down, left, right) determined by the vector angle as described above and the information on the arrangement order of the charts included in the layout setting data 602. It is determined whether the position has moved from the chart on the previous examination date to the chart on the subsequent examination date or from the chart on the subsequent examination date to the chart on the previous examination date.
When the contact position has moved from the chart on the previous examination date to the chart on the subsequent examination date, the display processing unit 212 determines to shift the chart forward by M times. Conversely, when the contact position has moved from the chart on the later examination date to the chart on the previous examination date, the display processing unit 212 determines to shift the examination date on the chart by M times later.

When it is determined in step ST820 that the medical examination date is shifted forward, the display processing unit 212 is shifted N times earlier than the currently displayed N charts (excluding the latest chart) by M times. Medical chart data (examination work data 52) is read from the memory (step ST825).
On the other hand, when it is determined in step ST820 that the examination date is to be shifted later, the display processing unit 212 displays the N charts shifted by M times with respect to the currently displayed N charts (excluding the latest chart). Data (diagnosis work data 52) is read from the memory (step ST830).

  The display processing unit 212 updates the screen of the display unit 203 so as to replace the N charts read in step ST825 or ST830 with the N charts currently displayed in a state where the display of the latest chart is fixed ( Step ST835). That is, the display processing unit 212 generates a display signal that displays the newly read charts for N days and the latest chart in order of examination date and displays them on the screen of the display unit 203.

39 and 40 are diagrams illustrating an example of an operation in the page turning process.
The examples of FIGS. 39 and 40 show an example of shifting the medical examination date in the layout in which the medical charts are arranged in the horizontal direction. In the example shown in the figure, the contact position of the pen 221 has moved from the display area A12-2 for the previous observation to the display area A12-1 for the previous observation. In this case, the chart is moved in the same direction as the sliding direction of the pen 221. The medical chart visit date has shifted forward so that will move. Also, in this example, the medical chart examination date is shifted forward by one time with one pen operation, and the previous and previous two charts are replaced with the previous and previous two charts. Has been.

  Next, processing for enlarging or reducing the contents of individual data will be described.

As described above, in the examination work support apparatus according to the present embodiment, by automatically adjusting the size of the display area of the individual data, the contents of the medical chart can be browsed without performing an operation such as scrolling as much as possible. . However, for example, when the user wants to further enlarge the contents of certain individual data and see the details, the user operates the instruction input unit 204 to enlarge and display the contents of the individual data. As the instruction input unit 204 for performing this operation, for example, a touch panel sensor is used as in the above-described page turning process.
Specifically, the display processing unit 212 receives a sensor signal indicating that the contact position of the pen or the like has slid in a direction inclined at an angle within a predetermined range with respect to the horizontal direction within the display area of the individual data. If the data is generated in, the contents of the individual data are enlarged or reduced.
For example, when the slide direction is inclined at an angle within a predetermined range with respect to the horizontal direction, the display processing unit 212 displays the content of the individual data in the display area corresponding to the start point of the slide from the start point of the slide to the end point ( A display signal is generated so as to be enlarged at a magnification according to (slide distance).
Further, the display processing unit 212 corresponds to the start point of the slide when the slide direction is the opposite direction to that at the time of enlargement (when the angle of the slide direction is included in an angle range shifted by 180 ° with respect to the angle range at the time of enlargement). A display signal is generated so that the content of the individual data in the display area is reduced at a magnification according to the slide distance.

Hereinafter, with reference to the flowchart of FIG. 41, the content enlargement / reduction processing of the individual data will be described in detail.
In the instruction input waiting state (step ST125, FIG. 14), the display processing unit 212 enlarges or reduces the display area of the individual data based on the change in the contact position (proximity position) indicated by the sensor signal of the instruction input unit 204. It is determined whether or not an instruction to input is input.
That is, when the contact position (proximity position) of a pen or the like indicated by the sensor signal of the instruction input unit 204 is inclined at an angle within a predetermined range with respect to the horizontal direction, the display processing unit 212 slides the individual data It is determined that an instruction to enlarge or reduce the display area has been input (step ST900).

  Whether or not the slide direction is inclined at an angle within a predetermined range is determined based on, for example, the angle of the vector described above from the slide start position to the end position. That is, the display processing unit 212 determines whether or not the angle of the vector is within a predetermined angle range. As this predetermined angle range, for example, an angle range in a diagonally upward direction (right diagonally upward direction, a diagonally upward left direction) and an angle range in a diagonally downward direction (right diagonally downward direction, diagonally down left) The two types are set. When the calculated vector angle is included in any of the two angle ranges, the display processing unit 212 determines that the slide direction is inclined at an angle within a predetermined range.

  When it is determined that the slide direction is inclined at an angle within a predetermined range, the display processing unit 212 determines whether to enlarge or reduce according to the slide direction (step ST905). For example, the display processing unit 212 determines that the vector angle is enlarged when it is included in the angle range of the diagonally downward direction, and determines that it is reduced when it is included in the angle range of the diagonally downward direction.

If it is determined in step ST905 that the image is enlarged, the display processing unit 212 reads an image included in the individual data of the display area corresponding to the slide start position from the memory, and enlarges the image at a magnification corresponding to the slide distance (the magnification is Greater than 1). For example, the display processing unit 212 calculates the length of the vector as the slide distance, and uses a value obtained by multiplying the calculation result by a predetermined coefficient as the magnification. In this case, the magnification increases in proportion to the slide distance (step ST910).
On the other hand, if it is determined in step ST905 that the image is to be reduced, the display processing unit 212 reads an image included in the individual data in the display area corresponding to the slide start position from the memory, and reduces the image at a magnification according to the slide distance ( (The magnification is less than 1). For example, the display processing unit 212 uses the reciprocal of the value obtained by multiplying the slide distance (vector length) by a predetermined coefficient as the magnification. In this case, the magnification decreases in inverse proportion to the slide distance (step ST915).
The predetermined coefficient to be multiplied by the slide distance is included in the screen operation setting data 603, for example, and can be customized to a desired value by the user.

When the display processing unit 212 enlarges or reduces the image in proportion to the slide distance, and the display size exceeds a predetermined upper limit value or falls below a predetermined lower limit value, the display size of the image is the upper limit. The display signal may be generated so as to be a value or a lower limit value. This can prevent the image size from becoming extremely large or extremely small.
In this case, the upper limit value and the lower limit value when the image size of the inspection result data 532 is enlarged or reduced may be associated with the inspection type code in the magnification setting data 605 shown in FIG. 8, for example. When the image included in the inspection result data 532 is reduced or enlarged, the display processing unit 212 acquires the lower limit value or the upper limit value associated with the same inspection type code 71 as the inspection result data 532 from the magnification data 605, The image size is limited by the lower limit value or the upper limit value. Accordingly, it is possible to appropriately set the display size range of the image size according to the type of inspection.

  After enlarging or reducing the image in step ST910 or step ST915, the display processing unit 212 enlarges or reduces the display area corresponding to the start position of the slide according to the magnification, and enlarges or reduces the image in the display area. Display signals are generated so as to be arranged (step ST920). At this time, the display processing unit 212 may display the character data other than the image included in the display area to be enlarged or reduced as it is without being enlarged or reduced, or may select a font according to the above magnification. The entire display may be enlarged or reduced by changing.

FIG. 42 to FIG. 45 are diagrams illustrating examples of operations when enlarging or reducing the display area of individual data.
When the contact position of the pen 221 slides diagonally to the left starting from the inspection data display area A11 (FIG. 42), the display of inspection data in the display area A11 is enlarged (FIG. 43). When the contact position of the pen 221 slides diagonally upward to the right starting from the inspection data display area A11 (FIG. 44), the inspection data display in the display area A11 is reduced (FIG. 45). In the example of FIGS. 42 to 45, only the image included in the inspection data is enlarged / reduced, and the size of the character remains as it is.

  Next, a process for enlarging or reducing a specific inspection result will be described.

In the above processing for enlarging / reducing the contents of the individual data, the contents of the individual data are uniformly enlarged / reduced. However, in the examination work support apparatus according to the present embodiment, any one examination result included in the examination data You can change the size to your preference. In this case, as the instruction input unit 204 for selecting the inspection result, for example, a touch panel sensor is used as in the above-described page turning process.
Specifically, the display processing unit 212 receives an instruction signal indicating that the object has touched or approached L times within a predetermined time in the display area of one inspection result data 532 being displayed on the screen in the instruction input unit 204. When generated (that is, when an instruction signal indicating L clicks is generated), a display signal for enlarging or reducing the contents of the inspection result data 532 is generated.
Further, the display processing unit 212 sets the magnification at the time of enlarging or reducing the contents of the inspection result data 532 in the magnification data 613 (FIG. 8) associated with the inspection type code 71 (FIG. 11) of the inspection result data 532. Set accordingly.

Hereinafter, the inspection result enlargement / reduction process will be described in detail with reference to FIG.
In the state waiting for instruction input (step ST125, FIG. 14), the display processing unit 212 receives an instruction to enlarge or reduce the inspection result based on the change in the contact position indicated by the sensor signal of the instruction input unit 204. It is determined whether or not (step ST950).
That is, when an instruction signal indicating that the display area of one inspection result data 532 has been clicked L times with a pen or the like is generated, the display processing unit 212 enlarges or reduces the contents of the inspection result data 532. It is determined that an instruction has been input.
For example, the display processing unit 212 determines that the instruction to enlarge when an instruction signal indicating that the display area is clicked once within a predetermined time is generated, and the display area is clicked twice within the predetermined time. When the instruction signal indicating that the instruction is generated, it is determined that the instruction is to reduce.

When an instruction for enlarging or reducing the contents of one inspection result data 532 is input, the display processing unit 212 reads the inspection type code 71 (FIG. 11) associated with the inspection result data 532 from the memory. Then, the display processing unit 212 reads the magnification data 613 associated with the read examination type code 71 from the magnification setting data 605 (FIG. 8) (step ST955).
The magnification setting data 605 is included in each of the three types of display setting data (61, 62, 63) (FIGS. 5 and 12). Here, the display designated by the general setting data 606 (FIG. 5) is used. Reference is made to the magnification setting data 605 included in the setting data.

Upon obtaining the magnification data 613, the display processing unit 212 enlarges or reduces the image included in the clicked inspection result data 532 at a magnification according to the magnification data 613 (step ST960).
At this time, when the display processing unit 212 displays the image enlarged or reduced at a magnification according to the magnification data 613, if the display size exceeds a predetermined upper limit value or falls below a predetermined lower limit value, the display of the image is performed. The display signal may be generated so that the size becomes the upper limit value or the lower limit value. This can prevent the image size from becoming extremely large or extremely small.
In this case, the upper limit value and the lower limit value when the image size of the inspection result data 532 is enlarged or reduced may be associated with the inspection type code in the magnification setting data 605 shown in FIG. 8, for example. When the image included in the inspection result data 532 is reduced or enlarged, the display processing unit 212 acquires the lower limit value or the upper limit value associated with the same inspection type code 71 as the inspection result data 532 from the magnification data 605, The image size is limited by the lower limit value or the upper limit value. Accordingly, it is possible to appropriately set the display size range of the image size according to the type of inspection.

  When the image of the inspection result data 532 is enlarged or reduced in step ST960, the display processing unit 212 updates the screen of the display unit 203 so as to display the enlarged or reduced image (step ST965).

47 to 49 are diagrams illustrating an example of an operation for enlarging or reducing the inspection result.
When one of the inspection result images included in the inspection data display area A11 is clicked once, for example, by the pen 221 (FIG. 47), a window A6 for enlarging and displaying this image at a predetermined magnification is displayed on the front of the chart. (FIG. 48). When the display area of the enlarged image is clicked once again, this image is further enlarged at a predetermined magnification (FIG. 49).

  Next, processing for displaying a plurality of inspection results in time series will be described.

In the normal mode shown in FIG. 1, the examination results are individually displayed for each examination day. However, in actual examination, the patient's condition may be judged by observing the progress of the same type of examination results. . Therefore, in the examination work support apparatus according to the present embodiment, when a predetermined instruction is input in the instruction input unit 204 in the normal mode, the examination operation support apparatus shifts to a time series display mode in which a plurality of examination results are arranged in time order and displayed on the screen.
When a predetermined instruction signal instructing to display the examination result data 532 for a plurality of examination days is generated in the instruction input unit 204, the display processing unit 212 displays at least one examination result data 532 displayed on the screen. A series of K test result data is read from the memory, and a display signal for displaying the contents of the read test result data 532 in order of examination date is generated.

  When a plurality of inspection result data 532 belonging to the same inspection type is displayed side by side in time series display, the display processing unit 212 refers to the inspection type code 71 associated with the inspection result data 532. That is, when the instruction signal instructing to display the test result data 532 for a plurality of examination days in time series is generated by designating one test result data 532 being displayed on the screen, the display processing unit 212 generates: A series of K days of test result data 532 associated with the same test type code 71 as the designated test result data 532 is read from the memory, and the contents of the read K days of test result data 532 are arranged in order of examination date. A display signal to be displayed is generated.

  Furthermore, when the display processing unit 212 performs time-series display on the one inspection result data 532 specified by the instruction input unit 204, the display processing unit 212 relates to the inspection result data 532 of another inspection type highly related to the inspection result data 532. In addition, the time series is displayed. That is, the display processing unit 212 searches the memory for the related examination type data 611 including the examination type code 71 associated with the one examination result data 532 specified by the instruction input unit 204, and as a result of the search, When the examination type data 611 is acquired, a plurality of types of examination result data 532 corresponding to a plurality of type codes included in the acquired related examination type data 611 are read from the memory for K days, and the plurality of types of examination result data read out are read. A display signal for displaying the contents of 532 in order of examination date is generated.

Hereinafter, with reference to the flowchart of FIG. 50, the time-series display processing of the inspection results will be specifically described.
In the state waiting for instruction input (step ST125, FIG. 14), the display processing unit 212 generates a predetermined instruction signal for instructing to display one inspection result displayed on the screen in time series in the instruction input unit 204. It is determined whether or not (step ST1000).
For example, when a touch panel sensor is used as the instruction input unit 204, the display processing unit 212 performs an operation of clicking a predetermined number of times on the display area of the examination result displayed on the screen with a pen or another button simultaneously with the click. When an operation such as pressing is performed, it is determined that an instruction is input to display time series.

When it is determined that an instruction is input to display time series, the display processing unit 212 determines whether or not to select the related examination type data 611 according to the disease name code 72 (step ST1005).
The general setting data 606 is set to refer to the display setting data 61 or 63 (FIG. 5), and the selection operation of the related examination type data 611 corresponding to the disease name code 72 is validated in the general setting data 606. If so, the display processing unit 212 selects the related examination type data 611 according to the disease name code 72 (step ST1005). In this case, the display processing unit 212 executes steps ST1010 to ST1015.
In step ST1010, the display processing unit 212 acquires a disease name code from the finding data 54 of the examination work data 52. Next, in step ST1015, the display processing unit 212 is associated with the disease name code 72 acquired in step ST1010 from the examination display setting data 604 (FIG. 6) of the display setting data 61 or 63, and is selected in step ST1000. The related examination type data 611 including the examination type code 71 of the obtained examination result data 532 is searched. In this case, the display processing unit 212 searches the related examination type data 611 from the time series display setting data 621.

On the other hand, when the display setting data 61 and 62 are invalid in the general setting data 606, the examination display setting data 604 (FIG. 6) cannot be referred to (the related examination type data 611 associated with the disease name code 72 cannot be read out). In the case where the selection operation of the related examination type data 611 corresponding to the disease name code 72 is invalidated in the general setting data 606, the display processing unit 212 uses the disease name code 72 for selection of the related examination type data 611. (Step ST1005). In this case, the display processing unit 212 executes Step ST1020.
In step ST1020, the display processing unit 212 includes the related examination type data 611 (related examination type data 611 with an indefinite disease name) that is not associated with the disease name code 72 and the examination result data 532 specified in step ST1000. The related examination type data 611 including the examination type code 71 is searched.

When the relevant examination type data 611 corresponding to the search in step ST1015 or ST1020 is acquired, the display processing unit 212 displays each of one or more examination types corresponding to the examination type code 611 included in the obtained related examination type data 611. If there is a series of K test result data 532, it is read from the memory (steps ST1025 and ST1030).
On the other hand, when the relevant related examination type data 611 cannot be acquired in the search of ST1015 or ST1020, the display processing unit 212 updates the latest examination type code 71 associated with the same examination type data 532 specified in step ST1000. The test result data 532 for K times is read from the memory (steps ST1025 and ST1035).

When a series of test result data 532 is read from the memory in step ST1025 or ST1030, the display processing unit 212 generates a display signal that displays the contents of the read test result data 532 in order of examination date (step ST1040).
When displaying the contents of a plurality of types of related inspection result data 532 in time series, the display processing unit 212 displays the contents of a group of inspection result data 532 associated with the same inspection type code 71 in a predetermined direction on the screen. A display signal is generated that is arranged in order of examination date and displays the contents of a group of examination result data 532 included in the same examination work data 52 in a direction perpendicular to the predetermined direction. For example, the display processing unit 212 generates a display signal so that examination results of the same examination type are arranged in the vertical direction on the screen, and examination results belonging to the chart on the same examination date are arranged in the horizontal direction on the screen.
Further, when the display processing unit 212 displays the contents of the related plural types of inspection result data 532 in time series, the display processing unit 212 corresponds to the priority order information (FIG. 7) of the inspection type code 71 included in the related inspection type data 611. The arrangement order of a plurality of types of inspection results is set. That is, the display processing unit 212 sets the contents of the plurality of types of examination result data 532 included in the same examination work data 52 in the order according to the predetermined direction in the order according to the priority information included in the related examination type data 611. Display signals to be displayed side by side in the vertical direction are generated.

51 and 52 are diagrams showing display examples of screens when the inspection results are displayed in time series.
In the example of FIG. 51, the test results are displayed in time series in the window A7 only for the test types of the test results specified by the pen 221. On the other hand, in the example of FIG. 52, the inspection results of the inspection result designated by the pen 221 and the two inspection types related thereto are displayed in time series in the window A7. In the window A7, a plurality of examination results of the same examination type are arranged in time order in the vertical direction, and a plurality of examination results of the same chart are arranged in the order according to the priority order in the horizontal direction.

  As described above, according to the examination work support apparatus according to the present embodiment, since a plurality of charts are displayed side by side in the order of the examination date, special operations such as clicking and scrolling are not necessary when referring to the plurality of charts. Therefore, the efficiency of the examination work can be improved.

  In addition, according to the examination work support apparatus according to the present embodiment, the display of the past chart can be changed in a state where the latest chart display that is necessarily required in the examination is fixed. It is possible to reduce operations such as clicking and scrolling to be displayed on the screen.

  Further, according to the examination work support apparatus according to the present embodiment, the display setting data 61, 62, and 63 are provided so that screen display settings can be customized under various conditions. That is, display setting data 61 effective for the doctor of the specific doctor identification data 41, display setting data 62 effective when the doctor of the specific doctor identification data 41 views the patient chart of the specific patient identification data 42, Display setting data 63 that is effective when viewing a chart of a specific examination date related to a patient of specific patient identification data 42 is provided. Therefore, with regard to the layout of the screen, the size of each display area, the arrangement of data within the display area, the arrangement of inspection results in time series display, etc., the chart display settings can be set under flexible conditions according to the user's preference. Since it can be customized, workability can be improved.

  In addition, according to the examination work support apparatus according to the present embodiment, the chart information is displayed on the screen as much as possible by automatically adjusting the display area according to the size of the individual data. The number of operations such as scrolling for viewing information can be reduced.

  In addition, according to the examination work support apparatus according to the present embodiment, since the order of the arrangement of examination results displayed in the medical chart is set based on the priority of examination types determined for each disease name, Corresponding appropriate inspection results can be displayed intuitively and easily.

  Further, according to the examination work support apparatus according to the present embodiment, a series of medical charts displayed on the screen can be shifted back and forth by an operation of a pen or the like, so that the necessary medical charts can be easily displayed.

  In addition, according to the examination work support apparatus according to the present embodiment, the display of individual data of a medical chart can be easily enlarged / reduced by an operation of a pen or the like. As a result, operations such as clicking and scrolling can be reduced as compared with a method of displaying the contents of a chart divided into a plurality of pages, and necessary information can be easily enlarged and viewed.

Further, according to the examination work support apparatus according to the present embodiment, individual images included in the medical chart can be easily enlarged or reduced by an operation of a pen or the like. Thereby, even when a high-resolution image is included, details can be easily confirmed.
Further, the magnification for enlarging / reducing the inspection result image can be set according to the inspection type. For example, the magnification at the time of enlargement can be set smaller in the inspection that can obtain a low-resolution image, and the magnification at the time of enlargement can be set larger in the inspection that can obtain a high-resolution image. Therefore, an image of an appropriate size according to the examination type can be displayed, and operations such as enlargement / reduction can be reduced.

In addition, according to the examination work support apparatus according to the present embodiment, a plurality of examination results can be arranged and displayed in time order. This eliminates the need for troublesome operations such as opening and arranging a number of windows in order to display a plurality of examination results, thereby improving the efficiency of examination work.
In addition, when one test result is designated and instructed to be displayed in time series, another type of test result related to the type of the one test result can also be displayed in time series. As a result, a plurality of types of related examination results can be collectively displayed in time series, so that it becomes easier to grasp the patient's state more intuitively and the efficiency of the examination work can be improved. In addition, since highly related examination type groups determined for each disease name can be automatically displayed in time series, the operation is greatly improved compared to the case where the user selects each examination type group to be displayed in time series one by one. Can be simplified.

In addition, this invention is not limited only to embodiment mentioned above, The other various variation is included.
In the above-described embodiment, an example of changing the size of an image included in individual data is given, but the present invention is not limited to this. In another embodiment of the present invention, the size of a sentence (font size, character spacing, line spacing, etc.) included in individual data may be changed. In this case, the change range of the sentence size may be limited by a predetermined upper limit value and lower limit value.

  In the embodiment described above, the database unit is provided in the server device, but the present invention is not limited to this. In another embodiment of the present invention, the database unit may be provided in the terminal device, in which case the server device may be omitted.

  The server device may be composed of a plurality of computers connected by a communication network. For example, the staff database unit 11 and the patient database unit 12 may be configured by separate computers.

DESCRIPTION OF SYMBOLS 1 ... Server apparatus, 2 ... Terminal device, 11 ... Staff database part, 12 ... Patient database part, 101,201 ... Processing part, 102,202 ... Communication part, 103,203 ... Display part, 104,204 ... Instruction input part 105, 205 ... storage unit, 106, 206 ... working memory, 211 ... database request processing unit, 212 ... display processing unit, 41 ... doctor identification data, 42 ... patient identification data, 52 ... examination work data, 53 ... examination data , 54 ... Observation data, 55 ... Prescription data, 61, 62, 63 ... Display setting data, 71 ... Examination type code, 72 ... Disease name code, 601 ... Area size setting data, 602 ... Layout setting data, 603 ... Screen operation setting Data, 604, 604A ... Inspection display setting data, 605 ... Magnification setting data, 606 ... General setting data, 611 ... Related査種 specific data, 613 ... magnification data

Claims (2)

A database unit for storing at least patient identification data and examination work data including examination result data indicating a result of examination performed for the examination of the patient in association with the examination date;
A display unit for displaying a screen corresponding to an input display signal;
An instruction input unit that generates an instruction signal according to a predetermined instruction input operation by a user;
When the instruction signal that instructs the display unit to display a screen related to the examination work data associated with one patient identification data is generated in the instruction input unit, the instruction signal is associated with the one patient identification data. A first processing unit for obtaining the examination work data from the database unit;
The medical examination operation data acquired by the first processing unit is stored, and a plurality of the type codes related to a plurality of related examination types and priority information in the plurality of type codes are stored. A memory for storing the related examination type data included ;
A second processing unit for reading the examination work data for at least one examination date acquired by the first processing part from the memory, and generating the display signal for displaying the contents of the read examination work data on the screen; Have
The examination work data includes a type code indicating the type of examination of each examination result data,
The memory stores, in association with each other, magnification data for setting a magnification when the content of the inspection result data is enlarged or reduced on the screen, and the type code.
The instruction input unit generates the instruction signal indicating a contact position or a proximity position when an object contacts or approaches the surface of the screen of the display unit,
The second processing unit includes:
When the instruction signal for designating one test result data being displayed on the screen and instructing to display the test result data for a plurality of times is generated in the instruction input unit, it is associated with the one test result data Searching the memory for the related examination type data including the type code
As a result of the search, when the related examination type data is acquired from the memory, a series of K times (K is a number) for each of a plurality of types corresponding to a plurality of type codes included in the acquired related examination type data. The test result data is read from the memory and the contents of the K test result data for the one or more types read out are arranged and displayed in order of the examination date. Generate a display signal ,
When the contents of a plurality of types of examination result data corresponding to a plurality of type codes included in the related examination type data are displayed on the screen in order of examination date, a group of the examination result data associated with the same type code The contents are arranged in order of examination date in a predetermined direction on the screen, and the contents of the plurality of types of the examination result data included in the same examination work data are information on the priority in a direction perpendicular to the predetermined direction. Generating the display signals to be arranged and displayed in an order according to
In the display area of one inspection result data being displayed on the screen, the instruction signal indicating that an object has touched or approached L times within a predetermined time (L represents an arbitrary natural number) is displayed at the instruction input unit. If generated, the magnification data associated with the type code of the one inspection result data is acquired from the memory, and the content of the one inspection result data on the screen is a magnification according to the acquired magnification data. Generating the display signal to be enlarged or reduced by
Medical examination support device. The memory stores information relating to the upper limit value of the display size of the inspection result data on the screen and / or information relating to the lower limit value and the type code in association with each other,
The second processing unit includes:
The instruction signal indicating that the object has contacted or approached L times (L represents an arbitrary natural number) within a predetermined time in the enlarged or reduced display area of the inspection result data is displayed at the instruction input unit. If generated, the display signal for further expanding or reducing the content of the one inspection result data on the screen is generated ,
When the content of the one inspection result data on the screen is enlarged and displayed according to the instruction signal, the display size is stored in the memory in association with the type code indicating the inspection type of the one inspection result data. When the upper limit value according to the information on the upper limit value is exceeded, the display signal for expanding the display size of the one inspection result data to the upper limit value is generated,
When the content of the one inspection result data on the screen is reduced and displayed according to the instruction signal, the display size is stored in the memory in association with the type code indicating the inspection type of the one inspection result data. The display signal for reducing the display size of the one test result data to the lower limit value when the lower limit value is less than the lower limit value according to the information about the lower limit value.
The examination work support apparatus according to claim 1.