JP2000231592A - Electronic medical recording device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To display only information that is essential or significant in comparison with the name of a disease of a patient, etc., on a medical record display screen. SOLUTION: This electronic medical recording which electronically stores the information in each description item of a record and shows a description item made a display object on a display screen has a check type data set information file 34 which respectively stores a display section defining the case in which data attributes being a binary check type are shown in each description item, a file recording and reproducing part 23 which acquires the data value of the description item made the display object and a display control part 24 which decides the acceptance/rejection of displaying the check type description item made the display object according to the data value of the description item and the display section.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an electronic medical record device for electronically storing information of each item described in a medical record and displaying the information on a screen as needed.

[0002]

2. Description of the Related Art There has been provided a so-called electronic medical record apparatus in which medical treatment information is digitized and recorded, and is displayed in a medical record display window of a display as necessary. The use purpose of the medical information displayed on the display of the electronic medical record device is the same as the medical information of the paper medical record. That is, the doctor refers to the current prescription by looking at past prescriptions and medical histories for patients under medical care, ascertains medical conditions by examining test results, and verifies treatment effects. Therefore, it is desired that the display be able to handle a wide variety of medical information and also allow a doctor to grasp necessary information at a glance. Items described in the medical information include, for example, chief complaint, current medical history, findings, past illness, family history, and the like. These are generally described in the left column of the medical chart No. 2 in a paper chart.

[0003]

In a conventional electronic medical record apparatus, a medical information name, one or more data names belonging to the medical information name, the contents (data value) of each data name,
The unit of the data name is one group of the display as necessary.

[0004] For example, a "medical care information name" of "pulse"
Are two "data names", "pulse rate" and "arrhythmia"
Having. Here, the "data name" of "pulse rate"
It has a specific numerical value “contents (data value)” and a unit of the numerical value “/ min.” On the other hand, the “data name” of “arrhythmia” has two values of “present” or “absent”. It has the value “content (data value)”, but of course has no unit.When displaying, these are displayed as a group on the chart display screen. Binary data of “present” or “absent” is referred to as “check type” data.

[0005] Considering a case where it is desired to quickly grasp a patient's medical condition or the like from the chart display screen, only essential or important information is displayed in light of the patient's disease name and the like. It is desirable to call it on the display screen. For example, in the case of the data name "arrhythmia", if the content is "present", it is necessary to be displayed, but in the case of "absence", the disease closely related to the data name ( In this example, the display is not necessary except for the case of “heart disease”), and it is considered that the screen is easier to see if it is not displayed.

As described above, when the data name is "arrhythmia", it is usually desirable to omit the display in the case of "absent". There are some data names for which it is desirable to omit the display, except in the case of diseases that are closely related. In addition, there are data names for which it is considered that it is usually better to omit the display and to call up the screen only when necessary, regardless of the disease.

The present invention provides a chart display screen (window) for displaying only essential or important information in light of the patient's disease name and the like.
The purpose of the present invention is to hide the other information normally, so that it can be called up by an input operation or the like as needed. In addition, the user (doctor or the like) specifies the above specification,
For example, it is an object of the present invention to be able to perform the procedure appropriately in consideration of a medical department or the like.

[0008]

According to the first aspect of the present invention, there is provided an electronic medical record apparatus for electronically storing information of each description item of a medical record and displaying the description items to be displayed on a medical record display screen. A display section storing means for storing a display section for determining a display case for each description item whose data attribute is a binary check type, and a data value acquisition for acquiring a data value of the description item to be displayed An electronic medical record apparatus comprising: a display unit; and a display permission / inhibition determining unit that determines whether to display a check-type description item to be displayed according to a data value and a display category of the description item. The invention of claim 2 is an electronic medical record device for electronically storing information of each description item of a medical record and displaying the description item to be displayed on a medical record display screen, wherein the data attribute is a binary check type. For each described item, a display section input means for inputting a display section for determining a display case, a display section storing means for storing the input display section in association with the described item, Data value obtaining means for obtaining the data value of the described description item, display availability determination means for determining whether to display the check-type description item to be displayed according to the data value and display classification of the description item, An electronic medical record apparatus characterized by having: According to a third aspect of the present invention, there is provided an electronic medical record apparatus for electronically storing information of each description item of a medical record, and displaying the description item to be displayed on a medical record display screen, wherein the data attribute is a binary check type. A display section input means for inputting a display section for determining a display case for each described item, and a use section for determining whether the display section is used in-hospital, medical department, or user-specific Use section input means for inputting a user name, a display section use section storage means for storing the input display section in association with the description item, and storing the input use section in association with the display section, and a user name User information storage means for storing the user name and the medical department name in association with each other, a data value obtaining means for obtaining a data value of a description item to be displayed, and a user information obtaining means for obtaining a current user name Display permission / inhibition determining means for determining whether or not to display a check-type entry item to be displayed according to the data value of the entry item and the display category, and according to the current user name or its medical department and use category. When,
An electronic medical record apparatus characterized by having: According to a fourth aspect of the present invention, in the second or third aspect, the display section input means inputs the display section in the medical information definition screen and / or the medical information input screen in association with the description item name. The display section storage means holds the display section until the display section is rewritten when the display section is input from the medical information definition screen, and when the display section is input from the medical information input screen, An electronic medical record apparatus characterized by holding the display section as information for determining whether or not display is possible on a medical record display screen to which a transition from the medical care information input screen is made.

[0009]

FIG. 1 shows a configuration example of an electronic medical record apparatus according to an embodiment. As shown, the electronic medical record device is
It includes a control device 20, a keyboard 11, a mouse (or other known pointing device) 12, a display 13, and a storage device 30. The control device 20 includes a program ROM, a working RAM, an MPU, a video RAM, and the like. Functionally, a system control unit 21 having a control function of the entire apparatus, a display control unit 22 having a display control function of the display 13, and a file recording / reproducing unit 2 having a function of reading / writing each file in the storage device.
3. A chart display control unit 2 having a chart display control function
4 The storage device 30 is configured as a device having a recording medium such as a hard disk, for example. The storage device 30 includes a medical department master file 31, a medical information definition master file 32, a user (doctor) master file 33, a check type data setting information file 34, a patient master file 35, and a medical information registration file 36.
Is provided. In addition, other files other than these may be provided.

First, each component described in the claims and FIG.
The correspondence relationship with the configuration of the electronic medical record device exemplified in FIG. In the apparatus illustrated in FIG. 1, the display section storage unit and the display section use section storage unit described in the claims correspond to the check type data setting information file 34. The check type data refers to attribute data in which the data value takes one of two values ("1 = present", "0 = absent").

[0011] The display section input means described in the claims has a structure shown in FIG.
In the device illustrated in FIG. 1, a keyboard 11, a mouse 12, a display 13, a display control unit 22, a system control unit 21
Are realized by a function performed in cooperation. That is, after the cursor is placed on the display section column in the medical information definition screen (FIG. 6) with the mouse 12 or the like, the desired display section (one of 1, 2, 3) is input from the keyboard 11. ,
The function as the display section input means can be realized. here,
The display section 1 means "always displayed", the display section 2 means "display only when" present ", and the display section 3 means" display only when "absent". In addition, not only the medical information definition screen illustrated in FIG. 6 but also the display section can be configured to be input by inputting from the medical information input screen illustrated in FIG. That is, the function as the display section input means can be realized not only from the medical information definition screen but also from the medical information input screen.

The use section input means described in the claims is the same as the display section input means. After placing the cursor on the use section column in the medical care information definition screen with the mouse 12 or the like, a desired use section (any one of 1, 2, 3) is input from the keyboard 11.
), A function as a use category input means can be realized. Here, use category 1 means “common in hospital”, use category 2 means “common in medical departments”, and use category 3 means “individual”.

In the apparatus exemplified in FIG. 1, the data value (content) acquiring means described in the claims is a file recording / reproducing unit 23.
Is realized as a function of acquiring a desired data value from the medical care information registration file 36. Alternatively, it is realized as a function in which the system control unit 21 acquires a data value input from the keyboard 11 or the like and held in the memory. The former corresponds to the case where the data value of the past medical information recorded in the medical information registration file 36 is obtained, and the case where the data value held in the memory is obtained by the new input this time. The latter is the case.

The display permission / inhibition determining means described in the claims is shown in FIG.
In the apparatus exemplified in FIG. 13, the system control unit 21 shown in FIG. 13 is configured based on the display classification acquired from the check type data setting information file 34 via the file recording / reproducing unit 23 and the data value acquired by the data value acquiring unit. Step S
Function to make a decision as in the case of 12 (chart display control unit 24)
Function).

The user information storage means described in the claims corresponds to the user master file 33 in the apparatus shown in FIG. Further, the user information acquisition means described in the claims,
The file recording / reproducing unit 23 is realized as a function of acquiring current user information from the user master file 33.

Next, each file will be described. As shown in FIG. 2A, the medical department master file 31 stores a medical department name in association with a medical department code. In the user (doctor) master file 33, FIG.
As shown in (b), information on each doctor who uses the electronic medical record apparatus is stored. Patient Master File 35
As shown in FIG. 2 (c), information of each patient managed by the present electronic medical record apparatus is stored.

The medical information definition master file 32 includes:
As shown in FIG. 3, definition information of each medical information (medical information code, medical information name, number of data names belonging to the medical information name,
Each data name, the attribute of each data, the number of digits of each data, and the unit of each data) are stored for each piece of medical information. For example,
In the case of the medical information “pulse”, “pulse” is stored as the medical information name, “pulse rate” is stored as the data name, and “/ min” is stored as the unit, and another data name belonging to “pulse” is stored. “Arrhythmia” is stored. It should be noted that the medical care information is a description item of the medical record, and the data name is an item name of a lower concept of the description item. The attribute of the data indicates whether the data is of a character type / integer type / decimal type / check type.
Indicates the maximum number of digits assigned to the data.

As shown in FIG. 4, the check type data setting information file 34 stores check type data setting information (display categories) in association with medical information codes, input data numbers, and use categories. I have. When the use category is 2 or 3, a medical department identification code or a user identification code is stored in association with each other. The setting information of the check type data is stored in the check type data setting information file 34 by input from the medical care information definition screen. In the apparatus of this example, the setting information input from the medical information input screen is used only for display on the medical record display screen which is a transition destination from the medical information input screen, and is stored in the check type data setting information file 34. Is not stored. Note that a configuration in which the data is stored in the check type data setting information file 34 is also possible.

As shown in FIG. 5, the contents (data values) of one or more pieces of medical information input at each medical examination are stored in the medical information registration file 36 in the form of a patient identification code, a medical examination date and time.
It is stored in association with the user code of the doctor in charge.

Next, a procedure for setting a display category in the present electronic medical record apparatus and a procedure for displaying and displaying a chart on a medical chart display screen displayed according to the display category will be described with reference to FIGS. FIG. 6 is an explanatory view exemplifying a medical information definition screen (window), and FIG. 7 is a medical information input screen (window).
FIG. 8 is an explanatory view illustrating a chart display screen (window). 9 to 11 are flowcharts including the procedure of inputting and setting the display category.
In the case of input from the medical information definition screen, FIG. 10 and FIG.
Shows the case of input from the medical care information input screen. 12 and 13 are flowcharts showing the procedure for displaying the chart display screen. FIG. 14 is an explanatory diagram showing the relationship between the input values (data values and contents) of the check type data, the display categories held by the check type data setting information file 34, and the display mode of the chart display screen, and FIG. FIG. 9 is an explanatory diagram showing a correspondence relationship between input values (data values, contents), display categories held by a check-type data setting information file 34, and a “check box for displaying a medical chart” on a medical information input screen; In the “check box for displaying medical chart”, the check type data setting information file 34
The default value according to the display category held by is displayed.

As shown in FIG. 6, in the medical information definition screen, input fields for inputting the medical information name, the number of input data, the data name, the data attribute, the number of data digits, the unit, the use category, and the display category are provided. Is provided. When the number of input data and the data attribute are determined, a required input field is determined. For example, if the number of input data is determined to be “2”, it is necessary to input “2” data names in the data name column. If the data attribute is determined to be "check type", the data digit number field is automatically determined to be "1", the unit field cannot be input, and the input can be made in the use section and the display section. When input is made in the required input fields and the OK button is pressed (FIG. 9, S33: YE
S), the medical information name, the number of input data, the data name, the data attribute, the number of data digits, and the unit are stored in the medical information definition master file 32, and the use and display categories are stored in the check type data setting information file 34. (Fig. 9
S41).

When the medical information input screen is opened (FIG. 10, S5)
1) The name of the medical information is acquired from the medical information definition master file, and is displayed in a list in the medical information selection column of the medical information input screen shown in FIG. 7 (FIG. 10, S52). When any medical information is selected from the medical information selection column (FIG. 10, S5)
6: YES), an input control group (such as a text box) for inputting the medical information is displayed, and the medical information can be input (FIG. 10, S57). FIG. 7 shows a state in which the input of the medical care information “pulse” is accepted. The bold frame surrounding the input control group of the medical information “pulse” indicates that the medical information is the current input target. When the keyboard focus is moved to other medical information, the other medical information is displayed. The frame surrounding the input control group is displayed as a bold line (FIG. 11, S58: YES, S5
9). When the delete button is pressed, the input control group having the keyboard focus is deleted (FIG. 11).
-S62: YES, S63).

When the user inputs data in the required input fields and presses the OK button (FIG. 10, S54: YES), the data displayed in the input fields is stored in the corresponding area of the medical information registration file 36 and the screen is displayed. The screen switches to the chart display screen (FIG. 8), and the input medical information is displayed (FIG. 10).
S71).

A case where a display section is inputted from the medical care information input screen will be described. Although not provided on the medical information input screen illustrated in FIG. 7, a “check chart display” check box is provided near the check-type data input box.
Checking the check box or unchecking the check box (FIG. 11, S64: YES) switches the display type of the check type data (FIG. 11, S6).
5) By pressing the OK button (FIG. 10, S5)
4: YES), the display / non-display of the check type data on the medical record display screen, which is the transition destination from the medical information screen, may be controlled (FIG. 10 / S71). Note that FIG. 15 shows a default state in which the display categories stored in the check type data setting information file 34 are reflected in the “check box for displaying medical chart”.

Next, the display procedure of the chart display screen illustrated in FIG. 8 will be described. When the chart display screen is opened (Fig. 1
2. S01), it is determined whether to display past medical information recorded in the medical information registration file 36 or to display medical information newly input this time (FIG. 12). -S02). When display of past medical information is instructed, past medical information recorded in the medical information registration file 36 is read and reproduced (FIG. 12, S03). When the display of the newly input medical information is instructed, the medical information in the memory is acquired (FIG. 12, S04).

The definition information is reproduced from the medical information definition master file 32 based on the medical information code (FIG. 12).
S06), it is determined whether the data to be displayed is check type data (S08 in FIG. 13). If the data is not check type data, the data is displayed as "data name: value unit" (FIG. 13). 13. S09).

On the other hand, if the data to be displayed is check type data (S08: YES in FIG. 13), the display category (check type data setting information) of the data is reproduced based on the medical care information code and the data input number. (Fig. 13 ・ S
11) Display / non-display is controlled according to the display category and the input value in the check box. That is, display / non-display is controlled according to the divisions shown in FIG.

For example, when the input value in the check box is "1 (checked)" (S12: yes in FIG. 13) and when the display category is 1 (= always displayed) (FIG. 13 S13:
YES), "data name: present" is displayed (S15 in FIG. 13). In the example of FIG. 14, it is displayed as "arrhythmia: present".

When the input value in the check box is "1 (checked)" (FIG. 13, S12: yes), and when the display category is 2 (= displayed only when the input value is "1") (S14: YES in FIG. 13) is displayed as "data name: present" (S15 in FIG. 13). In the example of FIG. 14, it is displayed as "arrhythmia: present".

When the input value of the check box is "1 (checked)" (S12 in FIG. 13: yes) and the display category is 3 (= displayed only when the input value is "0") (S13: NO, S14: NOS in FIG. 13), no display is performed.

On the other hand, when the input value in the check box is "0 (no check)" (S12: No in FIG. 13) and when the display category is 1 (= always displayed) (S16 in FIG. 13: Y)
ES), “Data name: None” is displayed (FIG. 1
3. S18). In the example of FIG. 14, it is displayed as "arrhythmia: none".

When the input value in the check box is "0 (no check)" (FIG. 13, S12: nothing), and when the display category is 3 (= displayed only when the input value is "0") (S17: YES in FIG. 13) is displayed as "data name: none" (S18 in FIG. 13). In the example of FIG. 14, it is displayed as "arrhythmia: none".

When the input value in the check box is "0 (no check)" (FIG. 13, S12: nothing), and when the display classification is 2 (= displayed only when the input value is "1") (FIG. 13, S16: NO, S17: NOS), no display is performed. In this way, the display according to the division of FIG. 14 is realized.

[0034]

According to the present invention, the display section stored in the display section storage means and the input value (1 or 0) of the check box are set.
Since the display / non-display of the check type data is controlled according to the above, the display category is set to a desired state, so that only the essential or important information in view of the patient's disease name or the like is displayed on the chart display screen (window). , And the rest of the information is usually hidden. Also, it can be called by an input operation or the like as needed. In the configuration of claim 4, the user (doctor or the like) can appropriately set the display category by taking into account the medical department information input screen, for example, in consideration of the medical department.

[Brief description of the drawings]

FIG. 1 is a block diagram showing a configuration of an electronic medical record device according to an embodiment.

FIG. 2A is an explanatory diagram showing a file format of a medical department master file, FIG. 2B is an explanatory diagram showing a file format of a user master file, and FIG. 2C is an explanatory diagram showing a file format of a patient master file.

FIG. 3 is an explanatory diagram showing a file format of a medical information definition master file.

FIG. 4 is an explanatory diagram showing a file format of a check type data setting information file.

FIG. 5 is an explanatory diagram showing a file format of a medical information registration file.

FIG. 6 is an explanatory diagram illustrating a medical care information definition screen.

FIG. 7 is an explanatory diagram exemplifying a medical information input screen.

FIG. 8 is an explanatory diagram illustrating a chart display screen.

FIG. 9 is a flowchart showing processing on a medical care information definition screen.

FIG. 10 is a flowchart showing a part of processing on a medical care information input screen.

FIG. 11 is a flowchart showing the rest of the processing on the medical care information input screen.

FIG. 12 is a part of a flowchart showing a display procedure of a chart display screen.

FIG. 13 is the remaining part of the flowchart showing the procedure for displaying the chart display screen.

FIG. 14 is an explanatory diagram showing a relationship between input values of check type data, display categories held by a check type data setting information file 34, and a display mode of a chart display screen.

FIG. 15 is an explanatory diagram showing a correspondence relationship between input values of check type data, display categories held by the check type data setting information file 34, and “check box for displaying medical chart” on the medical care information input screen.

[Explanation of symbols]

 24 Chart display control unit 34 Check type data setting information file

Claims (4)

[Claims] 1. An electronic medical record device for electronically storing information of each description item of a medical record and displaying the description item to be displayed on a medical record display screen, wherein a data attribute is a binary check type. A display section storage unit for storing a display section for determining a display case for each entry item; a data value acquisition unit for acquiring a data value of the entry item to be displayed; and a check type An electronic medical record apparatus comprising: display permission / inhibition determining means for determining whether or not to display an entry according to a data value of the entry and a display category. 2. An electronic medical record device for electronically storing information of each description item of a medical record and displaying the description item to be displayed on a medical record display screen, wherein the data attribute is a binary check type. A display section input unit for inputting a display section for determining a display case, a display section storage unit for storing the input display section in association with the description item, and a display target. There is provided a data value acquisition unit for acquiring a data value of a description item, and a display availability determination unit for determining whether to display a check-type description item to be displayed according to the data value and display category of the description item. An electronic medical record device, characterized in that: 3. An electronic medical record device for electronically storing information of each description item of a medical record and displaying the description item to be displayed on a medical record display screen, wherein the data attribute is a binary check type. For each described item, a display section input means for inputting a display section for determining a display case, and a use section for determining whether the display section is used in a hospital, a department, or a user. Use section input means for storing the input display section in association with the description item, and display section use section storage means for storing the input use section in association with the display section; A user information storage unit that stores a medical department name in association with a medical department name, a data value acquisition unit that acquires a data value of a description item to be displayed, a user information acquisition unit that acquires a current user name, and a table. Display permission / inhibition determining means for determining whether or not to display a check-type entry item to be indicated according to the data value of the entry item and the display category, and according to the current user name or its medical department and use category. An electronic medical record device comprising: 4. The display category input means according to claim 2 or 3, wherein the display category input means is configured to input a display category in association with a description item name on the medical care information definition screen and / or the medical care information input screen. The display section storage means holds the display section until the display section is rewritten when the display section is input from the medical information definition screen, and stores the display section when the display section is input from the medical information input screen. An electronic medical record apparatus, wherein the display category is held as information for determining whether or not display is possible on a medical record display screen, which is a transition destination from a medical information input screen.