JP2001290883A - Medical examination assisting device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To properly and speedily switch the display/nondisplay state of a schemer diagram and to easily grasp the presence of the schemer drawing and the outline of its contents even when the schemer diagram is not displayed. SOLUTION: In schemer diagram display mode (NO at S54), the object schemer diagram to be displayed is displayed (S55) and in nondisplay mode (YES at S54), words or a phrase describing the schemer diagram is displayed together with a symbol indicating the presence of the object schemer diagram to be displayed (S56 to S68).

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical care support apparatus having a function of reproducing medical care information including a schematic diagram and displaying the information on a screen.

[0002]

2. Description of the Related Art In recent years, a medical care support system for recording medical information in an electronic medical record has been put into practical use. In an electronic medical record, similarly to a paper medical record, a diseased part of a patient is illustrated using a schematic diagram called a schematic diagram. In addition, medical information describing a diseased part may be entered as text information in a schema diagram, and the text information thus entered is recorded as a part of the schema diagram.

[0003] When recording a schema diagram and a description of a diseased part in an electronic medical record, a desired schema original is read from a schema original file in which various schema originals are registered, and set in advance in the medical information input screen. The input area is displayed, and various explanatory sentences (words) are entered in the original schema. As a result, the original schema and the written description become integrated image information, and are recorded in the medical care information file in association with the patient.

[0004]

[Problems to be Solved by the Invention] Electronic medical chart 2
On the number screen, a large display area is occupied by the schema diagram. For this reason, the display area of the other medical information is narrowed, and it is difficult to overview the entire medical information. Scrolling is necessary to see the entire medical information from the first consultation to today, but there is a problem that the schema diagram has a large amount of data because of the image data, and it takes time to scroll. If the schema diagram is not displayed on the screen in order to avoid such inconvenience, detailed medical information cannot be viewed, and there is a possibility that accurate medical care may be hindered.

[0005] The present invention has been made in view of the above circumstances,
It is an object of the present invention to be able to display / non-display a schema diagram appropriately and promptly. It is another object of the present invention to be able to grasp the existence of a schema diagram and its outline even when the schema diagram is not displayed.

[0006]

The invention of claim 1 is a medical treatment support apparatus having a function of reproducing medical information including a schematic diagram and displaying it on a screen, and describes the schematic diagram and the schematic diagram. Schema diagram storage means for storing each schema diagram in association with words and phrases, input means for setting a mode for displaying / non-displaying a schema diagram, and a schema diagram to be displayed in a schema diagram display mode. And a display control unit for displaying a phrase describing the schema diagram together with a symbol indicating the existence of the schema diagram to be displayed in the non-display mode. In the above description, the schema diagram to be displayed is, for example, a schema diagram recorded on a certain consultation day (one or more consultation dates) for a current patient (a patient whose electronic medical record is currently open). It is. That is, the schema to be displayed is generally determined by specifying a patient and one or more consultation dates of the patient. According to a second aspect of the present invention, in the first aspect, the schema diagram storage means assigns and stores priorities when a plurality of terms describing a certain schema diagram are plural, and the display control means includes: In the non-display mode, a predetermined number of high-priority words and phrases are displayed together with the symbols in the non-display mode when there are a plurality of words describing the schema diagram to be displayed. In the above description, the predetermined number is one or two or more specific numbers, and is, for example, predetermined in the operating environment setting of the medical care support apparatus. According to a third aspect of the present invention, in the first or second aspect, the phrase describing the schematic diagram is a phrase entered in an image input area for creating a schematic diagram, and / or the image. A medical assistance apparatus characterized in that it is a phrase input from a character input area associated with the input area. In the above, the words entered in the image input area are integrated with the image and become a part of the schematic diagram.
By storing this phrase as character information,
Words can be displayed in the non-display mode. Also,
The character input area associated with the image input area is not appropriate for filling in the schematic diagram, but is provided in consideration of a case where a keyword or the like reminiscent of the schematic diagram is to be recorded. . According to a fourth aspect of the present invention, in any one of the first to third aspects, the display control means includes:
When a cursor is detected at any of the symbols, a schema diagram corresponding to the symbol at the cursor position is displayed in a pop-up display. In addition,
It is assumed that a means having the position of each symbol and a means for detecting the cursor position are provided. According to a fifth aspect of the present invention, in accordance with any one of the first to fourth aspects, the input means performs a predetermined input operation in a state where a cursor is detected by any of the symbols. Switching the mode of the schematic diagram corresponding to the symbol at the cursor position to the display mode. That is, the display / non-display mode can be set for each schema diagram, and the symbol is a medical care support device that functions as a shortcut key. In the above, the predetermined input operation includes, for example, a left double click operation of a mouse and an operation equivalent thereto.

[0007]

FIG. 1 is a block diagram showing a configuration of a medical care support apparatus according to an embodiment. As shown, the medical assistance device includes a CPU 20, a keyboard 11, a mouse (or other known pointing device) 12,
Display 13, auxiliary storage device (hard disk, etc.)
30 and a main storage device (RAM, etc.) 40.

The CPU 20 starts up the system according to a program in a ROM (not shown) or a system file (not shown) in the auxiliary storage device 30, and then executes processing according to a program in an application file (not shown) in the auxiliary storage device 30. By this processing, a control function of the entire medical assistance apparatus, a display control function of the display 13, a mouse 1
Functions required as a computer-based medical care support apparatus, such as an input function of the keyboard 2 and the keyboard 11, and a function of recording / reproducing a file related to medical information in the auxiliary storage device 30, are realized. In addition, the function of each unit described in the claims is also realized. This function will be described later with reference to a flowchart.

The auxiliary storage device 30 is, here, a hard disk device. A display section ID master table, a display data table, a schema ID table, a schema-related information table, and the like are recorded in a file related to medical information on the hard disk. It is to be noted that data other than the above are recorded as a matter of course, but have no direct relevance to the present invention, and thus description thereof will be omitted.

FIG. 2 shows the display section ID master table.
As shown in (a), data indicating whether the display content of the medical care information is character information or image information is recorded in association with the display section ID.

In the display data table, as shown in FIG. 2B, the display section ID, display data (when the display section is "character information"), schema ID, Etc. are recorded. Note that FIG.
(B) shows only the display target of the current patient. For example, the display data (display data ID “n +
1 "to" n + N ") can be set as the display target. The schema ID “NULL” indicates that there is no schema diagram.

As shown in FIG. 3A, an original schema ID, schema diagram data, and the like are recorded in the schema ID table in association with the above-mentioned schema ID. FIG. 3A shows only the display target of the current patient, as in FIG. 2B.

FIG. 3 shows the schema related information table.
As shown in (b), in association with the schema character ID,
The above-mentioned schema ID, related character information, display order, and the like are recorded. The related character information is character information recorded in association with the schema diagram when the schema diagram is created,
Character information entered in the schema diagram (“stiff shoulders” and “severe pain” in the upper part of FIG. 9) and character information entered from the input fields outside the schema figure (“severe pain in the lower abdomen in the upper part of FIG. 9” ]). The former becomes image information integrated with the schema diagram as in the related art, and is recorded in the schema-related character information table as “related character information” in the medical care support apparatus. The input field for the latter is provided in consideration of a case where it is desired to input a description word such as a keyword that facilitates recall of a schema diagram. Note that FIG. 3B shows FIG.
As in (b) and FIG. 3 (a), only the display target of the current patient is shown.

Next, the display of the medical chart No. 2 screen will be described with reference to a flowchart. When the display of the medical chart No. 2 screen is instructed, for example, by pressing a “transition to the medical chart No. 2 screen” button in the current screen, the display of the medical chart No. 2 screen is performed according to the procedure shown in FIG. Done. Note that the medical chart No. 2 paper screen is a screen display that simulates the paper chart No. 2 paper as illustrated in FIG. 7.

FIG. 5 shows the details of step S01 in FIG. First, the chart No. 2 screen is displayed based on the definition data of the chart No. 2 screen (S41). Next, the display mode (display / non-display) of each schema diagram to be displayed is initially set to "non-display" (S43). Note that this initial setting is for the sake of convenience, and for example, "displays the first schema diagram and hides the second and subsequent schema diagrams" depending on the environment setting of the medical care support apparatus (see the margin of the flowchart in FIG. 5). Note) may be used. Alternatively, the initial setting may be “non-display of the schematic diagram from the beginning to the end of the image, and display of the schema diagram at the end”. In addition, it can be set appropriately according to the request of the user. The set display mode is associated with the display data ID in the main storage device (RAM
Etc.) at 40 predetermined addresses.

In steps S51 to S58, the medical information for the current display target (in the example of FIG. 2B, "n + 1" to
Processing for displaying medical information indicated by the display ID of “n + N” is performed. For example, if the display category is “1” (YES in S51), since the information is character information, the display data (character information) specified by the display data ID of the medical information is stored in the display data table (FIG. 2B). )) And displayed (S52).

If the display category is "2" (YE at S53)
S) First, it is checked whether the mode specified by the display data ID of the medical care information is “non-display / display” (S54). In this check, the data (data associated with the display data ID of the medical information) held at a predetermined address in the main storage device (RAM or the like) 40 by the setting in step 43 is referred to.

If the mode is "display" (N in S54)
O), the schema I associated with the display data ID of the medical treatment information in the display data table (FIG. 2B).
The data of the schema diagram specified by D is read out and displayed according to the schema ID table (FIG. 3A) (S55). The upper part of FIG. 8 shows a state where a schema diagram is displayed.

If the mode is "non-display" (Y in S54)
ES) First, a symbol indicating that there is a schema diagram and a schema icon having a function as a shortcut key as described later are displayed (S56), and a display data table is added to the display data ID of the medical treatment information. Schema ID associated with (FIG. 2 (b))
Is read from the schema related information table (FIG. 3B) (S57) and displayed (S58). In the lower part of FIG. 8, instead of the schematic diagram, a schema icon (a symbol similar to “Y” in the example of FIG. 8) and related character information (“terrible pain” in the example of FIG. 8)
Shows a state where is displayed.

In step S57, when a plurality of related character information is associated with the schema ID, a predetermined number of related character information having a high priority ("display order" in FIG. 3B) is displayed. Is done. The “predetermined number” is a numerical value determined in the operation environment setting of the medical care support apparatus, and can be appropriately changed by the user. In addition, the order (priority) of the related character information can be determined by writing a desired word or phrase in the schema diagram at the time of creating the schema diagram on the medical information input screen (upper part of FIG. 9), and writing the desired explanatory sentence After inputting from the input field other than the figure, pressing the "display character" button (upper row in FIG. 9) calls up the ranking determination screen (middle row in FIG. 9) and providing it in the left column of the phrase display field in the screen. This is recorded by inputting a desired numerical value in the "ranking column". Since this ranking determination screen can be called later, if it is desired to change the ranking at a later date, the ranking determination screen may be called up and the numerical values may be changed appropriately. Further, as another order determination method, for example, when creating a schema diagram, the priority order of the explanatory note input from the input field outside the schema diagram is initially set to the first place, or the first order is set in the schema diagram. Initialize the priority of the entered words to the first place, etc.
The priority may be initially set by default, and may be changed as necessary. Alternatively, the priority may be determined by moving the selected item up and down with the cursor key. The arrow buttons in the ranking screen are
This button is used to call a related character information order determination screen (an example is shown in the lower part of FIG. 9) using the same schema original drawing.

When the medical care information is displayed on the medical chart No. 2 screen as described above, the processing of steps S1 to S31 in FIG. 4 is repeatedly executed.

In steps S11 to S15, when the cursor is positioned at any of the schema icons in the chart 2 sheet screen (YES in S11), it is determined whether or not a schema diagram corresponding to the schema icon is displayed in a pop-up display. If it is checked that the pop-up is not displayed yet (NO in S13), the pop-up is displayed (S1).
5) Processing. FIG. 10 shows an example of such a pop-up display.
Shown in

In steps S21 to S25, if the cursor is displaced from the position of any of the schema icons in the medical chart No. 2 screen (YES in S21), it is checked whether any of the schema diagrams is pop-up displayed. If the pop-up is still displayed (YE in S23)
S) is a process of hiding the pop-up display (S25).

In step S31, as shown in detail in FIG. 6, in response to a double click of any of the schema icons (YES in S61, YE in S62).
S), after securing the display area of the schema diagram corresponding to the schema icon, display the schema diagram (S63).
Processing.

In response to the double click on the schema diagram (YES in S61, NO in S62, and S
If the answer is YES in S64, the display of the schema diagram is switched to the display of the schema icon and the related character information associated with the schema diagram (S65 to S67).
Note that the double-click in step S61 is an example of an input operation, and other operations such as a right-click of a mouse or a predetermined key in a state where the cursor is positioned on the target schema icon / schema diagram are performed. It goes without saying that the process may proceed to step S62 in response to an input operation or the like. The display of the medical chart No. 2 paper screen in the medical care support apparatus is performed as described above.

[0026]

According to the first aspect of the present invention, the schema diagram to be displayed is displayed in the schema diagram display mode, and the schema diagram is displayed together with a symbol indicating the existence of the schema diagram to be displayed in the non-display mode. The words to be described are displayed. Therefore, when the schema diagram is not displayed, the entire medical care information can be overviewed. Even when scrolling is necessary, scrolling can be performed quickly. In addition, since words describing the schematic diagram are attached, a certain amount of information can be obtained even when the schematic diagram is not displayed. On the other hand, when a schematic diagram is displayed, detailed medical information can be obtained. That is, it is possible to perform an optimal display according to the user's needs. In the invention of claim 2,
A plurality of words can be prepared with priorities as words displayed together with symbols when the schema diagram is not displayed. For this reason, a more appropriate word can be facilitated as a word that supplements the explanation when the schema diagram is not displayed. According to the third aspect of the present invention, the phrase displayed together with the symbol when the schema diagram is not displayed has a phrase entered in the schema diagram and / or a keyword-like character input for explaining the schema diagram. Phrases are used. For this reason, it is easier to recall a non-displayed schematic diagram from the phrase. According to the fourth aspect of the present invention, when the cursor is located at the position of the symbol displayed when the schema diagram is not displayed, the schema diagram corresponding to the symbol is temporarily displayed. For this reason, the outline of the schema diagram that is not displayed can be quickly confirmed. According to the fifth aspect of the present invention, when a predetermined input operation is performed in a state where the cursor is located at any of the symbols displayed when the schema diagram is not displayed, the mode of the schema diagram corresponding to the symbol at the cursor position is changed. Is switched to the display mode. Therefore, even when a desired schema diagram is not displayed, only the desired schema diagram can be promptly displayed.

[Brief description of the drawings]

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

FIG. 2A is an explanatory diagram showing a display section ID master table, and FIG. 2B is an explanatory diagram showing a display data table for a display target of a current patient.

FIG. 3A is an explanatory diagram showing a schema ID table for a range corresponding to the schema ID shown in FIG. 2B;
FIG. 3B is an explanatory diagram showing a schema information related table for a range corresponding to the schema ID shown in FIG.

FIG. 4 is a flowchart showing a procedure for displaying a medical chart No. 2 screen.

FIG. 5 is a flowchart showing details of a procedure of “displaying a chart No. 2 paper screen” in FIG. 4;

FIG. 6 is a flowchart showing details of the procedure of “display / non-display switching processing” in FIG. 4;

FIG. 7 is an explanatory diagram illustrating a medical chart No. 2 screen.

FIG. 8 is an explanatory diagram showing a state in which a schema diagram is displayed, and a lower portion is an explanatory diagram showing a state in which an icon and related character information are displayed instead of the schema diagram.

FIG. 9 is an explanatory diagram showing how character information is input from a medical information input screen, the middle is an explanatory diagram showing how prioritized input character information is set as related character information, and the lower is the same. FIG. 9 is an explanatory diagram showing a state in which related character information associated with a schema background diagram is called.

FIG. 10 is an explanatory diagram showing a state in which the associated schema diagram is displayed in a popup when the cursor is positioned on the icon in the schema diagram non-display mode.

[Explanation of symbols]

 Reference Signs List 20 CPU 30 Auxiliary storage device (hard disk, etc.) 40 Main storage device (RAM, etc.)

Claims (5)

[Claims] 1. A medical care support apparatus having a function of reproducing medical information including a schematic diagram and displaying it on a screen, wherein the schematic diagram and a word describing the schematic diagram are stored in association with each other. Means for setting a schema diagram display / non-display mode, an input means for setting a schema diagram display / non-display mode, and a schema diagram which is to be displayed in the schema diagram display mode, and which is to be displayed in the non-display mode. A display control unit for displaying a phrase describing the schema diagram together with a symbol indicating the existence of the schema diagram. 2. The schema diagram storage unit according to claim 1, wherein the schema diagram storage unit assigns priorities to a plurality of words describing a certain schema diagram and stores the words. In the non-display mode, a predetermined number of high-priority words and phrases are displayed along with the symbols in the non-display mode. 3. The phrase according to claim 1, wherein the phrase describing the schematic diagram is a phrase entered in an image input region for creating a schematic diagram, and / or the image input region. A medical care support device, which is a word input from a character input area associated with the medical care support. 4. The display control means according to claim 1, wherein, when a cursor is detected at any one of the symbols, the display control means pops up a schema diagram corresponding to the symbol at the cursor position. A medical treatment support device for displaying. 5. The input device according to claim 1, wherein the input unit performs a predetermined input operation when a cursor is detected by any of the symbols. A medical care support apparatus, wherein a mode of a schema diagram corresponding to a symbol at a cursor position is switched to a display mode.