JP2002117141A - Consultation support system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To solve the problem that it is difficult for a consultant to easily acquire required information since consultation records are displayed in the order of dates of entries. SOLUTION: By displaying consultation information while defining the display period, consultation section, entered contents, instructed contents and instructed data thereof as display conditions, the consultation records can be easily confirmed.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a system capable of displaying medical information input based on medical treatment in a time series.

[0002]

2. Description of the Related Art Due to recent deregulation, medical records can be recorded and stored not only on paper but also on electronic media. As a result, electronic medical records, which only functioned as paper backup, are being introduced as recording and preserving means that can be replaced with paper.

[0003]

In the medical record as described above, all items conventionally described on paper are electronically recorded, and all the information is displayed in the order of date of description. It has become. Furthermore, the digitization of medical records has made it possible to record orders and test results that were not described in conventional paper charts, and the amount of displayed information has been increasing. On the other hand, a display that displays an electronically recorded medical record has a smaller amount of information that can be displayed at one time than a paper chart, and cannot be expanded to two or three sheets as needed, like paper. Therefore, even if all information is displayed in chronological order,
Many scrolls were required to find the desired information, and it was difficult for the examiner to easily obtain the necessary information. For example, after confirming the patient's symptoms, checking the prescription for the last January, and then attempting to issue a prescription instruction, an electronic display that displays all information including medical care results, test results, and other instructions It was necessary to scroll through the medical records endlessly, which required a lot of work.

[0004]

Means for specifying the period of information to be displayed, means for storing date and time information when medical information is recorded, and display based on the specified display period and storage date and time information A means capable of extracting medical information, a means capable of arranging only the extracted information in chronological order, and a means capable of first displaying the latest date and time of the information arranged after the arrangement are provided. By specifying the condition of the medical information you want to display after displaying it,
It is possible to easily display the medical information to be confirmed.

[0005] Thus, the medical record can be easily confirmed by displaying the display period of the medical examination information, the medical care department, the description contents, the instruction contents, and the instruction date as display conditions.

[0006]

Embodiments of the present invention will be described below.

FIG. 1 is a diagram showing a part of a computer system in which an embodiment of the medical information management system of the present invention is constructed.

Here, server machines 100, 200 and three client machines 300, 400, 500 each comprising a medical information database in which medical information of a patient is stored, constituting the medical information management system of each embodiment. For illustrative purposes, the server machines 100 and 200 and the client machines 300, 400 and 500 are LA
N are connected to each other via a communication line 600 such as N.

The two server machines 100 and 200 are generally constituted by a high-speed and large-capacity computer system such as a workstation. Further, the three client machines 300, 400, and 500 are composed of relatively small computer systems such as personal computers.

Each server machine 100, 200 and each client machine 300, 400, 500 have a CPU
(Central processing unit), RAM (random access memory), hard disk, communication board, etc., in accordance with instructions from main units 101, 201, 301, 401, 501, and main units 101, 201, 301, 401, 501. Display screens 102a, 202a, 302a, 402
a, display unit 10 for displaying images and character strings on 502a
2, 202, 302, 402, 502, server machine 1
00, 200 and client machines 300, 40
Keyboard 103, 203, 303, 403, 503 for inputting user's instruction at 0,500, display screen 1
02a, 202a, 302a, 402a, 502a, by specifying an arbitrary position, the mouse 104, 204, 304, 404, 504 for inputting an instruction corresponding to the icon or the like displayed at that position at the time of the specification is displayed. Have.

Also, two server machines 100 and 200
The medical information database in which the medical information of the patients is stored is constructed on the hard disk of each of the medical devices.
You can access the above medical information database.

The main units 101 and 201 of each server machine
Is a floppy disk (not shown), CD-
Floppy disk drives 101a and 201a in which the ROM 700 is loaded;
201b, a floppy disk driver for driving a floppy disk and a CD-ROM 700 loaded from the drives 101a and 201a; 101b and 201b;
An M driver is also built in.

Similarly, the main unit 3 of each client machine
01, 401, and 501 are floppy disks (not shown) and floppy disk drives 301a, 401a, and 501a on which a CD-ROM 700 is loaded;
CD-ROM drives 301b, 401b, and 501b are provided, and the drives 30
1a, 401a, 501a; 301b, 401b, 50
Floppy disk and CD-ROM loaded from 1b
Floppy disk driver to drive 700, C
A D-ROM driver is also built in.

FIG. 2 is a hardware configuration diagram of a computer system having the appearance shown in FIG.

In this hardware configuration diagram, the CPU 11
1, RAM 112, hard disk controller 11
3. Floppy (registered trademark) disk driver 114;
CD-ROM driver 115, mouse controller 11
6, a keyboard controller 117, a display controller 118, and a communication board 119 are shown, which are interconnected by a bus 110.

Floppy disk driver 114, CD
The ROM driver 115 includes the floppy disk 710 and the CD-RO as described with reference to FIG.
M700 loaded, loaded floppy disk 7
10. It drives the CD-ROM 700.

The communication board 119 is connected to a communication line 600.

FIG. 2 shows the hard disk 12 accessed by the hard disk controller 113.
0, a mouse 104 controlled by a mouse controller 116, a keyboard 103 controlled by a keyboard controller 117, and a CRT display 102 controlled by a display controller 118.

Next, an embodiment of the medical care support system of the present invention will be described.

FIG. 3 is a schematic configuration diagram of an embodiment of the medical care support system of the present invention. FIG. 4 is a diagram showing a display condition setting screen. FIG. 5 is a diagram showing a display result.

As shown in FIG. 3, the medical care support system according to this embodiment includes a display condition specifying unit 10, a medical care information DB 2
0, a processing unit 30, and a display unit 40. The display condition specifying unit 10 includes a display period specifying function 11, a medical care section specifying function 1,
2, a description content specifying function 13, an instruction content specifying function 14, an instruction date and time specifying function 15, and a history display specifying function 16.

As shown in FIG. 4, these functions have an input screen for a display period 1011, a medical department 1012, a description content 1013, an instruction content 1014, a designated date and time 1015, and a history display 1016. Is displayed on the screen. The display period designation function 11 has an input screen as shown by a display period 1011, and it is possible to directly input a search period from the keyboard, but a date on which medical information of the currently displayed patient exists is displayed in a menu. Can be selected. The medical department designation function 12, the description content designation function 13, and the instruction content designation function 14 can be redundantly selected as shown by the medical department 1012, the description content 1013, and the instruction content 1014. On the other hand, the designated date and time designation function 15 and the history display designation function 16
As shown in FIG. 4, the selection is an alternative. For example, if a reservation date at the designated date and time 1015 is selected and then a description date is selected, the designation of the reservation date disappears and only the description date is designated as shown in FIG. It has become. Further, these selection functions can be selected irrespective of the accumulated medical information. However, it is also possible to select only the designation in which the medical information corresponding to the patient exists. For example, if the medical department has only medical and surgical medical information for the patient currently being displayed, the pediatric, ophthalmological,
The psychiatry may be grayed out so that it cannot be selected.

The medical information DB 20 is associated with the medical information, and includes the input date and time information 21, the input medical department information 22, the input description information 23, the input instruction information 24, and the instruction date and time information 2.
5, correction information 26 is stored. Input date and time information 21
Automatically saves the time on the internal clock when medical information is entered. The input medical department information 22 is automatically saved by using information set corresponding to a user who has logged on to input medical information. Input description information 2
3. The input instruction information 24 and the instruction date / time information 25 are selected when medical information is input, or are extracted from the input information and automatically stored. In the correction information 26, the version number of the input medical information is stored. When the medical information is updated or deleted, the updated or deleted medical information is stored as medical information of a new version. When the medical information is displayed, the latest version of the medical information is displayed, as if the medical information was updated or deleted.

The processing unit 30 includes a designated period extracting process 31, a designated department extracting process 32, a designated description information extracting process 33, a designated instruction content extracting process 34, a designated instruction order extracting process 35, and a correction information extracting process 36. Then, the processing unit 30
The operation is performed by selecting the display result 1000 indicated by. The medical information corresponding to the condition specified by the display condition specifying unit 10 is extracted from the medical information DB, sorted, and specified by the display unit 40 as shown in FIG. The medical information matching the set conditions is displayed.

The designated period extracting process 31 is a display period designated 11
The input date / time information 21 corresponding to the period specified in the above is searched to extract the medical information for the specified period from the medical information DB 20, and the extracted medical information is arranged in chronological order, and in order from the latest medical information. The specified period display 41 is displayed on the display unit 40.

The designated medical department extraction process 32 retrieves the input medical department information 22 designated by the medical department designation 12, extracts the medical information of the designated medical department from the medical information DB 20, and displays the extracted medical information. The designated section display 42 is displayed on the section 40.

The specified description information extracting process 33 searches the input description content information 23 specified by the description content specification 13, extracts the medical information of the specified description from the medical information DB 20, and displays the extracted medical information. It is displayed on the section 40 as a designation description display 43.

The designated instruction content extracting process 34 searches the input instruction information 24 designated by the instruction content designation 14 and extracts medical information of the designated instruction content from the medical information DB 20.
The extracted medical information is displayed on the display unit 40 as a designated content display 44.
Display as

The designated instruction order extraction processing 35 is designated instruction date and time designation 1
The designated date and time information 25 specified in step 5 is searched and the medical treatment information D is retrieved.
The medical care information extracted from B20 is sorted by the searched designated date and time information and displayed on the display unit 40 as a designated designated order display 45.

The modification information extraction processing 36 is a history display specification 16
When it is designated to display the history, the version information is retrieved from the correction information 26, the medical information is extracted from the medical information DB 20, and it is determined whether or not the medical information is the latest version. Are colored, and the latest version of the medical information is displayed in the display unit 40 as a correction information display 46 in a normal color. If it is specified not to display the history, only the latest version is searched from the correction information 26 and the medical information DB 20 is searched.
From the medical information, and displays the correction information 4 on the display unit 40.
Displayed as 6.

Next, a specific operation will be described with reference to the examples shown in FIGS.

First, by clicking the display condition 1010 on the screen displaying the medical record, the screen shown in FIG. 4 is obtained. If it is desired to display the medical care information for one month from September 1, 2000, the user designates 2000/09/01 to 2000/10/01 as in the display period 1011. If the medical treatment contents to be displayed are internal medicine and pediatrics, the internal medicine and pediatrics are designated in the column of the medical treatment section 1012. Also, if the description contents to be displayed are a chart and an instruction order, the description 1013 specifies the chart and the instruction. Further, if it is desired to display only the prescription, the inspection, and the radiation, the content of the instruction designated by the description content 1013, the instruction content 1
At 014, a prescription, inspection, and radiation are designated. Then, the display period 1011, the medical care department 1012, the description content 1013,
The instruction date and time 101 describes how to display the result of extracting the medical information that satisfies the condition specified by the instruction content 1014.
5, specified in the history display 1016.

As described above, the display condition 1 is designated to the display result 1
When 000 is clicked, the extracted results are sorted and displayed in a state where the latest medical information is visible, as shown in FIG.

The prescription instructions 1001 and 1003 are the prescriptions given by Dr. Sato of the internal medicine during one month.
Reference numeral 2,1004 denotes a medical record written by Dr. Sato of the internal medicine in one month, and examination instructions 1005, 1006 are tests ordered by Dr. Sato of the internal medicine in one month. Inspection instruction 1
005 is displayed in color, and the inspection instruction 1006 is displayed.
It can be seen that this is the correction history. In addition, as a display item, the pediatric department was designated in the medical care department 1012 and radiation was designated in the instruction content 1014. It can be seen that there was no such medical information for this patient for one month.

The clinician sets the display period of the medical information with the display period specifying function.

The date and time information when the medical information is recorded is compared with the set period, and only the medical information for the set period is arranged in chronological order.

After arranging in chronological order, the latest medical information is displayed first, so that the medical treatment contents can be easily confirmed.

A selection function for selecting whether to display the medical information displayed in time series up to the information name or the detailed item may be provided.

An information storage function may be provided for storing date and time, medical department, description contents, instruction, instruction date, correction information and medical information together.

[0040]

According to the present invention, in a system capable of displaying medical information input based on medical treatment in a time-series manner, it is easy to display the period, medical department, description contents, instruction contents, and instruction date as display conditions. You can display the medical record you want to check.

[Brief description of the drawings]

FIG. 1 is a diagram showing a part of a computer system in which an embodiment of a medical care support system of the present invention is constructed.

FIG. 2 is a hardware configuration diagram of a computer system having the appearance shown in FIG.

FIG. 3 is a schematic configuration diagram of an embodiment of a medical care support system of the present invention.

FIG. 4 is a diagram showing a display condition setting screen.

FIG. 5 is a diagram showing a display result.

[Explanation of symbols]

 DESCRIPTION OF REFERENCE NUMERALS 10 display condition designation unit 20 medical information DB 30 processing unit 40 display unit

 ────────────────────────────────────────────────── ─── Continued on the front page (72) Inventor Akito Toyama 2-28-8 Honkomagome, Bunkyo-ku, Tokyo Inside Fujitsu System Solutions Limited

Claims (5)

[Claims] 1. A medical care support system for displaying medical information input based on a medical practice, comprising: displaying a display condition specifying screen for specifying a display condition including a period of the medical information to be displayed; A display condition designating function that can be designated; and medical information D that stores the medical information together with the display conditions.
B, a processing function of extracting medical information that satisfies the condition specified by the condition specifying function, and a display function of arranging the information extracted by the processing function in chronological order and displaying the latest date and time first. Medical treatment support system characterized by. 2. The medical care support system according to claim 1, wherein the period specified as the display condition can select a day on which medical information exists. 3. The medical care department, description contents,
3. The medical care support system according to claim 1, wherein an instruction content can be specified, and medical information corresponding to the specified medical department, description content, and instruction content can be extracted from the medical care DB. . 4. The function of chronologically arranging the administration starting date,
4. The medical care support system according to claim 1, wherein any one of an examination date, an appointment date, and a description date can be designated. 5. The medical information DB stores medical information corrected or deleted, and allows the user to specify whether or not to display the corrected information, and displays the corrected information by coloring it. The medical treatment support system according to claim 1, wherein