JP2003196389A - Method and equipment for displaying sheet type inspection result - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To comprehensively display an inspection result. <P>SOLUTION: A client 3 receives through a network 1 inspection data linked to inspection items and dates from a server by a division and receives through the network 1 data bearing inspection data linked to the inspection items and the dates from the server by the division. The inspection result represented by the inspection data and a detailed information button represented by the data bearing the inspection data are displayed on a cell position corresponding to a sheet containing a plurality of cells for specifying the position by the inspection items and the dates. An inspection data request instruction containing the data on the inspection item and the data of the selected detailed information button-positioned cell is transmitted to the server by the division storing the inspection data of the inspection item of the detailed information button- positioned cell by responding to the selection of the detailed information button. The server by the division reads the inspection data. The inspection result represented by the inspection data is displayed on the display picture of the client 3. <P>COPYRIGHT: (C)2003,JPO

Description

Detailed Description of the Invention

[0001]

TECHNICAL FIELD The present invention relates to a sheet type inspection result display method and apparatus.

[0002]

BACKGROUND OF THE INVENTION In a system for inputting and outputting medical care information (examination data, image data, medical chart data, etc.) using a computer system, the medical care information is stored in a storage device in advance, and the medical care information is stored as necessary. Information is read from the storage device and displayed on the display screen of the display device. Generally, a storage device having a large capacity is used as a storage device for storing medical information, and the medical information is sent from the storage device to a computer such as a doctor.

In recent years, protocols and data that can be commonly used in various computers such as HTTP and XML have become widespread, and the communication speed has been greatly improved. Therefore, a distributed system in which a plurality of storage devices are used to store medical care information in each of them is also popular.

When the distributed and stored medical information is referred to and used for diagnosis and the like, its user interface becomes a particularly important element. If it is necessary to know which storage device (computer) the desired information is stored in when performing diagnosis using various medical information, prompt medical examination by a doctor or the like. This is because it hinders

[0005]

DISCLOSURE OF THE INVENTION The present invention provides a sheet type examination result display method and apparatus for displaying various types of medical information for a patient in association with each of cells classified by examination item and examination date. With the goal.

A sheet type inspection result display device according to the present invention includes first receiving means for receiving inspection data associated with an inspection item and a date from a device storing the inspection data via a network, and the above-mentioned first receiving means. First
And an inspection result display means for displaying the inspection result represented by the inspection data received by the receiving means in the corresponding cell position of the sheet including a plurality of cells whose positions are specified by the inspection item and the date. is there.

According to the present invention, the inspection data representing the inspection result is associated with the inspection item and the date. The inspection results represented by the inspection data associated with the inspection item and date are displayed on a sheet containing multiple cells located by the inspection item and date.
Since the inspection results are displayed separated by cells, it is possible to clearly indicate which inspection item has which date and which date the inspection result is. Even when there are a plurality of devices that store the inspection data, it is not necessary to consider which device the inspection data is stored in.

In one embodiment, the sheet type inspection result display device receives the inspection data existence data associated with the inspection item and the date from the device storing the inspection data existence data via the network. Details for displaying a detailed information button represented by the inspection data existence data received by the receiving means and the second receiving means at a corresponding cell position of a sheet including a plurality of cells whose positions are specified by the inspection item and date. Information button display means, reception means for receiving selection of the detailed information button, and storage of inspection data for inspection items of cells in which the selected detailed information button is located in response to selection of the detailed information button by the reception means. Data for the inspection item and date of the cell where the selected detailed information button is located And a detailed inspection result display unit for receiving the inspection data transmitted in response to the request command and displaying the inspection result represented by the received inspection data. .

When the detailed information button is selected, an inspection data request command including data relating to the inspection item and date of the cell in which the detailed information button is located is transmitted to the device storing the data relating to the inspection item, and the request command is issued. The inspection data is returned in response to and the inspection result is displayed. For which test item, it is possible to refer to the detailed test results of the test performed on which day
The detailed information button allows easy display on the sheet.

For example, the inspection result displayed by selecting the detailed information button is not suitable for display at the cell position on the sheet. For example, the image obtained by the image diagnosis is the inspection result displayed by selecting the detailed information button. Numerical values (ratio of enzymes contained in a predetermined blood volume obtained by blood test, etc.) are displayed as they are in the cell position.

In one embodiment, the inspection data request command includes a processing execution command for a computer connected to a device for storing the inspection data, and the inspection data is processed in response to the processing execution command. The received display data is received, and the inspection result represented by the received display data is displayed. That is, a device that stores inspection data (a computer including a device that stores the inspection data) is controlled, and processing (processing) is performed by the device (computer).
The inspection result represented by the displayed data can be displayed. For example, when the inspection data itself is data representing a numerical value, the data representing the numerical value is processed to obtain data representing a graph, and the data representing the graph is used as display data.

The test data and the test data existence data may be further associated with patient data for specifying a patient who has undergone the test. The test result for a specific patient can be displayed on the sheet in an easy-to-understand manner.

In a preferred embodiment, the test data is further associated with a doctor identification code that identifies the doctor who ordered the test represented by the test data. The sheet type inspection result display device extracts the inspection result represented by the means for inputting the doctor identification code and the inspection data associated with the doctor identification code input by the doctor identification input means. It further comprises a specific doctor-related test result extraction and display means for displaying. The inspection result associated with the input doctor identification code (the inspection result of the inspection performed by the doctor identified by the doctor identification code) is displayed in an easy-to-understand manner on the display screen. This is convenient when explaining test results to patients.

Instead of extracting and displaying the test result, the color of the cell displaying the test result represented by the test data associated with the inputted doctor identification code may be changed and displayed.

In another embodiment, the sheet type inspection result display device is selected by the selecting means for selecting one or a plurality of inspection results among the inspection results displayed by the inspection result displaying means, and the selecting means. Embedded means for incorporating the examination result thus obtained into a part of the data representing the medical record, and medical record display means for displaying the medical record represented by the data representing the medical record including the inspection result incorporated by the embedding means. I have it. The displayed inspection result is
It can be output (written) to a medical record (medical record). The burden on doctors to create medical records is reduced. of course,
The examination result displayed by selecting the detailed information button may be output (written) to the medical record.

The present invention also provides a sheet type inspection result display method and program.

[0017]

[Embodiment] In this embodiment, the present invention is applied to a medical care support system installed in a hospital, a clinic or the like. The medical care support system manages records of various medical examination results, medical treatment results, treatment results, etc. performed by doctors for patients, medical treatment, medical treatment, and instructions or plans for nursing care given to patients by nurses, etc. Used for management, etc.

(1) Configuration of Medical Care Support System FIG. 1 is a block diagram showing the overall configuration of the medical care support system. FIG. 2 is a block diagram showing an electrical configuration of the seat server 2. FIG. 3 is a block diagram showing the electrical configuration of the client computer 3.

The medical care support system includes a seat server 2 interconnected via a network 1, a plurality of client computers 3 (hereinafter referred to as clients 3), and a plurality of various departmental servers (in FIG. 1). , Representing a departmental server, showing a medical care data storage server 4, an examination server 5, a nursing support server 6 and a radiation information server 7).

The seat server 2 includes a CPU 11 which controls the seat server 2 as a whole. This CPU 11
Input device used for data input, button selection, etc.
12 (keyboard, mouse, etc.), display device 13 for visually displaying characters, images, windows, etc. (CRT display, LCD display, etc.), memory 14 for providing buffer area, work area, etc., via network 1. Network device 15 for transmitting and receiving data, CD
From a CD-ROM drive 16 for reading data recorded in ROM, an FD drive 17 for reading data recorded in FD and recording data in FD, and a hard disk 18 capable of reading / writing data etc. Composed.

The hard disk 18 of the seat server 2 is used to read and analyze input data from the input device 12, display control of the display device 13, management of the memory 14, control of the CD-ROM drive 16 and FD drive 17, and the like. Various tables (group master, set master, item master, staff) for creating a basic window (sheet window described later) used in the medical care support system in addition to the operating system (OS) (not shown)・ Master and default ・ Doctor ・ Patient template ・
Table) is stored. Details of these various tables will be described later.

The client 3 also has the same electrical configuration as the seat server 2 (CPU 21, input device 22, display device 23,
Memory 24, network device 25, CD-ROM drive
26, FD drive 27 and hard disk 28).
The hard disk 28 of the client 3 stores a sheet window display program and a browser. Details of these programs and data (information) will also be described later.

The various departmental servers (medical data storage server 4, examination server 5, nursing support server 6 and radiation information server 7) are also seat server 2 and client 3.
And a computer system having the same hardware. The hard disk of each departmental server has
Programs and data for operating each server are stored respectively. For example, the medical care data storage server 4 stores a program or the like for collectively storing various test result data, medical care result data, treatment action data, etc. input by using the test server 5 as data for each patient. ing.

In order for the doctor to examine the health condition (disease state) of the patient and to decide (diagnose) the subsequent treatment, prescription, etc., the patient's past progress information (examination result, surgery result, medication) It is preferable to comprehensively judge the contents, changes in blood pressure, changes in pulse rate, etc.). As will be described later, the seat window provided by the medical care support system is displayed on the display screen of the display device 23 of the client 3 and provides the doctor with the progress information of the patient. In addition, when the schedule of future medical treatment (medical treatment) can be set for the prescribed medical treatment, the future schedule of the medical treatment (plan)
Also used to indicate

(2) Sheet Window FIGS. 4 to 9 show examples of sheet windows displayed on the display screen of the display device 23 of the client 3.

At the top of the sheet window, a group name (clinical department name) display field 41, doctor information display fields 42 and 43 for displaying a doctor number and a doctor name, and a patient number, patient name, patient age and patient sex Patient information display column
Confirm button on the right side of the patient information display field 45 including 44 and 45
51 is displayed. File output button 52, template save button 53, expand all button 54, store all button 55, deselect button 56, shake button 57, extracted data display button 58, medical record button at the bottom of the sheet window
59 and the end button 60 are displayed.

A sheet display column is provided at the center of the sheet window. Six tabs 61 to 66 of “inspection result”, “prescription”, “image physiology”, “disease name”, “hospitalization and discharge history”, and “patient attribute” are provided at the upper part of the sheet display field. When you click (select) these tabs with the mouse, the sheet (test result sheet, prescription sheet, image physiological sheet, disease name sheet, hospitalization history sheet and patient attribute sheet) corresponding to the clicked tab will be displayed. Displayed in the column. The inspection result sheet is displayed in the sheet display column of the sheet window shown in FIG. 4, and the prescription sheet is displayed in the sheet display column of the sheet window shown in FIG.
An image physiological sheet is displayed in the sheet display column of the sheet window shown in Fig. 7, a disease name sheet is displayed in the sheet display column of the sheet window shown in Fig. 7, and an admission / discharge history sheet is displayed in the sheet display column of the sheet window shown in Fig. 8. The patient attribute sheets are shown in the sheet display fields of the sheet window shown in FIG.

Inspection Result Sheet (FIG. 4) The “inspection result sheet” displays the inspection results of the inspection performed on the patient displayed in the patient information display fields 44 and 45.

On the left side of the inspection result sheet, set names (image report, biochemical test, etc.) and item names (CT, MRI, etc.) described later are displayed in the column direction (vertical direction). On the left side of the set name, either + (plus) or- (minus) surrounded by a rectangular frame is displayed. For a set displaying + (plus), it means that there is an item belonging to the set that is not displayed on the display screen (storage display). -(Minus) means that all items belonging to the set can be displayed on the display screen (expanded display).

Dates (years, months, and days) are displayed in the row direction (horizontal direction) at the top of the inspection result sheet.

The inspection result sheet includes a plurality of cells specified by a set name or item name (row item) and a date (column item). As will be described later, link data or control data for controlling a departmental server connected to the client 3 via the network 1 can be associated with each cell included in the inspection result sheet. Details of this point will be described later.

Date (column item) in the inspection result sheet
The "▼" mark displayed in the cell below is clicked when all cells in the column direction (vertical direction) including the cell are moved to the left end of the inspection result sheet and displayed.

Prescription Sheet (FIG. 5) The prescription sheet shows the prescription date, the name of the doctor who instructed the prescription, the in-hospital (this medical treatment) for the drug prescribed to the patient displayed in the patient information display columns 44 and 45. A distinction between prescriptions, such as a hospital equipped with a support system) and out-of-hospital (a hospital other than the hospital equipped with this medical support system), drug name, usage amount, usage type, usage, number of administration days, etc. are displayed.

Image physiology sheet (FIG. 6) The image physiology sheet includes information relating to image capturing such as ultrasound, MRI, and CT performed on the patient displayed in the patient information display fields 44 and 45 (examination date and time). , Name of instructing doctor, distinction between inpatient or outpatient, imaging item, imaging type, imaging site, etc.) are displayed.

Disease Name Sheet (FIG. 7) The disease name sheet displays the name of the disease diagnosed for the patient displayed in the patient information display fields 44 and 45.

Admission and discharge history sheet (Fig. 8) The admission and discharge history sheet contains information on the hospitalization and discharge of the patient displayed in the patient information display columns 44 and 45 (admission date and time,
The purpose, period, discharge date, etc.) are displayed.

Patient Attribute Sheet (FIG. 9) The patient attribute sheet has basic information (blood type, height, weight, disorder, infection, drug contraindications) about the patient displayed in the patient information display columns 44 and 45. Food contraindications etc.) is displayed.

(3) Hard disk of seat server 2
Various Tables Stored in 18 FIGS. 10 to 14 show an example of tables stored in the hard disk 18 of the seat server 2.

Group master (Fig. 10) The group master (medical department master) is
The data of "code" and the data of "group name" are stored as a pair. The "group code" is a code (code) for identifying a group name (medical department name) (major category; described later) to be displayed in the group name display field 41 of the sheet window. The "group name" stores data (collection of data for display) representing the name of the group corresponding to the group code. For example, group code 001 is liver center, group code 00
2 represents surgery.

Set master (Fig. 11) The set master has "set code" and "set name"
And "group code" are stored. "set·
The “code” is a code for identifying each of the treatment items and the like (medium classification) that belong to any of the above groups. "Set name" represents the name of the set corresponding to the set code. A set identified by the "set code" or "set name" (action item, etc.)
The group code of the group to which the group belongs is stored in the "group code" column. For example, set code 136
Indicates a treatment item called “image report”. This set "Image Report" is group code 001 ("Liver Center")
Belong to the group (major classification).

Another set master can be subordinate to the set master. For example, the first set identified by the set code or set name included in the first set master may belong to a group (major category), and identified by the set code and set name included in the second set master. The second set that belongs to the first set. The first set belongs to the group,
The second set will belong to the first set. In this case, the set number of the first set is stored in the column corresponding to the above-mentioned group number column in the second set.
For example, the group code "137" is stored in the group code column for the set name "Blood Count" of the set code 151. Code 137 represents the set with the set name “Biochemical test”. That is, the “blood count” set is a set (second set) belonging to the “biochemical test” set (first set).

Item Master (FIG. 12) The item master stores "item code", "item name", "set code" and "medical record box code". The “item code” is a code (code) for identifying each of the inspection items (small classifications) belonging to any of the above-mentioned sets. "Item name" represents the name of the item corresponding to the item code. The set code of the set to which the item specified by the "item code" or the "item name" belongs is stored in the "set code" column. For example, item code 268 represents the inspection item “WBC”. The item name "WBC" belongs to the set (middle classification) of set code 151 (BBC). The “medical record box code” is a code that indicates at which position (range) in the medical record to be described later the data regarding the item specified by the item code or item name is stored. Details of the medical record and medical record box code will be described later.

Staff Master (FIG. 13) The staff master stores “doctor's number” and “name”. "Doctor number" is a number that identifies the doctor,
The name (name of doctor) corresponding to the doctor number is stored in the “Name” column.

Default / Doctor / Patient template table (Fig. 14) This table is an examination result sheet (Fig. 4) displayed by the doctor on the display screen of the display device 23 of the client 3.
This is a table in which data for deciding, for each set, whether to display or expand the item name on the left side of is stored (details will be described later). Default / Doctor /
In the patient template table, "Doctor number", "Patient number", "Group code", "Set code"
And "expansion flag" are stored.

"Patient number" is a number for identifying a patient. The name, age, sex, etc. corresponding to the patient number are stored in the hard disk connected to the medical care data storage server 4.

The "group code" is, as described above,
It is a code for identifying a group (medical department name).

The "set code" includes the above-mentioned set
The code is stored.

The "expansion flag" should be expanded or displayed on the inspection result sheet, or the item name of the item belonging to the set specified by the set code stored in the above-mentioned "set code" should be expanded or displayed. This is a flag indicating whether or not it should be displayed.

(4) Processing of medical care support system (mainly on examination result sheet) FIG. 15 is a flowchart showing a flow of operation processing of the medical care support system. In FIG. 15, for convenience of explanation, processing of one of the plurality of clients 3 is shown.

When a doctor or the like inputs an instruction to execute the sheet display program from the input device 22 of the client 3, the sheet display program is read from the hard disk 28,
It is read by the CPU 21. Further, the database connected to each departmental server connected to the network 1 is opened (step 71). Further, the group master, the set master, the item master and the staff master described above are read from the hard disk 18 of the seat server 2 and temporarily stored in the memory 24 of the client 3.

As shown in FIG. 16, the initial sheet window is displayed on the display screen of the display device 23 of the client 3 (step 72).

The user of the client 3 selects the initial sheet
A group name is displayed in the group name display field 41 at the top of the window, a doctor number is displayed in the doctor information display field 42, and a patient information display field 44 is displayed.
Enter the patient number in (step 73). The doctor name corresponding to the entered doctor number is the staff master (Fig.
It is read from 13) and displayed in the doctor information display field 43. The name, age and sex of the patient specified by the input patient number are read from the hard disk of the medical care data storage server 4 connected by the client 3 and the network 1 and displayed in the patient information display field 45.

The display contents of the group name display column 41, the doctor information display columns 42 and 43, and the patient information display columns 44 and 45 can be selected (input) as follows.

When the drop down button (indicated by the lower triangle) on the right side of the group name display column 41 is clicked, the group master (FIG. 10) temporarily stored in the memory 24 of the client 3 is displayed. A group name that can be selected is displayed in a list (not shown). The user can select a desired group name from the group name list display (selected by clicking with the mouse). The selected group name is displayed in the group name display field 41.

When the button (indicated by "...") on the right side of the field 42 for inputting the doctor number is clicked, a new window showing the correspondence between the doctor number and the name is displayed as the initial window as shown in FIG. Is displayed overlaid on. This window is based on the staff master (FIG. 13) temporarily stored in the memory 24. When one of the doctor numbers or names is selected by clicking and the confirm button is clicked, the selected doctor numbers and names are displayed in the doctor information display columns 42 and 43.

When the button (indicated by "...") on the right side of the field 44 for inputting the patient number is clicked, a window for retrieving patient information is displayed overlaid on the initial window as shown in FIG. To be done. This window is used to retrieve patient information. Patient information can be searched by using Kana's name, date of birth, gender, and telephone number (more than one may be used). Patient information (patient number, name (kanji), name (pseudonym), date of birth, gender, phone number, etc.)
Is a medical data storage server 4 which is one of the departmental servers
It is stored in advance on a hard disk connected to (not shown). When the search start button is clicked, the input pseudonym name or the like is transmitted from the client 3 to the medical care data storage server 4, the medical care data storage server 4 performs a search process, and the search result is transmitted to the client 3. . The search results are displayed in the lower part of the patient search window. When the confirm button at the bottom of the patient search window is clicked, the patient numbers and names of the searched and extracted patients are displayed in the patient information display fields 44 and 45.

The operator of the client 3 is a group name,
In the initial sheet window in which the doctor information and patient information are displayed, the confirmation button 51 at the upper right is clicked (step 74).

When the confirm button 51 is clicked, the group code corresponding to the selected group name, the inputted doctor number and the inputted patient number are transmitted from the client 3 to the seat server 2.

The seat server 2 uses the received group code, doctor number, and patient number as keys and uses the default / doctor / patient template table (FIG. 14) stored in the hard disk 18 to perform the following processing. I do.

Each record of the regulation / doctor / patient template table (FIG. 14) includes fields for storing a doctor number, a patient number, and a group code, as described above. Each record includes a doctor number, a patient number, and a group code, a record that stores only a group code and a doctor number, a record that stores only a group code, and a doctor. Numbers, patient numbers, and group codes are not stored in the records.

First, the seat server 2 searches for a record in which all the group code, doctor number and patient number are stored. Group code,
When a record in which both the doctor number and the patient number are stored is searched, it is determined whether or not the record has the expansion flag.

When the expansion flag is set, data indicating that the item name of the item included in the set specified by the set code in the record is expanded and displayed on the display screen is sent from the sheet server 2 to the client. 3 is sent. If the expansion flag is not set, data indicating that the item name of the item included in the set specified by the set code in the record is stored and displayed on the display screen is sent from the sheet server 2 to the client. 3 is sent. In the inspection result sheet (FIG. 4) displayed on the display screen of the client 3, the item name included in the set specified by the set code in the record is displayed in the expanded or displayed based on the expanded display data or the storage display data. Stored and displayed. That is, when the expanded display data is received, the item names included in the set specified by the set code are displayed in a list on the left side of the inspection result sheet, and "minus (-)" is displayed on the left side of the set name. When the storage display data is received, the item names included in the set specified by the set code are displayed in a stored state. “Plus (+)” is displayed on the left side of the set name.

If the record storing all of the group code, doctor number and patient number received by the sheet server 2 is not stored in the regulation / doctor / patient template table, the next group A record containing the code and doctor number is retrieved.
If there is a record including the group code and the doctor number, the same processing as described above is performed for that record.

If there is no record containing the group code and the doctor number, the record containing the group code is searched next. If there is a record including the transmitted group code, the same process as described above is performed on the record.

When the record including the group code is also not stored, the expansion / storage data is not transmitted from the sheet server 2 to the client 3. That is,
All items are displayed on the display screen of the client 3 in a displayable state (full expansion).

As described above, the item name displayed first on the left side of the inspection result sheet is determined.

When the confirm button 51 is clicked, the patient number is further transmitted to each departmental server. The hard disk connected to each departmental server stores test data representing test results in association with test items, test date (consultation date; date), patient number, doctor code, and the like. FIG. 19 shows an example of the inspection result table stored in the hard disk of the inspection server 5.

The examination result table shown in FIG. 19 includes the patient number, consultation date, examination item code, doctor code, emergency classification,
Data representing an out-of-standard mark and a result value is stored. The data (record) about the patient specified by the patient number is read from the examination result table and transmitted to the client 3 (step 91). Client 3
The transmitted data is temporarily stored in the memory 24.

When the client 3 receives the inspection data from each department server, the client 3 identifies the inspection result represented by the inspection data by the inspection item and the date based on the inspection item code and the date data attached to the inspection data. Display at the cell position to be activated (step 75). In addition, for the items for which the emergency classification flag is set, the character "urgent" is displayed in the cell instead of the inspection result (numerical value). For items that store non-standard marks (H, L), the letters "H" and "L" are displayed in the cell in addition to the inspection result (if H is outside the normal range, L means that it is below the normal range. The comparison between the inspection result and the normal range is performed in each department server). The inspection result sheet shown in FIG. 4 is displayed on the display screen of the client 3.

Numerical values and the like are displayed in the cells of the inspection result sheet, and "row of data" is displayed in the cells in the row direction indicating the set name (see FIG. 4). this is,
This means that among the items included in the set, there are items for which numerical values etc. should be displayed.

Further, a "detail button" may be displayed in the cell of the inspection result sheet (indicated by "* detail *" in FIG. 4). By clicking this detail button, the detailed inspection result can be displayed on the display screen of the client 3. Details button for client 3
The data to be displayed in the cell of the display screen is also transmitted to the client 3 together with the item code and the date data from each departmental server.

When the detail button is clicked, the detailed data is sent from the client 3 to the departmental server (for example, the radiation information server 7) which has transmitted the data for displaying the detail button in the cell of the display screen of the client 3. Request is sent. For example, if the address of the departmental server where the detailed data is stored is described in the data for displaying the detailed button in the cell of the display screen of the client 3, by clicking the detailed button, A detailed data request is transmitted to the departmental server described in the address via the network 1.

Upon receiving the detailed data request, the departmental server sends the detailed data (for example, HTML) to the client 3.
Data). On the display screen of client 3,
A window for displaying detailed inspection results (detailed observation data, chart data, image data, etc.) appears so as to be superimposed on the inspection result sheet (not shown).

The detailed data request can include not only the data transmission request but also control data for controlling the departmental server. In this case, when the detail button is clicked, predetermined processing is performed in the departmental server (for example, the nursing support server 6) connected via the network 1 (for example, vital data (blood pressure for a predetermined period). , Processing for creating graph display screen data based on pulse, etc.). As shown in FIG. 20, the result (process result) processed by the departmental server is transmitted to the client 3 and displayed on the display screen.

Finally, the functions of various buttons displayed at the bottom of the sheet window (FIGS. 4 to 9) will be described.

File output button 52: The inspection data included in the inspection result sheet is converted into CSV (Comma Separated Value)
e) Clicked when saving to the hard disk 28 of the client 3 in the format.

Template save button 53: Expand / set the set on the left side of the inspection result sheet displayed on the display screen
Clicked to store the storage information in the default / doctor / patient template table (Fig. 14).

That is, when the template save button 53 is clicked, the template save condition window shown in FIG. 21 is displayed on the display screen. The template storage condition window includes a check box for selecting any one of “Department”, “Department / Doctor” and “Department / Doctor / Patient”. When "Department" is selected and the "Save" button is clicked, only the group code of the group code, doctor number, and patient number is stored in each record of the above rules, doctor, patient template table. To be done.
When "Department / Doctor" is selected, the group code and the doctor number among the group code, the doctor number and the patient number are stored. When "Department / Doctor / Patient" is selected, both the group code, doctor number and patient number are stored. Of course, template save button
For each set name (set code), the data (expansion flag) that indicates the storage or storage status in the inspection result sheet that was (or was) displayed on the display screen when 53 was clicked , Recorded in each record of regulation, doctor, patient template, table.

Expand All button 54: Clicked to expand and display all items included in the set on the left side of the inspection result sheet.

All storage button 55: Clicked when storing and displaying all the items included in the set on the left side of the inspection result sheet.

Deselection button 56: When the mouse is used to click the cell portion of the inspection result, the color of the cell changes. Clicked to undo the change in cell color.

Shaking button 57: When the shaking button 57 is clicked, the display condition window shown in FIG. 22 is displayed on the display screen. The shake button 57 displays (narrows down) only the test result obtained as a result of requesting (ordering) a test by a specific doctor in a specific period, or describes the test result for that item. This is clicked when changing the color of a cell that is displayed on the display screen (shaking).

Extracted data display button 58: Clicked when the inspection result (cell color changes) clicked on the inspection result sheet with the mouse is displayed in a new window. Figure 23 shows the extracted data display button
An example of the window displayed when 58 is clicked is shown.

Medical record button 59: FIG. 24 shows a window (medical record window) displayed on the display screen when the medical record button 59 is clicked.

In the medical record window, an input area for creating a medical record (chart) to be created by a doctor is displayed. In the medical record window, there is a column in which information about the patient (name, date of birth, etc.) is described, as well as a history, main symptoms, causes,
It has seven columns for prediction, prescription, surgery, treatment, etc., progress and findings. In the patient information description field, the patient information stored in the hard disk connected to the medical care data storage server 4, which is one of the departmental servers, is used to describe the patient's name, date of birth, sex, etc. It The program and data for creating the medical record window are described in the sheet display program stored in the hard disk 28 of the client 3.

A doctor's medical record is created by the doctor using the client 3 to describe the progress, medical history, etc. in the above-mentioned writing field.

At a predetermined position of the medical record, the test result displayed on the test result sheet, or the image displayed on the display screen of the client 3 by clicking the detail button is pasted (recorded). be able to. As described above, the medical record box code for each item is recorded in the item master (FIG. 12). Further, as shown in FIG. 25, the position and range in the medical record of each writing field included in the medical record are determined by the box number. For example, when the doctor selects one of the test results displayed on the test result sheet with the mouse and clicks the above-mentioned extracted data display button 58, the selected test result (text, image, video) is selected. Etc.) is displayed in a new window. Here, when a predetermined input (click) for writing in the medical record is made, the test result displayed in the new window is displayed at the position in the medical record specified by the box number of the test result item. ， Automatically described.

The data representing the created medical record is stored in the hard disk or the like of the medical data storage server 4.

It is preferable that the data representing the medical record once created cannot be written (corrected) in order to prevent falsification. For example, the data representing the medical record stored in the hard disk of the medical data storage server 4 is read-only data. When reading the data representing the medical record stored in the hard disk of the medical data storage server 4, the data may be read by a read-only program.

End button 60: Clicked to close the sheet window.

Not only the inspection result sheet but also other sheets (prescription sheet, image physiology sheet, disease name sheet, hospitalization history sheet and patient attribute sheet) are displayed using the data transmitted from each departmental server. The display is done.

In the above-mentioned example, the result of the examination already performed on the patient is shown on the sheet window.
If a future examination schedule (scheduled implementation date for examination items) can be set for a specific patient, the above-mentioned examination result sheet can be used to indicate the scheduled date.

[Brief description of drawings]

FIG. 1 is a block diagram showing an overall configuration of a medical care support system.

FIG. 2 is a block diagram showing an electrical configuration of a seat server.

FIG. 3 is a block diagram showing an electrical configuration of a client computer.

FIG. 4 shows an example of a sheet window in which an inspection sheet is displayed.

FIG. 5 shows an example of a sheet window in which a prescription sheet is displayed.

FIG. 6 shows an example of a sheet window in which an image physiological sheet is displayed.

FIG. 7 shows an example of a sheet window in which a disease name sheet is displayed.

FIG. 8 shows an example of a sheet window in which an admission / discharge history sheet is displayed.

FIG. 9 shows an example of a sheet window in which a patient attribute sheet is displayed.

FIG. 10 shows an example of a group master.

FIG. 11 shows an example of a set master.

FIG. 12 shows an example of an item master.

FIG. 13 shows an example of a staff master.

FIG. 14 shows an example of a default / doctor / patient template table.

FIG. 15 is a flowchart showing a flow of operation processing of the medical care support system.

FIG. 16 shows an example of an initial sheet window.

FIG. 17 shows an example of a doctor number / doctor name selection window.

FIG. 18 shows an example of a patient information search window.

FIG. 19 shows an example of an inspection result table.

FIG. 20 shows an example of a window displaying detailed inspection results.

FIG. 21 shows an example of a template save window.

FIG. 22 shows an example of a display condition window.

FIG. 23 shows an example of an extracted data display window.

FIG. 24 shows an example of a medical record window.

FIG. 25 shows a data area in a medical record in the medical record window.

[Explanation of symbols]

1 network 2 seat server 3 client computers 4 Medical data storage server 5 inspection server 6 Nursing support server 7 Radiation information server 11,21 CPU 12, 22 Input device 13, 23 display 14, 24 memory 15, 25 network equipment 16,26 CD-ROM drive 17,27 FD drive 18, 28 hard disk

   ─────────────────────────────────────────────────── ─── Continued front page    (72) Inventor Koichiro Murata             5-20-24 Kamima, Setagaya-ku, Tokyo (72) Inventor Hiroshi Yamazaki             9-8 Nishikawaguchi, Kawaguchi City, Saitama Prefecture (72) Inventor Takahiro Sato             3-7 Susukino, Aoba-ku, Yokohama-shi, Kanagawa             No.22 F-term (reference) 5E501 AA01 AC18 BA05 EB05 FA01                       FA21 FA24 FA46

Claims (10)

[Claims] 1. The inspection data associated with the inspection item and date is received from a device storing the inspection data via a network, and the inspection data existence data associated with the inspection item and date is converted into the inspection data existence data. Multiple cells received from the stored device via the network, and the detailed information button represented by the inspection result represented by the received inspection data and the received inspection data existence data are located in a plurality of cells by the inspection item and date. In response to the selection of the detailed information button displayed on the corresponding cell position of the sheet containing the, the selected details are stored in the device that stores the inspection data of the inspection item of the cell in which the selected detailed information button is located. A test data request command containing data about the test item and date of the cell where the information button is located A sheet-type inspection result display method of transmitting inspection data, receiving inspection data transmitted in response to the above request command, and displaying inspection results represented by the received inspection data. 2. The inspection data request command includes a process execution command for a computer connected to a device storing the inspection data, and the inspection data may be processed by the computer in response to the process execution command. The sheet type inspection result display method according to claim 1, wherein the received display data is received, and the inspection result represented by the received display data is displayed. 3. The sheet of claim 1, wherein the test data and the test data present data are further associated with patient data identifying a patient who underwent the test.
Type of inspection result display method. 4. A first receiving means for receiving inspection data associated with an inspection item and a date from a device storing the inspection data via a network, and inspection data received by the first receiving means. A sheet-type inspection result display device having an inspection result display means for displaying the inspection result represented by the item at a corresponding cell position of a sheet including a plurality of cells whose positions are specified by an inspection item and a date. 5. A second receiving means for receiving inspection data existence data associated with an inspection item and a date from a device storing the inspection data existence data via a network, and an inspection received by the second receiving means. Detailed information button display means for displaying a detailed information button represented by data existing data at a corresponding cell position of a sheet including a plurality of cells whose positions are specified by inspection items and dates, and accepting selection of the detailed information button In response to the selection of the detailed information button by the receiving means and the receiving means, the selected detailed information button is located in the device that stores the inspection data of the inspection item of the cell in which the selected detailed information button is located. Transmission means for transmitting an inspection data request command including data regarding inspection items and date of the cell, and 5. The sheet type inspection result according to claim 4, further comprising: detailed inspection result display means for receiving inspection data transmitted in response to the request command and displaying an inspection result represented by the received inspection data. Display device. 6. The test data is further associated with a doctor identification code for identifying the doctor who ordered the test represented by the test data, and is input by means for inputting the doctor identification code and by the doctor identification input means. 5. The sheet-type inspection result display device according to claim 4, further comprising a specific doctor-related inspection result extraction display unit that extracts and displays an inspection result represented by inspection data associated with the doctor identification code. . 7. The examination data is further associated with a doctor identification code for identifying the doctor who ordered the examination represented by the examination data, and is input by means for inputting the doctor identification code and by the doctor identification code input means. 5. The sheet type inspection result according to claim 4, further comprising cell color change display means for changing the color of the cell displaying the inspection result represented by the inspection data associated with the generated doctor identification code. Display device. 8. A selection unit for selecting one or a plurality of test results among the test results displayed by the test result display unit, and a test result selected by the selection unit for a part of data representing a medical record. 5. The sheet-type examination according to claim 4, further comprising: an embedding means to be incorporated into the device, and a medical record display means for displaying a medical record represented by data representing a medical record including the inspection result incorporated by the incorporating means. Result display device. 9. A selection unit for selecting one or a plurality of test results among the test results displayed by the detailed test result display unit, and a test result selected by the selection unit as one of data representing a medical record. Built-in means,
6. The sheet according to claim 5, further comprising: medical record display means for displaying a medical record represented by data representing a medical record including the examination result incorporated by the incorporating means.
Type inspection result display device. 10. The inspection data associated with the inspection item and the date is received from the device storing the inspection data via the network, and the inspection result represented by the received inspection data is represented by the inspection item and the date. A program that controls a computer to display at a corresponding cell position of a sheet including a plurality of cells whose positions are specified.