JP2006031280A - Display system of patient medical chart - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a display system capable of displaying various medical treatment items of a patient medical chart in a list form on one screen so that the past course can be easily seen, and displaying the name of a waiting patient so that the medical chart of this patient can be easily seen. <P>SOLUTION: All medical charts of patients to be examined on the day are extracted from a medical chart file C in reference to an outpatient acceptance file A and a reservation acceptance file, and preliminarily reserved in a medical chart reserve file F. A list of the patient names to be examined is displayed on a screen of a display D of a terminal machine T operated by a doctor, and headings of medical treatment items of an instructed patient are listed. By designating one of the headings, the concrete content of the corresponding medical item is displayed on the screen. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

  In the case of paper charts that are usually used, doctor articles and nursing articles are generally written in separate charts, and it is troublesome because it is necessary to order nursing charts for diagnosis along with the course of nursing. . In addition, laboratory test results, pathological findings, X-ray findings, letters of introduction, etc. are affixed to the back of the medical chart in no order, making it difficult to find and difficult to see, and the paper and printing deteriorate over time. And may be damaged. In addition, since the medical record becomes thicker after many years of medical examination, it is difficult to store all information from the first medical examination in a single volume.For example, in the case of patients suffering from multiple diseases, it is troublesome to grasp the date of occurrence and progress Cost. In this way, storing information of multiple departments in a single medical record makes it complicated and difficult to see, and conversely, making medical records in each department makes it difficult to obtain information on other departments.

  On the other hand, such a paper chart is a description in chronological order, so it has a list of progress and is suitable for grasping a short-term progress. In outpatient clinics, patient charts are kept waiting at the examination desk, and the patient chart being examined is opened. Therefore, it is possible to grasp how many patients are waiting even during the examination, and if necessary, it is possible to obtain medical record information of the waiting patients and give a prior instruction.

  Instead of the paper chart as described above, a computer system for displaying a so-called electronic chart on a display for the purpose of obtaining information quickly and widely has been introduced. In such a system, doctor articles, nursing articles, laboratory test results, pathological findings, X-ray findings, referral letters, etc. are generally in separate files, and each file is referred to know the progress of one patient. In order to grasp the whole, it is necessary for the doctor to memorize the contents of the above items, which requires concentration, and disruption of thinking can occur. In addition, the basic screen of the medical record is a unit of display for one day, and it is not possible to display in time series on one screen. If you try to view past records, the above file is searched every day. There is a need.

  Therefore, the problem of the present invention is that it is possible to display a list of various medical treatment items of the patient chart on a single screen, the past progress can be easily seen, the name of the waiting patient is also displayed, and the patient It is to provide a display system that can easily see the medical records of the hospital.

  In order to solve the above problems, a display system according to the present invention includes a server apparatus having at least a patient chart file, a patient list extracted under certain conditions, and a chart reserve file, and a terminal capable of exchanging data with the server apparatus. The server device refers to the patient list extracted under the certain conditions, and extracts all the patient charts of the list from the patient chart file and stores them in the chart reserve file; and the terminal Means for retrieving the medical record file and transmitting a patient list to the terminal in response to an instruction to obtain at least a doctor-specific patient chart from the machine, and in response to an instruction to obtain an individual patient chart from the terminal. Means for searching for a chart reserve file and sending individual chart headings to the terminal, and chart headings from the terminal In response to a content acquisition command, there is provided means for searching the chart reserve file and transmitting the contents to the terminal, and the terminal displays the specified patient's chart headline together with the received patient list. And a means for selecting the patient list or medical chart heading and transmitting a medical chart heading or its content acquisition command to the server device, and a means for displaying the heading or its content. It was.

  Further, the terminal is provided with means for transmitting a command for acquiring a patient chart retrospectively to the server device, and the server device stores a patient chart for a date specified from the chart reserve file according to the acquisition command. Means for searching and transmitting to the terminal may be provided.

  According to the present invention, as described above, in addition to the chart of the patient being examined, the name of the waiting patient is displayed on the screen, and the chart of the waiting patient can be freely viewed. Can also be traced back to the past, so that in addition to patient information in a time series like a paper chart, document information, nursing article information, clinical test results, prescription content, injection / infusion content, etc. can be obtained As a result, it is possible to grasp the patient as a whole in a time series more than a paper chart.

Embodiments of the present invention will be described below with reference to the accompanying drawings. FIG. 1 shows an example of hardware used in the system of the present invention. As shown in the figure, a server device S that centrally manages data and terminals T ₁ ... T _n such as personal computers operated by doctors are connected by a network N such as a public line communication network, and are bidirectional. It is possible to send and receive data.

Based on FIG. 2, a more detailed relationship between files and hardware will be described. As shown in the figure, the server apparatus S has a chart file C ₁ ... C _n classified for each patient. Each medical record file contains, in chronological order, examination articles (findings), referral letters, hospitalization treatment plan, etc., laboratory test results, X-ray findings, pathological findings, injection infusion contents, medication contents, treatment contents, operation name. The central processing unit CPU is a software that can search for all the items recorded in the conventional paper chart such as surgical articles, schemas, etc., and search these chart files by key such as patient name, doctor name, chart date, etc. ₁ is installed. Further, the server device S has a patient list and a carte reserve file F extracted under certain conditions such as an outpatient reception file A, a reservation reception file B, and an inpatient file. The outpatient reception file A is a file in which the name of the outpatient on the day, ID number, medical department, insurance, reception time, etc. are recorded, and the reservation reception file B is also arranged in time series for the reserved patient name, ID number, medical treatment It is a file that records department, insurance, reception time, etc. In addition, the chart reserve file F is obtained by searching the chart file C in advance from the patient list extracted under the predetermined conditions, and all the charts of patients corresponding to each department and each doctor in charge, and documents and schemas attached thereto. This is a file that is extracted and reserved in time series. Of course, all the information about each patient can be extracted in advance by searching the file F.

On the other hand, the terminal T is provided with a display D, a printer P, a keyboard K, a pointer M such as a touch panel and a mouse, etc., and the central processing unit CPU ₂ responds to the operation of the keyboard K and the pointer M by the server device S. The server apparatus S can be operated by issuing a command such as searching for or writing to the file F or file C, and various information can be output to the display D or the printer P as required. And can instruct other terminals to transmit data.

Next, processing steps in the terminal T and the server device S will be described. As shown in FIG. 3, are prepared a chart reserve file F in advance step S ₁₀ in the server device S. In step S ₁ , there is provided means for transmitting a list acquisition command of patients to be treated to the server device S from the terminal T under a specific condition such as the name of the attending doctor. Get the list extracting patient from the file F in step S ₁₁ according to the server device S in the transmission instruction, and edit the list screen information in step S _12, transmits the list screen information to the terminal T in step S ₁₃ means are provided, whereby, on the display D of the terminal T in step S _2, as shown in FIG. 4, the patient list is displayed in order of reception in the upper D ₁ of the screen. The display contents include, for example, reception time, urgency, first visit, name, sex, age, elapsed days, and the like.

Next, in step S ₃ , means for selecting the patient displayed in the upper part of the screen of FIG. 4 and transmitting a patient chart information acquisition command to the server apparatus S is provided. In response to this, the server apparatus S performs step S _14. A means is provided for retrieving the patient record information by searching the chart reserve file F. In steps S ₁₅ and S ₁₆ , only the most recent (closest to the day) chart title (title) is first edited. As shown in FIG. 4, on the screen of the terminal T, the types of documents such as a letter of introduction and an inpatient treatment plan are displayed on the lower left D ₃ , and the lower right D ₄ The titles of specific medical treatments are mainly displayed. For example, clinical examination, X-ray examination, injection / infusion, medication, surgery. In the middle D ₂ of the screen, the name, sex, and age of the currently displayed patient are displayed, and means (for example, a button) for displaying the patient's first hospital / revisit date hospitalization history are displayed. There are search display items that are switched by subject, doctor article, nursing article, and entire article, and by selecting the item, means for displaying the contents in the lower D ₃ and D ₄ is provided. .

As described above, the initial title (title) of the patient chart is displayed in the lower stages D ₃ and D ₄ of the screen. A means for selecting the heading, for example, clicking on the item, for example, clicking on an item in the hospitalization treatment plan, means for transmitting an instruction to acquire the item to the server device S operates. The means for retrieving the carte reserve file F operates, and the contents are transmitted to the terminal. The heading is displayed retroactively by clicking on the date displayed on the screen, and so-called scrolling is also possible. As shown in FIG. 4, an order (specific medical procedure) button is arranged at the right end D _{5 of the} screen. In FIG. 3, the process of acquiring the headline and its contents and displaying them is collectively represented by steps S ₂ , S ₃ and steps S ₁₄ , S ₁₅ , S ₁₆ .

The block diagram which shows an example of the hardware used for the display system of the patient chart of this invention The block diagram which shows the relationship between the file and hardware of the display system of this invention Flow chart showing the relationship between the operation of the terminal and the operation of the server device Diagram showing an example of the display screen of the terminal

Explanation of symbols

A Outpatient reception file B Reservation reception file C, C ₁ ... C _n Patient chart file D Display D ₁ Upper screen D ₂ Lower left screen D ₂ Lower right screen ₃ D ₄ Middle screen D ₅ Right edge of screen F Carte reserve file K Keyboard M Pointer N Network P Printer S Server devices S _{1 to} S ₄ , S _{10 to} S ₁₆ Processing steps T, T ₁ ... T _n Terminal CPU ₁ , CPU ₂ Central processing unit

Claims (2)

  The server apparatus includes at least a patient chart file, a patient list extracted under certain conditions, and a chart reserve file, and a terminal capable of exchanging data with the server apparatus. Referring to the extracted patient list, all the patient charts of the list are extracted from the patient chart file and stored in the chart reserve file, and at least a doctor-specific patient chart acquisition command from the terminal Means for searching the chart reserve file and transmitting the patient list to the terminal, and searching for the chart reserve file in accordance with an acquisition command of the individual patient chart from the terminal and writing the individual chart heading to the terminal Means for transmitting and the chart reserve file in response to an instruction to acquire the contents of the chart headline from the terminal A means for searching and transmitting the contents to the terminal is provided, and the terminal displays means for displaying the individual patient's chart headline specified together with the received patient list, and selects the patient list or chart headline. A patient chart display system provided with means for transmitting a chart headline or an instruction to acquire the contents to the server device, and means for displaying the headline or the contents thereof.   The terminal is provided with means for transmitting a command for acquiring a patient chart retrospectively to the server device, and the server device searches for a patient chart of a specified date from a chart reserve file according to the acquisition command. The patient chart display system according to claim 1, further comprising means for transmitting to the terminal.

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