JP2006260305A - Electronic medical chart management device, electronic medical chart system, electronic medical chart management method, and electronic medical chart management program - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide an electronic medical chart management device capable of reducing an erroneous operation. <P>SOLUTION: This electronic medical chart management device 100 provisionally stores an electronic medical chart for a provisional storage request temporarily in a storage part 104, when receiving the provisional storage request of the electronic medical chart. The electronic medical chart management device 100 determinably stores the electronic medical chart stored temporarily in the storage part 104, regularly in the storage part 101, when receiving a determinate storage request for the electronic medical chart stored temporarily in the storage part 104. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

  The present invention relates to an electronic medical record management apparatus, an electronic medical record system, an electronic medical record management method, and an electronic medical record management program capable of managing medical information created in clinics and medical institutions as electronic information (electronic medical records). Is.

  Conventionally, an excellent characteristic of paper description in medicine is the ease of handling. For example, in the case of paper, it is possible to make a handwritten memo freely, or to paste a copy, paste a standard figure, etc., and record from there. It is also possible to write an underline or mark in the emphasized content. Furthermore, it is possible to tag paper, store it in a color-specific file, perform highly visual management, and scan a large amount of information.

  However, it has been pointed out that the paper description in medicine is damaged, the storage location is secured, and the search is difficult. For this reason, in recent years, there is an electronic medical chart system that attempts to digitize documents (such as medical charts and prescriptions) managed by paper. As an excellent characteristic of this electronic medical record system, it is possible to centralize and share data storage and management, and it is also possible to acquire a large amount of data by keyword search. .

  In the conventional electronic medical chart system, when various types of electronic medical chart data are input from an input display unit such as a touch panel, the input electronic medical chart data is immediately registered in a database. For this reason, the electronic medical record data immediately registered in the database can be read and referred to by other hospital staff, so that the electronic medical record data can be immediately transmitted. However, the opportunity to confirm the electronic medical record data input from the input display unit is reduced, and the possibility of misoperation increases. For example, if electronic medical record data is registered immediately, even if erroneous electronic medical record data is input from the input display unit, the erroneous electronic medical record data is immediately registered in the database. Therefore, the erroneous electronic medical record data may be transmitted to other hospital staff. For this reason, it is necessary to take preventive measures against misoperation, and it is necessary to inspect the electronic medical record data before registering the electronic medical record data input from the input display unit in the database.

  In the conventional electronic medical chart system, the patient selection screen and the medical chart reference screen are always displayed using the entire screen. For this reason, when displayed using the entire screen, it becomes difficult to operate while referring to multiple screens at the same time, and operations on the screen must be complicated when performing various operations. The state has been established. For this reason, there is a high possibility that a misoperation occurs.

  In addition, as a technical literature filed prior to the present invention, each medical institution has its patient data managed by a computer of the medical institution, and each patient has at least a disease name capable of data communication with the computer by means of the respective communication means, It is possible to know the test results and the details of medication and make appointments for examinations. Uploaded at the end of the medical institution, manages various information about the patient himself / herself, and sends information such as his / her own medical records to mobile phones and PDAs There is a document that discloses a medical information disclosure system that can be disclosed through a personal computer or the like to rationalize medical care and reduce waiting time in a hospital (for example, see Patent Document 1).

Also, a medical assistance device having a patient list display function for acquiring information from each item of a patient list from a medical information database and displaying the list, and a prescription item setting means for setting a prescription item as one item of the patient list; , Prescription days calculation means for calculating the number of remaining days of prescription for each prescription based on prescription information acquired when prescription items are set and the current date and time, and the remaining days of each prescription calculated for each prescription And a prescription display control means for displaying each in the prescription item column of the subject patient of the prescription. There is a document that discloses a medical assistance device that can perform prescription reliably (see, for example, Patent Document 2).
JP 2003-196384 A JP 2003-91587 A

  In addition, although the said patent documents 1 and 2 manage the information regarding a patient efficiently, the preservation | save operation and the display operation of the information regarding the patient are not considered at all.

  The present invention has been made in view of the above circumstances, and an object thereof is to provide an electronic medical record management apparatus, an electronic medical record system, an electronic medical record management method, and an electronic medical record management program that reduce misoperation.

  In order to achieve this object, the present invention has the following features.

  An electronic medical record management apparatus according to the present invention is an electronic medical record management apparatus that manages an electronic medical record, and when an electronic medical record temporary storage request is received, an electronic medical record that temporarily stores the electronic medical record of the temporary storage request And a medical chart temporary storage means, and an electronic medical chart storage means for officially storing the electronic medical chart temporarily stored by the electronic medical chart temporary storage means when receiving a request for final storage of the temporarily stored electronic medical chart, To do.

  The electronic medical record management apparatus according to the present invention, when receiving a request for correction of the electronic medical record temporarily stored by the electronic medical record temporary storage means, the electronic medical record temporarily stored, and the corrected electronic medical record in which the electronic medical record is corrected, It is characterized by being temporarily stored in association.

  Further, in the electronic medical record management device according to the present invention, when the electronic medical record storage unit officially stores the temporarily stored electronic medical record, if there is a related electronic medical record related to the temporarily stored electronic medical record, The provisionally stored electronic medical chart is determined and stored in association with the related electronic medical chart.

  The electronic medical record management apparatus according to the present invention further includes a temporary storage chart notifying unit that notifies the temporary storage request destination of the temporarily stored electronic medical record when the temporary storage of the electronic medical record is completed. The means is characterized in that, when a fixed storage request is received from a temporary storage request destination, the temporarily stored electronic medical chart is formally stored.

  An electronic medical record system according to the present invention is an electronic medical record system including a client terminal device that generates an electronic medical record and an electronic medical record management device that manages the electronic medical record. A temporary storage request transmitting means for generating an electronic medical record and transmitting a temporary storage request for the generated electronic medical record to the electronic medical record management device; and transmitting a definite storage request for the electronic medical record that has transmitted the temporary storage request to the electronic medical record management device An electronic medical record management device that temporarily stores the electronic medical record of the temporary storage request when the temporary storage request is received, and a fixed storage An electronic medical record storage means for officially storing the electronic medical record temporarily stored by the electronic medical record temporary storage means when the request is received. It is.

  In the electronic medical chart system according to the present invention, when the electronic medical record management device temporarily stores the electronic medical record of the temporary storage request, the electronic medical record management device transmits the temporarily stored electronic medical record to the client terminal device. And the client terminal device has a provisionally stored chart display means for displaying the provisionally stored electronic chart when the provisionally stored electronic chart is received from the electronic chart management apparatus. .

  In the electronic medical chart system according to the present invention, the client terminal device, when a closing request operation for the electronic medical chart displayed by the temporary medical chart display means is performed, sends a final storage request for the electronic medical chart that has transmitted the temporary storage request. Is transmitted.

  Further, in the electronic medical chart system according to the present invention, when the client terminal apparatus determines that the correction operation of the electronic medical chart displayed by the temporary storage chart display means has been performed, the correction request for the electronic medical chart in which the correction operation has been performed is performed. Is transmitted to the electronic medical chart management apparatus, and the electronic medical chart management apparatus associates the temporarily stored electronic medical chart with the corrected electronic medical chart in which the electronic medical chart has been corrected when receiving a request to modify the temporary storage electronic medical chart. It is characterized by doing.

  In the electronic medical record system according to the present invention, when the electronic medical record management apparatus officially confirms and saves the temporarily stored electronic medical record, if there is a related electronic medical record related to the temporarily stored electronic medical record, The stored electronic medical chart is fixedly stored in association with the related electronic medical chart.

  In the electronic medical record system according to the present invention, the client terminal device displays an electronic medical record display means for displaying the confirmed electronic medical record formally confirmed and stored by the electronic medical record storage means, and a medical record input screen for generating the electronic medical record A chart input screen display means for displaying, and a confirmed electronic chart displayed by the electronic chart display means and a chart input screen displayed by the chart input screen display means are displayed so as not to overlap. It is.

  In the electronic medical chart system according to the present invention, the client terminal device displays the confirmed electronic medical chart displayed by the electronic medical chart display means in time series.

  An electronic medical record management method according to the present invention is an electronic medical record management method performed by an electronic medical record management apparatus that manages an electronic medical record, and when receiving a temporary storage request for a medical chart, the electronic medical record management method The electronic medical record temporarily storing step temporarily stored in the storage unit included in the electronic medical chart apparatus, and the electronic medical table temporarily stored in the storage unit by the electronic medical record temporary storing step when the final stored request of the temporarily stored electronic medical record is received An electronic medical record management device performs an electronic medical record storage step for officially storing the medical record in the storage unit.

  Further, in the electronic medical record management method according to the present invention, the electronic medical record management apparatus corrects the temporarily stored electronic medical record and the electronic medical record when receiving a correction request for the electronic medical record temporarily stored in the electronic medical record temporary storage process. The modified electronic medical record is temporarily stored in the storage unit in association with each other.

  Further, in the electronic medical record management method according to the present invention, when the electronic medical record management apparatus officially stores the temporarily stored electronic medical record, if there is a related electronic medical record related to the temporarily stored electronic medical record, The temporarily stored electronic medical record is associated with the related electronic medical record and is confirmed and stored in the storage unit.

  Further, in the electronic medical record management method according to the present invention, the electronic medical record management device includes a temporary storage medical record notification step of notifying the temporary storage request destination of the temporarily stored electronic medical record when the temporary storage of the electronic medical record is completed. And when the fixed storage request is received from the temporary storage request destination, the temporarily stored electronic medical record is formally stored in the storage unit.

  An electronic medical record management method according to the present invention is an electronic medical record management method that is performed using a client terminal device that generates an electronic medical record and an electronic medical record management device that manages the electronic medical record, and the client terminal device includes: A temporary storage request transmitting step of generating an electronic medical record and transmitting a temporary storage request of the generated electronic medical record to the electronic medical record management device; and when the electronic medical record management device receives the temporary storage request from the client terminal device, An electronic medical record temporary storage step of temporarily storing the received electronic medical record of the temporary storage request in a storage unit included in the electronic medical record management device, and a final storage request of the electronic medical record from which the client terminal device has transmitted the temporary storage request The confirmation storage request transmission process to be transmitted to the electronic medical record management device, and the electronic medical record management device receives the confirmation storage request from the client terminal device When the, it is to an electronic medical record storage step of determining stored in formally storing portion temporarily stored electronic medical record in the storage section by the electronic medical record temporary storing step, and performing.

  In the electronic medical record management method according to the present invention, when the electronic medical record management device temporarily stores the electronic medical record of the temporary storage request temporarily in the storage unit, the electronic medical record management device transmits the temporarily stored electronic medical record to the client terminal device. Temporary storage chart sending step, and when the client terminal device receives the electronic chart temporarily stored from the electronic chart management device, the temporary storage chart display step of displaying the received electronic chart on the display unit of the client terminal device And performing the above.

  In the electronic medical chart management method according to the present invention, when the client terminal apparatus determines that the electronic medical chart closing request operation displayed on the display unit has been performed by the temporary storage medical chart display process, the electronic terminal that transmitted the temporary storage request It is characterized in that a chart record saving request is transmitted to the electronic chart management apparatus.

  In the electronic medical chart management method according to the present invention, when the client terminal apparatus determines that the correction operation of the electronic medical chart displayed on the display unit has been performed in the temporary storage chart display process, the electronic medical chart on which the correction operation has been performed is performed. When the electronic medical record management device receives the electronic medical record correction request, the electronic medical record management device stores the electronic medical record temporarily stored and the corrected electronic medical record in which the electronic medical record is corrected in association with each other. Is temporarily stored in the unit.

  Further, in the electronic medical record management method according to the present invention, when the electronic medical record management apparatus officially stores the temporarily stored electronic medical record, if there is a related electronic medical record related to the temporarily stored electronic medical record, The temporarily stored electronic medical record is associated with the related electronic medical record and is confirmed and stored in the storage unit.

  In the electronic medical record management method according to the present invention, the client terminal device generates an electronic medical record, an electronic medical record display step for displaying the confirmed electronic medical record formally confirmed and stored in the storage unit by the electronic medical record storage step, and the electronic medical record A chart input screen display process for displaying a chart input screen for display on the display unit so that the confirmed electronic chart displayed by the electronic chart display process and the chart input screen displayed by the chart input screen display process do not overlap It is characterized by being displayed.

  In the electronic medical chart management method according to the present invention, the client terminal device displays the confirmed electronic medical chart to be displayed on the display unit in a time series by the electronic medical chart display process.

  The electronic medical record management program according to the present invention is an electronic medical record management program executed in an electronic medical record management apparatus that manages the electronic medical record, and when the temporary storage request for the electronic medical record is received, When the electronic medical record temporary storage process temporarily stores the electronic medical record in the storage unit of the electronic medical record management device and the final storage request for the electronic medical record temporarily stored, the electronic medical record temporary storage process temporarily stores the electronic medical record in the storage unit The electronic medical record management apparatus executes the electronic medical record storage process for officially confirming and saving the electronic medical record in the storage unit.

  In addition, the electronic medical record management program according to the present invention, when receiving a correction request for the electronic medical record temporarily stored by the electronic medical record temporary storage process, the temporarily stored electronic medical record and the corrected electronic medical record that has corrected the electronic medical record, The electronic medical record management apparatus executes a process of associating and temporarily saving in the storage unit.

  Further, in the electronic medical record management program according to the present invention, when the electronic medical record storage process is officially confirmed and stored in the storage unit, there is a related electronic medical record related to the temporarily stored electronic medical record. Is characterized in that the temporarily stored electronic medical record is confirmed and stored in the storage unit in association with the related electronic medical record.

  The electronic medical record management program according to the present invention performs a temporary storage medical record notification process for notifying a temporary storage request destination of the electronic medical record temporarily stored in the electronic medical record management apparatus when the temporary storage of the electronic medical record is completed. The electronic medical record temporarily stored is formally stored in the storage unit when it is executed and a fixed storage request is received from the temporary storage request destination.

  According to the present invention, when a temporary storage request for an electronic medical record is received, the electronic medical record for the temporary storage request is temporarily stored in the storage unit of the electronic medical record management device, and the temporarily stored electronic medical record is confirmed and stored. When the request is received, the electronic medical record temporarily stored in the storage unit is formally stored in the storage unit. This makes it possible to reduce misoperations.

  First, an electronic medical chart system according to this embodiment will be described with reference to FIG.

  The electronic medical record system in the present embodiment is configured by connecting a client terminal device (120) that generates an electronic medical record and an electronic medical record management device (100) that manages the electronic medical record via a network (110). Electronic medical record system.

  The electronic medical chart system according to the present embodiment generates an electronic medical chart in the client terminal device (120), and transmits a temporary storage request for requesting temporary storage of the generated electronic medical chart to the electronic medical chart management apparatus (100). When receiving the electronic medical record temporary storage request from the WEB client terminal device (120), the electronic medical record management apparatus (100) temporarily stores the electronic medical record of the received temporary storage request. Thereafter, the client terminal device (120) transmits a finalized storage request for requesting finalized storage of the electronic medical record for which the temporary storage request has been made to the electronic medical chart management device (100) to the electronic medical chart management device (100). When the electronic medical record management apparatus (100) receives the electronic medical record confirmed storage request from the WEB client terminal apparatus (120), the electronic medical record that has been temporarily stored is officially confirmed and stored. As described above, the electronic medical record generated in the client terminal device (120) is temporarily stored in the electronic medical record management device (100), and then the electronic medical record fixed storage request is transmitted from the client terminal device (120). In this case, the electronic medical record temporarily stored is formally confirmed and stored, and after confirming the electronic medical record generated in the client terminal device (120), it can be confirmed and stored in the electronic medical record device (100). Operation can be reduced. Hereinafter, the electronic medical chart system according to the present embodiment will be described in detail with reference to the accompanying drawings.

  First, the system configuration of the electronic medical record system according to the present embodiment will be described with reference to FIG.

  The electronic medical record system in this embodiment is configured by connecting an electronic medical record server (100) and a WEB client terminal device (120) via a network (110). The network (110) is not particularly limited as long as information can be exchanged between the electronic medical record server (100) and the WEB client terminal device (120), and any information communication can be performed regardless of wired or wireless. It is possible to apply the form.

<Electronic medical record server 100>
The electronic medical record server (100) is an information processing apparatus that stores and manages electronic medical record data registered from the WEB client terminal device (120). The electronic medical record storage unit (101), the medical record transmission unit (102), A control unit (103) and an intermediate chart storage unit (104) are included.

  For example, as shown in FIG. 2, the electronic medical record storage unit (101) is a storage unit that stores past electronic medical record data of a patient.

  As shown in FIG. 2, the electronic medical record storage unit (101) stores medical record registration date information in association with patient information. The medical record storage information, correction source / deletion source is associated with the medical record registration date information. Information will be stored.

  The patient information includes a patient ID for identifying a patient, a patient name, and the like. The chart registration date information includes the chart registration date, the inpatient outpatient classification of the patient, and the like. The chart storage information includes chart entry information, operator information that created the chart entry information, an operation terminal that identifies a WEB client terminal device that is the transmission destination of the chart entry information, a medical department, and the like. Further, the correction source / deletion source information includes correction source information indicating the chart storage information before correction / deletion, deletion source information, operator information that performed the correction / deletion operation, and WEB that performed the correction / deletion operation. An operation terminal for identifying a client terminal device, a medical department, and the like can be given. In addition, the management method of the electronic medical record data stored and managed in the electronic medical record storage unit (101) is not particularly limited as long as the patient's electronic medical record is separately managed, and any data structure may be used as long as each information is associated. Data structures can be applied.

  For example, as shown in FIG. 3, the intermediate medical chart storage unit (104) is a storage unit that temporarily temporarily stores electronic medical record data transmitted from the WEB client terminal device (120).

  As shown in FIG. 3, the intermediate chart storage unit (104) stores patient information in association with operator information, and stores chart entry information in association with the patient information.

  The operator information includes an operator ID for identifying the operator, an operator name, an operation terminal for identifying the WEB client terminal device operated by the operator, a medical department, and the like. Patient information includes a patient ID for identifying a patient, a patient name, an inpatient outpatient classification of a patient, a department, and the like. The chart entry information includes chart information, correction source information indicating chart information before correction / deletion of chart information, deletion source information, and the like. The management method of the electronic medical record data stored and managed in the intermediate medical record storage unit (104) is not particularly limited as long as the patient's electronic medical record is managed separately, and any data structure can be used as long as each information is associated. Data structures can be applied.

  The medical chart transmission unit (102) transmits the electronic medical record data stored in the electronic medical record storage unit (101) and the electronic medical record data temporarily stored in the intermediate medical record storage unit (104) to the WEB client terminal device ( 120) and receiving the electronic medical record data transmitted from the WEB client terminal device (120).

  The medical chart control unit (103) performs control processing related to electronic medical chart data, acquires electronic medical chart data from the electronic medical chart storage section (101), and sends the acquired electronic medical chart data to the WEB client terminal device (120). The electronic medical record data transmitted or transmitted from the WEB client terminal device (120) is temporarily stored in the intermediate medical record storage unit (104), or the electronic medical record data temporarily stored in the intermediate medical record storage unit (104) is stored in the WEB client. The data is transmitted to the terminal device (120) or is confirmed and stored in the electronic medical record storage unit (101). The control process in the chart control unit (103) can also be performed using an electronic chart application program.

<WEB client terminal device 120>
The WEB client terminal device (120) is an information processing device that registers electronic medical record data in the electronic medical record server (100), and includes a medical record transmission unit (121), a medical record display unit (122), and a medical record control unit (123). And is configured. The chart display unit (122) displays a patient list screen (1220), a chart main screen (1221), a chart input screen (1222), and a new input screen (1223). .

  The medical chart transmission unit (121) transmits electronic medical chart data to the electronic medical chart server (100) and receives electronic medical chart data transmitted from the electronic medical chart server (100).

  The medical chart display unit (122) displays or fills in electronic medical chart data. The patient list screen (1220), the main chart screen (1221), the medical chart input screen (1222), and a new input The screen (1223) is displayed. The patient list screen (1220) displays a list of patients. In addition, the medical chart main screen (1221) displays the patient's past electronic medical chart data. The medical record input screen (1222) is used to enter electronic medical record data. In addition, the new input screen (1223) displays the electronic medical record data temporarily stored in the intermediate medical record storage unit (104).

(Processing in the electronic medical chart system in this embodiment)
Next, the first processing operation in the electronic medical chart system in the present embodiment will be described in detail with reference to FIG. FIG. 4 shows a processing operation when electronic medical chart data is displayed on the medical chart display unit (122) of the WEB client terminal device (120).

  First, the operator activates an electronic medical record application program held by the WEB client terminal device (120), and the medical record control unit (123) uses the activated electronic medical record application program to display a login screen on the medical chart display unit (122). Will be displayed. Then, the operator inputs operator information for identifying the operator from the login screen, and performs a display request operation for the patient list screen (1220).

  When the chart control unit (123) determines that the display request operation for the patient list screen (1220) has been performed, the chart control unit (123) operates the WEB client terminal device (120). Information and an acquisition request for the patient list screen (1220) are transmitted to the electronic medical record server (100).

  When the electronic medical record server (100) receives the acquisition request of the patient list screen (1220) and the operator information from the WEB client terminal device (120), the medical record control unit (103) stores the electronic medical record. The patient information having the medical record storage information associated with the operator information received from the WEB client terminal device (120) is retrieved (see FIG. 2), and the obtained patient information and the operator are retrieved. Information is transmitted to the WEB client terminal device (120).

  When the WEB client terminal device (120) receives patient information and operator information from the electronic medical record server (100), the medical record control unit (123) receives the patient from the electronic medical record server (100). Based on the information and the operator information, a patient list screen (1220) filtered by reserved patient unit, assigned patient unit, etc. is displayed on the chart display unit (122) (step S1). Thereby, a patient list screen (1220) as shown in FIG. 5 is displayed on the chart display unit (122), and the operator can display the patient list screen (1220) on the chart display unit (122). ) Can be referred to.

  The patient list screen (1220) includes a patient display field (1220A) and a patient list display TAB (1220B), and information for managing the patient list screen (1220) is given. . The patient list screen (1220) displayed on the chart display unit (122) is displayed in association with the patient list display TAB (1220B) for managing the patient list screen (1220). Become.

  Next, the operator selects a patient who wants to refer to the past electronic medical record from the patient display field (1220A) of the patient list screen (1220) displayed on the medical chart display unit (122), and the patient's past The reference request operation for referring to the electronic medical chart is performed.

  When the medical chart control unit (123) determines that the electronic medical chart reference request operation has been performed, the electronic medical chart acquisition request regarding the patient selected from the patient display column (1220A) and the selected patient's The patient information is transmitted to the electronic medical record server (100) (step S2).

  When the electronic medical record server (100) receives an electronic medical record acquisition request and patient information from the WEB client terminal device (120), the medical chart control unit (103) sets the electronic medical record storage unit (101). The electronic medical record data associated with the patient information retrieved and received from the WEB client terminal device (120) is acquired (step S3). Then, the chart control unit (103) transmits the electronic chart data obtained by the search to the WEB client terminal apparatus (120) (step S4).

  When the WEB client terminal device (120) receives the electronic medical record data of the patient information of the reference request from the electronic medical record server (100), the medical chart control unit (123) displays the medical chart main screen (1221) as the medical chart display unit. The medical chart control unit (123) displays the electronic medical chart data received from the WEB client terminal device (120) on the medical chart main screen (1221) (step S5). . As a result, the chart main screen (1221) as shown in FIG. 6 is displayed on the chart display section (122), and the operator activates and displays the chart displayed on the chart display section (122). On the main screen (1221), it is possible to refer to past electronic medical record data relating to the patient selected and operated from the patient list screen (1220).

  The medical chart control unit (123) analyzes the electronic medical chart data when displaying the electronic medical chart data acquired from the electronic medical chart server (100) on the main chart screen (1221), and falsifies it into the electronic medical chart data. If it is determined that there is an error, an error is displayed. The electronic medical record data is given an electronic signature for each input data unit, and the data control unit (123) verifies the electronic signature attached to the electronic medical record data.

  In the WEB client terminal device (120) in the present embodiment, when the chart main screen (1221) is activated on the chart display section (122), the chart control section (123) displays the chart display section (122). The patient list screen (1220) displayed above is automatically and smoothly moved from the state of FIG. 5 to the left side of the chart display unit (122) as shown in FIG. 1220) is hidden from the medical chart display unit (122) to be in a non-display state, and only the patient list display TAB (1220B) managing the patient list screen (1220) is set to the display state (step S6). Then, the chart main screen (1221) is displayed on the chart display section (122), and the past electronic chart data is displayed on the displayed chart main screen (1221).

  The chart control unit (123) manages the chart main screen (1221) displayed on the chart display unit (122) for each patient information, and the chart control unit (123) 122) A patient TAB (1221A) for managing the patient who activated and displayed the main chart screen (1221) is displayed on the top (step S7), and the displayed patient TAB (1221A) is selected (step S8). ). As a result, the chart main screen (1221) with the patient TAB (1221A) is displayed on the chart display section (122) as shown in FIG. (122) The patient TAB (1221A) of the patient related to the medical chart main screen (1221) currently displayed on the screen can be sorted.

  In addition, the electronic medical chart system in this embodiment performs the process of step S1-step S8 in the state which displayed the medical chart main screen (1221) of the said selected patient on the medical chart display part (122), and other patients' It is also possible to open the chart main screen (1221).

  For example, as shown in FIG. 6, when the operator selects and operates the patient list display TAB (1220B) displayed on the chart display unit (122), the chart control unit (123) displays the patient list screen. It is determined that the reference request operation of (1220) has been performed, and the chart control unit (123) displays the patient list screen (1220) in which the patient display field (1220A) is displayed as shown in FIG. (122) Display above. The operator selects and operates another patient from the patient display field (1220A) of the patient list screen (1220) displayed on the chart display unit (122), so that the chart control unit (123) Transmits the patient information acquisition request regarding the selected patient and the patient information of the selected patient to the electronic medical record server (100), and is associated with the patient information regarding the selected patient. Electronic medical record data is acquired from the electronic medical record server (100).

  When the medical chart control unit (123) receives the electronic medical chart data from the electronic medical chart server (100), the medical chart main screen (1221) for displaying the received electronic medical chart data is displayed on the medical chart display section (122). Display above. The chart control unit (123) displays the electronic chart data on the chart main screen (1221) and assigns the patient TAB (1221A) managing the chart main screen (1221) to the chart main screen (1221). Will be displayed. Thereby, in addition to the patient TAB (1221A) shown in FIG. 6, the patient TAB (1221A) for managing the medical record main screen (1221) for displaying the electronic medical record data acquired this time is further given to FIG. As shown, a plurality of patients TAB (1221A) will be displayed.

  Next, when the examination for the patient is completed, the operator performs a closing request operation for closing the patient's chart main screen (1221), and the chart control unit (123) displays the chart main screen (1221). Is closed, the patient's chart main screen (1221) is closed, the patient TAB (1221A) managing the patient on the chart main screen (1221) is deleted, and the chart display section ( 122) The patient TAB (1221A) will be deleted from above.

  As described above, the electronic medical chart system according to the present embodiment displays the electronic medical chart data related to the patient selected from the patient list screen (1220) displayed on the medical chart display unit (122) on the medical chart main screen (1221). When displaying on the patient list screen (1221), the patient list screen (1220) is displayed so that the display states thereof do not overlap. Data can be selected and displayed, and a complicated operation can be performed while referring to the electronic medical chart alternately on the medical chart display unit (122) in the same manner as the paper medical chart.

  In the conventional electronic medical chart system, the patient list screen (1220) is displayed on the entire screen on the medical chart display unit (122), so that the electronic medical chart data of other patients is referred to while referring to the patient's electronic medical chart data. It was very difficult to open. In contrast, the electronic medical chart system according to the present embodiment displays the patient list screen (1220) on the left side of the screen of the medical chart display unit (122) and can refer to the patient's electronic medical chart data on the right side of the screen. Therefore, the patient's electronic medical record can be referred to at any time, and the electronic work chart of another patient can be opened without grasping the current work content. Further, by making the patient list screen (1220) in a non-display state, the screen on the chart display unit (122) can be used effectively. In this embodiment, the patient list screen (1220) is displayed on the left side of the chart display unit (122). However, the patient list screen (1220) is displayed along the display frame of the chart display unit (122). It is also possible to construct to refer to the electronic medical record data of the patient.

  Next, the switching operation of the patient TAB (1221A) shown in FIG. 7 will be described in detail with reference to FIG.

  When past electronic medical record data relating to a plurality of patients is acquired from the electronic medical record server (100), a plurality of patient TABs (1221A) are displayed on the medical chart display unit (122) as shown in FIG. Will be. In addition, the patient TAB (1221A) is displayed by the number of the patient's electronic medical record data acquired from the electronic medical record server (100). In this state, when the operator selects and operates a patient TAB other than the currently selected patient TAB on the chart display unit (122), the chart control unit (123) Switching control is performed so that the patient's chart main screen (1221) managed by the patient TAB is displayed on the chart display section (122) (step S11).

  First, the medical chart control unit (123) transmits an acquisition request for the electronic medical record data of the patient regarding the other selected patient TAB and the patient information of the selected patient to the electronic medical record server (100). (Step S12).

  When the electronic medical record server (100) receives the electronic medical record data acquisition request and the patient information from the WEB client terminal device (120), the medical record control unit (103) displays the electronic medical record storage unit (101). And the electronic medical record data associated with the patient information received from the WEB client terminal device (120) is acquired (step S13). Then, the medical chart control unit (103) transmits the electronic chart data obtained by the search and the patient information to the WEB client terminal device (120) (step S14).

  When the WEB client terminal device (120) receives the electronic medical record data and the patient information from the electronic medical record server (100), the medical chart control unit (123) displays the medical chart main screen (1221) as a medical chart display unit. (122) It is activated and displayed on the screen, and the chart main screen (1221) is switched and displayed. The chart control unit (123) displays the electronic chart data received from the WEB client terminal device (120) on the chart main screen (1221) switched and displayed on the chart display unit (122). (Step S15). Then, the card control unit (123) sets the display state of the patient TAB (1221A) managing the switched / displayed medical record main screen (1221) to a display state different from that of the other patient TAB, and selects the patient TAB that has been selected and operated. Is selected (step S16).

  Thus, the electronic medical chart system in this embodiment manages the patient's electronic medical chart data (1221) displayed on the medical chart display unit (122) in association with the patient TAB (1221A), and the patient TAB (1221A). By switching the patient's electronic medical record data (1221) associated with the switched patient TAB (1221A) can be displayed on the chart display unit (122).

  In the conventional electronic medical chart system, it is difficult to simultaneously refer to a plurality of electronic medical chart data (1221) on the medical chart display unit (122). On the other hand, the electronic medical chart system in the present embodiment displays the patient's electronic medical chart data (1221) and the patient TAB (1221A) in association with each other on the medical chart display unit (122), thereby displaying the patient TAB (1221A). Can be switched and displayed on the medical chart display unit (122) on the medical chart display unit (122), and the patient's electronic medical chart data (1221) associated with the selected patient TAB (1221A) can be switched. It is possible to refer to a plurality of electronic medical records alternately with such a feeling.

  Next, a second processing operation in the electronic medical chart system of the present embodiment will be described with reference to FIG. 9 shows that when the electronic medical record server (100) receives electronic medical record data from the WEB client terminal device (120), the received electronic medical record data is temporarily stored in the intermediate medical record storage unit (104). When a request to confirm and save electronic medical record data is issued from the WEB client terminal device (120), the electronic medical record data temporarily stored in the intermediate medical record storage unit (104) is confirmed and stored in the electronic medical record storage unit (101). Is.

  First, the operator activates the electronic medical record application program, and displays the patient list shown in FIG. 5 on the medical chart display unit (122) of the WEB client terminal device (120), as in the first processing operation described above. The screen (1220) is displayed. Next, the operator selects an arbitrary patient who wants to view a past electronic medical record from the patient display field (1220A) of the patient list screen (1220) shown in FIG.

  When the WEB client terminal device (120) determines that any patient has been selected from the patient display field (1220A) of the patient list screen (1220) displayed on the medical chart display unit (122), the chart control is performed. The unit (123) starts the chart main screen (1221), and displays the chart main screen (1221) related to the selected patient on the chart display unit (122).

  In this case, the chart control unit (123) is determined to start the chart main screen (1221), and the operator information related to the operator who operates the WEB client terminal device (120) and the patient related to the selected patient. The information and the acquisition request for the patient's electronic medical record are transmitted to the electronic medical record server (100) (step S21).

  When the electronic medical record server (100) receives an electronic medical record acquisition request, operator information, and patient information from the WEB client terminal device (120), the medical record control unit (103) Based on the operator information received from the device (120), operator information such as an operator ID, an operator name, a WEB client terminal device ID, and a medical department is generated, and the generated operator information is shown in FIG. Thus, it is stored in the intermediate chart storage unit (104). Next, the medical record control unit (103) searches the electronic medical record storage unit (101) based on the patient information received from the WEB client terminal device (120), and receives the patient information received from the WEB client terminal device (120). The electronic medical record data associated with is acquired, and the acquired electronic medical record data, patient information, and operator information are transmitted to the WEB client terminal device (120). The chart control unit (103) generates patient information such as a patient ID, a patient name, an inpatient outpatient department, and a medical department based on the patient information received from the WEB client terminal device (120), and the generated operation The operator information is stored in the intermediate chart storage unit (104) as shown in FIG. 3 in association with the generated operator information (step S22).

  When the WEB client terminal device (120) receives the patient's electronic medical record data, patient information, and operator information from the electronic medical record server (100), the medical record control unit (123) receives the data. The electronic medical record data is displayed in the past entry information column (1221B shown in FIG. 10) on the medical chart main screen (1221) activated and displayed on the medical chart display unit (122) (step S33). As a result, the operator can display the past electronic medical record data on an arbitrary patient selected from the patient list screen (1220) shown in FIG. 5 on the medical record main screen (1221) displayed on the medical chart display unit (122). It can be referred to in the entry information column (1221B). Note that the electronic medical record data displayed in the past entry information field (1221B) on the main chart screen (1221) is displayed in chronological order by being managed separately for each registration date. By moving up and down (1221D), it is possible to refer to past electronic medical record data for each registration date.

  The chart control unit (123) manages the chart main screen (1221) displayed on the chart display unit (122) in association with the patient information and the operator information. That is, as shown in FIG. 5, the chart main screen (1221) and the patient TAB (1221A) are managed in association with each other.

  Next, when the operator refers to the past electronic medical record data in the past entry information field (1221B) of the medical chart main screen (1221) and enters the new electronic medical record data of the patient, the chart display unit ( 122) A display request operation for displaying the chart input screen (1222) on the screen is performed.

  The chart control unit (123) activates and displays the chart input screen (1222) when determining that the display request operation of the chart input screen (1222) has been performed, and as shown in FIG. 122) A chart input screen (1222) is displayed on the screen. As a result, the operator can enter new chart data on the chart input screen (1222) displayed on the chart display section (123). The chart control unit (123) manages the chart input screen (1222) displayed on the chart display unit (122) in association with patient information and operator information. As shown in FIG. 11, the chart input screen (1222) is displayed on the chart main screen (1221) in a display state that does not overlap the past entry information field (1221B). Or it is displayed on the uppermost surface on the medical chart main screen (1221).

  Next, the operator enters the patient's chart data on the chart input screen (1222) displayed on the chart display section (122). The chart entry information entered on the chart input screen (1222) is temporarily stored in the WEB client terminal device (120). When the operator temporarily saves the chart data entered on the chart input screen (1222) in the electronic chart server (100), the operator temporarily requests the chart data entered on the chart input screen (1222). The operation will be performed.

  When the chart control unit (123) determines that the temporary storage request operation for the chart data entered on the chart input screen (1222) has been performed, the chart entry information entered on the chart input screen (1222) and the patient The information, the operator information, and the provisional storage request for the chart entry information are transmitted to the electronic chart server (100) (step S24).

  When the electronic medical record server (100) receives the medical chart entry information, the patient information, the operator information, and the temporary storage request for the medical record entry information from the WEB client terminal device (120), the medical chart control unit ( 103) temporarily stores the chart entry information received from the WEB client terminal device (120) in the intermediate chart storage unit (104).

  At this time, the chart control unit (103) generates chart entry information such as chart ID, chart information, correction source information, deletion source information based on the chart entry information received from the WEB client terminal device (120), The generated chart entry information is stored in the intermediate chart storage unit (104) in a state linked to the patient information received from the WEB client terminal device (120) and the operator information. As a result, as shown in FIG. 3, the electronic medical record data is stored in the intermediate medical record storage unit (104).

  The medical chart control unit (103) stores the created medical record entry information in the intermediate medical record storage unit (104), and stores the medical record entry information stored in the intermediate medical record storage unit (104), patient information, The operator information is transmitted to the WEB client terminal device (120) (step S25).

  The WEB client terminal device (120) transmits a temporary storage request for medical record entry information to the electronic medical record server (100), and from the electronic medical record server (100), the medical record entry information, patient information, operator information, Is received, the chart control unit (123) activates the new input screen (1223) and is managed in association with the patient information received from the WEB client terminal device (120) and the operator information. A new input screen (1223) is displayed at the bottom of the past entry information field (1221B shown in FIG. 12) of the main chart screen (1221) so as not to overlap the past entry information field (1221B). The chart entry information received from the WEB client terminal device (120) is displayed on the displayed new input screen (1223) (step S26). . The new input screen (1223) can also be constructed so as to be displayed on the uppermost surface on the chart main screen (1221).

  Thereby, the chart entry information entered on the chart input screen (1222) is transmitted from the WEB client terminal device (120) to the electronic chart server (100), and the intermediate chart storage unit (100) included in the electronic chart server (100) ( 104) on the new input screen (1223) displayed on the medical chart main screen (1221) on the medical chart display unit (122) of the WEB client terminal device (120) when temporarily stored. The chart entry information temporarily stored in the intermediate chart storage unit (104) is displayed.

  The chart control unit (123) displays the chart entry information displayed on the new input screen (1223) displayed on the chart main screen (1221) and the past entry information column (1221B) on the chart main screen (1221). And the electronic medical chart data to be displayed in () are displayed in different display forms. For example, the chart entry information displayed on the new entry screen (1223) and the electronic chart data displayed in the past entry information column (1221B) are configured to be displayed in different colors. Thus, the operator can easily separate past electronic medical record data and newly recorded electronic medical record data by referring to the medical record main screen (1221) on the medical chart display unit (122). It becomes possible.

  When the operator wants to enter medical record data for a single patient a plurality of times, the operator performs a display request operation for the above-described medical chart input screen (1222) and displays it on the medical chart display unit (122). The chart entry screen (1222) is activated / displayed, new chart data is entered from the chart entry screen (1222) activated / displayed, and the entered chart information is temporarily stored in the intermediate chart storage unit (104). By repeatedly performing the process of displaying the provisionally stored medical chart entry information on the new input screen (1223) activated and displayed on the medical chart main screen (1221), a plurality of times for one patient is obtained. It is possible to perform temporary storage processing of medical chart data. In this case, the chart entry information is stored in the intermediate chart storage unit (104) as many times as the number of times the operator has performed the above-described process.

  In addition, regarding the record entry information temporarily stored in the intermediate medical chart storage unit (104), when a correction / deletion request is issued from the WEB client terminal device (120), it is temporarily stored in the intermediate medical record storage unit (104). Destructive update and destructive deletion of the medical record entry information is performed.

  For example, when the operator wants to correct or delete the chart entry information displayed on the new input screen (1223) on the chart main screen (1221), the information is displayed on the new input screen (1223). The medical chart control unit (123) performs the correction / deletion operation of the medical chart entry information, and the medical record entry information, patient information, and operator information that have been corrected and deleted are stored in the electronic medical record server (100). Will be sent.

  The electronic medical record server (100) receives the medical record entry information, the patient information, and the operator information that have been corrected and deleted from the WEB client terminal device (120). However, based on the received chart entry information, patient information, and operator information, update / delete the chart entry information temporarily stored in the intermediate chart storage unit (104), The chart entry information that has undergone the update / deletion process is temporarily stored in the intermediate chart storage unit (104). At this time, in view of preventing falsification, it is preferable to store the chart entry information before the update / deletion process and the chart entry information after the update / deletion process in association with each other. Whether the chart entry information before the update / deletion process, the record entry information before the update / deletion process, and the record entry information after the update / deletion process are stored in association with each other. It is also possible to construct such that the operator can arbitrarily set using the client terminal device (120).

  In addition, when the operator wants to correct / delete from a plurality of chart entry information temporarily stored in the intermediate chart storage unit (104), the operator performs an operation to read out the chart entry information to be corrected / deleted. When the chart control unit (103) determines that the read request operation has been performed, the chart entry information read request, the chart entry information of the read request, and the patient associated with the chart entry information Information and operator information are transmitted to the electronic medical record server (100).

  When the electronic medical record server (100) receives a medical record entry information read request, medical record entry information, patient information, and operator information from the WEB client terminal device (120), the medical record control unit (103) However, based on the chart entry information, the patient information, and the operator information, the chart entry information corresponding to the read request is retrieved from the intermediate chart storage unit (104), and the obtained chart entry information, the patient The information and the operator information are transmitted to the WEB client terminal device (120).

  When the WEB client terminal device (120) receives the chart entry information, the patient information, and the operator information from the electronic chart server (100), the chart control unit (123) enters the received chart entry. The information is displayed on the chart display unit (122), the operator corrects and deletes the chart entry information, and the chart control section (123) performs the correction and deletion process on the chart entry information and the patient. Information and operator information are transmitted to the electronic medical record server (100).

  The electronic medical record server (100) receives the medical record entry information, the patient information, and the operator information that have been corrected and deleted from the WEB client terminal device (120). However, based on the received chart entry information, patient information, and operator information, update / delete the chart entry information temporarily stored in the intermediate chart storage unit (104), The chart entry information that has undergone the update / deletion process is temporarily stored in the intermediate chart storage unit (104). At this time, in view of preventing falsification, it is preferable to store the chart entry information before the update / deletion process and the chart entry information after the update / deletion process in association with each other. Whether the chart entry information before the update / deletion process, the record entry information before the update / deletion process, and the record entry information after the update / deletion process are stored in association with each other. It is also possible to construct such that the operator can arbitrarily set using the client terminal device (120).

  Next, the operator closes the chart main screen (1221) when ending the patient examination, and the chart control unit (123) performs the closing operation of the chart main screen (1221). When it is determined that the chart has been performed, the chart main screen (1221) is closed from the chart display section (122), and patient information, operator information, and chart entry information associated with the chart main screen (1221) are confirmed. The storage request is transmitted to the electronic medical record server (100) (step S27).

  When the electronic medical record server (100) receives the patient information, the operator information, and the medical record entry information fixed storage request from the WEB client terminal device (120), the medical record control unit (103) The chart storage unit (104) is searched, and the chart entry information associated with the patient information and the operator information received from the WEB client terminal device (120) is acquired.

  Next, the chart control unit (103) converts the chart entry information acquired from the intermediate chart storage unit (104) based on the patient information, the operator information, and the chart entry information to the electronic chart storage unit (101). The medical chart registration date information indicating the registration date to be confirmed and stored is generated, and the generated chart registration date information, the chart entry information, the patient information, and the operator information are stored in the electronic medical chart storage unit (101). Will be confirmed and saved.

  When the chart record information acquired from the intermediate chart storage section (104) is confirmed and saved in the electronic chart storage section (101), the chart control section (103) fills in the chart entry corresponding to the confirmed and saved chart record information. The information is deleted from the intermediate chart storage unit (104) (step S28).

  Note that the electronic medical record system in the present embodiment has the electronic medical record storage unit in the patient display field (1220A) of the patient list screen (1220) shown in FIG. 5 displayed on the medical chart display unit (122). When the patient confirmed and saved in (101) is selected, when the chart control unit (123) activates and displays the chart main screen (1221) on the chart display unit (122), the above-described processing causes the electronic chart to be displayed. The chart entry information confirmed and stored in the storage section (101) is displayed in the past entry information column (1221B) of the activated and displayed chart main screen (1221).

  As described above, when the electronic medical record server (100) receives the electronic medical record data from the WEB client terminal device (120), the electronic medical record system according to the present embodiment stores the received electronic medical record data in the intermediate medical record storage unit ( 104) and when the electronic medical record data is confirmed and saved from the WEB client terminal device (120), the electronic medical record data temporarily stored in the intermediate medical chart storage unit (104) is stored in the electronic medical record storage unit. By confirming and saving in (101), storing electronic medical record data in the electronic medical record storage unit (101) can be avoided, and the possibility of misoperation can be reduced.

  Next, with reference to FIG. 13, the processing operation when the chart record information temporarily stored in the intermediate chart storage section (104) is confirmed and stored in the electronic chart storage section (101) will be described in detail.

  In the electronic chart system according to the present embodiment, the chart record information is confirmed and stored by the chart control unit (123) when the operator performs the closing operation of the chart main screen (1221). The chart control unit (123) closes the chart main screen (1221), the patient information associated with the chart main screen (1221), the operator information, and the chart entry information. Is sent to the electronic medical record server (100) (step S31).

  When the electronic medical record server (100) receives the patient information, the operator information, and the medical record entry information fixed storage request from the WEB client terminal device (120), the medical record control unit (103) The chart storage unit (104) is searched, and the chart entry information associated with the patient information and the operator information received from the WEB client terminal device (120) is acquired.

  Next, the chart control unit (103) converts the chart entry information acquired from the intermediate chart storage unit (104) based on the patient information, the operator information, and the chart entry information into the electronic chart data storage unit (101). ) Is generated, and the generated medical record registration date information is confirmed in the electronic medical record storage unit (101) in association with the patient information as shown in FIG. It will be saved (step S32). Thereby, for example, information such as the chart registration date and the inpatient / outpatient classification is stored in the electronic chart storage unit (101) as the chart registration date information.

  Next, the chart control unit (103) generates chart storage information to be confirmed and stored in the electronic chart storage unit (101) based on the patient information, the operator information, and the chart entry information. As shown in FIG. 2, the chart storage information is confirmed and stored in the electronic chart storage unit (101) in a state linked to the chart registration date information (step S33). Thereby, for example, information such as medical chart information and operator information is stored in the electronic medical chart storage unit (101) as medical chart storage information.

  In the case where there is medical record data obtained by correcting / deleting past medical record data in the generated medical record storage information, it is separate from the medical record data after correction / deletion (the medical record storage information 1 shown in FIG. 2). The medical record data before correction / deletion (correction source / deletion source information 1 shown in FIG. 2) is also stored in the electronic medical record storage unit (101). In this case, it is preferable that the chart data before correction / deletion and the chart data after correction / deletion are associated with each other and stored in the electronic chart storage unit (101).

  That is, as shown in FIG. 14A, the chart control unit (103), based on the chart entry information acquired from the intermediate chart storage unit (104), patient information, and operator information, as shown in FIG. As shown in (b), the chart storage information and the correction / deletion source information are confirmed and stored in the electronic chart storage unit (101) in association with the patient information and the chart registration date information. As a result, the electronic medical record data of the correction source / deletion source is saved in the electronic medical record storage unit (101), so that the history of the electronic medical record data can be managed.

  Next, when the chart entry information acquired from the intermediate chart storage section (104) is confirmed and saved in the electronic chart storage section (101), the chart control section (103) records corresponding to the confirmed and saved chart entry information. The entry information is deleted from the intermediate chart storage unit (104) (step S34).

  As described above, in the electronic medical record system according to the present embodiment, the WEB client terminal device (120) activates the electronic medical record application program, and the electronic medical record data of the patient is transmitted to the electronic medical record server using the activated electronic application program. (100), creating new electronic medical chart data while referring to the acquired electronic medical chart data on the medical chart reference screen, and the created electronic medical chart data and a temporary storage request for the electronic medical chart data, The data is transmitted to the electronic medical record server (100) and temporarily stored in the intermediate medical record storage unit (104) of the electronic medical record server (100). Then, the temporarily stored electronic medical chart data is confirmed on the medical chart reference screen, the correlation between the past electronic medical chart data of the patient and the newly created electronic medical chart data is confirmed, and the medical chart reference screen is closed. Then, the newly created electronic medical record data confirmation save request is transmitted to the electronic medical record server (100). The electronic medical record server (100) receives the confirmed storage request to acquire the electronic medical record data of the confirmed storage request from the intermediate medical record storage unit (104), and the acquired electronic medical record data is stored in the electronic medical record storage unit. It is confirmed and saved in (101).

  Therefore, the newly created electronic medical record data is temporarily stored in the intermediate medical record storage unit (104), and the newly created electronic medical record data is compared with the past electronic medical record data on the medical record reference screen. Since the electronic medical record data is officially stored in the electronic medical record storage unit (101) after the confirmation, it is possible to reduce misoperation. For this reason, it is possible to avoid the danger of erroneous information transmission in the hospital due to misoperation.

  When the electronic medical record data once stored in the intermediate medical record storage unit (104) is subjected to correction / deletion processing, the electronic medical record data before the correction / deletion and the electronic medical record after the correction / deletion are displayed. By associating data with each other and storing them in the electronic medical record storage unit (101), it becomes possible to manage the history of electronic medical record data, and who made what corrections / deletions at what terminals at what time Therefore, it is possible to prevent falsification of electronic medical record data.

  In addition, by constructing the newly created electronic medical record data and past electronic medical record data to be displayed on the same medical chart reference screen, or constructing to display the electronic medical record data in time series Therefore, it is possible to operate while referring to a plurality of screens at the same time, and it becomes possible to improve the operability of the operator.

  The above-described embodiment is a preferred embodiment of the present invention, and the scope of the present invention is not limited to the above-described embodiment alone, and various modifications are made without departing from the gist of the present invention. Implementation is possible. For example, a series of processing operations performed in the electronic medical chart system of the above embodiment can be executed by a computer program, and the above program is an optical recording medium, a magnetic recording medium, a magneto-optical recording medium, or It is also possible to cause the information processing apparatus to execute the above-described processing operations by recording on a recording medium such as a semiconductor and causing the information processing apparatus to read the program from the recording medium. It is also possible to cause the information processing apparatus to execute the processing operations described above by causing the information processing apparatus to read a program from an external device connected via a predetermined network.

  The electronic medical record system according to the present invention can be applied to an information management apparatus for accurately and surely storing information stored in a database when a plurality of related information is stored in the database.

It is a figure which shows the system configuration | structure of the electronic medical chart system in this embodiment. It is a figure which shows the data structure of the electronic medical chart storage part (101) shown in FIG. It is a figure which shows the data structure of the intermediate | middle chart storage part (104) shown in FIG. It is a sequence chart which shows the processing operation at the time of displaying electronic medical chart data in the medical chart display part (122) of a WEB client terminal device (120). It is a figure which shows the patient list screen (1220) displayed on a medical chart display part (122). It is a figure at the time of selecting operation of arbitrary patients from the patient display column (1220A) of the patient list screen (1220) shown in FIG. 5, and displaying the medical chart main screen (1221) regarding the selected patient. It is a figure which shows the example of a display of the medical chart display part (122) at the time of selecting operation of a some patient. It is a sequence chart for demonstrating switching operation of patient TAB (1221A). The electronic medical record data is temporarily stored in the intermediate medical record storage unit (104), and the electronic medical record data temporarily stored in the intermediate medical record storage unit (104) is stored in the electronic medical record when the electronic medical record data is confirmed to be stored. It is a sequence chart which shows the processing operation at the time of carrying out fixed preservation | save to a part (101). It is a figure which shows the example of a display of a medical chart main screen, and is a figure which shows the case where the past entry information column (1221B) is displayed in time series. It is a figure which shows the example of a display of a medical chart main screen, and is a figure which shows the case where a medical chart input screen (1222) is started and displayed. It is a figure which shows the example of a display of a medical chart main screen, and is a figure which shows the case where a new input screen (1223) is started and displayed. It is a sequence chart which shows the processing operation at the time of definite preservation | save of the chart entry information temporarily preserve | saved in the intermediate medical chart storage part (104) in the electronic medical record storage part (101). It is a figure which shows the data structure at the time of definite preservation | save of the medical chart entry information temporarily stored in the intermediate medical chart storage part (104) in the electronic medical record storage part (101), (a) The data structure at the time of temporary preservation | save is shown, (b) is a figure which shows the data structure at the time of carrying out fixed preservation | save in the electronic medical chart storage part (101).

Explanation of symbols

DESCRIPTION OF SYMBOLS 100 Electronic medical record server 101 Electronic medical record storage part 102 Medical chart transmission part 103 Medical chart control part 104 Intermediate medical chart storage part 110 Network 120 WEB client terminal device 121 Medical record transmission part 122 Medical chart display part 1220 Patient list screen 1220A Patient display column 1220B Patient list display TAB
1221 Chart main screen 1221A Patient TAB
1221B Past entry information column 1221D Time-series scroll 1222 Chart input screen 1223 New input screen 123 Chart control section

Claims (26)

An electronic medical record management device for managing an electronic medical record,
An electronic medical record temporary storage means for temporarily storing the electronic medical record of the temporary storage request when the electronic medical record temporary storage request is received;
Electronic medical record management, comprising: an electronic medical record storage unit that formally stores the electronic medical record temporarily stored by the electronic medical record temporary storage unit when receiving the final storage request for the temporarily stored electronic medical record apparatus.   The electronic medical record temporarily stored by the electronic medical record temporary storage means is received, and the temporary stored electronic medical record and the corrected electronic medical record in which the electronic medical record is corrected are temporarily stored in association with each other. The electronic medical chart management apparatus according to claim 1.   The electronic medical record storage means, when officially storing the temporarily stored electronic medical record, if there is a related electronic medical record related to the temporarily stored electronic medical record, the electronic medical record stored temporarily The electronic medical record management apparatus according to claim 1, wherein the electronic medical record management apparatus is determined and stored in association with the electronic medical record. When temporary storage of the electronic medical record is completed, the electronic medical record temporarily stored has a temporary storage chart notification means for notifying a temporary storage request destination,
The electronic medical record storage means includes
The electronic medical chart management apparatus according to any one of claims 1 to 3, wherein when the fixed storage request is received from the temporary storage request destination, the temporarily stored electronic medical chart is formally stored. . An electronic medical record system comprising a client terminal device that generates an electronic medical record and an electronic medical record management device that manages the electronic medical record,
The client terminal device
A temporary storage request transmitting means for generating an electronic medical record and transmitting a temporary storage request for the generated electronic medical record to the electronic medical record management device;
A fixed storage request transmitting means for transmitting a final storage request for the electronic medical record that has transmitted the temporary storage request to the electronic medical chart management device;
The electronic medical record management device
When receiving the temporary storage request, the electronic medical record temporary storage means for temporarily storing the electronic medical record of the temporary storage request;
An electronic medical chart system comprising: electronic medical chart storage means for officially storing the electronic medical chart temporarily stored by the electronic medical chart temporary storage means when receiving the final storage request. The electronic medical record management device
A temporary storage chart transmission means for transmitting the temporarily stored electronic medical chart to the client terminal device when temporarily storing the electronic chart of the temporary storage request;
The client terminal device
6. The electronic medical chart system according to claim 5, further comprising temporary storage medical chart display means for displaying the temporarily stored electronic medical chart when the temporarily stored electronic medical chart is received from the electronic medical chart management apparatus. The client terminal device
The electronic medical chart closing request operation for transmitting the temporary storage request is transmitted when a closing request operation for the electronic medical chart displayed by the temporary storage chart display means is performed. Electronic medical record system. The client terminal device
When it is determined that the correction operation of the electronic medical record displayed by the temporary storage medical chart display means has been performed, the electronic medical record management request for which the correction operation has been performed is transmitted to the electronic medical record management device,
The electronic medical record management device
7. The electronic apparatus according to claim 6, wherein when the correction request for the temporary storage electronic medical record is received, the electronic medical record temporarily stored and the correction electronic medical record in which the electronic medical record is corrected are associated and temporarily stored. Medical chart system. The electronic medical record management device
When there is a related electronic medical record related to the temporarily stored electronic medical record when formally storing the temporarily stored electronic medical record, the temporary stored electronic medical record is confirmed and stored in association with the related electronic medical record. The electronic medical record system according to claim 5, wherein The client terminal device
Electronic medical chart display means for displaying a confirmed electronic medical record formally confirmed and stored by the electronic medical record storage means;
Medical chart input screen display means for displaying a medical chart input screen for generating the electronic medical chart, the confirmed electronic medical chart displayed by the electronic medical chart display means, and the medical chart displayed by the medical chart input screen display means 6. The electronic medical record system according to claim 5, wherein the input screen is displayed so as not to overlap. The client terminal device
11. The electronic medical chart system according to claim 10, wherein the confirmed electronic medical chart displayed by the electronic medical chart display means is displayed in time series. An electronic medical chart management method performed by an electronic medical chart management apparatus that manages an electronic medical chart,
An electronic medical record temporary storage step of temporarily storing the electronic medical record of the temporary storage request in the storage unit of the electronic medical record device when receiving the temporary storage request of the electronic medical record;
An electronic medical record storage step for confirming and saving the electronic medical record temporarily stored in the storage unit by the electronic medical record temporary storage step when the final storage request for the temporarily stored electronic medical record is received; An electronic medical chart management method performed by the electronic medical chart management apparatus. The electronic medical record management device
When the correction request for the electronic medical record temporarily stored in the electronic medical record temporary storage step is received, the temporarily stored electronic medical record and the corrected electronic medical record in which the electronic medical record is corrected are associated and temporarily stored in the storage unit The electronic medical chart management method according to claim 12, wherein: The electronic medical record management device
When there is a related electronic medical record related to the temporarily stored electronic medical record when the temporarily stored electronic medical record is formally determined and stored, the temporarily stored electronic medical record is associated with the related electronic medical record and stored. 13. The electronic medical record management method according to claim 12, wherein the electronic medical record management method is fixedly stored in a section. The electronic medical record management device
When temporary storage of the electronic medical record is completed, a temporary storage medical record notification step of notifying the temporary storage request destination of the electronic storage of the temporary storage is performed,
15. The method according to claim 12, wherein when the final storage request is received from the temporary storage request destination, the electronic medical record temporarily stored is officially stored in the storage unit. Electronic medical record management method. An electronic medical record management method performed using a client terminal device that generates an electronic medical record and an electronic medical record management device that manages the electronic medical record,
The client terminal device generates an electronic medical record and transmits a temporary storage request for the generated electronic medical record to the electronic medical record management device; and
When the electronic medical record management device receives the temporary storage request from the client terminal device, the electronic medical record management device temporarily stores the received electronic medical record of the temporary storage request in the storage unit of the electronic medical record management device A chart temporary storage process;
The client terminal device transmits a finalized storage request for the electronic medical record that has transmitted the temporary storage request to the electronic medical record management device;
When the electronic medical chart management apparatus receives the final storage request from the client terminal apparatus, the electronic medical chart that officially stores the electronic medical chart temporarily stored in the storage section in the electronic medical chart temporary storage process is stored in the storage section. And a storing step. An electronic medical record management method comprising: When the electronic medical record management device temporarily stores the electronic medical record of the temporary storage request temporarily in the storage unit, the temporary medical record transmission step of transmitting the temporarily stored electronic medical record to the client terminal device;
When the client terminal device receives the temporarily stored electronic medical record from the electronic medical record management device, a temporary stored medical record display step of displaying the received electronic medical record on a display unit included in the client terminal device; The electronic medical record management method according to claim 16, wherein the electronic medical record management method is performed. The client terminal device
When it is determined that a closing request operation for the electronic medical chart displayed on the display unit has been performed in the temporary storage medical chart display step, the electronic medical chart management apparatus that transmits the temporary medical storage request is transmitted to the electronic medical chart management apparatus The electronic medical record management method according to claim 17, wherein: The client terminal device
When it is determined that the correction operation of the electronic medical chart displayed on the display unit by the temporary storage medical chart display step has been performed, a correction request for the electronic medical record in which the correction operation has been performed is transmitted to the electronic medical chart management device,
The electronic medical record management device
18. The electronic medical record temporarily stored in the storage unit in association with the electronic medical record temporarily corrected and the corrected electronic medical record corrected in the electronic medical record when the electronic medical record correction request is received. Electronic medical record management method. The electronic medical record management device
When there is a related electronic medical record related to the temporarily stored electronic medical record when the temporarily stored electronic medical record is formally determined and stored, the temporarily stored electronic medical record is associated with the related electronic medical record and stored. 17. The electronic medical record management method according to claim 16, wherein the electronic medical record management method is confirmed and stored in a section. The client terminal device
An electronic medical chart display step for displaying a confirmed electronic medical record formally stored in the storage unit by the electronic medical record storage step on the display unit;
A chart input screen display step for displaying a chart input screen for generating the electronic chart on the display unit, and the confirmed electronic chart displayed by the electronic chart display step and the chart input screen display step for display. 17. The electronic medical record management method according to claim 16, wherein the medical record input screen is displayed so as not to overlap. The client terminal device
The electronic medical chart management method according to claim 21, wherein the confirmed electronic medical chart displayed on the display unit in the electronic medical chart display step is displayed in time series. An electronic medical record management program executed in an electronic medical record management device for managing an electronic medical record,
An electronic medical record temporary storage process for temporarily storing the electronic medical record of the temporary storage request in the storage unit of the electronic medical record management device when the electronic medical record temporary storage request is received;
An electronic medical record storage process for officially storing the electronic medical record temporarily stored in the storage unit by the electronic medical record temporary storage process when the request for final storage of the temporarily stored electronic medical record is received; An electronic medical record management program which is executed in an electronic medical record management apparatus.   When a correction request for the electronic medical record temporarily stored by the electronic medical record temporary storage process is received, the temporarily stored electronic medical record and the corrected electronic medical record in which the electronic medical record is corrected are associated and temporarily stored in the storage unit 24. The electronic medical record management program according to claim 23, wherein the processing is executed in the electronic medical record management apparatus.   In the electronic medical record storage process, when the temporarily stored electronic medical record is formally determined and stored in the storage unit, if there is an associated electronic medical record related to the temporarily stored electronic medical record, the temporarily stored electronic medical record 24. The electronic medical record management program according to claim 23, wherein a medical record is associated with the related electronic medical record and fixedly stored in the storage unit. When temporary storage of the electronic medical record is completed, the electronic medical record management device performs temporary storage medical record notification processing for notifying the temporary storage request destination of the electronic medical record temporarily stored,
26. The temporary storage device according to any one of claims 23 to 25, wherein when the final storage request is received from the temporary storage request destination, the electronic medical record temporarily stored is officially stored in the storage unit. Electronic medical record management program.

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