JP2008021015A - Electronic medical chart system and display method for its electronic medical chart server - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide an electronic medical chart system which enhances inteligibleness in a list of various kinds of information related to patients supported in the system and simply extracts necessary information corresponding to users or use situation, and a display method for its electronic medical chart recording server. <P>SOLUTION: A work area 340 which has a recording area 350 and an input area 360, and a plurality of tabs 331 which switch work contents in the work area 340 are displayed on a display screen. If one of the plurality of tabs 331 is selected, information on a work content corresponding to the selected tab 331a is displayed in the work area 340. When input in the input area 360 is received, not selected tabs are switched to display of operation buttons 332, and if one of the operation buttons 332 is selected, a display content 390 corresponding to the selected operation button 332 is displayed in the recording area 350. When registration of input in the input area 360 is received, the display content of the operation button 332 is switched to display of the original tabs 331. <P>COPYRIGHT: (C)2008,JPO&INPIT

Description

  The present invention relates to an information display method and an electronic medical record system in an electronic medical record system, and more particularly to an electronic medical record system capable of managing information related to work performed in a hospital and a display method of the electronic medical record server.

  In general, information related to work performed in hospitals includes patient symptoms created by doctors while dealing with patients, medical chart information describing treatments performed by doctors, prescription information instructing medication to patients, blood There are various types of information such as information on orders for instructing inspections, X-ray inspections, etc., information on receipts for claiming expenses by insurance, information on inspection results for orders, and the like. Conventionally, such information has been described on paper for each patient and sent to a necessary business department for use.

  In recent years, management of medical work information as described above has been performed by an electronic system. As such systems, there are known a system in which only individual information of various types of information related to the medical work described above is extracted and systematized, and an electronic medical record system in which all information is integrated into a system.

  For example, Patent Document 1 discloses an electronic medical chart system in which a medical chart (medical record sheet) is digitized. In this electronic medical chart system, a chart is displayed on the display screen, and date labels for calling a chart corresponding to a creation date specified by the user are displayed in order of date on at least one of the left and right sides of the chart. Yes. According to Patent Document 1, a chart created on a desired date can be called up and displayed by selecting the date label.

  Further, as a conventional technique related to an electronic medical record system in which all the information as described above is integrated and systemized, techniques described in, for example, Patent Documents 2 and 3 are known.

  The technique described in Patent Document 2 displays the name of a patient in a hospital room and an instruction bar on the ward map screen, and indicates the instructions from the doctor to the nurse and the message from the nurse to the doctor. In addition, after the user is authenticated, the patient name is blinked in a color associated with the job type of the user (doctor, nurse, etc.) to make the display easy to understand.

Moreover, the technique described in Patent Document 3 displays a medical plan, and displays the execution status of each medical practice data displayed therein by a status display mark and a current date / time mark. is there. And the above-mentioned status display mark is changed with the passage of time, and it is possible to instantly recognize on the medical plan table that the situation that should be executed promptly as time progresses. On the other hand, medical practices that have not been performed can be recognized instantly on the medical plan table.
JP 2000-048107 A JP 2004-303071 A JP 2004-259295 A JP 2006-146820 A

  The above-described electronic medical record system according to the prior art can be shared by all doctors, nurses, laboratory technicians, pharmacists, office workers, etc. who are involved in medical work, such as medical records, temperature plates, and order information. It is effective in carrying out medical services. For this reason, there are various screens for displaying or inputting the respective information in the electronic camera system according to the prior art. Among such electronic medical chart systems, information that has attracted particular attention in recent years is, for example, information called a clinical path describing medical treatments and treatment plans standardized for each disease, as described in Patent Document 4, for example. There is. This clinical path is created for each patient and describes the treatment, examination, medication, treatment, etc. in chronological order, and describes the medical treatment and treatment plan after the current time. Since information for all periods is described, a very large amount of information is described.

  In the electronic medical chart system according to the prior art, when the clinical path and its screen as described above are displayed on a desired terminal device, a lot of information is described on each screen. Unless switching is frequently used, the entire contents cannot be grasped, and there is a problem that it is difficult to determine a treatment to be performed next.

  For example, as a technique for solving the above-described problem, it is effective to display a plurality of tabs for switching work areas in which medical records and the like are displayed on the display screen adjacent to the work area. However, in this tab switching method, the entire work area is switched by selection on the tab, so when you want to refer to information on other work areas while working in a specific work area, you do not switch the work area on the tab each time. must not.

  Therefore, the object of the present invention is to improve the visibility of various information related to patients handled by the electronic medical record system, and easily extract necessary information according to the user or usage situation, thereby improving visibility and efficiency of input work. It is an object to provide an electronic medical chart system capable of improving the quality and a display method of the electronic medical record server.

  In order to achieve the above object, an electronic medical record system and a display method of the electronic medical record server according to the present invention include a work area having a recording area and an input area, and a plurality of tabs for switching work contents of the work area. The plurality of tabs are displayed on one display screen and are arranged adjacent to each other in association with a work area corresponding to at least one side of the work area, and when one of the plurality of tabs is selected, the work When the work content information corresponding to the tab selected in the area is displayed and the input of the input area of the selected work area is received, the tabs other than the selected tab are displayed on the operation buttons independent of the work area. When switching to display and when one of the operation buttons is selected, the display content of the recording area is displayed corresponding to the selected operation button. Switching, when accepting the registration of the input of the input area, to switch the display contents of the operation buttons on the original tab display.

  According to the present invention, various work contents can be easily called on the display screen by selecting one of a plurality of tabs arranged in association with the work area displaying the work contents. Then, when executing the work content displayed in the work area, if an input in the input area is accepted, this input is given priority, and even if another tab is selected, the input in the input area is continued. Further, during input in the input area, the other tabs change to operation button display, and when these are selected, the selected work content is displayed in the recording area, so that the input worker displays the input area. Since the input work can be performed while displaying other work contents as reference information on one display screen, the input becomes easy.

  As described above, according to the present invention, it is possible to improve the listing of various information related to patients handled by the electronic medical record system and display necessary information according to the user or the usage scene. In particular, in an electronic medical record system, when information is entered while referring to a list of information display and reference information, it is very effective to display information on the entire screen as in the present invention.

  Hereinafter, an information display method and an electronic medical record system according to an embodiment of the present invention will be described in detail with reference to FIGS.

  First, an outline of an electronic medical record system according to the present invention will be described with reference to FIG. FIG. 1 is a schematic diagram showing a characteristic display screen of the present embodiment displayed on the display device of the terminal device.

  In FIG. 1, in this electronic medical record system, an electronic medical record server having various information and a plurality of terminal devices are connected via a network, and various information stored in the electronic medical record server is called through the terminal device. Thus, it is possible to browse the information, input new information, and correct or update the input information.

  FIG. 1 shows a state in which a doctor calls a medical chart menu screen 300 of a specific patient to a terminal device.

  The chart menu screen 300 includes a patient information display area 310 at the top, a work area 320 for displaying work contents such as medical records and nursing records, and a tab display area 330 for switching the work contents of the work area 320. Is displayed. In this embodiment, specific patient information such as “medical calendar”, “patient summary”, “medical record”, “nursing record”, “temperature plate”, “test result”, “others”, etc. is displayed in the work area 320 for each category. can do. A category menu screen 340 for each category is displayed so as to be stacked in the work area 320. These category menu screens 340 are associated with the tabs 331 of the tab display area 330 provided on the right side of the work area 320.

  The tabs 331 of the tab display area 330 are arranged in order in the vertical direction. In this embodiment, as shown in the chart menu screen 300 of FIG. 1, the tab 331a indicating “medical record” is selected as an initial value, and the corresponding medical record category menu screen 340a is selected. Is shown. Here, the category menu screen 340a of the medical record displayed in the work area 320 and the selected tab 331a is displayed so as to be a continuous plane in order to show the relationship, and the category menu screen corresponding to the other tabs. Is displayed so as to overlap the category menu screen 340 a of the selected medical record, so that only other tabs are displayed in the tab display area 330.

  Therefore, the user displays the category menu screen 340 currently displayed in the work area 320 as “medical record”, and the other category menu screen displays “other tabs” displayed in the tab display area 330. It can be seen that there are “medical calendar” and “patient summary”. When these other category menu screens are displayed in the work area 340, the desired category menu screen can be called up in the work area 320 by selecting the desired tab 331.

  On the other hand, each category menu screen 340 in the work area 320 includes a recording area 350 for displaying past input contents, an input area 360 for inputting latest information, and a support tool area 380 for supporting input in the input area 360. It consists of.

  In the medical record category menu screen 340a shown in FIG. 1, the recording area 350 displaying a list of past patient medical records is displayed on the upper left side, and the input area for inputting the latest medical records is displayed on the lower left side. 360 is displayed, and the support tool area 380 in which various operation buttons for inputting medical records are arranged is displayed on the right side of the work area 320. Here, the medical record displayed in the list is displayed so that the uppermost part is old and becomes the latest information as it goes downward. Then, the previous medical record is distinguished from other medical records and displayed together with detailed information. Therefore, according to this embodiment, the patient's medical record is displayed in time series from the top to the bottom, and the previous medical record is displayed together with the detailed information, and is displayed at the bottom. When creating the latest medical record in the input area, it can be created while referring to past records. Moreover, since simple input can be performed in the support tool area 380 on the right side, it is convenient.

  One of the major features of this embodiment is that when an input is made in the input area 360, the input state is maintained even if another tab is selected. Thereby, even if another tab is operated by mistake, the input content in the middle can be protected.

  Furthermore, one of the other major features of this embodiment is that when an input is made in the input area 360, the input state is maintained, and another tab selection operation corresponds to the selected tab. It is received as a request for category reference information, and category reference information corresponding to a tab (for example, reference information 390 described later in FIG. 10) is displayed in the recording area 350. This makes it possible to easily call up and display reference information required during input on the same screen. In addition, since this reference information can be selected by selecting a familiar tab 331 for switching the category menu screen 340, it is possible to reduce the confusion of the operation for searching for a new operation switch. .

  Another major feature of this embodiment is that, when an input in the input area 360 is accepted, the display contents of the tab 331 are displayed as operation buttons 332 for selecting reference information for a tab that has not been selected. Is to change. In this embodiment, in the display state as a tab, it is displayed as a continuous form on one side of the work area 320, and when an input in a specific input area 360 is accepted, the display form of other unselected tabs Are switched as a display as an “island-like” operation button 332 that is independent from the work area 320 and is separated from other areas. As described above, according to this embodiment, it is possible to recognize whether or not the currently displayed category menu screen 340 is in the input state by identifying the display content of the tab 331, and the tab 331. When the operation button 332 is displayed, the reference information can be easily called to the recording area 350 by selecting these.

  Hereinafter, the electronic medical chart system according to this embodiment will be described in detail with reference to FIGS.

  First, FIG. 2 is a block diagram showing a configuration of an electronic medical chart system according to an embodiment of the present invention. In FIG. 2, 11 is an electronic medical record server, 12 is an external storage device, 13 is a control device, 14 is a main storage device, 15 and 22 are display devices, 16 and 23 are input devices, 17 and 21 are network devices, and 18 is Network, 20 is a terminal device, 121 is a patient management DB, 122 is a patient treatment information DB, 123 is a medical treatment DB, 124 is a medical information DB, 125 is a user management DB, 126 is a processing program, and 127 is a setting file.

  An electronic medical record system according to an embodiment of the present invention includes an electronic medical record server 11 that integrates and manages all types of information related to medical work, and a number of terminal devices 20 installed in each department in a hospital facility. Etc., and connected via a network 18. The electronic medical record server 11 is an information processing apparatus using a PC, a workstation, and the like, and is used as an external storage device 12 such as a hard disk, a control device 13 by a CPU, a work memory for the control device 13 to perform various processes, and the like. Network device for controlling the connection with the terminal device 20 via the main storage device 14, the display device 15 such as a liquid crystal display or CRT, the input device 16 such as a keyboard and a mouse, and the network 18 and transferring information between them. 17.

  In the external storage device 12, a patient management DB 121 storing personal information such as name, date of birth, sex, blood type, presence / absence of infectious disease for each patient, medical record as medical history for each patient, medical plan Information, that is, a patient treatment information DB 122 storing various information for each patient, a medical treatment DB 123 storing various information indicating standard medical procedures for each disease, a large number of disease names and drug names, and examination information Medical information DB 124 for registering medical information such as type, user management DB 125 for storing personal information of users such as doctors, nurses, laboratory technicians, office workers, etc. using the electronic medical record system, each of the aforementioned DBs A processing program 126 that performs processing such as update, reading, and the like, and a setting file 127 that stores setting information such as a standard of usage form for each user are held.

  The terminal device 20 is installed in a reception, an examination room, each floor of a ward, various examination rooms, a conference room used by doctors, etc., and communicates with the electronic medical record server 11 to store various information. The network device 21, the display device 22, and the input device 23 that perform transmission and reception, and although not shown, are information processing devices represented by a PC or the like that includes a CPU control device and an external storage device.

  3 to 6 show transitions of typical display screens up to the category menu screen. FIG. 7 is an operation flow diagram of tab switching on the category menu screen, FIGS. 8 to 10 are display screen diagrams for explaining screen transition of the display screen accompanying FIG. 7, and FIG. 11 is a display form of a dub. It is the elements on larger scale which show a change. Hereinafter, transition of the display screen and functions of each display screen in the embodiment of the present invention will be described with reference to these drawings.

  Here, in the operation on the display screen described below, a cursor is displayed on the display screen of the display device 22 of the terminal device 20 via the input device 23 such as a mouse, and a predetermined position (operation button) is displayed with this cursor. By instructing, these operations can be accepted. The acceptance of these operations is transmitted to the control device 13 of the electronic medical record server 11 via the terminal device 20, and the control device 13 executes various screen transitions and processes.

  First, a user engaged in business activates the terminal device 20 and a necessary application in order to access the electronic medical record server 11 from the terminal device 20 provided in his / her workplace. When the terminal device 20 and necessary applications are activated, a login screen is displayed on the terminal device 20.

  FIG. 3 is a diagram illustrating a configuration example of the above-described login screen.

  The login screen 200 includes a user ID input area, a password input area, an OK button, and a cancel button. When a user such as a doctor or nurse inputs a user ID and password on this login screen and presses the OK button, information on the user ID and password is transmitted to the electronic medical record server 11.

  When the electronic medical record server 11 receives the user ID and password from the terminal device 20, the control device 13 uses the data in the user management DB 125 to determine whether the user who has accessed the user ID and password is correct or not. If the accessing user is a genuine user, the main menu screen is transmitted to the terminal device 20 to be displayed.

  FIG. 4 is a diagram showing a configuration example of the main menu screen described above.

  On the main menu screen 210 displayed on the terminal device 20, information on the schedule, bulletin board, and circulation board of the user who has logged in to the system is displayed so as to be able to be input to each. Numerous information buttons are displayed that allow the doctor, laboratory technician, pharmacist, comedy staff, and clerical staff to choose where and what to do. For example, when a doctor is going to practice an outpatient in an outpatient clinic, the doctor selects the “outpatient clinic” button. Similarly, when a doctor performs medical care for an inpatient, the doctor may select the ward name button shown below the “outpatient medical care” button. In the case of a nurse, one of the displayed buttons is selected according to where and what he should do as described above. Now, assuming that the doctor selects the “outpatient treatment” button, this information is transmitted to the electronic medical record server 11, and then the examination room screen 220 shown in FIG. 5 is displayed by the processing in the electronic medical record server 11. It is displayed on the terminal device 20.

  FIG. 5 is a diagram showing a configuration example of the above-described examination room screen.

  In the example of the examination room screen 220 shown in FIG. 5, a doctor list in charge of the examination room and a patient list indicating information of patients waiting to receive medical care are displayed. Then, the doctor in the examination room invites one of the patients to the examination room from this screen, confirms the name of the patient, and selects the corresponding patient displayed. The patient information is transmitted to the electronic medical record server 11. The electronic medical record server 11 extracts the medical chart menu screen 300 (see FIG. 1) including various information related to the patient from the patient treatment information DB 122 based on the transmitted patient information, and returns it to the terminal device 20.

  The doctor can know the medical history so far according to the contents of the medical chart menu screen 300 displayed on the terminal device 20 shown in FIG. 8, and determines the treatment to be performed at that time and performs it. Information such as treatment can be input, and if necessary, a screen on which necessary instructions can be input to nurses, laboratory technicians, etc. can be called up.

  FIG. 6 is a diagram showing a configuration example of the ward screen 230 displayed on the terminal device 20 when the ward name button is selected from the main menu screen 210 shown in FIG. 4, which will be described next.

  In the example of the ward screen 230 shown in FIG. 6, a bed list is displayed, and the names of patients in the ward room on the second floor of a certain ward are displayed for each bed. A doctor, nurse, or the like who has accessed the electronic medical record server 11 from the terminal device 20 of this ward can select one of the patients from this screen. Also, by selecting a tab, it is possible to display a patient list instead of a bed list. Information on the selected patient is transmitted to the electronic medical record server 11, and the electronic medical record server 11 extracts the medical chart menu screen 300 of the patient from the patient treatment information DB 122 on the basis of the transmitted information on the patient, and the terminal. Return to device 20.

  FIG. 8 is a view showing a configuration example of a display screen of the medical chart menu screen 300 displayed on the terminal device 20 when a patient name is selected from the examination room screen 220 shown in FIG. 5 and the ward screen 230 shown in FIG. is there. The information on the display screen is information that the electronic medical record server 11 has extracted from the patient treatment information DB 122 and transmitted to the terminal device 20.

  In FIG. 8, the display screen of the medical chart menu screen 300 is created for each patient as described in the section of the prior art, and includes a medical history that describes treatment, examination, medication, treatment, etc. in time series, Subsequent medical care and treatment plans are described, but the total amount of information is extremely large. For this reason, in the embodiment of the present invention, in order to display the chart menu screen 300 in an easy-to-view manner, various information about the patient is divided into a plurality of categories according to the user of the terminal device 20 or the usage scene. By switching the category with the tab 331, the visibility and usability are improved.

  The medical chart menu screen 300 is provided with a system title area 305 representing an “electronic medical record system” in a strip shape at the top of the screen. The chart menu screen 300 is a window screen displayed on the window system. On the right end of the system title area 305, operation buttons 306 for enlarging, minimizing, and closing the window are arranged.

  In the lower part of the system title area 305, a band-shaped patient information display area 310 for displaying the specified patient information is arranged. In the patient information display area 310, personal information for identifying a patient such as a patient ID number, name, age, sex, outpatient classification, disease name, and the like is displayed. A print button 311 for instructing printing, a screen update button 312 for acquiring latest information, a return button 313 for returning to the previous operation screen, and the like are concentrated on the right end of the patient information area 310. ing.

  Below the patient information area 310, a work area 320 for displaying work contents such as medical records and nursing records, and a tab display area 330 for switching the work contents of the work area 320 are displayed. In this embodiment, in the tab display area 330, the tabs 331 for selecting one category from a plurality of categories are arranged in order in the vertical direction, and by selecting the tab 331, the selected tab 331a is displayed. A corresponding category menu screen 340a can be requested from the electronic medical record server 11. The control device 13 of the electronic medical record server 11 extracts the corresponding patient category menu screen 340 a from the patient treatment information DB 122 of the external storage device 12 and transmits it to the terminal device 20.

  In this embodiment, each tab 331 is arranged adjacent to the work area 320, and when a specific tab 331a is selected, the tab 331a and a category menu screen displayed in the work area 320 are displayed. A display form is adopted in which the shape is continuous with 340a.

  Therefore, for example, as shown in FIG. 8, when the “medical record” tab 331a is selected, the “medical record” tab 331a and the medical record category menu screen 340a displayed in the work area 320 are displayed. Therefore, the user can recognize that the category menu screen 340a displayed in the work area 320 is a medical record. Here, when another tab is selected, the display is the same as the “medical record”, so that the selected category menu screen 340 can be easily identified.

  Thus, in this embodiment, by selecting the tab 331 in the tab display area 330, the work content (category menu screen) in the work area 320 can be easily switched to the selected work content (category menu screen). Can do. In addition, since the tabs in the tab display area 330 and each work content (category menu screen) displayed in the work area 320 are displayed with continuity, switching of the work content (category menu screen) is performed in a stacked manner. The user can be provided with workability to handle a paper chart that brings the work content (category menu screen) selected from the content (category menu screen) to the front.

  In this embodiment, the category menu screen 340 displayed in the work area 320 includes a recording area 350 arranged at the upper left of the work area, and an input area 360 arranged below the recording area 350. The support tool area 380 is arranged on the right side of the input area 360 and the recording area 350. Here, a typical “medical record” category menu screen 340a will be described as an example, but the other category menu screens also have a recording area 350 similar to the “medical record” category menu screen 340a. An input area 360 and a support tool area 280 are provided, and a detailed description thereof will be omitted.

  Note that the work area 320 does not necessarily require the recording area 350, the input area 360, and the support tool area 380, and depending on the category, the recording area 350 and the support tool area 380, or the input area 360 and the support area. You may make it comprise with the tool area 380. FIG.

  In the recording area 350, medical records of patients specified in the patient information display area 310 are displayed in a list from the top to the bottom. In this list display 351, the creation date and time, the symptom, the treatment status, the doctor in charge, etc. are displayed in one line. This makes it easy to list the medical history of the patient.

  In this embodiment, the bottom of the list displayed, that is, the previous medical record is displayed differently from the other medical records. That is, when a new medical record is created, the previous medical record is very helpful. Therefore, in this embodiment, the details of the previous medical record are displayed up to the detailed information. In this embodiment, the space 352 in the lowermost recording area is divided into left and right parts, a medical condition 353 is displayed on the left side, and a treatment 354 is displayed on the right side, and the contents displayed in each area are provided with correction buttons. It can be modified.

  In other words, in this embodiment, the recording area 350 is vertically divided into two parts, the latest medical record recorded in the lower part is displayed as detailed information, and the medical record before the latest medical record recorded in the upper part is displayed. Are displayed in a time-series list.

  In this embodiment, the previous medical record is displayed together with the detailed information. However, by selecting each list in the list display, the detailed information corresponding to the selected list is displayed as the previous medical record. You may make it display similarly. In addition, when this selection is made, the previous medical record is displayed in a list, and detailed information on the desired past medical record is stored in the recording area while maintaining the number of records displayed in the recording area. Can be displayed.

  In this embodiment, a vertical scroll bar is provided on one side of the recording area 350. This is convenient when the number of cases is large. Furthermore, you may make it provide the scroll bar of the left-right direction as needed.

  In this embodiment, when the number of list displays is large, a search condition input unit 355 for narrowing down the number is provided at the top of this recording area. In this embodiment, it is possible to narrow down from “clinic department” and “in-charge doctor”. The search condition input unit 355 is a pull-down input method, and the electronic medical record server 11 extracts the corresponding patient information from the patient treatment information DB 122 of the external storage device 12 by inputting this condition, and It can be displayed in the recording area 350.

  Next, in the input area 360, a band-like medical record name area 361 disposed at the top, a belt-like symptom input area 362 disposed below the medical record name area 361, and a result of the diagnosis are input. The progress recording area 363 and the prescription treatment area 364 for inputting a prescription are configured. The medical record name area 361 includes a medical record creation number for the patient, a creation date and time field for creating the medical record, an instructing medical field for indicating the name of a doctor in charge, and a diagnostic department field for indicating a diagnostic department. Is displayed. These notations are automatically generated by the control device 13 of the electronic medical record server 11 from the past data of the patient and the logged-in ID.

  In the symptom input area 362, characters such as a disease name can be input using the support tool area 380 or the input device 23 of the terminal device 20. The progress recording area 363 and the prescription treatment area 364 are arranged side by side. This arrangement is made common to a layout in which the medical condition 353 and the treatment 354 of the previous medical record 352 shown at the bottom of the recording area 350 are divided into left and right. This facilitates input while referring to the previous record.

  The progress recording area 363 is divided into a diagnosis result area 365 for inputting basic diagnosis results such as blood pressure and pulse, and a symptom input area 366 for inputting specific symptoms. Each item in the examination result area 365 can be specified in the support tool area 380. For example, in the case of FIG. 8, each item can be specified by using the “Vital” support tool. FIG. 8 shows a state in which blood pressure, pulse rate, body temperature, weight and height are designated by a check point (selection operation via a mouse or the like), and an input field designated in the progress recording area 363 is displayed by this designation. Is done.

  The symptom input area 366 includes an item S for inputting a symptom that the patient is complaining about, an item D for inputting a symptom that the doctor has examined the patient, an item A for inputting a disease name, and an item P for inputting a treatment plan. Input is possible using the support tool area 380 or the input device 23 of the terminal device 20 by moving the cursor to each item, divided in the vertical direction.

  In the prescription treatment area 364, a medicine prescription or the like can be input. In this embodiment, the input to the progress recording area 363 and the prescription treatment area 364 is input using the support tool area 380 (operation similar to the “vital”) and the input device 23 of the terminal device 20. Can do.

  Further, on the right side of the medical record name area 361, a clear button 367 for deleting the input content, a temporary storage button 368 for temporarily storing the input content, and the content input to the prescription treatment or the like are sent to a predetermined department. An order issue button 369 for requesting and a chart registration button 370 for storing the contents input in the input area in the chart server are provided.

  Further, on the right side of the symptom input area 362, a radio button for inputting the progress of the symptom and an outcome comment button for inputting a doctor's comment accompanying a change in the medical condition are arranged. Further, on the right side of the upper title of the prescription treatment area 364, an operation button for designating editing or deletion of the area is arranged.

  In the support tool area 380, various operation buttons and information related to an input tool, an order, and patient information can be displayed. At the top of the support tool area 380, a tab 381 for selecting the input tool, order, and patient information is provided. By selecting this tab, the area of the support tool area 380 is selected. Various operation buttons and information related to items can be displayed.

  FIG. 8 shows a state where the input tool is selected. In the upper part of this input tool, a template for supporting the input of the progress recording area 363, a reference image for displaying an X-ray image of a patient, a schema for displaying a human figure, a disease name, a symptom, and the like are listed. A program selection button 382 to be displayed is provided.

  FIG. 8 shows a state where a template is selected. When this template is selected, the support tool area 380 is vertically divided into two parts, and a selection box or a numeric keypad for selecting or inputting each item in the examination result area 365 of the progress recording area 363 is displayed on the upper part. The displayed vital 383 is arranged, and at the bottom, selection buttons 384 and input support corresponding to the input areas of the item S, the item D, the item A, and the item P to be input in the symptom input area 366 of the progress recording area 363 are displayed. Screens 385 are arranged one above the other. In this embodiment, one of the plurality of selection buttons 384 is always selected and expanded so that the input support screen 385 is displayed, and the other non-selected selection buttons 384 have a band-like display form. Is displayed.

  In FIG. 8, the input support (A) selection button 384 is expanded and the disease name to be input is displayed in a tree structure in the item A in the symptom input area 366. Therefore, when the user selects a target disease name from this tree structure, the control device 13 operates to input the selected disease name into the symptom input area 366.

  On the other hand, when another band-shaped selection button 384 that has not been selected is selected, the control device 13 expands the selected selection button 384 and displays operation buttons and information corresponding to the expanded portion. The provided input support screen 385 is displayed, and the input support (A) that has been expanded is reduced and returned to the band-shaped selection button 384. Accordingly, the selection button 384 and the input support screen 385 that is selected and expanded are always displayed in the display area having the same size, so that operability and visibility can be improved.

  Next, referring to FIGS. 8 to 11, an operation that allows input to the input area 360 while displaying reference information, which is a major feature of the medical chart menu screen 300, is further described with reference to FIGS. 8 to 11. Add a description.

  In FIG. 7, when the patient is specified and there is a request for the chart menu screen 300, the control device 13 displays the chart menu screen 300 shown in FIG. 400). The medical chart menu screen 300 in FIG. 8 is an initial setting in which medical records are displayed in front of the work area 320. However, depending on user settings, the category displayed in the front on the initial screen and the tab display area 330 are displayed. The tab 331 to be set can be arbitrarily set. In the following description, the description is continued with the display state in which the chart menu screen 300 of FIG. 8 is preset in the initial setting.

  When the chart 13 is displayed, the control device 13 monitors whether any of the tabs 331 in the tab display area 330 is selected (step 401). When a tab 331 other than the default tab 331 (the “medical record” tab 331 a) is selected, the control device 13 extracts information (the medical chart menu screen) corresponding to the selected tab 331 from the external storage device 12. And displayed on the display screen (step 402).

  On the other hand, it is monitored whether or not an instruction operation is performed via the cursor in the input area 360 without selecting the tab 331 (step 403). The control device 13 recognizes the input area 360 as an input state for accepting an input when an instruction operation is performed on any of the areas for input via the cursor in the area of the input area 360. Then, when the input area 360 is in the input state, the control device 13 sets the other tab 331 that is not selected in the tab display area 330 to the display state of the operation button 332 shown in FIG. The display screen of FIG. 9 is not significantly different from FIG. 8 except for the change of the tab display area 330.

  In this embodiment, the control device 13 recognizes the acceptance of input to the input area 360 based on whether or not there is an instruction operation via the cursor in the input area 360, but the present invention is limited to this. is not. For example, an operation button for accepting an input operation to the input area 360 may be provided.

  The display change of the tab 331 in the tab display area 330 will be described with reference to FIG. FIG. 11 is a partially enlarged view of the tab display area 330. FIG. 11A shows the tab display area 330 in FIG. 8, FIG. 11B shows the tab display area 330 in FIG.

  As shown in FIG. 11A, when the input area 360 is not in the input state, the “medical record” tab 331a rotates the trapezoid horizontally 90 degrees, and the wide side of the trapezoid has a rectangular category menu screen. 340 is formed continuously. In other words, the “medical record” tab 331a protrudes from the rectangular category menu screen 340. On the other hand, the other tabs have a shape in which the trapezoid is rotated 90 degrees horizontally and the wide side of the trapezoid faces the rectangular category menu screen 340 side, but each tab 331 has a rectangular shape. It is clearly divided into a shape category menu screen 340. However, since the tabs that have not been selected and the category menu screen 340 are divided only by the dividing line, the category menu other than “medical record” hidden behind the category menu screen 340 a of “medical record” is displayed to the user. The display form is reminiscent of the relevance with the screen 340.

  On the other hand, as shown in FIG. 11 (b), when the input area 360 is in the input state, the control device 13 until now has unselected tabs having a shape obtained by rotating the trapezoid horizontally by 90 degrees at the four corners. The operation button 332 is changed to a round one. Since the operation button 332 is displayed in a shape having a blank portion around it, the operation button 332 is clearly separated from the rectangular category menu screen 340. For this reason, even if it is displayed at the same position as the tab 331 that is not selected, each operation button 332 is recognized as a button for instructing an operation having a function different from that of the tab 331 from the display form. can do.

  Returning to FIG. 7, in the input state of step 405, the control device 13 accepts input contents via various operation buttons in the support tool area 380 and the input device 23, and monitors whether the operation button 332 has been selected. (Step 406). When any one of the operation buttons 332 is selected, the control device 13 calls information corresponding to the selected operation button 332 from the external storage device 12 and displays it in the recording area 350 (step 407). .

  FIG. 10 displays a state in which the “medical calendar” operation button 332 has been operated. In the state of FIG. 10, even if the operation button 332 is operated, the display states of the input area 360 and the support tool area 380 are not changed, and the input work can be continuously performed.

  On the other hand, in the recording area 350, reference information 390 of the selected “medical calendar” is displayed. In this embodiment, as reference information 390, the date on which “medical record” is created is arranged from left to right on the horizontal axis, and “milestone”, “Dr. instruction”, “medical record” are plotted on the vertical axis. “Calendar” and other calendars are displayed. In the reference information 390, scroll bars can be displayed on the horizontal axis and the vertical axis, respectively, as necessary.

  Further, in this embodiment, in the display state of FIG. 10, the “medical calendar” operation button 332 is selected, and the user is made aware of the content that the content displayed in the recording area 350 is the reference information. In addition, the control device 13 gives a mark or highlight indicating the selection to the selected operation button 332 in the tab display area 330, and the reference information 390 includes reference information corresponding to the mark or highlight. 390 is displayed. This will be further described with reference to FIG.

  In FIG. 11C, in this embodiment, when the operation button 332 is selected, the control device 13 attaches a mark in which the upper left corner of the operation button 332 is folded. Similarly, the control device 13 attaches a folded mark 359 to the upper left corner of the area of the reference information 390. In this way, by applying the same mark to the same position of the operation button 332 and the reference information 390, the user's identification can be improved. In addition, by applying the position to the upper left corner, the operation button 332 that has been marked and the position of the upper left corner of the reference information to which the mark is applied are closest to each other. And discriminability can be further improved.

  In this embodiment, a mark indicates that the selection operation has been performed. However, the present invention is not limited to this.

  Returning to FIG. 7, when the input area 360 is in the input state, the control device 13 monitors whether or not the registration operation of the input area 360 has been performed (step 408). In this embodiment, when receiving an operation of a chart registration button 370 (FIG. 8) provided in the input area 360, the control device 13 changes the display form of the operation button 332 of the tab display area 330 to the original tab 331. While returning to the display form (step 409), the input contents are stored in the external storage device 12 (step 410), and the display contents shown in FIG. 8 are restored to complete the operation.

  In this embodiment, the operation of step 409 can be performed by operating the temporary save button 368 (FIG. 8) instead of the operation of the medical record registration button 370. When the temporary save button 368 is operated, the operation of step 410 is not performed, and the contents of the input area 360 are temporarily stored in the storage device.

  In the above description, the display state of the operation button 332 of the “medical calendar” has been described, but reference information having the same display form as that of the “medical calendar” can be obtained by operating other operation buttons.

  In this embodiment, the tab display area is provided on the left side of the work area, but may be provided on the right side or both sides. Moreover, you may make it provide in the upper part or lower part of a work area, or upper and lower sides.

  Furthermore, in this embodiment, the tab is trapezoidal, but the present invention is not limited to this. Similarly, the operation button that changes from the trapezoidal shape is a quadrangular shape with rounded corners. However, the shape is not limited to this, and other shapes may be used.

  In this embodiment, the selected state is indicated by adding a mark with a corner folded to the selected operation button. However, the present invention is not limited to this. For example, the operation buttons may be marked with other shapes, or the operation buttons may be colored.

It is the schematic which showed the characteristic display screen of this Embodiment displayed on the display apparatus of a terminal device. It is a block diagram which shows the structure of the electronic medical chart system by one Embodiment of this invention. It is a figure which shows the structural example of a login screen. It is a figure which shows the structural example of a main menu screen. It is a figure which shows the structural example of an examination room screen. It is a figure which shows the structural example of a ward screen. It is an operation | movement flowchart of a medical chart menu screen. It is a figure which shows the structural example of a medical chart menu screen. It is a figure which shows the structural example of a medical chart menu screen. It is a figure which shows the structural example of a medical chart menu screen. It is change explanatory drawing of the tab display area of a medical chart menu screen.

Explanation of symbols

  DESCRIPTION OF SYMBOLS 11 ... Electronic medical record server, 12 ... External storage device, 13 ... Control device, 14 ... Main storage device, 15, 22 ... Display device, 16, 23 ... Input device, 17, 21 ... Network device, 18 ... Network, 20 ... 121: Patient management DB, 122 ... Patient treatment information DB, 123 ... Medical treatment DB, 124 ... Medical information DB, 125 ... User management DB, 126 ... Processing program, 127 ... Setting file, 300 ... Medical record menu screen, 305 ... system title area, 310 ... patient information display area, 320 ... work area, 330 ... tab display area, 331 ... tab, 331a ... tab showing medical record, 332 ... operation button, 340 ... category menu screen, 340a ... medical record Category menu screen, 350 ... recording area, 359 ... mark, 360 ... input area, 61 ... Medical record name area, 362 ... Symptom input area, 363 ... Progress recording area, 364 ... Prescription treatment area, 365 ... Examination result area, 366 ... Symptom input area, 367 ... Clear button, 368 ... Temporary save button, 369 ... Order issue button, 370 ... chart registration button, 381 ... tab, 382 ... selection button, 383 ... vital, 384 ... selection button, 385 ... input support screen, 380 ... support tool area, 390 ... reference information

Claims (5)

In an electronic medical record system configured by connecting an electronic medical record server that integrates and manages various types of information related to medical work and a large number of terminal devices via a network,
The electronic server includes a control device that performs integrated management of the electronic server, a storage device, and a network device,
The storage device stores a patient management database and a patient treatment information database,
The terminal device includes a display device and an input device,
The controller is
A work area having a recording area and an input area in response to a request from the terminal device, and a tab display area having a plurality of tabs for switching work contents of the work area, the plurality of tabs being the work Reading out from the storage device a chart menu screen arranged adjacent to the work content corresponding to at least one side of the area and displaying it on one display screen of the display device,
Receiving one selection operation of the plurality of tabs, the work content information corresponding to the tab selected in the work area is called from the storage device and displayed on the display device,
Upon receiving input of the input area in the selected work content, the tab other than the selected tab is switched to display operation buttons independent of the work area,
When one of the operation buttons is selected, the display content corresponding to the selected operation button is read from the storage device and displayed as reference information in the recording area,
The electronic medical record system, wherein registration of input in the input area is received and stored in the storage device, and the display content of the operation button is switched to display of the original tab. In the electronic medical chart system according to claim 1,
An input operation is performed in the input area to receive an input in the input area. Based on an operation of a registration button that supports registration arranged in the input area, the storage in the storage device and the storage An electronic medical record system that switches the display contents of the operation buttons to the original tab display. In the electronic medical chart system according to claim 1 or 2,
The electronic medical record system characterized in that the operation button and the reference information displayed in the recording area in accordance with the operation of the operation button are marked or highlighted to indicate selection or display accompanying the selection. . In the electronic medical chart system according to any one of claims 1 to 3,
The medical record menu screen includes a patient information display area arranged at the top, the tab display area arranged side by side at the bottom of the patient information display area, and the work area.
A plurality of tabs arranged in the tab display area are assigned different category selection keys to the respective tabs, and are arranged in order in the vertical direction of the tab display area.
The work area is an area for displaying a plurality of category menu screens assigned corresponding to the plurality of tabs, and is arranged in a recording area arranged on one side of the work area and a lower part on one side. And an auxiliary input area arranged on the other side of the work area. Connected to a number of terminal devices including a display device and an input device via a network;
An electronic medical chart that includes a control device that performs integrated management of the electronic server, and a storage device that stores and stores a patient management database and a patient treatment information database, and that integrates and manages various types of information related to medical work. A method of displaying an electronic medical record server in a system,
A work area having a recording area and an input area in response to a request from the terminal device, and a tab display area having a plurality of tabs for switching work contents of the work area, the plurality of tabs being the work Reading a chart menu screen arranged adjacent to the work content corresponding to at least one side of an area from the storage device and displaying it on one display screen of the display device;
Receiving one selection operation of the plurality of tabs, calling work content information corresponding to the tab selected in the work area from the storage device, and displaying the information on the display device;
When receiving input of the input area in the selected work content, switching a tab other than the selected tab to display of operation buttons independent of the work area;
When one of the operation buttons is selected, the display content corresponding to the selected operation button is read from the storage device and displayed as reference information in the recording area;
An electronic medical record server in an electronic medical record system, comprising: receiving registration of input in the input area and storing it in the storage device; and switching the display content of the operation button to display of the original tab How to display.

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