JP2010160824A - Medical examination support device and examination list display method - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To protect the privacy of a patient without impairing the efficient operation environment of a doctor. <P>SOLUTION: A medical examination support device manages examination information. An examination list display screen 51 is displayed on its monitor. On the examination list display screen 51, personal information such as a patient name, birth date, sex, and address and the examination information including such items as examination dates, examination classifications, and examination progress circumstances are displayed in a list by examination. The medical examination support device includes a function for making all or a part of the personal information non-display in the examination list display screen 51. When an instruction for making the personal information non-display is performed, a display field for displaying the personal information is deleted from the examination list display screen 51. <P>COPYRIGHT: (C)2010,JPO&INPIT

Description

  The present invention relates to a medical examination support apparatus and an examination list display method for displaying a medical examination list.

  Displays medical examination images (medical images) recorded by modalities (medical examination equipment) such as CR (Computed Radiography) devices and endoscope devices, and examination information for multiple patients who have undergone or are scheduled to be examined A medical examination support apparatus that displays a list (examination list) on a monitor is known (see Patent Document 1). The examination list displays a summary of examination information including examination date and time, examination type, etc., as well as personal information such as patient name, date of birth, and sex. With this examination list, doctors can grasp the examination schedule and availability of the reception frame, adjust the examination date and time of the patient under examination, adjust the examination time according to the examination schedule, and prepare for the examination in advance. The work schedule can be adjusted.

  By the way, with the progress of computerization of medical information, an electronic medical chart apparatus that digitizes and manages medical records of patients is becoming widespread. In many cases, this electronic medical chart apparatus is installed in an examination room in order for a doctor to input the record at any time during the examination or to make the patient confirm the contents of the chart displayed on the monitor. In consideration of the work efficiency of the doctor, it is preferable that both the electronic medical chart apparatus and the medical examination support apparatus are placed on the doctor's hand side by side on, for example, a doctor's desk.

JP 2006-263223 A

  However, since the personal information of patients other than the patient under examination is also displayed in the examination list of the medical examination support device, the doctor is informed that such information is known to the patient under examination from the request for privacy protection. It is necessary to consider that there is no. Specifically, the examination list display is terminated while the patient being examined is in the examination room, or the medical examination support apparatus is arranged away from the electronic medical chart apparatus so that the display contents of the examination list cannot be seen from the patient. Measures such as are taken.

  However, if the display of the examination list is terminated, the examination schedule cannot be grasped during the examination, and if the medical examination support apparatus is arranged away from the electronic medical chart apparatus so that it cannot be seen from the patient being examined, it is said that the usability becomes worse. As described above, the above countermeasures have resulted in a loss of efficiency of a doctor's work environment.

  The present invention has been made in view of such a background, and an object thereof is to protect the privacy of a patient without impairing the efficient working environment of a doctor.

  The present invention provides a display means for displaying a list of medical examinations of a plurality of patients, and all of the personal information of the patient among the information included in the examination list while the examination list is displayed on the display means. It is characterized by comprising display control means for executing a non-display process for partially displaying non-display.

  In the non-display processing, for example, the personal information is hidden for all patients other than the designated designated patient among the patients included in the examination list.

  The personal information preferably includes at least a patient name. The examination list preferably includes examination schedule information for which the medical examination has not been completed and the progress of the medical examination.

  In the non-display process, for example, the personal information is made invisible or made invisible by blurring it. The personal information field may be deleted from the examination list.

  Receiving means for receiving a trigger signal for instructing execution of the non-display processing from an external device, and the display control means receives the trigger signal, and thereby performs the non-display processing in conjunction with the external device. It is preferable to carry out.

  The external device is, for example, an electronic medical chart device that displays the patient's medical chart information on a monitor. Further, it is preferable that an interlocking switching unit for turning on / off the interlocking with the external device is provided.

  An operation means for instructing execution of the non-display process may be provided, and the display control means may execute the non-display process in response to an instruction from the operation means.

  At least one of the operation means and the interlocking switching means is preferably an operation button displayed on the display means.

  An examination list display method of the present invention includes a display step of displaying an examination list of medical examinations of a plurality of patients, and all of the patient's personal information among the information included in the examination list while the examination list is being displayed. Or a display control step of executing a non-display process for partially displaying non-display.

  The present invention enables display control to hide all or part of the personal information of the patient among the information included in the examination list while displaying the examination list of the medical examinations of a plurality of patients. Therefore, the privacy of the patient can be protected without impairing the efficient working environment of the doctor.

It is explanatory drawing of a medical examination assistance apparatus and an electronic medical chart apparatus. It is a schematic block diagram of a medical examination support apparatus. It is an example of an examination list display screen. It is an example of the test | inspection list display screen after non-display process execution. It is a flowchart which shows the execution procedure of a non-display process. It is an example of the examination list display screen different from FIG. It is an example of the examination list display screen different from FIG.

  As shown in FIG. 1, the medical examination support apparatus 10 is installed alongside an electronic medical chart apparatus 11 on a doctor's desk in a doctor's office or a doctor's office 12 of a clinic or a hospital, for example. The medical examination support apparatus 10 has an examination information management function for receiving order information of examinations performed by modalities 13 such as a CR apparatus and an endoscope apparatus, and managing examination information such as examination schedules. It functions as an image server that receives and stores the acquired medical image data. The medical examination support apparatus 10 displays an examination list that is a list of examination information and a medical image of a designated patient on the monitor 14.

  The electronic medical record device 11 is a device that manages patient medical record information. The electronic medical record device 11 accepts input of medical record information, stores the input medical record information, reads out the stored medical record information, and displays it on the monitor 16. The medical examination support apparatus 10 and the electronic medical chart apparatus 11 are connected to be communicable via a LAN (Local Area Network). The electronic medical chart apparatus 11 transmits a trigger signal to the medical examination support apparatus 10 when medical chart information of a patient is specified and the medical chart information is displayed on the monitor 16. In conjunction with this, the medical examination support apparatus 10 executes a non-display process for hiding a part of the examination list being displayed on the monitor 14.

  As shown in FIG. 2, the medical examination support apparatus 10 is installed with a medical examination support program based on, for example, a personal computer or a workstation, and includes a main body 21 and a console 22. The console 22 includes a monitor 14 and input devices such as a keyboard 23 and a mouse 24.

  The main body 21 includes a CPU (Central Processing Unit) 26, a memory 27, an HDD (Hard Disk Drive) 28, a connection I / F 29, and a network I / F 30. The network I / F 30 performs communication control according to the LAN communication protocol when transmitting and receiving data through the LAN. The connection I / F 29 is an interface for performing data communication with the modality 13. The HDD 28 is a well-known data storage device, and stores examination information and medical image data in addition to an operating system and application programs such as a medical examination support program. The memory 27 is a work memory used by the CPU 21 to execute processing.

  Although an example in which a medical image is stored in the HDD 28 has been described, a media drive that accesses a data storage medium such as a DVD medium and reads / writes data is provided to store the medical image in the data storage medium, You may enable it to read from there, or you may enable it to read and write a medical image by accessing an external image server via LAN.

  The CPU 26 functions as an examination information management unit 26a and a medical image display processing unit 26b by comprehensively controlling each part of the apparatus and executing a medical examination support program. The medical image display processing unit 26 b reads out medical image data from the HDD 28 and reproduces and displays the medical image on the monitor 14. The inspection information management unit 26a executes an inspection order receiving process and a display process of the received inspection list on the monitor 14. The examination information management unit 26a is a display control unit that executes the non-display process.

  Similarly to the medical examination support apparatus 10, the electronic medical chart apparatus 11 is based on a personal computer or a workstation, and has an electronic medical record program installed therein. When displaying the chart information selected through the console 32 on the monitor 16, the CPU 31 of the electronic medical chart apparatus 11 performs a medical examination on the patient ID (patient identification information) and the trigger signal corresponding to the chart information through the network I / F 32. It transmits to the support apparatus 10. This trigger signal is a signal for instructing the medical examination support apparatus 10 to execute the non-display process, and the designated patient specified by the patient ID among the personal information included in the examination list by the non-display process. Personal information other than is hidden.

  FIG. 3 is an example of an examination list display screen displayed on the monitor 14. The examination list is displayed on the examination list display screen 36. The examination list includes items such as patient name, date of birth, gender, address, etc., and individual information such as examination number (examination ID), examination date, examination type, and examination progress for each examination. A plurality of pieces of such inspection information are arranged in the vertical direction.

  In the examination type, the examination type such as CR or endoscope is displayed. The progress status displays a status such as whether the examination has been completed (inspected), inspected (during imaging), or incomplete (planned). As items of examination information, various items such as a patient's telephone number, a medical image output destination, and an imaging region can be displayed. Also, which of these items is displayed can be changed in advance by setting. In addition, scroll bars 37 are provided at the side edge and the bottom edge of the area where the examination list is displayed, and the screen is scrolled up, down, left and right by operating the slider of the scroll bar 37 with the pointer 38 of the mouse 24. Thus, hidden items and inspection information can be displayed.

  FIG. 4 shows an example of the examination list display screen 36 after executing the non-display process based on the trigger signal received from the electronic medical chart apparatus 11 by the examination information management unit 26a. In this example, for example, examination information whose examination number is “1042” and whose patient name is “Fuji Fumiko” is designated by the patient ID received together with the trigger signal, and is hidden from the personal information of patients other than this designated patient. Processing is being executed. When the non-display process is performed, the personal information in the examination information of the patients other than the designated patient becomes obscure and becomes invisible. For example, the “X” mark is used as the cover letter, but for example, a circle mark, a triangle mark, or the like may be used. The type and shape of such a hidden character may be other than this, and can be appropriately selected.

  The target of the non-display process is personal information, and other inspection information is not the target. Therefore, hidden processing was performed on the schedule and progress of the test, such as how many test appointments are currently scheduled, what type of test is being performed, and what is being tested. It can be confirmed later.

  Hereinafter, the operation of the above configuration will be described with reference to the flowchart shown in FIG. When the doctor invites the patient to the examination room 12, the electronic chart device 11 selects the patient's chart information and displays it on the monitor 16. At this time, the electronic medical chart apparatus 11 transmits the trigger signal and the patient ID of the patient to the medical examination support apparatus 10. When the medical examination support apparatus 10 receives this signal and the examination list is displayed on the monitor 14, the medical examination support apparatus 10 executes a non-display process.

  Thereby, personal information of patients other than the designated patient in the examination list is hidden. Therefore, even if the medical examination support apparatus 10 is juxtaposed in the vicinity of the electronic medical chart apparatus 11, the patient's privacy cannot be seen by the patient in the examination room 12 because the personal information of other patients is not seen. Can be protected. In addition, the doctor can confirm the examination list of the medical examination support apparatus 10 and grasp the examination schedule and the availability of the reception frame without worrying about the eyes of the patient under examination. For this reason, a patient's privacy can be protected, without impairing the efficient working environment for a doctor.

  In the above-described embodiment, the example in which the target of the non-display process is set to the hidden character has been described. However, as in the examination list display screen 41 illustrated in FIG. It may be. Further, as shown in the present embodiment, the target of the non-display process may be limited to specific items such as the patient name and address instead of all personal information. Even if it does in this way, there is no problem because it is unlikely that an individual will be identified by the date of birth or gender alone. Since a representative item of personal information for identifying a patient is a patient name, at least only this item needs to be included in the non-display processing target.

  The examination list display screen 41 is provided with a non-display button 42 and an interlock button 43 in the screen. As shown in the above embodiment, the interlock button 43 is an operation button for switching whether the interlock mode for executing the non-display process is turned on or off in conjunction with the electronic medical chart apparatus 11. Since the non-display process is a process that is necessary only while the patient is in the examination room 12, it is often easier for the doctor to turn off the interlocking mode while there is no patient. By providing the interlock button 43, such switching can be easily performed.

  The non-display button 42 is an operation button for instructing execution of the non-display process from the console 22 regardless of the presence or absence of a trigger signal from the electronic medical chart apparatus 11. In this case, a check box 44 for designating each examination information is provided on the examination list display screen 41, and a patient is designated by putting a check 45 in the check box 44 using the pointer 33. When the non-display button 42 is clicked in this state, a non-display process is executed, and personal information of patients other than the designated patient is hidden.

  Both the non-display button 42 and the interlock button 43 may not be provided, and either one may be provided. Further, although the non-display button 42 and the interlock button 43 have been described as examples of operation buttons displayed on the monitor 14, a dedicated button corresponding to them may be provided on a keyboard or the like.

  Moreover, both the interlocking mode with the electronic medical chart apparatus 11 and a non-display button may be provided, and either may be sufficient.

  In the above embodiment, the example has been described in which the personal information of the designated patient is left and the personal information of the other patients is not displayed. However, it is not always necessary to leave the designated patient, and the examination list display screen of FIG. As shown at 51, the personal information of all patients including the designated patient may be hidden. In such a case, the doctor cannot identify the examination information of the patient being examined, but can grasp the schedule such as the examination schedule and check the availability.

  In the examination list display screen 51, as a method of non-display processing, the display field itself of the personal information in the examination list is not displayed, but not hidden characters or blurring processing.

  In the above embodiment, the timing at which the trigger signal instructing the non-display process is transmitted is the timing at which the chart information is displayed on the monitor of the electronic chart apparatus.For example, when a patient is specified from the chart list list, Any timing may be used as long as a specific patient is designated by the electronic medical chart apparatus.

  In addition, although an electronic medical chart apparatus has been described as an example of an external apparatus that transmits a trigger signal, it may be other than an electronic medical chart apparatus. For example, a medical reception terminal that performs medical reception processing, or an examination such as a RIS (radiation information management system) It may be an inspection order issuing terminal that issues an order.

  In the above-described embodiment, the present invention has been described with an example in which the medical examination support apparatus has a medical image display function. However, the medical examination support apparatus may simply have an examination list display function. Moreover, you may implement | achieve the function of the medical examination assistance apparatus of this invention with the form integrated in the other apparatus. Further, as described in the above embodiment, the present invention extends to a program form and further to a storage medium storing the program form.

10 Medical Examination Support Device 11 Electronic Medical Record Device 13 Modality 14 Monitor (for Medical Examination Support Device)
16 Monitor (for electronic medical chart device)
26 CPU (for medical examination support device)
26a Inspection information management unit (display control means)
22 Console 36, 41, 51 Examination list display screen

Claims (7)

Display means for displaying a list of medical examinations of a plurality of patients;
Display control means for executing a non-display process for hiding all or part of the patient's personal information among the information included in the test list while displaying the test list on the display means. And
The medical support apparatus characterized in that the non-display process erases a display field for displaying the personal information from the examination list.   The medical examination support apparatus according to claim 1, wherein the personal information includes at least a patient name.   3. The display device according to claim 1, further comprising an operation unit that instructs execution of the non-display process, wherein the display control unit executes the non-display process in response to an instruction from the operation unit. Medical examination support device.   4. The medical examination support apparatus according to claim 3, wherein the operation means is an operation button displayed on the display means.   The medical examination support apparatus according to claim 1, wherein the display unit has a display function of displaying a medical image of a patient.   6. The medical examination support program for causing a computer to execute the examination list display process and the personal information non-display process is installed in a personal computer. The medical examination support apparatus according to Item 1. A display step for displaying a list of medical examinations of a plurality of patients;
A display control step for performing a non-display process for hiding all or part of the patient's personal information among the information included in the test list while displaying the test list,
In the display control step, the non-display process includes an erasing step of erasing a display field for displaying the personal information from the examination list.

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