JP2011150398A - Electronic medical chart display system and display program - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide an electronic medical chart display system including a navigation function for a medical chart, and a display program, allowing facilitation of retrieval of schedule/results of medical practice to a patient (a test subject). <P>SOLUTION: A server computer 50 reads, from an instruction item execution calendar DB 60, an execution calendar corresponding to a calendar display period and execution items inputted from a client terminal 30, and transmits it to the client terminal 30. The server computer 50 generates, in each execution item, schedule presence/absence information except the calendar display period in a past direction and a future direction whose basic point is the calendar display period in reference to the instruction item execution calendar DB 60, and transmits it to the client terminal 30. The client terminal 30 displays a received execution calendar on a display device 35, activates an instruction button of each execution item provided in a right-and-left area of the displayed execution calendar according to the schedule presence information, and inactivates it according to the schedule absence information. <P>COPYRIGHT: (C)2011,JPO&INPIT

Description

  The present invention relates to an electronic medical chart display system and a display program.

  When a patient is treated, medical treatment / treatment is performed while referring to the past medical history and the latest and current symptoms while referring to the medical record. With the digitization of medical records, it may take a lot of time to search for necessary information from the patient's electronic medical records. For example, electronic medical records for patients with many medical treatments / treatments / hospitalization / surgery, etc. are recorded on the medical chart each time, so the past information and future schedule information are sequentially displayed on the screen. You have to find the medical information you want. For this reason, it may be difficult to quickly find medical information to be viewed.

  For example, in the method of simply searching for the chart No. 2 paper, only the contents described in the chart are confirmed, so that it may take a lot of work time to find the chart in which the necessary items are described. .

  Also, in the method of searching from the progress table, the schedule / actual result of medical practice is displayed on the calendar in the progress table. Therefore, when searching for a plan / actual result outside the calendar display period for a specific item, The display period must be moved and searched.

  The applicant has invented an electronic medical record system having a medical record volume indicator function that can realize a sense of volume in a paper medical record, and displays the volume of the entire medical record on the screen, and when a specific position is clicked, It has been proposed that the date of the click position or the electronic medical record, nursing medical record or worksheet at or near the click position is read out from the database and displayed (see Patent Document 1).

  Japanese Patent Application Laid-Open No. 2001-101322 invents that the event display width is changed according to the time zone and output.

JP 2009-176041 A JP 2001-101322 A

  However, in the above-described Patent Documents 1 and 2, it is determined whether there is an item related to the currently displayed item, not only during the period displayed on the screen but also before and after the period. I can't.

  Therefore, an object of the present invention is to provide an electronic medical chart display system and a display program having a medical chart navigation function capable of facilitating the search of the schedule / results of medical practice for a patient (subject).

  In order to achieve the above object, an electronic medical chart display system of the present invention is an electronic medical chart display system in which a client terminal and a server computer are connected, and is provided in the server computer. The execution item information is based on the instruction item execution calendar DB in which the execution item information is stored as the execution calendar for a predetermined period, the input unit for inputting the execution item and the calendar display period, and the execution read from the server computer. A display device that displays a calendar, and the server computer reads the implementation item input from the client terminal and the implementation calendar according to the calendar display period from the instruction item implementation calendar DB, and Before sending to the terminal Refer to the instruction item implementation calendar DB, generate schedule presence / absence information outside the calendar display period in the past direction and the future direction based on the calendar display period for each implementation item, and transmit the schedule existence information to the client terminal. Displays the execution calendar received on the display device, and activates an instruction button for each execution item provided in the left and right or upper and lower areas of the displayed execution calendar according to the schedule information, It is characterized by being inactive according to no schedule information.

  In addition, the display program of the present invention includes a server computer having an instruction item execution calendar DB in which information on an execution item based on an instruction from a doctor for each patient is stored as an execution calendar for a predetermined period, an execution item, and a calendar display period. A display program to be executed by the server computer of an electronic medical record display system to which a client terminal having an input means for inputting data and a display device for displaying the implementation calendar read from the server computer is connected, The execution item input from the terminal and the execution calendar corresponding to the calendar display period are read from the instruction item execution calendar DB and transmitted to the client terminal, and the calendar display period is referred to the instruction item execution calendar DB. Past direction based on And schedule presence information outside the calendar display period of the future direction and generates for each of the action items and transmits to the client terminal.

  In addition, the display program of the present invention includes a server computer having an instruction item execution calendar DB in which information on an execution item based on an instruction from a doctor for each patient is stored as an execution calendar for a predetermined period, an execution item, and a calendar display period. A display program to be executed by the client terminal of the electronic medical record display system to which a client terminal having an input means for inputting the information and a display device for displaying the implementation calendar read from the server computer is connected. Past direction and future based on the calendar display period generated by the server computer by receiving the execution item corresponding to the execution item read from the instruction item execution calendar DB of the computer and the calendar display period Outside the calendar display period The schedule presence / absence information is received, the received calendar is displayed on the display device, and an instruction button for each implementation item provided in the left, right, or upper and lower areas of the displayed implementation calendar is displayed according to the schedule presence information. And is inactive according to the non-schedule information.

  According to the present invention, it is possible to easily search for a schedule / result of a medical practice for a patient (subject) by a navigation function of an electronic medical record.

The block diagram which shows the structure of the electronic medical chart display system which concerns on this embodiment. The figure which shows the detailed structure of the server computer which concerns on this embodiment, and a client terminal. The figure which shows the example of a display of the electronic medical record which concerns on this embodiment. The flowchart which shows operation | movement of the electronic medical chart display system which concerns on this embodiment. The example of a display in the example of operation of this embodiment, when the data of "2009/9/23, neurology, hospitalization" exists in the left end, and the front button of "specimen examination" is pushed down. In the operation example of the present embodiment, a display example when the next button of “Sample Test” is pressed in a state where “2009/9/27, neurology, outpatient” data exists at the right end. The example of a display in the case of pressing the front button of "medicine" in the state of the data of "2009/9/21, surgery, outpatient" existing in the right end in the operation example of this embodiment.

  Hereinafter, embodiments of the present invention will be described with reference to the drawings.

(Example)
FIG. 1 is a block diagram showing a configuration of an electronic medical chart display system according to an embodiment of the present invention. The electronic medical chart display system according to the present embodiment includes a plurality of doctor client terminals 10 connected to a network LAN, a plurality of nurse client terminals 20, and a server computer 50 having various databases DB.

  As the database DB provided in the server computer 50, an instruction item execution calendar DB 60, a chart information management DB 70, and a patient information DB 80 are shown here. In addition, the server computer 50 is provided with a database relating to medical accounting, a database relating to medicine, a database relating to work of doctors / nurses, etc., but these are omitted because they are not directly managed with the present invention.

  In addition, although a local area network LAN is shown as a network, other connections such as an Internet connection or a dedicated line may be used. In addition, other terminals such as medical accounting terminals and pharmaceutical terminals are connected as client terminals, which are also omitted.

  FIG. 2 is a diagram showing a detailed configuration of the server computer 50 and the client terminal 30 according to the present embodiment. The client terminal 30 in FIG. 2 may be the doctor client terminal 10 or the nurse client terminal 20. In FIG. 2, the network LAN is omitted. In addition, it is assumed that data communication is performed between the server computer 50 and the client terminal 30 by a known network technology.

  An input device 32 such as a keyboard and a mouse and a display device 35 such as an LCD are connected to the client terminal 30. In addition, a chart input control unit 30a, an implementation item request unit 30b, an implementation item reception unit 30c, and the like are provided inside. These devices can also be achieved by a CPU and a control program (not shown).

  On the other hand, the server computer 50 is provided with a medical record registration function unit 50a, a medical record instruction item decomposition function unit 50b, a medical record instruction item reference function unit 50c and the like in addition to the database DB described above. These devices can also be achieved by a CPU and a control program (not shown).

  FIG. 3 is a diagram showing a display example of a navigation screen used when reading the electronic medical record according to the present embodiment. FIG. 4 is a flowchart showing the operation of the electronic medical chart display system according to the present embodiment. In FIG. 4, the operation of the server computer 50 is shown on the left side, and the operation of the client terminal 30 is shown on the right side.

  Next, the operation of this embodiment will be described with reference to FIGS. Here, it is assumed that the chart information is read from the chart information management DB 70 and the chart input screen of the display device 35 is displayed. The subject (subject) of the electronic medical chart display system may be either an outpatient or an inpatient.

  As a premise of this system, the doctor uses the client terminal 10 to input information such as the name of a patient who has been examined, information on symptoms, the name of a drug to be administered, the amount of a drug to be administered, and the time to be administered (32 ) The input information is displayed on the chart input screen of the display device (35) by the chart input control section (30a). The doctor confirms the contents displayed on the chart input screen of the display device (35), and finishes the patient examination and the chart input process. The input information is transmitted from the chart input control unit (30a) to the chart registration function unit 50a of the server computer 50 to be reflected in the chart information management DB 70. The chart registration function unit 50a writes the received input information to the chart information of the same patient in the chart information management DB 70, and accumulates the chart information.

  In addition, the nurse reads out the chart information of the patient to be treated on the client terminal 20 from the chart information management DB 70 of the server computer 50, confirms the instruction information instructed by the doctor, and performs the necessary treatment. The content implemented by the nurse is transmitted from the client terminal 30 to the medical record registration function unit 50a of the server computer 50 and reflected in the medical record information management DB 70.

  While such a hospital information system is in operation, in this embodiment, the medical record instruction item decomposition function unit 50b of the server computer 50 performs order information from a doctor from the electronic medical record information stored in the medical record information management DB 70. The action items (including the scheduled action items) for the patient regarding (instruction information) are extracted (step S100 in FIG. 4).

  The medical record instruction item decomposition function unit 50b automatically creates an implementation calendar (execution item on the Y axis and period on the X axis) for each patient from the content extracted in step S100. Further, the chart instruction item disassembly function unit 50b stores the created execution calendar in the instruction item execution calendar DB 60 (step S110). In this way, in the instruction item implementation calendar DB 60, information on implementation items based on instructions from the doctor is stored for each patient as an implementation calendar for a predetermined period. The implementation calendar is periodically updated according to the update of the electronic medical record information.

  Here, it is assumed that a user performs a search input of an implementation item for a patient from the input device 32 of the client terminal 30 (step S200). At this time, a navigation screen is displayed on the display device 35 of the client terminal 30 by an application used at the time of search. The navigation screen has a list of “execution items” to be displayed on the screen and an input field for “period (calendar display period)” to be displayed on the screen, and the user appropriately inputs those input items. . The input information is transmitted from the implementation item request unit 30b to the medical record instruction item reference function unit 50c of the server computer 50 (step S120). Then, the medical record instruction item reference function unit 50c extracts an execution calendar for “period (calendar display period)” of the “execution item” from the instruction item execution calendar DB 60 based on the received input information, and sends it to the client terminal 30. Transmit (step S130).

  Also, the medical record instruction item reference function unit 50c generates a schedule presence / absence of “out of period” (past direction) of each “execution item” from the instruction item execution calendar DB 60 from the calendar display period as a base point, and sends it to the client terminal 30. Transmit (step S140).

  Further, the medical record instruction item reference function unit 50c generates a schedule presence / absence of “out of period” (future direction) of each “execution item” from the instruction item execution calendar DB 60 based on the calendar display period, and sends it to the client terminal 30. Transmit (step S150), and the process ends.

  On the other hand, the implementation item receiver 30c of the client terminal 30 displays the implementation calendar received in step S130 on the display device 35 (step S210).

  Further, when the schedule item “present” is received in step S140, the execution item receiving unit 30c activates and displays the “previous button” of the corresponding execution item. On the other hand, when the schedule “none” is received in step S140, the “previous button” of the corresponding execution item is deactivated (step S220).

  Further, when the schedule item “present” is received in step S150, the execution item receiving unit 30c activates and displays the “next button” of the corresponding execution item. On the other hand, when the schedule “none” is received in step S150, the “next button” of the corresponding execution item is deactivated (step S230).

  FIG. 3 shows a display example of the navigation screen displayed on the display device 35 in steps S210, S220, and S230. Here, the execution items of a patient from September 22 to September 28, 2009 are displayed.

  In other words, the implementation calendar received by the implementation item receiving unit 30c in step S210 is displayed in the area 350 of the navigation screen. In addition, in the left and right areas 360 and 370 of the navigation screen, an instruction button of “Previous button” 380 and “Next button” 390 is arranged for each execution item. In FIG. 3, the execution item is set in the Y-axis direction, but when this is set in the X-axis direction, the “Previous button” 380 and the “Next button” 390 are arranged at the upper and lower positions. The design of the instruction button may be an arrow.

  Then, when the schedule item “present” is received in step S140, the execution item receiving unit 30c activates and displays the “previous button” 380 of the corresponding execution item. When the schedule “Yes” is received in step S150, the “next button” 390 of the corresponding execution item is activated and displayed. On the other hand, when the schedule “none” is received in steps S140 and S150, the “previous button” 380 and the “next button” 390 of the corresponding execution items are deactivated. In the “Previous button” 380 and “Next button” 390 in FIG. 3, the black triangle button is activated to mean display, and the white triangle button is meant to be inactive.

  That is, the “previous button” 380 and the “next button” 390 are activated only when information exists outside the calendar display period. Therefore, whether or not information exists outside the calendar display period by simply confirming the active state of the “previous button” 380 and “next button” 390 displayed in the left and right areas 360 and 370 of the respective implementation items on the navigation screen. Therefore, the operability for the user is remarkably improved.

  Further, by defining the mark displayed in the area 350 of the navigation screen as follows, for example, the screen becomes more user-friendly for the user.

-Order not approved: first color (eg red)
-Implementation department not accepted: second color (eg purple)
・ Before implementation (order can be modified (implemented department accepted & before implementation started)): 3rd color (eg yellow)
・ Ongoing (There are unimplemented items): Fourth color (for example, green)
-Completed: fifth color (eg blue)
The mark setting described above may be performed by the medical record instruction item reference function unit 50c of the server computer 50 or may be performed by the implementation item receiving unit 30c of the client terminal 30.

  In the present embodiment, the items to be performed on the patient related to the order information (instruction information) from the doctor are set as search targets, but other specific items may be used. Further, a detailed chart may be read by clicking each mark.

  Further, the specific item may be hierarchized. For example, when a lower layer is folded, it becomes a previous button and a next button for all items included in the lower layer.

  Furthermore, the calendar display period can be moved by pressing the “Previous button” 380 or the “Next button” 390. Further, the moved date can be reflected in the display date of the progress chart and the chart No. 2 sheet.

  FIG. 5 shows a state in which the data “2009/9/23, neurology, hospitalization” exists at the leftmost end ((a) of FIG. 5), and the front button 380a of “sample examination” is moved with the mouse of the input device 35. A display example when clicked (pressed once) is shown. As a result, as shown in FIG. 5B, the data “2009/9/23, neurology, hospitalization” is moved to the third column from the left and displayed.

  In other words, the fact item request unit 30b notifies the medical record instruction item reference function unit 50c of the server computer 50 that the front button 380a of the “specimen test” which is one of the implementation items is clicked. In response to this, the chart instruction item reference function unit 50c accesses the instruction item execution calendar DB 60 and searches for the closest examination date (execution date :) in the past direction outside the calendar display period of “sample examination”. The information of the inspection date (implementation date) is transmitted to the client terminal 30 so as to be displayed at the leftmost end of the area 350 of the navigation screen. In addition, the medical record instruction item reference function unit 50c reads a new implementation calendar for the same period (future direction) from the examination date, transmits it to the client terminal 30, and displays it on the display device 35. These procedures are the same as the operations described in FIG. In the example of FIG. 5, in response to the click operation of the front button 380a, it jumped to “2009/9/21, neurology, hospitalization”, and the day was the closest examination date in the past direction of “sample examination” Is shown. Therefore, in FIG. 5B, a new implementation calendar from September 21, 2009 to September 27, 2009 is displayed. In this case, the next button 390b of “inspection 3567890” is changed to active display. That is, instead of hiding the 9/28 and 9/29 implementation calendars from the screen, the next button 390b is changed to the active display.

  Further, the medical record instruction item reference function unit 50c accesses the instruction item execution calendar DB 60 and sets “out of period” (past direction) as the base point of the examination date closest to the past direction outside the “sample examination” calendar display period. A schedule presence / absence is newly generated and transmitted to the client terminal 30. In addition, with the examination date as a base point, the presence / absence of “out of period” (future direction) schedule is newly generated and transmitted to the client terminal 30. In FIG. 5B, the all-next button in the area 360 is changed to inactive display. In other words, it means that there is no implementation calendar before that.

  As a result, the areas 360 and 370 of the navigation screen of the display device 35 include a new execution calendar that is based on the closest examination date in the past direction outside the “sample examination” calendar display period, and is outside the new calendar display period. Is displayed in an active state or an inactive state.

  In the example of FIG. 6, in the state in which the data “2009/9/27, neurology, hospitalization” exists at the rightmost end ((a) of FIG. 6), the next button 390 a of “sample test” is set on the input device 35. A display example when the mouse is clicked (pressed once) is shown. As a result, in FIG. 6B, the data “2009/9/27, neurology, hospitalization” is moved to the third column from the right and displayed.

  In other words, the fact item request unit 30b notifies the medical record instruction item reference function unit 50c of the server computer 50 that the next button 390a of the “specimen test” which is one of the implementation items is clicked. In response to this, the chart instruction item reference function unit 50c accesses the instruction item execution calendar DB 60 to search for the closest examination date in the future direction outside the “sample examination” calendar display period. Information is transmitted to the client terminal 30 so as to be displayed at the rightmost end. In addition, the medical record instruction item reference function unit 50c reads a new implementation calendar for the same period (past direction) from the examination date, transmits it to the client terminal 30, and displays it on the display device 35.

  In the example of FIG. 6, in response to the click operation of the next button 390a, it jumps to “2009/9/29, surgery, outpatient” and the day is the closest examination date in the future direction of “specimen examination”. Show. Therefore, in FIG. 6B, a new implementation calendar from September 23, 2009 to September 29, 2009 is displayed. In this case, the front buttons 380b of “medical record 456789”, “medicine”, “examination 3567890”, “specimen examination”, and “chemical examination” are changed to active display. That is, instead of hiding the implementation calendars 9/21 and 9/22 from the screen, the four front buttons 380b are changed to active display.

  Further, the medical record instruction item reference function unit 50c accesses the instruction item execution calendar DB 60 to set the “out of period” (future direction) as the base point of the examination date closest to the future direction outside the “sample examination” calendar display period. A schedule presence / absence is newly generated and transmitted to the client terminal 30. In addition, with the examination date as a base point, the presence / absence of the “out of period” (past direction) schedule is newly generated and transmitted to the client terminal 30. In this case, the next button 390c of “inspection 3567890” is changed to an inactive display.

  As a result, the areas 360 and 370 of the navigation screen of the display device 35 are not included in a new calendar display period outside the calendar display period of the “specimen test” and a new implementation calendar based on the closest examination date in the future direction. Is displayed in an active state or an inactive state.

  In FIG. 7, “2009/9/21, surgery, outpatient” data is present at the rightmost end ((a) of FIG. 7) in response to the click operation of the “medicine” front button 380e “ Jumped to "Feb 16, 2008, Surgery, Hospitalization" and shows that the day was the closest examination date in the past direction of "medicine". FIG. 7B shows an example in which a new implementation calendar from February 10, 2008 to February 16, 2008 is displayed according to the presence or absence of a schedule. At this time, in order to indicate the reason why the display period has changed, the line of the front button 380e has a different display format from the other lines. As a result, the user can understand at a glance what operation the implementation calendar has been switched to. In this way, by clicking the previous button or the next button, it is possible to immediately jump to the corresponding inspection date.

  According to the present embodiment, it is possible to easily search for the schedule / actual result of a medical practice for a patient (subject) by the navigation function of the electronic medical record.

  The present invention is not limited to the above-described embodiment, and can be appropriately changed in design without departing from the gist of the present invention.

10, 20, 30 ... client terminal 30a ... chart input control unit 30b ... action item request part 30c ... action item receiving part 32 ... input device 35 ... display device 50 ... server computer 50a ... chart registration function part 50b ... chart instruction item disassembly Function part 50c ... Medical record instruction item reference part 60 ... Instruction item execution calendar DB
70 ... chart information management DB
80 ... Patient information DB

Claims (7)

An electronic medical chart display system in which a client terminal and a server computer are connected,
An instruction item implementation calendar DB provided in the server computer, in which information on implementation items based on instructions from a doctor for each patient is stored as an implementation calendar for a predetermined period;
An input unit provided in the client terminal, for inputting an execution item and a calendar display period, and a display device for displaying the execution calendar read from the server computer;
The server computer reads the execution item input from the client terminal and the execution calendar corresponding to the calendar display period from the instruction item execution calendar DB and transmits the read instruction item to the client terminal, and the instruction item execution calendar DB. The schedule presence information outside the calendar display period in the past direction and the future direction based on the calendar display period with reference to is generated and transmitted to the client terminal for each execution item,
The client terminal displays the received execution calendar on the display device, and activates an instruction button for each execution item provided in the left, right, or upper area of the displayed execution calendar according to the schedule information. The electronic medical record display system is inactivated according to the non-schedule information. The server computer is further provided with a chart information management DB,
The electronic medical chart display system according to claim 1, wherein the execution calendar stored in the instruction item execution calendar DB is automatically created from the medical chart information management DB.   When one of the instruction buttons in the active state is instructed, the server computer accesses the instruction item implementation calendar DB, and is an implementation item indicated by the instructed instruction button, and the calendar period The execution date of the execution item recorded in the nearest past direction or the future direction outside is searched, and a new execution calendar including the execution date is transmitted to the client terminal. Electronic medical record display system.   When the client terminal displays the received new implementation calendar, the implementation item information of the implementation date in the nearest past direction or future direction outside the calendar period is displayed at the end of the new implementation calendar. The electronic medical chart display system according to claim 3. The server computer also accesses the instruction item execution calendar DB to obtain new schedule presence / absence information outside the calendar display period of the past direction and the future direction based on the calendar display period of the new execution calendar. Generated and sent to the client terminal,
The client terminal displays the new implementation calendar received on the display device, activates an instruction button for each implementation item according to the new schedule presence information, and responds to the new schedule no information The electronic medical chart display system according to claim 3, wherein the electronic medical chart display system is inactive. A server computer having an instruction item execution calendar DB in which information on an execution item based on an instruction from a doctor for each patient is stored as an execution calendar for a predetermined period, an input means for inputting an execution item and a calendar display period, and the server computer A display program executed by the server computer of the electronic medical record display system to which a client terminal having a display device for displaying the implementation calendar read from
The implementation item input from the client terminal and the implementation calendar corresponding to the calendar display period are read from the instruction item implementation calendar DB and transmitted to the client terminal,
A schedule presence / absence information outside the calendar display period in the past direction and the future direction based on the calendar display period is generated for each execution item with reference to the instruction item execution calendar DB, and transmitted to the client terminal. Display program. A server computer having an instruction item execution calendar DB in which information on an execution item based on an instruction from a doctor for each patient is stored as an execution calendar for a predetermined period, an input means for inputting an execution item and a calendar display period, and the server computer A display program executed by the client terminal of the electronic medical record display system to which a client terminal having a display device that displays the implementation calendar read from
Receiving the implementation item read from the instruction item implementation calendar DB of the server computer and the implementation calendar according to the calendar display period;
Receiving schedule presence / absence information outside the calendar display period in the past and future directions based on the calendar display period generated by the server computer;
The execution calendar received on the display device is displayed, and an instruction button for each execution item provided in the left and right or upper and lower areas of the displayed execution calendar is activated according to the schedule presence information, and the schedule no A display program characterized by being inactive according to information.

Images