JP2015153148A - Electronic medical chart server, electronic medical chart display method, program, and electronic medical chart system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide an electronic medical chart server or the like which is high in convenience, and improved in the efficiency of a task.SOLUTION: The medical information of a patient is displayed at terminal equipment 2 in accordance with the items of a medical chart set by a user by an in-facility server 4. A disease name search part 12 is configured to search a disease name from the medical information of the patient. A patient information acquisition part 13 is configured to acquire the medical information of the patient. An item acquisition part 14 is configured to, from user information in which the disease name, user ID, user attributes and the items of the medical chart are preliminarily associated with each other, acquire the items of the medical chart associated with the user ID input from the outside or the user attributes related to the input user ID and the searched disease name. An edition part 16 is configured to edit the acquired medical information of the patient in accordance with the acquired items, and to output it as an electronic medical chart. When any item is not set by the user, the medical information of the patient is displayed in accordance with the items set in accordance with the job classification of the user.

Description

  The present invention relates to an electronic medical record server for displaying medical chart information stored as data on a terminal device.

  In recent years, electronic medical record systems that support medical care of medical staff by storing and managing electronic information such as medical records and test results in a database and displaying them on a computer have become widespread.

  The more medical information is stored in the database, the more information is available to the user and the more knowledge is gained from the electronic medical record system. However, it is sometimes a burden for the user to input a lot of medical information and to search and output the target medical information from a lot of information. Patent Document 1 describes a medical support program that accumulates the name of a patient's disease, items to be examined, and the like, and supports the input of examination items for the disease name based on the accumulated information (Patent Document 1). 1).

JP 2010-237800 A

  However, the above prior art does not take into account how the stored information is displayed on the screen, and is insufficient for the user to obtain knowledge from the screen display that is useful for judgment in medical practice.

  The present invention has been made in view of the above problems, and an object thereof is to provide an electronic medical record server or the like that is highly convenient and can improve the efficiency of business.

  In order to achieve the above-described object, the first invention includes a disease name search unit that searches for a disease name from patient medical information, a patient information acquisition unit that acquires the medical information of a patient, a disease name, a user ID, a user attribute, and An item acquisition unit that acquires, from user information associated with a medical chart item in advance, a user ID input from the outside or a user attribute relating to the input user ID and a medical record item related to the searched disease name; An electronic medical record server comprising: an editing unit that edits the acquired medical information of the patient according to the items of the acquired medical record and outputs the medical information as an electronic medical record.

  The second invention includes a step of searching for a disease name from the medical information of the patient, a step of acquiring the medical information of the patient, and user information in which items of disease name, user ID, user attribute, and medical record are associated in advance. Acquiring a medical record item associated with an externally input user ID or a user attribute relating to the input user ID and the searched disease name, and acquiring the medical information of the acquired patient; Editing in accordance with the item of the medical chart and displaying it as an electronic medical chart.

  According to a third aspect of the present invention, the computer includes a disease name search unit that searches for a disease name from patient medical information, a patient information acquisition unit that acquires patient medical information, a disease name, a user ID, a user attribute, and a medical record. Item acquisition means for acquiring a medical record item associated with the user ID input from the outside or the user attribute related to the input user ID and the searched disease name from the associated user information; It is a program for editing the medical information according to the acquired item of the medical chart and functioning as an editing unit that outputs the medical information as an electronic medical chart.

  According to a fourth aspect of the present invention, there is provided an electronic medical record system in which an electronic medical record server that outputs an electronic medical record and a terminal device that displays the output electronic medical record are connected via a network. The terminal from the disease name search unit for searching for the disease name from the medical information of the patient, the patient information acquisition unit for acquiring the medical information of the patient, and the user information in which the items of disease name, user ID, user attribute, and medical record are associated in advance. An item acquisition unit for acquiring a medical record item associated with a user ID input from the device or a user attribute relating to the input user ID and the searched disease name, and acquiring the acquired medical information of the patient An electronic medical record system, comprising: an editing unit that edits the medical record according to the item and outputs the result as an electronic medical record A.

  According to the present invention, it is possible to provide an electronic medical record server or the like that is highly convenient and can improve business efficiency.

Overall configuration diagram of electronic medical record system 1 The figure which shows the function structure of the server 4 in a facility, and the structure of a database. The figure which shows the example of each table stored in electronic medical record DB51 The figure which shows the example of each table stored in user DB52 Flowchart for explaining the overall flow of the chart display processing according to the present invention The flowchart explaining the detail of the medical chart display process of 1st Embodiment The figure which shows the example of a screen display 800 which displayed the medical examination list | wrist 511. The figure which shows the example 810 of a screen display which displayed the medical chart display 811 The figure which shows the example of a screen display 820 which displayed the chart display 821 and the message 822 The figure which shows the example of a screen display 830 when a user sets an item to the item table 522. The figure which shows the function structure of the item management server 6, and the structure of a database. The figure which shows the example of each table stored in item management DB71 The flowchart explaining the detail of the medical chart display process of 2nd Embodiment The figure which shows the example of a screen display 900 which displayed the chart display 901,902 in parallel The figure which shows the example 910 of a screen display which displayed the time-sequential chart display 912 and the message 911 The flowchart explaining the flow of processing of the in-facility server 4 and the item management server 6 when a reference destination is set in the reference table 523. The figure which shows the example 920 of a screen display when a user sets a reference destination to 523 to a reference table.

  Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the accompanying drawings.

(1. First embodiment)
(1.1 Outline of configuration of electronic medical record system 1)
With reference to FIG. 1, the electronic medical chart system 1 of this invention is demonstrated. The electronic medical chart system 1 is a system that displays medical charts on the terminal device 2 and supports medical care and nursing.

  A medical practitioner reads a medical chart and extracts a description necessary for medical treatment or treatment. However, there are many items in the medical chart, and it takes time to find a necessary description. The electronic medical record system 1 of the present invention displays the medical record items set by the user, instead of displaying the medical chart in a standard format such as a paper medical record.

  Specifically, the in-facility server 4 automatically displays the medical information of the patient on the terminal device 2 at the time of the diagnosis according to the medical chart items set in advance according to the patient's disease name (including the suspected disease name). For example, if the item of the medical record of a diabetic patient is set as “blood glucose level” as the first item to be displayed, “HbAlc value” as the second item, “prescription / injection” as the third item, When a diabetic patient is examined, information on these items is displayed on a chart on the screen.

An electronic medical chart system 1 shown in FIG. 1 includes a terminal device 2 used by a user, an in-facility server 4 that provides medical records and the like to the terminal device 2, and various types that are connected to the in-facility server 4 and used by the in-facility server 4 A storage device 5 for storing information, an item management server 6 for managing medical record items, a storage device 7 connected to the item management server 6 for storing various information used by the item management server 6, a network 3, and the like It is prepared for. The method of connecting the terminal device 2 to the network 3 (broken line in FIG. 1) may be wireless or wired.
The item management server 6 and the storage device 7 are used in a second embodiment described later.

  One medical facility includes at least the terminal device 2, the in-facility server 4, and the storage device 5. 1 is a medical facility provided with a terminal device 2, an in-facility server 4 and a storage device 5, as well as a medical facility including a terminal device 2a, an in-facility server 4a and a storage device 5a, a terminal device 2b, A case where there is a medical facility including the in-facility server 4b and the storage device 5b is shown. The item management server 6 and the storage device 7 are installed in any medical facility or data center.

  The terminal device 2 is a general computer used by a user who performs medical care or nursing. The terminal device 2 is used not only for browsing the medical record provided from the in-facility server 4 and inputting medical records, but also for inputting information used in the electronic medical record system 1.

  The in-facility server 4 is an electronic medical record server that creates a chart display and provides it to the terminal device 2 in order to display the items set by the user on the terminal device 2 in the order set by the user. The in-facility server 4 obtains patient medical information and user information necessary for creating the chart display from the storage device 5 and provides the information stored in the storage device 5 to the item management server 6.

  The in-facility server 4 includes a control unit 10, a storage unit 41, an input / output unit 42, a display unit 43, a communication unit 44, and a system bus 45 for connecting them.

  The control unit 10 reads a program, data, and the like for realizing the function of the terminal device 2 from the storage unit 41, and executes processing based on the program and data.

  The storage unit 41 stores various information transmitted from the item management server 6 via the communication unit 44 in addition to programs.

  The input / output unit 42 is a device used when an operator inputs / outputs data to / from the in-facility server 4 such as a keyboard and a media device. The display unit 43 is a display device such as a liquid crystal panel, and is used when an operator or the like operates the in-facility server 4.

  The storage device 5 is a storage device such as a hard disk and is connected to the in-facility server 4. The storage device 5 is provided with an electronic medical record DB 51 and a user DB 52, which are databases, and holds various kinds of information in these.

  The electronic medical record DB 51 holds information about patients such as disease names and medical records. The user DB 52 holds information about the user such as authentication information and chart items set by the user. The storage device 5 may be a storage device provided in the in-facility server 4.

  The item management server 6 and the storage device 7 will be described in the second embodiment.

(1.2 Functional configuration of in-facility server 4)
The functional configuration of the in-facility server 4 will be described with reference to FIG. The control unit 10 of the in-facility server 4 reads out and executes a program stored in the storage unit 41, thereby obtaining a diagnosis list acquisition unit 11, a disease name search unit 12, a patient information acquisition unit 13, an item acquisition unit 14, and a reference. The functions of the item acquisition unit 15 and the editing unit 16 are realized. Further, a storage device 5 is connected to the in-facility server 4, and each unit uses information stored in the storage device 5.

  The medical examination list acquisition unit 11 acquires a medical examination list from the database, transmits it to the terminal device 2, receives the selection of the patient from the medical examination list, and outputs its ID. Specifically, based on the user ID received from the terminal device 2 via the communication unit 44, a medical examination list is acquired from the medical examination list 511 of the electronic medical record DB 51, and this is transferred to the terminal device 2 via the communication unit 44. Send. Next, the examination list acquisition unit 11 receives the selection of the patient in the examination list from the terminal device 2 via the communication unit 44 and sends the ID of the selected patient to the disease name search unit 12 and the patient information acquisition unit 13.

  The disease name search unit 12 searches the patient's disease name from the patient's medical information and outputs the obtained disease name. Specifically, the disease name table 513 of the electronic medical record DB 51 is searched based on the patient ID, and the disease name given to the patient is acquired. Next, the acquired disease name is sent to the item acquisition unit 14 and the reference item acquisition unit 15. If the disease name of the patient is not registered in the disease name table 513, the disease name search unit 12 generates a flag indicating that the disease name is not registered, and sends the flag to the editing unit 16.

  The patient information acquisition unit 13 acquires patient medical information from the database. Specifically, based on the patient ID, patient medical information is acquired from the patient information table 512, disease name table 513, examination table 514, order table 515, medical record form 516, etc. of the electronic medical record DB 51, and the editing unit 16 Send to.

The item acquisition unit 14 associates an externally input user ID or a user attribute related to the input user ID and a searched disease name from user information in which disease name, user ID, user attribute, and medical record items are associated in advance. Get the items in the chart. Specifically, from the item table 522 of the user DB 52, the item of the medical chart associated with the user ID received from the terminal device 2 via the communication unit 44 or the job title of the user and the disease name sent from the disease name search unit 12 To get. Next, the disease name and the obtained item are sent to the editing unit 16. If no disease name is set in the item table 522 by the user ID, the item acquisition unit 14 generates a flag indicating that the disease name is not set, and sends the flag together with the disease name to the editing unit 16.
Regarding the patient's disease name, the items set by the user are acquired from the database.

  The reference item acquisition unit 15 acquires items set by other users as reference items. Since the function of the reference item acquisition unit 15 is used in the second embodiment, details will be described in the second embodiment.

  The editing unit 16 edits the acquired patient medical information in accordance with the acquired item and outputs it as an electronic medical record. Specifically, various medical information of the patient sent from the patient information acquisition unit 13 is edited according to the item sent from the item acquisition unit 14 or the reference item sent from the reference item acquisition unit 15 to create a medical chart display Then, this is transmitted to the terminal device 2 via the communication unit 44. When a flag indicating that the disease name is not registered or not set or a flag indicating that the reference destination is not set is received, a message to that effect is generated and transmitted to the terminal device 2. The editing unit 16 also outputs a chart display for displaying patient information in time series, a chart display for first visit, and the like according to the received flag.

(1.3 Database of storage device 5)
The storage device 5 is provided with an electronic medical record DB 51 and a user DB 52 which are databases.

FIG. 3 is a diagram illustrating an example of each table stored in the electronic medical record DB 51.
The electronic medical record DB 51 stores a medical examination list 511, a patient information table 512, a disease name table 513, an examination table 514, an order table 515, and a medical record format 516.
The user DB 52 stores a user table 521, an item table 522, and a reference table 523.

  The examination list 511 is a list of patients scheduled to be examined. After the user logs in to the electronic medical chart system 1, it is displayed on the terminal device 2, and the user selects a patient from the examination list 511 (see FIG. 7).

The patient information table 512 holds patient personal information and the like. For example, as shown in FIG. 3A, the patient ID, patient name, sex, date of birth, age, and the like.
The disease name table 513 holds disease names diagnosed by the patient. The information in the disease name table 513 includes a patient ID, a disease name registration date, and a diagnosed disease name, as shown in FIG.
The examination table 514 holds patient examination results. The information in the examination table 514 includes a patient ID, an examination date, and an examination result as shown in FIG. The inspection result is handled as an “item” in an item table 522 described later. For example, for a patient with diabetes, blood glucose level and HbAlc level are items.

The order table 515 holds the treatment or treatment for the patient. As shown in FIG. 3D, the information in the order table 515 includes an order number, an order type, a patient ID, an order execution date, and an order content. The order type is handled as an “item” in an item table 522 to be described later. For example, “item” includes prescription, injection, treatment, and the like.
The medical chart format 516 holds a medical chart format such as a medical chart for first visit. The format of the medical chart is used for displaying on the screen of the terminal device 2 when the medical information of the patient is not registered in the electronic medical chart DB 51 (not shown).

FIG. 4 is a diagram illustrating an example of each table stored in the user DB 52.
The user DB 52 stores a user table 521, an item table 522, and a reference table 523. By using the information of the two tables of the user table 521 and the item table 522 in combination, user information in which items of disease name, user ID, user attribute, and medical record are associated is realized.

  The user table 521 holds user ID information. The registered users are only users belonging to the facility where the terminal device 2 is installed, and the user information is used for authentication at the time of login. As shown in FIG. 4A, the information in the user table 521 includes a user ID, a user name, a password, a job type, a charge, and the like. The user includes not only an individual but also a category of job type.

  The item table 522 holds chart items set by the user. As shown in FIG. 4B, the information in the item table 522 includes a disease name, a user ID, a user job title, an item 1, an item 2, an item 3,... (In order of display) and the like. Is set by According to the items acquired from the item table 522 and their order, the terminal device 2 displays the patient's medical information on the screen.

  The item table 522 holds not only items set by individual users but also items set by job category. For example, the user ID: D0X00 is a category of occupations such as all doctors of this facility. The contents of the medical chart that the user wants to browse tend to vary depending on the job type, so if you set items for each job type according to that trend, the user will be associated with the job type of the user without having to set the items individually Items can be acquired. In the present embodiment, the item table 522 holds the settings based on such job category, so that it is possible to view the chart by the item desired by the user regardless of the presence or absence of individual settings. Also, in the case of a rare disease that the user contacts for the first time, the presentation of such items is a reference for the user when performing medical care or nursing.

  The reference table 523 holds reference destinations such as other users that the user wants to refer to and occupations of other facilities. As shown in FIG. 4C, the information in the reference table 523 includes a disease name, a user ID, a reference destination facility, a reference destination job type, a reference destination user name, a reference destination user ID, and the like. Based on the reference destination of the reference table 523, items set in the all facility item table 711 (described later) are acquired as reference items (details will be described in the second embodiment).

  The functional configuration of the item management server 6 and the database of the storage device 7 will be described in the second embodiment.

(1.4 Operation of in-facility server 4)
Next, with reference to FIG. 5 and FIG. 6, the operation of the in-facility server 4 in this embodiment will be described.
FIG. 5 is a flowchart for explaining the flow of processing executed by the in-facility server 4 after the user logs in to the system.

  When the user logs in to the system, the control unit 10 of the in-facility server 4 acquires a user ID (step S101). Here, the user may set items (described later).

  The control unit 10 acquires a medical examination list 511 corresponding to the user ID from the electronic medical record DB of the storage device 5 and displays it on the terminal device 2 (see step S102 and FIG. 7).

  When the user selects a patient from the examination list 511 displayed on the terminal device 2, the control unit 10 of the in-facility server 4 accepts the selection, acquires the patient ID from the terminal device 2 (step S103), and records the patient's medical record. Is displayed on the terminal device 2 (see step S104, FIG. 8).

  Steps S102 to S104 are repeated for each patient until the examination is completed (step S105).

  Next, the process of displaying the patient chart in step S104 on the terminal device 2 will be described. FIG. 6 is a flowchart illustrating the process flow of step S104.

  When the patient ID is acquired, the control unit 10 of the in-facility server 4 searches the disease name table 513 of the electronic medical record DB 51 to determine whether the patient has a disease name (step S110) and acquires the patient's disease name (step S111). If no disease name is registered in the patient in the disease name table 513, the control unit 10 generates an unregistered flag (step 112), and the process proceeds to step S117.

  When the disease name is acquired, the control unit 10 searches the item table 522 of the user medical record DB 52 to determine whether the disease name is set by the user ID (step S113), and acquires the item set by the user regarding the disease name (step S114).

  In step S113, when the disease name is not set by the user ID in the item table 522, the control unit 10 searches the item table 522 to determine whether the disease name is set by the job type of the user ID (step S115). The item set by job type is acquired (step S114). If no disease name is set in the item table 522 in step S115, the control unit 10 generates an unset flag (step S116), and the process proceeds to step S117.

  Next, the control unit 10 of the in-facility server 4 acquires the medical information of the patient corresponding to the patient ID from the patient information table 512, the disease name table 513, the examination table 514, and the order table 515 of the electronic medical record DB 51 (step S117). To do. Further, these pieces of information are edited according to the items acquired in step S114, and are displayed on the terminal device 2 as a chart display 811 (FIG. 8) or a chart display 821 (FIG. 9) (step S118).

  However, if the patient does not have a disease name and an unregistered flag is generated in step S112, and if no disease name is set for either the user ID or occupation, the unset flag is generated in step S116. Since there is no item related to the disease name, the control unit 10 creates a medical chart display 912 (FIG. 15) in which the medical information of the patient acquired in step S117 is arranged in time series, and the disease name is not registered in the patient, or Displayed with a message indicating that the item is not set.

  In addition, when there is no patient information in the electronic medical record DB 51 because the patient is the first visit, the control unit 10 acquires the format of the first medical record from the medical record format 516 and displays it on the terminal device 2.

When there are a plurality of disease names of patients, Steps S110 to S118 are repeated for all disease names (Step S119).
As described above, the control unit 10 of the in-facility server 4 obtains necessary information from each table by using the disease name as a key, and automatically supplies the medical information of the patient according to the chart item set by the user. 2 can be displayed.

(1.5 Screen display example)
With reference to FIGS. 7-9, the example of a screen display displayed on the terminal device 2 by the control part 10 of the server 4 in a facility is demonstrated.
FIG. 7 is a screen display example 800 when the examination list 511 is displayed in step S102.
In the screen display example 800, the name of the logged-in user and the examination list 511 obtained from the electronic medical record DB 51 are displayed. The examination list 511 displays the age and sex obtained from the patient information table 512 of the electronic medical record DB 51 and the disease name obtained from the disease name table 513 in addition to the patient name and patient ID. The user can select a patient from this list.

FIG. 8 shows a screen display example 810 that is displayed when the item table 522 has user item settings. In the medical chart display 811 of the screen display example 810, the medical information of the patient obtained from the electronic medical chart DB 51 is edited according to the user's item obtained from the item table 522.
For example, when displaying information of Mr. Taro Suzuki (patient ID: PM001) who is a diabetic patient on the screen, Dr. Mio Watanabe (user ID: D0001) displays “blood glucose level” in item 1 and “ Since “prescription / injection” in item 3 is preset in item table 522, “blood glucose level”, “HbAlc value”, “ The information “Prescription / Injection” is edited and displayed in the chart display 811.
The chart display 811 is displayed as a tab for each disease name, and can be switched, and a graph or a table can also be displayed. In addition, the user may be able to change item settings on this screen.

  FIG. 9 is a screen display example 820 that is displayed when there is no user item setting in the item table 522, but there is an item set in the user occupation. In the screen display example 820, a message 822 indicating that no item is set for the disease name is displayed. In the medical chart display 821, patient information obtained from the electronic medical chart DB 51 is edited according to items set in occupation.

  For example, if the logged-in user doctor does not set an item related to diabetes in the item table 522, “all doctors in this facility” (user ID: D0X00), which is a category of occupations for all doctors in the facility. ), In the item table 522, “blood glucose level” in item 1 for diabetes, “HbAlc value” in item 2, and “prescription / injection” in item 3 are set in advance in accordance with this item. The chart display 821 of Mr. Taro (patient ID: PM001) is edited and displayed. Further, since the item is not set, the message 822 is presented to the user that the chart is displayed according to the item by occupation as an alternative. A user who has not set an item in the item table 522 may change the setting of the item on this screen.

Here, the process of setting items in the item table 522 (FIG. 4B) of the user DB 52 will be described with reference to FIG. Items may be set when the user logs in.
The control unit 10 of the in-facility server 4 displays a setting screen such as the screen display example 830 shown in FIG. 10 on the terminal device 2 and prompts the user to input settings. In the screen display example 830, an item table 522 is displayed. While referring to the items set by other users, the user selects another user from this table, and copies the settings to reflect them in his / her own items. can do.

  As described above, in the electronic medical record system 1 of the present embodiment, the disease name search unit 12 searches for a disease name from the patient's medical information, the patient information acquisition unit 13 acquires the patient's medical information, and the item acquisition unit 14 From the user information in which the disease name, the user ID, the user attribute, and the medical record item are associated in advance, the user ID input from the outside or the user attribute related to the input user ID and the medical record item related to the searched disease name The editing unit 16 edits the acquired medical information of the patient according to the acquired item, and outputs it as an electronic medical record. Thereby, the user can browse the required description immediately from a lot of patient information. Since the chart items set by the user are displayed, it is unnecessary for the user to find the necessary information and the time and effort compared to displaying the chart in a standard format such as a paper chart. . In addition, the user can start medical treatment and nursing promptly and can improve the efficiency of work.

  In particular, if items relating to disease names are set in advance, the items are displayed on the terminal device 2 at the start of diagnosis and nursing for patients whose disease names are already registered, which is highly convenient for the user. If important items regarding the disease name are set, important information can be prevented from being overlooked even in the medical record, and the quality of medical care and nursing performed by the user can be improved.

  Further, in the electronic medical record system 1, when there is no item setting by the user, the patient's medical information is displayed according to the item set by the user's job type. If items that are generally important regarding the disease name are set in advance for each occupation, the user can view the patient's medical information using these items even if the user does not set the item regarding the disease name.

(2. Second Embodiment)
The electronic medical chart system 1 according to the second embodiment displays items in the medical chart desired by the user described in the first embodiment in the order desired by the user, in addition to items set by other users, The chart is displayed according to the items statistically obtained by all users who use the chart system 1.
In the electronic medical record system 1 of the present embodiment, the in-facility server 4 uses information stored in the item management DB 71 of the storage device 7 via the item management server 6 (see FIG. 1).

(2.1 Functional configuration of in-facility server 4)
In the second embodiment, in order to use the information in the item management DB 71, the control unit 10 of the in-facility server 4 adds the function of the reference item acquisition unit 15 to the function described in the first embodiment. Realize (see FIG. 2).

  The reference item acquisition unit 15 acquires, from the user information, a reference destination associated with the user ID input from the outside and the searched disease name, and refers to the item of the medical record associated with the acquired reference destination Get as. Specifically, the reference destination set by the user is acquired from the reference table 523 of the user DB 52 based on the user ID received from the terminal device 2 via the communication unit 44. Next, the reference item acquisition unit 15 acquires, as a reference item, a reference destination item, that is, an item set by another user, from the item management server 6 via the communication unit 44 based on the acquired reference destination. It is sent to the editorial department 16 together with the disease name. When the reference destination is not set in the reference table 523, the reference item acquisition unit 15 generates a flag indicating that the reference destination is not set, and sends it to the editing unit 16 together with the disease name. In addition, the reference item acquisition unit 15 also sets a reference destination in the reference table 523.

(2.2 Item management server 6 and storage device 7)
Here, the item management server 6 and the storage device 7 (see FIG. 1) used in the present embodiment will be described.
The item management server 6 provides medical record items set by other users to the in-facility server 4 as reference items, and is the same computer as the in-facility server 4. The item management server 6 acquires reference items from the storage device 7, collects items set by the user via the in-facility servers 4, 4 a, and 4 b and stores them in the storage device 7. Further, the item management server 6 creates medical record items and statistics of the display order based on the collected items, and stores them in the storage device 7.

  The storage device 7 is a storage device such as a hard disk and is connected to the item management server 6. The storage device 7 is provided with an item management DB 71, which is a database, and holds information necessary for users and statistics for each facility.

  The functional configuration of the item management server 6 will be described with reference to FIG. The control unit 10 of the item management server 6 implements the functions of the item output unit 61, the item collection unit 62, and the statistics creation unit 63 by reading and executing a program stored in the storage unit 41. In addition, a storage device 7 is connected to the item management server 6, and each unit uses information stored in the storage device 7.

  The item output unit 61 acquires information or items of the entire database from the database. Specifically, when the reference destination is set by the user, the item output unit 61 responds to a request from each of the in-facility servers 4, 4 a, 4 b, and the item output unit 61 stores all facility item tables 711 (described later). From FIG. 12A, the entire facility item table 711 information is sent to each in-facility server 4, 4 a, 4 b via the communication unit 44. Moreover, the item output part 61 acquires an item from all the facility item tables 711 according to the request | requirement from each in-facility server 4, 4a, 4b, and sends it to each in-facility server 4, 4a, 4b as a reference item.

  The item collection unit 62 collects items set by users of all facilities. Specifically, the information of the item table 522 is periodically collected from each user DB 51 via the in-facility servers 4, 4 a, 4 b of each facility, held in the all facility item table 711, and the statistics creation unit 63 Send to.

  The statistics creation unit 63 creates statistics for items set by users of all facilities. Specifically, the order of items is determined from the information in the item table 522 in the descending order of the number of users using the item, and this is added to the all facility item table 711 as an item of all facility statistics. Further, the statistics creation unit 63 holds the number of users for each item in the statistics table 712 as statistical information.

FIG. 12 is a diagram illustrating an example of each table stored in the item management DB 71.
The storage device 7 is provided with an item management DB 71 that is a database, and the item management DB 71 stores an all-facility item table 711 and a statistics table 712.

The all facility item table 711 holds items set by all users of all facilities and items of all facility statistics created by the statistics creating unit 63. The information in the all facility item table 711 includes a disease name, a user ID, a user name, a facility name to which the user belongs, a job title, an item 1, an item 2, an item 3,... (In order of display) (FIG. 12A )). Items set in the all facility item table 711 are used by the in-facility server 4 as reference items.
Note that the items in the all facility item table 711 may be set in the reference table 523 of the user DB 52 as corresponding reference destination items.
Since the item collection unit 62 periodically collects information in the item table 522 from each facility, the all facility item table 711 also holds information regarding users who have changed settings or newly registered users. .

  The statistics table 712 holds information used when the statistics creation unit 63 creates statistics. The information in the statistics table 712 is a disease name, a job type, an item, and the number of users who use the item (see FIG. 12B).

(2.3 Operation of in-facility server 4)
The operation of the in-facility server 4 in this embodiment will be described.
In the present embodiment, the processing executed by the in-facility server 4 after the user logs into the system is the same as that in the first embodiment (see FIG. 5), but the patient chart in step S104 is displayed on the terminal device 2. There is a difference in processing to be displayed.

  FIG. 13 is a flowchart for explaining the processing flow of step S104 in the present embodiment. Steps S210 to S216 of the present embodiment are the same as steps S110 to S116 of the first embodiment, and thus will be described from step S217.

  The control unit 10 of the in-facility server 4 searches the reference table 523 in the user medical record DB 52 to determine whether the reference destination is set by the user ID, and sets the user from the reference table 523 stored in the user DB 52 of the storage device 5. When the obtained reference destination (other user or statistics) is acquired (Y in step S217), the item set by the reference destination is requested to the item management server 6. The control unit 10 of the item management server 6 acquires the requested item from the all-facility item table 711 and transmits it to the in-facility server 4. The in-facility server 4 acquires the item transmitted from the item management server 6 as a reference item (step S218).

  In other words, the reference item is an item set in the all facility item table 711 stored in the item management DB 71 of the storage device 7, and is obtained by statistically calculating items set by other users or items of all users. Item.

  If the reference destination is not set with the user ID in the reference table 523 in step S217 (N in step S217), the control unit 10 generates an unset flag (step S219), and the process proceeds to step S220. .

  Next, the control unit 10 of the in-facility server 4 acquires the medical information of the patient corresponding to the patient ID from the patient information table 512, the disease name table 513, the examination table 514, and the order table 515 of the electronic medical record DB 51 (Step S220). .

  Further, these pieces of information are edited according to the item or reference item acquired in step S218, and are displayed on the terminal device 2 as a chart display 901 or a chart display 902 (FIG. 14 to be described later) (step S221).

  However, if the patient does not have a disease name and an unregistered flag is generated in step S212, and no disease name is set for the user ID or occupation, and no reference destination is set, the unset flag is set in step S219. If generated, since there is no item related to the disease name, the control unit 10 creates a medical chart display 912 (FIG. 15 to be described later) in which the medical information of the patient acquired in step S220 is arranged in time series. Is displayed together with a message 911 indicating that the item has not been registered or that the item has not been set.

  In addition, when there is no patient information in the electronic medical record DB 51 because the patient is the first visit, the control unit 10 obtains the format of the first medical record from the medical record format 516 as in the first embodiment, It is displayed on the terminal device 2.

  When there are a plurality of disease names of patients, Steps S210 to S221 are repeated for all disease names (Step S222).

(2.4 Screen display example)
With reference to FIG. 14 and FIG. 15, the example of a screen display displayed on the terminal device 2 by the control part 10 of the server 4 in a facility is demonstrated.
FIG. 14 shows a screen display example 900 when the item table 522 has user item settings and the reference table 523 has user reference destination settings. In the medical chart display 901 of the screen display example 900, patient information obtained from the electronic medical chart DB 51 is edited according to the item of the user in the item table 522. In the medical chart display 902, patient information is edited according to the reference item obtained from the reference destination indicated by the reference table 523.

  Specifically, in the medical chart display 901, items 1 to 3 relating to diabetes by Dr. Mio Watanabe (user ID: D0001) are set in the item table 522, similar to the above-described medical chart display 811 (FIG. 8). In accordance with these items, among the various information of Mr. Taro Suzuki acquired from the electronic medical record DB 51, information on “blood glucose level”, “HbAlc value”, and “prescription / injection” is edited.

  Further, in the reference table 523, the user name of the reference destination by Dr. Mitsuo Watanabe is set to “doctor all facility statistics”, so the item 1 “set to the user name“ doctor all facility statistics ”in the all facility item table 711 is set. “Blood glucose level”, item 2 “HbAlc value”, item 3 “allergy history” are acquired. In accordance with these items, in the medical chart display 902, information on “blood glucose level”, “HbAlc value”, and “allergy history” is edited among various information of Mr. Taro Suzuki.

The medical chart display 901 and the medical chart display 902 naturally display the medical information of the same patient. However, there are differences in items such as the item type and display order between the user item and the reference destination item. In order to draw the user's attention, the display color, hatching 903 and other differences are highlighted on the screen. By displaying the two chart display 901 and 902 side by side, the user can view the chart from the viewpoint of other users.
Also, items with differences may be added to the user's items in the item table 522 by checking a check box and pressing a copy button.

If the item table 522 has user item settings, but the reference table 523 does not have a reference destination setting, only the chart display according to the user item settings similar to the chart display 901 is displayed. .
Further, when there is no user item setting in the item table 522, if there is an item setting for the user's occupation, the item set according to the user's occupation is the same as the chart display 821 (FIG. 9). Only the chart display is presented. Furthermore, if there is a reference destination setting in the reference table 523, the chart display according to the reference item is displayed in parallel, similar to the chart display 902 (FIG. 14).

  FIG. 15 shows a screen display example 910 in the case where there is no user item setting in the item table 522 and there is no user reference destination setting in the reference table 523. The screen display example 910 displays a message 911 indicating that the item relating to the user's disease name and the reference destination are not set. In the medical chart display 912, patient information obtained from the electronic medical chart DB 51 is edited in time series.

  Here, processing for setting a reference destination in the reference table 523 (FIG. 4C) of the user DB 52 will be described with reference to FIG. The reference destination may be set when the user logs in.

  FIGS. 16A and 16B are flowcharts showing the processing flow of the control unit 10 of the in-facility server 4 and the control unit 10 of the item management server 6 when the reference destination is set.

  The control unit 10 of the in-facility server 4 requests the all-facility item table 711 of the item management DB 71 from the item management server 6 (step S301).

  When the all-facility item table 711 is acquired from the item management server 6, the control unit 10 of the in-facility server 4 displays the all-facility item table 711 on the setting screen (step S302). According to the guidance on the setting screen, the user can select a reference destination with reference to the items of other users.

  When the control unit of the in-facility server 4 receives the input of the reference destination (step S303), the selected reference destination is added to the reference table 523 (FIG. 4C) of the user DB 52 and set as the user reference destination. (Step S304).

  On the other hand, the control unit 10 of the item management server 6 receives a request from the in-facility server 4 (step S305 in FIG. 16B), and transmits the all-facility item table 711 to the in-facility server 4 (step S306).

  In step S302, the control unit 10 of the in-facility server 4 displays the setting screen of the screen display example 920 as shown in FIG. 17 on the terminal device 2 and prompts the user to input the setting. In the screen display example 920, the all facility item table 711 is displayed, and the user can set the reference destination with reference to the items of other users and the items of statistics.

  For example, when Dr. Mitsuo Watanabe designates the occupation category “doctor” of “all facilities” as the reference destination, the screen display example 920 shows that the occupation type is the doctor among the information in the all facility item table 711. Items related to diabetes of a certain user are displayed. When Dr. Mitsuo Watanabe selects “Doctor All Facility Statistics” as a reference destination, the selected reference “Doctor All Facility Statistics” is additionally set in the reference table 523 of the user DB 52 as the reference destination of Dr. Mitsuo Watanabe. In addition to the reference destination, the item may be set in the reference table 523.

  As described above, in the electronic medical chart system 1 of the present embodiment, as in the first embodiment, the user can quickly view necessary descriptions from a lot of patient information, and the necessary information It does not take time to find out, and can start medical care and nursing promptly.

  Furthermore, in the electronic medical chart system 1 of the present embodiment, the user information includes a disease name, a reference destination associated with the user ID or user attribute of another user, and the reference item acquisition unit 15 includes a user ID input from the outside The reference destination associated with the searched disease name is acquired from the user information, the medical record item associated with the acquired reference destination is acquired as the reference item, and the editing unit 16 acquires the medical care of the acquired patient. Edit the information according to the acquired reference item and output it as an electronic medical record. Thereby, since the chart can be displayed not only according to the item set by the user but also according to the item set by another user, the user can view the chart from the viewpoint of another user. Therefore, the user can make a judgment from the viewpoint of other users, and the quality of medical care or nursing can be improved. In addition, since the user can set the reference item as his / her own item, setting items such as a specialist and a skilled nurse can improve the quality of medical care and nursing.

  Moreover, in the electronic medical chart system 1 of this embodiment, the chart display by the item set by the user and the chart display by the reference item can be displayed in parallel, and an item with a difference is highlighted. User attention can be directed to items. As a result, the user can make a comparison with the viewpoints of other users, which can be used for judgment in medical treatment or nursing.

  In the electronic medical record system 1 of the present embodiment, it is possible to create item statistics for all users who use the system and display the statistical items as reference items. And the trend of each facility. In addition, since the statistical items can be set as their own items, the quality of medical care or nursing can be further improved by setting the items of specialized facilities.

  As mentioned above, although suitable embodiment of the electronic medical chart system etc. which concern on this invention was described, this invention is not limited to the above-mentioned embodiment. It will be apparent to those skilled in the art that various changes or modifications can be conceived within the scope of the technical idea disclosed in the present application, and these are naturally within the technical scope of the present invention. Understood.

DESCRIPTION OF SYMBOLS 1 ... Electronic medical record system 11 ... Examination list acquisition part 12 ... Disease name search part 13 ... Patient information acquisition part 14 ... Item acquisition part 15 ... Reference item Acquisition unit 16... Editing unit 2... Terminal device 20... Imaging controller 201... X-ray source 202... X-ray controller 205. ..DAS
3. Network 4, 4a, 4b ... In-facility server 5, 5a, 5b ... Storage device 51 ... Electronic medical record DB
511 ... Examination list 512 ... Patient information table 513 ... Disease name table 514 ... Examination table 515 ... Order table 516 ... Medical record format 52 ... User DB
521 ... User table 522 ... Item table 523 ... Reference table 6 ... Item management server 7 ... Storage device 71 ... Item management DB
711 ... All facility item table 712 ... Statistics table

Claims (10)

A disease name search unit for searching for disease names from patient medical information;
A patient information acquisition unit for acquiring medical information of the patient;
From the user information in which the disease name, user ID, user attribute, and medical record items are associated in advance, the user ID input from the outside or the user attribute related to the input user ID and the medical record associated with the searched disease name An item acquisition unit for acquiring items;
An editing unit that edits the acquired medical information of the patient according to the item of the acquired medical record and outputs it as an electronic medical record;
An electronic medical record server comprising: The user information includes a disease name, a reference destination associated with a user ID or user attribute of another user,
A reference destination associated with the user ID input from the outside and the searched disease name is acquired from the user information, and an item of the medical chart associated with the acquired reference destination is acquired as a reference item. A reference item acquisition unit
The electronic medical record server according to claim 1, wherein the editing unit edits the medical information of the acquired patient according to the acquired reference item and outputs the medical information as an electronic medical record.   3. The electronic medical record server according to claim 2, wherein the user information regarding the other user includes statistics of a disease name, a user attribute, and a medical record for a plurality of users in advance, and includes associated user information.   The electronic medical record server according to claim 1, wherein the user attribute includes a job title of the user or a facility name to which the user belongs.   The electronic medical record server according to claim 1, wherein the editing unit outputs the electronic medical record for each disease name. Retrieving a disease name from a patient's medical information;
Obtaining patient medical information;
From the user information in which the disease name, user ID, user attribute, and medical record items are associated in advance, the user ID input from the outside or the user attribute related to the input user ID and the medical record associated with the searched disease name Obtaining an item;
Editing the acquired medical information of the patient according to the item of the acquired medical record and displaying it as an electronic medical record;
An electronic medical chart display method comprising: Computer
Disease name search means for searching for a disease name from a patient's medical information,
Patient information acquisition means for acquiring patient medical information;
From the user information in which the disease name, user ID, user attribute, and medical record items are associated in advance, the user ID input from the outside or the user attribute related to the input user ID and the medical record associated with the searched disease name Item acquisition means for acquiring items,
Editing means for editing the medical information of the acquired patient according to the item of the acquired medical record and outputting it as an electronic medical record,
Program to function as. An electronic medical record system in which an electronic medical record server that outputs an electronic medical record and a terminal device that displays the output electronic medical record are connected via a network,
The electronic medical record server is
A disease name search unit for searching for disease names from patient medical information;
A patient information acquisition unit for acquiring medical information of the patient;
The user name associated with the disease name, the user ID, the user attribute, and the chart is associated with the user ID input from the terminal device or the user attribute related to the input user ID and the disease name searched. An item acquisition unit for acquiring items in the medical record;
An editing unit that edits the acquired medical information of the patient according to the item of the acquired medical record and outputs it as an electronic medical record;
An electronic medical chart system characterized by comprising: The user information includes a disease name, a reference destination associated with a user ID or user attribute of another user,
An item management server that provides the electronic medical record server with items of a medical record associated with another user;
The electronic medical record server is
A reference destination associated with the user ID input from the outside and the searched disease name is acquired from the user information, and an item related to the acquired reference destination is referred to from the item management server. A reference item acquisition unit to acquire as
9. The electronic medical chart system according to claim 8, wherein the editing unit edits the medical information of the acquired patient according to the acquired reference item and outputs it as an electronic medical record.   The electronic management system according to claim 9, wherein the item management server statistically analyzes disease name, user attribute, and medical record items in advance for a plurality of users, and provides the electronic medical record server with the items from associated user information. Medical chart system.

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