JP2017016216A - Medical examination support system, server device, electronic medical chart device and program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medical examination support system, a server device, an electronic medical chart device and a program capable of sufficiently securing access property between an electronic medical chart and memo information and improving convenience of the electronic medical chart.SOLUTION: An electronic medical chart device 20 comprises: a memo input part (operation part 22) for inputting a memo which is attendant to an electronic medical chart; a memo information sending part (control part 21) for sending the memo information to a server device (data management server 10); a tag information acquisition part (control part 21) for acquiring tag information which indicates attendance of the memo; and a display control part (control part 21) for displaying the tag. The server device comprises: a memo information acquisition part (control part 11) for acquiring memo information; a tag creation part (control part 11) for creating a tag; and a tag information sending part (control part 11) for sending tag information to the electronic medical chart device 20. The display control part displays the corresponding electronic medical chart and the memo, when the tag displayed on an electronic medical chart screen is selected.SELECTED DRAWING: Figure 1

Description

  The present invention relates to a medical care support system, a server device, an electronic medical record device, and a program.

2. Description of the Related Art Conventionally, in the medical field, electronic documents prepared by doctors have been digitized, and electronic medical records that electronically store and manage information such as a patient's medical condition, examination contents, drug prescriptions, etc. have become widespread (for example, , See Patent Document 1).
With the spread of electronic medical records, convenience is improved in data entry to medical records and storage of medical record data. Moreover, the visibility with respect to a large amount of data is improved by the technique of displaying the time-sequential change of the test data performed on the patient and the vital data of the patient by a line graph.

JP 2013-37586 A

  However, with the spread of electronic medical records, there is a problem that the accessibility to information other than the contents described in the actual medical records has decreased. For example, when a medical record is described, there is a case where it is desired to save, as memo information, information about a patient that is not described in the actual medical record. However, this memo information is not associated with a medical record, and as a result, it is difficult to ensure accurate access to the memo information.

  An object of the present invention is to provide a medical care support system, a server device, an electronic medical record device, and a program capable of sufficiently ensuring the accessibility between the electronic medical record and memo information and improving the convenience of the electronic medical record. And

The invention described in claim 1 has been made to achieve the above object,
In a medical treatment support system in which a server device and an electronic medical record device including a display unit that displays an electronic medical record that records a medical practice for each diagnosis are connected to each other so that data communication is possible,
The electronic medical chart device
A memo input unit for inputting a memo attached to the electronic medical record displayed on the electronic medical record screen of the display unit;
Memo information transmission unit for transmitting memo information related to the memo input by the memo input unit to the server device;
A tag information acquisition unit that acquires tag information related to a tag transmitted from the server device and indicating that the memo is attached to the electronic medical record;
Based on the tag information acquired by the tag information acquisition unit, on the electronic medical record screen, a display control unit for displaying a tag of a target patient and satisfying a predetermined display condition;
With
The server device is
A memo information acquisition unit for acquiring memo information transmitted from the electronic medical chart device;
Based on the memo information acquired by the memo information acquisition unit, a tag creation unit that creates the tag;
Tag information transmission unit for transmitting tag information related to the tag created by the tag creation unit to the electronic medical chart device;
With
When the tag displayed on the electronic medical record screen is selected, the display control unit displays an electronic medical record associated with the tag and a memo attached to the electronic medical record on the electronic medical record screen. It is characterized by being displayed.

The invention according to claim 2 is the medical support system according to claim 1,
The electronic medical chart device
A term selection unit that selects terms described in the memo displayed on the electronic medical record screen;
Term information related to the term selected by the term selection unit, and a term information transmission unit that transmits the term information to the server device;
A search result information acquisition unit that acquires search result information related to a past electronic medical record and a past memo including the term, transmitted from the server device;
With
The server device is
A term information acquisition unit for acquiring term information transmitted from the electronic medical chart device;
Based on the term information acquired by the term information acquisition unit, a search unit that searches past electronic medical records and past notes including terms of the term information,
A search result information transmitting unit that transmits search result information related to past electronic medical records and past memos searched by the search unit to the electronic medical record device;
With
The display control unit displays a search result on the electronic medical record screen based on the search result information acquired by the search result information acquisition unit.

The invention according to claim 3 is the medical support system according to claim 2,
The display control unit, in the description of the memo displayed on the electronic medical record screen, displays the past electronic medical record and the term described in the past memo so as to be identifiable,
The term selection unit selects terms described in past electronic medical records and past memos.

The invention according to claim 4 is the medical support system according to any one of claims 1 to 3,
The tag creation unit creates a tag corresponding to the authority of the user who entered the memo,
The display control unit displays the tag so that a user's authority can be identified on the electronic medical chart screen.

The invention according to claim 5 is the medical assistance system according to any one of claims 1 to 4,
The display condition includes a display period,
The display control unit displays only tags within the display period among all tags created for a target patient on the electronic medical chart screen.

The invention according to claim 6 is the medical support system according to claim 5,
When the electronic medical record associated with the tag outside the display period is displayed on the electronic medical record screen, the display control unit displays the tag outside the display period on the electronic medical record screen. And

The invention described in claim 7
For each patient, in the server device connected to the electronic medical chart device having a display unit that displays the electronic medical record recording the medical practice for each diagnosis, and capable of data communication with each other,
A memo information acquisition unit for acquiring memo information transmitted from the electronic medical chart device;
Based on the memo information acquired by the memo information acquisition unit, a tag creation unit that creates a tag indicating that a memo is attached to the electronic medical record;
Tag information transmission unit for transmitting tag information related to the tag created by the tag creation unit to the electronic medical chart device;
It is characterized by providing.

The invention according to claim 8 provides:
In electronic medical chart equipment,
A display unit that displays an electronic medical record that records medical practice for each patient and each diagnosis;
A memo input unit for inputting a memo attached to the electronic medical record displayed on the electronic medical record screen of the display unit;
A memo information acquisition unit for acquiring memo information related to the memo input by the memo input unit;
Based on the memo information acquired by the memo information acquisition unit, a tag creation unit that creates a tag indicating that the memo is attached to the electronic medical record;
A tag information acquisition unit for acquiring tag information related to the tag created by the tag creation unit;
Based on the tag information acquired by the tag information acquisition unit, on the electronic medical record screen, a display control unit for displaying a tag of a target patient and satisfying a predetermined display condition;
With
When the tag displayed on the electronic medical record screen is selected, the display control unit displays an electronic medical record associated with the tag and a memo attached to the electronic medical record on the electronic medical record screen. It is characterized by being displayed.

The invention according to claim 9 is:
For each patient, a computer of a server device connected to an electronic medical record device having a display unit that displays an electronic medical record that records a medical practice for each diagnosis, and capable of data communication with each other,
Memo information acquisition means for acquiring memo information transmitted from the electronic medical chart device;
Tag creation means for creating a tag indicating that a memo is attached to the electronic medical record, based on the memo information acquired by the memo information acquisition means;
Tag information transmitting means for transmitting tag information relating to the tag created by the tag creating means to the electronic medical chart device;
It is a program to make it function as.

  According to the present invention, the accessibility between the electronic medical record and the memo information can be sufficiently secured, and the convenience of the electronic medical record can be improved.

It is a block diagram which shows the main control structure of each apparatus which comprises the medical assistance system which concerns on this embodiment. It is a figure which shows an example of an electronic medical record screen. It is a flowchart which shows the tag creation process of the medical treatment assistance system which concerns on this embodiment. It is a figure which shows an example of a memo input screen. It is a figure which shows an example of a search result display screen. It is a flowchart which shows the relevant information search process of the medical treatment assistance system which concerns on this embodiment. It is a figure which shows an example in which the tag was displayed on the specific position of the medical chart preparation area | region of an electronic medical chart screen.

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

[Description of configuration of medical support system]
As shown in FIG. 1, the medical assistance system 1 according to the present embodiment includes a data management server (server device) 10 and an electronic medical record device 20. Each device constituting the medical care support system 1 is connected to be able to perform data communication via a communication network N such as a LAN (Local Area Network).
In general, DICOM (Digital Image and Communications in Medicine) standard is used as a communication method in a hospital, and DICOM MWM (Modality Worklist Management) or DICOM MPPS (DICOM MPPS) is used for communication between devices connected to a LAN. Modality Performed Procedure Step) is used. Note that the communication method applicable to this embodiment is not limited to this.

  The data management server 10 stores and manages medical data transmitted from the electronic medical chart device 20 or the like via the communication network N. The medical data is data relating to medical care, and includes, for example, patient information, medical record data, examination data, memo data, image data of a medical image obtained by imaging with a modality (not shown), and the like. The data management server 10 provides medical chart data, memo data, medical image image data, and the like in response to a request from an external apparatus such as the electronic medical chart apparatus 20.

  The electronic medical chart device 20 is composed of a PC or the like, and is a computer device having an electronic medical chart display function, an image viewer function, and the like for displaying medical chart data (electronic medical chart) in which one or a plurality of medical treatments are recorded for each patient and for each diagnosis. It is. The electronic medical record device 20 displays an electronic medical record screen G1 (see FIG. 2) based on the medical record data, memo data, and the like acquired from the data management server 10. The electronic medical chart apparatus 20 displays a medical image based on the image data of the medical image acquired from the data management server 10.

[Description of data management server configuration]
As shown in FIG. 1, the data management server 10 includes a control unit 11, an operation unit 12, a display unit 13, a communication unit 14, and a storage unit 15, and each unit includes a bus 16. Connected by.

  The control unit 11 includes a CPU, a ROM, a RAM, and the like, and comprehensively controls processing operations of each unit of the data management server 10. Specifically, the CPU reads various processing programs stored in the ROM in response to an operation signal input from the operation unit 12 or an instruction signal received by the communication unit 14 and expands the program in the RAM. Various processes are performed in cooperation with

  The operation unit 12 includes a keyboard having cursor keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse. The control unit 11 receives operation signals input by keyboard operations or mouse operations. Output to.

  The display unit 13 includes a monitor such as an LCD (Liquid Crystal Display), and displays various screens according to instructions of a display signal input from the control unit 11.

  The communication unit 14 includes a network interface and the like, and transmits and receives data to and from an external device connected via the communication network N. For example, the communication unit 14 receives inspection data acquired by various measuring devices. In addition, the communication unit 14 receives image data obtained by imaging a patient with a modality.

  The storage unit 15 is configured by an HDD, a nonvolatile memory, or the like, and stores various processing programs, parameters, files, and the like necessary for executing the programs. The storage unit 15 includes a user DB for storing and managing information (user information) of users who use the medical care support system 1 and settings (user settings) for each user. The storage unit 15 includes a patient DB for storing and managing patient information, medical record data, examination data, memo data, image data, and the like for each patient. The patient information is information including, for example, patient ID, patient name, sex, age, address, weight, height, body temperature, medical examination result, entry date, and the like.

[Description of configuration of electronic medical chart device]
As shown in FIG. 1, the electronic medical chart apparatus 20 includes a control unit 21, an operation unit 22, a display unit 23, a communication unit 24, and a storage unit 25, and each unit includes a bus 26. Connected by.

  The control unit 21 includes a CPU, a ROM, a RAM, and the like, and comprehensively controls the processing operation of each unit of the electronic medical chart apparatus 20. Specifically, the CPU reads various processing programs stored in the ROM in response to an operation signal input from the operation unit 22 or an instruction signal received by the communication unit 24, and expands the program in the RAM. Various processes are performed in cooperation with

  The operation unit 22 includes a keyboard having cursor keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse. The control unit 21 receives operation signals input by key operations or mouse operations on the keyboard. Output to.

  The display unit 23 includes a monitor such as an LCD, and displays various screens according to instructions of display signals input from the control unit 21. For example, the display unit 23 displays an electronic medical record screen G1 (see FIG. 2) that displays an electronic medical record for each patient.

As shown in FIG. 2, the electronic medical chart screen G1 inputs / displays a patient information display area E1 for displaying patient information of a patient, a diagnosis history display area E2 for displaying a patient's diagnosis history, and patient chart data. The chart is composed of a chart creation area E3 and a set input area E4 for performing a set input for simplifying the input when creating chart data.
In the patient information display area E1, patient information such as patient ID, name, age, address, height, and weight is displayed.
The examination history display area E2 includes a examination history list display area E21 for displaying a list of patient examination histories and a examination content display area E22 for displaying specific examination contents (medical chart data). Each list displayed in the examination history list display area E21 includes a date of examination, a medical department that performed the examination, a charter (doctor), and a title (disease name).
The medical chart creation area E3 includes medical record data of S (Subjective: subjective information such as patient complaints), O (Objective: objective information such as test results and test images), A (Assessment: diagnosis of doctor), P ( A SOAP display area E31 for classifying and displaying the four items (SOAP) of Plan (plan of treatment and prescription), a treatment prescription display area E32 for displaying treatment contents and prescription contents, and a memo for each chart data The tag display area E33 displays a tag indicating the presence of the tag. At the left end of the tag display area E33, a tag creation icon I1 for creating a tag for the displayed medical chart data is provided. The tag creation icon I1 is displayed with a broken line when no memo is input to the displayed medical chart data.
In the set input area E4, an icon display area E41 for displaying an icon for selecting an item (for example, prescription, injection, examination, radiation, living body, recent, treatment, etc.) on which the set input is performed, and the set input is performed. When an item is selected, a set input list display area E42 that displays a list of the subdivided items is displayed.

  The communication unit 24 includes a network interface and the like, and transmits and receives data to and from an external device connected via the communication network N. For example, the communication unit 24 receives medical record data, memo data, and the like from the data management server 10. The communication unit 24 receives image data of medical images from the data management server 10.

  The storage unit 25 is configured by an HDD, a nonvolatile memory, or the like, and stores various processing programs, parameters, files, and the like necessary for executing the programs.

[Description of the operation of the medical assistance system]
Next, specific operations (tag creation processing) of the data management server 10 and the electronic medical record device 20 of the medical assistance system 1 according to the present embodiment will be described with reference to FIGS. This tag creation process is started when the electronic medical chart screen G1 is displayed on the display unit 23 of the electronic medical chart apparatus 20.

First, as shown in FIG. 3, the control unit 21 of the electronic medical chart apparatus 20 detects whether or not the selection operation of the tag creation icon I1 displayed at the left end of the tag display area E33 is detected on the electronic medical chart screen G1. Is determined (step S101).
When it is determined that the selection operation of the tag creation icon I1 has been detected (step S101: YES), the control unit 21 proceeds to the next step S102.
On the other hand, when it is determined that the selection operation of the tag creation icon I1 has not been detected (step S101: NO), the control unit 21 repeats the process of step S101 until the selection operation of the tag creation icon I1 is detected. .

Next, the control unit 21 causes the memo input screen G2 (see FIG. 4) to be superimposed and displayed on the examination history display area E2 of the electronic medical record screen G1 (step S102). That is, the memo input screen G2 is displayed at a position that does not overlap with the chart creation area E3.
As shown in FIG. 4, the memo input screen G2 is composed of a constant memo display area E51, a chart memo display area E52, a conditional memo display area E53, and a condition input area E54. The memo input screen G2 can be easily switched in a tab format for each authority of the memo input person. For example, in the example shown in FIG. 4, a memo input screen G2 in which the input person is a doctor is displayed. Note that the configuration, shape, and the like of each region of the displayed memo input screen G2 may be varied for each user authority.

  The constant memo display area E51 is an area for inputting a memo attached to the patient, not to the medical chart. In the always-memo display area E51, a memo attached to the patient is always displayed. For example, in the example shown in FIG. 4, a memo M <b> 1 that “Insurance documents need to be handed out and written so far” and a memo M <b> 2 that is “next vaccination schedule” are displayed. The memo always displayed in the memo display area E51 is written in thin characters as the saved date is older, and the memo M2 with the older saved date is displayed in a thinner character than the memo M1. Yes. That is, the control unit 21 displays the date on which the memo is stored so that it can be identified.

  The chart memo display area E52 is an area for inputting a memo attached to the chart displayed in the chart creation area E3. A memo attached to each chart is displayed in the chart memo display area E52. For example, in the example illustrated in FIG. 4, a memo M <b> 3 is displayed as “self-payment settled”. In the chart memo display area E52, the screen can be easily switched in a tab format for each date on which a chart with a memo is stored. For example, in the example shown in FIG. 4, a screen for displaying a memo attached to the medical chart saved on March 25, 2015 is displayed. That is, the control unit 21 displays a screen for displaying a memo so that the screen can be switched in a tab format for each date of the chart with the memo attached.

The conditional memo display area E53 is an area for inputting a memo attached to the chart displayed in the chart creation area E3. In the conditional memo display area E53, a conditional memo is displayed among the memos attached to each chart. For example, in the example illustrated in FIG. 4, a memo M <b> 4 is displayed that “Daughter has influenza”.
In the conditional memo display area E53, a sending user display area E531 for displaying a user (sending user) designated as a display destination of the memo M4 and a memo M4 are displayed as areas for displaying display conditions attached to the memo. A display period display area E532 for displaying a display period to be displayed is provided. For example, in the example shown in FIG. 4, “Jiro” is set as the sending user in the sending user display area E531, and “˜2015 / 3/31” is set as the display period in the display period display area E532. . As a method for setting the display period, as in the example shown in FIG. 4, the end of the display period may be set or only the start of the display period may be set. Of course, both the start and end of the display period may be set.
The conditional memo display area E53 is provided with a specific position display area E533 for displaying the specific position when the memo is associated with the specific position of the chart creating area E3. For example, in the example shown in FIG. 4, “the second row of P in the SOAP display area E31” is set as the specific position.

The condition input area E54 is an area for inputting a condition for a memo attached to each chart. In the condition input area E54, a conditional memo input unit E541 for inputting a memo to which conditions are attached, a sending user selection unit E542 for selecting a destination ID that is a user ID of the sending user, and a display period are selected. A display period selection unit E543.
The user can input a memo in each area by operating the operation unit 22. That is, the operation unit 22 functions as a memo input unit of the present invention.

Next, the control unit 21 determines whether or not an end operation of the memo input screen G2 has been detected (step S103).
When it determines with the control part 21 having detected completion | finish operation of memo input screen G2 (step S103: YES), it transfers to the following step S104.
On the other hand, when determining that the end operation of the memo input screen G2 has not been detected (step S103: NO), the control unit 21 repeats the process of step S103 until the end operation of the memo input screen G2 is detected.

  Next, the control unit 21 transmits memo information related to the memo input on the memo input screen G2 to the data management server 10 via the communication unit 24 (step S104). The memo information includes the user ID of the user who entered the memo, the chart data attached with the memo, the entered memo content, and the like. That is, the control unit 21 functions as a memo information transmission unit of the present invention.

The control unit 11 of the data management server 10 acquires the memo information transmitted from the electronic medical record apparatus 20 in step S104 (step S105). That is, the control unit 11 functions as a memo information acquisition unit of the present invention.
Next, the control unit 11 creates a tag corresponding to the user's authority based on the memo information acquired in step S105 (step S106). That is, the control unit 11 functions as a tag creation unit of the present invention. The control unit 11 creates a tag corresponding to the user's authority based on the user ID of the user who input the memo. In the present embodiment, the color of the created tag is different for each user authority. For example, green tags are created when the user is a doctor, yellow when the user is a nurse, and blue tags when the accountant is in charge. When a plurality of users input memos for the same chart data, tags that are color-coded in a plurality of colors corresponding to the authority of each user are created.

  Next, the control unit 11 transmits the tag information related to the tag created in step S106 to the electronic medical chart apparatus 20 via the communication unit 14 (step S107). That is, the control unit 11 functions as a tag information transmission unit of the present invention.

The control unit 21 of the electronic medical chart apparatus 20 acquires the tag information transmitted from the data management server 10 in step S107 (step S108). That is, the control unit 21 functions as a tag information acquisition unit of the present invention.
Next, based on the tag information acquired in step S108, the control unit 21 displays the tag on the chart data (tag display area E33 of the electronic chart screen G1) (step S109). That is, the control unit 21 functions as a display control unit of the present invention. In addition, the control part 21 displays the tag which satisfy | fills a predetermined display condition which is a tag of the patient used as object on the electronic medical chart screen G1. Moreover, the control part 21 displays a tag so that a user's authority can be identified on the electronic medical chart screen G1.
By the tag creation process described above, a memo is attached to the displayed medical chart data.

When a tag displayed on the electronic medical chart screen G1 is selected and operated on the electronic medical chart screen G1, a medical record data associated with the tag and a memo input screen G2 for displaying a memo attached to the medical chart data , Is displayed.
Note that conditions such as a sending user, a display period, and a specific position are set in the memo displayed in the memo display area E53 with a condition on the memo input screen G2. For example, when the display period is set in the memo, the tag is displayed in the tag display area E33 within the display period, and the tag is deleted after the display period.
That is, the control unit 21 displays only the tags within the display period among all the tags created for the target patient on the electronic medical chart screen G1.

Further, in the present embodiment, as shown in FIG. 4, during the description of the memo input in each area of the memo input screen G2, it is already described in the past electronic medical record (past medical record) and the past memo (past memo). If a term is included, the term is underlined. That is, the control unit 21 displays the past medical records and the terms described in the past memos so as to be identifiable among the descriptions of the memos displayed on the electronic medical chart screen G1. For example, in the example shown in FIG. 4, “insurance” in memo M1, “vaccination” in memo M2, “own expense” in memo M3, and “influenza” in memo M4 are underlined. When the user operates the operation unit 22 and clicks on these underlined terms, as shown in FIG. 5, a search result display screen G3 that displays a list of past medical records and past memos including the terms is displayed. Is displayed. That is, the operation unit 22 functions as a term selection unit of the present invention. In the example illustrated in FIG. 5, a search result display screen G <b> 3 that displays a list of search results when “flu” in the memo M <b> 4 is clicked is displayed.
A related information search process for displaying a list of past medical records and past memos including terms underlined will be described below with reference to the flowchart of FIG.

First, as shown in FIG. 6, the control unit 21 of the electronic medical chart apparatus 20 determines whether or not an underlined term selection operation has been detected on the memo input screen G2 (step S201).
When it is determined that the selection operation for the underlined term has been detected (step S201: YES), the control unit 21 proceeds to the next step S202.
On the other hand, when it is determined that the selection operation for the underlined term is not detected (step S201: NO), the control unit 21 performs the process of step S201 until the selection operation for the underlined term is detected. repeat.

  Next, the control unit 21 transmits the term information related to the term for which the selection operation has been detected in step S201 to the data management server 10 via the communication unit 24 (step S202). That is, the control unit 21 functions as a term information transmission unit of the present invention.

The control unit 11 of the data management server 10 acquires the term information transmitted from the electronic medical record apparatus 20 in step S202 (step S203). That is, the control unit 11 functions as a term information acquisition unit of the present invention.
Next, based on the term information acquired in step S203, the control unit 11 searches for past medical records and past notes including terms (step S204). That is, the control unit 11 functions as a search unit of the present invention. In the search, the terms do not need to be completely matched, and may be extracted when they partially match or are similar.

  Next, the control part 11 transmits the search result information which concerns on the past medical record and the past memo searched by step S204 to the electronic medical chart apparatus 20 via the communication part 14 (step S205). That is, the control unit 11 functions as a search result information transmission unit of the present invention.

The control unit 21 of the electronic medical chart apparatus 20 acquires the search result information transmitted from the data management server 10 in step S205 (step S206). That is, the control unit 21 functions as a search result information acquisition unit of the present invention.
Next, based on the search result information acquired in step S206, the control unit 21 causes the search result (search result display screen G3) to be superimposed on the medical record data (the medical record creation area E3 of the electronic medical record screen G1) ( Step S207).
By the related information search process described above, it is possible to display a list of past medical records and past memos including terms described in the memo attached to the medical record data.

As described above, the electronic medical record device 20 of the medical assistance system 1 according to the present embodiment has a memo input unit (operation unit) for inputting a memo attached to the electronic medical record displayed on the electronic medical record screen G1 of the display unit 23. 22), a memo information transmission unit (control unit 21) that transmits memo information related to the memo input by the memo input unit to the server device (data management server 10), and an electronic medical record transmitted from the server device. On the electronic medical record screen G1, based on the tag information acquired by the tag information acquisition unit (control unit 21) and the tag information acquisition unit that acquires tag information related to a tag indicating that a memo is attached to the tag, A display control unit (control unit 21) that displays a tag of a subject patient and satisfies a predetermined display condition. The server device also creates a tag based on the memo information acquisition unit (control unit 11) that acquires the memo information transmitted from the electronic medical record device 20 and the memo information acquired by the memo information acquisition unit. A tag information transmission unit (control unit 11) that transmits the tag information relating to the tag created by the tag creation unit and the tag creation unit to the electronic medical chart apparatus 20. In addition, when a tag displayed on the electronic medical record screen G1 is selected, the display control unit displays the electronic medical record associated with the tag and the memo attached to the electronic medical record screen G1. Display above.
Therefore, according to the medical care support system 1 according to the present embodiment, the accessibility between the electronic medical record and the memo information can be sufficiently ensured, and the convenience of the electronic medical record can be improved.

In addition, according to the electronic medical record device 20 of the medical assistance system 1 according to the present embodiment, the display control unit describes the past electronic medical record and the past memo among the descriptions of the memo displayed on the electronic medical record screen G1. Displayed terms are identifiable. In addition, the electronic medical record device 20 includes a term selection unit (operation unit 22) that selects terms described in past electronic medical records and past memos, and term information related to the terms selected by the term selection unit. A term information transmitting unit (control unit 21) that transmits to the server, and a search result information acquiring unit (control unit 21) that acquires the search result information related to past electronic medical records and past memos including terms transmitted from the server device. And comprising. Further, the server device obtains the term information term based on the term information acquisition unit (control unit 11) that acquires the term information transmitted from the electronic medical record device 20 and the term information acquired by the term information acquisition unit. A search unit (control unit 11) that searches past electronic medical records and past memos including the search, and a search that transmits search result information related to past electronic medical records and past memos searched by the search unit to the electronic medical chart device 20 A result information transmission unit (control unit 11). In addition, the display control unit displays the search result on the electronic medical record screen G1 based on the search result information acquired by the search result information acquisition unit.
Therefore, according to the medical treatment support system 1 according to the present embodiment, information related to the memo information can be easily extracted by a simple operation, and thus various information can be acquired more efficiently.

Further, according to the medical assistance system 1 according to the present embodiment, the tag creation unit creates a tag corresponding to the authority of the user who has input the memo. Further, the display control unit displays a tag on the electronic medical chart screen G1 so that the user's authority can be identified.
Therefore, according to the medical treatment support system 1 according to the present embodiment, it is possible to easily specify the input person of the memo information simply by referring to the tag, so that the information desired by the user can be acquired accurately and easily. it can.

Moreover, according to the medical treatment support system 1 according to the present embodiment, the display condition includes the display period, and the display control unit displays all the items created for the target patient on the electronic medical record screen G1. Only tags within the display period are displayed.
Therefore, according to the medical treatment support system 1 according to the present embodiment, the number of tags to be displayed can be minimized, so that the screen can be easily viewed and unnecessary memo information whose display period has passed is stored. The display can be suppressed.

  As mentioned above, although concretely demonstrated based on embodiment which concerns on this invention, this invention is not limited to the said embodiment, It can change in the range which does not deviate from the summary.

For example, in the above embodiment, the past medical records and the past memos including the terms described in the memo attached to the medical chart data can be displayed as a list, but the present invention is not limited to this. That is, a configuration for displaying a list of past medical records and past memos including terms described in the memo attached to the medical record data is not essential, and the above configuration may not be provided.
Moreover, in the said embodiment, among the description of the memo displayed on the electronic medical chart screen G1, the term (underlined term) described in the past chart and the past memo is displayed so as to be identifiable, Although the term described in the past medical record and the past memo is selected, the present invention is not limited to this. In other words, all the terms described in the memo can be selected by making it possible to select terms other than those described in the past medical record and past memo without displaying the terms described in the past medical record and past memo in an identifiable manner. May be the search target.

  In the above embodiment, a tag corresponding to the authority of the user who entered the memo is created, and the tag is displayed on the electronic medical record screen G1 so that the authority of the user can be identified. It is not limited. That is, it is not essential to create a tag corresponding to the authority of the user who entered the memo and display it in an identifiable manner. The same tag is created for all users, and the same tag is created on the electronic medical chart screen G1. The tag may be displayed.

  In the above embodiment, the display period can be set for the memo displayed in the conditional memo display area E53, and the tag is displayed within the set display period. However, the present invention is not limited to this. It is not something. That is, the configuration that allows the display period to be set is not essential, and a configuration that does not set the display period may be employed.

Moreover, in the said embodiment, although only the tag within a display period is displayed and the tag outside a display period is not displayed, it is not limited to this. For example, even when the tag is not displayed in the tag display area E33 before the display period or when the tag is deleted from the tag display area E33 after the display period, the tag is associated with the tag outside the display period. When the chart data is displayed on the electronic chart screen G1, tags outside the display period may be displayed in the tag display area E33.
As a result, when medical chart data with a memo past the display period is displayed, the user can be notified that the memo is attached, so the user needs information related to the medical chart data. The convenience of the electronic medical record can be further improved.

  Moreover, in the said embodiment, although a tag is displayed on the tag display area E33 of the electronic medical chart screen G1, it is not limited to this. For example, when a memo is associated with a specific position in the chart creation area E3 in the specific position display area E533, a tag may be displayed at the specific position in addition to the tag display area E33. For example, in the example shown in FIG. 7, a tag T1 is displayed in the tag display area E33, and a tag T2 is displayed at a position P in the SOAP display area E31. As a method for setting a tag at a specific position, for example, a right click operation is performed with the mouse of the operation unit 22 at the specific position, and a screen for inputting a memo is displayed by selecting the “attach memo” process. Methods and the like. When a tag is displayed at a specific position, for example, an associated memo can be displayed at the specific position by placing a mouse cursor on the displayed tag or clicking the tag. It is like that.

  Moreover, in the said embodiment, when clicking the underlined term is click-operated, the past medical record and the past memo including the term are displayed as a list. However, the present invention is not limited to this. For example, for the underlined term, arbitrary information of past medical records and past memos including the term may be associated as reference information. In this case, the underlined term may be further highlighted with shading. Thus, desired information can be shared with the user who clicks on the underlined term.

Moreover, although the said embodiment illustrated and demonstrated the structure which implement | achieves this invention by the medical treatment assistance system 1, it is not limited to this. In other words, the present invention can be realized by the electronic medical chart device 20 including the function of the data management server 10.
In this case, the display unit 23 of the electronic medical chart apparatus 20 functions as the display unit of the present invention.
The operation unit 22 of the electronic medical chart apparatus 20 functions as a memo input unit of the present invention.
Moreover, the control part 21 of the electronic medical chart apparatus 20 functions as a memo information acquisition part of this invention by acquiring the memo information which concerns on the memo input by the memo input part.
The control unit 21 functions as a tag creation unit of the present invention by creating a tag indicating that a memo is attached to the electronic medical record based on the memo information acquired by the memo information acquisition unit. .
Moreover, the control part 21 functions as a tag information acquisition part of this invention by acquiring the tag information which concerns on the tag produced by the tag production part.
In addition, the control unit 21 displays a tag satisfying a predetermined display condition, which is a tag of a target patient, on the electronic medical record screen G1 based on the tag information acquired by the tag information acquisition unit. It functions as a display control unit of the present invention.

  Moreover, each aspect shown in this application can also be grasped | ascertained as a method, a program, etc. As for the category of the method or program, the “part” indicated in the category of the apparatus is appropriately replaced with, for example, “process”, “step”, and “means”. In addition, the order of processes and steps is not limited to the one directly specified in the present application, and the order can be changed, or a part of processes can be collectively or changed to be executed one by one at any time.

  In addition, the detailed configuration of each device constituting the medical care support system and the detailed operation of each device can be changed as appropriate without departing from the gist of the present invention.

1 Medical support system 10 Data management server (server device)
11 Control unit (memo information acquisition unit, tag creation unit, tag information transmission unit, term information acquisition unit, search unit, search result information transmission unit)
12 operation unit 13 display unit 14 communication unit 15 storage unit 20 electronic medical record device 21 control unit (memo information transmission unit, tag information acquisition unit, display control unit)
22 Operation part (memo input part, term selection part, term information transmission part, search result information acquisition part)
23 Display unit 24 Communication unit 25 Storage unit N Communication network G1 Electronic medical record screen

Claims (9)

In a medical treatment support system in which a server device and an electronic medical record device including a display unit that displays an electronic medical record that records a medical practice for each diagnosis are connected to each other so that data communication is possible,
The electronic medical chart device
A memo input unit for inputting a memo attached to the electronic medical record displayed on the electronic medical record screen of the display unit;
Memo information transmission unit for transmitting memo information related to the memo input by the memo input unit to the server device;
A tag information acquisition unit that acquires tag information related to a tag transmitted from the server device and indicating that the memo is attached to the electronic medical record;
Based on the tag information acquired by the tag information acquisition unit, on the electronic medical record screen, a display control unit for displaying a tag of a target patient and satisfying a predetermined display condition;
With
The server device is
A memo information acquisition unit for acquiring memo information transmitted from the electronic medical chart device;
Based on the memo information acquired by the memo information acquisition unit, a tag creation unit that creates the tag;
Tag information transmission unit for transmitting tag information related to the tag created by the tag creation unit to the electronic medical chart device;
With
When the tag displayed on the electronic medical record screen is selected, the display control unit displays an electronic medical record associated with the tag and a memo attached to the electronic medical record on the electronic medical record screen. A medical assistance system characterized by being displayed on the screen. The electronic medical chart device
A term selection unit that selects terms described in the memo displayed on the electronic medical record screen;
Term information related to the term selected by the term selection unit, and a term information transmission unit that transmits the term information to the server device;
A search result information acquisition unit that acquires search result information related to a past electronic medical record and a past memo including the term, transmitted from the server device;
With
The server device is
A term information acquisition unit for acquiring term information transmitted from the electronic medical chart device;
Based on the term information acquired by the term information acquisition unit, a search unit that searches past electronic medical records and past notes including terms of the term information,
A search result information transmitting unit that transmits search result information related to past electronic medical records and past memos searched by the search unit to the electronic medical record device;
With
The medical support system according to claim 1, wherein the display control unit displays a search result on the electronic medical record screen based on the search result information acquired by the search result information acquisition unit. The display control unit, in the description of the memo displayed on the electronic medical record screen, displays the past electronic medical record and the term described in the past memo so as to be identifiable,
The medical support system according to claim 2, wherein the term selection unit selects terms described in past electronic medical records and past memos. The tag creation unit creates a tag corresponding to the authority of the user who entered the memo,
The medical support system according to any one of claims 1 to 3, wherein the display control unit displays the tag so that a user's authority can be identified on the electronic medical record screen. The display condition includes a display period,
The said display control part displays only the tag in the said display period among all the tags produced with respect to the patient used as object on the said electronic medical chart screen, Any one of Claims 1-4 characterized by the above-mentioned. The medical treatment support system according to claim 1.   When the electronic medical record associated with the tag outside the display period is displayed on the electronic medical record screen, the display control unit displays the tag outside the display period on the electronic medical record screen. The medical care support system according to claim 5. For each patient, in the server device connected to the electronic medical chart device having a display unit that displays the electronic medical record recording the medical practice for each diagnosis, and capable of data communication with each other,
A memo information acquisition unit for acquiring memo information transmitted from the electronic medical chart device;
Based on the memo information acquired by the memo information acquisition unit, a tag creation unit that creates a tag indicating that a memo is attached to the electronic medical record;
Tag information transmission unit for transmitting tag information related to the tag created by the tag creation unit to the electronic medical chart device;
A server apparatus comprising: A display unit that displays an electronic medical record that records medical practice for each patient and each diagnosis;
A memo input unit for inputting a memo attached to the electronic medical record displayed on the electronic medical record screen of the display unit;
A memo information acquisition unit for acquiring memo information related to the memo input by the memo input unit;
Based on the memo information acquired by the memo information acquisition unit, a tag creation unit that creates a tag indicating that the memo is attached to the electronic medical record;
A tag information acquisition unit for acquiring tag information related to the tag created by the tag creation unit;
Based on the tag information acquired by the tag information acquisition unit, on the electronic medical record screen, a display control unit for displaying a tag of a target patient and satisfying a predetermined display condition;
With
When the tag displayed on the electronic medical record screen is selected, the display control unit displays an electronic medical record associated with the tag and a memo attached to the electronic medical record on the electronic medical record screen. An electronic medical chart device characterized by being displayed on the screen. For each patient, a computer of a server device connected to an electronic medical record device having a display unit that displays an electronic medical record that records a medical practice for each diagnosis, and capable of data communication with each other,
Memo information acquisition means for acquiring memo information transmitted from the electronic medical chart device;
Tag creation means for creating a tag indicating that a memo is attached to the electronic medical record, based on the memo information acquired by the memo information acquisition means;
Tag information transmitting means for transmitting tag information relating to the tag created by the tag creating means to the electronic medical chart device;
Program to function as.

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