JP2020009014A - Medical information display device - Google Patents

Abstract

To make a user understand an intention in a memo regarding medical care.SOLUTION: A device according to an embodiment comprises a display control part, a reception part, and an association function part. The display control part displays a medical screen including medical examination information. The reception part accepts an input of a memo regarding the date specified by the medical screen and an input of a memo regarding the medical screen. The association function part associates the memo with information regarding an entry date when the memo was inputted, the specified date, and the medical screen when the memo was inputted.SELECTED DRAWING: Figure 2

Description

  Embodiments of the present invention relate to a medical information display device.

  In a medical information display device in which a medical information integrated viewer capable of integrally observing the medical information of a patient is mounted, a user such as a doctor can read the medical information of the patient displayed on a display of the medical information display device. Can be integratedly observed, and diagnosis and treatment of a patient can be performed. The patient's medical information includes various types of information such as medical image data representing a medical image and electronic medical record data.

  In a medical information display device in which such an integrated viewer is mounted, a user can use, for example, a screen displayed on a display, a test result such as an image test, a sample test, and a bacterial test, a vital sign, and information on drug administration. , An interpretation report, and medical information such as the contents of a medical record can be arbitrarily selected, arranged and displayed in a predetermined area. The selected medical information is displayed as a panel in a predetermined area, for example. The user can arbitrarily change the size of the panel. Further, the user can simultaneously display a plurality of medical information as a plurality of different panels. Further, the user can arbitrarily change the display period for each piece of medical information.

  By the way, the user, while watching the medical information of the patient displayed on the display provided in the medical information display device, through the input interface provided in the medical information display device, notices, thoughts, and findings such as future prediction. In addition, the information pointed out at the conference relating to the displayed medical information is input to the medical information display device as a memo. The input memo is registered in a predetermined database, for example. At this time, the contents registered as the input memo include, for example, the contents of the memo, the memo writer, the memo input date and time, the date and time when the medical event occurred, and the date and time when the medical event was scheduled. The medical treatment event includes, for example, an image test, a sample test, a bacterium test, vital sign measurement, drug administration, a report creation, and a medical chart description for each patient.

  The registered memo is displayed on a display provided in the medical information display device in the order of the date and time when the medical care event occurs or the date and time when the medical care event is scheduled, in accordance with the display instruction of the user.

  However, for example, when a user (third party) different from the user who input the memo refers to the memo, the relationship between the content of the memo and the date and time when the medical treatment event occurs or the date and time when the medical treatment event is scheduled is determined. Since the information to be associated is not displayed, the intention of the memo may not be understood. In order for this third party to understand the intention of the memo, additional inquiry such as directly inquiring the person who entered the memo information, or operating the medical information display device to search and confirm the patient's medical information at the time of memo input Work occurs. If the third party does not perform this additional work, the intention of the memo cannot be understood. For example, the third party may ignore the displayed memo or may misunderstand the intention of the memo and perform medical treatment.

  In order to avoid such a problem, a user who inputs a memo needs to write detailed information at the time of memo input so that any user can see it. This is a burden for the user who inputs the memo.

JP 2010-124936 A

  The problem to be solved by the present invention is to reduce the burden on the user required to understand the intention of a memo related to medical care.

  According to the embodiment, the medical information display device includes a display control unit, a reception unit, and an association unit. The display control unit displays a medical care screen including medical care information. The receiving unit receives an input of a designated date and time specified on the medical treatment screen and a memo related to the medical treatment screen. The associating unit associates the memo with the input date and time at which the memo was input, the specified date and time, and information on a medical care screen when the memo is input.

FIG. 1 is a block diagram illustrating a medical information system including the medical information display device according to the first embodiment. FIG. 2 is a block diagram showing a functional configuration of the medical information display device shown in FIG. FIG. 3 is a flowchart illustrating the operation of the processing circuit when the medical information display device according to the first embodiment stores a memo related to medical treatment. FIG. 4 is a diagram illustrating a medical care screen and a memo input window displayed on the display of the medical information display device according to the first embodiment. FIG. 5 is a diagram showing an example of the second layout information stored in the memory of the DWH shown in FIG. FIG. 6 is a flowchart illustrating the operation of the processing circuit when the medical information display device according to the first embodiment displays a memo related to medical care. FIG. 7 is a diagram illustrating a memo list displayed on the display of the medical information display device according to the first embodiment. FIG. 8 is a diagram illustrating a memo window displayed on the display of the medical information display device according to the first embodiment and a restored medical care screen. FIG. 9 is a diagram showing a layout storage name displayed on the display of the medical information display device according to the first embodiment. FIG. 10 is a block diagram illustrating a functional configuration of the medical information display device according to the second embodiment. FIG. 11 is a flowchart illustrating the operation of the processing circuit when the medical information display device according to the second embodiment stores a memo related to medical treatment. FIG. 12 is a flowchart illustrating the operation of the processing circuit when the medical information display device according to the second embodiment displays a memo related to medical care. FIG. 13 is a diagram illustrating a capture screen displayed on the display of the medical information display device according to the second embodiment. FIG. 14 is a diagram illustrating a medical care screen and a memo input window displayed on a display of a medical information display device according to another embodiment.

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

[First Embodiment]
FIG. 1 is a block diagram illustrating an example of an environment in which the medical information display device 1 according to the first embodiment is used. The medical information display device 1 shown in FIG. 1 is, for example, a device capable of integrally observing medical information. For example, the medical information display device 1 is equipped with an integrated viewer. The integrated viewer is an application that presents medical information to the user in an integrated manner. The integrated viewer may adopt any implementation form such as a Web application, a fat client application, or a thin client application. The medical information display device 1 includes a hospital information system (HIS: Hospital Information Systems) 2, a radiology information management system (RIS: Radiology Information Systems) 3, a medical image diagnostic device 4, and a medical image management system (PACS: Picture Archiving and Communication). Systems 5) and a data warehouse (DWH: Data WareHouse) 6 are communicably connected to each other via a hospital network such as a LAN (Local Area Network).

  In FIG. 1, the HIS 2 includes an order system that manages, for example, reservation information and order information. The appointment information includes, for example, information on a medical appointment appointment, an examination appointment, and the like. The information on the consultation appointment includes, for example, a consultation date, a consultation time, a reception number, a requesting doctor, a request department, and the like. The information on the examination reservation includes, for example, an examination date, an examination time, a reception number, and the like. The order information is, for example, information on an order requested by a physician or the like, and includes, for example, order information on an image test, a sample test, a physiological test, a prescription, medication, and the like. When the order information is the inspection order information for requesting an image inspection, the inspection order information includes, for example, an order number capable of identifying the inspection, a patient ID, an inspection type, an inspection part, and request source information. The order number is a number issued when the test order information is input, and is, for example, an identifier for uniquely specifying the test order information in one hospital. The examination type includes an X-ray examination, a CT (Computed Tomography) examination, an MR (Magnetic Resonance) examination, an RI (Radio Isotope) examination, and the like. The examination site includes, for example, the abdomen, brain, and chest. The request source information includes a medical department name, a doctor in charge, and the like. The information on the examination reservation is linked with the order information.

  The HIS 2 also includes, for example, an electronic medical record system that manages information about electronic medical records. The information related to the electronic medical record includes, for example, patient information and medical treatment information. The patient information is information unique to the patient and includes, for example, a patient ID, a patient name, gender, age, and the like.

  Medical treatment information is information obtained by a medical worker about the physical condition, medical condition, treatment, and the like of a patient in the course of medical treatment. The medical treatment information includes, for example, image information, examination history information, electrocardiogram information, vital sign information, drug history information, report information, chart description information, and the like. The image information is, for example, information indicating the location of a medical image acquired by photographing a patient or the like. The image information includes, for example, information indicating the location of a later-described medical image file generated by the medical image diagnostic apparatus 4 as a result of the examination. The examination history information is, for example, information indicating a history of examination results obtained as a result of performing a specimen test, a bacteria test, and the like on a patient. The electrocardiogram information is, for example, information on an electrocardiogram waveform measured from a patient. The vital sign information is, for example, basic information relating to the life of the patient. The vital sign information includes, for example, pulse rate, respiratory rate, body temperature, blood pressure, consciousness level, and the like. The drug history information is, for example, information indicating the history of the amount of the drug administered to the patient. For example, in response to an examination request from a clinician in a medical department, the report information reads a medical image such as an IDCT image, an MRI image, and an ultrasonic image by a radiological interpreter, and summarizes the condition and disease of the patient. Information. The report information includes, for example, image interpretation report information indicating an image interpretation report created by the image interpreting doctor with reference to the medical image file stored in the PACS 5. The chart description information is, for example, information input to an electronic chart by a physician or the like. The medical record description information includes, for example, the medical history of the patient, the prescription history of the medicine, and the like.

  The information on the electronic medical record includes, for example, inspection execution information. The test execution information is generated by the medical image diagnostic apparatus 4 that has performed the test according to the test order information. The examination execution information is information indicating an examination performed in the medical image diagnostic apparatus 4. The examination execution information includes an order number, an examination UID (Unique ID), a patient ID, a modality type, an imaging region, imaging conditions, and the like. The test UID is an identifier that can uniquely specify a test. The modality type indicates the modality used for shooting. The modality type includes, for example, “X-ray computed tomography apparatus”, “magnetic resonance imaging apparatus”, “ultrasonic diagnostic apparatus”, and the like. The imaging part corresponds to the inspection part included in the inspection order information. The imaging region includes, for example, the abdomen, brain, and chest. The imaging conditions include a body position, an imaging direction, and whether or not a contrast agent is used.

  The RIS 3 is a system that manages examination appointment information related to radiation examination work. The RIS 3 adds and collects various setting information to examination order information input from a physician in an order system included in the HIS 2, for example, and manages the accumulated information as examination reservation information. The RIS 3 may add various kinds of setting information to the examination order information by using an irradiation record in which various kinds of setting information set in the medical image diagnostic apparatus 4 at the time of the past examination are recorded. The RIS 3 transmits the examination order to the medical image diagnostic apparatus 4 according to the examination reservation information. In addition, the RIS 3 transmits the examination execution information generated by the medical image diagnostic apparatus 4 as a result of the examination to the electronic medical record system included in the HIS 2.

  The medical image diagnostic apparatus 4 is an apparatus that performs an examination by photographing a patient or the like. The medical image diagnostic apparatus 4 includes, for example, an X-ray computed tomography apparatus, an X-ray diagnostic apparatus, a magnetic resonance imaging apparatus, a nuclear medicine diagnostic apparatus, an ultrasonic diagnostic apparatus, and the like. The medical image diagnostic apparatus 4 performs an examination based on examination reservation information transmitted from, for example, the RIS 3. The medical image diagnostic apparatus 4 generates examination execution information and transmits it to the RIS 3.

  The medical image diagnostic apparatus 4 generates medical image data by performing an examination. The medical image data is, for example, X-ray CT image data, X-ray image data, MRI image data, nuclear medicine image data, ultrasonic image data, and the like. The medical image diagnostic apparatus 4 generates a medical image file by converting the generated medical image data into a format conforming to, for example, the DICOM (Digital Imaging and Communication in Medicine) standard. The medical image file is, for example, a file in a format conforming to the DICOM standard. The medical image diagnostic apparatus 4 transmits the generated medical image file to the PACS 5.

  PACS5 is a system that manages various medical image files. The PACS 5 stores, for example, a medical image file transmitted from the medical image diagnostic apparatus 4.

  The DWH 6 is a database system that collectively stores, for example, information generated by related organizations such as medical care and nursing care, so-called medical big data. The DWH 6 is realized by, for example, a general server device. The DWH 6 includes, for example, a processing circuit 61, a memory 62, and a communication interface 63, as shown in FIG. The processing circuit 61, the memory 62, and the communication interface 63 are communicably connected to each other via a bus, for example.

  The processing circuit 61 is a processor that functions as a center of the DWH 6. The processing circuit 61 executes a program stored in the memory 62 or the like to realize, for example, a collection function 611 and a registration function 612 corresponding to the program.

  The collection function 611 is a function of collecting desired information from the HIS 2, the RIS 3, the medical image diagnostic apparatus 4, and the PACS 5. Specifically, in the collection function 611, the processing circuit 61 collects, for example, preset information from the HIS 2, the RIS 3, the medical image diagnostic apparatus 4, and the PACS 5 at a preset cycle. Note that the processing circuit 61 may collect desired information from the HIS 2, the RIS 3, the medical image diagnostic apparatus 4, and the PACS 5 by using a machine learning model stored in advance. Thereby, for example, information related to the electronic medical record is collected from the HIS 2, examination reservation information is collected from the RIS 3, and a medical image file is collected from the medical image diagnostic apparatus 4 or the medical image management system 5.

  Note that the processing circuit 61 may collect various information from the HIS 2, the RIS 3, the medical image diagnostic apparatus 4, and the PACS 5, and then extract desired information from the collected information.

  The registration function 612 is a function of storing the acquired information in the memory 62. Specifically, the processing circuit 61 in the registration function 612 causes the memory 62 to store the medical information collected from the HIS 2 in accordance with, for example, a preset rule. Pre-set rules are, for example, an order using the event date and time related to a medical event such as an image test, a sample test, a bacterial test, an electrocardiogram measurement, a vital sign measurement, a drug administration, a report creation, and a medical record description for each patient. And so on. The event date and time is, for example, the date and time when the medical care event has occurred, or the date and time when the medical care event is scheduled. The event date and time includes, for example, the date and time when an image test is performed, the date and time when a sample test is performed, the date and time when an electrocardiogram waveform is measured, the date and time when a vital sign is measured, the date and time when a drug is administered, the date and time when a report is created, and the date and time when a medical record is written. Thereby, the collected medical information is stored in the memory 62 as the medical information 621 in the order of the event date and time, for example.

  In the registration function 612, the processing circuit 61 causes the memory 62 to store the memo regarding the medical treatment transmitted from the medical information display device 1 as the memo information 622. The memo indicates, for example, a memorandum or a memorandum. In each record included in the memo information 622, the contents of the memo regarding the medical care input to the medical information display device 1, the memo creator, the memo input date and time, the specified date and time specified at the time of memo input, and the memo are input. The information on the medical care screen that was displayed when it was displayed is associated with each other. The designated date and time indicates, for example, a date and time before the memo input date and time. The designated date and time may be a date and time that is later than the memo input date and time. The designated date and time includes, for example, the event date and time. Further, the designated date and time may include, for example, an arbitrary date and time designated in an area representing a timeline described later.

  The medical treatment screen is, for example, a screen displayed for a user such as a clinician to integrally observe medical information of a specific patient and to perform diagnosis, treatment, and the like of the patient. The medical care screen includes, for example, an area representing a timeline and an area representing medical care information.

  The area representing the timeline is, for example, an area in which medical care events for a specific patient are displayed in chronological order in event date and time. The area representing the timeline includes, for example, an indicator indicating the date and time specified by the user when a memo related to medical care is input in the medical information display device 1.

  Examples of the area representing medical information include an area representing image information, an area representing examination history information, an area representing vital sign information, an area representing drug history information, an area representing report information, and an area representing chart description information. , Etc., including a plurality of areas representing individual medical information.

  The memory 62 is a storage device such as a hard disk drive (HDD), a solid state drive (SSD), and an integrated circuit storage device for storing various information. Further, the memory 62 may be a drive device or the like that reads and writes various information from and to a portable storage medium such as a CD-ROM drive, a DVD drive, and a flash memory. The memory 62 stores, for example, a control program for realizing the collection function 611 and the registration function 612. The program may be stored and distributed on a non-transitory storage medium, read from the non-transitory storage medium, and installed in the memory 62, for example.

  The memory 62 stores, for example, medical information 621 and memo information 622.

  The communication interface 63 performs data communication with the medical information display device 1, the HIS 2, the RIS 3, the medical image diagnostic device 4, and the PACS 5, which are connected via a hospital network. The standard for communication with the medical information display device 1, the HIS2, the RIS3, the medical image diagnostic device 4, and the PACS5 may be any standard. For example, HL7 (Heart Level 7), DICOM, or both may be used. No.

  Next, details of the medical information display device 1 according to the present embodiment will be described with reference to FIG. FIG. 2 is a block diagram showing a functional configuration of the medical information display device 1 shown in FIG.

  The medical information display device 1 illustrated in FIG. 2 includes a processing circuit 11, an input interface 12, a display 13, a memory 14, and a communication interface 15. The processing circuit 11, the input interface 12, the display 13, the memory 14, and the communication interface 15 are communicably connected to each other via, for example, a bus.

  The processing circuit 11 is a processor that functions as a center of the medical information display device 1. The medical information display device 1 executes a control program stored in the memory 14 or the like, for example, to realize a function corresponding to the program.

  The input interface 12 is realized by, for example, a mouse, a keyboard, and a touch panel to which an instruction is input by touching an operation surface. The input interface 12 receives, for example, a display instruction from an operator. The input interface 12 converts a display instruction from the operator into an electric signal and outputs the electric signal to the processing circuit.

  The display 13 displays various information for the user to perform various tasks. As the display 13, for example, a CRT display, a liquid crystal display, an organic EL display, an LED display, a plasma display, and any other display known in the art can be appropriately used.

  The memory 14 is a storage device such as a hard disk drive (HDD) for storing various information, a solid state drive (SSD), and an integrated circuit storage device. In addition, the memory 14 may be a drive device that reads and writes various information from and to a portable storage medium such as a CD-ROM drive, a DVD drive, and a flash memory.

  The memory 14 stores first layout information indicating the arrangement of medical care information included in the medical care screen displayed on the display 13. The first layout information is stored, for example, for each patient. The first layout information includes, for example, information on the arrangement of medical treatment information according to the medical treatment purpose of the user. The first layout information includes, for example, a layout storage name for specifying the arrangement of the medical care information included in the medical care screen. The layout storage name indicates, for example, the purpose of arranging the medical care information on the medical care screen. The layout storage name is arbitrarily set by the user via the input interface 12 when the first layout information is stored in the memory 14, for example.

  The first layout information includes, for example, for each piece of medical care information included in the medical care screen, a medical care data type indicating a type of the medical care information, a reference position for displaying the medical care information, and a display size for displaying the medical care information. The reference position indicates, for example, a relative position of the medical care information displayed on the medical care screen with respect to the medical care screen. The display size indicates, for example, the size of the panel when the medical care information is displayed as one panel.

  The communication interface 15 performs data communication with the HIS 2, the RIS 3, the medical image diagnostic apparatus 4, the PACS 5, and the DWH 6 connected via a hospital network. The standard for communication with the HIS 2, the RIS 3, the medical image diagnostic apparatus 4, the PACS 5, and the DWH 6 may be any standard, for example, HL7, DICOM, or both.

  The processing circuit 11 according to the first embodiment has an acquisition function 111, an association function 113, a display control function 115, and a system control function 117.

  The acquisition function 111 is a function of acquiring various information regarding the displayed medical screen. By executing the acquisition function 111, the processing circuit 11 acquires, for example, the first layout information corresponding to the medical care screen displayed on the display 13 from the memory 14. Further, the processing circuit 11 refers to the meta information generated when the medical care screen is displayed, and acquires the values of the items necessary for restoring the medical care screen. Items necessary for restoring the medical treatment screen include, for example, data items representing the contents of data acquired for specific medical information, and display periods for displaying medical image data or measurement values acquired for the data items. And so on.

  Further, the processing circuit 11 acquires the memo information 622 stored in the memory 62 of the DWH 6 via the communication interface 15 in accordance with various instructions input from the user via the input interface 12.

  The associating function 113 is a function for associating information about the medical care screen with the contents of the memo when a memo about the medical care is input. The information on the medical care screen according to the first embodiment includes, for example, first layout information and meta information acquired by the acquisition function 111. By executing the associating function 113, the processing circuit 11 associates, for example, the information on the medical care screen displayed at the time of the memo input with the content of the input memo as the second layout information. The second layout information represents, for example, the arrangement of the medical information included in the medical screen and the display period. At this time, the processing circuit 11 also associates the memo writer, the memo input date and time, and the event date and time specified at the time of the memo input with the content of the input memo. Then, the processing circuit 11, for example, via the communication interface 15, instructs the processing circuit 61 of the DWH 6 to associate the contents of the memo, the memo writer, the memo input date and time, and the specified date and time specified on the medical care screen at the time of the memo input. , And the second layout information as memo information 622 in the memory 62. As a result, the processing circuit 61 of the DWH 6 executes the registration function 612, and stores the contents of the associated memo, the memo creator, the memo input date and time, the specified date and time specified at the time of memo input, and the second layout information into the memo. It is stored in the memory 62 as information 622. The second layout information is an example of the layout information described in the claims.

  The display control function 115 is a function for displaying both the contents of the memo and the medical care screen displayed when the memo was input. The execution of the display control function 115 causes the processing circuit 11 to display a medical treatment screen including medical treatment information in accordance with a display instruction for displaying medical treatment information on a specific patient input via the input interface 12. Then, the processing circuit 11 responds to the second layout information associated with the content of the specified memo and the second layout information, for example, in accordance with a display instruction for displaying a specific memo input through the input interface 12. Based on the medical information to be performed, medical screen data representing the medical screen displayed at the time of memo input is generated. This restores the medical care screen that was displayed when the memo was input. The processing circuit 11 displays the restored medical care screen together with the contents of the memo, the memo input user, the memo input date and time, and the specified date and time specified in the restored medical care screen at the time of the memo input.

  The system control function 117 is a function for controlling basic operations such as input / output and communication of the medical information display device 1. When the system control function 117 is executed, the processing circuit 11 accepts various requests via the input interface 12. The processing circuit 11 executes various functions according to the received various requests. The processing circuit 11 receives, for example, via the input interface 12, an instruction to save the first layout information regarding the medical care screen displayed on the display 13. When receiving the save instruction, the processing circuit 11 stores, for example, the first layout information in the memory 14. Further, the processing circuit 11 receives designation of a designated date and time on the medical care screen displayed on the display 13 via the input interface 12, for example. The processing circuit 11 receives, for example, an input of a memo related to medical treatment via the input interface 12.

  The acquisition function 111, the association function 113, the display control function 115, and the system control function 117 may be incorporated as a control program, or a dedicated hardware circuit capable of executing each function is incorporated in the processing circuit 11 itself. May be.

  Next, various operations of the medical information display device 1 according to the first embodiment will be described with reference to the drawings.

  First, an operation in which the medical information display device 1 according to the first embodiment stores a memo related to medical treatment will be described. FIG. 3 is a flowchart illustrating an example of an operation of the processing circuit 11 when the medical information display device 1 according to the first embodiment stores a memo related to medical care. In the following description, the processing circuit 11 reads out the medical information 621 about a specific same patient stored in the memory 62 of the data warehouse 6 via the communication interface 15 and displays the medical information indicated by the user on the display. 13 is displayed. The processing circuit 11 reads a medical image file including medical image data representing a medical image indicated by the user from the PACS 5, for example, and displays the medical image file on the display 13. At this time, for example, the processing circuit 11 reads the medical image file from the PACS 5 based on the information indicating the location of the medical image file indicated by the image information specified by the user who has input the display instruction. The processing circuit 11 may display the medical information indicated by the user on the display 13 by reading the medical information from the HIS 2.

  Further, when displaying the medical information on the display 13, the processing circuit 11 generates meta information corresponding to the medical screen to be displayed, based on, for example, the preset setting contents or the setting contents specified by the user. It shall be. It is assumed that the processing circuit 11 stores the generated meta information in an internal memory (not shown) of the processing circuit 11.

  Further, it is assumed that the processing circuit 11 displays a medical care screen including medical care information on the display 13 in accordance with a display instruction of the user before the memo is input. At this time, it is assumed that the user has selected, for example, the first layout information according to the purpose of medical treatment via the input interface 12. Then, it is assumed that the processing circuit 11 has previously acquired the first layout information from the memory 14 in accordance with the user's selection.

  The processing circuit 11 receives an instruction to save a memo via the input interface 12 (step SA1). FIG. 4 is a diagram illustrating an example of the medical care screen IS1 and the memo input window W1 displayed on the display 13 of the medical information display device 1 according to the first embodiment. The medical treatment screen IS1 shown in FIG. 4 includes an area R1 representing a timeline and an area R2 representing medical information.

  In the region R1 representing the timeline shown in FIG. 4, for example, icons representing “event”, “specimen test”, “electrocardiogram”, and “imaging test” for a specific patient are arranged in chronological order in event date and time. It is displayed along. The “event” represents a medical event other than “sample test”, “electrocardiogram”, “image test”, and the like, for example. “Event” includes, for example, medical events such as “hospitalization” and “discharge”. The event date and time of the “event” are, for example, a hospitalization date and time and a discharge date and time. The `` event '' may be, for example, a medical treatment event provided for the purpose of notifying a user by displaying an icon or the like for notifying an abnormality when an abnormal value is detected in a sample test or the like for a specific patient. Good.

  The region R1 representing the timeline shown in FIG. 4 includes an indicator L1 indicating a designated date and time designated by the user. The indicator L1 shown in FIG. 4 is displayed in a dotted line form. At this time, the designated date and time indicated by the indicator L1 is 17:00 on May 2, 2016. The date and time indicated by the indicator L1 matches the event date and time of the sample test indicated by the icon I1. Note that the position indicated by the indicator L1 does not necessarily need to match the position where the icon representing the event is displayed. That is, the date and time indicated by the indicator L1 does not necessarily need to match the event date and time. For example, the indicator L1 may be displayed at a position indicating an arbitrary date and time in an area R1 indicating a timeline.

  The region R2 representing medical information shown in FIG. 4 includes a region R21 representing drug history information, a region R22 representing vital sign information, and a region R23 representing examination history information.

  In the region R21 representing the medication history information shown in FIG. 4, the results of the infusion amount of the medication for the specific patient are displayed in chronological order during the display period of “2016/4/29 to 2016/5/2”. Have been. Specifically, in the region R21 representing the drug history information, 240 ml on Friday, April 29, 2016, 620 ml on Saturday, April 30, 2016, and 430 ml on Sunday, May 1, 2016 The results of drug administration to a specific patient are displayed.

  In a region R22 representing vital sign information shown in FIG. 4, vital sign information acquired from a specific patient is displayed in a time series in a display period of “2016/5/4 to 2016/5/7”. Have been. Specifically, in a region R22 representing vital sign information, a pulse rate (BPM: Beats Per Minutes) obtained from a specific patient is displayed during a display period of “2016/5/4 to 2016/5/7”. It is displayed along the series.

  In the region R23 representing the examination history information shown in FIG. 4, the results of the sample tests performed on the specific patient are displayed in chronological order during the display period of “2016/4/26 to 2016/5/3”. Is displayed. Specifically, in the region R23 representing the inspection history information, the concentration (g / dl) of ALB (albumin) is displayed in a time series during the display period of “2016/4/26 to 2016/5/3”. Have been. At this time, the indicator L2 corresponding to the indicator L1 included in the region R1 representing the timeline is displayed in the region R23 representing the inspection history information. The indicator L1 and the indicator L2 shown in FIG. 4 indicate the same date and time.

  In FIG. 4, the memo input window W1 is displayed in a pop-up manner in a manner superimposed on the medical care screen IS1. Note that the memo input window W1 may be displayed in a mode included in the medical care screen IS1. The memo input window W1 is a window for the user to input a memo related to medical treatment. The memo input window W1 includes a memo input field F1, a save button B1, and a cancel button B2.

  The memo input field F1 is a field in which the contents of a memo related to medical treatment are input. For example, the user refers to a plurality of pieces of medical information related to a specific patient displayed on the medical treatment screen IS1 and inputs the contents of the memo regarding the medical treatment to the memo input field F1 via the input interface 12. More specifically, "a sudden increase or decrease in the inspection measurement value" is input in the memo input field F1 shown in FIG. At this time, it is assumed that the memo creator of the content of the memo “there is a sudden increase or decrease in the inspection measurement value” is the user “user_2”, and the memo input date and time is “2016-05-02 21:00”. Also, it is assumed that the memo input user “user_2” has confirmed that there is a sudden increase or decrease in the measured value of the sample test during treatment of the BB case for the specific patient in charge, and has administered the drug to the patient. At this time, it is assumed that the memo input user “user_2” refers to the medical care screen IS1 shown in FIG. 4 and inputs the content of the memo “the sudden increase or decrease of the test measurement value” as the reason for administering the medicine.

  The save button B1 is a button for confirming and saving the contents of the memo input in the memo input field F1. The cancel button B2 is a button for canceling the contents of the memo input in the memo input field F1.

  When the save button B1 shown in FIG. 4 is designated, the processing circuit 11 executes the acquisition function 111 and reads out the first layout information acquired in advance. Further, the processing circuit 11 acquires meta information corresponding to the medical care screen IS1 displayed on the display 13 from, for example, an internal memory (not shown) included in the processing circuit 11 (step SA2). At this time, the acquired first layout information includes, for example, a layout storage name “for BB case diagnosis” representing the purpose of arranging the medical information included in the medical screen IS1. In the first layout information, at least the medical treatment data type “drug”, the reference position “(0, 20)”, and the size (horizontal, vertical) “(60, 60)” are included in the region R21 representing the drug history information. It is included. The first layout information includes at least the medical data type “vital sign”, the reference position “(60, 20)”, and the size (horizontal, vertical) “(60, 30)” for the region R22 representing the vital sign information. "It is included. In the first layout information, at least the medical data type “specimen test”, the reference position “(60, 50)”, and the size (horizontal, vertical) “(60, 30)” of the region R23 representing the inspection history information are included. "It is included.

  Further, the meta information includes information on the medical care screen displayed when the memo is input in step SA1. More specifically, the meta information includes at least the data item “Drip” and the display period “2016/4/29 to 2016/5/2” for the region R21 representing the medication history information. The meta information includes at least a data item “pulse” and a display period “2016/5/4 to 2016/5/7” for an area R22 representing vital sign information. The meta information includes at least the data item “ALB” and the display period “2016/4/26 to 2016/5/3” for the region R23 representing the inspection history information. The display period may include not only date information but also time information. At this time, the display period is represented as, for example, “2016/5/4 09:00 to 2016/5/7 21:00”.

  Upon acquiring the first layout information and the meta information, the processing circuit 11 executes the associating function 113, and stores the acquired first layout information and the meta information in the second The association is made as layout information (step SA3). At this time, the processing circuit 11 also associates the memo input person, the memo input date and time, and the specified date and time specified on the medical care screen IS1 shown in FIG. Specifically, the processing circuit 11 responds to the content of the input memo “there is a sudden increase or decrease in the inspection measurement value” by the memo input user “user_2” and the memo input date / time “2016-05-02 21:00” And the specified date and time “2016-05-02 17:00” specified on the medical care screen IS1 shown in FIG.

  For example, the processing circuit 11 sends the associated memo content, the memo creator, the memo input date and time, the designated date and time, and the second layout information to the processing circuit 61 of the DWH 6 via the communication interface 15 in the memo information 622. It is instructed to store it as one record in the memory 62 (step SA4). As a result, the processing circuit 61 of the DWH 6 executes the registration function 612, and stores the contents of the associated memo, the memo creator, the memo input date and time, the specified date and time, and the second layout information as one record of the memo information 622 in the memory. 62. FIG. 5 is a diagram showing an example of the second layout information stored in the memory 62 of the DWH 6 shown in FIG. According to FIG. 5, each record included in the second layout information has, as items, a layout storage name, a medical data type, a reference position, a size (horizontal and vertical), a data item, a display period, and the like. Specifically, the second layout information shown in FIG. 5 includes a layout storage name “for BB case diagnosis”, a medical data type “drug”, a reference position “(0, 20)”, a size (horizontal and vertical), and “ (60, 60) ", a data item" drip ", and a record having a display period of" 2016/4/29 to 2016/5/2 ". The second layout information shown in FIG. 5 includes a layout storage name “for BB case diagnosis”, a medical data type “vital sign”, a reference position “(60, 20)”, a size (horizontal and vertical), and “(60 , 30) ", the data item" pulse ", and the display period" 2016/5/4 to 2016/5/7 ". Further, the second layout information shown in FIG. 5 includes a layout storage name “for BB case diagnosis”, a medical data type “sample test”, a reference position “(60, 50)”, a size (horizontal and vertical) “(60 , 30), a data item “ALB”, and a display period “2016/4/26 to 2016/5/3”.

  Note that the processing circuit 11 may store the contents of the associated memo, the memo creator, the memo input date and time, the designated date and time, and the second layout information, for example, in the memory 14.

  Next, an operation in which the medical information display device 1 according to the first embodiment displays a memo related to medical treatment will be described. FIG. 6 is a flowchart illustrating an example of an operation of the processing circuit 11 when the medical information display device 1 according to the first embodiment displays a memo related to medical care. In the following description, it is assumed that the processing circuit 11 has previously acquired a necessary record included in the memo information 622 from the memory 62 of the DWH 6 in accordance with, for example, a user instruction via the input interface 12. The user who refers to the memo regarding medical care is “user_3”.

  The processing circuit 11 receives, for example, an instruction to display a memo list for a specific patient via the input interface 12 (step SB1).

  When the processing circuit 11 receives an instruction to display a memo list for a specific patient, the processing circuit 11 refers to a record acquired in advance from the memory 62 of the DWH 6 and displays a memo list for the specified patient (step SB2). FIG. 7 is a diagram illustrating an example of a memo list displayed on the display 13 of the medical information display device 1 according to the first embodiment. The medical care screen IS1 shown in FIG. 7 includes an area R1 representing a timeline and an area R2 representing medical care information.

  The region R2 representing the medical care information shown in FIG. 7 includes a region R24 representing a memo list and a region R25 representing drug history information.

  In a region R24 representing the memo list shown in FIG. 7, memos relating to registered medical treatments for the specific patient specified in step SB1 are displayed in a list in chronological order in the order of the specified date and time. Specifically, for the content of the memo “there is a rise in body temperature and need attention”, the associated specified date and time “2016-04-27 00:23”, the memo input user “user_1”, and the memo input date and time “2016- 04-27 19:00 "and the layout storage name" AA case medical care "are displayed. Note that “date and time” shown in FIG. 7 correspond to the designated date and time, “input person” corresponds to the memo input person, “input date and time” corresponds to the memo input date and time, and “layout” corresponds to the layout storage name. Also, for the content of the memo “there is a sudden increase or decrease in the inspection measurement value”, the associated specified date and time “2016-05-02 17:00”, the memo input user “user_2”, and the memo input date and time “2016-05- 02 21:00 ”and the layout storage name“ BB case medical care ”are displayed. By displaying the layout storage name corresponding to the contents of the memo in this way, the user who has referred to the memo list shown in FIG. 7 can use the layout storage name as a clue to estimate the situation at the time of description and the reason for the description. it can. In addition, by displaying the memo writer corresponding to the content of the memo, the user who has referred to the memo list shown in FIG. 7 can easily determine whether or not the user is related to medical care. .

  An area R24 indicating the memo list shown in FIG. 7 is an area 51 that can be designated for confirming the details of the displayed medical note on the medical care screen displayed on the display 13 at the time of inputting the memo. And a region 52. When the area 51 is designated, it is possible to confirm the details of the medical care screen displayed on the display 13 when the content of the memo “the body temperature is rising and attention is required” is input. Also, when the area 52 is designated, it is possible to confirm the details of the medical care screen displayed on the display 13 at the time of inputting the content of the memo “there is a sudden increase or decrease of the test measurement value”.

  When displaying the memo list regarding the designated patient in step SB2, the processing circuit 11 receives an instruction to display an individual memo (step SB3).

  At this time, the user specifies, for example, the region R51 or the region R52 included in the region R24 representing the memo list shown in FIG. The medical care screen displayed on the display 13 can be confirmed. In the first embodiment, it is assumed that the region R52 is specified. At this time, for example, the user “user_3” recognizes the layout storage name “for BB case diagnosis” included in the memo list shown in FIG. The region R52 is designated as useful for the medical care of the patient.

  In the region R25 indicating the drug history information shown in FIG. 7, the same information as the information displayed in the region R21 indicating the drug history information shown in FIG. 4 is displayed.

  When the region R52 shown in FIG. 7 is designated, the processing circuit 11 refers to the record acquired in advance from the memory 62 of the DWH 6, and reads out the second layout information corresponding to the memo designated to be displayed (step SB4). Specifically, the processing circuit 11 reads out the second layout information corresponding to the content of the memo instructed to be displayed “there is a sudden increase or decrease in the inspection measurement value” by referring to the record acquired in advance from the memory 62 of the DWH 6. .

  The processing circuit 11 determines the arrangement of each piece of medical information related to the medical screen to be restored and the display period based on the read second layout information (step SB5). More specifically, the processing circuit 11 determines the layout storage name “for BB case diagnosis”, the medical data type “drug”, and the reference position “(0, 20) corresponding to the contents of the memo“ there is a rapid increase or decrease in the test measurement value ”. )), Size (horizontal, vertical) “(60, 60)”, data item “drip”, and display period “2016/4/29-2016/5/2”, The arrangement and the display period are determined. In addition, the processing circuit 11 sets the layout storage name “for BB case diagnosis”, the medical data type “vital sign”, and the reference position “(60, 20)” corresponding to the contents of the memo “there is a sudden increase or decrease in the test measurement value”. , The size (horizontal and vertical) “(60, 30)”, the data item “pulse”, and the display period “2016/5/4 to 2016/5/7” based on the record, And the display period. Further, the processing circuit 11 stores the layout storage name “for BB case diagnosis”, the medical care data type “specimen test”, and the reference position “(60, 50)” corresponding to the contents of the memo “there is a sudden increase or decrease in the test measurement value”. , Size (horizontal and vertical) “(60, 30)”, data item “ALB”, and display period “2016/4/26 to 2016/5/3”, And the display period.

  Further, the processing circuit 11 performs the processing based on the specified date and time “2016-05-02 17:00” specified on the medical care screen IS1 shown in FIG. Then, the designated date and time to be displayed in the area representing the timeline included in the medical treatment screen is set (step SB6).

  By executing steps SB5 and SB6, the processing circuit 11 restores the medical care screen displayed at the time of memo input. Specifically, the processing circuit 11 represents the medical care screen displayed at the time of memo input based on the second layout information associated with the content of the designated memo and the medical care information corresponding to the second layout information. Generate medical treatment screen data.

  The processing circuit 11 displays the displayed memo together with the restored medical care screen (step SB7). FIG. 8 is a diagram illustrating an example of the memo window W2 displayed on the display 13 of the medical information display device 1 according to the first embodiment and the restored medical care screen IS1. In FIG. 8, a memo window W2 is displayed in a pop-up manner so as to be superimposed on the medical care screen IS1. Note that the memo window W2 shown in FIG. 8 may be displayed in a mode included in the medical care screen IS1.

  The memo window W2 shown in FIG. 8 is a window in which the contents of the memo relating to the medical care indicated and displayed in step SB3 are pop-up displayed. In the memo window W2 shown in FIG. 8, the content of the memo displayed and instructed in step SB3 “there is a sudden increase or decrease in the inspection measurement value” and the designated date and time corresponding to the content of the memo “2016-05-02 17:00 "And a memo input user" User_2 "are displayed.

  The medical treatment screen IS1 shown in FIG. 8 is obtained by restoring the medical treatment screen IS1 displayed at the time of memo input shown in FIG. The medical treatment screen IS1 shown in FIG. 8 includes a region R1 representing a timeline and a region R2 representing medical information. The same information as the region R1 representing the timeline shown in FIG. 4 is displayed in the region R1 representing the timeline shown in FIG. Thus, the user who has referred to the restored medical care screen IS1 shown in FIG. 8 can issue an instruction indicating the designated date and time specified by the user even when the display period of the medical care information and the memo input date and time when the memo is input are different, for example. Since the position of the child L1 can be known, the intention of the memo can be easily and accurately understood.

  In the region R2 representing the medical information shown in FIG. 8, the same medical information as the medical information displayed in the region R2 representing the medical information shown in FIG. 4, that is, drug history information, vital sign information, and examination history information Are displayed with the same arrangement and display period. Thereby, the user who has referred to the restored medical care screen IS1 shown in FIG. 8 can display each medical care information even when a plurality of medical care informations for which different display periods are set are displayed at the time of memo input. Since the arrangement and the display period can be known, the intention of the memo can be easily and accurately understood.

  Specifically, for example, the user “user_3” who referred to the medical treatment screen IS1 shown in FIG. 8 has the ALB value of 2016 for a specific patient in the region R23 representing the examination history information included in the medical treatment screen IS1. It recognizes that it decreased from April 27 to April 29, 2016 and increased from April 29, 2016 to May 3, 2016. Further, the user “user_3” assigns a specific patient whose ALB value has increased or decreased from April 29, 2016 to May 1, 2016 in the region R21 indicating the drug history information included in the medical treatment screen IS1. It recognizes that the drug has been administered. Thereby, the user "user_3" is, for example, the fact that the medicine was administered in response to the result of the sample test and the content of the memo "there is a sudden increase or decrease in the measured value of the test" as the reason for the medicine administration. I can understand that there is. As described above, the user “user_3” can grasp in detail the medical care information on which the memo regarding the medical care is inputted by referring to the memo window W2 and the restored medical care screen IS1, and input the memo. It is possible to more closely track the memo input user's thinking at the time.

  Further, the restored medical care screen IS1 shown in FIG. 8 has a return button B3. The return button B3 is a button provided to receive a screen switching instruction to transition to the previous display screen when the restored medical care screen IS1 is displayed. When the return button B3 shown in FIG. 8 is designated, the processing circuit 11 displays, for example, the previous display screen, the medical care screen IS1 shown in FIG. Thereby, the user can easily shift to another medical service.

  The restored medical screen IS1 shown in FIG. 8 is obtained by arranging each piece of medical information by using the second layout information. At this time, for example, when a processing operation is performed on an area representing specific medical information included in the restored medical screen IS1, various types of medical information related to the specified area are displayed. Display information. Specifically, the processing circuit 11 displays, for example, a display period for a region R21 representing drug history information, a region R22 representing vital sign information, or a region R23 representing examination history information among the regions R23 representing examination history information. Is performed, for example, the retrieval history information outside the display period displayed in the region R23 representing the retrieval history information is acquired from the memory 62 of the DWH 6, for example. Then, the processing circuit 11 displays the acquired inspection history information outside the display period on the display 13.

  The processing circuit 11 may display the restored medical care screen IS1 shown in FIG. 8 as a temporarily displayed screen. At this time, for example, after displaying the restored medical care screen IS1 shown in FIG. 8 on the display 13, the processing circuit 11 displays a window indicating whether or not to confirm the medical care screen IS1 as a medical care screen for formal display. Display a popup.

  According to the first embodiment, the processing circuit 11 displays medical information on the display 13. The processing circuit 11 receives an input of a memo related to the medical care information displayed on the display 13. The processing circuit 11 performs, for the input memo, a medical treatment including the input date and time when the memo is input, the specified date and time specified by the user, and the medical treatment information displayed on the display 13 when the memo is input. Associate information about the screen.

  Thereby, the user who refers to the memo can easily grasp the relationship between the input memo and the medical care screen displayed at the time of the memo input. Further, the user who inputs the memo does not need to write detailed information so that any user can see it when inputting the memo.

  Therefore, according to the medical information display device according to the first embodiment, it is possible to reduce the burden on the user required to understand the intention of the memo regarding medical care.

  According to the medical information display device according to the first embodiment, the young doctor refers to the contents of the memo input by the veteran doctor and information on the medical care screen associated with the contents of the memo, It can also contribute to the education of young doctors.

  According to the first embodiment, the information on the medical care screen includes the layout of the medical care information included in the medical care screen and the second layout information indicating the display period. Then, the processing circuit 11 restores the medical care screen displayed at the time of memo input based on the second layout information, and displays the restored medical care screen on the display 13. Thereby, the user can confirm various information related to the medical information by performing a predetermined operation on an area representing the specific medical information included in the restored medical screen, for example.

  Note that the processing circuit 11 displays, in chronological order, memo icons representing events in which memos are input in a region R1 representing a timeline shown in FIG. 7 and, when a cursor is put on the memo icons, The layout storage name may be displayed so as to cover the icon. FIG. 9 is a diagram illustrating an example of a layout storage name displayed on the display 13 of the medical information display device 1 according to the first embodiment. According to FIG. 9, when the cursor is placed on the memo icon I2 representing the memo whose designated date and time has been input as "2016-04-27 00:23", the layout save name is overlaid on the memo icon I2. A balloon W3 including "AA case medical care" is displayed. Thus, the user who has referred to the balloon W3 shown in FIG. 9 can estimate the situation at the time of description and the reason for the description using the displayed layout storage name as a clue.

[Second embodiment]
In the first embodiment, the processing circuit 11 associates the acquired first layout information and meta information as second layout information with the input memo. In the second embodiment, a case will be described in which an input memo is associated with capture information indicating a capture screen obtained as a result of capturing a medical care screen displayed at the time of memo input.

  A block diagram showing an example of an environment in which the medical information display device according to the second embodiment is used is the same as the block diagram shown in FIG. In the following description, the medical information display device 1A according to the second embodiment will be described by replacing the medical information display device 1 shown in FIG. 1 with a medical information display device 1A.

  Next, details of the medical information display device 1A according to the second embodiment will be described with reference to FIG. FIG. 10 is a block diagram illustrating a functional configuration of a medical information display device 1A according to the second embodiment.

  The medical information display device 1A shown in FIG. 10 includes a processing circuit 11A, an input interface 12, a display 13, a memory 14, and a communication interface 15. The processing circuit 11A, the input interface 12, the display 13, the memory 14, and the communication interface 15 are communicably connected to each other via, for example, a bus.

  The processing circuit 11A is a processor that functions as a center of the medical information display device 1A. The medical information display device 1A realizes a function corresponding to the control program stored in, for example, the memory 14 by executing the control program.

  The functions and configurations of the input interface 12, the display 13, the memory 14, and the communication interface 15 according to the second embodiment are the same as those of the input interface 12, the display 13, the memory 14, and the communication interface 15 according to the first embodiment. And the configuration is the same.

  The processing circuit 11A according to the second embodiment has an acquisition function 111, an association function 113A, a display control function 115A, a system control function 117, and a capture function 119.

  The associating function 113A is a function of associating information on the medical care screen with the contents of the memo when the memo about the medical care is input. The information on the medical care screen according to the second embodiment includes, for example, a layout storage name included in the first layout information and capture information. By executing the associating function 113A, the processing circuit 11A associates, for example, the information on the medical care screen displayed at the time of the memo input with the content of the input memo as the third layout information. At this time, the processing circuit 11A also associates the memo input person, the memo input date and time, and the event date and time designated at the time of the memo input with the content of the input memo. Then, for example, the processing circuit 11 sends the associated memo content, the memo creator, the memo input date and time, the designated date and time, and the second layout information to the processing circuit 61 of the DWH 6 via the communication interface 15 to memo information. 622 is instructed to be stored in the memory 62. As a result, the processing circuit 61 of the DWH 6 executes the registration function 612, and stores the contents of the associated memo, the memo creator, the memo input date and time, the designated date and time, and the second layout information in the memory 62 as memo information 622. I do.

  The display control function 115A is a function for displaying both the contents of the memo and the medical care screen displayed when the memo was input. The execution of the display control function 115 causes the processing circuit 11 to, for example, capture information from the third layout information associated with the content of the specified memo in accordance with a display instruction for a specific memo input by the user via the input interface 12. Is read. The processing circuit 11 displays a capture screen based on the capture information, along with the contents of the memo, the memo writer, the memo input date and time, and the designated date and time associated with the memo content.

  The capture function 119 is a function for capturing a medical care screen. By executing the capture function 119, the processing circuit 11 captures the medical care screen displayed on the display 13 at the time of memo input, and acquires capture information representing the capture screen.

  The acquisition function 111, the association function 113A, the display control function 115A, the system control function 117, and the capture function 19 may be incorporated as a control program, or dedicated hardware capable of executing each function in the processing circuit 11A itself. A circuit may be incorporated.

  Next, various operations of the medical information display device 1A according to the second embodiment will be described with reference to the drawings.

  First, an operation in which the medical information display device 1A according to the second embodiment stores a memo related to medical treatment will be described. FIG. 11 is a flowchart illustrating an example of an operation of the processing circuit 11A when the medical information display device 1A according to the second embodiment stores a memo related to medical care. In the following description, the processing circuit 11A reads the medical information 621 about a specific same patient stored in the memory 62 of the data warehouse 6 via the communication interface 15 and displays the medical information indicated by the user on the display. 13 is displayed. The processing circuit 11A reads a medical image file including medical image data representing a medical image indicated by the user from the PACS 5, for example, and displays the medical image file on the display 13. At this time, for example, the processing circuit 11A reads the medical image file from the PACS 5 based on information indicating the location of the medical image file indicated by the image information specified by the user who has input the display instruction.

  Further, it is assumed that the processing circuit 11A displays a medical care screen including medical care information on the display 13 in accordance with a display instruction of the user before the memo is input. At this time, it is assumed that the user has selected, for example, the first layout information according to the purpose of medical treatment via the input interface 12. Then, it is assumed that the processing circuit 11A has previously acquired the first layout information from the memory 14 according to the user's selection.

  The processing circuit 11A receives a memo storage instruction via the input interface 12 (step SC1). The medical care screen and the memo input window displayed on the display 13 of the medical information display device 1A according to the second embodiment are the same as the medical care screen IS1 and the memo input window W1 shown in FIG.

  When the save button B1 shown in FIG. 4 is designated, the processing circuit 11A acquires a layout save name included in the first layout information acquired in advance (step SC2). Specifically, the processing circuit 11A acquires a layout storage name “for BB case diagnosis” indicating the purpose of the arrangement of the medical care information included in the medical care screen IS1.

  When acquiring the layout storage name, the processing circuit 11A captures, for example, the screen displayed when the storage instruction is received, that is, the medical care screen IS1 illustrated in FIG. Thereby, the processing circuit 11A acquires capture information representing a capture screen regarding the medical care screen IS1 (step SC3).

  When acquiring the capture information, the processing circuit 11A executes the associating function 113A, and associates the layout storage name and the capture information acquired in step SC2 with the memo instructed to be saved in step SC1 as third layout information. (Step SC4).

  At this time, the processing circuit 11A also associates the memo input person, the memo input date and time, and the specified date and time specified on the medical care screen IS1 shown in FIG. Specifically, the processing circuit 11A responds to the content of the input memo “there is a sudden increase or decrease in the inspection measurement value” by the memo input user “user_2” and the memo input date / time “2016-05-02 21:00” And the designated date and time “2016-05-02 17:00” specified on the medical care screen IS1 shown in FIG.

  The processing circuit 11A, for example, sends the associated memo content, the memo creator, the memo input date and time, the specified date and time, and the third layout information to the processing circuit 61 of the DWH 6 via the communication interface 15 in the memo information 622. It is instructed to store it as one record in the memory 62 (step SC5). As a result, the processing circuit 61 of the DWH 6 executes the registration function 612, and stores the contents of the associated memo, the memo creator, the memo input date and time, the designated date and time, and the third layout information as one record of the memo information 622 in the memory. 62.

  Next, an operation in which the medical information display device 1A according to the second embodiment displays a memo related to medical treatment will be described. FIG. 12 is a flowchart illustrating an example of an operation of the processing circuit 11A when the medical information display device 1A according to the second embodiment displays a memo related to medical care. In the following description, it is assumed that the processing circuit 11A has previously acquired a necessary record included in the memo information 622 from the memory 62 of the DWH 6 according to a user's instruction via the input interface 12, for example. The user who refers to the memo regarding medical care is “user_3”.

  The processing circuit 11A receives, for example, an instruction to display a memo list for a specific patient via the input interface 12 (step SD1).

  When receiving the instruction to display the memo list for the specific patient, the processing circuit 11A refers to the record acquired in advance from the memory 62 of the DWH 6, and displays the memo list for the specified patient (step SD2). The memo list displayed in the second embodiment is the same as the example of the memo list shown in FIG.

  When displaying the memo list regarding the designated patient in step SD2, the processing circuit 11A accepts an instruction to display an individual memo (step SD3).

  At this time, the user specifies, for example, the region R51 or the region R52 included in the region R24 representing the memo list shown in FIG. The details of the medical care screen displayed on the display 13 can be confirmed. In the second embodiment, as in the first embodiment, the region R52 is specified.

  When the region R52 shown in FIG. 7 is designated, the processing circuit 11A refers to the record acquired in advance from the memory 62 of the DWH 6, and reads out the third layout information corresponding to the memo indicated to be displayed (step SD4). Specifically, the processing circuit 11A reads out the third layout information corresponding to the content of the memo instructed to be displayed “there is a sudden increase or decrease in the inspection measurement value” by referring to the record acquired in advance from the memory 62 of the DWH 6. . The read third layout information includes the capture information acquired in step SC3 shown in FIG.

  The processing circuit 11A displays the displayed memo together with the capture screen based on the capture information included in the acquired third layout information (step SD5). FIG. 13 is a diagram illustrating an example of a capture screen IS2 and a memo window W3 displayed on the display 13 of the medical information display device 1A according to the second embodiment. In FIG. 13, for example, the capture screen IS2 is displayed as another window different from the medical care screen IS1 shown in FIG. Also, a memo window W3 is displayed in a pop-up manner in a manner superimposed on the capture screen IS2. Note that memo window W3 shown in FIG. 13 may be displayed in a form included in capture screen IS2.

  The capture screen IS2 shown in FIG. 13 represents the same information as the medical care screen IS1 shown in FIG. Thus, the user can grasp the relationship between the input memo and the medical care screen displayed at the time of inputting the memo, as in the first embodiment.

  The capture screen IS2 shown in FIG. 13 has a close button B4. The close button B4 is a button provided to close the window representing the capture screen IS2. When the close button B4 shown in FIG. 13 is designated, the processing circuit 11A closes, for example, the window representing the capture screen IS2. At this time, the processing circuit 11A may close the memo window W3 together with the window representing the capture screen IS2. Thereby, the user can easily shift to another medical service.

  According to the second embodiment, the processing circuit 11A associates the input memo with capture information indicating a capture screen obtained as a result of capturing the medical care screen displayed at the time of memo input. Thus, similarly to the first embodiment, the user who refers to the memo can easily grasp the relationship between the input memo and the medical care screen displayed at the time of the memo input. Further, similarly to the first embodiment, a user who inputs a memo does not need to write detailed information at the time of inputting a memo so that any user can see it.

[Other embodiments]
In the first and second embodiments, for example, the medical treatment screen IS1 illustrated in FIG. 4 displays the medical history information, the vital sign information, and the examination history information as the medical treatment information, but is not limited thereto. For example, in the medical treatment screen IS1 shown in FIG. 4, the processing circuit 11 displays a medical image based on medical image data related to the image information as the medical treatment information. FIG. 14 is a diagram illustrating a medical care screen IS1 displayed on the display 13 of the medical information display device 1 according to another embodiment and a memo input window W1. The region R2 representing the medical information shown in FIG. 14 includes a region R21 representing the image information. In a region R21 representing image information, a medical image based on medical image data obtained by an image test on a specific patient is displayed. The location of the medical image file representing the medical image is specified by the image information. At this time, for example, when the save button B1 is designated, the processing circuit 11 adds medical image data representing the medical image included in the region R21 representing the image information shown in FIG. Associate. Accordingly, the user can grasp the intention of inputting the memo from the medical image displayed at the time of inputting the memo, for example.

  Further, in the first embodiment, for example, by specifying the area R52 included in the area R24 representing the memo list shown in FIG. 7, the processing circuit 11 restores the restored medical screen shown in FIG. IS1 was displayed. Further, in the second embodiment, the processing circuit 11A displays the capture screen IS2 shown in FIG. 13 by specifying the region R52 included in the region R24 representing the memo list shown in FIG. 7, for example. I was trying to do it.

  On the other hand, the processing circuit according to another embodiment may be configured to be able to select the display mode of the medical care screen displayed on the display 13 at the time of memo input, for example. Specifically, the processing circuit according to another embodiment, for example, when an area R52 included in the area R24 representing the memo list shown in FIG. 7 is designated, the restored medical screen IS1 shown in FIG. Is displayed, or a selection screen that allows the user to select either the display of the capture screen IS2 shown in FIG. This allows the user to select the display mode of the medical care screen according to the purpose of the medical care, for example.

  Further, in the first embodiment, the processing circuit 11 includes the first layout information, the medical data type for each medical information included in the second layout information based on the meta information, the reference position, the display size, the data item, Although the medical care screen is restored based on the display period, the present invention is not limited to this. For example, the meta information generated when the medical care screen is displayed usually includes information equivalent to the medical care data type, the reference position, and the display size for each medical care information included in the first layout information. For this reason, for example, the processing circuit 11 extracts a medical data type, a reference position, a display size, a data item, and a display period for each medical information from the meta information generated when the medical screen is displayed, and converts the medical screen. You may make it restore.

  The term “processor” used in the above description may be, for example, a CPU (Central Processing Unit), a GPU (Graphics Processing Unit), or an application specific integrated circuit (ASIC), a programmable logic device (for example, , A Simple Programmable Logic Device (SPLD), a Complex Programmable Logic Device (CPLD), and a Field Programmable Gate Array (FPGA). The processor realizes functions by reading and executing a program stored in the storage circuit. Note that each processor of the present embodiment is not limited to the case where each processor is configured as a single circuit, but may be configured as one processor by combining a plurality of independent circuits to realize its function. Good. Further, a plurality of components in FIGS. 1 and 2 may be integrated into one processor to realize its function.

  According to at least one embodiment described above, it is possible to reduce a user's burden necessary for understanding the intention of a memo related to medical care.

  While some embodiments of the invention have been described, these embodiments have been presented by way of example only, and are not intended to limit the scope of the inventions. These new embodiments can be implemented in other various forms, and various omissions, replacements, and changes can be made without departing from the spirit of the invention. These embodiments and their modifications are included in the scope and gist of the invention, and are also included in the invention described in the claims and their equivalents.

1, 1A: medical information display device 2: HIS
3. RIS
4: Medical image diagnostic apparatus 5: PACS
6 ... DWH
11, 11A processing circuit 12 input interface 13 display 14 memory 15 communication interface 19 capture function 61 processing circuit 62 memory 63 communication interface 111 acquisition function 113, 113A association function 115, 115A display Control function 117 System control function 119 Capture function 611 Collection function 612 Registration function 621 Medical information 622 Memo information

Claims (7)

A display control unit for displaying a medical care screen including medical care information,
A receiving unit that receives an input of a designated date and time specified in the medical treatment screen and a memo related to the medical treatment screen;
An associating unit that associates the memo with the input date and time at which the memo was input, the designated date and time, and information on a medical care screen when the memo is input,
A medical information display device comprising: The receiving unit receives a display instruction to display the memo,
The display control unit displays both the display-instructed memo and information related to a medical care screen associated with the memo,
The medical information display device according to claim 1. The information on the medical treatment screen includes an arrangement of the medical treatment information included in the medical treatment screen, and layout information indicating a display period,
The display control unit restores the medical treatment screen based on the layout information, and displays the display-instructed memo and the restored medical treatment screen together.
The medical information display device according to claim 1. The display control unit, when the restored medical care screen is displayed, according to a screen switching instruction to transition to the previous display screen, to display the previous display screen,
The medical information display device according to claim 3. The information regarding the medical treatment screen includes capture information obtained as a result of capturing the medical treatment screen,
The display control unit displays both the display-instructed memo and a capture screen based on the capture information.
The medical information display device according to claim 1. The information related to the medical treatment screen includes a layout storage name representing a purpose of arrangement of the medical treatment information in the medical treatment screen,
The display control unit displays the layout storage name,
The medical information display device according to claim 1. The designated date and time includes the date and time when the medical treatment event occurred, or the scheduled date and time,
The medical information display device according to claim 1.