JP2020191053A - Electronic medical chart retrieval device, electronic medical chart retrieval method, and electronic medical chart system - Google Patents

Abstract

To provide an electronic medical chart retrieval device which is highly convenient for retrieving and extracting an electronic medical chart.SOLUTION: An electronic medical chart retrieval device 1 includes an input section 11, a display section D, and a control section 15 for controlling them. The control section 15 has retrieval condition setting means 156 for setting retrieval conditions and display control means 157 for displaying an electronic medical chart searched under the retrieval conditions as a retrieved medical chart. The retrieval condition setting means 156 can set the retrieval conditions by different retrieval items, and the display control means 157 controls the display section D so as to display a list of retrieved medical charts displayed in a display mode corresponding to the retrieval conditions.SELECTED DRAWING: Figure 1

Description

The present invention relates to an electronic medical record search device, an electronic medical record search method, and an electronic medical record system.

Conventionally, "medical record" ("medical record" means a medical record in which a doctor (including a dentist) describes the progress of medical treatment) has meant a medical record written on paper. Recently, "electronic medical records" that replace medical records with electronic data are gradually becoming widespread. Since electronic medical records are composed of electronic data, they can be searched using a computer and are easier to search than paper medical records, but the electronic medical record data in the electronic medical record database that collects electronic medical records is enormous. It is not easy for doctors and others to search the electronic medical record database and extract (pick up) the medical record to be obtained (want to see) in order to use it as a reference for medical treatment or to conduct case studies.

As an electronic medical record system that attempts to improve the search, a medical history database that stores patient ID and medical history data and a medical history database that stores medical record data including patient ID are provided, and the medical history including the medical history entered as a search condition can be obtained. There is a proposal of an electronic medical record system that searches in a medical history database and searches a medical record database for each medical history data found (Japanese Patent Laid-Open No. 2009-80719).

In this system, as shown in FIG. 22, for example, when you want to see a medical record of "high fever" in "influenza", search for "influenza" in "disease name", create a list, and then select "symptoms". By searching for "high fever", a medical record list with "disease name" of "influenza" and "symptom" of "high fever" is created and displayed. As shown in FIG. 22, "patient" Hanako Sanyo (information that identifies the patient such as patient ID), disease name "influenza", symptom "high fever continues, thirst", consultation date (2016/10 / 12, 2016/10/16), below that, about "patient" Goro Yamada, the disease name "influenza" and the symptom "high fever, coughing does not stop" are displayed.
Such an electronic medical record system is excellent in that it is relatively easy to search for an electronic medical record.

Japanese Unexamined Patent Publication No. 2009-80719

However, although the number of electronic medical records is increasing with the accumulation of medical records, the proposed system described in the above-mentioned gazette can search only a single medical history, so when searching and extracting electronic medical records. , Not always convenient.

Therefore, an object of the present invention is to provide an electronic medical record search device that is highly convenient for searching and extracting electronic medical records.

[1] The electronic chart search device of the present invention includes an input unit, a display unit, and a control unit that controls the input unit and the display unit, and the control unit provides information for identifying a patient and a medical examination. A search condition setting means for setting search conditions for searching an electronic chart according to the input contents from the input unit from an electronic chart database that collects electronic charts storing information on days and medical treatment, and the search condition setting means. An electronic chart search device having a display control means for controlling the display unit so that the electronic chart searched by the set search condition is displayed as the search chart, and the search condition setting means has different search items. The search condition can be set according to the above, and the display control means controls the display unit so as to display a list of the search charts displayed in a display mode corresponding to the search condition.

Here, the "electronic medical record" refers to a medical record recorded as electronic data. As a general rule, electronic medical records are created every day the patient visits. For example, when the same patient receives the first medical examination and the same patient who receives the re-examination on a different day, the electronic medical records are created because the consultation dates are different.
"Patient-identifying information" refers to information that identifies who the patient is, such as the patient's name and health insurance card number.
"Information on the date of consultation" refers to information such as the date of consultation at the first visit and the date of consultation at the second visit.
"Medical information" includes disease name (injury and illness name), main complaint information (information that the patient complained of having a headache, etc.), treatment information (information that the doctor diagnosed as a cold, etc.), treatment information (prescribed medicine). Etc.), etc. Refers to information related to medical treatment.
These "information for identifying the patient", "information regarding the consultation date", and "information regarding medical treatment" will be described later with reference to FIG.
"Search item" refers to a search classification.
The "search condition" refers to the premise, restrictions, and matters necessary for the search.
"Search condition setting means" means a means for setting search conditions.
"Display control means" means a means for controlling the display.
"Search medical record" means an electronic medical record searched (extracted) by a search.
The "display mode" refers to the state, state, or state of the display to be displayed by drawing an underline, making it bold, drawing a marker, or the like. The "display mode" will be described later with reference to FIGS. 7 (B), 9 (B), 11 (B), 13 (B), 15 (B), 18 and the like.
The "list display" is a simple display that makes it possible to understand the entire search chart (group).

In the electronic medical record search device of the present invention, the search condition setting means can set the search condition by different search items, and the display control means displays a list of the search medical records displayed in the display mode corresponding to the search condition. In addition, since the display unit is controlled, the search medical records displayed in the display mode corresponding to the search conditions are displayed in a list, which is highly convenient for searching and extracting the electronic medical records.

[2] In the electronic medical record search device of the present invention, in the control unit, the search condition setting means sets the search condition as the first search condition or the second search condition, and the first search condition is described. When the same search medical record as the search medical record searched in is also searched by the second search condition, the display control means includes the search medical record searched by the first search condition and the second search. It is preferable to control the display unit so that the same search chart searched by the conditions and the same search chart are displayed in a list in a display mode corresponding to each search condition.

In this way, the search chart searched by the first search condition and the same search chart searched by the second search condition are listed in a display mode corresponding to each search condition. Therefore, it is more convenient to search and extract electronic medical records.

[3] In the electronic medical record search device of the present invention, the display control means continuously connects the search medical record searched by the first search condition and the same search medical record searched by the second search condition in the column direction. It is preferable to control the display unit so that the display units are displayed side by side.

In this way, the search chart searched by the first search condition and the same search chart searched by the second search condition are continuously displayed side by side in the column direction, so that each search condition can be used. Since the same search medical records displayed in the corresponding display modes are continuously displayed side by side in the column direction, the search results are easy to see, and it is even more convenient to search and extract the electronic medical records.

[4] In the electronic medical record search device of the present invention, the search condition setting means may set search conditions so that at least one of a disease name, a mark, a marker, a word / symbol, and a medical practice is set as a search item. preferable.

Here, the "disease name" means the name of the disease. Illness includes both illness and trauma.
"Mark" means a symbol, code, mark, mark, design, etc. made by a human being. In the present application, it mainly refers to a mark given to the electronic medical record itself.
The "marker" means a mark, a sign, or the like. For example, a vocabulary in an electronic medical record is an electronically yellow colored marker.
"Word / symbol" means a word or symbol. A word means a word and a word. Symbols refer to characters, marks, pictures, and the like. It is a word or symbol described in the chief complaint findings, treatment, etc. in the electronic medical record.
"Medical practice" is a medical practice performed by a doctor on a patient and is described in an electronic medical record.

In this way, the electronic medical record is searched and extracted by setting the search condition so that at least one of the disease name, mark, marker, word / symbol, and medical practice, which is convenient for searching, is set as the search item. However, it becomes even more convenient.

[5] In the electronic medical record search device of the present invention, the search condition setting means searches for at least two or more of the disease name, the mark, the marker, the word / symbol, and the medical practice. It is preferable to set the conditions.

In this way, by setting the search conditions so that at least two or more of the disease name, mark, marker, word / symbol, and medical practice, which are convenient for searching, are set as search items, the search from different viewpoints can be performed at the same time. This makes it even more convenient for searching and extracting electronic medical records.

[6] In the electronic medical record search device of the present invention, the search condition setting means selects at least one search item from the registered search contents for the search content and sets the search content as the search content. It is preferable to set the search condition in.

In this way, it is possible to set search conditions so that the search content related to the search item can be selected from the registered search content and used as the search content. Therefore, a new search content is created each time the search is performed. It becomes unnecessary, and it becomes more convenient to search and extract electronic medical records.

[7] In the electronic medical record search device of the present invention, the search condition setting means allows additional registration of search contents related to the search item for at least one of the search items, and the registered search including the additional registration. It is preferable to set the search conditions so that the search content is selected from the contents.

In this way, it is easy to set the search conditions so that additional registration of the search content related to the search item is allowed for the search item and the search content is selected from the registered search content including the additional registration. Since the search content can be expanded or changed, it becomes even more convenient to search and extract electronic medical records.

[8] In the electronic medical record search device of the present invention, when a disease name is selected as a search item of the search condition, the search condition setting means sets the disease name as a search condition after selecting initial diagnosis or re-examination. It is preferable to set the search conditions so as to.

Here, the "first medical examination" refers to the case of visiting the clinic for the first time to receive medical treatment (examination). This includes cases where the patient has the same symptoms as the previous medical treatment but has been cured or discontinued before visiting the hospital. "Re-examination" refers to the second and subsequent medical examinations.

In this way, when a disease name is selected as a search item in the search condition, if the search condition is set so that the disease name is set as the search condition after selecting the first visit or the return visit, the disease name is narrowed down to the first visit or the return visit. It is easy to narrow down the search medical records by, and it becomes more convenient to search and extract electronic medical records.

[9] In the electronic medical record search device of the present invention, when the search condition setting means sets the mark as the search item, the display control means displays only the mark in the content column of the search chart. It is preferable to control the display unit.

Here, the "content column of the search chart" is a column for displaying the content of the search chart extracted as a result of the search. In the embodiment such as the first embodiment, the list shown in FIGS. 7 (B), 9 (B), 11 (B), 13 (B), 15 (B), 18 and 20, which will be described later. Refers to the "content" column of the search chart displayed in the display unit 13.

In this way, when the search condition setting means sets a mark as a search item, if the display control means controls the display unit so that only the mark is displayed in the content field of the search chart, the mark is visually displayed. Since the search contents of the search medical record can be grasped quickly, it becomes even more convenient to search and extract the electronic medical record.
In addition, if only the mark is displayed, the meaning of the mark cannot be understood by patients other than doctors and medical staff such as patients. Therefore, doctors and medical staff who search electronic medical records for information that they do not want to convey to patients, etc. It will be possible to secretly inform the medical staff of.
For example, if information such as "it is difficult to find a complete treatment method at this time" or "the symptoms are serious" is displayed with a mark that does not explain the meaning, doctors can understand the contents, but the search chart is accidentally patient. However, the meaning is not understood, and it is possible to reduce the risk of troubles such as a feeling of despair for the patient.

[10] In the electronic medical record search device of the present invention, when the search condition setting means sets the marker as the search item, the display control means describes the search chart in the content column of the search chart. Of these, it is preferable to control the display unit so as to display the description portion to which the marker is attached.

Here, "displaying the description portion with the marker in the description portion of the search chart" is preferably displayed as it is with the marker attached, but is not necessarily displayed in exactly the same state. It doesn't have to be. It is preferable that the color, thickness, etc. of the marker are in the same state as when the marker is attached. The color and thickness of the markers may be different. It does not have to have a marker font. Regarding colors, it is often difficult to display in exactly the same color if the display unit, color reproduction software, or the like is different, but it is preferable that the colors are of the same color system. However, it may be in a mode in which it can be recognized that a marker is attached.

In this way, when a marker is set as a search item, when the description part with the marker is displayed in the content field of the search chart, the marker is attached or the marker is displayed. Since the attached contents can be grasped at a glance, it becomes even more convenient for searching and extracting electronic medical records.

[11] In the electronic medical record search device of the present invention, when the search condition setting means sets the word / symbol as the search item, the display control means displays the search chart in the content column of the search chart. It is preferable to control the display unit so that the word / symbol is clearly indicated in the description portion.

Here, "explicit" is intended to clearly indicate, for example, that the word / symbol is thickened or slanted, the word / symbol is a character such as red or blue, or the symbol is used, and the word / symbol part is colored. It means to display by, underlining, highlighting, highlighting, etc.

In this way, when a word / symbol is set as a search item, if the word / symbol is specified in the description part of the search chart in the content field of the search chart, the searched word / symbol can be seen at a glance. It is even more convenient to search and extract.

[12] In the electronic medical record search device of the present invention, when the search condition setting means sets a medical practice as the search item, the display control means displays the content of the medical practice in the content column of the search chart. It is preferable to control the display unit so as to cause the display.

Here, medical treatment refers to medical examinations and treatments performed by doctors and medical staff under the supervision of doctors. Medical practice means the act of providing medical care. It also includes home visits, which are medical examinations and treatments performed by visiting homes and facilities instead of medical institutions.
The "contents of medical practice" refers to the contents of recording medical practice such as "continuous observation is necessary, and an X-ray is taken just in case".

In this way, when a medical practice is set as a search item, if the content of the medical practice is displayed in the content column of the search chart, the medical practice can be seen at a glance, so it is more difficult to search and extract the electronic medical record. It will be more convenient.

[13] In the electronic medical record search device of the present invention, the display control means can control the display unit so as to display the search medical records in a list in order of consultation date and by consultation date along the column direction. preferable.

In this way, the search charts are displayed in a list in the order of the consultation date along the column direction and by the consultation date, so that the list display becomes easier to see and it is more convenient to search and extract the electronic medical record. The sex becomes high.

[14] The electronic medical record system of the present invention is characterized by including an electronic medical record database and the above-mentioned electronic medical record search device.

According to the electronic medical record system of the present invention, since the electronic medical record database and the above-mentioned electronic medical record search device are provided, it is possible to provide an electronic medical record system that is highly convenient for searching and extracting electronic medical records.

[15] In the electronic medical record search method of the present invention, search conditions for the electronic medical record are set from an electronic medical record database that stores electronic medical records that store information for identifying a patient, information on a consultation date, and information on medical treatment. It is an electronic medical record search method that displays a list of electronic medical records searched by search conditions as a search medical record, and is displayed in a search condition setting step for setting search conditions from different search items and a display mode corresponding to the search conditions. It is characterized by including a step of displaying a list of the search charts.

The electronic medical record search method of the present invention includes a search condition setting step of setting search conditions from different search items, and a step of displaying a list of the search charts displayed in a display mode corresponding to the search conditions. , Since the search medical records displayed in the display mode corresponding to the search conditions are displayed in a list, it is highly convenient to search and extract the electronic medical records.

The electronic medical record search device 1, electronic medical record search method and electronic medical record system 2 according to the first embodiment (hereinafter, "electronic medical record search device 1, electronic medical record search method and electronic medical record system 2" are referred to as "electronic medical record search device 1 and the like". ) Is a diagram for explaining the outline. It is a figure for demonstrating an example of the recording method of the electronic medical record used in the electronic medical record search apparatus 1 and the like which concerns on Embodiment 1. It is a figure for schematically explaining the electronic medical record search apparatus 1 and the like which concerns on Embodiment 1. It is a figure for demonstrating the search flow of the electronic medical record search apparatus 1 and the like which concerns on Embodiment 1. It is a figure for demonstrating the recording example of the electronic medical record used in the electronic medical record search apparatus 1 and the like which concerns on Embodiment 1. FIG. It is a figure for demonstrating the search item used in the electronic medical record search apparatus 1 and the like which concerns on Embodiment 1. It is a figure for demonstrating the case which searches by the search item "disease name" by the electronic medical record search apparatus 1 and the like which concerns on Embodiment 1. FIG. 7A is a diagram for explaining a search condition display, FIG. 7B is a list display, and FIG. 7C is a diagram for explaining a detailed display of the selected electronic medical record. It is a flowchart for demonstrating the procedure in the case of searching by the search item "disease name" by the electronic medical record search apparatus 1 and the like which concerns on Embodiment 1. It is a figure for demonstrating the case which searches by the search item "mark" by the electronic medical record search apparatus 1 and the like which concerns on Embodiment 1. 9 (A) is a search condition display, FIG. 9 (B) is a list display, and FIG. 9 (C) is a diagram for explaining a detailed display of the selected electronic medical record. It is a flowchart for demonstrating the procedure in the case of searching by the search item "mark" by the electronic medical record search apparatus 1 and the like which concerns on Embodiment 1. It is a figure for demonstrating the case which searches by the search item "marker" in the electronic medical record search apparatus 1 and the like which concerns on Embodiment 1. 11 (A) is a search display, FIG. 11 (B) is a list display, and FIG. 11 (C) is a diagram for explaining detailed display of the selected electronic medical record. It is a flowchart for demonstrating the procedure in the case of searching by the search item "marker" in the electronic medical record search apparatus 1 and the like which concerns on Embodiment 1. It is a figure for demonstrating the case which searches by the search item "word / symbol" by the electronic medical record search apparatus 1 and the like which concerns on Embodiment 1. 13 (A) is a search display, FIG. 13 (B) is a list display, and FIG. 13 (C) is a diagram for explaining detailed display of the selected electronic medical record. It is a flowchart for demonstrating the procedure in the case of searching by the search item "word / symbol" by the electronic medical record search apparatus 1 and the like which concerns on Embodiment 1. It is a figure for demonstrating the case which searches by the search item "medical practice" by the electronic medical record search apparatus 1 and the like which concerns on Embodiment 1. 15 (A) is a search condition display, FIG. 15 (B) is a list display, and FIG. 15 (C) is a diagram for explaining a detailed display of the selected electronic chart. It is a flowchart for demonstrating the procedure in the case of searching by the search item "medical practice" by the electronic medical record search apparatus 1 and the like which concerns on Embodiment 1. It is a figure for demonstrating the search condition display in the case of searching by a plurality of search items by the electronic medical record search apparatus 1 and the like which concerns on Embodiment 1. It is a figure for demonstrating the list display at the time of searching by a plurality of search items by the electronic medical record search apparatus 1 and the like which concerns on Embodiment 1. It is a flowchart for demonstrating the procedure in the case of searching by a plurality of search items by the electronic medical record search apparatus 1 and the like which concerns on Embodiment 1. It is a figure for demonstrating the electronic medical record search apparatus 1 and the like which concerns on other embodiment. An electronic medical record search device, an electronic medical record search method, and an electronic medical record system (hereinafter, "electronic medical record search device, electronic medical record search method, and electronic medical record system" are referred to as "electronic medical record search device, etc.") according to another embodiment. It is a figure for. It is a figure for demonstrating the prior art.

Hereinafter, the electronic medical record search device, the electronic medical record search method, and the electronic medical record system (electronic medical record search device, etc.) of the present invention will be described with reference to the drawings. It should be noted that each drawing is a schematic view and does not necessarily strictly reflect the actual structure, configuration, appearance, electrical connection, system, display, and the like.

[Embodiment 1]
[Overview of electronic medical record search device, etc.]
FIG. 1 is a diagram for explaining an outline of the electronic medical record search device 1 and the like according to the first embodiment. Hereinafter, the electronic medical record search device 1 will be mainly described, but this description also serves as a description of the electronic medical record search method and the electronic medical record system 2.

As shown in FIG. 1, the electronic medical record system 2 mainly includes an electronic medical record database 17, an electronic medical record search device 1, and a network 16 that electrically connects them.
The electronic medical record search device 1 includes an input unit 11, a display unit D, and a control unit 15. The display unit D includes a search condition display unit 12, a list display unit 13, and an electronic medical record display unit 14. The display unit D is a liquid crystal display unit.

The control unit 15 includes a CPU (Central Processing Unit, central control device) 151 connected by an internal bus 154, a ROM (Read Only Memory, read-only memory) 152, and a RAM (Random Access Memory, a memory that can be read and written arbitrarily). ) 153 and. The ROM 152 stores a program for controlling the input unit 11 and the display unit of the electronic medical record search device 1 (a series of instructions set up to control the electronic medical record search device 1). In the control unit 15, the CPU 151 reads a program from the ROM 152, temporarily reads and writes the processed data in the RAM 153, and performs an electronic medical record search process.

The internal bus 154 of the control unit 15 is connected to the network 16 of the electronic chart system 2 via the interface 155. The network 16 is connected to the electronic medical record database 17. The electronic medical record database 17 is a memory for storing electronic medical record information. The network 16 is a wired or wireless communication line and constitutes an Internet, an intranet, or the like. A printing device 18 is connected to the network 16 as needed.

The control hand unit 15 includes a search condition setting means 156 for controlling the search condition of the electronic medical record, which is indicated by a dotted line in the display unit D, and a display control means 157 for controlling the display of the display unit. It is shown by a dotted line because it has a different meaning from hardware.

The electronic medical record database 17 is also referred to as an electronic medical record storage device or an electronic medical record storage memory. This is a database that collects and stores electronic medical records that store information that identifies patients, information about consultation dates, and information about medical treatment. It is composed of a hard disk device, an optical disk device, a semiconductor memory device, and the like. It may be a server or cloud storage.

Although not shown in FIG. 1 (and FIG. 3), the input unit 11, the display unit D (12, 13, 14), the electronic medical record database 17, and the printing device 18 each have an interface. It is connected to the network 16 via.

[Example of electronic medical record recording method]
FIG. 2 is a diagram for explaining an example of a recording method of the electronic medical record 171 used in the electronic medical record search device 1 and the like according to the first embodiment.
In the recording method of the electronic medical record 171, the patient's name, date of birth, and gender are entered in the "patient" field.
In the "Insurance" field, the type of insurance (the type of insurance such as Japan Health Insurance Association, union-managed health insurance, mutual aid association, sailor insurance, national health insurance, etc.), insurance number, etc. are entered.
In the "patient number" field, the number of the patient assigned by the medical institution or the medical network to which the medical institution belongs is entered.
In the "first visit / return visit" field, it is entered whether it is the first visit or the second visit.
In the "Main complaint" field, the main symptoms that the patient complains to the doctor are entered.
In the "findings" column, what the doctor saw and the judgment and opinion of the result of the observation are entered.
The name of the disease or trauma is entered in the "Injury / Disease Name" field. "Injury and illness" is a general term for diseases and trauma.
In the "test" field, test contents such as a "specimen test" for examining blood, urine, stool, cells, etc. collected from a patient, and a "physiological function test" for directly examining a patient such as an electrocardiogram and a brain wave are input.
In the "Treatment" column, enter the content of the injury or illness that will be dealt with by taking appropriate measures, the treatment of the injury or illness, and the treatment content.
In the "Prescription" field, enter the name of the drug, the method of administration, the period of administration, etc. (drug name, dosage / dose, period of use, etc.) selected by the doctor according to the patient's medical condition.

[Schematic explanatory diagram of electronic medical record search device, etc.]
FIG. 3 is a diagram for schematically explaining the electronic medical record search device 1 and the like according to the first embodiment. The display unit D includes a search condition display unit 12, a list display unit 13, and an electronic medical record display unit 14. The input unit 11 has a keyboard 111 and a mouse 112. These are connected to the network 16.

[Search flow for electronic medical record search device 1 etc.]
FIG. 4 is a diagram for explaining a search flow of the electronic medical record search device 1 and the like according to the first embodiment. The search flow (search process) is a flow showing a flow in which the CPU 151 reads a program stored in the ROM 152 and processes the program according to the program.

To search the electronic medical record 171, the search condition is input to the search condition display unit 12 from the input unit 11, and the search condition setting means 156 of the control unit 15 sets the search condition according to the input of the input unit 11 ( Step: S101).
Here, the "search condition setting means" 156 refers to a CPU 151 (control unit 15) that reads a program stored in the ROM 152 and executes a function of controlling the search conditions (setting of the search conditions, etc.).
The search condition setting means 156 determines that the search condition is "whether the search condition input from the input unit 11 is properly set (input)" in the list display unit 13 (step: S102).

If it is not set properly (NO), the search condition setting means 156 causes the display unit to display a warning that the search condition setting is not appropriate (step: S103). Then, the process returns to step S101.
When properly set (YES), the control unit 15 (CPU 151) searches the electronic medical record database 17 (electronic medical record 171) for each search item according to the search conditions set by the search condition setting means 156. (Step: S104).

The control unit 15 (CPU 151) first collects the list display data of the electronic medical record 171 corresponding to each search item to be searched (step: S105).

Next, the CPU 151 (control unit 15) determines whether or not the search has been completed for all the search items set as the search conditions (step: S106).
If the CPU 151 (control unit 15) has not completed the search for all the search items set in the search conditions (NO), the next search target is set as the remaining search items (step: S107), and step 104 Return to.

When the CPU 151 (control unit 15) determines that the search has been completed for all the search items set in the search conditions (if YES), the display control means 157 of the control unit 15 searches the display unit D for a search. The hit search chart group is displayed in a list on the list display unit 13 (step: S108).
Here, the "display control means" 157 refers to a CPU 151 (control unit 15) that reads a program stored in the ROM 152 and executes a function of controlling the display of the display unit D.
Next, by input from the input unit 11, the medical record whose details are to be viewed is selected from the list display (step S109), and the CPU 151 (control unit 15) is selected from the list by the display unit D. The search chart (electronic chart 171) is displayed in detail on the electronic chart display unit 14 (step S110).
If you want to see another electronic medical record 171, return to step 109.

The control unit 15 (CPU 151) performs these determinations, instructions, controls, and the like.

[Example of inputting electronic medical records]
FIG. 5 is a diagram for explaining a recording example of the electronic medical record 171 used in the electronic medical record search device 1 and the like according to the first embodiment. This will be described with reference to an example of the recording method of the electronic medical record 171 of FIG.

In the "Patient" column, the patient's name "Ichi Takahashi", date of birth "January 1, 2000", and "male" by gender are recorded.
In the "Insurance" column, the type of health insurance "Health insurance" and the insurance number "AP-300" are recorded.
In the "patient number" column, the patient number "3016" assigned by the medical institution or the medical network to which the medical institution belongs is recorded.
In the "first visit / return visit" column, it is recorded as "first visit".
In the "main complaint" column, the main symptom that the patient complains to the doctor is "I'm sick from the day before. I still have a throat pain today."
A marker is attached to "from the day before". Markers can be placed anywhere the doctor wants. Attach it to the part you want to pay attention to in this electronic medical record 171. You can use the keyboard 111 or mouse 112 to specify the range to attach the marker and select the color to attach.
In the "Findings" column, what the doctor saw and the judgments and opinions of the results, "I had a cold from the previous day. Medication. Continued observation is required. Take an X-ray just in case." ing.
"Cold" is recorded in the "Injury and illness name" column.
In the "examination" column, "contents body temperature measurement X-ray result 37.5 ° C X-ray image" is recorded, and the image is attached.
In the "Treatment" column, "Apply Lugol to the throat. Medicate and monitor the progress" is recorded.
In the "Prescription" column, "Loxonin Tablets 60 mg 3 times a day / 3 days after meals" is recorded.
In addition to this, there are "mark" column and "remarks" column, but they are blank.
The "mark" column is a column for inputting and recording a mark for matters to be especially noted.
Free matters can be described (recorded) in the "Remarks" column.

Explaining according to this example, the "patient-identifying information" refers to information that identifies a patient such as the patient's name, date of birth, and male / female in the "patient" column. As the "information that identifies the patient", if there is a health insurance number in the "insurance" column, the health insurance number can be included. If the clinic assigns the patient its own number, it can include the number in the "Patient Number" column, which the clinic has assigned its own number.
The "information on the consultation date" is information related to the consultation date such as the consultation date in the "consultation date" column.
"Medical information" is information related to the medical treatment of a patient, and is information related to medical treatment in the "main complaint" column, "findings" column, "injury and illness name" column, "examination" column, "treatment" column, and "prescription" column. .. If information about medical care is recorded in the "Remarks" column, this information in the "Remarks" column is also included.
The information in the "first visit revisit" column may be included in either or both of "information regarding consultation" and "information regarding medical treatment".

[Search entry]
FIG. 6 is a diagram for explaining search items used in the electronic medical record search device 1 and the like according to the first embodiment.
When searching the electronic medical record 171, the control unit 15 (CPU 151) causes the display unit D to display the search condition setting screen 121 on the search condition display unit 12.
The search condition setting screen 121 is provided with a search necessity column 1221, a search item column 1222, and a search (・ display) content column 1223 to be displayed.
Search items are displayed in the search item field 1222.
In the search (・ display) content column 1223, display guidance of the search result when the search is first performed in each search item is displayed. Looking at the guidance display, input the search content from the input unit 11. The "search (display) content" column 1223 is a column for setting the search content, but the display in the list display will be described in the column according to the setting. This is because the search chart is displayed. The "search (display) content" column 1223 is also referred to as the "search content" column 1223.

When either "Yes / No" is selected for the search of each search item in the search item field 1222 in the search necessity field 1221 by the input from the input unit 11, the search condition setting means 156 follows the selection. And set the search conditions.
When an item to be searched is selected in the search item field 1222 by the input from the input unit 11, the search condition setting means 156 sets the search condition according to the selection.
When the search content corresponding to the search item is input to the search (display) content field 1223 by the input from the input unit 11, the search condition setting means 156 sets the search condition according to the selection.

In the case of the search item "disease", a specific disease name is input in the search (display) content field 1223 by input from the input unit 11, and "(search) / not" in the search necessity field 1221 is "(search) / not". When selected in "Yes", the search condition setting means 156 sets the search condition according to the input. The CPU 151 (control unit 15) searches the electronic medical record database 17 with the set search condition of "disease name". The display control means 157 causes the display unit D to display a list of the detected medical records (groups) extracted by the search.

A "first visit / return visit / all" selection button is provided on the search condition setting screen 121 of the search condition display unit 12, and the search target for "illness" is the electronic medical record at the time of the first visit. It may be possible to select whether to use a medical record or to search all electronic medical records regardless of the return visit. The search target is narrowed down, and the search convenience is excellent.
In this way, when the disease name is selected as the search item of the search condition, when the search condition setting means 156 sets the search condition so as to set the disease name as the search condition after selecting the first visit or the second visit, the first visit or It is easy to narrow down the search medical records by disease name focusing on re-examination, and it becomes even more convenient to search and extract electronic medical records.
The same applies to the cases of "mark", "marker", "word / symbol", and "medical practice".
When "mark", "marker", "word / symbol", and "medical practice" are selected as the search items of the search condition, the search condition setting means 156 sets these as the search condition after selecting the first visit or the return visit. When the search conditions are set in this way, it is easy to narrow down the search charts by "marks" or the like focusing on the first visit or the return visit, and it becomes more convenient to search and extract the electronic charts.

In the case of the search item "mark", a specific mark is input in the search (・ display) content field 1223 by input from the input unit 11, and "(search) / not" in the search necessity field 1221 is set to "(search) / not". When "Yes" is selected, the search condition setting means 156 sets the search condition according to the input. The CPU 151 (control unit 15) searches the electronic medical record database 17 under the set search conditions for the mark. The display control means 157 causes the display unit D to display a list of detected medical records (groups) under the search condition of the "mark" extracted by the search.

In the case of the search item "marker", a specific marker is input in the search (display) content field 1223 by input from the input unit 11, and "(search) / not" in the search necessity field 1221. When "Yes" is selected in, the search condition setting means 156 sets the search condition according to the input. The CPU 151 (control unit 15) searches the electronic medical record database 17 under the set search conditions for the "marker". The display control means 157 causes the display unit D to display a list of the detected medical records (groups) extracted by the search.
As shown in the search (display) content column 1223, the display control means 157 displays on the display unit D, "The chief complaint in the electronic medical record 171 and the place where the marker (to be searched) is drawn in the finding column. Display control is performed so that the content to be included is displayed (displayed (in the list) (displayed with a marker).

In the case of the search item "word / symbol", a specific word / symbol is input in the search (-display) content field 1223 by input from the input unit 11, and "(search) / search" in the search necessity field 1221. When "No" is selected by "Yes", the search condition setting means 156 sets the search condition according to the input. The CPU 151 (control unit 15) searches the electronic medical record database 17 with the set search conditions of "words / symbols". The display control means 157 causes the display unit D to display a list of the detected medical records (groups) extracted by the search.
As shown in the search (display) content column 1223, the display control means 157 extracts and displays "contents matching the word or symbol to be searched from the electronic medical record 171" on the display unit D. (Underlined) ”display control.

In the case of the search item "medical practice", a specific medical practice is entered in the search (display) content field 1223 by input from the input unit 11, and "(search) / not" in the search necessity field 1221. Is selected by "Yes", the search condition setting means 156 sets the search condition according to the input. The CPU 151 (control unit 15) searches the electronic medical record database 17 under the set search conditions for "medical practice". The display control means 157 causes the display unit D to display a list of the detected medical records (groups) extracted by the search.
As shown in the search (display) content column 1223, the display control means 157 (searches) the electronic medical record 171 registered (as a search act) in the display unit D (as a search act). List) Display control to display.

[Search by search item "disease name"]
FIG. 7 is a diagram for explaining a case where the electronic medical record search device 1 or the like according to the first embodiment searches by the search item “disease name”. FIG. 7A is a diagram for explaining a search condition display, FIG. 7B is a list display, and FIG. 7C is a diagram for explaining a detailed display of the selected electronic medical record.

In the electronic medical record search device 1 or the like, the search condition setting means 156 can set a disease name as a search condition as a search item of the search condition.
Further, when the disease name is selected as the search item of the search condition, the search condition setting means 156 may set the disease name as the search condition after selecting the first visit or the return visit.

Here, when setting the search condition, as shown in FIG. 7A, the control unit 15 (CPU 151) causes the display unit D to display the search condition setting screen 121 on the search condition display unit 12.
In the search item field 1222, the "search item" is the "disease name". By inputting from the input unit 11, "(search) / not" of "search necessity" in the "search necessity" field 1221 is set to "Yes".

In the search (・ display) content field 1223, the guidance “at the time of the first medical examination ...” is displayed when displaying the input content to be searched or the searched electronic medical record in a list. And click the left button of the mouse 112 to display the pull-down menu 1224. In the pull-down menu 1224, "selection" and "search content" are displayed. In "Search content", "All", "Cold", "Influenza", and "(blank)" are displayed in the menu. When the right button of the mouse 112 is clicked, the menu specified in the "Search content" field is selected, and the selection mark "○" appears in the "Selection" field.

The "pull-down menu" is a kind of menu display method, and is a display method of a type in which a plurality of menu items are displayed by an operation such as clicking the mouse 112. That is. Also called "pull-down", "pull-down display", "drop-down", etc.
With the pull-down menu, the contents of the menu can be hidden in the normal state, so that the display area can be saved. Items in the pull-down menu can be displayed in a list by an operation such as clicking the mouse 112. You can also select the items in it.

"All" in "Search content" is the search target regardless of the disease name. Disease names such as "cold" and "influenza" displayed in the pull-down menu 1224 are registered disease names. The search condition setting means 156 can set search conditions for at least one or two search items so that the search contents related to the search items are selected from the registered search contents and used as the search contents. When the search condition setting means 156 can set the search condition for at least one search item so as to select the search content related to the search item from the registered search contents and set the search condition as the search content, every time the search is performed. It is not necessary to create new search contents, and it is even more convenient to search and extract electronic medical records. Here, if the disease name of the search item is selected from the registered disease names, the labor for setting the search condition is reduced and the search is easy. When "cold" is selected by the input from the input unit 11, the search condition setting means 156 sets the search condition according to the input. The control unit 15 (CPU 151) searches for an electronic medical record 171 whose disease name is "cold".

The search condition setting means 156 allows additional registration of the search content related to the search item for at least one or two search items, and selects from the registered search contents including the additional registration to use the search content. Search conditions can be set as follows. The search condition setting means 156 allows additional registration of the search content related to the search item for at least one search item, and selects from the registered search contents including the additional registration to use the search condition as the search content. If can be set, it is even more convenient to search and extract electronic medical records.

Here, when "(blank)" is selected, a new "disease name" can be registered for the test item disease name. For example, when there is no "migraine" in the pull-down menu 1224, "(blank)" is selected by input from the input unit 11, "migraine" is input, and the enter key of the keyboard 111 is pressed to register. Then, when "migraine" is selected in the pull-down menu 1224 by the input from the input unit 11, the search condition setting means 156 sets the search condition according to the input. The control unit 15 (CPU 151) searches for an electronic chart 171 whose "disease name" is "eccentric headache" and whose disease name is "cold".

Regarding the search chart group searched by the control unit 15 (CPU 151) under the search conditions set with the contents shown in FIG. 7 (A), the display control means 157 displays the display unit D on the display unit D as shown in FIG. 7 (B). The list display unit 13 displays a list of search chart groups on the list display screen 131.
The search chart group searched for by the disease name "cold" in the "search condition" is displayed in a list in the list display unit 13. The search chart is displayed line by line. Different search charts are displayed in the column direction.
・ ・ The search chart display rows that display the contents of each search chart in the row direction are displayed in a list in the column direction for each search chart according to the “search conditions” and “contents”. Among the display items, there are a search condition display item "search condition" that displays the search condition, and an item-specific display item "consultation date""patient" ... "content" that displays the search chart searched by the search condition item by item. , And at least one item-specific display item among the item-specific display items displays the content of the search chart with a display mode corresponding to each search condition, and "disease name) cold" in the "content" column. This "content" column is the "content" column of the search chart.
As shown, the "row direction" is the horizontal direction and the "column direction" is the vertical direction.

Here, the "search chart display line" refers to a sequence in which the contents of each electronic medical record (search chart) extracted by the search are displayed along a plurality of display items in the row direction.
"Display item" means a division of display.
The "row" and "column" mean that characters, display items, display contents, etc. are arranged horizontally or vertically. In the present application, the horizontal arrangement of characters, display items, display contents, etc. is referred to as a "row", and the vertical arrangement is referred to as a "column". The "row direction" means the horizontal direction, and the "column direction" means the vertical direction.

The first search chart is "2018.02.01", patient "Ichi Takahashi", clinical department "Internal Medicine", doctor "Ichiro Tanaka", search condition "disease name) cold", content "disease name) cold" , Is displayed in one line in the row direction.
The second search chart is "2018.02.05", patient "Megumi Morita", clinical department "internal medicine", doctor "Ichiro Tanaka", search condition "disease name) cold", content "disease name) cold" , And are displayed in one line in the line direction.
In this way, one search chart is displayed in the line direction on one line. Multiple search charts are displayed in the column direction.

When the search chart for which you want to see the details is selected in the selection field by the input unit 11, "○" is selected and displayed in the selection field.

When the search medical record (electronic medical record 171) for which details are to be viewed is selected by the input unit 11 in the search medical record group of FIG. 7 (B), the display control means 157 is displayed in the display unit as shown in FIG. 7 (C). The details of the medical record 171 are displayed. The details of the electronic medical record 171 are displayed on the electronic medical record display unit 14 by the electronic medical record display screen 141.

When the first search chart in the list of search charts is selected by the input unit 11, the display control means 157 displays the details of the selected search chart on the electronic chart display unit 14. Display with. This allows the doctor to see the details of the selected search chart (electronic chart 171). As for the selected search medical record, the electronic medical record 171 shown in FIG. 5 is displayed from the top, but in FIG. 7 (C), the search target location is so that the correspondence relationship with the search condition of the selected search medical record can be understood. Is shown in the center. When the electronic medical record 171 is long, the screen can be scrolled or a plurality of pages can be displayed as a whole.

If the electronic medical record 171 is too long to display the entire screen, it is more convenient to preferentially display the front and back of the 13 search conditions centered on the injury / illness name "cold" as shown in FIG. 7 (C). Is good. For example, if you display the "injury and illness name" as the center, such as "main complaint", "findings", "injury and illness name", and "examination", you can preferentially (first) see the part centered on the content you want to search. Is good.

FIG. 8 is a flowchart for explaining a procedure in the case of searching by the search item “disease name” by the electronic medical record search device 1 or the like according to the first embodiment. The example of FIG. 7 will be described.

First, on the search condition setting screen 121, by inputting from the input unit 11, "(search) / not" of "search necessity" is set to "yes", and "search item" is set to "disease name" ( Step S201).

Next, the pull-down menu 1224 is displayed in the search (・ display) content field, and it is checked whether there is a disease name to be searched for among the registered disease names (step S202). For example, see if there is a "cold" in the registered disease names that you have pulled down.

If there is no disease name to be searched for in the registered disease names in the pull-down menu 1224 (when "none"), the disease name to be searched (for example, "cold") is entered in the blank displayed in the pull-down menu 1224. Input from and register (step S203). Then, the process returns to step S202.
If there is a disease name to be searched for among the registered disease names displayed in the pull-down menu 1224 (if there is), the search condition setting means 156 sets the search condition by the disease name, and the CPU 151 (control unit 15) sets the search condition. The electronic medical record database 17 is searched according to the set search conditions (step S204). For example, search for "cold".

Next, the display control means 157 causes the display unit to display a list of search charts (groups) extracted by the search (step S205). The search charts (groups) are listed in the list display unit 13. In the list display unit 13, the contents of each search chart are displayed in the line direction, such as the disease name "cold" in the search item column 1222 and "disease name) cold" (underline under the cold) in the content column. Such search chart display rows are listed by arranging them in the column direction for each search chart.
When there are a plurality of disease names, "main" is displayed in the main disease name so that the name of the main disease can be understood.

Next, the input unit 11 selects a search chart for which details are to be viewed from the list display of the list display unit 13 (step S206).

The display control means 157 causes the display unit to display the details of the selected search chart. The details of the selected search medical record (electronic medical record 171) are displayed on the electronic medical record display unit 14 (step S207).

Next, the CPU 151 determines whether to move to the procedure for viewing the details of another electronic medical record 171 (search medical record) by the input of the input unit 11 (step S208).
When moving to the procedure for viewing the details of another electronic medical record 171 (search medical record) (if YES), the process returns to step S206.
If the details of another electronic medical record 171 (search medical record) are not seen (NO), the series of searches ends (step S209).

As described above, if the search condition setting means 156 can set the search condition so as to set the disease name as the search condition as the search item of the search condition, it is more convenient to search and extract the electronic medical record.
Further, when the search condition setting means 156 selects the disease name as the search item of the search condition and sets the search condition so as to set the disease name as the search condition after selecting the first visit or the second visit, the first visit or the second visit is made. It is easy to narrow down the search charts by disease name, which makes it even more convenient to search and extract electronic medical records.

[Search by search item "mark"]
FIG. 9 is a diagram for explaining a case where the electronic medical record search device 1 or the like according to the first embodiment searches by the search item “mark”. 9 (A) is a search condition display, FIG. 9 (B) is a list display, and FIG. 9 (C) is a diagram for explaining a detailed display of the selected electronic medical record.

When setting the search condition, as shown in FIG. 9A, the control unit 15 (CPU 151) causes the display unit D to display the search condition setting screen 121 on the search condition display unit 12.
In the search item field 1222, the "search item" is a "mark". By inputting from the input unit 11, "(search) / not" of "search necessity" in the search necessity field 1221 is set to "Yes".

In the search (・ display) content field 1223, a guide “marked ...” is displayed for displaying the input content to be searched or the searched electronic medical record 171 in a list. When the 112 is placed and the left mouse button is clicked, the pull-down menu 1224 appears. In the pull-down menu 1224, "selection" and "search content" are displayed. The search condition setting means 156 sets the search condition according to the input. The control unit 15 (CPU 151) searches for an electronic medical record 171 whose disease name is "cold".

In the search content column, a pull-down menu 1224 is displayed with "all", "(triangular flag mark) intractable disease", "(square flag mark) transmission items available", and "(blank)". When the right button of the mouse 112 is clicked, a selection mark "○" appears in the selection field and is selected. For "all", all electronic medical records 171 with a mark are searched regardless of the type of the mark. The triangular flag mark means that it is an intractable disease. The square flag mark means that there is a message.

In this way, when the search condition setting means 156 sets a mark as a search item, when the display control means 157 controls the display unit D so as to display the mark in the content field of the search chart, the search chart is visually quickly searched. It is even more convenient to search and extract electronic medical records by grasping the search contents of.
Further, when the search condition setting means 156 sets a mark as a search item, when the display control means 157 controls the display unit D so that only the mark is displayed in the content field of the search chart, the mark is visually recognized. Since the search contents of the search medical record can be grasped quickly, it becomes more convenient to search and extract the electronic medical record. In addition, if only the mark is displayed, the meaning of the mark cannot be understood by patients other than doctors and medical staff such as patients. Therefore, doctors and medical staff who search electronic medical records for information that they do not want to convey to patients, etc. It will be possible to secretly inform the medical staff of.

For example, when a doctor examines a patient while inputting into the electronic medical record 171 or looking at the electronic medical record 171 or when the patient sees the displayed electronic medical record 171, the patient says "intractable disease". May lose hope. The same applies to cases such as "life expectancy of 3 months" and "no treatment (in modern medicine)". "(Square flag mark): Refer to the drawing" means "There is a message". This is a case where the content is complicated and it is difficult to describe it in the electronic medical record 171 or it cannot be sufficiently conveyed by a simple description. It may be misleading when the patient sees the statement "There is a message", but the mark can reduce such risk.
For the convenience of doctors (and medical staff, etc.), it is convenient to prepare a tooltip that displays the meaning of the mark in a small window 1230 when the mouse 112 is placed at the mark display location. Is.

In the electronic medical record 171, a mark may be recorded on a specific electronic medical record 171 according to a rule determined by a clinic. It is advisable to register the mark to be searched. Searching is easy if you select a mark from the registered marks. This is because it is not necessary to enter a mark each time to search.

If you select "(blank)", you can register a new one. For example, if it is decided to add a new mark when the illness becomes severe due to influenza, a new mark is added to the electronic medical record 171 and recorded. By inputting from the input unit 11, "(blank)" is selected from the pull-down menu 1224, "(new mark: not shown)" is input, and the enter key of the keyboard 111 is pressed to register. Then, when "(new mark: not shown)" is selected in the pull-down menu 1224 by the input from the input unit 11, the search condition setting means 156 sets the search condition according to the input. The control unit 15 (CPU 151) searches for an electronic medical record when the disease becomes severe due to influenza.

Regarding the search chart group searched by the control unit 15 (CPU 151) under the search conditions set by the contents shown in FIG. 9 (A), the display control means 157 displays the display unit D on the display unit D as shown in FIG. 9 (B). The list display unit 13 displays a list of search chart groups on the list display screen 131.

When the "search condition" is set by the mark "(mark of the square flag): reference to the drawing" and the search is performed, the display control means 157 causes the list display unit 13 to display a list of the search chart group with the mark. The search chart is displayed line by line. Different search charts are displayed in the column direction.
・ ・ The search chart display rows that display the contents of each search chart in the row direction are displayed in a list in the column direction for each search chart according to the “search conditions” and “contents”. For at least one item-specific display item among the item-specific display items, the content of the search chart is displayed by the display mode corresponding to each search condition, and "(square flag mark): reference to drawing" in the "content" column. ..

The first of the search charts is the consultation date "2018.03.01", the patient "Jiro Kobayashi", the clinical department "pediatrics", the doctor "Yu Miyasaka", the search condition "mark", and the content "(mark of the square flag). ): Refer to the drawing ", is displayed in one line in the line direction. When a doctor (and medical staff, etc.) puts the mouse 112 on the mark, a tooltip causes a balloon to come out from the mark, and in the small window 1230, the square flag mark means "with communication items". Is displayed.
The second search chart includes the date of consultation "2018.04.01", the patient "Masa Shimada", the clinical department "Orthopedics", the doctor "Nozomi Mitsui", the search condition "Mark", and the content "(Triangular flag). Mark) ”is displayed in one line in the line direction. When a doctor (and medical staff, etc.) puts the mouse 112 on the mark, a tooltip blows out the mark, and a small window 1230 indicates that the triangular flag mark means "intractable disease". To do.
In the content column, in addition to the mark, about 30 to 50 characters from the beginning of the chief complaint finding are displayed.
In this way, one search chart is displayed in the line direction on one line. Multiple search charts are displayed in the column direction.

When the search chart for which you want to see the details is selected in the selection field by the input unit 11, "○" is selected and displayed in the selection field.

When the search chart (electronic chart 171) for which details are to be viewed is selected by the input unit 11 in the search chart group of FIG. 9 (B), the display control means 157 is displayed in the display unit as shown in FIG. 9 (C). The details of the medical record 171 are displayed. The details of the electronic medical record 171 are displayed on the electronic medical record display unit 14 by the electronic medical record display screen 141.

When the first search chart in the list of search charts is selected by the input unit 11, the display control means 157 displays the details of the selected search chart on the electronic chart display unit 14. Display with. This allows the doctor to see the details of the selected search chart (electronic chart 171). As for the selected search chart, the electronic chart 171 shown in FIG. 5 is displayed from the top, but in FIG. 9 (C), the search target location is so that the correspondence between the selected search chart and the search condition can be understood. Is shown in the center. When the electronic medical record 171 is long, the screen can be scrolled or a plurality of pages can be displayed as a whole.

If the display of the electronic medical record 171 is long and the entire display cannot be displayed on the screen, it is possible to preferentially display the front and back of the mark "(square flag mark)" in the search condition. convenient. For example, if there is a "mark" column near the end of the electronic medical record 171 and the surrounding area is displayed first, including the "mark" column, the part centered on the content you want to search is given priority. It can be seen (first) and is more convenient. For example, "(square flag mark)" is displayed in the mark column, and a tooltip indicates that it means "with communication items" in a small window 1230, and the remarks column below it (in the remarks column, "" It is more convenient if you also display "If you change your doctor, tell us what you need to know."

FIG. 10 is a flowchart for explaining a procedure in the case of searching by the search item “mark” in the electronic medical record search device 1 or the like according to the first embodiment. The example of FIG. 9 will be described.

First, on the search condition setting screen 121, in the input from the input unit 11, "(search) / not" of "search necessity" is set to "yes", and "search item" is set to "mark" ( Step S301).

Next, the pull-down menu 1224 is displayed in the search (display) content column 1223, and it is checked whether there is a mark to be searched among the registered marks (step S302). For example, see if there is "(square flag mark: see drawing)" in the registered disease names displayed in the pull-down menu.
If there is no mark to be searched in the registered marks displayed in the pull-down menu (when "None"), the mark to be searched is entered from the input unit 11 in the blank displayed in the pull-down menu and registered (step). S303). Then, the process returns to step S302.
If there is a mark to be searched in the registered disease name displayed in the pull-down menu (if there is), the search condition setting means 156 sets the search condition with the mark, and the CPU 151 (control unit 15) is set. The electronic medical record database 17 is searched according to the search conditions (step S204). For example, search for "(square flag mark: see drawing)" as a search condition.

Next, the display control means 157 causes the display unit to display a list of search charts (groups) extracted by the search (step S305). The search charts (groups) are listed in the list display unit 13. In the list display unit 13, the contents of each search chart are displayed in the line direction, such as "mark" in the search item column 1222 and "(square flag mark: refer to the drawing)" in the content column. Such search chart display rows are listed by arranging them in the column direction for each search chart.

Next, the input unit 11 selects a search chart for which you want to see details from the list display of the list display unit 13 (step S306).
The display control means 157 causes the display unit to display the details of the selected search chart. The details of the selected search medical record (electronic medical record 171) are displayed on the electronic medical record display unit 14 (step S307).

Next, the CPU 151 determines whether to move to the procedure for viewing the details of another electronic medical record 171 (search medical record) by the input of the input unit 11 (step S308).
When moving to the procedure for viewing the details of another electronic medical record 171 (search medical record) (if YES), the process returns to step S306.
If the details of another electronic medical record 171 (search medical record) are not seen (NO), the series of searches ends (step S309).

[Search by search item "marker"]
FIG. 11 is a diagram for explaining a case where the electronic medical record search device 1 or the like according to the first embodiment searches by the search item “marker”. 11 (A) is a search display, FIG. 11 (B) is a list display, and FIG. 11 (C) is a diagram for explaining a detailed display of the selected electronic medical record 171.

When the search condition setting means 156 sets a marker as a search item in the electronic medical record search device 1 or the like, the display control means 157 has the marker in the description part of the search chart in the content column of the search chart. The display unit D can be controlled so as to display the described portion.

Here, when setting the search condition, as shown in FIG. 11A, the control unit 15 (CPU 151) causes the display unit D to display the search condition setting screen 121 on the search condition display unit 12.
In the search item field 1222, the "search item" is a "marker". By inputting from the input unit 11, "(search) / not" of "search necessity" in the search necessity field 1221 is set to "Yes".

In the search (・ display) content column 1223, a guide “in the electronic medical record ...” is displayed for displaying the input content to be searched or the searched electronic medical record 171 in a list. When the mouse 112 is placed and the left button of the mouse 112 is clicked, the pull-down menu 1224 appears. In the pull-down menu 1224, "selection" and "search content" are displayed. In the "search content", "all", "from one month ago", "from several days ago", "from the previous day", and "(blank)" are displayed in the menu. When the right button of the mouse 112 is clicked, the menu specified in the "Search content" field is selected, and the selection mark "○" appears in the "Selection" field.

For "all", all electronic medical records 171 with markers are extracted by searching regardless of the contents of the markers.
"From one month ago", "From a few days ago", "From the day before" ..., in which the pull-down menu 1224 is displayed, is a marker drawn and registered at this location. Selecting from the disease names registered in this way reduces the labor required to set the search conditions and facilitates the search. When "from the previous day" is selected by the input from the input unit 11, the search condition setting means 156 sets the search condition according to the input. The control unit 15 (CPU 151) searches for the electronic medical record 171 in which the marker is drawn "from the previous day". For example, if there is an electronic medical record 171 in which "I am sick from the previous day" is described in the chief complaint or findings column and a marker is drawn "from the previous day", it is extracted by a search.

If you want to search for the electronic medical record 171 by drawing a marker on a new expression location, select "(blank)" from the pull-down menu 1224 display by inputting from the input unit 11, and newly "(new). Enter "marker-display)" and press the enter key on the keyboard 111 to register.
Then, when the registered "(new marker-display)" is selected in the pull-down menu 1224 by the input from the input unit 11, the search condition setting means 156 sets the search condition according to the input. The control unit 15 (CPU 151) searches the electronic medical record 171 of "(new marker display)" (registered).

Regarding the search chart group searched by the control unit 15 (CPU 151) under the search conditions set with the contents shown in FIG. 11 (A), the display control means 157 displays the display unit D on the display unit D as shown in FIG. 11 (B). The list display unit 13 displays a list of search chart groups on the list display screen 131.

When the "search condition" is searched by the marker "from the previous day", the display control means 157 causes the display unit D to display a list of the search chart group with the marker on the list display unit 13. The search chart is displayed line by line. Different search charts are displayed in the column direction.

・ ・ The search chart display rows that display the contents of each search chart in the row direction are displayed in a list in the column direction for each search chart according to the “search conditions” and “contents”. At least one item-specific display item among the item-specific display items displays the contents of the search chart in a display mode corresponding to each search condition. For example, in the "contents" column, "main complaint" is displayed as "I'm sick from the day before"("from the day before" has a marker drawn).
As a general rule, the color of the marker is the color drawn on the electronic medical record 171.

The first search chart is the date of consultation "2018.02.01", patient "Ichi Takahashi", clinical department "internal medicine", doctor "Ichiro Tanaka", search condition "marker", content "main complaint" from the day before. "Bad" (marker is drawn from "from the previous day") is displayed in one line in the row direction.
The second search chart is the date of consultation "2018.02.05", patient "Megumi Morita", clinical department "internal medicine", doctor "Ichiro Tanaka", search condition "marker", content "main complaint" from the day before. "Bad" (marker is drawn from "from the previous day") is displayed in one line in the row direction.
In this way, one search chart is displayed in the line direction on one line. Multiple search charts are displayed in the column direction.

When the search chart for which you want to see the details is selected in the selection field by the input unit 11, "○" is selected and displayed in the selection field.

When the search chart (electronic medical record 171) for which details are to be viewed is selected by the input unit 11 in the search chart group of FIG. 11 (B), the display control means 157 electronically displays the display unit as shown in FIG. 11 (C). The details of the medical record 171 are displayed. The details of the electronic medical record 171 are displayed on the electronic medical record display unit 14 by the electronic medical record display screen 141.

When the first search medical record in the list-displayed search medical record group is selected by the input unit 11, the display control means 157 displays the details of the selected search medical record on the electronic medical record display unit 14. Display with. This allows the doctor to see the details of the selected search chart (electronic chart 171). As for the selected search chart, the electronic medical record 171 shown in FIG. 5 is displayed from the top, but in FIG. 11 (C), the search target location is so that the correspondence between the selected search chart and the search condition can be understood. Is shown in the center. When the electronic medical record 171 is long, the screen can be scrolled or a plurality of pages can be displayed as a whole.

If the display of the electronic medical record 171 is long and the entire display cannot be displayed on the screen, it is more convenient to preferentially display before and after the marker- "from the previous day" in the search condition. For example, if there is a "main complaint" column or "finding" column of the marker search target near the beginning of the electronic medical record 171, the display centering on the "main complaint" column or "finding" column is displayed. The first screen shows the date of consultation "2018.02.01", the second visit "first visit", the chief complaint "I'm sick from the day before. I still have a throat pain today", and the findings "I caught a cold the day before. Continuous observation is required. Take an X-ray just in case "(marker is drawn on" from the day before "), injury and illness name" cold ", etc., so that it is displayed mainly on the part searched by the marker Then it is convenient.

[Search by search item "marker"]
FIG. 12 is a flowchart for explaining a procedure in the case of searching by the search item “marker” in the electronic medical record search device 1 or the like according to the first embodiment.

First, on the search condition setting screen 121, in the input from the input unit 11, "(search) / not" of "search necessity" is set to "yes", and "search item" is set to "mark" ( Step S401).

Next, the search (・ display) content field is displayed by the pull-down menu 1224, and it is checked whether there is a marker to be searched among the registered markers (determination, step S402). For example, the CPU 151 (control unit 15) checks (determines) whether or not there is "from the previous day" in the chief complaint column or the finding column of the electronic cal, and the marker is drawn "from the previous day". Alternatively, see if the marker is drawn on the electronic medical record 171 and then see (determine) whether the marker is drawn "from the previous day".
If there is no marker to be searched in the registered mark displayed in the pull-down menu 1224 (when "None"), enter the marker to be searched in the blank of the pull-down menu 1224- "From the previous day". And register (step S403). Then, the process returns to step S402.

If there is a marker to be searched for in the registered disease name of the pull-down menu 1224 (if there is), the search condition setting means 156 sets the search condition with the marker, and the CPU 151 (control unit 15) is set. The electronic medical record database 17 is searched according to the search conditions (step S404).
For example, the CPU 151 (control unit 15) searches the electronic medical record 171 with a marker on "from the previous day" of the set search condition.

Next, the display control means 157 causes the display unit to display a list of search charts (groups) extracted by the search (step S405). The search charts (groups) are listed in the list display unit 13.・ ・ Display with a marker, such as "Marker" in the search item column 1222 and "Main complaint) I feel sick from the previous day"("From the previous day" has a marker).
Such search chart display rows are listed by arranging them in the column direction for each search chart.

Next, the input unit 11 selects a search chart for which details are to be viewed from the list display of the list display unit 13 (step S406).

The display control means 157 causes the display unit to display the details of the selected search chart. The details of the selected search medical record (electronic medical record 171) are displayed on the electronic medical record display unit 14 (step S407).

Next, the CPU 151 determines whether to move to the procedure of viewing the details of another electronic medical record 171 (search medical record) by the input of the input unit 11 (step S408).
When moving to the procedure for viewing the details of another electronic medical record 171 (search medical record) (if YES), the process returns to step S406.

If the details of another electronic medical record 171 (search medical record) are not seen (NO), the series of searches ends (step S409).

In this way, when the search condition setting means 156 sets a marker as a search item, the display control means 157 causes the content field of the search chart to display the description portion with the marker in the description portion of the search chart. When the display unit D is controlled in this way, it is possible to grasp at a glance that the marker is attached and the content to which the marker is attached, so that it is more convenient to search and extract the electronic medical record.

[Search by search item "word / symbol"]
FIG. 13 is a diagram for explaining a case where the electronic medical record search device 1 or the like according to the first embodiment searches by the search item “word / symbol”. FIG. 13A is a search display, FIG. 13B is a list display, and FIG. 13C is a diagram for explaining a detailed display of the selected electronic medical record 171.

When the search condition setting means 156 sets a word / symbol as a search item in the electronic medical record search device 1 or the like, the display control means 157 clearly indicates the word / symbol in the description part of the search chart in the content field of the search chart. The display unit D is controlled so as to be caused.
"Clarification" is intended to clearly indicate, for example, thickening or slanting a word / symbol, making a word / symbol a character or symbol such as red-blue, coloring a word / symbol part, or underlining. It means to display by adding a line, highlighting, etc.

Here, when setting the search condition, as shown in FIG. 13A, the control unit 15 (CPU 151) causes the display unit D to display the search condition setting screen 121 on the search condition display unit 12.
In the search item field 1222, the "search item" is a "word / symbol". By inputting from the input unit 11, "(search) / not" of "search necessity" in the search necessity field 1221 is set to "Yes". The "word / symbol" means a word or a symbol.

In the search (・ display) content field 1223, a guide “trying to search ...” is displayed for displaying the input content to be searched or the searched electronic medical record 171 in a list. When the mouse 112 is placed and the left button of the mouse 112 is clicked, the pull-down menu 1224 appears. In the pull-down menu 1224, "selection" and "search content" are displayed. In the "search content" column, "loki", "loxonin", and "(blank)" are displayed in the pull-down menu 1224. When the right button of the mouse 112 is clicked, the menu specified in the "Search content" field is selected, and the selection mark "○" appears in the "Selection" field.

If the word / symbol to be searched is not registered, it can be newly registered. For example, if you want to search for a chart with "Loxonin Tablets" but there is no word / symbol that can search for "Loxonin Tablets" among the registered words / symbols, you can enter from the input unit 11 to pull down the menu 1224. Select "(blank)" from the list, enter a new "loxo" (or "loxonin" or "loxonin tablet") from the keyboard 111, and press the enter key on the keyboard 111 to register. Then, when "Loki" is selected in the pull-down menu 1224 by the input from the input unit 11, the search condition setting means 156 sets the search condition according to the input. The control unit 15 (CPU 151) searches the electronic medical record 171 in which the word / symbol of "Loki" is recorded.

Regarding the search chart group searched by the control unit 15 (CPU 151) under the search conditions set with the contents shown in FIG. 13 (A), the display control means 157 displays the display unit D on the display unit D as shown in FIG. 13 (B). The list display unit 13 displays a list of search chart groups on the list display screen 131.
If you search for "search conditions" with the word / symbol "Loki", a list of search charts with the word / symbol "Loki" will be displayed. The search chart is displayed line by line. Different search charts are displayed in the column direction.
・ ・ The search chart display rows that display the contents of each search chart in the row direction are displayed in a list in the column direction for each search chart according to the “search conditions” and “contents”. At least one item-specific display item among the item-specific display items displays the contents of the search chart in a display mode corresponding to each search condition. For example, "Loxo" in "Loxonin Tablets 60 mg ..." in the "Content" column is displayed in bold letters.

If there is a word / symbol to be searched in the chief complaint column, in principle, the phrase or line break of the sentence including the word / symbol to be searched is displayed. Make the word / symbol you are searching for bold (you may underline or change the color of the text). A group of vocabulary and symbols that does not have punctuation marks should be the same as a sentence. When extracting a sentence, determine the maximum number of characters before the word / symbol to be searched. For example, the maximum is 10 to 30 characters. The content column has a maximum number of characters of about 40 to 60. If it cannot be displayed, a scroll bar is displayed.

The first search chart is the date of consultation "2018.02.01", patient "Ichi Takahashi", clinical department "internal medicine", doctor "Ichiro Tanaka", search condition "word / symbol", content "Loxonin tablet 60mg cold""De..."("Loki" part is in bold) is displayed in one line in the line direction.
The second search chart is the date of consultation "2018.02.18", patient "San Tsunoda", clinical department "Orthopedics", doctor "Nozomi Mitsui", search condition "word / symbol", content "Loxonin Tablets 60mg""Low back pain ..."("Loki" part is in bold) is displayed in one line in the line direction.
The third search chart is the date of consultation "2018.03.01", patient "Jirozo Kobayashi", clinical department "pediatrics", doctor "Yu Miyasaka", search condition "word / symbol", content "Loxonin Tablets 60mg". "Influenza ..."("Loki" part is in bold) is displayed in one line in the line direction.
In this way, one search chart is displayed in the line direction on one line. Multiple search charts are displayed in the column direction.

When the search chart for which you want to see the details is selected in the selection field by the input unit 11, "○" is selected and displayed in the selection field.

When the search medical record (electronic medical record 171) for which details are to be viewed is selected by the input unit 11 in the search medical record group of FIG. 13 (B), the display control means 157 is displayed in the display unit as shown in FIG. 13 (C). The details of the medical record 171 are displayed. The details of the electronic medical record 171 are displayed on the electronic medical record display unit 14 by the electronic medical record display screen 141.

When the first search chart in the list of search charts is selected, the selected chart is displayed. The doctor can see the details of the selected chart. The selected medical record is the electronic medical record 171 shown in FIG. 5, but in FIG. 13C, the search target portion is mainly shown so that the correspondence relationship with the search can be understood for the selected medical record. If the chart is long, it is possible to scroll the screen or display the entire page on multiple pages.

If the display of the electronic medical record 171 is long and the entire display cannot be displayed on the screen, as shown in FIG. 13C, the word / symbol "Loki" in the search condition is displayed with priority before and after it. It is more convenient to do so. For example, if there is a word / symbol containing "Loki" in the center of the electronic medical record 171, the part including the word / symbol containing "Loki" and its surroundings are displayed first. "Loxonin tablets 60 mg 3 tablets a day / 3 days after meals" in the "Prescription" column is displayed in the center of the display screen, and before that, "Apply Lugol to the throat" in the "Treatment" column and "Watch the progress" If the "Mark" column and "Remarks" column under the "Prescription" column are also displayed. More convenient.

FIG. 14 is a flowchart for explaining a procedure in the case of searching by the search item “word / symbol” in the electronic medical record search device 1 or the like according to the first embodiment. The example of FIG. 13 will be described.

First, on the search condition setting screen 121, "(search) / not" of "search necessity" is set to "yes", and "search item" is set to "word / symbol" (step S501).

Next, the search (display) content field 1223 is displayed by the pull-down menu 1224, and it is checked whether there is a word / symbol to be searched among the registered words / symbols (step S502). For example, see if there is a "loki" in the chief complaint column or findings column of the electronic cal.
If there is no word / symbol "Loki" to be searched in the registered words / symbols displayed in the pull-down menu 1224 (when "None"), the word / symbol of the content to be searched in the blank of the pull-down menu 1224 Enter the symbol "Loki" and register it (step S503). Then, the process returns to step S502.
If there is a word / symbol to be searched in the registered disease name of the pull-down menu 1224 (if it is "yes"), the search condition setting means 156 sets the search condition by the disease name, and the CPU 151 (control unit 15) sets the search condition. The electronic medical record database 17 is searched according to the set search conditions (step S504). For example, the electronic medical record 171 with the word / symbol "Loki" is searched.

Next, the display control means 157 causes the display unit to display a list of search charts (groups) extracted by the search (step S205). The search charts (groups) are listed in the list display unit 13. In the list display unit 13, "word / symbol" is displayed in the search item field 1222, "loki" is displayed in the content field, and "loki" is displayed in bold characters.
Such search chart display rows are listed by arranging them in the column direction for each search chart.

Next, the input unit 11 selects a search chart for which details are to be viewed from the list display of the list display unit 13 (step S506).

The display control means 157 causes the display unit to display the details of the selected search chart. The details of the selected search medical record (electronic medical record 171) are displayed on the electronic medical record display unit 14 (step S507).

Next, it is determined whether to see another electronic medical record 171 (search medical record) (step S508).
When viewing another electronic medical record 171 (search medical record) (if YES), the process returns to step S506.
When not looking at another electronic medical record 171 (search medical record) (NO), the process ends (step S509).

In this way, when the search condition setting means 156 sets a word / symbol as a search item, the display control means 157 displays the word / symbol in the content field of the search chart so as to clearly indicate the word / symbol in the description part of the search chart. When the part D is controlled, the searched word / symbol can be seen at a glance, and it becomes more convenient to search and extract the electronic medical record.

[Search by search item "medical practice"]
FIG. 15 is a diagram for explaining a case where the electronic medical record search device 1 or the like according to the first embodiment searches by the search item “medical practice”. 15 (A) is a search condition display, FIG. 15 (B) is a list display, and FIG. 15 (C) is a diagram for explaining a detailed display of the selected electronic medical record.

When the search condition setting means 156 sets a medical practice as a search item in the electronic medical record search device 1 or the like, the display control means 157 controls the display unit D so as to display the contents of the medical practice in the content field of the search chart. To do. The "contents of medical practice" refers to the contents of recording medical practice such as "requires continuous observation" and "inspects XX at each visit".

Here, when setting the search condition, as shown in FIG. 15A, the control unit 15 (CPU 151) causes the display unit D to display the search condition setting screen 121 on the search condition display unit 12.

In the search item field 1222, the "search item" is "medical practice". By inputting from the input unit 11, "(search) / not" of "search necessity" in the search necessity field 1221 is set to "Yes".

In the search (・ display) content field 1223, the guidance “for medical practice ...” is displayed when displaying the input content to be searched or the searched electronic medical record 171 in a list. When the 112 is placed and the left button of the mouse 112 is clicked, the pull-down menu 1224 appears. In the pull-down menu 1224, "selection" and "search content" are displayed. In the "search content", "continuous observation is required", "inspection for XX is performed every time the patient visits", and "(blank)" are displayed in the menu. When the right button of the mouse 112 is clicked, the menu specified in the "Search content" field is selected, and the selection mark "○" appears in the "Selection" field.

If the word / symbol to be searched is not registered, it may be newly registered. For example, if you want to search for a medical record that has the medical practice "prescribe an antipyretic", but there is no "prescribe an antipyretic" in the registered medical practice displayed in the pull-down menu 1224, input from the input unit 11. Select "(blank)" from the pull-down menu 1224, newly enter "prescribe an antipyretic", and press the enter key on the keyboard 111 to register. Then, when "prescribe an antipyretic agent" is selected in the pull-down menu 1224 by the input from the input unit 11, the search condition setting means 156 sets the search condition according to the input. The control unit 15 (CPU 151) searches for an electronic medical record 171 having the word / symbol of "prescribing an antipyretic agent".

Regarding the search chart group searched by the control unit 15 (CPU 151) under the search conditions set with the contents shown in FIG. 15 (A), the display control means 157 displays the display unit D on the display unit D as shown in FIG. 15 (B). The list display unit 13 displays a list of search chart groups on the list display screen 131.

When the "search condition" is searched by the medical practice "prescribing an antipyretic agent", a list of search medical records with the medical practice "prescribing an antipyretic agent" is displayed in a list display unit 13. The search chart is displayed line by line. Different search charts are displayed in the column direction.

・ ・ The search chart display rows that display the contents of each search chart in the row direction are displayed in a list in the column direction for each search chart according to the “search conditions” and “contents”. At least one item-specific display item among the item-specific display items displays the contents of the search chart in a display mode corresponding to each search condition.
For example, the characters and symbols in "" of "Prescribe antipyretic" in the "Content" column are displayed in a different color from other characters and symbols (the characters in "" are red and the other parts are black. Change color).

The first search chart requires consultation date "2018.02.01", patient "Ichi Takahashi", clinical department "internal medicine", doctor "Ichiro Tanaka", search condition "medical practice", and content "continuous observation". Just in case, "Roentgen ..."("Continuous observation is required" is in red, "Just in case, Roentgen ..." is in bold black) is displayed in one line in the line direction.
The second search chart requires consultation date "2018.03.01", patient "Jiro Kobayashi", clinical department "pediatrics", doctor "Yu Miyasaka", search condition "medical practice", and content "continuous observation". "Influenza ..."("Continuous observation required" is in red, "Influenza ..." is in black) is displayed in one line in the line direction.
In this way, one search chart is displayed in the line direction on one line. Multiple search charts are displayed in the column direction.

When the search chart for which you want to see the details is selected in the selection field by the input unit 11, "○" is selected and displayed in the selection field.

When the search chart (electronic chart 171) for which details are to be viewed is selected by the input unit 11 in the search chart group of FIG. 15 (B), the display control means 157 is displayed in the display unit as shown in FIG. 15 (C). The details of the medical record 171 are displayed. The details of the electronic medical record 171 are displayed on the electronic medical record display unit 14 by the electronic medical record display screen 141.

When the first search medical record in the list-displayed search medical record group is selected by the input unit 11, the display control means 157 displays the details of the selected search medical record on the electronic medical record display unit 14. Display with. This allows the doctor to see the details of the selected search chart (electronic chart 171). As for the selected search chart, the electronic medical record 171 shown in FIG. 5 is displayed from the top, but in FIG. 15 (C), the search target location is so that the correspondence between the selected search chart and the search condition can be understood. Is shown in the center. When the electronic medical record 171 is long, the screen can be scrolled or a plurality of pages can be displayed as a whole.

If the display of the electronic medical record 171 is long and the entire display cannot be displayed on the screen, as shown in FIG. 15C, the search condition, centering on the medical practice "continuous observation is required", is displayed preferentially before and after. It is more convenient if it is done. For example, when there is a medical practice "continuous observation is required" in the upper part of the electronic medical record 171, that part and its surroundings are displayed first. In this example, in the "Findings" column, "I caught a cold the day before. Dosing. Continued observation is required. Take an X-ray just in case." ("Continuous observation is required" is in red. "The day before ... Dosing "Take an X-ray just in case" is displayed in the center of the display screen, and in the "Main complaint" column in front of it, "I'm sick from the day before. I still have a throat pain today" ("From the day before" It is more convenient if the marker is drawn) and the "Injury and illness name" column "Cold" under the "Findings" column is also displayed.

FIG. 16 is a flowchart for explaining a procedure in the case of searching by the search item “medical practice” in the electronic medical record search device 1 or the like according to the first embodiment. The example of FIG. 15 will be described.

First, on the search condition setting screen 121, by inputting from the input unit 11, "(search) / not" of "search necessity" is set to "do", and "search item" is set to "medical practice". (Step S601).

Next, the search (・ display) content column 1223 is displayed by the pull-down menu 1224, and it is checked whether there is a medical practice to be searched during the registered medical practice (step S602). For example, see if there is "need continuous observation".
If there is no medical practice "Continuous observation required" (when "None") to be searched during the registered medical practice displayed in the pull-down menu 1224, the content to be searched in the blank displayed in the pull-down menu 1224 The medical practice "Continuous observation is required" is input from the input unit 11 and registered (step S603). Then, the process returns to step S602.
If there is a medical practice to be searched during the registered medical practice displayed in the pull-down menu 1224 (if there is), the search condition setting means 156 sets the search condition in the medical practice, and the CPU 151 (control unit). 15) searches the electronic medical record database 17 with the set search conditions (step S204). For example, the electronic medical record 171 with the medical practice "requires continuous observation" is searched.

Next, the display control means 157 causes the display unit to display a list of search charts (groups) extracted by the search (step S605). The search charts (groups) are listed in the list display unit 13. In the list display unit 13, "medical practice" is displayed in the search item column 1222, "continuous observation is required" in the content column, and "continuous observation is required" is displayed in red characters (others are black characters). The contents of each search chart are displayed in the row direction. Such search chart display rows are listed by arranging them in the column direction for each search chart.

Next, the input unit 11 selects a search chart for which details are to be viewed from the list display of the list display unit 13 (step S606).

The display control means 157 causes the display unit to display the details of the selected search chart. The details of the selected search medical record (electronic medical record 171) are displayed on the electronic medical record display unit 14 (step S607).

Next, it is determined whether to see another electronic medical record 171 (search medical record) (step S608).
When viewing another electronic medical record 171 (search medical record) (if YES), the process returns to step S606.
When not looking at another electronic medical record 171 (search medical record) (NO), the process ends (step S609).

In this way, when the search condition setting means 156 sets the medical practice as a search item, when the display control means 157 controls the display unit D so as to display the content of the medical practice in the content field of the search chart, the medical practice Is known at a glance, which makes it even more convenient to search and extract electronic medical records.

[Search by multiple search items]
FIG. 17 is a diagram for explaining a search condition display in a case where a search is performed by a plurality of search items by the electronic medical record search device 1 or the like according to the first embodiment.

When setting the search condition, as shown in FIG. 17, the control unit 15 (CPU 151) causes the display unit D to display the search condition setting screen 121 on the search condition display unit 12.

In the search item field 1222, there are five "search items": "disease name", "mark", "marker", "word / symbol", and "medical practice". By input from the input unit 11, "(search) / not" of "search necessity" in the search necessity field 1221 is "(search)" for "disease name" and "(search) not" for "mark". , "Marker is set to" (search) "," Word / symbol is set to "(search)", and "Medical practice" is set to "(search) not".
Either "search necessity" 1221 or "selection" 1224 may be input / selected first. You can change what you have entered / selected later.

Set the content conditions for the "search content" that was set to "(search)".
In the search (・ display) content column 1223 of each search item, guidance “at the time of the first visit ...” is displayed for displaying the input content to be searched or the displayed content when displaying the searched electronic medical record 171 in a list. However, when the mouse 112 is placed here and the left button of the mouse 112 is clicked, the pull-down menu 1224 appears. In the pull-down menu 1224, "selection" and "search content" are displayed. When the right button of the mouse 112 is clicked, the menu specified in the "Search content" field is selected, and the selection mark "○" appears in the "Selection" field.
In the search item "disease name", the search contents "all", "cold", "influenza", and "cold" displayed in the pull-down menu 1224 were selected.
In the search item "marker", the search contents "all", "from one month ago", "from several days ago", "from the previous day", and "from the previous day" displayed in the pull-down menu 1224 were selected.
In the search item "word / symbol", "Loki" was selected from the search contents "Loki" and "Loxonin" displayed in the pull-down menu 1224.

FIG. 18 is a diagram for explaining a list display when a search is performed by a plurality of search items by the electronic medical record search device 1 or the like according to the first embodiment.
Regarding the search chart group searched by the control unit 15 (CPU 151) under the search conditions set by the contents shown in FIG. 17, the display control means 157 lists the search chart group on the display unit D by the list display unit 13 as shown in FIG. A list of search chart groups is displayed on the display screen 131.

In the list display unit 13, the search chart group detected by the "search condition" is displayed in a list. The search chart is displayed line by line. Different search charts are displayed in the column direction.
・ ・ The search chart display rows that display the contents of each search chart in the row direction are displayed in a list in the column direction for each search chart according to the “search conditions” and “contents”. At least one item-specific display item among the item-specific display items displays the contents of the search chart in a display mode corresponding to each search condition.

The first search chart is the consultation date "2018.02.01", the patient "Ichi Takahashi", the clinical department "Internal medicine", the doctor "Ichiro Tanaka", the search condition search item "disease name", and the search content "cold". , Contents (search results) "Disease name) Cold" (underlined for "cold"), are displayed in one line in the line direction.
In the second search chart, the same search chart as the first search chart has the consultation date "2018.02.01", the patient "Ichi Takahashi", the clinical department "Internal medicine", the doctor "Ichiro Tanaka", and the search conditions. Search item "marker", search content "from the previous day", content (search result) "main complaint) sick from the previous day ..."("from the previous day" has a marker), are displayed in one line in the line direction ..
In the third search chart, the same search chart as the first and second search charts is available: consultation date "2018.02.01", patient "Ichi Takahashi", clinical department "internal medicine", doctor "Ichiro Tanaka", The search item "word / symbol" of the search condition, the search content "Loki", the content (search result) "prescription) Loxonin tablet 60 mg ..."("Loki" is in bold) are displayed in one line in the line direction. ..
In the 4th search chart, the search charts that are different from the 1st to 3rd search charts are the consultation date "2018.02.05", the patient "Megumi Morita", the clinical department "internal medicine", the doctor "Ichiro Tanaka", and the search. The condition search item "disease name", search content "cold", content (search result) "disease name) cold, migraine" (underlined for "cold") are displayed in one line in the row direction.
In the 5th search chart, the search charts different from the 1st to 4th search charts are the consultation date "2018.02.05", the patient "Kakuda Ji", the clinical department "Orthopedics", the doctor "Ichiro Tanaka", The search item "word / symbol" in the search condition, the search content "Loki", the content (search result) "prescription) Loxonin tablet 60 mg ..."("Loki" is in bold) are displayed in one line in the line direction. ..
In the 6th search chart, the search charts that are different from the 1st to 5th search charts are the consultation date "2018.03.01", the patient "Jiro Kobayashi", the clinical department "pediatrics", the doctor "Yu Miyata", and the search. The condition search item "marker", search content "from the previous day", content (search result) "findings) The fever from the previous day has decreased"("from the previous day" has a marker), displayed in one line in the row direction Has been done.
In the 7th search chart, the same search chart as the 6th search chart has the consultation date "2018.03.01", the patient "Jiro Kobayashi", the clinical department "pediatrics", the doctor "Yu Miyata", and the search conditions. The search item "word / symbol", the search content "Loki", the content (search result) "prescription) Loxonin tablets ..."("Loki" is in bold) are displayed in one line in the line direction.

The border between the consultation days is thicker (the border between the 3rd and 4th, the border between the 4th and 5th, and the border between the 5th and 6th).
By dividing the medical records by different consultation dates, it is possible to easily determine that they are the same medical records even if the same medical records are lined up although the display modes in the list are different.

When the search chart for which details are to be viewed in the list display of FIG. 17 is selected in the selection field by the input unit 11, a selection display of “◯” is displayed in the selection field.
When the search chart (electronic medical record 171) for which details are to be viewed is selected by the input unit 11 in the search chart group of FIG. 17, the display control means 157 causes the display unit to display the details of the electronic medical record 171. The details of the electronic medical record 171 are displayed on the electronic medical record display unit 14 by the electronic medical record display screen 141.
For example, if the first and sixth search charts are selected from the list of search charts, they can be displayed one by one on the electronic medical record display unit 14. Since these displays have already been described, the description thereof will be omitted.

FIG. 19 is a flowchart for explaining a procedure in the case of searching by a plurality of search items by the electronic medical record search device 1 or the like according to the first embodiment. The search of FIGS. 17 and 18 will be described as an example.

First, on the search condition setting screen 121, "(search) / not" of "search necessity" is set for five "search items" by input from the input unit 11 (step S701). By default, it is set to "No", so only the items to be searched need to be changed to "Yes".

Next, it is determined whether or not any of the five "search items" is set to "(search)" (step S702).

Next, if none of the five "search items" is set to "(search)", no search is performed (NO), and the search ends.

Next, if any one of the five "search items" is set to "(search)", the search (/ display) content field is displayed in the pull-down menu 1224 and the registered search is performed. It is determined whether there is a search (target) content to be searched in the content (step S703).
If there is no search content (in the case of "none"), the content to be searched is registered (step S704). Then, the process returns to step S703.
If there is a search content (if there is), the search condition setting means 156 sets the search condition by the disease name, and the CPU 151 (control unit 15) searches the electronic medical record database 17 with the set search condition (step). S705).
Then, the CPU 151 (control unit 15) collects the list display data from the search chart extracted (hit) by the search (step S706).

Next, it is determined whether there is a search item that is "(searched)" but not searched (step S707).
When there is a search item that is "(searched)" but not searched (when there is an unsearched item), a search item that has not been searched yet is set (step S707). Then, the process returns to step S703.
When all the search items that are set to "(search)" are searched (when there are no unsearched items), the display control means 157 sets "(search)" in the display unit. The search results of the search items of are collectively displayed in a list of search charts (groups) extracted by the search (step S709). The search charts (groups) are listed in the list display unit 13. The search chart display rows are displayed in a list by arranging them in the column direction for each search chart.

Next, the input unit 11 selects a search chart for which you want to see details from the list display of the list display unit 13 (step S710).

The display control means 157 causes the display unit to display the details of the selected search chart. The details of the selected search medical record (electronic medical record 171) are displayed on the electronic medical record display unit 14 (step S711).

Next, it is determined whether to see another electronic medical record 171 (search medical record) (step S712).
When viewing another electronic medical record 171 (search medical record) (if YES), the process returns to step S710.
When not looking at another electronic medical record 171 (search medical record) (NO), the process ends (step S713).

In this way, the search condition setting means 156 enables the setting of the search condition by different search items, and the display control means 157 displays the search charts displayed in the display mode corresponding to the search condition in a list. Controlling D is highly convenient for searching and extracting electronic medical records.

Further, in the control unit 15, the search condition setting means 156 sets the search condition as the first search condition or the second search condition, and the same search chart as the search chart searched by the first search condition is the first. When the search is also performed by the second search condition, the display control means 157 sets the search chart searched by the first search condition and the same search chart searched by the second search condition as the respective search conditions. If the display unit D is controlled so as to display the list in the corresponding display mode, it becomes more convenient to search and extract the electronic medical record.

Further, the display control means 157 displays the search chart searched by the first search condition and the same search chart searched by the second search condition side by side continuously in the column direction. When is controlled, the same search medical record is displayed side by side in a display mode corresponding to each search condition, so that the search result is easy to see and it is more convenient to search and extract the electronic medical record.

Further, the search condition setting means 156 sets the search condition so that at least one of the disease name, the mark, the marker, the word / symbol, and the medical practice, which is convenient for searching, is set as the search item, thereby setting the electronic medical record. It is even more convenient to search and extract.

Further, the search condition setting means 156 is different at the same time by setting the search condition so that at least two or more of the disease name, the mark, the marker, the word / symbol, and the medical practice, which are convenient for searching, are set as the search item. Since it is possible to search from a viewpoint, it is even more convenient to search and extract electronic medical records.

Further, if the search condition setting means 156 sets the search condition so that the search content related to the search item is selected from the registered search contents for at least one search item and used as the search content, the search is performed every time the search is performed. There is no need to create new content, which makes it even more convenient to search and extract electronic medical records.

Further, when the display control means 157 controls the display unit so that the search charts are displayed in a list in the order of the consultation date and by the consultation date along the column direction, the list display is easy to see, so that the electronic medical record is searched and extracted. In addition, it becomes even more convenient.

Further, an electronic medical record search method including a search condition setting step for setting search conditions from different search items and a step for displaying a list of the search medical records displayed in a display mode corresponding to the search conditions is defined as an electronic medical record. It is very convenient to search and extract.

In addition, the search condition setting step for setting the search content from different search items and the search chart display row in which the content of each chart is displayed along with a plurality of display items arranged in the row direction are displayed in a list in the column direction. At the same time, the search chart line is at least one display item among the plurality of display items, and when the content of the search chart is displayed in the display mode corresponding to each search condition, the search results are searched under a plurality of different conditions. By displaying the list at the same time more accurately, the convenience when searching the electronic medical record becomes even higher.

[Embodiment 2]
The electronic medical record search device or the like (not shown) according to the second embodiment basically has the same configuration as the electronic medical record search device 1 or the like according to the first embodiment, but the search condition display unit 12 and the list display unit 13 Is different from the electronic medical record search device 1 and the like according to the first embodiment. That is, in the electronic medical record search device or the like according to the second embodiment, the search condition display unit 12 and the list display unit 13 are not configured by separate display devices, but are configured by one display device.

In this way, the search condition setting display and the list display are displayed on one display unit D, and the detailed display of the electronic medical record can be viewed on another display unit, so that it is easy to search and the searched electronic is available. The medical record is easy to see.

The electronic medical record search device and the like according to the second embodiment have the same reference numerals as the electronic medical record search device 1 and the like according to the first embodiment shown in FIGS. 1 to 19. Among the effects of the electronic medical record search device 1 and the like according to the first embodiment, the effect corresponding to the electronic medical record search device 1 and the like according to the second embodiment has the same effect.
The following embodiments are also the same, and the description that they have the same effects as those of the first embodiment and that the same effects are exhibited is omitted.

[Embodiment 3]
FIG. 20 is a diagram for explaining an electronic medical record search device and the like according to another embodiment.
The electronic medical record search device and the like according to the third embodiment are basically the same as the electronic medical record search device 1 and the like according to the first embodiment shown in FIGS. 1 to 19, but the electronic medical record search device and the like according to the third embodiment are In the electronic medical record search device 1 or the like according to the first embodiment, as shown in FIG. 20, the search condition display unit 12, the list display unit 13, and the electronic medical record display unit 14 are designated as one display unit D. Therefore, it is different from the electronic medical record search device 1 and the like according to the first embodiment.

As shown in FIG. 20, about half (right half) of the display unit D is used as a display area that is also used by the search condition display unit 12 and the list display unit 13 that displays a list of search results, and the remaining half (left half). ) Was used as the display area of the electronic medical record display unit 14. In FIG. 20, in the display area on the right half, the display screen of the list display unit 13 is in front, and most of the display screen of the search condition display unit 12 is on the back side. When switching between the front side and the back side of the display screens of the search condition display unit 12 and the list display unit 13, place the mouse 112 on the display screen (or the tab visible at the top) that is partially visible on the back side. You can switch between the front and back screens by clicking.
In this way, the entire display unit D can be miniaturized.

[Embodiment 4]
The fourth embodiment is an embodiment of an electronic medical record system as an electronic medical record system 2 including a plurality of electronic medical record search devices 1 and an electronic medical record database (memory) 17.
The electronic medical record system according to the fourth embodiment is basically the same as the electronic medical record system 2 according to the first embodiment shown in FIGS. 1 to 19, but the electronic medical record system according to the fourth embodiment relates to the first embodiment. The electronic medical record system 2 differs from the electronic medical record system 2 according to the first embodiment in that a plurality of electronic medical record search devices 1 are used and a plurality of electronic medical record search devices 1 are connected to the network 16.
In this way, since it is possible to search with a plurality of electronic medical record search devices 1, it is even more convenient to search and extract electronic medical records.

[Embodiment 5]
FIG. 21 is a diagram for explaining an electronic medical record search device and the like according to another embodiment.
The electronic medical record search device and the like of the fifth embodiment (see FIG. 21) are basically the same as the electronic medical record search device 1 and the like according to the first embodiment shown in FIGS. 1 to 19, but the electronic medical record according to the fifth embodiment. The search device or the like is the electronic medical record search device 1 or the like according to the first embodiment, and the search condition display screen of the “word / symbol” illustrated in FIGS. 13 and 17 is as shown in FIG. 21 (described later). In that respect, it differs from the electronic medical record search device 1 and the like according to the first embodiment.

In the electronic medical record search device or the like of the fifth embodiment, when setting the search condition, the control unit 15 (CPU 151) displays the search condition setting screen 121 shown in FIG. 21 on the search condition display unit 12 on the display unit D. Let me.

The search condition setting screen 121 of the search condition display unit 12 is provided with a search item setting field 1241 and the like, and displays what the item to be searched for and how to set the search condition for the search item. It can be set.
The search item setting field 1241 is a field for setting a search item. In this example, "extracted word / symbol setting" is displayed in the search item setting field 1241, the search item is "extracted word / symbol", and this screen is a screen for setting the search content. It shows that.
Below the search item setting field 1241, a search condition selection field 1242, a valid / invalid status field 1243, a registration content field (registration extraction word / symbol field) 1244, and a registration (update) date field 1245 are provided. ing.

The search condition selection field 1242 is a field for selecting whether or not to select the search conditions displayed in the line direction (horizontal direction) line by line. By inputting from the input unit 11, one of selection / non-selection can be selected in the search condition selection field 1242. When you select the selection, "○" is displayed. The display of "○" means to select (selected, set, or set) as a search condition.

In the valid / invalid state field 1243, the registration content (registered, registration extraction target word / symbol) displayed in the registration content field (registration extraction word / symbol field) 1244 is registered by input from the input unit 11. You can set whether to enable (can be set as a search condition) or invalid (registered once, but cannot be set as a search condition now) (enabled / Enabled or invalid can be set in the invalid state column 1243). Then, the status (valid / invalid) is displayed.

In the registration content field (registration extraction word / symbol field) 1244, the "word / symbol" of the search target (extraction target) can be registered by inputting from the input unit 11. The registered words / symbols are displayed in the registration content column (registration extraction word / symbol column) 1244. "(Patient common)" means that the "registered extraction word / symbol" can be a search target (extraction target) not only for a specific patient but also for any patient.

The registration (update) date column 1245 indicates the date on which the "registration extraction word / symbol" was registered or updated. Registration means that a "word / symbol" is newly added to a certain "word / symbol" in the registration content column (registration extraction word / symbol column) 1244. Renewal means to renew the registered word / symbol.

In the example of FIG. 21, from the left, the search condition selection field 1242, the valid / invalid state field 1243, the registration content field (registration extraction word / symbol field) 1244, and the registration (update) date field 1245 are arranged in this order. ..
The top line is displayed as "○", "valid", "first visit", and "2019.01.22 (Tuesday)" in order from the left. Indicates that the word / symbol "first visit" was registered or updated on January 22, 2019 (Tuesday), that it is in a "valid" state that can be searched, and that it has been selected as a search target (extraction target). doing.
The second line is displayed as "(blank)", "valid", "re-examination", and "2019.01.22 (Tuesday)" in order from the left. The word / symbol "revisit" was registered or updated on January 22, 2019 (Tuesday), is in a "valid" state that can be searched, and has not been selected as a search target (extraction target). It is displaying that.

The third line is displayed as "(blank)", "invalid", "diabetes", and "2018.12.13 (Thursday)" in order from the left. The word / symbol "diabetes" was registered or updated on Thursday, December 13, 2018, but is in an "invalid" state rather than a "valid" state that can be searched, and is searched (extracted). It is displayed that it is not selected as the target).
"Diabetes" in the registration content column (registration extraction word / symbol column) 1244 is selected as a search target (extraction target) in the search condition selection column 1242 because the "status" in the valid / invalid status column 1243 is "invalid". I can't select when I try. In this case, "enabled" and "disabled" can be changed by selecting the enabled / disabled state field 1243 with the mouse 112 and right-clicking.

If you want to register a new extracted word / symbol in the registered content column (registered extracted word / symbol column) 1244, the "(register new extracted word / symbol)" column in the registered content column (registered extracted word / symbol column) 1244 Select (location) with the mouse 112, and enter the "word" or "symbol" to be newly registered from the keyboard 111, mouse 112, etc. to register. The valid / invalid status column 1243 is set to "valid". The registration date (further, the date and time) is automatically recorded in the registration (update) date column 1245. If you select in the search condition selection field 1242, you can search by the newly registered "word / symbol".

In addition, there are several methods for displaying (arranging method) in the "(register new extracted word / symbol)" column in the registered content column (registered extracted word / symbol column) 1244.

The first is a method of displaying (arranging) a "(register a new extracted word / symbol)" column at the bottom when there are a plurality of "registered extracted words / symbols" that have already been registered. In this way, when newly registering, it is easy to understand because it is sufficient to select the next column at the end of a plurality of "registration extraction words / symbols".

The second is that even if there are multiple "registered extraction words / symbols" that have already been registered and all of them cannot be displayed at once, even if the display screen is not scrolled, "(new extraction words / symbols) can be displayed. This is a method to make the "Registration)" field displayed.

There are several ways to do this.
For example, if there are multiple "registered extraction words / symbols" that have already been registered and all of them cannot be displayed at once, multiple "registration extraction words / symbols" can be used to display the "registration extraction words / symbols" at the bottom of the screen (display without scrolling). Put the "(Register new extracted word / symbol)" field in () and display (arrange) it. If there are 20 "registered extracted words / symbols" and only 10 can be displayed at a time, enter the "(register new extracted words / symbols)" field in the 10th place and 10 to 20 of "registered extracted words / symbols". The second is a method such as arranging the 11th to 21st.
In this way, the registered words / symbols are displayed first, and at the same time, the "(Register new extracted words / symbols)" column is displayed, which is convenient because both of them can be viewed at the same time. ..

Alternatively, the "(register new extracted word / symbol)" column may be arranged at the beginning (first) of the registered content column (registered extracted word / symbol column) 1244.
In this way, the "(register new extracted word / symbol)" column is always displayed in three heads, so it is easy to find the "(register new extracted word / symbol)" column.

If the "extracted word / symbol" to be newly registered (updated) is already registered, the control unit 15 warns that "it has already been registered and new registration is not possible". preferable. It is a warning by message display, mark display, voice, etc.

The already registered "word / symbol" displayed in the registration content column (registration extraction word / symbol column) 1244 can be updated.
To update, select the registration content field (registration extraction word / symbol field) 1244 with the mouse 112 and right-click to update.
For example, if you select "Headache" in the registration content column (registration extraction word / symbol column) 1244 on the fifth line from the top of FIG. 21 with the mouse 112 and right-click, the "Edit / Delete" window will be displayed (drawing omitted). ), You can choose to "edit" or "delete" the registered "headache". If you select "Edit", you can edit "Headache". Edit as "migraine", select the registration (update) date field 1245 with the mouse 112, and right-click to display the "Register (update) / Do not register" window (drawing omitted). If you select "Register (Update)", "Headache" will be updated to "Migraine".

[Embodiment 6]
The electronic medical record search device and the like according to the sixth embodiment are basically the same as the electronic medical record search device 1 and the like according to the first embodiment shown in FIGS. 1 to 19, but the electronic medical record search device and the like according to the sixth embodiment are The electronic medical record search device 1 and the like according to the first embodiment are shown in FIGS. 7 (B), 9 (B), 11 (B), 13 (B), 15 (B), 18 and the like. It differs from the electronic medical record search device 1 and the like according to the first embodiment in that the described search chart display line is made into a plurality of lines (2 or 3 lines) for each search chart.

In this way, more content can be displayed for each search chart.

Although the present invention has been described above based on the above embodiment, the present invention is not limited to the above embodiment. It can be implemented in various forms as long as it does not deviate from the purpose.
For example, the following modifications are possible.
[Modification example]

(1) In the above-described first to sixth embodiments, a liquid crystal display device is used as the display unit D (12, 13, 14), but the present invention is not limited thereto. For example, an organic EL display device may be used instead of the liquid crystal display device. In this way, the visibility is excellent.

(2) In the above-described first embodiment and the like, the keyboard 111 shown in FIG. 3 is used for the input unit 11 (see FIG. 3), but the present invention is not limited thereto. For example, a touch key may be used instead of the keyboard 111. In this way, the input unit 11 can be miniaturized.

(3) In the above-described fifth embodiment, when the search condition is set, the search condition setting screen 121 shown in FIG. 21 is displayed and the search condition is set when the search item is "extracted word / symbol". It is not limited to this. For example, instead of the search item "word / symbol", the search item "disease name", "mark", "marker" or "medical practice" is displayed in the same manner as the search condition setting screen 121 shown in FIG. Conditions may be set. In this case, in the search items "disease name", "mark", "marker" and "medical practice", the registration content column 1244 is replaced with "registered disease name", "registration mark" and "registration mark", respectively. It becomes "registered marker" and "registered medical practice".
In this way, it is possible to set search conditions for the search items "disease name", "mark", "marker", or "medical practice" by the same operation as the search item "extracted word / symbol".

1 ... Electronic medical record search device, 2 ... Electronic medical record system, 11 ... Input unit, 12 ... Search display unit, 13 ... List display unit, 14 ... Electronic medical record display unit, 15 ... Control unit, 16 ... Network (communication line) , 17 ... Electronic medical record database (electronic medical record storage device), 18 ... Printing device, 111 ... Keyboard, 112 ... Mouse, 121 ... Search condition setting screen, 131 ... List display screen, 141 ... Electronic medical record display screen, 151 ... CPU, 152 ... ROM, 153 ... RAM, 154 ... Internal bus, 155 ... Interface, 156 ... Search condition setting means, 157 ... Display control means, 171 ... Electronic medical record, 1221 ... Search necessity column, 1222 ... Search item column, 1223 ... Search (・ Display) content field, 1224 ... Pull-down menu, 1230 ... Small window using tool chip, 1241 ... Search item setting field, 1242 ... Search condition selection field, 1243 ... Valid / invalid status field, 1244 ... Registration content field (Registration extraction word / symbol column), 1245 ... Registration (update) date column, D ... Display section

Claims (15)

It includes an input unit, a display unit, and a control unit that controls the input unit and the display unit.
The control unit
A search condition setting means for setting search conditions for searching an electronic medical record according to the input contents from the input unit from an electronic medical record database that collects electronic medical records that store information for identifying a patient, information on a consultation date, and information on medical treatment. ,
A display control means that controls the display unit so that the electronic medical record searched by the search condition set by the search condition setting means is displayed as a search medical record, and a display control means.
It is an electronic medical record search device that has
The search condition setting means can set search conditions by different search items.
The display control means is an electronic medical record search device that controls the display unit so as to display a list of the search charts displayed in a display mode corresponding to the search conditions. In the electronic medical record search device according to claim 1,
The control unit
The search condition setting means sets the search condition as the first search condition or the second search condition, and the same search chart as the search chart searched by the first search condition is obtained by the second search condition. If also searched
The display control means displays a list of the search chart searched by the first search condition and the same search chart searched by the second search condition in a display mode corresponding to each search condition. An electronic medical record search device, characterized in that the display unit is controlled so as to be operated. In the electronic medical record search device according to claim 2.
The display control means
Control the display unit so that the search chart searched by the first search condition and the same search chart searched by the second search condition are continuously arranged side by side in the column direction. An electronic medical record search device characterized by. In the electronic medical record search device according to any one of claims 1 to 3.
The search condition setting means is an electronic medical record search device characterized in that search conditions are set so that at least one or more of a disease name, a mark, a marker, a word / symbol, and a medical practice is set as a search item. In the electronic medical record search device according to claim 4,
The electronic medical record search device is characterized in that the search condition setting means sets search conditions so that at least two or more of the disease name, the mark, the marker, the word / symbol, and the medical practice are set as search items. .. In the electronic medical record search device according to any one of claims 1 to 5.
The electronic medical record is characterized in that the search condition setting means sets search conditions for at least one of the search items so that the search contents related to the search items are selected from the registered search contents and used as the search contents. Search device. In the electronic medical record search device according to claim 6.
The search condition setting means allows additional registration of the search content related to the search item for at least one of the search items, and selects from the registered search contents including the additional registration to use the search content. An electronic medical record search device characterized by setting search conditions. In the electronic medical record search device according to claim 4 or 5.
When a disease name is selected as a search item of the search condition, the search condition setting means sets the search condition so that the disease name is set as the search condition after selecting the first visit or the return visit. Medical record search device. In the electronic medical record search device according to claim 4 or 5.
When the search condition setting means sets the mark as the search item,
The display control means is an electronic medical record search device, characterized in that the display unit is controlled so that only a mark is displayed in the content column of the search medical record. In the electronic medical record search device according to claim 4 or 5.
When the search condition setting means sets the marker as the search item,
The display control means controls the display unit so as to display the description portion to which the marker is attached among the description portions of the search chart in the content column of the search chart. apparatus. In the electronic medical record search device according to claim 4 or 5.
When the search condition setting means sets the word / symbol as the search item,
The display control means is an electronic medical record search device, characterized in that the display unit is controlled so that the word / symbol of the description portion of the search medical record is clearly indicated in the content column of the search medical record. In the electronic medical record search device according to claim 4 or 5.
When the search condition setting means sets a medical practice as the search item,
The display control means is an electronic medical record search device, characterized in that the display unit is controlled so that the content of the medical practice is displayed in the content column of the search chart. In the electronic medical record search device according to claims 1 to 12,
The display control means
An electronic medical record search device, characterized in that the display unit is controlled so that the search medical records are displayed in a list in order of the consultation date and by the consultation date along the column direction. Electronic medical record database and
An electronic medical record system including the electronic medical record search device according to any one of claims 1 to 13. Search conditions for the electronic medical records are set from an electronic medical record database that collects electronic medical records that store information that identifies patients, information about consultation dates, and information about medical treatment, and the electronic medical records searched by the search conditions are used as search medical records. This is an electronic medical record search method that displays a list.
Search condition setting step to set search condition from different search items,
A step of displaying a list of the search charts displayed in a display mode corresponding to the search conditions, and
Electronic medical record search method including.