JP2021193475A - Electronic medical chart system, information processing method for electronic medical chart system and computer program for electronic medical chart system - Google Patents

Abstract

To provide an electronic medical chart system capable of performing an input in common items in a plurality of medical care issues at one time, an information processing method for an electronic medical chart system and a computer program of an electronic medical chart system.SOLUTION: An electronic medical chart system 1 includes a database 6 and a control part 7 for executing predetermined processing by using the database 6. The control part 7 includes an input part 8 for receiving an input of a medical care issue CI of a patient, and a formation part 9 for forming a template T for supporting registration of a medical care record MC corresponding to the inputted medical care issue CI. The formation part 9 includes a combination part 9b for forming a template T obtained by integrating common unit data UD to combine a plurality of pieces of frame data FD when a plurality of medical care issues CI are inputted and the plurality of pieces of frame data FD corresponding to the plurality of medical care issues CI respectively have common unit data UD.SELECTED DRAWING: Figure 2

Description

The present invention relates to an electronic medical record system for creating a medical record of a patient, an information processing method of the electronic medical record system, and a computer program for the electronic medical record system.

Conventionally, an electronic medical record system for creating a medical record of a patient has been known. For example, Patent Document 1 below proposes an electronic medical record system that can dynamically change input items to structure input medical information for each user and manage it quickly and easily.

Japanese Unexamined Patent Publication No. 2000-181972

However, in the electronic medical record system of Patent Document 1, when a patient has a plurality of medical treatment tasks and there are input items common to the plurality of medical treatment tasks, it is necessary to input the same items for each medical treatment task. Therefore, further improvement was desired.

The present invention has been devised in view of the above circumstances, and is an electronic medical record system that can input common items in a plurality of medical care tasks at one time, an information processing method of the electronic medical record system, and an electronic medical record. Its main purpose is to provide computer programs for medical record systems.

The present invention is an electronic chart system, which includes a database and a control unit that executes predetermined processing using the database. A unit database unit in which unit data including one or more items to be registered is recorded, and a frame database unit in which frame data holding a code of the unit data corresponding to the medical treatment task is recorded. The control unit includes an input unit that accepts the input of the medical treatment task of the patient and a forming unit that forms a template for supporting the registration of the medical treatment record corresponding to the input medical treatment task. When a plurality of the medical care tasks are input and a plurality of the frame data corresponding to the plurality of the medical care tasks have the common unit data, the common unit data are collectively combined into one and the plurality of the above. It is characterized by including a united portion that forms the template in which frame data is united.

In the electronic medical record system of the present invention, the database includes an attribute database unit in which temporal attributes are recorded, and the frame database unit includes a plurality of frame data having different temporal attributes for each medical task. It is desirable to have.

In the electronic medical record system of the present invention, it is desirable that the forming unit includes a collecting unit that groups a plurality of the frame data having different medical problems and having the same time attribute.

In the electronic medical record system of the present invention, the united portion forms the template in which a plurality of the frame data having the same item are combined in the frame data grouped by the aggregated portion. desirable.

In the electronic medical record system of the present invention, the database includes a display database unit in which display data related to the display of the item included in the unit data is recorded, and the forming unit displays the item based on the display data. It is desirable to include a display unit that determines.

In the electronic medical record system of the present invention, it is desirable that the control unit includes a registration unit that displays the template and accepts input of the medical record.

In the electronic medical record system of the present invention, the database includes a patient database unit in which the medical record of the patient is recorded, and the control unit includes a recording unit in which the input medical record is recorded in the patient database unit. Is desirable.

The present invention is a method for processing information of an electronic chart system, the present invention includes a control step of executing a predetermined process using a database included in the electronic chart system, and the database is used for medical treatment of a patient. The task database section in which the task is recorded, the unit database section in which the unit data including one or more items to be registered are recorded, and the frame data holding the code of the unit data corresponding to the medical care task are recorded. The control process includes an input process that accepts the input of the medical task of the patient, and forms a template for supporting the creation of the medical record corresponding to the input medical task. In the forming step, when a plurality of the medical care tasks are input in the input step and a plurality of the frame data corresponding to the plurality of the medical care tasks have the common unit data. It is characterized by including a coalescence step of combining the common unit data into one and forming the template by coalescing a plurality of the frame data.

The present invention is a computer program for an electronic chart system, in which a computer functions as a control unit that executes predetermined processing using a database included in the electronic chart system, and the database is a medical treatment problem for a patient. The task database section in which is recorded, the unit database section in which the unit data including one or more of the items to be registered is recorded, and the frame data holding the code of the unit data corresponding to the medical care task are recorded. The control unit includes an input unit that accepts the input of the medical treatment task of the patient, and a forming unit that forms a template for supporting the creation of the medical treatment record corresponding to the input medical treatment task. When a plurality of the medical care tasks are input and the plurality of the frame data corresponding to the plurality of the medical care tasks have the common unit data, the forming unit includes the common unit data. It is characterized by including a united portion forming the template in which a plurality of the frame data are combined into one.

In the electronic chart system of the present invention, the control unit includes an input unit that accepts input of a patient's medical treatment task and a forming unit that forms a template for supporting registration of medical records corresponding to the input medical treatment task. The forming unit includes, when a plurality of the medical care tasks are input and a plurality of frame data corresponding to the plurality of the medical care tasks have common unit data, the common unit data is combined into one. It includes a united portion that collectively forms the template by combining a plurality of the frame data.

Since such a united portion forms a template in which a plurality of frame data are united, it is possible to suppress duplicate input for common unit data. Therefore, the electronic medical record system of the present invention can input common items in a plurality of medical care tasks at one time.

In the information processing method of the electronic chart system of the present invention, the control process forms an input process for receiving input of a patient's medical care task and a template for supporting the creation of a medical care record corresponding to the input medical care task. The forming step includes the forming step, and the forming step is common when a plurality of the medical care tasks are input in the input step and a plurality of frame data corresponding to the plurality of the medical care tasks have common unit data. The unit data to be combined is combined into one to form a template in which a plurality of the frame data are combined.

Since such a coalescence process forms a template in which a plurality of frame data are coalesced, it is possible to suppress duplicate input for common unit data. Therefore, the information processing method of the electronic medical record system of the present invention can input common items in a plurality of medical care tasks at one time.

In the computer program for the electronic chart system of the present invention, the control unit forms an input unit that accepts the input of the patient's medical treatment task and a template for supporting the creation of the medical treatment record corresponding to the input medical treatment task. The forming unit includes the forming unit, and the forming unit has the common unit data when a plurality of the medical care tasks are input and a plurality of frame data corresponding to the plurality of the medical care tasks have common unit data. Is included in one to form a template in which a plurality of the frame data are combined.

Since such a united portion forms a template in which a plurality of frame data are united, it is possible to suppress duplicate input for common unit data. Therefore, the computer program for the electronic medical record system of the present invention can input common items in a plurality of medical care tasks at one time.

It is a perspective view which shows one Embodiment of the computer for the electronic medical record system of this invention. It is a block diagram of an electronic medical record system. It is a flowchart which shows one Embodiment of the information processing method of the electronic medical record system of this invention. It is a flowchart of a control process. This is a display example of a display in the input process. It is a flowchart of a forming process. This is a display example of a display in the registration process.

FIG. 1 is a perspective view showing a computer 2 for the electronic medical record system 1 of the present embodiment. As shown in FIG. 1, the electronic medical record system 1 of the present embodiment accepts the input of the medical care task CI of the patient and forms the template T for supporting the registration of the medical record MC corresponding to the medical care task CI. ing. The computer 2 for the electronic medical record system 1 of the present embodiment has a main body 3, an input device 4, and an output device 5. The input device 4 includes, for example, a keyboard 4a, a mouse 4b, and the like. The output device 5 includes, for example, a display 5a, a printer (not shown), and the like.

FIG. 2 is a block diagram showing the electronic medical record system 1 of the present embodiment. As shown in FIG. 2, the electronic medical record system 1 of the present embodiment includes a database 6 and a control unit 7 that executes predetermined processing using the database 6. It is desirable that the database 6 and the control unit 7 are mounted on the main body 3 (shown in FIG. 1). In the present embodiment, the computer program for the electronic medical record system 1 is executed by the CPU (not shown) of the computer 2 to cause the computer 2 to function as the control unit 7. The database 6 may be provided outside the main body 3, for example.

The database 6 of the present embodiment includes the task database unit 6a in which the medical task CI of the patient is recorded. The task database unit 6a records, for example, a medical task CI holding a patient identification number, a clinical department code, a clinical task code, a medical task name, and the like for each patient. It is desirable that the clinical department code is determined in advance according to the classification of clinical departments such as cardiology, respiratory medicine, and general surgery. Examples of the medical treatment subject name include heart failure, hypertension, angina pectoris, arrhythmia, and the like in the case of the medical treatment subject CI related to cardiovascular medicine. It is desirable that the medical care task code is determined in advance corresponding to the medical care task name.

The database 6 of the present embodiment includes a unit database unit 6b in which unit data UD including one or a plurality of items i to be registered as a medical record MC is recorded. The unit database unit 6b records, for example, the unit data UD holding the unit code, the item i, and the like. The unit data UD is, for example, a set of items i that are input at the same time in principle in any case.

Examples of the unit data UD include facial findings, cervical findings, chest findings, abdominal findings, blood pressure, pulse and the like. The illustrated unit data UD is used when inputting physical findings. Examples of item i include systolic blood pressure, diastolic blood pressure, measurement site, measurement position, pulse rate, rhythm, and the like in the case of unit data UD relating to blood pressure and pulse. It is desirable that the unit code is predetermined according to the unit data UD. It is desirable that the unit code contains information about the version that is advanced by the addition of the item i or the revision of the unit data UD.

The database 6 of the present embodiment includes one or more codes of the unit data UD, that is, a frame database unit 6c in which the frame data FD holding the unit code is recorded. In addition to the unit code, the frame database unit 6c records, for example, a frame data FD holding a frame code, a frame name, and the like. Since the frame data FD holds only the unit code without holding the item i of the unit data UD in such a frame database unit 6c, the recording capacity can be reduced.

It is desirable that the template name is adopted as the frame name. Examples of the template name include physical findings, medical examination findings such as medical interviews, electrocardiogram, chest X-ray, and echocardiography in the case of medical record MC related to heart failure. It is desirable that the frame code is predetermined according to the frame name. The frame code should include information about the version that will be advanced as it is revised.

It is desirable that the database 6 includes the attribute database unit 6d in which the temporal attribute TA of the frame data FD is recorded. The attribute database unit 6d records, for example, a temporal attribute TA holding a frame code, a recorded content code, a medical care task code, a medical care time phase code, and the like. It is desirable that the medical care time phase code is predetermined in accordance with the medical care time phase. Examples of the phase of medical treatment include the time of initial outpatient treatment, the time of outpatient follow-up, the time of regular outpatient confirmation, the time of admission, immediately before surgery, immediately after surgery, and the time of discharge. The recording content code is predetermined, for example, according to the object to be recorded. Since such an attribute database unit 6d holds only a code representing an attribute value as a temporal attribute TA, the recording capacity can be reduced.

The frame database unit 6c of the present embodiment has a plurality of frame data FDs having different time attributes TA for each medical task CI. That is, the frame database unit 6c has, for example, a frame data FD at the time of the first outpatient treatment and a frame data FD at the time of admission, even if the frame data FD holds the same unit code. In the frame database unit 6c of the present embodiment, since the frame data FD holds only the code, the recording capacity can be reduced even when a large number of frame data FDs are recorded.

It is desirable that the database 6 includes the display database unit 6e in which the display data DD relating to the display of the item i included in the unit data UD is recorded. The display database unit 6e records, for example, display data DD in which a unit code, a display pattern code, a display code, and the like are held. The display code is, for example, information for determining display / non-display of the item i included in the unit data UD. The display pattern code is, for example, information for identifying a display code pattern for the unit data UD.

It is desirable that the database 6 includes the patient database unit 6f in which the medical record MC of the patient is recorded. The patient database unit 6f holds, for example, a patient identification number, a data identification number, a registration date, a frame code, a record content code, a medical care task code, a medical care time phase code, a structured patient data, a registrant code, and the like. The MC is recorded. The structured patient data is, for example, patient information input using the template T described later. Template T is suitable for inputting such structured data.

The control unit 7 of the present embodiment includes an input unit 8 that receives an input of a patient's medical task CI. The input unit 8 receives, for example, a medical task CI input via the input device 4. When the patient has a plurality of medical task CIs, it is desirable that the input unit 8 inputs a plurality of medical task CIs.

The control unit 7 of the present embodiment includes a forming unit 9 that forms a template T for supporting the registration of the medical record MC corresponding to the input medical treatment task CI. Such a forming unit 9 does not need to prepare a huge number of templates T in advance, and can reduce the recording capacity of the database 6.

Here, the forming unit 9 will be described when a plurality of medical task CIs are input and a plurality of frame data FDs corresponding to the plurality of medical task CIs satisfy the first condition having a common unit data UD. .. The forming unit 9 when one medical task CI is input may form the template T based on the frame data FD corresponding to the medical task CI.

The forming unit 9 of the present embodiment includes an aggregation unit 9a that groups a plurality of frame data FDs when the first condition is satisfied. The forming unit 9 further includes a uniting unit 9b that combines the common unit data UDs into one and forms a template T by combining the plurality of frame data FDs in the grouped plurality of frame data FDs. Is desirable.

Since such a united portion 9b forms a template T in which a plurality of frame data FDs are united, it is possible to suppress duplicate inputs for a common unit data UD. Therefore, the electronic medical record system 1 of the present embodiment can input the common item i in the plurality of medical treatment task CIs at one time.

It is desirable that the aggregation unit 9a groups a plurality of frame data FDs having different medical task CIs and a common temporal attribute TA. Here, the common temporal attribute TA means that the temporal attribute TAs match, the temporal attribute TAs are a combination to be recorded at the same time, and the scheduled input date is specified. Includes the case where is within a certain width.

The united portion 9b of the present embodiment forms a template T in which a plurality of frame data FDs having a common item i are combined in the frame data FD grouped by the aggregated portion 9a.

It is desirable that the forming unit 9 includes a display unit 9c that determines the item i to be displayed based on the display data DD. The display unit 9c has, for example, a function of changing the display data DD by the registrant. The display unit 9c may determine, for example, the item i to be displayed and its options.

The control unit 7 of the present embodiment includes a registration unit 10 that displays the template T and accepts the input of the medical record MC. It is desirable that the registration unit 10 sequentially displays the item i of the unit data UD to be input on the template T and guides the item i to be input.

It is desirable that the control unit 7 includes a recording unit 11 that records the input medical record MC in the patient database unit 6f. The recording unit 11 records, for example, the structured patient data of the input medical record MC. For example, the recording unit 11 may convert the input structured patient data of the medical record MC into natural language text data and record it.

The electronic medical record system 1 is preferably executed by a computer program for the electronic medical record system 1. The computer program of the present embodiment causes the computer 2 to function as a control unit 7 that executes a predetermined process using the database 6 included in the electronic medical record system 1.

As described above, the control unit 7 includes an input unit 8 and a forming unit 9. As described above, the forming unit 9 includes a uniting unit 9b that combines common unit data UDs into one to form a template T in which a plurality of frame data FDs are united.

Since such a united portion 9b forms a template T in which a plurality of frame data FDs are united, it is possible to suppress duplicate inputs for a common unit data UD. Therefore, the computer program for the electronic medical record system 1 of the present embodiment can be input once for the common item i in the plurality of medical treatment task CIs.

Next, a method for processing the information of the electronic medical record system 1 will be described with reference to FIGS. 1 and 2. FIG. 3 is a flowchart showing an embodiment of the information processing method of the electronic medical record system 1 of the present embodiment. As shown in FIG. 3, as an information processing method of the electronic medical record system 1, for example, a database 6 in which necessary information is recorded in advance in the electronic medical record system 1 is prepared (preparation step S1).

As described above, the database 6 includes a task database unit 6a, a unit database unit 6b, and a frame database unit 6c. In the task database unit 6a, for example, the medical care task CI of the patient is recorded. The unit database unit 6b records, for example, unit data UD including one or a plurality of items i to be registered. In the frame database unit 6c, for example, one or a plurality of codes of the unit data UD, that is, a frame data FD holding the unit code is recorded.

As described above, the database 6 further includes an attribute database unit 6d, a display database unit 6e, and a patient database unit 6f. In the attribute database unit 6d, for example, a temporal attribute TA holding a frame code, a recorded content code, a medical care task code, a medical care time phase code, and the like is recorded. In the display database unit 6e, for example, the display data DD relating to the display of the item i included in the unit data UD is recorded. In the patient database unit 6f, for example, the medical record MC of the patient is recorded.

In the information processing method of the electronic medical record system 1 of the present embodiment, the control unit 7 then executes a predetermined process using the database 6 included in the electronic medical record system 1 (control step S2).

FIG. 4 is a flowchart of the control process S2. As shown in FIG. 4, in the control step S2 of the present embodiment, first, the input unit 8 receives the input of the medical care task CI of the patient (input step S21). The input step S21 accepts, for example, the medical task CI input via the input device 4.

FIG. 5 is a display example of the display 5a in the input step S21. As shown in FIG. 5, in the input step S21, it is desirable to input using the task input sheet S. The task input sheet S is displayed when, for example, a patient identification number, a registrant code, a clinical department code, a classification of hospitalization or outpatient (hereinafter referred to as "entrance / exit classification") and the like are input.

In the input step S21, for example, a list of medical treatment task CIs is displayed to the registrant, and the medical treatment task CI is input by being selected from the list by the registrant. It is desirable that the list of medical care task CIs is preset according to the clinical department code and the like. In such a task input sheet S, it is easy for the registrant to input the medical care task CI. The medical task CI may be directly input, for example, or may be input using a code, a code, a symbol, or the like.

On the task input sheet S, for example, when the medical care task CI is input, the medical care task CI and the start date are displayed. One or a plurality of medical task CIs may be input depending on the patient's symptoms.

FIG. 5 illustrates a case where heart failure and hypertension are input as the medical task CI. When the medical treatment task CI is completed, for example, by inputting the end date in the medical treatment task CI, the management related to the medical treatment task CI can be terminated.

As shown in FIG. 4, the control step S2 of the present embodiment provides a template T for supporting the creation of the medical record MC corresponding to the medical task CI input by the forming unit 9 after the input step S21. Form (formation step S22).

The forming step S22 acquires, for example, the frame code of the corresponding time attribute TA according to the entry / exit classification and the like. When the forming step S22 has the medical record MC registered in the patient database unit 6f, it is desirable to acquire the frame code of the registered medical record MC. In the formation step S22, when the admission / exclusion category is hospitalization, it is desirable to add the hospitalization date to the medical record MC.

FIG. 6 is a flowchart of the forming step S22. As shown in FIG. 6, in the forming step S22 of the present embodiment, first, the gathering unit 9a groups a plurality of frame data FDs (aggregating step S221). In the assembly process S221, for example, in the input process S21, it is determined whether or not a plurality of medical task CIs have been input. It is desirable that the assembly step S221 is skipped, for example, when a plurality of medical task CIs are not input.

In the collective process S221 of the present embodiment, the temporal attribute TA is acquired for a plurality of frame data FDs corresponding to a plurality of medical care task CIs. In the gathering process S221 of the present embodiment, it is determined whether or not the acquired temporal attribute TAs are common, and if they are common, it is determined as the same group.

The collective step S221 of the present embodiment determines whether a plurality of frame data FDs included in the same group have a common unit data UD. That is, the assembly process S221 of the present embodiment determines whether or not the above-mentioned first condition is satisfied. It is desirable that the assembly step S221 is skipped, for example, when the first condition is not satisfied.

In the forming step S22 of the present embodiment, when the first condition is satisfied, the unit data UD common to the united portion 9b is combined into one to form a template T in which a plurality of frame data FDs are combined (combined). Step S222). In the coalescence step S222 of the present embodiment, the frame data FDs in the same group are coalesced.

Since the combination step S222 forms a template T in which a plurality of frame data FDs are combined, it is possible to suppress duplicate inputs for the common unit data UD. Therefore, the information processing method of the electronic medical record system 1 of the present embodiment can be input once for the common item i in the plurality of medical treatment task CIs.

The coalescing step S222 acquires, for example, a plurality of frame data FDs grouped in the gathering step S221. The coalescence step S222 of the present embodiment has acquired the unit code held by the acquired frame data FD. In the coalescence step S222, it is desirable to further acquire the unit data UD corresponding to the acquired unit code from the unit database unit 6b.

The coalescence step S222 confirms, for example, the presence or absence of unit data UD having the same unit code. In the merging step S222, when the unit code has a plurality of unit data UDs having the same unit code, it is desirable to combine the unit data UDs. The display / non-display of the item i included in the united unit data UD is, for example, to hide the hidden item i in common with the display data DD of the unit data UD of the united source, and to display the other items i. Set.

In the coalescence step S222 of the present embodiment, a plurality of frame data FDs are coalesced by combining the set display data DD and the unit data UD. In the combined frame data FD, for example, their frame codes, frame names, etc. are concatenated and recorded. In the coalescence step S222, it is desirable to synthesize the unit data UD based on the coalesced frame data FD to form the template T. In the combined frame data FD, for example, the frame codes of the combined source are concatenated and recorded with a delimiter.

As shown in FIG. 5, on the task input sheet S, for example, a list L of the template T in which the frame data FD related to the input medical task CI is grouped according to the temporal attribute TA is displayed. The list L may be displayed, for example, at the timing when the scheduled input date is specified, as long as the time attribute TA indicates the scheduled input date. The scheduled input date is, for example, the start date of the medical treatment task CI if the time attribute TA is the template T at the time of the first outpatient treatment.

As shown in FIG. 4, in the control step S2 of the present embodiment, after the forming step S22, the registration unit 10 displays the template T and accepts the input of the medical record MC (registration step S23). It is desirable that the registration step S23 displays the template T selected by the registrant from the list L and accepts the input of the medical record MC.

FIG. 7 is a display example of the display 5a in the registration step S23. As shown in FIG. 7, in the registration step S23, for example, a list L of the template T of the same group among the list L of the template T is displayed on a part of the display 5a. In the registration step S23, the registrant selects the template T to be registered next from the list L, thereby facilitating the selection of the template T.

It is desirable that the list L of the template T clearly displays the ones for which input has been completed. The display can be distinguished by, for example, changing the color, adding a mark, adding a border, or the like. Such a list L of the template T can suppress the selection of the input template T and shorten the time required for selecting the template T.

In the template T, for example, the item i of the unit data UD is displayed. As for the item i of the unit data UD, it is desirable that the first layer is initially displayed, and when a specific value is selected in the first layer, the lower layers below the second layer are displayed. Such a template T can guide an item i to be input, and since an unnecessary item i is not displayed, it is possible to reduce an input error.

Item i includes, for example, a rhythm as the first layer in the case of unit data UD relating to blood pressure and pulse. When the item i is a rhythm, the options include, for example, irregularity, irregularity, absolute irregularity, and the like. Here, when irregularity is selected, for example, there is a defect, and options such as bigeminy, bigeminy, and others are displayed.

As shown in FIG. 4, in the control step S2 of the present embodiment, after the registration step S23, the medical record MC input by the recording unit 11 is recorded in the patient database unit 6f (recording step S24). The recording step S24 records, for example, the medical record MC input using the template T in the registration step S23 as structured patient data.

When the recorded medical record MC is displayed, it is desirable that the structured patient data is converted into natural language text data and displayed on the output device 5. The medical record MC may be recorded in the patient database unit 6f by converting the structured patient data into natural language text data, for example.

In the above-described embodiment, a plurality of frame data FDs are combined when the first condition is satisfied, but the electronic medical record system 1 may be applied, for example, when registering in a plurality of different patient registries. good. Such an electronic medical record system 1 can input a common item i in different patient registries at one time.

Although the particularly preferred embodiment of the present invention has been described in detail above, the present invention is not limited to the above-described embodiment and can be modified into various embodiments.

1 Electronic medical record system 6 Database 7 Control unit 8 Input unit 9 Forming unit 9b Combined unit

Claims (9)

It ’s an electronic medical record system.
It includes a database and a control unit that executes predetermined processing using the database.
The database is
The task database section, which records the patient's medical tasks, and
The unit database section in which unit data including one or more items to be registered is recorded, and
The frame database unit in which the frame data holding the code of the unit data corresponding to the medical care task is recorded is included.
The control unit
An input unit that accepts the input of the patient's medical treatment task,
Includes a forming unit that forms a template to support the registration of medical records corresponding to the entered medical task.
When a plurality of the medical care tasks are input and the plurality of the frame data corresponding to the plurality of the medical care tasks have the common unit data, the forming unit combines the common unit data into one. Including a united portion that collectively forms the template by combining a plurality of the frame data.
Electronic medical record system. The database includes an attribute database section in which temporal attributes are recorded.
The electronic medical record system according to claim 1, wherein the frame database unit has a plurality of frame data having different temporal attributes for each of the medical treatment tasks. The electronic medical record system according to claim 2, wherein the forming unit includes a collecting unit that groups a plurality of the frame data having different medical problems and having the same time attribute. The electronic medical record system according to claim 3, wherein the united portion forms the template in which a plurality of the frame data having the same item are combined in the frame data grouped by the aggregated portion. .. The database includes a display database unit in which display data related to display of the item included in the unit data is recorded.
The electronic medical record system according to any one of claims 1 to 4, wherein the forming unit includes a display unit that determines the item to be displayed based on the display data. The electronic medical record system according to any one of claims 1 to 5, wherein the control unit includes a registration unit that displays the template and accepts input of the medical record. The database includes a patient database section in which the patient's medical records are recorded.
The electronic medical record system according to claim 6, wherein the control unit includes a recording unit that records the input medical record in the patient database unit. A method for processing information in electronic medical record systems,
A control step of executing a predetermined process using the database included in the electronic medical record system is included.
The database is
The task database section, which records the patient's medical tasks, and
The unit database section in which unit data including one or more items to be registered is recorded, and
The frame database unit in which the frame data holding the code of the unit data corresponding to the medical care task is recorded is included.
The control step is
An input process that accepts the input of the patient's medical treatment task,
Including a forming step of forming a template for supporting the creation of a medical record corresponding to the input medical task.
In the forming step, when a plurality of the medical care tasks are input in the input step and a plurality of the frame data corresponding to the plurality of the medical care tasks have the common unit data, the unit data is common. Including a coalescence step of forming the template by coalescing a plurality of the frame data into one.
Information processing method for electronic medical record systems. A computer program for electronic medical record systems
The computer functions as a control unit that executes predetermined processing using the database included in the electronic medical record system.
The database is
The task database section, which records the patient's medical tasks, and
The unit database section in which unit data including one or more items to be registered is recorded, and
The frame database unit in which the frame data holding the code of the unit data corresponding to the medical care task is recorded is included.
The control unit
An input unit that accepts the input of the patient's medical treatment task,
Including a forming part that forms a template for supporting the creation of a medical record corresponding to the input medical task.
When a plurality of the medical care tasks are input and the plurality of the frame data corresponding to the plurality of the medical care tasks have the common unit data, the forming unit combines the common unit data into one. Including a united portion that collectively forms the template by combining a plurality of the frame data.
A computer program for an electronic medical record system.

Images