JP2022027824A - Information processing system, medical chart screen display method, and program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a technique for shortening a user's waiting time during starting a screen for displaying an electronic medical chart.

SOLUTION: An information processor 10 includes: a list acquisition part 110 for acquiring list data of a patient; a cache part 120 for caching drawing data of a screen including medical chart data of the patient about the patient included in the list data; a designation reception part 130 for receiving designation of the patient with a screen as a displaying object; and a display processing part 140 for using the drawing data cached about the designated patient to display the medical chart screen of the patient on a display device.

SELECTED DRAWING: Figure 1

COPYRIGHT: (C)2022,JPO&INPIT

Description

The present invention relates to a method for displaying a medical record screen used in an electronic medical record system.

An example of a technique relating to an electronic medical record system is disclosed in the following patent documents. The following Patent Document 1 discloses a technique of displaying a medical record screen of a plurality of patients in a plurality of tabs and switching the medical record screen of each patient by the tabs. Further, Patent Document 2 below discloses a technique for transcribing acquired patient examination data into an electronic medical record opened on a screen.

Japanese Unexamined Patent Publication No. 2006-338523 Japanese Unexamined Patent Publication No. 2006-260303

The medical record contains a lot of information such as the patient's past medical treatment. Therefore, a waiting time is generated before the screen for displaying the electronic medical record is displayed, which may deteriorate the usability of the electronic medical record system.

An object of the present invention is to provide a technique for reducing a user's waiting time when activating a screen for displaying an electronic medical record.

According to the present invention
Management measures to manage patient status and
An acquisition means for acquiring patient data of a patient whose status indicates a high degree of medical examination, and
A designated reception means that accepts an input for designating a patient to be treated from among the patients corresponding to the acquired patient data, and a designated reception means.
A display processing means for displaying the chart screen of the designated patient to be treated in the display area,
An information processing system is provided.

The computer
Manage patient status and
Obtain patient data of patients whose status indicates a high degree of medical examination.
Accepts the input to specify the patient to be treated from the patients corresponding to the acquired patient data, and accepts the input.
Display the chart screen of the designated patient to be treated in the display area.
A medical record screen display method including the above is provided.

According to the present invention
Computer,
A management tool for managing patient status,
An acquisition means for acquiring patient data of a patient whose status indicates a high degree of medical examination.
A designated reception means that accepts an input for designating a patient to be treated from among the patients corresponding to the acquired patient data.
A display processing means for displaying the chart screen of the designated patient to be treated in the display area.
A program is provided to make it function as.

According to the present invention, it is possible to reduce the waiting time of the user when activating the screen for displaying the electronic medical record.

It is a figure which conceptually shows the processing structure of the information processing apparatus in 1st Embodiment. It is a figure which conceptually shows the hardware composition of an information processing apparatus. It is a flowchart which shows the process flow of the information processing apparatus in 1st Embodiment. It is a figure which shows the structural example of the electronic medical record system in this invention. It is a figure which shows an example of the data which the medical record data TBL stores. It is a figure which shows an example of the data which a doctor / nurse TBL stores. It is a figure which shows an example of the data which a terminal information TBL stores. It is a figure which shows an example of the data which the outpatient examination appointment TBL stores. It is a figure which shows an example of the data which the inpatient TBL stores. It is a figure which shows an example of the data which attendance information TBL stores.

Hereinafter, embodiments of the present invention will be described with reference to the drawings. In all drawings, similar components are designated by the same reference numerals, and the description thereof will be omitted as appropriate.

[First Embodiment]
The information processing device of the present invention provides a function of displaying a screen (medical record screen) including the medical record data of each patient on the display device in the electronic medical record system. Specifically, the information processing device displays a screen including a list of patients who can be designated as a target for displaying the medical record screen on the display device, and the operator (medical worker such as a doctor or a nurse) designates the target patient. Accept input. When the target patient is designated by the operation of the operator, the information processing apparatus displays the chart screen generated based on the chart data of the designated patient on the display device. Here, the information processing apparatus of the present invention executes a process of generating and caching a patient's chart screen in advance in the background. The details will be described below.

[Processing configuration]
FIG. 1 is a diagram conceptually showing the processing configuration of the information processing apparatus 10 according to the first embodiment. As shown in FIG. 1, the information processing apparatus 10 includes a list acquisition unit 110, a cache unit 120, a designated reception unit 130, and a display processing unit 140.

The list acquisition unit 110 acquires patient list data. The list data acquired by the list acquisition unit 110 is list data of patients that can be designated as a target for displaying the medical record screen by the designated reception unit 130. The cache unit 120 caches the drawing data of the screen (medical record screen) including the medical record data in a temporary storage area such as a cache memory for the patient included in the list data. Specifically, the cache unit 120 reads out the medical record data of each patient from a storage means (not shown) that stores the medical record data of each patient by using the patient ID or the like that identifies each patient, and the read medical record data. Is used to generate drawing data for each patient's chart screen. Here, the drawing data of the medical record screen is data for drawing the medical record screen on the display device, and information on each screen component constituting the medical record screen (display contents (for example, medical history based on the medical record data)) and , Coordinates and size in the display area, etc.). For example, the cache unit 120 processes the template data of the chart screen held in advance based on the read chart data of each patient to generate drawing data of the chart screen of each patient. The cache unit 120 caches the generated medical record screen in a cache memory (not shown). Further, the term "cache" in the present specification means that the information processing device 10 is in a state where the medical record screen can be immediately displayed on the display device. For example, the term "cache" includes a process in which the cache unit 120 displays a medical record screen in advance outside the display area (that is, a virtual display area) of a display device (not shown). The designated reception unit 130 receives the designation of the patient to be displayed on the medical record screen. The designated reception unit 130 receives user input for designating a patient to be displayed on the chart screen via an input device (not shown) such as a keyboard, mouse, and touch panel. The display processing unit 140 causes the display device to display the chart screen of the patient by using the drawing data of the chart screen cached for the designated patient. Specifically, the display processing unit 140 changes the coordinate information included in the drawing data of the medical record screen cached outside the display area of the display device for the patient designated by the user, and displays the medical record screen. Move to the display area of.

[Hardware configuration]-
FIG. 2 is a diagram conceptually showing the hardware configuration of the information processing apparatus 10. As shown in FIG. 2, the information processing device 10 includes a CPU (Central Processing Unit) 101, a memory 102, a storage 103, an input / output interface (input / output I / F) 104, a communication module 105, a cache 106, and the like. .. The CPU 101, the memory 102, the storage 103, the input / output interface 104, the communication module 105, and the cache 106 are connected by a data transmission line for transmitting and receiving data to and from each other.

The memory 102 is, for example, a memory such as a RAM (Random Access Memory) or a ROM (Read Only Memory). The storage 103 is, for example, a storage device such as an HDD (Hard Disk Drive), an SSD (Solid State Drive), or a memory card. The storage 103 stores a program module for realizing the functions of each processing unit including the list acquisition unit 110, the cache unit 120, the designated reception unit 130, and the display processing unit 140 of the information processing apparatus 10. The CPU 101 realizes the functions of each processing unit by executing each of these program modules. When executing each of the above modules, the CPU 101 may read these modules onto the memory 102 and then execute the modules, or may execute the modules without reading them onto the memory 102. The cache 106 is an SSD or the like capable of high-speed access, and is used to cache the above-mentioned drawing data of the chart screen.

The input / output interface 104 is connected to the display device 1041 and the input device 1042. The display device 1041 displays a screen corresponding to drawing data processed by a CPU 101, a GPU (Graphics Processing Unit) (not shown), or the like, such as an LCD (Liquid Crystal Display) or a CRT (Cathode Ray Tube) display. It is a device. The input device 1042 is a device that receives input from the user, and is realized as, for example, a keyboard, a mouse, a touch sensor, or the like. The display device 1041 and the input device 1042 may be integrated and realized as a touch panel.

The communication module 105 is used to send and receive data to and from an external device or the like. There are various methods for connecting the information processing device 10 and the external device via the communication module 105. For example, this connection is a bus connection via a bus line (for example, a USB (Universal Serial Bus) line), a network connection via a network line, or the like. The network line may be a wireless line or a wired line.

The hardware configuration of the information processing apparatus 10 is not limited to the configuration shown in FIG.

[Operation example]
An operation example of the information processing apparatus 10 in the present embodiment will be described with reference to FIG. FIG. 3 is a flowchart showing a processing flow of the information processing apparatus 10 according to the first embodiment.

First, the list acquisition unit 110 acquires patient list data (S101). Then, the cache unit 120 reads out the medical record data of the patients included in the list from the storage means (not shown) that stores the medical record data of each patient in association with the patient identification information that identifies each patient (S102). .. The patient list data includes patient identification information that identifies each patient, and the cache unit 120 can read out the medical record data of each patient included in the list from the storage means using the patient identification information. Then, the cache unit 120 generates and caches the drawing data of the medical record screen based on the read medical record data (S103). After that, the designated reception unit 130 receives user input for designating the patient to be examined via the input device 1042 (S104). Then, the display processing unit 140 displays the medical record screen cached for the patient designated by the user input in the display area of the display device 1041 (S105).

[Action and effect of the first embodiment]
As described above, in the present embodiment, when the patient list data is acquired, the drawing data of the screen (medical record screen) for displaying the electronic medical record for the patient included in the list data is cached in advance in the background. After that, when one patient is selected from the patients included in the list data, the chart screen cached for the selected patient is displayed on the display device 1041. As a result, when the medical record screen is displayed on the display device 1041, the time required for generating the drawing data of the medical record screen is reduced. As a result, according to the present embodiment, it is possible to reduce the waiting time of the user when activating the screen for displaying the electronic medical record. For example, when the target patient is selected from the list and then the drawing data of the medical record screen is generated and displayed, a lag occurs due to the processing of reading the medical record data, the processing of generating the drawing data of the medical record screen, etc., and the medical record screen is displayed. It takes a few seconds to complete. On the other hand, according to the present embodiment, since the medical record screen cached in advance is only moved to the display area, the medical record screen takes only a few seconds after selecting the target patient from the list. Can be displayed.

[Second Embodiment]
In this embodiment, the information processing apparatus 10 of the first embodiment will be described in more detail.

〔System configuration〕
FIG. 4 is a diagram showing a configuration example of the electronic medical record system 1 in the present invention. As shown in FIG. 4, the electronic medical record system 1 includes an information processing device 10, a server device 20, a database 30, a general reception terminal 40, and a department reception terminal 50. The electronic medical record system 1 may include devices other than those shown in FIG.

The general reception terminal 40 is an unmanned terminal that reads a medical examination ticket or the like at the time of a visit and accepts a visit (first consultation reception or return reception), or a terminal operated by a medical institution window staff to receive a visit reception. The reception terminal 50 for each department is a terminal operated by the person in charge of the counter of each clinical department to receive reception for each clinical department. In a medical institution such as a small clinic or a single department hospital where there is no window for each department, there is no reception terminal 50 for each department, and the general reception terminal 40 may also function as a reception for each department.

The database 30 includes a table (TBL) for storing various data used in the electronic medical record system 1. In the example of FIG. 4, the database 30 has a medical record data TBL310, a doctor / nurse TBL320, a terminal information TBL330, an outpatient consultation appointment TBL340, an inpatient TBL350, and an attendance information TBL360. The database 30 also includes tables required for the electronic medical record system 1.

The medical record data TBL310 stores the medical record data of each patient, for example, as shown in FIG. FIG. 5 is a diagram showing an example of data stored in the medical record data TBL310. In the example shown in FIG. 5, information indicating the type of medical record (inpatient medical record / outpatient medical record), the clinical department ID that identifies each clinical department, and each patient are identified in association with the medical record ID that identifies each medical record data. The patient ID, medical records, etc. are stored. The medical record screen is generated based on this medical record data.

The doctor / nurse TBL320 stores data of each medical worker working at a medical institution, for example, as shown in FIG. FIG. 6 is a diagram showing an example of data stored by a doctor / nurse TBL320. In the example shown in FIG. 6, a medical worker ID that identifies each medical worker and a clinical department ID that identifies the clinical department to which the medical worker belongs are associated and stored.

The terminal information TBL330 stores data of each terminal including the information processing device 10 used in the electronic medical record system 1, for example, as shown in FIG. FIG. 7 is a diagram showing an example of data stored in the terminal information TBL330. In the example shown in FIG. 7, a terminal identification ID for identifying each terminal, information indicating an installation location, and the like are associated and stored. Terminal information In the installation location of the TBL 330, information indicating the location where the information processing device 10 is installed is stored. Specifically, the terminal information TBL330 shown in FIG. 7 stores information indicating that the terminal having the terminal identification ID "T001" is installed in the internal medicine outpatient examination room, and the terminal identification ID is ". The terminal of "T002" stores information indicating that it is installed on the 3rd floor of the South Ward.

The outpatient appointment appointment TBL340 stores data about an outpatient appointment appointment, for example, as shown in FIG. FIG. 8 is a diagram showing an example of data stored in the outpatient consultation appointment TBL340. In the example shown in FIG. 8, the appointment date and time, the patient ID that identifies the patient who made the appointment, the doctor ID that identifies the doctor in charge, and the progress of the examination are shown in association with the appointment ID that identifies each appointment. The examination status and visit time are memorized.

The inpatient TBL350 stores data about the inpatient, for example, as shown in FIG. FIG. 9 is a diagram showing an example of data stored in the inpatient TBL350. In the example shown in FIG. 9, the medical worker ID that identifies the medical worker in charge of the patient and the ward identification ID that identifies the ward in which the patient is hospitalized are associated with the patient ID that identifies each patient. , Floor (number of floors), room number, etc. are stored.

Attendance information TBL360 stores data related to attendance information of medical staff, for example, as shown in FIG. FIG. 10 is a diagram showing an example of data stored in the attendance information TBL360. In the example shown in FIG. 10, information indicating a working day and a patient ID for identifying a patient scheduled to be in charge of the working day are stored in association with the medical worker ID that identifies each medical worker.

The server device 20 includes a login authentication unit 210, a visit time management unit 220, and a status management unit 230.

The login authentication unit 210 executes login authentication for the user (medical worker such as a doctor or a nurse) to the electronic medical record system 1. The user has an account for the electronic medical record system 1 individually, and inputs each individual's account and password into a terminal such as the information processing device 10. The login authentication unit 210 acquires the entered account and password, and executes login authentication for each user.

The visit time management unit 220 manages the visit time of the outpatient. Specifically, the visit time management unit 220 acquires the time when the patient's visit is accepted from the general reception terminal 40, and stores the time as the patient's visit time in the visit time of the outpatient consultation appointment TBL340.

The status management unit 230 assigns the progress status according to the progress of the examination to the data of each patient of the outpatient examination appointment TBL340. The status management unit 230 acquires information input by a terminal such as an information processing device 10 included in the electronic medical record system 1, and manages the progress status given to each patient. As an example, the medical examination status given by the status management unit 230 is "Miraiin", which indicates that the patient has not yet visited the hospital, "Visit", which indicates that the patient has been accepted by the general reception terminal 40, and reception for each department. "Waiting for medical examination" indicating that the examination to be performed before the examination after completing the reception for each department at the terminal 50 or after completing the reception for each department at the reception terminal 50 for each department, to perform the examination during the examination Includes the status of "Temporary Termination", which is the state in which the examination is temporarily completed, and "End of Examination", which indicates the state in which the examination is completed. However, these are just examples, and the examination status may be changed as appropriate depending on the operation. For example, in the case of a medical institution that does not have a reception desk for each department, the status of "waiting for medical examination" may be given when the reception is completed at the general reception terminal 40.

[Operation of information processing device 10]
Hereinafter, the operation of the information processing apparatus 10 in the electronic medical record system 1 shown in FIG. 4 will be described.

First, the information processing apparatus 10 acquires a user's account (worker identification information that identifies each medical worker) and a password via an input reception screen (not shown), and logs in to the electronic chart system 1 using the login authentication unit 210. Perform authentication.

When the login authentication is normally completed, the list acquisition unit 110 of the information processing apparatus 10 refers to the terminal information TBL330 to acquire information indicating the installation location of the information processing apparatus 10, and based on the acquired information, the information processing apparatus. It is determined whether 10 is a terminal used in the outpatient examination room (outpatient examination room terminal) or a terminal used in the ward (ward terminal). Specifically, the terminal information TBL330 in the example of FIG. 7 stores information that the information processing device 10 of T001 is provided in the internal medicine outpatient examination room and the information processing device 10 of T002 is provided on the third floor of the south ward. is doing. Each information processing device 10 can acquire information on the installation location using the terminal identification ID assigned to itself, and can determine whether it is an outpatient examination terminal or a ward terminal. Further, not limited to this, for example, information indicating whether it is an outpatient examination room terminal or a ward terminal is set in advance in each information processing device 10, and the list acquisition unit 110 is based on the set information. The information processing device 10 may be configured to determine whether to use an outpatient examination room terminal or a ward terminal. When the information processing apparatus 10 is installed in an outpatient examination room or the like, the screen mainly displayed is the chart of the outpatient, so the list acquisition unit 110 acquires the list data of the outpatient. Specifically, the list acquisition unit 110 refers to the outpatient examination reservation TBL340 and acquires the list data of the outpatients who have made an appointment for the examination on the day. Further, when the information processing device 10 is a ward terminal, since the screen mainly displayed is the medical record of the inpatient, the list data of the inpatient is acquired. Specifically, the list acquisition unit 110 refers to the inpatient TBL350 and acquires the list data of the inpatients. The list acquisition unit 110 may be configured to accept input of search conditions via an input reception screen (not shown) and acquire list data of patients that match the search conditions.

The cache unit 120 generates and caches medical record screen data for patients included in the list data acquired by the list acquisition unit 110. Then, as described in the first embodiment, the designated reception unit 130 accepts the designation of the patient to be displayed on the medical record screen, and the display processing unit 140 displays the medical record screen of the designated patient on the display device 1041. do.

Here, since the medical record data contains various information, the amount of information is large, and there is a possibility that a sufficient area cannot be secured when trying to cache the drawing data of the medical record screen of all the patients included in the list. Conceivable. Therefore, the cache unit 120 of the present embodiment is configured to appropriately determine and select a patient whose medical record screen should be cached by using various conditions. An example thereof will be described below.

<For outpatient examination terminals>
For example, an outpatient whose consultation status is "waiting for consultation" is a patient who will be examined soon, and it is highly likely that the medical record screen will be displayed in the near future. Therefore, the cash unit 120 is given information indicating that the outpatients whose consultation status is "waiting for consultation", that is, the outpatients included in the list data, will be examined soon, with reference to the outpatient examination reservation TBL340. The outpatient is selected as the target for caching the drawing data on the chart screen. In other words, when there are a plurality of statuses indicating the progress of the examination, the cache unit 120 selects a patient who is given a status satisfying the criteria among the plurality of statuses. The "status that meets the criteria" here is a status that indicates the status closest to the medical examination among the statuses that indicate the status until the start of the medical examination. As a result, the number of drawing data of the chart screen to be cached can be reduced, and the possibility that the area of the cache 106 is exhausted can be reduced. Further, the cache 106 can cache the drawing data of the medical record screen that is likely to be used in the medical examination. Therefore, it is possible to prevent a decrease in the cache hit rate due to the limitation of the cache target, and to maintain the effect of shortening the waiting time when the user displays the chart screen.

Further, in the example of FIG. 8, when the outpatient makes an appointment for medical examination, the outpatient and the attending physician are associated with each other. By using this information, it is possible to predict which patient's medical record screen is likely to be displayed by a user (mainly a doctor) who logs in to the electronic medical record system 1 and operates the information processing apparatus 10. Specifically, first, the cache unit 120 acquires the information of the account currently logged in (information for identifying each medical worker). Then, the cache unit 120 refers to the outpatient consultation appointment TBL340 using the acquired account, and identifies the patient (patient ID) associated with the account. Then, the cache unit 120 selects the outpatients specified as described above among the outpatients included in the list data as the target for caching the drawing data of the chart screen. As a result, the number of drawing data of the chart screen to be cached can be reduced, and the possibility that the area of the cache 106 is exhausted can be reduced. Further, the cache 106 can cache the drawing data of the medical record screen that is likely to be used in the medical examination. Therefore, it is possible to prevent a decrease in the cache hit rate due to the limitation of the cache target, and to maintain the effect of shortening the waiting time when the user displays the chart screen.

In addition, when a medical institution has multiple clinical departments, outpatient examination terminals are provided for each clinical department, so it is possible to predict which patient's chart screen is likely to be displayed based on the information of the clinical department. can. Specifically, first, the cache unit 120 acquires the information of the account currently logged in (information for identifying each medical worker). Then, the cache unit 120 refers to the doctor / nurse TBL320 using the acquired account information, and acquires information indicating the clinical department to which the medical staff of the account belongs. Then, the cash unit 120 refers to the outpatient examination reservation TBL340 using the acquired information of the clinical department, and among the outpatients included in the list data, the outpatient of the clinical department corresponding to the information indicating the acquired clinical department. To identify. Then, the cache unit 120 selects the outpatients specified as described above among the outpatients included in the list data as the target for caching the drawing data of the chart screen. As a result, the number of drawing data of the chart screen to be cached can be reduced, and the possibility that the area of the cache 106 is exhausted can be reduced. Further, the cache 106 can cache the drawing data of the medical record screen that is likely to be used in the medical examination. Therefore, it is possible to prevent a decrease in the cache hit rate due to the limitation of the cache target, and to maintain the effect of shortening the waiting time when the user displays the chart screen.

Further, the upper limit of the screen to be cached may be set in advance in the cache unit 120. In this case, for example, the visit time of the outpatient can be used to prevent a decrease in the cache hit rate. Specifically, the cache unit 120 refers to the outpatient consultation appointment TBL340 and acquires the visit time of the outpatient. Then, the cache unit 120 caches the drawing data of the chart screen for the patients included in the list data in the order of the acquired visit time, up to a predetermined number. As a result, the number of drawing data of the chart screen to be cached can be reduced, and the possibility that the area of the cache 106 is exhausted can be reduced. In addition, since the outpatients who visit the hospital earlier are more likely to receive medical examinations earlier, the number of drawing data on the chart screen to be cached is limited by caching the drawing data on the chart screen in the order of the earlier visit time. Can also maintain the cache hit rate.

In addition, some outpatients may come to the hospital without making an appointment for the day, such as for the first visit or an emergency visit. In this case, the outpatient receives the reception on the day at the general reception terminal 40 or the reception terminal 50 of each department. The cache unit 120 acquires the information of the reception on the day of the outpatient who came to the hospital without a medical examination reservation from the general reception terminal 40 or the reception terminal 50 of each department, and accordingly, the medical record screen of the outpatient who came to the hospital without a medical examination reservation. Cache drawing data. If the outpatient does not have an appointment for a medical examination at the first medical examination, for example, the template data of the chart screen held in advance is cached. In addition, if the outpatient is not the first visit but there is no appointment for consultation due to an emergency visit, the chart data is read out based on the identification information of the outpatient obtained at the reception desk on the day, and the drawing data of the chart screen is generated and cached. To. Further, according to the acquisition of the information received on the day, a patient who does not have a medical examination appointment is added to the list data of the information processing apparatus 10. As a result, the drawing data of the medical record screen can be cached even for the patient who does not have a medical examination appointment.

Further, the cache unit 120 may be configured to select a target for caching the drawing data of the chart screen by combining two or more of the above.

<For ward terminals>
Further, as shown in the inpatient TBL350, if the medical staff in charge of each inpatient is managed on the electronic medical record system 1, this information may be used to be displayed on the electronic medical record system 1. It is possible to predict a high medical record screen. Specifically, the cache unit 120 acquires the information of the account currently logged in (information for identifying each medical worker). Then, the cash unit 120 refers to the inpatient TBL350 using the acquired account information, and identifies the inpatient associated with the medical staff of the account. Then, the cache unit 120 selects the inpatients specified as described above from the inpatients included in the list data as the target for caching the drawing data of the chart screen. As a result, the number of drawing data of the chart screen to be cached can be reduced, and the possibility that the area of the cache 106 is exhausted can be reduced. Further, the drawing data of the chart screen, which is likely to be used, can be cached in the cache 106. Therefore, it is possible to prevent a decrease in the cache hit rate due to the limitation of the cache target, and to maintain the effect of shortening the waiting time when the user displays the chart screen.

In the case of a ward terminal, it is possible to predict which patient's chart screen is likely to be displayed depending on the location where the ward terminal is provided. For example, if the ward terminal is on the third floor of the south ward, there is a high possibility that the chart screen of the inpatient on the third floor of the south ward will be displayed. Therefore, the cache unit 120 refers to the terminal information TBL330 using the terminal identification ID assigned to itself, and acquires the installation location. Specifically, in the case of the information processing device 10 having the terminal identification ID "T002", the cache unit 120 uses the terminal identification ID "T002" and the installation location is "South Ward" as information for identifying each ward. Get information to that effect. The cache unit 120 may further acquire information indicating the number of floors of the ward (“3F” in the example of FIG. 7). As a result, the cache unit 120 acquires information for identifying the ward in which the information processing device 10 is provided. Then, the cash unit 120 refers to the inpatient TBL350 using the acquired information for identifying the ward, and the inpatient associated with the information for identifying the ward (for example, the inpatient in the "south ward" or the inpatient in the "south ward" or Identify inpatients on the 3rd floor of the South Ward, etc.). Then, the cache unit 120 selects the inpatients specified as described above from the inpatients included in the list data as the target for caching the drawing data of the chart screen. As a result, the number of drawing data of the chart screen to be cached can be reduced, and the possibility that the area of the cache 106 is exhausted can be reduced. Further, the drawing data of the chart screen, which is likely to be used, can be cached in the cache 106. Therefore, it is possible to prevent a decrease in the cache hit rate due to the limitation of the cache target, and to maintain the effect of shortening the waiting time when the user displays the chart screen.

Further, as shown in the attendance information TBL360, when the attendance information including the patient in charge of the day is managed on the electronic medical record system 1, by using the information of the account used at the time of login and this attendance information. , It is possible to predict the medical record screen that is likely to be displayed in the electronic medical record system 1. Specifically, the cache unit 120 acquires the information of the account currently logged in (information for identifying each medical worker). Then, the cache unit 120 refers to the attendance information TBL360 using the acquired account information, and acquires the attendance information of the medical worker of the account on the day. Then, the cache unit 120 selects the inpatients included in the acquired attendance information among the inpatients included in the list data as the target for caching the drawing data of the chart screen. As a result, the number of drawing data of the chart screen to be cached can be reduced, and the possibility that the area of the cache 106 is exhausted can be reduced. Further, the drawing data of the chart screen, which is likely to be used, can be cached in the cache 106. Therefore, it is possible to prevent a decrease in the cache hit rate due to the limitation of the cache target, and to maintain the effect of shortening the waiting time when the user displays the chart screen.

It is desirable to clear the cached drawing data according to the logout, but since the ward terminal is provided at a nurse station or the like, it can be used by an unspecified number of medical staff (nurses). In this case, for example, by configuring the cache unit 120 to hold the drawing data once cached for a predetermined time, the number of executions of the cache operation can be reduced.

The functions of each processing unit of the information processing apparatus 10 of the present embodiment are also realized by the CPU 101 executing the program stored in the storage 103, as in the first embodiment.

Although the embodiments of the present invention have been described above with reference to the drawings, these are examples of the present invention, and various configurations other than the above can be adopted.

Further, in the flowchart used in the above description, a plurality of steps (processes) are described in order, but the execution order of the steps executed in each embodiment is not limited to the order of description. In each embodiment, the order of the illustrated steps can be changed within a range that does not hinder the contents. Moreover, the description of each of the above-described embodiments can be combined within a range that does not conflict with each other.

Hereinafter, an example of the reference form will be added.
1. 1.
A list acquisition method for acquiring patient list data, and
For patients included in the list data, a cache means for caching screen drawing data including the patient's medical record data, and
Designated reception means that accepts the designation of the patient to be displayed on the screen, and
A display processing means for displaying the screen of the designated patient on a display device using the drawing data cached for the designated patient.
Information processing device equipped with.
2. 2.
The list acquisition means acquires list data of inpatients.
1. 1. The information processing device described in.
3. 3.
The cash means is
Obtain worker identification information that identifies each medical worker,
Among the inpatients included in the list data, the inpatient associated with the acquired worker identification information is selected as the target for caching the drawing data.
2. 2. The information processing device described in.
4.
The cash means is
Acquires ward identification information that identifies the ward where the information processing device is installed,
Among the inpatients included in the list data, the inpatients associated with the acquired ward identification information are selected as targets for caching the drawing data.
2. 2. The information processing device described in.
5.
The cash means is
Obtain worker identification information that identifies each medical worker,
Attendance information including inpatients scheduled to be in charge of the medical staff of the worker identification information, which is associated with the worker identification information, is acquired by using the acquired worker identification information.
Among the inpatients included in the list data, the inpatients included in the acquired attendance information are selected as targets for caching the drawing data.
2. 2. The information processing device described in.
6.
The list acquisition means acquires list data of outpatients.
1. 1. The information processing device described in.
7.
Progress status information indicating the progress status of the outpatient examination is linked to each outpatient and managed.
The cash means is
Among the outpatients included in the list data, the outpatient to which the progress status information indicating that the patient will be examined soon is selected as the target for caching the drawing data.
6. The information processing device described in.
8.
The cash means is
Obtain worker identification information that identifies each medical worker,
Among the outpatients included in the list data, the outpatients associated with the acquired worker identification information are selected as targets for caching the drawing data.
6. Or 7. The information processing device described in.
9.
The cash means is
Obtain the clinical department identification information that identifies each clinical department,
Among the outpatients included in the list data, the outpatients of the clinical department corresponding to the acquired clinical department identification information are selected as the target for caching the drawing data.
6. From 8. The information processing apparatus according to any one of the above.
10.
The cash means is
Obtaining the visit time of the outpatient associated with the outpatient,
The drawing data is cached up to a predetermined number in the order of the earliest visit time of the outpatients included in the list data.
6. From 9. The information processing apparatus according to any one of the above.
11.
The cash means is
Obtain information on the day reception of outpatients who came to the hospital without appointment for consultation,
In response to the acquisition of the reception information on the day, the drawing data of the outpatient who visited the hospital without the consultation appointment is cached.
6. From 10. The information processing apparatus according to any one of the above.
12.
The computer
A list acquisition method for acquiring patient list data, and
For patients included in the list data, a cache means for caching screen drawing data including the patient's medical record data, and
Designated reception means that accepts the designation of the patient to be displayed on the screen, and
A display processing means for displaying the screen of the designated patient on a display device using the drawing data cached for the designated patient.
How to display the medical record screen including that.
13.
The computer acquires the list data of inpatients.
Including 12. The chart screen display method described in.
14.
The computer
Obtain worker identification information that identifies each medical worker,
Among the inpatients included in the list data, the inpatient associated with the acquired worker identification information is selected as the target for caching the drawing data.
Including 13. The chart screen display method described in.
15.
The computer
Obtain the ward identification information that identifies the ward where the computer is installed,
Among the inpatients included in the list data, the inpatients associated with the acquired ward identification information are selected as targets for caching the drawing data.
Including 13. The chart screen display method described in.
16.
The computer
Obtain worker identification information that identifies each medical worker,
Attendance information including inpatients scheduled to be in charge of the medical staff of the worker identification information, which is associated with the worker identification information, is acquired by using the acquired worker identification information.
Among the inpatients included in the list data, the inpatients included in the acquired attendance information are selected as targets for caching the drawing data.
Including 13. The chart screen display method described in.
17.
The computer acquires list data of outpatients.
Including 12. The chart screen display method described in.
18.
Progress status information indicating the progress status of the outpatient examination is linked to each outpatient and managed.
The computer
Among the outpatients included in the list data, the outpatient to which the progress status information indicating that the patient will be examined soon is selected as the target for caching the drawing data.
Including 17. The chart screen display method described in.
19.
The computer
Obtain worker identification information that identifies each medical worker,
Among the outpatients included in the list data, the outpatients associated with the acquired worker identification information are selected as targets for caching the drawing data.
Including 17. Or 18. The chart screen display method described in.
20.
The computer
Obtain the clinical department identification information that identifies each clinical department,
Among the outpatients included in the list data, the outpatients of the clinical department corresponding to the acquired clinical department identification information are selected as the target for caching the drawing data.
Including 17. From 19. The chart screen display method described in any one of the above.
21.
The computer
Obtaining the visit time of the outpatient associated with the outpatient,
The drawing data is cached up to a predetermined number in the order of the earliest visit time of the outpatients included in the list data.
Including 17. From 20. The chart screen display method described in any one of the above.
22.
The computer
Obtain information on the day reception of outpatients who came to the hospital without appointment for consultation,
In response to the acquisition of the reception information on the day, the drawing data of the outpatient who visited the hospital without the consultation appointment is cached.
Including 17. From 21. The chart screen display method described in any one of the above.
23.
Computer,
List acquisition method for acquiring patient list data,
A cache means for caching screen drawing data including the patient's medical record data for the patient included in the list data.
Designated reception means that accepts the designation of the patient to be displayed on the screen,
A display processing means for displaying the screen of the designated patient on a display device using the drawing data cached for the designated patient.
A program to function as.
24.
The computer
The means for acquiring the list data of inpatients, which is the means for acquiring the list.
To function as 23. The program described in.
25.
The computer
The cash means
Obtain worker identification information that identifies each medical worker,
A means for selecting an inpatient associated with the acquired worker identification information among the inpatients included in the list data as a target for caching the drawing data.
To function as 24. The program described in.
26.
The computer
The cash means
Acquires ward identification information that identifies the ward where the information processing device is installed,
A means for selecting an inpatient associated with the acquired ward identification information among the inpatients included in the list data as a target for caching the drawing data.
To function as 24. The program described in.
27.
The computer
The cash means
Obtain worker identification information that identifies each medical worker,
Attendance information including inpatients scheduled to be in charge of the medical staff of the worker identification information, which is associated with the worker identification information, is acquired by using the acquired worker identification information.
A means for selecting an inpatient included in the acquired attendance information among the inpatients included in the list data as a target for caching the drawing data.
To function as 24. The program described in.
28.
The computer
The means for acquiring the list data of outpatients, which is the means for acquiring the list.
To function as 23. The program described in.
29.
Progress status information indicating the progress status of the outpatient examination is linked to each outpatient and managed.
The computer
The cash means
A means for selecting an outpatient included in the list data to be given the progress status information indicating that the patient will be examined soon, as a target for caching the drawing data.
28. The program described in.
30.
The computer
The cash means
Obtain worker identification information that identifies each medical worker,
A means for selecting an outpatient associated with the acquired worker identification information from the outpatients included in the list data as a target for caching the drawing data.
28. Or 29. The program described in.
31.
The computer
The cash means
Obtain the clinical department identification information that identifies each clinical department,
A means for selecting an outpatient of a clinical department corresponding to the acquired clinical department identification information as a target for caching the drawing data among the outpatients included in the list data.
28. From 30. The program described in any one of.
32.
The computer
The cash means
Obtaining the visit time of the outpatient associated with the outpatient,
A means for caching up to a predetermined number of drawn data in order of earliest visit time of outpatients included in the list data.
28. From 31. The program described in any one of.
33.
The computer
The cash means
Obtain information on the day reception of outpatients who came to the hospital without appointment for consultation,
A means for caching the drawing data of an outpatient who visited the hospital without an appointment for a medical examination in response to the acquisition of the reception information on the day.
28. From 32. The program described in any one of.

1 Electronic medical record system 10 Information processing device 101 CPU
102 Memory 103 Storage 104 Input / output interface 1041 Display device 1042 Input device 1042 Display device 105 Communication module 106 Cache 110 List acquisition unit 120 Cache unit 130 Designated reception unit 140 Display processing unit 20 Server device 210 Login authentication unit 220 Visit time management unit 230 Status management unit 30 Database 310 Carte data TBL
320 Doctor / Nurse TBL
330 Terminal information TBL
340 Outpatient consultation appointment TBL
350 Inpatient TBL
360 Attendance Information TBL
40 General reception terminal 50 Reception terminal for each department

Claims (8)

Management measures to manage patient status and
An acquisition means for acquiring patient data of a patient whose status indicates a high degree of medical examination, and
A designated reception means that accepts an input for designating a patient to be treated from among the patients corresponding to the acquired patient data, and a designated reception means.
A display processing means for displaying the chart screen of the designated patient to be treated in the display area,
Information processing system equipped with. The status includes at least two or more types of status.
The management means acquires the information of the reception terminal and updates the status of the patient when it is determined that the patient has received the reception.
The information processing system according to claim 1. Further equipped with specific means for identifying healthcare workers,
The acquisition means acquires patient data associated with the healthcare professional.
The information processing system according to claim 1 or 2. The acquisition means acquires information indicating the clinical department to which the medical staff belongs, and acquires patient data of patients in the clinical department corresponding to the acquired information indicating the clinical department from the list data of the patients.
The information processing system according to claim 3. Further provided is a cache means for generating drawing data of a medical record screen using the patient data acquired by the acquisition means and caching the drawing data.
The information processing system according to any one of claims 1 to 4. The acquisition means acquires the information of the reception on the day of the patient who came to the hospital without an appointment for consultation from the reception terminal, and acquires the patient data of the patient who came to the hospital without an appointment for consultation in response to the acquisition of the information of the reception on the day.
The information processing system according to any one of claims 1 to 5. The computer
Manage patient status and
Obtain patient data of patients whose status indicates a high degree of medical examination.
Accepts the input to specify the patient to be treated from the patients corresponding to the acquired patient data, and accepts the input.
Display the chart screen of the designated patient to be treated in the display area.
How to display the medical record screen including that. Computer,
A management tool for managing patient status,
An acquisition means for acquiring patient data of a patient whose status indicates a high degree of medical examination.
A designated reception means that accepts an input for designating a patient to be treated from among the patients corresponding to the acquired patient data.
A display processing means for displaying the chart screen of the designated patient to be treated in the display area.
A program to function as.

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