JP3066658U - Electronic medical record system using medical record sheet with date label - Google Patents

Abstract

(57) [Summary] [Problem] To enable a doctor to view the past and present state of a certain patient on a single screen as a whole, or see the whole details starting from one screen. To provide an electronic medical record system. In an electronic medical record system for electronically creating and storing a large number of medical records, at least one of right and left side edges of a medical record sheet on a screen, a medical record sheet created on a date designated by a user. And a date label for displaying the date label associated with the medical record sheet in chronological order.

Description

[Detailed description of the invention]

[0001]

[Technical field to which the invention belongs]

 The present invention relates to an electronic medical record system in which medical records at medical institutions are created and stored electronically using a computer.

[0002]

[Prior art]

 Conventionally, an electronic medical record system for electronically creating and storing medical records has been proposed. However, many of these systems are of the ledger type, such as a resident register, in which only some aspects of the patient are recorded.In addition, it is difficult to accurately record the time at which the event occurred. It is impossible to properly record all the conditions of a patient. This is because they have not escaped the existing database-based input conventions, and because computer software has been developed for statistics and aggregation. However, there is now a strong demand for developing computer systems that record the entire life of an individual. Although there is a proposal for an electronic medical record system based on the idea of writing freely like a word processor, since this is not a time concept and has no data relation, it is not possible to grasp the full picture of an individual's medical condition by computer processing. Also, in reality, there are medical records for each type of in-patient or out-patient, for each department, and for each hospital, but this makes the complete understanding of the individual's condition incomplete. There has never been a proposal for a system that allows an individual's medical condition to be summarized and viewed on a single system regardless of whether it is inpatient or outpatient, by department, or by hospital.

[0003]

[Problems to be solved by the invention]

 Conventionally, various electronic medical record systems have not sufficiently responded to physicians' demands for listing all the medical histories and medical records of a patient in chronological order. In other words, in the conventional electronic medical record system, a physician can view the whole picture of the past temporal changes of a patient on a single screen, and can record detailed information as it is recorded for each medical treatment day, which is a unit of medical treatment. Can not see. This is due to the fact that conventional electronic medical record systems do not allow doctors to freely attach figures, pictures, etc., unlike conventional paper medical records. Since free writing is not possible, various medical departments make their own medical records, and overcoming this will make it possible to unify the medical records of each department.

[0004] The present invention has been made in view of such problems of the prior art, and a doctor can quickly grasp all occurrences of a patient from the past to the present without omission, On the other hand, the purpose is to provide an electronic medical record system that allows the user to see the details of articles on a certain medical treatment day. In addition, the present invention provides an electronic medical record system that allows a doctor to freely attach figures, photographs, and the like on a sheet with a date, with the same operability as a conventional paper-based medical record. The purpose is to: Another object of the present invention is to provide an electronic medical record system that can collect medical records that are scattered separately by hospitalization / outpatient, by department, and by hospital.

[0005]

[Means for Solving the Problems]

 The electronic medical record system according to the present invention, which solves such problems, has a wide variety of information to be described, and a large number of medical records are created electronically and stored in batches. A date label for calling and displaying the medical record sheet created on the date specified by the user on at least one of the left and right side edges of the medical record sheet, and associated with the medical record sheet Date label display means for displaying date labels in order of date.

In the electronic medical record system according to the present invention, the date label display means displays date labels on both the right end and the left end of the display screen in chronological order. Date labels with dates earlier than the date are displayed on one side of the medical record sheet, and date labels with dates after the date of the currently open medical record sheet are on the other side of the medical record sheet. It should be displayed on

Further, the electronic medical record system according to the present invention provides a date label displayed by the date label display means, with different colors, shapes, Or an inpatient / outpatient identifying means for adding a mark so that it is possible to identify whether the medical record sheet associated therewith is for an inpatient or an outpatient from the display of the date label. Should be provided.

Further, the electronic medical record system according to the present invention provides the date label displayed by the date label display means with a different color, shape, or mark for each medical department such as surgery, internal medicine, obstetrics and gynecology. It is preferable to provide a medical department identification unit that enables the identification of a medical department to which the medical record sheet associated with the date label is displayed by adding the date label.

In the electronic medical record system according to the present invention, a date label displayed by the date label display means may include a patient in a hospital (patient at a medical institution) or a patient in another hospital (other medical institution). By adding different colors, shapes, or marks (patients who have been treated by the institution and have their contents transferred), the date label can be used to change the associated medical record sheet from the display of the date label. It is preferable to provide an own-hospital / other-hospital identification means capable of distinguishing between a patient in the own hospital and a patient in another hospital.

In the electronic medical record system according to the present invention, when the date label display means cannot display all of the date labels on the side of the screen due to the large number of date labels, the date in the date label is old. Things should be displayed so that they appear after the new one.

[0011] Furthermore, the electronic medical record system according to the present invention displays a band-shaped time-sequential display section above the medical record sheet on the screen so that the distinction of each month can be recognized in a time-series manner. In the department, the date of outpatient consultation, the date of hospital consultation, the date of examination / examination, the date of drug administration and injection, etc., are displayed in a chronological order at the appropriate positions in each month using the prescribed marks. Means.

Further, the electronic medical record system according to the present invention stores the character data portion, the graphic data portion, and the image data portion associated with the position data arbitrarily designated by the user on the medical record sheet. By pasting it on a sheet, all types of data can be entered in the same way as a conventional paper chart, and the generated data, its recording position, and the date and time of occurrence (the same as the date on the date label) are stored collectively. It is preferable to provide a means that allows easy extraction.

[0013]

[Embodiment of the invention]

 Hereinafter, an electronic medical record system according to an embodiment of the present invention will be described. The electronic medical record according to the present embodiment is composed of an individual “medical record sheet having a date label” created each time an individual patient is treated, and a “cover” formed by combining these medical record sheets for each patient. And parts.

FIG. 1 shows an example of a screen displaying a “cover” portion of the electronic medical record according to the embodiment of the present invention. In FIG. 1, reference numeral 1 denotes an ID display unit for displaying a photograph of a patient's face, ID, name, address, and the like. Reference numeral 2 denotes a final information display unit for inputting and displaying the latest information such as the patient's history, the number of deliveries, the blood type, blood pressure, syphilis reaction, final internal examination, and final NST based on the latest test. These can be set as required by the user. Reference numeral 3 denotes a reservation / instruction unit for inputting / displaying the next scheduled visit date of the patient, the contents of the examination reservation at that time, the contents of instructions to the nurse, and the like. Reference numeral 4 denotes a diagnostic display unit for inputting and displaying an outline of the main progress of the diagnosis of the patient so far. Reference numeral 5 denotes a historical calendar and important items display section for inputting and displaying the patient's historical calendar and important items. This will give you an overview of the patient.

FIG. 2 shows an example of a screen displaying a “medical record recording sheet with date label” at a certain date and time of a certain patient in the electronic medical record of the present embodiment. In FIG. 2, reference numeral 6 denotes a maternity screening display for inputting and displaying the results of the maternity screening on that day. Reference numeral 7 denotes a hearing display unit for inputting and displaying the contents of hearing of a complaint from the patient (main complaint and present illness). Reference numeral 8 denotes a prescription display unit for inputting and displaying a doctor's prescription in characters. Reference numeral 9 denotes an ultrasonic imaging unit for inputting and displaying photographing data obtained by ultrasonically photographing a pregnant woman's stomach.・ It is a figure display section for display. The type, number, display position, and display size of these data are arbitrary, and the user can arbitrarily lay out the data on the screen.

As described above, in the present embodiment, the doctor who is the user converts the position data indicating an arbitrary position in the medical record sheet displayed on the screen into the character data, image data, and It can be associated with graphic data. That is, when the user creates character data such as a prescription on the new medical record sheet, the user can associate the position data with the character data. Similarly, when a user pastes an ultrasonic photograph or an X-ray photograph on a new medical record sheet, the user can associate the position data with image data of the photograph or the like. Further, when the user pastes a graphic for indicating the affected part of the patient on the newly created medical record sheet, the user can associate the position data with the graphic data. Therefore, the user can freely write (paste) data such as characters, images, and figures at any desired position on the medical record sheet with the same feeling (operability) as a conventional paper-based chart. It becomes possible.

Further, in the present embodiment, each medical record sheet constituting the electronic medical record is associated with a date label (see 11 in FIGS. 1 and 2) displayed in the vertical direction on the left and right side edges of the screen. Recorded. The date labels 11 are displayed in chronological order on both left and right ends of the screen displaying the medical record sheet or cover. By arbitrarily selecting and specifying (selecting and clicking) one of these date labels, the doctor who is the user can immediately call up the medical record sheet of the date corresponding to the date label on the screen. . When a medical record sheet of a certain date is called on the screen, the color of the corresponding date label is inverted, so that the user can easily know the date of the medical record sheet on the current screen. In the example of the screen shown in FIG. 1, date labels are displayed in order of date on the right side of the figure. In addition, the user selects and clicks on the label “Today” in the upper left corner of FIG. 1 to display a blank new sheet for creating a new medical record sheet on the day of the examination day. Can be In addition, the user can return to the “cover” screen of the patient's electronic medical record by clicking the “diagnosis” label at the upper left corner of FIG.

In the example of FIG. 2, date labels are displayed in order of date on both the right end and the left end of the screen. In the example of FIG. 2, the date label of the date (older date) before the date of the medical record sheet currently open (displayed on the screen) is displayed at the left end of the screen, The date label of a date after the date of the medical record sheet (newer date) is displayed on the right end of the screen.

FIG. 3 is an enlarged view showing a date label according to the present embodiment. In the present embodiment, the date label can additionally display information on each medical record sheet. First, in the present embodiment, a predetermined mark (mark) is added to the right end of the date label in the drawing, so that it is possible to identify which medical department the medical record sheet belongs to. That is, in FIG. 3, the date label 11 having a square mark 12 on the right end indicates surgery, and the date label 11 having a circle mark 13 on the right end indicates internal medicine. Therefore, the user can understand the medical department on that date only by looking at the marks 12 and 13 on the right end of the date label 11.

Further, in the present embodiment, the date label 11 of the medical record sheet of the outpatient and the date label 11 of the medical record sheet of the inpatient are displayed in different colors. In the example shown in FIG. 3, the three date labels 11 (see “01/15”, “01/16”, and “10/17”) (see reference numeral 14 in FIG. 3) are colored yellow, for example. Thus, in the present embodiment, it is possible to determine whether the date label is for an outpatient or an inpatient by simply looking at the color of the date label.

In this embodiment, a patient in his / her own hospital (patient at his / her own medical institution) or a patient in another hospital (patient who has received measures and transferred its contents at another medical institution) Thus, the shape of the medical record sheet is changed. In the case of a patient in the own hospital, the label has a normal rectangular shape as shown in FIG. 3, but in the case of a patient in another hospital, two notches 15 are formed at the right end as shown in FIG. It is the date label of the shape. Thus, the user can determine whether the patient is in the own hospital or in another hospital only by looking at the shape of the right end of the date label.

Further, in this embodiment, when all of the date labels 11 cannot be displayed on the left and right side edges of the screen due to the large number of date labels 11, only a relatively new date is displayed on the front and the date is displayed. Relatively old ones are superimposed and displayed behind them. That is, as shown in FIG. 3, the date label 11 of the series comparison new date such as "08/15", "08/16", "09/26" is displayed on the front (displayed on the front row). ) Is not displayed in the top date column (date column at the front of the screen = front column), the old date is superimposed after the date label 11 as shown by reference numeral 11a in FIG. (Displayed in the back row). Each time a new sheet is created, the oldest date column (front row) displayed will be moved to the back row. The user can determine that there is an item having a date older than the one displayed on the front by seeing the overlapped display. Therefore, the user selects the overlapped label 11a and clicks. Then, the medical record sheet corresponding to the old date label 11a can be called and displayed on the screen.

Next, in the present embodiment, as shown in FIGS. 1 and 2, a time-series slide bar 21 extending in the horizontal direction is displayed above a cover forming an electronic medical record or an individual medical record sheet. Like that. FIG. 5 is an enlarged view of the time-series slide bar 21. As shown in FIG. 5, the time-series slide bar 21 includes a year and month display section 22 for displaying an upper year and a month, and a lower mark display section 23. The mark display section 23 is composed of a total of five layers, for example, 23a, 23b, 23c, 23d, and 23e in the vertical direction in the figure. Each layer can input a visit date, a test date, an injection date, and the like with predetermined marks. In the example of FIG. 5, a square mark 24 indicating the day of the urine test is displayed at a corresponding position on the year and month display section 22 on the layer 23a. In the layer 23b, a circle mark 25 indicating the date on which the radiograph was taken is displayed at a corresponding position on the year / month display section 22. Further, in the layer 23c, a triangular mark 26 indicating the date on which the electrocardiogram was taken is displayed at a corresponding position on the year / month display section 22. The layers 23d and 23e are not used in this example for the time being. In the present embodiment, the user can freely determine what to use each of the layers 23a to 23e.

In this embodiment, the time-series slide bar 21 can be slid arbitrarily in the horizontal direction by clicking and dragging with the mouse (in this case, the date display unit 22 and the mark display unit 23). Slides together). Therefore, the user can refer to the time-series slide bar 21 while sliding to see the major medical conditions (frequency of visits, flow of examinations, etc.) of the patient for a long period from the first consultation to the recent years. Also, you can easily find out in a list.

As described above, according to the present embodiment, the flow of long-term medical treatment for several years can be easily grasped by the time-series slide bar 21 and an arbitrary date can be indicated by the date label. An electronic medical record system that can quickly retrieve and display the medical record sheet of a medical record, thereby improving the ease and preservation of searches based on the date of past medical records, etc. while maintaining the operability of the conventional medical record on paper media Can be realized.

In the present embodiment, the date label 11 is color-coded in order to identify whether the medical record sheet is for an inpatient or an outpatient with the date label 11. The present invention is not limited to this, and the same identification can be performed by displaying a predetermined mark on the date label or changing the shape of the date label. Further, in the present embodiment, a predetermined mark (mark) is displayed on the date label 11 in order to determine a medical department on the medical record sheet. However, the present invention is not limited to this. The same determination can be made by changing the shape of the date label for each medical department, or changing the color of the date label for each medical department. Furthermore, in the present embodiment, the shape of the date label is changed in order to determine whether the medical record sheet is for a patient in own hospital or a patient in another hospital, but the present invention is limited to this. For example, the same determination can be made by changing the color of the date label or adding a predetermined mark (mark) to the date label depending on whether the patient is in the own hospital or a patient in another hospital. .

[0027]

[Effect of the invention]

 As described above, according to the present invention, each medical record sheet is stored in association with the date label, so that the doctor who is the user can select a number of medical records by simply selecting the date label. From the record sheets, the medical record sheet for the consultation date desired can be easily and quickly called and displayed.

In the present invention, when displaying the date label, the date label of a date (old date) earlier than the date of the currently displayed medical record sheet is displayed on one side edge of the screen (for example, the left end). By displaying the date label on the other side of the screen (for example, the right end) with a date label that is later than the date of the currently open medical record sheet (new date), the user can display the current label. It becomes easier to select and specify the medical record sheet before and after the current medical record sheet.

In the present invention, a different color, shape, or mark is added to the date label depending on whether the medical record sheet is for an inpatient or an outpatient. From the display of the date label, it is possible to easily determine whether the medical record sheet associated therewith is for an inpatient or an outpatient.

In the present invention, a different color, shape, or mark is added to the date label for each medical department, such as surgery, internal medicine, obstetrics and gynecology, so that the user can add the date label to the date label. From the display, it is possible to easily determine which medical department the medical record sheet associated with the medical record sheet relates to.

In the present invention, a different color, shape, or mark is added to the date label depending on whether the medical record sheet is for a patient in the own hospital or a patient in another hospital. From the display of the date label, it is possible to easily determine whether the medical record sheet associated with the date label relates to a patient in the own hospital or a patient in another hospital.

Also, in the present invention, when all of the date labels cannot be displayed on the side of the screen due to the large number of the date labels, the date in the date label is replaced with the old date behind the new date. Since the medical record sheets are displayed in a superimposed manner, even when the number of medical record sheets is extremely large, the operability of the user to retrieve the medical record sheets on a desired date can be ensured.

In the present invention, the date of outpatient consultation, the date of examination / examination, the date of injecting the drug solution, etc., are displayed on the band-shaped time-series slide bar at the top of the display screen. By showing the mark, the user can easily grasp the long-term medical treatment process for several years by simply sliding this time-series slide bar.

Further, in the present invention, a character data portion such as a prescription, a graphic data portion indicating an affected portion, and an image data portion such as an ultrasonic photograph can be arbitrarily provided on the medical record sheet by the user. It is possible to attach the medical record sheet to the medical record sheet in association with the position data indicating the position designated in the medical record sheet with the same operability as a conventional medical chart using a paper medium. It is possible to freely write various data in any place.

As described above, according to the present invention, a medical sheet that can be freely recorded by a user is used, so that the format is different, so that it was scattered by outpatients / inpatients, each department, It becomes possible to unify medical records for each hospital into one system. Therefore, since the personal information can be unified, the merit in medical treatment is immense. In addition, the user will be able to quickly identify the difference between the date and time of the consultation and the location of the consultation using the label.

[Brief description of the drawings]

FIG. 1 is a diagram illustrating an example of a screen displaying a cover of an electronic medical record according to an embodiment of the present invention.

FIG. 2 is a diagram showing an example of a screen displaying individual medical record sheets of the electronic medical record according to the embodiment.

FIG. 3 is a diagram illustrating a date label according to the embodiment.

FIG. 4 is a diagram illustrating another example of a date label according to the present embodiment.

FIG. 5 is a diagram showing a time-series slide bar according to the embodiment.

[Explanation of symbols]

 11, 11a Date label 12, 13 mark (mark) 15 Notch 21 time series slide bar 22 year and month display section 23 mark display section 23a to 23e layer 24, 25, 26 mark (mark)

Claims (8)

[Utility model registration claims] Claims: 1. An electronic medical record system for electronically creating and storing a large number of medical records with various items to be described, and at least one of right and left side edges of a medical record sheet on a screen. In addition, a date label for calling and displaying the medical record sheet created on the date specified by the user, and a date label associated with each medical record sheet,
An electronic medical record system comprising: date label display means for displaying in chronological order. 2. The medical device according to claim 1, wherein the date label display means displays date labels on both the right end and the left end of the display screen in chronological order. The date label of the date is displayed on one side edge of the medical record sheet, and the date label after the date of the currently open medical record sheet is displayed on the other side edge of the medical record sheet. An electronic medical record system wherein a user can know medical records at a glance. 3. The color or shape according to claim 1 or 2, wherein the date label displayed by the date label display means differs depending on whether the medical record sheet is for an inpatient or a medical record sheet for an outpatient. An inpatient / outpatient identification means for adding a mark to identify whether the medical record sheet associated with the date label is for an inpatient or an outpatient from the display of the date label. Electronic medical record system characterized by the following. 4. The date label displayed by the date label display unit according to claim 1, 2, or 3, wherein a different color, shape, or mark is provided for each medical department such as surgery, internal medicine, obstetrics and gynecology. An electronic medical record system comprising: a medical department identification unit configured to identify which medical department the medical record sheet associated with the date label is displayed from by displaying the date label. . 5. The date label displayed by the date label display unit according to claim 1, 2, 3, or 4, further comprising:
Or, by adding a mark, from the display of the date label, it is possible to identify whether the medical record sheet associated therewith relates to a patient in the own hospital or a patient in another hospital. An electronic medical record system comprising: identification means. 6. The date label display unit according to claim 1, wherein the date label display means increases a date label as a result of an increase in the number of medical treatment days, and cannot display all date labels on the side of the screen. An electronic medical record system characterized in that an old date in a label is displayed after being superimposed on a new date so that a user can recognize all medical treatment days. 7. The method according to claim 1, further comprising the step of recognizing each month in chronological order above the medical record sheet on the screen and sliding the screen to the left and right on the screen. Display a strip-shaped time-series slide bar, and in this time-series slide bar, the date of the past outpatient or hospital consultation,
An electronic medical record system, comprising: a time-series display unit for displaying an examination or examination date, a medication or injection date, and the like at a corresponding position in each month with a predetermined mark. 8. The medical record sheet according to claim 1, further comprising a user arbitrarily adding various character data, graphic data, and image data to the medical record sheet. An electronic medical record system comprising: a pasting unit for pasting; and a storage unit for storing position data of the various character data units, graphic data units, and image data units.