JP3070778B2 - Electronic medical record display system - Google Patents

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an electronic medical record display system of a system for converting medical information into an electronic file and, more particularly, to an electronic medical record display system for displaying medical information in a multi-window for diagnosis. .

[0002]

2. Description of the Related Art In recent years, a hospital information system HIS (Hospital Information) for operating medical information in an electronic file has been developed.
System) or PACS (Picture Archiving & Commun)
ication System) is being introduced. These systems include interfaces with ME devices and information systems that generate medical information, networks that transmit medical information, storage devices for medical information, and electronic medical records that search for medical information and input medical information such as findings. Consists of a workstation. When performing medical treatment using the display unit of this electronic medical record workstation, it is important to realize the same usability as conventional paper medical records,
The medical chart includes various data such as patient basic information, medical history, symptoms, prescriptions (orders) for medicines and tests, order results, and the like. Of these data, patient basic information, medical history, etc. are basically unchanged if registered at the first consultation, and data on symptoms (findings), orders, etc. are added for each treatment,
Order results (numerical columns to images), reports, and the like are generated according to the order, and the data generation frequency and data generation timing are different. Therefore, when digitized, each file is stored as a separate file, and is integrated and displayed on a multi-window at the time of retrieval. In this case, conventionally, a plurality of pieces of information can be simultaneously displayed on a multi-window, but when scrolling the contents in a window, it is necessary to operate each window individually. On the other hand, in order to improve operability when comparing a plurality of images on a multi-window, for example, a method described in Japanese Patent Application Laid-Open No. 1-2224880 has been proposed. In this method, multiple windows are linked based on the internal coordinates of the image, and the other image is also scrolled by scrolling one image, but it is effective only for images taken of the same object or the same part It is. In addition, Japanese Patent Application Laid-Open No. 2-252
In the method described in Japanese Patent No. 055, a mechanism for synchronizing an audio report with an associated image or comment image on one window and displaying the audio report on the same window is provided, thereby eliminating the need for a search operation. Is only valid for operations on one window.

[0003]

In the prior art, in the case of a commonly used paper chart, a report, an order result (numerical sequence to image), etc. are attached to a symptom (finding) and a place corresponding to the order. This makes it easier to refer to,
On the multi-window, it is necessary to scroll and correspond each window such as symptoms (findings), orders, reports and order results (numerical columns to images).
It takes time to operate. In the method of linking multiple windows based on the internal coordinates of an image, or the method of synchronizing images and comment images and displaying them on the same window, the operation of one window on a multi-window No consideration has been given to displaying them in conjunction with each other. An object of the present invention is to improve such a problem by providing a function of linking windows based on link information describing the date of occurrence of data and the correspondence between data, thereby improving the operation of a medical workstation. electronic medical record display sheet capable of improving sexual
To provide a stem .

[0004]

In order to achieve the above object, an electronic medical record display system according to the present invention comprises: a storage device for storing various diagnostic information, link information indicating a storage location of the various diagnostic information; A display device that includes a window and displays the diagnostic information different for each window, by performing a screen operation within one of the windows of interest, the window is displayed in another window based on the link information. It is characterized in that the related data are changed in conjunction with each other and an electronic medical record is displayed. Further, the link information defines a link between the windows by the date and time when the display contents of the window are registered. Further, the link information includes a patient ID. Further, the phosphorus
Information is specified in a tabular format.
You.

[0005]

According to the present invention, when the scrolling of the window of interest is designated by the pointing device, the display contents of the other windows are automatically controlled based on a preset link table. For example, when the window on which the order is displayed is scrolled, the symptom (finding) set to be linked with the order and the display content of the window of the order result are scrolled in conjunction with the change in the date of the order. When a specific order is selected in the window in which the order is displayed, the contents of the window are scrolled to the position of the corresponding order result. Further, when the order result includes an image having a large data volume (such as an inspection result), an icon / reduced image representing the type of the image is displayed, and the original image is displayed when the operator selects it. Thereby, a decrease in scroll speed is suppressed. As described above, by operating one window on the screen, related data displayed in another window can be changed in conjunction with each other, so that operability is improved and the burden on the operator is reduced.

[0006]

An embodiment of the present invention will be described below with reference to the drawings. The electronic medical record display system of this embodiment includes a central processing unit such as a CPU, a display device such as a CRT, a scanner, a keyboard, a pointing device, an external storage device for storing various tables and electronic medical records, and the like. The window function displays the patient's basic information, medical history, symptoms, orders, order results, etc. as electronic medical records in a plurality of windows. In addition, there is an interlock mode in which a plurality of windows are interlocked and displayed when displaying an electronic medical record. This is performed based on the date and link information indicating the relationship between the files, and the display mode is switched by an instruction input from a keyboard or a pointing device.
Here, the contents of various files and tables stored in the external storage device will be described. FIG. 2 is an explanatory diagram of a basic information file and a medical history file in one embodiment of the present invention. FIG. 3 is an explanatory diagram of a symptom finding file, an order file, and an order result file in one embodiment of the present invention. FIG. 5 is an explanatory diagram of a screen setting condition in one embodiment of the present invention, FIG. 5 is an explanatory diagram of a file index in one embodiment of the present invention, and FIG. 6 is an explanatory diagram of a link table in one embodiment of the present invention. In the present embodiment, the chart information for each patient is stored in the files shown in FIGS. In FIG. 2, (a) is a basic information file that records information such as a patient ID, a consultation date (date), and age and gender, and (b) is a medical history that records a patient ID, a consultation date (date), and a medical history. File. In FIG. 3, (c) shows a patient ID, a consultation date (date), a symptom finding file in which the patient's symptoms and findings are recorded, and (d) shows a patient ID, a consultation date (date), an order for the patient, and the order thereof. An order file in which link information indicating a storage location of information corresponding to an order is recorded. (E) is a patient ID, a consultation date (date), a result of an order performed on a patient, and storage of information corresponding to the order result. It is an order result file in which link information indicating a location and data attributes of the order result are recorded. 31 is the order i recorded in the order file, 32 is the order i
Link information, 33 is the data attribute of the order result, 34
Indicates the result of order i. The storage locations of these files are recorded for each consultation day in the file index shown in FIG. FIG. 5 shows screen setting conditions for displaying data of each file in the multi-window. This is set by the operator when the system is started, and the display position (start point x, start point y), size (size X, size Y), color (color) of the patient's basic information, medical history, symptoms, order, order result Etc. are set. Further, in the interlocking mode, the interlocking table shown in FIG. 6 defines the interlocking between the windows regarding the file contents. In this embodiment, the window displaying the symptom findings and the order and the window displaying the symptom findings and the order result are linked by date. The window displaying the order and the order result is linked with the link information or the link information and the date.

Next, a display control method in this embodiment will be described. FIG. 1 is a flowchart showing a method for controlling the display of an electronic medical record in one embodiment of the present invention, and FIG. 7 is an explanatory diagram of a multi-window display in one embodiment of the present invention. In the present embodiment, when the electronic medical record is displayed in the multi-window in the linked mode, the screen setting conditions shown in FIG.
And the interlocking table shown in FIG. 6 is read into the memory of the central processing unit (101, 102), and the operator
When D is input (103), the file index shown in FIG. 4 is read into the memory (104). Then, each data file is read in order to find the storage location of the patient's data file, and displayed in a multi-window according to the previously set image setting condition (105). Further, by scrolling the window of interest, other windows are controlled to scroll in conjunction with the mode (date / link information) set in the link table.
(106-110). For example, as shown in FIG. 7, various medical data related to medical care are arranged in a multi-window,
Is displayed. At this time, as shown in FIGS. 2 to 6, the basic information file, the medical history file, and the symptom finding file are linked according to the date when the file is generated, and the order file and the order result file should correspond to the date when the file is generated. When data exists, the file has link information indicating the storage location of the data in the file.
As a result, for example, when the window 74 displaying the symptom (findings) is scrolled, the windows 73 and 75 displaying the order and the order result are scrolled in conjunction with each other according to the contents of the linkage table. When the window 73 displaying the order is scrolled, the windows 74 and 75 displaying the symptoms (findings) and the order result are scrolled in conjunction with each other. Further, for example, a specific order i in the window 73
Is selected, based on the link information of the corresponding order i result, the order i
The result is scrolled to where it appears. However, if the data attribute of the result of the order i is an image having a large data capacity (such as an inspection result), an icon / reduced image (summary image) 76 indicating the type of image is displayed in order to suppress a decrease in scroll speed. Only when the operator selects the icon / reduced image 76, the contents of the order result (the original image 77) is displayed.
Note that the operation instruction is not necessarily limited to scrolling, and may be executed by executing a command for searching the content at the previous consultation. If the desired window has not been opened from the beginning and the window is newly opened, the contents are displayed according to the interlocking mode between the already opened window and the newly opened window. Further, in the present embodiment, the multi-window display is described, but the method of the present embodiment can be applied to the display screens of a plurality of displays.

[0008]

According to the present invention, various medical information displayed in the multi-window is automatically controlled in conjunction with the operation of the window of interest, based on the date when the data is generated and the link information between the data. As a result, it is not necessary to operate each window separately, and a desired operation is efficiently achieved.

[0009]

[Brief description of the drawings]

FIG. 1 is a flowchart illustrating an electronic medical record display control method according to an embodiment of the present invention.

FIG. 2 is an explanatory diagram of a basic information file and a medical history file according to an embodiment of the present invention.

FIG. 3 is a symptom finding file according to an embodiment of the present invention;
It is explanatory drawing of an order file and an order result file.

FIG. 4 is an explanatory diagram of a screen setting condition in one embodiment of the present invention.

FIG. 5 is an explanatory diagram of a file index in one embodiment of the present invention.

FIG. 6 is an explanatory diagram of an interlocking table in one embodiment of the present invention.

FIG. 7 is an explanatory diagram of a multi-window display according to an embodiment of the present invention.

[Explanation of symbols]

 31 order i 32 link information of order i 33 data attribute 34 order i result 71 window for displaying basic information 72 window for displaying medical history 73 window for displaying order 74 window for displaying symptoms (findings) 75 displaying the order result Window 76 icon / reduced image 77 original image

────────────────────────────────────────────────── ─── Continuation of the front page (72) Inventor Kazuo Aizaka 1-280 Higashi Koikebo, Kokubunji-shi, Tokyo Inside the Central Research Laboratory, Hitachi, Ltd. (56) References JP-A 1-2224880 (JP, A) JP-A 2 -252055 (JP, A) (58) Fields investigated (Int. Cl. ⁷ , DB name) G06F 19/00 A61B 5/00 G06F 3/00 655 G06T 1/00 G09G 5/14 JICST file (JOIS)

Claims (4)

(57) [Claims] 1. A storage device for storing various diagnostic information, link information indicating a storage location of the various diagnostic information, and a display device having a multi-window and displaying the diagnostic information different for each window, Out of the window
Electronic chart display characterized by performing a screen operation in one focused window to change and link related data displayed in other windows based on the link information and to display an electronic chart. system. 2. The electronic medical record display system according to claim 1, wherein the link information defines a link between the windows according to a date and time when display contents of the windows are registered. 3. The electronic medical record display system according to claim 1, wherein the link information includes a patient ID. (4) The power supply according to any one of claims 1 to 3.
In the child chart display system, the link information is tabular.
Electronic chart display system characterized by the formula
Stem.