JP3443350B2 - Electronic medical record device - 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 chart device which electronically retains information on each item described in a medical chart and displays it on a screen as needed.

[0002]

2. Description of the Related Art There has been provided a so-called electronic medical chart apparatus which electronically records medical information and records it, and displays it in a medical chart display window of a display as needed. The purpose of using the medical care information displayed on the display of the electronic medical record device is the same as the medical care information of the paper medical record. That is, the doctor refers to the present prescription by looking at the past prescription and medical history for the patient under medical treatment, grasps the medical condition by looking at the test result, and verifies the therapeutic effect. Therefore, it is desired that the display be capable of handling a wide variety of medical information and that the doctor can grasp the necessary information at a glance. The items to be described in the medical care information include, for example, a chief complaint, current medical history, findings, medical history, and family history, which are generally described in the left column of medical chart No. 2 in a paper medical chart.

[0003]

In the conventional electronic medical chart device, the medical care information name, one or more data names belonging to the medical care information name, the contents (data value) of each data name,
If necessary, the unit of the data name is one group of the display.

For example, "medical information name" called "pulse"
Is two "data names" called "pulse rate" and "arrhythmia"
Have. Here, the "data name" called "pulse rate" is
It has a concrete numerical value “content (data value)” and a numerical value unit “/ min.” On the other hand, a “data name” of “arrhythmia” is “present” or “absent” 2 It has the "content (data value)" of the value, but of course it does not have a unit.At the time of display, these are displayed as one group on the chart display screen. In addition, like "arrhythmia", the data type is The binary data of "Yes" or "No" is called "check type" data.

Considering the case where it is desired to quickly grasp the medical condition of the patient from the medical record display screen, only the essential or important information is displayed in the light of the patient's disease name, and the less important information is input by the medical record. It is desirable to be able to call it on the display screen. For example, in the case of the data name "arrhythmia", if the content is "Yes", it must be displayed, but if it is "No", a disease that is inseparably related to the data name ( In this example, the display is not required except for the case of "heart disease", and it is considered that the screen is easier to see if it is not displayed.

When the data name is "arrhythmia" as described above, it is usually desirable to omit the display when "absent". On the contrary, when the data name is "present", it is For some data names, it may be desirable to omit the display, except in the case of diseases that are inextricably linked. In addition, regardless of illness or the like, there are some data names that should be normally omitted and displayed on the screen only when necessary.

According to the present invention, only the essential or important information is displayed on the chart display screen (window) in the light of the patient's disease name and the like.
It is intended that the information is displayed on the screen, and the other information is normally hidden so that it can be called by an input operation or the like as necessary. In addition, the user (doctor etc.)
For example, the purpose is to take appropriate measures in consideration of clinical departments.

[0008]

According to a first aspect of the present invention, there is provided an electronic medical chart apparatus which electronically stores information of each description item of a medical record and displays the description item to be displayed on the medical record display screen. , For each entry item whose data attribute is a binary check type, depending on whether or not the entry item is checked
Whether or not the item is displayed regardless of whether it is present or not.
Display classification storage means for storing each display classification that determines whether or not there is no data, data value acquisition means for acquiring the data value of the description item targeted for display, and display of the check type described item targeted for display. It is an electronic medical chart apparatus characterized by comprising display propriety determining means for determining propriety according to a data value of the described item and a display classification. The invention of claim 2 electronically stores the information of each item described in the medical record,
It is an electronic medical chart device which displays the described items to be displayed on the medical record display screen, and for each described item whose data attribute is a binary check type, there is a check of the described item.
Whether or not the item is stated,
Display category input means for inputting each display category that determines whether to display or not, display category storage means for storing the input display category in association with the description item, and description item to be displayed A data value acquisition unit that acquires the data value of the check item, and a display availability determination unit that determines whether or not to display the check-type description item that is the display target, according to the data value of the description item and the display classification. It is a characteristic electronic medical record device. The invention according to claim 3 is an electronic medical chart device for electronically storing information of each described item of a medical record and displaying the described item to be displayed on a medical record display screen, which is a check type with a binary data attribute. For each listed item , whether or not the listed item is checked
Does or does not display the relevant item regardless of the presence or absence of
A display classification input means for respectively inputting display segment defining a Kano case, the display segment is used classification input for inputting a use classification prescribed or used in any common or user-specific hospital common or department Means, a display category use category storage means for storing the entered display category in association with the description item, and storing the entered use category in association with the display category, and the user name and its department name A user information storage means for additionally storing, a data value acquisition means for acquiring the data value of the described item to be displayed, a user information acquisition means for acquiring the current user name, and a check type of the display target Display permission / inhibition determining means for determining whether or not to display a described item according to a data value of the described item and a display classification, and according to a current user name or its clinical department and use classification. Preparative an electronic medical record and wherein the. According to the invention of claim 4, in claim 2 or claim 3, the display classification input means inputs the display classification in association with the description item name on the medical information definition screen and / or the medical information input screen. The display classification storage means holds the display classification until the display classification is rewritten when the display classification is input from the medical information definition screen, and the display classification is input from the medical information input screen when the display classification is input. The electronic medical chart apparatus is characterized in that the display section is held as information for determining whether to display on the medical chart display screen which is a transition destination from the medical information input screen.

[0009]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS FIG. 1 shows an example of the configuration of an electronic medical chart device according to an embodiment. As shown, the electronic medical record device
It has a control device 20, a keyboard 11, a mouse (or other known pointing device) 12, a display 13, and a storage device 30. The control device 20 is composed of a program ROM, a work RAM, an MPU, a video RAM, and the like. Functionally, a system control unit 21 having a control function of the entire apparatus, a display control unit 22 having a display control function of the display 13, and a file recording / reproducing unit 2 having a read / write function of each file of the storage device.
3. Chart display control unit 2 that has a chart display control function
Have 4. The storage device 30 is configured as a device including a recording medium such as a hard disk. In the storage device 30, the clinical department master file 31, the medical care information definition master file 32, the user (doctor) master file 33, the check type data setting information file 34, the patient master file 35, and the medical care information registration file 36.
Is provided. Note that files other than these may be provided.

First, each constituent element described in the claims and FIG.
Correspondence with the configuration of the electronic medical chart device illustrated in FIG. In the apparatus illustrated in FIG. 1, the check type data setting information file 34 corresponds to the display category storage means and the display category use category storage means described in the claims. The check type data is data having an attribute in which the data value is either binary (binary of “1 = present” and “0 = not present”).

The display classification input means described in the claims is shown in FIG.
In the device illustrated in FIG. 1, a keyboard 11, a mouse 12, a display 13, a display controller 22, a system controller 21.
It is realized by the function of playing together. In other words, by moving the cursor to the display classification field in the medical information definition screen (FIG. 6) with the mouse 12 or the like, and then inputting the desired display classification (any one of 1, 2, 3) from the keyboard 11. ,
A function as a display classification input means can be realized. here,
The display category 1 means "always displayed", the display category 2 means "displayed only when" present "", and the display category 3 means "displayed only when" not present "". In addition to the medical care information definition screen illustrated in FIG. 6, the display classification may be input by input from the medical care information input screen illustrated in FIG. 7. That is, the function as the display classification input means can be realized not only by the medical care information definition screen but also by the input from the medical care information input screen.

The usage category input means described in the claims is the same as the display category input means. After placing the cursor on the use category field in the medical information definition screen with the mouse 12 or the like, the desired use category (any one of 1, 2, 3
By inputting one), the function as a use category input means can be realized. Here, the use category 1 means “common in hospital”, the use category 2 means “common to clinical department”, and the use category 3 means “individual”.

The data value (content) acquisition means described in the claims is the file recording / reproducing section 23 in the apparatus illustrated in FIG.
Is realized as a function of acquiring a desired data value from the medical care information registration file 36. Alternatively, it is realized as a function of the system control unit 21 acquiring a data value input from the keyboard 11 or the like and held in the memory. If the data value of the past medical care information recorded in the medical care information registration file 36 is to be acquired, the former applies and if the data value held in the memory is acquired by the new input this time. If the latter applies.

The display propriety determining means described in the claims is shown in FIG.
In the device illustrated in FIG. 13, the system control unit 2 causes the system control unit 2 of FIG. 13 to execute the display classification acquired from the check-type data setting information file 34 via the file recording / reproducing unit 23 and the data value acquired by the data value acquisition unit. Step S1
It is realized as a function (function of the chart display control unit 24) for making a decision as described below.

The user information storage means described in the claims corresponds to the user master file 33 in the apparatus illustrated in FIG. In addition, the user information acquisition means described in the claims,
The file recording / reproducing unit 23 is realized as a function of acquiring current user information from the user master file 33.

Next, each file will be described. As shown in FIG. 2A, the clinical department master file 31 stores the clinical department name in association with the clinical department code. The user (doctor) master file 33 contains the file shown in FIG.
As shown in (b), information of each doctor who uses this electronic medical chart device is stored. Patient master file 35
As shown in FIG. 2C, the information of each patient managed by the electronic medical chart device is stored in the.

The medical care information definition master file 32 includes
As shown in FIG. 3, definition information of each medical care information (medical care information code, medical care information name, number of data names belonging to the medical care information name,
Each data name, each data attribute, each data digit number, each data unit) is stored for each medical information. For example,
In the case of medical information “pulse”, “pulse” is stored as the medical information name, “pulse rate” is stored as the data name, and “/ min” is stored as the unit, and another data name belonging to “pulse” is stored. "Arrhythmia" is stored as. The medical information is an item described in the medical record, and the data name is an item name that is a subordinate concept of the described item. The data attribute indicates whether the data is character type / integer type / decimal type / check type, and the number of digits of the data is
Indicates the maximum number of digits assigned to the data.

As shown in FIG. 4, the check-type data setting information file 34 stores check-type data setting information (display classification) in association with a medical care information code, an input data number, and a usage classification. There is. If the usage category is 2 or 3, the medical department identification code or the user identification code is stored in association with each other. The check type data setting information is stored in the check type data setting information file 34 by input from the medical care information definition screen. In the apparatus of this example, the setting information input from the medical care information input screen is used only for display on the medical chart display screen, which is the transition destination from the medical care information input screen, and is stored in the check type data setting information file 34. Is not remembered. Note that the check-type data setting information file 34 may be stored.

In the medical care information registration file 36, as shown in FIG. 5, the contents (data value) of one or more medical care information input at each medical consultation are the patient identification code, the medical consultation date and time,
It is stored in association with the user code of the doctor in charge.

Next, the procedure for setting the display category in this electronic medical chart device and the screen display and display procedure on the chart display screen displayed according to the display category will be described with reference to FIGS. 6 to 15. FIG. 6 is an explanatory diagram illustrating a medical information definition screen (window), and FIG. 7 is a medical information input screen (window).
FIG. 8 is an explanatory diagram illustrating a chart display screen (window). 9 to 11 are flowcharts including the procedure for inputting and setting the display category.
Is the input from the medical information definition screen,
Indicates the case of input from the medical information input screen. 12 to 13 are flowcharts showing the display procedure of the chart display screen. FIG. 14 is an explanatory diagram showing the relationship between the input value (data value, contents) of the check type data, the display classification held by the check type data setting information file 34, and the display mode of the chart display screen, and FIG. 15 is the check type data. It is explanatory drawing which shows the correspondence of the input value (data value, content), the display classification which the check type data setting information file 34 hold | maintains, and the "" chart display "check column" of a medical information input screen. , “Check box to display medical chart” has a check-type data setting information file 34
Default values are displayed according to the display category held by.

As shown in FIG. 6, in the medical care information definition screen, input fields for inputting medical care information name, number of input data, data name, data attribute, number of data digits, unit, use category, and display category. Is provided. When the number of input data and the data attribute are decided, the required input fields are decided. For example, if the number of input data is determined to be "2", it is necessary to input "2" data names in the data name field. Further, when the data attribute is set to "check type", the data digit number column is automatically set to "1", the unit column is not enterable, and the use category and the display category can be entered. Input in the required input fields and press the OK button (Fig. 9, S33: YE
S), medical care information name, number of input data, data name, data attribute, number of data digits, and unit are stored in the medical care information definition master file 32, and use classification and display classification are stored in check type data setting information file 34. (Fig. 9 ・
S41).

When the medical care information input screen is opened (Fig. 10, S5
1), the medical care information name is acquired from the medical care information definition master file, and is displayed as a list in the medical care information selection field of the medical care information input screen shown in FIG. 7 (S52 in FIG. 10). When any of the medical care information is selected from the medical care information selection field (FIG. 10, S5)
6: YES), the input control group (text box or the like) for inputting the medical care information is displayed, and the medical care information can be input (S57 in FIG. 10). FIG. 7 shows a state in which the medical information “pulse” is received. The thick line frame surrounding the input control group of the medical information “pulse” indicates that the medical information is the current input target, and when the keyboard focus is moved to other medical information, the other medical information is displayed. The frame surrounding the input control group is displayed in thick lines (FIG. 11, S58: YES, S5
9). When the delete button is pressed, the input control group having the keyboard focus is deleted (see FIG. 11).
-S62: YES, S63).

When inputting in the required input field and pressing the OK button (FIG. 10, S54: YES), the data displayed in the input field is stored in the corresponding area of the medical care information registration file 36 and the screen is displayed. It switches to the chart display screen (Fig. 8) and the entered medical care information is displayed (Fig. 10 ・
S71).

The case of inputting the display category from the medical information input screen will be described. Although not provided on the medical care information input screen illustrated in FIG. 7, a ““ display chart ”check box” is provided near the check data input field.
By checking the check box or unchecking the check box (FIG. 11, S64: YES), the display type of the check-type data is switched (FIG. 11, S6).
5), by pressing the OK button (Fig. 10, S5
4: YES), the display / non-display of the check type data on the chart display screen, which is the transition destination from the medical information screen, may be controlled (FIG. 10 / S71). Note that FIG. 15 shows a default state in which the display categories stored in the check-type data setting information file 34 are reflected in the "check box for" chart display "check box".

Next, the display procedure of the chart display screen illustrated in FIG. 8 will be described. When the chart display screen is opened (Fig. 1
2. S01), it is determined whether the past medical information recorded in the medical information registration file 36 is displayed or the newly input medical information is displayed (FIG. 12). -S02). When the display of the past medical care information is instructed, the past medical care information recorded in the medical care information registration file 36 is read and reproduced (S03 in FIG. 12). When the display of the newly input medical care information is instructed, the medical care information on the memory is acquired (FIG. 12, S04).

Definition information is reproduced from the medical care information definition master file 32 based on the medical care information code (see FIG. 12).
-S06), it is determined whether the data to be displayed is check type data (Fig. 13, S08), and if it is not check type data, the data is displayed as "data name: value unit" (Fig. 13, S09).

On the other hand, when the data to be displayed is the check type data (S08: YES in FIG. 13), the display classification (check type data setting information) of the data is reproduced based on the medical care information code and the data input number. (Fig. 13, S
11), display / non-display is controlled according to the display classification and the input value in the check box. That is, display / non-display is controlled according to the divisions shown in FIG.

For example, when the input value in the check box is "1 (checked)" (Fig. 13, S12: Yes), and when the display category is 1 (= always displayed) (Fig. 13, S13:
YES), "Data name: Yes" is displayed (S15 in FIG. 13). In the example of FIG. 14, it is displayed as “arrhythmia: present”.

When the input value in the check box is "1 (checked)" (Fig. 13, S12: Yes) and the display category is 2 (= displayed only when the input value is "1") 13 (S14 in FIG. 13: YES) is also displayed as “Data name: Yes” (S15 in FIG. 13). In the example of FIG. 14, it is displayed as “arrhythmia: present”.

When the input value in the check box is "1 (checked)" (S12: Yes in FIG. 13) and the display category is 3 (= displayed only when the input value is "0") (FIG. 13, S13: NO, S14: NOS), no display is made.

On the other hand, when the input value in the check box is "0 (no check)" (Fig. 13, S12: none), and the display category is 1 (= always displayed) (Fig. 13, S16: Y).
ES), "Data name: None" is displayed (Fig. 1
3 ・ S18). In the example of FIG. 14, it is displayed as “arrhythmia: none”.

When the input value in the check box is "0 (no check)" (S12 in FIG. 13: none), the display category is 3 (= display only when the input value is "0") (FIG. 13, S17: YES) is also displayed as “Data name: None” (FIG. 13, S18). In the example of FIG. 14, it is displayed as “arrhythmia: none”.

In the case where the input value in the check box is "0 (no check)" (S12 in FIG. 13: none), the display category is 2 (= displayed only when the input value is "1") (FIG. 13, S16: NO, S17: NOS), no display is made. In this way, the display according to the section of FIG. 14 is realized.

[0034]

According to the present invention, the display category stored in the display category storage means and the input value (1 or 0) in the check box.
The display / non-display of check-type data is controlled according to, and by setting the display category to the desired state, only the essential or important information is displayed in the chart display screen (window) according to the patient's disease name, etc. You can choose to show it in and leave the rest of it normally hidden. Further, it can be called by an input operation or the like as needed. Further, in the configuration of claim 4, the display classification can be appropriately set by the user (doctor etc.) in consideration of the medical department etc. by inputting from the medical care information input screen.

[Brief description of drawings]

FIG. 1 is a block diagram showing a configuration of an electronic medical chart device according to an embodiment.

FIG. 2 is an explanatory diagram (a) showing a file format of a clinical department master file, an explanatory diagram (b) showing a file format of a user master file, and an explanatory diagram (c) showing a file format of a patient master file.

FIG. 3 is an explanatory diagram showing a file format of a medical care information definition master file.

FIG. 4 is an explanatory diagram showing a file format of a check type data setting information file.

FIG. 5 is an explanatory diagram showing a file format of a medical care information registration file.

FIG. 6 is an explanatory diagram illustrating a medical information definition screen.

FIG. 7 is an explanatory diagram illustrating a medical information input screen.

FIG. 8 is an explanatory diagram illustrating a chart display screen.

FIG. 9 is a flowchart showing processing on a medical information definition screen.

FIG. 10 is a flowchart showing a part of the processing on the medical information input screen.

FIG. 11 is a flowchart showing the rest of the processing on the medical information input screen.

FIG. 12 is a part of a flowchart showing a display procedure of a chart display screen.

FIG. 13 is the rest of the flowchart showing the display procedure of the chart display screen.

FIG. 14 is an explanatory diagram showing a relationship between an input value of check type data, a display classification held in the check type data setting information file 34, and a display mode of a chart display screen.

FIG. 15 is an explanatory diagram showing a correspondence relationship between input values of check-type data, display categories held by the check-type data setting information file 34, and ““ display chart ”check box” on the medical information input screen.

[Explanation of symbols]

24 Chart display control unit 34 Check type data setting information file

Claims (4)

(57) [Claims] 1. An electronic medical record apparatus for electronically storing information of each described item of a medical record and displaying the described item to be displayed on a medical record display screen, which is a check type having a binary data attribute. For each listed item,
Depending on the presence / absence of the check for the item
Display category storage means for storing each display category that determines whether or not the relevant description item is displayed regardless of whether there is nothing, data value acquisition means for obtaining the data value of the description item that is the display target, and display target An electronic medical chart device comprising: a display propriety determining means for determining whether or not the check-type described item is displayed according to the data value of the described item and the display classification. 2. An electronic medical chart device for electronically storing information of each described item of a medical record and displaying the described item to be displayed on a medical record display screen, which is a check type having a binary data attribute. For each listed item,
Depending on the presence / absence of the check for the item
Display category input means for inputting each display category that determines whether or not the described item is displayed regardless of the presence, and display category storage means for storing the input display category in association with the described item , A data value acquisition means for acquiring the data value of the described description item to be displayed, and the display propriety for determining whether or not the check type described item to be displayed is displayed according to the data value of the described item and the display classification An electronic medical chart device comprising: a determining unit. 3. An electronic medical chart device for electronically storing information of each described item of a medical record and displaying the described item to be displayed on a medical record display screen, which is a check type having a binary data attribute. For each listed item,
Depending on the presence / absence of the check for the item
Display category input means for entering each display category that determines whether or not to display the relevant item regardless of whether or not it is used, whether the display category is common to the hospital, common to the clinical department, or user-specific And a display category use category storage means for storing the entered display category in association with the description item and storing the entered use category in association with the display category. And a user information storage unit that stores the user name and its department name in association with each other, a data value acquisition unit that acquires the data value of the description item that is the display target, and user information that acquires the current user name. Acquiring means, whether or not to display the check-type description item that is the display target, is displayed according to the data value of the description item and the display category, and the current user name or its clinical department and usage category. Therefore,
An electronic medical chart device comprising: a display enable / disable determining unit for determining. 4. The display classification input means according to claim 2 or 3, wherein the display classification input means is a means for inputting a display classification in association with a description item name on the medical care information definition screen and / or the medical care information input screen. The display classification storage means holds the display classification until the display classification is rewritten when the display classification is input from the medical information definition screen, and the display classification is stored when the display classification is input from the medical information input screen. An electronic medical chart device, characterized in that the display section is held as information for determining whether to display on a medical chart display screen which is a transition destination from the medical information input screen.