JP3641861B2 - Electronic medical record system - Google Patents

Description

[0001]
BACKGROUND OF THE INVENTION
The present invention relates to an electronic medical chart system, and more particularly to an electronic medical chart system for displaying an electronic medical chart including text information and attached information other than text information.
[0002]
[Prior art]
In conventional electronic medical chart systems, when displaying non-text information (hereinafter referred to as attached information) such as line drawings, images, graphs, etc., an icon indicating the presence of the attached information or the nature of the attached information or the actual display is displayed as the text. There are a method of embedding inside, and a method of displaying attached information in a separate area from text as needed without displaying it in a normal state. In addition, as a method of embedding in the text, a method of enlarging and displaying in an area different from the text by operating an embedded icon or a reduced image has been used.
[0003]
[Problems to be solved by the invention]
Each method in the above-mentioned conventional electronic medical record system has its merits and demerits, and the method embedded in the text makes it easy to understand the relationship between text and attached information, but it is necessary to take a certain area for displaying attached information. There was a problem that the entire text could not be easily listed. In addition, the method of displaying the attached information in a separate area from the text has the problem that the attached information can be displayed in detail, but the relationship between the text and the attached information is difficult to understand.
[0004]
SUMMARY OF THE INVENTION An object of the present invention is to provide an electronic medical chart system capable of displaying the relationship between attached information and corresponding text in an easy-to-understand manner and appropriately switching the display according to the user's purpose.
[0005]
[Means for Solving the Problems]
  The electronic medical record system according to claim 1 is:Includes natural language prepared in advanceText information,and,An electronic medical record system for displaying an electronic medical record including attached information other than text information,Storage means for storing the attached information and cross-reference information made up of natural language in association with each other; collating means for matching the cross-reference information stored in the storage means with the keyword in the text information;Insertion display means for performing insertion display for displaying the attached information in a state inserted in the text information; Paste display means for performing pasting display for displaying the attached information in a state covered with the text information; and attachment Icon display means for displaying an icon for displaying information in the form of a predetermined symbol;Layout calculation means for calculating the layout of text information and attached information in order to perform a display process based on the collation result of the collation means and a display mode switching process based on an instruction from the user, the layout calculation means, In order to insert and display the attached information stored in association with the cross-reference information in the vicinity of the portion where the keyword in the text information collated with the cross-reference information appears by the collating means, the wraparound of the text sentence is calculated. Wraparound calculation means;When switching the display form from insert display to paste display or icon display, or from paste display or icon display to insert displayIn, Layout of text and attached information, including display format information of attached informationTo changeCalculationDoThe layoutChangeMeans andHaveBased on the layout calculated by the layout calculation meansAttached information is inserted and displayed in the vicinity of the part where the keyword appears in the text information, and in response to an instruction from the userThe three display means of the insertion display means, the paste display means, and the icon display means are controlled so that the attached information is displayed in at least one of the three display forms of the insertion display, the paste display, and the icon display.Display screenControl meansFurtherIncluding.
[0006]
  Layout calculation means, tableCalculate the form information itselfWith, Calculate wrapping processing of text sentenceTheThis is because both the display shape of the attached information and the information of the text sentence wrapping process (for example, the line feed position) are necessary when performing the insertion display.
[0007]
  On the other hand, in the case of pasting display or icon display, it is not necessary to pay particular attention to the line break of the text sentence, so it is only necessary to calculate the display form information itself. However,AWhen the icon is highlighted or the keyword in the text and the pasted display are linked with the pasted display, the control section for performing these controls is turned around.Calculation meansIt may be added to.
[0008]
With the above configuration, the attached information can be displayed in three different display forms, that is, an insertion display, a paste display, and an icon display. Therefore, when emphasizing the relationship between the text information and the attached information, the insertion display and the attachment are displayed. When displaying large and easy-to-read information, it is possible to select a suitable display form according to the usage form, such as pasting display, ensuring a list of text information, and simply indicating the location of attached information, such as icon display In addition, since these display forms can be used in combination, the convenience for the user can be improved. In addition, since the layout is automatically calculated when the display form is switched, it is possible to easily cope with a change in layout. Therefore, the relationship between the attached information and the corresponding text information can be displayed in an easy-to-understand manner, and the display suitable for the user's purpose can be switched as appropriate.
[0010]
With the above configuration, since the cross-reference information is stored together with the attached information, the cross-reference information is collated with the keyword in the text information using the cross-reference information, and the corresponding information in the text information is matched. Attached information can be displayed near the portion where the keyword appears, and it is possible to automatically display predetermined reference information corresponding to the keyword in the text information, further improving the convenience for the user. Can do. More specifically, in the case of insertion display, it is literally the keyword “near” in the text sentence. In the case of icon display, in addition to displaying in the vicinity of the keyword, it may be displayed together in the icon display area, and the text appearing in the text sentence on the screen may be highlighted. Alternatively, the shape and color tone may be changed. In the case of pasting display, when the keyword part is in the text display screen, it may be displayed on a part of the screen. Further, the cross-reference information is composed of a natural language, so that words familiar to the user can be used as keywords, and the operability can be further improved.
[0011]
  Claim2The electronic medical chart system as claimed1In addition to the configuration of the electronic medical record system described above, it further includes display form information storage means for storing the display form information of the three display forms independently,Display screenWhen switching the display mode, the control unit controls the three display units to display the attached information based on the display mode information calculated last for each display mode.
[0012]
With the above configuration, the display form information of the three display forms can be stored independently, so even if the display form is once switched to another display form and further returned to the original display form, the display form information It is possible to restore the previous display form without recalculating the display form information, display the original display form simply and at high speed, and improve the convenience for the user. Become.
[0013]
  Claim3The electronic medical chart system according to claim 1.OrClaim2In addition to the configuration of the electronic medical chart system described in (1), the storage means stores the display form information of the three display forms independently, and also stores them in the medical record information database when the display of the corresponding chart is finished.
[0014]
With the above configuration, the display mode information of the three display modes can be stored independently in the storage means storing the attached information, and is also stored in the medical record information database, so that the previously set easy-to-read display An electronic medical record including text information and attached information other than text information can be displayed in a form, and the convenience for the user can be further improved.
[0015]
Specifically, when the display form information storage unit 12 of FIG. 1 is provided in each display terminal, the terminal power supply may be stopped or another chart may be referred to. In such a case, even if the content of the display form information storage unit 12 disappears, it can be read from the medical record information database.
[0016]
  Claim4The electronic medical record system according to claim 1 to claim 13In addition to the configuration of the electronic medical record system according to any one of the above, it further includes storage means for a user that is provided for each user and stores display form information of three display forms.
[0017]
With the above configuration, the display form information of the three display forms can be stored in the user storage means provided for each user. Since it can display in a display form, it becomes possible to further improve the convenience for the user.
[0018]
  Claim5The electronic medical record system according to claim 1 to claim 14In addition to the configuration of the electronic medical record system according to any one of the above, further including individual layout storage means for storing a display layout including text sentence wrapping processing when at least one display form of the attached information is insertion display ,Display screenThe control means controls the three display means so as to display the attached information based on the layout stored in the individual layout storage means.
[0019]
With the above configuration, when switching any one attached information from the insertion display to the paste display or icon display, or vice versa, the attached information or other attached information is moved and the other attached information is displayed. Unless the form is switched, it is possible to switch to the original display form without recalculating the layout. That is, with this method, it is possible to save the trouble of calculating the text sentence wraparound process. Therefore, switching to the original display form is speeded up, it becomes easy to select an optimal display form according to the use form, and the convenience for the user can be further improved.
[0020]
  Claim6The electronic medical chart system as claimed5In addition to the configuration of the electronic medical chart system described above, the individual layout storage unit stores a plurality of layout patterns and also stores the insertion display selection state for each layout.
[0021]
With the above configuration, it is possible to store a plurality of layout patterns of the insertion display once displayed, and the selection state of the insertion display for each layout is stored. The recalculation is not necessary, and the display mode can be switched more smoothly and at a high speed, and the convenience for the user can be further improved.
[0022]
  Claim7The electronic medical record system according to claim 1 to claim 16In addition to the configuration of the electronic medical record system described in any of the above,Display screenThe control means controls the insertion display means to display the attached information corresponding to the operated symbol by the insertion display when the symbol is operated in the icon display.
  According to an eighth aspect of the present invention, in addition to the configuration of the electronic medical chart system according to the first aspect, the attached information is displayed in the text sentence by the insertion display, and the text sentence is displayed by the icon display. When the symbol in the icon display is operated by the user, the display screen control means displays the text sentence as the attached information corresponding to the operated symbol. Control to scroll to the position where is inserted and displayed.
[0023]
With the above configuration, the insertion display portion of the attached information can be automatically displayed by operating the icon display, and even if the insertion display cannot be seen depending on the scroll position, the icon display can be operated by operating the icon. Since the insertion display and the text associated therewith can be easily viewed, the convenience for the user can be further improved.
[0024]
DETAILED DESCRIPTION OF THE INVENTION
Hereinafter, an electronic medical chart system according to an embodiment of the present invention will be described with reference to the drawings. FIG. 1 is a block diagram showing a configuration of an electronic medical chart system according to an embodiment of the present invention.
[0025]
Referring to FIG. 1, the electronic medical record system includes a medical record information display system 1, a medical record information database 2, a personal file 3, a display 4, and an input device 5. The chart information display system 1 includes a chart information reading unit 11, a display form information storage unit 12, a layout calculation unit 18, a layout storage unit 19, and a display screen control unit 25. Furthermore, the layout calculation unit 18 includes a turn-around process calculation unit 26, and the display screen control unit 25 includes a text display unit 20, an insertion display unit 21, a paste display unit 22, an icon display unit 23, and a scroll control unit 24. . The layout storage unit 19 may be provided together with the display form information storage unit 12 or may be configured to exchange information with the medical record information database 2.
[0026]
In the text information display system 1, using the medical chart information reading unit 11, text information serving as electronic medical chart information that records medical activities of doctors and other medical staff from the medical chart information database 2 in a form that can be processed by a computer or the like, and Attached information such as images, graphs, and table formats other than text information is read. The text information may be converted into one text information in the chart information reading unit 11 in the chart information database 2 for each item stored in numerical values, symbols, or other data formats. The database 2 may be originally stored in the form of one or more text information.
[0027]
Next, the flow of the chart reading process will be described with reference to FIG. FIG. 2 is a flowchart of the chart reading process. First, the medical record information database 2 is queried for a medical record to be displayed (step S11). Next, it is confirmed whether or not the corresponding chart exists (step S12). If it does not exist, an error display is performed (step S18), and the process is terminated.
[0028]
On the other hand, if there is a medical record, the data of the item of the medical record is read (step S13), and the read data is converted into text and accumulated as text information (S14). Next, it is checked whether or not the item is finished (step S15), and steps S13 to S15 are repeated until the item is finished. When the item is completed, the attached information is read (step S16), and the reading of the attached information is repeated until all the attached information 14 related to the chart is read (steps S16 to S17).
[0029]
Next, display form information will be described. In the present embodiment, display form information is stored in the medical chart information database 2, the personal file 3, and the display form information storage unit 12. FIG. 3 is an example of a storage format of display form information.
[0030]
The display form information is recorded in each recording unit in a common format as shown in FIG. This simplifies the rewriting process by using a common format, and records the information for accessing the attached information in the display form information storage unit 12 that normally uses a high-speed storage device. This is for the purpose of making it easier. In order to reduce the storage capacity, it is possible to omit the type and file number in the chart and attached information specifying data in either or both of the personal file 3 and the display form information storage unit 12. In this case, the medical record information database 2 is inquired every time such information is required.
[0031]
As shown in FIG. 3, cross-reference information is stored corresponding to each of the chart and attached information specifying data, insertion display data, pasting display data, and icon display data. As the cross-reference information, a keyword composed of a natural language is used, for example, “X-ray” or the like. Therefore, if the letter “X-ray” is included in the document or text entered by the doctor, the cross-reference information is collated from the display form information, and attached information corresponding to the cross-reference information “X-ray”, for example, The X-ray image of patient A is inserted in the vicinity of the word “X-ray” in the text of the electronic medical record, and an insertion display is performed.
[0032]
Further, since the cross-reference information uses the normal word “X-ray”, that is, a natural language, the “file name” or “X” in the computer such as “X-ray 17 DAT” used in the field of software is used. Since a code name such as “PHOT” is not used, even a user who is not familiar with the software field can easily use the electronic medical record system of the present embodiment.
[0033]
Also, a dictionary may be provided in order to effectively use the cross-reference information. This is a method often used when using free keywords. For example, X-rays, X-rays, indirect imaging, direct imaging, etc. are all “X-rays”, and X-ray photographs are considered to be attached to any keywords.
[0034]
Next, the flow of processing for reading the display form information described above will be described with reference to FIG. FIG. 4 is a flowchart showing a flow of processing for reading display form information.
[0035]
First, waiting for the reading of the attached information 14 to be completed (step S21), the processes from step S22 to S23 are repeated for each attached information. That is, first, the personal file 3 is searched and an attempt is made to read the display form information (step S23). When the display form information is obtained, the process returns to step S22 (step S24). If the display form information cannot be obtained, the medical record information database 2 is searched and the display form information is similarly read (step S25). Whether or not the display form information is obtained again is confirmed (step S26). If it is obtained, the process returns to step S22. If not obtained, the display form information for the attached information 14 is undefined (step S27). Return to S22. If the display form information can be set for all the attached information, the process is terminated (step S22).
[0036]
The display form information read by the above processing is stored in the display form information storage unit 12 while the corresponding chart is being displayed. When the display is finished or when the user gives an instruction, the display form information is written in the personal file 3 or the chart information database 2. When the display form information is written in the medical chart information database 2, all subsequent medical chart displays are affected. Therefore, for example, the display form information can be written in the medical chart information database 2 only to the attending physician. preferable. Accordingly, the display form information storage process described below is executed.
[0037]
Next, the flow of processing for storing display form information will be described with reference to FIG. FIG. 5 is a flowchart showing a flow of processing for storing display form information.
[0038]
First, the necessity of storage is confirmed with the user (step S31). If there is no need to save, the process ends. On the other hand, in the case of saving, it is checked whether or not the operating doctor is the attending physician (step S32). If it is not the attending physician, it cannot be written in the medical record information database 2, and the process proceeds to step S34. In the case of the attending physician, the writing destination is selected from the personal file 3 and the medical record information database 2 (step S33). Here, when the medical record information database 2 is selected, the display form information of the medical record information database 2 is updated (step S37), and the process is terminated. On the other hand, when the personal file 3 is selected, the capacity of the personal file 3 is confirmed (step S34), and when the capacity is not enough, the oldest display form information is deleted (step S35).
[0039]
When deleting the display form information, it is convenient in terms of management to use chart units instead of attached information units. Moreover, the management of the capacity of the personal file 3 is easy if the number of charts in which the display form information is recorded. Thus, after securing a sufficient capacity, the display form information of the personal file 3 is updated (step S36).
[0040]
As described above, when the text information 13, the attached information 14, and the display form information are prepared, the layout calculation unit 18 calculates the layout from the display form information of the insertion display 15. When both the display form information and the attached information 14 exist, the layout calculation unit 18 only needs to calculate the text sentence wrap-around process. On the other hand, when only the attached information exists, the layout calculation unit 18 calculates both the display form information and the text sentence wrap-around process and determines the layout. Even during display, the layout is sequentially recalculated by adding and deleting the attached information 14 and changing the display form information. Although the display form information is automatically calculated in principle, it may be changed by manual input at the discretion of the user (for example, a doctor). For example, if a doctor determines that an electrocardiogram is more important than an X-ray photograph, the attached information corresponding to the X-ray photograph is made smaller than the automatically calculated dimension, and conversely, the attached information corresponding to the ECG is automatically calculated from the dimension automatically calculated. An input operation may be performed so as to increase the size. In order to reduce the burden of the recalculation, the calculated layout is stored in the layout storage unit 19 to avoid unnecessary recalculation.
[0041]
Next, the flow of layout calculation processing when the layout storage unit 19 is not used will be described with reference to FIG. FIG. 6 is a flowchart showing the flow of layout calculation processing when the layout storage unit 19 is not used. Further, this is a process when at least one display form information exists.
[0042]
First, the layout calculation unit 18 monitors the state of the insertion display (step S41), and if there is a change in the state of the insertion display, aligns the horizontal position of the insertion display that has been added or moved (step S42). This is to improve that the text display on one side of the drawing becomes very short and difficult to see when the insertion display 15 is placed at an arbitrary position as shown in FIG. 7 (b), the insertion display 15 is moved to the left or right of the display area. At this time, as shown in FIG. 7C, it is also possible to align the insertion display 15 so that a text display 13 having a sufficient width can be formed on the left and right sides. However, in order to simplify the layout calculation and improve the display speed, it is preferable to move to one side as shown in FIG. In addition, the solid line in a figure has shown the text part displayed by the text display 13, and the following each figure is the same.
[0043]
Next, as shown in FIG. 8A, it is confirmed whether or not there are insertion displays 15a and 15b that overlap in the vertical position (step S43). If there are insertion indications 15a and 15b that overlap in the vertical position, as shown in FIG. 8B, the lower insertion indication 15b is moved further downward to avoid overlapping in the vertical position (step S44). Of course, overlapping may be avoided by moving the upper insertion display 15a further upward, or the dimensions of the insertion displays 15a and 15b may be changed. In the former and the latter, it is more preferable that the layout calculation unit 18 determines which one can avoid the overlap more efficiently, and the overlap is avoided by a more advantageous method.
[0044]
The above processing is repeated until there is no longer an insertion display with overlapping vertical positions (steps S43 and S44). Finally, the wraparound of the text is calculated in accordance with the aligned insertion display (step S45), and the process waits for the change of the insertion display again. (Step S41).
[0045]
On the other hand, the processing when the input of the text sentence is completed and the attached information exists but the display form information does not exist will be described below.
[0046]
This situation is, for example, a state immediately after a doctor typed a text sentence for the first time on the basis of attached information and examination results.
[0047]
The text sentence wrapping process is simpler when the attached information is moved to the right or left as shown in FIG. 7B, and is more efficient for reading. An example of this process will be described.
[0048]
First, the display area is set in the computer. Specifically, as shown in (a) of FIG. 9, a full-width 50-character sentence is accommodated as a full-width character, the length is the entire text, and the screen usage area (character number conversion) of the attached information is added, and a margin is further added. Is the number of lines appropriately added.
[0049]
Next, the entire text is entered in the display area, and each attached information (for example, X-ray photograph or electrocardiogram) is arranged in the vicinity of the keyword. This is (b) of FIG.
[0050]
In FIG. 9B, there is no particular problem with the keyword part of the first “X-ray”, but since “X-ray” is attached at “ECG”, the keyword “ECG” appears. The part will shift slightly downward. For this reason, the display form information of the “electrocardiogram” is corrected and shifted slightly downward so that it is in an appropriate position. If such a process is repeated from the first attached information to the last attached information, all the attached information can be appropriately accommodated. Further, when performing such an operation, it is possible to incorporate the prevention of overlapping in the vertical position as described above.
[0051]
As a storage method of the wrapping information calculated in this way, for example, as shown in FIG. 9C, the position of the black circle, the number of lines from that position, and the number of characters are used as keys.
"The first to third lines are 50 characters left justified"
“Lines 4 to 5 are right-justified 20 characters”
For example, it is convenient to store a text sentence in units of a rectangular display. Of course, other methods may be used, and the above example is only an example.
[0052]
Next, the flow of layout calculation and storage processing when storing a single layout or a plurality of layouts in the layout storage unit 19 will be described with reference to FIG. FIG. 10 is a flowchart showing the flow of layout calculation processing when a layout registration function for avoiding recalculation of the layout is provided.
[0053]
First, the layout calculation unit 18 monitors the state of the insertion display (step S51). If there is a change in the state of the insertion display, the layout calculation unit 18 checks whether or not the insertion display has moved (step S52). If there is no movement of the existing insertion display due to the change of the display form or the addition of the insertion display, the display form combination stored in the layout storage unit 19 is searched (step S59), and it is checked whether or not the combination is a registered combination (step S59). Step S60).
[0054]
When storing a single layout, each piece of information is stored as shown in FIG. 11A, and the stored attached information number changes from icon display or pasting display to insertion display at that time. If it matches the attached information number or vice versa, it can be seen that the display corresponding to the stored layout has changed. Further, when storing a plurality of layouts, as shown in FIG. 11B, by storing each piece of information, it is possible to store a relationship between a plurality of display states and layouts. As for the insertion information flag string shown in FIG. 11B, as shown in FIG. 11C, if each piece of attached information is expressed by 1 bit for each piece of information, one chart can be used. By determining the upper limit of the included information to be 8, 16, 32, and 64, it is possible to easily determine the presence or absence of the corresponding layout by simple numerical comparison. If the corresponding layout has been registered in this way, the layout is read and the layout is calculated (step S61), and the process waits for the change of the insertion display again (step S51). On the other hand, if the corresponding layout is not registered, the process proceeds to step S54.
[0055]
If it is determined in step S52 that the existing insertion display has been moved, the layout information in the layout storage unit 19 is checked, and a layout corresponding to the case where the moved insertion display is displayed. Each is erased (step S53).
[0056]
Next, the horizontal positions of the insertion display added or moved are aligned (step S54). Next, as shown in FIG. 8A, it is confirmed whether or not there are insertion displays 15a and 15b that overlap in the vertical position (step S55). If there is an insertion display in which the vertical positions overlap each other, as shown in FIG. 8B, the lower insertion display 15b is further moved downward to avoid overlapping in the vertical positions (step S56). Of course, overlapping may be avoided by moving the upper insertion display 15a further upward. In addition, it is more preferable that the layout calculation unit 18 determines which of the former and the latter can avoid overlapping more efficiently and avoids it by a more advantageous method. This is repeated until there is no longer any insertion display with overlapping vertical positions (steps S55 and S56).
[0057]
Finally, the wraparound of the text is calculated in accordance with the aligned insertion display (step S57). The layout is registered (step S58) and the insertion display change waits again (step S51).
[0058]
Based on the layout calculated as described above, the text information 13 is displayed by the text display unit 20, and the insertion display unit 21 displays the insertion display 15 in a form embedded in a blank created in the display. . The text display unit 20 and the insertion display unit 21 are controlled by the scroll control unit 24, and perform desired display by scrolling the text information 13 and the insertion display 21 that have a large amount of information and cannot be displayed on the screen. Further, the pasting display 16 for displaying the attached information in a form that is covered on the text by the pasting display unit 22 is performed, and the attached information in the form of a predetermined symbol is displayed outside the area where the text is not displayed by the icon display unit 23. An icon display 17 for displaying is displayed. Each of these displays is controlled by the display screen control unit 25 based on a user operation from the input device 5 and displayed on the display 4.
[0059]
Next, an example of display control of the display screen displayed on the display 4 by each of the above processes will be described with reference to FIG. FIG. 12 is a conceptual diagram showing an operation example of the electronic medical chart.
[0060]
Referring to (a) of FIG. 12, an operation by the user is performed by giving an instruction to the chart information display system 1 by moving the cursor 7 by the input device 5 and operating a button of the input device 5. The text information 13 and the insertion display 15 can be scrolled by moving the cursor 7 to the scroll button 8 and giving an instruction by pressing the button. In the following description, giving the instruction to the system by setting the cursor 7 and pressing the button of the input device 5 or the like is simply referred to as operating the cursor 7.
[0061]
When the icon display 17 is operated with the cursor 7, as shown in FIG. 12B, the icon display 17 is automatically scrolled to the position of the insertion display 15 corresponding to the icon display 17. This makes it possible to easily read the insertion display 15 of interest and the text information associated therewith. Furthermore, by operating the insertion display 15 with the cursor 7, the insertion display 15 can be switched to the pasting display 16, and the attached information 14 can be displayed larger. In this case, since the pasting display 16 does not move by scrolling the text information 13, it can be displayed simultaneously with the text information at other places.
[Brief description of the drawings]
FIG. 1 is a block diagram showing a configuration of an electronic medical chart system according to an embodiment of the present invention.
FIG. 2 is a flowchart showing a flow of a chart reading process.
FIG. 3 is an example of a storage format of display form information.
FIG. 4 is a flowchart showing a flow of display form information reading processing;
FIG. 5 is a flowchart showing a flow of display form information storage processing;
FIG. 6 is a flowchart showing a flow of layout calculation processing when the layout storage unit 19 is not used.
FIG. 7 is a conceptual diagram illustrating the alignment of the horizontal positions of the insertion display.
FIG. 8 is a conceptual diagram illustrating the alignment of the vertical positions of the insertion display.
FIG. 9 is a conceptual diagram illustrating processing when display form information does not yet exist.
FIG. 10 is a flowchart showing a flow of a layout calculation process when a layout registration function for avoiding layout recalculation is provided.
FIG. 11 is a diagram illustrating a recording format of a layout.
FIG. 12 is a conceptual diagram illustrating an operation example of an electronic medical record.
[Explanation of symbols]
1 Chart information display system
2 Medical record information database
3 personal files
4 display
5 Input devices
11 Medical chart information reading part
12 Display form information storage unit
18 Layout calculator
19 Layout storage
20 Text display area
21 Insertion display
22 Pasting display
23 Icon display
24 Scroll control unit
25 Display screen controller
26 Rotation processing calculation part

Claims (8)

Text information including a prepared natural language, and an electronic medical record system for displaying an electronic medical record including the accompanying information other than the text information,
Storage means for storing the attached information and cross-reference information composed of natural language in association with each other;
Collating means for collating the cross-reference information stored in the storage means with a keyword in the text information;
Insertion display means for performing insertion display for displaying the attached information in a state inserted in the text information;
A pasting display means for performing pasting display for displaying the attached information in a state of being covered on the text information;
Icon display means for displaying an icon for displaying the attached information in the form of a predetermined symbol;
Layout calculation means for calculating a layout of the text information and the attached information in order to perform a display process based on a collation result of the collation means and a display mode switching process based on an instruction from a user,
The layout calculation means includes
In order to insert and display the attached information stored in association with the cross-reference information in the vicinity of the portion where the keyword appears in the text information collated with the cross-reference information by the collating means. A wraparound calculation means for calculating a wraparound process of a sentence;
Wherein the said joining displayed or the icon display from the insertion display or when switching the display mode to the insertion display from the sticking displayed or the icon display, including the display form information of the attached information, the text and the accompanying Layout changing means for performing calculation for changing the layout of information,
Based on the layout calculated by the layout calculation means, the attached information is inserted and displayed in the vicinity of the portion where the keyword appears in the text information, and the insertion display and the pasting are performed according to an instruction from the user Control the three display means of the insertion display means, the pasting display means, and the icon display means so that the attached information is displayed in at least one of the three display forms of display and icon display. An electronic medical chart system further including display screen control means for performing the operation. Further comprising display form information storage means for independently storing the display form information of the three display forms,
The display screen control unit, when switching the display form, electronic of claim 1 Symbol placement controls said three display means to display the attached information on the basis of the display form information calculated last for each display form Medical chart system. The storage unit, the three display mode information display form stored independently, the corresponding chart claim 1 or claim 2 electronic medical record system as claimed stored in chart information database when to end the display of . The electronic medical chart system according to any one of claims 1 to 3 , further comprising a user storage unit that is provided for each user and stores display form information of the three display forms. If at least one display mode of the accompanying information is the insertion display, further comprising a separate layout storage means for storing display layout including Kaikomi processing of the text sentence,
The display screen control unit, on the basis of the layout stored in the individual layout storage means, claims 1 to 4 electronic medical record system according to control said three control means to display the attached information . The electronic medical chart system according to claim 5, wherein the individual layout storage unit stores a plurality of layout patterns and stores a selection state of the insertion display for each layout. The display screen control unit, when the symbols in the icon display is operated, claims 1 to control the insertion display means to the attachment information corresponding to the symbol that has been engineered to display by the insertion display The electronic medical chart system according to claim 6 . When the attached information is displayed in the text sentence by the insertion display and is displayed in a different area from the text sentence by the icon display, the display screen control means is configured to display the symbol in the icon display. 2. The electronic medical chart system according to claim 1, wherein when the user is operated by the user, control is performed to scroll the text sentence to a position where the attached information corresponding to the operated symbol is inserted and displayed.

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