JP5268373B2 - Electronic medical record system, medical record volume indicator control method, indicator bar search display method, and medical record volume indicator program - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide an electronic medical chart system allowing actual feeling of a volume feeling in a paper medical chart, and having an excellent-workability medical chart volume indicator function. <P>SOLUTION: The electronic medical chart system is provided with a patient indicator table where a patient indicator of a two-dimensional bitmap with a first axis as a date axis, having a second axis on which a plurality of nursing records or medical chart articles of the same day can be drawn is created in each patient. At least one dot is drawn on the date axis of the patient indicator in response to a record input frequency of the nursing records or the medical chart articles from an input terminal. By displaying the patient indicator acquired from the patient indicator table on a screen, the medical chart volume indicator function is materialized. <P>COPYRIGHT: (C)2009,JPO&amp;INPIT

Description

  The present invention relates to an electronic medical record system, a medical record volume indicator control method, an indicator bar search display method, and a medical record volume indicator program.

  With the development of medical information systems, each hospital and clinic has adopted an electronic medical record system. The electronic medical record has excellent usability because it can quickly read out medical chart information when it is necessary by registering it in the medical chart database, and does not require a file space like a paper medical chart.

  However, the electronic medical record displayed on the terminal device has a drawback that a doctor or a nurse cannot feel a sense of volume. For example, there is a drawback that it is impossible to grasp at a glance how much medical care, examination and treatment a patient has received in the past and how much assistance and nursing has been received.

  For example, Patent Document 1 discloses an invention in which life map data in an electronic medical record server is displayed on a life map screen of a WEB client, and an outline of life information of a patient can be easily grasped from the summarized information. Has been. However, in patent document 1, it is a display about an outline | summary and is far from a volume display.

Further, in Patent Document 2, as shown in FIG. 7, a device that displays the thickness of a medical chart by the size of a lump is invented. In such a lump size display, it is not possible to know when the patient has received medical treatment / diagnosis / treatment and how much assistance / nursing has been received.
JP 2006-251901 A JP 2006-178903 A

  The present invention meets the above-mentioned demands. In an electronic medical chart system, an electronic medical chart system having a medical chart volume indicator function capable of realizing a volume feeling in a paper medical chart and having good workability, a chart volume indicator control method, and an indicator bar It is an object to provide a search display method and a chart volume indicator program.

The electronic medical record system according to the present invention includes a date axis for inputting a medical record article or a nursing record for each patient in synchronization with a record input of a medical record article or a nursing record from an input terminal operated by a doctor or a nurse, and the recording input. Indicator bar creating means for creating drawing data of at least one dot indicating the number of times of input and information for identifying the contents of the medical record article or nursing record on two axes consisting of an axis indicating the amount of information of the number of times, A patient indicator table in which the drawing data created by the indicator bar creating means is stored and stored as a medical record volume indicator indicating the volume of the medical record article or nursing record of each patient, and a medical record article in which a number of patient medical record articles are stored patients table and, the specified read from the chart article table displayed on the input terminal Comprising a volume indicator means for displaying the medical record volume indicator of the patient read from said patient indicator table for some patients panel screen chart article, and instead of a paper chart volume, the chart of the patient panel screen It is characterized in that it is possible to grasp at a glance how much the patient has received medical care or nursing in the past by the volume indicator .

In addition, the electronic medical record system of the present invention is configured to synchronize with the record input of the medical record article and the nursing record from the input terminal operated by the doctor and the nurse, and the date axis for inputting the medical record article and the nursing record for each patient and the record Indicator bar creating means for creating drawing data of at least one dot indicating the number of times of input and information for identifying the contents of the medical record article and nursing record on two axes including an axis indicating the amount of information of the number of times of input; A patient indicator table in which the drawing data created by the indicator bar creating means is stored and stored as a chart volume indicator indicating the volume of the medical record article and nursing record of each patient, and a medical chart in which multiple medical chart articles are stored and the article table, read out from the medical chart article table to be displayed on the input terminal Equipped with a, and volume indicator means for displaying the medical record volume indicator of the patient read from said patient indicator table for some patients panel screen chart articles specified patient, instead of a paper chart volume, the patient The medical record volume indicator on the panel screen makes it possible to grasp at a glance how much the patient has received medical treatment / diagnosis / treatment and care / nursing in the past .

The medical record volume indicator control method of the present invention includes a date axis for inputting a medical record article and a nursing record for each patient in synchronization with a medical record article or a nursing record recording input from an input terminal operated by a doctor or a nurse, Create drawing data in which at least one dot indicating the number of times of input and information for identifying the contents of the medical record article or nursing record is drawn on two axes consisting of the axis indicating the information amount of the number of times of recording input The stored drawing data is stored and stored in the patient indicator table as a medical record volume indicator indicating the volume of the medical record article or nursing record of each patient, and is read from the medical record article table displayed on the input terminal. some patients panel screen of the mosquito the patient read from said patient indicator table Display Te volume indicator, instead of a paper chart volume, characterized in that the patient by the medical record volume indicator of the patient panel screen is so whether received how much treatment or care in the past can be grasped at a glance .

In the chart volume indicator control method of the present invention, in synchronism with the chart record input of a chart article from a chart input terminal operated by a doctor, the amount of information of the date axis for inputting the chart article for each patient and the number of times of the chart record input A nursing input terminal that creates first drawing data in which at least one dot indicating the number of times of input and information for identifying the contents of the medical chart article is drawn on two axes consisting of axes indicating in synchronization with the nursing care record input record from the nursing record become more on two axes the axis indicating the amount of information of the nursing record input count the date axis you enter for each patient, the its input count nursing at least one dot indicating the information identifying the contents of the record to create the second drawing data drawn, the first drawing data is created and second graphics data the chart of each patient Things and patient indicator accumulated stored in the table as medical record volume indicator of nursing records of volume, the medical chart input terminal or said Chart article of patients designated read from chart article table displayed in the nursing input terminal of patient panel screen In part, the medical record volume indicator of the patient read from the patient indicator table is displayed , and instead of the volume of the paper medical record, the medical record volume indicator on the patient panel screen indicates how much the patient has been in the past. It is characterized by being able to grasp at a glance whether treatment or care / nursing has been received .

The medical record volume indicator program for causing the computer of the present invention to execute each function is the above-mentioned medical record article or nursing care for each patient in synchronization with the record input of the medical record article or nursing record from the input terminal operated by the doctor or nurse. Drawing data of at least one dot indicating the number of times of input and information for identifying the contents of the medical record article or nursing record on two axes consisting of a date axis for inputting the record and an axis indicating the amount of information of the number of times of recording input A function of accumulating and storing the created drawing data in a patient indicator table as a medical record volume indicator indicating the volume of the medical record article or nursing record of each patient, and replacing the volume of the paper medical record with the patient How long the patient has been treated or viewed in the past by means of the chart volume indicator on the panel screen As can be understood at a glance whether undergoing, some patients panel screen chart article of patients designated read from chart article table displayed on said input terminal, said the patient read from said patient indicator table And a function of displaying a chart volume indicator.

The medical record volume indicator program for causing the computer of the present invention to execute each function is a date axis for inputting the medical record article for each patient in synchronization with a medical record recording input from a medical record input terminal operated by a doctor. A function for creating first drawing data of at least one dot indicating the number of times of input and information for identifying the contents of the medical chart article on two axes including an axis indicating the amount of information of the number of times of the record recording input; Synchronized with the nursing record input from the nursing input terminal operated by the nurse, two axes on the date axis for inputting the nursing record for each patient and the axis indicating the information amount of the nursing record input count the functionality and the first drawing data generated to create a second drawing data of at least one dot indicating the information for identifying the contents of the nursing record and its number of inputs Preliminary a function for accumulating stored in the patient indicator table a second rendering data as medical record volume indicator of the chart article and nursing records of volume for each patient, instead of a paper chart volume, the medical record volume indicator of the patient's panel screen Of the specified patient read from the chart input terminal or the chart article table displayed on the nursing input terminal so that it is possible to grasp at a glance how much the patient has received medical treatment / diagnosis / treatment and care / nursing in the past . And a function of displaying the chart volume indicator of the patient read from the patient indicator table on a part of the patient panel screen of the chart article.

  According to the present invention, it is possible to grasp at a glance how much medical care / diagnosis / treatment a patient has received in the past, and how much assistance / nursing has been received, and can feel a sense of volume in a paper chart. . Also provided are an electronic medical record system having a good workability chart volume indicator function linked with medical record / nursing record / worksheet reading, a chart volume indicator control method, an indicator bar search display method, and a chart volume indicator program. be able to.

  Hereinafter, embodiments of the present invention will be described.

  FIG. 1 is a diagram showing a display example of a medical record volume indicator implemented by the electronic medical record system of the present invention. The horizontal axis of the medical record volume indicator 100 is a time (date) axis, and the vertical axis is composed of a matrix or a two-dimensional bitmap showing the volume (dot accumulation) of medical record records and nursing records on the same day.

  Then, a chart volume indicator 100 having a system lifetime equal to or longer than the date when the volume indicator function of the electronic medical record system is activated is displayed as a dot 100a on the screen of the terminal device. The operating day information can be obtained from system environment parameters, for example. Here, a chart record 100b is displayed above the chart volume indicator 100, and a nursing record 100c is displayed below. Each dot indicates the number of times, and is designed in advance so that, for example, one dot represents one recording. The size of each dot and the relationship between the number of dots and the number of times are arbitrarily designed. For example, 10 dots in the vertical direction in FIG. 1 and 1 dot / day in the horizontal direction can be handled with a capacity of about 7.5 GB for 100,000 people for 7 years. Even if the service life is 50 years, it is possible to cope with about 55 GB.

  Further, by displaying 100d today, the past volume feeling can be grasped at a glance. Today's 100d display is identified and displayed with lines, icons, characters, and the like. For example, it is displayed in an easy-to-understand manner for the user by a method of displaying with a red line, a method of attaching a down arrow “↓”, or a method of attaching a symbol “◆”, for example.

  When the cursor is brought close to the display dot of the medical record volume indicator 100 and a click operation is performed, the date indicated by the clicked dot or the electronic medical record, the nursing record or the worksheet 100e near or near the date is acquired and displayed on the same screen. It is designed to be displayed simultaneously (for example, pop-up display). If there is no record around the clicked area, the following two processes are prepared. If “fuzzy setting” is requested in the first process, the result of the search with the set value / fixed value condition is displayed. If “accurate setting” is requested in the second process, “nothing is displayed as not applicable” or “not applicable” is displayed.

  The vertical axis of the chart volume indicator 100 may be set as the time (date) axis, and the horizontal axis may be set as the volume. The electronic medical record, nursing record, or worksheet 100e may be displayed on the medical record volume indicator 100 in an overlapping manner. This function is used as a display / input tool for all handling the time axis such as date (time). The vertical direction (volume on the same day) of the medical record 100b and the nursing record 100c is optimally about 5 dots at maximum. The display form is not limited to dot display, and the peak value may be displayed as a line graph or an approximate curve connected by line segments.

  FIG. 2 is an enlarged view of a part of the chart volume indicator 100. That is, the entire display / enlarged display of the indicator bar can be selected in response to an instruction request from a later-described medical care platform (terminal device). The enlarged display position can be changed with a scaler.

  Even in the enlarged display of FIG. 2, the number of times the doctor has performed medical examination / diagnosis / treatment (including surgery) is displayed on the upper side of the chart volume indicator 100 as a chart record 100 b. Further, the number of nursing inputs by the nurse is displayed as a nursing record 100c on the lower side. In the medical record 100b, the foreign record 100f, the discharge summary 100g, and the like are displayed in other display forms (changing the dot shape, coloring, shading, etc.) in an identifiable manner. In the nursing record 100c, an outpatient record 100h, an important record 100j, a nursing summary 100k, and the like are displayed in other display forms. Further, the reservation status 100m regarding medical treatment / examination can be displayed in an identifiable manner. These are realized by previously registering display forms corresponding to the contents of the medical record articles and the contents of the nursing records in the table and referring to them when the medical record volume indicator 100 is created.

  Thus, by displaying the medical record 100b and the nursing record 100c side by side at the same time, it can be used for examination of medical care and nursing. For example, when both the medical record 100b and the nursing record 100c are changed, it can be determined that the patient is in an acute state because the patient's state has changed significantly. Further, when a change is seen only in the chart record 100b, it becomes a material for discriminating that the medical treatment by the doctor is not effectively acting on the patient, and is a motivation to review the medical treatment. Further, when only the nursing record 100c is changed, it can be understood that the patient does not maintain a calm state. Based on these, appropriate treatment and nursing can be promoted.

  FIG. 3 is a block diagram showing an electronic medical record system for realizing the volume indicator function of the present invention. The volume indicator function realizes a volume display in which at least one dot is written in the bitmap every time one electronic medical record or nursing record is written. To achieve this, a default (blank) bitmap of all patients is provided in the patient indicator table 20b. Then, in the patient indicator table 20b, at least one dot is drawn on the patient indicator that stores the drawing area of the chart article and the nursing record as a bitmap for each patient in response to the number of times of inputting the chart article and the nursing record. .

A patient panel 10a is displayed on the screen of each medical treatment platform (indicated by one terminal device in FIG. 3 ) 10 operated by a doctor or nurse, and an indicator bar 10b shown in FIGS. Is displayed. The medical platform 10 is provided with volume indicator means for realizing the volume indicator of the present invention. The volume indicator means may be software, hardware, or a combination thereof.

  In FIG. 4, an example of the display screen 10-1 of the medical treatment platform 10 is shown. As shown in the display example of FIG. 4, an indicator bar 10-3 is displayed on the patient panel screen 10-2.

  In FIG. 3, a medical treatment platform (terminal device) 10 is connected to an order medical record database (hereinafter referred to as order medical record DB) 20 and a nursing database (hereinafter referred to as nursing data DB) 30. The order chart DB 20 and the nursing DB 30 are configured by a server device having a large storage capacity. Although the medical platform 10 is illustrated as one terminal device, in reality, a number of medical record input terminals and / or nursing input terminals are provided in a hospital or clinic. Further, the order chart DB 20 and the nursing DB 30 may be constructed in one server device.

The order medical record DB 20 describes a basic patient information table 20a indicating information on hundreds, thousands, or tens of thousands of patients, medical treatment / diagnosis acts performed on the patients, treatments, etc. A medical chart article table 20c to be stored and a patient indicator table 20b to implement the present invention are stored. The nursing DB 30 stores a nursing record table 30a that describes nursing actions performed on hundreds, thousands, or tens of thousands of patients.

  The patient information read from the patient basic information table 20a of the order chart DB 20 is displayed on the patient panel screen 10-2 of the diagnosis platform 10. The indicator bar 10-3 displays the patient's chart volume read from the patient indicator table 20b of the order chart DB 20 as an indicator. The medical record article or nursing record input from the medical record article or nursing record 10-4 is stored in the medical record article table 20c of the order medical record DB 20 or the nursing record table 30a of the nursing DB 30, and at the same time, the patient indicator of the order medical record DB 20 It is registered in the table 20b.

  Further, when one of the chart display dots of the chart volume indicator 100 displayed on the indicator bar 10b of the medical platform 10 is designated (clicked) and the reading of the chart article 40 is requested, from the chart article table 20c of the order chart DB 20 The requested date, or a medical record article at or near that date, is read out and displayed at the relevant position on the indicator bar 10b.

  Similarly, when one of the nursing display dots of the medical record volume indicator 100 displayed on the indicator bar 10b of the medical care platform 10 is designated (clicked) and the reading of the nursing record 50 is requested, the nursing record table 30a of the nursing DB 30 is used. The requested date or the nursing record at or near it is read and displayed at the relevant position on the indicator bar 10b. In this way, the electronic medical record or nursing record or worksheet 100e of FIG.

Next, the creation operation of the chart volume indicator 100 will be described with reference to FIG.
Data is input to the electronic medical record each time a doctor performs a medical treatment, examination, treatment, etc. on a patient. Namely, in medical chart input terminal 10 10, class Ant applications for electronic medical records electronic medical record of the patient is read from the chart article table 20c of the order chart DB20 is activated, it is displayed on the terminal 10- 10 ( For example, reference numeral 10-4 in FIG. Then, the doctor inputs data such as medical treatment / diagnosis / treatment on the electronic medical chart displayed on the screen, and the created electronic medical chart is stored in the order medical chart DB 20. In synchronization with this data input, the indicator bar creation server 60 operates, and the record input action (number of times) of the patient's medical treatment / diagnosis / treatment etc. corresponding to the date is entered in the patient indicator table 20b of the order chart DB20. Store as at least one dot.

In addition, data is entered into the nursing record chart for various actions performed by the nurse for the patient. That is, in the nursing input terminal 10-20 , the client application for the nursing record chart is activated, the nursing record chart of the patient is read from the nursing record table 30a of the nursing DB 30, and displayed on the terminal 10-20. . The nurse inputs data on various actions for nursing on the nursing record chart displayed on the screen, and the created nursing record is stored in the nursing record table 30a of the nursing DB 30. In synchronization with this data input, the indicator bar creation server 60 operates, and the patient's nursing record input action (number of times) corresponding to the date is recorded in the patient indicator table 20b of the order chart DB 20 with at least one dot. Remember as.

  Further, the indicator bar creation server 60 is connected so that, for example, a radiation report, a medical examination report, and the like can be captured online from another system 70. Accordingly, when the indicator bar creation server 60 fetches radiation reports, medical checkup reports, etc. from other systems 70, the record input actions (number of times) corresponding to dates are similarly entered into the patient indicator table 20b of the order chart DB 20. Is also stored as at least one dot.

  Each time such a process is performed on each patient, each patient indicator table 20b of the order chart DB 20 is accumulated as at least one dot corresponding to the date, and the chart volume indicator 100 shown in FIG. Created.

  Next, with reference to FIG. 6, the dot drawing software processing by the indicator bar creation server 60 will be described.

When recording (input) to the electronic medical record and nursing record is performed from the medical care platform 10 and an article registration button (not shown) is pressed, the indicator bar creation server 60 registers an article in the patient indicator table 20b ( Step S10). In synchronization with this, the indicator bar writing preparation (queue creation) is performed (step S20). However, the indicator bar creation process may be executed by referring to the article registered in the subsequent work without being linked to the article registration.

  Next, the indicator bar creation server 60 counts and adds 1 to the number of data on the date (today) in order to determine the position and number of bar data (step S30). That is, when there are a plurality of recording input times on the same day, control is performed so as not to exceed a set value (for example, “5 dots”) by counting them. Next, the indicator bar creation server 60 determines the color of the bar data according to the article attributes and SOAP. For example, the dot display color of the outpatient record is determined to be gray, the dot display color of the medical record article is determined to be blue, and the dot display color of the nursing record is determined to be pink (step S40). Further, the important record 100j is displayed with the dot display color “red” as the important flag. Those that are not important are left as they are (step S50). These display colors may be automatically set according to the attribute of the recording information, or may be arbitrarily changed by the user.

  Next, the indicator bar creation server 60 acquires parameters of the length (number of dots) and date (year / month / day / From-To) of the bar data (step S60).

  If the above preparation is completed, the indicator bar creation server 60 acquires bar data from the patient indicator table 20b of the order chart DB 20 (step S70). Then, a volume point is drawn on the bar data. The drawn bar data is created, for example, as a two-dimensional bitmap Bmp file (step S80). Then, the indicator bar creation server 60 stores the bar data in the patient indicator table 20b of the order chart DB 20 (step S90).

  The indicator bar creation server 60 may be built in the medical treatment platform 10 or may be provided separately. The bar data may be in a file format capable of matrix display other than the bitmap Bmp file. Moreover, you may memorize | store in the patient indicator table 20b as drawing creation data for drawing them.

Next, another display example of the chart volume indicator 100 according to the present invention will be described with reference to FIGS.
In FIG. 7 (a), the chart record 100b and the nursing record 100c are displayed on the top and bottom (left and right in the case of the vertical display) around the center line 200 by the processing of the indicator bar 10b of the medical platform 10. . Moreover, in FIG.7 (b), the nursing record 100c is displayed independently. Similarly, the chart record 100b can be displayed alone.

  FIG. 8 is a diagram illustrating a display example of the date difference in the specified period. The operation screen of the medical platform 10 is designed so that two display positions on the chart volume indicator 100 can be freely specified. When From 300 and To 301 are designated, the period between them is automatically calculated and displayed as the day difference 303.

  FIG. 9 is a diagram showing a long-term display and a short-term display of the chart volume indicator 100. The operation screen of the medical platform 10 is designed so that long-term display 350 and short-term display 360 (including period input) can be specified. The long-term display 350 is displayed on a scale of the system service life or higher, and when the short-term display 360 is selected, the chart volume indicator 100 is displayed for a short period of time for the input specified period. These long-term display 350 and short-term display 360 may be displayed simultaneously by the indicator bar 10b, or each may be displayed independently. Further, the short-term display 360 may be combined with the enlarged display shown in FIG.

  FIG. 10 is a diagram showing a display example that specializes the hospitalization period. The operation screen of the medical platform 10 is designed so that the “hospital history” of the patient can be specified. When the request for “history of hospitalization” is received, the hospitalization attribute recorded in the patient indicator table 20b is retrieved by the indicator bar 10b, and the confirmation is performed by performing the hospitalization period display 370 in FIG. Can be done immediately. Further, the enlarged display 380 can be performed. In addition, by performing the operation described with reference to FIG. 1, it is possible to quickly view the electronic medical record, nursing records, and worksheets during the hospitalization period.

  FIG. 11 is a diagram showing the past number of recordings before and after the display period, accompanying the chart volume indicator. The operation screen of the medical platform 10 is designed so that the number of records before and after the chart volume indicator 400 displayed in an enlarged manner can be obtained. When the operation is performed, the indicator bar 10b searches the record information in the patient indicator table 20b and displays the number of records together with the chart volume indicator 400.

  In the display example of FIG. 11, the number of past date charts near the display is displayed as “5 <”, and the number of past date (or past hospitalization) charts far from the display is displayed as “10 <<”. Further, the number of previous date charts closer to the display is displayed as “> 10”, and the number of previous date (or earlier hospitalized) charts farther than the display is displayed as “>> 0”. Similarly, the past date nursing record number near the display is displayed as “4 <”, and the past date (or past hospitalization) nursing record number far from the display is displayed as “12 <<”. Further, the number of previous-day nursing records near the display is displayed as “> 5”, and the number of previous-day nursing records (or hospitalizations) farther than the display is displayed as “>> 1”.

  FIG. 12 is a display example when a plurality of chart volume indicators are displayed simultaneously, and FIG. 13 is a flowchart showing the operation. The operation screen of the medical platform 10 is designed so that a plurality of chart volume indicators 500a to 500d can be displayed simultaneously.

  For example, even if the disease is the same, the contents of medical treatment / treatment and the contents of assistance / nursing differ depending on the symptoms of each patient. In case studies and the like, appropriate medical treatment / treatment, and assistance / nursing research are performed for the same disease by comparing the patient's medical records and / or nursing records.

  Accordingly, the medical care platform 10 extracts a plurality of patient names that have received medical care / treatment and assistance / nursing for the same disease in the past from the medical record article table 20c, and records the patient's medical record volume indicators 500a to 500d as the patient indicator table 20b. And is displayed on the indicator bar 10b (step S100). FIG. 12A shows a state in which the chart volume indicators 500a to 500d of the patients A to D are displayed.

  Next, the start date of the day of receiving medical care / treatment, assistance / nursing for the same disease is designated from the medical care platform 10, and an instruction is given to display the time axis of each start date together (step S110). . The start date may be input directly by the operator or may be dragged to a specific position with the mouse. In FIG. 12A, it is instructed to display in accordance with the date indicated by the broken line 550.

  Next, enlargement display or period designation display is instructed from the medical treatment platform 10 (step S120). FIG. 12B shows a state in which enlarged medical chart volume indicators 600a to 600d are displayed based on the start dates of the patients A to D. By comparing these enlarged medical record volume indicators 600a to 600d, it is possible to conduct a comparative study of medical treatment / treatment, assistance / nursing according to the patient's symptoms (step S130). For example, when patient B who has been hospitalized for a long time knows from the display form 600h on the screen that he / she received treatment different from other patients, the chart at that time is read from the chart article table 20c and displayed. It is possible to perform work with good characteristics.

Next, a search display function for such an indicator bar will be described. ○
For example, in the display of the indicator bar 10-3 in FIG. 4, a function for searching and highlighting whether or not there has been a lot of treatment and nursing experience in a certain period from the past history of the patient is desired. . FIG. 14 is a flowchart showing an operation for searching for such a place and highlighting it.

  First, the operator sets and inputs the period (number of days) and the number of dots on the indicator bar within the period as search conditions from the medical platform 10 (step S200). The medical platform 10 searches the patient indicator table 20b according to the search condition (step S210). Then, the corresponding part on the indicator bar 10-3 is highlighted (for example, red) and displayed as a result (step S220). For example, when searching that there is an experience of continuously receiving medical care and nursing for 14 days or more, the period is set to “14 days” or longer, and the dot number sum of the medical record record 100b and nursing record 100c is set to “30” or higher. In this case, the sum of the number of dots in units of 7 days may be counted, and the sum of two times (for 14 days) indicating “30” may be extracted. Further, if this search result is stored in the patient indicator table 20b, it can be reused as necessary. Furthermore, when the searched corresponding part is a long period, the start position and the end position may be highlighted, or the entire period may be filled and displayed.

  Next, FIG. 15 is a flowchart showing the similarity search operation of the indicator bar.

  For example, it is desired to search whether there is a thing similar to a certain medical care pattern in the past, and to plan medical care and nursing with reference to it. The search target in this case may be the same patient or a number of different patients.

  Therefore, the medical care platform 10 extracts and extracts the medical care pattern to be searched from the indicator bar 10-3. Alternatively, a medical pattern is stored in advance in the medical platform 100, and the corresponding pattern is read (step S300). Next, the matching rate (for example, the matching rate “70%” or more) of the cut pattern or medical pattern is set (step S310). Based on these conditions, a similar pattern is searched for the patient indicator table 20b (step S320). When the medical platform 10 extracts a similar pattern, the medical platform 10 displays an indicator bar 10-3 having the similar pattern on the screen. At the same time, a similar pattern portion is identified and displayed (step S330). If a similar medical care pattern can be found from the past patient history (indicator bar) by such a search function, a medical care or nursing care plan can be easily made with reference to that pattern.

  According to the present invention, in response to the number of record inputs of the medical record article and nursing record, at least two axes consisting of the date axis and the axis indicating the amount of information of the record input number are arranged on at least two axes for each patient. By storing drawing data in which one dot is drawn or drawing creation data that can be drawn as a patient indicator in the patient indicator table, how much medical care / diagnosis / treatment the patient has received in the past, and how much assistance / nursing Volume display is performed so that it can be grasped at a glance whether or not it has been received, and the volume feeling in the paper chart can be realized.

  The present invention is not limited to the above-described embodiment, and the design may be changed as appropriate without departing from the gist of the present invention. Moreover, you may combine each of each embodiment arbitrarily.

The figure which shows the example of a display of the chart volume indicator produced by the chart volume indicator function of the electronic chart system of this invention. The figure which shows the enlarged example of the chart volume indicator by this invention. The block diagram which shows the structure of the electronic medical chart system of this invention. The figure which shows the example of a display which displayed the medical chart volume indicator by this invention on the electronic medical chart. The block diagram which shows the connection structure of the indicator bar production | generation server of this invention. The flowchart which shows operation | movement of the indicator bar production | generation server of this invention. The figure which shows the other example of a display of the medical chart volume indicator of this invention. The figure which shows the other example of a display (daily difference display) of the chart volume indicator of this invention. The figure which shows the other example of a display (short-term display) of the chart volume indicator of this invention. The figure which shows the other example of a display (inpatient period) of the medical chart volume indicator of this invention. The figure which shows the other example of a display (number of past dates) of the medical chart volume indicator of this invention. The figure which shows the example of a display which displayed multiple medical chart volume indicators of this invention. The flowchart which shows the operation | movement in the case of displaying multiple medical record volume indicators of this invention. The flowchart which shows the operation | movement of the search and highlight display by the period and the number of dots of this invention. The flowchart which shows the operation | movement of the similar pattern search and identification display of this invention.

Explanation of symbols

DESCRIPTION OF SYMBOLS 100 ... Medical record volume indicator 100b ... Medical record record 100c ... Nursing record 100e ... Electronic medical record or nursing record or worksheet 10 ... Medical treatment platform 10a ... Patient panel 10b ... Indicator bar 20 ... Order chart DB
20a ... Patient basic information table 20c ... Medical record article table 30 ... Nursing DB
30a ... Nursing record table 60 ... Indicator bar creation server system

Claims (12)

Synchronously with the record input of the medical record article or nursing record from the input terminal operated by the doctor or nurse, the date axis for inputting the medical record article or the nursing record for each patient, and the axis indicating the information amount of the record input number, Indicator bar creating means for creating drawing data of at least one dot indicating the number of times of input and information for identifying the contents of the medical chart article or nursing record on the two axes comprising :
A patient indicator table in which the drawing data created by the indicator bar creating means is stored and stored as a chart volume indicator indicating the volume of the medical record article or nursing record of each patient;
A medical record article table storing medical record articles of a large number of patients,
Volume indicator means for displaying the patient's chart volume indicator read from the patient indicator table on a part of the patient panel screen of the specified patient chart article read from the chart article table displayed on the input terminal;
Comprising
An electronic medical chart system characterized in that it is possible to grasp at a glance how much a patient has received medical care or nursing in the past by using the medical chart volume indicator on the patient panel screen instead of a paper medical chart volume . Synchronized with the record input of the medical record article and the nursing record from the input terminal operated by the doctor and the nurse, the date axis for inputting the medical record article and the nursing record for each patient, and the axis indicating the information amount of the record input number, Indicator bar creating means for creating drawing data of at least one dot indicating the number of times of input and information for identifying the contents of the medical chart article and nursing record on the two axes comprising :
A patient indicator table in which the drawing data created by the indicator bar creating means is stored and stored as a chart volume indicator indicating the volume of the medical record article and nursing record of each patient;
A medical record article table storing medical record articles of a large number of patients,
Volume indicator means for displaying the patient's chart volume indicator read from the patient indicator table on a part of the patient panel screen of the specified patient chart article read from the chart article table displayed on the input terminal;
Comprising
An electronic device characterized in that, instead of a paper chart volume, the chart volume indicator on the patient panel screen can grasp at a glance how much the patient has received medical treatment / diagnosis / treatment and care / nursing in the past. Medical chart system. When the specific dot position in the medical chart volume indicator displayed on the screen is clicked, the volume indicator means displays the date of the dot position or the electronic medical chart, the nursing medical chart or the worksheet at or near the date. 3. The electronic medical record system according to claim 1, wherein the electronic medical record system is read from an article table and displayed. The electronic medical record system according to claim 1 or 2 , wherein the medical record volume indicator is displayed in a color, a form, or a shape so that at least important records can be identified. The date axis of the chart volume indicator has a length of time that the system's claim 1 or claim today in the date axis, characterized in that it appears as discernible 2 Electronic medical record system described in 1. The volume indicator means simultaneously displays the number of past date charts or the number of past date nursing records before and after the displayed short-term period when displaying the chart volume indicator for a specified short-term period. Or the electronic medical chart system of Claim 2 . Synchronously with the record input of the medical record article or nursing record from the input terminal operated by the doctor or nurse, the date axis for inputting the medical record article and the nursing record for each patient, and the axis indicating the information amount of the recording input number Creating drawing data in which at least one dot indicating the number of times of input and information for identifying the contents of the medical record article or nursing record is drawn on two axes comprising :
The created drawing data is stored and stored in a patient indicator table as a medical record volume indicator indicating the volume of the medical record article or nursing record of each patient,
Displaying the chart volume indicator of the patient read from the patient indicator table on a part of the patient panel screen of the chart of the designated patient read from the chart article table displayed on the input terminal ;
A medical record volume indicator control method characterized in that, instead of a paper medical record volume, it is possible to grasp at a glance how much a patient has received treatment or nursing in the past by using the medical record volume indicator on the patient panel screen . Synchronously with the chart record input of the chart article from the chart input terminal operated by the doctor, on two axes consisting of a date axis for inputting the chart article for each patient and an axis indicating the amount of information of the number of chart record inputs , Creating first drawing data in which at least one dot indicating the number of times of input and information identifying the contents of the medical chart article is drawn;
Synchronized with the nursing record input from the nursing input terminal operated by the nurse, two axes on the date axis for inputting the nursing record for each patient and the axis indicating the information amount of the nursing record input count And generating second drawing data in which at least one dot indicating the number of times of input and information for identifying the contents of the nursing record is drawn,
The created first drawing data and second drawing data are accumulated and stored in a patient indicator table as a chart volume indicator indicating the volume of the medical record article and nursing record of each patient,
The chart volume indicator of the patient read from the patient indicator table is displayed on a part of the patient panel screen of the chart chart of the designated patient read from the chart article table displayed on the chart input terminal or the nursing input terminal. And
Instead of a paper chart volume, the chart volume indicator on the patient panel screen allows the patient to know at a glance how much the patient has received medical treatment / diagnosis / treatment and care / nursing in the past. Volume indicator control method. Synchronously with the chart record input of the chart article from the chart input terminal operated by the doctor, on two axes consisting of a date axis for inputting the chart article for each patient and an axis indicating the amount of information of the number of chart record inputs , Creating first drawing data in which at least one dot indicating the number of times of input and information identifying the contents of the medical chart article is drawn;
Synchronized with the nursing record input from the nursing input terminal operated by the nurse, two axes on the date axis for inputting the nursing record for each patient and the axis indicating the information amount of the nursing record input count And generating second drawing data in which at least one dot indicating the number of times of input and information for identifying the contents of the nursing record is drawn,
The created first drawing data and second drawing data are accumulated and stored in a patient indicator table as a chart volume indicator indicating the volume of the medical record article and nursing record of each patient,
The chart volume indicator of the patient read from the patient indicator table is displayed on a part of the patient panel screen of the chart chart of the designated patient read from the chart article table displayed on the chart input terminal or the nursing input terminal. And
At least the period, searches the patient indicator table and the number of dots within that period as a search condition, part or all of the locations and the search and extraction indicator in the bar of the chart volume indicator is Ru displayed on the patient panel screen A method for searching and displaying an indicator bar characterized by highlighting. Synchronously with the chart record input of the chart article from the chart input terminal operated by the doctor, on two axes consisting of a date axis for inputting the chart article for each patient and an axis indicating the amount of information of the number of chart record inputs , Creating first drawing data in which at least one dot indicating the number of times of input and information identifying the contents of the medical chart article is drawn;
Synchronized with the nursing record input from the nursing input terminal operated by the nurse, two axes on the date axis for inputting the nursing record for each patient and the axis indicating the information amount of the nursing record input count And generating second drawing data in which at least one dot indicating the number of times of input and information for identifying the contents of the nursing record is drawn,
The created first drawing data and second drawing data are accumulated and stored in a patient indicator table as a chart volume indicator indicating the volume of the medical record article and nursing record of each patient,
The chart volume indicator of the patient read from the patient indicator table is displayed on a part of the patient panel screen of the chart chart of the designated patient read from the chart article table displayed on the chart input terminal or the nursing input terminal. And
The patient panel table is searched by inputting a pattern obtained by cutting out a part of the chart volume indicator on the patient panel screen or a pre-registered medical treatment pattern and the matching rate of the pattern, and the matching rate is set to the matching rate. A method for searching and displaying an indicator bar, wherein when a corresponding similar pattern is extracted, a part of the chart volume indicator having the similar pattern is displayed on a screen and the similar pattern is identified and displayed. Synchronously with the record input of the medical record article or nursing record from the input terminal operated by the doctor or nurse, the date axis for inputting the medical record article or the nursing record for each patient, and the axis indicating the information amount of the record input number, A function of creating drawing data of at least one dot indicating the number of times of input and information for identifying the contents of the medical record article or nursing record on the two axes comprising :
A function of accumulating and storing the created drawing data in a patient indicator table as a medical record volume indicator indicating the volume of the medical record article or nursing record of each patient;
Instead of the paper chart volume, the chart volume indicator on the patient panel screen reads from the chart article table displayed on the input terminal so that the patient can see at a glance how much treatment or nursing has been received in the past. A function of displaying the chart volume indicator of the patient read from the patient indicator table on a part of the patient panel screen of the specified patient chart article;
A medical record volume indicator program for causing a computer to execute each function. Synchronously with the chart record input of the chart article from the chart input terminal operated by the doctor, on two axes consisting of a date axis for inputting the chart article for each patient and an axis indicating the amount of information of the number of chart record inputs A function of creating at least one dot of first drawing data indicating the number of times of input and information identifying the contents of the medical chart article ;
Synchronized with the nursing record input from the nursing input terminal operated by the nurse, two axes on the date axis for inputting the nursing record for each patient and the axis indicating the information amount of the nursing record input count A function of creating at least one dot of second drawing data indicating the number of times of input and information for identifying the contents of the nursing record ;
A function of accumulating and storing the created first drawing data and second drawing data in a patient indicator table as a chart volume indicator indicating the volume of the medical record article and nursing record of each patient;
Instead of the volume of the paper chart, the chart input terminal or the above-mentioned chart volume indicator on the patient panel screen allows the patient to know at a glance how much the patient has undergone medical treatment / diagnosis / treatment and care / nursing in the past A function of displaying the chart volume indicator of the patient read from the patient indicator table on a part of the patient panel screen of the chart of the designated patient read from the chart article table displayed on the nursing input terminal ;
A medical record volume indicator program for causing a computer to execute each function.

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