JP6498404B2 - Partogram display device - Google Patents

Description

  Embodiments described herein relate generally to a partogram display device.

  Paltogram is a diagram that shows the progress of labor at a glance, and it is good to record labor pain attack time, labor pain intermittent time, uterine mouth opening degree, head drop degree, sagittal suture direction, etc. Are known. Conventionally, recording by paper is common, and there is almost no computer that records and displays the progress of labor in time series.

  In the partogram recorded on paper, the time axis is in the vertical direction (Y direction). Therefore, when computerized, if a general method is considered, there is a possibility that the display is performed with the time axis set in the horizontal direction (X direction). For this reason, the horizontal axis expression is unfamiliar, and smooth introduction is difficult. In addition, nursing records and patient schedules along the time axis could not be expressed in a format along the graph. In other words, if the time axis is set to the vertical direction (Y direction), the graph display can be displayed simply by changing the vertical display to the horizontal display. However, nursing records, which are part-time progress data, are displayed vertically in accordance with the time axis. It becomes difficult to read when it is displayed in multiple lines.

Patent No. 4364138 JP 2006-505323 A

  Therefore, the problem to be solved by the present invention is to express the recorded contents at the time of delivery with a vertical graph, and the graph expression can also be expressed equivalent to the paper operation using icons that change depending on the filling and execution contents It is another object of the present invention to provide a partogram display device that displays nursing records and patient schedules by matching positions with time series expressed in a graph.

In order to achieve the above object, a partogram display device according to an embodiment includes a means for retrieving and reading a patient's delivery progress data and event information from an electronic medical record DB, and a graph from the graph display data included in the delivery progress data. An area for displaying a graph area in which the Y axis (vertical axis) is set as a time direction, a nursing record included in the labor progress data, and the event information, has a nursing record area Y-axis (vertical axis) is set as a time direction, and has a Parutoguramu display control means for displaying the Parutoguramu set plurality of data values in the X-axis (horizontal axis), the The partogram display control means corresponds to the fixed length corresponding to the graph, the nursing record, and the event information with respect to the Y-axis according to selection. Fixed length, the nursing record and to display the event information and Parutoguramu set to any of the corresponding variable length, characterized in that.

  According to this embodiment, computerization can be smoothly performed from paper. In addition, graph representation, implementation results, nursing records, and patient schedules can be referenced coaxially. In addition, various recording inputs can be freely made in time series. In addition, it is possible to input an implementation record linked to a nursing record. Furthermore, there is an effect that information can be managed every day.

It is a block diagram which shows the structure of the partogram display apparatus which concerns on embodiment. It is a figure which shows a detailed example of the partogram by the reference screen part which concerns on embodiment. It is a figure which shows a function when the line height adjustment check box which concerns on embodiment is "ON". It is a figure which shows a function when the line height unification check box which concerns on embodiment is "ON". It is a figure which connects the minimum value and the maximum value of the labor duration of the graph scale which concerns on embodiment, and shows the filling of a graph. It is a figure which displays the list of the context menu which concerns on embodiment. It is a figure which shows the nursing recording area which concerns on embodiment. It is a figure which shows the example which displays the nursing record list c4 and the event list c5 which concern on embodiment separately on right and left, and the example which mixes and displays the nursing record list c4 and the event list c5 in one. It is a figure which displays a horizontal line of time in a graph data display area when the mouse record list concerning an embodiment is moved over. It is a figure which shows the input screen 600f when double-clicking on the nursing record "01:15" concerning embodiment. It is a figure which shows the display of a schema comment and "icon" c9, and the display of a schema to the nursing record which concerns on embodiment. It is a figure which shows an example of the comment input screen which concerns on embodiment.

  Hereinafter, embodiments of the present invention will be described with reference to the drawings.

  The partogram display device according to the embodiment has a function of displaying the execution data as a graph or an icon, a function of displaying a list of nursing records / events, a function of inputting a labor progress status, and the like.

  FIG. 1 is a diagram showing a configuration of a partogram display device. The partogram display device includes an electronic medical record DB (DB) 100, a nursing support DB 200, a DB search / read processing unit 300, a registration data conversion / write processing unit 400, a partogram display control unit 500, a terminal device display unit 600, The table 700 is configured.

  The electronic medical record DB 100 and the nursing support DB 200 are stored in a server device constituting the hospital information system. Here, although the network configuration of the hospital information system is omitted, the electronic medical record DB 100 and the nursing support DB 200 are connected to a number of terminal devices in each ward via a network (LAN, Internet, or other connection may be used). . The table 700 is stored in one or both of the server side and the terminal device side. The DB search / read processing unit 300 and the registration data conversion / write processing unit 400 are functional units provided on the server side, but may be provided on the terminal device side. The partogram display control unit 500 and the display unit 600 are functional units provided in the terminal device.

  The electronic medical record DB 100 is a general electronic medical record. In addition to the patient's personal information, the medical examination / treatment contents from the past that the patient has visited are recorded and accumulated as a history. Also in the present embodiment, the nursing record and nursing practice data relating to the delivery of the patient input from the partogram input screen 600f of the terminal device, and the data input from the partogram are converted and written by the registration data conversion / write processing unit 400. Are recorded sequentially in the electronic medical record DB 100 and the nursing support DB 200. In addition, information for supporting nursing records input from the event list (displaying patient schedule information) is sequentially input to the electronic medical record DB 100 by the registration data conversion / write processing unit 400. Also, comment input information (partogram-specific data) input from a comment input screen described later is sequentially input to the nursing support DB 200 via the registration data conversion / write processing unit 400. Further, in the partogram display, information necessary for creating a graph included in the data recorded in the electronic medical record DB 100 is written in the table 700. The table 700 manages display control of display items, display ranges, methods (colors, etc.), execution items, and the like.

  The DB search / read processing unit 300 searches the electronic medical record DB 100 and the nursing support DB 200 based on the patient's name or identification number in response to the activation of the partogram display, reads the delivery progress data of the corresponding patient, This is output to the partogram display control unit 500. Here, instead of the electronic medical record DB 100 having a high access frequency, nursing records and nursing practice data are acquired from the nursing support DB 200 so that processing can be performed at higher speed.

  The partogram display control unit 500 includes a reference screen unit 510, an input screen unit 520, a comment input screen unit 530, and the like. The reference screen unit 510 displays a function button group 600a, a graph area 600b, a nursing record area 600c, and an event list 600d on the display unit 600 of the terminal device. The input screen unit 520 displays a partogram input screen 600f on the display unit 600 when inputting nursing records or nursing care. The comment input screen unit 530 displays a comment input screen for inputting a comment during labor on the display unit 600.

  FIG. 2 is a diagram showing a detailed example of a partogram by the reference screen unit 510. The reference screen unit 510 displays the delivery progress data of the patient read by the DB search / read processing unit 300. The reference screen unit 510 displays a function button group 600a on the upper part of the display unit 600 of the terminal device, displays a graph area 600b on the left side of the display unit 600, and displays a nursing record area 600c and nursing work on the right side of the display unit 600. The supporting event list 600d is displayed. By this event list 600d, it is possible to display past results and future plans for the patient. Settings relating to the number of ruled lines, the graph scale, and the icon display area in the graph area 600b are acquired from the partogram table 700 prepared in the system definition table.

  The function button group 600a includes buttons for displaying a graph, changing a reference time, changing a graph displayed in the graph area, starting a comment input screen, and the like.

  The graph area 600b displays the time flow on the vertical axis (Y axis) from top to bottom. Along with the flow of time, nursing practice data from the electronic medical record DB 100 on the server device side is displayed as a graph (line drawing / painting) or an icon. The time axis can be set by selecting from a fixed length (graph priority) by setting, a fixed length according to nursing record / event information, or a variable length according to nursing record / event information. It is said.

  Similarly to the graph area 600b, the nursing record area 600c also displays the time flow on the vertical axis (Y-axis) from top to bottom. The nursing record data from the electronic medical record DB 100 is displayed in a list along the flow of time. Also, nursing support data from the electronic medical record DB 100 is displayed in the event list 600d. Then, table data creation, arrangement position determination in accordance with the time axis, electronic medical record link information / image link information set, and the like are performed.

  Next, each display content displayed by the reference screen unit 510 will be described.

(Function button group 600a)
The patient basic information display area a1 displays the patient number, patient name, age, and the like.

  The graph pattern change combo box a2 has the same function as the thermal table setting. By switching the combo box, the display contents (display pattern) of the graph can be switched. That is, since the information to be viewed varies depending on the condition of the pregnant woman, the condition of the fetus, and the like, these patterns can be set in the table 700 in advance and switched.

  The display period change combo box a3 is used when changing the display period and unit time interval (time for each ruled line) of the entire graph by changing the combo box. FIG. 2 shows a display example in units of 1 hour, but it can be set freely such as 2 hours or 3 hours. The display period and unit time interval of the entire graph can be set in the partogram table 700.

  The display reference date box a4 is used when specifying the display reference date. As a reference date designation method, there are a method of directly inputting a reference date, or a method of selecting a calendar by displaying a calendar with a ▼ button.

  The reference time box a5 is used when setting the reference time. As a method for setting the reference time, there are a method in which the time is directly input or a method in which a time table is displayed with the ▼ button and selected from there. The display period can be moved by operating the arrow buttons on the left and right of the boxes a4 and a5.

  The comment display area a6 displays a comment input on a comment input screen 600g (see FIG. 12) described later. As the comment to be displayed, the comment input on the display start date of the screen is displayed.

  The comment input screen start button a7 is used when starting the comment input screen 600g (see FIG. 12).

  The end button a8 is used to end the partogram screen.

(Graph area 600b)
The graph area 600b has functions such as display of graph data / icon / graph scale / legend, adjustment of the line height of the graph, activation of the immediate action item selection screen, designation of a specific fetus (only in the case of multiple fetuses), etc. Have. In addition, the actual values are displayed in a graph plot, and the fetal orientation, the sex of the baby that gave birth, and the presence or absence of nursing records are displayed as icons.

<Immediate execution button b1>
When the immediate execution button b1 is pressed, an application of an immediate execution item selection screen (hereinafter referred to as an immediate execution screen) is activated. Then, an implementation content is input using the partogram input screen 600f. Items selected on the immediate execution screen are reflected on the partogram input screen 600f. If the input screen has already been activated, the partogram input screen 600f is displayed in the foreground of the reference screen.

<Line height adjustment check box b2>
The row height adjustment check box b2 can be set to display / non-display by program control. When the row height adjustment check box b2 is “ON”, a vertical scroll bar (not shown in FIG. 2) is displayed only in the nursing record area 600c, and the scrolling of the graph area 600b and the nursing record area 600c is synchronized. And as shown in FIG. 3, the line height for every unit time of the graph area 600b and the nursing record area 600c is made the same. That is, in FIG. 2, nursing records from “03:05” to “03:40” on the 12th do not correspond to the time of the graph (between 3 o'clock and 4 o'clock), but are adjusted to the same height in FIG. Yes. This process is realized by changing the height of “3 o'clock to 4 o'clock” on the graph scale of the partogram table 700. That is, the line height per unit time is adjusted based on the height of the nursing record area 600c. On the other hand, when this check box is “OFF”, vertical scroll bars are displayed in the graph area 600b and the nursing record area 600c, respectively, and the scroll of the graph area 600b and the nursing record area 600c is asynchronous. The line height of the graph area 600b and the nursing record area 600c is not adjusted.

<Unified row height check box b3>
This row height unified check box b3 can also be set to display / hide by program control. When the line height check box b3 is “ON”, the line heights of all unit times displayed in the graph area 600b are unified. That is, as shown in FIG. 4, the height of “1 o'clock -2 o'clock”, “2 o'clock-3 o'clock”, with “3 o'clock-4 o'clock” being the highest line height in the left graph. The height, “4 o'clock to 5 o'clock” (hereinafter the same), are all set to the same height, and are displayed as in the graph on the right side of FIG. This is realized by changing other time intervals to the same height on the basis of the height of “3 o'clock to 4 o'clock” on the graph scale of the partogram table 700. On the other hand, in the case of “OFF”, it becomes inactive.

The graph area 600b and nursing record area 600c can be displayed in the format shown in Table 1 by combining the row height adjustment check box B2 and the row height unified check box b3.

<Graph scale area b4>
In the graph scale area b4, the scale of each display data is displayed on the X axis (horizontal axis) with respect to the date and time on the Y axis (vertical axis). A plurality of scale data can be shared on the same axis of the X axis, and the scales can be displayed in an overlapping manner. The number of lines on the Y axis and the number of columns in the graph scale area b4 are set by the gram scale in the partogram table 700. A plurality of scales can be set on the same line. For example, in FIG. 2, scales (10 to 50) corresponding to the shading graph of “Labor seizure” are shown on the left side, and scales (1 to 50) corresponding to the shading graph of “split” are shown on the left side to the right side. 14), and the scale (100 to 180) corresponding to the horizontal bar of “Large uterine ostium” is shown on the center-right side.

<Graph data display area b5>
In the graph data display area b5, the execution data of the currently selected “paper pattern” is displayed as a graph. The graph line type / graph color / line width and the like for each graph can be set and changed on the graph scale of the partogram table 700. In addition to the ruled line of the graph itself, a ruled line representing the current date and time can be displayed. The height per unit time of each line can be specified by setting the graph scale of the partogram table 700. A unit time (1 to 3 hours, etc.) can also be set. In the setting of the scale, a plurality of patterns can be prepared and switched on the screen. The graph G1, as shown in FIG. 5, refers to the labor scale duration (input point) of the graph scale of the partogram table 700, connects the minimum value and the maximum value, and displays the entire graph data in a shaded manner. is there. The display format is not particularly questioned, and may be a color fill.

  Reference numeral 10 in FIG. 2 is a bar display of the period of administration of the uterine contractor (ME). Reference numeral 20 indicates a legend (including implementation items) of graph icons displayed in the graph area 600b. For example, the icon indicated by reference numeral 30 represents the head of the fetus, and the line in the circle displays the head direction. The icon denoted by reference numeral 40 indicates the sex (here, “girls”) of the born child. The action item / icon to be displayed as an icon can be specified by setting the partogram table 700. In the case of multiple fetuses, fetal data is displayed by adding characters to the graph symbol, and the graph data is displayed overlapping. In the case of multiple fetuses, the display can be switched to only the first child or only the second child by a combo box.

<Context menu b6>
FIG. 6 displays a list of context menus. The context menu b6 is displayed when a mouse (not shown) is moved to data plotted in the graph area 600b and a right click is pressed. The data selected by right-clicking in the menu can be edited. In the context menu b6, functions such as “new nursing record” and “edit” are displayed in addition to various action items. “Edit” is used when the already performed data is corrected. “New nursing record” is used when a new nursing record is created. When any one of these menus is selected, the application on the input screen is activated, and the time when the mouse is right-clicked is automatically reflected in the execution time of the input screen.

(Nursing record area 600c)
FIG. 7 shows only the nursing record area 600c. At the top of the nursing record area 600c is a check box c1 for starting and displaying a partogram input screen 600f and a check box c2 for displaying a list of nursing records and an event list. A list of nursing records c4 is displayed below these check boxes. Here, nursing records and nursing practice data input on the partogram input screen 600 f are once recorded in the electronic medical record DB 100, which is read and displayed by the DB search / read processing unit 300. In the event list, events that are executed or not executed are displayed. Implementation / non-execution of the event list can be identified by changing the character color and displaying it.

<Input screen display check box c1>
When the check box c1 is “ON”, the partogram input screen 600f is started “modeless”. In other words, it is possible to specify whether or not the input screen is continuously displayed in the foreground, and is used when the input action is continuously performed. When “OFF”, the partogram input screen 600f is closed.

<Nursing record list / event list check box c2>
When this check box c2 is “ON”, a nursing record list / event list is displayed. When “OFF”, the nursing record list / event list is hidden. A scroll bar (not shown) can be displayed in each nursing record list / event list.

<Display event / record in the same list check box c3>
When this check box c3 is “OFF”, the nursing record list and the event list are displayed separately. That is, as shown on the left side of FIG. 8, when the nursing record list and event list in the check box c2 are “ON” and the check box c3 is “OFF”, the nursing record list c4 and the event list c5 are left and right. They are displayed separately. On the other hand, as shown on the right side of FIG. 8, when the nursing record list and event list in the check box c2 are “ON” and the check box c3 is “ON”, the nursing record list c4 and the event list c5 are displayed on the time axis. It can be set as the mix display c6 put together along.

<List of nursing records c4>
The nursing record list displays a list of the progress of labor during the display period expressed in words. As shown in FIG. 9, when the check box b4 for aligning the row height with the recording area is "OFF", if the mouse is moved over the nursing record list, the nursing record over which the mouse is over is displayed in the graph data display area. The time of b5 is displayed so as to confront with a horizontal line. For example, in FIG. 9, when the mouse is moved over the nursing record “03:05”, a broken horizontal line is displayed at “03:05” (approximately time) in the graph data display area b5. A horizontal line is also displayed when the nursing record time when the mouse is over is outside the graph data display area b5 by scrolling.

  In addition, if you double-click any nursing record displayed in the nursing record list c4, the nursing record that was double-clicked is reflected in the partogram input screen 600f, and the contents of the record can be modified. FIG. 10 is a diagram showing the input screen 600f when the nursing record “01:15” is double-clicked. The date and time data c5 on the input screen 600f reflects the date and time of the nursing record that was double-clicked. The nursing record is displayed as it is in the lower nursing record area c6. The nursing record area c6 also functions as an input area for nursing records newly added on the input screen. The newly entered nursing record is reflected in the graph area 600b as described above. The practitioner change button c7 is used to input or change the practitioner.

  In addition, for example, “nursing practice item” selected from the legend is entered in the practice record area c8. The confirmed nursing practice data is reflected in the graph area 600b. Therefore, input (including correction) by an operator can be easily performed. If there is nursing practice data associated with the nursing record, the nursing practice data is also reflected on the input screen. In addition, also in the “new nursing record” by selection from the context menu shown in FIG. 6, an input operation can be performed from the input image 600f shown in FIG.

  Next, in the nursing record, in addition to the text, an image (for example, schema) can be recorded and stored in the electronic medical record DB 100. When an image is recorded / saved in the electronic medical record DB 100, an “icon” c9 is displayed in the nursing record as shown in FIG. By hovering over the “icon” c9, a thumbnail image is popped up. Further, by clicking the “icon” c9, as shown on the right side of FIG. 11, the schema screen can be activated to view the recorded / saved schema. In addition, when editing a nursing record storing an image, the image can be edited. Although the handling of the schema image has been described here, other image data can be handled in the same manner.

(Comment input screen)
FIG. 12 shows a comment input screen 600g. The input screen 600g is used when inputting comment information. When the comment input screen activation button a7 of the function button group is pressed, this screen is launched. The input comment is displayed in the comment display area a6 of the function button group. The place where the comment is displayed is not particularly limited.

  The practitioner change button g1 in FIG. 12 inputs or changes the practitioner in the same manner as the practitioner change button c8 in FIG. In the comment input area g2, a comment to be registered is input. The title and the number of inputs in the comment input area g2 can be set. The comment input from the comment input screen 600g and the title of the comment input area are displayed in the comment display area a6. When the OK button g3 is pressed, the input comment is registered and the comment input screen is terminated.

  According to the present embodiment, since the time axis is set on the Y axis and a plurality of data values are set on the X axis, computerization from paper can be performed smoothly. On the Paltogram display screen, graph representations, implementation results, nursing records, and patient schedules can be referenced coaxially. Various record inputs such as nursing records, practice data, and comment inputs are possible in a format that matches the time axis of the Y axis. In the nursing record area, it is possible to input an implementation record linked to the nursing record. The height of each unit time can be adjusted, and the time line can be displayed on the graph when the mouse is over, so that it is easy to see and the information can be managed every day.

  Although several embodiments of the present invention have been described, these embodiments are presented by way of example and are not intended to limit the scope of the invention. These novel embodiments can be implemented in various other forms, and various omissions, replacements, changes, and combinations can be made without departing from the scope of the invention. These embodiments and modifications thereof are included in the scope and gist of the invention, and are included in the invention described in the claims and the equivalents thereof.

100 ... Electronic medical record database (database)
200 ... Nursing support DB (database)
300 DB search / read processing 400 Registration data conversion / write processing unit 500 Partogram display control unit 510 Reference screen unit 520 Input screen unit 530 Comment input screen unit 600 Terminal unit display unit 600a Function button Group 600b Graph area 600c Nursing record area 600d Event list 600f Paltogram input screen 600g Comment input screen 700 Paltogram table

Claims (14)

Means for retrieving and reading the patient's labor progress data and event information from the electronic medical record DB;
An area for displaying a graph from the graph display data included in the labor progress data, wherein the Y axis (vertical axis) is set as a time direction, a nursing record included in the labor progress data, and the An area for displaying event information, and a nursing record area whose Y axis (vertical axis) is set as the time direction, and a plurality of data values set on the X axis (horizontal axis) Partogram display control means for displaying
Have
The partogram display control means corresponds to the fixed length corresponding to the graph, the fixed length corresponding to the nursing record and the event information, the nursing record and the event information, with respect to the Y axis, according to the selection. Display the partogram set to one of the variable lengths,
Partogram display device. The partogram selects any one of a fixed length corresponding to the graph, a fixed length corresponding to the nursing record and the event information, and a variable length corresponding to the nursing record and the event information with respect to the Y axis. The partogram display device according to claim 1, comprising a plurality of function button groups including buttons . A table for controlling the display of the partogram;
The partogram display device according to claim 1, further comprising a nursing support DB that records data dedicated to the partogram. The partogram display control means includes:
A reference screen for displaying the graph area and the nursing record area;
An input screen unit for displaying a partogram input screen for inputting the nursing record and / or the implementation record according to the operation from the graph area and the nursing record area;
The partogram display device according to claim 1, further comprising: a comment input screen unit that displays a comment input screen for inputting a comment during labor. The nursing record and the event information are separately displayed in the nursing record area according to a selection input from a screen, or the nursing record and the event information are displayed in a time-series list. The partogram display device according to any one of claims 2 to 4.   The partogram display device according to any one of claims 1 to 5, wherein a time unit of the Y axis of the partogram can be selected as an arbitrary time unit.   The height of the Y axis for each unit time of the graph displayed in the graph area, and the height of the Y axis for each unit time of the nursing record in the time zone corresponding to the graph displayed in the nursing record area The partogram display device according to claim 2, wherein the display can be displayed at the same height.   The partogram display device according to claim 7, wherein at least a part of the graph expands in the Y-axis direction based on a time axis of the nursing record.   The height of the unit time on the Y axis of the graph displayed in the graph area can be set to a uniform height in accordance with the display location where the unit time is the highest. The partogram display device described in 1.   4. The partogram display device according to claim 2, wherein the graph displays fill data by connecting a minimum value and a maximum value of input points.   5. The partogram according to claim 1, wherein a context menu for inputting at least editing, new nursing records, labor / intermittent, and child heart sounds can be displayed in a list by an input operation from the graph area. Display device.   The partogram display according to claim 2 or 4, wherein when the mouse is over the nursing record displayed in the nursing record area, a horizontal line indicating the time of the nursing record in the graph area is displayed. apparatus.   The input screen reflecting the contents of the nursing record is displayed when an operation for correcting a part of the nursing record displayed in the nursing record area is performed. 4. A partogram display device according to 4.   The partogram display device according to claim 2, wherein a schema title and an icon are displayed on the nursing record displayed in the nursing record area.