JP6627279B2 - Medical treatment support system and electronic medical record device - Google Patents

Description

The present invention relates to a medical support system, and an electronic medical record equipment.

2. Description of the Related Art Conventionally, in the field of medical care, electronic documents prepared by doctors have been digitized, and electronic medical records for storing, managing, and managing information such as patient's medical conditions, examination contents, and prescriptions of drugs have been widespread (for example, And Patent Document 1).
With the spread of electronic medical records, convenience in inputting data into medical records, storing medical record data, and the like has been improved. Further, the visibility of a large amount of data is improved by a technique of displaying a time-series change of test data of a test performed on a patient or vital data of the patient in a line graph, or the like.

JP 2013-37586 A

  However, with the spread of electronic medical records, there is a problem that accessibility to information other than the contents described in actual medical records has been reduced. For example, there is a case in which, when describing a medical record, it is desired to save, as memo information, contents that are not described in an actual medical record among information on a patient. However, this memo information has not been associated with the medical record, and as a result, it has been difficult to ensure accurate access to the memo information.

The present invention is to sufficiently secure the accessibility of the electronic medical record and memo information, and an object thereof is to provide a medical support system, and an electronic medical record equipment capable of improving the convenience of the electronic medical record.

The invention described in claim 1 has been made to achieve the above object,
In a medical care support system in which a server device and an electronic medical record device including a display unit that displays an electronic medical record that records a medical practice for each patient and each diagnosis are connected to each other so that data communication is possible,
The electronic medical record device,
A memo input unit for inputting a memo accompanying the electronic medical record displayed on the electronic medical record screen of the display unit,
A memo information transmitting unit that transmits memo information relating to the memo input by the memo input unit to the server device,
A tag information acquisition unit that acquires tag information related to a tag indicating that the memo is attached to the electronic medical record, transmitted from the server device,
Based on the tag information acquired by the tag information acquisition unit, on the electronic medical record screen, a display control unit that displays a tag that is a tag of a target patient and satisfies a predetermined display condition,
With
The server device includes:
A memo information acquisition unit for acquiring memo information transmitted from the electronic medical record device,
A tag creation unit that creates the tag based on the memo information acquired by the memo information acquisition unit;
Tag information pertaining to the tag created by the tag creation unit, a tag information transmission unit that transmits to the electronic medical record device,
With
When a tag displayed on the electronic medical record screen is selected, the display control unit displays the electronic medical record associated with the tag and a memo attached to the electronic medical record on the electronic medical record screen. Is displayed.

According to a second aspect of the present invention, in the medical treatment support system according to the first aspect,
The electronic medical record device,
A term selection unit that selects a term described in a memo displayed on the electronic medical record screen,
Term information transmitting unit that transmits term information relating to the term selected by the term selecting unit to the server device;
A search result information acquisition unit that acquires search result information related to past electronic medical records and past memos including the term, transmitted from the server device,
With
The server device includes:
A term information acquisition unit that acquires term information transmitted from the electronic medical record device,
Based on the term information acquired by the term information acquisition unit, a search unit that searches for past electronic medical records and past memos including the term of the term information,
A search result information transmitting unit that transmits search result information on past electronic medical records and past memos searched by the search unit to the electronic medical record device,
With
The display control unit displays a search result on the electronic medical record screen based on the search result information obtained by the search result information obtaining unit.

According to a third aspect of the present invention, in the medical treatment support system according to the second aspect,
The display control unit, in the description of the memo displayed on the electronic medical record screen, to display the terms described in the past electronic medical records and past memos in an identifiable manner,
The term selecting unit selects a term described in a past electronic medical record and a past memo.

According to a fourth aspect of the present invention, in the medical treatment support system according to any one of the first to third aspects,
The tag creation unit creates a tag corresponding to the authority of the user who input the memo,
The display control unit may display the tag on the electronic medical record screen so that the authority of a user can be identified.

According to a fifth aspect of the present invention, in the medical treatment support system according to any one of the first to fourth aspects,
The display condition includes a display period,
The display control unit is configured to display, on the electronic medical record screen, only tags within the display period among all tags created for a target patient.

According to a sixth aspect of the present invention, in the medical treatment support system according to the fifth aspect,
The display control unit, when an electronic medical record associated with a tag outside the display period is displayed on the electronic medical record screen, displays the tag outside the display period on the electronic medical record screen. And

The invention according to claim 7 is
In electronic medical record devices,
A display unit that displays an electronic medical record that records medical care for each patient and each diagnosis,
A memo input unit for inputting a memo accompanying the electronic medical record displayed on the electronic medical record screen of the display unit,
A memo information acquisition unit that acquires memo information relating to the memo input by the memo input unit,
A tag creation unit that creates a tag indicating that the memo is attached to the electronic medical record based on the memo information acquired by the memo information acquisition unit;
A tag information acquisition unit that acquires tag information relating to the tag created by the tag creation unit,
Based on the tag information acquired by the tag information acquisition unit, on the electronic medical record screen, a display control unit that displays a tag that is a tag of a target patient and satisfies a predetermined display condition,
With
When a tag displayed on the electronic medical record screen is selected, the display control unit displays the electronic medical record associated with the tag and a memo attached to the electronic medical record on the electronic medical record screen. Is displayed.

  ADVANTAGE OF THE INVENTION According to this invention, the accessibility of an electronic medical record and memo information can fully be ensured, and the convenience of an electronic medical record can be improved.

It is a block diagram showing the main control composition of each device which constitutes the medical treatment support system concerning this embodiment. It is a figure showing an example of an electronic medical record screen. It is a flowchart which shows the tag preparation process of the medical assistance system concerning this embodiment. It is a figure showing an example of a memo input screen. It is a figure showing an example of a search result display screen. It is a flow chart which shows the related information search processing of the medical treatment support system concerning this embodiment. FIG. 7 is a diagram illustrating an example in which a tag is displayed at a specific position in a chart creation area on the electronic chart screen.

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

[Explanation of configuration of medical care support system]
As shown in FIG. 1, the medical care support system 1 according to the present embodiment includes a data management server (server device) 10 and an electronic medical record device 20. Each device constituting the medical treatment support system 1 is connected to be able to perform data communication via a communication network N such as a LAN (Local Area Network).
Generally, DICOM (Digital Image and Communications in Medicine) standard is used as a communication method in a hospital, and DICOM MWM (Modality Worklist Management) or DICOM MPPS (DICOM MWM) is used for communication between LAN-connected devices. Modality Performed Procedure Step) is used. The communication method applicable to the present embodiment is not limited to this.

  The data management server 10 stores and manages medical data transmitted from the electronic medical record device 20 or the like via the communication network N. The medical data is data relating to medical treatment, and includes, for example, patient information, medical chart data, examination data, memo data, image data of a medical image obtained by imaging using a modality (not shown), and the like. The data management server 10 provides medical chart data, memo data, image data of medical images, and the like in response to a request from an external device such as the electronic medical record device 20.

  The electronic medical record device 20 is configured from a PC or the like, and has a computer device having an electronic medical record display function, an image viewer function, and the like for displaying medical record data (electronic medical record) in which one or a plurality of medical care actions are recorded for each patient and each diagnosis. It is. The electronic medical record device 20 displays an electronic medical record screen G1 (see FIG. 2) based on the medical record data and the memo data acquired from the data management server 10. Further, the electronic medical record device 20 displays a medical image based on the image data of the medical image acquired from the data management server 10.

[Description of Data Management Server Configuration]
The data management server 10 includes a control unit 11, an operation unit 12, a display unit 13, a communication unit 14, and a storage unit 15, as shown in FIG. Connected by

  The control unit 11 includes a CPU, a ROM, a RAM, and the like, and comprehensively controls the processing operation of each unit of the data management server 10. Specifically, the CPU reads various processing programs stored in the ROM in accordance with an operation signal input from the operation unit 12 or an instruction signal received by the communication unit 14 and expands the processing programs in the RAM. Various processes are performed in cooperation with.

  The operation unit 12 includes a keyboard having cursor keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse. The operation unit 12 controls the control unit 11 to input an operation signal input by a key operation on the keyboard or a mouse operation. Output to

  The display unit 13 includes a monitor such as an LCD (Liquid Crystal Display), and displays various screens in accordance with a display signal input from the control unit 11.

  The communication unit 14 is configured by a network interface or the like, and transmits and receives data to and from an external device connected via the communication network N. For example, the communication unit 14 receives test data obtained by various measuring devices. Further, the communication unit 14 receives image data obtained by imaging a patient according to modality.

  The storage unit 15 includes an HDD, a non-volatile memory, and the like, and stores various processing programs, parameters and files necessary for executing the programs, and the like. The storage unit 15 includes a user DB for storing and managing information (user information) of users who use the medical care support system 1 and settings (user settings) for each user. In addition, the storage unit 15 includes a patient DB for storing and managing patient information, chart data, examination data, memo data, image data, and the like for each patient. The patient information is information including, for example, a patient ID, a patient's name, gender, age, address, weight, height, body temperature, an interview result, an entry date, and the like.

[Description of Configuration of Electronic Medical Record Apparatus]
As shown in FIG. 1, the electronic medical record device 20 includes a control unit 21, an operation unit 22, a display unit 23, a communication unit 24, and a storage unit 25. Connected by

  The control unit 21 includes a CPU, a ROM, a RAM, and the like, and comprehensively controls the processing operation of each unit of the electronic medical record device 20. Specifically, the CPU reads various processing programs stored in the ROM in accordance with an operation signal input from the operation unit 22 or an instruction signal received by the communication unit 24, expands the processing programs in the RAM, and executes the programs. Various processes are performed in cooperation with.

  The operation unit 22 includes a keyboard having cursor keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse. The operation unit 22 transmits an operation signal input by a key operation on the keyboard or a mouse operation to the control unit 21. Output to

  The display unit 23 includes a monitor such as an LCD, and displays various screens in accordance with an instruction of a display signal input from the control unit 21. For example, the display unit 23 displays an electronic medical record screen G1 (see FIG. 2) for displaying an electronic medical record for each patient.

As shown in FIG. 2, the electronic medical record screen G1 inputs / displays a patient information display area E1 for displaying patient information of a patient, a medical examination history display area E2 for displaying a medical history of a patient, and medical chart data of the patient. It is composed of a chart creation area E3 and a set input area E4 for performing a set input for simplifying the input when creating the chart data.
In the patient information display area E1, patient information such as a patient ID, name, age, address, height, and weight is displayed.
The examination history display area E2 includes an examination history list display area E21 for displaying a list of examination histories of patients, and an examination content display area E22 for displaying specific examination contents (medical record data). Each list displayed in the consultation history list display area E21 is composed of the date of the consultation, the medical department where the consultation was performed, the creator (doctor) of the medical record, and the title (disease name).
The chart creation area E3 stores the chart data in S (Subjective: subjective information such as a patient's complaint), O (Objective: objective information such as a test result, a test image), A (Assessment: a doctor's diagnosis), and P ( Plan: a plan for treatment, prescription, etc.), a SOAP display area E31 that is classified and displayed as four items (SOAP), a treatment prescription display area E32 that displays treatment contents and prescription contents, and a memo for each medical record data. It is configured by a tag display area E33 for displaying a tag indicating presence. At the left end of the tag display area E33, a tag creation icon I1 for creating a tag for the displayed chart data is provided. The tag creation icon I1 is displayed as a dashed line when no memo is input for the displayed chart data.
In the set input area E4, an icon display area E41 for displaying an icon for selecting an item (for example, prescription, injection, examination, radiation, living body, recent, treatment, etc.) to be set input, and set input And a set input list display area E42 for displaying a list of specific subdivisions of the item when the item is selected.

  The communication unit 24 includes a network interface and the like, and transmits and receives data to and from external devices connected via the communication network N. For example, the communication unit 24 receives chart data, memo data, and the like from the data management server 10. Further, the communication unit 24 receives image data of a medical image from the data management server 10.

  The storage unit 25 is configured by an HDD, a nonvolatile memory, or the like, and stores various processing programs, parameters and files necessary for executing the programs, and the like.

[Explanation of operation of medical treatment support system]
Next, specific operations (tag creation processing) of the data management server 10 and the electronic medical record device 20 of the medical care support system 1 according to the present embodiment will be described with reference to FIGS. The tag creation process is started when the electronic medical record screen G1 is displayed on the display unit 23 of the electronic medical record device 20.

First, as shown in FIG. 3, the control unit 21 of the electronic medical record device 20 determines whether or not the selection operation of the tag creation icon I1 displayed on the left end of the tag display area E33 on the electronic medical record screen G1. Is determined (step S101).
When determining that the selection operation of the tag creation icon I1 has been detected (step S101: YES), the control unit 21 proceeds to the next step S102.
On the other hand, if the control unit 21 determines that the selection operation of the tag creation icon I1 has not been detected (step S101: NO), the process of step S101 is repeated until the selection operation of the tag creation icon I1 is detected. .

Next, the control unit 21 superimposes and displays the memo input screen G2 (see FIG. 4) on the examination history display area E2 of the electronic medical record screen G1 (step S102). That is, the memo input screen G2 is displayed at a position that does not overlap with the chart creation area E3.
As shown in FIG. 4, the memo input screen G2 includes a constant memo display area E51, a chart memo display area E52, a conditional memo display area E53, and a condition input area E54. The memo input screen G2 can be easily switched in a tab format for each authority of the memo creator. For example, in the example shown in FIG. 4, a memo input screen G2 of the input person by the doctor is displayed. Note that the configuration, shape, and the like of each area of the displayed memo input screen G2 may be different for each user authority.

  The constant memo display area E51 is an area for inputting a memo accompanying a patient, not a medical record. In the constant memo display area E51, a memo attached to the patient is always displayed. For example, in the example shown in FIG. 4, a memo M1 indicating that “it is necessary to hand over the insurance documents, and therefore must be described before that” and a memo M2 indicating “the next vaccination schedule” are displayed. The memo displayed in the constant memo display area E51 is written in thinner characters as the stored date is older, and the memo M2 with the older stored date is displayed in thinner than the memo M1. I have. That is, the control unit 21 displays the date when the memo is stored so as to be identifiable.

  The chart memo display area E52 is an area for inputting a note accompanying the chart displayed in the chart creation area E3. In the chart memo display area E52, a memo attached to each chart is displayed. For example, in the example shown in FIG. 4, a memo M3 of “Self-payment is settled” is displayed. In the chart memo display area E52, the screen can be easily switched in a tab format for each date when the chart accompanied by the memo is stored. For example, in the example shown in FIG. 4, a screen for displaying a memo accompanying a medical chart stored on March 25, 2015 is displayed. In other words, the control unit 21 displays a screen for displaying the memo in a tabular manner so as to be switchable for each date of the chart accompanied by the memo.

The conditional memo display area E53 is an area for inputting a memo accompanying the medical chart displayed in the medical chart creation area E3. In the memo memo display area E53, memos with a condition among memos attached to each chart are displayed. For example, in the example shown in FIG. 4, a memo M4 indicating "My daughter is suffering from influenza" is displayed.
In the conditional memo display area E53, a sending user display area E531 for displaying a user (a sending user) designated as a display destination of the memo M4 and an memo M4 are displayed as areas for displaying display conditions attached to the memo. And a display period display area E532 for displaying a display period to be displayed. For example, in the example shown in FIG. 4, "Jijiro" is set as the sending user in the sending user display area E531, and "~ 2015/3/31" is set as the display period in the display period display area E532. . As a method for setting the display period, as in the example shown in FIG. 4, only the end of the display period may be set, or only the start of the display period may be set. Of course, both the start and end of the display period may be set.
In the conditional memo display area E53, a specific position display area E533 that displays a specific position when a memo is associated with a specific position in the chart creation area E3 is provided. For example, in the example shown in FIG. 4, “the second row of P in the SOAP display area E31” is set as the specific position.

The condition input area E54 is an area for inputting a condition for a memo attached to each chart. In the condition input area E54, a conditional memo input unit E541 for inputting a memo to which a condition is attached, a sending user selecting unit E542 for selecting a destination ID which is a sending user's user ID, and a display period are selected. And a display period selection unit E543.
The user can operate the operation unit 22 to input a memo in each of the above areas. That is, the operation unit 22 functions as a memo input unit of the present invention.

Next, the control unit 21 determines whether an end operation of the memo input screen G2 has been detected (Step S103).
When the control unit 21 determines that the end operation of the memo input screen G2 has been detected (step S103: YES), the control unit 21 proceeds to the next step S104.
On the other hand, when it is determined that the ending operation of the memo input screen G2 has not been detected (step S103: NO), the control unit 21 repeats the process of step S103 until the ending operation of the memo input screen G2 is detected.

  Next, the control unit 21 transmits memo information relating to the memo input on the memo input screen G2 to the data management server 10 via the communication unit 24 (Step S104). The memo information includes the user ID of the user who has input the memo, the chart data accompanied by the memo, the input memo content, and the like. That is, the control unit 21 functions as a memo information transmitting unit of the present invention.

The control unit 11 of the data management server 10 acquires the memo information transmitted from the electronic medical record device 20 in step S104 (step S105). That is, the control unit 11 functions as a memo information acquisition unit of the present invention.
Next, the control unit 11 creates a tag corresponding to the authority of the user based on the memo information acquired in step S105 (step S106). That is, the control unit 11 functions as the tag creation unit of the present invention. The control unit 11 creates a tag corresponding to the authority of the user based on the user ID of the user who has input the memo. In the present embodiment, the color of the created tag is different for each authority of the user. For example, a tag such as green is created if the user is a doctor, yellow if the user is a nurse, and blue if the user is an accountant. When a memo is input by a plurality of users with respect to the same chart data, tags that are color-coded in a plurality of colors corresponding to the authority of each user are created.

  Next, the control unit 11 transmits the tag information relating to the tag created in step S106 to the electronic medical record device 20 via the communication unit 14 (step S107). That is, the control unit 11 functions as the tag information transmitting unit of the present invention.

The control unit 21 of the electronic medical record device 20 acquires the tag information transmitted from the data management server 10 in step S107 (step S108). That is, the control unit 21 functions as the tag information acquisition unit of the present invention.
Next, the control unit 21 displays a tag on the medical record data (the tag display area E33 of the electronic medical record screen G1) based on the tag information acquired in step S108 (step S109). That is, the control unit 21 functions as a display control unit of the present invention. Note that the control unit 21 displays a tag of a target patient, which satisfies a predetermined display condition, on the electronic medical record screen G1. Further, the control unit 21 displays a tag on the electronic medical record screen G1 so that the authority of the user can be identified.
By the above tag creation processing, a memo is attached to the displayed chart data.

When a tag displayed on the electronic medical record screen G1 is selected and operated on the electronic medical record screen G1, a memo input screen G2 for displaying medical record data associated with the tag and a memo attached to the medical record data is displayed. Is displayed.
Note that the memo displayed in the memo memo display area E53 on the memo input screen G2 is set with conditions such as a sending user, a display period, and a specific position. For example, when a display period is set in the memo, a tag is displayed in the tag display area E33 during the display period, and the tag is deleted after the display period.
That is, the control unit 21 displays, on the electronic medical record screen G1, only tags within the display period among all tags created for the target patient.

Further, in the present embodiment, as shown in FIG. 4, during the description of the memo input to each area of the memo input screen G2, the past electronic medical record (past medical record) and the past memo (past memo) are already described. Where a term is included, the term is underlined. That is, the control unit 21 displays the past medical chart and the terms described in the past memo among the descriptions of the memo displayed on the electronic medical record screen G1 in an identifiable manner. For example, in the example shown in FIG. 4, "Insurance" of the memo M1, "Vaccination" of the memo M2, "Own cost" of the memo M3, and "Influenza" of the memo M4 are underlined. When the user operates the operation unit 22 to click on these underlined terms, as shown in FIG. 5, a search result display screen G3 for displaying a list of past medical records and past memos including the terms is displayed. Is displayed. That is, the operation unit 22 functions as a term selection unit of the present invention. In the example shown in FIG. 5, a search result display screen G3 that displays a list of search results when "influenza" in the memo M4 is clicked is displayed.
Hereinafter, the related information search processing for displaying a list of past medical records and past memos including underlined terms will be described with reference to the flowchart of FIG.

First, as shown in FIG. 6, the control unit 21 of the electronic medical record device 20 determines whether or not an operation of selecting an underlined term has been detected on the memo input screen G2 (step S201).
When the control unit 21 determines that the operation of selecting the underlined term has been detected (step S201: YES), the control unit 21 proceeds to the next step S202.
On the other hand, if the control unit 21 determines that the selection operation of the underlined term has not been detected (step S201: NO), the process of step S201 until the selection operation of the underlined term is detected. repeat.

  Next, the control unit 21 transmits term information relating to the term whose selection operation is detected in step S201 to the data management server 10 via the communication unit 24 (step S202). That is, the control unit 21 functions as a term information transmitting unit of the present invention.

The control unit 11 of the data management server 10 acquires the term information transmitted from the electronic medical record device 20 in step S202 (step S203). That is, the control unit 11 functions as a term information acquisition unit of the present invention.
Next, the control unit 11 searches for a past medical record and a past memo including the term based on the term information acquired in step S203 (step S204). That is, the control unit 11 functions as a search unit of the present invention. At the time of search, it is not necessary that the terms completely match, and the terms may be extracted when they partially match or when they are similar.

  Next, the control unit 11 transmits the search result information on the past medical record and the past memo searched in step S204 to the electronic medical record device 20 via the communication unit 14 (step S205). That is, the control unit 11 functions as the search result information transmitting unit of the present invention.

The control unit 21 of the electronic medical record device 20 acquires the search result information transmitted from the data management server 10 in step S205 (step S206). That is, the control unit 21 functions as a search result information acquisition unit of the present invention.
Next, the control unit 21 superimposes and displays a search result (search result display screen G3) on the chart data (the chart creation area E3 of the electronic medical chart screen G1) based on the search result information acquired in step S206 ( Step S207).
Through the above related information search processing, a list of past medical records and past memos including the terms described in the memo accompanying the medical record data can be displayed.

As described above, the electronic medical record device 20 of the medical care support system 1 according to the present embodiment includes the memo input unit (the operation unit) for inputting the memo accompanying the electronic medical record displayed on the electronic medical record screen G1 of the display unit 23. 22), a memo information transmitting unit (control unit 21) for transmitting memo information relating to the memo inputted by the memo input unit to the server device (data management server 10), and an electronic medical record transmitted from the server device. On the electronic medical record screen G1 based on the tag information acquired by the tag information acquisition unit (control unit 21) for acquiring tag information relating to a tag indicating that a memo is attached, and the tag information acquisition unit, A display control unit (control unit 21) for displaying a tag of a target patient that satisfies a predetermined display condition. Further, the server device includes a memo information acquisition unit (control unit 11) for acquiring the memo information transmitted from the electronic medical record device 20, and a tag creation unit for creating a tag based on the memo information acquired by the memo information acquisition unit. And a tag information transmitting unit (control unit 11) for transmitting tag information relating to the tag created by the tag creating unit to the electronic medical record device 20. In addition, when a tag displayed on the electronic medical record screen G1 is selected, the display control unit displays the electronic medical record associated with the tag and a memo attached to the electronic medical record screen on the electronic medical record screen G1. Display above.
Therefore, according to the medical care support system 1 according to the present embodiment, since the accessibility between the electronic medical record and the memo information can be sufficiently ensured, the convenience of the electronic medical record can be improved.

Further, according to the electronic medical record device 20 of the medical care support system 1 according to the present embodiment, the display control unit writes the past electronic medical record and the past memo among the memos displayed on the electronic medical record screen G1. The displayed term is displayed in an identifiable manner. In addition, the electronic medical record device 20 transmits a term selection unit (operation unit 22) for selecting a term described in a past electronic medical record and a past memo, and term information related to the term selected by the term selection unit to a server device. Term information transmitting unit (control unit 21) that transmits to the server, and a search result information obtaining unit (control unit 21) that obtains search result information related to past electronic medical records and past memos containing terms transmitted from the server device. And. In addition, the server device obtains term information transmitted from the electronic medical record device 20, a term information acquisition unit (control unit 11), and, based on the term information acquired by the term information acquisition unit, extracts the term of the term information based on the term information. A search unit (control unit 11) for searching for past electronic medical records and past memos, and a search for transmitting search result information on past electronic medical records and past memos searched by the search unit to the electronic medical chart device 20 And a result information transmitting unit (control unit 11). Further, the display control unit causes the search result to be displayed on the electronic medical record screen G1 based on the search result information obtained by the search result information obtaining unit.
Therefore, according to the medical assistance system 1 according to the present embodiment, information related to the memo information can be easily extracted by a simple operation, so that various information can be obtained more efficiently.

Further, according to the medical care support system 1 according to the present embodiment, the tag creation unit creates a tag corresponding to the authority of the user who has input the memo. Further, the display control unit displays the tag on the electronic medical record screen G1 so that the authority of the user can be identified.
Therefore, according to the medical care support system 1 according to the present embodiment, since the input person of the memo information can be easily specified only by referring to the tag, the information desired by the user can be obtained accurately and easily. it can.

Further, according to the medical care support system 1 according to the present embodiment, the display condition includes the display period, and the display control unit displays on the electronic medical record screen G1 all of the information created for the target patient. Display only tags within the display period among the tags.
Therefore, according to the medical care support system 1 according to the present embodiment, the number of tags to be displayed can be minimized, so that the screen can be easily viewed and unnecessary memo information whose display period has passed can be stored. The display can be suppressed.

  As described above, the present invention has been specifically described based on the embodiment. However, the present invention is not limited to the above embodiment, and can be changed without departing from the gist of the invention.

For example, in the above embodiment, the past medical chart and the past memo including the term described in the memo attached to the medical chart data can be displayed in a list, but the present invention is not limited to this. That is, a configuration for displaying a list of past medical records and past memos including terms described in memos attached to the medical record data is not essential, and the above-described configuration may not be provided.
Further, in the above-described embodiment, among the descriptions of the memo displayed on the electronic medical record screen G1, the past medical chart and the terms (underlined terms) described in the past memo are displayed so as to be identifiable. Although terms selected in past medical records and past memos are selected, the present invention is not limited to this. In other words, all the terms described in the memo can be selected by selecting terms other than the terms described in the past chart and the past memo without displaying the terms described in the past chart and the past memo in an identifiable manner. May be set as a search target.

  Further, in the above-described embodiment, a tag corresponding to the authority of the user who has input the memo is created, and the tag is displayed on the electronic medical record screen G1 so that the authority of the user can be identified. It is not limited. That is, it is not essential to create a tag corresponding to the authority of the user who entered the memo and display it in an identifiable manner. The same tag is created for all users, and the same tag is created on the electronic medical record screen G1. May be displayed.

  In the above embodiment, the display period can be set for the memo displayed in the conditional memo display area E53, and the tag is displayed within the set display period. However, the present invention is not limited to this. Not something. That is, a configuration in which the display period can be set is not essential, and a configuration in which the display period is not set may be adopted.

Further, in the above embodiment, only the tags within the display period are displayed, and tags outside the display period are not displayed. However, the present invention is not limited to this. For example, even if the tag is not displayed in the tag display area E33 before the display period or if the tag is deleted from the tag display area E33 after the display period, the tag is associated with the tag outside the display period. When the updated medical record data is displayed on the electronic medical record screen G1, tags outside the display period may be displayed in the tag display area E33.
This allows the user to be notified that the memo is attached when the chart data with the memo after the display period has been attached is displayed. And the convenience of the electronic medical record can be further improved.

  Further, in the above embodiment, the tag is displayed in the tag display area E33 of the electronic medical record screen G1, but the present invention is not limited to this. For example, when a memo is associated with a specific position in the chart creation region E3 in the specific position display region E533, a tag may be displayed at the specific position in addition to the tag display region E33. For example, in the example shown in FIG. 7, the tag T1 is displayed in the tag display area E33, and the tag T2 is displayed in the position P of the SOAP display area E31. In addition, as a method of setting a tag at a specific position, for example, a right-click operation is performed with the mouse of the operation unit 22 at the specific position, and a screen for inputting a memo by selecting a “attach a memo” process is displayed. Method and the like. When a tag is displayed at a specific position, for example, an associated memo can be displayed at the specific position by placing a mouse cursor on the displayed tag or clicking the tag. It has become.

  In the above embodiment, when a click operation is performed on an underlined term, a past medical record and a past memo including the term are displayed in a list, but the present invention is not limited to this. For example, with respect to an underlined term, any information of a past medical record and a past memo including the term may be associated as reference information. In this case, the underlined terms may be further shaded or highlighted. This allows the user who clicks the underlined term to share desired information.

Further, in the above embodiment, the configuration in which the present invention is realized by the medical care support system 1 is described as an example, but the present invention is not limited to this. That is, the present invention can be realized by the electronic medical record device 20 including the function of the data management server 10.
In this case, the display unit 23 of the electronic medical record device 20 functions as the display unit of the present invention.
Further, the operation unit 22 of the electronic medical record device 20 functions as a memo input unit of the present invention.
Further, the control unit 21 of the electronic medical record device 20 functions as a memo information acquisition unit of the present invention by acquiring memo information on the memo input by the memo input unit.
Further, the control unit 21 functions as a tag creation unit of the present invention by creating a tag indicating that a memo is attached to the electronic medical record based on the memo information acquired by the memo information acquisition unit. .
Further, the control unit 21 functions as a tag information acquisition unit of the present invention by acquiring tag information relating to the tag created by the tag creation unit.
In addition, the control unit 21 displays the tag of the target patient, which satisfies the predetermined display condition, on the electronic medical record screen G1 based on the tag information acquired by the tag information acquisition unit, It functions as the display control unit of the present invention.

  Further, each aspect described in the present application can be understood as a method, a program, or the like. As for the category of the method or the program, the “unit” indicated by the category of the device is appropriately replaced with, for example, “process”, “step”, or “means”. In addition, the order of the processes and steps is not limited to those directly specified in the present application, and the order may be changed, or some processes may be collectively performed or may be changed so as to be executed partly at any time.

  In addition, the detailed configuration of each device and the detailed operation of each device constituting the medical care support system can be appropriately changed without departing from the spirit of the present invention.

1 medical treatment support system 10 data management server (server device)
11 control unit (memo information acquisition unit, tag creation unit, tag information transmission unit, term information acquisition unit, search unit, search result information transmission unit)
12 operation unit 13 display unit 14 communication unit 15 storage unit 20 electronic medical record device 21 control unit (memo information transmission unit, tag information acquisition unit, display control unit)
22 Operation unit (memo input unit, term selection unit, term information transmission unit, search result information acquisition unit)
23 display unit 24 communication unit 25 storage unit N communication network G1 electronic medical record screen

Claims (7)

In a medical care support system in which a server device and an electronic medical record device including a display unit that displays an electronic medical record that records a medical practice for each patient and each diagnosis are connected to each other so that data communication is possible,
The electronic medical record device,
A memo input unit for inputting a memo accompanying the electronic medical record displayed on the electronic medical record screen of the display unit,
A memo information transmitting unit that transmits memo information relating to the memo input by the memo input unit to the server device,
A tag information acquisition unit that acquires tag information related to a tag indicating that the memo is attached to the electronic medical record, transmitted from the server device,
Based on the tag information acquired by the tag information acquisition unit, on the electronic medical record screen, a display control unit that displays a tag that is a tag of a target patient and satisfies a predetermined display condition,
With
The server device includes:
A memo information acquisition unit for acquiring memo information transmitted from the electronic medical record device,
A tag creation unit that creates the tag based on the memo information acquired by the memo information acquisition unit;
Tag information pertaining to the tag created by the tag creation unit, a tag information transmission unit that transmits to the electronic medical record device,
With
When a tag displayed on the electronic medical record screen is selected, the display control unit displays the electronic medical record associated with the tag and a memo attached to the electronic medical record on the electronic medical record screen. A medical care support system characterized in that a medical treatment support system is displayed. The electronic medical record device,
A term selection unit that selects a term described in a memo displayed on the electronic medical record screen,
Term information transmitting unit that transmits term information relating to the term selected by the term selecting unit to the server device;
A search result information acquisition unit that acquires search result information related to past electronic medical records and past memos including the term, transmitted from the server device,
With
The server device includes:
A term information acquisition unit that acquires term information transmitted from the electronic medical record device,
Based on the term information acquired by the term information acquisition unit, a search unit that searches for past electronic medical records and past memos including the term of the term information,
A search result information transmitting unit that transmits search result information on past electronic medical records and past memos searched by the search unit to the electronic medical record device,
With
The medical care support system according to claim 1, wherein the display control unit displays a search result on the electronic medical record screen based on the search result information obtained by the search result information obtaining unit. The display control unit, in the description of the memo displayed on the electronic medical record screen, to display the terms described in the past electronic medical records and past memos in an identifiable manner,
The medical care support system according to claim 2, wherein the term selecting unit selects a term described in a past electronic medical record and a past memo. The tag creation unit creates a tag corresponding to the authority of the user who input the memo,
The medical care support system according to any one of claims 1 to 3, wherein the display control unit displays the tag on the electronic medical record screen so that a user's authority can be identified. The display condition includes a display period,
5. The display control unit according to claim 1, wherein, on the electronic medical record screen, only tags within the display period out of all tags created for a target patient are displayed. 6. The medical treatment support system according to claim 1.   The display control unit, when an electronic medical record associated with a tag outside the display period is displayed on the electronic medical record screen, displays the tag outside the display period on the electronic medical record screen. The medical treatment support system according to claim 5, wherein A display unit that displays an electronic medical record that records medical care for each patient and each diagnosis,
A memo input unit for inputting a memo accompanying the electronic medical record displayed on the electronic medical record screen of the display unit,
A memo information acquisition unit that acquires memo information relating to the memo input by the memo input unit,
A tag creation unit that creates a tag indicating that the memo is attached to the electronic medical record based on the memo information acquired by the memo information acquisition unit;
A tag information acquisition unit that acquires tag information relating to the tag created by the tag creation unit,
Based on the tag information acquired by the tag information acquisition unit, on the electronic medical record screen, a display control unit that displays a tag that is a tag of a target patient and satisfies a predetermined display condition,
With
When a tag displayed on the electronic medical record screen is selected, the display control unit displays the electronic medical record associated with the tag and a memo attached to the electronic medical record on the electronic medical record screen. An electronic medical record device characterized in that the electronic medical record device is displayed.

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