JP7240883B2 - Electronic medical chart device, electronic medical chart control method, and program - Google Patents

Description

The present disclosure relates to an electronic medical chart device, an electronic medical chart control method, and a program.

2. Description of the Related Art As a device used in medical institutions, an electronic medical record device is known that replaces a conventional paper medical chart (medical record) with electronic data.

For example, in Patent Document 1, when a plurality of patients constituting the same family are using the same medical institution, basic information of each patient (for example, information such as name, date of birth, age, relationship) There is disclosed an electronic medical chart device that lists the .

Japanese Patent Application Laid-Open No. 2001-76070

By the way, in medical institutions, one doctor simultaneously treats a plurality of patients (for example, parents and children, brothers and sisters, etc.) in response to requests from patients who want to shorten the time they stay at the medical institution. sometimes.

In this case, there is a demand on the part of doctors to improve the quality of medical care by referring to information (for example, allergies, contraindicated drugs, medical histories, etc.) contained in each patient's medical record.

In addition, there is a demand on the part of doctors to shorten the operation of each patient's medical chart (for example, browsing operation, information input operation, etc.) in order to secure time to face each patient during medical treatment.

However, the electronic medical record device of Patent Literature 1 simply displays a list of basic information of a plurality of patients who make up the same family, so it cannot satisfy the above two demands.

An object of one aspect of the present disclosure is to provide an electronic medical chart device, an electronic medical chart control method, and a program that can improve the quality of medical care and reduce the time required to operate a medical chart.

An electronic medical record apparatus according to an aspect of the present disclosure includes a storage unit that stores medical information including basic patient information, a display unit that displays a window that includes medical information for at least one patient, and medical care from the storage unit. Obtaining basic information of a group of waiting patients, determining whether or not the acquired basic information of a group of patients waiting for treatment includes a plurality of basic information having the same address and surname, or having the same insurance information, If it is determined that the basic information is included, the patient group corresponding to multiple basic information is set as a simultaneous medical care patient group to be treated at the same time , and the medical information of each patient included in the simultaneous medical care patient group is included and a control unit that simultaneously displays a plurality of windows on the display unit.

An electronic medical chart control method according to an aspect of the present disclosure is an electronic medical chart control method performed by a device that displays a window including medical information of at least one patient on a display unit, wherein a step of acquiring basic information; a step of determining whether or not the acquired basic information of a group of patients waiting for medical treatment includes a plurality of pieces of basic information having the same address and surname, or having the same insurance information; a step of setting a patient group corresponding to a plurality of basic information as a simultaneous medical care patient group to be treated at the same time when it is determined that the basic information of is included; simultaneously displaying on the display a plurality of windows including

A program according to an aspect of the present disclosure is a program executed by a computer that causes a display unit to display a window containing medical information of at least one patient, and acquires basic information of a group of patients waiting for medical treatment from a storage unit. a process for determining whether or not the acquired basic information of a group of patients waiting for medical care includes a plurality of pieces of basic information having the same address and surname or the same insurance information; When it is determined that a group of patients corresponding to a plurality of pieces of basic information can be treated simultaneously, a process of setting the patient group corresponding to the plurality of pieces of basic information as a group of patients undergoing simultaneous medical care, and a plurality of windows containing the medical information of each patient included in the group of patients undergoing simultaneous medical care. and causing the computer to simultaneously display the windows on the display unit.

Advantageous Effects of Invention According to the present disclosure, it is possible to improve the quality of medical care and reduce the time required to operate medical charts.

Block diagram showing an example of a configuration of an electronic medical record device according to an embodiment of the present disclosure Flowchart showing an example of basic operation of the electronic medical chart device according to the embodiment of the present disclosure Flowchart showing an example of reception processing according to an embodiment of the present disclosure Flowchart showing an example of reception processing according to an embodiment of the present disclosure A diagram showing an example of a basic information registration screen according to an embodiment of the present disclosure A diagram showing an example of a medical treatment reception screen according to an embodiment of the present disclosure Flowchart showing an example of waiting patient group display processing according to the embodiment of the present disclosure A diagram showing an example of a display screen of a group of patients waiting for medical treatment according to an embodiment of the present disclosure Flowchart showing an example of medical record display processing according to an embodiment of the present disclosure A diagram showing an example of a single diagnosis screen according to an embodiment of the present disclosure A diagram showing a display example of a window according to an embodiment of the present disclosure A diagram showing a display example of a window according to an embodiment of the present disclosure Diagram showing an example of the hardware configuration of a computer

Embodiments of the present disclosure will be described below with reference to the drawings. In addition, the same code|symbol is attached|subjected about the component which is common in each figure, and those description is abbreviate|omitted suitably.

<Configuration of electronic medical record device>
A configuration of an electronic medical record apparatus 100 according to this embodiment will be described with reference to FIG.

FIG. 1 is a block diagram showing an example of the configuration of an electronic medical record device 100 according to this embodiment.

Although not shown in FIG. 1, the electronic medical record apparatus 100 includes, for example, a CPU (Central Processing Unit), a storage medium such as a ROM (Read Only Memory) storing a control program, a RAM (Random Access Memory) and hardware such as a communication circuit. The function of each unit of the electronic medical record apparatus 100, which will be described later, is realized by, for example, the CPU reading out and executing a control program stored in the memory.

The electronic medical chart device 100 is a device used in a medical institution, records medical information (details will be described later) input by a user (doctor, clerk, etc.) for each patient, and displays the medical information for each patient on the screen. It is a device that displays on

As shown in FIG. 1 , the electronic medical chart device 100 has an operation input section 110 , a storage section 120 , a control section 130 and a display section 140 .

The operation input unit 110 is an input device (for example, a pointing device such as a mouse, a keyboard, a touch panel, etc.) that receives various operations performed by a user.

User operations accepted by the operation input unit 110 include, for example, an operation of inputting medical examination information, an operation of instructing display of medical examination information, and the like.

Operation input unit 110 outputs information indicating the content of the operation performed by the user to control unit 130 .

The storage unit 120 is a storage device (for example, hard disk, memory, etc.) that stores various information. Storage unit 120 is controlled by control unit 130 .

For example, the storage unit 120 stores medical information input by the user for each patient.

Here, the medical information will be explained.

Medical information is information about a patient and medical treatment of the patient, and includes, for example, basic information, medical record information, and medical department information. The term "patient" as used in the present embodiment includes not only outpatients but also inpatients (patients who are hospitalized in a medical institution) and visiting patients (patients who are visited by a doctor for treatment).

The basic information is information indicating basic items about the patient. For example, the basic information includes information such as patient code, first and last name (hereinafter also referred to as full name), age, date of birth, sex, address, insurance information, and family code. Insurance information includes, for example, an insurer number, symbol, number, and the like. The patient code is information that can identify the patient, and the family code is information that can identify the family to which the patient belongs.

The basic information described above is input by a user (eg, a clerk), for example, when a patient is examined for the first time.

The medical record information is information indicating a patient's medical record (that is, chart). For example, the medical record information includes patient codes, medical records, disease name information, prescription information, test result information, contraindicated drug information, allergy information, family medical history information, and the like.

The medical record article is information indicating the progress of medical care (for example, chief complaint, history of present illness, past history, findings, assessment, etc.).

The disease name information is information indicating the name of the disease that the patient has suffered in the past and the name of the disease that the patient is currently suffering from.

Prescription information is information that indicates medications, treatments, surgeries, etc. that a patient has received in the past.

The test result information is information indicating the results (for example, numerical values, graphs, etc.) of tests that the patient has undergone in the past.

The contraindicated drug information is information indicating contraindicated drugs of the patient.

Allergy information is information indicating an allergy that a patient has.

The family medical history information is information indicating the patient's family medical history.

The medical record information described above is input by a user (for example, a doctor), for example, when a patient undergoes medical treatment.

The clinical department information includes information on the patient code, the clinical department in which the patient consults, and the consultation date. The medical department information may include information on the name of the doctor in charge of medical care.

The medical department information described above is input by a user (eg, a clerk), for example, before a patient receives medical care.

As described above, since the basic information, the medical record information, and the clinical department information include the patient code, they are linked to each other by the patient code and stored in the storage unit 120 .

Note that the medical information may include information other than the information described above.

The medical information has been described above. The description of the storage unit 120 will be returned to below.

Further, for example, when the control unit 130 sets a patient to be treated as a waiting patient, a simultaneous treatment patient, or a single treatment patient, the storage unit 120 stores the setting state.

A patient awaiting medical care is a patient awaiting medical care. Hereinafter, a plurality of patients waiting for medical treatment will be referred to as a "group of patients waiting for medical treatment".

A concurrent patient is a patient who is being treated at the same time as another patient. Hereinafter, a plurality of simultaneously treated patients will be referred to as a "simultaneously treated patient group".

A single care patient is a patient who receives care alone. Hereinafter, a plurality of single-care patients will be referred to as a "single-care patient group."

Further, for example, the storage unit 120 stores in advance image data and the like for generating various screens (for example, graphical user interfaces) displayed on the display unit 140 .

The display unit 140 is a display device (such as a liquid crystal display) that displays various information. Display unit 140 is controlled by control unit 130 .

For example, the display unit 140 displays medical examination information, a group of patients waiting for medical treatment, and the like. A display example of various information on the display unit 140 will be described later.

The control unit 130 has a display control unit 131 and an information control unit 132 .

The display control unit 131 controls display of information on the display unit 140 according to an operation performed on the operation input unit 110 .

The information control unit 132 writes information to the storage unit 120 or reads information from the storage unit 120 according to an operation performed on the operation input unit 110 .

Details of the processing performed by the display control unit 131 and the information control unit 132 will be described later.

<Basic operation of the electronic medical record device>
A basic operation of the electronic medical record apparatus 100 according to the present embodiment will be described with reference to FIG.

FIG. 2 is a flow chart showing an example of the basic operation of the electronic medical record apparatus 100 according to this embodiment.

First, the electronic medical record apparatus 100 performs reception processing for setting a patient who will receive medical treatment from now on as a patient waiting for medical treatment (step S1). The details of this process will be described later with reference to FIGS. 3A, 3B, and the like.

Next, the electronic medical record apparatus 100 performs a medical treatment waiting patient group display process for displaying the medical treatment waiting patient group on the display unit 140 (step S2). The details of this process will be described later with reference to FIG. 5 and the like.

Next, the electronic medical record apparatus 100 performs medical record display processing for displaying the medical record information on the display unit 140 (step S3). The details of this process will be described later with reference to FIG. 8 and the like.

Next, the electronic medical record apparatus 100 performs medical record update processing for updating the medical record information stored in the storage unit 120 (step S4). Note that this medical record update process includes a process of newly registering medical record information in the storage unit 120 when the patient is a first visit. Details of this process will be described later.

Next, the electronic medical record apparatus 100 performs accounting processing for accepting input of information on accounting (step S5). Details of this process will be described later.

<Reception process>
A specific example of the reception process (step S1) shown in FIG. 2 will be described with reference to FIGS. 3A and 3B.

FIG. 3A is a flowchart showing the flow of reception processing when a patient is a first visit. FIG. 3B is a flowchart showing the flow of reception processing when the patient is not the first visit. A user who performs various operations on the electronic medical record apparatus 100 when the reception process shown in FIGS. 3A and 3B is performed is, for example, a clerk.

First, with reference to FIG. 3A, the flow of reception processing when a patient is a first visit will be described.

When the user operates the operation input unit 110 to instruct display of the basic information registration screen, the display control unit 131 controls the display unit 140 to display the basic information registration screen (step S11).

More specifically, the information control unit 132 reads the image data of the basic information registration screen from the storage unit 120, and the display control unit 131 causes the display unit 140 to display the basic information registration screen based on the image data. .

The basic information registration screen is a screen on which the user can input the basic information described above.

An example of the basic information registration screen will now be described with reference to FIG. FIG. 4 is a diagram showing an example of a basic information registration screen.

As shown in FIG. 4, the basic information registration screen includes entry fields for, for example, patient code, family code, name, sex, date of birth, address, insurance information (insurer number, symbol, number, etc.).

The user can use the operation input unit 110 to input information into each input field. After inputting information in each input column, the user can instruct registration of the input basic information by clicking a "Register" button shown in FIG. 4, for example.

The basic information registration screen has been described above. Hereinafter, the description will return to FIG. 3A.

When the user operates the operation input unit 110 to instruct the registration of basic information, the information control unit 132 stores the input basic information in the storage unit 120 (step S12).

Further, in step S12, the information control unit 132 generates new medical record information and stores it in the storage unit 120. FIG. Here, since the patient is a first visit, the medical record information at this time contains only the patient code.

Next, the display control unit 131 controls the display unit 140 to display the medical treatment reception screen (step S13).

More specifically, the information control unit 132 reads the image data of the medical care reception screen from the storage unit 120, and the display control unit 131 causes the display unit 140 to display the medical care reception screen based on the image data.

The medical care reception screen is a screen on which the user can input the above-described clinical department information. In addition, the medical care reception screen is a screen on which the patient's basic information can be retrieved by inputting the patient code described in the patient's patient card or the like for a patient who is not the first visit. Further, the medical care reception screen is a screen on which a list of information on patients whose medical care has been received is displayed.

An example of the medical care reception screen will now be described with reference to FIG. FIG. 5 is a diagram showing an example of a medical care reception screen.

As shown in FIG. 5, the medical care reception screen includes areas a1 and a2.

A list of basic information of accepted patients is displayed in the area a1 (not shown).

An input column for basic information (for example, patient code, name, gender, etc.) is displayed in the area a2. An input field for clinical department information (for example, clinical department, consultation date, doctor's name) is displayed in the area a2.

In step S13 of FIG. 3A, information is automatically displayed in the input field for basic information in area a2. On the other hand, in step S21 in FIG. 3B, which will be described later, the input field for basic information in area a2 is blank.

The user can use the operation input unit 110 to input information into each input field.

For example, in a state where information is displayed in the input field for basic information in area a2, the user can input information in the input field for clinical department information and then click the "Register" button shown in FIG. , it is possible to instruct the registration of the input clinical department information.

Further, for example, in a state where each information is not displayed in the input field of basic information in the area a2, the user enters information in the input field of patient code, for example, and then clicks the "search" button shown in FIG. By doing so, a search for basic information including the patient code entered can be instructed. If the search is successful, the information is automatically displayed in the basic information input field in area a2.

The medical care reception screen has been described above. Hereinafter, the description will return to FIG. 3A.

When the user operates the operation input unit 110 to instruct registration of clinical department information, the information control unit 132 stores the input clinical department information in the storage unit 120 (step S14).

Next, the information control unit 132 sets the patient as a waiting patient (step S15).

More specifically, the information control unit 132 attaches a flag indicating a patient waiting for medical treatment to each patient code included in the basic information, the medical record information, and the clinical department information stored in the storage unit 120 .

Next, the display control unit 131 controls the display unit 140 to display the waiting patients set in step S15 on the medical treatment reception screen shown in FIG. 5 (step S16).

More specifically, the display control unit 131 displays the basic information (for example, patient code, name, gender, date of birth, etc.) of the patient set as the patient waiting for medical treatment in the area of the medical reception screen shown in FIG. Display on a1. At this time, "Waiting for Medical Treatment" is displayed in the "Status" column in the area a1 shown in FIG. In addition, in the column of "state", for example, "medical treatment", "awaiting accounting", etc. are displayed according to the state of the patient.

The user can grasp the status of each accepted patient (for example, waiting for medical treatment, under medical treatment, waiting for accounting) by looking at the "status" in the area a1 of the medical treatment reception screen.

The flow of reception processing when the patient is the first visit has been described above.

Next, with reference to FIG. 3B, the flow of reception processing when the patient is not the first visit will be described.

When the user operates the operation input unit 110 to instruct display of the medical care reception screen, the display control unit 131 controls the display unit 140 to display the medical care reception screen shown in FIG. 5 (step S21). .

At this time, the input fields for basic information and the input fields for clinical department information in area a2 of the medical care reception screen are blank.

Here, the user, for example, after entering the patient code written on the patient registration card or the like in the patient code entry field in the area a2, clicks the "search" button shown in FIG. You can direct a search for basic information, including patient codes.

When the user operates the operation input unit 110 to search for basic information in this way, the information control unit 132 reads out the basic information including the patient code that has been input from the storage unit 120, and the display control unit 131 displays the basic information in area a2 of the medical care reception screen (step S22).

Here, the user can instruct registration of the entered clinical department information, for example, by clicking the "Register" button shown in FIG. .

When the user operates the operation input unit 110 to instruct registration of clinical department information, the information control unit 132 stores the input clinical department information in the storage unit 120 (step S23).

Steps S24 and S25 are the same as steps S15 and S16 in FIG. 3A, respectively, so description thereof will be omitted here.

The flow of reception processing when the patient is not the first visit has been described above.

<Processing for displaying patient group waiting for treatment>
A specific example of the waiting patient group display process (step S2) shown in FIG. 2 will be described with reference to FIG.

FIG. 6 is a flow chart showing the flow of processing for displaying a group of patients waiting for medical care. A user who performs various operations on the electronic medical record apparatus 100 when the processing for displaying a group of patients waiting for medical treatment shown in FIG. 6 is performed is, for example, a doctor.

First, the user performs an operation to narrow down patients waiting for medical treatment who satisfy predetermined search conditions from the group of patients waiting for medical treatment set in the reception process described above. For example, the user inputs a desired search condition in the input field of the search condition input screen (not shown) displayed on the display unit 140, and then performs an operation to instruct narrowing down. The search condition is, for example, clinical department information (at least the clinical department and the date of consultation, and may include a doctor's name).

When the user performs an operation to instruct narrowing down in this way, the information control unit 132 determines, from among the waiting patient group set in the reception process, waiting patients who match the input search conditions ( step S31). In the following description, the determined patient waiting for medical treatment is referred to as a "patient waiting for medical treatment after narrowing down", and a plurality of patients waiting for medical treatment after narrowing is referred to as "a group of waiting patients for medical treatment after narrowing down".

More specifically, the information control unit 132 reads from the storage unit 120 all the clinical department information of the patients set as waiting patients, and extracts the clinical department information input as the search condition from the clinical department information. Identify what contains Then, the information control unit 132 determines the patient with the patient code included in the identified clinical department information as a patient waiting for treatment after narrowing down.

Next, the information control unit 132 reads from the storage unit 120 all the basic information determined as the narrowed-down patient waiting for medical treatment (step S32).

Next, the information control unit 132 determines whether or not there is a plurality of pieces of basic information including the same family code among the read basic information (step S33).

If there is a plurality of pieces of basic information containing the same family code (step S33: YES), the flow proceeds to step S36, which will be described later.

If there is no plural pieces of basic information containing the same family code (step S33: NO), the information control unit 132 determines whether there is plural pieces of basic information containing the same insurance information among the read basic information. is determined (step S34).

If there is a plurality of pieces of basic information containing the same insurance information (step S34: YES), the flow proceeds to step S36, which will be described later.

If there are no multiple pieces of basic information containing the same insurance information (step S34: NO), the information control unit 132 determines that there are multiple pieces of basic information containing the same surname and same address among the read basic information. It is determined whether or not (step S35).

If there is a plurality of pieces of basic information containing the same family name and the same address (step S35: YES), the flow proceeds to step S36, which will be described later.

If there are no pieces of basic information containing the same surname and same address (step S35: NO), the flow proceeds to step S37, which will be described later.

If there is a plurality of pieces of basic information including the same family code, the same insurance information, or the same surname and same address among the read basic information, the information control unit 132 reads each of the pieces of basic information. A plurality of patients indicated by is set as a simultaneous treatment patient group (step S36).

More specifically, the information control unit 132 assigns a flag indicating a simultaneous medical treatment patient group to each patient code included in the basic information, medical record information, and medical department information stored in the storage unit 120. do.

On the other hand, if there is basic information that does not include the same family code, the same insurance information, and the same surname and same address among the read basic information, the information control unit 132 detects that the basic information indicates The patient is set as a single treatment patient (step S37).

More specifically, the information control unit 132 assigns a flag indicating a single medical patient to each patient code included in the basic information, medical record information, and clinical department information stored in the storage unit 120. .

Next, the display control unit 131 controls the display unit 140 to display the simultaneous medical treatment patient group and the single medical treatment patient group in different modes on the medical treatment waiting patient group display screen (step S38).

More specifically, the information control unit 132 reads the image data of the waiting patient group display screen from the storage unit 120, and the display control unit 131 displays the waiting patient group display on the display unit 140 based on the image data. display the screen. In addition, the display control unit 131 controls the display unit 140 to display the basic information of each of the simultaneous medical treatment patients and the single medical treatment patients on the medical treatment waiting patient group display screen. At this time, the display control unit 131 controls the display unit 140 so that the display mode of the basic information of the simultaneous medical care patient group is different from the display mode of the basic information of the single medical care patient group.

The waiting patient group display screen is a screen that displays a list of the above-mentioned waiting patient group after narrowing down.

Here, an example of the waiting patient group display screen will be described with reference to FIG. FIG. 7 is a diagram showing an example of a screen for displaying a group of patients waiting for treatment.

As shown in FIG. 7, on the patient group display screen waiting for medical treatment, the states and basic information of patients who have been selected as waiting patients after narrowing down are displayed in the same manner as the display example in the area a2 of the medical reception screen shown in FIG. (For example, patient code, name, sex, date of birth, etc.) are listed.

Of the patients shown in FIG. 7, patients A and B are concurrent patients, and patients C through G are single patients. FIG. 7 illustrates a case where the display areas for the states and basic information of patients A and B are displayed in colors different from the display areas for the states and basic information of patients C to G. FIG.

By displaying the concurrent medical care patient group and the single medical care patient in different manners in this way, the user can grasp which patients are the concurrent medical care patient group.

In FIG. 7, the case where the color of the display area of the basic information is different is taken as an example, but the color, size, thickness, etc. of the characters of the state and the basic information may be different. Alternatively, a decoration, a mark, or the like indicating that the group is a group of patients treated simultaneously may be attached to the display area of the basic information (for example, near the display position of the name).

In addition, in FIG. 7, the case where two patients, A and B, are included in the simultaneous medical care patient group is taken as an example, but the simultaneous medical care patient group may consist of three or more people.

Also, in FIG. 7, the case where there is one group of patients undergoing simultaneous medical care is taken as an example, but there may be a plurality of groups of patients undergoing simultaneous medical care in the group of patients waiting for medical care after narrowing down.

In the above, the waiting patient group display screen has been described.

<Medical Record Display Processing>
A specific example of the medical record display process (step S3) shown in FIG. 2 will be described with reference to FIG.

FIG. 8 is a flowchart showing the flow of medical record display processing. A user who performs various operations on the electronic medical record apparatus 100 when the medical record display process shown in FIG. 8 is performed is, for example, a doctor.

First, the user performs an operation of designating a patient whose medical record information is to be browsed. For example, the user performs an operation of clicking the display area of the desired patient's condition on the display screen of the waiting patient group displayed on the display unit 140 (see FIG. 7). A patient designated by this operation is hereinafter referred to as a "designated patient".

When the user performs an operation to designate a patient in this manner, the information control unit 132 reads the medical record information of the designated patient from the storage unit 120 (step S41).

Next, the information control unit 132 starts exclusive control (control to disable editing by other accesses) on the read medical record information (step S42).

Next, the information control unit 132 determines whether or not the designated patient is a concurrent medical care patient (step S43).

More specifically, the information control unit 132 determines whether or not the patient code included in the medical record information of the designated patient is given a flag indicating a concurrent medical care patient.

If the designated patient is a concurrent medical treatment patient (step S43: YES), the flow proceeds to step S45, which will be described later.

If the designated patient is not a concurrent medical care patient (step S43: NO), in other words, if the designated patient is a single medical care patient, the display control unit 131 displays the medical record information of the designated patient on the single medical care screen. The display unit 140 is controlled as follows (step S44).

More specifically, the information control unit 132 reads the image data of the single diagnosis screen from the storage unit 120, and the display control unit 131 causes the display unit 140 to display the single diagnosis screen based on the image data. . At this time, the display control unit 131 controls the display unit 140 to display the specified patient's medical record information on the single medical care screen.

The single medical care screen is a screen on which the medical record information of the single medical care patient is displayed.

An example of the single diagnosis screen will now be described with reference to FIG. FIG. 9 is a diagram showing an example of a single diagnosis screen.

As shown in FIG. 9, the single diagnostic screen includes areas a3 and a4.

The area a3 displays the basic information (for example, patient code, name, sex, age, etc.) of the single treatment patient.

In the area a4, medical record information (for example, medical records, orders (instructions for prescriptions and examinations), disease name information, prescription information, examination result information, contraindicated drug information, allergy information, family medical history information, etc.) of single medical care patients is stored. Is displayed. For example, as shown in FIG. 9, an area a4 includes, as an example of medical record information, chief complaints, vital signs, diagnosis grounds, responses to sudden changes, breakdowns of prescription drugs (for example, Medicon tablets, Flomox tablets, Loxonin tablets), and the like. is displayed. If the single medical care patient is a first-time patient, the medical record information is not displayed in the area a4.

In addition, various items (for example, chief complaint, current illness history, past history, findings, assessment, etc.) may be displayed in the area a4, for example. In addition, for example, the department information of the single medical care patient may be displayed in either the area a3 or the area a4.

The user can use the operation input unit 110 to input various information based on the medical treatment result in the area a4 in the state where the single medical treatment screen shown in FIG. 9 is displayed.

The single diagnosis screen has been described above. Hereinafter, the description will return to FIG.

If the information control unit 132 determines that the specified patient is a concurrent medical care patient (step S43: YES), it determines whether medical record information of all patients in the concurrent medical care patient group including the designated patient has been read. (Step S45).

If the medical record information of all patients in the concurrent medical care patient group including the designated patient has not been read (step S45: NO), the information control unit 132 reads the medical record information from the concurrent medical care patient group that includes the designated patient. One patient whose data has not been read out is set as a designated patient (step S46). That is, in step S46, the specified patient is set regardless of the user's operation. After that, the flow returns to step S41.

When the medical record information of all patients in the simultaneous medical care patient group including the designated patient has been read (step S45: YES), the display control unit 131 separately and The display unit 140 is controlled to display simultaneously (step S47).

More specifically, the information control unit 132 reads the image data of the window from the storage unit 120, and the display control unit 131 causes the display unit 140 to simultaneously display windows for each patient based on the image data. At this time, the display control unit 131 controls the display unit 140 to simultaneously display the medical record information of each patient in each window.

One window is, for example, an area on the screen in which medical record information for one concurrent patient is displayed. It should be noted that medical record information for a plurality of concurrent medical treatment patients may be displayed simultaneously in one window. For example, if there are 4 concurrent patients, even if the medical record information for 2 patients is displayed simultaneously in one window and the medical record information for the remaining 2 patients is displayed in another window at the same time. good.

Here, an example of window display will be described with reference to FIG. FIG. 10 is a diagram showing an example of window display. FIG. 10 exemplifies a case where the medical record information of each of patient A and patient B included in the simultaneous medical care patient group shown in FIG. 7 is displayed in separate windows 10 and 20 .

As shown in FIG. 10, the window 10 includes an area a3 in which the patient's basic information is displayed and an area a4 in which the patient's medical record information is displayed, similar to the single medical care screen shown in FIG. . Although not shown in FIG. 10, window 20 displayed simultaneously with window 10 also includes area a3 and area a4 (see FIG. 11). 10 and 11, illustration of various information in areas a3 and a4 is omitted. In areas a4 of windows 10 and 20 shown in FIGS. 10 and 11, as in FIG. 9, as an example of medical record information, the chief complaint, vital signs, diagnosis grounds, response to sudden change, breakdown of prescription drugs, etc. are displayed. be done. If the concurrent medical care patient is a first-time patient, the medical record information is not displayed in the area a4 of each of the windows 10 and 20. FIG.

FIG. 10 shows a case where a window 10 is displayed on the front side and a window 20 is displayed side by side behind the window 10 (back side in the drawing). The display order (display position) may be determined based on the patient's age, for example.

That is, the display control unit 131 may control the display positions of a plurality of windows simultaneously displayed on the display unit 140 based on the ages of the patients included in the simultaneous medical care patient group. In that case, for example, the display control unit 131 may control the display unit 140 so that a plurality of windows simultaneously displayed on the display unit 140 are displayed side by side from the front side in ascending order of patient's age. For example, if the patient A is younger than the patient B, the display control unit 131 displays the window 10 containing the medical record information of the patient A in the foreground, and displays the window 10 on the rear side, as shown in FIG. , windows 20 containing the medical record information of patient B may be displayed side by side.

In the above description, the multiple windows are displayed side by side from the front side in ascending order of the patient's age. They may be displayed side by side. Alternatively, for example, when a user (for example, a clerk) hears a patient's request for the order of treatment at the time of reception, and inputs information indicating the desired order of treatment to the electronic medical chart device 100, the plurality of windows are: It may be displayed based on the information indicating the desired treatment order.

Further, as shown in FIG. 10, when the windows 10 and 20 are displayed at the same time, basic information (for example, patient code, name, gender, age) included in the areas a3 of the windows 10 and 20 are all visible. displayed as possible.

That is, the display control unit 131 may control the display position of each window so that all of the patient's basic information (at least the first name and last name) contained in a plurality of windows displayed simultaneously on the display unit 140 can be visually recognized. .

When the user wants to browse medical record information included in window 20 in the display state of windows 10 and 20 shown in FIG. conduct. As a result, the window 20 is displayed on the front side and the window 10 is displayed on the rear side of the window 20, as shown in FIG.

Note that FIG. 11 illustrates a case where the basic information contained in the window 10 cannot be visually recognized, but even if the window 20 is displayed in the foreground, the basic information contained in the window 10 can still be visually recognized. Window 10 may be displayed as is possible.

<Medical Record Update Processing>
A specific example of the medical record update process (step S4) shown in FIG. 2 will be described.

For example, after the doctor inputs the medical record information into the area a4 of the single medical care screen shown in FIG. 9 or the area a4 of the windows 10 and 20 shown in FIGS. A staff member) performs an operation to save the medical record information (hereinafter referred to as a save operation).

When the save operation is performed, the information control section 132 updates the medical record information stored in the storage section 120 . In addition, the information control unit 132 terminates exclusive control on the updated medical record information.

Note that, for example, when a doctor designates that the content of the medical record information has been approved and performs a save operation, the medical record information is stored with a flag indicating the approval status (referred to as approval save). . Further, for example, when a clerk performs a storage operation specifying that the content of the medical record information has not been approved by the doctor, the medical record information is stored with a flag indicating an unapproved state. (referred to as unauthorized storage). A screen (not shown) indicates whether the medical record information is stored with approval or without approval.

Further, when the medical record information is updated by the above-described saving operation, the display control unit 131 displays the state on the medical treatment reception screen shown in FIG. 5 and the medical treatment waiting patient group display screen shown in FIG. is changed to "waiting for accounting".

<Accounting treatment>
A specific example of the accounting process (step S5) shown in FIG. 2 will be described.

A user (for example, a clerk) performs an operation of specifying a patient waiting for accounting. For example, the user selects the display area of the desired patient status (waiting for accounting) among the patients whose status is displayed as "waiting for accounting" on the medical care reception screen (see FIG. 5) displayed on the display unit 140. Do the click action.

In this way, when the user performs an operation to designate a patient waiting for accounting, the information control unit 132 reads the image data of the accounting processing screen from the storage unit 120, and the display control unit 131 displays the image data based on the image data. , causes the display unit 140 to display a screen for accounting processing (not shown).

The accounting processing screen is a screen on which the user can enter accounting-related information (for example, the amount of money described in the medical bill).

The user can create a medical bill, etc., by inputting predetermined information into the input fields of the accounting processing screen.

<Effect>
As described above, the electronic medical record apparatus 100 of the present embodiment selects a group of patients waiting for medical treatment according to predetermined conditions (for example, the same clinical department, family ID, insurance information, or family name and address). are the same) is set as a simultaneous medical care patient group, and a plurality of windows containing medical information of each patient included in the simultaneous medical care patient group are displayed at the same time.

With this feature, when treating multiple patients at the same time, doctors can mutually refer to each patient's medical record information (for example, allergy information, contraindicated drug information, medical history information, etc.). It is possible to easily browse and input medical record information. Therefore, the electronic medical chart apparatus 100 of the present embodiment can improve the quality of medical care and shorten the time required to operate the medical chart.

<Modification>
It should be noted that the present disclosure is not limited to the description of the above embodiments, and various modifications are possible without departing from the scope of the present disclosure.

In the embodiment, the conditions for setting the concurrent medical treatment patient group from the medical waiting patient group are that the clinical department is the same and either the family ID, insurance information, or surname and address are the same was described as an example, but it is not limited to this.

The above conditions may be that the departments are the same and the addresses are the same. This makes it possible to deal with cases in which patients who receive medical care at the same time are not family members. For example, even when treating a plurality of patients suffering from infectious diseases at the same time because they live in a facility at the same address, the effects described in the above embodiment can be achieved. In this case, the above conditions may be that the clinical department is the same, and the address and facility name are the same.

Further, the above conditions may be that the clinical department is the same and at least one of the address and the insurance information is the same.

<Appendix>
FIG. 12 is a diagram showing the hardware configuration of a computer that implements the functions of the units in the above-described embodiment and modification by a program.

As shown in FIG. 12, the computer 210 includes an input device 211 such as an input button and a touch pad, an output device 212 such as a display and a speaker, a CPU (Central Processing Unit) 213, a ROM (Read Only Memory) 214, a RAM (Random Access Memory) 215 . The computer 210 also includes a storage device 216 such as a hard disk device and SSD (Solid State Drive), a reading device 217 that reads information from recording media such as a DVD-ROM (Digital Versatile Read Only Memory) and a USB (Universal Serial Bus) memory. , a transceiver 218 for communicating over a network. Each unit described above is connected by a bus 219 .

The reading device 217 reads the program from the recording medium recording the program for realizing the functions of the above units, and stores the program in the storage device 216 . Alternatively, the transmitting/receiving device 218 communicates with a server device connected to a network, and causes the storage device 216 to store a program for realizing the functions of the above units downloaded from the server device.

Then, the CPU 213 copies the program stored in the storage device 216 to the RAM 215, sequentially reads out the instructions included in the program from the RAM 215, and executes them, thereby realizing the functions of the above units. Further, when executing the program, the RAM 215 or the storage device 216 stores information obtained by various processes described in each embodiment, and is used as appropriate.

For example, in the electronic medical record apparatus 100 shown in FIG. It corresponds to the CPU 213 .

The electronic medical chart device, electronic medical chart control method, and program of the present disclosure are suitable for use in a system or computer that handles electronic medical charts.

REFERENCE SIGNS LIST 100 electronic chart device 110 operation input unit 120 storage unit 130 control unit 131 display control unit 132 information control unit 140 display unit 210 computer 211 input device 212 output device 213 CPU
214 ROMs
215 RAM
216 storage device 217 reader device 218 transceiver device 219 bus

Claims (6)

a storage unit that stores medical information including patient basic information;
a display for displaying a window containing the medical information of at least one patient;
Obtaining the basic information of the group of patients waiting for medical care from the storage unit, and whether or not the acquired basic information of the group of patients waiting for medical care includes a plurality of pieces of basic information having the same address and surname or the same insurance information. If it is determined that the plurality of basic information are included, the patient group corresponding to the plurality of basic information is set as a simultaneous medical care patient group to be treated at the same time, and included in the simultaneous medical care patient group a control unit that causes the display unit to simultaneously display a plurality of the windows containing medical information of each patient to be treated,
Electronic chart device. The control unit
controlling the display positions of the plurality of windows so that the patient's name and surname included in the plurality of windows simultaneously displayed on the display unit are all visible;
The electronic medical record device according to claim 1 . The control unit
controlling the display positions of the plurality of windows simultaneously displayed on the display unit based on the ages of the patients included in the simultaneous medical care patient group;
The electronic medical chart device according to claim 1 or 2 . The control unit
controlling the display unit so that the plurality of windows displayed simultaneously on the display unit are displayed side by side from the front side in ascending order of age of the patient;
The electronic medical chart device according to claim 3 . An electronic medical record control method performed by a device that displays a window containing medical information of at least one patient on a display unit,
a step of acquiring basic information of a group of patients waiting for treatment from a storage unit;
a step of determining whether or not the obtained basic information of the group of patients waiting for medical treatment includes a plurality of pieces of basic information having the same address and surname or the same insurance information;
setting the patient group corresponding to the plurality of basic information as a group of simultaneous medical care patients to be treated at the same time when it is determined that the plurality of basic information is included;
and causing the display unit to simultaneously display a plurality of the windows containing medical information of each patient included in the simultaneous medical care patient group.
Electronic chart control method. A program to be executed by a computer that causes a display unit to display a window containing medical information of at least one patient,
A process of acquiring basic information of a group of patients waiting for treatment from the storage unit;
A process of determining whether or not the acquired basic information of the group of patients waiting for medical care includes a plurality of pieces of basic information having the same address and surname or the same insurance information;
A process of setting the patient group corresponding to the plurality of basic information as a simultaneous medical treatment patient group to be treated at the same time when it is determined that the plurality of basic information is included;
a process of simultaneously displaying, on the display unit, a plurality of windows containing medical information of each patient included in the simultaneous medical care patient group;
A program that makes a computer run

Images