KR20140030912A - Medical record formatting system and controlling method therefor - Google Patents

Abstract

The present invention provides a system for filling in a medical record form and a control method thereof. The system for filling in a medical record form comprises: a display unit for displaying a medical record form management menu for inputting a patient′s medical record in an EMR format on a screen; a terminal body for controlling functions of generating/revising/deleting the medical record form management menu screen displayed on the display unit using previously defined meta-information according to a predetermined form management writing menu tool; and a DB module which is located inside the terminal body and stores the form management writing menu tool for generating/revising/deleting the medical record form management menu, and the meta-information. According to the present invention, a medical record form management menu is configured to include user information for controls displayed on a screen, a function for filling in a form, and content information constituting a form; and when a user requests the required form, the requested form is generated on the medical record form management menu using previously defined meta-information, and the generated form is transmitted, revised or deleted. As a result, a form for managing medical record information which is absolutely necessary for patient treatment can be managed only through the medical record form management menu, in order to prevent an unauthorized person from indiscreetly generating or revising the form and using the form, thereby maximizing the reliability of a medical record.

Description

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical record formatting system,

More particularly, the present invention relates to a medical record form preparation system and a control method thereof. More particularly, the present invention relates to a medical record form management system, which comprises a medical record form management menu including user information for control represented on the screen, A system for creating a medical record form which maximizes the reliability of the medical record by generating, transmitting, modifying and discarding the application form using the predefined meta information on the medical record form management menu when the user applies for the required form And a control method.

Generally, a system that manages all the records necessary for patient care based on the computer rather than the paper medium is called an electronic medical record (EMR) system. The electronic medical record system is a system that classifies and stores the inputted data when the user inputs data into an electronic form configured in a consensus form on the screen of the terminal, and immediately displays the corresponding medical record in a form of format upon a search request. At this time, the above data is applied to EMR system in many hospitals because it has advantages of easy recycling (statistics, decision support, reporting), storage, viewing (sharing) and management. In addition, the record input program, which is a core function of the EMR system, should allow the practitioner to accurately grasp the patient's condition in a short time and to input the contents into the EMR system quickly and conveniently. To this end, convenience features such as a convenient input device, a highlight function for specific contents, a visualization of the form, and a function for instantly linking the necessary existing information are required. In addition, recorded data such as symptom and treatment status of stored patient should be expressly expressed in a formalized way so that information retrieval and exchange is easy and machine can understand and handle the meaning of information. This not only enhances the input function of the recording input program, but also manages the medical record form in various forms of content, and requires an information model based configuration called Archetype internally. Therefore, it is necessary to develop an intuitive and convenient form management program that can generate and manage the form contents which is the element technology of the EMR system.

Prior art related to the above-mentioned conventional EMR system is disclosed in Korean Patent Laid-Open No. 10-2010-0053995 filed by Jeong Hi-doo (entitled " Clinical Room PC between Clinical Electronic Medical Record System and Internet- Based access method (published on May 24, 2010).

Referring to FIG. 1, the EMR system as described above includes an EMR search device for organizing hospital medical records according to an electronic format and storing the records in a DB 70, (71);

For example, an intranet or the Internet, to the EMR search equipment 71 and searches the electronic medical record and the medical record number data of the patient in electronic format according to the start of the patient's medical treatment and displays it on the display 73 And a medical terminal 74 for displaying the medical image.

Meanwhile, in the operation of the conventional EMR system as described above, first, the medical doctor connects to the EMR search equipment 71 through the communication network 72 according to the start of medical treatment by the patient's medical treatment terminal 74. Then, the medical service terminal 74 prepares the electronic medical record and the medical care record number data of the patient desired to be known by the connected EMR search equipment 71 in an electronic format and then searches the EMR search equipment 71 request. Then, the EMR search device 71 searches the DB 70 for the electronic medical record and the patient record number data of the patient requested by the medical service terminal 74, searches the electronic record of the record in the electronic format, The doctor transmits a request to the medical care terminal 74 to perform a normal medical care record confirmation operation with the medical care terminal 74.

However, the above-described conventional EMR system system is inconvenient in that an unauthorized person is indiscriminately creating or revising a form for managing medical record information, which is absolutely necessary for medical treatment of a patient, and thus the reliability of the medical record is considerably deteriorated There was a problem.

Furthermore, in the conventional EMR system system, the medical record format implemented by the system simply uses the name of the item forming the form as a standardized code name for not only recording input and inquiry but also semantic recycling, In this case, since such a form management program is required to set the requirements of the form at one time, the flow of form generation is complicated and time-consuming. In addition, in order to form a form item, There is a problem in that it is very difficult to form a template because it is necessary to perform operations such as selecting a term in a glossary, assigning an upper item to a hierarchy, specifying a control type of an item, moving a position, .

In addition, the conventional EMR system system as described above lacks a lot of design elements (shapes, lines, colors, sizes, and the like) in which formatting is displayed on the screen, It is difficult to solve the problems of meta-management and to construct only an external design without the structure of the form, or to manage the design neglecting the structure.

SUMMARY OF THE INVENTION The present invention has been made in order to solve the problems of the related art as described above, and it is an object of the present invention to provide a medical record management system and a medical record management system, which prevent unauthorized person from indiscreetly creating or revising a form for managing medical record information, The present invention aims to provide a system for preparing a medical record form which maximizes the reliability of medical records and a control method thereof.

It is another object of the present invention to provide a medical record form creation system which can simplify a form creation flow and considerably reduce a form creation time because it can be set in various ways without setting format requirements on a medical record form management menu at once. And a control method thereof.

      Still another object of the present invention is to provide a medical record management system and a medical record management system which are capable of uniformly recording the medical records through the medical record form management menu, And to provide a system for creating a medical record form that maximizes the efficiency of medical record management and a control method thereof.

According to an aspect of the present invention, there is provided a medical record management system comprising: a display unit for displaying a medical record form management menu on a screen,

      A terminal body for controlling a function of creating / modifying / discarding a medical record form management menu screen implemented on the display unit using predefined meta information according to a set form management creation menu tool;

      And a DB module in which meta information is stored in the terminal main body, a form management creation tool for creating / modifying / discarding a medical record form management menu, and a DB module for storing meta information.

According to another aspect of the present invention, there is provided a method for generating a form, the method comprising: a first step of requesting a form creation from a medical record form management menu screen in which a patient's medical record can be entered in an EMR format implemented on a display;

When the creation of the medical record form is requested after the first process, the user information of the controls displayed on the screen in the medical record form management menu newly created by the terminal body according to the form management creation menu tool stored in the DB module (user An information screen), a basic process of creating a record and a convenience creation function, and a second process of configuring a user form screen (UI) to include content information constituting the form;

And a third step of performing a task of creating / modifying / discarding the newly created medical record form management menu using the predefined meta information stored in the DB module after the second step Provides a control method of the authoring system.

According to the present invention as described above, the medical record form management menu is configured to include user information for control, a function for creating a form record, and content information constituting a form displayed on the screen, By creating, transmitting, modifying and discarding the submitted form using predefined meta information on the medical record form management menu, it is possible to generate indefinitely a form to manage the medical record information which is absolutely necessary for the unauthorized patient medical treatment, It is possible to maximize the reliability of the medical record.

In addition, according to the present invention, since the form requirements can be set in various manners without setting the form requirements on the medical record form management menu at once, the form creation flow is simple and the form preparation time is significantly reduced.

In addition, the present invention as described above allows uniform medical records to be recorded and managed uniformly through the medical record form management menu, so that it is possible to smoothly transmit medical records between medical staff and administrators using such forms, It also has the effect of maximizing management efficiency.

1 is an explanatory view for explaining an example of a conventional EMR system.
BACKGROUND OF THE INVENTION Field of the Invention [0001]
3 is an explanatory view for explaining an example of a form management menu screen implemented by the system of the present invention;
4 is an explanatory diagram for explaining generation and editing of format meta information implemented by the system of the present invention;
5 is an explanatory diagram for explaining an example of editing of format meta information implemented by the system of the present invention;
6 is an explanatory view for explaining an example of a form design edit implemented by the system of the present invention;
7 is a flowchart of the present invention.

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

The system of the present invention includes a display unit 1 for displaying a medical record form management menu on the screen, on which a patient's medical record can be inputted in an EMR format as shown in FIG. 2;

      A terminal body 2 for controlling a function of generating / modifying / discarding a medical record format management menu screen implemented in the display unit 1 using predefined meta information according to a set format management creation menu tool;

      A form management creation tool for creating / modifying / discarding a medical record form management menu and a DB module 3 for storing meta information, which is built in the terminal main body 2.

      The form management menu includes user information (user information screen) of the controls displayed on the screen, a basic function of creating a record, a convenience writing function, and content information constituting a form.

       In addition, the user form screen (UI) according to the form management menu includes a form application management, a form usage frequency management, a form generator, a form section inquiry, a form content inquiry, a form preview view, a section type management, As shown in FIG.

Here, the user information screen (UI) is shown as a submenu of 1) form management area, 2) main menu area, 3) form structure area, 4) form editing area, and 5) editing tool area as shown in FIG. Can be configured.

Further, the 1) Form Management Area sub-menu further includes a sub menu screen for format inquiry, basic information, item inquiry, and data migration as shown in FIG.

Here, the meta information of the form can be generated / modified as shown in FIG. 5 by clicking on the icon for creating a new form in the basic information submenu of the form management area.

Meanwhile, since the user who inputs the record through the form must have an intuitive and familiar form, the configuration of the user form screen (UI) supports various input forms and also provides the function of inserting additional information for input. For example, an input control such as an input control: a text box, a radio button, a check box, a combo box, a label, an image, a data grid, Table Layers, and other rich control properties are also provided, allowing administrators to freely change the type of control they want, including the ability to insert additional information, including control name, width, height, location, default, , Border color, border thickness, font type, font size, font color, and the like.

Herein, the medical record form creation system of the present invention as described above can add various convenience functions when a form is created so that a user can easily input patient information through a medical record form management menu screen. In addition, the medical record form creation system of the present invention can initialize other information in a form field, or provide an event function to select a value displayed by a pop-up and input the selected value into a text box. Of course, the above-mentioned event setting can easily be set and managed by the administrator according to predefined rules and meta information.

On the other hand, the format of the above-mentioned medical record form management menu is defined as the following form Archetype. At this time, the definition includes: 1) allowing a form to be created in a normalized manner between administrators managing forms; 2) providing a standard for interoperability of information; and 3) Share a common understanding, and (4) specify data representations to facilitate large-scale data management and access. Further, the above-mentioned form Archetype borrows the EAV model to form a hierarchical structure of the form. The EAV model is a data model expressed as an Entity composed of several attributes, which is a generalized method for modeling heterogeneous data advanced as an Entity - attribute - value structure. The EAV expression stores and manages data on clinical patient records, It is mainly used in domains. However, defining all the elements that form the archetype of the form at the time of the above-mentioned form generation lowers the operation speed and increases the complexity of the form. Therefore, in the medical record form management menu of the present invention, the form generator and the form item management function provided in the terminal main body 2 are separated from each other, and the area for designing in the form generator and the part for setting the form- Thereby maximizing the convenience of operation.

Next, the control method of the present invention having the above-described configuration will be described.

The method includes a first step (S100) of requesting form generation from a medical record form management menu screen in which a medical record of a patient can be inputted in an EMR format implemented on a display unit in an initial state as shown in FIG. 7, and;

When the generation of the medical record form is requested after the first step (S100), the user of the controls displayed on the screen in the medical record form management menu newly created by the terminal body according to the form management creation menu tool stored in the DB module. A second step (S200) of configuring a user form screen (UI) to include information (a user information screen), a basic function of creating a record, a convenience writing function, and content information constituting a form;

After the second step (S200), a third step (S300) of executing a task of creating, modifying, or discarding the newly created medical record form management menu by using the predefined meta information stored in the DB module. It includes.

In the third step (S300), the terminal body sets the medical record form management menu in 1) the form management area, 2) the main menu area, 3) the form structure area, 4) the form editing area, and 5) the editing tool area. Step 300-1 comprising a;

And generating and editing meta information of the medical record format after step 300-2.

Here, in step 300-1, after checking ID / Revision number / Form name / Form type / Use information / Owning information / Section list items in the Basic information submenu of the form management area located in the medical record form management menu, edit each content. The method further includes step 300-3 to create meta information desired by the user.

In addition, in step 300-1, the basic section format type-section item of the form management area located in the medical record form management menu is implemented as a master to automatically generate a predefined section at the time of format type selection. .

In step 300-1, the form load item of the form editing area located in the medical record form management menu is displayed on the screen for each section including the form as shown in FIG. 6, and each section is a form design / form. Step 300-5 to allow a form to be created by editing the model / form item information;

In the form design edit item of the form edit area, a form item of an edit tool area is input by dragging & dropping, using a defined shortcut key or using a clipboard, and then clicking the inputted item. Step 300-6 to complete the basic design of the format by moving or resizing using;

In the form model edit item of the form edit area, a form term, a relationship between form items, and a schema of the form items are set through a special key and a mouse input of the terminal body, and the form items have a hierarchical structure (parent-child). Step 300-7, which provides a function for setting a hierarchical relationship between items using a special key of the terminal body;

A step 300-8 of editing the detailed information of the selected form item using the property window to edit detailed information of the form item of the form in which the design and model are created in the form item information edit item of the form editing area ;

When the form creation is completed in the preview item of the format editing area, a preview is executed to confirm the operation state in the environment used in the medical record, and then the validity check and the formula operation function are confirmed. ;

In the storage item of the form editing area, a new meta ID and an update number of the form are newly generated and stored, and the user selects and stores whether to increase the update number when saving the update. It comprises a step 300-10 for storing the form design information / form model information.

     Here, the step 300-7 may further include a term term completion step of executing a term term completion function according to the keyboard input by the user when setting the term term.

           Step 300-7 further includes a hierarchical display step of displaying the parent hierarchy of the selected form in the edit window when the hierarchical relation is set during the form model editing step, so that the model can be edited while confirming the hierarchical relationship.

      In other words, in the medical record form creation system of the present invention, when a medical staff or other user desires to newly or update the medical record form menu, the medical record form preparation system, which is implemented on the display unit 2 of the terminal main unit 2, Request form creation from menu screen. Then, when the terminal body 2 is requested to generate the medical record form as described above, the terminal body 2 is displayed on the screen in the newly created medical record form management menu according to the form management creation menu tool stored in the DB module 3. The user form screen (UI) is configured to include the user information (user information screen) of the controls, the basic function for creating a record and the convenience creation function, and the content information constituting the form. Then, the terminal body 2 executes a task of creating / modifying / discarding the newly created medical record form management menu by using the predefined meta information stored in the DB module 3.

      2) a main menu area, 3) a format area, and 4) a formatting area. [0033] FIG. And 5) the meta information of the medical record format composed of the sub-menu of the editing tool area is generated and edited.

At this time, in the basic information submenu of the form management area located in the medical record form management menu, check the ID / revision number / form name / form type / usage information / ownership information / section list items, and then edit each content to edit the desired meta data. Fill out the information.

Alternatively, the basic section format type-section item of the form management area located in the medical record form management menu may be implemented as a master to automatically generate a predefined section when the format type is selected.

In particular, the form load item of the form editing area located in the medical record form management menu is configured to display a screen for each section including a form, as shown in FIG. 6, and each section is a form design / format model / format item. Allows you to fill out forms by editing the information.

In the form design edit item of the form edit area, the form item of the edit tool area is input through drag & drop, by using a defined shortcut key or by using a clipboard, and then the input form item. You can also use the mouse to move or resize to complete the basic design of the form.

In addition, in the form model editing item of the format editing area, the format of the form term, the form items, and the format of the form item are set through the mouse key input of the special key 4 of the terminal main body 2, Has a structure (parent-child), and performs a function of setting a hierarchical relationship between items using a special key of the terminal main body.

       Here, when the form term is set as described above, the form term automatic completion function may be executed according to the keyboard input of the user.

      Furthermore, if the hierarchical relationship is set during the editing of the form model, the model can be edited while displaying the parent hierarchy of the selected form in the editing window to check the hierarchical relationship.

         Here, the schema of the form item should be distinguishable by an entity-attribute-value (EAV) according to the characteristics of a form item, and provides a function of setting the schema by a context menu.

      Meanwhile, in the form item information editing item of the form editing area, the detailed information of the selected form item can be edited using the property window in order to edit the detailed information of the form item of the form in which the design and the model are created. It can be configured to modify detailed information such as X coordinate, Y coordinate), default information, display status, read-only, mandatory input, etc., and these detailed information items are changed according to the type of selected format item. Provides the ability to edit.

      Furthermore, when the form creation is completed in the preview item of the format editing area, a preview can be executed to check the operation status in the environment used in the medical record by checking the validity check and the formula operation function .

In addition, in the storage item of the form editing area, the meta ID and the update number of the form are newly generated and stored, and the user selects and stores the update number when the update is stored. Stores information / form design information / form model information.

1: display unit 2: terminal body
3: DB module 4: keyboard

Claims (13)

A display unit for implementing on the screen a medical record form management menu for inputting a patient's medical record in an EMR format;
A terminal body for controlling a function of creating / modifying / discarding a medical record form management menu screen implemented on the display unit using predefined meta information according to a set form management creation menu tool;
Medical record form creation system including a DB module that is embedded in the terminal body for storing / modifying / discarding the medical record form management menu, and the DB module for storing meta information. The method of claim 1, wherein the form management menu includes user information (user information screen) of controls displayed on a screen, a basic function of creating a record, a convenience writing function, and content information constituting a form. Record Forming System. According to claim 1, User form screen (UI) according to the form management menu in the form application management, form usage frequency management, form generator, form section content inquiry, form content inquiry, form preview inquiry, section type management, form Medical record form creation system characterized in that it further comprises an item management menu items. The method of claim 1, wherein the user information screen (UI) comprises a submenu of 1) a form management area, 2) a main menu area, 3) a form structure area, 4) a form editing area, and 5) an editing tool area. Characterized by the medical record preparation system. 5. The medical record preparation system according to claim 4, wherein the form management area submenu further comprises a submenu screen for form inquiry, basic information, item inquiry, and data transfer. The system of claim 4, wherein the basic information submenu of the form management area is configured to generate / modify meta information of a form by clicking on a icon for generating a new form. A first step of requesting a form generation on a medical record form management menu screen for inputting a medical record of a patient in an EMR format implemented on a display unit;
When the creation of the medical record form is requested after the first process, the user information of the controls displayed on the screen in the medical record form management menu newly created by the terminal body according to the form management creation menu tool stored in the DB module (user An information screen), a basic process of creating a record and a convenience creation function, and a second process of configuring a user form screen (UI) to include content information constituting the form;
After the second process, a medical record form including a third process of executing a task of creating, modifying, or discarding a new medical record form management menu created by the terminal body using the predefined meta information stored in the DB module. Control method of production system. [8] The method of claim 7, wherein the terminal unit sets the medical record form management menu in 1) the form management area, 2) the main menu area, 3) the form structure area, 4) the form editing area, and 5) the editing tool area. Step 300-1, comprising a sub menu;
And a step 300-2 of generating and editing meta information of the medical record format after the step 300-2. [10] The method of claim 8, wherein in step 300-1, the ID / revision number / form name / form type / use information / owner information / section list items are checked in the basic information submenu of the form management area located in the medical record form management menu. After the step of editing each of the contents to create a meta-information desired by the user 300. The method of claim 8, wherein in step 300-1, a basic section format type-section item of a form management area located in a medical record form management menu is implemented as a master to automatically generate a predefined section when selecting a form type. Control method of the medical record preparation system, characterized in that it further comprises step 300-4. The method as claimed in claim 8, wherein in step 300-1, a section including the form is displayed on the screen in the form load item of the form editing area located in the medical record form management menu, and each section is a form design / format model / form. Step 300-5, allowing a form to be created by editing the item information;
In the form design edit item of the form editing area, a form item of the editing tool area is inputted through Drag & Drop, or inputted by using a defined hot key or by using a clipboard, 300-6 < / RTI > for completing the basic design of the form by moving or adjusting the size of the form by using < RTI ID = 0.0 >
In the form model edit item of the form edit area, a form term, a relationship between form items, and a schema of the form items are set through a special key and a mouse input of the terminal body, and the form items have a hierarchical structure (parent-child). Step 300-7, which provides a function for setting a hierarchical relationship between items using a special key of the terminal body;
A step 300-8 of editing the detailed information of the selected form item using the property window to edit detailed information of the form item of the form in which the design and model are created in the form item information edit item of the form editing area ;
When the form creation is completed in the preview item of the format editing area, a preview is executed to confirm the operation state in the environment used in the medical record, and then the validity check and the formula operation function are confirmed. ;
In the storage item of the form editing area, a new meta ID and an update number of the form are newly generated and stored, and the user selects and stores whether to increase the update number when saving the update. The control method of the obligatory record form creation system, characterized in that it further comprises step 300-10 of storing the form design information / form model information. The medical record form creation system according to claim 11, wherein, in step 300-7, the format term automatic completion function is executed to execute a format term automatic completion function according to a user's keyboard input when setting a format term. / RTI > 12. The method of claim 11, wherein, in step 300-7, a hierarchical display step is performed to display a parent hierarchy of the form selected in the edit window when the hierarchical relation is set during the form model editing step, Wherein the control unit is further configured to:

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