JP2001118008A - Electronic medical record system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To list and display graphs, character strings, figure symbols, etc., of patient data by arranging them at positions that common time-base coordinate indicates. SOLUTION: Graphs, character strings, figure symbols, etc., showing thermometric data, examination data, medical consultation record data, nursing record data, or care plan data regarding a specified patient are arranged and displayed in a graph area 32 or an area 33 of a table on the basis of data of dates and times that respective data items have according to time-base coordinates that a time-base area 31 displayed on the screen of a display device indicates.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an electronic medical record system for processing patient information stored as an electronic file, which is suitable for use by medical personnel such as doctors and nurses.

[0002]

2. Description of the Related Art In the field of medical treatment, it is necessary for a medical worker such as a doctor or a nurse to accurately grasp the present condition and progress of a patient in order to perform an appropriate medical action or nursing action. . Heretofore, the current status and progress of a patient have been referred to by referring to a wide variety of record documents. Specifically, a medical record document, which is referred to as a medical record, in which the progress of a patient and medical activities are recorded, a nursing record document in which the progress of a patient, nursing activities, etc. are recorded by a nurse, and examination results, etc. Includes the described test result sheet, medical image film, and the like. The recording document may include not only a record written on paper but also audio information and moving image information in addition to still image information such as the medical image film.

However, in the above-described method, when all the recorded documents are managed by binding them together for each patient, only one or a small number of medical workers can be referred to at the same time. If the record documents, nursing record documents, test result sheets, medical image films, etc. are separately managed for each patient, it is necessary to search them separately if you want to refer to all the information on patients. The problem was involved.

In order to solve the above problem, an electronic medical record system has been developed in which patient information recorded in the above-mentioned document is stored in an appropriate storage device as an electronic file and is used by a computer. . Such electronic patient information is also called an electronic medical record and can be referred to using input / output devices of a plurality of computers connected via a network. As a result, a plurality of medical workers can refer to the patient information at the same time, and the trouble of searching for information can be greatly reduced.

[0005] Generally, an electronic medical record for each patient includes a plurality of different types of data. For example, the data is divided into a plurality of different types of data such as temperature measurement data, examination data, medical record data, nursing record data, care plan data, and the like, and stored in the computer. Hereinafter, a set of these data of the patient may be referred to as patient data. Each patient data is composed of a plurality of data elements arranged in chronological order regarding the same patient.

When the operator wants to view a specific type of patient data relating to the patient, he specifies the patient by inputting a patient name or a patient identification code, and then specifies the type of patient data to be viewed. By the operation, the patient data of the designated type of the patient is displayed, and data elements of different dates constituting the patient data are arranged in chronological order. Each data element also includes data of the date and time, and the operator may switch the screen of the screen or scroll the screen until the data element of the desired date and time is displayed on the display device. Through these operations, the operator can refer to a desired type of patient data regarding a desired patient.

When the operator wants to view the progress of temperature measurement data or test data relating to a certain patient with respect to the electronic medical record, for example, the operator designates the time in an area in which the horizontal axis represents time and the vertical axis represents a numerical value. There is also proposed a method of displaying a graph screen drawn based on the date and time information and numerical value of a specified data element relating to a patient. When an operator specifies a plurality of types of data elements, a method has been proposed in which a graph of a plurality of types of data elements is superimposed and displayed on one screen. In addition to the temperature measurement data or test data, for example, for execution data such as infusion or injection, the number of executions and the execution time are represented by pictorial symbols such as triangles, squares, or check marks, and are displayed together with the graph. Schemes have also been proposed and used. By the method of displaying the graph screen, the operator can refer to the progress of the desired type of patient data relating to the desired patient in the form of a graph or a graphic symbol that is easy to grasp intuitively.

[0008] Further, with respect to the electronic medical record, the operator can use a plurality of types of patient data, such as temperature measurement data or examination data, medical treatment record data, nursing record data, or care plan data, for a plurality of days for a certain patient. If you want to list and compare the elements, for the specified multiple types of data elements for the patient specified by the operator, the same type of data element in the same row cell and the same date data element in the same column cell There has also been proposed a method of displaying and displaying a screen of a table composed of a matrix of cells arranged in order of date. According to the method of displaying the screen of the above table, the operator can list the data elements of a plurality of types of patient data over a period of a plurality of days for the patient and compare and examine the progress of the plurality of types of patient data. It can be used for diagnosis by associating and grasping.

[0009]

First, in the prior art including the above-described example, a method of displaying the graph screen such as a body temperature by the electronic medical chart, a method of displaying a plurality of items of data items over a plurality of days, and a method of displaying the graph screen. Has been proposed, but the graph screen and the table screen cannot be referred to at the same time. For example, when an operator displays a data element included in a patient's medical record data on a display device and focuses on a finding considered to be important in the data element, the operator may check the data element before and after the date when the finding is described. It often happens that one wants to see graphs such as body temperature. In this case, in the conventional electronic medical record system, the operator designates the type of the graph screen, performs an operation of switching from the table screen to the graph screen, and then displays the page until a desired portion on the graph is displayed. You need to switch and scroll the screen. The above operation takes time, and the operator has to look at the screen to determine whether or not the desired screen has been displayed. Therefore, the operator tends to feel fatigue, and the efficiency of comparison reference tends to decrease.

Second, the density of recorded information, such as the number of times of temperature measurement or the number of tests, the recorded amount of findings, and the like varies depending on the condition of the patient. However, the display scale in the time axis direction of the graph screen is fixed in accordance with the density of the recording information, and it is impossible to freely change and display the entire or specific range. Further, it has been impossible to freely change the width of the frame representing the date on the screen of the table according to the density of the recording information, as a whole or within a specific range.
In this case, in a conventional electronic medical record system, for example, when a graph screen in which a two-week temperature graph of a certain patient can be referred to on a single screen is displayed, it is usually once to three times a day.
Although the number of times of temperature measurement is about twice, if there is a day where the body temperature is measured every hour due to sudden change only in one day during the display period,
On the graph screen, it is difficult for the operator to read in detail the change in the body temperature on the day of the sudden change. Also, when displaying the screen of the above table regarding the findings or action items over the same period of time for the patient, it is assumed that on the day of the sudden change, the findings of the amount of five times the normal amount are recorded. It is difficult to display all the findings on the day of the sudden change in a narrow frame.

Third, for example, when the operator wants to display the history of only a specific type of patient data on the entire screen while the graph screen or the table screen is being displayed, and to examine the details in detail. Or, when it is desired to input a specific type of patient data, the operator has to perform an operation of designating a type of an individual screen or an input screen relating to a desired type of patient data and switching the screen. Further, when the individual screen is displayed, it is necessary to switch pages or scroll the screen until a desired portion in the individual screen is displayed. The above operation takes time and the operator has to look at the screen to determine whether or not the desired screen has been displayed. Therefore, the operator tends to feel fatigue and work efficiency tends to be reduced.

Accordingly, an object of the present invention is to provide an electronic medical record system capable of inputting or referencing a plurality of types of patient data elements with a simpler operation.

A more specific object of the present invention is to display a plurality of types of patient data elements side by side on a screen based on the type of patient data and information on the date and time, so that the operator can monitor the progress of the patient's condition. It is to provide an electronic medical record system that can be easily grasped.

[0014] A more specific object of the present invention is to allow the operator to freely change the display scale in the entire time axis direction or in a specific range specified by the operator while the screen displayed collectively is displayed. It is an object of the present invention to provide an electronic medical record system that allows an operator to easily read the patient data even when the density of recorded information such as the amount of information and the amount of findings changes.

A more specific object of the present invention is to display an individual screen or an input screen of a desired type of patient data with a simpler operation while the screen displayed collectively is displayed. An object of the present invention is to provide an electronic medical record system capable of greatly reducing screen scroll operations.

[0016]

Means for Solving the Problems To solve the above problems, in the electronic medical record system of the present invention, the processing device performs the following processing.

Regarding the patient data relating to any one of the patients, a graph representing temperature measurement data or test data, a character string or a graphic symbol representing temperature measurement data, test data, medical record data, nursing record data, care plan data, etc. Is displayed at a position corresponding to the common time-axis coordinate set on the screen of the display device based on the time-series information of each data element.

In a state where the graph and the character string or the graphic symbol are displayed on the screen of the display device, the operator specifies the range in the time axis direction using the input device on the screen. In the display scale change instruction, when the desired display scale is input, the display scale in the time axis direction of the specified range is changed as specified by the operator,
The graph, the character string, and the graphic symbol are changed in position and displayed in conjunction with the changed display scale.

In a state where the graph and the character string or the graphic symbol are displayed on the screen of the display device, the operator uses the input device on the screen to display the graph, the character string, or the graphic symbol. Is selected, and when the display of the individual screen is instructed, the temperature measurement data, the test data, the medical treatment record data, or the nursing record is based on the graph, the character string, or the graphic symbol specified by the operator. An individual screen relating to any of the data or the care plan data is displayed.

Further, when the operator selects a part on the screen with the graph and the character string or the graphic symbol displayed on the screen of the display device, and instructs the display of the data input screen, A data input screen for any one of the temperature measurement data, the examination data, the medical record data, the nursing record data, and the care plan data is displayed based on a position on the screen of the part selected by the operator.

[0021]

DESCRIPTION OF THE PREFERRED EMBODIMENTS Hereinafter, an electronic medical record system according to the present invention will be described in detail with reference to embodiments shown in the drawings.

In FIG. 1, an electronic medical record system 1 includes:
A data input device 13 such as a keyboard or a mouse for receiving operation input and data input, a storage device 12 such as a magnetic disk storage device for storing patient data, screen format data, print format data, programs, and the like. And display the data on the screen C
An output device 14 such as an RT display is provided, and a data processing device 11 that processes data according to a program and controls the operation of the system. The output device 14 also includes a printer for printing patient data, but the description is omitted here for simplicity. In addition, the output device 14
Not only a CRT display, but also a liquid crystal touch panel integrated with the input device 13, a printer for outputting information on paper, a speaker for outputting audio information, or a combination of the above devices may be used. Good. The input device 13 may be a pen tablet, the liquid crystal touch panel integrated with the output device 14, a microphone for inputting voice information, or a camera for inputting image information, instead of or in addition to the mouse and keyboard. Alternatively, a combination of the above devices may be included.

The electronic medical record system 1 includes a storage device 12
The following processing is executed under the control of the program stored in. It is needless to say that instead of using this program, a dedicated logic circuit may be provided to realize the same function.

As shown in FIG. 2, when the program is started, first, a display screen 21 as shown in FIG. 1 is displayed on the output device 14 in accordance with the format data stored in the storage device 12. (Step 400). The display screen 21 includes a graph representing temperature measurement data or test data, a character string or a graphic symbol representing temperature measurement data, test data, medical record data, nursing record data, care plan data, and the like. Based on the time series information having, it is displayed at a position corresponding to the common time axis coordinates set on the screen,
Hereinafter, it is referred to as a patient flow sheet screen 21. On the patient flow sheet screen 21, a patient name column 211, a display magnification column 212, a previous page display button 213, a next page display button 214, a print button 215, and a process end button 2
16 and an information display area 217.

For example, when a drop-down button (▽) located on the right side in the patient name column 211 is selected,
Display a drop-down list. The drop-down list contains the names of registered patients. A desired patient can be selected from the list. The patient name column 211 also includes a menu for instructing an operation for registering a new patient. The magnification column 212 displays a drop-down list when, for example, a drop-down button (▽) located on the right side thereof is selected. The drop-down list contains the already registered magnification, such as 100%, 80%, or 66%. A desired magnification can be selected from the list. In this magnification column, a desired magnification can be set numerically using a keyboard. When the screen of the information display area 217 does not have a sufficient area, a part of the screen is trimmed and displayed as shown in FIG. 1, and the screen can be scrolled by the vertical scroll bar 2171 and the horizontal scroll bar 2172. I have. When the print button 215 is selected, the patient flow sheet screen 21 is printed from the printer device. For easy viewing when printed, the patient flow sheet screen may be displayed for each page with a period such as two weeks as one page. In that case, the previous page display button 21 is used.
3 and the next page display button 214 is selected,
You can switch the display page.

In the present embodiment, patient data for each patient stored in the storage device 12 includes temperature measurement data, examination data, medical record data, nursing record data, care plan data, and the like. These data are generated for each patient, and each of a plurality of patient data for each patient includes identification information (patient ID) of the patient.

The temperature measurement data includes a plurality of data elements such as a patient's body temperature, pulse, respiratory rate, diastolic blood pressure, and systolic blood pressure. Numerical information obtained by daily temperature measurement is input by a nurse or the like. Is stored in addition to the patient's temperature data as a new data element. Note that this new data element includes
The date and time when the temperature was measured are added as date data of the data element. Similarly, the test data
And a plurality of data elements representing the results of each of a plurality of tests performed on the patient on different days. Each data element includes, as date data of the data element, the date and time when the corresponding test was executed. Medical record data is
Each time a doctor examines a patient, the contents of the examination, findings, or items to be performed by the doctor are added and recorded as new data elements to the medical record data of the patient. It should be noted that the new data element is added with the date and time when the contents of the consultation were input as the date data of the data element. Similarly, the nursing record data includes a plurality of nursing record data elements entered at different dates for the patient. Each data element contains the date and time when the nursing record was entered as date data for that data element. Similarly, care plan data includes multiple care and nursing care plan data elements entered at different dates for the patient. Each data element includes, as date data of the data element, the date and time when the care is scheduled to be performed.

When the operator enters a patient name in the patient name column 211 while the medical chart display screen 21 is displayed, a predetermined plurality of types of patient data of the plurality of types of patient data relating to the patient are displayed. A graph, graphic symbol, or character string relating to the patient data element of
17 is displayed.

The patient flow sheet displayed in the display area 217 includes a time axis area 31, a graph area 32, and a table area 33.

The time axis area 31 displays a time axis and a display scale. The time axis and the time axis coordinates indicated by the display scale are commonly applied to the entire patient flow sheet including the graph area 32 and the table area 33. FIG.
As in the example shown in FIG. 7, the scale line of the time axis area 31 may be a date separator only.

In the graph area 32, data elements such as temperature measurement data or test data relating to the patient are displayed in a graph such as a line graph or a plot. The date data included in each data element includes information on the date and time, and a graph is drawn in accordance with the time axis coordinates indicated by the display scale displayed in the time axis area 31. As shown in FIG. 1, a ruled line as a scale line in the time axis area direction is
May be displayed so as to match the scale line displayed in. The type of data element to be displayed as a graph is set in advance, and the setting can be changed even during the display. Also,
Graphs of a plurality of types of data elements can be displayed in a superimposed manner, and the type or color or line type of the graph, and the maximum value or minimum value in the numerical axis direction or the scale interval can be set for each data element.

In the area 33 of the table, data elements such as temperature measurement data, examination data, medical treatment record data, nursing record data, care plan data, etc. relating to the patient are displayed as character strings or graphic symbols. The date data included in each data element includes information on the date and time, and the character string or the graphic symbol is drawn according to the time axis coordinates indicated by the display scale displayed in the time axis area 31. As shown in Fig. 1, data elements of the same type can be displayed in cells of the same row, data elements of the same date can be displayed in cells of the same column, and displayed in a matrix of cells arranged in chronological order. And At this time, the display may be made in such a manner that the ruled line for separating the date in the table area 33 matches the date scale line in the time axis area 31. Data items such as numerical values, findings, and plans may be displayed as character strings. However, for drugs to be continuously administered such as medication or infusion, check marks are made using the area 33 in the table as shown in FIG. It may be displayed by using a symbol or a symbol.
When a character string such as medical record data, nursing record data, or care plan data is displayed in the area 33 of the table, as shown in FIG. They may be displayed side by side, or as shown in FIG. 3B, may be arranged and displayed at a position corresponding to the time axis coordinate indicated by the time axis area 31 based on the time information of each data element. Good. As shown in FIG. 3C, even when the character string is displayed vertically and displayed at the position corresponding to the time axis coordinate indicated by the time axis area 31 based on the time information of each data element, the character string is displayed. Good. Further, for example, an item such as “other” may be set, and a plurality of types of patient data other than the item being displayed may be displayed in the same cell. Furthermore, if it is difficult to display all the character strings of the recorded information in the table area, especially for medical record data and nursing record data, the information in the range specified by the operator at the time of input is recorded according to the patient data. By doing so, only the character strings in the range specified by the operator may be displayed.

As can be seen from the above description, in the present embodiment, the operator, along with the temperature measurement data or the time series graph of the test data, which indicates the change in the health condition of the patient, together with other temperature measurement data, the test data, or the medical record. Data or nursing record data or care plan data,
Since the necessary information can be compared and examined while listing, it is possible to quickly and accurately grasp the current situation and progress of the patient.

Returning to FIG. 2, in the operation input accepting procedure 401, an operation input from the operator is awaited. The operator can execute the following operations while the patient flow sheet screen 21 is displayed. For example, the vertical scroll bar 217
1. Operation of horizontal scroll bar 2172, patient name column 211
, The operation of the magnification column 212, the operation of the previous page display button 213 and the next page display button 214, the operation of the print button 215, the operation of the processing end button 215, and the like. In addition to the above-mentioned operations, operations such as an instruction to change the time axis scale of the patient flow sheet, an instruction to display the individual screen of the designated patient data, or an instruction to display the input screen of the designated patient data are received by a method set in advance. .

When the operator performs any operation, in the discrimination procedures 402, 403, and 404, the operation is the time axis scale change instruction, the individual screen display instruction, the input screen display instruction, or the like. Is determined. If the operation is the time axis display scale change instruction, the time axis scale change procedure 412 is executed. If the operation is the individual screen display instruction, an individual screen display procedure 413 is executed. If the operation is the input screen display instruction, an input screen display procedure 413 is executed. if,
When the operation is neither the time axis display scale change instruction, the individual screen display instruction, nor the input screen display instruction, it is further determined whether the operation is an operation of the processing end button 216 (step 405). . The operation is
If the operation is the operation of the processing end button 216, the display of the patient flow sheet is ended. If not, the display of the screen is changed according to the operation (step 406). For example, when the instruction is an operation of the print button 215, a patient flow sheet is printed according to a preset print format. When the operation is the operation of the scroll bar 2171 or 2172, the screen is scrolled according to the operation. If the operation is to select a specific section of the time axis area 31 in the screen, the selected section is highlighted. If the operation is a character string, graph, or symbol in the screen, the selected character string, graph, or symbol is highlighted. After that, the process returns to the operation input receiving procedure 401 and waits for the next input by the operator.

When it is determined in step 402 that the current operation is a time axis scale change instruction, a time axis scale change procedure 412 is executed. In this case, the operator needs to specify the start point and the end point of the period for which the time axis scale is to be changed by the immediately preceding operation.
For example, in the time axis area 31 of the patient flow sheet, the operator sets the display scale to be changed in January 17
It is assumed that the date from the date to the 18th is designated by the input means 13 such as a mouse. At this time, January 1 in the time axis region 31
The two days from the 7th to the 18th are highlighted as in the example shown in FIG. In the example of FIG. 4A, the frame is highlighted by thickening the frame of the designated section.
The section may be inverted between black and white or displayed in another color.
Thereafter, by performing an operation set in the time axis scale change instruction, for example, an operation of selecting one of both ends of the highlighted section frame with a mouse or the like, the procedure of the time axis scale change procedure 412 is executed. You. The time axis scale change instruction may be, instead of selecting the section frame, an operation registered in advance, for example, an operation input by double-clicking or right-clicking a mouse, or a time axis scale change instruction. A button may be newly provided. After performing the operation of the time axis scale change instruction, the operator changes the section width by dragging either end of the designated section with a mouse or the like as shown in FIG. 4B, for example. The width of the specified section to be changed can be set arbitrarily. Alternatively, a change of the time axis scale may be instructed by displaying a magnification input dialog box and inputting a display magnification of, for example, 2 times, 3 times, or 0.5 times with a keyboard or the like.

FIG. 5 shows a processing group in the time axis scale change procedure 412. In the time axis scale change procedure 412, first, a change section read procedure 4121 is executed. In step 4121, a change section already specified by the operator is read. It should be noted that the procedure of accepting input and the procedure of responding to inappropriate input are omitted. Next, a change scale reading procedure 4122 is executed, and the change scale or the display magnification calculated by the operator according to the above-mentioned method is calculated.
The time axis scale after the change of the specified section is read. The screen redisplay procedure 4123 is executed based on the above change section and the changed time axis scale, the time axis scale is changed as instructed by the operator, and the time axis area 31 and the graph area 32 and the table are displayed. The graph of the patient data, the character string, the graphic symbol, and the like displayed in the area 33 are all redisplayed in accordance with the changed time axis coordinates. FIG. 4C shows an example of the display screen of the patient flow sheet changed by the above processing. FIG. 4C shows that the section designated in the example of FIG. 4A, ie, three days from January 17 to 19, is reduced to a desired width of the operator designated in the example of FIG. It is an example of the screen displayed in an enlarged manner. In the example of FIG. 4 (c), the enlarged display section is re-divided by a broken line in units of 8 hours, but depending on the size of the display scale in the time axis direction, the display interval of the ruled line or the auxiliary line of the patient flow sheet. May be automatically changed. FIG. 6 shows an example in which a patient flow sheet that has been divided in units of one day is partially reduced in the time axis direction and is displayed in units of seven days. As a means for changing the display scale in the time axis direction as a whole, a time axis scale column similar to the magnification column 212 shown in FIG. 1 is provided so that the time axis magnification can be set. After the procedure for partially changing the display scale, means for specifying that the set display scale is applied to the whole may be provided. When this procedure 412 is completed, the program control returns to the operation input receiving procedure 401 and waits for the next input by the operator.

As can be seen from the above description, in the present embodiment, when the patient data recording density is high, such as when the patient suddenly changes, the part or the whole of the display scale in the time axis direction of the patient flow sheet is arbitrarily changed. However, even when the patient data recording density is low, such as after discharge from hospital, it is possible to provide a means for easily grasping the patient data at all times.

Referring back to FIG. 3, when the result of determination in step 403 is that the current operation is an individual screen display instruction, an individual screen display procedure 413 is executed. In this case, the operator needs to designate a character string, a graph, a graphic symbol, or the like representing the patient data for which the individual screen is to be displayed by the last operation. For example, it is assumed that the operator has selected, for example, a patient record on January 16 in the patient flow sheet as patient data for which an individual screen is to be displayed. At this time, the selected character string is highlighted in bold or changed color. Thereafter, by performing an operation set as an individual screen display instruction, for example, an operation of double-clicking the highlighted character string with a mouse or the like, the procedure of the individual screen display procedure 413 is executed.

FIG. 7 shows a processing group in the individual screen display procedure 413. In the individual screen display procedure 413, first, a display data identification procedure 4131 is executed. In step 4131, the type and date and time of the patient data that the operator wants to display on the individual screen can be obtained from the display position of the character string, graph, or symbol already specified by the operator. Next, an individual screen display procedure 4132 is executed to display an individual screen of patient data corresponding to the type of patient data designated by the operator, and to display an individual screen displaying the patient data at the date and time designated by the operator. indicate. FIG. 8 shows a display example of the individual screen. The individual screen 51 includes a patient name column 511, a display end button 512, an information display area 513, and the like. In this example, the medical record data designated by the operator is displayed in a state where the description on January 16 in the individual screen 51 is set to be at the top of the screen. When the individual screen is displayed, the individual screen operation input receiving procedure 4133
Is executed, and through the determination procedure 4134, the individual screen redisplay procedure 4135 is executed in accordance with the operation input of the operator, and the procedures 4133 to 4135 are repeated until the display end button 512 is operated to end the display of the individual screen 51. Repeated. The details of the processes from steps 4133 to 4135 are omitted. Furthermore, the individual screen 51 may switch and display the patient flow sheet screen 21 as the same screen, or may display both screens in parallel in separate windows. When the two screens are switched and displayed, the operator operates the display end button 512 to end the display of the individual screen 51, and the control of the program returns to the patient flow sheet screen 21 (procedure 401). When displaying in parallel, the operator may specify the control target with a mouse or the like, and the procedure returns to step 401 when the patient flow sheet screen 21 is selected even when the individual screen 51 is displayed.

As can be seen from the above description, in this embodiment, an individual screen relating to a desired type of patient data can be easily displayed by selecting a character string, a graph, or a graphic symbol on the patient flow sheet. Also, by displaying the patient flow sheet screen and the individual screen side by side, it is possible to understand while comparing the overall outline of the patient progress and the details regarding the specific type of patient data.

Referring back to FIG. 3, when the result of determination in step 404 is that the current operation is an input screen display instruction, an input screen display procedure 414 is executed. In this case, the operator needs to specify a character string, a graph, a graphic symbol, or the like representing the patient data whose input screen is to be displayed in the previous operation. This is the same as the case of the individual screen display procedure 413. Thereafter, the operation set as the individual screen display instruction, for example, the operation of double-clicking the highlighted character string with the mouse while holding down the shift key of the keyboard, executes the procedure of the input screen display procedure 414. You. Instead of directly selecting the character string, graph, or graphic symbol, a margin portion where patient data is not yet displayed on the patient flow sheet may be selected.

FIG. 9 shows a processing group in the input screen display procedure 414. In the input screen display procedure 414, first, an input data specifying procedure 4141 is executed. In step 4141, the type of patient data that the operator wants to display on the input screen is obtained from the display position of the character string, graph, or symbol already specified by the operator. If a character string or the like is not directly specified and an unfilled blank portion is specified, the type of patient data corresponding to the position of the specified empty cell or the closest graph is specified. Next, an input screen display procedure 4142 is executed to display an input screen for patient data corresponding to the type of patient data designated by the operator. FIG. 10 shows a display example of the input screen. As shown in FIG. 10, for example, even when the operator designates a body temperature graph and performs an input screen display instruction operation, the body temperature, pulse, respiratory rate, diastolic blood pressure, and systolic phase which are normally input collectively are input. An input screen on which a plurality of data items such as blood pressure can be input collectively may be displayed. Input screen 5 of this example
2 includes a patient name field 521, a date and time field 522, data input fields 5231 to 5235, an input stop button 524, a save button 525, and the like. When the input screen is displayed, an input screen operation accepting procedure 4143 is executed, and an input screen redisplaying procedure 4145 is executed in accordance with the input of the operator via a determination procedure 4144, and an input cancel button 524 is executed.
Alternatively, steps 4143 to 4145 are performed until one of the save buttons 525 is operated and the display of the input screen 52 is completed.
Is repeated. When either the input stop button 524 or the save button 525 is operated, the input screen 52
Is terminated, and only when the save button 525 is operated, the values input to the data input fields 5231 to 5235 are stored in the storage unit 12 as the values of the corresponding patient data. Data input in the data input fields 5231 to 5235 includes text input using a keyboard, selection input for specifying an appropriate item from a pre-registered option or item list with a mouse, input using voice recognition, and the like. Make any method applicable. As the time-series information of the patient data, the value displayed in the date and time column 522 on the input screen 52 is stored. The value may be input by the operator using a keyboard, or the save button 525.
May be adopted as the date and time when the patient data was actually saved, or the value of the time axis coordinate at the position designated by the operator at the time of the operation of the input screen display instruction may be adopted, A method of using or combining them depending on the type of patient data to be input may be registered. It should be noted that the details of the processing from steps 4143 to 4145 and the description of the error processing accompanying the input and the like are omitted. In addition,
In the above embodiment, whether to display the individual screen or the input screen after the operator has specified the patient data is distinguished by whether or not the shift key of the keyboard is pressed when the mouse is double-clicked, For example, if the time axis coordinate of the selected part is in the past, the individual screen 51 may be determined to be displayed, and if the time axis coordinate of the selected part is in the future, the input screen 52 may be displayed. A shortcut menu for selecting the input screen 52 may be displayed, and the selection may be made with the mouse.

As can be seen from the above description, in this embodiment, an input screen relating to a desired type of patient data can be easily displayed by selecting a character string, a graph or a symbol on the patient flow sheet. Work can be done.

[0045]

As can be seen from the above, according to the present invention, an electronic medical record system capable of inputting or referencing a plurality of types of patient data elements with simpler operation can be obtained. In particular,
A plurality of types of patient data elements can be arranged and displayed collectively on the screen based on the type of patient data and the date and time, and an electronic medical record system that allows the operator to easily grasp the progress of the state of the patient can be obtained. In addition, while the batch display screen is displayed, the display scale in the entire time axis direction or in a specific range specified by the operator can be freely changed, and the density of recording information such as the number of times of temperature measurement and the amount of findings can be reduced. An electronic medical record system that allows the operator to easily read the patient data even if it changes may be obtained. Furthermore, while displaying the screen displayed collectively, it is possible to display an individual screen or an input screen of a desired type of patient data by a simpler operation,
An electronic medical record system that can greatly reduce screen switching or screen scrolling operations can be obtained.

Therefore, there is a remarkable effect that the medical staff can efficiently refer to and input both the outline and details of the patient progress.

[Brief description of the drawings]

FIG. 1 is a diagram showing a schematic configuration of an electronic medical record system according to the present invention.

FIG. 2 is a flowchart of a program used in the apparatus of FIG. 1;

FIG. 3 is a view showing an example of a display screen of patient data in the apparatus shown in FIG. 1;

FIG. 4 is a view showing a method of changing a time axis display scale in the apparatus of FIG. 1;

FIG. 5 is a flowchart of a time axis display scale change procedure in the apparatus of FIG. 1;

FIG. 6 is a view showing an example of a display screen of patient data in the apparatus shown in FIG. 1;

FIG. 7 is a flowchart of an individual screen display procedure in the apparatus of FIG. 1;

FIG. 8 is a view showing a display example of an individual screen in the apparatus of FIG. 1;

FIG. 9 is a flowchart of a data input screen display procedure in the apparatus of FIG. 1;

FIG. 10 is a view showing a display example of a data input screen in the apparatus of FIG. 1;

[Explanation of symbols]

DESCRIPTION OF SYMBOLS 1 ... Electronic medical record system, 21 ... Patient flow sheet screen, 211 ... Patient name column, 212 ... Display magnification column, 213 ...
Previous page display button, 214 next page display button, 215 print button, 216 end button, 217 information display area, 2171 vertical scroll bar, 2172 horizontal scroll bar, 31 time axis area, 32 graph area , 33
... table area.

Claims (4)

[Claims] An input device, a display device, a storage device, and a processing device, wherein the storage device is provided with temperature measurement data, test data, medical record data, or nursing data prepared for each of a plurality of patients. A plurality of types of patient data such as record data or care plan data are stored. Each of the patient data for each patient includes a plurality of data elements to which time-series information such as record date and time or measurement date and time or scheduled date and time is added. The processing device may be configured such that, with respect to the patient data relating to any one of the patients, the temperature measurement data or the graph representing the test data, and the temperature measurement data or the test data or the medical treatment record data or the nursing record data or the care plan data Based on the above time-series information, Electronic medical record system having means for displaying a position corresponding to a common time axis coordinates set on a screen of a serial display device. 2. The display means, wherein the graph and the character string or the graphic symbol are displayed on a screen of the display device, and an operator uses the input device on the screen to display the graph in the time axis direction. After specifying the range, the display scale is instructed to be changed, and when the desired display scale is input, the display scale in the time axis direction of the specified range is changed as specified by the operator, and the graph and the The electronic medical record system according to claim 1, wherein a position of the character string or the graphic symbol is changed and displayed in association with the display scale after the change. 3. The display means displays the graph and the character string or the graphic symbol on a screen of the display device, and an operator uses the input device on the screen to display the graph or the graphic symbol. After selecting a character string or the above-mentioned symbol, and when instructing the display of an individual screen, based on the above-mentioned graph or the above-mentioned character string or the above-mentioned symbol specified by the above-mentioned operator, the above-mentioned temperature measurement data, the above-mentioned inspection data, or the above medical treatment 3. The electronic medical record system according to claim 1, wherein an individual screen relating to any of record data, said nursing record data, said care plan data, and the like is displayed. 4. The display means displays the graph and the character string or the graphic symbol on a screen of the display device, selects an area on the screen, and displays the data input screen. When the display is instructed, a data input screen related to any one of the temperature measurement data, the inspection data, the medical record data, the nursing record data, and the care plan data based on the position of the site selected by the operator on the screen. The electronic medical record system according to any one of claims 1, 2 and 3, wherein the electronic medical record system displays (1).