JP5811652B2 - Electronic medical record apparatus, electronic medical record system, electronic medical record display method, electronic medical record program, and computer-readable recording medium recording the electronic medical record program - Google Patents

Description

  The present invention relates to an electronic medical record system that manages patient medical information by converting it into electronic data, and more particularly to a display method for past electronic medical records.

In recent years, in medical facilities such as hospitals, an electronic medical record system (see, for example, Patent Documents 1 and 2) that manages information related to medical treatment of each patient by electronic data called electronic medical records is used.
In general, an electronic medical record relating to one (one day) medical treatment includes medical data classified and recorded in the items “S”, “O”, “A”, and “P”. “S” is subjective information, “O” is objective information, “A” is evaluation information, and “P” is plan information. In such an electronic medical record system, medical data is displayed in the order of the items “S”, “O”, “A”, and “P” when displaying past electronic medical records.

There is also known an electronic medical chart system that divides a display screen into a plurality of display areas and displays a plurality of past electronic medical charts on the same screen using the plurality of display areas when displaying the past electronic medical charts. ing.
However, in this configuration, since the display screen is divided into a plurality of display areas, the range in which the medical chart medical data can be displayed becomes narrow for each display area. Therefore, there is a possibility that the entire medical data of the electronic medical record does not fit within the display area and is not displayed. For example, among the items “S”, “O”, “A”, and “P” included in the electronic medical record, only the item “S” is displayed, and the other “O”, “A”, and “P” are displayed. It is conceivable that no item is displayed.
On the other hand, conventionally, a configuration has been adopted in which the display of the medical data of the electronic medical record can be scrolled for each divided display area. As a result, it is possible to refer to all items “S”, “O”, “A”, and “P” by performing a scroll display operation for each display area.

JP 2001-43284 A JP 2008-250748 A

However, the configuration capable of scroll display for each divided display area has the following problems. For example, let us consider a case in which the medical data of the item “A” is referred to with respect to all the electronic medical records for three days in the state where the medical data of the electronic medical records for the past three days are displayed in three display areas. In this case, the doctor needs to adjust the display so that the medical data of the item “A” is displayed by individually scrolling all three display areas. Such a scrolling operation is a complicated task for a doctor.
Therefore, the present invention has been made in view of the above circumstances, and an object of the present invention is to improve the operability of a plurality of past electronic medical chart displays.

In order to achieve the above object, the present invention is configured as an electronic medical chart apparatus comprising reading means, first display control means, second display control means, third display control means, and fourth display control means. Has been. The reading means reads the electronic medical record from a storage device that stores the electronic medical record including medical data classified and recorded in a plurality of items. The first display control means causes the display device to display a past chart display screen on which the medical record data of the electronic chart read by the reading means is arranged. The second display control means divides the past chart display screen into a predetermined number of display areas. Then, the second display control means displays different medical data of the electronic medical record in each of the display areas. The third display control means causes the display device to display a plurality of item setting units corresponding to the plurality of items. The fourth display control means includes items corresponding to the item setting unit selected by the operation input device among the plurality of item setting units for all the medical record medical data displayed in each display region. Display.
According to the present invention, it is possible to display and refer to the medical data of the desired item in all the display areas at once by a simple operation of selecting the item setting unit corresponding to the desired item. . Accordingly, the operability of a plurality of past display of the electronic medical record in the electronic medical record apparatus is improved, and for example, medical treatment efficiency by a doctor using the electronic medical record apparatus can be increased.
In particular, the fourth display control means corresponds to the item setting unit selected from the plurality of item setting units by the operation input device for all the medical chart medical data displayed in each of the display areas. It is desirable that the item be displayed at the top. Thereby, since the selected item is displayed at the head position in each of the display areas, the contents of the item become easier to see.

Here, the first display control means arranges the past medical chart display screen and the current medical chart display screen on which the current electronic chart to be input is arranged on the same screen in the horizontal direction or the vertical direction on the display device. It is conceivable that they are displayed. In addition, the second display control means may divide the past chart display screen in the vertical direction or the horizontal direction.
When the past medical chart display screen and the current medical chart display screen are simultaneously displayed on the same screen, the past medical chart display screen becomes narrow. The display area obtained by dividing the narrow past chart display screen in the vertical direction or the horizontal direction is further narrowed. In this case, the present invention is particularly suitable because there is a high possibility that all items of the medical record of the electronic medical record cannot be displayed at once in the divided display area.

By the way, it is conceivable to further include fifth display control means for causing the display device to display a plurality of division setting sections for setting the number of divisions of the past chart display screen by the second display control means. In this case, the second display control means divides the past chart display screen in the vertical direction or the horizontal direction by the number of divisions corresponding to the division setting unit selected by the operation input device among the plurality of division setting units. To do. Thereby, it becomes possible to arbitrarily set the number of divisions of the past chart display screen easily by the operation of the division setting unit.
The first display control means displays a list display screen in which a plurality of chart identification information corresponding to each of the electronic charts stored in the storage device is arranged together with the past chart display screen and the current chart display screen. It may be displayed on the same screen of the display device. In this case, the second display control means displays the electronic medical record corresponding to the medical chart identification information selected by the operation input device among the plurality of medical chart identification information on the past medical chart display screen. Thereby, it is possible to arbitrarily select an electronic medical chart to be displayed on the past medical chart display screen.
Further, it may further include sixth display control means for causing the display means to display a plurality of narrowing portions for setting narrowing conditions for narrowing down the plurality of chart identification information displayed on the list display screen. It is done. In this case, the first display control means displays only the chart identification information that matches the narrowing-down condition corresponding to the narrowing-down part selected from the plurality of narrowing-down parts by the operation input device. It is displayed on the screen. Thereby, in the state where only the chart identification information that matches the narrowing-down conditions is displayed, the electronic chart to be displayed on the past chart display screen can be arbitrarily selected, so that the desired electronic chart is displayed. The time and required time can be reduced.

Further, the second display control means, when one chart identification information is selected by the operation input device among the plurality of chart identification information, continuously before or after the selected chart identification information. It is conceivable that a plurality of the electronic medical records corresponding to the displayed number of divisions of the medical chart identification information are displayed on the past medical chart display screen. Accordingly, it is possible to display the electronic medical records corresponding to a plurality of medical chart identification information on the past medical chart display screen at once by selecting only one medical chart identification information.
On the other hand, when the plurality of chart identification information is arbitrarily selected by the operation input device among the plurality of chart identification information, the second display control means includes a plurality of charts corresponding to the plurality of arbitrarily selected chart identification information. It is also conceivable that the electronic medical record is displayed on the past medical record display screen. Thereby, not only the medical chart identification information displayed continuously but also a plurality of the electronic medical records corresponding to the medical chart identification information arbitrarily selected from the list display screen can be displayed on the past medical chart display screen. it can. Furthermore, in the state where only the chart identification information that matches the narrowing-down conditions is displayed, it is possible to select any plurality of chart identification information from the chart identification information, and high operability can be obtained. it can.
Here, it is conceivable that the second display control means displays each of the electronic medical charts from the display area at the top of the past medical chart display screen in the order of selection by the operation input device. Accordingly, the electronic medical records are displayed as they are in the order selected by the doctor. For example, the electronic medical records can be displayed in the order that the doctor considers important.

Further, it is conceivable that the chart identification information corresponding to the electronic chart displayed on the past chart display screen is provided with a color changing means for giving a color scheme different from that of the other chart identification information. Thereby, the chart identification information corresponding to the electronic chart displayed on the past chart display screen can be easily recognized.
Furthermore, the display device further comprises a seventh display control means for causing the display device to display a first switching unit for switching the electronic medical chart displayed on the past medical chart display screen one by one immediately before and after the electronic medical chart. It is possible. In this case, the second display control means sets the electronic medical chart displayed on the past medical chart display screen one by one immediately before or after the first switching section according to the operation of the first switching unit by the operation input device. It is to switch. As a result, the plurality of electronic medical charts to be displayed on the past medical chart display screen can be easily shifted by one by operating the first switching unit.
In addition, the display device further includes an eighth display control unit that causes the display device to display a second switching unit for switching the electronic medical record displayed on the past medical chart display screen immediately before and after the electronic medical record by the number of divisions. It is also possible to become. In this case, the second display control means immediately before or immediately after the plurality of electronic medical charts displayed on the past medical chart display screen according to the operation of the second switching unit by the operation input device. The number of divisions is switched. Accordingly, the plurality of electronic medical charts to be displayed on the past medical chart display screen can be easily shifted together by the number of divisions by the operation of the second switching unit.
By the way, the present invention can also be understood as an invention of an electronic medical record program for causing a computer to function as each means of the electronic medical record apparatus. A computer-readable recording medium that records the electronic medical record program may be regarded as the present invention.

  The present invention further includes a display device, an operation input device, a storage device, a reading unit, a first display control unit, a second display control unit, a third display control unit, and a fourth display control unit. It may be understood as an electronic medical record system characterized by The display device displays information, and the operation input device inputs information. The storage device stores electronic medical records including medical data classified and recorded in a plurality of items. The reading means reads the electronic medical record from the storage device. The first display control means causes the display device to display a past chart display screen on which the medical record data of the electronic chart read by the reading means is arranged. The second display control means divides the past chart display screen into a predetermined number of display areas. Then, the second display control means displays different medical data of the electronic medical record in each of the display areas. The third display control means causes the display device to display a plurality of item setting units corresponding to the plurality of items. The fourth display control means stores all the electronic medical record medical data displayed in each of the display areas with items corresponding to the item setting unit selected by the operation input device among the plurality of item setting units. Display at the top.

  Furthermore, the present invention is an electronic medical chart characterized in that a reading process, a first display control process, a second display control process, a third display control process, and a fourth display control process are executed by a computer. It may be understood as a display method. In the reading step, the electronic medical record is read from a storage device that stores the electronic medical record including medical data classified and recorded in a plurality of items. In the first display control step, a past medical chart display screen on which medical data of the electronic medical record read in the reading step is arranged is displayed on a display device. In the second display control step, the past medical chart display screen is divided into a predetermined number of display areas, and different medical chart medical data is displayed in each of the display areas. In the third display control step, a plurality of item setting units corresponding to the plurality of items are displayed on the display device. In the fourth display control step, medical data of all the electronic medical charts displayed in each of the display areas is displayed with items corresponding to the item setting unit selected by the operation input device among the plurality of item setting units. Display at the top.

  According to the present invention, it is possible to improve the operability of a plurality of past electronic medical chart displays.

The schematic diagram which shows schematic structure of the electronic medical chart system X which concerns on embodiment of this invention. The block diagram which shows schematic structure of the server apparatus Y and the client apparatus Z of the electronic medical chart system X which concerns on embodiment of this invention. The figure which shows the example of a display of a consultation list screen. The figure which showed typically an example of the arrangement structure of a medical chart display screen. The figure which showed typically an example of the arrangement structure of a medical chart display screen. The figure which showed typically an example of the arrangement structure of a medical chart display screen. The figure which shows the example of a display of a medical chart display screen. The figure which shows the example of a display of a medical chart display screen. The figure which shows the example of a display of a medical chart display screen. The flowchart which shows an example of the procedure of a medical chart display process. The flowchart which shows an example of the procedure of a chart selection process. The figure which shows the example of a display of a medical chart display screen. The figure which shows the example of a display of a medical chart display screen. The figure which shows the example of a display of a medical chart display screen. The figure which shows the example of a display of a medical chart display screen. The figure which shows the example of a display of a medical chart display screen. The figure which shows the example of a display of a medical chart display screen. The figure which shows the example of a display of a medical chart display screen. The figure which shows an example of an operation bar. The figure which shows the example of a transition of the display target of a past medical chart display screen. The figure which shows the example of a transition of the display target of a past medical chart display screen. The figure which shows the example of a transition of the display target of a past medical chart display screen.

  Embodiments of the present invention will be described below with reference to the accompanying drawings for understanding of the present invention. In addition, the following embodiment is an example which actualized this invention, Comprising: The thing of the character which limits the technical scope of this invention is not.

<Electronic medical chart system X>
As shown in FIG. 1, an electronic medical record system X according to an embodiment of the present invention includes a server device Y and a plurality of client devices Z. The server device Y and the client device Z are communicably connected via a communication network 20 such as a LAN or the Internet. Here, each of the client apparatuses Z corresponds to an electronic medical chart apparatus according to the present invention.
The electronic medical chart system X may include a plurality of the server devices Y for backup. Further, the electronic medical chart system X may include only one server device Y and one client device Z. Further, the client device Z may also serve as the function of the server device Y. In this case, the client device Z constitutes an electronic medical record system according to the present invention.

<Server device Y>
As shown in FIG. 2, the server device Y includes a communication interface 11 and a storage device 12. The communication interface 11 and the storage device 12 are connected by a bus 13.

  The communication interface 11 includes a communication modem that performs data communication with the client device Z via the communication network 20. Further, the communication interface 11 executes, for example, authentication control and exclusive control for access from the external device such as the client device Z to the server device Y through the communication network 20.

The storage device 12 is a non-volatile storage device such as a hard disk or a flash memory that stores and stores an electronic medical record in which information related to each patient's medical care is recorded. In the electronic medical record system X, the electronic medical record input in the client device Z is accumulated and stored in the storage device 12 of the server device Y.
Specifically, the storage device 12 stores personal information, medical history information, and electronic medical records in association with each patient. The personal information includes information such as a patient's name, sex, age, medical history, and family information. The medical history information corresponds to medical chart identification information for identifying each of the electronic medical charts, and includes information such as the date and time, medical department, and treatment of the patient in the past.
Further, the electronic medical record relating to one-time (one day) medical treatment includes medical data classified into the items “S”, “O”, “A”, “P”, and “instruction”. Here, “S” is subjective information (Subjective Information), which is information relating to symptoms that the patient feels subjectively. “O” is objective information, which is information related to the doctor's clinic and examination findings. “A” is evaluation information (Assessment Information), which is information relating to the evaluation and judgment of the doctor. “P” is plan information, which is information related to medication and treatment plans. “Guidance” is guidance information, and is information related to education and guidance for patients. Note that such classification of items of medical data is merely an example, and of course, it may be classified into other items.

<Client device Z>
On the other hand, as shown in FIG. 2, the client device Z is a computer including a CPU 1, a ROM 2, a RAM 3, a data storage unit 4, a communication interface 5, an operation input device 6, a display device 7, and the like. Each component provided in the client device Z is connected by a bus 10. The communication interface 5 includes a communication modem that performs data communication with the server device Y via the communication network 20.

  The CPU 1 is a processor that executes various arithmetic processes according to various programs. The ROM 2 is a non-volatile memory in which programs such as BIOS executed by the CPU 1 are stored in advance. The RAM 3 is a volatile memory or a non-volatile memory used for development of various programs and temporary storage of data by the CPU 1. Further, the CPU 1 stores various processing histories in the RAM 3 as log information.

The data storage unit 4 is a hard disk or the like in which various application programs executed by the CPU 1 and various data are stored. Specifically, the data storage unit 4 stores an electronic medical chart program that causes the CPU 1 to execute each processing procedure such as a chart display process (see FIG. 10) and a chart selection process (see FIG. 11) described later. . For example, the electronic medical record program is written in C language (such as C / C ++ and Visual C / C ++ (registered trademark) of Microsoft Corporation). This electronic medical record program also corresponds to the present invention. The electronic medical record program is installed from a recording medium such as a CD, DVD, BD, or flash memory. Here, a recording medium such as a computer-readable CD, DVD, BD, or flash memory in which the electronic medical record program is recorded also corresponds to the present invention. The data storage unit 4 in which the electronic medical record program is installed also corresponds to the recording medium according to the present invention. By the way, the present invention can also be understood as an invention of an electronic medical chart display method for executing each processing step in the client terminal Z in order to realize each function of the client terminal Z.
The data storage unit 4 also stores various databases such as a pharmaceutical product master, a disease name master, and a medical practice master. The drug master is information such as drug name, drug code, and drug efficacy. The disease name master is information on symptoms. The medical practice master is information on how to take each medicine and which part of the body is a symptom. These various databases are read out by the CPU 1 according to the operation of the operation input device 6 when a doctor performs medical care, for example, and displayed on the display device 7.

  The operation input device 6 is a user interface used by an operator such as a doctor to input various information to the client device Z. For example, the operation input device 6 is a keyboard and mouse (pointing device) for inputting various information. Hereinafter, “selection” and “operation” on the display screen of the display device 7 are performed by operation input using the mouse or keyboard of the operation input device 6. The operation input device 6 may include a touch panel disposed on the display device 7 to accept input of various information with a finger or a touch pen. The operation input device 6 may include a voice operation input device that accepts input of various types of information by voice recognition.

The display device 7 is a display device having a display screen for displaying various information. The display device 7 is a liquid crystal display or an organic EL display. For example, FIG. 3 shows an example of a reception list screen 31 that the CPU 1 displays on the display device 7. The reception list screen 31 is an operation screen on which a patient list 32 for selecting a patient to be treated who records an electronic medical record is arranged. The consultation list screen 31 is generated by the CPU 1 based on a patient list that is input from a reception terminal (not shown) connected to the electronic medical chart system X and stored in the storage device 12 of the server device Y. .
When, for example, the patient 33 is selected from the patients displayed on the patient list 32 and the medical chart display key 34 displayed on the reception list screen 31 is operated, the CPU 1 causes the electronic medical chart relating to the patient 33 to be displayed. Is read from the server device Y and displayed on the display screen of the display device 7. Here, the CPU 1 when reading the electronic medical chart corresponds to a reading means.
At this time, the CPU 1 generates drawing data of a chart display screen on which various information including the electronic chart is arranged, and outputs the drawing data to the display device 7. Thereby, the display device 7 displays a medical chart display screen in which medical data of the electronic medical record and the like are arranged at a predetermined position on the display screen based on the drawing data input from the CPU 1.

<Chart display screen>
Here, a chart display screen displayed on the display device 7 will be described. 4 to 6 are diagrams schematically showing an example of an arrangement configuration of a chart display screen displayed by the CPU 1.
As shown in FIGS. 4 to 6, the CPU 1 divides the display screen of the display device 7 into four, and the past chart display screen 41, the current chart display screen 42, the patient display screen 43 and the input screen 44 are the same. Place on the screen. Specifically, the CPU 1 equally divides the upper part of the chart display screen 40 into left and right (width direction), and displays the past chart display screen 41 and the current chart display screen 42 side by side in the left-right direction. Further, the CPU 1 divides the lower part of the chart display screen 40 equally in the left and right (width direction), and displays the patient display screen 43 and the input screen 44 side by side in the left and right direction. The patient display screen 43 and the input screen 44 have a smaller width in the height direction than the past medical chart display screen 41 and the current medical chart display screen 42. Such an arrangement configuration of the medical chart display screen 40 is determined by arranging items in an arrangement diagram when the electronic medical record program written in C language is created. In addition, it is also conceivable as another embodiment that the arrangement configuration is defined by CSS (Cascading Style Sheets).

The past medical chart display screen 41 is a screen on which medical data of past electronic medical charts read from the storage device 12 of the server device Y by the CPU 1 is arranged. Here, the CPU 1 when executing a process (first display control step) for displaying the chart display screen 40 including the past chart display screen 41 on the display device 7 is used as the first display control means. Equivalent to.
The current medical chart display screen 42 is a screen on which an electronic chart to be currently input is arranged. As shown in FIGS. 7 to 9, the interior of each of the past medical chart display screen 41 and the current medical chart display screen 42 is further divided into left and right, and “S”, “O”, “A” on the left side. , “P” and “Teaching” items are displayed in this order, and information (medical care content and dosage etc.) necessary for calculation such as the insurance medical score for the “P” item is displayed on the right side. This is the same as the conventional chart No. 2.
The patient display screen 43 displays personal information, medical history information, and the like of the patient selected on the consultation list screen 31. The input screen 44 displays a keypad used for recording various medical data in the electronic medical chart displayed on the current medical chart display screen 42. The keypad is operated by an operator using a mouse of the operation input device 6, a numeric keypad of a keyboard, a touch panel, or the like.

Further, as shown in FIGS. 4 to 6, the CPU 1 switches the arrangement configuration of the past medical chart display screen 41 according to the number of electronic medical charts to be displayed on the past medical chart display screen 41.
Specifically, when displaying one electronic medical chart, the CPU 1 does not divide the past medical chart display screen 41 as shown in FIG. 4, and uses the past medical chart display screen 41 as one screen. Medical data is displayed (see FIG. 7).
On the other hand, when displaying two electronic medical charts, the CPU 1 equally divides the past medical chart display screen 41 into two in the vertical direction (height direction) as shown in FIG. The medical data of two different days of electronic medical records are displayed in the areas 41A and 41B (see FIG. 8). Specifically, the CPU 1 inserts the display areas 41A and 41B ½ of the height of the past chart display screen 41 into the past chart display screen 41 in order from the top, whereby the past chart display screen 41 is displayed. Is divided into two parts.
Further, when displaying three electronic medical charts, the CPU 1 equally divides the past medical chart display screen 41 into three parts in the vertical direction (height direction) as shown in FIG. , 41D, and 41E, the medical data of the electronic medical records for three different days are displayed (see FIG. 9). Specifically, the CPU 1 inserts the display areas 41 </ b> C to 41 </ b> E that are 1/3 of the height of the past chart display screen 41 into the past chart display screen 41 in order from the top, thereby the past chart display screen 41. Is divided into three parts.
In the present embodiment, the CPU 1 is described by taking as an example a configuration in which the past chart display screen 41 can be selectively switched to three types of display states of one screen, two-split screen, and three-split screen. To do. On the other hand, switching more types of display states is also conceivable as another embodiment. Another possible embodiment is that the CPU 1 can switch the past chart display screen 41 to two types of one screen and two-split screen. Of course, it is also conceivable as another embodiment that the CPU 1 can switch the past chart display screen 41 to two types of one screen and three divided screens.
Furthermore, the division direction of the past chart display screen 41 is not limited to the vertical direction. Specifically, a configuration in which the CPU 1 divides the past medical chart display screen 41 into two or three in the left-right direction can be considered as another embodiment. Further, the arrangement of the past medical chart display screen 41 and the current medical chart display screen 42 on the medical chart display screen 40 is not limited to the horizontal direction. That is, the CPU 1 may display the past chart display screen 41 and the current chart display screen 42 side by side in the vertical direction as another embodiment.

Here, as shown in FIGS. 8 and 9, the size of each of the display areas 41 </ b> A to 41 </ b> E is narrow in the vertical direction, and thus there is a possibility that not all the medical record medical data can be displayed simultaneously.
Therefore, the CPU 1 displays scroll bars 411A to 411E for individually scrolling the displays in the display areas 41A to 41E on the display areas 41A to 41E (FIGS. 8 and 9). Even if the past medical chart display screen 41 is not divided (see FIG. 7), if not all items of the medical record of the electronic medical chart are displayed, a scroll bar is displayed on the past medical chart display screen 41.
Then, the CPU 1 moves the scroll bars 411A to 411E in the vertical direction according to the operation of the operation input device 6, and scrolls and displays the medical data in the display areas 41A to 41E in the vertical direction. For example, when the scroll bar 411C of the display area 41C among the display areas 41C to 41E is operated, the CPU 1 scrolls only the medical data displayed in the display area 41C. At this time, the display of the medical data in each of the other display areas 41D and 41E is not scrolled.
Each of the scroll bars 411A to 411E scrolls the display of each of the display areas 41A to 41E in the dividing direction (vertical direction) of the display areas 41A to 41E on the past chart display screen 41. Therefore, if the display areas 41A to 41E are divided in the left-right direction, the scroll bars 411A to 411E are used to scroll the display in the left-right direction which is the division direction.

As shown in FIG. 7, the CPU 1 has a plurality of division setting tabs 51 to 53 (corresponding to a division setting unit) and a plurality of item setting tabs 61 to 65 (items) at the lower end of the past chart display screen 41. Is displayed in the setting section). In this embodiment, a portion called “tab” displayed on the display device 7 and selected or operated by the operation input device 6 is generally called “key” or “button”.
The division setting tabs 51 to 53 are tabs for setting the number of electronic medical charts displayed on the past medical chart display screen 41, that is, the number of divisions of the past medical chart display screen 41. The division setting tab 51 corresponds to one day, the division setting tab 52 corresponds to two days, and the division setting tab 53 corresponds to three days. Here, the CPU 1 when displaying the division setting tabs 51 to 53 on the display device 7 corresponds to a fifth display control means. In the present embodiment, the number of electronic medical records is specified in units of days, but the number of electronic medical records may be specified in units of medical care. Then, as will be described later, the CPU 1 displays the past medical chart display screen 41 divided by the number of divisions corresponding to the division setting tab selected by the operation input device 6 among the division setting tabs 51 to 53. It is displayed on the device 7.
The item setting tabs 61 to 65 correspond to items of medical data of the electronic medical chart displayed on the past medical chart display screen 41. Specifically, the item setting tab 61 is “S”, the item setting tab 62 is “O”, the item setting tab 63 is “A”, the item setting tab 64 is “P”, and the item setting tab 65 is Corresponds to “Teaching”. Here, the CPU 1 when executing the process (third display control step) for displaying the item setting tabs 61 to 65 on the display device 7 corresponds to a third display control means. Then, as will be described later, the CPU 1 performs the medical treatment on the past medical chart display screen 41 so that the item corresponding to the item setting tab selected by the operation input device 6 among the item setting tabs 61 to 65 is first. Change the data display location.
The CPU 1 displays a medical history tab 431 for displaying the medical history information of the patient displayed on the patient display screen 43 on the patient display screen 43 of the medical chart display screen 40. As will be described later, when the medical history tab 431 is operated, the CPU 1 displays the medical history information of the patient on the patient display screen 43.

<Operation of Electronic Medical Record System X>
Hereinafter, an example of the procedure of the chart display process (FIG. 10) and the chart selection process (FIG. 11) executed by the CPU 1 in accordance with the electronic chart program will be described with reference to the flowcharts of FIGS. In the figure, S1, S2,... Indicate processing procedure (step) numbers executed by the CPU 1. The chart display process and the chart selection process are executed in parallel by the CPU 1.
By the way, the medical chart display process and the medical chart selection process described in the present embodiment are a part of the process executed by the CPU 1 in accordance with the electronic medical chart program. For example, the CPU 1 also executes processing such as registration and change of the electronic medical record according to the electronic medical record program, but the description thereof is omitted here.

<Chart display processing>
(Step S1)
As shown in FIG. 10, first, in step S <b> 1, the CPU 1 determines whether or not the display days of the electronic medical chart to be displayed on the past medical chart display screen 41 is set to one day. At this time, the CPU 1 determines whether or not the display days tab 51 is selected from the display days tabs 51 to 53.
Specifically, the CPU 1 secures a display days flag indicating the value of the display days in the storage area of the RAM 3. Then, the CPU 1 updates the value of the display days flag according to the operation of the display days tabs 51 to 53 by the operation input device 6 (1: 1 day, 2: 2 day, 3: 3 day). In this case, the CPU 1 can determine which of the display days tabs 51 to 53 is selected by referring to the display days flag of the RAM 3. The initial value of the display days flag is “1”. In addition, in the configuration in which the CPU 1 stores the operation log of the display days tabs 51 to 53 in the RAM 3, the CPU 1 refers to the operation log to determine which of the display days tabs 51 to 53 is selected. Judgment can be made.
Here, when it is determined that the number of display days is set to one day (Yes side of S1), the process proceeds to step S11. On the other hand, when it is determined that the number of display days is not one day (No in S1), the process proceeds to step S2.

(Step S2)
In step S <b> 2, the CPU 1 determines whether or not the number of display days of the electronic medical chart to be displayed on the past medical chart display screen 41 is set to two days. Specifically, the CPU 1 determines whether or not the display days tab 52 is selected from the display days tabs 51 to 53 by the same method as in step S1.
Here, when it is determined that the number of display days is set to 2 days (Yes side of S2), the process proceeds to step S12. On the other hand, when it is determined that the number of display days is not two days (No side of S2), that is, when the number of display days is set to three, the process proceeds to step S13.

(Step S11)
In step S <b> 11, the CPU 1 displays one day of electronic charts on the past chart display screen 41 of the display device 7. Specifically, the CPU 1 reads a preset electronic medical record for one day from the storage device 12 of the server device Y. In the initial setting, the electronic medical chart read out here is the latest electronic medical chart for one day. Here, the CPU 1 when executing a process (reading step) for reading the electronic medical chart corresponds to a reading unit.
Then, the CPU 1 causes the display device 7 to display the medical chart display screen 40 on which various types of information including the electronic medical records for one day are arranged (see FIG. 7).
However, when another electronic medical record is selected in a medical chart selection process described later (see FIG. 11), the selected electronic medical record is read and displayed. Further, when the electronic chart for one day to be displayed has already been displayed, the reading is not performed again and the display state is maintained.

(Step S12)
On the other hand, in step S <b> 12, the CPU 1 displays the past chart display screen 41 with the division number “2” corresponding to the division setting tab 52 selected by the operation input device 6 among the plurality of division setting tabs 51 to 53. Divide vertically and display electronic medical records for two days.
Specifically, the CPU 1 reads the electronic medical records for two days set in advance from the storage device 12 of the server device Y. In the initial setting, the electronic medical chart read out here is the latest two days of electronic medical chart. Here, the CPU 1 when reading the electronic medical chart corresponds to a reading means. Then, the CPU 1 causes the display device 7 to display the medical chart display screen 40 on which various information including the electronic medical records for the two days are arranged. That is, the CPU 1 divides the past chart display screen 41 into two upper and lower display areas 41A and 41B, and displays different medical chart medical data in the display areas 41A and 41B (see FIG. 8). Here, the CPU 1 when executing the processing (second display control step) corresponds to the second display control means. At this time, in each of the display areas 41A and 41B, the medical data of the electronic medical record is displayed in the order of “S”, “O”, “A”, “P”, and “instruction” from the top.
However, when another electronic medical record is selected in a medical chart selection process described later (see FIG. 11), the selected electronic medical record is read and displayed. Further, when the electronic charts for two days to be displayed are already displayed, the reading is not performed again, and the display state is maintained.

(Step S13)
In step S <b> 13, the CPU 1 displays the past chart display screen 41 with the division number “3” corresponding to the division setting tab 53 selected by the operation input device 6 among the plurality of division setting tabs 51 to 53. Divide in the vertical direction and display the electronic chart for three days. Specifically, the CPU 1 reads a preset electronic medical record for three days from the storage device 12 of the server device Y. In the initial setting, the electronic medical chart read out here is the latest three days of electronic medical chart. Here, the CPU 1 when reading the electronic medical chart corresponds to a reading means. Then, the CPU 1 causes the display device 7 to display the medical chart display screen 40 on which various types of information including the electronic medical records for three days are arranged. That is, the CPU 1 divides the past chart display screen 41 into three upper and lower display areas 41C to 41E, and displays different medical chart medical data in each of the display areas 41C to 41E (see FIG. 9). Here, the CPU 1 when executing the processing (second display control step) corresponds to the second display control means. At this time, in each of the display areas 41C to 41E, the medical data of the electronic medical record is displayed in the order of “S”, “O”, “A”, “P”, and “instruction” from the top.
However, when another electronic medical record is selected in a medical chart selection process described later (see FIG. 11), the selected electronic medical record is read and displayed. In addition, when the electronic medical records for three days to be displayed are already displayed, the reading is not performed again, and the display state is maintained.

(Step S3)
Next, in step S3, the CPU 1 identifies which of the item setting tabs 61 to 65 is selected.
Specifically, the CPU 1 secures an item setting flag in the storage area of the RAM 3. Then, the CPU 1 updates the value of the item setting flag in accordance with the operation of the item setting tabs 61 to 65 by the operation input device 6 (1: “S”, 2: “O”, 3: “A”). “4:“ P ”, 5:“ Teaching ”). Thereby, the CPU 1 can determine which of the item setting tabs 61 to 65 is selected by referring to the item setting flag of the RAM 3. The initial value of the item setting flag is “1”. In addition, in the configuration in which the CPU 1 stores the operation logs of the item setting tabs 61 to 65 in the RAM 3, the CPU 1 refers to the operation log to determine which of the item setting tabs 61 to 65 is selected. Judgment can be made.

(Step S4)
In step S4, the CPU 1 starts the medical data of all electronic medical charts displayed on the past medical chart display screen 41 with the item corresponding to the item setting tab selected from the item setting tabs 61 to 65 as the head. To display. Here, the CPU 1 when executing the processing (fourth display control step) corresponds to a fourth display control means.
Specifically, when the medical data of the electronic medical chart is arranged and displayed on the past medical chart display screen 41, the CPU 1 corresponds to the header portion (the place where the item name is displayed) of each item of the medical data. The position information to be stored is stored in the RAM 3. As a result, the CPU 1 reads the position information stored in the RAM 3 in the step S4 so that the item corresponding to the selected item setting tab among the item setting tabs 61 to 65 is displayed at the top. It is possible to adjust the display target location of the medical data of the electronic medical record on the past medical chart display screen 41.

For example, in the past medical chart display screen 41 shown in FIG. 12, the medical data is displayed in the order of “S”, “O”, “A”, “P”, “guidance” in each of the display areas 41C to 41E. Yes. At this time, consider a case where the item setting tab 62 corresponding to the item “O” is selected. In the display area 41C shown in FIG. 12, the item “O” in the electronic medical record is displayed at the top because the item “S” is not recorded in the electronic medical record.
In this case, the CPU 1 individually controls the positions of the scroll bars 411C to 411E for all of the display areas 41C to 41E of the past chart display screen 41, and as shown in FIG. The medical data is displayed so that the item “O” is at the head position in each of the .about.41E. Referring specifically to FIG. 13, it can be seen that the scroll bars 411D and 411E are moving downward. Thereby, the doctor selects the item setting tabs 61 to 65 by a simple operation, and displays the medical data of the item “O” on one screen for all the electronic medical charts displayed in the display areas 41C to 41E. See above.
By the way, when an electronic medical record in which any of the items “S”, “O”, “A”, “P”, and “instruction” is not displayed, the item corresponding to the item without the record is displayed. When any of the item setting tabs 61 to 65 is selected, the CPU 1 preferably displays a pop-up display on the medical chart display screen 40 indicating that there is no record corresponding to the item. For example, when a plurality of electronic medical records are displayed, the pop-up display may be performed on the display area of the electronic medical records in which the item is not recorded. Note that this display method is not limited to pop-up display, and display on a status bar and warning sound display are also conceivable as other embodiments.
In the present embodiment, the case where the medical data is displayed in step S4 so that the item corresponding to the selected item setting tab among the item setting tabs 61 to 65 is at the head position has been described. On the other hand, in step S4, the CPU 1 corresponds to the item setting unit selected from the item setting units 61 to 65 for all the medical chart medical data displayed in the display areas 41C to 41E. What is necessary is just to display at least an item. That is, the display position of the selected item is not limited to the head in each of the display areas 41C to 41E, but may be displayed in a position below the head position, for example, the center in each of the display areas 41C to 41E.
In the configuration in which the CPU 1 displays two scroll bars corresponding to the up and down direction and the left and right direction and the display is scrolled up and down and left and right according to the operation of each scroll bar, the CPU 1 is selected in the step S4. The display position of the medical data in each of the display areas 41A to 41E is moved up, down, left, and right by adjusting the position of each of the scroll bars so that at least the item is displayed.

<Chart selection processing>
Next, an example of the procedure of the chart selection process will be described with reference to FIG. Here, S21, S22,... Shown in the figure indicate processing procedure (step) numbers executed by the CPU 1.
The chart selection process is a process executed to select an electronic chart displayed in the past chart display screen 41 in the steps S11 to S13 of the chart display process.

(Step S21)
As shown in FIG. 11, in step S21, the CPU 1 determines whether or not the medical history tab 431 (see FIG. 7) displayed on the patient display screen 43 is selected.
Specifically, the CPU 1 secures a medical history flag in the storage area of the RAM 3. Then, when the medical history tab 431 is selected by the operation input device 6, the CPU 1 turns on the medical history flag secured in the RAM 3 corresponding to the medical history tab 431. On the other hand, when another tab displayed side by side with the medical history tab 431 is selected, the CPU 1 turns off the medical history flag. Therefore, in step S21, the CPU 1 can determine whether or not the medical history tab 431 has been selected by referring to the medical history flag in the RAM 3.
If it is determined that the medical history tab 431 has been selected (Yes in S21), the process proceeds to step S22. Until the medical history tab 431 is selected (No in S21), the process waits in step S21.

(Step S22)
In step S22, the CPU 1 reads a list of past medical history information of the patient who is currently displayed from the storage device 12 of the server device Y, and displays a list display screen 43A on which the list of medical history information is arranged. It is displayed on the display screen 43 (see FIG. 14). That is, the CPU 1 displays the list display screen 43A together with the past chart display screen 41 and the current chart display screen 42 on the same screen of the display device 7.
In the list display screen 43 </ b> A shown in FIG. 14, the medical history information is displayed in order from the newest medical reception date. The CPU 1 switches the display order of the medical history information list in ascending order or descending order of the reception date according to the operation of the reception date tab 43B of the list display screen 43A.
Further, the CPU 1 displays a narrowing tab 43C (corresponding to a narrowing part) for setting narrowing conditions for narrowing down the list of medical history information on the list display screen 43A. The narrow-down tab 43C includes a plurality of narrow-down keys for narrowing down the plurality of medical history information displayed on the list display screen 43A according to items such as medication, injection, and treatment. Here, the CPU 1 for displaying the narrowing tab 43C corresponds to a sixth display control means.

(Step S23)
Subsequently, in step S23, the CPU 1 determines whether or not a narrowing condition has been set by operating the narrowing tab 43C. For example, as shown in FIG. 15, when a narrowing key for a medication item on the narrowing tab 43C is operated, the CPU 1 displays a pull-down menu for setting narrowing conditions for the medication item. Let Then, when the narrow-down condition displayed in the pull-down menu is selected, the CPU 1 sets the narrow-down condition to be effective.
Here, if it is determined that the narrowing-down condition has been set (Yes in S23), the process proceeds to step S24. On the other hand, if it is determined that the narrowing condition is not set (No side of S23), the process proceeds to step S25.

(Step S24)
In step S24, the CPU 1 extracts only the medical history information that matches the narrowing condition corresponding to the narrowing key of the narrowing tab 43C operated by the operation input device 6 from the medical history information list. Are displayed on the list display screen 43A. Here, FIG. 16 shows a display example when the narrowing key of the medication item on the narrowing tab 43C in FIG. 15 is operated and the presence of medication (●) is set as the narrowing condition.

(Step S25)
Next, in step S25, the CPU 1 determines whether or not the number of days of the electronic medical chart displayed on the past medical chart display screen 41 is one day as in step S1 of the medical chart display process (see FIG. 10). Judging.
Here, when it is determined that the number of display days is one day (Yes in S25), the process proceeds to step S26. On the other hand, when it is determined that the number of display days is not one day (No in S25), the process proceeds to step S31.

(Step S26)
In step S26, the CPU 1 determines whether or not the medical history information selected on the list display screen 43A has been changed. That is, the CPU 1 determines whether or not medical history information corresponding to an electronic medical chart different from the electronic medical chart currently displayed on the past medical chart display screen 41 is selected.
Here, when it is determined that the selection of the medical history information has been changed (Yes in S26), the process proceeds to step S27. On the other hand, when it is determined that the selection of the medical history information has not been changed (No side of S26), the process returns to step S21.

(Step S27)
In step S27, the CPU 1 sets the electronic medical record corresponding to the medical history information after the selection change of the medical history information as the display target in step S11 of the medical chart display process (see FIG. 10).
As a result, the CPU 1 reads the electronic chart for one day set in the step S27 from the storage device 12 of the server apparatus Y and displays it on the past chart display screen 41 in the step 11.

(Step S31)
On the other hand, when the number of days of the electronic medical chart displayed on the past medical chart display screen 41 is 2 days or 3 days (No side of S25), the CPU 1 is provided on the keyboard of the operation input device 6 in step S31. It is determined whether the optional key is operated. The arbitrary selection key is predetermined as a key for selecting arbitrary medical history information from the medical history information list. For example, the “Ctrl” key of the keyboard corresponds to the arbitrary selection key.
If it is determined that the arbitrary selection key is operated (Yes in S31), the process proceeds to step S32. On the other hand, if it is determined that the arbitrary selection key has not been operated (No side in S31), the process proceeds to step S34.

(Step S32)
In step S32, the CPU 1 determines whether or not medical history information displayed on the list display screen 43C has been selected.
If it is determined that the medical history information is selected (Yes in S32), the process proceeds to Step S33. If the medical history information is not selected (No in S33), the processing is performed according to the above steps. It returns to S21.

(Step S33)
In step S33, the CPU 1 causes the past medical chart display screen 41 to display an electronic medical record corresponding to the medical history information determined to have been arbitrarily selected in step S32. Specifically, the CPU 1 reads out an electronic medical record corresponding to the medical history information arbitrarily selected in the step S32 from the storage device 12 of the server device Y and displays it on the past medical chart display screen 41. At this time, the CPU 1 displays each of the electronic medical charts from the top display area of the past medical chart display screen 41 in the order of selection by the operation input device 6.
For example, when the number of display days is 3, the electronic medical record corresponding to the first selected medical history information is displayed on the past medical chart display screen 41C. Then, the electronic medical record corresponding to the second selected medical history information is displayed on the past medical chart display screen 41D. Thereafter, the electronic medical record corresponding to the third selected medical history information is displayed on the past medical chart display screen 41E (see FIG. 17). In FIG. 17, the 8th, 5th, and 2nd medical history information 433, 432, and 431 from the top are sequentially selected from the medical history information displayed on the list display screen 43A. In FIG. 17, the electronic charts corresponding to the medical history information 433, 432, and 431 are displayed in the display areas 41C, 41D, and 41E, respectively.
Similarly, when the number of display days is 2, the electronic medical record corresponding to the first selected medical history information is displayed on the past medical chart display screen 41A. The electronic medical record corresponding to the second selected medical history information is displayed on the past medical chart display screen 41B.
At this time, when the number of display days is 2, the CPU 1 displays a blank in the display area 41B of the past medical chart display screen 41 until two medical history information are selected. Similarly, when the number of display days is 3, the CPU 1 displays a blank in the display areas 41D and 41E of the past chart display screen 41 until the second medical history information is selected. Until the third medical history information is selected, a blank is displayed in the display area 41E of the past chart display screen 41.

As described above, when a plurality of pieces of medical history information are arbitrarily selected by the operation input device 6 from among a plurality of pieces of medical history information displayed on the list display screen 43A, the CPU 1 selects the plurality of arbitrarily selected medical treatments. The electronic charts for two days or three days corresponding to the history information are displayed on the past chart display screen 41. Therefore, an operator such as a doctor can select a plurality of desired medical history information by the operation input device 6 and refer to the past chart display screen 41.
In particular, as shown in FIG. 16, in steps S <b> 32 to S <b> 33, any medical history information to be displayed on the list display screen 43 </ b> A is narrowed in accordance with the operation of the narrowing tab 43 </ b> C in steps S <b> 23 to S <b> 24 It is possible to select and display medical history information for three days. Specifically, in FIG. 16, after narrowing down in step S24, the fourth, second, and first medical history information 436, 435, and 434 from the top of the medical history information displayed on the list display screen 43A. Are selected in order. In FIG. 16, the electronic charts corresponding to the medical history information 436, 435, and 434 are displayed in the display areas 41C, 41D, and 41E, respectively.
Thereby, even in a state where a large amount of medical history information is accumulated, the operator can arbitrarily select a desired electronic medical chart and display it on the past medical chart display screen 41 by a simple operation.

(Step S34)
On the other hand, in step S34, the CPU 1 determines whether or not the medical history information selected on the list display screen 43A has been changed. Specifically, the CPU 1 determines whether or not medical history information corresponding to an electronic medical chart different from the electronic medical chart currently displayed at the top of the past medical chart display screen 41 has been selected.
If it is determined that the selection of the medical history information has been changed (Yes in S34), the process proceeds to step S35. On the other hand, when it is determined that the selection of the medical history information has not been changed (No side in S34), the process returns to step S21.

(Step S35)
In step S35, the CPU 1 selects, from the list display screen 43A, the electronic medical records corresponding to two or three days that have been continuously displayed on the basis of the medical history information after the selection change of the medical history information. And set it as the display target.
Specifically, when the number of days of the electronic medical chart displayed on the past medical chart display screen 41 is three days, the CPU 1 determines the number of days before the medical care date including the medical care date of the medical history information selected in step S34. The electronic chart for the day is set as a display target in step S13 of the chart display process (see FIG. 10). Thereby, in the step 13, the CPU 1 reads out the electronic medical records for three days set in the step S35 from the storage device 12 of the server apparatus Y and displays them on the past medical chart display screen 41 (see FIG. 18). ). Here, in FIG. 18, the fifth medical history information 437 from the top of the list display screen 43A is selected in the step S34, and the electronic medical record corresponding to the medical history information 438 for the previous three days in the step S35. Is set as the display target. After that, when the item setting tab 64 is operated, the CPU 1 displays a state in which the medical data of the item “P” is displayed at the top in each of the display areas 41C to 41E of the past chart display screen 41. Show.
Similarly, when the number of days of the electronic medical chart displayed on the past medical chart display screen 41 is two days, the CPU 1 also includes a medical history date before the medical care date including the medical care date of the medical history information selected in step S34. The electronic medical records for two days are set as display targets in step S12 of the medical chart display process (see FIG. 10). Thereby, the CPU 1 reads out the electronic medical records for two days set in the step S35 from the storage device 12 of the server device Y and displays them on the past medical chart display screen 41 in the step 12.
Thus, when one medical history information is selected by the operation input device 6 among the plurality of medical history information displayed on the list display screen 43A, the CPU 1 selects the one selected medical history information. The medical chart corresponding to the medical history information for two days or three days displayed continuously before or after is displayed on the past chart display screen 41.
In step S35, the CPU 1 displays electronic charts corresponding to two or three days that are continuously displayed on the basis of the medical history information after the selection change of the medical history information. You may select from 43A and set as a display target.

By the way, in each of the steps S27, S33, and S35, the CPU 1 changes the display color of the medical history information selected on the list display screen 43C (for example, background or character color scheme) from a color different from other medical history information, for example, Change to light blue. Here, the CPU 1 when executing such processing corresponds to the color changing means. As a result, the medical history information selected by the operator can be visually recognized.
At this time, the CPU 1 sets the display colors of the medical history information selected on the medical history list screen to different colors, and the header portion of the past medical chart display screen on which the electronic medical record corresponding to the medical history information is displayed. It is conceivable to use the same color for each of the display colors. Thereby, the doctor can grasp at a glance the correspondence between the medical history information and the electronic medical record.
In the present embodiment, as a method of displaying a predetermined item at the head in each of the display areas 41C to 41E, the positions of the scroll bars 411A to 411E are changed and display target locations in the display areas 41A to 41E are displayed. Explained the change. On the other hand, for example, displaying a predetermined item in each of the display areas 41C to 41E by rearranging the order of items displayed in the display areas 41A to 41E can be considered as another embodiment.

<Other functions>
Hereinafter, other functions realized by the CPU 1 executing the electronic medical record program in the client device Z will be described.

<Operation setting function>
The CPU 1 displays one to three days on the past chart display screen 41 that is initially displayed when a patient is selected on the consultation list screen 31 according to the operation of the operation input device 6 by an operator. It has a function of presetting which to display.
The CPU 1 displays a new electronic medical record from the top when displaying the electronic medical record for two days or three days on the past medical chart display screen 41 according to the operation of the operation input device 6 by the operator. Or whether to display a new electronic medical record from the bottom.

<Drag and drop function>
The CPU 1 has a function of copying the contents of the past medical chart display screen 41 to the current medical chart display screen 42 when a mouse drag and drop (D & D) operation of the operation input device 6 is performed.
Thereby, the doctor can save the effort which inputs the medical data similar to the past medical data. In the state where the past medical chart display screen 41 is divided and a plurality of electronic medical charts are displayed, a plurality of items can be copied simultaneously by drag and drop operation within the same electronic medical chart.

<Link function>
The CPU 1 has a function of pasting link information for displaying information such as schema, drug information, or binder included in the medical data when registering the medical data of the electronic medical record. When the electronic medical record with link information pasted is displayed on the past medical chart display screen 41, the CPU 1 operates when the link information is operated (clicked) with the mouse of the operation input device 6. It has a function of displaying information such as schema, drug information, or binder corresponding to link information. Note that the schema describes the medical condition according to the figure. The drug information includes the name, model number, expiration date, appearance image, and efficacy of the drug. The binder is a document file or an image file recorded in association with the electronic medical record.

<Resize function>
By the way, as described above, when the past medical chart display screen 41 is divided into a plurality of display areas by the CPU 1, the division may be performed equally. On the other hand, the CPU 1 has a function of changing, for example, the column width or the character size of each of the display areas 41A to 41E according to the operation of the operation input device 6 by a doctor. Thereby, the layout of the past medical chart display screen 41 can be set according to the preference of the doctor. Note that it is also conceivable that the CPU 1 limits the changeable time of the width size and the character size to the case where the electronic chart for one day is displayed on the past chart display screen 41.

<Change history storage function>
The CPU 1 has a function of holding both medical data before and after the correction when the electronic medical record is corrected. For example, the electronic medical record before correction is stored as the first version together with the creator and the creation date. On the other hand, the corrected electronic medical record is stored as the second version together with the corrector and the correction date. Then, when displaying the electronic medical record on the past medical chart display screen 41, the CPU 1 displays the latest electronic medical record of the second version, and the reception date and time column of the header part of the electronic medical record is displayed on the mouse. The data of the past version number of the electronic medical record is displayed by the right click operation.

<Page change function>
FIG. 19 is an enlarged view of the operation unit 410 provided at the lower part of the past medical chart display screen 41.
As shown in FIG. 19A, the operation unit 410 includes the display days tabs 51 to 53, the item setting tabs 61 to 65, and the like. Also, the CPU 1 causes the operation unit 410 of the display device 7 to switch the electronic chart displayed on the past chart display screen 41 one by one immediately before and after it, and a return tab 71 and a feed tab 72 (first tab). 1 corresponds to the switching unit 1). Here, the CPU 1 when executing the display processing corresponds to a seventh display control means. The operation unit 410 also displays a previous tab 73 for switching the electronic chart displayed on the past chart display screen 41 to the previous (latest) electronic chart with one touch.
Then, the CPU 1 switches the electronic medical chart displayed on the past medical chart display screen 41 one by one immediately before or after it according to the operation of the return tab 71 or the feed tab 72 by the operation input device 6. . The CPU 1 invalidates the operation of the return tab 71 when the oldest electronic medical record is displayed, and invalidates the operation of the feed tab 72 when the latest electronic medical record is displayed. Further, the CPU 1 switches the electronic medical chart displayed on the past medical chart display screen 41 to the previous (latest) electronic medical chart in accordance with the operation of the previous tab 73 by the operation input device 6.

For example, it is assumed that an electronic medical record exists in the storage device 12 every day from 4/17 to 4/21.
In this case, as shown in FIG. 20A, when the return tab 71 is operated while the 4/20 electronic medical record is displayed on the entire display area 41, the CPU 1 causes the display area 41 to 4/19 electronic chart is displayed on the whole. Further, when the feed tab 72 is operated in a state where the entire 4/20 electronic medical record is displayed in the display area 41, the CPU 1 displays the 4/21 electronic medical record in the entire display area 41. .
Further, as shown in FIG. 20B, a state is considered in which the electronic chart of 4/20 is displayed in the display area 41A (upper stage) and 4/19 is displayed in the display area 41B (lower stage). In this case, when the return tab 71 is operated, the CPU 1 displays the electronic chart of 4/19 in the display area 41A (upper) and 4/18 in the display area 41B (lower). On the other hand, when the feed tab 72 is operated, the CPU 1 displays 4/21 on the display area 41A (upper) and 4/20 on the display area 41B (lower). The CPU 1 invalidates the operation of the return tab 71 when there is no electronic medical record twice before the display area 41A, and sends the electronic chart when the electronic medical record after the first time does not exist in the display area 41A. The operation of the tab 72 is invalidated.
Further, as shown in FIG. 20C, the display area 41C (upper stage) is 4/20, the display area 41D (middle stage) is 4/19, and the display area 41E (lower stage) is 4/18. Consider the state where is displayed. In this case, when the return tab 71 is operated, the CPU 1 displays 4/19 in the display area 41C (upper), 4/18 in the display area 41D (middle), and 4/18 in the display area 41E (lower). / 17 electronic medical record is displayed. On the other hand, when the feed tab 72 is operated, the CPU 1 4/21 in the display area 41C (upper), 4/20 in the display area 41D (middle), and 4/20 in the display area 41E (lower). 19 electronic charts are displayed. The CPU 1 invalidates the operation of the return tab 71 when the electronic chart three times before the display area 41C does not exist, and sends the electronic chart when the electronic chart one time after the display area 41A does not exist. The operation of the tab 72 is invalidated.

<Tab display switching function>
Further, as shown in FIG. 19, a tab change key 74 is displayed at the left end of the operation unit 410.
The CPU 1 has a function of changing part or all of the operation tabs displayed on the operation unit 410 every time the tab change key 74 is operated. For example, in the example shown in FIG. 19B, the display days tabs 51 to 53 and the item setting tab 61 displayed on the operation unit 410 shown in FIG. Instead of ˜65, various display tabs 91, option tabs 92, search tabs 93, color tabs 94, and set tabs 95 are displayed. As described above, each time the tab change key 74 is operated, the tab function of the operation unit 410 is assigned to a different function, so that tab display for executing various functions is performed while saving space. be able to. Of course, the display change by operating the tab change key 74 may extend over three pages or more.

Also, which one of the display days tab 51 and the display days tabs 52 and 53 is selected, that is, when the electronic chart for one day is displayed on the past chart display screen 41 and for two days or three days. It is conceivable to change a part or all of the operation tabs of the operation unit 410 depending on the case where the minute electronic chart is displayed.
For example, FIGS. 19A and 19B show the operation unit 410 when the electronic medical record for one day is displayed, and FIGS. 19C and 19D show the operation unit 410 when the electronic medical record for two days is displayed. A display example is shown. 19C and 19D are switched by the CPU 1 by the operation of the tab change key 74 as in FIGS. 19A and 19B. The same applies to the case where electronic charts for three days are displayed on the past chart display screen 41.
When electronic charts for two days or three days are displayed, the CPU 1 displays the electronic chart displayed on the past chart display screen 41 at the right end of the operation unit 410 immediately before or after the electronic chart. A return tab 81 and a feed tab 82 (corresponding to the second switching unit) to be changed collectively for two days or three days are displayed. Here, the CPU 1 when executing the display processing corresponds to an eighth display control means.
Then, the CPU 1 displays the plurality of electronic medical charts displayed on the past medical chart display screen 41 according to the operation of the return tab 81 or the feed tab 82 by the operation input device 6 for two days immediately before or after that. Switch between minutes or 3 days.

For example, as shown in FIGS. 21A and 21B, a state is considered in which the electronic chart of 4/20 is displayed in the display area 41A (upper) and 4/19 is displayed in the display area 41B (lower). . In FIG. 21A, there is an electronic medical record of 4/17 three times before 4/20 of the display area 41A, and an electronic medical record of 4/22 two times after 4/20 of the display area 41A. The display change when it exists is shown. In this case, when the return tab 81 is operated, the CPU 1 displays the electronic chart of 4/18 in the display area 41A (upper) and 4/17 in the display area 41B (lower). On the other hand, when the feed tab 82 is operated, the CPU 1 displays 4/22 on the display area 41A (upper) and 4/21 on the display area 41B (lower).
FIG. 21B shows that the electronic chart of 4/18 two times before 4/20 of the display area 41A exists but the electronic chart of 4/17 three times before does not exist, and the display area The display changes when the electronic chart of 4/21 after 4/20 of 41A is present but the electronic chart of 4/22 after 2 is not present. In this case, when the return tab 81 is operated, the CPU 1 displays the electronic chart of 4/19 in the display area 41A (upper) and 4/18 in the display area 41B (lower). On the other hand, when the feed tab 82 is operated, the CPU 1 displays 4/21 on the display area 41A (upper) and 4/20 on the display area 41B (lower).
The CPU 1 invalidates the operation of the return tab 71 when there is no electronic medical record twice before the display area 41A, and sends the electronic chart when the electronic medical record after the first time does not exist in the display area 41A. The operation of the tab 72 is invalidated.

Further, as shown in FIGS. 21C to 21E, the display area 41C (upper) is 4/20, the display area 41D (middle) is 4/19, and the display area 41E (lower) is displayed. Consider a state in which a 4/18 electronic medical record is displayed.
First, in FIG. 21C, there is an electronic medical record of 4/15 5 times before 4/20 of the display area 41A, and 4/23 electrons after 3 times of 4/20 of the display area 41A. The display change when a medical record exists is shown. In this case, when the return tab 81 is operated, the CPU 1 4/17 in the display area 41C (upper), 4/16 in the display area 41D (middle), and 4 in the display area 41E (lower). / 15 electronic medical record is displayed. On the other hand, when the feed tab 82 is operated, the CPU 1 displays 4/23 in the display area 41C (upper), 4/22 in the display area 41D (middle), and 4/22 in the display area 41E (lower). 21 electronic medical records are displayed.
Next, FIG. 21D shows that there is a 4/16 electronic chart of 4/16 before 4/20 of the display area 41A, but there is no 4/15 electronic medical chart of 5 times before. The display change is shown when there is an electronic medical record of 4/22 after 2/20 in the area 41A but no electronic medical record of 4/23 after 3/20. In this case, when the return tab 81 is operated, the CPU 1 4/18 in the display area 41C (upper), 4/17 in the display area 41D (middle), and 4/17 in the display area 41E (lower). / 16 electronic chart is displayed. On the other hand, when the feed tab 82 is operated, the CPU 1 displays 4/22 in the display area 41C (upper), 4/21 in the display area 41D (middle), and 4/21 in the display area 41E (lower). 20 electronic medical records are displayed.
Furthermore, FIG. 21E shows that the electronic chart of 4/17 three times before 4/20 of the display area 41A exists but the electronic chart of 4/16 before four times does not exist. The display change is shown when the electronic chart of 4/21 after 4/20 of 41A exists but the electronic chart of 4/22 does not exist after 2 times. In this case, when the return tab 81 is operated, the CPU 1 4/19 in the display area 41C (upper), 4/18 in the display area 41D (middle), and 4/18 in the display area 41E (lower). / 17 electronic medical record is displayed. On the other hand, when the feed tab 82 is operated, the CPU 1 displays 4/21 in the display area 41C (upper), 4/20 in the display area 41D (middle), and 4/20 in the display area 41E (lower). 19 electronic charts are displayed.
The CPU 1 invalidates the operation of the return tab 71 when the electronic chart three times before the display area 41A does not exist, and sends the electronic chart when the electronic chart one time after the display area 41A does not exist. The operation of the tab 72 is invalidated.

  By the way, as described below, the return tab 71 and the feed tab 72, the return tab 81 and the feed tab 82 are displayed even when a plurality of electronic charts arbitrarily selected are displayed on the past chart display screen 41. It is effective (see FIGS. 22A to 22D).

For example, let us consider a case where an electronic medical record exists in the storage device 12 for every day from 7/1 to 7/20. Further, as shown in the center of FIGS. 22A and 22B, the past chart display screen 41 is divided into three parts, 7/15 in the display area 41C (upper) and 7/15 in the display area 41D (middle). / 10, it is assumed that 7/5 electronic medical records are respectively displayed in the display area 41E (lower row).
In this case, as shown in FIG. 22A, when the return tab 71 or the feed tab 72 is operated, the CPU 1 displays the display area 41 (C) at the top of the past chart display screen 41. The display target is switched one by one immediately before or after the displayed electronic medical record. Specifically, when the return tab 71 is operated, the CPU 1 displays the electronic charts of 7/14, 7/13, and 7/12 on the display areas 41C, 41D, and 41E, respectively. On the other hand, when the feed tab 72 is operated, the CPU 1 displays the electronic charts 7/16, 7/15, and 7/14 on the display areas 41C, 41D, and 41E, respectively.
On the other hand, as shown in FIG. 22B, when the return tab 81 or the feed tab 82 is operated, the CPU 1 displays the electronic medical chart displayed in the uppermost display area of the past medical chart display screen 41. As a reference, the display object is switched three by three immediately before or after. Specifically, when the return tab 81 is operated, the CPU 1 displays the electronic charts of 7/12, 7/11, and 7/10 on the display areas 41C, 41D, and 41E, respectively. On the other hand, when the feed tab 82 is operated, the CPU 1 displays the electronic charts 7/18, 7/17, and 7/16 on the display areas 41C, 41D, and 41E, respectively.

Further, consider the case where electronic records exist for the storage device 12 for 7/1, 7/4, 7/5, 7/10, 7/15, and 7/20. Also, as shown in the center of FIGS. 22C and 22D, the past chart display screen 41 is divided into three parts, 7/15 in the display area 41C (upper) and 7/15 in the display area 41D (middle). / 10, it is assumed that 7/5 electronic medical records are respectively displayed in the display area 41E (lower row).
In this case, as shown in FIG. 22C, when the return tab 71 or the feed tab 72 is operated, the CPU 1 displays the display area 41 (C) at the top of the past chart display screen 41. The display target is switched one by one immediately before or after the displayed electronic medical record. Specifically, when the return tab 71 is operated, the CPU 1 displays the electronic charts of 7/10, 7/5, and 7/4 on the display areas 41C, 41D, and 41E, respectively. On the other hand, when the feed tab 72 is operated, the CPU 1 displays 7/20, 7/15, and 7/10 electronic medical charts in the display areas 41C, 41D, and 41E, respectively.
On the other hand, as shown in FIG. 22D, when the return tab 81 or the feed tab 82 is operated, the CPU 1 displays the electronic chart displayed in the uppermost display area of the past chart display screen 41. As a reference, the display object is switched three by three immediately before or after. However, as in the case shown in FIG. 21D, there is no electronic medical record five times before the display area 41C. Therefore, as shown in FIG. 22D, when the return tab 81 is operated, the CPU 1 stores the electronic charts of 7/5, 7/4, 7/1 in the display areas 41C, 41D, 41E. Are displayed respectively. Similarly to the case shown in FIG. 21E, there is no electronic medical record after the display area 41C twice. Therefore, as shown in FIG. 22D, when the feed tab 82 is operated, the CPU 1 stores the electronic charts 7/20, 7/15, and 7/10 in the display areas 41C, 41D, and 41E. Is displayed.

1: CPU
2: ROM
3: RAM
4: Data storage unit 5: Communication interface 6: Operation input device 7: Display device 10: Bus 11: Communication interface 12: Storage device 13: Bus 20: Communication network 31: Reception list screen 40: Medical record display screen 41: Past medical record Display screens 41A, 41B: Display areas 41C, 41D, 41E: Display areas 411A-411E: Scroll bar 42: Current chart display screen 43: Patient display screen 43A: List display screen 44: Input screens 51-53: Division setting tab ( Division setting part)
61-65: Item setting tab (item setting part)
S1, S2,...: Processing procedure (step) numbers S21, S22,...: Processing procedure (step) numbers X: Electronic medical record system Y: Server device Z: Client device (electronic medical record device)

Claims (16)

Reading means for reading out the electronic medical record from a storage device that stores the electronic medical record including the medical data classified and recorded in a plurality of items,
First display control means for causing a display device to display a past chart display screen on which medical data of the electronic chart read by the reading means is arranged;
A second display control means for dividing the past medical chart display screen into a predetermined number of display areas, and displaying different medical chart medical data in each of the display areas;
Third display control means for causing the display device to display a plurality of item setting sections corresponding to the plurality of items;
Fourth display control means for displaying items corresponding to the item setting unit selected by the operation input device among the plurality of item setting units for all the medical chart medical data displayed in each of the display areas; ,
Equipped with a,
In the display area, the fourth display control means displays the medical data starting from the item corresponding to the item setting unit selected by the operation input device among the items of the medical data. An electronic medical chart device. The fourth display control means adjusts a display target location of the medical data in each of the display areas so that an item corresponding to the item setting unit selected by the operation input device is displayed at the top. Item 4. The electronic medical chart device according to Item 1. The first display control means displays the past medical chart display screen and the current medical chart display screen on which the current electronic chart to be input is arranged on the same screen in the horizontal direction or the vertical direction on the display device. And
3. The electronic medical chart apparatus according to claim 1, wherein the second display control unit divides the past medical chart display screen in a vertical direction or a horizontal direction. A fifth display control means for causing the display device to display a plurality of division setting sections for setting the number of divisions of the past chart display screen by the second display control means;
The second display control means divides the past medical chart display screen in the vertical direction or the horizontal direction by the number of divisions corresponding to the division setting unit selected by the operation input device among the plurality of division setting units. The electronic medical chart apparatus according to any one of claims 1 to 3. The first display control means displays a list display screen in which a plurality of chart identification information corresponding to each of the electronic charts stored in the storage device is arranged together with the past chart display screen and the current chart display screen. It is displayed on the same screen of the device,
The said 2nd display control means displays the said electronic medical chart corresponding to the medical chart identification information selected by the said operation input apparatus among the said several medical chart identification information on the said past medical chart display screen. The electronic medical chart apparatus as described. Further comprising sixth display control means for causing the display means to display a plurality of narrowing portions for setting narrowing conditions for narrowing down the plurality of chart identification information displayed on the list display screen;
The first display control means displays only the chart identification information that matches the narrowing-down condition corresponding to the narrowing-down part selected by the operation input device among the multiple narrowing-down parts on the list display screen. The electronic medical chart apparatus according to claim 5, wherein   The second display control means, when one chart identification information is selected by the operation input device among the plurality of chart identification information, is continuously displayed before or after the selected chart identification information. 7. The electronic medical chart apparatus according to claim 5, wherein a plurality of the electronic medical charts corresponding to the number of divisions of the medical chart identification information are displayed on the past medical chart display screen.   When the plurality of chart identification information is arbitrarily selected by the operation input device from among the plurality of chart identification information, the second display control means includes a plurality of the plurality of chart identification information corresponding to the plurality of arbitrarily selected chart identification information. The electronic medical chart apparatus according to any one of claims 5 to 7, wherein an electronic medical chart is displayed on the past medical chart display screen.   9. The electronic medical chart apparatus according to claim 8, wherein the second display control means displays each of the electronic medical charts from the display area at the top of the past medical chart display screen in the order of selection by the operation input device.   The color chart identifying means for applying a color scheme different from that of the other chart identification information to the chart identification information corresponding to the electronic chart displayed on the past chart display screen. The electronic medical chart apparatus as described. Further comprising seventh display control means for causing the display device to display a first switching unit for switching the electronic medical chart displayed on the past medical chart display screen one by one immediately before and after the electronic chart.
The second display control means switches the electronic medical chart displayed on the past medical chart display screen one by one immediately before or after the operation according to the operation of the first switching unit by the operation input device. The electronic medical chart apparatus according to any one of claims 1 to 10. And further comprising an eighth display control means for causing the display device to display a second switching unit for switching the electronic medical record displayed on the past medical chart display screen immediately before and after the divided number.
The second display control means may divide the plurality of electronic medical charts displayed on the past medical chart display screen immediately before or immediately after the number of divisions according to the operation of the second switching unit by the operation input device. The electronic medical chart device according to any one of claims 1 to 11, which is for switching. A display device for displaying information;
An operation input device for inputting information;
A storage device for storing electronic medical records including medical data classified and recorded in a plurality of items;
Reading means for reading the electronic medical record from the storage device;
First display control means for causing a display device to display a past chart display screen on which medical data of the electronic chart read by the reading means is arranged;
A second display control means for dividing the past medical chart display screen into a predetermined number of display areas, and displaying different medical chart medical data in each of the display areas;
Third display control means for causing the display device to display a plurality of item setting sections corresponding to the plurality of items;
Fourth display control means for displaying items corresponding to the item setting unit selected by the operation input device among the plurality of item setting units for all the medical chart medical data displayed in each of the display areas; ,
Equipped with a,
In the display area, the fourth display control means displays the medical data starting from the item corresponding to the item setting unit selected by the operation input device among the items of the medical data. A featured electronic medical chart system. By computer
A reading step of reading out the electronic medical record from a storage device for storing the electronic medical record including medical data classified and recorded in a plurality of items;
A first display control step of causing a display device to display a past medical chart display screen on which medical data of the electronic medical chart read out by the reading step is arranged;
A second display control step of dividing the past medical chart display screen into a predetermined number of display areas, and displaying different medical chart medical data in each of the display areas;
A third display control step for causing the display device to display a plurality of item setting units corresponding to the plurality of items;
A fourth display control step for displaying items corresponding to the item setting unit selected by the operation input device among the plurality of item setting units for all the medical chart medical data displayed in each of the display areas; ,
The execution,
In the fourth display control step, in each of the display areas, the medical data is displayed starting with an item corresponding to the item setting unit selected by the operation input device among the items of the medical data. An electronic medical chart display method characterized by the above.   The electronic medical record program for functioning a computer as each means of the electronic medical record apparatus in any one of Claims 1-12.   A computer-readable recording medium on which the electronic medical record program according to claim 15 is recorded.