JP6154773B2 - Screen processing system - Google Patents

Description

  The present invention relates to a technology of a screen processing system that displays information.

Electronic medical records that have been converted into electronic data are being used instead of medical charts that have been conventionally made of paper at medical sites and the like.
Patent Document 1 discloses a medical item confirmation system and method for displaying a list of orders (instructed by a doctor) described in an electronic medical record for each patient, and a computer program.
Further, Patent Document 2 discloses a medical information processing apparatus, a medical information processing method, and a medical information processing program that display a list of order statuses (for example, presence or absence of implementation) for each patient.

JP 2003-6328 A JP 2010-92213 A

Here, in a small and medium hospital, compared with a large hospital, there is a high necessity for one person's business scope to perform a plurality of tasks.
As described above, one staff may need to operate screens of a plurality of business types. As a result, when one staff member switches between different business types, the same information may be displayed in different screen areas or the details of the information may be different, which reduces work efficiency. Yes.
The techniques described in Patent Documents 1 and 2 cannot cope with such screen switching.

  Further, in the technologies described in Patent Documents 1 and 2, since the display of the workflow is not taken into consideration, it is difficult to understand which stage of the workflow is currently in progress. Also, workflow editing is not taken into account.

  The present invention has been made in view of such a background, and an object of the present invention is to perform screen processing capable of efficiently performing business.

In order to solve the above-described problems, the present invention is a screen processing system that supports at least a first display area that displays at least a type of information related to work and a status of the work, and display of the first display area. A second display area for displaying at least the description of the information and the description of the status, and an information block generation processing unit for generating an information block having a function as a button, and satisfying a predetermined condition A screen generation processing unit that generates an assist view on which the list of information blocks is displayed, and the screen processing system has the same functions and functions on each screen even when information processing is performed using a plurality of screens. The information view is displayed in the same layout to perform information processing, and the assist view generated by the screen generation processing unit Displayed on the screen, via the input unit, the predetermined location is selected inputs in the information blocks being displayed, the information block, the information block same the first display area and said second And displaying all the summary information about the work in the assist view, and performing the expanded display by separating and developing using a plurality of new information blocks. When a predetermined location in is selected and input, the expanded display returns to the display before expansion.

  According to the present invention, it is possible to perform screen processing capable of efficiently performing business.

It is a figure which shows the structural example of the screen processing system which concerns on this embodiment. It is a figure which shows the structural example of the server, database, and client terminal which comprise the screen processing system which concerns on this embodiment. It is a figure which shows the example of the order table which concerns on this embodiment. It is a figure which shows the example of the layout table which concerns on this embodiment. It is a figure which shows the example of the workflow data which concern on this embodiment. It is a flowchart which shows the process sequence of the production | generation / registration of an order block concerning this embodiment. It is a flowchart which shows the process sequence of the screen display which concerns on this embodiment. It is a flowchart which shows the process sequence of the order block edit which concerns on this embodiment. It is a flowchart which shows the process sequence of the workflow creation which concerns on this embodiment. It is a flowchart which shows the process sequence of the workflow edit which concerns on this embodiment. It is a flowchart (the 1) which shows an example of the work procedure of the workflow which concerns on this embodiment. It is FIG. (1) which shows the example of the patient recording screen for doctors. It is FIG. (2) which shows the example of the patient recording screen for doctors. It is a figure which shows the example of the creation screen of the order block by a doctor. It is FIG. (1) which shows the example of the work screen for pharmacists. It is FIG. (2) which shows the example of the work screen for pharmacists. It is FIG. (1) which shows the example of the patient recording screen for pharmacists. It is FIG. (1) which shows the example of the work screen for nurses. It is FIG. (1) which shows the example of the medical care calendar screen for nurses. It is FIG. (2) which shows the example of the medical care calendar screen for nurses. It is FIG. (1) which shows the example of the patient record screen for nurses. It is a flowchart (the 2) which shows an example of the work procedure of the workflow which concerns on this embodiment. It is a figure which shows the example of the work screen for radiographers. It is a figure which shows the example of the patient recording screen for radiographers. It is FIG. (3) which shows the example of the patient recording screen for doctors. It is FIG. (4) which shows the example of the patient recording screen for doctors. It is a flowchart (the 3) which shows an example of the work procedure of the workflow which concerns on this embodiment. It is FIG. (2) which shows the example of the patient recording screen for pharmacists. It is a figure which shows the example of the business screen for doctors. It is FIG. (5) which shows the example of the patient recording screen for doctors. It is FIG. (2) which shows the example of the work screen for nurses. It is a figure which shows the modification of the patient recording screen for doctors. It is FIG. (2) which shows the example of the patient record screen for nurses. It is a figure which shows another example of an order block.

Next, modes for carrying out the present invention (referred to as “embodiments”) will be described in detail with reference to the drawings as appropriate.
In the drawings, the same elements are denoted by the same reference numerals, and description thereof will be omitted as appropriate. Moreover, in each drawing, the code | symbol of the element which is not required for description may be abbreviate | omitted suitably. Note that this embodiment is a screen processing system for small and medium hospitals. Of course, the screen processing system according to this embodiment can also be applied to a large hospital.

[System configuration]
FIG. 1 is a diagram illustrating a configuration example of a screen processing system according to the present embodiment.
The screen processing system Z has a server 1 and a database 2 connected to the server 1.
A client terminal 3 and a printer 4 are installed in each department such as internal medicine, surgery, nursing department, radiology department, and pharmaceutical department. Each department's client terminal 3 and printer 4 are connected to the server 1 via a network 7 such as a LAN (Local Area Network). In addition, a barcode reader 5, a scanner 6, and the like may be appropriately installed in each unit. The barcode reader 5 is for reading information on medicines from barcodes attached to syringes and bottles containing medicines. The barcode is replaced with IC (Integrated Circuit) tags. Thus, an IC tag reader may be installed instead of the barcode reader 5.

[Device configuration]
FIG. 2 is a diagram illustrating a configuration example of a server, a database, and a client terminal that configure the screen processing system according to the present embodiment.
The database 2 even stores an order table 201 and a layout table 202. The order table 201 stores information related to orders (information related to work) which are instructions from a doctor. The layout table 202 stores information related to the layout of the order block (information block).
The database 2 stores electronic medical record data 203 that is information related to the electronic medical record, and workflow data 204 that is information related to a workflow indicating the order of work related to medical treatment.

  In the server 1, a program stored in the storage device 120 is expanded in a memory 110 such as a RAM (Random Access Memory) and is executed by a CPU (Central Processing Unit) 130, whereby the processing unit 100 and the processing unit An order block generation processing unit (information block generation processing unit) 101, a screen generation processing unit 102, a conversion processing unit 103, and a registration unit 104 that form 100 are embodied.

When receiving the request from the client terminal 3, the order block generation processing unit 101 generates an order block to be described later from the order table 201 and the layout table 202 of the database 2 using the workflow data 204 or the like.
In addition, when receiving a request from the client terminal 3, the screen generation processing unit 102 generates a screen other than the order block such as an assist view described later.
The conversion processing unit 103 converts the order block generated by the order block generation processing unit 101 and the screen generated by the screen generation processing unit 102 into HTML (Hypertext Markup Language).
When the user adds an order, changes the order, creates a workflow, or changes the workflow, the registration unit 104 stores the created or changed data in the order table 201 or the workflow data 204 of the database 2.

  Further, the server 1 includes a transmission / reception device 140 that transmits / receives information to / from an external device (client terminal 3 or the like) via a network 7 such as a LAN.

In the client terminal 3, the program stored in the storage device 320 is expanded in a memory 310 such as a RAM and executed by the CPU 330, thereby realizing the processing unit 300 and the display processing unit 301 constituting the processing unit 300. ing.
The display processing unit 301 makes a screen transmission request to the server 1, receives the screen generated by the server 1 and the order block from the server 1, and displays them on the display device 360 of the client terminal 3 itself. Further, the information input via the input device (input unit) 350 is reflected on the screen of the display device 360.

Furthermore, the client terminal 3 includes an input device 350 such as a keyboard and a mouse, and a display device 360 such as a display.
Further, the client terminal 3 includes a transmission / reception device 340 that transmits / receives information to / from an external device (server 1 or the like) via a network 7 such as a LAN.

The client terminal 3 may have at least one of the functions of the server 1, or the client terminal 3 may have all the functions in the server 1.
Further, each data stored in the database 2 may be stored in the storage device 120 of the server 1 or may be stored in the storage device 320 of the client terminal 3.

[Order Table]
FIG. 3 is a diagram illustrating an example of an order table according to the present embodiment.
As shown in FIG. 3, the order table 201 includes information on an order number, an order type, and order information.
The order number is an identification number uniquely given to the order, and is given by the registration unit 104 when a new order is created.
The order type is information indicating the type of order such as “Gazou” indicating an image and “Kensa” indicating an inspection.
The order information describes the detailed contents of the corresponding order. The “order code” indicating which layout is applicable, the “registrant” indicating the person who created and registered the order, and the order. Information such as “date” indicating the date on which the file is created is described.

[Layout Table]
FIG. 4 is a diagram illustrating an example of a layout table according to the present embodiment.
As shown in FIG. 4, the layout table 202 includes an order code, an order type name, and layout information.
As described in the order table 201, the order code is information indicating the type of layout.
The order type name is information relating to the order type of the corresponding order block.
The layout information is information regarding a specific layout in the order block.

[Workflow data]
FIG. 5 is a diagram illustrating an example of workflow data according to the present embodiment.
As shown in FIG. 5, in the workflow data 204, an identification code of a person permitted to edit the workflow (in the example of FIG. 5, “All”, that is, everyone) is attached as header information. That is, a person who can edit the workflow is set.
In addition, the workflow order is stored as the data body. In the example of FIG. 5, the first is “doctor Taro”, the next is “pharmaceutical department”, and the last is “nursing department”. Here, the “pharmaceutical department” is for all pharmacology departments, and the “nursing department” is for all nursing departments.
As described above, the data body of the workflow data 204 can be specified not only for the individual name but also for each department or for each copy.

[flowchart]
Next, each process will be described with reference to FIGS. 6 to 10 with reference to FIGS.
(Order block generation / registration)
FIG. 6 is a flowchart showing a processing procedure of order block generation / registration according to the present embodiment.
First, a user (doctor or the like) creates an order block through the input device 350 while referring to the display device 360 of the client terminal 3 (S11).
Then, the display processing unit 301 of the client terminal 3 transmits information about the created order block to the server 1 (S12).
The registration unit 104 of the server 1 that has received the information transmitted in step S12 extracts the order information from the received order block information, and stores it in the order table 201 (S13). Specifically, the following processing is performed. In the information of the newly created order block, for example, information indicating that it has been newly created as a header is stored. Upon receiving such order block information, the registration unit 104 generates an order number. Then, the registration unit 104 stores the received order block information in the order table 201 together with the generated order number.

(Screen display)
FIG. 7 is a flowchart showing a screen display processing procedure according to this embodiment.
First, the display processing unit 301 of the client terminal 3 transmits a screen transmission request to the server 1 (S21).
Then, the order block generation processing unit 101 of the server 1 generates an order block from the order table 201 and the layout table 202 based on the screen transmission request (S22).
Then, the screen generation processing unit 102 generates each screen based on the workflow data 204 and the like, and generates each screen by arranging the generated order block in the screen (S23).
Next, the conversion processing unit 103 converts the generated screen into HTML (S24), and transmits it to the client terminal 3 that is the screen transmission request source (S25). Note that the process of step S24 may be omitted.
Then, the display processing unit 301 of the client terminal 3 displays the transmitted screen on the display device 360 (S26).

(Edit order block)
FIG. 8 is a flowchart showing a processing procedure of order block editing according to the present embodiment.
First, the user (doctor or the like) edits the order block via the input device 350 while referring to the screen of the display device 360 of the client terminal 3 (S31). Specifically, the order block edit screen is displayed on the display device 360, and the order block is edited by the user (doctor or the like) editing the order contents via the input device 350.
Then, the display processing unit 301 of the client terminal 3 transmits information on the edited order block to the server 1 (S32).
Upon receiving the information transmitted in step S32, the registration unit 104 of the server 1 extracts the order information from the received order block information and stores it in the order table 201 (S33). Specifically, the following processing is performed. The order block information that is not new stores, for example, an order number as a header. Upon receiving such order block information, the registration unit 104 stores the received order block information in the order table 201 using the order number of the header as a key.

(Create workflow)
FIG. 9 is a flowchart showing a workflow creation processing procedure according to the present embodiment.
First, the user creates a workflow via the input device 350 while referring to the display device 360 of the client terminal 3 (S41).
Next, the display processing unit 301 of the client terminal 3 transmits workflow information to the server 1 (S42).
The workflow information received by the registration unit 104 of the server 1 that has received the workflow information is stored in the workflow data 204 (S43).

(Workflow editing)
FIG. 10 is a flowchart showing a workflow editing process procedure according to the present embodiment.
First, the user edits a workflow via the input device 350 while referring to the display device 360 of the client terminal 3 (S51).
Next, the display processing unit 301 of the client terminal 3 transmits workflow editing information to the server 1 (S52).
The workflow data 204 is updated with the workflow editing information received by the registration unit 104 of the server 1 that has received the workflow editing information (S53).

[Drug instructions → Dispensing → Drug prescription]
First, with reference to FIGS. 11 to 21, as an example of a workflow, a workflow in which a doctor orders a medicine, a pharmacist dispenses the medicine according to the doctor's order, and a nurse prescribes the dispensed medicine will be described.
In the following description, when “order block D1” is described, it indicates not the specific order block but the entire order block. In addition, other order block notations (“order block A 127”, “order block A 127 (D 1)”, etc.) indicate specific order blocks.
In the following description, “user (doctor)” or the like is used to indicate a specific user who is operating the screen, and “user” is simply described when the effect is not limited to a specific user.

(Work procedure)
First, the work procedure for this workflow is shown in the flowchart of FIG.
First, a user (doctor) displays a patient record screen on the display device 360 of the client terminal 3 (S101).
Next, the user (doctor) creates a new order block by creating a new order block (S102). Note that it is always the doctor who creates, changes, and cancels orders.
Then, the user (doctor) transmits the created new order to the pharmacist (S103).

The user (pharmacist) who receives the new order sent from the doctor confirms the received (new arrival) order by confirming the order block (S104).
Then, the user (pharmacist) dispenses based on the order (S105).
Thereafter, the user (pharmacist) registers that the dispensing has been completed (S106), whereby an order is sent to the nurse who is in charge of the next workflow.

When the user (nurse) in the next workflow is notified by the pharmacist that the dispensing has been completed, the user confirms the new order by confirming the order block (S107).
Next, in step S107, the user (nurse) confirms the order by displaying a medical care calendar or by expanding an order block related to the medicine to be prescribed.
Subsequently, the user (nurse) administers the patient according to the order described in the order block (S108).
Thereafter, the user (nurse) registers in the server 1 that the medication has been completed (S109).

  Below, the screen transition accompanying the process sequence of FIG. 11 is demonstrated with reference to FIGS. Incidentally, in the description of FIGS. 12 to 21, the step numbers described in the headings are the related step numbers of FIG. 11.

(Patient record screen: for doctors: S101)
FIG. 12 is a diagram illustrating an example of a patient record screen for a doctor.
More specifically, FIG. 12 is a screen displayed on the display device 360 of the client terminal 3 used by the user (doctor), and the “patient record” tab A11 is selected via the input device 350. Thus, the patient record screen A1 is displayed. In FIG. 12, the patient record screen A1 is displayed when the “patient record” tab A11 is selected. However, if the “medical calendar” tab is selected, the medical calendar C1 described later in FIG. Is displayed. When the patient list tab A170 is selected, a business screen B1 shown in FIG. 15 or the like is displayed. In addition, although the temperature measurement table is displayed by selecting the “temperature measurement table” tab, the description is omitted in the present embodiment.
Such switching of the patient record screen A1, the work screen B1, and the medical care calendar C1 is common to the screens shown in the following drawings. Thereby, working efficiency is improved.

The patient record screen A1 includes a patient information area A110, a patient record area A120 that is another area, an assist view A130 that is another area, a detailed information display area A140 that is another area, and a workflow area A150 that is another area. Yes. Here, the assist view A130, the detailed information display area A140, and the workflow area A150 are appropriately referred to as an order block related area (information block related area).
In the patient information area A110, the name of the patient displayed on the patient record screen A1 and various information regarding the patient are displayed. The various information for the patient includes patient ID (Identification), date of birth, blood type, doctor name in charge, patient symptom, disease name, and the like.

The patient record area A120 has a display period designation area A121 and a patient record list area A122.
The display period designation area A121 is an area for designating the period of patient records displayed in the patient record list area A122. In the present embodiment, the period is specified by a frame displayed on the bar indicating the year and month. The format is not limited to such a format, and may be a format such as an input window.

In the patient record list area A122, a medical record A126 (information block) and a nursing record for the target patient ("Hitachi Aro" in the case of FIG. 12) specified in the display period specification area A121 are displayed. (The nursing record is hidden in the example of FIG. 12).
The patient record list area A122 has a medical practice type, a medical practice date, a number of examinations (examination), a treatment quantity (treatment), a prescription quantity (prescription), and a person in charge for each record.
The medical practice type is information indicating the type of medical practice performed, and “medical” is displayed when medical care is performed, and information such as “nursing” is displayed when nursing is performed.

The medical practice date and time indicates the date and time when the target medical practice was performed.
The number of examinations is the number of examination orders issued when the target medical practice is performed. Similarly, the number of treatments is the number of treatment orders issued when the target medical practice is performed, and the number of prescriptions is the number of prescription orders issued when the target medical practice is performed. It is.
The name of the person in charge is the name of the person in charge who performed the target medical practice.

  For example, in the first row in the patient record list area A122 of FIG. 12, the internal medicine “Taro Doctor” conducts medical care at 10:00 on February 16, 2014 (“diagnosis”), and at that time, the examination is performed twice. It is displayed that the order has been issued twice and the prescription has been issued twice.

  When the user (doctor) selects and inputs a record in the patient record list area A122 via the input device 350, a patient detail record A124 is displayed. That is, one record in the patient record list area A122 changes to the patient detail record A124. Incidentally, in the example of FIG. 12, the fourth line (“2014/02/19”) and the fifth line (“2014/02/20”) of the patient record list area A122 are selected and input.

In the detailed patient record A124, the medical record type A126, order blocks A127 (D1), A128 (D1), and the like are displayed together with the medical practice type, the medical practice date and time, and the name of the person in charge.
The medical record A126 is a medical record created by a doctor. In the example of FIG. 12, since the patient detail record A124 is related to medical care ("diagnosis"), the medical record A126 is displayed. Is displayed.

  Order blocks A127 (D1) and A128 (D1) describe orders by doctors. In the example of FIG. 12, the order block A127 describes an order related to prescription. The order block A128 describes an order related to injection.

The order block D1 has at least a header part (first display area) D201 and an information part (second display area) D202.
The header part D201 has a status (work status) indicating an order type (work information type) such as “prescription” and “injection” and a work state related to the order such as “dispensed” and “undispensed”. ing. In the header part D201, an icon indicating a sub-status such as whether it is urgent (“Sudden”), whether it is printed (“Mark”), or whether it is already accounted (“¥”). It is shown. Further, the header part D201 indicates information such as a department ("internal medicine") for which an order has been issued.

  The information part D202 describes an outline of the order of the corresponding order block D1. For example, the order block D1 of the order block A127 is “prescription”, that is, the order block D1 related to drug prescription. And in the information part D202 of this order block A127, it is prescribed three times a day in the morning, noon, and evening ("minute 3 (morning / lunch / after dinner)" or prescription for four days) An outline of the order is shown, and the information part D202 of the order block A127 indicates that the prescribed medicines are “●●● lock” and “▲▲▲ lock”. “Minute 3” means three times a day, that is, in the information part D202, the explanation of the order and the explanation of the status are displayed corresponding to the display of the header part D201.

  By displaying such an order block D1, the user can easily grasp the outline of the order.

Further, the order block D1 has the number of information items (the number of summary information regarding work) D101 which is the number of information that can be displayed by the order block D1 itself. The information number D101 is the number of work summary information displayed when the order block D1 is expanded.
For example, when the user (doctor) selects and inputs the number of information items D101 (“3”) of the order block A131 (D1) displayed in the assist view A130 via the input device 350, the order block A131 expands, and FIG. An order block A131a (D1) as shown in FIG. 13 is displayed.

The order block A131a displays all the information summaries about the prescriptions after breakfast, after lunch and after dinner, which are information for three cases in the order block A131.
The order block D1 is not limited to being expanded when the number of information items is selected and input, but may be expanded when a predetermined portion of the order block D1 is selectively input.
The configuration of each piece of information in the order block A 131a is the same as that of the order block A 131 and the like and will not be described.
When the user (doctor) selects and inputs the close button D102 (FIG. 13) via the input device 350, the order block A131a is closed and the process returns to the order block A131 of FIG.

As described above, by expanding the order block D1, detailed information is displayed, and the user can check the outline of the order and the details of the order without switching the screen.
In the subsequent drawings, the configuration of the order block D1 is the same as that of the order block D1 shown in FIG. 12, and hence the description of the configuration of the order block D1 is omitted. Further, the order block D1 can be expanded as in the order block A131a of FIG.

In FIG. 12, the number of order blocks D1 is reflected in the number of examinations, the number of treatments, and the number of prescriptions in the patient record list area A122.
That is, the number of order blocks D1 related to “prescription” is the number of prescriptions, and the number of order blocks D1 related to “treatment” such as “injection” is the number of treatments. Similarly, if there is an order block D1 related to “inspection”, the number is the number of inspections.

  The record on the fifth line (“2014/02/20”) in the patient record list area A122 of FIG. 12 is a record corresponding to the current date, and the record on the fourth line immediately above (“2014/02”). / 19 "), the record is in a developed state (area A125), indicating that the medical record by the doctor is being entered.

The assist view A130 has tabs of “order list”, “examination result”, and “patient information”.
The example of FIG. 12 shows an example in which the “order list” tab is selected.
In the “order list”, orders to be executed on a specified date are displayed as a list of order blocks D1.
In the example of FIG. 12, the order block of the order to be executed (conforming to a predetermined condition) to be executed on the date specified in the date specification window A133 (“2014/02/20” in the example of FIG. 12). A131 (D1) and A132 (D1) are displayed as a list.

The order blocks A131 and A132 displayed in the assist view A130 are the same as the order blocks A127 and A128 in the record “2014/02/19” (record on the fourth line) in the patient record list area A122. .
This indicates that the order to be executed on “2014/02/20” is the order indicated on “2014/02/19”.

  As described above, according to the assist view A130, it is possible to easily confirm the order to be performed on the date specified in the date specification window A133.

  When the examination result tab of the assist view A130 is selected, information on the examination result of the patient (“Hitachi Aro”) who is the display target is displayed. Similarly, when the patient information tab is selected, information about the patient (blood type, hospital record, etc.) is displayed. In the present embodiment, the screen on which the examination result tab is selected and the screen on which the patient information tab is selected are not shown.

In the detailed information display area A140, detailed information (detailed contents of the order) of the order in the patient record area A120 and the order block D1 (A127, A131) selected in the assist view A130 via the input device 350 is displayed. Is done. Note that not only the order block D1 selected in the assist view A130 but also the order block D1 displayed in the patient record list area A122 is selected, detailed information on the selected order block D1 is displayed. The
As described above, the order block D1 not only displays information but also has a function as a button for displaying detailed information.

In the workflow area A150, a workflow indicating the order of operations is displayed.
The workflow area A150 has a workflow display area A151 and a comment area A152.
Information related to the workflow is displayed in the workflow display area A151. In the example of FIG. 12, it is shown that the work in question is in the order of the instructing doctor: doctor Taro (doctor) → dispensing: pharmacy (pharmacist) → medication implementation: ward (nurse). ing.
Further, in the workflow display area A151, since the location of “instructing physician” is highlighted, it is understood that the current work is a work by a doctor.
The comment area A152 is an area where a comment is input. The comment area A152 and the PUSH notification setting unit A155 will be described later.

  As shown in FIG. 12, a comment area A152 in which a comment is input and a workflow area A151 in which a workflow is displayed are displayed side by side so that the respective display areas are paired. In this way, the user can easily check the workflow and check the comment.

A check box A171 is displayed in each of the medical record A126 and the order block D1. When the user (doctor) checks each check box A171, the medical record A126, the order block D1, and the like that are checked can be printed, copied, and the like all at once.
In addition, when the “Do creation” button A181 is selected and input with the check box A171 checked, the medical record A126 with the check, the medical record A126 having the same contents as the order block D1, The order block D1 is generated. The user (doctor) changes the contents of the medical record A126 and the order block D1 generated in this manner as appropriate, and creates the new medical record A126 and the order block D1, so that the medical record A126, It is possible to reduce time and labor when creating the order block D1.

  Since the patient record screen A1 is for a doctor, the order block D1 can be newly created, edited, and the like. However, on the patient record screen A1, it is not possible to enter a comment in the comment area A152 of the workflow A150, and to add or change a workflow in the workflow display area A151.

  When the edit button A161 is selected and input via the input device 350, a patient record screen A1a shown in FIG. 14 is displayed.

(Patient record screen: for doctors: S102, S103)
FIG. 14 is a diagram illustrating an example of an order block creation screen by a doctor.
The patient record screen A1a in FIG. 14 is displayed when the edit button A161 in FIG. 13 is selected and input via the input device 350. The patient record screen A1a is a screen on which a workflow can be edited and comments can be entered. The workflow editing and comment entry will be described later. In the patient record screen A1a, the same elements as those in the patient record screen A1 in FIG.

As shown in FIG. 14, when the user (doctor) intends to create a new order block D1, the user (doctor) selects and inputs a new creation button A311 via the input device 350. Then, a pull-down menu A312 is displayed.
The user (doctor) selects “order” → “prescription” in the displayed pull-down menu A312.
Then, as shown in FIG. 14, a new order block A301 (D1) is displayed in “2014/02/20” (current date) in the patient record list area A122.

When the user (doctor) selects and inputs the displayed new order block A301, an edit screen is displayed in the detail display area A340 (partially hidden in the pull-down menu A312). That is, the detailed display area A340 can be edited. The user (doctor) inputs the contents of the order into the detail display area A340 via the input device 350. When the user (doctor) selects and inputs the order issue button, the contents entered in the detail display area A340 are reflected in the order block A301, the contents of the issued order are sent to the server 1, and the registration unit 104 The contents of the issued order are stored in the order table 104. At the same time, the order is transmitted to the pharmacist (workflow area A150 (FIG. 12)) as the next workflow. Note that the order issue button is hidden by the pull-down menu A 312 in FIG. The edit screen will be described later in FIG.
When the order issue button is selected and input via the input device 350, the order block A301 (D1) in which the order is input is sent to the next person in charge. In the example of FIG. 14, the next person in charge is a pharmacist as described above.
Incidentally, when “order” → “prescription” in the pull-down menu A312 is selected, the edit button A161 in FIG. 12 becomes an order issue button.

  Although the creation of a new order block D1 has been described with reference to FIG. 14, the order block D1 can be edited by selecting an existing order block D1 and performing the same operation.

(Business screen: for pharmacists: S104)
FIG. 15 is a diagram illustrating an example of a business screen for a pharmacist.
FIG. 15 is a screen displayed on the client terminal 3 used by the pharmacist. In the example of FIG. 15, when the “in-hospital” tab B111 is selected via the input device 350, the work screen B1 for the target patient to be dispensed in the hospital, that is, in-hospital pharmacy (pharmaceutical department) is displayed.

The business screen B1 includes a date selection window B101, a display status selection button B102, and a patient information list B103.
The year / month / day selection window B101 is an input window for designating the year / month / day displayed in the patient information list B103. In the example of FIG. 15, “2014/02/20” is designated.
The display status selection button B102 is a button for narrowing down the list displayed in the patient information list B103 by the work status. In the example of FIG. 15, since any display status selection button B102 is selected, all the statuses are displayed in the patient information list B103, but a part of the status is displayed because the patient information list B103 is long. Not. In the example of FIG. 15, the state in which the display status selection button B102 is selected is indicated by dots (the same applies to the following drawings).

The patient information list B103 displays information on a patient (here, a target patient to be dispensed at a hospital pharmacy (pharmaceutical department)) that satisfies the conditions input or selected by the date selection window B101 and the display status selection button B102. The
The patient information list B103 has fields of status, patient name, patient ID, date of birth, sex, age, and workflow for each patient.
The status indicates the status of the current work. Since FIG. 15 is a business screen B1 used by the pharmacist, there are four statuses corresponding to the display status selection button B102: “not dispensed”, “dispensed”, “input hold”, and “medicine completed”. . Here, the displayed status is the status selected by the display status selection button B102. As described above, in the example of FIG. 15, since any display status selection button B102 is selected, all the statuses are displayed.
Description of the patient name, patient ID, date of birth, sex, and age is omitted.

In the workflow field, information about the dispensing order source is displayed, and an order block D1 of the order issued to the corresponding patient is displayed. In this way, the order block D1 having the same configuration is displayed in common on each screen.
Here, “Internal Medicine × 2” is displayed as the dispensing order source, which means that there are two orders issued by a medical doctor. That is, two order blocks D1 are displayed in the record displayed as “internal medicine × 2”. Also in the example of FIG. 15, two order blocks D1 are displayed side by side.

The configuration of the order block D1 is the same as that of the order block D1 shown in FIG. The order block D1 has the number of information items D101 (“3”). When the user (pharmacist) selects and inputs this information count D101, the order block D1 is developed. The developed order block D1 is the same as the order block A 131a shown in FIG.
When the order block D1 is expanded, the height of the record in the patient information list B103 changes according to the height of the expanded order block D1. In addition, in the example of FIG. 15, the size of the knob in the scroll bar displayed at the right end of the patient information list B103 changes.

  Note that the new arrival notification display D11 in the order block B121 (D1) is displayed by the user (pharmacist) using the client terminal 3 in the PUSH notification setting unit A455 on the patient record screen A4 for pharmacist described later in FIG. If a check is input to the “PUSH notification” check button, it is displayed. The new arrival notification display D11 displays the presence / absence of a new order block D1 (unread order block D1).

In addition, the “in-hospital” tab B111 of FIG. 15 also displays a new arrival notification display E101 indicating whether or not there is a new order block D1 (unread order block D1). This new arrival notification display E101 is also displayed when a check is input to the “PUSH notification” check button in the PUSH notification setting unit A455 on the patient record screen A4 described later in FIG.
By displaying such new arrival notification displays D11 and E101, the user can easily confirm whether there is a new arrival order. That is, the new arrival notification displays D11 and E101 indicate that when there is a new order block D1 or an order block D1 whose information has been changed, there is a new order block D1 or an order block D1 whose information has been changed. It is.

Note that the new arrival notification displays D11 and E101 are not displayed (not displayed) unless a check is input to the “PUSH notification” check button in the PUSH notification setting unit A455 in the patient record screen A4 described later in FIG. For example, a user who frequently receives new arrival order blocks D1 is set so that the new arrival notification displays D11 and E101 are not displayed, thereby avoiding a large amount of new arrival notification displays D11 and E101 from being displayed. This can prevent the screen from becoming complicated.
The close button B121 will be described later.

Here, when the user (pharmacist) selects and inputs one order block B121 of the displayed order block D1 via the input device 350, the screen changes to the business screen B1a shown in FIG.
On the business screen B1a, an assist view B230 having information related to the selected order block B121, a detailed information display area B240, and a workflow area B250 (that is, an order block related area) are displayed.
As the assist view B230, detailed information display area B240, and workflow area B250 are displayed, the patient information list B103 moves to the left in the drawing.

Here, in the assist view B230, an order block A422 (D1) having the same condition (here, prescription date) as the order block B121 selected in FIG. 15 is displayed.
In the detailed information display area B240, information on the work (prescription) of the order block B121 selected in FIG. 15 is displayed.
The workflow B250 displays a workflow related to the order block B121 selected in FIG.

  The assist view B230, the detailed information display area B240, and the workflow area B250 have contents other than that for the pharmacist and the edit button B261 is displayed in the lower right. Since the content is the same as that of the detailed information display area A140 and the workflow area A150, description thereof is omitted here.

  As shown in FIG. 16, the assist view B230, the detailed information display area B240, and the workflow area B250 are displayed together with the patient information list B103, so that the user can see the contents of the patient list B103 and Detailed information can be confirmed.

  Here, when the user (pharmacist) selects and inputs the edit button B261 via the input device 350, the screen is displayed on the patient record screen A2 shown in FIG. 17, which is an edit screen for editing the information of the order block D1. Transition.

(Patient record screen: for pharmacists; S104 to S106)
FIG. 17 is a diagram illustrating an example of a patient record screen for a pharmacist.
The patient record screen A4 of FIG. 17 is a screen that is displayed when the edit button B261 of FIG. 16 is selected and input or the close button B121 of FIG. 15 is selected and input as described above. Here, the close button B121 in FIG. 15 is a button for making a transition to the patient record screen A4 in FIG. 17 without going through the edit button B261 in FIG. The close button B121 is used, for example, when it is desired to transition to the patient record screen A4 in FIG. 17 without selecting a specific order block D1 on the business screen B1 in FIG. Here, the close button B121 of FIG. 15 may be omitted (the same applies to the following drawings).
In the patient record screen A4 in FIG. 17, the tab A401 is “out-of-hospital”, “in-hospital”, “periodic” for the pharmacist, the dispensing completion button A461 is displayed on the lower right, Since the main configuration other than that for the pharmacist is the same as the patient record screen A1 shown in FIG. 12, the description of the configuration is omitted.
Note that the order blocks A411 (D1) and A421 (D1) are the new arrival order blocks D1 from the doctor because the new arrival notification display D11 is displayed.

The user (pharmacist) dispenses a necessary medicine with reference to the detailed information display area A440 on the patient record screen A4.
When dispensing is finished. The user (pharmacist) selects and inputs the dispensing completion button A461 via the input device 350.
Then, the selected order blocks A411 and A421 are sent to the next person in charge. In the example of FIG. 17, the next person in charge is described in the workflow area A450 as “medicine practice: ward A”. This indicates that the next workflow is a nurse in Ward A.
Then, information related to the completion of the dispensing is transmitted to the server 1, and the registration unit 104 of the server 1 stores the information related to the completion of the dispensing in the order table 201 in the database 2 (the status is “dispensing” Change to completed).

The patient record screen A4 is an editable patient record screen corresponding to the patient record screen A1a of FIG. 14, and the user (pharmacist) changes the workflow or enters a comment in the workflow area A450. Can do. The changes to the workflow and comments will be described later.
However, on the patient record screen A4, the user (pharmacist) cannot newly create or change the order block D1.

(Business screen: For nurses: S107 to S109)
FIG. 18 is a diagram illustrating an example of a nurse work screen.
The business screen B3 is the same as the business screen B1 in FIG. 15 except that the tab B301, the display status selection button B302, and the like are for nurses, and thus description of the common configuration is omitted.
The order block D1 is also displayed on the business screen B3. Among these order blocks D1, since the new arrival notification display D11 is displayed for the order block B311, it is understood that the order block B311 is the new arrival order block D1 sent from the pharmacist.

When the user (nurse) confirms the business screen B3, the user (nurse) can confirm the order of “2014/02/20” designated in the date designation window B330.
Further, by displaying the order block D1, the user (nurse) can confirm the outline of the order and can expand the order block D1 by selectively inputting the number of information items D101 of the order block D1. By expanding the order block D1, the user (nurse) can confirm the detailed contents of the order without switching the screen. Since the developed order block D1 is the same as the order block A 131a shown in FIG. 13, illustration and description thereof are omitted here.

  Then, when the user (nurse) selects and inputs the close button B321 via the input device 350, the medical care calendar screen C1 shown in FIG. 19 is displayed.

(Medical calendar: for nurses: S107)
FIG. 19 is a diagram showing an example of a clinical calendar screen for nurses.
Here, when the close button B321 in FIG. 18 is selected and input, the medical care calendar screen C1 shown in FIG. 19 is displayed because the previous user (nurse) performed the work on the medical care calendar screen C1. This is because the state has shifted to the business screen B3 in FIG. If the transition from the patient record screen to the business screen B3 was performed last time, when the close button B321 is selected and input, the screen transitions to the patient record screen. In this case, in order to make a transition to the medical calendar screen C1, it is necessary to further select and input a “medical calendar” tab from the patient record screen.

The medical calendar screen C1 has a patient information area C110 and a medical calendar display area C120.
The patient information area C110 displays the same information as the patient information area A110 of FIG.
In the medical calendar display area C120, a display period designation area C121 and a medical calendar C122 are displayed.

  The display period designation area C121 is an area for designating the period displayed on the medical care calendar C122, similarly to the display period designation area A121 of FIG. In the present embodiment, the period is specified by a frame displayed on the bar indicating the year and month. The format is not limited to such a format, and may be a format such as an input to the input window.

In the medical care calendar C122, milestones, progress records, prescriptions, injections, and images of a subject patient (here, “Hitachi Aro”) are displayed as records, and the date is displayed as a field.
Here, the milestone is a place where a medical treatment workflow or a hospitalization workflow is displayed, and in FIG. 19, information on these milestones is not displayed.
In the record of the progress record, a medical record C131, which is information related to medical care, is displayed.
In the prescription record, information related to the prescription order of the medicine is displayed, and an order block D1 related to the prescription is displayed.
In the injection record, information related to the injection order is displayed, and an order block D1 related to the injection is displayed.
In the image record, information relating to the order of image inspection is displayed, and an order block C141 (D1) relating to image inspection is displayed.

In the medical calendar C122, the three types of icons displayed under the characters of milestone, progress record, prescription, injection, and image are as follows, but detailed description thereof is omitted here.
(1) Icons for newly creating an order block D1, a medical record C131, and the like related to the corresponding record.
(2) An icon for making all the order blocks D1 displayed in the corresponding record unexpanded.
(3) An icon for placing all the order blocks D1 displayed in the corresponding record in an expanded state.

When the user (nurse) selects and inputs the information number D101 displayed as “3” of the order block C151 among the order blocks D1 displayed on the medical care calendar C122 via the input device 350, FIG. As shown, the order block C151a (D1) in which the order block C151 is expanded is displayed.
At this time, the height of the record (“prescription”) in which the expanded order block C151a is displayed changes in accordance with the height of the expanded order block C151a.
When the user (nurse) selects and inputs the close button D102 of the order block C151a via the input device 350, the order block C151a is closed and the process returns to the order block C151 in FIG.

  Thus, by displaying the order block D1 in common with other screens on the medical care calendar C122, the user can easily confirm the outline of the order. Further, by expanding the order block D1, the user can confirm the contents of the order without switching the screen.

  When the user (nurse) selects the “patient record” tab C201 in FIG. 20 via the input device 350, the patient record screen A7 shown in FIG. 21 is displayed.

  Incidentally, when the user (nurse) selects and inputs the order block D1 via the input device 350, the assist view, detailed information display area, and workflow area for the selected order block D1 are displayed in the same format as in FIG. Is done.

(Patient record screen: for nurses: S107)
FIG. 21 is a diagram showing an example of a patient record screen for nurses.
In the patient record screen A7 shown in FIG. 21, the tab A701 is “Ward A”, “Ward B”, “Ward C” for nurses, and the display contents in the detailed information display area A740 are for nurses. And the patient registration screen A1 shown in FIG. 12 is omitted except that the medication registration button A761 is displayed in the lower right.

  Since the new arrival notification display D11 is displayed in the order block A721 (D1) displayed in the patient record area A720 and the order block A731 (D1) displayed in the assist view A730, the order block D1. It is understood that this is a new order sent from the pharmacist.

In addition, a new arrival notification display E101 is displayed in “Ward B” of the tab A701. As a result, the user (nurse) knows that the new order block D1 has arrived for the ward B.
The order block A721 and the order block A731 describe orders showing the same contents.
Further, the order block A731 is in a developed state, but the order block A721 is in a folded state.

When the user (nurse) causes the corresponding patient (here, “Hitachi Aro”) to take the drug according to the order block D1, the user selects and inputs the drug registration button A761 via the input device 350 (S109). Then, information regarding the completion of the medication is transmitted to the server 1, and the registration unit 104 of the server 1 stores the information regarding the completion of the medication in the order table 201 in the database 2.
Thereby, a series of workflows are completed.
When the medication registration button A761 is selected and input, the order block D1 with information indicating that the medication has been completed may be transmitted to the doctor.

The patient record screen A7 is an editable patient record screen corresponding to the patient record screen A1a in FIG. 14, and the user (nurse) changes the workflow or enters a comment in the workflow area A750. be able to. The changes to the workflow and comments will be described later.
However, the user (nurse) cannot newly create or change the order block D1 on the patient record screen A7.

[CT imaging instruction-> CT imaging-> confirmation]
Next, with reference to FIGS. 22 to 26, a workflow will be described in which a doctor orders CT imaging from a radiologist, and after the radiologist images CT according to the order, the doctor confirms the captured CT.

(Work procedure)
First, the work procedure for this workflow is shown in the flowchart of FIG.
First, when the doctor opens the patient record screen, the patient record screen is displayed on the display device 360 of the client terminal 3 (S201).
Next, the doctor creates a new order by creating a new order block for instructing CT imaging (S202).
Then, the doctor transmits the created new order to the radiologist (S203).

The radiologist who has received the new order sent from the doctor confirms the received (new arrival) order by confirming the order block (S204).
Then, the radiologist performs CT imaging based on the order (S205).
Thereafter, the radiologist registers the examination result in the server 1 (S206).

Since the notification that the test result has been registered is displayed on the display device 360 of the doctor's client terminal 3 as a new order block, the doctor confirms the new order block (S207).
And a doctor displays a test result on the display apparatus 360 of the client terminal 3 from the content of an order block (S208), and confirms a test result.
Note that the order of CT imaging by the doctor is performed in the same procedure as that shown in FIGS. 12 to 14, so illustration and description are omitted, and the explanation is given from the time when the order from the doctor arrives at the radiologist. Begin.

Hereinafter, screen transitions associated with the processing procedure of FIG. 22 will be described with reference to FIGS. 23 to 26. Incidentally, in the description of FIGS. 23 to 26, the step number described in the heading is the corresponding step number of FIG. 22.
In FIG. 23 to FIG. 26 below, the patient record screen, the work screen, and the medical care calendar can be switched on the same screen.

(Business screen: for radiologist: S204)
FIG. 23 is a diagram illustrating an example of a work screen for a radiologist.
The business screen B4 shown in FIG. 23 is the same as the business screen B1 in FIG. 15 except that the tab B401, the display status selection button B402, and the like are for the radiologist, and thus description of the common configuration is omitted. To do.
The order block D1 is also displayed in the patient information list B403 on the work screen B4. Of these order blocks D1, since the new arrival notification display D11 is displayed for the order block B411, the user (radiologist) knows that the new order block D1 is coming.

  In addition, a new arrival notification display E101 is displayed on the “CT” tab of the tab B401. Thereby, the user (radiologist) can confirm that a new CT examination order has arrived. The new arrival notification display E101 is displayed when a check is input to the “PUSH notification” check button in the PUSH notification setting unit A855 described later in FIG.

When the user (radiologist) confirms the business screen B4, the user (radiologist) can confirm the order of “2014/02/20” designated in the date designation window B430.
Note that the number of information items D101 (FIG. 1) is not displayed in the order block D1 in FIG. This indicates that there is only one piece of order information described in the order block D1.

  When the user (radiologist) selects and inputs the close button B421 via the input device 350, a patient record screen A8 shown in FIG. 24 is displayed.

(Patient record screen: for radiologist: S204 to S206)
FIG. 24 is a diagram showing an example of a patient record screen for a radiographer.
Note that the patient record screen A8 shown in FIG. 24 is displayed when the close button B421 in FIG. 23 is selected and input, because the previous user (radiologist) performed the work on the patient record screen A8. This is because the screen has shifted to the business screen B4 in FIG. If a transition from the medical calendar to the business screen B4 was previously performed, when the close button B421 is selected and input, the screen transitions to the medical calendar. In this case, in order to transit to the patient record screen A8, it is necessary to further select and input the “patient record screen” tab from the medical care calendar.

  In the patient record screen A8 shown in FIG. 24, the tab A801 is “MRI (Magnetic Resonance Imaging)”, “CT”, “US (Ultrasonography)” for radiologists, and is displayed in the detailed information display area A840. Since the contents are the same as those for the radiologist and the patient record screen A1 shown in FIG. 12 except that the examination result registration button A861 is displayed in the lower right, the description of the main configuration is omitted. .

Since the new arrival notification display D11 is displayed in the order block A821 (D1) displayed in the patient record area A820 and the order block A831 (D1) displayed in the assist view A830, the order block D1 It is understood that this is a new order sent from a doctor.
In order block A821 and order block A831, orders indicating the same contents are described.

  In addition, a new arrival notification display E101 is displayed on the “CT” tab of the tab A801. Thereby, the user (radiologist) can confirm that a new CT examination order has arrived. The new arrival notification display E101 is displayed when a check is input to the “PUSH notification” check button in the PUSH notification setting unit A855.

The user (radiologist) performs an examination (here, CT) on the corresponding patient (here “Hitachi Aro”) according to the order block D1.
And a user (radiologist) inputs a comment into comment area A852 as needed.
Thereafter, the user (radiologist) selects and inputs the examination result registration button A861 via the input device 350. Then, the examination result (CT image) is transmitted to the server 1, and the registration unit 104 of the server 1 stores the examination result (CT image) in the electronic medical record data 203 regarding the patient to be processed.
Then, the selected order block A821 (A831: D1) is transmitted to the next person in charge. In the example of FIG. 24, the next person in charge is a doctor as shown in the workflow area A850.

  In the assist view A830 in FIG. 24, an order block D1 of an order different from the order for the radiologist in charge of CT, such as “prescription” and “injection”, is displayed. It is possible to display only the order block D1 related to ().

The patient record screen A8 is an editable patient record screen corresponding to the patient record screen A1a of FIG. 14, and the user (radiologist) changes the workflow or enters a comment in the workflow area A850. be able to. The changes to the workflow and comments will be described later.
However, in the patient record screen A8, the user (radiologist) cannot newly create or change the order block D1.

(Patient record screen: for doctors: S207)
FIG. 25 is a diagram illustrating an example of a patient record screen for a doctor.
Since the patient record screen A9 shown in FIG. 25 is almost the same as the patient record screen shown in FIG. 12, only the differences will be described.
First, a new arrival notification display E101 is displayed on the “hospital” tab of the tab A901. Thereby, the user (doctor) can confirm that the new arrival order is returned about the inpatient.

And since the new arrival notification display D11 is displayed in the order block A921 (D1) displayed in the patient record area A920 and the order block A931 (D1) displayed in the assist view A930, the order block D1 It can be seen that this is a new order sent from a radiologist.
In order block A921 and order block A931, orders indicating the same contents are described.

  Further, a comment notification display D12 is displayed on the order block A921 and the order block A931. This indicates that a comment has been entered and sent to the corresponding order block D1. This comment is a comment input in the comment area A852 in FIG.

  The user (doctor) selects and inputs the order block A921 or the order block A931 on which the comment notification display D12 is displayed via the input device 350. Then, the detailed information of the selected order block D1 is displayed in the detailed information display area A940, and the comment input by the transmission source (here, the radiologist) is displayed in the comment area A952 of the workflow area A150. The

When the user (doctor) selects and inputs the examination result confirmation button A961 via the input device 350, the examination result image F101 is displayed on the patient record screen A9 as shown in FIG.
Here, since the process is related to CT, the inspection result image F101 is a CT image. The inspection result image F101 is an electronic medical record stored as the electronic medical record data 203 of the database 2, but may be acquired from a PACS (Picture Archiving and Communication System).
Then, the user (doctor) confirms the test result image F101.
This completes the series of workflows.

  The patient record screen A9 shown in FIG. 25 is a screen on which the order block D1 can be newly created or changed, like the patient record screen A1 in FIG.

[Workflow Edit]
Next, a workflow editing procedure and an order changing procedure will be described with reference to FIGS.
Here, since there is a possibility that there is an error in the order of dispensing delivered from the doctor, a procedure in which the pharmacist asks the doctor for confirmation is shown.

(Work procedure)
The work procedure for this workflow is shown in the flowchart of FIG.
First, the doctor opens the patient record screen to display the patient record screen on the display device 360 (S301).
Next, the doctor creates a new order block by creating a new order block (S302).
Then, the doctor transmits the created new order to the pharmacist (S303).

The pharmacist who has received the new order sent from the doctor confirms the order block (S304), thereby grasping the received (new arrival) order.
Here, the pharmacist finds a place that seems to be wrong in the doctor's order.
Therefore, the pharmacist enters a comment indicating that there is a part that seems to be wrong in the order in the comment area of the workflow area (S305), and adds a doctor to the subsequent workflow (S306).

The doctor who has received the new order sent from the pharmacist checks the order block (S307), thereby grasping the received (new arrival) order.
The doctor who has confirmed the order performs a procedure for the order such as canceling the order, changing the order, or leaving the order as it is (S308).

Then, the pharmacist and the nurse perform treatment according to the order from the doctor (S309).
Since the order of dispensing by the doctor is performed in the same procedure as shown in FIGS. 12 to 16, illustration and description are omitted, and the order from the doctor arrives at the pharmacist and can be edited by the pharmacist. The explanation will be started from the point where the patient record screen A10 (FIG. 28) is opened.

Hereinafter, screen transitions associated with the processing procedure of FIG. 27 will be described with reference to FIGS. In the description of FIGS. 28 to 31, the step numbers described in the headings are the corresponding step numbers of FIG. 27.
In the following FIGS. 28 to 31, the patient record screen, the work screen, and the medical care calendar can be switched on the same screen.

(Patient record screen: for pharmacists: S304 to S306)
FIG. 28 is a diagram illustrating an example of a patient record screen for a pharmacist.
Since the patient record screen A10 shown in FIG. 28 has the same contents as the patient record screen A4 shown in FIG. 17, only differences are described. The patient record screen A10 in FIG. 28 is an editable patient record screen that is displayed when the edit button B261 of the work screen B1a in FIG. 16 is selected and input.
As described above, although the order of dispensing has been received from the doctor, there is a possibility that the order is in error, so the user (pharmacist) can comment to the doctor in the comment area A1052 of the workflow area A1050 via the input device 350. Fill in. That is, the user (pharmacist) enters a comment related to the workflow in the comment area A1052 of the workflow area A1050 via the input device 350.

Here, as shown in workflow A1050, in the current workflow, the workflow after the pharmacist is a nurse.
However, here, it is necessary to return the order to the doctor and have the doctor confirm whether there is an error in the order.
Therefore, the user (pharmacist) selects and inputs the workflow addition button A 1055 between the pharmacist and the nurse in the workflow display area A 1051 of the workflow A 1050 via the input device 350.

  Then, the workflow selection screen G101 is displayed. The user (pharmacist) selects a person in charge to add to the workflow from here. Here, the doctor is selected in order to return the order to the doctor.

The user (pharmacist) selects and inputs the input completion button A1061 after selecting and adding a doctor to the workflow via the input device 350.
Then, the order to be processed is sent back to the doctor selected and added to the workflow.

  Thus, since the editable patient record screen A10 is a screen for a pharmacist, the workflow can be changed and comments can be entered, but the order block D1 cannot be edited. The same applies to editable patient record screens for nurses and radiologists.

(Business screen: for doctors: S307)
FIG. 29 is a diagram showing an example of a doctor work screen.
The business screen B5 shown in FIG. 29 is the same as the business screen B1 in FIG. 15 except that the tab B501, the display status selection button B502, and the like are for the doctor, and thus description of the main configuration is omitted. .
Here, a new arrival notification display D11 and a comment notification display D12 are displayed in the order block B511 (D1) in the patient information list B503, indicating that an order in which a comment is entered has arrived.

When the user (doctor) selects and inputs the upper left close button B521 via the input device 350, a patient record screen A11 shown in FIG. 30 is displayed.
Alternatively, when the user (doctor) selects and inputs the order block B511, the screen changes as shown in FIG. 16, and the edit button at the lower right of the screen is further selected and input, so that the patient record shown in FIG. Screen A11 is displayed.

  Here, the case where the user (doctor) happens to browse the work screen B5 and receives an order in which a comment from the pharmacist is entered is shown. However, when a user (doctor) is browsing the patient record screen and an order with a comment from the pharmacist is received, a new arrival notification display D11 and a comment notification display are similarly displayed on the corresponding order block D1. D12 is displayed, and a new arrival notification display E101 (FIG. 15) is also displayed on the corresponding tab.

(Patient record screen: for doctors: S308)
FIG. 30 is a diagram illustrating an example of a patient record screen for a doctor.
The patient record screen A11 shown in FIG. 30 has almost the same content as the patient record screen A1 shown in FIG. 12, so only the differences will be described. A patient record screen A11 shown in FIG. 30 is a screen that is generated and displayed when the screen generation processing unit 102 of the server 1 detects a workflow change.
The user (doctor) selects and inputs an order block A1121 (D1) in the patient record area A1120 or an order block A1131 (D1) in the assist view A1130, which corresponds to the order block B511 (D1) in FIG.

Then, as shown in FIG. 30, information on the selected order block A1121 or order block A1131 is displayed in the detailed information display area A1140.
At the same time, a comment from the transmission source (in this case, a pharmacist) is displayed in the comment area A1152 of the workflow area A1150.
After confirming this comment, the user (doctor) selects whether to leave the order as it is, to change it, or to cancel it.

When the order is left as it is, the user (doctor) selects and inputs the lower right order issue button 1161 via the input device 350.
When changing the order, the user (doctor) selects and inputs the order change button A1063 via the input device 350. Then, as shown in FIG. 12, the screen transits to the editable patient record screen A1, and the order block D1 that is the processing target can be edited.
When canceling the order, the user (doctor) selects and inputs the order cancel button A1162 via the input device 350.
Then, a notification that the order of the order blocks A1121 and A1131 to be processed is canceled is sent to the next workflow (here, a nurse).

  Here, since the user (doctor) does not edit the workflow, the order cancellation or change notification is sent to the nurse who is the next workflow of the doctor at the stage of FIG. It is also possible to add a pharmacist workflow next to the doctor by performing the same procedure as.

(Business screen: For nurses: S309)
FIG. 31 is a diagram showing an example of a nurse work screen.
The business screen B6 shown in FIG. 31 has almost the same content as the business screen B3 shown in FIG. 18, so only the differences will be described.
In FIG. 31, in the patient information list B603, an order block B611 (D1) for which prescription is canceled is displayed. The order block B611 for which prescription has been canceled may be displayed in an inconspicuous position, such as hidden under another order block D1 or displayed at the back of the order block D1 column. .
The user (nurse) confirms that the corresponding order is canceled by confirming the order block B611. In the order block B611, a comment notification display D12 indicating that a comment entered in the comment area A1152 in FIG. 30 exists is displayed.

Here, although it is described that the next workflow of the doctor is a nurse, when the next workflow of the doctor is a pharmacist, the same content is displayed on the pharmacist work screen.
This is the end of the description regarding the workflow change and the order change.

[Modification]
(Patient record screen: for doctors)
FIG. 32 is a view showing a modification of the patient record screen for doctors.
In the patient record screen A11a shown in FIG. 32, a patient list A1160 is displayed together with the areas A1110 to A1150.
Here, the areas A1110 to A1150 are the same as those in FIG.

When a specific patient name is selected in the patient list A1160, information on the selected patient is displayed in each of the areas A1110 to A1150.
In FIG. 32, a new notification display H101 is displayed in “Hitachi Arou” at the top of the patient list A1160. Indicates that it is coming.

  Although FIG. 32 shows a patient record screen A11a for doctors, the patient list A1160 may be displayed in the same manner on patient record screens for pharmacists, nurses, and radiologists.

(Patient record screen: for nurses)
FIG. 33 is a diagram showing an example of a patient record screen for nurses.
A patient record screen A12 shown in FIG. 33 is a patient record screen for nursing records circulated among nurses.

  In the patient record screen A12, a nursing record A1261 is stored in a record in which “view” is recorded in the patient record list area A1222 of the patient record area A1220. When the user (nurse) selects and inputs a record in which “view” is recorded in the patient record list area A1222 via the input device 350, the selected and input record is expanded as shown in FIG. . The stored nursing record A1261 is displayed in the expanded record.

  Then, when the user (nurse) selects and inputs the nursing record A1261 through the input device 350, the contents of the selected nursing record A1261 are displayed in the detailed information display area A1240.

  In the workflow area A1250, the workflow of only the nurse is displayed instead of the workflow in which the doctor, the pharmacist, and the like are included. The workflow here shows the circulation order of the nursing record A1261. The other configuration is the same as that of the patient record screen A7 in FIG. 21, and thus the description thereof is omitted here.

The nursing record A1261 and the detailed information display area A1240 where the contents of the nursing record are displayed can be viewed not only by nurses but also by doctors, pharmacists, and radiographers, but can be edited only by nurses. .
Similarly, the workflow in which the circulation order of the nursing record A 1261 is shown can be viewed not only by nurses but also by doctors, pharmacists, and radiographers, but can be edited only by nurses.

  The contents of the patient information area A1210 and the assist view A1230 are the same as those of the assist view A130 shown in FIG.

[Modification of order block]
FIG. 34 is a diagram illustrating another example of the order block.
FIG. 34A shows an order block D1 of the format shown so far.
On the other hand, FIG. 34B shows an order block D1a in which the header part D201 is displayed at the top.
By doing in this way, it can respond when there is much information shown in header part D201a.

  According to the techniques described in Patent Literatures 1 and 2, it is easy to confirm the order from the doctor for each patient and confirm whether or not the order has been implemented. However, in the technologies described in Patent Documents 1 and 2, when the detailed contents of each order are displayed by switching the screen, the list display is not displayed or the detailed contents of each order are displayed. The list display is hidden under the current window. Therefore, when it is desired to confirm the entire order again, the screen must be returned to the order list display or the order list display window must be displayed at the top. Such an operation is troublesome for the user.

The screen processing system Z according to the present embodiment displays a common order block D1 even if the business type or the screen is switched. In this way, the screen processing system Z according to the present embodiment improves the efficiency of work because the displayed information is unified even when the same person operates screens of different work types. Can do.
Further, since the order block D1 also functions as a button, an operation for displaying information related to the order block D1 is facilitated.

  Further, in the screen processing system Z according to the present embodiment, the number of summary information related to the work that can be displayed by the order block D1 itself is displayed in the order block D1. By doing in this way, the screen processing system Z which concerns on this embodiment can confirm the information number easily about the information of this order block D1 by the user.

  Further, the screen processing system Z according to the present embodiment can display all the summary information that can be displayed by expanding the order block D1. By doing in this way, the screen processing system Z which concerns on this embodiment can confirm the outline | summary and details of an order easily, without a user switching a screen.

  In addition, the screen processing system Z according to the present embodiment generates and displays an assist view that is a list of order blocks D1 that meet a predetermined condition. By doing in this way, the screen processing system Z which concerns on this embodiment can confirm the order block D1 which a user fits conditions easily.

  Furthermore, in the screen processing system Z according to the present embodiment, when an arbitrary order block D1 is selected and input via the input device 350, a detailed information display area in which the content of information related to the selected and input order block D1 is displayed. Is generated and displayed. By doing in this way, the screen processing system Z concerning this embodiment can confirm the detailed content of the order block D1 easily, without switching a screen.

  Then, the screen processing system Z according to the present embodiment displays an edit button for enabling the order block information to be edited. When this edit button is selected and input, the order block D1 information is edited. Generate and display an edit screen. By doing in this way, the user can edit the information of order block D1 easily.

  Further, in the screen processing system Z according to the present embodiment, when there is a new order block D1 or an order block D1 whose information has been changed, there is a new order block D1 or an order block D1 whose information has been changed. Generates and displays a new arrival notification display indicating In this way, the user can easily confirm that there is a new order block D1 or an order block D1 whose information has been changed.

  Furthermore, the screen processing system Z according to the present embodiment can hide the new notification display. By doing in this way, it is possible to prevent the new notification display from being frequently displayed on the client terminal 3 of the user who is in the position of receiving the new order block D1 frequently.

In the medical field, for example, there is a flow (workflow) in which a doctor orders a drug, a pharmacist dispenses the drug according to the doctor's order, and a nurse prescribes the dispensed drug. That is, in the above case, the workflow is doctor → pharmacist → nurse.
However, it may be necessary to change the workflow, such as a pharmacist or nurse reconfirming with a doctor.

In large hospitals, personal work is often fixed, so workflow is rarely changed in general.
However, in small and medium-sized hospitals, as described above, there is a high need for one staff to perform different tasks, so the workflow is often changed frequently.

  Here, the screen processing system Z according to the present embodiment generates and displays a screen on which a workflow indicating the order of work related to medical care can be edited and a comment related to the workflow can be input. By doing in this way, the screen processing system Z according to the present embodiment can flexibly cope with the change of the workflow and can easily confirm the opinion of the person in charge with respect to the workflow. As a result, business efficiency can be improved.

  Furthermore, in the screen processing system Z according to the present embodiment, a person who can set a workflow is set. In this way, the screen processing system Z according to the present embodiment can prevent outsiders from editing the workflow.

  In the screen processing system Z according to the present embodiment, when a comment is input, a display indicating that the comment has been input is performed. Thereby, the screen processing system Z according to the present embodiment can easily confirm that a comment has been input.

The present invention is not limited to the above-described embodiment, and includes various modifications. For example, the above-described embodiment has been described in detail for easy understanding of the present invention, and is not necessarily limited to having all the configurations described. In addition, a part of the configuration of an embodiment can be replaced with the configuration of another modification, and the configuration of another modification can be added to the configuration of the embodiment.
Moreover, although the screen processing system Z of this embodiment is intended for a hospital, it may be applied to other organizations such as factories.

Further, each of the above-described configurations, functions, units 100 to 104, 300, 301, storage devices 120, 320, etc. may be realized by hardware by designing a part or all of them, for example, with an integrated circuit. Good. Further, as shown in FIG. 2, the above-described configurations, functions, and the like may be realized by software by interpreting and executing programs that realize the respective functions by processors such as the CPUs 130 and 330. In addition to storing information such as programs, tables, and files for realizing each function in HD (Hard Disk), recording devices such as memories 110 and 310, SSD (Solid State Drive), IC cards, It can be stored in a recording medium such as an SD (Secure Digital) card or a DVD (Digital Versatile Disc).
In each embodiment, control lines and information lines are those that are considered necessary for explanation, and not all control lines and information lines are necessarily shown on the product. In practice, it can be considered that almost all configurations are connected to each other.

1 Server 2 Database 3 Client Terminal 100 Server Processing Unit 101 Order Block Generation Processing Unit (Information Block Generation Processing Unit)
DESCRIPTION OF SYMBOLS 102 Screen generation processing part 103 Conversion processing part 104 Registration part 201 Order table 202 Layout table 204 Workflow data 300 Client terminal processing part 301 Display processing part 350 Input device (input part)
360 display device A1-A12, A11a Patient record screen A130, B230, A730, A830, A930, A1130, A1230 Assist view (information block related area)
A140, A340, B240, A440, A740, A840, A940, A1140, A1240 Detailed information display area (information block related area)
A150, B250, A450, A750, A850, A950, A1050, A1150, A1250 Workflow area (information block related area)
A151 Workflow display area A152, A852, A952, A1052, A1152 Comment area A1055 Workflow addition button D1, D1a, A127, A128, A131, A131a, A132, A301, A411, A421, A721, A731, A821, A831, A921, A931 , A1121, A1131, B121, B311, B411, B511, B611, C141, C151, C151a Order block (information block)
D11, E101, H101 New arrival notification display D12 Comment notification display D101 Number of information items (number of summary information regarding work)
D102 Close button D201, D201a Header (first display area)
D202 Information section (second display area)
G101 Workflow selection screen

Claims (6)

A screen processing system,
A first display area that displays at least the type of information related to work and the status of the work, and a second display that displays at least the description of the information and the description of the status corresponding to the display of the first display area And an information block generation processing unit that generates an information block having a function as a button.
A screen generation processing unit that generates an assist view in which a list of the information blocks that meet a predetermined condition is displayed,
The screen processing system includes:
Even when information processing is performed using a plurality of screens, information processing is performed by displaying the information block with the same function and the same layout on each screen.
Displaying the assist view generated by the screen generation processing unit on the screen;
When a predetermined location in the displayed information block is selected and input via the input unit,
Said information block, the information block having a same said first display area and the second display area and, by performing the expansion display by using a plurality of new the information block separation deployment, in the assist View The screen processing system is characterized in that all the summary information about the work is displayed, and when a predetermined location in the expanded information block is selected and input, the expanded display returns to the display before the expansion. The screen processing system according to claim 1, wherein an information block of an order executed on a specified date specified in the assist view is displayed in the expanded display. The screen generation processing unit
When an arbitrary information block is selected and input via the input unit, an information block related area having information related to the selected and input information block is generated,
In the information block related area,
The screen processing system according to claim 1, further comprising: a detailed information display area in which detailed contents of information related to the work of the selected information block are displayed. The screen generation processing unit
An edit screen for editing the information block information is generated,
The screen processing system includes:
The screen processing system according to claim 1, wherein information processing is performed by displaying the generated editing screen on the screen. The information block generation processing unit
If there is a new information block or an information block whose information related to the work has been changed, a new arrival notification display is generated indicating that the new information block or the information block whose information related to the work has been changed,
The screen processing system according to claim 1, wherein information processing is performed by displaying the generated new arrival notification display on a screen. The screen processing system according to claim 5, wherein the new arrival notification display can be hidden.