JP2022167321A - Electronic medical record system and electronic medical record program - Google Patents

Abstract

To provide an electronic medical record system and an electronic medical record program that less easily cause competitions among plural users involved in editing electronic medical records or that show editing progresses of other users clearly.SOLUTION: An electronic medical record system 10 includes an edition processing unit 112 and a display processing unit 111. The edition processing unit 112 edits medical record information of an electronic medical record according to operations by a plurality of users. The display processing unit 111 displays the medical record information in a specific manner so that information in the middle of edition in the medical record information and the other medical information can be distinguished from each other, on a display screen of the electronic medical record to be presented to ones of the users who are not authorized to edit the information in the middle of edition which is part of the medical record information.SELECTED DRAWING: Figure 1

Description

There is an application for exception to loss of novelty

The present invention relates to an electronic medical chart system and an electronic medical chart program for displaying an electronic medical chart.

As a related art, there is known a medical information processing system that commonly displays an electronic medical record including a chief complaint finding area and a treatment area on a plurality of terminals having different input authority to the chief complaint finding area and the treatment area (for example, , see Patent Document 1). In the system according to the related art, for example, when a terminal operated by a doctor is a first terminal and a terminal operated by a medical staff other than a doctor is a second terminal, the chief complaint region and the Both inputs to the treatment area are permitted, and input to the main complaint finding area from the second terminal is prohibited. Therefore, the doctor freely inputs the main complaint finding region and the treatment region through the first terminal. On the other hand, since the medical staff is prohibited from inputting the main complaint finding area through the second terminal, it is possible to prevent erroneous input to the main complaint finding area.

Further, since input to the treatment region from the second terminal operated by the medical staff is permitted, in parallel with input to the chief complaint finding region from the first terminal operated by the doctor, the By performing input to the treatment area from the second terminal operated by the medical staff, it is possible to shorten the time from the patient's medical treatment to the calculation of the medical fee (score). Furthermore, if the input to the treatment area from the second terminal operated by the medical staff is incorrect, the doctor can correct the input to the treatment area from the first terminal. be.

JP 2020-191054 A

By the way, in the system according to the related art, for example, while the medical staff is editing the treatment area through the second terminal, the doctor edits the treatment area through the first terminal with respect to the same electronic medical record. Conflict of operations by multiple users may occur.

SUMMARY OF THE INVENTION An object of the present invention is to provide an electronic medical chart system and an electronic medical chart program that are less likely to cause competing operations by a plurality of users involved in editing electronic medical charts, or that make it easy to understand the editing status of other users.

An electronic medical record system according to one aspect of the present invention includes an edit processing section and a display processing section. The editing processing unit edits medical chart information of electronic medical charts according to operations by each of a plurality of users. The display processing unit displays, on the display screen of the electronic medical record presented to a user who does not have an authority to edit information being edited which is a part of the medical record information among the plurality of users, The information is displayed in a specific mode distinguishable from information other than the information being edited.

An electronic medical record system according to another aspect of the present invention includes an edit processing section and a display processing section. The editing processing unit edits medical chart information of electronic medical charts according to operations by each of a plurality of users. The display processing unit displays, on a display screen of the electronic medical chart presented to a user other than a user who is editing the editing information that is a part of the medical chart information, the editing information being edited, among the plurality of users. The information is displayed in a specific manner distinguishable from information other than the information being edited in the medical record information.

An electronic medical record program according to another aspect of the present invention is a program for causing a computer to execute an editing step and a display step. In the editing step, the medical chart information of the electronic medical chart is edited according to the operation by each of the plurality of users. In the displaying step, the information being edited is being edited on a display screen of the electronic medical record presented to a user among the plurality of users who does not have an authority to edit the information being edited, which is a part of the medical record information. It is displayed in a specific manner that can be identified as being.

According to the present invention, it is possible to provide an electronic medical chart system and an electronic medical chart program that are less likely to cause competing operations by a plurality of users involved in editing electronic medical charts, or that make it easy to understand the editing status of other users.

FIG. 1 is a block diagram showing an example of an electronic medical chart system according to an embodiment of the present invention. FIG. 2 is a diagram showing an example of user data registered in an account management master used in the electronic medical chart system according to the embodiment of the present invention. FIG. 3 is a diagram showing an example of a display screen displayed by the electronic medical chart system according to the embodiment of the present invention. FIG. 4 is a diagram showing an example of a display screen displayed for a plurality of users in the electronic medical chart system according to the embodiment of the present invention. FIG. 5 is a diagram showing an example of the first display screen presented to the first user and the second display screen presented to the second user in the electronic medical chart system according to the embodiment of the present invention. FIG. 6 is a conceptual diagram showing a first specific example of the electronic medical record management method executed by the electronic medical record system according to the embodiment of the present invention. FIG. 7 is a conceptual diagram showing a second specific example of the electronic medical record management method executed by the electronic medical record system according to the embodiment of the present invention. FIG. 8 is a conceptual diagram showing a third specific example of the electronic medical record management method executed by the electronic medical record system according to the embodiment of the present invention. FIG. 9 is a flow chart explaining an example of the procedure of the electronic medical record management method executed by the electronic medical record system according to the embodiment of the present invention.

BEST MODE FOR CARRYING OUT THE INVENTION Hereinafter, embodiments of the present invention will be described with reference to the accompanying drawings for understanding of the present invention. It should be noted that the following embodiment is an example that embodies the present invention, and is not intended to limit the technical scope of the present invention. Also, the configurations and processing functions described in the following embodiments can be selected and combined arbitrarily.

[Electronic chart system 10]
As shown in FIG. 1, an electronic medical record system 10 according to an embodiment of the present invention includes a server 1, one or more client terminals 2, and a printer 3. The server 1, the client terminal 2, and the printer 3 can communicate via a communication network NT1 such as a LAN (Local Area Network), a WAN (Wide Area Network), the Internet, or an intranet. Also, the host system 5 is connected to the server 1 via the communication network NT1. The electronic medical record system 10 may have a plurality of at least one of the server 1 , the client terminal 2 , and the printer 3 . As an example in FIG. 1, a plurality of (three) client terminals 2 are provided.

The users of the electronic medical record system 10 are medical professionals (medical staff) such as doctors, medical clerks, medical clerks, nurses, pharmacists, or facility managers in medical institutions such as hospitals or pharmacies. In this embodiment, as an example, the electronic medical chart system 10 is used in a hospital, and the users of the electronic medical chart system 10 are doctors and medical clerks of the hospital. A user basically uses the electronic medical record system 10 through the client terminal 2 . In other words, the server 1 can accept user's operation input to the client terminal 2 and display various information on the client terminal 2 .

The electronic medical chart system 10 has a function of managing electronic medical charts. "Electronic medical record" as used in the present disclosure means a record (medical record) in which medical information such as patient's disease information, examination details, diagnosis results, medication information, examination results, progress, etc. are stored as electronic data. In principle, the electronic medical chart is created for each patient, and multiple electronic medical charts are created for a plurality of patients. Here, various medical information of the patient included in the electronic medical chart is included in the "medical chart information". The medical chart information is newly recorded (described) in the electronic medical chart by the server 1 in accordance with the operation of the user (doctor and medical clerk) on the client terminal 2, for example. Further, the medical chart information recorded in the electronic medical chart is additionally written (added), deleted, changed, updated, etc. by the server 1 according to the user's operation on the client terminal 2, for example. Adding some change to the medical chart information included in the electronic medical chart, such as new recording, additional writing, deletion, updating, etc. of the medical chart information is called "editing" of the medical chart information. In other words, in the electronic medical chart system 10, it is possible to edit the medical chart information of the electronic medical chart according to the user's operation.

Further, the electronic medical chart system 10 has a function of displaying the electronic medical chart. In the electronic medical chart system 10 according to the present embodiment, the server 1 causes the client terminal 2 to display the electronic medical chart display screen P1 (see FIG. 3) in response to the operation of the client terminal 2 by the user. is possible. By displaying the display screen P1 on the client terminal 2, the display screen P1 of the electronic medical chart is presented to the user, and the user can check the electronic medical chart through the client terminal 2. . Then, the user can edit the medical chart information by performing an operation for editing the medical chart information on the display screen P1 of the electronic medical chart displayed on the client terminal 2 . The client terminal 2 displays the display screen P1 based on display data transmitted from the server 1, or displays the display screen P1 by referring to various data stored in the server 1. do.

Specifically, in this embodiment, a server-client system is configured by the server 1 and the client terminal 2, and the server 1 performs various processes such as display and printing according to user operations on the client terminal 2. A case of execution will be explained. Therefore, in the present embodiment, it is assumed that "display", "operation", "selection", "input", etc. described below are performed using the client terminal 2. FIG. Note that the same display and operation may be performed by the server 1 .

The upper system 5 is a medical-related system different from the electronic medical chart system 10, and may be linked to the electronic medical chart system 10 by communication. is not required to be in The host system 5 can accept inputs such as patient data, prescription data relating to prescription or administration of drugs to the patient, and examination data relating to examination results of various examinations performed on the patient. The patient data includes patient identification information for identifying individual patients, such as patient ID or patient name (name), as well as patient age, sex, medical history, prescription drug history, alcohol consumption, smoking Various information about the patient is included, such as presence/absence, family information, and physical information such as the patient's height, weight, and body surface area.

The host system 5 inputs the patient data, the prescription data, the examination data, etc. to the server 1 according to user operations, or automatically at a predetermined timing such as a preset closing processing time. Enter 1. Further, the server 1 may be configured to actively read the patient data, the prescription data, the examination data, and the like from the host system 5 . A plurality of host systems 5 may be provided, and the plurality of host systems 5 may include different types of systems. At least one of the patient data, the prescription data, and the examination data may be directly input to the electronic medical chart system 10 by a user's operation on the client terminal 2 or the server 1 .

By the way, in the electronic medical chart system 10, for example, a plurality of users can use different client terminals 2 to display the display screen P1 of the electronic medical chart for a certain patient on a plurality of the client terminals 2. is possible. Then, by performing an operation for editing the medical chart information on the display screen P1 displayed on the client terminal 2 by each of the plurality of users, the medical chart information of the electronic medical chart for the same patient can be edited by the plurality of users. Editable by the user. As an example, when a first user who is a doctor and a second user who is a medical clerk access the electronic medical record of a patient, each of the first user and the second user can access the patient's The medical chart information of the electronic medical chart can be edited. As a result, for example, the first user (doctor) roughly records the medical chart information during a medical examination, and the second user (medical clerk) re-records the medical chart information in detail. The medical chart information of the electronic medical chart can be edited by sharing.

However, in a situation where the electronic medical charts of the same patient are displayed simultaneously by the plurality of users, the electronic medical charts can be displayed by the plurality of users by performing an operation to edit the medical chart information for the same item of the electronic medical charts. conflict of operations by the plurality of users related to the editing of . As an example, when the second user (medical clerk) tries to edit the same item of the medical chart information of the electronic medical chart of a certain patient while the first user (doctor) is editing, the medical chart information , there will be a conflict of editing operations. In other words, the fact that the plurality of users can access the electronic medical chart of the same patient leads to the improvement of the convenience of the electronic medical chart system 10, but there is a problem that the operation conflict related to the editing of the electronic medical chart may occur. be.

In view of such circumstances, the electronic medical chart system 10 according to the present embodiment is less likely to cause competition for operations by a plurality of users involved in editing the electronic medical chart (the medical chart information of), or Adopt a configuration that makes it easy to understand the editing situation. Specifically, the electronic medical chart system 10 includes an edit processing unit 112 that edits the medical chart information of the electronic medical chart according to operations by each of a plurality of users. Further, the electronic medical record system 10 includes a display processing section 111 . The display processing unit 111 displays the editing information on the display screen P1 of the electronic medical chart presented to a user who does not have editing authority for information being edited, which is a part of the medical chart information, among the plurality of users. The information being edited is displayed in a specific manner that makes it identifiable. Alternatively, the display processing unit 111 displays the display screen P1 of the electronic medical chart presented to a user other than the user who is editing the information being edited, which is a part of the medical chart information, among the plurality of users. Then, the information being edited is displayed in a specific manner distinguishable from information other than the information being edited in the medical record information.
Details of the functions of the editing processing unit 112 and the display processing unit 111 will be described after "[Electronic chart management method]".

Here, to which user the display screen P1 is presented is identified, for example, by the account of the user using the client terminal 2 on which the display screen P1 is displayed. Specifically, for example, a user ID (login ID) used for logging in when the client terminal 2 is connected to the server 1, or a terminal ID unique to the client terminal 2 is used as the user's account. In other words, when the client terminal 2 is connected to the server 1, if the user ID of the first user is used to log in, the display screen P1 displayed on the client terminal 2 is the first user's It is regarded as said display screen P1 to be presented. Alternatively, when it is specified from the terminal ID of the client terminal 2 that the client terminal 2 is the client terminal 2 previously associated with the first user, the display screen displayed on the client terminal 2 P1 is considered as said display screen P1 presented to said first user. In short, as long as the display screen P1 of the electronic medical record is displayed toward the first user, regardless of whether the first user actually sees it, the electronic medical record presented to the first user It is regarded as the display screen P1 of the chart.

In addition, the term “identifiable” as used in the present disclosure means a state in which the type, nature, etc. of an item can be identified. Therefore, the specific mode may be any display mode that allows the user to recognize that the editing information is being edited. Specifically, on the display screen P1 presented to the user who does not have the editing authority of the editing information, the editing information is information other than the editing information (that is, editing is displayed in a manner distinguishable from information that is not In other words, the specific mode can be said to be a mode that can be distinguished from information other than the in-editing information in the medical chart information. On the other hand, in the display screen P1 presented to the user who has the editing authority for the information being edited, the information being edited is not the specific mode, but is the same as information other than the information being edited among the medical record information. It is displayed in the display mode. Therefore, between the display screen P1 presented to the user who does not have the editing authority of the editing information and the display screen P1 presented to the user who has the editing authority, the display mode of the editing information is will be different.

[Client Terminal 2]
The client terminal 2 is a personal computer including a control section 21, a storage section 22, a communication I/F 23, a display section 24, an operation section 25, a drive device 26, and the like. Each of the client terminals 2 is an operation terminal arranged in a medical institution (a hospital in this embodiment) where the electronic medical record system 10 is used and operated by a user. For example, the client terminal 2 is used by a doctor or a medical clerk of the medical institution. The client terminal 2 may be a portable (portable) information processing device such as a smart phone, a tablet terminal, a wearable terminal, or a laptop computer.

The control unit 21 includes control devices such as a CPU (Central Processing Unit), a ROM (Read Only Memory), a RAM (Random Access Memory), and an EEPROM (registered trademark). The CPU is a processor that executes various kinds of arithmetic processing. The ROM is a non-volatile storage unit in which information such as a control program for causing the CPU to execute various processes is stored in advance. The RAM is a volatile storage unit, and the EEPROM is a nonvolatile storage unit. The RAM and EEPROM are used as temporary memory (work areas) for various processes executed by the CPU. Using the CPU, the control section 21 executes various processes according to various control programs pre-stored in the ROM, the EEPROM, or the storage section 22 .

The storage unit 22 is a non-volatile storage unit such as a hard disk or SSD (Solid State Drive) that stores various control programs and various data executed by the control unit 21 . Specifically, the storage unit 22 includes a program storage unit that stores an operating system (OS) and application programs such as browser software. The browser software accesses the server 1 via the communication network NT1 to display various operation screens and the like on the display unit 24, and performs input operations on the operation screen using the operation unit 25. It is application software for transmitting to the server 1 . For example, when address information such as a URL (Universal Resource Locator) corresponding to the server 1 is input at a predetermined position on the operation screen displayed by the browser software, the control unit 21 performs to access the server 1.

The communication I/F 23 is a network card or the like that performs wireless or wired data communication according to a predetermined communication protocol between the server 1 and external devices such as the printer 3 via the communication network NT1. is a communication interface having

The display unit 24 is a device such as a liquid crystal display or an organic EL (Electro-Luminescence) display that displays various information according to control instructions from the control unit 21 . For example, the control unit 21 executes various processes according to the browser software to display various information based on the display data received from the server 1 on the display unit 24. Let

The operation unit 25 is a device operated by a user to input various information to the client terminal 2 . Specifically, the operation unit 25 includes a keyboard and a pointing device (mouse, etc.) for receiving input operations on various operation screens displayed on the display unit 24 . Further, the operation unit 25 may include a touch panel that accepts touch operations on various operation screens displayed on the display unit 24, or a voice input device that accepts input of various information by voice recognition. Then, the control unit 21 executes various processes according to the browser software, receives user operations on the operation unit 25 , and inputs the contents of the user operations to the server 1 .

The drive device 26 is a device that reads the OS or the browser software from a computer-readable recording medium 261 in which the OS or the browser software is non-temporarily recorded. The drive device 26 may be integrated with the client terminal 2 or externally attached to the client terminal 2 by being detachably connected to the client terminal 2 . The recording medium 261 is a CD, DVD, BD, USB memory, or the like, and the drive device 26 is a CD drive, DVD drive, BD drive, USB port, or the like. In the client terminal 2 , the OS or the browser software read from the recording medium 261 using the drive device 26 is installed in the program storage section of the storage section 22 by the control section 21 .

Specifically, for example, the server 1 transmits data described in a Web page description language such as HTML (Hyper Text Markup Language) to the client terminal 2 so that the display unit 24 of the client terminal 2 displays Display various screens. Further, the control section 21 of the client terminal 2 transmits an operation signal to the server 1 according to an operation input to the operation section 25 .

[Printer 3]
The printer 3 is a color printer, a monochrome printer, or the like capable of executing a printing process for recording information contained in print data input from the server 1 or the client terminal 2 via the communication network NT1 on a sheet such as paper. image forming apparatus. The printer 3 is used at least for printing the electronic medical chart in the electronic medical chart system 10 .

[Server 1]
The server 1 is a computer including a control section 11, a storage section 12, a communication I/F 13, a display section 14, an operation section 15, a drive device 16, and the like, as shown in FIG. The server 1 may be provided outside a medical institution such as a hospital or a pharmacy where the electronic medical record system 10 is used. Also, the server 1 may be an information processing device such as a smart phone, a tablet terminal, or a laptop computer.

The control unit 11 has the same configuration as the control unit 21, and has control devices such as a CPU, a ROM, a RAM, and an EEPROM. 12 executes various processes according to various control programs stored in advance.

The storage unit 12 is a non-volatile storage unit such as a hard disk or SSD in which various control programs executed by the control unit 11 and various data are stored. Further, the storage section 12 includes a program storage section 121 , a master storage section 122 and an information storage section 123 .

The program storage unit 121 is a storage area that stores an electronic medical record program and the like for causing the control unit 11 to execute various processes related to an electronic medical record management method, which will be described later. The program storage unit 121 also stores programs such as an operating system (OS).

The master storage unit 122 is a storage area in which various types of master information such as an account management master D1 (see FIG. 2), a disease name master, a patient master, and a drug master are stored. The account management master D1 is used for user authentication and the like when logging into the electronic medical record system 10 . The account management master D1 is appropriately edited and stored in the master storage unit 122 according to the user operation of the server 1 or the client terminal 2 at the time of initial setting or maintenance of the server 1 .

FIG. 2 shows an example of user data registered in the account management master D1. As shown in FIG. 2, information such as a user ID, user name, qualification, password, management authority, proxy management authority, and target doctor is registered in the account management master D1 for each user.

The user ID and user name are examples of identification information for identifying a user. The qualification indicates the qualification (including position) held by the user. The password is used for user authentication when logging into the electronic medical record system 10 . The management authority is authority for inputting (including deleting, changing, updating, etc.) the medical chart information of the electronic medical chart, which the user has. For example, as shown in FIG. 2, user "A" who is a doctor has the authority to input all items of the medical record information of the electronic medical chart, whereas users "B" and "C" who are medical clerks have the authority to input all items of the medical chart information. ” has the authority to input only items of subjective information (S) and plan information (P), which will be described later, of the medical record information of the electronic medical record. In this way, the management authority is basically set in association with the qualification.

The proxy management authority is a proxy operation authority for acting on behalf of a doctor for inputting the medical record information in the electronic medical chart. The proxy management authority is, unlike normal management authority, an authority that allows the target doctor to enter only the electronic medical charts of the patients for whom the management authority is granted, and the user (medical clerk) who has the proxy management authority can , the subject doctor does not have management authority for the electronic medical charts of patients for which he or she does not have management authority. In the example of FIG. 2, a user "D" who is a medical clerk is given proxy management authority to perform operations on behalf of a user "A" who is a doctor. As a result, the user "D" can input the medical record information to the electronic medical record as a substitute (doctor's office work assistant) for the user "A". All users have the authority to browse (refer to) the electronic medical chart by displaying the display screen P1 of the electronic medical chart.

The information storage unit 123 stores various information constituting the electronic medical chart, such as XML information and a medical chart database. The XML information is data describing the medical chart information of the electronic medical chart using XML (Extensible Markup Language). The XML information is created, for example, according to the operation of a user such as a doctor using the client terminal 2, and updated as needed. The medical chart database is a database for accumulating the medical chart information of the electronic medical chart and storing it for a long period of time. For example, when a user such as a doctor using the client terminal 2 performs an operation to store medical chart information at the end of a medical examination, the medical chart information included in the XML information is stored in the medical chart database.

At least one of the account management master, the XML information, and the chart database may be stored in a storage device separate from the server 1 . For example, at least one of the account management master, the XML information, and the medical chart database may be stored in an external server (or cloud computing) outside the electronic medical chart system 10, or the like. The control unit 11 may be able to access the external server or the like via the Internet or the like.

The communication I/F 13 has the same configuration as the communication I/F 23, and performs data communication with external devices such as the client terminal 2 and the printer 3 via the communication network NT1. The communication I/F 13 also performs data communication with the host system 5 .

The display unit 14 is a device such as a liquid crystal display or an organic EL display that displays various information according to control instructions from the control unit 11 . The operation unit 15 has the same configuration as the operation unit 25 and is a device operated by the user to input various information to the server 1 . Then, the control section 11 receives a user's operation on the operation section 15, and executes processing according to the content of the user's operation.

The drive device 16 has the same configuration as the drive device 26, and is a device that reads the electronic medical chart program from a computer-readable recording medium 161 in which the electronic medical chart program is non-temporarily recorded. Then, in the server 1 , the electronic medical chart program read from the recording medium 161 using the drive device 16 is installed in the program storage section 121 of the storage section 12 by the control section 11 . The electronic medical record program may be stored in advance in the storage unit 12, or may be received by the server 1 from an external device via the communication network NT1.

By the way, the control section 11 of the server 1 includes a display processing section 111, an editing processing section 112, a confirmation processing section 113, an authority processing section 114, and an output processing section 115, as shown in FIG. Specifically, the control unit 11 executes various processes related to an electronic medical record management method, which will be described later, according to the electronic medical record program. It functions as various processing units such as the authority processing unit 114 and the output processing unit 115 . That is, in this embodiment, the server 1 implements the main functions of the electronic medical chart system 10 . In other words, the electronic medical record system 10 according to this embodiment only needs to include the server 1, and the client terminal 2, the printer 3, and the like may not be included in the components. The control unit 11 may include a plurality of processors, and one of the plurality of processors may function as the various processing units. Further, part or all of the various processing units may be configured by electronic circuits.

Further, it is also conceivable as another embodiment that some or all of the functions of the server 1 are provided in the client terminal 2 . For example, part or all of the electronic medical record program is installed in the client terminal 2, and the control unit 21 of the client terminal 2 appropriately acquires necessary information from the server 1, It is also conceivable to execute various processes related to the chart management method. In this case, the client terminal 2 implements the main functions of the electronic medical record system 10 . Further, in the electronic medical chart system 10, the server 1 and the client terminal 2 may cooperate to execute various processes related to the electronic medical chart management method described later.

The display processing unit 111 performs display processing (display step) for displaying the display screen P1 of the electronic medical record. In this embodiment, since the display screen P1 is displayed on the display unit 24 of the client terminal 2, the display processing unit 111 causes the display screen P1 to be displayed by transmitting data to the client terminal 2. . Specifically, the display processing unit 111 generates the display screen P1 representing the electronic medical chart based on the electronic medical chart stored in the storage unit 12, for example, and displays the display screen P1 on the client terminal 2. , the display screen P1 is displayed.

Furthermore, in this embodiment, for example, when a plurality of users use different client terminals 2, the display processing unit 111 displays the same electronic medical chart (that is, the electronic medical chart of the same patient on the same date). It is possible to display the display screen P1 on a plurality of the client terminals 2 . In other words, a plurality of users can view the display screen P1 of the same electronic medical chart at the same time. In this case, the display processing unit 111 may change the screen configuration of the display screen P1 for each user, or may display the display screen P1 having the same screen configuration for a plurality of users.

The editing processing unit 112 performs an editing process (editing step) for editing the medical chart information of the electronic medical chart according to the operation of a user such as a doctor. Editing of the medical chart information performed by the editing processing unit 112 includes various processes of changing the medical chart information included in the electronic medical chart, such as new recording, additional writing, deletion, and updating of the medical chart information. In this embodiment, a user operation for editing the medical record information is performed on the display screen P1. Specifically, in a state in which the display processing unit 111 causes the client terminal 2 to display the display screen P1 of the electronic medical chart, the editing processing unit 112 edits the chart information. However, a user who performs an operation for editing the medical record information is limited to a user who has the management authority or the substitute management authority. Therefore, even if a user who does not have the management authority and the proxy management authority operates the electronic medical chart, the editing processing unit 112 does not edit the medical chart information of the electronic medical chart.

In this embodiment, a plurality of methods are prepared as methods for editing the medical chart information of the electronic medical chart. For example, the medical record information can be written (newly recorded or added) by inputting a character string from a keyboard after selecting a desired area on the display screen P1 with a mouse or a touch panel. Also, the medical record information can be entered by operating the keypad displayed on the display screen P1 with a mouse, numeric keypad, touch panel, or the like. Also, any medical chart information can be registered in advance as set information, and the medical chart information can be entered by selecting the set information with a mouse, numeric keypad, or touch panel. Also, the medical chart information can be written by dragging and dropping an icon indicating the set information to a desired area of the display screen P1. Furthermore, the editing processing unit 112 may automatically edit the medical record information based on information acquired from the host system 5 or other systems.

Furthermore, in the present embodiment, the editing processing unit 112 can identify when and who edited the medical chart information in the electronic medical chart. Specifically, each time the medical chart information is edited, the editing processing unit 112 indicates identification information (user identification information) for identifying the user who edited the medical chart information and the date and time when the medical chart information was edited. Acquire additional information including editing date and time information. The user identification information is, for example, a user ID or user name corresponding to the logged-in user. As the editing date/time information, for example, time synchronized between the server 1 and the client terminal 2 can be used. Alternatively, time (time stamp) obtained from an arbitrary time server on the Internet may be used as the editing date/time information.

Here, the editing processing unit 112 basically edits a part of the medical chart information rather than collectively editing the entire medical chart information of the electronic medical chart. That is, the medical chart information includes a plurality of pieces of information, and part of the plurality of pieces of information is subject to editing by the editing processing section 112 as information being edited. In this embodiment, for example, sentences, lines, clauses, words, paragraphs, items, regions, or the like are used as editing units, and the editing information is set for the editing units. In this embodiment, as an example, the editing unit is a sentence, and any sentence of the medical chart information is to be edited as the editing information.

By the way, editing authority is given to the user who is editing the information being edited. In other words, the user who has the editing authority for the information being edited edits the information being edited. Since the medical chart information is divided into a plurality of pieces of information in the editing unit, the editing authority is granted for each editing unit. That is, since the medical record information includes a plurality of pieces of information classified by the editing unit, the editing authority is individually granted for each of the plurality of pieces of information. Therefore, for the same electronic medical record, the first user is given the editing authority for the information being edited (editing information) by the first user, and the information being edited by the second user (editing information) Editing authority is granted to the second user. As a result, in a situation where the display screen P1 of the same electronic medical chart is presented to a plurality of users, each of these multiple users can simultaneously edit different editing units of the electronic medical chart. Become. However, in order to edit the electronic medical chart, it is premised that the user has the management authority or the proxy management authority for the electronic medical chart. Only a user who has the editing authority and who has the management authority or the proxy management authority can do so.

The confirmation processing unit 113 changes the state of the editing information edited by the editing processing unit 112 from "editing" to "editing completed" according to the confirmation operation by the user having the editing authority among the plurality of users. Confirmation processing to switch to is performed. Specifically, after the editing information is edited, the confirmation processing unit 113 confirms the editing information in response to the confirmation operation by the user who edited the editing information (the user having the editing authority). By storing the medical record information including the medical chart information in the information storage unit 123, the editing information is determined as "editing completed". At this time, the confirmation processing unit 113 also stores the supplementary information (the user identification information and the editing date/time information) in the information storage unit 123 in association with the editing information.

The confirming operation includes, for example, an operation of closing the display screen P1 of the electronic medical record, a line feed operation, and an enter operation in a state where an edit location is selected. As an example, on the display screen P1 displayed on the client terminal 2, the user edits the medical record information (the information being edited) by inputting a character string or sentences from a keyboard, and then edits the display screen P1. By performing an operation to close P1 (close the window), the edited medical record information is confirmed. Furthermore, the confirmation processing section 113 may perform the confirmation process when a preset time arrives or when a preset time interval elapses. In this embodiment, the confirmation operation is an operation of closing the display screen P1 of the electronic medical record.

Here, the confirmation operation is performed for each confirmation unit of the medical record information. That is, as with the editing units, sentences, lines, clauses, words, paragraphs, items, regions, or the like are defined as the determination units, and the determination operation is performed for the determination units. As an example, if the confirmation unit is a sentence, the confirmation process, that is, switching from editing to completion of editing is performed for each sentence for which the confirmation operation is performed. In addition, if the determination unit is the entire medical chart information in one electronic medical chart, for example, by performing the determination operation to close the display screen P1, it is included in the medical chart information and the determination operation is performed Confirmation processing is performed for all of the editing information for which the user has the editing authority.

The authority processing unit 114 performs authority processing for granting the editing authority to the editing information to the user. Specifically, when a user starts editing the information being edited, the authority processing unit 114 grants the editing authority to the user. When the state of the editing information is switched from "editing" to "editing completed" (that is, when the editing information is confirmed), the authority processing unit 114 recovers (removes) the editing authority from the user. )do. In short, the editing authority for the information being edited is automatically granted to the user who is editing the information being edited, and when the editing of the information being edited is completed, the user loses the editing authority. In this embodiment, the editing authority for one piece of the information being edited is not granted to a plurality of users at the same time, but is only granted to one user. "Exclusive control" is realized in which only one user who has a certain user is allowed to edit the information being edited by another user. Therefore, unlike the management authority, the editing authority is not permanently granted to a specific user, but is temporarily granted to any one user under exclusive control.

The output processing unit 115 performs output processing for outputting the electronic medical record in a manner different from the display on the display screen P1. For example, when the client terminal 2 displaying the display screen P1 receives a print operation from the user, the output processing unit 115 causes the printer 3 to print the electronic chart corresponding to the display screen P1. Here, the format of the electronic medical record to be printed may conform to the display screen P1, or may be a printing format different from the display screen P1. In addition, the aspect of "output" related to the output process is not limited to printing, for example, writing to memory (the storage unit 12), voice output, data output, transmission to other systems (other devices), to database , writing to a memory other than the storage unit 12, and the like.

[Electronic chart management method]
An example of the electronic medical record management method executed by the control unit 11 of the server 1 will be described below. The control unit 11 executes various processes related to the electronic medical chart management method when a predetermined specific start operation for executing the electronic medical chart program is performed on the client terminal 2. . Furthermore, when the specific start operation is performed on a plurality of the client terminals 2, the control unit 11 executes the electronic medical record management method for each of the client terminals 2 in parallel. Further, the electronic medical record management method may end in response to a specific end operation on the client terminal 2 even during execution of the electronic medical record management method. The present invention may be regarded as an invention of a method (electronic medical record management method) in which a computer such as the server 1 executes part or all of the electronic medical record management method.

Here, the start operation includes connection of the client terminal 2 to the server 1 (activation of application software), login accompanied by input of a user ID and password, and the like. On the other hand, the termination operation includes an operation to close the display screen P1, logout, disconnection between the server 1 and the client terminal 2, and the like.

Further, the control unit 11 of the server 1 basically uses the screen (display screen P1) displayed on the display unit 24 of the client terminal 2 to execute the electronic medical record management method. A "screen" as used in the present disclosure means a video (image) displayed on the display unit 24 (or the display unit 14) or the like, and includes iconography, graphics, photographs, text, moving images, and the like. Main screens displayed on the display unit 24 include the display screen P1 shown in FIG. 3, a home screen, and the like. In this embodiment, as an example, the control unit 11 of the server 1 is configured to be able to transition from the home screen to the display screen P1 or the like according to a user's operation.

That is, by the start operation, the home screen is first displayed on the display unit 24 of the client terminal 2 . Then, when a specific operation is performed with a certain patient specified on the home screen, the home screen transitions to the display screen P1 showing the electronic medical record for the patient. On various operation screens (including the display screen P1) displayed on the display unit 24, the operation unit 25 receives user operations.

In the following, as an example, the client terminal 2 accepts an input operation on the display screen P1 displayed on the display unit 24 using the mouse and keyboard included in the operation unit 25 . That is, for example, even when the editing processing unit 112 is caused to execute the editing process, the user can perform an operation (user operation) to edit the medical record information by operating the mouse and keyboard included in the operation unit 25. conduct. Various operation buttons in the display screen P1 are objects included in the display screen P1, and the operation buttons are operated by operating the operation unit 25 such as selecting the operation buttons. For example, the user can operate the mouse included in the operation unit 25 to move the cursor to any of the operation buttons on the display screen P1 and click the operation button. You can operate the button.

[Display screen P1]
Here, first, the display screen P1 displayed on the display unit 24 of the client terminal 2 will be described with reference to FIG.

FIG. 3 is a diagram showing an example of the display screen P1 of the electronic medical record. As shown in FIG. 3, the display screen P1 includes a past medical chart area R1, a current medical chart area R2, a patient information area R3, and the like. The past chart area R1 is an area in which medical information such as past medication information is displayed. The current chart area R2 is an area in which medical information such as currently input medication information (current prescription) is displayed. The patient information area R3 is an area where basic information of the patient is displayed. Although not shown in FIG. 3, a keypad and shortcut keys used for editing the medical record information are also displayed on the display screen P1. In addition, in the drawings showing the screen displayed on the display unit 24, such as FIG. 24 is not displayed.

In the electronic medical chart, as in the past medical chart area R1 or the current medical chart area R2 on the display screen P1, the medical information related to one medical examination is "S", "O", "A", "P '' and ``guidance'', and the various medical chart information is recorded. "S" is subjective information, which is information about symptoms subjectively felt by the patient. "O" is objective information, which is information about doctor's clinical findings, laboratory findings, and the like. 'A' is assessment information, which is information about doctor's evaluation and judgment. "P" is plan information, which is information about medication and treatment plans. "Guidance" is guidance information, and is information related to education and guidance to patients.

Here, since the electronic medical chart is recorded for each patient, the user's operation on the client terminal 2 designates for which patient the electronic medical chart is to be displayed. Specifically, when an operation for selecting a target patient from the patient list is performed on the client terminal 2, the display processing unit 111 displays the display screen of the electronic medical record corresponding to the selected patient. Display P1. In the display screen P1, past medical information and current medical information about the selected patient are displayed in the past medical chart area R1 and the current medical chart area R2.

Note that the display screen P1 may include, for example, a slide bar, and may be configured to allow vertical (vertical) or horizontal (horizontal) scroll display by operating the slide bar. This makes it possible to present a large amount of information (the medical chart information) contained in the electronic medical chart to the user through the display screen P1.

[Editing process and display process]
The electronic medical record system 10 according to the present embodiment includes the edit processing unit 112 that edits the medical record information according to user's operation in the control unit 11 . Further, the electronic medical chart system 10 includes the display processing unit 111 for displaying the display screen P1 of the electronic medical chart in the control unit 11 . Therefore, the electronic medical record management method executed by the control unit 11 includes the change processing and the display processing. Details of the change processing and the display processing will be described below with reference to FIGS. 4 and 5. FIG. 4 and 5 to be referred to below are drawings in which only the current medical chart region R2 is taken out of the display screen P1, and illustrations other than the current medical chart region R2 on the display screen P1 are omitted as appropriate. .

Here, it is assumed that a plurality of users causes the display screen P1 of the same electronic medical chart (that is, electronic medical chart of the same patient on the same date) to be displayed on individual client terminals 2, respectively. Specifically, as shown in FIG. 4, a first user U1 who is a doctor and a second user U2 who is a medical clerk access the electronic medical record of a certain patient, respectively. and the client terminal 2 used by the second user U2, the display screen P1 of the electronic medical record is displayed. When distinguishing between the display screens P1 displayed on the two client terminals 2, the display screen P1 displayed on the client terminal 2 of the first user U1 is referred to as a "first display screen P11". The display screen P1 displayed on the client terminal 2 of the second user U2 is called a "second display screen P12". That is, the first display screen P11 is the display screen P1 of the electronic medical chart presented to the first user U1, and the second display screen P12 is the electronic medical chart presented to the second user U2. This is the display screen P1.

In this situation, each of the first user U1 and the second user U2 can edit the medical chart information for the same electronic medical chart. However, among the medical chart information, the editing authority for the editing information being edited by the first user U1 is given to the first user U1, and the editing information being edited by the second user U2 Editing authority is granted to the second user U2. In this embodiment, the editing unit is a sentence, so the editing authority is individually granted for each sentence. Therefore, the first user U1 and the second user U2 can edit only the sentences for which they have the editing authority as the information being edited, and the same information being edited (sentence) can be edited as the information being edited. One user U1 and the second user U2 cannot edit at the same time.

FIG. 5 shows the display screen P1 (the first display screen P11) of the electronic medical chart presented to the first user U1, and the display screen P1 (the first display screen P11) of the electronic medical chart presented to the second user U2. It is a figure which shows the 2nd display screen P12) arranged in the left-right direction. Here, the first user U1 (doctor) is editing the subjective information item "S" in the medical chart information, and the second user U2 (medical clerk) is editing the planning information in the medical chart information. Assume that item "P" is being edited. More specifically, the first user U1 adds (inputs) the character string "ABCABC" to the item "S" of the electronic medical record, and the second user U2 adds (inputs) the character string "ABCABC" to the item "S" of the electronic medical record. It is assumed that a character string "XYZXYZ" is additionally written (inputted) in the "P" column. In this state, the first user U1 has the editing authority for the editing information I1 consisting of the character string "ABCABC" in the column of the item "S", and the second user U2 has the authority to edit the item "P has the editing authority for the editing information I2 consisting of the character string "XYZXYZ" in the "" column.

In this case, focusing on the editing information I1 of the item "S", the mark M1 corresponding to the editing information I1 is displayed only on the second display screen P12 presented to the second user U2. ing. The mark M1 corresponding to the editing information I1 is not displayed on the first display screen P11 presented to the first user U1 who is editing the editing information I1. On the other hand, focusing on the editing information I2 of the item "P", a mark M2 corresponding to the editing information I2 is displayed only on the first display screen P11 presented to the first user U1. . The mark M2 corresponding to the editing information I2 is not displayed on the second display screen P12 presented to the second user U2 who is editing the editing information I2.

That is, the marks M1 and M2 are both displayed only on the display screen P1 that is presented to the user who does not have the editing authority for the information being edited, and the display screen P1 that is presented to the user who has the editing authority. It is not displayed on the display screen P1. Here, the marks M1 and M2 are examples of the specific mode. In other words, displaying the marks M1 and M2 in association with the information being edited means that the information being edited can be distinguished from information other than the information being edited in the medical chart information. It corresponds to being displayed in the above-mentioned specific mode in which a certain thing can be identified. In this way, in the display processing, the display processing unit 111 displays the The information being edited is displayed in the specific manner in which it is possible to identify that the information is being edited (that is, distinguishable from information other than the information being edited in the medical record information).

Therefore, in the present embodiment, while the first user U1 and the second user U2 are viewing the same display screen P1 of the electronic medical chart, The medium information is displayed to the second user U2 in the specific manner in which it is possible to identify that it is being edited. Similarly, the editing-in-progress information being edited by the second user U2 is displayed to the first user U1 in the specific manner that allows the first user U1 to identify that it is being edited. As a result, according to the electronic medical chart system 10 or the electronic medical chart management method, it is difficult for a plurality of users to compete for operations related to editing of the electronic medical chart (the medical chart information of), or There is an advantage that the editing situation is easy to understand.

In this embodiment, as an example, the marks M1 and M2 are vertically extending line-shaped (bar-shaped) icons (iconograms) displayed at the beginning (left side) of the editing information I1 and I2. The display range is determined according to the editing information. That is, for the editing information I1, the mark M1 having a length of one line is displayed on the second display screen P12 corresponding to the character string "ABCABC" which is the editing information I1. Similarly, for the editing information I2, the mark M2 having a length of one line is displayed on the first display screen P11 corresponding to the character string "XYZXYZ" which is the editing information I2. The marks M1 and M2 may be displayed in a conspicuous color such as blue, red, or yellow, or may be displayed in a conspicuous manner such as blinking display. In this embodiment, as an example, the marks M1 and M2 are displayed in blue so that they can be easily distinguished from other character strings and stand out.

The specific mode may be a display mode that allows the user to identify that the information being edited is being edited, so vertical line icons such as the marks M1 and M2 are displayed in association with the information being edited. It is not limited to the mode to be performed. For example, the specific mode is a mode related to the display itself of the information being edited, such as display color, underline, character size, highlighting (bold character display or blinking display, etc.), markers, or fonts of the information being edited. Alternatively, it may be an enclosing frame or the like surrounding the editing information. Further, the specific mode may include display of a character string that directly indicates that the editing information is being edited, such as "Mr. A is currently editing."

By the way, in the present embodiment, the editing processing unit 112 restricts the editing of the editing information according to the operation of the user who does not have the editing authority among the plurality of users. The "restriction" here includes not only prohibiting the editing of the information being edited completely, but also restricting the editing of the information being edited, such as prohibiting only deletion (addition is possible). That is, in the examples of FIGS. 4 and 5, the editing information I1 being edited by the first user U1 is restricted from being edited according to the operation of the second user U2 who does not have the editing authority. . In this way, information being edited by a certain user is subject to "exclusive control" in which editing by other users is restricted. Even if the second user U2 tries to edit the information I1 by mistake, the second user U2 is restricted from editing the information I1 being edited. Therefore, it is possible to prevent another user from mistakenly editing information being edited by a certain user (information being edited).

In addition, the editing processing unit 112 permits the editing according to the operation of the user who does not have the editing authority among the plurality of users with respect to the information other than the information being edited in the medical record information. That is, in the examples of FIGS. 4 and 5, while the first user U1 is editing the information being edited I1, even if the second user U2 does not have the editing authority for the information being edited I1, For example, information other than the editing information I1, such as item "P", can be edited. Therefore, the medical chart information of the same electronic medical chart can be edited simultaneously by a plurality of users, and the efficiency of editing can be improved.

In addition, when the medical record information includes the information being edited, the display processing unit 111 does not display the information being edited in the specific mode until an update condition is satisfied, and the update condition is satisfied. and display in the specific mode. The update condition is a condition for reflecting the editing information being edited by a certain user on the display screen P1 presented to other users. It includes the arrival of a set time, the elapse of a preset time interval, and the like. A user who performs the display update operation may be only a user who has the editing authority for the information being edited, or may include a user who does not have the editing authority for the information being edited. In the examples of FIGS. 4 and 5, when the first user U1 adds the editing information I1, the editing information I1 is reflected on the second display screen P12 only when the first user U1 is not at the same time (real time) as the editing information I1 is added, but at the timing when the update condition is satisfied. Even if the editing information I1 is information deletion, etc., instead of additional writing, the editing information I1 (deletion, etc.) is reflected on the second display screen P12 at the timing when the update condition is satisfied. As a result, the processing load on the electronic medical record system 10 (especially the server 1) can be reduced as compared with the case where the editing information is reflected in real time.

However, the exclusive control for restricting the editing of the editing information for which the editing processing unit 112 does not have the editing authority is performed in real time. That is, when a certain user starts editing the information being edited, the authority to edit the information being edited is granted to the user. Editing of medium information is restricted. Therefore, in the examples of FIGS. 4 and 5, when the first user U1 deletes the information being edited I1, the period from the start of deletion of the information being edited I1 to the satisfaction of the update conditions. , the deletion of the information being edited I1 is not reflected on the second display screen P12, nor is it displayed in the specific manner, but the second user can edit the information being edited I1. Can not. In this case, even if the second user performs an operation for editing the editing information I1, the operation is invalidated.

Further, in this embodiment, when the editing of the information being edited is only "delete", the information being edited is deleted, but the information being edited is not displayed in the specific mode. In the example of FIGS. 4 and 5, if the first user U1 deletes the pre-written editing information I1, the editing information I1 is also deleted on the second display screen P12, The mark M1 corresponding to the editing information I1 is not displayed. However, the present invention is not limited to this, and even when the editing of the information being edited is only "deletion", the information being edited may be displayed in the specific mode.

[Concrete example]
A specific example (operational example) of the electronic medical record management method will be described below with reference to FIGS. 6 to 8. FIG. 6 to 8 to be referred to below are conceptual diagrams showing the operations of each user and the display screen P1 presented to each user arranged in chronological order for each user. For example, below the first user U1, an operation performed by the first user U1 and the display screen P1 (first display screen P11) presented to the first user U1 are shown in order. In addition, in FIGS. 6 to 8, only a part of the current medical chart area R2 in the display screen P1 of the electronic medical chart displayed on the client terminal 2 used by each user (for example, the column of item "S") is taken out and illustrated, and the illustration of the display screen P1 other than the part concerned is omitted as appropriate.

[First specific example]
In the first specific example, as shown in FIG. 6, it is assumed that two users, a first user U1 who is a doctor and a second user U2 who is a medical clerk, access the same electronic chart. .

In this case, first, at time T11, the first user U1 performs the start operation to start displaying the display screen P1 (first display screen P11) of the electronic medical chart (open the electronic medical chart). As a result, at time T12, the first display screen P11 presented to the first user U1 displays the electronic medical record that already describes "I am not feeling well." The first user U1 edits the medical chart information of the electronic medical chart at time T13. In the example of FIG. 6, the first user U1 adds (enters) a character string "body temperature 38 degrees" as the editing information.

Next, at time T14, the second user U2 performs the start operation to start displaying the display screen P1 (second display screen P12) of the electronic medical chart (open the electronic medical chart). As a result, at time T15, the second display screen P12 presented to the second user U2 displays the editing information consisting of the character string "body temperature 38 degrees" as the specific form with the mark M1. is displayed. At this time, since the character string "I am not feeling well" is not the information being edited, the character string "I am not feeling well" is displayed in the normal mode different from the specific mode on the second display screen P12. be done.

Thereafter, at time T16, the first user U1 performs an operation to close the display screen P1 of the electronic medical chart, that is, the confirmation operation. Here, in the present embodiment, when the display of the electronic medical chart to the user having the editing authority among the plurality of users ends, the authority processing unit 114 instructs the other users who are displaying the electronic medical chart to edit the electronic medical chart. Migrate permissions. In other words, the authority processing unit 114 has a function of transferring the editing authority to another user, rather than unconditionally recovering (removing) the editing authority from the user upon confirmation of the editing information. In the first specific example, since another user (the second user) has opened the electronic medical record at the time the confirmation operation is performed, the editing authority is changed from the first user U1 to the second user U2. to move to. Therefore, the second user U2 has the editing authority for the editing information consisting of the character string "body temperature 38 degrees", and the editing information consisting of the character string "body temperature 38 degrees". be able to edit. At this time, the state of the editing-in-progress information does not change to "editing completed" but remains "editing".

Therefore, at time T17, the mark M1 disappears on the second display screen P12 presented to the second user U2, and the editing information consisting of the character string "body temperature 38 degrees" is displayed in the specific mode. Instead, it is displayed in the normal mode. In short, when the editing authority is transferred to the other user (here, the second user U2), the display processing unit 111 displays on the display screen P1 of the electronic medical chart presented to the other user The display mode of the information being edited is switched from the specific mode to the same mode (the normal mode) as the information other than the information being edited in the medical record information. As a result, for the second user U2, since the editing information that has become editable is displayed in the normal mode, it is easy for the second user U2 to understand that the editing information has become editable.

[Second example]
In the second specific example, as shown in FIG. 7, in addition to the first user U1 and the second user U2, three users including a third user who is a medical clerk share the same electronic medical record. Assume the access situation.

In this case, first, at time T21, the first user U1 and the second user U2 perform the start operation on the display screen P1 (the first display screen P11 and the second display screen P12) of the electronic medical record. Start viewing (open electronic chart). As a result, at time T22, the first display screen P11 presented to the first user U1 and the second display screen P12 presented to the second user U2 already have the message "I'm not feeling well." The written electronic medical record is displayed.

The first user U1 edits the medical chart information of the electronic medical chart at time T23. In the example of FIG. 7, the first user U1 adds (enters) a character string "body temperature 38 degrees" as the editing information. As a result, at the time point T23, the second display screen P12 presented to the second user U2 displays the editing information consisting of the character string "body temperature 38 degrees" as the specific information marked with the mark M1. displayed in the form.

Next, at time T24, the first user U1 performs an operation of closing the display screen P1 of the electronic medical chart, that is, the confirmation operation. As a result, the editing authority of the editing information consisting of the character string "body temperature 38 degrees" is transferred from the first user U1 to the second user U2. Therefore, at time T25, the mark M1 disappears on the second display screen P12 presented to the second user U2, and the editing information consisting of the character string "body temperature 38 degrees" is displayed in the specific mode. Instead, it is displayed in the normal mode.

Further, the second user U2 edits the medical chart information of the electronic medical chart at time T26. In the example of FIG. 7, the second user U2 adds (enters) a character string "joint pain" as the editing information. Next, at time T27, the third user U3 performs the start operation to start displaying the display screen P1 (third display screen P13) of the electronic medical chart (open the electronic medical chart). As a result, at time T28, the third display screen P13 presented to the third user U3 shows the editing information consisting of the character string "body temperature 38 degrees" and the character string "joint pain". Both of the editing information are displayed in the specific manner marked with the mark M1. In short, at the time T28, the second user U2 has the editing authority for both of the editing information of "body temperature of 38 degrees" and "joint pain". On the third display screen P13 for the third user U3 who does not have the editing authority, the editing information is displayed in the specific mode. At this time, since the character string "I am not feeling well" is not the information being edited, the character string "I am not feeling well" is displayed in the normal mode different from the specific mode on the third display screen P13. be done.

Thereafter, at time T29, the second user U2 performs an operation to close the display screen P1 of the electronic medical chart, that is, the confirmation operation. As a result, the editing authority of the editing information consisting of the character strings "body temperature 38 degrees" and "joint pain" is transferred from the second user U2 to the third user U3. Therefore, at time T30, the mark M1 disappears from the third display screen P13 presented to the third user U3, and the editing information consisting of the character strings "body temperature 38 degrees" and "joint pain" is displayed. is displayed in the normal mode rather than in the specific mode.

Further, as another example of the second specific example, at the time T28, on the third display screen P13, the editing information consisting of the character string "body temperature 38 degrees" is displayed in the normal mode instead of the specific mode. may be displayed in any manner. That is, since the first user U1 originally has the editing authority for the editing information consisting of the character string "body temperature 38 degrees", the first user U1 cannot display the electronic medical chart. At time T24 when the screen P1 is closed, the state of the editing information may be switched from "editing completed" to "editing". In this case, at time T28, the editing information is only the editing information consisting of the character string "joint pain" for which the second user has the editing authority. , and “joint pain” are displayed in the specific mode.

[Third specific example]
In the third specific example, as shown in FIG. 8, it is assumed that three users, the first user U1, the second user U2, and the third user, access the same electronic medical record.

In this case, first, at time T31, the first user U1 performs the start operation to start displaying the display screen P1 (the first display screen P11) of the electronic medical chart (open the electronic medical chart). As a result, at time T32, the blank electronic medical chart, in which no character string is particularly described as the medical chart information, is displayed on the first display screen P11 presented to the first user U1. The first user U1 edits the medical chart information of the electronic medical chart at time T33. In the example of FIG. 8, the first user U1 additionally writes (enters) a character string "I am not feeling well" as the editing information.

Further, at the time T33, the second user U2 and the third user U3 perform the start operation to display the display screen P1 (the second display screen P12 and the third display screen P13) of the electronic medical record. start (open the electronic medical record). As a result, at the time T15, the second display screen P12 presented to the second user U2 and the third display screen P13 presented to the third user U3 display the character string "I'm not feeling well." is displayed in the specific manner with the mark M1.

Next, at time T35, the first user U1 performs an operation of closing the display screen P1 of the electronic medical chart, that is, the confirmation operation. As a result, the editing authority of the editing information consisting of the character string "I'm not feeling well" should be transferred from the first user U1 to another user. However, in this embodiment, the authority processing unit 114 is configured not to transfer the editing authority to two or more users. In the example of FIG. 8, at the time T35 when the first user U1 closes the display screen P1 of the electronic medical chart, the electronic medical chart is opened by the second user U2 and the third user U3. At this point, the editing authority is not transferred. Therefore, even at time T36, the editing information consisting of the character string "I'm not feeling well" is displayed on the second display screen P12 and the third display screen P13 in the specific mode marked with the mark M1. Is displayed.

In short, when the display of the electronic medical chart to the user who has the editing authority among the plurality of users ends, the authority processing unit 114 determines whether the other user is single if there are two or more other users. The editing authority is not transferred until it is limited to one user. Specifically, at time T35, the authority processing unit 114 temporarily withdraws the editing authority from the first user U1, and suspends the transfer to another user. Then, when only one user opens the electronic medical record, the authority processing unit 114 transfers the pending editing authority. As a result, it is possible to suppress conflicts in editing operations due to the transfer of the editing authority to a plurality of users.

In the example of FIG. 8, at time T37, the second user U2 performs an operation of closing the display screen P1 of the electronic medical chart, that is, the confirmation operation. As a result, the editing authority of the editing information consisting of the character string "I'm not feeling well" is transferred to the third user U3. Therefore, in the third display screen P13 presented to the third user U3 at the time T38, the mark M1 disappears and the editing information consisting of the character string "I am not feeling well" is displayed in the specific mode. Instead, it is displayed in the normal mode.

Further, whether or not the information being edited is displayed in the specific mode may be determined not only by the presence or absence of the editing authority but also by the management authority (or the proxy management authority). For example, it is assumed that the second user U2 has the management authority but the third user U3 does not have the management authority for the item related to the editing information edited by the first user U1. Then, as another example of the third specific example, at the time T36, the second display screen P12 presented to the second user U2 who has the management authority for the editing information displays the editing information may not be marked with the mark M1. In other words, the third user U3, who does not have the management authority for the information being edited, cannot edit the information being edited. There are only two users U2. Therefore, the authority processing unit 114 grants the second user U2 the authority to edit the information being edited, so that the third user U3 who does not have the authority to edit the information on the third display screen P13 only, the editing information is displayed in the specific mode. Further, in this case, the editing information may be displayed in the specific mode on the third display screen P13 presented to the third user U3 at the time T38.

[flowchart]
With reference to FIG. 9, an example of the processing procedure of the control unit 11 particularly related to the display processing of the electronic medical record management method will be described.

<Step S1>
In step S1, the control unit 11 determines whether or not the user performs an operation to open the electronic medical record. After connecting the client terminal 2 to the server 1 and logging in with the input of a user ID and password, the control unit 11 selects one of the patients on the client terminal 2. , it is determined that an operation has been performed to open the electronic medical record of the patient (S1: Yes), and the process proceeds to step S2. Further, when logging in, the control unit 11 identifies (specifies) the user who has performed the operation of opening the electronic medical record based on the user identification information. On the other hand, if the operation is not performed (S1: No), the control section 11 shifts the process to step S1.

<Step S2>
In step S2, the display processing unit 111 of the control unit 11 displays the display screen P1 of the electronic medical record. The display processing unit 111 causes the display screen P1 of the electronic medical chart to be displayed on the client terminal 2 that has been operated to open the electronic medical chart.

<Step S3>
In step S3, the display processing unit 111 of the control unit 11 determines whether or not the medical chart information of the electronic medical chart being displayed includes the information being edited. At this time, regardless of which user is editing, if the medical record information includes information being edited (the information being edited), the display processing unit 111 determines that the information being edited is present. (S3: Yes), and the process proceeds to step S4. Specifically, for example, the display processing unit 111 determines the presence or absence of the editing information according to the presence or absence of the "editing flag" attached to the editing information. On the other hand, if there is no editing-in-progress information (S3: No), the control unit 11 shifts the process to step S6.

<Step S4>
In step S4, the display processing section 111 of the control section 11 determines whether or not the user who is displaying the display screen P1 has the editing authority for the editing information. That is, when the user to whom the display screen P1 of the electronic medical record is presented in step S2 is editing the information being edited, the user is given the editing authority of the information being edited. Therefore, the display processing unit 111 determines that there is the editing authority (S4: Yes), and shifts the process to step S6. On the other hand, if a user other than the user to whom the display screen P1 of the electronic medical record was presented in step S2 is editing the information being edited, the display processing unit 111 determines that the editing authority is It is determined that there is no (S4: No), and the process proceeds to step S5.

<Step S5>
In step S5, the display processing section 111 of the control section 11 displays the editing information in the specific mode. In other words, the display processing unit 111 attaches the mark M1 to the information being edited on the display screen P1 so that the information being edited is displayed in the specific mode in which it can be identified that the information is being edited. displayed. However, among the medical record information, information other than the information being edited is displayed in the normal mode instead of the specific mode. After that, the control section 11 shifts the process to step S7.

<Step S6>
In step S6, the display processing unit 111 of the control unit 11 displays the medical record information in the normal mode. In other words, even when the medical record information includes the information being edited, the display processing unit 111 does not add the mark M1 to the medical chart information on the display screen P1, and displays the medical chart information as the normal information. display in a manner. After that, the control section 11 shifts the process to step S7.

<Step S7>
In step S7, the control unit 11 determines whether or not the user performs an operation for closing the display screen P1 of the electronic medical chart, that is, the confirmation operation. When an operation to close the electronic medical chart is performed (S7: Yes), the control unit 11 terminates the series of processes related to the display process. At this time, if there is the editing information being edited by the user, the confirmation processing unit 113 of the control unit 11 performs confirmation processing to switch the state of the editing information from "editing" to "editing completed." I do. On the other hand, if the operation is not performed (S7: No), the control unit 11 shifts the process to step S2 and continues to display the display screen P1 of the electronic medical record.

Note that the above flowchart is merely an example, and processes may be added or omitted as appropriate, and the order of the processes may be changed as appropriate.

[Other embodiments]
As another embodiment, the display processing unit 111 may be configured to display the editing information in a manner in which the user having the editing authority can be identified. That is, the editing information is displayed in the specific mode on the display screen P1 presented to the user without the editing authority. displayed as possible. For example, when there are three users, a first user, a second user, and a third user, and assuming that the third user is editing the information being edited, the first user and the second user , it becomes possible to identify that the user who has the editing authority of the editing information is the third user on the display screen P1 presented in each of the. Specifically, depending on the display mode (color, icon shape, etc.) of the mark M1 attached to the editing information, the user having the editing authority may be displayed so as to be identifiable. A character string or the like that can identify the user may be directly displayed. According to this configuration, the user who does not have the editing authority can specify the user who is editing the editing information, thereby improving convenience.

[Modification]
A plurality of constituent elements included in the electronic medical record system 10 may be provided dispersedly in a plurality of housings. Conversely, in the above-described embodiments, a plurality of components (such as the control unit 11 and the display unit 24) distributed over a plurality of housings may be collectively provided in a single housing.

Further, it is not essential that the display screen P1 is displayed on the display unit 24 of the client terminal 2, and the display screen P1 may be displayed on the display unit 14 of the server 1, for example. Furthermore, the display screen P1 is not limited to the display unit 24 such as a liquid crystal display or an organic EL display, and may be projected and displayed by a display device such as a projector.

Further, it is not essential that the confirmation operation is performed for each confirmation unit of the medical record information, and the confirmation operation may be performed for any range. Furthermore, it is not essential for the confirmation processing unit 113 to perform the confirmation processing in response to the confirmation operation by the user having the editing authority. may be performed.

In addition, it is not essential that the editing processing unit 112 restricts editing of the information being edited according to the operation of a user who does not have the editing authority among a plurality of users. Editing according to the user's operation may be permitted. Conversely, it is not essential that the editing processing unit 112 permits editing of information other than the information being edited in the medical record information according to the operation of the user who does not have the editing authority. Information other than the information being edited in the medical record information may also be restricted from being edited according to the operation of the user who does not have the editing authority.

Further, it is not essential that the display processing unit 111 does not display the information being edited in the specific mode until the update condition is satisfied. For example, the user having the editing authority displays the information being edited. The editing information may be displayed in the specific mode at the same time as the editing (real time).

In addition, when the authority processing unit 114 finishes displaying the electronic medical chart to the user who has the editing authority among the plurality of users, the authority to edit the electronic medical chart cannot be transferred to another user who is displaying the electronic medical chart. Not required. For example, when the display of the electronic medical record to the user having the editing authority ends, the authority processing unit 114 may extinguish the editing authority without transferring the editing authority to any user. Furthermore, when the editing authority is transferred to another user, the display processing unit 111 changes the display mode of the editing information on the display screen P1 presented to the other user to the specific mode. It is not essential to switch from the mode to the normal mode. For example, even after the editing authority is transferred to the other user, the editing information on the display screen P1 presented to the other user may remain in the specific mode.

Further, when the display of the electronic medical chart to the user having the editing authority among the plurality of users is finished, if there are two or more of the other users, the authority processing unit 114 It is not essential not to transfer the editing authority until it is limited to one user. For example, if there are two or more other users when the display of the electronic medical record to the user having the editing authority among the plurality of users ends, the authority processing unit 114 The editing rights may be transferred to a user, or any one of them.

Further, the authority to edit one piece of information being edited may be granted to two or more users at the same time. The display processing unit 111 displays the information being edited in the specific mode on the display screen P1 presented to the user who does not have the editing authority for the information being edited. For two or more users who have editing authority, the editing information is displayed in the normal mode instead of the specific mode. Alternatively, if the display processing unit 111 displays the information being edited in the specific mode on the display screen P1 presented to a user other than the user who is editing the information being edited, the Regardless of whether or not the user has editing authority, the information being edited is displayed in the normal mode, not in the specific mode, only for the user who is currently editing the information being edited.

Claims (12)

an editing processing unit that edits medical record information of electronic medical records according to operations by each of a plurality of users;
On the display screen of the electronic medical record presented to a user who does not have the authority to edit the information being edited, which is a part of the medical record information, out of the medical record information, the information being edited is displayed on the display screen of the electronic medical record. A display processing unit that displays in a specific manner distinguishable from information other than the editing information,
electronic chart system. The editing processing unit restricts editing of the information being edited according to an operation by a user who does not have the editing authority among the plurality of users.
The electronic medical record system according to claim 1. The editing processing unit permits, among the plurality of users, editing according to an operation by a user who does not have the editing authority for information other than the information being edited in the medical record information.
The electronic medical record system according to claim 1 or 2. In a case where the medical record information includes the information being edited, the display processing unit does not display the information being edited in the specific mode until an update condition is satisfied, and when the update condition is satisfied, the display processing unit specifies the information being edited. perform display in the form of
The electronic medical record system according to any one of claims 1 to 3. Further comprising a confirmation processing unit that switches the state of the information being edited from being edited to being edited in response to a confirmation operation by a user having the editing authority among the plurality of users,
The electronic medical record system according to any one of claims 1 to 4. The confirmation operation is performed for each confirmation unit of the medical chart information,
The electronic medical record system according to claim 5. Further comprising an authority processing unit for transferring the editing authority to another user who is displaying the electronic medical chart when the display of the electronic medical chart to the user having the editing authority among the plurality of users ends,
The electronic medical record system according to any one of claims 1-6. When the editing authority is transferred to the other user, the display processing unit changes the display mode of the editing information on the display screen of the electronic medical chart presented to the other user to the medical chart information. Switch to the same mode as information other than the information being edited,
The electronic medical record system according to claim 7. When the display of the electronic medical record to the user having the editing authority among the plurality of users is finished, the authority processing unit is configured to, if there are two or more of the other users, the other user has a single does not transfer said editing rights until limited to the user;
The electronic medical record system according to claim 7 or 8. The display processing unit displays the editing information in a manner that allows identification of the user who has the editing authority.
The electronic medical record system according to any one of claims 1-9. an editing processing unit that edits medical record information of electronic medical records according to operations by each of a plurality of users;
On the display screen of the electronic medical record presented to a user other than the user who is editing the information being edited, which is a part of the medical record information, among the plurality of users, the information being edited is displayed on the medical record information. a display processing unit that displays in a specific manner distinguishable from information other than the information being edited,
electronic chart system. an editing step of editing medical chart information in an electronic medical chart according to operations by each of a plurality of users;
On the display screen of the electronic medical record presented to a user who does not have the authority to edit the information being edited, which is a part of the medical record information, out of the medical record information, the information being edited is displayed on the display screen of the electronic medical record. a display step of displaying in a specific manner distinguishable from information other than the information being edited;
An electronic medical record program that allows a computer to execute

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