JP2001052088A - Electronic medical examination record system for modeling chart in actual world and medical examination record information management method - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a method and a system for medical examination record which enable the terminal side to access medical examination record information even at the time of the occurrence of a fault in a communication means or the like. SOLUTION: A first medical examination record device 101 provided with a medical examination record information storage means 121 and plural second medical examination record devices 201 connected to the first medical examination record device 101 by a communication means 301 are provided, and second medical examination record devices edit inputted patient retrieval information and collective these information to transmit to the first medical examination record device, and the first medical examination record device extracts medical examination record information from the storage means 121 on the basis of retrieval information and transmits medical examination record information collected in the unit of medical examination records to second medical examination record devices 201, and second medical examination record devices receive transmitted medical examination record information to display it on a display means 221 and edit inputted medical examination record registration information to collect it in a medical examination record form and transmit it to the first medical examination record device, and the first medical examination record device registers it in the medical examination record information storage means.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical record apparatus for a medical institution, and more particularly to a medical record management system and method.

[0002]

2. Description of the Related Art In a conventional medical record system, a medical record information input / display terminal operated by a staff member such as a doctor at a medical treatment site and a medical institution center or the like are provided to store medical record information of a patient. The medical record storage device is communicatively connected, and the medical record storage device is searched by a search operation input from a medical record input / display terminal such as a personal computer, and the medical record information is displayed on the medical record input / display terminal. Medical record input
Updating of medical record information in the medical record storage device on the center side by update operation or new registration operation input from the display terminal, etc.
It is configured to be registered.

As a conventional system of this kind, for example, Japanese Patent Application Laid-Open No. 8-77257 discloses that a medical record is recorded on a recording medium as image data, and patient identification information of a medical examination ticket is read.
A medical chart system has been proposed in which a patient's medical chart is searched and displayed on a terminal in an examination room.

[0004] For example, Japanese Patent Application Laid-Open No. 5-28205 discloses a system in which medical data from a diagnostic device and digitized medical chart information can be presented to a diagnostic workstation at the time of medical treatment according to a doctor's request. Searches for large-capacity multimedia information such as diagnostic images or X-ray images of the ultrasonic diagnostic apparatus, or past medical information stored for a long period of time according to a doctor's request, and transfers / displays it to a workstation. As a system for solving the problem that it takes a considerable time, a means for selecting information likely to be referred to the current medical practice, and a storage device of a workstation or the nearest information processing apparatus for storing the selected information Display the medical information on the workstation by operating them according to the medical treatment schedule. System to improve the answer speed is proposed.

[0005] For example, Japanese Patent Application Laid-Open No. 11-143970 discloses a system in which medical information such as medical records, medical examination results, and health insurance card insured items are comprehensively managed. As a system for improving the efficiency of medical services in general, including examinations and accounting, the examinee reads the consultation ticket data through a consultation ticket with magnetic tape to a re-examination reception machine at the reception desk, and the control device converts the consultation ticket data to Based on the insurance card data storage device, image data storage device, test data storage device, medical record data storage device, read the data on the examinee from the storage device, and temporarily store it in the external storage device, doctor and laboratory technician Requesting data transfer of the examinee using a personal computer arranged in his / her department, the data in the external storage device
When a doctor or a laboratory technician uses the personal computer to add or modify the data of the examinee, based on the content of the addition or modification, the control device There is proposed a system for updating data on a subject stored in a medical device.

[0006]

However, the above-mentioned prior art has the following problems.

The first problem is that, for example, Japanese Patent Application Laid-Open
In the systems described in JP-A-77257 and JP-A-11-143970, a medical record input /
Medical record information is stored in a storage device which is connected to the display terminal, and when accessing the medical record information on the terminal, the access request is received and the medical record information is transmitted from the storage device to the LAN or the like. It is configured to be transferred to the terminal via the network. Therefore, when the medical record storage device is stopped due to a failure or the like, or when communication such as LAN is interrupted, the medical record input / display terminal such as a personal computer or a workstation is used. Unable to access medical record information,
That's what it means.

[0008] The second problem is that the medical record operation terminal is fixedly arranged at a predetermined place and is difficult to move freely.
That's what it means. The reason is that the installation location of the medical record operation terminal is limited by the network installation status etc. in the medical institution, and in the medical record operation terminal in which the communication connection with the medical record storage device or the control device is disconnected, This is because the medical record information cannot be accessed.

A third problem is that the response to the medical record operation is reduced when the medical record storage device is simultaneously accessed from a plurality of medical record input / display terminals. That is, the medical record input / display terminal cannot perform the next processing until the medical record information registration processing is completed on the record storage device side. For example, Japanese Patent Application Laid-Open
In the system described in Japanese Patent No. 28205, etc., it is possible to improve the response speed of displaying medical information on a workstation by preempting medical information, No means for solving the third problem is considered.

A fourth problem is that it is not easy to change and expand the medical record management system, and the number of work steps required for the change and the like increases.

Accordingly, the present invention has been made in view of the above-mentioned problems, and an object of the present invention is to provide a medical record system and a method which allow access to medical record information from a terminal even when a failure occurs in a communication means or the like. To provide.

It is another object of the present invention to provide a medical record system and method for improving the efficiency of medical record input / display operations at a terminal.

Still another object of the present invention is to provide a medical record system and a method for making a terminal movable.

Still another object of the present invention is to provide a medical record system and a method for facilitating the change, expansion, etc. of the system configuration.

[0015]

SUMMARY OF THE INVENTION In order to achieve the above object, the present invention provides a medical record recording apparatus having a storage device for storing and managing medical record information. Upon receiving the information, the medical record information is extracted from the storage device, collected into a unit of the medical record of the patient, transmitted to the medical record input / display terminal via the communication unit, and the medical record input / display terminal is received. In the medical record information is output, the medical record information is referred to, and when the medical record registration information is input at the medical record input / display terminal, the medical record information is stored in the medical record registration information storage means. The medical record registration information is grouped for each patient and transmitted to the medical record device, and the medical record information in a storage device that stores and manages the medical record information is updated.

[0016]

Embodiments of the present invention will be described. The present invention provides a storage device that stores medical record information of a patient, a medical record information generating unit that registers the medical record information in the storage device and extracts the medical record information from the storage device, and a first transmission / reception unit. A first medical record device, an input unit, an output unit, a medical record registration information storage unit for editing medical record information and storing medical record registration information, and a first medical record device of the first medical record device. A second medical record device including: a first receiving / transmitting device and a second transmitting / receiving device for transmitting / receiving information via the communication device. Transmitting the patient search information to the first medical record apparatus via the second transmitting means and the communication means, and receiving the patient search information by the first receiving means. In the medical record device, the medical record information generation unit stores the medical record information in the storage device. Find the medical record information 憶 held, the in the grouped together the retrieved extracts medical record information medical record units (each patient) the first transmission means,
And the second medical record device, which transmits the medical record information transmitted from the first medical record device to the second medical record device via the communication means, and receives the medical record information transmitted from the first medical record device by the second receiving means. Then, the medical record information is output from the output unit, and when the medical record registration information is input from the input unit,
The medical record registration information storage means temporarily stores and edits the inputted medical record registration information, and collects the medical record registration information into a medical record format. The first medical treatment is performed via the second transmitting means and the communication means. In the first medical record apparatus, which transmits the medical record registration information transmitted from the second medical record apparatus to the first medical record apparatus, the medical record information generating means includes: Registration information is registered in the storage device.

The present invention is characterized in that the medical record information is collectively handled in units of medical record, thereby modeling the real world and promoting the flow of data to the real world. Thus, it is possible to provide a configuration that enables flexible transmission and reception of data and a flexible system configuration and operation.

More specifically, in a preferred embodiment of the present invention, referring to FIG. 1, a first medical record apparatus (101), a first medical record apparatus (101) and communication means ( 301) and a plurality of second medical record devices (201) forming medical record input / display terminals.

The input device (210) of the second medical record device (201) inputs medical information in the form of a doctor writing medical records on paper.

The output device (220) of the second medical record device (201) is inputted by the input means (210),
The information stored by the medical record registration information storage unit (231) and the communication unit (3) transmitted from the second medical record device (201) or the first medical record device (101) generated by another system or the other system.
01) is output.

The information inputted by the input means (211) and the information edited on the display means (221) are edited by the medical record registration information storage means (231), and are edited by the communication means (301). It is stored in the medical record information storage means (121) of one medical record device (101). Communication means (3
01) or when the first medical record device (101) cannot be used due to a failure or the like, the medical record registration information storage means (231)
Is temporarily saved.

When a device or communication means which cannot be used due to a failure or the like is restored and becomes usable, the medical record registration information storage means (231) and the second transmission means (241) automatically retransmit.

The medical record information generating means (111) of the first medical record device (101) requests the medical record information transmitted from the second medical record device (201) via the communication means (301). The medical record information storage means (121) is searched according to the information, and all or a part of the medical record of the patient is put together and the second medical record device (201) is connected via the communication means (301).
Send to

The printing means (251) of the second medical record recording device (201) quotes information input by the input means (211) and information displayed on the display means (221),
Print according to the user's request.

For example, if the medical information of a certain patient is to be printed on a sheet, the user such as a doctor can use the input means 211.
The medical information (findings, symptoms, etc.) input from the user and the image information provided to the display means (221) can be referred to, and the medical information can be quoted by the printing means (251) in a format according to the user's request. Is printed on paper.

As described above, it is possible to realize an electronic medical record apparatus that models the flow of a medical record in the real world (image of carrying a medical record from a medical record storage to a consultation room and returning it to the original state after the medical examination is completed).

[0027]

BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a block diagram showing an embodiment of the present invention; FIG. 1 is a diagram showing the configuration of one embodiment of the present invention.

Referring to FIG. 1, a first medical record apparatus 10
1 is a communication device 130 including a first transmission unit 131 and a first reception unit 132, a control device 110 including a medical record information generation unit 111, and a storage device 120 including a medical record information storage unit 121. And the second medical record device 20
1 is a communication device 240 including a second transmitting unit 241 and a second receiving unit 242, and a medical record registration information storage unit 23.
1, an input device 210 (input means 211), an output device 220 (display means 221),
A printing apparatus 250 (printing means 251) is provided, and the first medical record apparatus 101 and the second medical record apparatus 201 are mutually connected by the communication means 301.

The medical record information generating means 111 of the first medical record apparatus 101 uses the medical record search information received by the first receiving means 132 from the second medical record apparatus 201 via the communication means 301, All or a part of the medical record of the relevant patient is extracted from the medical record information storage unit 121, and information to be collectively transmitted to the second medical record apparatus 201 via the communication unit 301 is generated. The first medical record apparatus 101 and the second medical record apparatus 201 may be connected to each other via the communication unit 301 only when a communication connection is required.

The medical record information storage means 121 is provided with the communication means 3
The medical record information received by the first receiving means 132 from the second medical record device 201 via the first medical record device 201 is stored.

The first transmitting means 131 is a communication means 301
Transmits information to the second medical record apparatus 201 via the
The receiving unit 132 receives information from the second medical device 201 via the communication unit 301.

In the second medical record apparatus 201, the input means 211 is for inputting medical information and the display means 2 is provided.
Reference numeral 21 denotes information input by the input unit 211, information generated by the second medical record apparatus 201, or information generated by another system and transmitted from the first medical record apparatus 101 via the communication unit 301. .

The medical record registration information storage means 231 edits the input information and stores information to be sent to the first medical record apparatus 101.

The printing means 251 prints out the input or stored information.

The second transmitting means 241 transmits information to the first medical record apparatus 101 via the communication means 301.

The second receiving means 242 includes a communication means 301
, The information from the first medical device 101 is received.

The input device 210 includes, for example, a keyboard, a numeric key switch, a mouse, a trackball, an input pen,
It consists of any or some combination of an input tablet, data glove, OCR device and image scanner, microphone, etc. The data to be handled may be input data, such as text, images, graphs, and table data, which are described in medical records, and data that can be recorded during medical treatment, such as audio, video, and binary data.

The output device 220 is, for example, a display,
At least one display output device such as a data scope is provided. Further, when the data includes an audio signal, an audio output device such as a speaker, a headphone, an earphone, and a headset is provided. As data to be handled, data that can be recorded in medical treatment, such as audio, moving images, and binary data, as well as data that can be described in medical records such as texts, images, graphs, and table data, may be output data.

The printing device 250 includes at least one printing device such as a printer.

The storage device 120 and the control device 230 are operated by, for example, one or more of a magnetic disk, an optical disk, a ROM, a RAM, an IC card and a magnetic tape, which are stored electromagnetically or optically, and a changer. Storage devices comprising any or some combination of mass storage devices. The data to be stored may include data recorded in medical treatment, such as voice, moving image, and binary data, in addition to data that can be described in medical records, such as free text, images, graphs, and table data.

The communication means 301 may be, for example, a LAN (local area network) or the like, or may be a dedicated line or the like, a public line network such as a telephone line or an optical fiber cable, or a satellite line. And the like. Communication means 301
Can be connected as needed, and need not always be in a communicable state.

The medical record information generating means 111 of the first medical record apparatus 101 uses the medical record search information received by the first receiving means 132 from the second medical record apparatus 201 via the communication means 301. The medical record information storage unit 121 is searched. The medical record search information includes a patient number, a patient name, a medical treatment date, a medical treatment type name, a medical treatment type code, a medical department name,
Arbitrary items related to medical treatment, such as a medical department code, are designated as conditions.

Based on the search information, all or a part of the medical record of the corresponding patient is extracted from the medical record information storage means 121, and the extracted data is collectively edited into a medical record format, The data is transmitted to the second medical record apparatus 201 via 301.

In the second medical record apparatus 201, the medical record is received by the second receiving means 242 and displayed on the display means 221.

The medical record registration information storage means 231 of the second medical record apparatus 201 structures the medical record information input by the input means 211 and collectively collects the medical record information.
1. Send to the first medical record apparatus 101 via the communication means 301.

In the first medical record apparatus 101, the medical record information is received by the first receiving means 132 and stored in the medical record information storage means 121.

FIGS. 2 to 5 are flow charts for explaining the operation of one embodiment of the present invention.

Referring to FIGS. 2 and 3, a processing procedure when referring to the medical record information will be described.

First, on the second medical record apparatus 201 side, the patient search information is input from the input means 211 (step A1 in FIG. 2), and the medical record registration information storage means 231 is used to retrieve the patient search information input from the input means 211. The information is checked (step A2 in FIG. 2).

The input patient search information is edited by the medical record registration information storage means 213, and sent to the second transmission means 241 in a lump (step A3 in FIG. 2).

In the second transmitting means 241, the communication means 301
Is sent to the first medical record apparatus 101 via the server (step A4 in FIG. 2).

When the first medical record apparatus 101 is in a state where it cannot be received, it waits until it is recovered (step A5 in FIG. 2).

In the first medical record apparatus 101, the search information is received by the first receiving means 132 (step B in FIG. 3).
1), send it to the medical record information generating means 111.

The medical record information generating means 111 analyzes the transmitted information (step B2 in FIG. 3), and extracts the medical record information from the medical record information storage means 121 based on the information (step B2 in FIG. 3). B3).

The extracted information is sent to the medical record information generating means 11.
1 in the form of a medical record (step B in FIG. 3)
4) Send to the first transmitting means 131.

The first transmitting means 131 sends the medical record information to the second medical record device 201 via the communication means 301 (step B5 in FIG. 3).

If the second medical record apparatus 201 is in a state where it cannot be received, it waits until it is restored (step B6 in FIG. 3).

In the second medical record apparatus 201, the medical record information combined by the second receiving means 242 is received (step A6 in FIG. 2), and is displayed on the display means 121 (FIG. 2). Step A7).

Next, with reference to FIGS. 4 and 5, a processing procedure at the time of registering medical record information will be described.

First, on the second medical record apparatus 201 side,
The medical record registration information is input along the medical treatment by the input means 211, and the medical record registration information storage means 231 is used to input the medical record registration information.
The input of the medical record registration information at 11 is checked (FIG. 4).
Step C1).

When the input is completed (step C in FIG. 4)
2) The input medical record registration information is edited, put together in a medical record format (step C3 in FIG. 4), and sent to the second transmitting means 241 (step C4 in FIG. 4). Here, the input device and the output device are released (step C in FIG. 4).
5) The following processing can be performed.

In the second transmitting means 241, the communication means 301
Is sent to the first medical record apparatus 101 via the server (step C6 in FIG. 4).

If the first medical record apparatus 101 is in a state where it cannot be received, it waits until it is restored (step C7 in FIG. 4).

In the first medical record apparatus 101, the search information is received by the first receiving means 132 (step D in FIG. 5).
1), registration is made in the medical record information storage means 121 (step D2 in FIG. 5).

In one embodiment of the present invention, once the second medical record apparatus 201 receives the medical record information, the subsequent processing can be continued. That is, the second medical record device 2
Even if the first medical record apparatus 101 or the communication means 301 cannot be used due to a failure or the like during the input of the medical record on the first medical record apparatus 01, the second medical record apparatus 201 which is operating normally does not change the processing. You can continue.

In one embodiment of the present invention, the second medical record apparatus 201 may be used freely.
That is, the second medical record apparatus 201 does not need to always perform communication connection with the first medical record apparatus 101 and the communication unit 301, and disconnection from the communication unit 301 and connection of the first medical record apparatus 101 This is because it can be stopped and the like and moved freely.

In one embodiment of the present invention, the second
In the medical record recording apparatus 201, the input unit 211 and the display unit 221 can be used as soon as the medical record information is passed to the transmitting unit, so that the input unit 211 in the second medical record apparatus when transmitting the medical record information is used. That is, the return of the operation of the display means 221 is fast.

In the embodiment of the present invention, since the flow of the medical record is reproduced by modeling the actual medical site, the flow of the actual medical site can be reproduced as it is even when adding a new function. The system configuration can be easily changed or expanded based on the actual processing flow.

In the present invention, the input of data is not limited to the time of medical treatment, but may be performed before or after that. There is no need to put the equipment in a fixed place, the size of the equipment,
Depending on the weight and communication means, it can be moved by a trolley or rack, or can be moved by hand. The first medical record device is not limited to the examination room, but can be used at any site such as an examination room, an operating room, and a ward. Is available.

Further, depending on communication means such as the Internet and a public line network, it is also possible to use the apparatus at a remote place from an actual site such as telemedicine.

Further, in the embodiment shown in FIG.
Although the configuration of the medical record recording apparatus 101 and the second medical record recording apparatus 201 has been described, the function of the first medical record recording apparatus 101 is provided in the second medical record recording apparatus 201, and the second medical record recording apparatus 201 can be used alone. It is possible to carry out the invention. Needless to say, a plurality of second medical record devices 201 may be provided.

[0072]

As described above, according to the present invention, the following effects can be obtained.

The first effect of the present invention is that even if a failure or the like occurs in the first medical record recording device or the communication means, the trouble or the like is detected by the second medical record recording device from the first medical record recording device. After the information has been received, the second medical record apparatus can continue the subsequent processing. In other words, even if the first medical record device or the communication means cannot be used due to a failure or the like during the input of the medical record on the second medical record device, the second medical record device operating normally. Then, the processing can be continued as it is.

A second effect of the present invention is that the second medical record apparatus can be carried freely and processed. That is, the second medical record device does not need to always perform communication connection with the first medical record device and the communication means, but disconnects with the communication means, stops the first medical record device, and the like. This is because they can move freely.

The third effect of the present invention is that in the second medical record apparatus, the input means and the output means can be used as soon as the medical record information is passed to the transmitting means. That is, the operation of the input means and the output means of the second medical record recording device is quickly restored.

The fourth effect of the present invention is that since the flow of the medical record is reproduced by modeling the actual medical site, the flow of the actual site can be reproduced as it is even when adding a new function. That is, the system configuration can be easily changed or expanded based on the actual processing flow.

[Brief description of the drawings]

FIG. 1 is a diagram showing a configuration of an embodiment of the present invention.

FIG. 2 is a flowchart showing a processing procedure according to an embodiment of the present invention.

FIG. 3 is a flowchart showing a processing procedure according to an embodiment of the present invention.

FIG. 4 is a flowchart showing a processing procedure according to an embodiment of the present invention.

FIG. 5 is a flowchart showing a processing procedure according to an embodiment of the present invention.

[Explanation of symbols]

 101 first medical record device 130 communication device 131 first transmitting means 132 first receiving means 110 control device 111 medical record information generating means 120 storage device 121 medical record information storage means 201 second medical record device 240 communication device 241 second transmitting means 242 second receiving means 230 control device 231 medical record registration information storage means 210 input device 211 input means 220 output device 221 display means 250 printing device 251 printing means 301 communication means

 ──────────────────────────────────────────────────続 き Continuing on the front page (72) Inventor Toshio Kawamoto 5-7-1 Shiba, Minato-ku, Tokyo Inside NEC Corporation (72) Inventor Norihiro Hazumi 5-7-1 Shiba, Minato-ku, Tokyo Within NEC Corporation (72) Inventor Yasushi Takahashi Kansai NEC Software Co., Ltd. 1-4-24 Shiromi, Chuo-ku, Osaka-shi, Osaka

Claims (10)

[Claims] 1. A medical record recording device having a storage device for storing and managing medical record information of a patient, wherein when patient search information is received from a medical record input / display terminal via communication means, the storage device is used. The medical record information is extracted, collected into a unit of the medical record of the patient, and transmitted to the medical record input / display terminal via the communication unit. The medical record input / display terminal stores the medical record information. When the medical record registration information is inputted at the medical record input / display terminal, the medical record information is stored in the medical record registration information storage means, and the medical record information is referred to. After editing the registration information and grouping it into patient units, transmitting the medical information to the medical record device, and updating the medical record information in a storage device for storing and managing the medical record information, medical record information. Management method. 2. A first medical record device provided with medical record information storage means for storing medical record information of a patient, and a medical record input / display terminal connected to the first medical record device via communication means. And a plurality of second medical record devices, wherein the second medical record device converts the patient search information input from the input unit of the second medical record device into the first medical record The first medical record device extracts the medical record information from the medical record information storage unit based on the patient search information sent from the second medical record device and transmits the medical record to the patient. The medical record information integrated into a record unit is transmitted to the second medical record device. The second medical record device receives and stores the transmitted medical record information and outputs the received medical record information to an output unit. ,
The medical record registration information input from the input unit of the second medical record device is stored, edited, compiled into a medical record format, transmitted to the first medical record device, and transmitted to the first medical record device. A medical record management method, wherein the medical record registration information sent from the first medical record device is registered in the medical record information storage means. 3. When the communication between the first medical record device and the second medical record device cannot be performed, the state of communication is monitored.
When communication is restored, send and receive medical record information,
3. The medical record management method according to claim 2, wherein: 4. A storage device for storing medical record information of a patient,
Medical record information generating means for registering the medical record information in the storage device and extracting the medical record information from the storage device;
A first medical record device provided with a receiving device, an input device, an output device, a medical record registration information storage device for editing medical record information and storing the medical record registration information, and the first medical record device A second medical record device comprising: the first reception / transmission means and a second transmission / reception means for transmitting / receiving information via a communication means. Transmitting the patient search information specified by the input unit to the first medical record apparatus via the second transmission unit and the communication unit; and receiving the patient search information by the first reception unit. In the first medical record apparatus, the medical record information generating means searches the medical record information stored and held in the storage device, extracts the searched medical record information, and collects the searched medical record information into a medical record unit. A first transmitting unit and the second unit via the communication unit; In the second medical record apparatus, the medical record information transmitted from the first medical record apparatus is received by the second receiving means, the medical record information is output to the output means. When the medical record registration information is input from the input unit, the medical record registration information storage unit temporarily stores and edits the input medical record registration information and collects it into a medical record format. And the first transmitting means via the second transmitting means and the communicating means.
In the first medical record apparatus, wherein the medical record registration information transmitted from the second medical record apparatus is received by the first receiving means, the medical record information generation means includes: A medical record management system, wherein medical record registration information is registered in the storage device. 5. The first transmission / reception of the first medical record apparatus.
5. The communication system according to claim 4, wherein the receiving unit and the second transmitting / receiving unit of the second medical record apparatus are connected to each other via the communication unit only when the communication connection is established. Medical record management system. 6. The first transmission / reception of the first medical record apparatus.
If the receiving means and the second transmitting / receiving means of the second medical record device cannot establish a communication connection via the communication means, the communication status is monitored and the medical record information is obtained when the communication is restored. The medical record management system according to claim 4, wherein the medical record management system is configured to transmit and receive the medical record. 7. The medical examination device according to claim 2, wherein
5. The medical record management system according to claim 4, wherein when the medical record registration information is transmitted by the transmission unit, the input unit and the output unit perform the following processing immediately. 8. The medical record management system according to claim 4, wherein said second medical record device is movable. 9. The medical record management system according to claim 4, wherein said second medical record device has a function of said first medical record device. 10. A medical record recording apparatus configured by modeling a medical treatment site and configured as a system, comprising: a storage device for storing medical record information; registration of the medical record information in the storage device; and extraction from the storage device. Medical record information generating means for performing medical record information, a first medical record apparatus provided with a first transmitting / receiving means, an input means, an output means, and a medical record for editing medical record information and storing medical registration information Registration information storage means;
A second medical record recording apparatus having the first transmission / reception means and a second transmission / reception means for transmitting / receiving information via communication means. Recording device.