JP2001249998A - Electronic chart processor - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide an electronic chart processor for immediately and easily recognizing all of information on a patient to be the object of medical examinations and treatment. SOLUTION: This electronic chart processor is provided with a diagnostic output fetching means for fetching the output of a diagnostic device, an inspected result fetching means for fetching the result of an inspection device, an inspected result reception means for receiving an inspected result from institutions outside of a hospital, a medical examination information storage means for storing the fetched diagnostic output and inspected result and the received inspected result corresponding to chart identification information and dates, a chart input and editing means for performing the input and editing of a chart and preserving it, a medical service accounting processing means for performing a medical service accounting processing, a medical history recording means for recording a disease name corresponding to a reception date, a medicinal history recording means for recording a prescription corresponding to the reception date, a patient information acquisition means for acquiring the identification information, name and hospital visit history of the patient from the medical service accounting processing means and a window display means for displaying the information regarding the patient inside a single window.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a processing device for electronically managing medical records, and more particularly to an electronic medical record processing device suitable for clinics and small and medium-sized hospitals.

2. Description of the Related Art In clinics and small- and medium-sized hospitals that rely on human resources for patient reception, medical treatment, accounting, and the like, a great deal of time and labor is required, and it is difficult to reduce operating costs.

[0002] Therefore, high-performance diagnostic devices and examination devices are introduced, and dedicated machines for medical accounting processing are used for patient reception and accounting operations.

[0003] In addition, utilization of a processing device for digitizing and managing medical records is being studied, and it is expected that in-hospital operations for handling medical records will be more efficient.

In the conventional electronic medical record processing device, only the medical record is simply digitized and managed, so that the contents obtained by the diagnosis device, the inspection device, and the dedicated machine for the medical accounting process are stored in a film. However, all the information on the patients to be examined and treated could not be immediately grasped.

[0004] As a result, the efficiency of medical examination and treatment cannot be improved satisfactorily, and it has also been difficult to reliably prevent a simple mistake of changing a medium such as a film or a paper sheet.

[0005] Thus, the present invention has been devised in order to address the above-mentioned conventional problems, and makes it possible to immediately and easily comprehend all information on patients to be examined and treated. It is intended to provide a processing device.

In FIG. 1, an electronic medical record processing apparatus according to a first aspect of the present invention comprises a diagnostic output capturing means 102 for capturing an output of a diagnostic apparatus 100, and an inspection apparatus 1
A test result capturing means 106 for capturing the result of step 04;
A test result receiving means 110 for receiving a test result from the out-of-hospital institution 108; a test information storing means 112 for storing the taken-in diagnostic output, the test result, and the received test result in association with the chart identification information and the date; Chart input editing means 11 for inputting and editing a chart and storing the edited result
4 and medical accounting processing means 120 for performing medical accounting processing
A medical history recording means 116 for recording the input of the disease name from the medical accounting processing means 120 in correspondence with the reception date, and a drug history recording means 118 for recording the input of the prescription from the medical accounting processing means 120 in correspondence with the reception date. A patient information acquisition unit 122 for acquiring patient identification information, name, and visit history from the medical accounting processing unit 120; and identification information, name, visit history, diagnosis output history, test result history, medical record history, and the like for any patient. Display means 1 for arranging and displaying the editing result, medical history and drug history in a single window
24.

Thus, not only the medical record but also the diagnosis history,
Test histories, medical histories, medication histories, and even visit histories are placed in a single window, so you can see at a glance how much information is being gathered about patients to be examined and treated.

[0007] An electronic medical record processing apparatus according to a second aspect of the present invention comprises:
Diagnostic output capturing means 102 for capturing the output of the diagnostic device 100; test result capturing means 106 for capturing the results of the testing device 104; test result receiving means 110 for receiving test results from an out-of-hospital institution 108; Examination information storage means 11 for accumulating test results and received test results in correspondence with chart identification information and date
2, a chart image capturing means 128 for capturing the result of reading from the handwritten medical chart by the scanner 126, and a chart input / editing means 114 for inputting and editing the medical record and storing the read image and the read date of the handwritten medical chart in association with the edited result. A medical accounting processing means 120 for performing medical accounting processing; a medical history recording means 116 for receiving input of a disease name from the medical accounting processing means 120 and recording it in correspondence with a date; and receiving a prescription input from the medical accounting processing means 120 Medication history recording means 1 for recording in association with date
18, patient identification information from the medical accounting processing means 120,
A patient information acquisition unit 122 for acquiring a name and a visit history,
Displays the identification information, name, visit history, diagnostic output history, test result history, medical record editing result, medical history, drug history and handwritten medical record reading history of any patient in a single window Window display means 124
Medical record image display means 132 for displaying an image selected from the history of the handwritten medical record by moving and clicking the pointer on a dedicated window; history of diagnostic output, history of test results, medical history, medicine history, visit history, And display automatic updating means 134 for immediately rewriting the reading history of the handwritten medical record to the latest display contents.

In the second invention, the handwritten chart and the electronic chart are managed in correspondence with each other, and the image of the handwritten chart can be confirmed on the spot. Can be eliminated.

[0009] Even if the information being displayed is updated or new information is added, the content is automatically and immediately reflected, so that the accuracy of the information can be ensured.

An electronic medical record processing apparatus according to a third aspect of the present invention comprises:
Diagnostic output capturing means 102 for capturing the output of the diagnostic device 100; test result capturing means 106 for capturing the results of the testing device 104; test result receiving means 110 for receiving test results from an out-of-hospital institution 108; Examination information storage means 11 for accumulating test results and received test results in correspondence with chart identification information and date
2, a chart image capturing means 128 for capturing the result of reading from the handwritten medical chart by the scanner 126, and a chart input / editing means 114 for inputting and editing the medical record and storing the read image and the read date of the handwritten medical chart in association with the edited result. A medical accounting processing means 120 for performing medical accounting processing; a medical history recording means 116 for receiving input of a disease name from the medical accounting processing means 120 and recording it in correspondence with a date; and receiving a prescription input from the medical accounting processing means 120 Medication history recording means 1 for recording in association with date
18, patient identification information from the medical accounting processing means 120,
A patient information acquisition unit 122 for acquiring a name and a visit history,
Displays the identification information, name, visit history, diagnostic output history, test result history, medical record editing result, medical history, drug history and handwritten medical record reading history of any patient in a single window Window display means 124
A medical examination image display means 130 for displaying an image selected from the history of the diagnostic output by moving and clicking the pointer in a dedicated window; and an image exclusively selected from the history of the handwritten medical record by moving and clicking the pointer. Medical record image display means 132 for displaying in the window of
Automatic display updating means 134 for immediately rewriting the drug history, the visit history and the reading history of the handwritten medical record to the latest display contents.
When the explanation button is selected by moving and clicking the pointer, an explanation material list presenting means 136 for presenting a list of explanation materials by disease name, and any explanation material is displayed by moving and clicking the pointer. When selected,
Disease explanation means 1 for starting a presentation application and opening a file corresponding to the explanation material
38, an inspection item list presenting unit 140 for presenting a list of inspection items when an inspection button is selected by moving and clicking the pointer, and one of the inspection items is selected by moving and clicking the pointer. Sometimes, a test value visual display means 142 for visually displaying the test value and drug history of the item in chronological order, and a file management program when a fixed document button is selected by moving and clicking the pointer. A fixed form document access guide means 144 for starting and opening a specific folder, and a problem list display means 14 for displaying a list of disease names when a button for medical care input is selected by moving and clicking a pointer.
6, a medical care menu display means 148 for displaying a medical care action menu when one of the disease names is selected by moving and clicking the pointer, and selecting from the medical care action menu by moving and clicking the pointer. A medical treatment requesting unit 150 for issuing a request for a treatment corresponding to the selected item, and a blank sheet chart printing unit 152 for printing a character string specifying a patient on a new sheet and creating a chart read by the scanner 126 after handwriting. And having the following.

[0011] In the third invention, a plurality of buttons are arranged in an initial window in which all information on the patient can be grasped at a glance.

[0012] Of these, an explanation button is selected by a mouse click operation or the like, and the explanation material presented (by disease name) is presented.
From the list starts a presentation explaining the illness and provides useful information to help the patient understand the illness.

[0013] When a test button is further selected, a list of test items is presented. Next, when one of the test items is selected, the test value and drug history of the item are visually displayed in chronological order. For this reason, a medical condition change etc. can be grasped easily and immediately.

Moreover, by selecting one of the images from the history of the diagnostic output by an operation such as a mouse click, the image is displayed in a dedicated window. For this reason, the state of the body tissue can be checked on the spot without preparing a film or a photograph.

If the presentation of the explanation of the disease is combined with the visual display of the test values and the medical history and the display of the diagnostic image, it is possible to make the patient fully understand the disease.

When a button of a standard document is selected, a file management program is started and a specific folder is opened. Therefore, if a template file of a standard document is prepared in the folder in advance, a document such as an introduction letter or a medical certificate can be created immediately. After printing this document,
It is preferable to read at 26 and handle as a handwritten chart. Note that the handwritten medical chart prints, for example, only the name of the patient on a blank sheet of paper, and the doctor fills out the same sheet, and the scanner 126 reads it after the entry.

When a button for medical care input is selected, a list of disease names is displayed. When any one of these disease names is selected, a menu of medical treatment is displayed. When an item is selected from the menu of the medical practice, a request for a treatment corresponding to the item is issued. It is assumed that the treatment will include issuing a test request form or prescription, printing out a reservation table or precautionary notes, and starting presentation of the disease explanation.The doctor repeatedly clicks the mouse according to the screen display to efficiently perform a series of operations. Do it easily.

Further, on this screen, it is also possible to add, modify and delete medical treatment.

FIG. 2 shows a system configuration in a clinic. A plurality of diagnostic apparatuses (radiography, endoscope, ultrasonic echo, echocardiography, fundus camera, flexible endoscope, rigid endoscope) are shown in FIG. The image data obtained by the mirrors (such as mirrors) 100-1, 100-2,..., 100-i is taken into the electronic medical record processing device 10 via the medical image taking device 102 and the private network.

Also, various analyzers 104-1, 104
.. 104-j are connected to the analysis processing device 106, and the analysis devices 104-1, 104-2.
Is processed by the analysis processing device 106.

The analysis processor 106 operates a general-purpose SQL relational database management system, and is connected to the electronic medical record processor 10 and the medical accounting processor 120 via a private network.

The electronic medical record processing apparatus 10 and the medical accounting processing apparatus 120 also operate the SQL relational database management system, and the database on the medical accounting processing apparatus 120 side uses the electronic medical record processing apparatus 1.
Shared from the 0 side.

At the time of sharing, the table value of the database of the medical accounting processor 120 is set to MML (Medical M
arkup Language) format or XML (Ext
The data is converted into an “enable Markup Langage” format and then delivered to the electronic medical record processing device 10. On the electronic medical record processing apparatus 10 side, the delivered MML format or XM
The value in the L format is converted to the internal format and then written to the table. Even when the table value is transferred in the opposite direction, the value is temporarily converted to the MML format or the XML format.

The chart number registered in the database of the medical accounting processor 120 is referred to by the analyzer 106. The electronic medical record processing apparatus 10 issues an inspection request including the chart number and the code of the inspection item to the analysis processing apparatus 106, and the analysis processing apparatus 106 processes the data of the inspection result including the medical chart number and the inspection item in the electronic medical record processing. Return to device 10.

The electronic medical record processing device 10 includes a printer 15
2 and the scanner 126 are connected. The printer 152 prints the name of the patient on a blank sheet at the time of receiving the patient to create a medical chart, and the doctor writes the medical chart by hand. Scanner 126
Reads the set handwritten chart or introduction letter, and the read image is taken into the electronic chart processor 10. When reading a handwritten chart, a chart number is designated, and the electronic chart processing apparatus 10 stores the read image, the chart number, and the date in association with each other.

The input and creation of the medical record can be performed not only by the above-mentioned scanner 126 input but also by direct input from a keyboard or the like.

The user can directly input a medical chart while viewing the image of the handwritten medical chart captured by the scanner 126. At this time, the image screen and the direct input screen using a keyboard or the like are simultaneously displayed on one screen. .

The chart information to be directly input is the same input information as the handwritten chart information. Further, if the code is standardized in the directly input medical record information, it can be input as code-added information.

The electronic medical record processing device 10 on the private network is connected to the Internet via an internet server 12, a global network, and a router 14.

FIG. 3 illustrates a connection partner of the electronic medical record processing apparatus 10. The electronic medical record processing apparatus 10 (see FIG. 2) installed in the clinic 30 is maintained by the system support center 32 via the Internet. The data of the electronic medical record processing apparatus 10 is backed up at the system support center 32.

The electronic medical record processing device 10 issues an electronic prescription, and the prescription is converted into the MML format or the XML format and then delivered to the pharmacy 34 via the Internet.

For examinations that cannot be performed in the clinic 30, a request is made to the examination company 108 of an out-of-hospital institution via the Internet.
The inspection company 108 converts the inspection result data into MML format or X
The data is transmitted in the ML format to the requesting clinic 30 via the Internet similarly, and the data is received by the electronic medical record processing device 10 of the clinic 30.

Further, for patients who cannot be handled at the clinic, a letter of introduction is sent from the electronic medical record processing device 10 of the clinic 30 to the regional support or hospital 36 of a specific function via the Internet. At that time, the reservation request table and the contents of the electronic medical record are also sent.

Thereafter, the doctors at the clinic 30 and the hospital 36 are referred to as We
b. Exchange information and opinions using the service and the video conference system via the Internet.

In the case of a patient who requires home medical care, the electronic medical record processing apparatus 10 gives a nursing station 38 an instruction for home-visit nursing via the Internet and goes to the patient's home 39, and reports the report electronically via the Internet. The chart processing device 10 receives it.

When a vital sign terminal is installed in the patient's home 39, vital sign information is collected by a vital sign collection server on the Internet via the Internet. The clinic refers to it.

When an Internet connection terminal is prepared in the patient's house 39, a video conference is held with the patient's house 39 via the Internet using the electronic medical record processing device 10.

FIG. 4 shows an initial window of the electronic medical record processing apparatus 10. When a patient number is entered in the input field 40 in the upper center, the date and the name of the department in charge are displayed on the left side, and the name of the patient is displayed on the right side. Is done. The department name and the patient name are obtained by accessing the database of the medical accounting processor 120 using the input patient number.

A visit history column 42 is provided on the left side of the window. The visit history column 42 sorts and displays the dates on which the patients arrived. The date is obtained by accessing the database of the medical accounting processor 120 using the patient number, and when the accounting process is completed by the medical accounting processor 120, the date is added to the visit history column 42 and the list is automatically displayed. Will be updated to

A disease history column 44 is provided on the upper right side of the window, and a disease name list having a date and a disease name as one line is sorted and displayed in chronological order. Disease name is medical accounting processor 1
When the disease name is updated in the medical accounting processor 120, the updated content is immediately reflected in the disease name in the medical history column 44.

A medicine history column 46 is provided below the medical history column 44. In the medicine history column 46, a list including a medicine name, an amount, the number of days, and a date as one line is displayed in a sorted order, and when a prescription is input, the line is automatically added and displayed.

Below the medicine history column 46, an in-hospital inspection history column 48 is provided.
And an out-of-hospital examination history column 50 are provided side by side. In the in-hospital examination history column 48, images transferred from the analysis processing device 106 are displayed in a list in order of date, and in the out-of-hospital examination history column 50, examination results received by e-mail or the like from the inspection company 108 are listed and displayed in order of date. You. When a new test result is obtained, the line is displayed in the in-hospital test history column 48 and the out-of-hospital test history column 50 as a land price.

In-hospital examination history column 48 and out-of-hospital examination history column 50
A diagnostic image history column 52 is provided below, and a list including the diagnostic image name, date and time, and number of sheets as one line is displayed sorted by date and time. On the left side of these, image display columns 54 and 56
When any of the rows in the list of the diagnostic image history column 52 is clicked with the mouse, the corresponding image (image such as an ultrasonic echo) is displayed in the image display columns 54 and 56. The image is transferred from the image capturing device 102, and when a new image is transferred, the line is added to the diagnostic image history column 52.

An electronic medical record display column 58 is provided at the center of the window. The electronic medical record display column 58 displays the contents of the medical record, and the electronic medical record display column 58 includes a chief complaint part 58.
0, finding part 581, finding image part 582, consideration part 5
83, a policy part 584, and a handwritten medical record history part 585.

In the handwritten medical record history portion 585 of the electronic medical record display column 58, medical record lists are sorted and displayed in order of date. Each row shows an image of a handwritten medical chart captured from the scanner 126.

As described above, not only the contents of the electronic medical record but also the visit history, medical history, drug history, examination history inside and outside the hospital, and image diagnosis history are displayed in a single window. For this reason, it can be immediately grasped from the display of the window how much information about the patient is collected outside the medical record. Moreover,
Since the content displayed in the window is automatically updated in real time, there is no omission or mistake.

It is also possible to check the details of the window display, and this display can be used for explaining the disease to the patient.
When explaining a disease to a patient, the explanation button 60 in the window is first clicked with the mouse.

FIG. 5 shows an example of explaining the disease to a patient with bronchial asthma. When the explanation button is clicked (step 600), a list of disease names is displayed, and a line for bronchial asthma is selected (step 602). ).

The presentation application is started by selecting a line for bronchial asthma (step 604), and a normal bronchi cross section, a bronchi cross section when asthma occurs, and a schematic structure when asthma occurs are displayed in a realistic and easy-to-understand manner (step 606). 608, 610).

When explaining the state of the internal tissue to the patient, an appropriate line is selected from the diagnostic image history column 52 by a mouse click operation.

FIG. 6 shows a procedure for displaying a CT image. When a line of a CT image is selected by a mouse click in the diagnostic image history column 52 (step 620), the four images assigned to that line are displayed in another window (step 622), and one of them is selected. Only the image is enlarged and displayed (step 624). FIG. 7 shows a procedure for possessing an endoscope image. When a line of a CT image is selected by a mouse click in the diagnostic image history column 52 (Step 630), four images are displayed in separate windows (Step 632), and one of them is selected to enlarge only that image. Is displayed (step 634).

It is also preferable to show the change of the test result to the patient to explain the change of the medical condition and the like. In this case, the inspection result button 62 arranged in the window of FIG. 4 is selected by clicking the mouse.

FIG. 8 shows a display example when the inspection result button 62 is selected. When the inspection result button 62 is clicked (step 640), a list of inspection items is presented. Is selected (step 642). As a result, the test value and the medication history of the item are displayed in a time-series visual manner (step 644), so that the patient can easily and immediately grasp the change in the medical condition. At that time, the medication history is displayed as a graph, and the effect of the medication can be confirmed at the same time.

When the doctor wants to obtain new information, he purchases a CD-ROM in which such information is stored, sets it in the electronic medical record processing apparatus 10, and presses the today's medical care button 64 in FIG. Mouse click, CD-ROM
Refer to the contents of

In addition to the explanation for the patient and the acquisition of new information, powerful functions for assisting the doctor are provided as follows.

At the time of patient reception, only the name of the patient is printed on a blank sheet by the printer 152, and a medical chart is created. The doctor writes on the chart, and the written chart is set on the scanner 126 and read. The read image is dated and displayed in column 585. The introduction letter and the like are handled in the same manner as the handwritten medical chart, and are displayed in the column 585.

When any one of the history lists in the partial column 585 is selected by clicking the mouse, an application for displaying an image is started, and an image of a handwritten medical record or an introduction letter is displayed. Therefore, there is no need to prepare such documents, and the work can be made more efficient and errors can be prevented.

For creating an electronic medical record, a template or the like is also prepared. For example, when filling in the subsection 580 of the chief complaint, clicking the mouse button on the button opens the template window of FIG. 9, and the finding image is automatically inserted into the subsection 582 by selecting from the opened window as shown in FIG. .

As described above, the creation of an electronic medical record can be performed not only by input from the scanner 126 but also by direct input from a keyboard or the like.

Then, the user can directly input a medical chart while viewing the image of the handwritten medical chart captured by the scanner 126. At this time, an image screen and a direct input screen using a keyboard or the like are simultaneously displayed on one screen.

The chart information to be directly input is the same input information as the handwritten chart information. Further, if the chart information to be directly input is standardized, it may be input as code-added information. it can.

At the time of medical treatment, the medical treatment input button 6 shown in FIG.
Click 6 with the mouse. Thereby, the question list window of FIG. 11 is displayed. The question list window is prepared for each medical department, and when hypertension is selected in the internal medicine, the medical template shown in FIG. 12 is displayed on the window. The template is a standard one, and an appropriate action is selected in advance from a patient explanation, an examination request, issuance of a prescription and a letter of introduction, reservation, and the like.

FIG. 13 shows a template for the initial examination of hypertension, and FIG. 14 shows a template for the re-examination of hypertension. Click the mouse. If correction is necessary, add or modify. The physician can efficiently and easily perform a series of operations only by repeating mouse clicks and the like according to the screen display and correcting necessary portions.

To create a standard document such as a letter of introduction or a medical certificate, a button 68 of the standard document in FIG. 4 is selected by clicking the mouse. As a result, a file management program is started and a specific folder is opened as shown in FIG.
In FIG. 15, a fixed form document of an introduction letter is prepared in advance. That is, if a template file is prepared in the folder in advance, the file can be opened only by clicking the mouse on the template file. Therefore, a letter of introduction and a medical certificate can be created quickly, saving time and effort.

When the medical history is to be edited, the disease name edit button 70 in FIG. 4 is clicked with the mouse. This mouse click displays the window shown in FIG.
4 is edited (the medical history is added).

When the window shown in FIG. 16 is displayed, the electronic medical record processing apparatus 10 sends the medical accounting processing apparatus 120
Databases are shared. At the time of sharing, the date and the chart number are delivered from the electronic chart processing apparatus 10 to the medical accounting processing apparatus 120.

According to the first aspect of the present invention, all the information of the patient is collected in a single window, so that they can be grasped instantaneously. Therefore, there is no need to prepare documents for grasping the patient information. Therefore, it is possible to eliminate errors such as replacing documents while improving the efficiency of in-hospital operations.

According to the second aspect of the present invention, the handwritten medical record and the electronic medical record are managed in correspondence with each other, and the image of the handwritten medical record can be confirmed on the spot. And waste of time can be eliminated. Furthermore, even if the information being displayed is updated or new information is added, the content is automatically and immediately reflected, so that the accuracy of the information can be secured.

According to the third aspect of the present invention, it is possible to easily explain a medical condition and the like to a patient without preparing a book, a film, a photograph, and the like, to simplify a process of creating a standard document, and to perform a menu during a medical treatment. Can be automated along the way, helping physicians to reduce the burden, increase efficiency, eliminate simple mistakes in replacing documents or missing confirmations, and streamline operating costs while maintaining the level of medical care. It is possible to greatly reduce.

[Brief description of the drawings]

FIG. 1 is a diagram illustrating the configuration of the present invention.

FIG. 2 is an explanatory diagram of a system configuration in a hospital.

FIG. 3 is an explanatory diagram of an Internet connection.

FIG. 4 is an explanatory diagram of a window configuration of an initial display.

FIG. 5 is an explanatory diagram of a procedure for explaining bronchial asthma.

FIG. 6 is an explanatory view showing display of a CT image.

FIG. 7 is an explanatory view showing display of an endoscope image.

FIG. 8 is an explanatory diagram showing display of inspection results.

FIG. 9 is an explanatory diagram of a chief complaint template.

FIG. 10 is an explanatory diagram of a finding image template.

FIG. 11 is an explanatory diagram of a problem list window.

FIG. 12 is an explanatory diagram of a medical treatment template.

FIG. 13 is an explanatory diagram of an algorithm of a medical treatment template.

FIG. 14 is an explanatory diagram of an algorithm of a medical treatment template.

FIG. 15 is an explanatory diagram of a folder for storing a standard document.

FIG. 16 is an explanatory diagram of a disease name editing window.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 10 Electronic medical record processing apparatus 12 Internet server 14 Router 30 Clinic 32 System support center 34 Pharmacy 36 Hospital 38 Nursing station 39 Patient home 40 Patient number input column 42 Visit history column 44 Medical history column 46 Drug history column 48 In-hospital inspection history column 50 Outside the hospital Inspection history field 52 Diagnostic image history field 54 Image display field 56 Image display field 58 Electronic medical record display field 60, 62, 66, 68, 70 Button 100 Diagnostic device 102 Image capture device 104 Analysis device 106 Analysis processing device 108 Inspection company 120 Medical accounting processor 126 Scanner 152 Printer 585 History display part of handwritten medical record image

 ────────────────────────────────────────────────── ─── Continuation of front page (72) Inventor Toshio Takeuchi 7-8-1-918 Funabashi, Setagaya-ku, Tokyo F-term (reference) 5B050 AA02 BA06 FA02 GA01

Claims (3)

[Claims] 1. A diagnostic output capturing means (102) for capturing an output of a diagnostic device (100); a test result capturing means (106) for capturing a result of a testing device (104); Test result receiving means (110) for receiving medical record information; medical examination information storing means (112) for storing the captured diagnostic output, test result, and received test result in association with the chart identification information and date; A chart input editing means (114) for performing editing and storing the edited result, a medical accounting processing means (120) for performing medical accounting processing, and inputting a disease name input from the medical accounting processing means (120) to a reception date. Medical history recording means (116) for recording and recording prescriptions from the medical accounting processing means (120) in correspondence with the date received; and medical accounting processing means (120) From the patient's identity, name,
Patient information acquiring means (122) for acquiring a visit history; identifying information, a name, a visit history, a diagnostic output history, a test result history, a medical record editing result, a medical history and a medical history of any one of the patients as a single An electronic medical record processing device, comprising: a window display means (124) arranged and displayed in a window. 2. A diagnostic output capturing means (102) for capturing an output of the diagnostic device (100), a test result capturing means (106) for capturing a result of the testing device (104), and a test result from an out-of-hospital institution (108). A test result receiving means (110) for receiving the received diagnostic output, the test result, and the received test result in association with the chart identification information and the date; and a scanner (126). ) Is a chart image capturing means (128) for capturing the result of reading from the handwritten chart, and a chart input editing means (114) for inputting and editing the chart and storing the read image of the handwritten chart and the date of reading in association with the edited result. And a medical accounting processing means (120) for performing medical accounting processing; and accepting an input of a disease name from the medical accounting processing means (120) and corresponding to a date. Medical history recording means (116) for recording and receiving prescriptions from the medical accounting processing means (120), and recording the medical history recording means (118) in correspondence with the date; Patient information acquisition means (122) for acquiring identification information, name, and visit history, and identification information, name, visit history, diagnosis output history, test result history, medical record editing result, medical history, medicine for any patient Window display means (12) for arranging and displaying the reading history of the history and the handwritten medical record in a single window.
4), a chart image display means (132) for displaying an image selected from the history of the handwritten medical chart in a dedicated window by moving and clicking the pointer, a diagnostic output history, a test result history, a medical history, and a medical history. And an automatic display updating means (134) for immediately rewriting the visit history and the reading history of the handwritten medical record to the latest display contents. 3. A diagnostic output capturing means (102) for capturing the output of the diagnostic device (100), a test result capturing means (106) for capturing the result of the testing device (104), and a test result from an out-of-hospital institution (108). A test result receiving means (110) for receiving the received diagnostic output, the test result, and the received test result in association with the chart identification information and the date; and a scanner (126). ) Is a chart image capturing means (128) for capturing the result of reading from the handwritten chart, and a chart input editing means (114) for inputting and editing the chart and storing the read image of the handwritten chart and the date of reading in association with the edited result. And a medical accounting processing means (120) for performing medical accounting processing; and accepting an input of a disease name from the medical accounting processing means (120) and corresponding to a date. Medical history recording means (116) for recording and receiving prescriptions from the medical accounting processing means (120), and recording the medical history recording means (118) in correspondence with the date; Patient information acquisition means (122) for acquiring identification information, name, and visit history, and identification information, name, visit history, diagnosis output history, test result history, medical record editing result, medical history, medicine for any patient Window display means (12) for arranging and displaying the reading history of the history and the handwritten medical record in a single window.
4), medical examination image display means (130) for displaying an image selected from the history of the diagnostic output by moving the pointer and clicking on the dedicated window, and selecting from the history of the handwritten medical chart by moving and clicking the pointer. Image display means (132) for displaying the scanned image in a dedicated window, and a display for immediately rewriting the history of diagnostic output, history of test results, medical history, drug history, visit history and reading history of handwritten medical records to the latest display contents Automatic updating means (134); explanation material list presenting means (136) for presenting a list of explanation materials by disease name when a pointer button is selected by moving and clicking the pointer; and moving and clicking the pointer When one of the explanatory materials is selected by the operation, the application for presentation is started to Disease explanation means (138) for opening a file corresponding to a sample, examination item list presenting means (140) for presenting a list of examination items when an examination button is selected by moving and clicking a pointer, and a pointer. When one of the test items is selected by moving and clicking the mouse, the test value visual display means (1) for visually displaying the test value and drug history of the item in a time series.
42), a standard document access guide means (144) for starting a file management program and opening a specific folder when a standard document button is selected by moving and clicking the pointer; A problem list display means (146) for displaying a list of disease names when a button for medical treatment input is selected by a click operation, and a medical treatment when one of the disease names is selected from the list of disease names by moving the pointer and clicking. A medical care menu display means (148) for displaying a menu of actions; a medical care action requesting means (150) for issuing a request for a treatment according to an item selected from the menu of the medical care action by moving and clicking a pointer; A blank sheet chart printing means (1) for printing a character string specifying a patient on a sheet of paper and creating a chart read by the scanner 126 after handwriting. Has a 2), the electronic medical record processing apparatus characterized by.