JP2012221087A - Electronic medical chart system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide an electronic medical chart system for solving the problem of the switching operation of the proper output destination of an order.SOLUTION: The electronic medical chart system includes: a client terminal 12 equipped with a storage part for storing doctor authentication information relating to the system authentication of a doctor and patient information relating to a patient in association, an input part for inputting prescription order information, and an output part for displaying the order information, and installed in a medical examination room; and a server 11 configured to read the doctor authentication information and the patient information from the storage part, and to edit an order from the doctor from the doctor authentication information and the patient information and the prescription order information input by the input part, and to perform the communication control of the edited order, therein a plurality of client terminals including the client terminal 12 and the server are connected via a local area network 15. The server 11 includes an output destination switching information storage part for storing the switching information of the proper output destination of the order, and the server 11 is configured to communicate the output destination switching information to the client terminal.

Description

  The present invention relates to an electronic medical chart system that operates in a medical institution such as a hospital or a clinic, and more particularly to an electronic medical chart system that appropriately changes the operation of an ordering system.

  In the electronic medical record system, a doctor communicates orders such as medications and inspection instructions to patients through a local area network in the hospital to non-doctoral medical personnel such as pharmacists, nurses, and clinical technologists. Have the health care worker in the order. An example of the process up to the execution of the order is disclosed in Patent Document 1.

  In Patent Document 1, when a doctor issues a prescription order using a prescription order system, etc., the doctor who performed the medical treatment uses his ID card and the patient's examination ticket (card on which the patient's code is magnetically recorded). The prescription is edited by inputting the necessary prescription order information such as the name of the medicine to be prescription on the display screen. When the doctor instructs transmission of the prescription, the prescription that has been edited is transmitted to the terminal of the hospital pharmacy and printed out by the printer of the terminal of the hospital pharmacy.

JP-A-6-187383

  However, since the technology disclosed in Patent Document 1 only discloses an out-of-hospital prescription for transmitting a prescription to an out-of-hospital pharmacy and an in-hospital prescription for transmitting a prescription to an in-hospital pharmacy, respectively. The doctor will set the appropriate output destination for the order.

  By the way, switching of the appropriate output destination of the order is an example of dispensing from a doctor to a patient, for example, the operating hours of the out-of-hospital pharmacy, the response time of the in-hospital pharmacy, It is necessary for the on-duty doctor at midnight or on holidays to determine whether or not to check the presence or absence, or when the doctor responds directly by outputting in the clinic.

  In this way, when the on-duty doctor manually switches the appropriate output destination of the order, not only the manual operation is complicated, but also the manual operation may involve human error. There are no considerations regarding the issue of switching the appropriate output destination of the order, such as resolution and avoidance of human error.

  SUMMARY OF THE INVENTION An object of the present invention is to provide an electronic medical record system that can solve the problem of switching operation of an appropriate output destination of an order.

  In order to achieve the above object, the present invention performs control to communicate a doctor's order to a selected terminal based on order output destination appropriate information.

  Specifically, the electronic medical record system of the present invention displays a storage unit that stores doctor authentication information related to system authentication of a doctor and patient information related to a patient, an input unit that inputs prescription order information, and the order information. A prescription input from the input unit, the client authentication information, the patient information, and the patient information read out from the storage unit. The electronic medical record system includes a server that edits an order from a doctor based on order information and that controls communication of the edited order, and includes a plurality of client terminals including the client terminal and the server connected via a network. The server is provided with an output destination switching information storage unit for storing switching information of an appropriate output destination of the order. Reads the output destination switching information from the previous switch information storage unit, and performs control for communicating the edited order on the basis of the output destination switching information to the client terminal selected from said plurality of client terminals.

  The selected client terminal refers to each in-hospital facility, such as an out-of-hospital pharmacy, that allows doctors to transmit orders to other health care professionals for the time, place, and order of medical care. The client terminal.

  ADVANTAGE OF THE INVENTION According to this invention, the electronic medical chart system which can eliminate the problem of switching operation of the appropriate output destination of an order can be provided.

The block diagram which shows the structural example of the electronic medical chart system common in each embodiment of this invention. 6 is a flowchart showing an operation example of a main routine of the electronic medical chart system according to the first embodiment. FIG. 3 is a flowchart showing an operation example of an out-of-hospital output subroutine of FIG. 2. FIG. FIG. 3 is a flowchart showing an operation example of a hospital output subroutine of FIG. 2. FIG. FIG. 5 is a diagram showing an example of a reference table used for out-of-hospital / in-hospital output in FIGS. 3 and 4; The figure which shows the example of a display of the prescription screen of the electronic medical chart at the time of the outpatient examination of the electronic medical chart system of 1st Embodiment. The figure which shows the example of a display of the prescription screen of the electronic medical chart at the time of emergency of the electronic medical chart system of 1st Embodiment. 9 is a flowchart showing an operation example of a main routine of the electronic medical chart system according to the second embodiment. FIG. 8 is a diagram showing an example of a reference table used in step 701 in FIG. The figure which shows the example of a display of the prescription screen of an electronic medical record in the case of switching a display mode manually at the time of the outpatient examination of 2nd Embodiment. 14 is a flowchart showing an operation example of a main routine of the electronic medical chart system according to the third embodiment. The figure which shows the example of a display of the confirmation screen of the prescription of an electronic medical record in the case of switching automatically at the time of an outpatient examination of 3rd Embodiment. 10 is a flowchart showing an operation example of a main routine of the electronic medical chart system according to the fourth embodiment. FIG. 13 is a diagram showing an example of a reference table used in step 1201 of FIG. The figure which shows the example of the switching display of the screen of the prescription of the electronic medical chart of the emergency of 4th Embodiment by default, and the electronic medical chart prescription of all time.

  Hereinafter, an embodiment of an electronic medical record system to which the present invention is applied will be described. In the following description, the same functional parts are denoted by the same reference numerals, and redundant description is omitted.

(System configuration)
First, a configuration example of an electronic medical chart system common to each embodiment of the present invention will be described with reference to FIG.

FIG. 1 is a configuration diagram showing a configuration example of an electronic medical chart system common to the embodiments of the present invention.
The electronic medical record system includes a server 11 connected to a local area network 15 in a hospital, client terminals 12 to 14 and printers 12a to 14a.

  The server 11 includes a patient database (DB) 11a, an order database (DB) 11b, and an output destination database (DB) 11c.

  The patient DB 11a is a database in which data including patient information such as a patient name, sex, and age and diagnostic information such as a disease name can be searched using the patient ID as a search item. The order DB 11b is a database that can search for prescription information data of medicines with respect to diagnostic information using diagnostic information as a search keyword. The output destination DB 11c is a database that can search the switching information data of the appropriate output destination of the order using the prescription information as a search keyword.

  The client terminals 12 to 14 are composed of personal computers installed in the examination room, the in-hospital pharmacy, and the central treatment room, respectively. A personal computer includes a data input / output unit for inputting / outputting a processing target such as a medical image, a publicly known keyboard for inputting parameters for a medical worker to perform data processing on the processing target, an input unit having a mouse, an image An output unit that displays a screen such as the processing unit of the data input / output unit receives parameters input from the input unit, executes data processing, outputs the data to the data input / output unit, and displays an image on the output unit And a control unit that performs processing.

  The client terminal 12 is a device that is installed in the examination room and allows a doctor to input a patient's diagnosis result. The server 11 stores the diagnosis result input by the client terminal 12 in association with the patient ID in the patient DB 11a. The printer 12a is installed in the examination room, and a doctor operates the client terminal 12 to print an order.

  The client terminal 13 is a device that is installed in a hospital pharmacy and outputs a prescription generated from a doctor's input via the server 11 in a screen display and provides it to a hospital pharmacist. The printer 13a is a printer installed in a hospital pharmacy. The client terminal 13 has the same function as the client terminal 12, and the printer 13a has the same function as the printer 12a.

  The client terminal 14 is an apparatus that is installed in a central treatment room and outputs an examination form generated from a doctor's input via the server 11 on a screen display and provides it to clinical laboratory technicians and radiographers in the hospital. The printer 14a is a printer installed in the central treatment room. The client terminal 14 has the same function as the client terminal 12, and the printer 14a has the same function as the printer 12a.

  Further, the electronic medical record system is connected to a public line 16 such as the Internet via a local network 15 and a router (not shown). The electronic medical record system is connected to a local area network 17 installed in an out-of-hospital pharmacy, for example, via a public line 16 and a router (not shown).

  The out-of-hospital pharmacy has a client terminal 18 and a printer 18a connected to the local area network 17. The client terminal 18 has the same function as the client terminal 12, and the printer 18a has the same function as the printer 12a.

(Operation example of the first embodiment)
Next, an operation example of the first embodiment of the electronic medical chart system of FIG. 1 will be described with reference to FIG.

  FIG. 2 is a flowchart showing an operation example of a main routine of the electronic medical chart system according to the first embodiment.

  The doctor inputs authentication information (user ID and password) for using the electronic medical record system to the client terminal 12. The client terminal 12 receives the input user ID and password and performs authentication processing. The client terminal 12 transfers the screen of the prescription order system from the server 11 to the client terminal 12 if the user ID and password that are authenticated match the user ID and password registered in advance as a doctor who uses the electronic medical record system. . By this transfer, the doctor can input a prescription order or the like at the client terminal 12. Then, the client terminal 12 keeps waiting for input until the doctor inputs (step 201).

  The doctor calls the patient into the diagnosis room and performs an examination such as an inquiry and palpation to the patient. Then, if it is assumed that the medical treatment is performed only by medication as a result of the examination, the doctor inputs order information such as a medicine name necessary for medication and a prescription amount to the client terminal 12 according to the medical condition of the patient (step 203).

  The server 11 receives the input of the order information, measures the issuance time of the order information by a timer provided in the server 11 itself, or refers to the patient information of the order information, so that the issue time of the order information and the patient Whether or not the medicine can be received at the out-of-hospital pharmacy is determined from the time required for the out-of-hospital pharmacy. Further, the patient information includes situations each patient has such as when the patient is an infant, an elderly person, or has a broken leg. As a result of the determination, if it is determined that “a drug can be received at an out-of-hospital pharmacy”, the process proceeds to step 207. If it is determined that “a drug cannot be received at an out-of-hospital pharmacy”, the process proceeds to step 209 (step 205).

  If the server 11 determines that “the drug can be received at the out-of-hospital pharmacy”, the server 11 executes a sub-hospital out-of-hospital output and ends the processing (step 207).

  If the server 11 determines that “the drug cannot be received at the out-of-hospital pharmacy”, the server 11 executes a subroutine in-hospital output and ends the process. Subruch (step 209).

The server 11 determines prescription in-hospital output / out-of-hospital output based on the timer function time held by the server 11 and the table in Table 1 because the prescription processing is mainly based on time.
In addition, in the case of prescription, there are (1) in-hospital pharmacy, (2) central treatment room, (3) clinic, etc. It is assumed that the output destination of the prescription is determined by a table. However, if the drug in the central treatment room is missing, information on the missing item is returned to the doctor in the clinic so that the doctor can find a new source of medicine.

次に、サブルーチン院外出力について、図3を用いて説明する。
図3は図2の院外出力のサブルーチンの動作例を示すフローチャートである。
サーバ11は、医師がステップ203で入力したオーダを院外薬局のクライアント端末18に転送する。この場合のオーダは処方箋情報である(ステップ211)。

Next, the subroutine out-of-hospital output will be described with reference to FIG.
FIG. 3 is a flowchart showing an operation example of the out-of-hospital output subroutine of FIG.
The server 11 transfers the order input by the doctor in step 203 to the client terminal 18 of the out-of-hospital pharmacy. The order in this case is prescription information (step 211).

  The client terminal 18 configures prescription output data to be output as a prescription from the transferred prescription information, and further updates the data in the order of arrival of the prescription information transferred from the server 11 (step 213).

  The client terminal 18 displays the prescription information updated with reference to the reference table shown in FIG. 5 as shown in FIG. 6A (step 215).

  FIG. 5 is a diagram showing an example of a reference table used for out-of-hospital / in-hospital output in FIGS. 3 and 4, and FIG. 6A is a diagram showing a display example of a prescription screen of an electronic medical record during outpatient examination.

  As shown in FIG. 5, the reference table has a screen management number 51 indicating the display order of the prescription information, an order status 52 indicating the execution status of the order, and a format 53 indicating whether or not a doctor's seal is necessary. is doing.

  Order status 52 indicates whether or not the drug has been prescribed. If the in-hospital prescription drug has been handed over to the patient, it is displayed as `` Done / In-hospital '' and the in-hospital prescription has not yet been handed over to the patient. "In-hospital". Since Format 53 requires a doctor's seal for prescriptions for out-of-hospital pharmacies, it is written as “1” as a shaded format.

  As shown in Fig. 6A, the display example shows a display area 63 for displaying patient information such as patient ID, name, gender, age, date of birth, allergies, etc. A display area 64 for displaying the prescription location, a display area 65 for displaying whether the prescription is also stored in a paper medium, and a display area 66 for displaying the output destination of the prescription and the name of the doctor who issued the prescription. A display area 67 for displaying a doctor's seal, a display area 68 for displaying drug information such as a drug name, prescription amount, and usage / dose, and a display area 69 for displaying a comment field for describing special notes etc. Have.

  Here, since there is a black circle in the radio switch for out-of-hospital prescription in the display area 64, the out-of-hospital prescription is selected, and the display area 65 is selected for simultaneous prescription printing indicating that the prescription is also stored on a paper medium. In the display area 66, the doctor A is displayed with the name of the XX pharmacy, which is an out-of-hospital pharmacy, and the doctor name, and the display area 67 displays the seal of the doctor A. Display area 68 displays drug information: drug name: XXX tablet 0.25 mg, prescription amount: 1 tablet, usage / dose: before sleep, 3 days, display area 69 displays nothing because there is no special note It has not been.

Next, the subroutine in-hospital output will be described with reference to FIG.
FIG. 4 is a flowchart showing an operation example of the in-hospital output subroutine of FIG.
The server 11 receives the input of the order information, measures the issuance time of the order information by a timer provided in the server 11 itself, and calculates the order of the in-hospital facility from the issuance time of the order information and the in-hospital response time in Table 1. Determine where the medicine can be received. As a result of the determination, the server 11 proceeds to step 223 if it is determined that “the medicine can be received at the in-hospital pharmacy”, and proceeds to step 233 if it is determined that “the drug cannot be received at the in-house pharmacy” (step 221 ).

  The server 11 transfers the order input by the doctor in step 203 to the client terminal 13 of the hospital pharmacy. The order in this case is prescription information (step 223).

  The client terminal 13 configures prescription output data to be output as a prescription from the transferred prescription information, and further updates the data in the order of arrival of the prescription information transferred from the server 11 (step 225).

  The client terminal 13 displays the prescription information updated with reference to the reference table shown in FIG. 5 (step 227).

  The server 11 transfers the order input by the doctor in step 203 to the client terminal 14 in the central treatment room. The order in this case is prescription information (step 233).

  The client terminal 14 determines the presence or absence of medicines in the central treatment room according to the in-hospital processing rules shown in Table 1. The medical staff in the central treatment room may check the storage status of the medicine, and the stock management of the medicine is performed in the central treatment room by the client terminal 14 or other computers. If so, the presence / absence of medicine stock may be determined from the stock-managed data. As a result of the determination by the client terminal 14, the server 11 proceeds to step 235 if there is a medicine stock, and proceeds to step 243 if there is no medicine stock (step 235).

  The client terminal 14 configures prescription output data to be output as a prescription from the transferred prescription information, and further updates the data in the order of arrival of the prescription information transferred from the server 11 (step 237).

  The client terminal 14 displays the prescription information updated with reference to the reference table shown in FIG. 5 as shown in FIG. 6B (step 239).

  The server 11 transfers the order input by the doctor in step 203 to the client terminal 12 in the clinic. The order in this case is prescription information (step 243).

  The client terminal 12 configures prescription output data to be output as a prescription from the transferred prescription information, and further updates the data in the order of arrival of the prescription information transferred from the server 11 (step 245).

  The client terminal 12 displays the prescription information updated with reference to the reference table shown in FIG. Then, the doctor in the clinic can know that there is no stock of prescribed medicines in the central treatment room. Furthermore, the doctor in the clinic can check the presence or absence of medicines at a medical institution that is available on holiday night (step 247).

FIG. 6B is a diagram showing a display example of an emergency electronic medical record prescription screen.
As shown in FIG. 5, the order status 52 indicates whether or not the medicine has been prescribed. If the prescription is executed, “in-hospital” is displayed, and if the prescription has not been executed, “in-hospital” is displayed. It is written. Since format 53 does not require a doctor's seal for prescriptions for hospital use, “0” is written as a format without shading.

  In the display example, as shown in FIG. 6B, a display area 63 for displaying patient information, a display area 64 for displaying the prescription location, and a display for storing the prescription also in a paper medium are displayed on the screen 62. It has an area 65, a display area 66 for displaying the output destination of the prescription and the name of the doctor, a display area 68 for displaying the drug information, and a display area 69 for displaying the comment column.

  Here, in the display area 64, since the radio switch for in-hospital prescription has a black circle, an out-of-hospital prescription is selected, and in the display area 65, prescription simultaneous printing indicating that the prescription is also stored on a paper medium is selected.

The display area 66 displays the central treatment room and the doctor A as the doctor name as the output destination of the prescription.
The display area 68 displays drug information: drug name: XXX tablet 0.25 mg, prescription amount: 1 tablet, usage / dose: before sleep, 1 day, display area 69 displays nothing because there is no special note It has not been.

  Although the display example shows an example of the central treatment room, even in the case of an in-hospital pharmacy or clinic, the display area 66 can be changed to other display items simply by changing the prescription output destination from the central treatment room to the in-hospital pharmacy or clinic. The same information is displayed on the screen of each client terminal.

  As described above, according to the first embodiment, information relating to doctor system authentication, information relating to doctor authentication information and storage related to patient information relating to a patient, an input unit for inputting prescription order information, and the order An output unit for displaying information, and the client terminal 12 installed in the clinic, the doctor authentication information and the patient information are read from the storage unit, the doctor authentication information, the patient information, and the input unit The order from the doctor is edited from the prescription order information input more than the server 11, and the server 11 that controls the communication of the edited order includes a plurality of client terminals including the client terminal 12, and the server includes a local area network 15 And the server 11 stores the switching information of the appropriate output destination of the order. An information storage unit is provided, the output destination switching information is read from the output destination switching information storage unit, and the edited doctor's order is communicated to the client terminals selected from the plurality of client terminals based on the output destination switching information Since the control is performed, it is possible to appropriately switch the order of the output destination, so that it is possible to provide an electronic medical record system that can solve the problem of the switching operation of the appropriate output destination of the order.

  In addition, the special effect of the first embodiment is that prescriptions are output properly to out-of-hospital pharmacies, in-hospital pharmacies, and the central treatment room, and consideration is given to out-of-stock drugs in the central treatment room. Smooth medical practice can be supported even for the on-duty doctor.

(Display example of the second embodiment)
Next, a second embodiment will be described with reference to FIGS.
FIG. 7 is a flowchart showing an operation example of the main routine of the electronic medical chart system of the second embodiment, FIG. 8 is a diagram showing an example of a reference table used in step 701 in FIG. 7, and FIG. It is a figure which shows the example of a display of the prescription screen of an electronic medical record in the case of switching a display mode manually at the time of the outpatient examination of embodiment.

  In the second embodiment, an example will be described in which a doctor or the like in the clinic changes the display mode of the client terminal screen from the prescription screen to the terminal information and operator information screen.

  FIG. 7 is obtained by adding step 701 to the main routine of the electronic medical chart system of the first embodiment of FIG. 2, and only the additional portions different from the first embodiment will be described.

  A medical staff such as a doctor inputs a switching instruction from the outpatient medical care list screen to the mode list screen in the input unit of the out-of-hospital pharmacy client terminal 18 or the in-hospital client terminals 12 to 14. Upon receiving input from the input unit, the out-of-hospital pharmacy client 18 or the in-hospital clients 12 to 14 switches the display from the currently displayed outpatient list screen to the mode list screen with reference to the reference table in FIG. The reference table in FIG. 8 is composed of a reception number 81, a client number 82, and an incoming time 83, and the mode list screen is displayed in the order of the client number 82 and the incoming time 83. Here, an example will be described in which the messages are rearranged in the order of arrival times 83 (step 701).

  The left screen in FIG. 9 has an outpatient medical care list screen 91 and a display mode switching button 92. When the operator of the out-of-hospital pharmacy client terminal 18 or the in-hospital client terminals 12 to 14 presses the button 92, a new window opens as shown on the right side of FIG. 9, and a mode list screen 95 is displayed in the window. The mode list screen 95 displays terminal information and a list of server accesses of operators such as other doctors. These details can be confirmed separately by pressing the “Details” link. Furthermore, the display mode is switched from the mode list screen 95 to the outpatient medical care list screen 91 by selecting a display item from the mode list screen 95 and pressing a “select” button 94. If the button 76 “Close” is pressed, the mode list screen 95 is closed and only the outpatient treatment list screen 91 is returned.

  Since the second embodiment is an additional technique of the first embodiment, it has the same effects as the first embodiment. In addition, the special effect of the second embodiment is that the out-of-hospital pharmacy client terminal 18 or the in-hospital client terminals 12 to 14 recognize the congestion state of the server 11 by the display mode switching button 92, and thus the progress to prescription can be made. I can grasp.

(Display example of the third embodiment)
Next, a third embodiment will be described with reference to FIGS.
FIG. 10 is a flowchart showing an operation example of the main routine of the electronic medical chart system according to the third embodiment, and FIG. 11 is a table of a confirmation screen for the electronic medical chart prescription when automatic switching is performed during the outpatient examination according to the third embodiment. It is a figure which shows an example.

  In the third embodiment, an example in which the server 11 changes the prescription output destination of the screen display of the client terminal 12 will be described.

  FIG. 10 is obtained by adding step 1001 to the main routine of the electronic medical chart system of the first embodiment of FIG. 2, and only the additional portions different from the first embodiment will be described.

  The out-of-hospital pharmacy client terminal 18 or the in-hospital client terminals 12 to 14 receive the communication of the timer function owned by itself or the timer function of the server 11. The out-of-hospital pharmacy client terminal 18 or the in-hospital client terminals 12 to 14 receive a time counted by the timer function and displays a prescription switching confirmation screen 112 (step 1001).

  In the screen of FIG. 11, the outpatient medical care list screen 111 has the designated time (in this case, 19:00) that the out-of-hospital pharmacy client terminal 18 or the in-hospital client terminals 12 to 14 have or the timer function of the server 11 counts. At this time, a warning window 112 as to whether or not to switch from prescription for out-of-hospital pharmacy to prescription for in-hospital pharmacy is displayed. When the “Yes” button in the warning window 112 is pressed, the prescription is switched, and when the “No” button is pressed, the prescription is not switched.

  Since the third embodiment is an additional technique of the first embodiment, the third embodiment has the same effect as that of the first embodiment. In addition, the special effect of the third embodiment is flexible when the prescription is not switched, when the ordering of prescription from the out-of-hospital pharmacy is in progress, and there is no problem in treating the patient even if the drug is obtained the next day. Can respond.

(Display example of the fourth embodiment)
Next, a fourth embodiment will be described with reference to FIGS.
FIG. 12 is a flowchart showing an operation example of the main routine of the electronic medical chart system of the fourth embodiment, FIG. 13 is a diagram showing an example of a reference table used in step 1201 of FIG. 12, and FIG. It is a figure which shows the example of the switching screen display of the electronic medical chart prescription screen of all the time by displaying the default electronic medical chart prescription screen of the embodiment.

  In the fourth embodiment, an example in which the server 11 changes the prescription output destination of the screen display of the client terminal 12 will be described.

  FIG. 12 is obtained by adding step 1201 to the main routine of the electronic medical chart system of the first embodiment of FIG. 2, and only the additional portions different from the first embodiment will be described.

  A medical worker such as a doctor inputs an emergency flag to the input unit of the out-of-hospital pharmacy client terminal 18 or the in-hospital client terminals 12-14. The emergency flag is “1” for emergency and “0” for other than emergency. The out-of-hospital pharmacy client 18 or the in-hospital clients 12 to 14 receive the input from the input unit, and refer to the reference table in FIG. Switch. The reference table of FIG. 13 is composed of a reception number 131, an emergency flag 132, and a patient ID 133, and the emergency medical care list screen displays only those for which the emergency flag 132 is “1” (step 1201).

  In the left screen of FIG. 14, a list of only patients requiring urgent is displayed on the emergency outpatient treatment list screen 141, and a list selection button 142 is provided. When the button of the list selection button 142 is pressed, the screen on the right side of FIG. 14 appears, and a list of all patients is displayed on the all outpatient treatment list screen 143 in addition to the patients who need an emergency. The all outpatient treatment list screen 143 has a return button 144. When the return button 144 is pressed, the all outpatient treatment list screen 143 is closed and the emergency outpatient treatment list screen 141 is displayed again.

  Since the fourth embodiment is an additional technique of the first embodiment, the fourth embodiment has the same effects as the first embodiment. Further, as a special effect of the fourth embodiment, since only patients who need urgent treatment are listed in an emergency, the on-duty doctor in an emergency can quickly recognize the patient to be treated.

  11 servers, 12, 13, 14 client terminals, 15 local area network

Claims (5)

  A storage unit for storing doctor authentication information related to system authentication of a doctor and patient information related to a patient, an input unit for inputting prescription order information, and an output unit for displaying the order information, The client terminal to be installed, the doctor authentication information and the patient information are read from the storage unit, and the order from the doctor is edited from the doctor authentication information and the patient information and the prescription order information input from the input unit. A server for controlling communication of the edited order, and an electronic medical record system in which a plurality of client terminals including the client terminal are connected to the server via a network, wherein the server is an appropriate output destination of the order. An output destination switching information storage unit for storing switching information is provided, and the output destination switching information is read from the output destination switching information storage unit. Electronic medical record system that, and performs control for communicating the edited order on the basis of the output destination switching information to the client terminal selected from said plurality of client terminals.   2. The electronic medical record system according to claim 1, wherein the server communicates non-stock information to a client terminal installed in the clinic when the order is a prescription of a medicine and the medicine is not in stock in the hospital.   The electronic medical chart system according to claim 1, wherein the client terminal switches and displays the order screen and the access information screen of the server.   The electronic medical chart system according to claim 1, wherein the client terminal displays a screen for confirming a change setting of an output destination of the client terminal by the server.   The electronic medical record system according to claim 1, wherein the server controls the client terminal to display only a patient list that requires an emergency in an emergency.

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