JPH08335232A - Practice of medical chart-less system - Google Patents
Practice of medical chart-less systemInfo
- Publication number
- JPH08335232A JPH08335232A JP14226295A JP14226295A JPH08335232A JP H08335232 A JPH08335232 A JP H08335232A JP 14226295 A JP14226295 A JP 14226295A JP 14226295 A JP14226295 A JP 14226295A JP H08335232 A JPH08335232 A JP H08335232A
- Authority
- JP
- Japan
- Prior art keywords
- medical
- chart
- charts
- medical records
- doctor
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
Landscapes
- Measuring And Recording Apparatus For Diagnosis (AREA)
- Management, Administration, Business Operations System, And Electronic Commerce (AREA)
- Medical Treatment And Welfare Office Work (AREA)
Abstract
Description
【0001】[0001]
【産業上の利用分野】国民健康保険連合会や社会保険連
合会等での診療報酬請求審査会で審査員が審査するとき
オンライン化をすることで膨大なカルテと重量や容量の
あるカルテを審査しなければならない、しかし「カルテ
レス」を利用して審査すればページめくりや特定の病・
医院を検索するときなどキーボードボタンを押すだけで
簡単に審査することが出来る。[Industrial application] Examination of enormous charts and charts with a large amount of weight and capacity by making them online when the examiner examines at medical fee claim examination committees such as National Health Insurance Federation and Social Insurance Federation However, if you use "Carteles" to examine it, page turning and specific diseases
You can easily examine by just pressing a keyboard button when searching for a clinic.
【0002】医師自ら従来の紙形カルテ同様に手書き感
覚で記入することができ、カルテ作成から診療報酬請求
まで一体化した本来のカルテ機能をもつコンピュータに
よるシステムである。This is a computer-based system that allows a doctor to fill in like a conventional paper chart by handwriting, and has an original chart function that integrates from chart creation to medical treatment fee billing.
【0003】[0003]
【従来の技術】電子カルテや改竄防止、カルテファイリ
ングシステム、診療報酬請求、検査、処方箋等高度の技
術により精巧に研究開発されてはいるがすべて個々的開
発であり単体で所見からレセプトまで、本来のカルテ機
能がなされていない。2. Description of the Related Art Although electronic medical records, falsification prevention, medical record filing system, medical fee reimbursement, examinations, prescriptions, etc. are all elaborately researched and developed by advanced technology, but they are all individual developments, and from the point of view alone to the receipt The chart function of is not made.
【0004】従来のコンピュータカルテではスケッチや
手書きまでのコメントが出来なかった。In the conventional computer chart, it was not possible to make comments such as sketches and handwriting.
【0005】[0005]
【発明が解決しようとする課題】本来のカルテ機能いわ
ゆる医者自ら記入した「カルテレス」カルテに所見、処
置、検査、処方箋、レセプトまで一環性をもつ機能を確
立する。[Problems to be Solved by the Invention] Original medical record function A so-called "Carteres" medical record written by the doctor himself establishes a function having a unity of finding, treatment, examination, prescription, and receipt.
【0006】病院、診療所や調剤薬局等でこの「カルテ
レス」が実施されることにより診療報酬請求の作成も簡
素化され短時間で済み正月や五月の連休の時など、提出
のため時間的束縛から解放される価値は大きい。[0006] By implementing this "Carteres" at hospitals, clinics, dispensing pharmacies, etc., the preparation of medical fee bills is simplified and completed in a short period of time, such as during the New Year holidays and May consecutive holidays. The value of being free from bondage is great.
【0007】支払基金や診療報酬請求審査とオンライン
化することで毎月重量のある膨大な紙形カルテの輸送を
なくすことが可能になる。[0007] It becomes possible to eliminate the transportation of a huge amount of heavy paper charts every month by making the payment fund and examination of medical fee claim online.
【0008】[0008]
【課題を解決するための手段】ナースセンターでや回診
の時、その他移動しながら診察する為に移動を可能にす
るコードレスでポータブル及びスタンド型カルテを使用
する。[Means for Solving the Problems] A cordless portable and stand-type medical chart is used which enables the patient to move around at a nurse center or at the time of a round trip, so that he / she can move around for examination.
【0009】カルテレスはオンラインはもとより光ケー
ブル通信や衛星通信を利用することにより如何なる場所
からもアクセスすることが可能になる。Carteles can be accessed from any place by using optical cable communication or satellite communication as well as online.
【0010】テレビの画面は液晶テレビを使用すること
により斜めからは見えにくく患者などプライバシーが保
たれる。By using a liquid crystal television, the screen of the television is hard to see from an angle and the privacy of the patient and the like is maintained.
【0011】[0011]
【作用】医師の指示によりウインドーや指示ボタンを操
作しペン入力ボードで手書き感覚で入力を行い従来の紙
型カルテを記入するように作成できる。[Function] According to a doctor's instruction, a window or an instruction button can be operated to input like a handwriting with a pen input board so that a conventional paper-type medical record can be written.
【0012】[0012]
【実施例】検査の場合、検査センターなどで使用されて
いる一覧表にチェクするだけで後日その結果が出た時に
チェクした覧に記入していくだけで済むので、めんどう
な操作や表示もなく医者も簡単に記入することが出来
る。[Example] In the case of an inspection, all you have to do is check the list used at the inspection center, etc., and when the result comes out later, you will only have to fill in the check list, so there is no troublesome operation or display. Can also be filled in easily.
【0013】手術室の壁に大型テレビを設置して患部の
レントゲンフイルムやCTスキャン、ファイバースコー
プ等の映像を見ながら手術を行うことが出来る。A large television set can be installed on the wall of the operating room to perform an operation while observing an X-ray film, a CT scan, a fiberscope or the like of the affected area.
【0014】従来のコンピュータカルテではスケッチや
手書きまでのコメントが出来なかったが「カルテレス」
ではイメージ入力を随所に活用することにより可能とな
った。In the conventional computer chart, it was not possible to comment on sketches and handwriting.
It became possible by using image input everywhere.
【0015】[0015]
【発明の効果】医師が記入した「カルテレス」カルテは
検査や投薬、入院患者のカルテと月末の診療報酬請求と
を一体化することにより本来のコンピュータカルテの機
能が満たされる。[Effects of the Invention] The "karteres" medical chart filled in by the doctor fulfills the original function of a computer medical chart by integrating examinations, medications, medical charts for inpatients and bills for medical fees at the end of the month.
【0016】慢性疾患や長期治療の場合一人のカルテ枚
数や検査も多くなりがちで分厚くなるが「カルテレス」
で解消が図られる。In the case of chronic illness or long-term treatment, the number of charts and tests for one person tend to increase, which makes it thicker
Will be solved by.
【0017】歯科、眼科、耳鼻科、産婦人科等移動して
患者を診察する場合に、コードレスでスタンド型移動テ
レビカルテを使用することにより身近に的確に便利に診
察することが出来る。When moving and examining a patient such as dentistry, ophthalmology, otolaryngology, and obstetrics and gynecology, a cordless stand type mobile TV chart can be used for convenient and convenient examination.
【0018】カルテを紛失したとき改めて手書きによる
書き直をしなければならないが「カルテレス」であれば
プリントするだけで簡単に作成出来るし、院内で多額の
資金をかけ現在使用している紙形カルテの搬送システム
を施設する必要もなくなる。[0018] When the medical record is lost, it must be rewritten by handwriting again, but if it is "Carteres", it can be easily created just by printing, and the paper-type medical record currently used by spending a large amount of money in the hospital. There is no need to install a transportation system of
【0019】[0019]
Claims (2)
初めとしてカルテのファイリングシステム、診療報酬請
求、検査方法、院内外の処方箋等各社が開発していてい
ろいろな入力方法や記入改竄防止等高度の技術が研究開
発されているがしかしカルテだけが高度でも他部門との
流れがないと利用価値がなくそれをどの様に利用し使用
するかのシステムはいまだ未開発である、例えば回診の
時や入院患者のカルテ作成あるいはカルテと医薬品とを
結ぶことがいっこうに進んでいない。これらを解決する
には回診の時、移動しながら診察することが出来るコー
ドレスカルテの開発が不可欠となっている。又レントゲ
ンフイルム、スキャナー、検査等の情報は光デスクなど
を採用し連動させ映像としてファイルするがこれらとの
連携がなされていないのが現状である、これらが一体と
なって初めて利用価値が出て来る。この流れを確立しよ
うとしたのが「カルテレスシステム G06F15/2
1 以下カルテレスと言う」である。従来の電子カルテ
を始め各種コンピュータによるカルテはオリジナルなも
ので大変精巧に研究開発がなされているが、しかしこれ
は技術者的発想で使用者向きではないように思われる、
まったくの素人でコンピュータアレルギーの医師から見
れば複雑で使用しずらいし末端で入力する医者の立場か
らはむずかしすぎる。これをより簡単に操作できるよう
に又違和感を少なくするために所見、処置、投薬、検査
など現在使用している紙形カルテ様式を採用し特に所見
や処置はイメージ入力を多分に採用する。慢性疾患患者
一人のカルテ枚数量も多く特に長期入院患者などのは分
厚くなっている、それにまして検査も多種多様にわたり
多くなりがちであるが、カルテレスであればこれらを簡
素化でき保管場所も小規模で良くなる。Claims 1. Nowadays, computer charts are developed by various companies such as electronic charts, medical filing systems, medical fee bills, inspection methods, prescriptions both inside and outside the hospital, and various advanced methods such as various input methods and entry falsification prevention are available. Although it is being researched and developed, even if only the medical chart is advanced, if there is no flow with other departments, it has no value and the system of how to use and use it is still undeveloped, for example at the time of rounds and inpatients There is no progress in making medical records or linking medical records with pharmaceuticals. To solve these problems, it is indispensable to develop a cordless medical chart that can be examined while moving during rounds. Also, information such as X-ray film, scanner, and inspection is stored as an image by using an optical desk or the like, but it is the current situation that they are not linked. come. I tried to establish this flow by "Carteles System G06F15 / 2
It is called "Karteresu 1" below. Medical records using various computers, including conventional electronic medical records, are original and have undergone extremely sophisticated research and development, but this seems to be an engineer's idea and not suitable for users.
From the viewpoint of a doctor who is completely layman and computer allergic, it is complicated and difficult to use, and it is too difficult for a doctor who inputs at the end. In order to make it easier to operate and to reduce discomfort, the paper chart format currently used such as findings, treatments, medications, and examinations is adopted. Especially, the findings and treatments often use image input. The number of charts per person with chronic illness is large, especially for long-term hospitalized patients, and the number of tests tends to be many, but Carteres can simplify these and the storage space is small. Will improve
会保険連合会その他組合保険などの審査の時オンライン
化をすることで膨大で重量や容量もがさばるカルテをい
ちいちめくりながらのチェクは困難であり輸送の必要も
なくなる、「カルテレス」であれば手元に紙形カルテの
必要はなくなりスムーズにチェクすることが出来る。診
療報酬請求をオンライン化によってテレビ画像による審
査であれば次病院.次診療所と次ページボタン操作を繰
り返すだけで簡単でしかも速く審査することが出来る。
地域から請求され集まった膨大なカルテから一診療所を
検索しようとする場合など特に便利である。さらに病
院、診療所や調剤薬局等でこの「カルテレス」が実施さ
れることにより診療報酬請求の作成も簡素化されて短時
間で済み、これまでのように提出の為時間的束縛から解
放される価値は大きい。[Claim 2] Checking while paying attention to the medical records, which is enormous in weight and capacity, is made online by conducting online examinations for the National Health Insurance Federation, the Social Insurance Federation, and other union insurance. It is difficult and does not need to be transported. With "Carteres", you do not need a paper chart at hand and you can check smoothly. If the medical fee claim is made online by screening TV images, go to the next hospital. By repeating the button operation of the next clinic and the next page, you can perform the examination easily and quickly.
This is especially convenient when you want to search for one clinic from a huge amount of medical records collected from the area. Furthermore, the implementation of this "Carteres" at hospitals, clinics, dispensing pharmacies, etc. simplifies the preparation of medical fee bills and takes only a short time. It is released from the time constraint for submission as before. Great value.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP14226295A JPH08335232A (en) | 1995-06-08 | 1995-06-08 | Practice of medical chart-less system |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP14226295A JPH08335232A (en) | 1995-06-08 | 1995-06-08 | Practice of medical chart-less system |
Publications (1)
Publication Number | Publication Date |
---|---|
JPH08335232A true JPH08335232A (en) | 1996-12-17 |
Family
ID=15311256
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP14226295A Pending JPH08335232A (en) | 1995-06-08 | 1995-06-08 | Practice of medical chart-less system |
Country Status (1)
Country | Link |
---|---|
JP (1) | JPH08335232A (en) |
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2002024382A (en) * | 2000-07-05 | 2002-01-25 | Nec Corp | System and method for medical treatment in home care |
KR20020079111A (en) * | 2001-04-13 | 2002-10-19 | 사회복지법인삼성생명공익재단(삼성서울병원) | Nurse data management system and Method of management for wireless |
US9529458B2 (en) | 2012-07-28 | 2016-12-27 | Wacom Co., Ltd. | Position pointer of the electromagnetic induction type and electronic ink cartridge |
Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPH04318675A (en) * | 1991-04-18 | 1992-11-10 | Hitachi Ltd | Hospital information system |
JPH04333973A (en) * | 1991-05-10 | 1992-11-20 | Hitachi Ltd | Input/output control method for electronic chart |
JPH052613A (en) * | 1991-06-26 | 1993-01-08 | Hitachi Ltd | Wide area medical service system |
JPH06162120A (en) * | 1992-11-25 | 1994-06-10 | Hitachi Ltd | Handwriting electronic medical card system |
-
1995
- 1995-06-08 JP JP14226295A patent/JPH08335232A/en active Pending
Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPH04318675A (en) * | 1991-04-18 | 1992-11-10 | Hitachi Ltd | Hospital information system |
JPH04333973A (en) * | 1991-05-10 | 1992-11-20 | Hitachi Ltd | Input/output control method for electronic chart |
JPH052613A (en) * | 1991-06-26 | 1993-01-08 | Hitachi Ltd | Wide area medical service system |
JPH06162120A (en) * | 1992-11-25 | 1994-06-10 | Hitachi Ltd | Handwriting electronic medical card system |
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2002024382A (en) * | 2000-07-05 | 2002-01-25 | Nec Corp | System and method for medical treatment in home care |
KR20020079111A (en) * | 2001-04-13 | 2002-10-19 | 사회복지법인삼성생명공익재단(삼성서울병원) | Nurse data management system and Method of management for wireless |
US9529458B2 (en) | 2012-07-28 | 2016-12-27 | Wacom Co., Ltd. | Position pointer of the electromagnetic induction type and electronic ink cartridge |
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Legal Events
Date | Code | Title | Description |
---|---|---|---|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20040629 |
|
A02 | Decision of refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A02 Effective date: 20041102 |